New pill combo aims to outperform current standard in CLL
NCT ID NCT07277231
First seen Jun 25, 2026 · Last updated Sep 11, 2026 · Updated 9 times
Summary
This phase 3 trial is testing whether a new combination of two oral drugs, sonrotoclax and zanubrutinib, works better than the current standard combination (venetoclax plus acalabrutinib) for people with untreated chronic lymphocytic leukemia (CLL). About 500 adults who have not received prior CLL treatment will be randomly assigned to one of the two pill regimens. The main goals are to see how long participants live without their cancer progressing and to measure how deeply the cancer is suppressed.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- sonrotoclax and zanubrutinib (oral drugs)
- What this could lead to
- If successful, this could offer a new fixed-duration oral combination therapy for people with untreated CLL, potentially improving how long they live without their cancer getting worse.
- What could go wrong
- This is an early-stage comparison against an already approved regimen, so it may not prove superior. Side effects from the drug combination are possible, and results may not apply to all CLL patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 500 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jan 2026
- Expected to finish
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Nov 2031
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Treatment-naïve (TN) adults with confirmed diagnosis of CLL which requires treatment * Eastern Cooperative Oncology Group (ECOG) score 0, 1, or 2 * Measurable disease by Computer Tomography/Magnetic Resonance Imaging * Adequate bone marrow and organ function Exclusion Criteria: * Previous systemic treatment for CLL * Known prolymphocytic leukemia or history of, or currently suspected, Richter's transformation * Known central nervous system involvement * History of confirmed progressive multifocal leukoencephalopathy (PML) * Uncontrolled hypertension or clinically significant cardiovascular disease Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Chronic lymphocytic leukemia are added.
Genom att skicka in godkänner du våra Användarvillkor
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
114 sites in 17 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Show contact details
Enter your email to view the contact information for this study.
Genom att skicka in godkänner du våra Användarvillkor
Study contacts
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Contact
Email: •••••@•••••
Locations
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Affiliated Hospital of Nantong University
RECRUITINGNantong, Jiangsu, 201203, China
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Albert Schweitzer Ziekenhuis
RECRUITINGDordrecht, 3318 AT, Netherlands
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Aou Careggi, Servizio Sanitario Toscana
RECRUITINGFlorence, 50134, Italy
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Asan Medical Center
RECRUITINGSongpaGu, Seoul Teugbyeolsi, 05505, South Korea
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Atrium Health Levine Cancer Institute (Lci)
RECRUITINGCharlotte, North Carolina, 28204-2990, United States
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Auckland City Hospital
RECRUITINGAuckland, 1023, New Zealand
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Austin Health
RECRUITINGHeidelberg, Victoria, VIC 3084, Australia
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Azienda Ospedaliera Di Padova
RECRUITINGPadova, 35128, Italy
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Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda
RECRUITINGMilan, 20162, Italy
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Bc Cancer Victoria
RECRUITINGVictoria, British Columbia, V8R 6V5, Canada
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Blacktown Cancer and Haematology Centre
RECRUITINGBlacktown, New South Wales, NSW 2148, Australia
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Cabrini Hospital Malvern
RECRUITINGMalvern, Victoria, VIC 3144, Australia
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Centre Hospitalier Le Mans
RECRUITINGLe Mans, 72037, France
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Centre Leon Berard
RECRUITINGLyon, 69373, France
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Centre de Lutte Contre Le Cancer Institut Bergonie
RECRUITINGBordeaux, 33076, France
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Centro Gaucho Integrado de Oncologia Hospital Mae de Deus
RECRUITINGPorto Alegre, 90110-270, Brazil
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Centrum Fur Haematologie Und Onkologie Bethanien
RECRUITINGFrankfurt am Main, 60389, Germany
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Chao Family Comprehensive Cancer Center
RECRUITINGOrange, California, 92868-3201, United States
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Chu Clermont Ferrand Therapie Cellulaire and Hematolo
RECRUITINGClermontFerrand, 63100, France
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Chu Montpellier Hopital Saint Eloi
RECRUITINGMontpellier, 34090, France
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Chu de Quebec Universite Laval, Hopital de Lenfant Jesus, Centre Integre de Cancerologie (Cic)
RECRUITINGQuébec, Quebec, G1J 1Z4, Canada
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City of Hope National Medical Center
RECRUITINGDuarte, California, 91010-3012, United States
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Ciusss Nim Hscm
RECRUITINGMontreal, Quebec, H4J 1C5, Canada
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Ciusss de Lestrie Chus
RECRUITINGSherbrooke, Quebec, J1H 5N4, Canada
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Coltea Clinical Hospital
RECRUITINGBucharest, 30171, Romania
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Columbia University Medical Center
RECRUITINGNew York, New York, 10032, United States
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Concord Repatriation General Hospital
RECRUITINGConcord, New South Wales, NSW 2139, Australia
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Dana Farber Cancer Institute
RECRUITINGBoston, Massachusetts, 02215-5418, United States
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Donauisar Klinikum Deggendorf Klinik Fur Onkologie Und Hamatologie
RECRUITINGDeggendorf, 94469, Germany
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Dunedin Hospital
RECRUITINGDunedin, 9016, New Zealand
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Ensino E Terapia de Inovacao Clinica Amo Etica
RECRUITINGSalvador, 41950-640, Brazil
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Fakultni Nemocnice Brno
RECRUITINGBrno, 625 00, Czechia
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Fakultni Nemocnice Hradec Kralove
RECRUITINGHradec Králové, 500 03, Czechia
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Fakultni Nemocnice Olomouc
RECRUITINGOlomouc, 77900, Czechia
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Fakultni Nemocnice Ostrava
RECRUITINGOstrava, 708 00, Czechia
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Fakultni Nemocnice Plzen
RECRUITINGPLZE, 323 00, Czechia
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First Affiliated Hospital of Kunming Medical University
RECRUITINGKunming, Yunnan, 650032, China
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Flevoziekenhuis
RECRUITINGAlmere Stad, 1315 RA, Netherlands
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Fondazione Policlinico Universitario Agostino Gemelli
RECRUITINGRoma, 00168, Italy
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Fred Hutchinson Cancer Research Center
RECRUITINGSeattle, Washington, 98109-4433, United States
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Geho Munster
RECRUITINGMünster, 48153, Germany
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Genesiscare North Shore
RECRUITINGSt Leonards, New South Wales, NSW 2065, Australia
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Guizhou Provincial Peoples Hospital
RECRUITINGGuiyang, Guizhou, 550002, China
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Hagaziekenhuis
RECRUITINGSgravenhage, 2545 AA, Netherlands
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Harbin Medical University Cancer Hospital
RECRUITINGHarbin, Heilongjiang, 150000, China
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Health New Zealand Canterbury
RECRUITINGChristchurch, 8011, New Zealand
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Henan Cancer Hospital
RECRUITINGZhengzhou, Henan, 450000, China
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Hopital Claude Huriez Chu Lille
RECRUITINGLille, 59000, France
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Hospital Clinico Universitario Virgen de La Arrixaca
RECRUITINGMurcia, 30120, Spain
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Hospital Universitario 12 de Octubre
RECRUITINGMadrid, 28041, Spain
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Hospital Universitario Puerta de Hierro Majadahonda
RECRUITINGMajadahonda, 28222, Spain
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Hospital Universitario Virgen de Las Nieves
RECRUITINGGranada, 18014, Spain
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Huntsman Cancer Institute
RECRUITINGSalt Lake City, Utah, 84112-5550, United States
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Institute of Hematology and Hospital of Blood Disease
RECRUITINGTianjin, Tianjin Municipality, 300020, China
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Instituto Dor de Pesquisa E Ensino Distrito Federal
RECRUITINGBrasília, 70390140, Brazil
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Instituto Dor de Pesquisa E Ensino Sao Paulo
RECRUITINGSão Paulo, 01401-004, Brazil
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Institutul Clinic Fundeni
RECRUITINGBucureti, 022328, Romania
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Institutul Oncologic Prof Dr Ion Chiricuta Cluj Napoca
RECRUITINGClujNapoca, 400015, Romania
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Irccs Azienda Ospedaliero Universitaria Bologna
RECRUITINGBologna, 40138, Italy
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Iuc Toulouse Oncopole
RECRUITINGToulouse, 31100, France
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Jewish General Hospital
RECRUITINGMontreal, Quebec, QC H3t 1E2, Canada
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Jiangsu Province Hospital
RECRUITINGNanjing, Jiangsu, 210029, China
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Juravinski Cancer Centre
RECRUITINGHamilton, Ontario, L8V 5C2, Canada
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Karolinska Universitetssjukhuset Solna
RECRUITINGStockholm, 171 76, Sweden
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Kings College Hospital
RECRUITINGLondon, SE5 9RS, United Kingdom
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Klinikum St Elisabeth Straubing Gmbh Mvz Klinikum Straubing Gmbh
RECRUITINGStraubing, 94315, Germany
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Mayo Clinic Jacksonville
RECRUITINGJacksonville, Florida, 32224-1865, United States
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Mayo Clinic Rochester
RECRUITINGRochester, Minnesota, 55905-0001, United States
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Medical College of Wisconsin
RECRUITINGMilwaukee, Wisconsin, 53226-3522, United States
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Midwestern Regional Medical Center
RECRUITINGZion, Illinois, 60099-2676, United States
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Moffitt Cancer Center
RECRUITINGTampa, Florida, 33612-9496, United States
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Monash Health
RECRUITINGClayton, Victoria, VIC 3168, Australia
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Mount Sinai Medical Center Braman Comprehensive Cancer Center
RECRUITINGMiami, Florida, 33140, United States
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Norfolk and Norwich University Hospitals Nhs Foundation Trust
RECRUITINGNorwich, NR4 7UY, United Kingdom
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North Shore Hospital
RECRUITINGAuckland, 0622, New Zealand
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Northwestern University
RECRUITINGChicago, Illinois, 60611, United States
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Ochsner Clinic Foundation
RECRUITINGNew Orleans, Louisiana, 70121-2429, United States
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Oncology Associates of Oregon Willamette Valley Cancer Center
RECRUITINGEugene, Oregon, 97401, United States
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Ospedale San Raffaele
RECRUITINGMilan, 20132, Italy
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Peking Union Medical College Hospital
RECRUITINGBeijing, Beijing Municipality, 100730, China
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Pratia McM Krakow
RECRUITINGKrakow, 30-727, Poland
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Pratia Onkologia Katowice
RECRUITINGKatowice, 40-519, Poland
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Princess Alexandra Hospital
RECRUITINGWoolloongabba, Queensland, QLD 4102, Australia
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Queen Elizabeth Hospital
RECRUITINGBirmingham, B15 2TH, United Kingdom
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Rocky Mountain Cancer Centers (Williams) Usor
RECRUITINGAurora, Colorado, 80012-5405, United States
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Rui Jin Hospital Shanghai Jiao Tong University School of Medicine
RECRUITINGShanghai, Shanghai Municipality, 200025, China
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Seoul National University Bundang Hospital
RECRUITINGSeongnam-si, Gyeonggi-do, 13620, South Korea
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Seoul National University Hospital
RECRUITINGSeoul, Seoul Teugbyeolsi, 03080, South Korea
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Severance Hospital Yonsei University Health System
RECRUITINGSeodaemunGu, Seoul Teugbyeolsi, 03722, South Korea
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Shandong Provincial Hospital
RECRUITINGJinan, Shandong, 250000, China
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Sichuan Academy of Medical Sciences and Sichuan Provincial Peoples Hospital
RECRUITINGChengdu, Sichuan, 610071, China
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Sociedade Beneficente Israelita Brasileira Hospital Albert Einstein
RECRUITINGSão Paulo, 05652-900, Brazil
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St Jamess University Hospital
RECRUITINGLeeds, LS9 7TF, United Kingdom
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Stanford Cancer Institute
RECRUITINGPalo Alto, California, 94304-2205, United States
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Sun Yat Sen University Cancer Center Huangpu Branch
RECRUITINGGuangzhou, Guangdong, 510555, China
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Szpital Specjalist W Brzozowie,Podkarpacki Osrodek Onkologiczny
RECRUITINGBrzozów, 36-200, Poland
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Texas Oncology Tyler
RECRUITINGTyler, Texas, 75702-7522, United States
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The Alfred Hospital
RECRUITINGMelbourne, Victoria, VIC 3004, Australia
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The Catholic University of Korea, Seoul St Marys Hospital
RECRUITINGSeochoGu, Seoul Teugbyeolsi, 06591, South Korea
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The First Affiliated Hospital of Chongqing Medical University
RECRUITINGChongqing, Chongqing Municipality, 630014, China
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The First Affiliated Hospital of Fujian Medical University
RECRUITINGFuzhou, Fujian, 350005, China
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The First Affiliated Hospital of Guangxi Medical University
RECRUITINGNanning, Guangxi, 530021, China
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The First Affiliated Hospital, Zhejiang University School of Medicinechengzhan
RECRUITINGHangzhou, Zhejiang, 310002, China
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The Second Affiliated Hospital of Nanchang University
RECRUITINGNanchang, Jiangxi, 330006, China
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The Second Affiliated Hospital of Xian Jiaotong University
RECRUITINGXi'an, Shaanxi, 710004, China
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The Second Xiangya Hospital of Central South University
RECRUITINGChangsha, Hunan, 410011, China
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University Hospitals Dorset Royal Bournemouth Hospital
RECRUITINGBournemouth, BH7 7DW, United Kingdom
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University of Nebraska Medical Center
RECRUITINGOmaha, Nebraska, 68198, United States
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Uniwersytecki Szpital Kliniczny Im Jana Mikulicza Radeckiego We Wroclawiu
RECRUITINGWroclaw, 50-367, Poland
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Uniwersytecki Szpital Kliniczny Nr 4 W Lublinie
RECRUITINGLublin, 20-090, Poland
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Upmc Hillman Cancer Center(Univ of Pittsburgh)
RECRUITINGPittsburgh, Pennsylvania, 15232-1309, United States
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Vseobecna Fakultni Nemocnice V Praze
RECRUITINGPrague, 10000, Czechia
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Wellington Regional Hospital (Ccdhb)
RECRUITINGWellington, 6021, New Zealand
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Zhujiang Hospital of Southern Medical University
RECRUITINGGuangzhou, Guangdong, 510000, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Two-Drug combo aims to push CLL into deep remission
- Can a new BTK inhibitor outsmart resistance in CLL?
- Can a new pill outsmart Drug-Resistant leukemia?
- Can engineered immune cells beat tough B-Cell cancers?
- Can a targeted drug outperform chemo for a common blood cancer?
- Can a triple drug combo outsmart High-Risk CLL?