Table 6.
Major ongoing trials evaluating fixed-duration targeted therapies against CIT or continuous targeted therapies
Trial | N pts | Trial population | Compared arms | Primary end point | |
---|---|---|---|---|---|
CLL13- GAIA GCLLSG NCT02950051 |
926 | ≥18 y fit/TP53 abn excluded |
vs vs vs |
CIT: FCR/BR × 6 cycles RVe: VEN-R (12 mo) GVe: VEN-O (12 mo) GIVe: VEN-O + I (up to 36 mo; VEN 12 mo) |
MRD at mo 15 (CIT vs GVe) PFS (CIT vs GIVe) |
ACE-CL-311 AstraZeneca NCT03836261 |
780 | ≥18 y fit/TP53 abn excluded |
vs vs |
CIT: FCR/BR × 6 cycles AV: VEN-O + acalabrutinib (15 mo; VEN 12 mo) AVG: VEN-O + acalabrutinib (15 mo; VEN 12 mo) |
PFS (CIT vs AV) |
CRISTALLO Hoffmann La Roche NCT04285567 |
165 | ≥18 y fit/TP53 abn excluded |
vs |
CIT: FCR or BR (if ≥65 y) × 6 cycles VG: VEN-O (12 mo) |
BM MRD at mo 15 |
FILO ERADIC
NCT04010668 |
120 | ≥18 y fit/TP53 abn excluded |
vs |
CIT: FCR × 6 cycles VI: VEN-I (15 or 27 mo according to MRD) |
BM MRD at mo 27 |
NCRI UK CLL10 FLAIR
CRUK/12/037 |
1516 | ≤75 y fit/eGFR >30 mL/min del(17p) <20% |
vs vs |
CIT: FCR × 6 cycles IR → I*: I + ritux → I (until progression) VI: VEN-I (flexible duration according to MRD) * arm IR replaced by I monotherapy in 2018 |
PFS |
ALLIANCE A041702
NCT03737981 |
454 | ≥70 y |
vs |
IO: I + O (until progression) IVO: VEN-O + I (15 mo; VEN 12 mo) |
PFS |
ECOG-ACRIN EA9161
NCT03701282 |
720 | 18-69 y del(17p) excluded |
vs |
IO: I + O (until progression) IVO: VEN-O + I (19 mo; VEN 12 mo) |
PFS |
GCLLSG CLL17
NCT04608318 |
897 | ≥18 y fit and unfit w/or w/o TP53 abn |
vs vs |
I: I (until progression) VG: VEN-O (12 mo) VI: VEN-I (15 mo; VEN 12 mo) |
PFS |
abn, abnormalities; A, acalabrutinib; I, ibrutinib; O, obinutuzumab; R, rituximab; VEN, venetoclax.