Changes in lymph nodes in patients with CLL treated with venetoclax-containing regimens

2024-515938-32-00 Therapeutic use (Phase IV) Temporarily halted

Start 4 Aug 2022 · Status Temporarily halted · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Temporarily halted
Participants planned 30
Countries 1
Sites 1

Chronic Lymphocytic Leukemia

Evaluate changes in lymph nodes in patients with CLL treated with venetoclaxcontaining regimens at both the molecular and ultrasound level

Key facts

Sponsor
Ospedale San Raffaele S.r.l.
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
4 Aug 2022 → ongoing
Decision date (initial)
2024-11-19
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes

External identifiers

EU CT number
2024-515938-32-00
EudraCT number
2021-000722-96

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Therapy

Evaluate changes in lymph nodes in patients with CLL treated with venetoclaxcontaining regimens at both the molecular and ultrasound level

Conditions and MedDRA coding

Chronic Lymphocytic Leukemia

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 4

  1. Diagnosis of CLL
  2. Candidate patients for treatment with venetoclax-based regimens
  3. Basal value of platelets> 100x109 / l
  4. PT INR and aPTT within the limits

Exclusion criteria 1

  1. Patients receiving antiplatelet and / or anticoagulant therapy that cannot be safely stopped prior to biopsy

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. Characterization by immunohistochemistry, gene expression profile, protein expression and proliferative activity of CLL lymphocytes and LN-derived accessory cells of CLL patients treated with venetoclax-based regimens 12 months after completion of the venetoclax ramp-up phase
  2. Definition of ultrasound characteristics of LNs in CLL patients treated with venetoclax-based regimens 12 months after completion of the venetoclax acceleration phase

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Venetoclax

SCP16272936 · ATC

Active substance
Venetoclax
Substance synonyms
ABT-199, GDC-0199, 4-(4-((2-(4-CHLOROPHENYL)-4,4-DIMETHYLCYCLOHEX-1-EN-1-YL)METHYL)PIPERAZIN-1-YL)-N-((3-NITRO-4-((TETRAHYDRO-2H-PYRAN-4-YLMETHYL)AMINO)PHENYL)SULFONYL)-2-(1H-PYRROLO(2,3-B)PYRIDIN-5-YLOXY)BENZAMIDE
Route of administration
ORAL USE
Max daily dose
400 mg milligram(s)
Max total dose
260190 µg microgram(s)
Max treatment duration
96 Week(s)
Authorisation status
Authorised
ATC code
L01XX52 — VENETOCLAX
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Ospedale San Raffaele S.r.l.

Sponsor organisation
Ospedale San Raffaele S.r.l.
Address
Via Olgettina 60
City
Milan
Postcode
20132
Country
Italy

Scientific contact point

Organisation
Ospedale San Raffaele S.r.l.
Contact name
Paolo Ghia

Public contact point

Organisation
Ospedale San Raffaele S.r.l.
Contact name
Paolo Ghia

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Italy Temporarily halted 30 1
Rest of world 0

Investigational sites

Italy

1 site · Temporarily halted
Ospedale San Raffaele S.r.l.
ONCOEMATOLOGIA, Via Olgettina 60, 20132, Milan

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Italy 2022-08-04

Oversight and notifications

Regulatory notifications under CTR Articles 38, 52, 53, 54 and 77

Temporary halts 1 · Art. 38 CTR

Temporary halt TH-79676

Halt date
2024-10-30
Planned restart
2025-07-01
Member states concerned
Italy
Publication date
2025-04-18
Reason
Study management related
Benefit-risk balance changed
No
Treatment stopped
No

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 4 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol 2.0
Recruitment arrangements (for publication) Blank document_ not required under directive 1
Subject information and informed consent form (for publication) L1_ICF_REDACTED 5
Summary of Product Characteristics (SmPC) (for publication) E1_IB_Venetoclax 12

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-10-16 Italy Acceptable
2024-11-14
2024-11-19