Study of Acalabrutinib (ACP-196) Versus Ibrutinib in Previously Treated Participants With High Risk Chronic Lymphocytic Leukemia (CLL)
Running, not enrolling · Phase 3
Conditions studied: Chronic Lymphocytic Leukemia
In brief
This study is designed to evaluate progression-free survival (PFS) endpoint for acalabrutinib versus (vs) ibrutinib in previously treated chronic lymphocytic leukemia.
Key facts
- Study ID
- NCT02477696
- Run by
- Acerta Pharma BV
- People needed
- 533
- Starts
- 2015-07-28
- Expected to finish
- 2028-01-03
- Last updated by the study team
- 2026-05-27
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Men and women ≥ 18 years of age.
- ECOG performance status of 0 to 2.
- Diagnosis of CLL.
- Must have ≥ 1 of the following high-risk prognostic factors:
- Presence of 17p del by central laboratory.
- Presence of 11q del by central laboratory.
- Active disease meeting ≥ 1 of the following IWCLL 2008 criteria for requiring treatment
- Must have received ≥ 1 prior therapies for CLL.
- Meet the following laboratory parameters:
- Absolute neutrophil count (ANC) ≥ 750 cells/μL or ≥ 500 cells/μL in participants with documented bone marrow involvement, and independent of growth factor support 7 days before assessment.
- Platelet count ≥ 30,000 cells/μL without transfusion support 7 days before assessment. Participants with transfusion-dependent thrombocytopenia are excluded.
- Serum aspartate aminotransferase (AST)/serum glutamic oxaloacetic transaminase (SGOT) and alanine aminotransferase (ALT)/serum glutamic-pyruvic transaminase (SGPT) ≤ 3.0 x upper limit of normal (ULN).
- Total bilirubin ≤ 1.5 x ULN.
- Estimated creatinine clearance ≥ 30 mL/min.
You may not qualify if…
- Known CNS lymphoma or leukemia.
- Known prolymphocytic leukemia or history of, or currently suspected, Richter's syndrome.
- Uncontrolled autoimmune hemolytic anemia or idiopathic thrombocytopenia purpura.
- Prior exposure to ibrutinib or to a B-cell receptor (BCR) inhibitor or a B-cell lymphoma-2 (BCL-2) inhibitor.
- Received any chemotherapy, external beam radiation therapy, anticancer antibodies, or investigational drug within 30 days before first dose of study drug.
- Prior radio- or toxin-conjugated antibody therapy.
- Prior allogeneic stem cell or autologous transplant.
- Major surgery within 4 weeks before first dose of study drug.
- Prior malignancy, except for adequately treated lentigo maligna melanoma, non-melanomatous skin cancer, in situ cervical carcinoma or other malignancy treated with no evidence of active disease > 3 years before Screening and at low risk for recurrence.
- Significant cardiovascular disease within 6 months of screening.
- Known history of infection with human immunodeficiency virus (HIV).
- History of stroke or intracranial hemorrhage within 6 months before randomization.
- History of bleeding diathesis.
- Requires or receiving anticoagulation with warfarin or equivalent vitamin K antagonists within 7 days of first dose of study drug.
- Requires treatment with a strong cytochrome P450 3A (CYP3A) inhibitor/inducer.
Where it is running
- Research Site — Anaheim, California, United States
- Research Site — Berkeley, California, United States
- Research Site — Duarte, California, United States
- Research Site — La Jolla, California, United States
- Research Site — Los Angeles, California, United States
- Research Site — Palo Alto, California, United States
- Research Site — Santa Rosa, California, United States
- Research Site — Jacksonville, Florida, United States
- Research Site — Tampa, Florida, United States
- Research Site — Athens, Georgia, United States
- Research Site — Harvey, Illinois, United States
- Research Site — Peoria, Illinois, United States
- Research Site — Wichita, Kansas, United States
- Research Site — Minneapolis, Minnesota, United States
- Research Site — Rochester, Minnesota, United States
- Research Site — Billings, Montana, United States
- Research Site — Hackensack, New Jersey, United States
- Research Site — Lake Success, New York, United States
- Research Site — New Hyde Park, New York, United States
- Research Site — New York, New York, United States
- Research Site — New York, New York, United States
- Research Site — New York, New York, United States
- Research Site — Durham, North Carolina, United States
- Research Site — Columbus, Ohio, United States
- Research Site — Phoenix, Arizona, United States
Full record on ClinicalTrials.gov
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