BTKi, Chronic Lymphocytic Leukemia (CLL), CLL, CLL (Chronic Lymphocytic Leukemia)
Conditions
Keywords
CLL, Chronic Lymphocytic Leukemia, BTKi, Bruton Tyrosine Kinase Inhibitor, Epcoritamab
Brief summary
This is a phase 2, single-arm, open-label clinical trial determining efficacy of Epcoritamab in subjects with Chronic Lymphocytic Leukemia (CLL) on Burton Tyrosine Kinase Inhibitor (BTKi).
Interventions
Interventional Arm
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with CLL and at least 1 of the following risk factors: 1. ≥1 prior line of therapy before BTKi 2. 17p deletion and/or TP53 mutation 3. Complex karyotype (≥3 chromosomal abnormalities) * Treated with a BTKi for ≥ 6 months * Receiving or able to obtain a commercial supply of BTKi * Measurable residual disease defined as the presence of CLL cells by conventional flow cytometry * ALC ≤10 K/mcL * Lymph nodes ≤5 cm in the longest diameter * Normal organ function and hematologic parameters * ECOG performance status of 0-1
Exclusion criteria
* Active CNS involvement * Active immune-mediated cytopenias * Current or prior Richter's transformation * Second active malignancy requiring treatment (excluding non-melanamatous skin cancers and cancers requiring hormonal therapies alone such as breast/prostate cancer) * Pregnant or breastfeeding
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate of Undetectable Measurable Residual Disease (uMRD) at End of Treatment | 1 year | Efficacy will be determined by rate of uMRD at EOT for both Epcoritamab and BTKi discontinuation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants with Complete Remission (CR) by International Workshop on CLL (iwCLL) criteria | 1 year | CR by iwCLL criteria is defined as meeting all parameters which include lymph nodes, liver and/or spleen size, constitutional systems, circulating lymphocyte count, platelet count, hemoglobin, and marrow. |
Countries
United States
Contacts
Chao Family Comprehensive Cancer Center