Clinical trial • Phase III • Oncology

ACALABRUTINIB for Chronic lymphocytic leukemia

Phase III trial of ACALABRUTINIB for Chronic lymphocytic leukemia.

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Chronic lymphocytic leukemia
Trial Stage
Phase III
Drug Modality
Small molecule|Monoclonal antibody
Orphan Drug
Yes

Key dates

Initial CTIS Submission Date
14-06-2024
First CTIS Authorization Date
11-07-2024

Trial design

Randomised, open-label, arm a: obinutuzumab (gazyvaro, concentrate for infusion; product ma eu/1/14/937/001; iv, product maxtotaldoseamount 1000 mg) in combination with chlorambucil (chlorambucil 2 mg tablets; dosing referenced as 0.5 mg/kg per day in product entry). exact administration schedule not specified in the available source text.-controlled Phase III trial across 40 sites in Spain, Italy, Lithuania and others.

Randomised
Yes
Open Label
Yes
Comparator
Arm A: obinutuzumab (Gazyvaro, concentrate for infusion; product MA EU/1/14/937/001; IV, product maxTotalDoseAmount 1000 mg) in combination with chlorambucil (Chlorambucil 2 mg tablets; dosing referenced as 0.5 mg/kg per day in product entry). Exact administration schedule not specified in the available source text.
Target Sample Size
323

Eligibility

Recruits 323 The protocol indicates vulnerable population considerations: participation of subjects 'in situation of vulnerability' is not permitted per the protocol (note in translations: e.g. prisoners or institutionalised patients). Written informed consent by the subject is required; the trial enrols adults only (no paediatric participants), so assent procedures are not applicable..

Pregnancy Exclusion
Women who are sexually active and can bear children must agree to use highly effective forms of contraception while on the study and for 2 days after the last dose of acalabrutinib or 18 months after the last dose of obinutuzumab in combination with chlorambucil, whichever is longer.
Vulnerable Population
The protocol indicates vulnerable population considerations: participation of subjects 'in situation of vulnerability' is not permitted per the protocol (note in translations: e.g. prisoners or institutionalised patients). Written informed consent by the subject is required; the trial enrols adults only (no paediatric participants), so assent procedures are not applicable.

Inclusion criteria

  • {"criterion_text":"- \"• Men and women ≥ 65 years of age, or > 18 and < 65 years of age provided that they meet at least one of the following criteria: o Creatinine clearance 30 to 69 mL/min using the Cockcroft-Gault equation. o A score higher than 6 on the Cumulative Illness Rating Scale-Geriatric (CIRS-G). • ECOG performance status of 0, 1, or 2. • Diagnosis of CD20+ CLL that meets published diagnostic criteria (Hallek 2008) • Active disease meeting ≥ 1 of the following IWCLL 2008 criteria for requiring treatment: o Evidence of progressive marrow failure as manifested by the development of, or worsening of, anemia (hemoglobin < 10 g/dL) and/or thrombocytopenia (platelets < 100,000/μL). o Massive (ie, ≥ 6 cm below the left costal margin), progressive, or symptomatic splenomegaly. o Massive nodes (ie, ≥ 10 cm in the longest diameter), progressive, or symptomatic lymphadenopathy. o Progressive lymphocytosis with an increase of > 50% over a 2-month period or a lymphocyte doubling time (LDT) of < 6 months. LDT may be obtained by linear regression extrapolation of absolute lymphocyte counts (ALC) obtained at intervals of 2 weeks over an observation period of 2 to 3 months. In subjects with initial blood lymphocyte counts of < 30 x 10^9/L (30,000/μL), LDT should not be used as a single parameter to define indication for treatment. In addition, factors contributing to lymphocytosis or lymphadenopathy other than CLL (eg, infections) should be excluded. o Autoimmune anemia and/or thrombocytopenia that is poorly responsive to standard therapy. o Constitutional symptoms documented in the subject's chart with supportive objective measures, as appropriate, defined as ≥ 1 of the following disease-related symptoms or signs: - Unintentional weight loss ≥ 10% within the previous 6 months before Screening. - Significant fatigue (ie, ECOG performance status 2; inability to work or perform usual activities). - Fevers higher than 100.5°F or 38.0°C for 2 or more weeks before Screening without evidence of infection. - Night sweats for > 1 month before Screening without evidence of infection. • Meet the following laboratory parameters: o Absolute neutrophil count ≥ 750 cells/μL (0.75 x 10^9/L) or ≥ 500 cells/μL (0.50 x 10^9/L) in subjects with documented bone marrow involvement and independent of growth factor support 7 days before assessment. o Platelet count ≥ 50,000 cells/μL (50 x 10^9/L), or ≥ 30,000 cells/μL (30 x 10^9/L) in subjects with documented bone marrow involvement, and without transfusion support 7 days before assessment. Subjects with transfusion-dependent thrombocytopenia are excluded. o Serum aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤3.0 x upper limit of normal (ULN). o Total bilirubin ≤ 1.5 x ULN. o Estimated creatinine clearance (ie, estimated glomerular filtration rate [eGFR] using Cockcroft-Gault) ≥ 30 mL/min. • Able to receive all outpatient treatment, all laboratory monitoring, and all radiologic evaluations. • Women who are sexually active and can bear children must agree to use highly effective forms of contraception while on the study and for 2 days after the last dose of acalabrutinib or 18 months after the last dose of obinutuzumab in combination with chlorambucil, whichever is longer. • Men who are sexually active and can beget children must agree to use highly effective forms of contraception during the study and for 90 days after the last dose of obinutuzumab or chlorambucil, whichever is later. • Men must agree to refrain from sperm donation during the study and for 90 days after the last dose of obinutuzumab or chlorambucil, whichever is later. • Are willing and able to adhere to the study visit schedule, understand and comply with other protocol requirements, and provide written informed consent and authorization to use protected health information.\""}

Exclusion criteria

  • {"criterion_text":"- \"• Any prior systemic treatment for CLL (note: Prior localized radiotherapy is allowed). • Known central nervous system (CNS) lymphoma or leukemia. • Known prolymphocytic leukemia or history of, or currently suspected, Richter's syndrome. • Missing or incomplete documentation of FISH results reflecting the presence or absence of 17p del and the percentage of cells with the deletion in subject records before randomization. • Uncontrolled autoimmune hemolytic anemia (AIHA) or idiopathic thrombocytopenic purpura (ITP) defined as declining hemoglobin or platelet count secondary to autoimmune destruction within the screening period or requirement for high doses of steroids (> 20mg daily of prednisone daily or equivalent). • Corticosteroid use > 20 mg within 1 week before first dose of study drug, except as indicated for other medical conditions such as inhaled steroid for asthma, topical steroid use, or as premedication for administration of study drug or contrast. For example, subjects requiring steroids at daily doses > 20 mg prednisone equivalent systemic exposure daily, or those who are administered steroids for leukemia control or white blood cell count (WBC) lowering are excluded\""}

Endpoints

Primary endpoints

  • {"endpoint_text":"- The primary endpoint of the study is PFS as assessed by IRC review per IWCLL 2008 criteria. The primary analysis is a comparison of PFS between Arm A and Arm B.","definition_or_measurement_approach":"PFS assessed by Independent Review Committee (IRC) using IWCLL 2008 criteria; primary analysis compares PFS between Arm A (obinutuzumab + chlorambucil) and Arm B (acalabrutinib + obinutuzumab)."}

Secondary endpoints

  • {"endpoint_text":"- \"Efficacy: The first secondary endpoint is a comparison of IRC-assessed PFS between Arm A and Arm C. Other secondary endpoints are as follows and compare Arm A versus Arm B and Arm A versus Arm C • OS. Safety: • Frequency, severity, and relatedness of adverse events. • Frequency of adverse events requiring discontinuation of study drug or dose reductions. • Change in laboratory assessments.\"","definition_or_measurement_approach":"IRC-assessed PFS comparisons (Arm A vs Arm C); additional efficacy endpoints include OS and IRC-assessed ORR per IWCLL 2008; safety endpoints include frequency/severity/relatedness of AEs, AEs leading to discontinuation or dose reduction, and changes in laboratory assessments."}
  • {"endpoint_text":"- \"Efficacy: The first secondary endpoint is a comparison of IRC-assessed PFS between Arm A and Arm C. Other secondary endpoints are as follows and compare Arm A versus Arm B and Arm A versus Arm C • OS. Safety: • Frequency, severity, and relatedness of adverse events. • Frequency of adverse events requiring discontinuation of study drug or dose reductions. • Change in laboratory assessments.\"","definition_or_measurement_approach":"As above (duplicate secondary endpoint entry in source)."}

Recruitment

Planned Sample Size
323
Recruitment Window Months
123
Consent Approach
Written informed consent required from each participant. Subject information and informed consent forms (L1) and related ICF documents are provided in multiple languages (documents listed for English, Spanish, Italian, Lithuanian, Dutch/Flemish, French, German, Hungarian, Polish, Swedish and others). Pregnant-partner and PK-specific ICFs are also provided where applicable. As the trial enrols adults only, no paediatric assent procedures are indicated.

Geography

Total Number Of Sites
40
Total Number Of Participants
212

Spain

Earliest CTIS Part Ii Submission Date
03-07-2024
Latest Decision Or Authorization Date
11-07-2024
Processing Time Days
8
Number Of Sites
4
Number Of Participants
13

Sites

Site Name
Hospital Universitario 12 De Octubre
Department Name
Hematology
Principal Investigator Name
Javier De la Serna
Principal Investigator Email
javier.serna@salud.madrid.org
Contact Person Name
Javier De la Serna
Contact Person Email
javier.serna@salud.madrid.org
Site Name
Hospital Universitario Infanta Leonor
Department Name
Hematology
Principal Investigator Name
Jose Angel Hernandez Rivas
Principal Investigator Email
jahernandezr@salud.madrid.org
Contact Person Name
Jose Angel Hernandez Rivas
Contact Person Email
jahernandezr@salud.madrid.org
Site Name
Hospital Universitario Puerta De Hierro De Majadahonda
Department Name
Hematology
Principal Investigator Name
Jose Antonio Garcia Vela
Principal Investigator Email
garciavela.joseantonio@gmail.com
Contact Person Name
Jose Antonio Garcia Vela
Site Name
Hospital De La Santa Creu I Sant Pau
Department Name
Hematology
Principal Investigator Name
Miguel Argüello
Principal Investigator Email
marguello@santpau.cat
Contact Person Name
Miguel Argüello
Contact Person Email
marguello@santpau.cat

Italy

Earliest CTIS Part Ii Submission Date
03-07-2024
Latest Decision Or Authorization Date
16-07-2024
Processing Time Days
13
Number Of Sites
9
Number Of Participants
31

Sites

Site Name
Azienda Ospedaliero-Universitaria Ss Antonio E Biagio E Cesare Arrigo
Department Name
SCDU Ematologia
Principal Investigator Name
Daniela Pietrasanta
Principal Investigator Email
dpietrasanta@ospedale.al.it
Contact Person Name
Daniela Pietrasanta
Contact Person Email
dpietrasanta@ospedale.al.it
Site Name
Istituto San Raffaele
Department Name
Divisione di Oncologia Sperimentale-Neoplasie Linfocitarie B
Principal Investigator Name
Paolo Ghia
Principal Investigator Email
ghia.paolo@hsr.it
Contact Person Name
Paolo Ghia
Contact Person Email
ghia.paolo@hsr.it
Site Name
Azienda Ospedaliero Universitaria Parma
Department Name
Dipartimento di Ematologia
Principal Investigator Name
Filomena Russo
Principal Investigator Email
frusso@ao.pr.it
Contact Person Name
Filomena Russo
Contact Person Email
frusso@ao.pr.it
Site Name
Humanitas Mirasole S.p.A.
Department Name
Dipartimento di Onco-Ematologia
Principal Investigator Name
Carmelo Carlo-Stella
Principal Investigator Email
carmelo.carlostella@hunimed.eu
Contact Person Name
Carmelo Carlo-Stella
Contact Person Email
carmelo.carlostella@hunimed.eu
Site Name
Azienda Unita Sanitaria Locale Della Romagna
Department Name
Unità di Ematologia – Dipartimento di Oncologia ed Ematologia
Principal Investigator Name
Monica Tani
Principal Investigator Email
monica.tani@auslromagna.it
Contact Person Name
Monica Tani
Contact Person Email
monica.tani@auslromagna.it
Site Name
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Department Name
UOC di Ematologia
Principal Investigator Name
Luca Laurenti
Principal Investigator Email
luca.laurenti@unicatt.it
Contact Person Name
Luca Laurenti
Contact Person Email
luca.laurenti@unicatt.it
Site Name
Istituto Romagnolo Per Lo Studio Dei Tumori Dino Amadori IRST S.r.l.
Department Name
U.O. di Oncologia Medica
Principal Investigator Name
Gerardo Musuraca
Principal Investigator Email
gerardo.musuraca@irst.emr.it
Contact Person Name
Gerardo Musuraca
Contact Person Email
gerardo.musuraca@irst.emr.it
Site Name
Careggi University Hospital
Department Name
S.O.D.C. Ematologia
Principal Investigator Name
Alessandro Sanna
Principal Investigator Email
sannaa@aou-careggi.toscana.it
Contact Person Name
Alessandro Sanna
Contact Person Email
sannaa@aou-careggi.toscana.it
Site Name
Azienda Socio Sanitaria Territoriale Degli Spedali Civili Di Brescia
Department Name
U.O. Ematologia
Principal Investigator Name
Alessandra Tucci
Principal Investigator Email
alessandra.tucci@asst-spedalicivili.it
Contact Person Name
Alessandra Tucci

Lithuania

Earliest CTIS Part Ii Submission Date
03-07-2024
Latest Decision Or Authorization Date
24-07-2024
Processing Time Days
21
Number Of Sites
3
Number Of Participants
17

Sites

Site Name
Vilniaus Universiteto Ligonine Santaros Klinikos Vsi
Department Name
Hematology, oncology and transfusion center
Principal Investigator Name
Ilma Tavorienė
Principal Investigator Email
Ilma.Tavoriene@santa.lt
Contact Person Name
Ilma Tavorienė
Contact Person Email
Ilma.Tavoriene@santa.lt
Site Name
Klaipedos universiteto ligonine VšĮ
Department Name
Department of Oncohematology
Principal Investigator Name
Ligita Kasnauskienė
Principal Investigator Email
ligita.malciute@gmail.com
Contact Person Name
Ligita Kasnauskienė
Contact Person Email
ligita.malciute@gmail.com
Site Name
Lietuvos sveikatos mokslų universiteto ligoninė Kauno klinikos
Department Name
Oncolohy hematology clinic
Principal Investigator Name
Rolandas Gerbutavicius
Principal Investigator Email
Rolandas.Gerbutavicius@kaunoklinikos.lt
Contact Person Name
Rolandas Gerbutavicius

Sweden

Earliest CTIS Part Ii Submission Date
03-07-2024
Latest Decision Or Authorization Date
12-07-2024
Processing Time Days
9
Number Of Sites
1
Number Of Participants
7

Sites

Site Name
Region Skane Skanes Universitetssjukhus
Department Name
Department of Hematology , Getingevagen 4, SE-221 85 Lund, Sweden
Principal Investigator Name
Daniel Roth
Principal Investigator Email
daniel.roth@skane.se
Contact Person Name
Daniel Roth
Contact Person Email
daniel.roth@skane.se

Poland

Earliest CTIS Part Ii Submission Date
03-07-2024
Latest Decision Or Authorization Date
04-08-2024
Processing Time Days
32
Number Of Sites
8
Number Of Participants
59

Sites

Site Name
Uniwersytecki Szpital Kliniczny Nr 1 W Lublinie
Department Name
Klinika Hematoonkologii i Transplantacji Szpiku UM w Lublinie
Principal Investigator Name
Małgorzata Wach
Principal Investigator Email
mijwach@poczta.onet.pl
Contact Person Name
Małgorzata Wach
Contact Person Email
mijwach@poczta.onet.pl
Site Name
Pratia S.A.
Department Name
Pratia MCM Kraków
Principal Investigator Name
Wojciech Jurczak
Principal Investigator Email
biuro.mcm@pratia.com
Contact Person Name
Wojciech Jurczak
Contact Person Email
biuro.mcm@pratia.com
Site Name
Wojewodzki Szpital Specjalistyczny Im. Janusza Korczaka W Slupsku Sp. z o.o.
Department Name
Oddział Hematologiczny
Principal Investigator Name
Wojciech Homenda
Principal Investigator Email
wojhom@sl.home.pl
Contact Person Name
Wojciech Homenda
Contact Person Email
wojhom@sl.home.pl
Site Name
Szpitale Pomorskie Sp. z o.o.
Department Name
Oddział Hematologii i Transplantologii Szpiku
Principal Investigator Name
Adam Witkowski
Principal Investigator Email
adam.wit12@gmail.com
Contact Person Name
Adam Witkowski
Contact Person Email
adam.wit12@gmail.com
Site Name
Wojewodzkie Wielospecjalistyczne Centrum Onkologii I Traumatologii Im M.Kopernika W Lodzi
Department Name
Oddział Hematologii Ogólnej i Chorób Wewnętrznych
Principal Investigator Name
Tadeusz Robak
Principal Investigator Email
robaktad@csk.umed.lodz.pl
Contact Person Name
Tadeusz Robak
Contact Person Email
robaktad@csk.umed.lodz.pl
Site Name
Szpital Uniwersytecki Nr 2 Im Dr Jana Biziela W Bydgoszczy
Department Name
Klinika Hematologii
Principal Investigator Name
Jarosław Czyż
Principal Investigator Email
jczyz@onet.pl
Contact Person Name
Jarosław Czyż
Contact Person Email
jczyz@onet.pl
Site Name
Copernicus Podmiot Leczniczy Sp. z o.o.
Department Name
Wojewódzkie Centrum Onkologii
Principal Investigator Name
Hanna Ciepłuch
Principal Investigator Email
ciepluch@gumed.edu.pl
Contact Person Name
Hanna Ciepłuch
Contact Person Email
ciepluch@gumed.edu.pl
Site Name
Szpital Wojewodzki W Opolu Sp. z o.o.
Department Name
Oddział Kliniczny Hematologii, Onkologii Hematologicznej i Chorób Wewnętrznych
Principal Investigator Name
Dariusz Woszczyk
Principal Investigator Email
dariusz.s.woszczyk@gmail.com
Contact Person Name
Dariusz Woszczyk
Contact Person Email
dariusz.s.woszczyk@gmail.com

Belgium

Earliest CTIS Part Ii Submission Date
03-07-2024
Latest Decision Or Authorization Date
18-07-2024
Processing Time Days
15
Number Of Sites
6
Number Of Participants
13

Sites

Site Name
UZ Leuven
Department Name
Hematology
Principal Investigator Name
Ann Janssens
Principal Investigator Email
ann.janssens@uzleuven.be
Contact Person Name
Ann Janssens
Contact Person Email
ann.janssens@uzleuven.be
Site Name
Universitair Ziekenhuis Gent
Department Name
Hematology
Principal Investigator Name
Fritz Offner
Principal Investigator Email
fritz.offner@ugent.be
Contact Person Name
Fritz Offner
Contact Person Email
fritz.offner@ugent.be
Site Name
Cliniques Universitaires Saint-Luc
Department Name
Hematology
Principal Investigator Name
Eric Van Den Neste
Principal Investigator Email
eric.vandenneste@saintluc.uclouvain.be
Contact Person Name
Eric Van Den Neste
Site Name
Az St-Jan Brugge-Oostende A.V.
Department Name
Hematology
Principal Investigator Name
Sylvia Snauwaert
Principal Investigator Email
sylvia.snauwaert@azsintjan.be
Contact Person Name
Sylvia Snauwaert
Contact Person Email
sylvia.snauwaert@azsintjan.be
Site Name
GasthuisZusters Antwerpen
Department Name
Hematology
Principal Investigator Name
Jan Lemmens
Principal Investigator Email
jan.lemmens@gza.be
Contact Person Name
Jan Lemmens
Contact Person Email
jan.lemmens@gza.be
Site Name
Az St-Jan Brugge-Oostende A.V.
Department Name
Hematology
Principal Investigator Name
Sylvia Snauwaert
Principal Investigator Email
sylvia.snauwaert@azsintjan.be
Contact Person Name
Sylvia Snauwaert
Contact Person Email
sylvia.snauwaert@azsintjan.be

France

Earliest CTIS Part Ii Submission Date
03-07-2024
Latest Decision Or Authorization Date
22-07-2024
Processing Time Days
19
Number Of Sites
2
Number Of Participants
7

Sites

Site Name
Institut Gustave Roussy
Department Name
Service d’Hématologie
Principal Investigator Name
Vincent RIBRAG
Principal Investigator Email
vincent.ribrag@gustaveroussy.fr
Contact Person Name
Vincent RIBRAG
Site Name
Assistance Publique Hopitaux De Paris
Department Name
Service d’Hématologie Biologique
Principal Investigator Name
Vincent LEVY
Principal Investigator Email
vincent.levy@aphp.fr
Contact Person Name
Vincent LEVY
Contact Person Email
vincent.levy@aphp.fr

Germany

Earliest CTIS Part Ii Submission Date
03-07-2024
Latest Decision Or Authorization Date
19-07-2024
Processing Time Days
16
Number Of Sites
3
Number Of Participants
7

Sites

Site Name
SLK-Kliniken Heilbronn GmbH
Department Name
Klinikum am Gesundbrunnen Klinik für Innere Medizin III
Principal Investigator Name
Uwe Martens
Principal Investigator Email
uwe.martens@slk-kliniken.de
Contact Person Name
Uwe Martens
Contact Person Email
uwe.martens@slk-kliniken.de
Site Name
Onkologische Schwerpunktpraxis
Principal Investigator Name
Hendrik Riesenberg
Principal Investigator Email
hendrik.riesenberg@onkologie-bielefeld.de
Contact Person Name
Hendrik Riesenberg
Site Name
Haematologisch Onkologische Schwerpunktpraxis
Principal Investigator Name
Björn Schöttker
Principal Investigator Email
b.schoettker@onkopraxis-wuerzburg.de
Contact Person Name
Björn Schöttker

Hungary

Earliest CTIS Part Ii Submission Date
03-07-2024
Latest Decision Or Authorization Date
17-07-2024
Processing Time Days
14
Number Of Sites
4
Number Of Participants
58

Sites

Site Name
University Of Debrecen
Department Name
Klinikai Központ
Principal Investigator Name
Árpád Illés
Principal Investigator Email
illesarpaddr@gmail.com
Contact Person Name
Árpád Illés
Contact Person Email
illesarpaddr@gmail.com
Site Name
Semmelweis University
Department Name
1.sz. Belgyógyászati Klinika
Principal Investigator Name
Zsolt Nagy
Principal Investigator Email
nagy.zsolt@med.semmelweis-univ.hu
Contact Person Name
Zsolt Nagy
Site Name
Somogy Varmegyei Kaposi Mor Oktato Korhaz
Department Name
Hematológiai Osztály
Principal Investigator Name
Miklós Egyed
Principal Investigator Email
dregyedmiklos@yahoo.com
Contact Person Name
Miklós Egyed
Contact Person Email
dregyedmiklos@yahoo.com
Site Name
Orszagos Onkologiai Intezet
Department Name
Kemoterápia A Belgyógyászati Osztály
Principal Investigator Name
András Rosta
Principal Investigator Email
roan@oncol.hu
Contact Person Name
András Rosta
Contact Person Email
roan@oncol.hu

Sponsor

Primary sponsor

Full Name
Acerta Pharma B.V.
Organisation Type
Pharmaceutical company
Country Of Registered Address
Netherlands

Contract research organisations

Name
Inotiv Inc.
Responsibilities
Clinical chemistry ,PK sample testing
Name
PPD Development LP
Responsibilities
Support with CTIS system; Clinical Management, Medical Monitoring (EMEA), Investigator recruitment, Central testing of samples
Name
PPD Global Central Labs
Responsibilities
Clinical chemistry, Clinical haematology,Analytical chemistry
Name
Signant Health Global LLC
Responsibilities
IVRS30 – treatment randomisation
Name
Flagship Biosciences Inc.
Responsibilities
cytogenetics and FISH testing
Name
Perceptive Informatics Inc.
Responsibilities
Medical image analysis/ review - X-ray, MRI, ultrasound, etc,Primary/ surrogate endpoint test
Name
Labcorp Central Laboratory Services SARL
Responsibilities
Routine clinical pathology testing, immunophenotyping
Name
Sitero LLC
Name
Astrazeneca Pharmaceuticals LP

Third parties

  • {"country":"United States","full_name":"Inotiv Inc.","duties_or_roles":"Clinical chemistry ,PK sample testing","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"PPD Development LP","duties_or_roles":"Support with CTIS system; Clinical Management, Medical Monitoring (EMEA), Investigator recruitment, Central testing of samples","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Sitero LLC","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
  • {"country":"Belgium","full_name":"PPD Global Central Labs","duties_or_roles":"Clinical chemistry, Clinical haematology,Analytical chemistry","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Flagship Biosciences Inc.","duties_or_roles":"cytogenetics and FISH testing","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Signant Health Global LLC","duties_or_roles":"IVRS30 – treatment randomisation","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Astrazeneca Pharmaceuticals LP","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Perceptive Informatics Inc.","duties_or_roles":"Medical image analysis/ review - X-ray, MRI, ultrasound, etc,Primary/ surrogate endpoint test","organisation_type":"Pharmaceutical company"}
  • {"country":"Switzerland","full_name":"Labcorp Central Laboratory Services SARL","duties_or_roles":"Routine clinical pathology testing, immunophenotyping","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
Calquence 100 mg film-coated tablets
Active Substance
ACALABRUTINIB
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
ORAL
Authorisation Status
Marketing authorisation number: EU/1/20/1479/003
Starting Dose
100 mg
Maximum Dose
200 mg (total, per product entry)
Investigational Product Name
Calquence 100 mg hard capsules
Active Substance
ACALABRUTINIB
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
ORAL
Authorisation Status
Marketing authorisation number: EU/1/20/1479/001
Starting Dose
100 mg
Maximum Dose
200 mg (total, per product entry)
Investigational Product Name
Gazyvaro 1,000 mg concentrate for solution for infusion.
Active Substance
OBINUTUZUMAB
Modality
Monoclonal antibody
Routes Of Administration
INTRAVENOUS
Route
INTRAVENOUS
Authorisation Status
Marketing authorisation number: EU/1/14/937/001
Orphan Designation
Yes
Starting Dose
1000 mg (product maxTotalDoseAmount)
Maximum Dose
1000 mg
Investigational Product Name
Chlorambucil 2 mg tablets
Active Substance
CHLORAMBUCIL
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
ORAL
Authorisation Status
Marketing authorisation number: PL 39699/0041
Starting Dose
0.5 mg/kg (per product maxDailyDoseAmount entry)
Maximum Dose
0.5 mg/kg (per product entry)
Combination Treatment
Yes

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