Study to Assess the Efficacy and Safety of Ublituximab in Combination With Umbralisib and Venetoclax Compared to Ublituximab in Combination With Umbralisib in Subjects With CLL (ULTRA-V)

Sponsor
TG Therapeutics, Inc. (Industry)
Overall Status
Active, not recruiting
CT.gov ID
NCT03801525
Collaborator
(none)
700
50
7
71.5
14
0.2

Study Details

Study Description

Brief Summary

ULTRA-V: Study to Assess the Efficacy and Safety of Ublituximab in Combination with Umbralisib and Venetoclax (U2-V) Compared to Ublituximab and Umbralisib (U2) in Subjects with Chronic Lymphocytic Leukemia (CLL)

Condition or Disease Intervention/Treatment Phase
Phase 2/Phase 3

Detailed Description

This is an open-label, multicenter, Phase 2/3 study to evaluate the efficacy and safety of the combination of ublituximab + umbralisib + venetoclax (U2-V) compared to the combination of ublituximab + umbralisib (U2) in patients with either treatment naïve or previously treated CLL/ small lymphocytic lymphoma (SLL)

Study Design

Study Type:
Interventional
Anticipated Enrollment :
700 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Phase 2/3 Randomized Study to Assess the Efficacy and Safety of Ublituximab in Combination With Umbralisib and Venetoclax (U2-V) Compared to Ublituximab and Umbralisib (U2) in Subjects With Chronic Lymphocytic Leukemia (CLL)
Actual Study Start Date :
May 16, 2019
Anticipated Primary Completion Date :
Jan 1, 2025
Anticipated Study Completion Date :
May 1, 2025

Arms and Interventions

Arm Intervention/Treatment
Experimental: Phase 2: Previously Treated CLL (BTK-Not Refractory)

Drug: Ublituximab
recombinant chimeric anti-CD20 (cluster of differentiation 20) monoclonal antibody administered as an intravenous (IV) infusion
Other Names:
  • TG-1101
  • Drug: Umbralisib
    inhibitor of phosphoinositide 3-kinase (PI3K) delta and casein kinase 1 epsilon (CK1e) Tablet form
    Other Names:
  • TGR-1202
  • UKONIQ
  • Drug: Venetoclax
    B-cell lymphoma 2 (BCL-2) inhibitor Tablet form, to be taken orally
    Other Names:
  • Venclexta®
  • Experimental: Phase 2: Previously Treated CLL (BTK-Refractory)

    Drug: Ublituximab
    recombinant chimeric anti-CD20 (cluster of differentiation 20) monoclonal antibody administered as an intravenous (IV) infusion
    Other Names:
  • TG-1101
  • Drug: Umbralisib
    inhibitor of phosphoinositide 3-kinase (PI3K) delta and casein kinase 1 epsilon (CK1e) Tablet form
    Other Names:
  • TGR-1202
  • UKONIQ
  • Drug: Venetoclax
    B-cell lymphoma 2 (BCL-2) inhibitor Tablet form, to be taken orally
    Other Names:
  • Venclexta®
  • Experimental: Phase 2: Treatment Naïve CLL

    Drug: Ublituximab
    recombinant chimeric anti-CD20 (cluster of differentiation 20) monoclonal antibody administered as an intravenous (IV) infusion
    Other Names:
  • TG-1101
  • Drug: Umbralisib
    inhibitor of phosphoinositide 3-kinase (PI3K) delta and casein kinase 1 epsilon (CK1e) Tablet form
    Other Names:
  • TGR-1202
  • UKONIQ
  • Drug: Venetoclax
    B-cell lymphoma 2 (BCL-2) inhibitor Tablet form, to be taken orally
    Other Names:
  • Venclexta®
  • Experimental: Phase 3: Treatment Naïve CLL/SLL: Ublituximab + Umbralisib + Venetoclax (U2-V)

    Drug: Ublituximab
    recombinant chimeric anti-CD20 (cluster of differentiation 20) monoclonal antibody administered as an intravenous (IV) infusion
    Other Names:
  • TG-1101
  • Drug: Umbralisib
    inhibitor of phosphoinositide 3-kinase (PI3K) delta and casein kinase 1 epsilon (CK1e) Tablet form
    Other Names:
  • TGR-1202
  • UKONIQ
  • Drug: Venetoclax
    B-cell lymphoma 2 (BCL-2) inhibitor Tablet form, to be taken orally
    Other Names:
  • Venclexta®
  • Experimental: Phase 3: Treatment Naïve CLL/SLL: Ublituximab + Umbralisib (U2)

    Drug: Ublituximab
    recombinant chimeric anti-CD20 (cluster of differentiation 20) monoclonal antibody administered as an intravenous (IV) infusion
    Other Names:
  • TG-1101
  • Drug: Umbralisib
    inhibitor of phosphoinositide 3-kinase (PI3K) delta and casein kinase 1 epsilon (CK1e) Tablet form
    Other Names:
  • TGR-1202
  • UKONIQ
  • Experimental: Phase 3: Previously Treated CLL/SLL: Ublituximab + Umbralisib + Venetoclax (U2-V)

    Drug: Ublituximab
    recombinant chimeric anti-CD20 (cluster of differentiation 20) monoclonal antibody administered as an intravenous (IV) infusion
    Other Names:
  • TG-1101
  • Drug: Umbralisib
    inhibitor of phosphoinositide 3-kinase (PI3K) delta and casein kinase 1 epsilon (CK1e) Tablet form
    Other Names:
  • TGR-1202
  • UKONIQ
  • Drug: Venetoclax
    B-cell lymphoma 2 (BCL-2) inhibitor Tablet form, to be taken orally
    Other Names:
  • Venclexta®
  • Experimental: Phase 3: Previously Treated CLL/SLL: Ublituximab + Umbralisib (U2)

    Drug: Ublituximab
    recombinant chimeric anti-CD20 (cluster of differentiation 20) monoclonal antibody administered as an intravenous (IV) infusion
    Other Names:
  • TG-1101
  • Drug: Umbralisib
    inhibitor of phosphoinositide 3-kinase (PI3K) delta and casein kinase 1 epsilon (CK1e) Tablet form
    Other Names:
  • TGR-1202
  • UKONIQ
  • Outcome Measures

    Primary Outcome Measures

    1. Phase 2: Complete Response (CR) Rate [Up to 12 months]

    2. Phase 2: Overall Response Rate [Up to 12 months]

    3. Phase 3: Progression-Free Survival [60 months]

      Progression-Free Survival in subjects treated with U2-V compared with U2

    Secondary Outcome Measures

    1. Adverse Events That Are Related to Treatment [6 months of therapy]

      Number of Participants With Treatment-Related Adverse Event and any potential abnormal laboratory results

    2. Phase 3: Overall Response Rate [Up to 12 months]

      Objective response in subjects treated with ublituximab + umbralisib + venetoclax

    3. Rate of Undetectable Minimal Residual Disease (MRD) [60 months]

    4. Phase 2: Time to Response (TTR) [Up to 12 months]

    5. Phase 2: Duration of Response (DOR) [60 months]

    6. Phase 3: Complete Response (CR) Rate [Up to 12 months]

    7. Phase 3: Overall Survival (OS) [72 months]

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Chronic lymphocytic leukemia (CLL)/ small lymphocytic lymphoma (SLL) that warrants treatment

    • Adequate organ system function as specified in the protocol

    • Ability to follow protocol procedures.

    Exclusion Criteria:
    • Subjects receiving cancer therapy or any investigational drug within 21 days of Cycle 1, Day 1

    • Prior exposure to any PI3K inhibitor or venetoclax

    • Autologous hematologic stem cell transplant within 6 months of study entry. Prior allogeneic hematologic stem cell transplant is excluded

    • Active Hepatitis B or Hepatitis C.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 TG Therapeutics Investigational Trial Site Birmingham Alabama United States 35294
    2 TG Therapeutics Investigational Trial Site Huntsville Alabama United States 35805
    3 TG Therapeutics Investigational Trial Site Tucson Arizona United States 85711
    4 TG Therapeutics Investigational Trial Site Duarte California United States 91010
    5 TG Therapeutics Investigational Trial Site La Jolla California United States 92093
    6 TG Therapeutics Investigational Trial Site Aurora Colorado United States 80012
    7 TG Therapeutics Investigational Trial Site Stamford Connecticut United States 06904
    8 TG Therapeutics Investigational Trial Site Boca Raton Florida United States 33486
    9 TG Therapeutics Investigational Trial Site Fort Myers Florida United States 33901
    10 TG Therapeutics Investigational Trial Site Jacksonville Florida United States 32224
    11 TG Therapeutics Investigational Trial Site Saint Petersburg Florida United States 33705
    12 TG Therapeutics Investigational Trial Site Tampa Florida United States 33612
    13 TG Therapeutics Investigational Trial Site Atlanta Georgia United States 30322
    14 TG Therapeutics Investigational Trial Site Decatur Illinois United States 62526
    15 TG Therapeutics Investigational Trial Site Niles Illinois United States 60714
    16 TG Therapeutics Investigational Site Peoria Illinois United States 61615
    17 TG Therapeutics Investigational Trial Site Fort Wayne Indiana United States 46804
    18 TG Therapeutics Investigational Trial Site Indianapolis Indiana United States 46237
    19 TG Therapeutics Investigational Trial Site Des Moines Iowa United States 50309
    20 TG Therapeutics Investigational Trial Site Westwood Kansas United States 66210
    21 TG Therapeutics Investigational Site Louisville Kentucky United States 40207
    22 TG Therapeutics Investigational Trial Site Bethesda Maryland United States 37210
    23 TG Therapeutics Investigational Trial Site Columbia Maryland United States 21044
    24 TG Therapeutics Investigational Trial Site Ann Arbor Michigan United States 48197
    25 TG Therapeutics Investigational Trial Site Detroit Michigan United States 48201
    26 TG Therapeutics Investigational Trial Site Detroit Michigan United States 48202
    27 TG Therapeutics Investigational Trial Site Rochester Minnesota United States 55905
    28 TG Therapeutics Investigational Trial Site Omaha Nebraska United States 68198
    29 TG Therapeutics Investigational Trial Site Lebanon New Hampshire United States 03756
    30 TG Therapeutics Investigational Trial Site Hackensack New Jersey United States 07601
    31 TG Therapeutics Investigational Trial Site Morristown New Jersey United States 07960
    32 TG Therapeutics Investigational Trial Site New York New York United States 10065
    33 TG Therapeutics Investigational Trial Site Charlotte North Carolina United States 28204
    34 TG Therapeutics Investigational Trial Site Columbus Ohio United States 43210
    35 TG Therapeutics Investigational Trial Site Eugene Oregon United States 97401
    36 TG Therapeutics Investigational Trial Site Philadelphia Pennsylvania United States 19106
    37 TG Therapeutics Investigational Trial Site Charleston South Carolina United States 29414
    38 TG Therapeutics Investigational Trial Site Greenville South Carolina United States 29616
    39 TG Therapeutics Investigational Trial Site Chattanooga Tennessee United States 37404
    40 TG Therapeutics Investigational Trial Site Knoxville Tennessee United States 37916
    41 TG Therapeutics Investigational Trial Site Nashville Tennessee United States 37203
    42 TG Therapeutics Investigational Trial Site Austin Texas United States 78705
    43 TG Therapeutics Investigational Trial Site San Antonio Texas United States 78229
    44 TG Therapeutics Investigational Trial Site Tyler Texas United States 75702
    45 TG Therapeutics Investigational Trial Site Ogden Utah United States 84405
    46 TG Therapeutics Investigational Trial Site Salt Lake City Utah United States 84106
    47 TG Therapeutics Investigational Trial Site Blacksburg Virginia United States 24060
    48 TG Therapeutics Investigational Trial Site Gainesville Virginia United States 20155
    49 TG Therapeutics Investigational Trial Site Seattle Washington United States 98104
    50 TG Therapeutics Investigational Trial Site Seattle Washington United States 98108

    Sponsors and Collaborators

    • TG Therapeutics, Inc.

    Investigators

    None specified.

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    TG Therapeutics, Inc.
    ClinicalTrials.gov Identifier:
    NCT03801525
    Other Study ID Numbers:
    • U2-VEN-207
    First Posted:
    Jan 11, 2019
    Last Update Posted:
    Aug 22, 2022
    Last Verified:
    Aug 1, 2022
    Individual Participant Data (IPD) Sharing Statement:
    Yes
    Plan to Share IPD:
    Yes
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by TG Therapeutics, Inc.
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Aug 22, 2022