Study of the Use of Venetoclax in Participants With Chronic Lymphocytic Leukemia (CLL) Under Real-Life Setting
Study Details
Study Description
Brief Summary
An observational study to assess the effectiveness, health economic-relevant costs and participant reported outcomes in participants with Chronic lymphocytic leukemia (CLL) receiving venetoclax as a monotherapy or in combination with rituximab or obinutuzumab as prescribed at the discretion of the physician and in accordance with local clinical practice and label.
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Participants Receiving Venetoclax Participants with Chronic Lymphocytic Leukemia (CLL) receiving venetoclax. |
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Participants Receiving Venetoclax + Rituximab Participants with CLL receiving venetoclax in combination with rituximab. |
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Participants Receiving Venetoclax + Obinutuzumab Participants with CLL receiving venetoclax in combination with obinutuzumab. |
Outcome Measures
Primary Outcome Measures
- Percentage of Participants Achieving Best Overall Response Rate (ORR) [Up to 12 months]
ORR is defined as the percentage of participants achieving partial response (PR) and complete response with incomplete regeneration of bone marrow (CRi) and complete response (CR) according to physician's assessment to therapy with venetoclax.
Secondary Outcome Measures
- Percentage of Participants Still on Venetoclax Monotherapy [Up to 24 months]
Percentage of participants still on venetoclax monotherapy throughout the study.
- Percentage of Participants Still on Venetoclax in Combination with Rituximab [Up to 24 months]
Percentage of participants still on venetoclax in combination with rituximab throughout the study.
- Percentage of Participants Receiving Venetoclax Monotherapy with Disease Progression [Up to 24 months]
Disease progression as defined in the study protocol in participants receiving venetoclax monotherapy.
- Percentage of Participants Receiving Venetoclax in Combination with Obinutuzumab with Disease Progression [Up to 24 months]
Disease progression as defined in the study protocol in participants receiving venetoclax in combination with obinutuzumab.
- Percentage of Participants Receiving Venetoclax in Combination with Rituximab with Disease Progression [Up to 36 months]
Disease progression as defined in the study protocol in participants receiving venetoclax in combination with rituximab.
- Overall Survival (OS) Rate in Participants Receiving Venetoclax Monotherapy [Up to 24 months]
Percentage of participants with OS where OS is defined as the number of days from the date of entry in the study to the date of death.
- Overall Survival (OS) Rate in Participants Receiving Venetoclax in Combination with Obinutuzumab [Up to 24 months]
Percentage of participants with OS where OS is defined as the number of days from the date of entry in the study to the date of death.
- Overall Survival (OS) Rate in Participants Receiving Venetoclax in Combination with Rituximab [Up to 36 months]
Percentage of participants with OS where OS is defined as the number of days from the date of entry in the study to the date of death.
- Progression-Free Survival (PFS) Rate in Participants Receiving Venetoclax Monotherapy [Up to 24 months]
Percentage of participants with PFS where PFS is defined as the number of days from the date of entry in the study to the date of the first documented disease progression, start of a subsequent treatment regimen, or death due to any cause, whichever occurs first.
- Progression-Free Survival (PFS) Rate in Participants Receiving Venetoclax in Combination with Obinutuzumab [Up to 24 months]
Percentage of participants with PFS where PFS is defined as the number of days from the date of entry in the study to the date of the first documented disease progression, start of a subsequent treatment regimen, or death due to any cause, whichever occurs first.
- Progression-Free Survival (PFS) Rate in Participants Receiving Venetoclax in Combination with Rituximab [Up to 36 months]
Percentage of participants with PFS where PFS is defined as the number of days from the date of entry in the study to the date of the first documented disease progression, start of a subsequent treatment regimen, or death due to any cause, whichever occurs first.
- Minimal Residual Disease (MRD) measurement on plasma circulating tumor Deoxyribo nucleic acid (DNA) (Switzerland Only) [Up to 24 months]
MRD is defined as less than 1 clonal lymphocyte per 10000 leukocytes in peripheral blood or bone marrow.
- Percentage of Participants Receiving Venetoclax Monotherapy and Achieving Complete Response (CR) [Up to 24 months]
Complete Response as defined in the study protocol.
- Percentage of Participants Receiving Venetoclax in Combination with Obinutuzumab and Achieving Complete Response (CR) [Up to 24 months]
Complete Response as defined in the study protocol.
- Percentage of Participants Receiving Venetoclax in Combination with Rituximab and Achieving Complete Response (CR) [Up to 36 months]
Complete Response as defined in the study protocol.
- Percentage of Participants Receiving Venetoclax Monotherapy and Achieving Complete Response with Incomplete Regeneration of Bone Marrow (CRi) [Up 24 months]
Incomplete regeneration of bone marrow (CRi) as defined in the study protocol.
- Percentage of Participants Receiving Venetoclax Combination with Obinutuzumab and Achieving Complete Response with Incomplete Regeneration of Bone Marrow (CRi) [Up 24 months]
Incomplete regeneration of bone marrow (CRi) as defined in the study protocol.
- Percentage of Participants Receiving Venetoclax Combination with Rituximab and Achieving Complete Response with Incomplete Regeneration of Bone Marrow (CRi) [Up 36 months]
Incomplete regeneration of bone marrow (CRi) as defined in the study protocol.
- Percentage of Participants Receiving Venetoclax Monotherapy and Achieving Partial Response (PR) [Up to 24 months]
Partial response as defined in the study protocol.
- Percentage of Participants Receiving Venetoclax Combination with Obinutuzumab and Achieving Partial Response (PR) [Up to 24 months]
Partial response as defined in the study protocol.
- Percentage of Participants Receiving Venetoclax Combination with Rituximab and Achieving Partial Response (PR) [Up to 36 months]
Partial response as defined in the study protocol.
- Percentage of Participants Receiving Venetoclax Monotherapy with Progressive Disease [Up to 24 months]
Progressive disease as defined in the study protocol.
- Percentage of Participants Receiving Venetoclax Combination with Obinutuzumab with Progressive Disease [Up to 24 months]
Progressive disease as defined in the study protocol.
- Percentage of Participants Receiving Venetoclax Combination with Rituximab with Progressive Disease [Up to 36 months]
Progressive disease as defined in the study protocol.
- Percentage of Participants Receiving Venetoclax Monotherapy with Stable Disease (SD) [Up to 24 months]
SD is defined as percentage of all participants not having PD, but who do not meet the criteria for PR or CR.
- Percentage of Participants Receiving Venetoclax Combination with Obinutuzumab with Stable Disease (SD) [Up to 24 months]
SD is defined as percentage of all participants not having PD, but who do not meet the criteria for PR or CR.
- Percentage of Participants Receiving Venetoclax Combination with Rituximab with Stable Disease (SD) [Up to 36 months]
SD is defined as percentage of all participants not having PD, but who do not meet the criteria for PR or CR.
- Quality of Life using EORTC QLQ-C30 Scores [Up to 104 weeks]
European Organization for Research and Treatment of Cancer (EORTC) Quality of Life questionnaire (QLQ) developed to assess the quality of life of cancer patients. and is based on multi-item and single-item scales. The core questionnaire contains 5 functional scales, 3 symptom scales, 1 global health status scale, as well as 6 single-item measures.
- QLQ-CLL 16/17 Scores [Up to 104 weeks]
Quality of Life Questionnaire - Chronic Lymphocytic Leukemia (QLQ-CLL)16/17 is designed for participants with stage 0 to stage 4 chronic lymphocytic leukemia. It is used to assess 5 domains of health-related quality of life important in CLL: fatigue, side effects and symptoms of disease, infection and social activities or future illness-related concerns.
- European Quality of Life 5 Dimensions (EQ-5D-5L) including visual analogue scale (VAS) [Up 24 months]
The EQ-5D-5L is a standardized non-disease specific instrument for describing and valuing health-related quality of life. EQ-5D-5L questionnaire consists of 2 pages: the EQ-5D descriptive system and the EQ visual analogue scale (EQ VAS). The EQ-5D-5L questionnaire plus a VAS will be used to assess general health in 5 dimensions (mobility, self-care, usual activities, pain/discomfort anxiety/depression).
- Management of Venetoclax Therapy [Up to 24 Months]
Management of venetoclax therapy includes time from blood sampling to laboratory result availability, changes in laboratory values, occurence of tumor lysis syndrome and possible interventions, length and reason for hospitalizations, duration of IV hydration, therapy modifications, supportive therapies other criteria described in the protocol.
- Health Resource Utilization (HRU) per year [Up to 24 Months]
Health Resource Utilization (HRU) per year will be assessed.
- Clonal evolution and eradication of Tumor Protein p53 (TP53) mutated clones associated with treatment in relation to MRD negativity (Switzerland Only) [Up to 24 months]
Clonal evolution and eradication of TP53 mutated clones associated with treatment in relation to MRD negativity is evaluated
- Value of MRD Assessment [Up to 24 Months]
Value of MRD assessment by flow cytometry compared to comprehensive MRD assessment including flow cytometry plus NGS in peripheral blood as described in Annex II (Switzerland only).
Eligibility Criteria
Criteria
Inclusion Criteria:
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Participant with chronic lymphocytic leukemia (CLL) administering venetoclax and who meets the following conditions as specified in the label for venetoclax:
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Venetoclax monotherapy for the treatment of CLL in the presence of deletion chromosome 17 (del[17p]) or tumor protein p53 (TP53) mutation in adult participants, who are unsuitable for or have failed to a B-cell receptor pathway inhibitor.
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Venetoclax monotherapy for the treatment of CLL in the absence of del(17p) or TP53 mutation in adult participants, who have failed both chemoimmunotherapy and a B-cell receptor pathway inhibitor.
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Venetoclax in combination with rituximab for the treatment of adult participants with CLL who have received at least one prior therapy.
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Venetoclax in combination with obinutuzumab for previously untreated adult participants with CLL.
Exclusion Criteria:
- None
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Universitaetsklinikum St. Poelten /ID# 221152 | Sankt Poelten | Niederoesterreich | Austria | 3100 |
2 | Medizinische Universitaet Graz /ID# 221155 | Graz | Steiermark | Austria | 8036 |
3 | Landeskrankenhaus Salzburg-Universitätsklinikum der PMU (LKH) /ID# 221153 | Salzburg | Austria | 5020 | |
4 | Hanusch Krankenhaus /ID# 221151 | Wien | Austria | 1140 | |
5 | Stauferklinikum Schwaebisch Gmuend /ID# 201518 | Mutlangen | Baden-Wuerttemberg | Germany | 73557 |
6 | Onkologische Praxis /ID# 201545 | Stuttgart | Baden-Wuerttemberg | Germany | 70174 |
7 | Schwarzwald-Baar-Klinikum /ID# 208176 | Villingen-Schwenningen | Baden-Wuerttemberg | Germany | 78052 |
8 | MVZ am Klinikum Aschaffenburg Onkologie /ID# 201548 | Aschaffenburg | Bayern | Germany | 63739 |
9 | Studienzentrum Aschaffenburg /ID# 204125 | Aschaffenburg | Bayern | Germany | 63739 |
10 | Haematologisch-Onkologische Praxis im Zentrum Augsburg /ID# 200950 | Augsburg | Bayern | Germany | 86150 |
11 | Onkologie am Segelfliegerdamm /ID# 202603 | Berlin | Bayern | Germany | 12487 |
12 | Onkologie Hof /ID# 201531 | Hof | Bayern | Germany | 95028 |
13 | Praxis Dr. Stauch /ID# 202611 | Kronach | Bayern | Germany | 96317 |
14 | VK&K Studien GbR /ID# 202614 | Landshut | Bayern | Germany | 84036 |
15 | Haemato-Onkologie /ID# 205236 | Muenchen | Bayern | Germany | 81241 |
16 | Praxis Dres. Krober/Stosiek /ID# 206729 | Regensburg | Berlin | Germany | 93053 |
17 | Praxis Dr. Kreher /ID# 202604 | Bad Liebenwerda | Brandenburg | Germany | 04924 |
18 | Praxis Dres. Kiehl/Stein /ID# 210052 | Frankfurt (Oder) | Brandenburg | Germany | 15236 |
19 | MVZ f. Blut- u.Krebserkrankungen /ID# 206704 | Potsdam | Brandenburg | Germany | 14467 |
20 | Centrum für Haematologie /ID# 206701 | Frankfurt am Main | Hessen | Germany | 60389 |
21 | MVZ Dres. Cordes & Partner /ID# 202598 | Frankfurt am Main | Hessen | Germany | 60596 |
22 | Praxis Dres. Tebbe/Mayer /ID# 206730 | Kassel | Hessen | Germany | 34125 |
23 | Onkologische Kooperation Harz /ID# 201550 | Goslar | Niedersachsen | Germany | 38642 |
24 | OAZ Hannover /ID# 201538 | Hannover | Niedersachsen | Germany | 30171 |
25 | Onkolologische Praxis Oldenburg /ID# 202607 | Oldenburg | Niedersachsen | Germany | 26121 |
26 | MVZ der Paracelsus-Klinik /ID# 201541 | Osnabrück | Niedersachsen | Germany | 49076 |
27 | Med. Studiengesellschaft Nord West GmbH /ID# 201535 | Westerstede | Niedersachsen | Germany | 26655 |
28 | Praxis Dres. Plewe/Losem /ID# 202606 | Neuss | Nordrhein-Westfalen | Germany | 41462 |
29 | Hämatologie und Onkologie /ID# 205247 | Kaiserslautern | Rheinland-Pfalz | Germany | 67655 |
30 | Onkozentrum Dresden /ID# 202599 | Dresden | Sachsen | Germany | 01127 |
31 | BAG Freiberg-Richter, Jacobasch, Illmer, Wolf /ID# 201532 | Dresden | Sachsen | Germany | 01307 |
32 | Friedrich-Ebert-Krankenhaus GmbH /ID# 206206 | Neumuenster | Schleswig-Holstein | Germany | 24534 |
33 | Drs. Tanzer, Chirca, Stoeberl /ID# 202613 | Bad Reichenhall | Germany | 83435 | |
34 | MVZ Klinikum Mittelbaden GmbH /ID# 206207 | Baden-Baden | Germany | 76532 | |
35 | Praxis für Hämatologie und Onkologie /ID# 241763 | Berlin | Germany | 10117 | |
36 | Onkologische Schwerpunktpraxis /ID# 200953 | Berlin | Germany | 10707 | |
37 | Praxis am Volkspark /ID# 243195 | Berlin | Germany | 10715 | |
38 | Ambulantes Tumorzentrum Bremerhaven /ID# 224353 | Bremerhaven | Germany | 27576 | |
39 | Pioh Dres. Draube & Partner /ID# 239507 | Cologne | Germany | 50674 | |
40 | Praxis Dres. Prange-Krex/Mohm /ID# 210049 | Dresden | Germany | 01307 | |
41 | Internistische Schwerpunktpraxen, Erlangen /ID# 200949 | Erlangen | Germany | 91052 | |
42 | Klinikum Frankfurt Hoechst /ID# 210048 | Frankfurt | Germany | 65929 | |
43 | Praxis fuer interdisziplinaere Onkolologie und Haematologie /ID# 206999 | Freiburg im Breisgau | Germany | 79110 | |
44 | MVZ Onkologie GmbH /ID# 212376 | Hagen | Germany | 58095 | |
45 | Onkomedic GbR /ID# 218354 | Halle (Saale) | Germany | 06110 | |
46 | OncoResearch Lerchenfeld GmbH /ID# 205237 | Hamburg | Germany | 22081 | |
47 | Onkologische Gemeinschaftspraxis /ID# 205239 | Hamburg | Germany | 22767 | |
48 | Evangelisches Krankenhaus Hamm /ID# 206703 | Hamm | Germany | 59063 | |
49 | Studienbüro Kamal und Dorn GBR /ID# 234105 | Hanover | Germany | 30625 | |
50 | Klinikum Idar-Oberstein GmbH /ID# 210046 | Idar-Oberstein | Germany | 55743 | |
51 | Praxis Fuchs/Koehler /ID# 243215 | Langen (Hessen) | Germany | 63225 | |
52 | Luebecker Oncology Practice /ID# 200952 | Luebeck | Germany | 23562 | |
53 | Praxis Dr. Klaproth/Cura /ID# 216413 | Neunkirchen | Germany | 66538 | |
54 | Bruederkrankenhaus St. Josef Paderborn /ID# 202600 | Paderborn | Germany | 33098 | |
55 | Onkologische Praxis GbR /ID# 206705 | Porta Westfalica | Germany | 32457 | |
56 | Praxis Dres. Decker/Lakner/Leithäuser /ID# 206208 | Rostock | Germany | 18057 | |
57 | Diakonieklinikum Schwaebisch Hall /ID# 206205 | Schwaebisch Hall | Germany | 74523 | |
58 | MVZ am Schlossgarten GmbH /ID# 210043 | Schwetzingen | Germany | 68723 | |
59 | Kantonsspital Aarau AG /ID# 210034 | Aarau | Aargau | Switzerland | 5001 |
60 | Spital Thun /ID# 233714 | Thun | Bern | Switzerland | 3600 |
61 | Luzerner Kantonsspital /ID# 210029 | Luzern 16 | Luzern | Switzerland | 6000 |
62 | Réseau Hospitalier Neuchâtelois /ID# 227865 | Neuchâtel | Neuchatel | Switzerland | 2000 |
63 | Kantonsspital St. Gallen /ID# 223037 | St. Gallen | Sankt Gallen | Switzerland | 9007 |
64 | Kantonsspital Münsterlingen /ID# 210035 | Münsterlingen | Thurgau | Switzerland | 8596 |
65 | EOC Ospedale Regionale di Bellinzona e Valli /ID# 208782 | Bellinzona | Ticino | Switzerland | 6500 |
66 | KSW Kantonsspital Winterthur /ID# 211068 | Winterthur | Zuerich | Switzerland | 8400 |
67 | Inselspital, Universitätsspital Bern /ID# 210031 | Bern | Switzerland | 3010 |
Sponsors and Collaborators
- AbbVie
Investigators
- Study Director: ABBVIE INC., AbbVie
Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
None provided.- P17-132