Study on Tafasitamab, Acalabrutinib, and Venetoclax for Treating Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma

Sponsor: City of Hope Medical Center

Sponsor score: 40

ClinicalTrials ID:NCT07582159

This clinical trial is exploring a new combination of drugs—tafasitamab, acalabrutinib, and venetoclax—to see if they are safe and effective in treating chronic lymphocytic leukemia (CLL) and small lymphocytic lymphoma (SLL).

Patient Parameters

Program Overview

This study is testing a combination of three drugs to treat chronic lymphocytic leukemia (CLL) and small lymphocytic lymphoma (SLL). Tafasitamab is a type of protein that helps the immune system target and kill cancer cells. Acalabrutinib blocks a protein that helps cancer cells grow, and venetoclax stops cancer cells from surviving. The trial aims to find out if this combination is safe and can effectively treat CLL/SLL.

Description

The main goals of this study are to check if the combination of tafasitamab, acalabrutinib, and venetoclax is safe and to see how well it works in treating CLL/SLL. The study will look at how many patients have a complete response, meaning no signs of cancer, and how long they stay cancer-free.

Participants will take acalabrutinib by mouth twice a day for the first two cycles, each lasting 28 days. In cycles 3 to 5, they will continue acalabrutinib and add venetoclax daily, along with tafasitamab given through an IV on specific days. In cycles 6 to 8, tafasitamab will be given less frequently, and in cycles 9 to 14, it will be given once per cycle.

Patients will have regular check-ups, including blood tests and scans, to monitor their health and the treatment's effects. After finishing the treatment, they will be followed up every 3 months, and then every 6 months for up to 3 years.

Eligibility Criteria

Inclusion Criteria

  • Must be 18 years or older.
  • Must have a confirmed diagnosis of CLL/SLL.
  • Must not have received prior treatment for CLL/SLL, except for steroids or rituximab for autoimmune issues.
  • Must have active disease needing treatment based on specific symptoms or disease progression.
  • Must be able to swallow pills.
  • Must have certain blood counts and organ function levels within specified limits.
  • Must agree to use effective birth control during and after the study if of childbearing potential.
  • Must not have active infections like HIV, hepatitis B, or hepatitis C unless well-controlled.
  • Must provide informed consent to participate.

Exclusion Criteria

  • Cannot use high doses of corticosteroids regularly.
  • Cannot have had major surgery recently.
  • Cannot have uncontrolled bleeding disorders.
  • Cannot have received certain medications or vaccines recently.
  • Cannot have other active cancers, except for some treated skin or prostate cancers.
  • Cannot have active infections or certain viral infections unless controlled.
  • Cannot be pregnant or breastfeeding.
  • Cannot have any condition that would make participating unsafe or difficult.

Locations

FACILITYZIPCITYSTATE
City of Hope Medical Center91010DuarteCalifornia
City of Hope at Irvine Lennar92618IrvineCalifornia

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