Study of Zanubrutinib in Older Patients With Previously Untreated Chronic Lymphocytic Leukemia (CLL)

Trial statusNot yet recruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age80+
SponsorThe Lymphoma Academic Research Organisation

About this trial

This phase II, open-label, multicenter study evaluates zanubrutinib in patients aged 80 years and older with previously untreated chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL) who require treatment.

CLL and SLL are slow-growing blood cancers that mainly affect older adults. Although zanubrutinib is an effective treatment, taking it continuously at the full dose may increase the risk of side effects over time, particularly in elderly patients. The study aims to assess whether a planned reduction in the dose of zanubrutinib after an initial period of treatment can maintain disease control while improving long-term tolerability.

Eligibility criteria

Qualifiers

Participant who understands and voluntarily signs and dates an informed consent form prior to any studyspecific assessments/procedures being conducted, including consent for specific biology analysis

Must be able to adhere to the trial visit schedule and other protocol requirements

≥ 80 years at the time of signing the informed consent form (ICF) with no upper age limit

Previously untreated and documented CLL or small lymphocytic lymphoma (SLL), with a Royal Marsden Hospital (RMH) or Matutes Score of 4 or 5. For SLL a detectable clone with a CLL phenotype in the peripheral blood is a prerequisite for trial participation.

Disqualifiers

Any prior CLL or SLL-specific therapies, even including rituximab used for autoimmune cytopenias.

Myocardial infarction within 6 months prior to ICF signature

Unstable angina within 3 months prior to ICF signature

NYHA class III or IV heart failure

Trial design

Treatments tested in this trial

  • Zanubrutinib

Treatment groups

95 Participants
are divided into 1 treatment group

Sponsors and collaborators

The Lymphoma Academic Research Organisation

Lead sponsor

Lymphoma Study Association

Collaborator

BeOne Medicines

Collaborator