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Brief Title: Sequential Regimen of Bendamustin-Debulking Followed by Obinutuzumab, Acalabrutinib and Venetoclax in Patients With Relapsed/Refractory CLL
Official Title: A Prospective, Open-label, Multicenter Phase-II Trial to Evaluate the Efficacy and Safety of a Sequential Regimen of Bendamustine Followed by GA101 (Obinutuzumab), Acalabrutinib (ACP-196) and ABT-199 (Venetoclax) in Patients With Relapsed/Refractory CLL (CLL2-BAAG Protocol)
Study ID: NCT03787264
Brief Summary: CLL2-BAAG is a prospective, open-label, multicenter phase-II trial to evaluate the efficacy and safety of a sequential regimen of debulking with bendamustine followed by induction and maintenance with GA101 (obinutuzumab), acalabrutinib (ACP-196) and venetoclax (ABT-199) in patients with relapsed/refractory CLL.
Detailed Description: In the CLL2-BAAG trial will be included a total of 46 patients with relapsed or refractory CLL in need of treatment.This trial will evaluate a debulking with two cycles bendamustine (only for patients with a higher tumor load), followed by an induction and a maintenance treatment with obinutuzumab, acalabrutinib and venetoclax in patients with re-lapsed/refractory CLL. The duration of maintenance treatment is depending on MRD levels. This trial combines one old (chemotherapy) and three novel, synergistic (antibody, BTK-inhibitor and Bcl-2 antagonist) principles of action in order to achieve deep and long lasting remissions with a short duration of treatment. Additionally, this trial has an extensive accompanying scientific program aiming at a better understanding of the kinetics of response and clonal evolution of CLL.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Gemeinschaftspraxis Hämatologie Onkologie, Dresden, , Germany
Gemeinschaftspraxis Mohm/Prange-Krex, Dresden, , Germany
Universitatsklinik Carl Gustav Carus, Dresden, , Germany
Helios Klinikum Erfurt, Erfurt, , Germany
Universitaetsklinikum Heidelberg, Heidelberg, , Germany
Universitaetsklinikum Jena, Jena, , Germany
Praxis fuer Haematologie und Onkologie, Koblenz, , Germany
Universitätsklinik Köln, Köln, , Germany
Gemeinschaftspraxis Haemato/ Onkologie Lebach, Lebach, , Germany
Klinikum Leverkusen GmbH, Leverkusen, , Germany
Krankenhaus Muenchen-Schwabing, Munich, , Germany
Ludwig-Maximilians-Universitaet Muenchen, München, , Germany
Praxis Dr. Uhlig, Naunhof, , Germany
Universitätsklinik Rostock, Rostock, , Germany
ZAHO-Rheinland, Siegburg, , Germany
Universitaetsklinik Tuebingen, Tübingen, , Germany
Universitätsklinikum Ulm, Ulm, , Germany
Name: Paula Cramer, Dr. med.
Affiliation: German CLL Study Group
Role: PRINCIPAL_INVESTIGATOR