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Brief Title: Phase II Trial GA101 Inbrutinib B CLL
Official Title: Phase II, Multicenter, Trial, Exploring "Chemo-free" Treatment (GA101+Ibrutinib) and MRD-driven Strategy in Previously Untreated Symptomatic B-chronic Lymphocytic Leukemia Medically Fit A Study From the Goelams/GCFLLC/MW Intergroup
Study ID: NCT02666898
Brief Summary: Phase II study testing chemo-free induction therapy with Ibrutinib + Obinutuzumab nine months / Study Part 1: All patients will receive 8 courses of GA101 + ibrutinib 420mg PO every 28 days Study Part 2: After evaluation at D1 of month 9: If patients are in CR with BM MRD \< 10-4, they will continue ibrutinib alone at a dose of 420mg daily If patients have BM MRD \>10-4 whatever IWCLL 2008 responses or PR they will receive four courses of GA101 + FC at 28-day intervals + Ibrutinib PO until final evaluation of M16
Detailed Description: Phase II study testing chemo-free induction therapy with Ibrutinib + Obinutuzumab during nine months followed by a MRD-driven strategy. Assessment of response as well as bone marrow MRD evaluation will be performed at Day 1 month 9: 1. Patients reaching CR with marrow MRD below 10-4 threshold will continue ibrutinib during 6 additional months. 2. Patients in PR or bone marrow MRD \> 10-4 will receive Ibrutinib during 6 additional months and 4 courses of FC+ GA101. At Day 1 Month 16, patients in CR but with MRD\> 10-4 will continue Ibrutinib until progressive disease. 3. Patients in stable or progressive disease will be excluded out of the trial. Final evaluation of response (with BM MRD) will be performed at Day 1 Month 16.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Sponsor FILO, Tours, , France
Name: Valérie ROUILLE, Mrs
Affiliation: French Innovative Leukemia Organisation
Role: STUDY_DIRECTOR
Name: Pierre FEUGIER, MD PD
Affiliation: French Innovative Leukemia Organisation
Role: PRINCIPAL_INVESTIGATOR
Name: Anne Sophie MICHALLET, MD
Affiliation: French Innovative Leukemia Organisation
Role: PRINCIPAL_INVESTIGATOR