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Active, not recruiting Phase 1

A Study Assessing Adverse Event and How Oral ABBV-453 Moves Through the Body in Adult Participants With Relapsed or Refractory (R/R) Chronic Lymphocytic Leukemia (CLL)/Small Lymphocytic Lymphoma (SLL)

NCT06291220 · tracked via the Priya Life Science Italy tracker
Sponsor
Phase
Phase 1
Started
2025-01-27
Last updated
2026-09-11

Condition(s) studied

Chronic Lymphocytic LeukemiaSmall Lymphocytic Lymphoma

Investigational drug(s) / intervention(s)

Obinutuzumab →ABBV-453 →

Obinutuzumab: Intravenous Infusion

ABBV-453: Oral; Tablet

Study summary

Chronic lymphocytic leukemia (CLL) is the most common leukemia in Western countries. The purpose of this study is to assess how well ABBV-453 works adult participants with relapsed/refractory (R/R) untreated CLL/small lymphocytic lymphoma (SLL). Adverse events, pharmacokinetics, and change in disease activity will be assessed.

ABBV-453 is an investigational drug for the treatment of CLL and SLL. Participants will be enrolled with a specific target dose and receive obinutuzumab during the debulking period followed escalating doses of ABBV-453, until the appropriate target dose is achieved. Approximately 60 adult participants with previously R/R CLL/SLL will be enrolled in the study in approximately 40 sites across the world.

Participants will receive intravenous (IV) obinutuzumab as part of the debulking period, followed by escalating doses of oral ABBV-453 until the appropriate target dose is achieved. The estimated study duration is 3 years.

There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, and checking for side effects.

Eligibility

Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria: * Relapsed/refractory (R/R) chronic lymphocytic leukemia (CLL)/ small lymphocytic lymphoma (SLL) that has received at least 2 prior systemic therapies and have no available (or established) therapies known to provide clinical benefit and to which the participant would consent to receiving. * Laboratory values meeting those listed in the protocol. Exclusion Criteria: * QT interval corrected for heart rate (QTc) using Fridericia's correction of \> 470 msec (females) or \> 450 msec (males), Grade 3 arrythmia, and/or other clinically significant cardiac abnormalities. * Known to be B-cell leukemia/lymphoma 2 inhibitor (BCL-2i) refractory or has received a BCL-2i-containing regimen within (6 months) of starting study drug (e.g., venetoclax, lisaftoclax, BGV-11417). * Has active human immunodeficiency virus (HIV) infection. HIV testing is not required unless required locally. * Recent history (within 6 months) of: * Congestive heart failure (defined as New York Heart Association, Class 2 or higher). * Ischemic cardiovascular event. * Cardiac arrhythmia requiring pharmacological or surgical intervention. * Pericardial effusion. * Pericarditis. * Consumes known moderate or strong inhibitors of cytochrome P450 3A isoform subfamily (CYP3A) within 14 day or 5 half-lives of the drug (whichever is shorter) before the first dose of ABBV-453.

Primary outcome measure(s)

  • Percentage of Participants With Adverse Events (AEs) — Up to 3 Years
    An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment. The investigator assesses the relationship of each event to the use of study. A serious adverse event (SAE) is an event that results in death, is life-threatening, requires or prolongs hospitalization, results in a congenital anomaly, persistent or significant disability/incapacity or is an important medical event that, based on medical judgment, may jeopardize the participant and may require medical or surgical intervention to prevent any of the outcomes listed above.
  • Maximum Administered Dose (MAD) of ABBV-453 — Up to 18 Months
    MAD is defined as the highest administered dose if no maximum tolerated dose (MTD) is determined.
  • Maximum Tolerated Dose (MTD) of ABBV-453 — Up to 18 Months
    MTD is defined as the highest dose administered that does not result in a final determination of de-escalate at that dose level.

Trial sites (21)

FacilityCityRegionStatus
City of Hope /ID# 253904 Duarte California
City of Hope - Orange County Lennar Foundation Cancer Center /ID# 267158 Irvine California
Intermountain Health St Vincent Regional Hospital - Cancer Centers of Montana /ID# 264622 Billings Montana
Atrium Health Levine Cancer Institute /ID# 265136 Charlotte North Carolina
Duplicate_Duke Cancer Center /ID# 258707 Durham North Carolina
MD Anderson Cancer Center /ID# 253713 Houston Texas
Royal Prince Alfred Hospital /ID# 263129 Sydney New South Wales
Gold coast University Hospital /ID# 255785 Southport Queensland
Austin Health /ID# 256776 Heidelberg Victoria
Royal Perth Hospital /ID# 256464 Perth Western Australia
Universitaetsklinikum Ulm /ID# 263148 Ulm Baden-Wurttemberg
Universitaetsklinikum Halle (Saale) /ID# 263299 Halle Saxony-Anhalt
Universitaetsklinikum Schleswig-Holstein - Campus Kiel /ID# 263150 Kiel Schleswig-Holstein
Charite Universitaetsmedizin Berlin - Campus Benjamin Franklin /ID# 263433 Berlin Germany
Universitaetsklinikum Hamburg-Eppendorf /ID# 263730 Hamburg Germany
Yitzhak Shamir Medical Center /ID# 257626 Ẕerifin Central District
Hadassah Medical Center-Hebrew University /ID# 254721 Jerusalem Jerusalem
The Chaim Sheba Medical Center /ID# 254383 Ramat Gan Tel Aviv
IRCCS Ospedale San Raffaele /ID# 263064 Milan Milano
IRCCS AOU di Bologna Policlinico Sant Orsola Malpighi /ID# 263065 Bologna Italy
Azienda Ospedaliera di Perugia - Ospedale S. Maria della Misericordia /ID# 263062 Perugia Italy
Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT06291220 on ClinicalTrials.gov ↗ ← All trials in Italy