RecruitingPhase 3NCT05947851

A Study of Nemtabrutinib Plus Venetoclax vs Venetoclax + Rituximab (VR) in Second-line (2L) + Relapsed/Refractory (R/R) Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma (CLL/SLL) (MK-1026-010/BELLWAVE-010).

A Phase 3, Open-label, Randomized Study to Compare the Efficacy and Safety of Nemtabrutinib (MK-1026) Plus Venetoclax Versus Venetoclax Plus Rituximab in Participants With Relapsed/Refractory Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma Following at Least 1 Prior Therapy (BELLWAVE-010)


Sponsor

Merck Sharp & Dohme LLC

Enrollment

735 participants

Start Date

Aug 8, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

The purpose of this study is to assess the safety and tolerability and to confirm the dose of nemtabrutinib in combination with venetoclax in participants with R/R CLL/SLL. The primary study hypotheses are that the combination of nemtabrutinib plus venetoclax is superior to VR with respect to progression-free survival (PFS) per 2018 International Workshop on Chronic Lymphocytic Leukemia (iwCLL) criteria as assessed by blinded independent central review (BICR).


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study is comparing two treatment combinations for people with chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL) that has returned or stopped responding to at least one prior treatment. The study tests nemtabrutinib plus venetoclax against venetoclax plus rituximab to see which works better. **You may be eligible if...** - You are 18 or older with confirmed CLL or SLL that has relapsed or stopped responding to at least one prior treatment - You have active disease requiring treatment - You are in good enough physical condition (ECOG 0–2) - You can swallow oral medications - Your organ function meets the required levels **You may NOT be eligible if...** - You have had a prior BCL2 inhibitor (like venetoclax) within the last 12 months - Your CLL/SLL has transformed into a more aggressive lymphoma (Richter's transformation) - You have an active serious infection requiring IV antibiotics - You have significant heart disease - You have had recent major surgery without adequate recovery Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGNemtabrutinib

5, 20, 45, and 65 mg tablets

DRUGVenetoclax

10, 50, and 100 mg tablets

BIOLOGICALRituximab

100 mg/10 mL, 500 mg/50 mL (10 mg/mL) IV Infusion


Locations(52)

Highlands Oncology Group ( Site 5405)

Springdale, Arkansas, United States

MemorialCare Health System - Long Beach Medical Center ( Site 5421)

Long Beach, California, United States

Memorial Hospital West ( Site 5410)

Pembroke Pines, Florida, United States

Oregon Health and Science University ( Site 5425)

Portland, Oregon, United States

Medical Oncology Associates, PS ( Site 5406)

Spokane, Washington, United States

University of Wisconsin Hospital and Clinics-Carbone Cancer Center ( Site 5423)

Madison, Wisconsin, United States

Instituto Alexander Fleming ( Site 1005)

Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina

Instituto de Investigaciones Clínicas Mar del Plata ( Site 1007)

Mar del Plata, Buenos Aires, Argentina

Sanatorio Parque ( Site 1003)

Rosario, Santa Fe Province, Argentina

Centro Medico Fleischer ( Site 1006)

Buenos Aires, Argentina

Hospital Aleman-oncohematologic diseases ( Site 1001)

Buenos Aires, Argentina

Royal Adelaide Hospital ( Site 1104)

Adelaide, South Australia, Australia

Western Health-Sunshine & Footscray Hospitals-Cancer Services-Cancer Research ( Site 1103)

Melbourne, Victoria, Australia

UZ Leuven-Hematology ( Site 1200)

Leuven, Vlaams-Brabant, Belgium

ZAS Cadix ( Site 1203)

Antwerp, Belgium

ICESP - INSTITUTO DO CÂNCER DO ESTADO DE SÃO PAULO-Pesquisa Clinica ( Site 1308)

São Paulo, Brazil

The Moncton Hospital ( Site 1414)

Moncton, New Brunswick, Canada

Biocenter ( Site 1507)

Concepción, Biobio, Chile

IC La Serena Research ( Site 1506)

La Serena, Coquimbo Region, Chile

Centro de Estudios Clínicos SAGA-CECSAGA ( Site 1509)

Santiago, Region M. de Santiago, Chile

FALP-UIDO ( Site 1500)

Santiago, Region M. de Santiago, Chile

Clínica Inmunocel ( Site 1511)

Santiago, Region M. de Santiago, Chile

Fundación Valle del Lili ( Site 1703)

Cali, Valle del Cauca Department, Colombia

Hopital Claude Huriez - CHU de Lille ( Site 2107)

Lille, Nord, France

Centre Hospitalier Universitaire Estaing ( Site 2105)

Clermont-Ferrand, Puy-de-Dome, France

CHD Vendee ( Site 2100)

La Roche-sur-Yon, Vendee, France

Klinikum Mutterhaus der Borromäerinnen-Innere Medizin I ( Site 2203)

Trier, Rhineland-Palatinate, Germany

Universitätsklinikum Leipzig-Medical Department I - Hematology and Celltherapy ( Site 2201)

Leipzig, Saxony, Germany

Rambam Health Care Campus ( Site 2801)

Haifa, Israel

Hadassah Medical Center-Hemato-Oncology ( Site 2812)

Jerusalem, Israel

Sheba Medical Center-Hemato Oncology ( Site 2809)

Ramat Gan, Israel

Sourasky Medical Center ( Site 2811)

Tel Aviv, Israel

Azienda Ospedaliero-Universitaria SS. Antonio e Biagio e Cesare Arrigo ( Site 2906)

Alessandria, Italy

Ospedale San Raffaele-Programma di Ricerca Strategica sulla LLC ( Site 2902)

Milan, Italy

Arcispedale Santa Maria Nuova-Hematology ( Site 2900)

Reggio Emilia, Italy

Centro de Infusion Superare ( Site 3314)

Mexico City, Mexico City, Mexico

Health Pharma Professional Research S.A. de C.V: ( Site 3301)

Mexico City, Mexico City, Mexico

Centro de Investigacion Clinica Chapultepec ( Site 3309)

Morelia, Michoacán, Mexico

Auxilio Mutuo Cancer Center ( Site 3900)

San Juan, Puerto Rico

Alberts Cellular Therapy. ( Site 4401)

Pretoria, Gauteng, South Africa

Groote Schuur Hospital ( Site 4400)

Cape Town, Western Cape, South Africa

Haemalife ( Site 4407)

Kuilsriver, Western Cape, South Africa

Instituto Catalan de Oncologia - Hospital Duran i Reynals-Haematology Department ( Site 4601)

L'Hospitalet Del Llobregat, Barcelona, Spain

HOSPITAL UNIVERSITARIO QUIRONSALUD MADRID ( Site 4602)

Pozuelo de Alarcón, Madrid, Spain

HOSPITAL CLINICO DE VALENCIA-HEMATOLOGY ( Site 4603)

Valencia, Valenciana, Comunitat, Spain

Ege Universitesi Hastanesi ( Site 4902)

Bornova, İzmir, Turkey (Türkiye)

Namik Kemal University Medical Faculty-Hematology ( Site 4912)

Tekirdağ, Tekirdas, Turkey (Türkiye)

Ankara Universitesi Tip Fakultesi Hastanesi-hematology ( Site 4913)

Ankara, Turkey (Türkiye)

Mega Medipol-Hematology ( Site 4904)

Istanbul, Turkey (Türkiye)

TC Saglik Bakanligi Goztepe Prof. Dr. Suleyman Yalcin Sehir Hastanesi ( Site 4906)

Istanbul, Turkey (Türkiye)

City Hospital, Nottingham University Hospitals-Hematology ( Site 5002)

Nottingham, England, United Kingdom

University College London Hospital-Cancer Clinical Trials Unit ( Site 5001)

London-Camden, London, City of, United Kingdom

View Full Details on ClinicalTrials.gov

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NCT05947851


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