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On Tuesday 4th June an oral abstract session took place at the 2019 American Society of Clinical Oncology (ASCO) Annual Meeting. During that session, Abstract 7502 was presented by Kirsten Fischer, University of Cologne, Cologne, DE, on the phase III CLL14 clinical trial.
This study (NCT02242942) compared the efficacy and safety of fixed-duration venetoclax plus obinutuzumab (VenG) against treatment with chlorambucil and obinutuzumab (ClbG) in patients with naïve chronic lymphocytic leukemia (CLL) and comorbidities. The primary endpoint of this multinational, open-label, phase III trial was progression-free survival (PFS). Secondary endpoints included, minimal residual disease (MRD) in peripheral blood (PB) or bone marrow (BM) three months after treatment completion, overall survival (OS), and response rates.
Baseline characteristic |
VenG cohort |
ClbG cohort |
---|---|---|
Median age (years) |
72 |
71 |
Binet stage: A B C |
21% 36% 43% |
20% 37% 43% |
Median total CIRS score |
9 |
8 |
Median estimated CrCl (ml/min) |
65.2 |
67.5 |
Risk of tumor lysis syndrome (TLS): Low Intermediate High |
13% 64% 22% |
12% 68% 20% |
Immunoglobulin heavy variable (IGHV) unmutated status |
61% |
59% |
TP53 deletion and/or mutation |
12% |
12% |
Deletion in 17p |
9% |
7% |
Response |
VenG cohort (n = 216) |
ClbG cohort (n = 216) |
P value |
---|---|---|---|
Overall response rate (ORR) |
85% |
71% |
0.0007 |
Complete response (CR) |
50% |
23% |
< 0.0001 |
Partial response (PR) |
35% |
48% |
|
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