PI3Ki combinations with venetoclax with or without anti-CD20 monoclonal antibodies in patients with R/R CLL
Trial phase . | Treatment . | No. of patients . | TP53 aberrations . | Schedule . | Strategy . | uMRD rate . | Discontinuation rate . | Median follow-up . |
---|---|---|---|---|---|---|---|---|
Phase I/II46 | Umbralisib-venetoclax-obinutuzumab | 21 | 38%* | UMBRA cycle 1-12 + UBLI cycles 1-3 + VEN cycles 4-12 | BM uMRD at cycle 12, discontinue all therapy BM MRD-positive at cycle 12, continue UMBRA monotherapy | 4 patients with BM uMRD (19%) | 4.7% | 4.2 mo |
Phase I47 | Duvelisib-venetoclax | 12 | 25% del(17p) and 42% TP53 mutation | DUV days 1-7, then DUV+VEN for 12 cycles | uMRD on 2 assessments, discontinue all therapy; resume VEN monotherapy at MRD recrudescence MRD-positive, continue VEN monotherapy | 22% uMRD in BM and PB | 25% | Reported with median number of cycles 6 (range, 1-9) |
Trial phase . | Treatment . | No. of patients . | TP53 aberrations . | Schedule . | Strategy . | uMRD rate . | Discontinuation rate . | Median follow-up . |
---|---|---|---|---|---|---|---|---|
Phase I/II46 | Umbralisib-venetoclax-obinutuzumab | 21 | 38%* | UMBRA cycle 1-12 + UBLI cycles 1-3 + VEN cycles 4-12 | BM uMRD at cycle 12, discontinue all therapy BM MRD-positive at cycle 12, continue UMBRA monotherapy | 4 patients with BM uMRD (19%) | 4.7% | 4.2 mo |
Phase I47 | Duvelisib-venetoclax | 12 | 25% del(17p) and 42% TP53 mutation | DUV days 1-7, then DUV+VEN for 12 cycles | uMRD on 2 assessments, discontinue all therapy; resume VEN monotherapy at MRD recrudescence MRD-positive, continue VEN monotherapy | 22% uMRD in BM and PB | 25% | Reported with median number of cycles 6 (range, 1-9) |
BM, bone marrow; c, cycles; DUV, duvelisib; PB, peripheral blood; UBLI, ublituximab; UMBRA, umbralisib; VEN, venetoclax.
Also includes patients with del(11q).