ABT-263 + Rituximab for Blood Cancers

No longer recruiting at 6 trial locations
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests whether a combination of two drugs, ABT-263 (a new potential drug) and rituximab, is safe for individuals with certain blood cancers known as CD20-positive lymphoproliferative disorders. The study aims to understand how these drugs work together and their effects over time. It seeks participants diagnosed with one of these blood disorders who have at least one measurable tumor. Those with a history of blood cancer fitting this description and who can manage daily activities independently may find this trial suitable. As a Phase 1 trial, this research focuses on understanding how the treatment works in people, offering participants the opportunity to be among the first to receive this new potential drug.

Will I have to stop taking my current medications?

The trial requires that you stop taking certain medications before starting, such as steroids for cancer treatment, aspirin, CYP3A inhibitors, and any anti-cancer therapy. If you're on these, you'll need to stop them at least 7 to 14 days before the trial begins.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

In a previous study, ABT-263, also known as Navitoclax, was tested with rituximab to assess its safety for people with certain blood cancers. Research has shown that ABT-263 can effectively target and kill cancer cells in lab tests. However, this study is in an early phase, so researchers are still determining the right dose and monitoring for any side effects.

Rituximab is already used for certain blood cancers, providing more information about its safety. While early studies suggest that ABT-263 can work well with rituximab, some side effects may still occur. Participants in these early studies have reported various experiences, but specific safety data is still being collected.

Since this is an early phase study, the main goal is to monitor participants closely for any adverse effects. It's important to remember that researchers are still learning about the treatment's safety, and more data is needed to fully understand its impact on human health.12345

Why are researchers excited about this trial's treatments?

Unlike the standard treatments for blood cancers, which typically include chemotherapy and monoclonal antibodies, ABT-263 offers a unique approach by targeting and inhibiting proteins that prevent cancer cell death. This mechanism, known as Bcl-2 family inhibition, encourages the cancer cells to undergo apoptosis, or programmed cell death, which could make it more effective in shrinking tumors. Researchers are excited about ABT-263, especially when combined with Rituximab, because this combination has the potential to enhance the effectiveness of standard treatments and possibly work against resistant cancer cells.

What evidence suggests that ABT-263 + rituximab could be effective for blood cancers?

Research has shown that combining ABT-263 with rituximab may effectively treat certain blood cancers. In this trial, participants will receive both ABT-263 and rituximab. ABT-263 targets proteins that help cancer cells survive, aiding in their destruction. Early studies found that combining ABT-263 with rituximab reduces cancer cell growth more effectively than rituximab alone. Rituximab, a well-known treatment for some blood cancers, targets and destroys cancerous B cells. Together, these treatments aim to kill cancer cells more effectively than either one alone. While detailed results from human trials are still being gathered, these early findings are promising for this treatment approach.26789

Who Is on the Research Team?

AI

ABBVIE INC.

Principal Investigator

AbbVie

Are You a Good Fit for This Trial?

This trial is for adults with certain types of lymphoid cancers, like non-Hodgkin's lymphoma or chronic lymphocytic leukemia. They should be relatively healthy (ECOG score <=1), have good kidney, liver, and blood clotting function, and not be pregnant or breastfeeding. Participants need measurable disease and can't join if they've had recent significant bleeding issues, other cancers in the last 5 years (with some exceptions), severe allergies to monoclonal antibodies, major organ diseases, or active infections.

Inclusion Criteria

I have a CD20-positive lymphoma with a measurable lesion.
My blood counts meet the required levels for treatment.
I am not pregnant, and if capable of becoming pregnant, I am using effective birth control.
See 13 more

Exclusion Criteria

I do not have any uncontrolled conditions like a serious fungal infection or recent fever with low white blood cells.
I have tested positive for HIV, Hepatitis B, or Hepatitis C, but can join if I'm only a carrier of Hepatitis B.
I have a bleeding condition or have had significant bleeding in the past 6 months.
See 3 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive ABT-263 in combination with rituximab to evaluate safety

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

Extension

Participants may continue to receive ABT-263 for up to 14 years with quarterly evaluations

What Are the Treatments Tested in This Trial?

Interventions

  • ABT-263
  • Rituximab
Trial Overview The study tests ABT-263 combined with rituximab against various lymphoid cancers over a long period (up to 13 years). It's an early-phase trial focused on safety where participants will receive the treatment combination and undergo regular health checks every three months to monitor effects.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: ABT-263 + rituximabExperimental Treatment2 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

AbbVie (prior sponsor, Abbott)

Lead Sponsor

Trials
231
Recruited
149,000+

Dr. Roopal Thakkar

AbbVie (prior sponsor, Abbott)

Chief Medical Officer since 2023

MD, Wayne State University School of Medicine; Bachelor's in Cellular and Molecular Biology, University of Michigan

Robert A. Michael profile image

Robert A. Michael

AbbVie (prior sponsor, Abbott)

Chief Executive Officer

Bachelor's degree in Finance, University of Illinois

AbbVie

Lead Sponsor

Trials
1,079
Recruited
535,000+
Founded
2013
Headquarters
North Chicago, USA
Known For
Immunology treatments
Top Products
Humira (adalimumab), Skyrizi (risankizumab), Rinvoq (upadacitinib)

Dr. Roopal Thakkar

AbbVie

Chief Medical Officer since 2023

MD from Wayne State University School of Medicine

Robert A. Michael profile image

Robert A. Michael

AbbVie

Chief Executive Officer

Bachelor's degree in Finance from the University of Illinois

Genentech, Inc.

Industry Sponsor

Trials
1,578
Recruited
569,000+
Ashley Magargee profile image

Ashley Magargee

Genentech, Inc.

Chief Executive Officer since 2024

MBA from Harvard University, BA from Princeton University

Levi Garraway profile image

Levi Garraway

Genentech, Inc.

Chief Medical Officer since 2021

MD, PhD

Citations

Safety Study of ABT-263 in Combination With Rituximab ...An unfavorable change in the health of a participant, including abnormal laboratory findings, that happens during a clinical study or within a certain amount of ...
Safety Study of ABT-263 in Combination With Rituximab ...This is a Phase 1 study evaluating the safety of ABT-263 administered in combination with rituximab in participants with CD20-positive lymphoproliferative ...
Safety Study of ABT-263 in Combination With Rituximab ...This is a Phase 1 study evaluating the safety of ABT-263 administered in combination with rituximab in participants with CD20-positive lymphoproliferative ...
4.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/25797560/
A phase 2 study of the BH3 mimetic BCL2 inhibitor ...We evaluated the safety and biologic activity of the BH3 mimetic protein, navitoclax, combined with rituximab, in comparison to rituximab alone.
Safety Study of ABT-263 in Combination With Rituximab in ...This is a Phase 1 study evaluating the safety of ABT-263 administered in combination with rituximab in participants with CD20-positive lymphoproliferative ...
NCT00788684 | Safety Study of ABT-263 in Combination ...This is a Phase 1 study evaluating the safety of ABT-263 administered in combination with rituximab in participants with CD20-positive lymphoproliferative ...
Navitoclax (ABT-263) Plus Rituximab: Interim Results of a ...Navitoclax shows potent targeted cytotoxicity (EC50 ≤1μM) in vitro against T and B lymphoid malignancies that over-express Bcl-2.
Rituximab in B-Cell Hematologic Malignancies: A Review of ...The overall response rate (ORR) in this trial was 48% [complete response (CR) rate 6%], and the median time to progression for the intent-to-treat population ...
Navitoclax (ABT-263) Plus Rituximab: Interim Results of a ...Navitoclax shows potent targeted cytotoxicity (EC50 ≤1μM) in vitro against T and B lymphoid malignancies that over-express Bcl-2.
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