About this trial
Assess the safety and tolerability, identify dose-limiting toxicities (DLT) and determine the maximum tolerated dose (MTD) / recommended phase 2 dose (RP2D) of lisaftoclax.
Eligibility criteria
Qualifiers
≥18 years of age.
Histologically confirmed chronic lymphocytic leukemia (CLL) or small lymphocytic leukemia (SLL) according to the 2018 international workshop (IW) CLL criteria who must have relapsed or be refractory to at least one prior therapy for CLL/SLL and require treatment by 2018 IWCLL criteria. In addition, lisaftoclax (600 mg) plus acalabrutinib combination cohort may include patients who are: (1) treatment-naïve, or (2) refractory to venetoclax.
Eastern Cooperative Oncology Group (ECOG) ≤ 2.
Patient must have objectively documented evidence of disease progression prior to study entry such as: escalating lymphocytes count with an increase > 50% over a period of two months or doubling time in less than 6 months; enlarging adenopathy or splenomegaly; increasing cytopenias; clinical B symptoms -night sweats, fatigue, > 1% weight loss in 6 months, fevers > 100.50F for ≥ one month without infection.
Disqualifiers
Patient has undergone allogeneic stem cell transplant < 90 days.
Patient has active graft-versus-host disease or require immunosuppressive therapy.
Patient has undergone CAR-T cell therapy < 30 days.
Richter's Syndrome (patients with previously treated Richter's syndrome will be permitted if they are in remission).
Trial design
Treatments tested in this trial
- Lisaftoclax