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A Study of Tacabrutideg (BGB-16673) Compared to Investigator's Choice in Participants With Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma Previously Exposed to Both Bruton Tyrosine Kinase (BTK) and B-cell Leukemia/Lymphoma 2 Protein (BCL2) Inhibitors

RecruitingPhase 3

A Phase 3, Open-Label, Randomized Study of BGB-16673 Compared to Investigator's Choice (Idelalisib Plus Rituximab or Bendamustine Plus Rituximab or Venetoclax Plus Rituximab Retreatment) in Patients With Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma Previously Exposed to Both BTK and BCL2 Inhibitors

Who can join

Ages 18 and older · All sexes

Full eligibility criteria
Inclusion Criteria:

1. Confirmed diagnosis of CLL or SLL, requiring treatment, based on 2018 international workshop on chronic lymphocytic leukemia (iwCLL) criteria.
2. Previously received treatment for CLL/SLL with both a BTKi and a BCL2i.
3. Participants with SLL must have measurable disease by computer tomography (CT)/magnetic resonance imaging (MRI)
4. Eastern Cooperative Oncology Group (ECOG) score 0, 1, or 2
5. Adequate liver function
6. Adequate blood clotting function

Exclusion Criteria:

1. Known prolymphocytic leukemia or history of, or currently suspected, Richter's transformation
2. Prior autologous stem cell transplant or chimeric antigen receptor-T cell therapy in the last 3 months
3. Known central nervous system involvement
4. Prior exposure to any BTK protein degraders
5. Active fungal, bacterial and/or viral infection requiring parenteral systemic therapy
6. Clinically significant cardiovascular disease

NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

About the study

The purpose of this study is to investigate the efficacy and safety of tacabrutideg compared with investigator's choice (idelalisib plus rituximab \[for CLL only\] or bendamustine plus rituximab or venetoclax plus rituximab retreatment) in participants with chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL) previously exposed to both BTK inhibitors (BTKi) and BCL2 inhibitors (BCL2i).

What is being tested

Sponsor: BeOne Medicines · Participants: 250 · Started: Apr 10, 2025

Contact the study team

Official record on ClinicalTrials.gov — NCT06846671

Locations in the U.S.

ArkansasSt Bernards Medical Center, Jonesboro
CaliforniaUCLA Department of Medicine Hematologyoncology, Los Angeles
Scripps Prebys Cancer Center, San Diego
Pih Health Whittier Hospital, Whittier
ColoradoRocky Mountain Cancer Centers (Williams) Usor, Aurora
Intermountain Health Lutheran Hospital Cancer Center of Colorado, Golden
FloridaFlorida Oncology and Hematology, Fort Myers
Baptist Md Anderson Cancer Center, Jacksonville
Cleveland Clinic Florida, Weston
GeorgiaEmory University Winship Cancer Institute, Atlanta
Northside Cancer Center, Atlanta
LouisianaOur Lady of the Lake Hospital, Baton Rouge
MarylandAmerican Oncology Partners of Maryland Pa, Bethesda
MichiganCorewell Health the Michigan Cancer Consortium, Grand Rapids
MinnesotaUniversity of Minnesota, Minneapolis
MissouriSt Lukes Center For Cancer Care, Chesterfield
Oncology Hematology Associates, Springfield
MontanaSt Vincent Frontier Cancer Center, Billings
NebraskaOncology Hematology West, Pc Dba Nebraska Cancer Specialists, Omaha
New YorkMemorial Sloan Kettering Cancer Center Mskcc, New York
New York Cancer and Blood Specialists, Shirley
Optum Medical Care, Pc, Westbury
OhioUniversity Hospitals, Cleveland
Dayton Physician Network, Dayton
OregonOncology Associates of Oregon Willamette Valley Cancer Center, Eugene
PennsylvaniaWest Penn Hospital, Pittsburgh
Cancer Care Associates of York, York
TexasBaylor Scott and White Health, Temple
Texas Oncology Tyler, Tyler

Conditions

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.