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A drug, Roginolisib (IOA-244), in combination with rituximab and venetoclax, to treat chronic lymphocytic leukemia (CLL) that has come back (relapsed) or not gotten better with treatment (refractory)

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18 and older

Phase 1, Phase 2

1 Location

NCT06644183

Clinical Trial Goal


To find out:
  • The highest dose of roginolisib that's safe to give with rituximab and venetoclax 
  • If the combination of rituximab, roginolisib and venetoclax is safe and works well to treat CLL that has relapsed or is refractory

You may be able to join this trial if you:


  • Are 18 years old or older
  • Have CLL that has relapsed or is refractory
  • Have not been treated with venetoclax or a drug that targets P13K in the last 6 months. Your doctor can tell you this
  • Agree to have other standard tests done to see if you can be in the clinical trial 

Trial Details


Rituximab is a monoclonal antibody that targets CD20 on certain cells.
Roginolisib is a small molecule inhibitor that blocks PI3-kinase delta in certain cells. 
Venetoclax is a small molecule inhibitor that blocks BCL2 in certain cells.


In this trial, you’ll be randomized to 1 of 2 groups. Once you’re randomized, you’ll be told what group you’re in:
  • Group 1Rituximab plus roginolisib plus venetoclax
  • Group 2Rituximab plus venetoclax

Randomized means doctors will use a computer to assign you to either group. A computer assigns you by chance, like flipping a coin or drawing a name out of a hat. You, your doctor or the clinical trial doctor won’t have any control over which group you’ll be assigned. This means you won’t be able to choose your group.
 
You’ll get treatment in cycles that last 1 month. In each cycle, you'll get: 
  • Rituximab – Given as intravenous (IV) infusions. The dose you'll get depends on when you start the trial and how safe it has been
  • Roginolisib –  Group 1 only - A pill that you take by mouth 1 time each day 
  • Venetoclax – A pill that you take by mouth 1 time each day 

You'll have biopsies to see how well the treatment is working. The clinical trial doctors will check your health for up to 5 years.

The Food and Drug Administration (FDA) has not yet approved roginolisib.

Contacts


Megan Forsyth, 857-215-1405, megan_forsyth@dfci.harvard.edu

Locations


Dana-Farber Cancer InstituteRECRUITING

Boston, Massachusetts
Jennifer Brown, MD, PhD, 617-632-5847, Jennifer_brown@dfci.harvard.edu

ClinicalTrials.gov record


NCT06644183. First posted on 10/16/24

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