A Phase 2 Study of Venetoclax Monotherapy in Japanese Subjects With Relapsed or Refractory Waldenström Macroglobulinemia/Lymphoplasmacytic Lymphoma
| Registry | NCT07387471 |
|---|---|
| Status | Active not recruiting |
| Phase | Phase 2 |
| Study type | Interventional; na, single group, masking: none, treatment |
| Enrollment | 14 (Estimated) |
| Sponsor | AbbVie (Industry) |
| Conditions | Waldenstrom Macroglobulinemia, Lymphoplasmacytic Lymphoma |
| Interventions | Venetoclax (Drug) |
| Dates | start 2026-03-17, primary completion 2028-07-01 (estimated), completion 2028-07-01 (estimated), first posted 2026-02-04, last updated 2026-09-09 |
| Locations | 17 sites in Japan |
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All trials for Waldenstrom Macroglobulinemia All trials for Lymphoplasmacytic Lymphoma All trials of Venetoclax
Lymphoplasmacytic Lymphoma (LPL) is a rare type of low-grade B-cell lymphoma. The purpose of this study is to assess the change in disease activity of adult participants with relapsed or refractory Waldenström macroglobulinemia(WM)/LPL receiving venetoclax.
Venetoclax is being investigated in the treatment of WM/LPL. Participants will receive oral venetoclax at doses ramping up to the target dose, as part of treatment. Approximately 14 adult participants with WM/LPL will be enrolled in the study at approximately 20 sites in Japan.
Participants will receive oral venetoclax at doses ramping up to the target dose. The total study duration is approximately 28 months.
There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, and checking for side effects.
| Arm | Type | Interventions | Description |
|---|---|---|---|
| Venetoclax Monotherapy | Experimental | Drug: Venetoclax | Participants will receive venetoclax at doses ramping up to the target dose, as part of the approximately 28 month study duration. |
Sex: All, ages: 18 Years to any
Inclusion Criteria: * Documented diagnosis of Waldenström macroglobulinemia(WM) /lymphoplasmacytic lymphoma (LPL) according to the 5th edition of the World Health Organization (WHO) classification and/or documented clinicopathological diagnosis of WM in accordance with the consensus panel of the second International Workshop on WM (IWWM). * At least one prior standard therapy for WM/LPL. * Measurable disease, defined as follows: * WM type LPL population: Immunoglobulin M (IgM) >= 500 mg/dL per central laboratory (approximately 14 participants) * Non-IgM type LPL population or IgM < 500 mg/dL: A measurable node having a longest diameter (LDi) greater than 1.5 cm, or a measurable extranodal disease having a LDi greater than 1.0 cm, according to contrast-enhanced computed tomography (CT) scan. (up to 2 participants) * Requires systemic anti-cancer treatment for WM/LPL, according to the investigator. * Eastern Cooperative Oncology Group Performance Status < = 2 * Adequate organ and bone marrow function Exclusion Criteria: * History of prior exposure to venetoclax or BCL-2 targeted therapy. * Uncontrolled active systemic infection. * Known bleeding disorders (e.g., hemophilia).
| Facility | City | Country | Status |
|---|---|---|---|
| Japanese Red Cross Aichi Medical Center Nagoya Daini Hospital /ID# 279178 | Nagoya, Aichi-ken | Japan | |
| Nagoya City University Hospital /ID# 277580 | Nagoya, Aichi-ken | Japan | |
| University of Fukui Hospital /ID# 279173 | Yoshida-gun, Fukui | Japan | |
| Kyushu University Hospital /ID# 277582 | Fukuoka, Fukuoka | Japan | |
| Gunma University Hospital /ID# 277576 | Maebashi, Gunma | Japan | |
| Hiroshima University Hospital /ID# 279172 | Hiroshima, Hiroshima | Japan | |
| NHO Mito Medical Center /ID# 279175 | Higashiibaraki-gun, Ibaraki | Japan | |
| University Hospital Kyoto Prefectural University of Medicine /ID# 277584 | Kyoto, Kyoto | Japan | |
| Kindai University Hospital /ID# 277587 | Sakai-shi, Osaka | Japan | |
| The University of Tokyo Hospital /ID# 279174 | Bunkyo-ku, Tokyo | Japan | |
| National Cancer Center Hospital /ID# 279076 | Chuo-Ku, Tokyo | Japan | |
| The Cancer Institute Hospital Of Japanese Foundation for Cancer Research /ID# 277579 | Koto-ku, Tokyo | Japan | |
| Japanese Red Cross Medical Center /ID# 277577 | Shibuya-ku, Tokyo | Japan | |
| National Hospital Organization Disaster Medical Center /ID# 277741 | Tachikawa, Tokyo | Japan | |
| University of Yamanashi Hospital /ID# 279179 | Chuo-shi, Yamanashi | Japan | |
| Chiba Cancer Center /ID# 279177 | Chiba | Japan | |
| Nagano Red Cross Hospital /ID# 279774 | Nagano | Japan |