Table 4.

Selection of completed phase 3 trials in frontline treatment of CLL

Study ID Experimental agent/s and comparatorTrial designPatient numberSubmission trialMedian observation time, moMedian PFS, moOSReferenceRegistration
Median, mo% vs %
CLL8 FCR vs fludarabine + cyclophosphamide (comparator) Multicenter, open-label 817 Yes; FDA and EMA approval 70.8 56.8 vs 32.9 NR vs 86.0  32, 35 NCT00281918 
CLL11 Chlorambucil + obinutuzumab vs chlorambucil + rituximab vs chlorambucil (comparator) Multicenter, open-label 781 Yes; FDA and EMA approval 70.8 29.2 vs 15.4 vs 11.1  OS after 2 y: 82 vs 84 vs 90 34 NCT01010061 
COMPLEMENT 1 Chlorambucil + ofatumumab vs chlorambucil (comparator) Multicenter, open-label 447 Yes; FDA and EMA approval 28.9 22.4 vs 13.1  OS after 2 y: 89 vs 87 36 NCT00748189 
CLL10 BR vs FCR (comparator) Multicenter, open-label 561 No 37.1 41.7 vs 55.2  OS after 3 y: 92 vs 91 39 NCT00769522 
MaBLe BR vs chlorambucil + rituximab (comparator) Multicenter, open-label 241 No 24.0 39.6 vs 29.9 43.8 vs NR  41 NCT01056510 
ORIGIN Lenalidomide vs chlorambucil (comparator) Multicenter, open-label 450 No 18.8 30.8 vs 21.4 NR vs 44.0  45 NCT00910910 
CLLM1 Maintenance lenalidomide vs placebo (comparator) Multicenter, double-blind 89 No 17.9 NR vs 13.3  OS after 2 y: 97 vs 92 49 NCT01556776 
RESONATE-2 Ibrutinib vs chlorambucil (comparator) Multicenter, open-label 269 Yes; FDA and EMA approval 18.4 NR vs 18.9  OS after 2 y: 98 vs 85 54 NCT01722487 
Study ID Experimental agent/s and comparatorTrial designPatient numberSubmission trialMedian observation time, moMedian PFS, moOSReferenceRegistration
Median, mo% vs %
CLL8 FCR vs fludarabine + cyclophosphamide (comparator) Multicenter, open-label 817 Yes; FDA and EMA approval 70.8 56.8 vs 32.9 NR vs 86.0  32, 35 NCT00281918 
CLL11 Chlorambucil + obinutuzumab vs chlorambucil + rituximab vs chlorambucil (comparator) Multicenter, open-label 781 Yes; FDA and EMA approval 70.8 29.2 vs 15.4 vs 11.1  OS after 2 y: 82 vs 84 vs 90 34 NCT01010061 
COMPLEMENT 1 Chlorambucil + ofatumumab vs chlorambucil (comparator) Multicenter, open-label 447 Yes; FDA and EMA approval 28.9 22.4 vs 13.1  OS after 2 y: 89 vs 87 36 NCT00748189 
CLL10 BR vs FCR (comparator) Multicenter, open-label 561 No 37.1 41.7 vs 55.2  OS after 3 y: 92 vs 91 39 NCT00769522 
MaBLe BR vs chlorambucil + rituximab (comparator) Multicenter, open-label 241 No 24.0 39.6 vs 29.9 43.8 vs NR  41 NCT01056510 
ORIGIN Lenalidomide vs chlorambucil (comparator) Multicenter, open-label 450 No 18.8 30.8 vs 21.4 NR vs 44.0  45 NCT00910910 
CLLM1 Maintenance lenalidomide vs placebo (comparator) Multicenter, double-blind 89 No 17.9 NR vs 13.3  OS after 2 y: 97 vs 92 49 NCT01556776 
RESONATE-2 Ibrutinib vs chlorambucil (comparator) Multicenter, open-label 269 Yes; FDA and EMA approval 18.4 NR vs 18.9  OS after 2 y: 98 vs 85 54 NCT01722487 

Completed registration trials for frontline therapy.

EMA, European Medicines Agency; FDA, US Food and Drug Administration; NR, not reached; OS, overall survival; PFS, progression-free survival; RR, relapse and refractory patients.

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