Last reviewed · How we verify

NCT02756611: VENICE I

A Study to Evaluate the Efficacy of Venetoclax Monotherapy in Relapsed/Refractory Participants With Chronic Lymphocytic Leukemia (CLL)

Completed Phase 3 Results posted Last updated 10 April 2023
What this trial tests

Phase 3 trial testing Venetoclax in Chronic Lymphocytic Leukemia in 258 participants. Completed in 11 March 2022.

Timeline
22 June 2016
Primary endpoint
10 April 2019
11 March 2022

Quick facts

Lead sponsorAbbVie
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment258
Start date22 June 2016
Primary completion10 April 2019
Estimated completion11 March 2022
Sites67 locations across Italy, Finland, Ireland, Denmark, Netherlands, Belgium, Sweden, Portugal

Drugs / interventions tested

Conditions studied

Sponsor

AbbVie — full company profile →

Who can join

Adults 18 to 99, any sex, with Chronic Lymphocytic Leukemia. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Complete Remission Rate in Participants Not Previously Treated With BCRi Therapy - Primary Analysis Primary · From first dose of study drug until the last participant completed Week 48 assessments (data cut-off date 30 June 2019); overall median time on follow-up was 23.2 months.

Complete remission rate is defined as the percentage of participants achieving a best response of complete remission (CR) or complete remission with incomplete marrow recovery (CRi) assessed by the investigator based on 2008 Modified International Workshop for Chronic Lymphocytic Leukemia National Cancer Institute-Working Group (IWCLL NCI-WG) criteria. CR required all of the following: * Peripheral blood lymphocytes \< 4000/μL * Absence of lymphadenopathy by physical examination and computed tomography scan * No hepatomegaly or splenomegaly by physical examination * Absence of disease or con

GroupValue95% CI
Venetoclax35.128.3 – 42.3
Complete Remission Rate in Participants Previously Treated With BCRi Therapy - Primary Analysis Secondary · From first dose of study drug until the last participant completed Week 48 assessments (data cut-off date 30 June 2019); overall median time on follow-up was 23.2 months.

Complete remission rate is defined as the percentage of participants achieving a best response of complete remission (CR) or complete remission with incomplete marrow recovery (CRi) assessed by the investigator based on 2008 modified IWCLL NCI-WG criteria. CR required all of the following: * Peripheral blood lymphocytes \< 4000/μL * Absence of lymphadenopathy by physical examination and computed tomography scan * No hepatomegaly or splenomegaly by physical examination * Absence of disease or constitutional symptoms (unexplained fevers \> 38°C, drenching night sweats, \> 10% weight loss in la

GroupValue95% CI
Venetoclax25.415.5 – 37.5
Overall Response Rate (ORR) - Primary Analysis Secondary · From first dose of study drug until the last participant completed Week 48 assessments (data cut-off date 30 June 2019); overall median time on follow-up was 23.2 months.

Overall response rate was defined as the percentage of participants with an overall best response of CR, CRi, nodular partial remission (nPR), or confirmed partial remission (PR) based on the 2008 modified IWCLL NCI-WG criteria assessed by the investigator. CR and CRi are defined above. nPR is defined as for CR but bone marrow nodules could be identified histologically. For PR at least 2 of the following must be met: * 50% decrease in peripheral blood lymphocyte count from the Baseline value; * 50% reduction in lymphadenopathy; * 50% reduction in the size of the liver and/or spleen (if abno

GroupValue95% CI
Venetoclax79.874.4 – 84.6
Duration of Overall Response (DOR) - Primary Analysis Secondary · From first dose of study drug until the last participant completed Week 48 assessments (data cut-off date 30 June 2019); overall median time on follow-up was 23.2 months.

Duration of response was defined as the time from the date of first response (CR, CRi, nPR, or PR) to the earliest date that progressive disease (PD) was objectively documented (radiographic or clinical) or death. Duration of response was analyzed by Kaplan-Meier (K-M) methodology. If a participant was still responding the data were censored at the date of the last available disease assessment prior to the data cutoff date.

GroupValue95% CI
Venetoclax25.223.0 – 25.2
Time to Progression (TTP) - Primary Analysis Secondary · From first dose of study drug until the last participant completed Week 48 assessments (data cut-off date 30 June 2019); overall median time on follow-up was 23.2 months.

Time to progression was defined as the time from the date of first dose of venetoclax to the date of earliest PD (radiographic or clinical). Participants who did not experience disease progression were censored at the date of the last available disease assessment prior to the data cutoff date; participants with no post-baseline disease assessments were censored at the first dose date plus 1 day. Time to progression was estimated using Kaplan-Meier methodology.

GroupValue95% CI
Venetoclax30.529.6 – 30.5
Progression-Free Survival (PFS) - Primary Analysis Secondary · From first dose of study drug until the last participant completed Week 48 assessments (data cut-off date 30 June 2019); overall median time on follow-up was 23.2 months.

Progression-free survival (PFS) was defined as the time from the date of first dose of venetoclax to the date of earliest PD (radiographic or clinical) or death. Participants who did not experience disease progression or death were censored at the date of the last available disease assessment prior to the data cutoff date; participants with no post-baseline tumor assessment or clinical assessment for progression were censored at the date of first dose plus 1 day. Progression-free survival was analyzed by Kaplan-Meier methodology.

GroupValue95% CI
Venetoclax30.528.6 – 30.5
Overall Survival (OS) - Primary Analysis Secondary · From first dose of study drug until the last participant completed Week 48 assessments (data cut-off date 30 June 2019); overall median time on follow-up was 23.2 months.

Overall survival (time to death) was defined as the time from the first dose date of venetoclax to the date of death. If a participant had not died the data were censored at the date when they were last known to be alive prior to the cutoff date. Overall survival was analyzed using Kaplan-Meier methodology.

GroupValue95% CI
VenetoclaxNANA – NA
Change From Baseline in Functional Assessment of Cancer Therapy - Leukemia Questionnaire (FACT-Leu) Secondary · Baseline and Weeks 48 and 108

The FACT-Leu is a 44-item, leukemia-specific questionnaire designed to assess health-related quality of life (HRQoL) and leukemia-specific symptoms using a core set of questions (Functional Assessment of Cancer Therapy-General; FACT-G), and a cancer site-specific leukemia subscale. Questions are scored on a scale from 0 (not at all) to 4 (very much). FACT-G consists of 27 general items divided into 4 primary HRQoL domains: Physical Well-being (PWB; 7 items; score range 0-28), Social/Family Well-being (SWB; 7 items; score range 0-28), Emotional Well-being (EWB; 6 items; score range 0-24), Func

Physical well-being - Week 48
GroupValue95% CI
Venetoclax1.2± 4.07
Physical well-being - Week 108
GroupValue95% CI
Venetoclax0.9± 4.20
Social/family well-being - Week 48
GroupValue95% CI
Venetoclax0.2± 5.14
Social/family well-being - Week 108
GroupValue95% CI
Venetoclax-0.4± 4.86
Emotional well-being - Week 48
GroupValue95% CI
Venetoclax2.1± 3.52
Emotional well-being - Week 108
GroupValue95% CI
Venetoclax1.7± 3.94
Functional well-being - Week 48
GroupValue95% CI
Venetoclax1.8± 5.63
Functional well-being - Week 108
GroupValue95% CI
Venetoclax1.4± 5.67
Change From Baseline in Functional Assessment of Chronic Illness Therapy - Fatigue Scale (FACIT-Fatigue) Secondary · Baseline and Weeks 48 and 108

The FACIT-Fatigue questionnaire measures fatigue and its effect on functioning and daily activities. The FACIT-Fatigue includes 13 items answered on a 5-point rating scale based on a 7-day recall period. Scores range from 0 to 52, with lower scores reflecting greater fatigue.

Week 48
GroupValue95% CI
Venetoclax4.9± 9.43
Week 108
GroupValue95% CI
Venetoclax3.3± 9.96
Change From Baseline in EuroQoL 5 Dimension 5 Level Questionnaire (EQ-5D-5L) Health Index Score Secondary · Baseline and Weeks 48 and 108

The EQ-5D-5L is a generic measure of health status consisting of two parts: a descriptive system consisting of 5 items and a visual analog scale (VAS). The descriptive system comprises five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. The participant is asked to rate each dimension on 5 levels of severity (1: no problems, 2: slight problems, 3: moderate problems, 4: severe problems, 5: extreme problems). The scores for the 5 dimensions are used to compute a single health utility index score representing the general health status of the individual

Week 48
GroupValue95% CI
Venetoclax0.0± 0.14
Week 108
GroupValue95% CI
Venetoclax0.0± 0.15
Change From Baseline in EuroQoL 5 Dimension 5 Level Questionnaire (EQ-5D-5L) Visual Analog Scale Score Secondary · Baseline and Weeks 48 and 108

The EQ-5D-5L is a generic measure of health status consisting of two parts, a descriptive system consisting of 5 items and a visual analog scale (VAS). The VAS assesses the participant's self-rated overall health on a scale from 0 (worst health imaginable) to 100 (best health imaginable).

Week 48
GroupValue95% CI
Venetoclax8.5± 14.43
Week 108
GroupValue95% CI
Venetoclax7.1± 14.61
Complete Remission Rate in Participants Not Previously Treated With BCRi Therapy - Final Analysis Secondary · From first dose of study drug until the end of study; overall median time on follow-up was 49.5 months.

Complete remission rate is defined as the percentage of participants achieving a best response of complete remission (CR) or complete remission with incomplete marrow recovery (CRi) assessed by the investigator based on 2008 modified IWCLL NCI-WG criteria. CR required all of the following: * Peripheral blood lymphocytes \< 4000/μL * Absence of lymphadenopathy by physical examination and computed tomography scan * No hepatomegaly or splenomegaly by physical examination * Absence of disease or constitutional symptoms (unexplained fevers \> 38°C, drenching night sweats, \> 10% weight loss in la

GroupValue95% CI
Venetoclax34.627.8 – 41.8

Adverse events — posted to ClinicalTrials.gov

Time frame: All-cause mortality are reported up to the end of the study; median time on study was 210 weeks. Adverse events are reported from the first dose of venetoclax up to 30 days after the last dose of venetoclax; Median (minimum, maximum) duration of treatment was 108 (0.1, 254.6) weeks.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Venetoclax
Serious: 136/258 (53%)
Deaths: 70/258

Serious adverse events (170 terms)

ReactionSystemVenetoclax
PNEUMONIAInfections and infestations
FEBRILE NEUTROPENIABlood and lymphatic system disorders
PYREXIAGeneral disorders
ANAEMIABlood and lymphatic system disorders
DIARRHOEAGastrointestinal disorders
DYSPNOEARespiratory, thoracic and mediastinal disorders
NEUTROPENIABlood and lymphatic system disorders
LOWER RESPIRATORY TRACT INFECTIONInfections and infestations
BLOOD LACTATE DEHYDROGENASE INCREASEDInvestigations
HYPERKALAEMIAMetabolism and nutrition disorders
MYELODYSPLASTIC SYNDROMENeoplasms benign, malignant and unspecified (incl cysts and polyps)
AUTOIMMUNE HAEMOLYTIC ANAEMIABlood and lymphatic system disorders
THROMBOCYTOPENIABlood and lymphatic system disorders
ABDOMINAL PAINGastrointestinal disorders
INFLUENZAInfections and infestations
ASPARTATE AMINOTRANSFERASE INCREASEDInvestigations
BLOOD POTASSIUM INCREASEDInvestigations
HYPERPHOSPHATAEMIAMetabolism and nutrition disorders
BENIGN PROSTATIC HYPERPLASIAReproductive system and breast disorders
COUGHRespiratory, thoracic and mediastinal disorders
PLEURAL EFFUSIONRespiratory, thoracic and mediastinal disorders
PANCYTOPENIABlood and lymphatic system disorders
CARDIAC FAILURECardiac disorders
CARDIAC FAILURE CONGESTIVECardiac disorders
CORONARY ARTERY DISEASECardiac disorders
Other adverse events (45 terms — click to expand)

ReactionSystemVenetoclax
NEUTROPENIABlood and lymphatic system disorders
DIARRHOEAGastrointestinal disorders
NAUSEAGastrointestinal disorders
ANAEMIABlood and lymphatic system disorders
THROMBOCYTOPENIABlood and lymphatic system disorders
COUGHRespiratory, thoracic and mediastinal disorders
UPPER RESPIRATORY TRACT INFECTIONInfections and infestations
FATIGUEGeneral disorders
PYREXIAGeneral disorders
NASOPHARYNGITISInfections and infestations
ARTHRALGIAMusculoskeletal and connective tissue disorders
CONSTIPATIONGastrointestinal disorders
BACK PAINMusculoskeletal and connective tissue disorders
ASTHENIAGeneral disorders
HYPERTENSIONVascular disorders
NEUTROPHIL COUNT DECREASEDInvestigations
HEADACHENervous system disorders
URINARY TRACT INFECTIONInfections and infestations
INSOMNIAPsychiatric disorders
PRURITUSSkin and subcutaneous tissue disorders
DECREASED APPETITEMetabolism and nutrition disorders
DYSPNOEARespiratory, thoracic and mediastinal disorders
WEIGHT DECREASEDInvestigations
ABDOMINAL PAINGastrointestinal disorders
PLATELET COUNT DECREASEDInvestigations
HYPERKALAEMIAMetabolism and nutrition disorders
VOMITINGGastrointestinal disorders
HYPERPHOSPHATAEMIAMetabolism and nutrition disorders
DIZZINESSNervous system disorders
RASHSkin and subcutaneous tissue disorders
HYPERURICAEMIAMetabolism and nutrition disorders
MUSCLE SPASMSMusculoskeletal and connective tissue disorders
DRY SKINSkin and subcutaneous tissue disorders
PNEUMONIAInfections and infestations
HYPOCALCAEMIAMetabolism and nutrition disorders
HYPOKALAEMIAMetabolism and nutrition disorders
HERPES ZOSTERInfections and infestations
INFLUENZAInfections and infestations
PAIN IN EXTREMITYMusculoskeletal and connective tissue disorders
OROPHARYNGEAL PAINRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: PNEUMONIA, FEBRILE NEUTROPENIA, PYREXIA, ANAEMIA, DIARRHOEA, DYSPNOEA, NEUTROPENIA, LOWER RESPIRATORY TRACT INFECTION.

Data from ClinicalTrials.gov NCT02756611 adverse events section.

Sponsor's own description

The purpose of this study is to evaluate the efficacy of venetoclax monotherapy in participants with relapsed/refractory CLL with or without the 17p deletion or TP53 mutation, including those who have received prior treatment with a B-cell receptor inhibitor.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. BCL-2 as therapeutic target for hematological malignancies.
    Perini GF, Ribeiro GN, Pinto Neto JV, Campos LT, et al · · 2018 · cited 153× · PMID 29747654 · DOI 10.1186/s13045-018-0608-2
  2. Activity of venetoclax in patients with relapsed or refractory chronic lymphocytic leukaemia: analysis of the VENICE-1 multicentre, open-label, single-arm, phase 3b trial.
    Kater AP, Arslan Ö, Demirkan F, Herishanu Y, et al · · 2024 · cited 26× · PMID 38467131 · DOI 10.1016/s1470-2045(24)00070-6
  3. Development of venetoclax for therapy of lymphoid malignancies.
    Zhu H, Almasan A. · · 2017 · cited 21× · PMID 28331288 · DOI 10.2147/dddt.s109325
  4. Venetoclax: A Novel Treatment for Patients With del(17p) Chronic Lymphocytic Leukemia.
    Borg MA, Clemmons A. · · 2017 · cited 5× · PMID 30310726 · DOI 10.6004/jadpro.2017.8.6.8
  5. Oncogenic Signaling Pathways and Pathway-Based Therapeutic Biomarkers in Lymphoid Malignancies.
    Sun R, Wang J, Young KH. · · 2017 · cited 4× · PMID 29604930 · DOI 10.1615/critrevoncog.2017020816
  6. The importance of &lt;i&gt;TP53&lt;/i&gt; status in cancer therapy: The example of chronic lymphocytic leukemia.
    Mirgayazova R, Khadiullina R, Gilyazova E, Davletshin D, et al · · 2025 · cited 1× · PMID 40321704 · DOI 10.22099/mbrc.2025.51477.2054
  7. Relationship Between Venetoclax Exposure and Undetectable Minimal Residual Disease Rates in Relapsed/Refractory Patients With Chronic Lymphocytic Leukemia: A Pooled Analysis of Six Clinical Studies.
    Gopalakrishnan S, Menon R, Suleiman AA, Kater AP, et al · · 2023 · cited 1× · PMID 38026788 · DOI 10.1097/hs9.0000000000000983
  8. Abstract Book: 25th Congress of the European Hematology Association Virtual Edition, 2020
    · 2020

Verify or expand the search:

Other trials of Venetoclax

Trials testing the same drug.

Other recruiting trials for Chronic Lymphocytic Leukemia

Currently open trials in the same condition.

Other AbbVie trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02756611.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing