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NCT02980731: VENICE II

A Study Evaluating the Impact of Venetoclax on the Quality of Life for Subjects With Relapsed (Your Cancer Has Come Back) or Refractory (no Response to Previous Cancer Treatments) Chronic Lymphocytic Leukemia (CLL) While Receiving Venetoclax Monotherapy (a Single Agent).

Completed Phase 3 Results posted Last updated 22 February 2023
What this trial tests

Phase 3 trial testing Venetoclax in Chronic Lymphocytic Leukemia (CLL) in 210 participants. Completed in 29 December 2021.

Timeline
13 December 2016
Primary endpoint
29 December 2021
29 December 2021

Quick facts

Lead sponsorAbbVie
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment210
Start date13 December 2016
Primary completion29 December 2021
Estimated completion29 December 2021
Sites33 locations across Hong Kong, New Zealand, Russia, Taiwan, Hungary, Mexico, Poland, Argentina

Drugs / interventions tested

Conditions studied

Sponsor

AbbVie — full company profile →

Who can join

Adults 18 to 99, any sex, with Chronic Lymphocytic Leukemia (CLL). 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.

Mean Change From Baseline to Week 48 in Global Health Status/Quality of Life (GHS/QoL) Subscale of the European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire (EORTC QLQ-C30) Primary · Baseline, Week 48

EORTC QLQ-C30 is a 30-item participant self-report questionnaire composed of both multi-item and single scales, including a global health status/quality of life (GHS/QoL) scale. Participants rate items and a score ranging from 0 to 100 is calculated. A higher score on the global health status/quality of life scale indicates a better level of functioning, and positive changes from baseline indicate improvement. A change of 5 - 10 points is considered a small change, and a change of 10 - 20 points is considered a moderate change.

GroupValue95% CI
Venetoclax9.3± 20.11
Mean Change From Baseline in Global Health Status/Quality of Life (GHS/QoL) Subscale of the European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire (EORTC QLQ-C30) Secondary · Baseline, Weeks 4, 8, 12, 24, 36, 48, 60, 72, 84, 96, 108, Final visit (at study drug discontinuation and/or upon discontinuation from the study, up to Week 108)

EORTC QLQ-C30 is a 30-item participant self-report questionnaire composed of both multi-item and single scales, including a global health status/quality of life (GHS/QoL) scale. Participants rate items and a score ranging from 0 to 100 is calculated. A higher score on the global health status/quality of life scale indicates a better level of functioning, and positive changes from baseline indicate improvement. A change of 5 - 10 points is considered a small change, and a change of 10 - 20 points is considered a moderate change.

Week 4
GroupValue95% CI
Venetoclax3.9± 17.65
Week 8
GroupValue95% CI
Venetoclax6.0± 20.67
Week 12
GroupValue95% CI
Venetoclax7.6± 20.13
Week 24
GroupValue95% CI
Venetoclax9.2± 20.29
Week 36
GroupValue95% CI
Venetoclax9.4± 19.45
Week 48
GroupValue95% CI
Venetoclax9.3± 20.11
Week 60
GroupValue95% CI
Venetoclax10.3± 21.83
Week 72
GroupValue95% CI
Venetoclax10.2± 23.87
Mean Change From Baseline in Physical Functioning Subscale of the European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire (EORTC QLQ-C30) Secondary · Baseline, Weeks 4, 8, 12, 24, 36, 48, 60, 72, 84, 96, 108, Final visit (at study drug discontinuation and/or upon discontinuation from the study, up to Week 108)

EORTC QLQ-C30 is a 30-item participant self-report questionnaire composed of both multi-item and single scales, including a physical functioning scale. Participants rate items and a score ranging from 0 to 100 is calculated. A higher score on the physical functioning scale indicates a better level of functioning, and positive changes from baseline indicate improvement. A change of 5 - 10 points is considered a small change, and a change of 10 - 20 points is considered a moderate change.

Week 4
GroupValue95% CI
Venetoclax1.2± 12.86
Week 8
GroupValue95% CI
Venetoclax3.0± 16.16
Week 12
GroupValue95% CI
Venetoclax4.6± 15.89
Week 24
GroupValue95% CI
Venetoclax5.2± 16.90
Week 36
GroupValue95% CI
Venetoclax5.6± 15.59
Week 48
GroupValue95% CI
Venetoclax6.1± 16.30
Week 60
GroupValue95% CI
Venetoclax6.0± 17.73
Week 72
GroupValue95% CI
Venetoclax5.7± 18.47
Mean Change From Baseline in Role Functioning Subscale of the European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire (EORTC QLQ-C30) Secondary · Baseline, Weeks 4, 8, 12, 24, 36, 48, 60, 72, 84, 96, 108, Final visit (at study drug discontinuation and/or upon discontinuation from the study, up to Week 108)

EORTC QLQ-C30 is a 30-item participant self-report questionnaire composed of both multi-item and single scales, including a role functioning scale. Participants rate items and a score ranging from 0 to 100 is calculated. A higher score on the role functioning scale indicates a better level of functioning, and positive changes from baseline indicate improvement. A change of 5 - 10 points is considered a small change, and a change of 10 - 20 points is considered a moderate change.

Week 4
GroupValue95% CI
Venetoclax2.6± 22.75
Week 8
GroupValue95% CI
Venetoclax4.0± 28.31
Week 12
GroupValue95% CI
Venetoclax7.1± 28.60
Week 24
GroupValue95% CI
Venetoclax9.2± 26.85
Week 36
GroupValue95% CI
Venetoclax9.8± 26.70
Week 48
GroupValue95% CI
Venetoclax10.4± 26.10
Week 60
GroupValue95% CI
Venetoclax8.4± 27.63
Week 72
GroupValue95% CI
Venetoclax11.6± 31.01
Mean Change From Baseline in Emotional Functioning Subscale of the European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire (EORTC QLQ-C30) Secondary · Baseline, Weeks 4, 8, 12, 24, 36, 48, 60, 72, 84, 96, 108, Final visit (at study drug discontinuation and/or upon discontinuation from the study, up to Week 108)

EORTC QLQ-C30 is a 30-item participant self-report questionnaire composed of both multi-item and single scales, including an emotional functioning scale. Participants rate items and a score ranging from 0 to 100 is calculated. A higher score on the emotional functioning scale indicates a better level of functioning, and positive changes from baseline indicate improvement. A change of 5 - 10 points is considered a small change, and a change of 10 - 20 points is considered a moderate change.

Week 4
GroupValue95% CI
Venetoclax4.9± 16.30
Week 8
GroupValue95% CI
Venetoclax4.7± 16.96
Week 12
GroupValue95% CI
Venetoclax5.7± 17.11
Week 24
GroupValue95% CI
Venetoclax3.6± 17.62
Week 36
GroupValue95% CI
Venetoclax4.3± 17.08
Week 48
GroupValue95% CI
Venetoclax5.7± 17.64
Week 60
GroupValue95% CI
Venetoclax5.2± 18.79
Week 72
GroupValue95% CI
Venetoclax5.1± 18.54
Mean Change From Baseline in Cognitive Functioning Subscale of the European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire (EORTC QLQ-C30) Secondary · Baseline, Weeks 4, 8, 12, 24, 36, 48, 60, 72, 84, 96, 108, Final visit (at study drug discontinuation and/or upon discontinuation from the study, up to Week 108)

EORTC QLQ-C30 is a 30-item participant self-report questionnaire composed of both multi-item and single scales, including a cognitive functioning scale. Participants rate items and a score ranging from 0 to 100 is calculated. A higher score on the cognitive functioning scale indicates a better level of functioning, and positive changes from baseline indicate improvement. A change of 5 - 10 points is considered a small change, and a change of 10 - 20 points is considered a moderate change.

Week 4
GroupValue95% CI
Venetoclax2.3± 15.61
Week 8
GroupValue95% CI
Venetoclax4.2± 18.93
Week 12
GroupValue95% CI
Venetoclax4.3± 18.29
Week 24
GroupValue95% CI
Venetoclax3.4± 18.42
Week 36
GroupValue95% CI
Venetoclax3.8± 18.54
Week 48
GroupValue95% CI
Venetoclax3.7± 17.15
Week 60
GroupValue95% CI
Venetoclax4.1± 20.01
Week 72
GroupValue95% CI
Venetoclax4.7± 17.65
Mean Change From Baseline in Social Functioning Subscale of the European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire (EORTC QLQ-C30) Secondary · Baseline, Weeks 4, 8, 12, 24, 36, 48, 60, 72, 84, 96, 108, Final visit (at study drug discontinuation and/or upon discontinuation from the study, up to Week 108)

EORTC QLQ-C30 is a 30-item participant self-report questionnaire composed of both multi-item and single scales, including a social functioning scale. Participants rate items and a score ranging from 0 to 100 is calculated. A higher score on the social functioning scale indicates a better level of functioning, and positive changes from baseline indicate improvement. A change of 5 - 10 points is considered a small change, and a change of 10 - 20 points is considered a moderate change.

Week 4
GroupValue95% CI
Venetoclax2.2± 19.14
Week 8
GroupValue95% CI
Venetoclax5.5± 22.13
Week 12
GroupValue95% CI
Venetoclax6.6± 22.26
Week 24
GroupValue95% CI
Venetoclax7.2± 24.79
Week 36
GroupValue95% CI
Venetoclax8.6± 21.63
Week 48
GroupValue95% CI
Venetoclax9.9± 22.80
Week 60
GroupValue95% CI
Venetoclax9.2± 25.78
Week 72
GroupValue95% CI
Venetoclax9.7± 27.41
Mean Change From Baseline in Fatigue Subscale of the European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire (EORTC QLQ-C30) Secondary · Baseline, Weeks 4, 8, 12, 24, 36, 48, 60, 72, 84, 96, 108, Final visit (at study drug discontinuation and/or upon discontinuation from the study, up to Week 108)

EORTC QLQ-C30 is a 30-item participant self-report questionnaire composed of both multi-item and single scales, including a fatigue scale. Participants rate items and a score ranging from 0 to 100 is calculated. A higher score on the fatigue scale indicates a lower level of functioning, and negative changes from baseline indicate improvement. A change of 5 - 10 points is considered a small change, and a change of 10 - 20 points is considered a moderate change.

Week 4
GroupValue95% CI
Venetoclax-4.6± 18.63
Week 8
GroupValue95% CI
Venetoclax-7.7± 22.70
Week 12
GroupValue95% CI
Venetoclax-11.2± 24.66
Week 24
GroupValue95% CI
Venetoclax-10.9± 20.70
Week 36
GroupValue95% CI
Venetoclax-12.5± 23.21
Week 48
GroupValue95% CI
Venetoclax-12.9± 21.40
Week 60
GroupValue95% CI
Venetoclax-13.0± 22.79
Week 72
GroupValue95% CI
Venetoclax-13.8± 25.90
Mean Change From Baseline in Nausea and Vomiting Subscale of the European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire (EORTC QLQ-C30) Secondary · Baseline, Weeks 4, 8, 12, 24, 36, 48, 60, 72, 84, 96, 108, Final visit (at study drug discontinuation and/or upon discontinuation from the study, up to Week 108)

EORTC QLQ-C30 is a 30-item participant self-report questionnaire composed of both multi-item and single scales, including a nausea and vomiting scale. Participants rate items and a score ranging from 0 to 100 is calculated. A higher score on the nausea and vomiting scale indicates a lower level of functioning, and negative changes from baseline indicate improvement. A change of 5 - 10 points is considered a small change, and a change of 10 - 20 points is considered a moderate change.

Week 4
GroupValue95% CI
Venetoclax-0.2± 18.02
Week 8
GroupValue95% CI
Venetoclax0.4± 17.19
Week 12
GroupValue95% CI
Venetoclax-0.3± 18.50
Week 24
GroupValue95% CI
Venetoclax-1.5± 17.24
Week 36
GroupValue95% CI
Venetoclax-2.0± 16.19
Week 48
GroupValue95% CI
Venetoclax-0.6± 19.45
Week 60
GroupValue95% CI
Venetoclax-0.3± 15.42
Week 72
GroupValue95% CI
Venetoclax0.3± 17.40
Mean Change From Baseline in Pain Subscale of the European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire (EORTC QLQ-C30) Secondary · Baseline, Weeks 4, 8, 12, 24, 36, 48, 60, 72, 84, 96, 108, Final visit (at study drug discontinuation and/or upon discontinuation from the study, up to Week 108)

EORTC QLQ-C30 is a 30-item participant self-report questionnaire composed of both multi-item and single scales, including a pain scale. Participants rate items and a score ranging from 0 to 100 is calculated. A higher score on the pain scale indicates a lower level of functioning, and negative changes from baseline indicate improvement. A change of 5 - 10 points is considered a small change, and a change of 10 - 20 points is considered a moderate change.

Week 4
GroupValue95% CI
Venetoclax-4.6± 21.05
Week 8
GroupValue95% CI
Venetoclax-2.9± 21.31
Week 12
GroupValue95% CI
Venetoclax-3.6± 22.56
Week 24
GroupValue95% CI
Venetoclax-4.1± 22.08
Week 36
GroupValue95% CI
Venetoclax-4.0± 22.43
Week 48
GroupValue95% CI
Venetoclax-4.6± 20.29
Week 60
GroupValue95% CI
Venetoclax-5.2± 23.46
Week 72
GroupValue95% CI
Venetoclax-4.7± 23.30
Mean Change From Baseline in Dyspnea Subscale of the European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire (EORTC QLQ-C30) Secondary · Baseline, Weeks 4, 8, 12, 24, 36, 48, 60, 72, 84, 96, 108, Final visit (at study drug discontinuation and/or upon discontinuation from the study, up to Week 108)

EORTC QLQ-C30 is a 30-item participant self-report questionnaire composed of both multi-item and single scales, including a dyspnea scale. Participants rate items and a score ranging from 0 to 100 is calculated. A higher score on the dyspnea scale indicates a lower level of functioning, and negative changes from baseline indicate improvement. A change of 5 - 10 points is considered a small change, and a change of 10 - 20 points is considered a moderate change.

Week 4
GroupValue95% CI
Venetoclax-3.7± 23.33
Week 8
GroupValue95% CI
Venetoclax-5.5± 26.62
Week 12
GroupValue95% CI
Venetoclax-7.7± 29.08
Week 24
GroupValue95% CI
Venetoclax-8.5± 26.56
Week 36
GroupValue95% CI
Venetoclax-8.3± 28.43
Week 48
GroupValue95% CI
Venetoclax-8.5± 27.19
Week 60
GroupValue95% CI
Venetoclax-8.5± 26.08
Week 72
GroupValue95% CI
Venetoclax-9.2± 31.30
Mean Change From Baseline in Insomnia Subscale of the European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire (EORTC QLQ-C30) Secondary · Baseline, Weeks 4, 8, 12, 24, 36, 48, 60, 72, 84, 96, 108, Final visit (at study drug discontinuation and/or upon discontinuation from the study, up to Week 108)

EORTC QLQ-C30 is a 30-item participant self-report questionnaire composed of both multi-item and single scales, including an insomnia scale. Participants rate items and a score ranging from 0 to 100 is calculated. A higher score on the insomnia scale indicates a lower level of functioning, and negative changes from baseline indicate improvement. A change of 5 - 10 points is considered a small change, and a change of 10 - 20 points is considered a moderate change.

Week 4
GroupValue95% CI
Venetoclax-6.5± 25.78
Week 8
GroupValue95% CI
Venetoclax-7.9± 30.39
Week 12
GroupValue95% CI
Venetoclax-9.1± 29.27
Week 24
GroupValue95% CI
Venetoclax-9.0± 27.19
Week 36
GroupValue95% CI
Venetoclax-8.3± 30.68
Week 48
GroupValue95% CI
Venetoclax-11.6± 25.77
Week 60
GroupValue95% CI
Venetoclax-10.2± 28.94
Week 72
GroupValue95% CI
Venetoclax-7.8± 29.40

Adverse events — posted to ClinicalTrials.gov

Time frame: All-cause mortality is reported from enrollment to end of study; median time on follow-up was 184 weeks. TEAEs and SAEs were collected from first dose of study drug until 30 days after last dose of study drug; mean duration on study drug was 123 weeks.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Venetoclax
Serious: 106/210 (50%)
Deaths: 65/210

Serious adverse events (128 terms)

ReactionSystemVenetoclax
PNEUMONIAInfections and infestations
PYREXIAGeneral disorders
FEBRILE NEUTROPENIABlood and lymphatic system disorders
THROMBOCYTOPENIABlood and lymphatic system disorders
ANAEMIABlood and lymphatic system disorders
HYPERPHOSPHATAEMIAMetabolism and nutrition disorders
AUTOIMMUNE HAEMOLYTIC ANAEMIABlood and lymphatic system disorders
INFLUENZAInfections and infestations
DIARRHOEAGastrointestinal disorders
COVID-19 PNEUMONIAInfections and infestations
UPPER RESPIRATORY TRACT INFECTIONInfections and infestations
ARTHRALGIAMusculoskeletal and connective tissue disorders
IMMUNE THROMBOCYTOPENIABlood and lymphatic system disorders
NEUTROPENIABlood and lymphatic system disorders
CHOLECYSTITISHepatobiliary disorders
CELLULITISInfections and infestations
HAEMOPHILUS INFECTIONInfections and infestations
LOWER RESPIRATORY TRACT INFECTIONInfections and infestations
PNEUMONIA PSEUDOMONALInfections and infestations
PNEUMONIA VIRALInfections and infestations
SEPSISInfections and infestations
STREPTOCOCCAL INFECTIONInfections and infestations
FEMORAL NECK FRACTUREInjury, poisoning and procedural complications
HIP FRACTUREInjury, poisoning and procedural complications
HYPERKALAEMIAMetabolism and nutrition disorders
Other adverse events (25 terms — click to expand)

ReactionSystemVenetoclax
NEUTROPENIABlood and lymphatic system disorders
DIARRHOEAGastrointestinal disorders
UPPER RESPIRATORY TRACT INFECTIONInfections and infestations
THROMBOCYTOPENIABlood and lymphatic system disorders
NAUSEAGastrointestinal disorders
ANAEMIABlood and lymphatic system disorders
ARTHRALGIAMusculoskeletal and connective tissue disorders
COUGHRespiratory, thoracic and mediastinal disorders
PYREXIAGeneral disorders
HYPERTENSIONVascular disorders
CONSTIPATIONGastrointestinal disorders
BRONCHITISInfections and infestations
HEADACHENervous system disorders
RASHSkin and subcutaneous tissue disorders
VOMITINGGastrointestinal disorders
FATIGUEGeneral disorders
BACK PAINMusculoskeletal and connective tissue disorders
HYPOKALAEMIAMetabolism and nutrition disorders
INSOMNIAPsychiatric disorders
GASTROOESOPHAGEAL REFLUX DISEASEGastrointestinal disorders
HYPOCALCAEMIAMetabolism and nutrition disorders
OEDEMA PERIPHERALGeneral disorders
PNEUMONIAInfections and infestations
HYPOMAGNESAEMIAMetabolism and nutrition disorders
SQUAMOUS CELL CARCINOMA OF SKINNeoplasms benign, malignant and unspecified (incl cysts and polyps)

Most-reported serious reactions: PNEUMONIA, PYREXIA, FEBRILE NEUTROPENIA, THROMBOCYTOPENIA, ANAEMIA, HYPERPHOSPHATAEMIA, AUTOIMMUNE HAEMOLYTIC ANAEMIA, INFLUENZA.

Data from ClinicalTrials.gov NCT02980731 adverse events section.

Sponsor's own description

The purpose of this open-label, single-arm study was to evaluate the impact of venetoclax on the quality of life of participants including those with with relapsed/refractory (R/R) chronic lymphocytic leukemia (CLL; a type of cancer affecting the blood and the bone marrow) with or without the 17p deletion or TP53 mutation, including participants with an unknown status, as well as R/R CLL participants who had been previously treated with B-cell receptor inhibitor (BCRi) therapy. The starting dose of venetoclax was 20 mg once daily. The dose must have been gradually increased over a period of 5 weeks up to the daily dose of 400 mg. Participants may have continued receiving venetoclax for up to 2 years. After the treatment period, participants may have continued on into a 2-year follow-up period.

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. Clonal hematopoiesis, myeloid disorders and BAX-mutated myelopoiesis in patients receiving venetoclax for CLL.
    Blombery P, Lew TE, Dengler MA, Thompson ER, et al · · 2022 · cited 63× · PMID 34469514 · DOI 10.1182/blood.2021012775
  3. BTK inhibitor therapy is effective in patients with CLL resistant to venetoclax.
    Lin VS, Lew TE, Handunnetti SM, Blombery P, et al · · 2020 · cited 62× · PMID 32244251 · DOI 10.1182/blood.2020004782
  4. Clinical experiences with venetoclax and other pro-apoptotic agents in lymphoid malignancies: lessons from monotherapy and chemotherapy combination.
    Lew TE, Seymour JF. · · 2022 · cited 34× · PMID 35659041 · DOI 10.1186/s13045-022-01295-3
  5. Development of venetoclax for therapy of lymphoid malignancies.
    Zhu H, Almasan A. · · 2017 · cited 21× · PMID 28331288 · DOI 10.2147/dddt.s109325
  6. Venetoclax treatment in patients with cancer has limited impact on circulating T and NK cells.
    Teh CE, Peng H, Luo MX, Tan T, et al · · 2023 · cited 19× · PMID 36521105 · DOI 10.1182/bloodadvances.2022008221
  7. Impact of venetoclax monotherapy on the quality of life of patients with relapsed or refractory chronic lymphocytic leukemia: results from the phase 3b VENICE II trial.
    Cochrane T, Enrico A, Gomez-Almaguer D, Hadjiev E, et al · · 2022 · cited 10× · PMID 34632935 · DOI 10.1080/10428194.2021.1986217
  8. 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

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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/NCT02980731.

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