NCT03336333

Brief Summary

To compare efficacy between zanubrutinib versus bendamustine and rituximab in patients with previously untreated CLL/SLL, as measured by progression free survival assess by Independent Central Review.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Strong global presence with extensive site network
Enrollment
590

participants targeted

Target at P75+ for phase_3

Timeline
17mo left

Started Oct 2017

Longer than P75 for phase_3

Geographic Reach
14 countries

153 active sites

Status
active not recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress86%
Oct 2017Oct 2027

Study Start

First participant enrolled

October 31, 2017

Completed
1 day until next milestone

First Submitted

Initial submission to the registry

November 1, 2017

Completed
7 days until next milestone

First Posted

Study publicly available on registry

November 8, 2017

Completed
3.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 7, 2021

Completed
2.5 years until next milestone

Results Posted

Study results publicly available

November 7, 2023

Completed
4 years until next milestone

Study Completion

Last participant's last visit for all outcomes

October 31, 2027

Expected
Last Updated

March 9, 2026

Status Verified

February 1, 2026

Enrollment Period

3.5 years

First QC Date

November 1, 2017

Results QC Date

October 16, 2023

Last Update Submit

February 17, 2026

Conditions

Keywords

zanubrutinibBTK inhibitorbendamustinerituximabvenetoclaxBGB-3111Phase 3

Outcome Measures

Primary Outcomes (1)

  • Cohort 1: Progression-free Survival (PFS) as Determined by Independent Central Review (ICR)

    PFS is defined as the time from randomization until first documentation of progression or death from any cause, whichever occurs first, as assessed by the ICR per 2008 International Workshop on Chronic Lymphocytic Leukemia (iwCLL) guidelines with modifications for treatment-related lymphocytosis in participants with CLL and the Revised Criteria for Response for Malignant Lymphoma in participants with small lymphocytic lymphoma (SLL).

    Up to approximately 3 years and 7 months (as of cut-off date of 07MAY2021)

Secondary Outcomes (20)

  • Cohort 1: Overall Response Rate (ORR) Between Treatment Groups as Determined by ICR

    Up to 5 years

  • Pooled Cohort 1/1a: Overall Response Rate (ORR) Between Treatment Groups

    Up to 5 years

  • Cohort 1: Overall Survival (OS) Between Treatment Groups as Determined by the ICR

    Up to 5 years

  • Cohort 1: Duration of Response (DOR) Between Treatment Groups as Determined by the ICR

    Up to 5 years

  • Pooled Cohort 1/1a: Duration of Response (DOR) Between Treatment Groups

    Up to 5 years

  • +15 more secondary outcomes

Study Arms (6)

Cohort 1: Bendamustine + Rituximab

EXPERIMENTAL

Participants will receive bendamustine plus rituximab for up to six 28-day cycles (Arm B)

Drug: BendamustineDrug: Rituximab

Cohort 1: Zanubrutinib

EXPERIMENTAL

Participants will receive zanubrutinib until unacceptable toxicity or disease progression (Arm A)

Drug: Zanubrutinib

Cohort 1a (China only): Bendamustine + Rituximab

EXPERIMENTAL

Participants will receive bendamustine plus rituximab for up to six 28-day cycles (Arm B, China only)

Drug: BendamustineDrug: Rituximab

Cohort 1a (China only): Zanubrutinib

EXPERIMENTAL

Participants will receive zanubrutinib until unacceptable toxicity or disease progression (Arm A, China only)

Drug: Zanubrutinib

Cohort 2: Zanubrutinib

EXPERIMENTAL

Participants will receive zanubrutinib until unacceptable toxicity or disease progression (Arm C)

Drug: Zanubrutinib

Cohort 3: Venetoclax + Zanubrutinib

EXPERIMENTAL

Approximately 110 participants, 50 without del17p and 60 with del\[17p\] or TP53 mutation will receive zanubrutinib plus venetoclax; Participants will also receive zanubrutinib starting on Cycle 1 Day 1 then daily for a minimum of 27 cycles, or until unacceptable toxicity or disease progression, whichever occurs first. Participants will receive venetoclax starting Cycle 4 Day 1 according to a 5-week dose-up schedule then daily until unacceptable toxicity, disease progression, or for a maximum of 24 cycles. Each cycle is 28 days. (Arm D)

Drug: ZanubrutinibDrug: Venetoclax

Interventions

400 mg tablets administered orally once daily.

Also known as: Venclexta, Venclyxto
Cohort 3: Venetoclax + Zanubrutinib

Administered as two 80-milligram (mg) capsules by mouth twice a day (160 mg twice a day)

Also known as: BGB-3111, BRUKINSA
Cohort 1: ZanubrutinibCohort 1a (China only): ZanubrutinibCohort 2: ZanubrutinibCohort 3: Venetoclax + Zanubrutinib

Administered intravenously (IV) at a dose of 90 mg/m\^2/day on the first 2 days of each cycle for 6 cycles.

Also known as: Treanda, Ribomustin, and Levact
Cohort 1: Bendamustine + RituximabCohort 1a (China only): Bendamustine + Rituximab

Administered intravenously (IV) at a dose of 375 mg/m\^2 on day 0 of cycle 1, and at a dose of 500 mg/m\^2 on day 1 of cycles 2 to 6

Also known as: Rituxan, MabThera
Cohort 1: Bendamustine + RituximabCohort 1a (China only): Bendamustine + Rituximab

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Unsuitable for chemoimmunotherapy with fludarabine, cyclophosphamide, and rituximab (FCR)
  • Confirmed diagnosis of CD20-positive CLL or SLL, requiring treatment
  • Measurable disease by imaging
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1 or 2
  • Life expectancy ≥ 6 months
  • Adequate bone marrow function
  • Adequate renal and hepatic function

You may not qualify if:

  • Previous systemic treatment for CLL/SLL
  • Requires ongoing need for corticosteroid treatment
  • Known prolymphocytic leukemia or history of or suspected Richter's transformation.
  • Clinically significant cardiovascular disease
  • Prior malignancy within the past 3 years, except for curatively treated basal or squamous cell skin cancer, non-muscle-invasive bladder cancer, carcinoma in situ of the cervix of breast, or localized Gleason score 6 prostate cancer
  • History of severe bleeding disorder
  • History of stroke or intracranial hemorrhage within 6 months before the first dose of study drug
  • Severe or debilitating pulmonary disease
  • Inability to swallow capsules or disease affecting gastrointestinal function
  • Active infection requiring systemic treatment
  • Known central nervous system involvement by leukemia or lymphoma
  • Underlying medical condition that will render the administration of study drug hazardous or obscure interpretation of toxicity or AEs
  • Known infection with human immunodeficiency virus (HIV) or active hepatitis B or C infection
  • Major surgery ≤ 4 weeks prior to start of study treatment
  • Pregnant or nursing females
  • +5 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (158)

Augusta University

Augusta, Georgia, 30912, United States

Location

Northwestern University

Chicago, Illinois, 60611, United States

Location

Dana Farber Cancer Institute

Boston, Massachusetts, 02215, United States

Location

Research Medical Center

Kansas City, Missouri, 64132, United States

Location

Washington University

St Louis, Missouri, 63110, United States

Location

Comprehensive Cancer Centers of Nevada

Las Vegas, Nevada, 89169, United States

Location

Summit Medical Group

Florham Park, New Jersey, 07932, United States

Location

Icahn School of Medicine At Mount Sinai

New York, New York, 10029, United States

Location

Columbia University Medical Center

New York, New York, 10032, United States

Location

University of Rochester

Rochester, New York, 14642, United States

Location

Duke University

Durham, North Carolina, 27710, United States

Location

Oregon Health and Science University

Portland, Oregon, 97239, United States

Location

Prairie Lakes Healthcare System

Watertown, South Dakota, 57201, United States

Location

Tennessee Oncology, Pllc Nashville

Nashville, Tennessee, 37203, United States

Location

Joe Arrington Cancer Research and Treatment Center

Lubbock, Texas, 79410, United States

Location

University of Virginia

Charlottesville, Virginia, 22903, United States

Location

Va Puget Sound Health Care System

Seattle, Washington, 98108, United States

Location

Fred Hutchinson Cancer Research Center

Seattle, Washington, 98109, United States

Location

Concord Repatriation General Hospital

Concord, New South Wales, 2139, Australia

Location

The Tweed Valley Hospital

Cudgen, New South Wales, 2487, Australia

Location

Calvary Mater Newcastle

Waratah, New South Wales, 2298, Australia

Location

Westmead Hospital

Westmead, New South Wales, 2145, Australia

Location

Icon Cancer Centre Wesley

Auchenflower, Queensland, 4066, Australia

Location

Princess Alexandra Hospital

Brisbane, Queensland, 4102, Australia

Location

Royal Brisbane and Womens Hospital

Herston, Queensland, 4029, Australia

Location

Royal Adelaide Hospital

Adelaide, South Australia, 5000, Australia

Location

The Queen Elizabeth Hospital

Woodville South, South Australia, 5011, Australia

Location

Royal Hobart Hospital

Hobart, Tasmania, 7000, Australia

Location

Box Hill Hospital

Box Hill, Victoria, 3128, Australia

Location

Monash Health

Clayton, Victoria, 3168, Australia

Location

St Vincents Hospital Melbourne

Fitzroy, Victoria, 3065, Australia

Location

Peninsula Private Hospital

Frankston, Victoria, 3199, Australia

Location

Peter Maccallum Cancer Centre

Melbourne, Victoria, 3000, Australia

Location

Royal Perth Hospital

Perth, Western Australia, 6000, Australia

Location

Medizinische Universitatsklinik Innsbruck

Innsbruck, 6020, Austria

Location

Krankenhaus Der Barmherzigen Schwestern Linz

Linz, 4010, Austria

Location

Allgemeines Krankenhaus Der Stadt Linz

Linz, 4021, Austria

Location

Universitatsklinik Fur Innere Medizin Iii Universitatsklinikum Der Pmu Landeskrankenhaus Salzburg

Salzburg, 5020, Austria

Location

Klinikum Wels Grieskirchen

Wels, 4600, Austria

Location

Universitair Ziekenhuis Brussel

Brussels, 1090, Belgium

Location

Universitair Ziekenhuis Gent

Ghent, 9000, Belgium

Location

Centre Hospitalier Universitaire (Chu) de Liege Site Du Sart Tilman

Liège, 4000, Belgium

Location

Clinique Saint Pierre

Ottignies, 1340, Belgium

Location

Centre Hospitalier Universitaire Universite Catholique de Louvain Site Godinne

Yvoir, 5530, Belgium

Location

Anhui Provincial Hospital

Hefei, Anhui, 230000, China

Location

Peking University Third Hospital

Beijing, Beijing Municipality, 100000, China

Location

Beijing Friendship Hospital, Capital Medical University

Beijing, Beijing Municipality, 100050, China

Location

Peking Union Medical College Hospital

Beijing, Beijing Municipality, 100730, China

Location

Second Affiliated Hospital of Army Medical University (Xinqiao Hospital)

Chongqing, Chongqing Municipality, 400037, China

Location

Fujian Medical University Union Hospital

Fuzhou, Fujian, 350001, China

Location

Quanzhou First Affliated Hospital of Fujian Medical University

Quanzhou, Fujian, 362000, China

Location

Guangdong Provincial Peoples Hospital

Guangzhou, Guangdong, 510080, China

Location

Henan Cancer Hospital

Zhengzhou, Henan, 450000, China

Location

Union Hospital of Tongji Medical College, Huazhong University of Science and Technology

Wuhan, Hubei, 430022, China

Location

Jiangsu Province Hospital

Nanjing, Jiangsu, 210029, China

Location

The First Affiliated Hospital of Soochow University Branch Shizi

Suzhou, Jiangsu, 215006, China

Location

Wuxi Peoples Hospital

Wuxi, Jiangsu, 214023, China

Location

The First Affiliated Hospital of Nanchang University Branch Donghu

Nanchang, Jiangxi, 330006, China

Location

The First Hospital of Jilin University

Changchun, Jilin, 130021, China

Location

West China Hospital, Sichuan University

Chengdu, Sichuan, 610041, China

Location

Institute of Hematology and Hospital of Blood Disease

Tianjin, Tianjin Municipality, 300020, China

Location

Tianjin Medical University Cancer Institute and Hospital

Tianjin, Tianjin Municipality, 300060, China

Location

The First Affiliated Hospital, Zhejiang University School of Medicine

Hangzhou, Zhejiang, 310003, China

Location

Fakultni Nemocnice Brno

Brno, 62500, Czechia

Location

Fakultni Nemocnice Hradec Kralove

Hradec KrĂ¡lovĂ©, 50005, Czechia

Location

Fakultni Nemocnice Olomouc

Olomouc, 77900, Czechia

Location

Vseobecna Fakultni Nemocnice V Praze

Prague, 10000, Czechia

Location

Centre Hospitalier Victor Dupouy Dargenteuil

Argenteuil, 95107, France

Location

Centre de Lutte Contre Le Cancer Institut Bergonie

Bordeaux, 33076, France

Location

Chu Caen Normandie

Caen, 14033, France

Location

Centre Hospitalier Departemental de Vendee

La Roche-sur-Yon, 85925, France

Location

Centre Hospitalier Le Mans

Le Mans, 72037, France

Location

Centre Hospitalier Universitaire Limoges Chu de Limoges

Limoges, 87042, France

Location

Institut Paoli Calmettes

Marseille, 13009, France

Location

Centre Hospitalier Universitaire Nantes Hotel Dieu

Nantes, 44093, France

Location

Hopital de La Pitie Salpetriere

Paris, 75013, France

Location

Groupe Hospitalier Du Haut Leveque

Pessac, 33604, France

Location

Chu Hopital Lyon Sud

PierreBenite, 69495, France

Location

Centre Hospitalier Universitaire de Poitier Hopital de La Miletrie Hopital Jean Bernard

Poitiers, 86000, France

Location

Hopital Robert Debre

Reims, 51056, France

Location

Hopital Pontchaillou

Rennes, 35033, France

Location

Centre Henri Becquerel

Rouen, 76038, France

Location

Chu Tours Hopital Bretonneau Service Pneumologie

Tours, 37000, France

Location

Chu Nancy Hopital Brabois

VandoeuvrelesNancy, 54511, France

Location

Azienda Socio Sanitaria Territoriale Degli Spedali Civili Di Brescia

Brescia, 25123, Italy

Location

Istituto Romagnolo Per Lo Studio Dei Tumori Dino Amadori Irst

Meldola, 47014, Italy

Location

Fondazione Irccs Ca Granda Ospedale Maggiore Policlinico

Milan, 20122, Italy

Location

Ospedale San Raffaele

Milan, 20132, Italy

Location

Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda

Milan, 20162, Italy

Location

Universita Degli Studi Di Modena Azienda Ospedaliere Policlinco

Modena, 41124, Italy

Location

Azienda Unita Sanitaria Locale Di Ravenna

Ravenna, 48121, Italy

Location

Universita Degli Studi La Sapienza

Roma, 00161, Italy

Location

Fondazione Policlinico Universitario Agostino Gemelli

Roma, 00168, Italy

Location

Azienda Ospedaliera S Maria Di Terni

Terni, 05100, Italy

Location

Ao Citta Della Salute E Della Scienza Di Torino Presidio O

Torino, 10126, Italy

Location

Auckland City Hospital

Auckland, 1023, New Zealand

Location

Christchurch Hospital

Christchurch, 8011, New Zealand

Location

Palmerston North Hospital

Palmerston North, 4442, New Zealand

Location

North Shore Hospital

Takapuna, 0622, New Zealand

Location

Tauranga Hospital

Tauranga, 3112, New Zealand

Location

Szpital Specjalist W Brzozowie,Podkarpacki Osrodek Onkologiczny

BrzozĂ³w, 36-200, Poland

Location

Samodzielny Publiczny Zaklad Opieki Zdrowotnej Zespol Szpitali Miejskich

ChorzĂ³w, 41-500, Poland

Location

Copernicus Podmiot Leczniczy Sp Z Oo Wojewodzkie Centrum Onkologii

Gdansk, 80-219, Poland

Location

Szpitale Pomorskie Spolka Z Ograniczona Odpowiedzialnoscia

Gdynia, 81-519, Poland

Location

Centrum Onkologii Instytut Im Marii Sklodowskiej Curie, Oddzial W Gliwicach

Gliwice, 44-101, Poland

Location

Malopolskie Centrum Medyczne Sc

Krakow, 30-510, Poland

Location

Wojewodzki Szpital Specjalistyczny W Legnicy

Legnica, 59-220, Poland

Location

Wielospecjalistyczne Centrum Onkologii I Traumatologii Im M Kopernika W Lodzi

Lodz, 93-510, Poland

Location

Centrum Onkologii Ziemi Lubelskiej

Lublin, 20-090, Poland

Location

Kaluga Regional Hospital

Kaluga, Kaluga Oblast, 248000, Russia

Location

State Healthcare Institution Oncologic Dispensary No Health Department of Krasnodar Region

Sochi, Krasnodarskiy Kray, 354057, Russia

Location

N N Blokhin Russian Cancer Research Center Konstantin Laktionov

Moscow, Moscow, 115478, Russia

Location

Russian Academy of Advanced Medical Studies, City Clinical Hospital

Moscow, Moscow, 115478, Russia

Location

Nizhniy Novgorod Regional Clinical Hospital Nasemashko

Nizhny Novgorod, Nizhny Novgorod Oblast, 603126, Russia

Location

State Budgetary Healthcare Institution Regional Clinical Dispensary

Penza, Penza Oblast, 440071, Russia

Location

State Budgetary Healthcare Institution of Perm Krai Clinical Medical Sanitary Establishment

Perm, Permskiy Kray, 614077, Russia

Location

Kemerovo Regional Clinical Hospital Na Sv Belyaev

Kemerovo, Pskov Oblast, 650066, Russia

Location

Ryazan Regional Clinical Hospital

Ryazan, Ryazan Oblast, 390039, Russia

Location

Fgu Russian Scientific Research Institute of Hematology and Transfusiology

Saint Petersburg, Sankt-Peterburg, 191024, Russia

Location

Sverdlovsk Regional Clinical Hospital

Yekaterinburg, Sverdlovsk Oblast, 620102, Russia

Location

Central City Hospital

Yekaterinburg, Sverdlovsk Oblast, 620137, Russia

Location

Clinical Oncology Dispensary

Kazan, Tambov Oblast, 420029, Russia

Location

Tula Area Clinical Hospital

Tula, Tula Oblast, 300053, Russia

Location

State Budgetary Healthcare Institution Volgograd Regional Clinical Oncology Dispensary

Volgograd, Volgograd Oblast, 400138, Russia

Location

Hospital Universitari Germans Trias I Pujol

Badalona, 08916, Spain

Location

Hospital Del Mar

Barcelona, 08003, Spain

Location

Institut Catala Doncologia

Barcelona, 08908, Spain

Location

Hospital de La Princesa

Madrid, 28006, Spain

Location

Clinica Universidad de Navarra

Madrid, 28027, Spain

Location

Hospital Universitario Puerta de Hierro Majadahonda

Majadahonda, 28222, Spain

Location

Clinica Universidad de Navarra Pamplona

Pamplona, 31008, Spain

Location

Hospital Universitari I Politecnic La Fe

Valencia, 46026, Spain

Location

Hospital de Dia Quironsalud Zaragoza

Zaragoza, 50009, Spain

Location

Medicinkliniken

BorĂ¥s, 501 82, Sweden

Location

Sahlgrenska Universitetssjukhuset

Gothenburg, 416 85, Sweden

Location

Skanes Universitetssjukhus I Lund

Lund, 221 85, Sweden

Location

Universitetssjukhuset Orebro

Ă–rebro, 701 85, Sweden

Location

Karolinska Universitetssjukhuset Solna

Stockholm, 171 76, Sweden

Location

Uppsala Akademiska Sjukhus

Uppsala, 75185, Sweden

Location

Hualien Tzu Chi Hospital

Hualien City, 970, Taiwan

Location

Taipei Medical University Shuang Ho Hospital

New Taipei City, 23561, Taiwan

Location

National Taiwan University Hospital East Campus

Taipei, 100225, Taiwan

Location

Birmingham Heartlands Hospital

Birmingham, B9 5SS, United Kingdom

Location

The Royal Bournemouth and Christchurch Hospitals Nhs Foundation

Bournemouth, BH7 7DW, United Kingdom

Location

Cambridge University Hospitals Nhs Foundation Trust

Cambridge, CB2 0QQ, United Kingdom

Location

Kent and Canterbury Hospital

Canterbury, CT1 3NG, United Kingdom

Location

The Christie Hospital

Greater Manchester, M20 4BX, United Kingdom

Location

The Leeds Teaching Hospitals Nhs Trust

Leeds, LS9 7TF, United Kingdom

Location

Barts and the London Nhs Trust

London, EC1M 6BQ, United Kingdom

Location

Royal Marsden Hospital

London, SW3 6JJ, United Kingdom

Location

Sarah Cannon Research Institute Uk

London, W1G 6AD, United Kingdom

Location

Maidstone and Tunbridge Wells Nhs Trust, Kent Oncology Centre, Maidstone Hospital

Maidstone, ME16 9QQ, United Kingdom

Location

Norfolk and Norwich University Hospitals Nhs Foundation Trust

Norwich, NR4 7UY, United Kingdom

Location

Nottingham University Hospitals Nhs Trust

Nottingham, NG51PB, United Kingdom

Location

Derriford Hospital

Plymouth, PL6 8DH, United Kingdom

Location

Southampton General Hospital

Southampton, SO16 6YD, United Kingdom

Location

Sunderland Royal Hospital

Sunderland, SR4 7TP, United Kingdom

Location

The Royal Wolverhampton Nhs Trust

Wolverhampton, WV10 0QP, United Kingdom

Location

Related Publications (9)

  • Mu S, Tang Z, Novotny W, Tawashi M, Li TK, Ou Y, Sahasranaman S. Effect of rifampin and itraconazole on the pharmacokinetics of zanubrutinib (a Bruton's tyrosine kinase inhibitor) in Asian and non-Asian healthy subjects. Cancer Chemother Pharmacol. 2020 Feb;85(2):391-399. doi: 10.1007/s00280-019-04015-w. Epub 2019 Dec 26.

  • Tam CS, Robak T, Ghia P, Kahl BS, Walker P, Janowski W, Simpson D, Shadman M, Ganly PS, Laurenti L, Opat S, Tani M, Ciepluch H, Verner E, Simkovic M, Osterborg A, Trneny M, Tedeschi A, Paik JC, Kuwahara SB, Feng S, Ramakrishnan V, Cohen A, Huang J, Hillmen P, Brown JR. Zanubrutinib monotherapy for patients with treatment naive chronic lymphocytic leukemia and 17p deletion. Haematologica. 2021 Sep 1;106(9):2354-2363. doi: 10.3324/haematol.2020.259432.

  • Munir T, Martinez-Calle N, Xu S, Yang K, Ge X, Ali AK, Mohseninejad L, Dobi B, Rakonczai P, Ma H, Williams R, Aldairy W, Lamanna N. Indirect Comparisons of the Efficacy and Safety of Zanubrutinib versus Venetoclax plus Obinutuzumab in Treatment-Naive Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma. Oncol Ther. 2025 Dec;13(4):1055-1070. doi: 10.1007/s40487-025-00380-0. Epub 2025 Sep 13.

  • Shadman M, Munir T, Ma S, Lasica M, Tani M, Robak T, Flinn IW, Brown JR, Ghia P, Ferrant E, Tam CS, Janowski W, Jurczak W, Xu L, Tian T, Lefebure M, Agresti S, Hirata J, Tedeschi A. Zanubrutinib and Venetoclax for Patients With Treatment-Naive Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma With and Without Del(17p)/TP53 Mutation: SEQUOIA Arm D Results. J Clin Oncol. 2025 Jul 20;43(21):2409-2417. doi: 10.1200/JCO-25-00758. Epub 2025 May 31.

  • Shadman M, Munir T, Robak T, Brown JR, Kahl BS, Ghia P, Giannopoulos K, Simkovic M, Osterborg A, Laurenti L, Walker PA, Opat SS, Ciepluch H, Greil R, Hanna M, Tani M, Trneny M, Brander D, Flinn IW, Grosicki S, Verner E, Tedeschi A, de Guibert S, Tumyan G, Laribi K, Garcia-Marco JA, Li JY, Tian T, Liu Y, Korolkiewicz R, Szeto A, Tam CS, Jurczak W. Zanubrutinib Versus Bendamustine and Rituximab in Patients With Treatment-Naive Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma: Median 5-Year Follow-Up of SEQUOIA. J Clin Oncol. 2025 Mar;43(7):780-787. doi: 10.1200/JCO-24-02265. Epub 2024 Dec 8.

  • Kittai AS, Allan JN, James D, Bridge H, Miranda M, Yong ASM, Fam F, Roos J, Shetty V, Skarbnik A, Davids MS. An indirect comparison of acalabrutinib with and without obinutuzumab vs zanubrutinib in treatment-naive CLL. Blood Adv. 2024 Jun 11;8(11):2861-2869. doi: 10.1182/bloodadvances.2023012142.

  • Moslehi JJ, Furman RR, Tam CS, Salem JE, Flowers CR, Cohen A, Zhang M, Zhang J, Chen L, Ma H, Brown JR. Cardiovascular events reported in patients with B-cell malignancies treated with zanubrutinib. Blood Adv. 2024 May 28;8(10):2478-2490. doi: 10.1182/bloodadvances.2023011641.

  • Ghia P, Barnes G, Yang K, Tam CS, Robak T, Brown JR, Kahl BS, Tian T, Szeto A, Paik JC, Shadman M. Health-related quality-of-life in treatment-naive CLL/SLL patients treated with zanubrutinib versus bendamustine plus rituximab. Curr Med Res Opin. 2023 Nov;39(11):1505-1511. doi: 10.1080/03007995.2023.2262381. Epub 2023 Oct 12.

  • Tam CS, Brown JR, Kahl BS, Ghia P, Giannopoulos K, Jurczak W, Simkovic M, Shadman M, Osterborg A, Laurenti L, Walker P, Opat S, Chan H, Ciepluch H, Greil R, Tani M, Trneny M, Brander DM, Flinn IW, Grosicki S, Verner E, Tedeschi A, Li J, Tian T, Zhou L, Marimpietri C, Paik JC, Cohen A, Huang J, Robak T, Hillmen P. Zanubrutinib versus bendamustine and rituximab in untreated chronic lymphocytic leukaemia and small lymphocytic lymphoma (SEQUOIA): a randomised, controlled, phase 3 trial. Lancet Oncol. 2022 Aug;23(8):1031-1043. doi: 10.1016/S1470-2045(22)00293-5. Epub 2022 Jul 7.

MeSH Terms

Conditions

Leukemia, Lymphocytic, Chronic, B-Cell

Interventions

zanubrutinibBendamustine HydrochlorideRituximabvenetoclax

Condition Hierarchy (Ancestors)

Leukemia, B-CellLeukemia, LymphoidLeukemiaNeoplasms by Histologic TypeNeoplasmsHematologic DiseasesHemic and Lymphatic DiseasesLymphoproliferative DisordersLymphatic DiseasesImmunoproliferative DisordersImmune System DiseasesChronic DiseaseDisease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

ButyratesAcids, AcyclicCarboxylic AcidsOrganic ChemicalsNitrogen Mustard CompoundsMustard CompoundsHydrocarbons, HalogenatedHydrocarbonsBenzimidazolesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic CompoundsAntibodies, Monoclonal, Murine-DerivedAntibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsAmino Acids, Peptides, and ProteinsSerum GlobulinsGlobulins

Results Point of Contact

Title
Study Director
Organization
BeiGene

Study Officials

  • Study Director

    BeiGene

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 1, 2017

First Posted

November 8, 2017

Study Start

October 31, 2017

Primary Completion

May 7, 2021

Study Completion (Estimated)

October 31, 2027

Last Updated

March 9, 2026

Results First Posted

November 7, 2023

Record last verified: 2026-02

Data Sharing

IPD Sharing
Will share

BeiGene shares data on completed studies responsibly and provides qualified scientific and medical researchers access to data and supporting documentation for clinical trials in dossiers for medicines and indications after submission and approval in the United States, China, and Europe. Clinical trials supporting subsequent local approvals, new indications, or combination products are eligible for sharing once corresponding regulatory approvals are achieved. BeiGene shares data only when permitted by applicable data privacy and security laws and regulations, when it is feasible to do so without compromising the privacy of study participants, and other considerations. Qualified researchers with appropriate competencies who are engaged in novel scientific research may submit a request for participant-level data with a research proposal for BeiGene review. Research teams must include a biostatistician and sign a Data Sharing Agreement prior to receiving access to clinical trial data.

Shared Documents
STUDY PROTOCOL, SAP, CSR
Time Frame
See plan description
Access Criteria
See plan description
More information

Locations