ClinicalTrials.gg
RecruitingNCT06319456Updated Jul 28, 2026

A Study of Lisaftoclax (APG-2575) Combined With Acalabrutinib Versus Immunochemotherapy for Newly Diagnosed CLL/SLL.

A Phase 3 interventional study of Lisaftoclax (APG-2575) and Acalabrutinib in CLL/SLL, sponsored by Ascentage Pharma Group Inc.. Recruiting at 10 sites in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-28.

Sponsored by Ascentage Pharma Group Inc. (part of Ascentage Pharma Group International) · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Apr 2024; still recruiting 2 years 7 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
344
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a global, multicenter, randomized, open-label, Phase III confirmatory study to investigate the efficacy and safety of Lisaftoclax (APG-2575) in combination with Acalabrutinib in patients with newly diagnosed CLL/SLL.

Read the detailed description

The patients with newly diagnosed CLL/SLL, who have met all required eligibility criteria, will be randomized to the investigational group (Lisaftoclax in combination with Acalabrutinib) or the control group (immunochemotherapy, CIT).

02

Conditions studied

  • CLL/SLL

Keywords

  • CLL/SLL
  • Lisaftoclax
  • APG-2575
03

In context

Lead sponsor

Ascentage Pharma Group Inc. is the lead sponsor of 53 studies on the registry; 31 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

  1. CLL/SLL must be diagnosed according to the IWCLL NCI-WG Guidelines (2018 edition) and meet at least one of the criteria requiring treatment.
  2. With a .
  3. score 0-2.
  4. interval: ≤450ms in males, ≤470ms in females.
  5. Adequate bone marrow function independent of growth factor support.
  6. Adequate liver, kidney and coagulation function.
  7. Males and females of , and their partners voluntarily use effective measures throughout the treatment and for at least three months after the last dose of the study drug. Male patients must avoid donation from the first dose of the study drug to three months after the last dose of the study drug.
  8. Female patients of childbearing potential have negative serum pregnancy test results within 14 days prior to the first dose of the study drug.
  9. Patients must be able to understand and voluntarily sign an form approved by the Ethics Committee (EC) before commencing any screening or study specific procedures.
  10. Must be willing and able to complete research procedures and follow-up examinations.

Exclusion Criteria:

  1. Any previous CLL specific treatment.
  2. Failure to fully recover adequately from prior surgical procedures at the discretion of the investigator. Patients who receive a major surgery within 28 days prior to the first dose of the study drug or who receive a minor surgery (excluding ) within 14 days prior to the initiation of the study.
  3. Presence of significant cardiovascular disease within 6 months prior to study entry.
  4. A history of significant kidney, neurological, psychiatric, pulmonary, endocrine, metabolic, immune, cardiovascular, or liver disease, which will have an adverse effect on the patient if he/she participates in the study, at the discretion of the investigator.
  5. Patients who require warfarin or other anticoagulants or active hemorrhage occur within 2 months before study entry.
  6. Known to have to the drug ingredient or its analogues.
  7. Pregnant or lactating female patients and patients who are expected to become pregnant during the study period or within 3 months after the last dose.
  8. Patients who have history of other active malignant tumor other than CLL/SLL within 3 years before study entry.
  9. With a malabsorption syndrome or other conditions unsuitable for enteral administration.
  10. Other uncontrolled symptoms.
  11. With primary active disease and connective tissue disease.
  12. Any other circumstances or conditions that would, at the discretion of the investigator, make the patient unsuitable for the study.
Terms in these criteria, in plain language(10)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
344 participants (estimated)

Study arms

  • Experimental
    Lisaftoclax (APG-2575) combined with Acalabrutinib

    Lisaftoclax (APG-2575) 600 mg daily plus acalabrutinib 100 mg twice daily for a fixed duration of treatment up to 18 cycles.

    Drug: Lisaftoclax (APG-2575) · Drug: Acalabrutinib

  • Active comparator
    Immunochemotherapy regimens

    FCR: Fludarabine: intravenously infused at 25 mg/m2 /d on Days 1 to 3 of Cycles 1-6 cyclophosphamide: intravenously infused at 250 mg/m2 /d on Days 1 - 3 of Cycles 1 - 6; rituximab: intravenously infused at 375 mg/m2 on C1D1, and at 500 mg/m2 on Day 1 of Cycles 2 - 6. F or R-Clb: Chlorambucil: orally administrated at 0.5 mg/kg on Days 1 and 15 of Cycles 1-6; rituximab: intravenously infused at 375 mg/m2 on C1D1, and at 500 mg/m2 on Day 1 of Cycles 2 - 6.

    Drug: Fludarabine · Drug: Cyclophosphamide,CTX · Drug: Rituximab · Drug: Chlorambucil

Interventions

  • QD, oral administration, every 28 days for a dosing cycle.

  • BID, oral administration, every 28 days for a dosing cycle.

  • Every 28 days for a treatment cycle, administration of 6 cycles.

  • DrugCyclophosphamide,CTX

    Every 28 days for a treatment cycle, administration of 6 cycles.

  • Every 28 days for a treatment cycle, administration of 6 cycles.

  • Every 28 days for a treatment cycle, administration of 6 cycles.

06

What researchers measure

Primary outcomes

  1. Progress Free Survival (PFS)

    PFS is defined as the time from randomization to disease progression(PD) or death from any cause.

    Time frame: Up to 1 year

Secondary outcomes

  1. Objective Response Rate (ORR)

    ORR is defined as the proportion of patients who have achieved CR, CRi or PR.

    Time frame: Up to 1 year

  2. Minimal Residual Disease (MRD) negativity rate

    To observe the proportion of patients with MRD negativity in bone marrow, peripheral blood, either or both.

    Time frame: Up to 1 year

  3. Safety evaluation based on the adverse event concurrence

    Number of treatment emergent adverse events (TEAEs) and treatment related adverse events (TRAEs) will be evaluated.

    Time frame: Up to 1 year

07

Study locations

4 of 10 sites recruiting
  • The First Affiliated Hospital of Bengbu Medical College
    Bengbu, Anhui 233004, China
    Not yet recruiting
    • Yinghua Geng, M.D., Ph.D. · Contact
    • Yinghua Geng, M.D., Ph.D. · Principal investigator
  • Guangdong Provincial People's Hospital
    Guangzhou, Guangdong 510080, China
    Recruiting
    • Wenyu Li, M.D., Ph.D. · Contact
    • Wenyu Li, M.D., Ph.D. · Principal investigator
  • Nanfang Hospital of Southern Medical University
    Guangzhou, Guangdong 510515, China
    Recruiting
    • Xutao Guo, M.D., Ph.D. · Contact
    • Xutao Guo, M.D., Ph.D. · Principal investigator
  • The affiliated Hospital of Guangdong Medical University
    Zhanjiang, Guangdong 524013, China
    Not yet recruiting
    • Yuming Zhang, M.D., PH.D. · Contact
    • Yuming Zhang, M.D., PH.D. · Principal investigator
  • Henan Provincial Cancer Hospital
    Zhengzhou, Henan 450003, China
    Recruiting
    • Keshu Zhou, M.D., Ph.D. · Contactdrzhouks77@163.com · 13674902391
    • Keshu Zhou, M.D., Ph.D. · Principal investigator
  • Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
    Wuhan, Hubei 430023, China
    Not yet recruiting
    • Jun Fang, M.D., Ph.D. · Contact
    • Jun Fang, M.D., Ph.D. · Principal investigator
  • Hunan Cancer Hospital
    Changsha, Hunan 410031, China
    Not yet recruiting
    • Yajun Li, M.D., Ph.D. · Contact
    • Yajun Li, M.D., Ph.D. · Principal investigator
  • The Second Xiangya Hospital of Center South University
    Changsha, Hunan 545001, China
    Not yet recruiting
    • Honglin Peng, M.D., Ph.D. · Contact
    • Honglin Peng, M.D., Ph.D. · Principal investigator
  • Tongji Hospital of Tongji University
    Shanghai, Shanghai Municipality 200065, China
    Not yet recruiting
    • Jianfei Fu, M.D., Ph.D. · Contact
    • Jianfei Fu, M.D., Ph.D. · Principal investigator
  • Hematology Hospital of the Chinese Academy of Medical Sciences
    Tianjin, Tianjin Municipality 300020, China
    Recruiting
    • Lugui Qiu, M.D., Ph.D. · Contactqiulg@ihcams.ac.cn · 022-23909272
    • Lugui Qiu, M.D., Ph.D. · Principal investigator
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Apr 2024 (actual). Primary completion is estimated for Aug 2027, 40 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 13, 2024
First posted
Mar 20, 2024
StartActual
Apr 7, 2024
Primary completionEst.
Aug 2027
CompletionEst.
Aug 2028
Last update
Jul 28, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 28, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06319456
Responsible party
Sponsor
First posted
Mar 20, 2024
Start date
Apr 7, 2024
Primary completion
Aug 2027 (estimated)
Completion
Aug 2028 (estimated)
Last update
Jul 28, 2026

Study contacts

Miguel Rosado-Cadena, MD
Contact
miguel.cadena@ascentage.com
+1 301-532-7085
Jocelyn Budzynski
Contact
jocelyn.budzynski@ascentage.com
+1 301-693-6952
Lugui Qiu, M.D., Ph.D.
principal investigator · Hematology Hospital of the Chinese Academy of Medical Sciences
Keshu Zhou, M.D., Ph.D.
principal investigator · Henan Province Cancer Hospital

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drugs tested here: Lisaftoclax · Acalabrutinib

Start the discussion