ALL-ORAL
What does treatment with VENCLEXTA + acalabrutinib offer?
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Actor portrayals.
You and your doctor have the choice between two different VENCLEXTA-based regimens
ALL-ORAL
What does treatment with VENCLEXTA + acalabrutinib offer?
VENCLEXTA + acalabrutinib is the first and only all-oral CLL treatment designed to be completed in 14 months (fourteen 28-day cycles) – so a progression-free, treatment-free period is possible
VENCLEXTA + acalabrutinib was studied in a clinical trial
In a clinical study of people who had not been treated for CLL, VENCLEXTA was studied in combination with a BTK inhibitor called acalabrutinib. This regimen is all-oral and is not a chemotherapy, and was studied against a commonly used chemotherapy-containing regimen. 291 patients received VENCLEXTA + acalabrutinib and 290 received a chemotherapy-containing regimen (fludarabine+cyclophosphamide+rituximab or bendamustine+rituximab). The VENCLEXTA-containing regimen was proven to be more effective than the chemotherapy-containing regimen.
A significantly lower chance of disease worsening or death
In a clinical trial with 41 months median follow-up, the chance of disease worsening or death was 35% lower with the VENCLEXTA regimen (291 people) compared to a chemotherapy-containing regimen (290 people). Doctors generally call this progression-free survival or PFS.
The median PFS was not reached for VENCLEXTA + acalabrutinib in the study but the median PFS for the chemotherapy containing regimen was 47.6 months. This was based on median follow-up of approximately 41 months for patients in the VENCLEXTA + acalabrutinib arm of the study. The study was not yet able to determine the median* time that patients lived without their disease worsening because more than half of patients were both alive and had not yet experienced a worsening of their disease.
More than half of patients were progression-free and treatment-free 2 years after finishing their treatment.
The trial was designed to assess efficacy over time rather than at a specific timepoint after completing treatment.
VENCLEXTA can cause serious side effects, including tumor lysis syndrome, low white blood cell count, and infections. These are not all of the possible side effects of VENCLEXTA. Talk to your healthcare provider for more information about the risks and side effects of VENCLEXTA. Please click here for additional Important Safety Information.
*Median is the middle number in a group of numbers that are arranged from lowest to highest. For example, in the group of numbers [1, 5, 6, 8, 9], 6 is the median.
Individual results may vary.
Actor portrayals.
Prepare to have a more open and informed conversation with your doctor.
Prepare to have a more open and informed conversation with your doctor.
ORAL + INFUSION
What does treatment with VENCLEXTA + GAZYVA offer?
VENCLEXTA + GAZYVA is a CLL treatment designed to be completed in 12 months, so a progression-free, treatment-free period is possible
VENCLEXTA + GAZYVA was studied in a clinical trial
In a clinical study of 432 people who had not been treated for CLL, VENCLEXTA was studied with an antibody treatment called GAZYVA. This regimen is not a chemotherapy and was studied against a commonly used chemotherapy-containing regimen. Half of the patients (216) received VENCLEXTA + GAZYVA and the other half received the chemotherapy-containing regimen (chlorambucil and GAZYVA). The VENCLEXTA-containing regimen was proven to be more effective than the chemotherapy-containing regimen.
A significantly lower chance of disease worsening or death
In a clinical trial with a 28-month median* follow-up, the chance of disease worsening or death was 67% lower with the VENCLEXTA regimen (216 people) than with the chemotherapy-containing regimen (216 people). Doctors generally call this progression-free survival or PFS.
35%
lower chance of disease progression or death compared to chemotherapy-containing regimen
In a clinical trial with 43 months median follow-up, the chance of disease worsening or death was 35% lower with the VENCLEXTA regimen (291 people) compared to a chemotherapy-containing regimen (290 people). Doctors generally call this progression-free survival or PFS.
A majority of patients were still progression-free and treatment-free 2 years after finishing their treatment.
In a clinical study of people who had not been treated for CLL, VENCLEXTA was studied in combination with a BTK inhibitor called acalabrutinib. This regimen is all oral and is not a chemotherapy and was studied against a commonly used chemotherapy-containing regimen. 291 patients received VENCLEXTA + acalabrutinib and the other half (290) received a chemotherapy-containing regimen (fludarabine-cyclophosphamide-rituximab or bendamustine-rituximab). The VENCLEXTA-containing regimen was proven to be more effective than the chemotherapy-containing regimen.
Please take note that the median PFS was not reached for VENCLEXTA + acalabrutinib in the study. This was based on median follow-up of approximately 43 months. The study was not yet able to determine the median* time that patients lived without their disease worsening because more than half of patients were both alive and had not yet experienced a worsening of their disease.
VENCLEXTA can cause serious side effects, including tumor lysis syndrome, low white blood cell count, and infections. These are not all of the possible side effects of VENCLEXTA. Talk to your healthcare provider for more information about the risks and side effects of VENCLEXTA. Please click here for additional Important Safety Information.
*Median is the middle number in a group of numbers that are arranged from lowest to highest. For example, in the group of numbers [1, 5, 6, 8, 9], 6 is the median.
Individual results may vary.
At the primary analysis, the median PFS was not reached for either regimen in the study. This was based on median follow-up of 28 months. The study was not yet able to determine the median* time that patients lived without their disease worsening because more than half of patients were both alive and had not yet experienced a worsening of their disease.
In a later follow-up analysis, more than half of patients were progression-free and treatment-free 5 years after finishing their treatment.
The trial was designed to assess efficacy over time rather than at a specific timepoint after completing treatment.
VENCLEXTA can cause serious side effects, including tumor lysis syndrome, low white blood cell count, and infections. These are not all of the possible side effects of VENCLEXTA. Talk to your healthcare provider for more information about the risks and side effects of VENCLEXTA. Please click here for additional Important Safety Information.
*Median is the middle number in a group of numbers that are arranged from lowest to highest. For example, in the group of numbers [1, 5, 6, 8, 9], 6 is the median.
Individual results may vary.
Actor portrayals.
Remission defined
Remission means that the signs of cancer have lessened or are no longer detectable, although cancer may still be in the body.
Complete remission means that all signs and symptoms of cancer have disappeared for a period of time, but cancer may still be in the body.
Complete remission with incomplete marrow recovery means that most signs and symptoms of cancer disappeared for a period of time except that platelet, white blood cell, or red blood cell counts remained low.
Partial remission means that there are still signs of cancer, but your treatment regimen is working because the number of cancer cells in your body has greatly decreased.
Remission with the confidence to stop treatment with VENCLEXTA + GAZYVA
The remission rates people in the clinical trial experienced 3 months after completing treatment were:
Complete remission is possible
In the clinical study, 50% of people with previously untreated CLL achieved complete remission or complete remission with incomplete marrow recovery (107 of 216 people) with VENCLEXTA + GAZYVA compared to 23% (50 of 216 people) with the chemotherapy-containing regimen at 3 months after treatment completion.
35%
lower chance of disease progression or death compared to chemotherapy-containing regimen
In a clinical trial with 43 months median follow-up, the chance of disease worsening or death was 35% lower with the VENCLEXTA regimen (291 people) compared to a chemotherapy-containing regimen (290 people). Doctors generally call this progression-free survival or PFS.
A majority of patients were still progression-free and treatment-free 2 years after finishing their treatment.
In a clinical study of people who had not been treated for CLL, VENCLEXTA was studied in combination with a BTK inhibitor called acalabrutinib. This regimen is all oral and is not a chemotherapy and was studied against a commonly used chemotherapy-containing regimen. 291 patients received VENCLEXTA + acalabrutinib and the other half (290) received a chemotherapy-containing regimen (fludarabine-cyclophosphamide-rituximab or bendamustine-rituximab). The VENCLEXTA-containing regimen was proven to be more effective than the chemotherapy-containing regimen.
Please take note that the median PFS was not reached for VENCLEXTA + acalabrutinib in the study. This was based on median follow-up of approximately 43 months. The study was not yet able to determine the median* time that patients lived without their disease worsening because more than half of patients were both alive and had not yet experienced a worsening of their disease.
VENCLEXTA can cause serious side effects, including tumor lysis syndrome, low white blood cell count, and infections. These are not all of the possible side effects of VENCLEXTA. Talk to your healthcare provider for more information about the risks and side effects of VENCLEXTA. Please click here for additional Important Safety Information.
*Median is the middle number in a group of numbers that are arranged from lowest to highest. For example, in the group of numbers [1, 5, 6, 8, 9], 6 is the median.
Individual results may vary.
You can be free from detectable disease in the blood
After completing treatment with VENCLEXTA + GAZYVA, 76% of people with previously untreated CLL had such a low level of CLL cells in their blood (fewer than 1 cancer cell per 10,000 white blood cells) that the cancer cells were not detectable using a sensitive clinical test compared to 35% of people treated with chlorambucil and GAZYVA. This is known as undetectable minimal residual disease (MRD) or MRD negativity.
Please take note that undetectable MRD or MRD negativity does not necessarily equal successful treatment due to limitations with MRD testing. For instance, it is possible for patients to have a partial response to treatment while still testing as MRD negative and patients can have a complete response and be MRD positive.
Individual results may vary.
Complete remission is possible
3 months after completing treatment
In the clinical study, 50% of people with previously untreated CLL achieved complete remission or complete remission with incomplete marrow recovery (107 of 216 people) with VENCLEXTA + GAZYVA compared to 23% (50 of 216 people) with the chemotherapy-containing regimen at 3 months after treatment completion.
35%
lower chance of disease progression or death compared to chemotherapy-containing regimen
In a clinical trial with 43 months median follow-up, the chance of disease worsening or death was 35% lower with the VENCLEXTA regimen (291 people) compared to a chemotherapy-containing regimen (290 people). Doctors generally call this progression-free survival or PFS.
A majority of patients were still progression-free and treatment-free 2 years after finishing their treatment.
In a clinical study of people who had not been treated for CLL, VENCLEXTA was studied in combination with a BTK inhibitor called acalabrutinib. This regimen is all oral and is not a chemotherapy and was studied against a commonly used chemotherapy-containing regimen. 291 patients received VENCLEXTA + acalabrutinib and the other half (290) received a chemotherapy-containing regimen (fludarabine-cyclophosphamide-rituximab or bendamustine-rituximab). The VENCLEXTA-containing regimen was proven to be more effective than the chemotherapy-containing regimen.
Please take note that the median PFS was not reached for VENCLEXTA + acalabrutinib in the study. This was based on median follow-up of approximately 43 months. The study was not yet able to determine the median* time that patients lived without their disease worsening because more than half of patients were both alive and had not yet experienced a worsening of their disease.
VENCLEXTA can cause serious side effects, including tumor lysis syndrome, low white blood cell count, and infections. These are not all of the possible side effects of VENCLEXTA. Talk to your healthcare provider for more information about the risks and side effects of VENCLEXTA. Please click here for additional Important Safety Information.
*Median is the middle number in a group of numbers that are arranged from lowest to highest. For example, in the group of numbers [1, 5, 6, 8, 9], 6 is the median.
Individual results may vary.
You can be free from detectable disease in the blood
After completing treatment with VENCLEXTA + GAZYVA, 76% of people with previously untreated CLL had such a low level of CLL cells in their blood that the cancer cells were not detectable using a sensitive clinical test compared to 35% of people treated with chlorambucil and GAZYVA. This is known as undetectable minimal residual disease (MRD) or MRD negativity.
Please take note that undetectable MRD or MRD negativity does not necessarily equal successful treatment due to limitations with MRD testing. For instance, it is possible for patients to have a partial response to treatment while still testing as MRD negative and patients can have a complete response and be MRD positive.
Individual results may vary.
2X higher complete remission rate compared to chemotherapy
In the clinical study, 50% of people with previously untreated CLL achieved complete remission or complete remission with incomplete marrow recovery (107 of 216 people) with VENCLEXTA + GAZYVA compared to 23% (50 of 216 people) with the chemotherapy-containing regimen at 3 months after treatment completion.
After completing treatment with VENCLEXTA + GAZYVA, 76% of people with previously untreated CLL had such a low level of CLL cells in their blood that the cancer cells were not detectable using a sensitive clinical test compared to 35% of people treated with chlorambucil and GAZYVA. This is known as undetectable minimal residual disease (MRD) or MRD negativity.
Please take note that undetectable MRD or MRD negativity does not necessarily equal successful treatment due to limitations with MRD testing. For instance, it is possible for patients to have a partial response to treatment while still testing as MRD negative and patients can have a complete response and be MRD positive.
Individual results may vary.
Actor portrayals.
Learn more about VENCLEXTA
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VENCLEXTA is a prescription medicine used to treat adults with chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL).
It is not known if VENCLEXTA is safe and effective in children.
VENCLEXTA can cause serious side effects, including:
Tumor lysis syndrome (TLS). TLS is caused by the fast breakdown of cancer cells. TLS can cause kidney failure, the need for dialysis treatment, and may lead to death. Your healthcare provider will do tests to check your risk of getting TLS before you start taking VENCLEXTA. You will receive other medicines before starting and during treatment with VENCLEXTA to help reduce your risk of TLS. You may also need to receive intravenous (IV) fluids into your vein. Your healthcare provider will do blood tests to check for TLS when you first start and during treatment with VENCLEXTA. It is important to keep your appointments for blood tests. Tell your healthcare provider right away if you get any symptoms of TLS during treatment with VENCLEXTA, including fever, chills, nausea, vomiting, confusion, shortness of breath, seizures, irregular heartbeat, dark or cloudy urine, unusual tiredness, or muscle or joint pain.
Drink plenty of water during treatment with VENCLEXTA to help reduce your risk of getting TLS. Drink 6 to 8 glasses (about 56 ounces total) of water each day, starting 2 days before your first dose, on the day of your first dose of VENCLEXTA, and each time your dose is increased.
Your healthcare provider may delay, decrease your dose, or stop treatment with VENCLEXTA if you get symptoms of TLS. When restarting VENCLEXTA after stopping for 1 week or longer, your healthcare provider may check again for your risk of TLS and change your dose.
Patients taking certain medicines during the beginning of VENCLEXTA (when the dose is being slowly increased) are at increased risk of TLS.
Before taking VENCLEXTA, tell your healthcare provider about all of your medical conditions, including if you:
You should not drink grapefruit juice or eat grapefruit, Seville oranges (often used in marmalades), or starfruit during treatment with VENCLEXTA. These products may increase the amount of VENCLEXTA in your blood.
VENCLEXTA can cause serious side effects, including:
Tell your healthcare provider right away if you get a fever or any signs of an infection during treatment with VENCLEXTA.
The most common side effects of VENCLEXTA when used in combination with acalabrutinib in people with CLL or SLL include low white blood cell count, headache, diarrhea, muscle and bone pain, and COVID-19.
The most common side effects of VENCLEXTA when used in combination with obinutuzumab or rituximab or alone in people with CLL or SLL include low white blood cell count; low platelet count; low red blood cell count; diarrhea; nausea; upper respiratory tract infection; cough; muscle and joint pain; tiredness; and swelling of your arms, legs, hands, and feet.
Your healthcare provider may temporarily stop VENCLEXTA treatment, decrease your dose, or completely stop treatment if you get severe side effects.
VENCLEXTA may cause fertility problems in males. This may affect your ability to father a child. Talk to your healthcare provider if you have concerns about fertility.
These are not all the possible side effects of VENCLEXTA. Call your doctor for medical advice about side effects.
You are encouraged to report side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1‑800‑FDA‑1088.
If you cannot afford your medication, contact genentech-access.com/patient/brands/venclexta for assistance.
US-VENC-260054
Please see full Prescribing Information, including Medication Guide.