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    IMPROVE study

Welcome to the IMPROVE study website!

Full study title: A multi-centre randomised controlled trial examining the effects of temporarily pausing Bruton Tyrosine Kinase inhibitor therapy to coincide with SARS-CoV-2 vaccination and its impact on immune responses in patients with Chronic Lymphocytic Leukaemia

PURPOSE OF THE STUDY
Chronic lymphocytic leukaemia ('CLL') is a blood cancer that affects white blood cells called lymphocytes. It is the commonest adult leukaemia, with 3,800 people diagnosed each year in the UK. It is more common in people aged over 60. Currently some 31,900 people have CLL in the UK.

CLL develops slowly and there is no cure. People with CLL have a weakened immune system and are susceptible to infections. These infections can be severe and life-threatening. New drugs called Bruton Tyrosine Kinase inhibitors (BTKi) have transformed the outlook for CLL patients, however, they stop the immune response to vaccination. BTKi drugs need to be taken daily and continuously. They are sometimes paused if a patient needs an operation. In the UK, they are used at all stages of treatment.

The purpose of this study is to investigate whether pausing the use of these BTKi drugs for a total of three weeks around the time of having the COVID vaccine improves the antibody response, and whether this is well tolerated.

TAKING PART
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We are hoping to enrol up to 120 men and women aged 18 or over, who have been taking a BTKi drug for at least a year, and are due to have a COVID vaccine. We will recruit patients to the IMPROVE study from up to 10 NHS hospitals in the UK. 

Please note that the IMPROVE trial closed to recruitment on 30 June 2023. We are no longer looking for new participants. Follow-up visits will continue as scheduled for existing participants. Many thanks for your involvement!

LATEST NEWS
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Tuesday 01 April 2025 

The IMPROVE results paper has been published in The Lancet Haematology. You can read it here: 

A 3-week pause versus continued Bruton tyrosine kinase inhibitor use during COVID-19 vaccination in individuals with chronic lymphocytic leukaemia (IMPROVE trial): a randomised, open-label, superiority trial - ScienceDirect

Thursday, 28 September 2023
The IMPROVE study protocol has been published in the open-access journal BMJ Open. You can read it here.

Friday, 30 June 2023
The IMPROVE study is now closed to recruitment, with 99 participants consented and randomized. 

Friday, 30 September 2022
The IMPROVE study opened to recruitment!

 

STUDY ORGANISATION AND FUNDING
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The study has been funded by the National Institute for Health and Care Research and is sponsored by the University of Birmingham.

The Oxford Clinical Trials Research Unit will be managing the study.

This project has been developed in collaboration with people who have CLL and is supported by blood cancer charities: CLLSA, BCUK and Leukaemiacare.

Please note that the IMPROVE trial closed to recruitment on 30 June 2023.

We are no longer looking for new participants. Follow-up visits will continue as scheduled for existing participants. Many thanks for your involvement!

Recruitment Progress:

120
99

Date of latest recruit:

16 June, 2023

Site of latest recruit:

IMPROVE - Aneurin Bevan University Health Board, Nevill Hall Hospital
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IMPROVE study

Botnar Research Centre
Windmill Road
Headington
Oxford
OX3 7LD

Chief Investigator

Dr Helen Parry
University of Birmingham

Approval References

REC Reference: 22/YH/0226

IRAS: 319057

ISRCTN: ISRCTN14197181

Contacts

Telephone: 0808 175 1455

Email: improve@ndorms.ox.ac.uk