Trial Outcomes & Findings for Rituximab to the Preparative Regimen of Etoposide and Total Body Irradiation in Acute Lymphoblastic Leukemia (NCT NCT00427791)

NCT ID: NCT00427791

Last Updated: 2016-05-09

Results Overview

Time from randomization to first progression or death, whichever comes first, measured in months.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

23 participants

Primary outcome timeframe

2 Years post transplant or until disease progression or death

Results posted on

2016-05-09

Participant Flow

Recruitment Period: July 05, 2005 to August 08, 2008. All participants were enrolled at UT MD Anderson Cancer Center.

Participant milestones

Participant milestones
Measure
Etoposide + Total Body Irradiation + Rituximab
Etoposide 60 mg/kg intravenous (IV) Daily Over 4 Hours for 1 Day + Total Body Irradiation (TBI) 3 Gy Daily for 4 Days + Rituximab 375 mg/m\^2 IV Weekly Over 4-8 Hours for 4 Weeks
Etoposide + Total Body Irradiation
Etoposide 60 mg/kg IV Daily Over 4 Hours for 1 Day + TBI 3 Gy Daily for 4 Days
Overall Study
STARTED
10
13
Overall Study
COMPLETED
10
13
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Rituximab to the Preparative Regimen of Etoposide and Total Body Irradiation in Acute Lymphoblastic Leukemia

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Etoposide + Total Body Irradiation + Rituximab
n=10 Participants
Etoposide 60 mg/kg intravenous (IV) Daily Over 4 Hours for 1 Day + Total Body Irradiation (TBI) 3 Gy Daily for 4 Days + Rituximab 375 mg/m\^2 IV Weekly Over 4-8 Hours for 4 Weeks
Etoposide + Total Body Irradiation
n=13 Participants
Etoposide 60 mg/kg IV Daily Over 4 Hours for 1 Day + TBI 3 Gy Daily for 4 Days
Total
n=23 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
10 Participants
n=5 Participants
12 Participants
n=7 Participants
22 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
4 Participants
n=7 Participants
7 Participants
n=5 Participants
Sex: Female, Male
Male
7 Participants
n=5 Participants
9 Participants
n=7 Participants
16 Participants
n=5 Participants
Region of Enrollment
United States
10 participants
n=5 Participants
13 participants
n=7 Participants
23 participants
n=5 Participants

PRIMARY outcome

Timeframe: 2 Years post transplant or until disease progression or death

Population: Analysis was by protocol. Participants were randomized between Etoposide + Total body irradiation and Etoposide + Total body irradiation + Rituximab using a Bayesian adaptive algorithm.

Time from randomization to first progression or death, whichever comes first, measured in months.

Outcome measures

Outcome measures
Measure
Etoposide + Total Body Irradiation + Rituximab
n=10 Participants
Etoposide 60 mg/kg intravenous (IV) Daily Over 4 Hours for 1 Day + Total Body Irradiation (TBI) 3 Gy Daily for 4 Days + Rituximab 375 mg/m\^2 IV Weekly Over 4-8 Hours for 4 Weeks
Etoposide + Total Body Irradiation
n=13 Participants
Etoposide 60 mg/kg IV Daily Over 4 Hours for 1 Day + TBI 3 Gy Daily for 4 Days
Progression-free Survival (PFS)
4.3 Months
Standard Deviation 0.95 • Interval 1.0 to 10.0
14.5 Months
Standard Deviation 0.95

SECONDARY outcome

Timeframe: During the first 100 days following transplant

Population: Analysis was by protocol.

Number of participants with incidence of acute graft versus host disease (aGVHD) during first 100 days following transplant.

Outcome measures

Outcome measures
Measure
Etoposide + Total Body Irradiation + Rituximab
n=10 Participants
Etoposide 60 mg/kg intravenous (IV) Daily Over 4 Hours for 1 Day + Total Body Irradiation (TBI) 3 Gy Daily for 4 Days + Rituximab 375 mg/m\^2 IV Weekly Over 4-8 Hours for 4 Weeks
Etoposide + Total Body Irradiation
n=13 Participants
Etoposide 60 mg/kg IV Daily Over 4 Hours for 1 Day + TBI 3 Gy Daily for 4 Days
Number of Participants With Incidence of Acute Graft Versus Host Disease During First 100 Days
5 participants
9 participants

Adverse Events

Etoposide + Total Body Irradiation + Rituximab

Serious events: 10 serious events
Other events: 10 other events
Deaths: 0 deaths

Etoposide + Total Body Irradiation

Serious events: 2 serious events
Other events: 13 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Etoposide + Total Body Irradiation + Rituximab
n=10 participants at risk
Etoposide 60 mg/kg intravenous (IV) Daily Over 4 Hours for 1 Day + Total Body Irradiation (TBI) 3 Gy Daily for 4 Days + Rituximab 375 mg/m\^2 IV Weekly Over 4-8 Hours for 4 Weeks
Etoposide + Total Body Irradiation
n=13 participants at risk
Etoposide 60 mg/kg IV Daily Over 4 Hours for 1 Day + TBI 3 Gy Daily for 4 Days
Cardiac disorders
Hypertension
10.0%
1/10 • Number of events 1 • 3 years
0.00%
0/13 • 3 years
Cardiac disorders
Hypotension
10.0%
1/10 • Number of events 1 • 3 years
0.00%
0/13 • 3 years
Gastrointestinal disorders
Diarrhea
10.0%
1/10 • Number of events 1 • 3 years
0.00%
0/13 • 3 years
Gastrointestinal disorders
Mucositis
50.0%
5/10 • Number of events 5 • 3 years
7.7%
1/13 • Number of events 1 • 3 years
Gastrointestinal disorders
GI Pain
0.00%
0/10 • 3 years
7.7%
1/13 • Number of events 1 • 3 years
Renal and urinary disorders
Acute renal failure
10.0%
1/10 • Number of events 1 • 3 years
0.00%
0/13 • 3 years
Gastrointestinal disorders
Stomatitis
20.0%
2/10 • Number of events 2 • 3 years
0.00%
0/13 • 3 years
Hepatobiliary disorders
Transiminitis
10.0%
1/10 • Number of events 1 • 3 years
7.7%
1/13 • Number of events 1 • 3 years
Hepatobiliary disorders
Venous occlusive disease
10.0%
1/10 • Number of events 1 • 3 years
0.00%
0/13 • 3 years
Nervous system disorders
Other (Pain)
20.0%
2/10 • Number of events 2 • 3 years
0.00%
0/13 • 3 years
Investigations
Pneumonitis
10.0%
1/10 • Number of events 1 • 3 years
0.00%
0/13 • 3 years

Other adverse events

Other adverse events
Measure
Etoposide + Total Body Irradiation + Rituximab
n=10 participants at risk
Etoposide 60 mg/kg intravenous (IV) Daily Over 4 Hours for 1 Day + Total Body Irradiation (TBI) 3 Gy Daily for 4 Days + Rituximab 375 mg/m\^2 IV Weekly Over 4-8 Hours for 4 Weeks
Etoposide + Total Body Irradiation
n=13 participants at risk
Etoposide 60 mg/kg IV Daily Over 4 Hours for 1 Day + TBI 3 Gy Daily for 4 Days
Cardiac disorders
Edema
10.0%
1/10 • Number of events 1 • 3 years
0.00%
0/13 • 3 years
Cardiac disorders
Hypertension
10.0%
1/10 • Number of events 1 • 3 years
0.00%
0/13 • 3 years
General disorders
Fever
20.0%
2/10 • Number of events 2 • 3 years
23.1%
3/13 • Number of events 3 • 3 years
General disorders
Lethargy
10.0%
1/10 • Number of events 1 • 3 years
0.00%
0/13 • 3 years
Gastrointestinal disorders
Diarrhea
90.0%
9/10 • Number of events 9 • 3 years
69.2%
9/13 • Number of events 9 • 3 years
Gastrointestinal disorders
Mucositis
30.0%
3/10 • Number of events 3 • 3 years
69.2%
9/13 • Number of events 9 • 3 years
Gastrointestinal disorders
Nausea
60.0%
6/10 • Number of events 6 • 3 years
53.8%
7/13 • Number of events 7 • 3 years
Gastrointestinal disorders
GvHD
0.00%
0/10 • 3 years
7.7%
1/13 • Number of events 1 • 3 years
Gastrointestinal disorders
Stomatitis
0.00%
0/10 • 3 years
15.4%
2/13 • Number of events 2 • 3 years
Gastrointestinal disorders
Vomiting
50.0%
5/10 • Number of events 5 • 3 years
69.2%
9/13 • Number of events 9 • 3 years
Renal and urinary disorders
Hemorrhagic cystitis
0.00%
0/10 • 3 years
7.7%
1/13 • Number of events 1 • 3 years
Skin and subcutaneous tissue disorders
Rash
60.0%
6/10 • Number of events 6 • 3 years
38.5%
5/13 • Number of events 5 • 3 years
Respiratory, thoracic and mediastinal disorders
Shortness of breath
10.0%
1/10 • Number of events 1 • 3 years
7.7%
1/13 • Number of events 1 • 3 years
Respiratory, thoracic and mediastinal disorders
Pneumonitis
0.00%
0/10 • 3 years
23.1%
3/13 • Number of events 3 • 3 years
General disorders
Bone pain
0.00%
0/10 • 3 years
15.4%
2/13 • Number of events 2 • 3 years
Nervous system disorders
Neuropathy
10.0%
1/10 • Number of events 1 • 3 years
0.00%
0/13 • 3 years
Metabolism and nutrition disorders
Hyperglycemia
0.00%
0/10 • 3 years
7.7%
1/13 • Number of events 1 • 3 years
Infections and infestations
Infection
10.0%
1/10 • Number of events 1 • 3 years
0.00%
0/13 • 3 years
General disorders
Neurologic
20.0%
2/10 • Number of events 2 • 3 years
53.8%
7/13 • Number of events 7 • 3 years

Additional Information

Dr. Partow Kebriaei, Associate Professor

UT MD Anderson Cancer Center

Phone: 713-792-2648

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place