A Study to Assess the Efficacy of Rituximab (MabThera) in First Line Treatment of Chronic Lymphocytic Leukemia (CLL)

NCT ID: NCT00545714

Last Updated: 2019-01-16

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

86 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-11-21

Study Completion Date

2016-05-20

Brief Summary

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This single arm study will assess the efficacy and safety of rituximab in combination with fludarabine and cyclophosphamide, followed by rituximab maintenance therapy, as first line treatment of participants with CLL.

Detailed Description

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Conditions

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Leukemia, Lymphocytic, Chronic, B-Cell

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Rituximab + Fludarabine + Cyclophosphamide

Participants will receive 6 cycles (cycle length = 28 days) of treatment with rituximab (375 milligrams per square meter \[mg/m\^2\] as intravenous \[IV\] infusion on Day 0 of Cycle 1 and 500 mg/m\^2 as IV infusion on Day 1 of Cycles 2-6); fludarabine (25 mg/m\^2 on Days 1-3) and cyclophosphamide (250 mg/m\^2 on Days 1-3). Participants with a partial or complete response and appropriate neutrophil conditions will receive maintenance treatment with rituximab (375 mg/m\^2 as IV infusion every 2 months) from 3 months after Day 1 Cycle 6 up to a total of 18 doses or up to 3 years after Cycle 6.

Group Type EXPERIMENTAL

Cyclophosphamide

Intervention Type DRUG

Cyclophosphamide 250 mg/m\^2 as IV infusion will be administered on Days 1-3 of first six 28-day cycles.

Fludarabine

Intervention Type DRUG

Fludarabine 25 mg/m\^2 as IV infusion will be administered on Days 1-3 of first six 28-day cycles.

Rituximab

Intervention Type DRUG

Rituximab 375 mg/m\^2 as IV infusion will be administered on Day 0 of Cycle 1; 500 mg/m\^2 as IV infusion will be administered on Day 1 of Cycle 2-6; and 375 mg/m\^2 as IV infusion every 2 months from 3 months after Day 1 Cycle 6 up to a total of 18 doses or up to 3 years after Cycle 6.

Interventions

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Cyclophosphamide

Cyclophosphamide 250 mg/m\^2 as IV infusion will be administered on Days 1-3 of first six 28-day cycles.

Intervention Type DRUG

Fludarabine

Fludarabine 25 mg/m\^2 as IV infusion will be administered on Days 1-3 of first six 28-day cycles.

Intervention Type DRUG

Rituximab

Rituximab 375 mg/m\^2 as IV infusion will be administered on Day 0 of Cycle 1; 500 mg/m\^2 as IV infusion will be administered on Day 1 of Cycle 2-6; and 375 mg/m\^2 as IV infusion every 2 months from 3 months after Day 1 Cycle 6 up to a total of 18 doses or up to 3 years after Cycle 6.

Intervention Type DRUG

Other Intervention Names

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MabThera, Rituxan

Eligibility Criteria

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Inclusion Criteria

* CLL according to World Health Organization diagnostic criteria
* Active disease
* No previous treatment
* Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2

Exclusion Criteria

* Transformation to aggressive B-cell malignancy (prolymphocytic leukemia, large-cell lymphoma, Hodgkin's lymphoma)
* Other malignancies except for localized skin cancer
* Continuous systemic corticosteroid treatment
* Known infection with hepatitis B or C
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hoffmann-La Roche

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trials

Role: STUDY_DIRECTOR

Hoffmann-La Roche

Locations

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Hospital De Txagorritxu; Servicio de Hematologia

Vitoria-Gasteiz, Alava, Spain

Site Status

Hospital Universitario Puerta del Mar; Servicio de Hematologia

Cadiz, Cadiz, Spain

Site Status

Hospital de Jerez de la Frontera; Servicio de Hematologia

Jerez de la Frontera, Cadiz, Spain

Site Status

Hospital Universitario Marques de Valdecilla; Servicio de Hematologia

Santander, Cantabria, Spain

Site Status

Hospital General de Castellon; Servicio de Hematologia

Castellon, Castellon, Spain

Site Status

Complejo Hospitalario Universitario A Coruña (CHUAC); Servicio de Hematologia

A Coruña, LA Coruña, Spain

Site Status

Fundacion Hospital de Alcorcon; Servicio de Hematologia

Alcorcón, Madrid, Spain

Site Status

Hosital Universitario de Mostoles;Servicio de Hematologia

Móstoles, Madrid, Spain

Site Status

Hospital Francesc de Borja; Servicio de Hematologia

Gandia, Valencia, Spain

Site Status

Hospital de Sagunto; Servicio de Hematologia

Sagunto, Valencia, Spain

Site Status

Hospital de Basurto; Servicio de Hematologia

Bilbao, Vizcaya, Spain

Site Status

Hospital Universitario Infanta Cristina; Servicio de Hematologia

Badajoz, , Spain

Site Status

Hospital Duran i Reynals; Servicio de Hematologia

Barcelona, , Spain

Site Status

Hospital San Pedro De Alcantara; Servicio de Hematologia

Cáceres, , Spain

Site Status

Hospital Universitario Virgen de las Nieves; Servicio de Hematologia

Granada, , Spain

Site Status

Hospital General Universitario Gregorio Marañon; Servicio de Hematología

Madrid, , Spain

Site Status

Hospital Ramon y Cajal; Servicio de Hematologia

Madrid, , Spain

Site Status

Hospital Universitario Clínico San Carlos; Servicio de Hematología

Madrid, , Spain

Site Status

Hospital Univ. 12 de Octubre; Servicio de Hematologia

Madrid, , Spain

Site Status

Hospital Universitario la Paz; Servicio de Hematologia

Madrid, , Spain

Site Status

HOSPITAL DE MADRID NORTE SANCHINARRO- CENTRO INTEGRAL ONCOLOGICO CLARA CAMPAL; Servicio Hematologia

Madrid, , Spain

Site Status

Hospital Universitario Puerta de Hierro; Servicio de Hematologia

Madrid, , Spain

Site Status

Hospital Universitario Principe de Asturias; Servicio de Hematología

Madrid, , Spain

Site Status

Hospital Universitario de Getafe; Servico de Hematologia

Madrid, , Spain

Site Status

Hospital Clinico Universitario Virgen de la Victoria; Servicio de Hematologia

Málaga, , Spain

Site Status

Hospital General Universitario J.M Morales Meseguer; Servicio de Hematología

Murcia, , Spain

Site Status

Hospital Clinico Universitario de Salamanca;Servicio de Hematologia

Salamanca, , Spain

Site Status

Hospital General Universitario de Valencia; Servicio de Hematologia

Valencia, , Spain

Site Status

Hospital Arnau de Vilanova (Valencia) Servicio de Hematologia

Valencia, , Spain

Site Status

Hospital Universitario Dr. Peset; Servicio de Hematologia

Valencia, , Spain

Site Status

Hospital Universitario la Fe; Servicio de Hematologia

Valencia, , Spain

Site Status

Hospital Clinico Universitario Lozano Blesa; Servicio de Hematologia

Zaragoza, , Spain

Site Status

Hospital Universitario Miguel Servet; Servicio Hematologia

Zaragoza, , Spain

Site Status

Countries

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Spain

References

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Garcia-Marco JA, Jimenez JL, Recasens V, Zarzoso MF, Gonzalez-Barca E, De Marcos NS, Ramirez MJ, Parraga FJP, Yanez L, De La Serna Torroba J, Malo MDG, Ariznavarreta GD, Persona EP, Guinaldo MAR, De Paz Arias R, Llanos EB, Jarque I, Valle MDCF, Tatay AC, De Oteyza JP, Martin EMD, Fernandez IP, Martinez RM, Costa MAA, Champ D, Suarez JG, Diaz MG, Ferrer S, Carbonell F, Garcia-Vela JA; GELLC Study Group. High prognostic value of measurable residual disease detection by flow cytometry in chronic lymphocytic leukemia patients treated with front-line fludarabine, cyclophosphamide, and rituximab, followed by three years of rituximab maintenance. Haematologica. 2019 Nov;104(11):2249-2257. doi: 10.3324/haematol.2018.204891. Epub 2019 Mar 19.

Reference Type DERIVED
PMID: 30890600 (View on PubMed)

Other Identifiers

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2007-002733-36

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

ML21135

Identifier Type: -

Identifier Source: org_study_id

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