Evaluation of Safety and Efficacy of Fludarabine, Cyclophosphamide, and Rituximab (FCR) +/- Lumiliximab in Subjects With Previously Untreated Chronic Lymphocytic Leukemia (CLL)

NCT ID: NCT00801060

Last Updated: 2015-10-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-02-29

Study Completion Date

2010-09-30

Brief Summary

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This is a Phase 2, randomized, open-label, multicenter study in subjects with previously untreated CLL. It is designed to evaluate safety and efficacy of fludarabine, cyclophosphamide, rituximab (FCR) and lumiliximab versus FCR alone.

Detailed Description

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See protocol.

Conditions

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Chronic Lymphocytic Leukemia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Treatment Group A

FCR + Lumiliximab (L)

L (Lumiliximab): Day 2 50 mg/m2, Day 4 450 mg/m2, for the first week, then single doses of 500 mg/m2 every four weeks, for 21 weeks.

F (Fludarabine): 25 mg/m2 daily, every four weeks for 21 weeks

C (Cyclophosphamide): 250 mg/m2 daily, every four weeks for 21 weeks

R: (Rituximab): Day 1 50 mg/m2, Day 3 325 mg/m2, for the first week, then single doses of 500 mg/m2 every four weeks, for 21 weeks

Group Type EXPERIMENTAL

Lumiliximab + FCR

Intervention Type DRUG

Dose, schedule, and duration in the protocol

Treatment Group B

FCR

F (Fludarabine): 25 mg/m2 daily, every four weeks for 21 weeks

C (Cyclophosphamide): 250 mg/m2 daily, every four weeks for 21 weeks

R: (Rituximab): Day 1 50 mg/m2, Day 3 325 mg/m2, for the first week, then single doses of 500 mg/m2 every four weeks, for 21 weeks

Group Type ACTIVE_COMPARATOR

FCR

Intervention Type DRUG

Dosage, schedule, and duration in the protocol

Interventions

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Lumiliximab + FCR

Dose, schedule, and duration in the protocol

Intervention Type DRUG

FCR

Dosage, schedule, and duration in the protocol

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age 18 years or older.
* Previously untreated CD23+ and CD20+ B cell CLL.
* Life expectancy \>6 months.
* Subjects with Rai Stage III or IV (Binet Stage C) or Rai Stage I or II (Binet Stage A or B) if determined to have active disease.
* World Health Organization (WHO) Performance Status ≤2.
* Normal ECG with QTc ≤450 msec for men and ≤460 msec for women. PR interval (Print) must be \<240 msec and QRS complex \<110 msec. T wave flattening and T wave inversion will be permitted.
* All male subjects and female subjects of childbearing potential must practice effective contraception during the study and be willing and able to continue contraception for 12 months after their last dose of study treatment.
* Acceptable liver function at Screening.
* Acceptable hematologic status at Screening.
* Acceptable renal function at Screening.
* Subjects receiving any medication known to affect the QTc interval must discontinue the use of the medication or be on a stable dose of the medication for at least 3 months or 5 half-lives (whichever is longer) prior to Study Day 1, and continue (whenever possible) at the same dose throughout the study.

Exclusion Criteria

* Any prior therapy for CLL.
* Known history or positive test result for human immunodeficiency virus.
* Known history of, or positive test result for Hepatitis C virus (test for Hepatitis C virus antibody) or Hepatitis B virus (test for Hepatitis B Surface Antigen and Hepatitis B Core Antibody) at Screening.
* Uncontrolled diabetes mellitus.
* Uncontrolled hypertension.
* Hypokalemia.
* Hypomagnesemia.
* New York Heart Association Class III or IV cardiac disease; myocardial infarction within the past 6 months prior to Study Day 1.
* Arrhythmia (other than sinus arrhythmia) within 30 days prior to Study Day 1.
* Evidence of active myocardial ischemia on ECG.
* Subjects with pacemakers.
* Transformation to aggressive B-cell malignancy.
* Secondary malignancy requiring active treatment.
* Any medical condition that would require long-term use (\>1 month) of systemic corticosteroids during study treatment.
* Any serious nonmalignant disease or laboratory abnormality, which would confound the evaluation of adverse events (AEs).
* Active bacterial, viral, or fungal infections.
* Any known family history of long QT syndrome.
* Seizure disorders requiring anticonvulsant therapy.
* Severe chronic obstructive pulmonary disease with hypoxemia.
* Major surgery, other than diagnostic surgery, within 4 weeks prior to Study Day 1.
* Clinically active autoimmune disease.
* Presence of history of Coombs positive hemolytic anemia.
* Pregnant or currently breastfeeding at Screening.
* Prior exposure to lumiliximab or any other anti CD23 antibody.
* Subjects with known hypersensitivity to Chinese hamster ovary cell proteins, murine proteins, or any component of fludarabine, cyclophosphamide, rituximab, or the lumiliximab investigational treatment.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Biogen

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director

Role: STUDY_DIRECTOR

Biogen

Locations

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University of Florida/Pulmonary, Critical Care & Sleep Medicine

Gainesville, Florida, United States

Site Status

University of Miami Miller School of Medicine

Miami, Florida, United States

Site Status

Research Site

Chicago, Illinois, United States

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University of Chicago

Chicago, Illinois, United States

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Detroit, Michigan, United States

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Dartmouth-Hitchcock Medical Center

Lebanon, New Hampshire, United States

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Hackensack, New Jersey, United States

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Vanderbilt University Medical Center-IPF Program

Nashville, Tennessee, United States

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Seattle, Washington, United States

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Westmead, New South Wales, Australia

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Melbourne (Coburg), Victoria, Australia

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Graz, , Austria

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Vienna, , Austria

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Vienna, , Austria

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Antwerp, , Belgium

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Brussels, , Belgium

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Brussels, , Belgium

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Leuven, , Belgium

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Mont-Godinne, , Belgium

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Roeselare, , Belgium

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Wilrijk, , Belgium

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Ottawa, Ontario, Canada

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Paris, Cedex, France

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Pierre-Bénite, Cedex, France

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Lille, , France

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Montpellier, , France

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Pessac, , France

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Strasbourg, , France

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Tours, , France

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Bialystok, , Poland

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Gdansk, , Poland

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Lodz, , Poland

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Exeter, Devon, United Kingdom

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Plymouth, Devon, United Kingdom

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London, England, United Kingdom

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Bath, Avon, , United Kingdom

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Countries

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United States Australia Austria Belgium Canada France Poland United Kingdom

Other Identifiers

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EUDRACT NO: 2008-002204-25

Identifier Type: -

Identifier Source: secondary_id

152CL202

Identifier Type: -

Identifier Source: org_study_id

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