A Study of MabThera/Rituxan (Rituximab) in Combination With Fludarabine And Cyclophosphamide as Primary Therapy in Elderly Patients With Chronic Lymphocytic Leukemia

NCT ID: NCT01263704

Last Updated: 2018-04-23

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

42 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-07-17

Study Completion Date

2017-04-03

Brief Summary

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This single arm, open-label study will assess the safety and efficacy of low dose fludarabine and cyclophosphamide in combination with standard dose MabThera/Rituxan (rituximab) as primary therapy in elderly patients (\>/= 65 years) with chronic lymphocytic leukemia. Patients will receive six 28-day cycles of treatment with Mabthera/Rituxan (375 mg/m2 intravenously \[iv\] Day 0 of cycle 1, 500 mg/m2 iv Day 1 of cycles 2-6), fludarabine (12.5 mg/m2/d iv Days 1-3, cycles 1-6) and cyclophosphamide (150 mg/m2/d iv Days 1-3, cycles 1-6). Anticipated time on study treatment is 6 months, with a 30-month follow-up period.

Detailed Description

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Conditions

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Lymphocytic Leukemia, Chronic

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Rituximab plus Fludarabine and Cyclophosphamide

Elderly participants with chronic lymphocytic leukemia (CLL) will receive combination treatment with low-dose fludarabine and cyclophosphamide combined with standard-dose of rituximab for 6 months. Treatment is followed by a follow up period of 36 months.

Group Type EXPERIMENTAL

Cyclophosphamide

Intervention Type DRUG

150 milligrams per square meter (mg/m\^2) intravenously (IV) on Days 1-3 of each 28-day cycle for 6 cycles

Fludarabine

Intervention Type DRUG

12.5 mg/m\^2 IV on Days 1-3 of every 28-day cycle for 6 cycles

Rituximab

Intervention Type DRUG

375 mg/m\^2 IV Day 0 of Cycle 1, 500 mg/m\^2 IV Day 1 of Cycles 2-6. Each cycle was 28 days.

Interventions

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Cyclophosphamide

150 milligrams per square meter (mg/m\^2) intravenously (IV) on Days 1-3 of each 28-day cycle for 6 cycles

Intervention Type DRUG

Fludarabine

12.5 mg/m\^2 IV on Days 1-3 of every 28-day cycle for 6 cycles

Intervention Type DRUG

Rituximab

375 mg/m\^2 IV Day 0 of Cycle 1, 500 mg/m\^2 IV Day 1 of Cycles 2-6. Each cycle was 28 days.

Intervention Type DRUG

Other Intervention Names

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MabThera/Rituxan

Eligibility Criteria

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Inclusion Criteria

* Adult patients, \>/= 65 years of age
* Previously untreated B-cell chronic lymphocytic leukemia (CLL)
* Binet stage C or active Binet stage A and B disease

Exclusion Criteria

* Prior treatment for CLL
* CLL with transformation (Richter's syndrome)
* Suspected or known central nervous system (CNS) involvement of CLL
* Impaired renal or hepatic function
* Human Immunodeficiency Virus (HIV) positivity, active hepatitis B/C or Hepatitis B Virus (HBV) surface antigen positive, or any active or uncontrolled infections
* Patients with anti-HBV core antibodies (past infection with HBV) but who are negative for Hepatitis B Virus Surface Antigen (HBVsAg) (either anti-HBS Ab positive or negative) and are positive for HBV- Deoxyribonucleic acid (DNA) by Polymerase chain reaction (PCR) analysis
* Concomitant diseases requiring chronic steroid administration
* Active second malignancy within the 2 years prior to study (except for non-melanoma skin cancer and in situ cervix or breast or prostate carcinoma)
* Eastern Cooperative Oncology Group (ECOG) performance status \>/= 3
Minimum Eligible Age

65 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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Haemek Medical Center; Hematology Department

Afula, , Israel

Site Status

Soroka Medical Center; Hematology Deptartment

Beersheba, , Israel

Site Status

Rambam Medical Center; Heamatology & Bone Marrow Transplantation

Haifa, , Israel

Site Status

Bnei-Zion Medical Center; Hematology Dept

Haifa, , Israel

Site Status

Shaare Zedek Medical Center; Hematology Dept.

Jerusalem, , Israel

Site Status

Hadassah Ein Karem Hospital; Haematology

Jerusalem, , Israel

Site Status

Meir Medical Center; Internal Dept A

Kfar Saba, , Israel

Site Status

Western Galilee Hospital - Nahariya

Nahariya, , Israel

Site Status

Beilinson Medical Center; Haematology

Petah Tikva, , Israel

Site Status

Kaplan Medical Center

Rehovot, , Israel

Site Status

ASSAF Harofe; Department of Hematology

Rishon LeZiyyon, , Israel

Site Status

Ichilov Sourasky Medical Center; Heamatology

Tel Aviv, , Israel

Site Status

Countries

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Israel

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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ML25464

Identifier Type: -

Identifier Source: org_study_id

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