A Study to Compare Mabthera (Rituximab), Fludarabine and Cyclophosphamide to Mabthera and Chlorambucil in Participants With Chronic Lymphocytic Leukemia and Unfavorable Somatic Status

NCT ID: NCT01283386

Last Updated: 2019-03-14

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

TERMINATED

Clinical Phase

PHASE4

Total Enrollment

26 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-04-27

Study Completion Date

2016-03-16

Brief Summary

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This multi-center, randomized study compared the efficacy and safety of MabThera (rituximab) in combination with either fludarabine and cyclophosphamide or with chlorambucil in participants with previously untreated B-cell chronic lymphocytic leukemia and unfavorable somatic status. Participants were randomized to receive Mabthera (375 mg/m2 intravenously \[IV\] Day 1 of Cycle 1, 500 mg/m2 IV Day 1 Cycles 2-6) with either fludarabine (20 mg/m2 IV or 32 mg/m2 orally Days 1-3) and cyclophosphamide (150 mg/m2 IV or orally Days 1-3) or with chlorambucil (10 mg/m2 orally Days 1-7) for 6 cycles of 28 days. Anticipated time on study treatment was 24 weeks.

Detailed Description

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Conditions

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Lymphocytic Leukemia, Chronic

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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FCR-lite

Rituximab, fludarabine, and cyclophosphamide

Group Type EXPERIMENTAL

Cyclophosphamide

Intervention Type DRUG

150 mg/m\^2 IV or orally on Days 1-3 of each 28-day cycle for 6 cycles

Fludarabine

Intervention Type DRUG

20 mg/m\^2 IV or 32 mg/m2 orally Days 1-3 of each 28-day cycle for 6 cycles

Rituximab

Intervention Type DRUG

375 mg/m2 IV on Day 1 of Cycle 1; 500 mg/m2 IV on Day 1 of Cycles 2-6 (28-day cycles)

LR Therapy

Rituximab and chlorambucile

Group Type ACTIVE_COMPARATOR

Chlorambucil

Intervention Type DRUG

10 mg/m\^2 orally on Days 1-7 of each 28-day cycle for 6 cycles

Rituximab

Intervention Type DRUG

375 mg/m2 IV on Day 1 of Cycle 1; 500 mg/m2 IV on Day 1 of Cycles 2-6 (28-day cycles)

Interventions

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Chlorambucil

10 mg/m\^2 orally on Days 1-7 of each 28-day cycle for 6 cycles

Intervention Type DRUG

Cyclophosphamide

150 mg/m\^2 IV or orally on Days 1-3 of each 28-day cycle for 6 cycles

Intervention Type DRUG

Fludarabine

20 mg/m\^2 IV or 32 mg/m2 orally Days 1-3 of each 28-day cycle for 6 cycles

Intervention Type DRUG

Rituximab

375 mg/m2 IV on Day 1 of Cycle 1; 500 mg/m2 IV on Day 1 of Cycles 2-6 (28-day cycles)

Intervention Type DRUG

Other Intervention Names

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MabThera

Eligibility Criteria

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Inclusion Criteria

* Adult patients, 60-70 or \>70 years of age
* Cumulative Illness Rating Scale (CIRS) comorbidity score \>/=7 if patient is 60-70 years old
* Previously untreated B-cell chronic lymphocytic leukemia
* Binet stage B, C or A with progression
* ECOG performance status 0-2

Exclusion Criteria

* Small-cell lymphoma
* Autoimmune hemolytic anemia
* Concomitant malignant disease during enrollment, except for basal cell carcinoma of the skin
* Chemotherapy for concomitant malignant disease within 12 months prior to study enrollment
* Richter's syndrome
Minimum Eligible Age

60 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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The order of Honour pin Irkutsk regional clinical hospital; Hematology Department

Irkutsk, , Russia

Site Status

Kemerovo Regional Clinical Hospital

Kemerovo, , Russia

Site Status

N.N.Blokhin Russian Cancer Research Center; Dept. of Chemotherapy & Hemoblastosis

Moscow, , Russia

Site Status

City Clinical Botkin's Hospital; City Hematological Center

Moscow, , Russia

Site Status

Saint-Petersburg SHI City Clinical Hospital #31

Saint Petersburg, , Russia

Site Status

City Clinical Hospital #15; Hematology department

Saint Petersburg, , Russia

Site Status

GUZ Tula Regioanal Clinical Hospital; Hematology

Tula, , Russia

Site Status

Republican clinical hospital named after G.G. Kuvatov

Ufa, , Russia

Site Status

Countries

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Russia

Other Identifiers

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ML25137

Identifier Type: -

Identifier Source: org_study_id

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