Trial Outcomes & Findings for Phase II Protocol for CLL With Fludarabine and Cyclophosphamide With Rituximab (FCR) Plus Lenalidomide (NCT NCT01723839)

NCT ID: NCT01723839

Last Updated: 2022-10-10

Results Overview

Analysis of the Primary Endpoint: The complete responses will be estimated by the number of patients with CR divided by the total number of evaluable patients.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

21 participants

Primary outcome timeframe

28 day cycle, up to 4 cycles

Results posted on

2022-10-10

Participant Flow

Participant milestones

Participant milestones
Measure
FCR With Lenalidomide
Fludarabine, Cyclophosphamide, Rituximab, Lenalidomide - 19 subjects are treated in stage-1 with FCR plus 5mg lenalidomide increasing to 10mg and 15mg in subsequent cycles depending on toxicity. If there are at least 5 CRs after 4 cycles of FCR plus lenalidomide the study will accrue an additional 35 subjects. Fludarabine, Cyclophosphamide, Rituximab, Lenalidomide: 19 subjects are treated in stage-1 with FCR plus 5mg lenalidomide increasing to 10mg and 15mg in subsequent cycles depending on toxicity.
Overall Study
STARTED
21
Overall Study
COMPLETED
12
Overall Study
NOT COMPLETED
9

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Phase II Protocol for CLL With Fludarabine and Cyclophosphamide With Rituximab (FCR) Plus Lenalidomide

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
FCR With Lenalidomide
n=21 Participants
Fludarabine, Cyclophosphamide, Rituximab, Lenalidomide - 19 subjects are treated in stage-1 with FCR plus 5mg lenalidomide increasing to 10mg and 15mg in subsequent cycles depending on toxicity. If there are at least 5 CRs after 4 cycles of FCR plus lenalidomide the study will accrue an additional 35 subjects. Fludarabine, Cyclophosphamide, Rituximab, Lenalidomide: 19 subjects are treated in stage-1 with FCR plus 5mg lenalidomide increasing to 10mg and 15mg in subsequent cycles depending on toxicity.
Age, Continuous
62.5 years
n=5 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
Sex: Female, Male
Male
12 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
21 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
2 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
18 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
Region of Enrollment
United States
21 participants
n=5 Participants

PRIMARY outcome

Timeframe: 28 day cycle, up to 4 cycles

Population: Of the 21 were enrolled, 20 were eligible for response evaluation.

Analysis of the Primary Endpoint: The complete responses will be estimated by the number of patients with CR divided by the total number of evaluable patients.

Outcome measures

Outcome measures
Measure
FCR With Lenalidomide
n=20 Participants
Fludarabine, Cyclophosphamide, Rituximab, Lenalidomide - 19 subjects are treated in stage-1 with FCR plus 5mg lenalidomide increasing to 10mg and 15mg in subsequent cycles depending on toxicity. If there are at least 5 CRs after 4 cycles of FCR plus lenalidomide the study will accrue an additional 35 subjects. Fludarabine, Cyclophosphamide, Rituximab, Lenalidomide: 19 subjects are treated in stage-1 with FCR plus 5mg lenalidomide increasing to 10mg and 15mg in subsequent cycles depending on toxicity.
Complete Response
45 Percentage of Participants

SECONDARY outcome

Timeframe: 28 day cycle, up to 6 cycles

Population: Of the 21 were enrolled, 20 were eligible for response evaluation.

Analysis of the other Secondary Endpoints: The overall response rate will be estimated by the number of patients with complete and partial responses divided by the total number of evaluable patients.

Outcome measures

Outcome measures
Measure
FCR With Lenalidomide
n=20 Participants
Fludarabine, Cyclophosphamide, Rituximab, Lenalidomide - 19 subjects are treated in stage-1 with FCR plus 5mg lenalidomide increasing to 10mg and 15mg in subsequent cycles depending on toxicity. If there are at least 5 CRs after 4 cycles of FCR plus lenalidomide the study will accrue an additional 35 subjects. Fludarabine, Cyclophosphamide, Rituximab, Lenalidomide: 19 subjects are treated in stage-1 with FCR plus 5mg lenalidomide increasing to 10mg and 15mg in subsequent cycles depending on toxicity.
Overall Response Rate
95 Percentage of Participants

Adverse Events

FCR With Lenalidomide

Serious events: 9 serious events
Other events: 19 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
FCR With Lenalidomide
n=21 participants at risk
Fludarabine, Cyclophosphamide, Rituximab, Lenalidomide - 19 subjects are treated in stage-1 with FCR plus 5mg lenalidomide increasing to 10mg and 15mg in subsequent cycles depending on toxicity. If there are at least 5 CRs after 4 cycles of FCR plus lenalidomide the study will accrue an additional 35 subjects. Fludarabine, Cyclophosphamide, Rituximab, Lenalidomide: 19 subjects are treated in stage-1 with FCR plus 5mg lenalidomide increasing to 10mg and 15mg in subsequent cycles depending on toxicity.
Skin and subcutaneous tissue disorders
Maculopapular Rash
4.8%
1/21 • Number of events 1 • From study enrollment to end of treatment, up to 18 months
General disorders
Fever
4.8%
1/21 • Number of events 1 • From study enrollment to end of treatment, up to 18 months
Blood and lymphatic system disorders
Neutropenic Fever
14.3%
3/21 • Number of events 3 • From study enrollment to end of treatment, up to 18 months
Skin and subcutaneous tissue disorders
Rash
4.8%
1/21 • Number of events 1 • From study enrollment to end of treatment, up to 18 months
Nervous system disorders
Seizure
4.8%
1/21 • Number of events 1 • From study enrollment to end of treatment, up to 18 months
Respiratory, thoracic and mediastinal disorders
Upper Respiratory Infection
4.8%
1/21 • Number of events 1 • From study enrollment to end of treatment, up to 18 months
General disorders
Bilateral Leg Weakness
4.8%
1/21 • Number of events 1 • From study enrollment to end of treatment, up to 18 months

Other adverse events

Other adverse events
Measure
FCR With Lenalidomide
n=21 participants at risk
Fludarabine, Cyclophosphamide, Rituximab, Lenalidomide - 19 subjects are treated in stage-1 with FCR plus 5mg lenalidomide increasing to 10mg and 15mg in subsequent cycles depending on toxicity. If there are at least 5 CRs after 4 cycles of FCR plus lenalidomide the study will accrue an additional 35 subjects. Fludarabine, Cyclophosphamide, Rituximab, Lenalidomide: 19 subjects are treated in stage-1 with FCR plus 5mg lenalidomide increasing to 10mg and 15mg in subsequent cycles depending on toxicity.
Blood and lymphatic system disorders
Leukopenia
61.9%
13/21 • Number of events 13 • From study enrollment to end of treatment, up to 18 months
Blood and lymphatic system disorders
Anemia
4.8%
1/21 • Number of events 1 • From study enrollment to end of treatment, up to 18 months
Blood and lymphatic system disorders
Neutropenia
90.5%
19/21 • Number of events 33 • From study enrollment to end of treatment, up to 18 months
Blood and lymphatic system disorders
Hyperglycemia
14.3%
3/21 • Number of events 3 • From study enrollment to end of treatment, up to 18 months
Blood and lymphatic system disorders
Thrombocytopenia
4.8%
1/21 • Number of events 1 • From study enrollment to end of treatment, up to 18 months
Blood and lymphatic system disorders
Infusion Reaction
4.8%
1/21 • Number of events 1 • From study enrollment to end of treatment, up to 18 months
Infections and infestations
Bacteremia
4.8%
1/21 • Number of events 1 • From study enrollment to end of treatment, up to 18 months
Skin and subcutaneous tissue disorders
Pustular Rash
4.8%
1/21 • Number of events 1 • From study enrollment to end of treatment, up to 18 months

Additional Information

Joshua Zenreich

John Theurer Cancer Center at Hackensack Meridian Health

Phone: 551-996-4248

Results disclosure agreements

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