Status:
TERMINATED
A Study of Idelalisib and Rituximab in Elderly Patients With Untreated CLL or SLL
Lead Sponsor:
Gilead Sciences
Conditions:
Chronic Lymphocytic Leukemia (CLL)
Small Lymphocytic Lymphoma (SLL)
Eligibility:
All Genders
65+ years
Phase:
PHASE2
Brief Summary
This study is to evaluate the safety and clinical activity of idelalisib alone and in combination with rituximab in patients with CLL or SLL. This Phase 2 study will be the first time that idelalisib...
Eligibility Criteria
Inclusion
- Key
- Histologically or cytologically confirmed CLL or SLL.
- Age ≥ 65
- Presence of measurable lymphadenopathy (defined as the presence of ≥1 nodal lesion that measures ≥ 1.5 cm in the longest diameter (LD) and ≥ 1.0 cm in the longest perpendicular diameter (LPD) as assessed by physical exam, computed tomography (CT) or magnetic resonance imaging (MRI)).
- CLL - Binet Stage C or Rai Stage III or IV or has active disease defined by meeting at least one of the following criteria:
- Evidence of progressive marrow failure as manifested by the development of, or worsening of, anemia and/or thrombocytopenia
- Massive (ie, \> 6 cm below the left costal margin) or progressive or symptomatic splenomegaly
- Massive nodes (ie, \> 10 cm in longest diameter) or progressive or symptomatic lymphadenopathy
- Progressive lymphocytosis with an increase of more than 50% over a 2-month period or lymphocyte doubling time of less than 6 months
- Autoimmune anemia and/or thrombocytopenia poorly responsive to corticosteroids or other standard therapy
- At least one of the following disease-related symptoms:
- Unintentional weight loss ≥ 10% within the previous 6 months
- Significant fatigue
- Fevers \> 100.4 F for ≥ 2 weeks without other evidence of infection
- Night sweats for ≥ 1 month without evidence of infection
- SLL - has active disease as defined above for CLL, except the lymphocytosis criterion does not apply
- World Health Organization (WHO) Performance Status of ≤ 2
- For men of child-bearing potential, willing to use adequate methods of contraception for the entire duration of the study
- Able to provide written informed consent
- Key
Exclusion
- Prior therapy for CLL or SLL, except corticosteroids for symptom relief
- Treatment with a short course of corticosteroids for symptom relief within 1-week prior to Visit 1
- Known active central nervous system involvement of the malignancy
- Ongoing active, serious infection requiring systemic therapy. Patients may be receiving prophylactic antibiotics and antiviral therapy at the discretion of the treating physician.
- Serum creatinine ≥ 2.0 mg/dL
- Serum bilirubin ≥ 2 mg/dL (unless due to Gilbert's syndrome) or serum transaminases (ie, aspartate aminotransferase (AST), alanine aminotransferase (ALT)) ≥ 2 x upper limit of normal
- Positive test for human immunodeficiency virus (HIV) antibodies
- Active hepatitis B or C (confirmed by ribonucleic acid (RNA) test). Patients with serologic evidence of prior exposure are eligible.
- History of a non-CLL malignancy except for the following: adequately treated local basal cell or squamous cell carcinoma of the skin, cervical carcinoma in situ, superficial bladder cancer, asymptomatic prostate cancer without known metastatic disease and with no requirement for therapy or requiring only hormonal therapy and with normal prostate-specific antigen for ≥ 1 year prior to study entry, other adequately treated Stage 1 or 2 cancer currently in complete remission, or any other cancer that has been in complete remission for ≥ 5 years.
- Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Key Trial Info
Start Date :
October 1 2010
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
June 1 2016
Estimated Enrollment :
105 Patients enrolled
Trial Details
Trial ID
NCT01203930
Start Date
October 1 2010
End Date
June 1 2016
Last Update
November 16 2018
Active Locations (6)
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1
University of California, San Diego, Moores Cancer Center
La Jolla, California, United States, 92093-0820
2
Stanford University School of Medicine
Stanford, California, United States, 94304
3
Columbia University - Herbert Irving Pavilion
New York, New York, United States, 10032
4
Memorial Sloan Kettering Cancer Center
New York, New York, United States, 10065