Status:

UNKNOWN

Bendamustine and Rituximab (BR) as Induction and Maintenance in Relapsed and Refractory Chronic Lymphocytic Leukemia

Lead Sponsor:

Pirogov Russian National Research Medical University

Conditions:

Chronic Lymphocytic Leukemia

Eligibility:

All Genders

18+ years

Brief Summary

CLL is an incurable disease with conventional chemotherapy. In the absence of TP53 disruption, a chemoimmunotherapy (CIT) regimen is recommended as front-line and second-line treatment in those patien...

Eligibility Criteria

Inclusion

  • Confirmed diagnosis of CD20-positive CLL that meets the iwCLL criteria (Hallek et al, 2008).
  • Relapsed or refractory status of disease after at least one prior chemotherapy regimen.
  • ECOG performance status of 0-2 at study entry
  • Patients have not received prior therapy with bendamustine
  • Prior therapy with rituximab is permitted, even in the setting of rituximab refractory disease.
  • For inclusion in the research part of maintenance therapy (phase B):
  • At least a partial response (PR or better; Hallek et al, 2008) must be achieved after induction of BR (phase A)

Exclusion

  • Any serious medical condition, laboratory abnormality, or psychiatric illness that would prevent the subject from signing the informed consent document or complying with the protocol treatment.
  • Pregnant or breast-feeding females.
  • Known to be positive for human immunodeficiency virus (HIV) or infectious hepatitis (type B or C).
  • Patients are not eligible if there is a prior history or current evidence of central nervous system or leptomeningeal involvement.
  • Richter syndrome or chronic prolymphocytic leukemia.
  • Uncontrolled autoimmune hemolytic anemia or thrombocytopenia.
  • Concurrent use of other anti-cancer agents or treatments.
  • Laboratory test results within these ranges: ANC ≤ 1000/μL, Platelet count ≤ 75,000/μL.
  • Total bilirubin Total bilirubin ≥ 2X upper limit laboratory normal (ULN). Patients with non-clinically significant elevations of bilirubin due to Gilbert's disease are not required to meet these criteria.
  • Serum transaminases AST (SGOT) and ALT (SGPT) ≥ 3 x ULN, and/or serum alkaline phosphatase ≥ 5 X ULN.
  • New York Heart Association class 3-4 heart failure.

Key Trial Info

Start Date :

December 3 2013

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

December 3 2020

Estimated Enrollment :

112 Patients enrolled

Trial Details

Trial ID

NCT03847727

Start Date

December 3 2013

End Date

December 3 2020

Last Update

January 18 2020

Active Locations (1)

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1

Semochkin Sergey

Moscow, Ostrovitianov Str. 1, Russia, 117997