FCR Versus FC Alone in the Treatment of Chronic Lymphocytic Leukemia (CLL) in Relapsed Patients
Chronic Lymphocytic Leukemia
About this trial
This is an interventional treatment trial for Chronic Lymphocytic Leukemia
Eligibility Criteria
Inclusion Criteria: Age ≥18 years Established diagnosis of B-cell CLL by NCI Working Group criteria ≤1 previous line of chemotherapy Expected survival >6 months Acceptable hematologic status, liver function, renal function, and pulmonary function Negative serum pregnancy test for both pre-menopausal women and for women who are < 2 years after the onset of menopause Written informed consent Exclusion Criteria: Prior treatment with interferon, rituximab or other monoclonal antibody Prior allogeneic bone marrow transplant (BMT) or autologous BMT or peripheral stem cell transplant (PBSCT) or patients who are considered to be candidates for allogeneic or autologous BMT or PSCT as assessed by their treating physician Fertile men or women of childbearing potential not using adequate contraception Severe Grade 3 or 4 non-hematological toxicity or prolonged (> 2 weeks) Grade 3 or 4 cytopenia on prior fludarabine or nucleoside analogue regimen History of fludarabine-induced or clinically significant autoimmune cytopenia History of other malignancies within 2 years prior to study entry, except for adequately treated carcinoma in situ of the cervix; basal or squamous cell skin cancer; low-grade early stage localized prostate cancer treated surgically with curative intent; good prognosis ductal carcinoma in situ (DCIS) of the breast treated with lumpectomy alone with curative intent. Medical conditions requiring long term use (> 1 month) of systemic corticosteroids Active bacterial, viral, or fungal infection requiring systemic therapy Severe cardiac disease Seizure disorders requiring anticonvulsant therapy Severe chronic obstructive pulmonary disease with hypoxemia Uncontrolled diabetes mellitus or hypertension Transformation to aggressive B-cell malignancy. Known infection with HIV, HCV, or hepatitis B Treatment with any other investigational agent, or participation in another clinical trial within 30 days prior to entering this study Known hypersensitivity or anaphylactic reactions to murine antibodies or proteins Any co-existing medical or psychological condition that would preclude participation in the study or compromise ability to give informed consent
Sites / Locations
- Uab Comprehensive Cancer Center
- Pacific Coast Hematology/Oncology Medical Group
- California Cancer Center Woodward Park; Community Medical Centers
- Rush-Presbyterian St. Luke'S Medical Center
- Duke University Medical Center
- Milton S. Hershey Medical Center; Penn State Cancer Inst.
- Concord Repatriation General Hospital; Haematology
- Mater Hospital; Division of Cancer Services
- Frankston Hospital; Oncology/Haematology
- Peter Maccallum Cancer Institute; Medical Oncology
- ZNA Stuivenberg
- Institut Jules Bordet
- UZ Leuven Gasthuisberg
- Uni of Alberta Hospital
- BCCA-Vancouver Cancer Centre
- Health Science Centre
- QEII HSC; Oncology
- Hamilton Health Sciences - Juravinski Cancer Centre; Hematology
- The Ottawa Regional Hospital - General Campus; Division of Hematology, Box 704
- Sunnybrook Odette Cancer Centre
- University Health Network; Princess Margaret Hospital; Medical Oncology Dept
- Mcgill University - Royal Victoria Hospital; Oncology
- Righospitalet, Hæmatologisk Klinik
- Aarhus Universitetshospital, Hæmatologisk Afdeling R
- Hopital Avicenne; Hematologie Biologique
- Hopital Clemenceau; Hematologie Clinique
- Chu Estaing; Hematologie Clinique Adultes
- Hopital Henri Mondor; Hematologie Clinique
- Clinique Victor Hugo; Chimiotherapie
- Hopital Claude Huriez; Hematologie
- Hopital Edouard Herriot; Bat.E-Hematologie
- Centre Leon Berard; Departement Oncologie Medicale
- Institut J Paolii Calmettes; Onco Hematologie 1
- Hôpital Lapeyronie; Hématologie Oncologie Médicale
- Hopital Hotel Dieu Et Hme;Hopital De Jour
- Hotel Dieu; Hematologie- Oncologie
- Inserm Cic 9504
- Hopital Pitie Salpetriere; Hematologie Clinique
- Ch Lyon Sud; Hemato Secteur Jules Courmont
- Chu La Miletrie; Hdj Cons Hemato Cancerologie
- Centre Henri Becquerel; Hematologie
- Hopital Bretonneau; Clinique D'Oncologie & de Radiotherapie
- Hopitaux De Brabois; Hematologie Medecine Interne
- Szent Laszlo Hospital; Hematology Dept
- National Institute of Oncology, A Dept of Internal Medicine
- Országos Gyógyintézeti Központ; Haematologiai Osztaly
- Uni of Debrecen; 2Nd Clinic of Internal Medicine
- University of Debrecen Medical and Health Science Center, Institute of Internal Medicine, Hematology
- Uni of Pecs; Dept of Internal Medicine
- University of Szeged, II Dept of Internal Medicine
- A.O. Universitaria Federico II Di Napoli; Oncologia Ed Endocrinologia Clinica
- A.O. Universitaria Policlinico S.Orsola-Malpighi Di Bologna
- Ospedale S. Eugenio; Divisione Di Ematologia
- Az. Osp. S. Camillo Forlanini; Uo Ematologia E Trapianti Di Midollo Osseo
- Universita' Degli Studi La Sapienza-Ist.Di Ematologia;Dip. Biotecnologie Cel CELLULARI ED EMATOLOGIA
- Asst Grande Ospedale Metropolitano Niguarda; Dipartimento Di Ematologia Ed Oncologia
- Irccs Policlinico San Matteo; Divisione Di Ematologia
- Uni Degli Studi Di Bari, Policlinico; Cattedra Di Ematologia,Dipart. Di Medicina Interna E Publica
- IRCCS Ospedale Casa Sollievo Della Sofferenza; Ematologia E Trapianto Di Midollo Osseo
- Ospedale Di Vicenza; Nefrologia, Ematologia
- Meander Mc, Locatie Lichtenberg; Dept of Lung Diseases
- Academisch Medisch Centrum Universiteit Amsterdam
- Leyenburg Ziekenhuis; Haematology
- Erasmus Mc - Daniel Den Hoed Kliniek; Medical Oncology
- Auckland city hospital; Auckland Regional Cancer Centre and Blood Service
- Christchurch Hospital; Canterbury Health Laboratories
- Wellington Hospital; Regional Oncology Unit
- Haukeland Universitetshospital; Medicine Dept
- Rikshospitalet Uni Hospital
- Medical University School; Dept. of Haematology
- Katedra i Klinika Hematoonkologii i Transplantacji Szpiku; Uniwersytetu Medycznego w Lublinie
- Akademii Medycznej W; Klinika Hematologii
- Klin. Chorob Wewnetrznych I Hemat. Z Osrodkiem Transplant. Szpiku
- Instytut Hematologii I Transfuzjologii; Klinika Chorob Wewnetrznych I Hematologii
- Samodzielny Publiczny Centralny Szpital Kliniczny; Haematology Dept.
- Fundeni Clinical Inst. ; Hematology Dept
- Spitalul Clinic Coltea; Clinica de Hematologie
- Spitalul Clinic Judetean de Urgenta Targu-Mures; compartiment Hematologie
- Spitalul Clinic municipal de Urgenta Timisoara; Clinica de Hematologie
- N.N.Blokhin Russian Cancer Research Center; Dept. of Chemotherapy & Hemoblastosis
- Haematology Research Center; Haematology
- City Clinical Botkin's Hospital; City Hematological Center
- Medical Radiological Research Centre Rams; Dept. of Radiotherapy & Chemotherapy of Hemoblastosis
- Regional Clinical Hospital N.A. Kalinin; Hematology Dept
- Research Inst. Hematology /Blood Transfusion ; Hemablastosis, Supression Hemopoesis & B M Transplant
- Regional Clinical Hospital; Hematology Dept. #2 For B M Transplantation & High Dose Chemo.
- Pavlov State Medical Uni ; Bone Marrow Transplantation Clinic
- S.-Peterburg Pavlov State Medical University ; Haematology
- State Medical Inst. Municipal Hospital #31; Oncology & Hematology Dept. With the Usechemo. in Adult
- Hospital Universitario de la Princesa; Servicio de Hematologia
- Hospital Univ. 12 de Octubre; Servicio de Hematologia
- Hospital Clinico Universitario de Salamanca;Servicio de Hematologia
- Hospital Clinico Universitario de Valencia; Servicio de Onco-hematologia
- Hospital Universitario Miguel Servet; Servicio Hematologia
- Karolinska Inst. , Huddinge Uni Hospital; Depart. of Hematology
- Universitetssjukhuset i Linköping, Hematologkliniken
- Royal Bournemouth General Hospital; Haematology
- Addenbrookes Hospital; Haematology
- Stobhill Hospital; Dept of Haematology
- Leeds General Infirmary; Medicine
- Leicester Royal Infirmary; Dept of Haematology
- Royal Liverpool Uni Hospital; Haematology
- St. Bartholomew'S Hospital; Dept of Medical Oncology
- King'S College Hospital; Haematology
- Royal Marsden Hospital; Academic Dept of Haematology
- Pinderfields General Hospital; Dept of Haematology
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
Fludarabine+Cyclophosphamide (FC)
Fludarabine+Cyclophosphamide+Rituximab (FCR)