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NCT01013961

Rituximab and Alemtuzumab in Treating Older Patients With Progressive Chronic Lymphocytic Leukemia

Terminated Phase 2 Results posted Last updated 28 June 2023
What this trial tests

Phase 2 trial testing alemtuzumab in Chronic Lymphocytic Leukemia in 31 participants. Terminated before completion.

Timeline
27 April 2011
Primary endpoint
14 April 2015
14 April 2015

Quick facts

Lead sponsorECOG-ACRIN Cancer Research Group
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment31
Start date27 April 2011
Primary completion14 April 2015
Estimated completion14 April 2015
Sites102 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

ECOG-ACRIN Cancer Research Group

Who can join

65 and older, any sex, with Chronic Lymphocytic Leukemia. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Proportion of Patients With Complete Response (CR) Primary · Assessed after 2 cycles of treatment and 2 months after completion of therapy

Response was evaluated using NCI-WG96 criteria. A CR requires all of the following for \>= 2 months: * Absence of lymphadenopathy \> 1 cm in diameter by physical examination * No hepatomegaly or splenomegaly on physical exam * No constitutional symptoms * Normal complete blood count (CBC) * Patients achieving a clinical CR with negative CT scan after 2 cycles of therapy are re-evaluated using immunohistochemical examination of bone marrow biopsy for residual CLL cells. Patients with no evidence of residual disease and no radiological evidence of residual CLL on CT scan of chest-abdomen-pelvi

GroupValue95% CI
Arm A (Standard Dose)0.50.247 – 0.753
Arm B (Low Dose)0.40.163 – 0.677
Proportion of Patients With Overall Response (OR) Primary · Assessed after 2 cycles of treatment and 2 months after completion of therapy

OR is defined as either CR, clinical CR, or partial response (PR) evaluated by NCI-WG96 criteria. CR has been defined in the other primary endpoint. A clinical CR requires all of the following: * Absence of lymphadenopathy by physical examination * No hepatomegaly or splenomegaly. Spleen and/or liver, if considered enlarged at baseline, should not be palpable, due to disease, on physical exam * Absence of constitutional symptoms * Normal CBC as exhibited by: A PR requires all the following for ≥2 months: * ≥50% decrease in peripheral blood lymphocyte count from baseline * ≥50% reduction in

GroupValue95% CI
Arm A (Standard Dose)0.8750.617 – 0.985
Arm B (Low Dose)0.9330.681 – 0.998
Overall Survival (OS) Secondary · Assessed after 2 cycles of treatment, 2 months after completion of therapy and then yearly up to 5 years

OS is defined to be time from randomization to death from any cause. Those still alive are censored at the date of last contact.

GroupValue95% CI
Arm A (Standard Dose)NA22.3 – NA
Arm B (Low Dose)NA32.8 – NA
Progression-free Survival (PFS) Secondary · Assessed after 2 cycles of treatment, 2 months after completion of therapy and then yearly up to 5 years

PFS is defined to be time from randomization to progression (PD) or to death without documentation of progression. For patients without PD, follow-up is censored at the date of last disease assessment without PD, unless death occurs within three months following the date last known progression free. PD is characterized by at least one of the following: * ≥50% increase in the sum of the products of at least 2 lymph nodes on 2 consecutive examinations 2 weeks apart (at least 1 node must be \>2 cm). Appearance of new palpable lymph nodes (\>1 cm in diameter). * ≥50% increase in the size of live

GroupValue95% CI
Arm A (Standard Dose)12.811.7 – NA
Arm B (Low Dose)23.314.8 – NA
Time to Response Secondary · Assessed after 2 cycles of treatment, 2 months after completion of therapy and then yearly up to 5 years

Time to response is defined to be time from randomization to first confirmed CR, PR or clinical CR. Those without confirmed CR, PR or clinical CR are censored at the date of last disease assessment.

GroupValue95% CI
Arm A (Standard Dose)4.84.6 – 5.7
Arm B (Low Dose)4.72.7 – 6.5
Duration of Response Secondary · Assessed after 2 cycles of treatment, 2 months after completion of therapy and then yearly up to 5 years

Duration of response is defined to be time from first confirmed CR, PR or clinical CR to progression or to death without documentation of progression. Patients without confirmed CR, PR or clinical CR are censored at time 0. Those without documentation of progression are censored at the date of last disease assessment without progression, unless death occurs within three months following the date last known progression free.

GroupValue95% CI
Arm A (Standard Dose)9.87.7 – NA
Arm B (Low Dose)16.810.1 – NA

Adverse events — posted to ClinicalTrials.gov

Time frame: Assessed every 4 weeks while on treatment and for 30 days after the end of treatment. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Arm A (Standard Dose)
Serious: 16/16 (100%)
Deaths:
Arm B (Low Dose)
Serious: 15/15 (100%)
Deaths:

Serious adverse events (18 terms)

ReactionSystemArm A (Standard Dose)Arm B (Low Dose)
Lymphocyte count decreasedInvestigations
Neutrophil count decreasedInvestigations
White blood cell decreasedInvestigations
Lymphocyte count increasedInvestigations
Platelet count decreasedInvestigations
Febrile neutropeniaBlood and lymphatic system disorders
FatigueGeneral disorders
Rash maculo-papularSkin and subcutaneous tissue disorders
AnemiaBlood and lymphatic system disorders
Mucositis oralGastrointestinal disorders
Serum sicknessImmune system disorders
Lung infectionInfections and infestations
Tooth infectionInfections and infestations
Lipase increasedInvestigations
Weight lossInvestigations
Investigations - Other, specifyInvestigations
HyponatremiaMetabolism and nutrition disorders
Nervous system disorders - OtherNervous system disorders
Other adverse events (44 terms — click to expand)

ReactionSystemArm A (Standard Dose)Arm B (Low Dose)
AnemiaBlood and lymphatic system disorders
White blood cell decreasedInvestigations
Lymphocyte count decreasedInvestigations
Platelet count decreasedInvestigations
Neutrophil count decreasedInvestigations
FatigueGeneral disorders
Lymphocyte count increasedInvestigations
Infections and infestations - OtherInfections and infestations
ChillsGeneral disorders
FeverGeneral disorders
Rash maculo-papularSkin and subcutaneous tissue disorders
NauseaGastrointestinal disorders
AnorexiaMetabolism and nutrition disorders
Injection site reactionGeneral disorders
Mucositis oralGastrointestinal disorders
VomitingGastrointestinal disorders
Pain in extremityMusculoskeletal and connective tissue disorders
Atrial fibrillationCardiac disorders
MalaiseGeneral disorders
Allergic reactionImmune system disorders
Bladder infectionInfections and infestations
Mucosal infectionInfections and infestations
SinusitisInfections and infestations
Urinary tract infectionInfections and infestations
Alanine aminotransferase increasedInvestigations
Aspartate aminotransferase increasedInvestigations
Blood bilirubin increasedInvestigations
CD4 lymphocytes decreasedInvestigations
Creatinine increasedInvestigations
Weight lossInvestigations
HyperglycemiaMetabolism and nutrition disorders
HypoalbuminemiaMetabolism and nutrition disorders
Generalized muscle weaknessMusculoskeletal and connective tissue disorders
MyalgiaMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
DysgeusiaNervous system disorders
HeadacheNervous system disorders
PresyncopeNervous system disorders
TremorNervous system disorders
ConfusionPsychiatric disorders

Most-reported serious reactions: Lymphocyte count decreased, Neutrophil count decreased, White blood cell decreased, Lymphocyte count increased, Platelet count decreased, Febrile neutropenia, Fatigue, Rash maculo-papular.

Data from ClinicalTrials.gov NCT01013961 adverse events section.

Sponsor's own description

RATIONALE: Monoclonal antibodies, such as rituximab and alemtuzumab, can block cancer growth in different ways. Some block the ability of cancer cells to grow and spread. Others find cancer cells and help kill them or carry cancer killing substances to them. Giving rituximab together with alemtuzumab may kill more cancer cells. PURPOSE: This randomized phase II trial is studying two different doses of rituximab to compare how well they work when given together with alemtuzumab in treating older patients with progressive chronic lymphocytic leukemia.

Publications & conference data

3 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Rituximab, ofatumumab and other monoclonal anti-CD20 antibodies for chronic lymphocytic leukaemia.
    Bauer K, Rancea M, Roloff V, Elter T, et al · · 2012 · cited 30× · PMID 23152253 · DOI 10.1002/14651858.cd008079.pub2
  2. A phase II randomized trial comparing standard and low dose rituximab combined with alemtuzumab as initial treatment of progressive chronic lymphocytic leukemia in older patients: a trial of the ECOG-ACRIN cancer research group (E1908).
    Zent CS, Victoria Wang X, Ketterling RP, Hanson CA, et al · · 2016 · cited 10× · PMID 26662208 · DOI 10.1002/ajh.24265
  3. Management of patients with chronic lymphocytic leukemia with a high risk of adverse outcome: the Mayo Clinic approach.
    Zent CS, Kay NE. · · 2011 · cited 10× · PMID 21649549 · DOI 10.3109/10428194.2011.568654

Verify or expand the search:

Other trials of alemtuzumab

Trials testing the same drug.

Other recruiting trials for Chronic Lymphocytic Leukemia

Currently open trials in the same condition.

Other ECOG-ACRIN Cancer Research Group trials

Trials by the same sponsor.

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01013961.

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