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NCT01096992

Fludarabine, Bendamustine, and Rituximab (FBR) for Relapsed Chronic Lymphocytic Leukemia (CLL)

Completed Phase 1, PHASE2 Results posted Last updated 25 September 2019
What this trial tests

Phase 1, PHASE2 trial testing Bendamustine in Leukemia in 51 participants. Completed in 31 March 2017.

Timeline
19 April 2010
Primary endpoint
31 March 2017
31 March 2017

Quick facts

Lead sponsorM.D. Anderson Cancer Center
PhasePhase 1, PHASE2
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment51
Start date19 April 2010
Primary completion31 March 2017
Estimated completion31 March 2017
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

M.D. Anderson Cancer Center — full company profile →

Who can join

16 and older, any sex, with 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.

Maximum Tolerated Dose (MTD) of Bendamustine Combined With Fixed-Dose Fludarabine and Rituximab (FBR) Primary · After 4 week cycle

MTD defined as highest dose level in which 6 participants have been treated with \</= to 1 patient experiencing dose limiting toxicity (DLT). MTD exceeded if 2 or more of 6 patients experience grade 3 or higher, non-hematologic, non-infusion related toxicity a major organ system. DLT defined as treatment-related, grade \>/= 3 non-hematologic toxicity. Hematologic toxicity grade \>/= 3 that lasts longer than 42 days considered a DLT. Hematologic toxicity graded according to the 2008 IWCLL criteria for grading. Tumor lysis not considered a DLT.

GroupValue95% CI
Phase 130
Overall Response Rate of Bendamustine Combined With Fixed-Dose Fludarabine and Rituximab (FBR) Secondary · Overall response assessed 2 months after 6th or last course if participants not able to receive all 6 intended courses of treatment.

Overall Response is Complete response (CR) + Partial response (PR). Overall response evaluated by 2008 International Workshop on Chronic Lymphocytic Leukemia (IWCLL) 2008 for complete or partial response and progressive disease. Complete remission (CR), requiring absence of peripheral blood clonal lymphocytes by immunophenotyping, absence of lymphadenopathy, absence of hepatomegaly or splenomegaly, absence of constitutional symptoms and satisfactory blood counts; positive or negative minimal residual disease (MRD); Partial remission (PR), defined as ≥ 50% fall in lymphocyte count, ≥ 50% reduct

GroupValue95% CI
Phase 1 20 mg/m^25
Phase 1 30 mg/m^23
Phase 1 40 mg/m^25
Phase 1 50 mg/m^22
Phase 217

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events captured from the time of participant consent until 30 days after the last dose of drug.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Phase 1 20 mg/m^2
Serious: 4/6 (67%)
Deaths: 2/6
Phase 1 30 mg/m^2
Serious: 0/3 (0%)
Deaths: 0/3
Phase 1 40 mg/m^2
Serious: 4/6 (67%)
Deaths: 0/6
Phase 1 50 mg/m^2
Serious: 5/6 (83%)
Deaths: 0/6
Phase 2
Serious: 16/30 (53%)
Deaths: 1/30

Serious adverse events (37 terms)

ReactionSystemPhase 1 20 mg/m^2Phase 1 30 mg/m^2Phase 1 40 mg/m^2Phase 1 50 mg/m^2Phase 2
Neutropenic FeverInfections and infestations
Nausea and VomitingGastrointestinal disorders
PneumoniaInfections and infestations
Tumor LysisMetabolism and nutrition disorders
DehydrationGastrointestinal disorders
AmloidosisGeneral disorders
AnorexiaGastrointestinal disorders
CellulitisInfections and infestations
Drug RashInvestigations
FaintingGeneral disorders
FallGeneral disorders
FatigueGeneral disorders
HemolysisBlood and lymphatic system disorders
InfectionInfections and infestations
NeutropeniaBlood and lymphatic system disorders
PainGeneral disorders
RashSkin and subcutaneous tissue disorders
Tumor FlareInvestigations
AcitesGastrointestinal disorders
Allergic Reaction Investigational ProductInvestigations
Bladder InfectionInfections and infestations
ChillsGeneral disorders
Elevated BUNBlood and lymphatic system disorders
FeverGeneral disorders
GoutMusculoskeletal and connective tissue disorders
Other adverse events (14 terms — click to expand)

ReactionSystemPhase 1 20 mg/m^2Phase 1 30 mg/m^2Phase 1 40 mg/m^2Phase 1 50 mg/m^2Phase 2
FatigueGeneral disorders
HyperglycemiaBlood and lymphatic system disorders
NeutropeniaBlood and lymphatic system disorders
NauseaGastrointestinal disorders
ThrombocytopeniaBlood and lymphatic system disorders
InfectionInfections and infestations
AnemiaBlood and lymphatic system disorders
Deep Vein ThrombosisVascular disorders
DehydrationGastrointestinal disorders
VomitingGastrointestinal disorders
AnorexiaGastrointestinal disorders
EdemaGeneral disorders
Tumor LysisMetabolism and nutrition disorders
Atrial FibrillationCardiac disorders

Most-reported serious reactions: Neutropenic Fever, Nausea and Vomiting, Pneumonia, Tumor Lysis, Dehydration, Amloidosis, Anorexia, Cellulitis.

Data from ClinicalTrials.gov NCT01096992 adverse events section.

Sponsor's own description

The goal of Phase 1 of this clinical research study is to find the highest tolerable dose of bendamustine, combined with fludarabine and rituximab, that can be given to patients who have CLL that has been treated before. The goal of Phase 2 of this study is to find out if this drug combination can help to control the disease. The safety of this drug combination will also be studied.

Publications & conference data

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

  1. Metabolism, Biochemical Actions, and Chemical Synthesis of Anticancer Nucleosides, Nucleotides, and Base Analogs.
    Shelton J, Lu X, Hollenbaugh JA, Cho JH, et al · · 2016 · cited 219× · PMID 27960273 · DOI 10.1021/acs.chemrev.6b00209
  2. The role of combined fludarabine, cyclophosphamide and rituximab chemoimmunotherapy in chronic lymphocytic leukemia: current evidence and controversies.
    Skarbnik AP, Faderl S. · · 2017 · cited 17× · PMID 28246553 · DOI 10.1177/2040620716681749
  3. A phase I-II trial of fludarabine, bendamustine and rituximab (FBR) in previously treated patients with CLL.
    Jain N, Balakrishnan K, Ferrajoli A, O'Brien SM, et al · · 2017 · cited 5× · PMID 27655665 · DOI 10.18632/oncotarget.12054

Verify or expand the search:

Other trials of Bendamustine

Trials testing the same drug.

Other recruiting trials for Leukemia

Currently open trials in the same condition.

Other M.D. Anderson Cancer Center trials

Trials by the same sponsor.

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Data sources for this page

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/NCT01096992.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing