A randomized phase III study in previously untreated patients with biological high-risk CLL: fludarabine and cyclophosphamide (FC) versus FC and low-dose alemtuzumab

ISRCTN ISRCTN25180151
DOI https://doi.org/10.1186/ISRCTN25180151
Secondary identifying numbers HO68
Submission date
14/02/2006
Registration date
14/02/2006
Last edited
14/02/2008
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Prof M.H.J. Oers, van
Scientific

Academic Medical Center
Department of Hematologie
P.O. Box 22660
Amsterdam
1100 DD
Netherlands

Phone +31 (0)20 5665785
Email m.h.vanoers@amc.uva.nl

Study information

Study designProspective, multicenter, randomized controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Scientific title
Study acronymHOVON 68 CLL
Study objectivesThe hypothesis to be tested is that the outcome in arm B is better than in arm A.
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedChronic Lymphocytic Leukemia (CLL)
InterventionAll eligible patients will be randomized on entry between:
Arm A: 6 cycles of oral FC
Arm B: 6 cycles of oral FC combined with sc alemtuzumab
Intervention typeDrug
Pharmaceutical study type(s)
PhasePhase III
Drug / device / biological / vaccine name(s)Fludarabine and cyclophosphamide (FC) and low-dose alemtuzumab
Primary outcome measureProgression free survival (i.e. time from registration to disease progression, relapse or death due to CLL whichever occurs first)
Secondary outcome measures1. Event free survival (i.e. time from registration to induction failure, progression, relapse or death whichever occurs first); the time to failure of patients with induction failure is set at one day
2. Clinical, flow cytometric and molecular response rate
3. Overall survival
4. Disease free survival (i.e. time from CR to relapse)
5. Toxicity
Overall study start date05/12/2005
Completion date31/12/2008

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
Upper age limit75 Years
SexBoth
Target number of participants300
Key inclusion criteria1. Biological high-risk CLL
2. Patients with symptomatic stage A, symptomatic stage B or stage C
3. Age 18-75 years inclusive
4. Written informed consent
Key exclusion criteria1. WHO performance status >/= 3, unless related to CLL
2. Intolerance of exogenous protein administration
3. Severe cardiac dysfunction (New York Heart Association [NYHA] classification III-IV)
4. Significant renal dysfunction (serum creatinine >/= 150 micromol/l or creatinine clearance <30 ml/min)
5. Significant hepatic dysfunction (total bilirubin or transaminases >2 times upper limit of normal [ULN]), unless related to CLL
6. Suspected or documented central nervous system (CNS) involvement by CLL
7. Known HIV positivity
8. Active, uncontrolled infections
9. Uncontrolled asthma or allergy requiring systemic steroid treatment
10. Previously treated with chemotherapy, radiotherapy or immunotherapy for CLL
11. History of active cancer during the past 5 years, except non-melanoma skin cancer or stage 0 cervical carcinoma
12. Clinically significant auto-immune hemolytic anemia (AIHA)
13. Female patients who are pregnant or nursing
14. Male and female patients of reproductive potential who are not practicing effective means of contraception, these include oral contraceptives, intrauterine device, depot injection of gestagen, subdermal implantation, hormonal vaginal ring and transdermal depot plaster. These methods must be applied for the entire protocol treatment period, and for patients treated with alemtuzumab until at least 6 months after the end of alemtuzumab administration.
Date of first enrolment05/12/2005
Date of final enrolment31/12/2008

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Academic Medical Center
Amsterdam
1100 DD
Netherlands

Sponsor information

Rigshospitalet (Denmark)
Hospital/treatment centre

Department of Hematology
Copenhagen
DK-2100
Denmark

ROR logo "ROR" https://ror.org/03mchdq19

Funders

Funder type

Industry

Dutch Cancer Society and Schering AG (Netherlands)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan