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临床试验/EUCTR2009-010998-20-GB
EUCTR2009-010998-20-GB进行中(未招募)不适用

Attenuated dose Rituximab with ChemoTherapy In CLL:A randomised, phase IIB trial in previously untreated patients with Chronic Lymphocytic Leukaemia (CLL) tocompare fludarabine, cyclophosphamide and rituximab (FCR) with FC, mitoxantrone and low dose rituximab (FCM-miniR) - ARCTIC

eeds Teaching Hospitals NHS Trust0 个研究点开始时间: 2009年4月16日最近更新:
相关药物

试验速览

阶段
不适用
状态
进行中(未招募)
发起方

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • At least 18 years old.
  • B-CLL with a characteristic immunophenotype.
  • Binet Stages B, C or Progressive Stage A.
  • Requiring therapy by the IWCLL criteria in that they must have at least one of the following:
  • i) Evidence of progressive marrow failure as manifested by the development of, or worsening of, anaemia and/or thrombocytopenia.
  • ii) Massive (ie, 6 cm below the left costal margin) or progressive or symptomatic splenomegaly.
  • iii) Massive nodes (ie, 10 cm in longest diameter) or progressive or symptomatic lymphadenopathy.
  • iv) Progressive lymphocytosis with an increase of more than 50% over a 2-month period or lymphocyte doubling time (LDT) of less than 6 months as long as the lymphocyte count is over 30x109/L.
  • v) A minimum of any one of the following disease-related symptoms must be present:
  • (a) Unintentional weight loss more than or equal to 10% within the previous 6 months.
  • (b) Significant fatigue (ie, Eastern Cooperative Oncology Group PS 2 or worse; cannot work or unable to perform usual activities).
  • (c) Fevers of greater than 38.0°C for 2 or more weeks without other evidence of infection.
  • (d) Night sweats for more than 1 month without evidence of infection.
  • No prior therapy for CLL.
  • World Health Organisation (WHO) performance status (PS) of 0, 1 or 2.
  • Able to provide written informed consent.
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range

排除标准

  • Prior therapy for CLL.
  • Active infection.
  • Past history of anaphylaxis following exposure to rat or mouse derived CDR-grafted humanised monoclonal antibodies.
  • Pregnancy, lactation or women of child-bearing potential unwilling to use medically approved contraception whilst receiving treatment.
  • Men whose partners are capable of having children but who are not willing to use appropriate medically approved contraception during the study, unless they are surgically sterile.
  • CNS involvement with CLL.
  • Mantle cell lymphoma.
  • Symptomatic cardiac failure not controlled by therapy or unstable angina not adequately controlled by current therapy (in patients with a significant cardiac history the left ventricular function should be assessed and patients with severe impairment should be excluded).
  • Other severe, concurrent diseases or mental disorders.
  • Known HIV positive.
  • Patient has active or prior Hepatitis B or C.
  • Active secondary malignancy excluding basal cell carcinoma.
  • Persisting severe pancytopenia (neutrophils <0.5 x 109/l or platelets <50 x 109/l) or transfusion dependent anaemia unless due to direct marrow infiltration by CLL.
  • Active haemolysis (patients with haemolysis controlled with prednisolone at a dose 10mg or less per day can be entered into the trial).
  • Patients with a creatinine clearance of less than 30ml/min (either measured or derived by the Cockcroft formula).

研究者

发起方
eeds Teaching Hospitals NHS Trust

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