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Efficacy and Safety in Patients With Chronic Lymphocytic Leukemia (CLL) Treated With Idelalisib and Rituximab in the Clinical Practice: a GIMEMA-ERIC Study

Completed
Conditions
Chronic Lymphocytic Leukemia
Interventions
Registration Number
NCT03545035
Lead Sponsor
Gruppo Italiano Malattie EMatologiche dell'Adulto
Brief Summary

The present study aims at obtaining more in-depth information on how patients with chronic lymphocytic leukemia treated with idelalisib and rituximab react to treatment.

Detailed Description

This cohort study will recruit patients with treatment-naïve chronic lymphocytic leukemia (CLL) with TP53 disruption (i.e. 17p- or TP53 mutations) or relapsed/refractory CLL who were treated with idelalisib and rituximab between 01/07/2014 and 31/05/2017 at European centres adhering to the GIMEMA group and the ERIC group.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
104
Inclusion Criteria
  • Diagnosis of CLL / Small Lymphocytic Lymphoma (CLL/SLL) according to the World Health Organisation (WHO) classification 2008.

  • Treatment with idelalisib and rituximab started between the date of Country marketing authorization approval of idelalisib (EMA approval 18/09/2014) and 31/05/2017 given at European centres adhering to the GIMEMA group and the ERIC group.

  • One of the two following conditions must be satisfied:

    • Previously untreated CLL requiring therapy according to the NCI criteria (Hallek M et al, Blood 2008)] with deletion 17p13 and/or TP53 mutation.
    • Relapsed refractory CLL., i.e. patients who received at least one previous line of treatment using alkylating agents and/or purine analogues with or without monoclonal antibodies, or high dose steroids requiring therapy according to the NCI criteria (Hallek M et al, Blood 2008)
  • Age ≥ 18 years.

  • Signed written informed consent, if applicable, according to ICH/EU/GCP and national local law.

Exclusion Criteria
  • Patients with CLL treated with idelalisib within interventional clinical trials or outside the approved indication.

  • Patients with:

    • Transformation of CLL to aggressive lymphomas (Richter's Syndrome).
    • HIV infection.
    • Active and uncontrolled HCV and/or HBV infections or liver cirrhosis.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Study groupidelalisib and rituximabAll patients being observed during the study duration.
Primary Outcome Measures
NameTimeMethod
Number of patients experiencing toxicitiesAt 12 months from treatment start

Safety profile of idelalisib and rituximab

Number of patients responding to treatmentAt 12 months from treatment start

Efficacy profile of idelalisib and rituximab

Secondary Outcome Measures
NameTimeMethod
Number of patients achieving responseAt 12 months from treatment start

Overall response rate

Number of patients alive without progression of the diseaseAt 12 months from treatment start

Progression-free-survival

Number of patients aliveAt 12 months from treatment start

Overall survival

Trial Locations

Locations (38)

AOU Arcispedale S.Anna - UOC Ematologia e fisiopatologia della coagulazione

🇮🇹

Cona, Ferrara, Italy

Aon Ss. Antonio E Biagio E C. Arrigo - Alessandria - Soc Ematologia

🇮🇹

Alessandria, Italy

Aou Ospedali Riuniti "Umberto I - G.M. Lancisi - G. Salesi"- Ancona- Sod Clinica Ematologica

🇮🇹

Ancona, Italy

Area Vasta N. 5 Ascoli Piceno - S. Benedetto Del Tronto, Presidio Ospedaliero Av5 Osp. Gen. Prov.Le "C.G.Mazzoni" - Uoc Ematologia

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Ascoli Piceno, Italy

Asl Di Asti, Ospedali Riuniti - Presidio Ospedaliero Cardinal G. Massaia - Sc Oncologia

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Asti, Italy

Asst Degli Spedali Civili Di Brescia - Uo Ematologia

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Brescia, Italy

AO Brotzu, PO A.Businco - SC Ematologia e CTMO

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Cagliari, Italy

Ctc U.O Di Ematologia Con Trapianto Di Midollo Osseo - Catania

🇮🇹

Catania, Italy

Ao Di Catanzaro "Pugliese-Ciaccio", Presidio Ospedaliero "Ciaccio - de Lellis" - Ematologia

🇮🇹

Catanzaro, Italy

Aou Careggi - Firenze - Sod Ematologia

🇮🇹

Firenze, Italy

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AOU Arcispedale S.Anna - UOC Ematologia e fisiopatologia della coagulazione
🇮🇹Cona, Ferrara, Italy

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