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A randomised comparison of chlorambucil, fludarabine and fludarabine plus cyclophosphamide

Not Applicable
Completed
Conditions
Chronic lymphocytic leukaemia (CLL)
Cancer
Leukaemia
Registration Number
ISRCTN58585610
Lead Sponsor
Institute of Cancer Research (UK)
Brief Summary

1. 2007 results of assessment of fludarabine plus cyclophosphamide for patients with chronic lymphocytic leukaemia in http://www.ncbi.nlm.nih.gov/pubmed/17658394 2. 2008 results on the prognostic significance of a positive direct antiglobulin test in chronic lymphocytic leukemia in http://www.ncbi.nlm.nih.gov/pubmed/18055869 3. 2008 results on the scan of nonsynonymous SNPs in CLL4 trial patients for the identification of genetic variants influencing prognosis in http://www.ncbi.nlm.nih.gov/pubmed/18006695 4. 2008 results on baseline health-related quality of life in http://www.ncbi.nlm.nih.gov/pubmed/19016733 5. 2010 results of identification of prognostic makers in http://www.ncbi.nlm.nih.gov/pubmed/20511662 6. 2010 results of relative importance of prognostic makers in http://www.ncbi.nlm.nih.gov/pubmed/20511662

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
750
Inclusion Criteria

1. Patients are diagnosed with B-cell chronic lymphocytic leukaemia
2. They have not previously been treated
3. They have been diagnosed by a persistent lymphocytosis and bone marrow infiltration of at least 40% and require treatment
4. They are classified as having stage A progressive, stage B or stage C disease using the International Binet Staging System
5. They have given informed consent

Exclusion Criteria

1. Patients with other life-threatening diseases
2. Patients unable or unwilling to give informed consent
3. Renal failure (creatinine clearance less than 30 ml/min)
4. Hepatic enzymes and bilirubin greater than twice the upper limit of normal, unless due to CLL
5. Pregnant women or women at risk of pregnancy
6. Patients who for other reasons are not expected to complete the study
7. Patients with a diagnosis other than CLL after central review of markers and morphology

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Survival
Secondary Outcome Measures
NameTimeMethod
1. Response to therapy<br>2. Duration of response<br>3. Toxicity<br>4. Quality of life
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