MedPath

Chlorambucil

Generic Name
Chlorambucil
Brand Names
Leukeran
Drug Type
Small Molecule
Chemical Formula
C14H19Cl2NO2
CAS Number
305-03-3
Unique Ingredient Identifier
18D0SL7309
Background

A nitrogen mustard alkylating agent used as antineoplastic agent for the treatment of various malignant and nonmalignant diseases. Although it is less toxic than most other nitrogen mustards, it has been listed as a known carcinogen in the Fourth Annual Report on Carcinogens (NTP 85-002, 1985). (Merck Index, 11th ed)

Indication

For treatment of chronic lymphatic (lymphocytic) leukemia, childhood minimal-change nephrotic syndrome, and malignant lymphomas including lymphosarcoma, giant follicular lymphoma, Hodgkin's disease, non-Hodgkin's lymphomas, and Waldenström’s Macroglobulinemia.

Associated Conditions
Chronic Lymphocytic Leukemia, Hodgkins Disease (HD), Indolent Lymphoma, Lymphoma, Lymphoma, Diffuse, MALT Lymphoma, Mantle Cell Lymphoma (MCL), Nephrotic syndrome with lesion of minimal change glomerulonephritis, Non-Hodgkin's Lymphoma (NHL), Waldenström's Macroglobulinemia (WM), Giant follicular lymphoma

A Global Study of Lisaftoclax (APG-2575) Combined With Acalabrutinib Versus Immunochemotherapy for Newly Diagnosed CLL/SLL.

Phase 3
Recruiting
Conditions
CLL/SLL
Interventions
First Posted Date
2024-03-20
Last Posted Date
2024-05-29
Lead Sponsor
Ascentage Pharma Group Inc.
Target Recruit Count
344
Registration Number
NCT06319456
Locations
🇨🇳

Henan Provincial Cancer Hospital, Zhengzhou, Henan, China

🇨🇳

Hematology Hospital of the Chinese Academy of Medical Sciences, Tianjin, Tianjin, China

🇨🇳

The First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui, China

and more 3 locations

ICP-022 Versus Chlorambucil Combined With Rituximab in the Treatment of Untreated CLL/SLL

Phase 3
Recruiting
Conditions
Chronic Lymphocytic Leukemia
Small Lymphocytic Lymphoma
Interventions
First Posted Date
2020-10-08
Last Posted Date
2023-06-05
Lead Sponsor
Beijing InnoCare Pharma Tech Co., Ltd.
Target Recruit Count
218
Registration Number
NCT04578613
Locations
🇨🇳

The First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui, China

🇨🇳

Anhui Provincial Cancer Hospital, Hefei, Anhui, China

🇨🇳

The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China

and more 53 locations

Study of Acalabrutinib Versus Chlorambucil Plus Rituximab in Adult Subjects With Previously Untreated Chronic Lymphocytic Leukemia

Phase 3
Active, not recruiting
Conditions
Untreated Chronic Lymphocytic Leukemia
Interventions
First Posted Date
2019-08-30
Last Posted Date
2025-04-25
Lead Sponsor
AstraZeneca
Target Recruit Count
155
Registration Number
NCT04075292
Locations
🇻🇳

Research Site, Ho Chi Minh, Vietnam

A Study of the Combination of Ibrutinib Plus Venetoclax Versus Chlorambucil Plus Obinutuzumab for the First-line Treatment of Participants With Chronic Lymphocytic Leukemia (CLL)/Small Lymphocytic Lymphoma (SLL)

Phase 3
Active, not recruiting
Conditions
Leukemia, Lymphocytic, Chronic, B-Cell
Interventions
First Posted Date
2018-03-12
Last Posted Date
2025-04-27
Lead Sponsor
Janssen Research & Development, LLC
Target Recruit Count
211
Registration Number
NCT03462719
Locations
🇵🇱

Wojewodzki Szpital Specjalistyczny im Janusza Korczaka, Slupsk, Poland

🇺🇸

Norton Cancer Institute, Louisville, Kentucky, United States

🇺🇸

John Theurer Cancer Center, Hackensack, New Jersey, United States

and more 84 locations

A Study of Obinutuzumab Evaluating Efficacy, Safety and Cost of Disease Management in Participants With Chronic Lymphocytic Leukemia and Comorbidities

Completed
Conditions
Chronic Lymphocytic Leukemia
Interventions
First Posted Date
2016-09-26
Last Posted Date
2022-06-28
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
50
Registration Number
NCT02915224
Locations
🇬🇷

Attiko Hospital; Haematology Clinic, Athens, Greece

🇬🇷

General Hospital G. Papanikolaou; Hematology, BMT Unit, Thessaloniki, Greece

🇬🇷

AXEPA Pathology Section; A Pathology Clinic, Thessaloniki, Greece

and more 8 locations

Ublituximab + TGR-1202 Compared to Obinutuzumab + Chlorambucil in Participants With Untreated and Previously Treated Chronic Lymphocytic Leukemia

Phase 3
Terminated
Conditions
Chronic Lymphocytic Leukemia
Interventions
First Posted Date
2015-11-23
Last Posted Date
2024-12-13
Lead Sponsor
TG Therapeutics, Inc.
Target Recruit Count
603
Registration Number
NCT02612311
Locations
🇬🇧

TG Therapeutics Investigational Trial Site, Wolverhampton, United Kingdom

Acalabrutinib, Obinutuzumab and Chlorambucil in Treatment naïve CLL

Phase 3
Active, not recruiting
Conditions
Chronic Lymphocytic Leukemia
Interventions
First Posted Date
2015-06-19
Last Posted Date
2025-03-11
Lead Sponsor
Acerta Pharma BV
Target Recruit Count
535
Registration Number
NCT02475681
Locations
🇬🇧

Research Site, Wolverhampton, United Kingdom

A Study Evaluating the Safety of Tocilizumab in Addition to Standard of Care Premedication Given Before Obinutuzumab + Chlorambucil in Participants With Untreated B-Cell Chronic Lymphocytic Leukemia (B-CLL) and Comorbidities

Phase 1
Terminated
Conditions
B-Cell Chronic Lymphocytic Leukemia
Interventions
Drug: Placebo
Other: Standard Premedication
First Posted Date
2015-01-12
Last Posted Date
2021-04-08
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
38
Registration Number
NCT02336048
Locations
🇪🇸

Hospital Universitari Vall d'Hebron; Servicio de Hematologia, Barcelona, Spain

🇪🇸

Hospital Clínic i Provincial; Servicio de Hematología y Oncología, Barcelona, Spain

🇮🇹

Azienda Ospedaliera Di Perugia Ospedale s. Maria Della Misericordia; Oncologia Medica, Sant'Andrea Delle Fratte (PG), Umbria, Italy

and more 11 locations

A Multi-Center Study of Ibrutinib in Combination With Obinutuzumab Versus Chlorambucil in Combination With Obinutuzumab in Patients With Treatment naïve Chronic Lymphocytic Leukemia (CLL) or Small Lymphocytic Lymphoma (SLL)

Phase 3
Completed
Conditions
Chronic Lymphocytic Leukemia
Small-Cell Lymphoma
Interventions
First Posted Date
2014-10-15
Last Posted Date
2020-09-21
Lead Sponsor
Pharmacyclics LLC.
Target Recruit Count
229
Registration Number
NCT02264574
Locations
🇬🇧

Site Reference ID/Investigator# 0867, Harlow, Essex, United Kingdom

🇦🇺

Site Reference ID/Investigator# 0888, Ballarat, Victoria, Australia

🇦🇹

Site Reference ID/Investigator# 0869, Salzburg, Austria

and more 68 locations

Comparison of the Treatments of Obinutuzumab + Venetoclax Versus Obinutuzumab + Chlorambucil in Patients With Chronic Lymphocytic Leukemia

Phase 3
Active, not recruiting
Conditions
Lymphocytic Leukemia, Chronic
Interventions
First Posted Date
2014-09-17
Last Posted Date
2025-02-27
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
445
Registration Number
NCT02242942
Locations
🇦🇺

Tweed Hospital, Tweed Heads, New South Wales, Australia

🇦🇺

The Townsville Hospital, Douglas, Queensland, Australia

🇦🇺

Princess Alexandra Hospital Woolloongabba, Woolloongabba, Queensland, Australia

and more 110 locations
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