Chronic Lymphocytic Leukaemia (CLL)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1) At least 18 years old. (2) Written informed consent. (3) Previous confirmation of B-CLL with a characteristic immunophenotype on peripheral blood flow cytometry (4) Creatinine and bilirubin or S-GOT/S-GPT 6cm below left costal margin) or progressive splenomegaly - Progressive lymphocytosis with an increase >50% over a 2 month period or an anticipated lymphocyte doubling time of less than 6 months. - Lymphocyte count > 100 x 109/l - B symptoms 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
Exclusion criteria
Exclusion criteria: (1) Any previous therapy for CLL (2) Known HIV, HBV, HCV positive (3) Active infection (4) Past history of anaphylaxis following exposure to rat or mouse derived CDR-grafted humanised monoclonal antibodies (5) Use of prior investigational agents within 6 weeks (6) Pregnancy or lactation (7) CNS involvement with CLL (8) Mantle cell lymphoma (9) Other severe, concurrent diseases or mental disorders (10) Active secondary malignancy or a history of malignancy during previous 5 years except treated cervical carcinoma or skin basalioma
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To determine the response rate with minimal residual disease (MRD) assessment by 4 colour flow cytometry in patients with previously untreated CLL.; Secondary Objective: To assess the safety of combined alemtuzumab and fludarabine in untreated CLL patients. To investigate the pharmacokinetic profile of alemtuzumab in the first line setting when combined with fludarabine. To evaluate immune response to CMV. ; Primary end point(s): The primary endpoint of the study is the determination of the MRD response rate (CR + PR and MRD eradication). The secondary endpoints are to evaluate the safety and toxicity of alemtuzumab and fludarabine in this setting and to evaluate immune response to CMV. | — |
Countries
United Kingdom