Chronic Lymphocytic Leukemia
Conditions
Keywords
Chronic Lymphocytic Leukemia, Bendamustine Hydrochloride, Chlorambucil
Brief summary
To compare the clinical efficacy and safety of bendamustine hydrochloride versus chlorambucil for initial treatment of chronic lymphocytic leukemia
Detailed description
Patients will be assessed for response after three cycles of treatment. Two additional cycles are recommended for CR, PR or SD patients, up to a maximum limit of six cycles in total. Patients will be followed up every three months until disease progression or death.
Interventions
d1-2, i.v.gtt, 100mg/m2, 28 days per cycle, at most 6 cycles
d1-d2, d15-d16, p.o., 0.4mg/kg/day, 28 days per cycle, at most 6 cycles
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients must have a diagnosis of CLL according to National Cancer Institute (NCI) Working Group criteria * No prior treatment for CLL * Binet stage B or C * ECOG performance status ≤ 2 * Life expectancy ≥3 months * AST and ALT ≤ 3 x ULN; Total bilirubin ≤ 2 x ULN; Creatinine clearance ≥ 40 mL/min * Written informed consent
Exclusion criteria
* Patients were diagnosed with or treated for malignant tumors other than CLL (including central nervous system lymphoma) within one year prior to entering the study * Transformation to Richter's syndrome, or prolymphocytic leukemia (PLL) * Autoimmune hemolytic anemia requiring glucocorticoid therapy * Autoimmune thrombocytopenia requiring glucocorticoid therapy * Participation in any other clinical trials within 4 weeks prior to study entry * Any of the following conditions: severe heart failure; cardiomyopathy; myocardial infarction within 6 months; severe, uncontrolled diabetes; severe, uncontrolled hypertension; active, uncontrolled infection; central nervous system dysfunction * Patients received major surgery within 30 days prior to study entry * Pregnant or lactating women * Allergic to study drug or mannitol
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Objective Response Rate (ORR) | after 3 cycles and 6 cycles |
Secondary
| Measure | Time frame |
|---|---|
| Progression-free Survival (PFS) | December 2013 |
| Duration of Remission (DR) | December 2013 |
| Overall Survival (OS) | December 2013 |
| The incidence and severity of adverse events | Up to 2 years after enrollment |
Countries
China