Chronic Lymphocytic Leukemia
Conditions
Brief summary
The investigators plan to conduct a nurse-based telephone intervention study to minimize toxicity and increase compliance to a combination of Fludarabine-Cyclophosphamide-Rituximab (FCR) given frontline to Chronic Lymphocytic Leukemia patients.
Interventions
Only for arm AMA, patient will have one phone every week to evaluate physical conditions.
None, only usual practice.
Sponsors
Study design
Eligibility
Inclusion criteria
1. CLL whatever Binet stage, but with at least one NCIWG2008 criteria indicating a need for first line treatment. * Matutes score must be 4-5/5. * Initial cytopenia (due to CLL) are not
Exclusion criteria
. * Lymph node biopsy is needed only if suspicion of Richter syndrome. * Mandatory pre-therapeutic check-up: FISH in search for deletion del17p and del11q, DAT test, haptoglobin levels, creatinine clearance. 2. Eligibility to a treatment with FCR: clearance \> 60ml/mn, consider dose adjustments (recommended by protocol) if clearance30-60ml/mn, and comorbidity score CIRS-G≤11. 3. Signed informed consent 4. Age\> or equal 18 years, ECOG PS 0-2. 5. Estimated overall survival\>6 months. 6. Conserved liver function (bilirubin\<2,5mg/dl, SGPT\<4ULN, SGOT\<4ULN) except infiltration due to the disease. 7. Contraception for younger patients. 8. Confident with the use of telephone, no disabling deafness.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of RDI | 3 years | Reductions in Relative Dose Intensity, calculated as the difference between initially planned doses of F, C and R and effectively prescribed doses of the 3 drugs, before and after 6 courses of FCR. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of Toxicity grade III-IV | 3 years | rate of grade III-IV toxicities (neutropenia, fever, infections, renal insufficiency), assessment of quality of life and psychological comfort during FCR therapy. |
Countries
France
Contacts
University Hospital Of Toulouse