Chronic Lymphocytic Leukemia
Conditions
Keywords
Chronic Lymphocytic Leukemia, Idelalisib, Rituximab
Brief summary
The present study aims at obtaining more in-depth information on how patients with chronic lymphocytic leukemia treated with idelalisib and rituximab react to treatment.
Detailed description
This cohort study will recruit patients with treatment-naïve chronic lymphocytic leukemia (CLL) with TP53 disruption (i.e. 17p- or TP53 mutations) or relapsed/refractory CLL who were treated with idelalisib and rituximab between 01/07/2014 and 31/05/2017 at European centres adhering to the GIMEMA group and the ERIC group.
Interventions
patients with treatment-naïve chronic lymphocytic leukemia (CLL) with TP53 disruption (i.e. 17p- or TP53 mutations) or relapsed/refractory CLL who were treated with idelalisib and rituximab
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosis of CLL / Small Lymphocytic Lymphoma (CLL/SLL) according to the World Health Organisation (WHO) classification 2008. * Treatment with idelalisib and rituximab started between the date of Country marketing authorization approval of idelalisib (EMA approval 18/09/2014) and 31/05/2017 given at European centres adhering to the GIMEMA group and the ERIC group. * One of the two following conditions must be satisfied: * Previously untreated CLL requiring therapy according to the NCI criteria (Hallek M et al, Blood 2008)\] with deletion 17p13 and/or TP53 mutation. * Relapsed refractory CLL., i.e. patients who received at least one previous line of treatment using alkylating agents and/or purine analogues with or without monoclonal antibodies, or high dose steroids requiring therapy according to the NCI criteria (Hallek M et al, Blood 2008) * Age ≥ 18 years. * Signed written informed consent, if applicable, according to ICH/EU/GCP and national local law.
Exclusion criteria
* Patients with CLL treated with idelalisib within interventional clinical trials or outside the approved indication. * Patients with: * Transformation of CLL to aggressive lymphomas (Richter's Syndrome). * HIV infection. * Active and uncontrolled HCV and/or HBV infections or liver cirrhosis.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of patients responding to treatment | At 12 months from treatment start | Efficacy profile of idelalisib and rituximab |
| Number of patients experiencing toxicities | At 12 months from treatment start | Safety profile of idelalisib and rituximab |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of patients alive | At 12 months from treatment start | Overall survival |
| Number of patients alive without progression of the disease | At 12 months from treatment start | Progression-free-survival |
| Number of patients achieving response | At 12 months from treatment start | Overall response rate |
Countries
Italy