At a glance
ClinicalIndex Comparison Record- ✓Intermediate or high-risk CLL by Rai system (or Rai intermediate with active disease per NCI Working Group criteria)
- ✓Previously untreated with cytoreductive agents
- ✓Absolute lymphocytosis ≥5,000/μL or bone marrow lymphocytosis ≥30% with CD5 and CD20 expression
- ✓Age 18-75 years
- ✕Rai intermediate risk 'smouldering leukemia' per Montserrat criteria
- ✕Significant autoimmune hemolytic anemia or autoimmune thrombocytopenia
- ✕Active infections requiring systemic antibiotics
- ✕Prior cytotoxic treatment for CLL
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
A Phase II Study of Fludarabine Induction With Sequential High Dose Cyclophosphamide and Rituximab as Consolidation Therapy for Previously Untreated Patients With Intermediate and High-Risk Chronic Lymphocytic Leukemia
In Brief
A Phase 2 clinical trial evaluating filgrastim, rituximab, and 2 other interventions for Leukemia. Completed, enrolled 39 participants across 1 site.
Detailed Summary
RATIONALE: Drugs used in chemotherapy use different ways to stop cancer cells from dividing so they stop growing or die. Combining more than one drug may kill more cancer cells. Monoclonal antibodies can locate cancer cells and either kill them or deliver cancer-killing substances to them without harming normal cells. PURPOSE: Phase II trial to study the effectiveness of fludarabine plus high-dose cyclophosphamide and rituximab in treating patients who have previously untreated chronic lymphocytic leukemia.
Study Details
Timeline
Interventions
Filgrastim (300 μg for patients ≤ 70 kg or 480 μg for patients \> 70 kg) will be administered beginning two days after each cyclophosphamide dose and given for a total of eight subcutaneous daily doses.
Approximately four weeks after the completion of the last cyclophosphamide dose, patients will receive rituximab 375mg/m2 as an intravenous infusion once weekly for four doses.
Cyclophosphamide 3000mg/m2 will be given intravenously q 2 - 3 weeks x 3 doses.
Fludarabine will be administered intravenously at a dose of 25 mg/m2 per day x 5 days every 4 weeks.