At a glance
ClinicalIndex Comparison Record- ✓Age 18-75 years
- ✓Confirmed CLL/SLL diagnosis by IWCLL criteria
- ✓Treatment-naive or minimal prior therapy
- ✓No prior combined chemotherapy (CHOP, COP, etc.)
- ✕Malignancy other than CLL within past 1 year
- ✕Active CNS involvement with lymphoma
- ✕Transformation to large cell lymphoma
- ✕Progression to prolymphocytic leukemia (PLL)
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
NCT03980002Phase 2RecruitingUpdate OverdueUpdated 84mo ago · Completion was 42mo agoA Prospective Multicenter Phase 2 Study of FCR/BR Alternating With Ibrutinib in Treatment-naive Patients With Chronic Lymphocytic Leukemia
In Brief
A Phase 2 clinical trial evaluating FCR and Ibrutinib, BR and Ibrutinib, and 1 other intervention for Chronic Lymphocytic Leukemia. Currently recruiting, targeting 50 participants across 1 site.
Signals
Detailed Summary
This is a prospective multicenter phase 2 study designed with the purpose to evaluate the response rate and safety of treatment with FCR/BR alternating with ibrutinib in treatment-naive patients with chronic lymphocytic leukemia.
Study Details
Timeline
Interventions
Induction treatment: Patients \<65 y and without significant comorbidities are given FCR 1or 2 courses (If patients' white blood cell count \<10×10\^9/L after first course, the second course can be saved). Then, patients takes ibrutinib orally for 3 months alternating with FCR in 2 cylcles. 1. FCR: F(Fludarabine):25mg/m2·d,d1-3; C(Cyclophosphamide):CTX 250mg /m2·d,d1-3; R(Rituximab):375mg/m2 d0(first course),500mg/m2 d0(subsequent courses); 2. Ibrutinib:420mg/d
Induction treatment: Patients ≥65y and ≤75 y or \<65 y but with comorbidities, are given BR 1or 2 courses (If patients' white blood cell count drop to below10×10\^9/Lafter first course, the second course can be saved). Then, patients takes ibrutinib orally for 3 months alternating with BR in 2 cylcles. 1.BR: B(Bendamustine):90mg/m2·d,d1-2; R(Rituximab):375mg/m2 d0(first course),500mg/m2 d0(subsequent courses); 2. Ibrutinib: 420mg/d
Maintenance treatment: After induction treatment, recommend ( but not mandatory) Ibrutinib or thalidomide monotherapy(according to patients preferrance) for MRD-positive patients.For MRD-negative patients, recommend ( but not mandatory) no maintenance therapy.