Status:

COMPLETED

Lower But More Frequent Dose Rituximab to Treat Chronic Lymphocytic Leukemia

Lead Sponsor:

National Heart, Lung, and Blood Institute (NHLBI)

Conditions:

Refractory Chronic Lymphocytic Leukemia

Eligibility:

All Genders

21-99 years

Phase:

PHASE1

Brief Summary

This study will test the safety and effectiveness of using lower-dose rituximab given more frequently for treating chronic lymphocytic leukemia (CLL). Studies have shown that, used once a week for 4 w...

Detailed Description

Rituximab is FDA approved for the treatment of relapsed or refractory low grade or follicular CD20+ B cell non Hodgkin's lymphoma (375 mg/m(2) IV infusion once weekly for 4 or 8 doses). Recently, ritu...

Eligibility Criteria

Inclusion

  • INCLUSION CRITERIA
  • Patients diagnosed with Chronic Lymphocytic Leukemia
  • Prior therapy with fludarabine or a fludarabine containing regimen
  • CD20 expression on CLL cells
  • Neutrophil count ANC greater than 500/mm(3)
  • Platelet count greater than 30K/mm(3)
  • Age 21-99
  • EXCLUSION CRITERIA
  • Bulky lymphadenopathy, defined as greater than 1 lymph node with greater than 5cm in largest diameter
  • Evidence for transformation into high grade lymphoma (Richter's transformation)
  • ECOG performance 3 or higher
  • Other concurrent anticancer therapies
  • Less than 3 months from last systemic therapy for CLL
  • Less than 6 months from last monoclonal antibody therapy
  • More than 10 doses rituximab, within 12 months preceeding protocol enrollment, either as single agent or in a combination chemotherapy regimen
  • Chronic or current clinically significant infection, including HIV positivity or hepatitis C
  • Moribund status or concurrent hepatic, renal, cardiac, neurologic, pulmonary, infectious, or metabolic disease of such severity that it would preclude the patient's ability to tolerate protocol therapy
  • History of mucocutaneous reactions (paraneoplastic pemphigus, Stevens-Johnson syndrome, lichenoid dermatitis, vesiculobullous dermatitis, and toxic epidermal necrolysis)
  • Known anaphylaxis or IgE mediated hypersensitivity to murine proteins or to any component of this product
  • Inability to self inject the study medication or to have it administered by a third person
  • Inability to understand the investigational nature of the study ability to provide informed consent

Exclusion

    Key Trial Info

    Start Date :

    August 10 2006

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    June 11 2009

    Estimated Enrollment :

    4 Patients enrolled

    Trial Details

    Trial ID

    NCT00366418

    Start Date

    August 10 2006

    End Date

    June 11 2009

    Last Update

    July 2 2017

    Active Locations (1)

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    Page 1 of 1 (1 locations)

    1

    National Institutes of Health Clinical Center, 9000 Rockville Pike

    Bethesda, Maryland, United States, 20892