Rituximab Versus Observation as Maintenance Therapy in Chronic Lymphocytic Leukemia (Chronic Lymphocytic Leukemia)
International, Multicentre, Randomized Phase III Study of Rituximab as Maintenance Treatment Versus Observation Alone in Patients With Chronic Lymphocytic Leukemia
1 other identifier
interventional
256
3 countries
22
Brief Summary
The purpose of the study is to evaluate the ability of Rituximab maintenance therapy to prolong progression free survival in patients with chronic lymphocytic leukemia, who responded to a Rituximab induction therapy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3
Started Dec 2009
Longer than P75 for phase_3
22 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 1, 2009
CompletedFirst Submitted
Initial submission to the registry
May 3, 2010
CompletedFirst Posted
Study publicly available on registry
May 6, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2019
CompletedJanuary 9, 2020
January 1, 2020
8.2 years
May 3, 2010
January 6, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
progression free survival
Clinical PFS is defined as the period from randomization until disease progression according to the NCI criteria or death due to the underlying disease.
48 months
Secondary Outcomes (10)
MRD (minimal residual disease) progression free survival
48 months
conversion rate to MRD negative
48 months
median MRD levels
48 months
conversation rate to CR
48 months
effect of MRD levels on clinical PFS and OS
48 months
- +5 more secondary outcomes
Study Arms (2)
Rituximab
EXPERIMENTALTreatment with Rituximab 375 mg/m² every 3 months for 24 months
Observation
NO INTERVENTIONObservation for 24 months
Interventions
Rituximab (MabThera, F. Hoffmann-La Roche Ltd., Basel, Switzerland) 375 mg/m² every 3 months for 24 months (8 infusions) or observation
Eligibility Criteria
You may qualify if:
- B-CLL
- Age \>18
- ECOG performance status 0-2
- Previous Rituximab containing induction treatment of the CLL in 1st or 2nd line
- Patient must be in complete remission or partial remission after an induction treatment containing rituximab
- ANC (absolute neutrophil count) \> 1,0 x 10e9 /L
- Life expectancy \> 6 months
- Patient´s written informed consent
- Patient using a reliable means of contraception for the duration of the treatment including 2 months thereafter
You may not qualify if:
- Active uncontrolled bacterial, viral or fungal infection
- Significantly reduced organ functions and bone marrow dysfunction not due to CLL
- creatinine clearance of below 30mL/min
- Patients with a history of other malignancies within 2 years prior to study entry
- Patients with a history of severe cardiac disease
- Other known comorbidity with the potential to dominate survival
- Transformation to aggressive B-cell malignancy
- Hypersensitivity with anaphylactic reaction to humanized monoclonal antibodies or any of the applied drugs
- Medical condition requiring prolonged (\> 1 month) use of oral corticosteroids
- Pregnant or breast feeding women
- Any coexisting medical or psychological condition that would preclude participation in the study or compromise ability to give informed consent
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Arbeitsgemeinschaft medikamentoese Tumortherapielead
- Roche Pharma AGcollaborator
Study Sites (22)
Landesklinikum Krems, Hämato-onkologisches Service
Krems, Lower Austria, 3500, Austria
A.ö. Bezirkskrankenhaus Hall in Tirol, Innere Medizin / Hämato - Onkologie
Hall in Tirol, Tyrol, 6060, Austria
Universitätsklinik Innsbruck, Innere MEdizin IV / Hämato-Onkologie
Innsbruck, Tyrol, 6020, Austria
A.ö. Bezirkskrankenhaus Kufstein, Innere Medizin / Hämatologie / Onkologie
Kufstein, Tyrol, 6330, Austria
AKH Linz, Department für Innere Medizin 3
Linz, Upper Austria, 4021, Austria
Landeskrankenhaus Steyr, Innere Medizin, Hämatologie, Onkologie
Steyr, Upper Austria, 4400, Austria
Klinikum Wels-Grieskirchen GmbH, Abteilung für Innere Medizin IV
Wels, Upper Austria, 4600, Austria
LKH Feldkirch, Interne E
Feldkirch, Vorarlberg, 6807, Austria
Universitätsklinik der PMU Salzburg, Univ-Klinik für Innere Medizin
Salzburg, 5020, Austria
AKH Wien, Klinische Abteilung für Hämatologie und Hämostaseologie
Vienna, 1090, Austria
Hanusch Krankenhaus, 3. Med. Abtlg.
Vienna, 1140, Austria
FN Brno
Brno, 62588, Czechia
FN Hradec Kralove
Hradec Králové, 500 05, Czechia
FN Olomouc
Olomouc, Czechia
FN Kralovske Vinohrady
Prague, 10034, Czechia
VFN Praha 2
Prague, 12808, Czechia
F.D. Rossevelt hospital
Banská Bystrica, 97517, Slovakia
Narodny onkologicky ustav
Bratislava, 83310, Slovakia
FNsP sv. Cyrila a Metoda
Bratislava, 85107, Slovakia
FNsP L.Pasteura
Košice, 04190, Slovakia
Martinska fakultna nemocnica
Martin, 03659, Slovakia
FNsP J.A. Reimana
Prešov, 08181, Slovakia
Related Publications (1)
Greil R, Obrtlikova P, Smolej L, Kozak T, Steurer M, Andel J, Burgstaller S, Mikuskova E, Gercheva L, Nosslinger T, Papajik T, Ladicka M, Girschikofsky M, Hrubisko M, Jager U, Fridrik M, Pecherstorfer M, Kralikova E, Burcoveanu C, Spasov E, Petzer A, Mihaylov G, Raynov J, Oexle H, Zabernigg A, Flochova E, Palasthy S, Stehlikova O, Doubek M, Altenhofer P, Pleyer L, Melchardt T, Klingler A, Mayer J, Egle A. Rituximab maintenance versus observation alone in patients with chronic lymphocytic leukaemia who respond to first-line or second-line rituximab-containing chemoimmunotherapy: final results of the AGMT CLL-8a Mabtenance randomised trial. Lancet Haematol. 2016 Jul;3(7):e317-29. doi: 10.1016/S2352-3026(16)30045-X. Epub 2016 Jun 16.
PMID: 27374465DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Richard Greil, Prof. Dr.
Arbeitsgemeinschaft medikamentoese Tumortherapie
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 3, 2010
First Posted
May 6, 2010
Study Start
December 1, 2009
Primary Completion
February 1, 2018
Study Completion
July 1, 2019
Last Updated
January 9, 2020
Record last verified: 2020-01