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PH2 Trial in Patients With Relapsed/Refractory Chronic Lymphocytic Leukemia (CLL) With a Combination of Bendamustine & Ofatumumab
PHASE II CLINICAL PROTOCOL FOR THE TREATMENT OF PATIENTS WITH RELAPSED/REFRACTORY CHRONIC LYMPHOCYTIC LEUKEMIA WITH A COMBINATION OF BENDAMUSTINE AND OFATUMUMAB
2 other identifiers
interventional
37
1 country
1
Brief Summary
Investigational Drugs: Ofatumumab (Azerra) + bendamustine (Trenda) Route of Administration: Intravenous (IV) Hypothesis: This study is designed to assess the toxicity and overall response rate. Ofatumumab is a fully human monoclonal antibody (A type of protein made in the laboratory that can bind to substances in the body, including tumor cells) that shows promising activity in the treatment of CLL as a single agent. It is thought that by combining it with Bendamustine, an FDA approved treatment for CLL, the effect on CLL will be greater than if Ofatumumab is given alone. Ofatumumab is FDA approved for the treatment of relapsed/refractory CLL. Participation: Approximately 37 relapsed/refractory CLL subjects will participate in this study over two years. Treatment Plan: A maximum of 6 cycles of treatment will be allowed. During day 1 of cycle 1 ofatumumab IV 300mg will be administered. On day 1 of all cycles ofatumumab treatment will be followed by bendamustine IV 90mg/m2. On day 2 of all cycles, bendamustine IV 90mg/m2 will be administered. On day 3 of all cycles, neulasta SQ 6mg will be given. On day 8 of cycle 1 only patients will receive ofatumumab IV 1000mg. During cycles 2 through 6 ofatumumab 1000mg will be given on day 1 only. Follow-up: Patients will be followed monthly for six months, then every three months for five years then annually thereafter.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
May 25, 2010
CompletedFirst Posted
Study publicly available on registry
May 26, 2010
CompletedJuly 20, 2011
July 1, 2011
May 25, 2010
July 19, 2011
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Overall Response Rate/ Efficacy
The primary objective for this trial is to evaluate the overall response rate (CR+PR) of bendamustine and ofatumumab in patients with relapsed/refractory CLL.
Secondary Outcomes (3)
Safety Evaluation
Response Rate
Correlative Analysis
Study Arms (1)
ofatumumab + bendamustine
EXPERIMENTALInterventions
Loading dose of ofatumumab at 300mg IV with subsequent doses at 100mg IV on D1 of all cycles (maximum of 6 cycles) in combination with bendamustine 90mg/m2 on day 2 of all cycles. Neulasta 6mg SQ will also be given on day 8 of cycle 1 only.
Eligibility Criteria
You may qualify if:
- Must be \>/= 18 years old and able to provide consent
- Must have diagnosis of CLL as defined by NCI criteria
- Must require chemotherapy
- Must be previously treated with a minimum of one course of prior chemo or other treatment
- Serum creatinine \<1.8 mg/dl
- Bilirubin must be \</= 2 mg/d, unless secondary to tumor
- Must have adequate liver function (as defined as \<2x ULN, unless related to CLL)
- AST/ALT \<2x ULN
- Performance status 0-2
- Women of child bearing age must be willing to use accepted/effective method of birth control.
You may not qualify if:
- Not have received prior treatment with cytotoxic chemotherapy or immunotherapy.
- Not have autoimmune hemolytic anemia or autoimmune thrombocytopenia
- Not have history of corticosteroid treatment for CLL
- Not have CNS disease
- Not have clinically significant infections
- Patients with a second malignancy, other than basal cell carcinoma of the skin or in situ carcinoma of the cervix are not eligible.
- Not have positive serology for Hepatitis B or Hepatitis C
- Not have be known to be HIV positive
- Not have New York Classification III or IV hear disease
- Other protocol specific criteria may apply
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Nevada Cancer Institutelead
- Cephaloncollaborator
- GlaxoSmithKlinecollaborator
Study Sites (1)
Mayo Clinic
PHoenix/Scottsdale, Arizona, 85259, United States
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Mark Kirschbaum, MD
Nevada Cancer Institute
- PRINCIPAL INVESTIGATOR
Jose Leis, MD
Mayo Clinic
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
May 25, 2010
First Posted
May 26, 2010
Last Updated
July 20, 2011
Record last verified: 2011-07