Facing Obstacles to RDI (Relative Dose Intensity) Through Telephone Intervention Strategy
FORTIS
Facing Obstacles to RDI(Relative Dose Intensity)Through Telephone Intervention Strategy
2 other identifiers
interventional
60
1 country
3
Brief Summary
The investigators plan to conduct a nurse-based telephone intervention study to minimize toxicity and increase compliance to a combination of Fludarabine-Cyclophosphamide-Rituximab (FCR) given frontline to Chronic Lymphocytic Leukemia patients.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Sep 2011
Longer than P75 for not_applicable
3 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
First Submitted
Initial submission to the registry
July 5, 2011
CompletedFirst Posted
Study publicly available on registry
July 13, 2011
CompletedStudy Start
First participant enrolled
September 1, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2016
CompletedApril 1, 2026
July 1, 2020
4.3 years
July 5, 2011
March 31, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
Evaluation of RDI
Reductions in Relative Dose Intensity, calculated as the difference between initially planned doses of F, C and R and effectively prescribed doses of the 3 drugs, before and after 6 courses of FCR.
3 years
Secondary Outcomes (1)
Evaluation of Toxicity grade III-IV
3 years
Study Arms (2)
Without AMA
OTHERPatient will be follow only like usual practice
With AMA
OTHERPatient will be follow like usual practice, plus 'Telephone Intervention' every week with a nurse to evaluate physical conditions.
Interventions
Only for arm AMA, patient will have one phone every week to evaluate physical conditions.
Eligibility Criteria
You may qualify if:
- CLL whatever Binet stage, but with at least one NCIWG2008 criteria indicating a need for first line treatment.
- Matutes score must be 4-5/5.
You may not qualify if:
- Lymph node biopsy is needed only if suspicion of Richter syndrome.
- Mandatory pre-therapeutic check-up: FISH in search for deletion del17p and del11q, DAT test, haptoglobin levels, creatinine clearance.
- Eligibility to a treatment with FCR: clearance \> 60ml/mn, consider dose adjustments (recommended by protocol) if clearance30-60ml/mn, and comorbidity score CIRS-G≤11.
- Signed informed consent
- Age\> or equal 18 years, ECOG PS 0-2.
- Estimated overall survival\>6 months.
- Conserved liver function (bilirubin\<2,5mg/dl, SGPT\<4ULN, SGOT\<4ULN) except infiltration due to the disease.
- Contraception for younger patients.
- Confident with the use of telephone, no disabling deafness.
- Richter syndrome or atypical CLL (Matutes score \<4), and/or del17p by FISH
- Relapse of CLL
- Contra-indications to fludarabine: auto-immune cytopenia, creatinine clearance\<30 ml/mn.
- Serologies positive for HIV, HBV, or HCV. No active bacterial, viral or fungal infection
- Previous history of hypersensibility to any product used in this protocol
- Denial, or medical or psychological condition preventing completion of the signed informed consent.
- +4 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (3)
Centre Hospitalier de la côte basque
Bayonne, 64109, France
CH Saint Jean
Perpignan, 66046, France
CHU Purpan
Toulouse, 31059, France
Related Publications (1)
Ysebaert L, Larcher M, Compaci G, Oberic L, Sahnes L, Banos A, Araujo C, Sommet A, Laurent G, Despas F. Oncology nurse phone calls halve the risk of reduced dose intensity of immunochemotherapy: results of the randomized FORTIS study in chronic lymphocytic leukemia. Ann Hematol. 2019 Apr;98(4):931-939. doi: 10.1007/s00277-019-03631-z. Epub 2019 Feb 18.
PMID: 30778715RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Loïc YSEBAERT, MD
University Hospital Of Toulouse
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 5, 2011
First Posted
July 13, 2011
Study Start
September 1, 2011
Primary Completion
December 1, 2015
Study Completion
December 1, 2016
Last Updated
April 1, 2026
Record last verified: 2020-07
Data Sharing
- IPD Sharing
- Will not share