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Lumiliximab With Fludarabine, Cyclophosphamide, and Rituximab (FCR) Versus FCR Alone in Subjects With Relapsed Chronic Lymphocytic Leukemia (CLL) (LUCID)
This study is currently recruiting participants.
Verified by Biogen Idec, December 2008
Sponsored by: Biogen Idec
Information provided by: Biogen Idec
ClinicalTrials.gov Identifier: NCT00391066
  Purpose

This is a randomized (1:1), open-label, multicenter, active-controlled study in patients with previously treated CD23+ and CD20+ relapsed CLL. Patients will receive treatment with either lumiliximab in combination with FCR or FCR alone.


Condition Intervention Phase
Chronic Lymphocytic Leukemia
Drug: FCR + Lumiliximab
Drug: FCR
Phase II
Phase III

MedlinePlus related topics: Leukemia, Adult Acute Leukemia, Adult Chronic
Drug Information available for: Cyclophosphamide Fludarabine Fludarabine monophosphate Rituximab Lumiliximab
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Safety/Efficacy Study
Official Title: A Randomized, Open Label, Multicenter, Phase 2/3 Study to Evaluate the Safety and Efficacy of Lumiliximab in Combination With Fludarabine, Cyclophosphamide, and Rituximab Versus Fludarabine, Cyclophosphamide, and Rituximab Alone in Subjects With Relapsed Chronic Lymphocytic Leukemia

Further study details as provided by Biogen Idec:

Primary Outcome Measures:
  • The primary study endpoint for the phase 3 portion of the study will be Progression Free Survival (PFS) rate. [ Time Frame: Every 3 months through month 48 ] [ Designated as safety issue: No ]
  • Complete Response (CR) rate is the efficacy endpoint for the phase 2 portion of the study. [ Time Frame: Every 3 months through month 48 ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Complete response. [ Time Frame: Every 3 months until month 48 ] [ Designated as safety issue: No ]
  • Time to event variables (duration of response, time to next therapy, time to progression and overall survival) [ Time Frame: Every 3 months until month 48 ] [ Designated as safety issue: No ]
  • Response variables (complete response rate, overall response rate, partial response rate) [ Time Frame: Every 3 months until month 48 ] [ Designated as safety issue: No ]

Estimated Enrollment: 900
Study Start Date: November 2006
Estimated Study Completion Date: December 2014
Estimated Primary Completion Date: May 2014 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Active Comparator

FCR

F (Fludarabine): 25 mg/m2 daily, every four weeks for 21 weeks

C (Cyclophosphamide): 250 mg/m2 daily, every four weeks for 21 weeks

R: (Rituximab): Day 1 50 mg/m2, Day 3 325 mg/m2, for the first week, then single doses of 500 mg/m2 every four weeks, for 21 weeks

Drug: FCR
Dose, schedule, and duration specified in protocol
2: Experimental

FCR + Lumiliximab (L)

L (Lumiliximab): Day 2 50 mg/m2, Day 4 450 mg/m2, for the first week, then single doses of 500 mg/m2 every four weeks, for 21 weeks.

F (Fludarabine): 25 mg/m2 daily, every four weeks for 21 weeks

C (Cyclophosphamide): 250 mg/m2 daily, every four weeks for 21 weeks

R: (Rituximab): Day 1 50 mg/m2, Day 3 325 mg/m2, for the first week, then single doses of 500 mg/m2 every four weeks, for 21 weeks

Drug: FCR + Lumiliximab
Dose, schedule, and duration specified in the protocol

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Signed, written EC-approved informed consent form.
  • Diagnosis of relapsed CD23+ and CD20+ B cell CLL as defined by NCI WG guidelines.
  • Subjects who have received at least 1 but no more than 2 prior single agent or combination treatments for CLL.
  • Rai Stage III or IV (Binet Stage C), or Rai Stage I or II (Binet Stage A or B) if determined to have disease progression as evidenced by rapid doubling of peripheral lymphocyte count, progressive lymphadenopathy, progressive splenomegaly, or B symptoms (Staging Criteria - Modified Rai).
  • WHO Performance Status less than or equal to 2.
  • Age greater than or equal to 18 years.
  • Male and female subjects of reproductive potential must agree to follow accepted birth control methods during treatment and for 12 months after completion of treatment.
  • Acceptable liver function: bilirubin less than or equal to 2.0 mg/dL (26 µmol/L); AST and ALT less than or equal to 2 times upper limit of normal.
  • Acceptable hematologic status: platelet count greater than or equal to 50 x 10^9/L should be unsupported by transfusion; ANC greater than or equal to 1 x 10^9/L.
  • Acceptable renal function: creatinine clearance calculated according to the formula of Cockcroft and Gault >50 mL/min; serum creatinine less than or equal to 1.5 times upper limit of normal.

Exclusion Criteria:

  • Subjects who are refractory to the following combination therapies: purine analogue + R, purine analogue + C, or purine analogue + CR. Refractory is defined as not achieving at least a PR for a minimum duration of 6 months as determined by treating physician. Purine analogues include fludarabine, pentostatin and cladribine.
  • Radiotherapy, radioimmunotherapy, biological therapy, chemotherapy, or other investigational therapy within 4 weeks prior to Study Day 1.
  • Previous exposure to lumiliximab or other anti-CD23 antibodies.
  • Prior autologous or allogeneic BMT or hematopoetic stem cell transplant.
  • Known infection with HIV, hepatitis B, or hepatitis C. Although testing for hepatitis B or hepatitis C is not mandatory, this should be considered for all subjects considered at high risk of hepatitis B or hepatitis C infection and in endemic areas. Subjects with any serological evidence of current or past hepatitis B or hepatitis C exposure are excluded unless the serological findings are clearly due to vaccination.
  • Uncontrolled diabetes mellitus.
  • Uncontrolled hypertension.
  • Transformation to aggressive B-cell malignancy (e.g., large B cell lymphoma, Richter's Syndrome, or PLL).
  • Secondary malignancy requiring active treatment (except hormonal therapy).
  • Any medical condition that would require long-term use (>1 month) of systemic corticosteroids during study treatment. However, steroid use less than or equal to 1 month is permissible during the study.
  • Any serious nonmalignant disease or laboratory abnormality, which in the opinion of the Investigator and/or Sponsor would compromise protocol objectives.
  • Active uncontrolled bacterial, viral, or fungal infections.
  • New York Heart Association Class III or IV cardiac disease, myocardial infarction within the past 6 months prior to Study Day 1, unstable arrhythmia, or evidence of ischemia on ECG within 30 days prior to Study Day 1.
  • Seizure disorders requiring anticonvulsant therapy.
  • Severe chronic obstructive pulmonary disease with hypoxemia.
  • Major surgery, other than diagnostic surgery, within 4 weeks prior to Study Day 1.
  • Clinically active autoimmune disease.
  • History of fludarabine-induced autoimmune cytopenia (as judged by the Investigator) or Coombs-positive haemolytic anemia.
  • Pregnant or currently breastfeeding.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00391066

Contacts
Contact: Biogen Idec oncologyclinicaltrials@biogenidec.com

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Sponsors and Collaborators
Biogen Idec
  More Information

Publications:
Responsible Party: Biogen Idec ( Biogen Idec MD )
Study ID Numbers: 152CL201
Study First Received: October 19, 2006
Last Updated: December 2, 2008
ClinicalTrials.gov Identifier: NCT00391066  
Health Authority: United States: Food and Drug Administration

Keywords provided by Biogen Idec:
CLL
CD23+/CD20+ B-cell CLL

Study placed in the following topic categories:
Chronic lymphocytic leukemia
Leukemia, Lymphoid
Immunoproliferative Disorders
Rituximab
Leukemia, B-cell, chronic
Cyclophosphamide
Fludarabine monophosphate
Leukemia
Lymphatic Diseases
Leukemia, Lymphocytic, Chronic, B-Cell
Fludarabine
Leukemia, B-Cell
Lymphoproliferative Disorders

Additional relevant MeSH terms:
Neoplasms by Histologic Type
Immune System Diseases
Immunologic Factors
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Physiological Effects of Drugs
Immunosuppressive Agents
Pharmacologic Actions
Neoplasms
Therapeutic Uses
Myeloablative Agonists
Antineoplastic Agents, Alkylating
Antirheumatic Agents
Alkylating Agents

ClinicalTrials.gov processed this record on January 16, 2009