Phase II, multicenter, randomized trial, exploring intensified Rituximab prephase monotherapy before standard Fludarabine-Cyclophosphamide-Rituximab FC-R regimen in previously untreated symptomatic B-cell chronic lymphocytic leukemia CLL. A Study from the Goelams GCFLLCMW intergroup
Young fit medically B Cell untreated patients Comparison between FCR treatment = 6 FCR cycles and a the addition of a prephase with R Dense treatment before the 6 FCR cycles.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
140
* Cycle 1 Rituximab : 375 mg/m² i.v on day 1 * Cycle 2-6 Rituximab:500 mg/m² i.v on day 1, repeated every 28 days
* Prephase: Rituximab:500 mg on day 0, 2000 mg on days 1, 8, and D15 * Cycle 1-6 cycle 1 beginning at D22: Rituximab: 500 mg/m2 i.v on day 1, repeated every 28 days
•FCR Cycle 1-6: Cyclophosphamide : 250 mg/m² per os, days 2-4, repeated every 28 days
Stephane LEPRETRE
Rouen, CLCC Henri Becquerel, France
Guillaume CARTRON
Montpellier, Regional University Hospital, France
complete response rates according to IWCLL 2008 guidelines with undetectable minimal residual disease
CR MRD negative rate at 9 months = treatment evaluation surveillance of cumulative toxicities of high dose rituximab
Time frame: 9 months
To determine and compare the progression free survival PFS
Time frame: 3 years
evaluate the immunophenotypic response rate after high dose Rituximab alone prephase in DenseR-FC
Treatment evaluation
Time frame: 9 months
To evaluate FcyRs polymorphisms influence on clinical response
R Dense arm treatment evaluation
Time frame: 9 months
To determine the pharmacokinetics of rituximab and determine the PK-PD relationship of rituximab based on biomarkers.
Time frame: 12 months
To evaluate the safety profile of higher doses of rituximab
5 months treatment and 36 months follow up
Time frame: 41
To determine the event-free survival EFS
Time frame: 3 years
To determine and compare the disease-free survival DFS
Time frame: 3 years
To determine the overall survival OS
Time frame: 3 years
To determine the time to next treatment TTNT
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FCR Cycle 1-6: Fludarabine :40 mg/m² per os, days 2-4, repeated every 28 days
Time frame: 3 years