- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00274976
Alemtuzumab in Treating Patients With Advanced Chronic Lymphocytic Leukemia That Did Not Respond to Previous Fludarabine
Subcutaneous Campath-1H in Fludarabine-Refractory CLL
RATIONALE: Monoclonal antibodies, such as alemtuzumab, can block cancer growth in different ways. Some block the ability of cancer cells to grow and spread. Others find cancer cells and help kill them or carry cancer-killing substances to them.
PURPOSE: This phase II trial is studying how well giving alemtuzumab by injection works in treating patients with advanced chronic lymphocytic leukemia that did not respond to previous fludarabine.
Study Overview
Detailed Description
OBJECTIVES:
- Compare the safety and efficacy of subcutaneous alemtuzumab vs intravenous alemtuzumab in patients with fludarabine-refractory advanced chronic lymphocytic leukemia.
- Determine the response in patients with high-risk genetic abnormalities (unmutated immunoglobulin variable heavy-chain [IgVH] status, del [17p], del [11q]) treated with subcutaneous alemtuzumab after progression on fludarabine.
OUTLINE: This is a multicenter study.
Patients receive alemtuzumab IV once, followed 1 week later by alemtuzumab subcutaneously once weekly for up to 12 weeks.
PROJECTED ACCRUAL: A total of 100 patients will be accrued for this study.
Study Type
Phase
- Phase 2
Contacts and Locations
Study Locations
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Vienna, Austria, A-1090
- Allgemeines Krankenhaus der Stadt Wien
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Ansbach, Germany, 91522
- Gemeinschaftspraxis Fuer Innere Medizin, Haematologie Und Internistische Onkologie
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Aschaffenburg, Germany, 63739
- Specialist Practice for Oncology
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Bad Saarow, Germany, 15526
- Humaine - Clinic
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Berlin, Germany, D-13122
- Robert Roessle Comprehensive Cancer Center at University of Berlin - Charite Campus Buch
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Berlin, Germany, 13357
- Haematolo-Onkologische Schwerpunktpraxis - Berlin
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Chemnitz, Germany, 09113
- Hospital Kuchwald Chemnitz
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Essen, Germany, D-45122
- Universitaetsklinikum Essen
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Esslingen, Germany, 73730
- Staedtische Kliniken Esslingen
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Frankfurt, Germany, D-60488
- Krankenhaus Nordwest
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Freiburg, Germany, D-79106
- Universitaetsklinikum Freiburg
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Goettingen, Germany, D-37075
- Universitaetsklinikum Goettingen
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Greifswald, Germany, D-17487
- Klinik Fuer Innere Medizin, Hematology/Oncology, Ernst Moritz Armdt Universitaet
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Hagen, Germany, 58095
- St. Marien Hospital - Katholisches Krankenhaus Hagen gGmbH
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Halle, Germany, 06110
- Internistische Gemeinschaftspraxis - Halle
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Hamburg, Germany, D-20099
- Asklepios Klinik St. Georg
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Hamburg, Germany, 22457
- Praxis fur Innere Medizin - Hamburg
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Hamm, Germany, DOH-59063
- Evangelische Krankenhaus Hamm
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Hannover, Germany, D-30625
- Medizinische Hochschule Hannover
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Heidelberg, Germany, D-69120
- Universitaets-Kinderklinik Heidelberg
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Herne, Germany, D-44625
- Marienhospital at Ruhr University Bochum
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Homburg, Germany, D-66421
- Universitaetsklinikum des Saarlandes
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Idar-Oberstein, Germany, D-55743
- Clinic for Bone Marrow Transplantation and Hematology and Oncology
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Kassel, Germany, 34117
- Internistische Gemeinschaftspraxis - Kassel
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Kiel, Germany, D-24105
- University Hospital Schleswig-Holstein - Kiel Campus
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Landshut, Germany, 84028
- Internistische Praxis - Landshut
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Lemgo, Germany, D-32657
- Klinikum Lippe - Lemgo
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Mannheim, Germany, D-68305
- III Medizinische Klinik Mannheim
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Munich, Germany, D-81675
- Klinikum Rechts der Isar - Technische Universitaet Muenchen
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Oldenburg, Germany, D-26133
- Klinikum Oldenburg
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Siegen, Germany, D-57072
- St. Marien - Krankenhaus Siegen GMBH
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Tuebingen, Germany, D-72076
- Southwest German Cancer Center at Eberhard-Karls-University
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Ulm, Germany, D-89081
- Universitaetsklinikum Ulm
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Wuerzburg, Germany, D-
- Medizinische Klinik und Poliklinik II - Universitaetsklinikum Wuerzburg
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Wurzburg, Germany, 97070
- Hamatologisch - Onkologische Praxis Wurzburg
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
DISEASE CHARACTERISTICS:
Confirmed diagnosis of previously treated advanced chronic lymphocytic leukemia (CLL)
- Fludarabine-refractory disease
- Requires treatment
PATIENT CHARACTERISTICS:
- Life expectancy more than 6 months
- ECOG 0-2
- No severe organ dysfunction
- No other concomitant or previous neoplasms
- No autoimmune hemolytic anemia or thrombocytopenia
PRIOR CONCURRENT THERAPY:
- See Disease Characteristics
- Up to 5 prior chemotherapy regimens allowed
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Masking: None (Open Label)
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
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Safety and efficacy
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Response
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Collaborators and Investigators
Sponsor
Investigators
- Stephan Stilgenbauer, MD, Comprehensive Cancer Center Ulm at Universitaetsklinikum Ulm
Publications and helpful links
General Publications
- Stilgenbauer S, Zenz T, Winkler D, Buhler A, Schlenk RF, Groner S, Busch R, Hensel M, Duhrsen U, Finke J, Dreger P, Jager U, Lengfelder E, Hohloch K, Soling U, Schlag R, Kneba M, Hallek M, Dohner H; German Chronic Lymphocytic Leukemia Study Group. Subcutaneous alemtuzumab in fludarabine-refractory chronic lymphocytic leukemia: clinical results and prognostic marker analyses from the CLL2H study of the German Chronic Lymphocytic Leukemia Study Group. J Clin Oncol. 2009 Aug 20;27(24):3994-4001. doi: 10.1200/JCO.2008.21.1128. Epub 2009 Jul 13.
- Zenz T, Habe S, Denzel T, Mohr J, Winkler D, Buhler A, Sarno A, Groner S, Mertens D, Busch R, Hallek M, Dohner H, Stilgenbauer S. Detailed analysis of p53 pathway defects in fludarabine-refractory chronic lymphocytic leukemia (CLL): dissecting the contribution of 17p deletion, TP53 mutation, p53-p21 dysfunction, and miR34a in a prospective clinical trial. Blood. 2009 Sep 24;114(13):2589-97. doi: 10.1182/blood-2009-05-224071. Epub 2009 Jul 30.
- Stilgenbauer S, Zenz T, Winkler D, et al.: Subcutaneous alemtuzumab (Campath) in fludarabine-refractory CLL: final results of the CLL2H trial of the GCLLSG and comprehensive analysis of prognostic markers. [Abstract] Blood 112 (11): A-329, 2008.
- Schnaiter A, Paschka P, Rossi M, Zenz T, Buhler A, Winkler D, Cazzola M, Dohner K, Edelmann J, Mertens D, Kless S, Mack S, Busch R, Hallek M, Dohner H, Stilgenbauer S. NOTCH1, SF3B1, and TP53 mutations in fludarabine-refractory CLL patients treated with alemtuzumab: results from the CLL2H trial of the GCLLSG. Blood. 2013 Aug 15;122(7):1266-70. doi: 10.1182/blood-2013-03-488197. Epub 2013 Jul 2.
Study record dates
Study Major Dates
Study Start
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- CDR0000455059
- GCLLSG-CLL2H
- EU-20550
- MEDAC-GCLLSG-CLL2H
- AMGEN-GCLLSG-CLL2H
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