- ICH GCP
- Yhdysvaltain kliinisten tutkimusten rekisteri
- Kliininen tutkimus NCT01659021
Efficacy and Safety of Idelalisib in Combination With Ofatumumab for Previously Treated Chronic Lymphocytic Leukemia
A Phase 3, Randomized, Controlled Study Evaluating the Efficacy and Safety of Idelalisib (GS-1101) in Combination With Ofatumumab for Previously Treated Chronic Lymphocytic Leukemia
Tutkimuksen yleiskatsaus
Tila
Interventio / Hoito
Opintotyyppi
Ilmoittautuminen (Todellinen)
Vaihe
- Vaihe 3
Yhteystiedot ja paikat
Opiskelupaikat
-
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Woodville, Australia, 5011
- Queen Elizabeth Hospital
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New South Wales
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Kogarah, New South Wales, Australia, 2217
- Saint George and Sutherland Hospitals
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Randwick, New South Wales, Australia, 2031
- Prince of Wales Hospital
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Westmead, New South Wales, Australia, 2145
- Westmead Hospital
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Queensland
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Herston, Queensland, Australia, 4029
- Royal Brisbane and Women's Hospital
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Milton, Queensland, Australia, 4064
- Haematology and Oncology Clinics of Australia at Mater
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South Australia
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Ashford, South Australia, Australia, 5035
- Ashford Cancer Centre Research
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Victoria
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Box Hill, Victoria, Australia, 3128
- Box Hill Hospital
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Melbourne, Victoria, Australia, 3199
- Frankston Hospital
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Antwerpen, Belgia, 2060
- Ziekenhuis Netwerk Antwerpen
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Brussels, Belgia, 1200
- Cliniques Universitaires Saint Luc
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Ghent, Belgia, 9000
- Universitair Ziekenhuis Gent
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Leuven, Belgia, 3000
- Universitaire Ziekenhuis Gasthuisberg
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Barcelona, Espanja, 08035
- Hospital Vall D´Hebron
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Barcelona, Espanja, 08025
- Hospital Clinic I Provincial
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Madrid, Espanja, 28006
- Hospital Universitario La Princesa
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Madrid, Espanja, 28041
- Hospital Universitario 12 de Octubre
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Madrid, Espanja, 28222
- Hospital Puerta de Hierro Majadahonda
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Murcia, Espanja, 30008
- Hospital Morales Meseguer
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Cork, Irlanti
- University College Cork
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Dublin, Irlanti, 8
- Saint James's Hospital
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Winnipeg, Kanada, R3E 0V9
- Cancer Care Manitoba
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Alberta
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Calgary, Alberta, Kanada, T2N 2T9
- Tom Baker Cancer Centre
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Edmonton, Alberta, Kanada, T6G 1Z2
- Cross Cancer Institute
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Manitoba
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Winnipeg, Manitoba, Kanada, R3E 0V9
- Cancer Care Manitoba
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Ontario
-
Sudbury, Ontario, Kanada, P3E 5J1
- Hopital Regional De Sudbury Regional Hospital (HRSRH) - Regional Cancer Program (RCP)
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Quebec
-
Montréal, Quebec, Kanada, H1T 2M4
- Centre hospitalier universitaire de Montréal
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Rimouski, Quebec, Kanada, G5L 5T1
- Centre Hospitalier Regional De Rimouski
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Saskatchewan
-
Regina, Saskatchewan, Kanada, S4T 1A5
- Saskatchewan Cancer Agency
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-
-
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Brzozow, Puola, 36-200
- Szpital Specjalistyczny w Brzozowie
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Lódz, Puola, 93-510
- Wojewódzki Szpital Specjalistyczny im. Mikolaja Kopernika w Lodzi
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Warszawa, Puola, 02-507
- Centralny Szpital Kliniczny MSW
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Wroclaw, Puola, 50-367
- Samodzielny Publiczny Szpital Kliniczny N1 Klinika
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Malopolskie
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Kraków, Malopolskie, Puola, 31-501
- Collegium Medicum Uniwersytetu Jagiellonskiego w K
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Pomorskie
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Slupsk, Pomorskie, Puola, 76-200
- Wojewódzki Szpital Specjalistyczny im. Janusza Kor
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Auvergne, Ranska, 63000
- CHRU Clermont- Ferrand CHU Estaing
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Ile-de-france, Ranska, 93009
- Centre Hospitalier Universitaire Hopital Avicenne
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Aquitaine
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Pessac Cedex, Aquitaine, Ranska, 33604
- Center Hospitalier Universitaire de Bordeaux
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Ile-de-france
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Paris Cedex 10, Ile-de-france, Ranska, 75010
- Hopital Saint Louis
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Languedoc-Roussillon
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Perpignan, Languedoc-Roussillon, Ranska, 66046
- Centre Hospitalier de Perpignan
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Limousin, Lorraine
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Vandoeuvre, Limousin, Lorraine, Ranska, 54511
- Centre Hospitalier universitaire Nancy
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Midi-pyrenees
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Toulouse Cedex, Midi-pyrenees, Ranska, 31059
- Centre Hospitalier Universitaire Purpan
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Luleå, Ruotsi, 971 80
- Sunderby Sjukhus
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Stockholm, Ruotsi, 171 64
- Karolinska University Hospital Solna
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Stockholm, Ruotsi, 171 76
- Karolinska University Hospital Huddinge
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Aalborg, Tanska, 9100
- Aalborg Hospital
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Århus, Tanska, 8000
- Aarhus University Hospital
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Leeds, Yhdistynyt kuningaskunta, LS9 7TF
- Saint James's University Hospital
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London, Yhdistynyt kuningaskunta, WC1E 6BT
- University College London
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London, Yhdistynyt kuningaskunta, NW1 2PG
- University College London
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Oxford, Yhdistynyt kuningaskunta, OX3 7LE
- Department of Haematology, Cancer and Haematology Centre, Churchill Hospital (Oxford University Hospitals)
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England
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Birmingham, England, Yhdistynyt kuningaskunta, B9 5ST
- Birmingham Heartlands Hospital
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Dartford, England, Yhdistynyt kuningaskunta, DA2 8DA
- Darent Valley Hospital
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Guildford, England, Yhdistynyt kuningaskunta, GU2 7XX
- Royal Surrey County Hospital NHS Trust
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Manchester, England, Yhdistynyt kuningaskunta, M20 4BX
- Haematology and Transplant Unit
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Norfolk
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Norwich, Norfolk, Yhdistynyt kuningaskunta, NR4 7UY
- Norfolk and Norwich University Hospital
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California
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Duarte, California, Yhdysvallat, 91010
- City of Hope
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Fresno, California, Yhdysvallat, 93720
- California Cancer Associates for Research and Excellence (cCare)
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San Diego, California, Yhdysvallat, 92120
- Kaiser Permanente
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San Luis Obispo, California, Yhdysvallat, 93401
- Coastal Integrative Cancer Care
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Stanford, California, Yhdysvallat, 94305
- Stanford University Medical Center
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Vallejo, California, Yhdysvallat, 94589
- Kaiser Permanente Vallejo Medical Center
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Colorado
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Denver, Colorado, Yhdysvallat, 80205
- Kaiser Permanente of Colorado
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Grand Junction, Colorado, Yhdysvallat, 81501
- Saint Mary's Regional Cancer Center
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Florida
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Jacksonville, Florida, Yhdysvallat, 32256
- Cancer Specialists of North Florida
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Georgia
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Augusta, Georgia, Yhdysvallat, 30912
- Georgia Regents University
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Kentucky
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Mount Sterling, Kentucky, Yhdysvallat, 40353
- Montgomery Cancer Center
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Maryland
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Bethesda, Maryland, Yhdysvallat, 20817
- Center for Cancer and Blood Disorders, PC
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Massachusetts
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Boston, Massachusetts, Yhdysvallat, 02215
- Dana Farber Cancer Institute
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Missouri
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Saint Louis, Missouri, Yhdysvallat, 63110-1010
- Washington University Medical Center
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Nevada
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Las Vegas, Nevada, Yhdysvallat, 89169
- Comprehensive Cancer Centers of Nevada
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New York
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New York, New York, Yhdysvallat, 10065
- Weill Cornell Medical Center
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Ohio
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Cincinnati, Ohio, Yhdysvallat, 45242
- Oncology Hematology Care, Inc.
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Columbus, Ohio, Yhdysvallat, 43202
- The Ohio State University Medical Center
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Oregon
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Portland, Oregon, Yhdysvallat, 97239
- Oregon Health and Science University
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South Carolina
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Greenville, South Carolina, Yhdysvallat, 29601
- Upstate Oncology Associates
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Tennessee
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Chattanooga, Tennessee, Yhdysvallat, 37404
- Tennessee Oncology, PLLC
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Nashville, Tennessee, Yhdysvallat, 37203-1781
- Tenessee Oncology, PLLC
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Utah
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Salt Lake City, Utah, Yhdysvallat, 84106
- Utah Cancer Specialists
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Washington
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Tacoma, Washington, Yhdysvallat, 98405
- Northwest Medical Specialties
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Osallistumiskriteerit
Kelpoisuusvaatimukset
Opintokelpoiset iät
Hyväksyy terveitä vapaaehtoisia
Sukupuolet, jotka voivat opiskella
Kuvaus
Key Inclusion Criteria:
- Adults with previously treated recurrent CLL who have measurable lymphadenopathy
- Require therapy for CLL
- Have experienced CLL progression < 24 months since the completion of the last prior therapy
- Have disease that is not refractory to ofatumumab
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Opintosuunnitelma
Miten tutkimus on suunniteltu?
Suunnittelun yksityiskohdat
- Ensisijainen käyttötarkoitus: Hoito
- Jako: Satunnaistettu
- Inventiomalli: Rinnakkaistehtävä
- Naamiointi: Ei mitään (avoin tarra)
Aseet ja interventiot
Osallistujaryhmä / Arm |
Interventio / Hoito |
|---|---|
|
Kokeellinen: Idelalisib+ofatumumab
Randomized Initial Therapy (24 weeks): Idelalisib + ofatumumab for a total of 12 infusions (300 mg on Day 1, followed by 1000 mg weekly for 7 weeks, and then 1000 mg every 4 weeks for 4 doses) Continuing Therapy/Observation: Idelalisib 150 mg tablets twice daily until the earliest of participant withdrawal from study, definitive progression of CLL, intolerable idelalisib-related toxicity, pregnancy or initiation of breast feeding, substantial noncompliance with study procedures, or study discontinuation. Long-Term Follow-up: Participants were followed for up to 5 years. Information on medical status, anti-tumor treatments, secondary malignancies, and survival status were collected annually during a routine clinic visit or other contact, such as telephone. |
150 mg tabletit suun kautta kahdesti päivässä
Muut nimet:
Administered intravenously
Muut nimet:
|
|
Active Comparator: Ofatumumab
Randomized Initial Therapy (24 weeks): Ofatumumab for a total of 12 infusions (300 mg on Day 1, followed by 2000 mg weekly for 7 weeks, and then 2000 mg every 4 weeks for 4 doses) Continuing Therapy/Observation: Observation until the earliest of participant withdrawal from study, definitive progression of CLL, intolerable idelalisib-related toxicity, pregnancy or initiation of breast feeding, substantial noncompliance with study procedures, or study discontinuation. Long-Term Follow-up: Participants were followed for up to 5 years. Information on medical status, anti-tumor treatments, secondary malignancies, and survival status were collected annually during a routine clinic visit or other contact, such as telephone. |
Administered intravenously
Muut nimet:
|
Mitä tutkimuksessa mitataan?
Ensisijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
|
Progression-Free Survival
Aikaikkuna: Randomization to End of Study (up to 60 months)
|
Progression-free survival (PFS) was defined as the interval from randomization to the earlier of the first documentation of definitive disease progression or death from any cause.
Definitive disease progression was CLL progression based on standard criteria (other than lymphocytosis alone) as defined by the 2008 update of the International Workshop on CLL guidelines, ie, appearance of any new lesion; increase by ≥ 50% in the sum of the products of the perpendicular diameters of measured lymph nodes (SPD); new or ≥ 50% enlargement of liver or spleen; transformation to a more aggressive histology (eg, Richter's or prolymphocytic transformation); reduction in the number of blood cells (cytopenia) attributable to CLL.
PFS was analyzed using Kaplan-Meier (KM) estimates.
|
Randomization to End of Study (up to 60 months)
|
Toissijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
|
Overall Response Rate
Aikaikkuna: Randomization to End of Study (up to 60 months)
|
Overall response rate was defined as the percentage of participants who achieved a best overall response of complete response or partial response.
|
Randomization to End of Study (up to 60 months)
|
|
Lymph Node Response Rate
Aikaikkuna: Randomization to End of Study (up to 60 months)
|
Lymph node response rate was defined as the proportion of participants who achieved a ≥ 50% decrease from baseline in the sum of the products of the greatest perpendicular diameters (SPD) of index lymph nodes.
|
Randomization to End of Study (up to 60 months)
|
|
Overall Survival
Aikaikkuna: Randomization to Last Long-Term Follow-Up Visit (up to maximum of 5 years)
|
Overall survival was defined as the interval from randomization to death from any cause.
Overall survival was analyzed using KM estimates.
|
Randomization to Last Long-Term Follow-Up Visit (up to maximum of 5 years)
|
|
Progression-Free Survival in Subgroup of Participants With Chromosome 17p Deletion and/or TP53 Mutation
Aikaikkuna: Randomization to End of Study (up to 60 months)
|
Progression-free survival in subgroup of participants with chromosome 17p deletion and/or TP53 mutation was analyzed using KM estimates.
|
Randomization to End of Study (up to 60 months)
|
|
Complete Response Rate
Aikaikkuna: Randomization to End of Study (up to 60 months)
|
Complete response rate was defined as the percentage of participants who achieve a complete response and maintain their response for at least 8 weeks (with a 1-week window).
|
Randomization to End of Study (up to 60 months)
|
Yhteistyökumppanit ja tutkijat
Sponsori
Julkaisuja ja hyödyllisiä linkkejä
Yleiset julkaisut
- Gordon MJ, Huang J, Chan RJ, Bhargava P, Danilov AV. Medical comorbidities in patients with chronic lymphocytic leukaemia treated with idelalisib: analysis of two large randomised clinical trials. Br J Haematol. 2021 Feb;192(4):720-728. doi: 10.1111/bjh.16879. Epub 2020 Jun 29.
- Jones JA, Robak T, Brown JR, Awan FT, Badoux X, Coutre S, Loscertales J, Taylor K, Vandenberghe E, Wach M, Wagner-Johnston N, Ysebaert L, Dreiling L, Dubowy R, Xing G, Flinn IW, Owen C. Efficacy and safety of idelalisib in combination with ofatumumab for previously treated chronic lymphocytic leukaemia: an open-label, randomised phase 3 trial. Lancet Haematol. 2017 Mar;4(3):e114-e126. doi: 10.1016/S2352-3026(17)30019-4.
- Jones J, Robak T, Wach M, Brown JR, Menter AR, Vandenberghe E, et al. Updated results of a phase 3 randomized, controlled study of idelalisib in combination with ofatumumab for previously treated chronic lymphocytic leukemia (CLL) [Poster 7515]. American Society of Clinical Oncology (ASCO) 52nd Annual Meeting; 2016 02 - 06 June; Chicago, IL.
- Jones JA, Wach M, Robak T, Brown JR, Menter AR, Vanderberghe E, et al. Results of a Phase 3 Randomized, Controlled Study Evaluating the Efficacy and Safety of Idelalisib (IDELA) in Combination with Ofatumumab (OFA) for Previously Treated Chronic Lymphocytic Leukemia (CLL) [Poster 7023]. American Society of Clinical Oncology (ASCO) 51st Annual Meeting; 2015 29 May - 02 June; Chicago, IL.
- Robak T, Jones J, Wach M, Brown JR, Menter AR, Vandenberghe E, et al. Updated results of a phase 3 randomized, controlled study of idelalisib in combination with ofatumumab for previously treated chronic lymphocytic leukemia (CLL) [Poster 213]. 21st Congress of the European Hematology Association (EHA); 2015 09-12 June; Copenhagen, Denmark.
- Robak T, Wach M, Jones J, Owen C, Brown J, Menter A, et al. Results Of A Phase 3 Randomized Controlled Study Evaluating The Efficacy And Safety Of Idelalisib (Idela) In Combination With Ofatumumab (Ofa) For Previously Treated Chronic Lymphocytic Leukemia (CLL) [Poster LB598]. 20th Congress of the European Hematology Association (EHA); 2015 11-14 June; Vienna, Austria.
- Flinn I, Kimby E, Cotter FE, Giles FJ, Janssens A, Pulczynski EJ, et al. A Phase 3, Randomized, Controlled Study Evaluating the Efficacy and Safety of Idelalisib (GS-1101) in Combination with Ofatumumab for Previously Treated Chronic Lymphocytic Leukemia (CLL) [Poster TPS7131]. American Society of Clinical Oncology (ASCO); 2013 May 31-June 4; Chicago, IL.
Opintojen ennätyspäivät
Opi tärkeimmät päivämäärät
Opiskelun aloitus (Todellinen)
Ensisijainen valmistuminen (Todellinen)
Opintojen valmistuminen (Todellinen)
Opintoihin ilmoittautumispäivät
Ensimmäinen lähetetty
Ensimmäinen toimitettu, joka täytti QC-kriteerit
Ensimmäinen Lähetetty (Arvio)
Tutkimustietojen päivitykset
Viimeisin päivitys julkaistu (Todellinen)
Viimeisin lähetetty päivitys, joka täytti QC-kriteerit
Viimeksi vahvistettu
Lisää tietoa
Tähän tutkimukseen liittyvät termit
Muita asiaankuuluvia MeSH-ehtoja
- Immuunijärjestelmän sairaudet
- Neoplasmat histologisen tyypin mukaan
- Neoplasmat
- Lymfoproliferatiiviset häiriöt
- Lymfaattiset sairaudet
- Immunoproliferatiiviset häiriöt
- Leukemia, B-solu
- Leukemia
- Leukemia, lymfosyyttinen, krooninen, B-solu
- Leukemia, imusolmukkeet
- Farmakologisen vaikutuksen molekyylimekanismit
- Entsyymin estäjät
- Antineoplastiset aineet
- Ofatumumabi
- Idelalisib
Muut tutkimustunnusnumerot
- GS-US-312-0119
- 2012-001236-65 (EudraCT-numero)
Yksittäisten osallistujien tietojen suunnitelma (IPD)
Aiotko jakaa yksittäisten osallistujien tietoja (IPD)?
IPD-suunnitelman kuvaus
IPD-jaon aikakehys
IPD-jaon käyttöoikeuskriteerit
IPD-jakamista tukeva tietotyyppi
- STUDY_PROTOCOL
- MAHLA
Lääke- ja laitetiedot, tutkimusasiakirjat
Tutkii yhdysvaltalaista FDA sääntelemää lääkevalmistetta
Tutkii yhdysvaltalaista FDA sääntelemää laitetuotetta
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