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Sponsor: Hoffmann-La Roche
Conditions: Lymphocytic Leukemia, Chronic
Interventions: Cyclophosphamide, Fludarabine, Rituximab
Countries: Israel
This single arm, open-label study will assess the safety and efficacy of low dose fludarabine and cyclophosphamide in combination with standard dose MabThera/Rituxan (rituximab) as primary therapy in elderly patients (\>/= 65 years) with chronic lymphocytic leukemia. Patients will receive six 28-day cycles of treatment with Mabthera/Rituxan (375 mg/m2 intravenously \[iv\] Day 0 of cycle 1, 500 mg/m2 iv Day 1 of cycles 2-6), fludarabine (12.5 mg/m2/d iv Days 1-3, cycles 1-6) and cyclophosphamide (150 mg/m2/d iv Days 1-3, cycles 1-6). Anticipated time on study treatment is 6 months, with a 30-month follow-up period.
Sex: ALL
Age: 65 Years to —
Healthy volunteers: No
Study type: INTERVENTIONAL
Inclusion Criteria: * Adult patients, \>/= 65 years of age * Previously untreated B-cell chronic lymphocytic leukemia (CLL) * Binet stage C or active Binet stage A and B disease Exclusion Criteria: * Prior treatment for CLL * CLL with transformation (Richter's syndrome) * Suspected or known central nervous system (CNS) involvement of CLL * Impaired renal or hepatic function * Human Immunodeficiency Virus (HIV) positivity, active hepatitis B/C or Hepatitis B Virus (HBV) surface antigen positive, or any active or uncontrolled infections * Patients with anti-HBV core antibodies (past infection with HBV) but who are negative for Hepatitis B Virus Surface Antigen (HBVsAg) (either anti-HBS Ab positive or negative) and are positive for HBV- Deoxyribonucleic acid (DNA) by Polymerase chain reaction (PCR) analysis * Concomitant diseases requiring chronic steroid administration * Active second malignancy within the 2 years prior to study (except for non-melanoma skin cancer and in situ cervix or breast or prostate carcinoma) * Eastern Cooperative Oncology Group (ECOG) performance status \>/= 3
- Afula, Israel
- Beersheba, Israel
- Haifa, Israel
- Haifa, Israel
- Jerusalem, Israel
- Jerusalem, Israel
- Kfar Saba, Israel
- Nahariya, Israel
- Petah Tikva, Israel
- Rehovot, Israel
- Rishon LeZiyyon, Israel
- Tel Aviv, Israel