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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00608374
Registration number
NCT00608374
Ethics application status
Date submitted
21/12/2007
Date registered
6/02/2008
Date last updated
26/08/2013
Titles & IDs
Public title
Chlorambucil or Fludarabine as First-Line Therapy in Treating Patients With Previously Untreated Waldenström Macroglobulinemia, Splenic Lymphoma, or Lymphoplasmacytic Lymphoma
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Scientific title
A Randomised Trial of Chlorambucil Versus Fludarabine as Initial Therapy of Waldenström's Macroglobulinaemia and Splenic Lymphoma With Villous Lymphocytes
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Secondary ID [1]
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TSH-WM1
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Secondary ID [2]
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CDR0000581143
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Lymphoma
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Condition category
Condition code
Cancer
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Lymphoma (non Hodgkin's lymphoma) - High grade lymphoma
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Cancer
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Lymphoma (non Hodgkin's lymphoma) - Low grade lymphoma
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Cancer
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Children's - Leukaemia & Lymphoma
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Response to therapy (complete and partial response rates)
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Timepoint [1]
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Primary outcome [2]
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Duration of response
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Assessment method [2]
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Timepoint [2]
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Secondary outcome [1]
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Improvement in hematological parameters
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Assessment method [1]
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Timepoint [1]
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Secondary outcome [2]
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Toxicity
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Assessment method [2]
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Timepoint [2]
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Secondary outcome [3]
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Quality of life as assessed by the European Organization for Research and Treatment of Cancer Quality of Life-30 questionnaire
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Assessment method [3]
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Timepoint [3]
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Secondary outcome [4]
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Survival
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Assessment method [4]
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Timepoint [4]
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Eligibility
Key inclusion criteria
DISEASE CHARACTERISTICS:
* Diagnosis of Waldenström macroglobulinemia, splenic lymphoma with villous lymphocytes (SLVL), or non-IgM lymphoplasmacytic lymphoma based on morphological and immunophenotypic criteria
* Bone marrow should be assessed by two-color flow cytometry for the expression of the following antigens:
* Surface Ig
* CD19
* CD20
* CD5
* CD10
* CD23
* Previously untreated disease requiring therapeutic intervention (as judged by the primary physician), as indicated by = 1 of the following:
* Hemoglobin < 10 g/dL
* ANC < 1.5 x 10^9/L
* Platelet count < 150 x 10^9/L
* Clinical evidence of hyperviscosity in terms of neurological or ocular disturbance
* Patients with disease detected by clonal cells alone are not eligible
PATIENT CHARACTERISTICS:
* Performance status 0-2
* Life expectancy > 6 months
* Serum creatinine < 200 mmol/L
* AST and ALT < 2 times upper limit of normal
* Negative direct Coomb's test
* Not pregnant or nursing
* Negative pregnancy test
* Fertile patients must use effective contraception during and for = 6 months after completion of study therapy
* No severe or life-threatening cardiac, pulmonary, neurological, psychiatric, or metabolic disease
* No other concurrent malignancy
* No AIDS or AIDS-related complex
* No evidence of active hepatitis C infection
PRIOR CONCURRENT THERAPY:
* Prior plasmapheresis for control of clinically significant hyperviscosity allowed
* Prior splenectomy for SLVL allowed
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/06/2006
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/01/2013
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Sample size
Target
400
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,QLD,SA,VIC
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Recruitment hospital [1]
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Canberra Hospital - Garran
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Recruitment hospital [2]
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Newcastle Mater Misericordiae Hospital - Waratah
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Recruitment hospital [3]
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Princess Alexandra Hospital - Brisbane
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Recruitment hospital [4]
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Queen Elizabeth Hospital - Woodville
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Recruitment hospital [5]
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Peter MacCallum Cancer Centre - East Melbourne
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Recruitment postcode(s) [1]
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2605 - Garran
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Recruitment postcode(s) [2]
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2298 - Waratah
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Recruitment postcode(s) [3]
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4102 - Brisbane
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Recruitment postcode(s) [4]
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5011 - Woodville
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Recruitment postcode(s) [5]
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3002 - East Melbourne
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Recruitment outside Australia
Country [1]
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United Kingdom
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State/province [1]
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England
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United Kingdom
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Scotland
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United Kingdom
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State/province [3]
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Wales
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Funding & Sponsors
Primary sponsor type
Other
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Name
Taunton and Somerset Hospital
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
RATIONALE: Drugs used in chemotherapy, such as chlorambucil and fludarabine, work in different ways to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. It is not yet known whether chlorambucil is more effective than fludarabine in treating Waldenström macroglobulinemia, splenic lymphoma, or lymphoplasmacytic lymphoma. PURPOSE: This randomized phase III trial is studying chlorambucil to see how well it works compared with fludarabine as first-line therapy in treating patients with previously untreated Waldenström macroglobulinemia, splenic lymphoma, or lymphoplasmacytic lymphoma.
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Trial website
https://clinicaltrials.gov/study/NCT00608374
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Trial related presentations / publications
Leblond V, Johnson S, Chevret S, Copplestone A, Rule S, Tournilhac O, Seymour JF, Patmore RD, Wright D, Morel P, Dilhuydy MS, Willoughby S, Dartigeas C, Malphettes M, Royer B, Ewings M, Pratt G, Lejeune J, Nguyen-Khac F, Choquet S, Owen RG. Results of a randomized trial of chlorambucil versus fludarabine for patients with untreated Waldenstrom macroglobulinemia, marginal zone lymphoma, or lymphoplasmacytic lymphoma. J Clin Oncol. 2013 Jan 20;31(3):301-7. doi: 10.1200/JCO.2012.44.7920. Epub 2012 Dec 10. Nguyen-Khac F, Lambert J, Chapiro E, Grelier A, Mould S, Barin C, Daudignon A, Gachard N, Struski S, Henry C, Penther D, Mossafa H, Andrieux J, Eclache V, Bilhou-Nabera C, Luquet I, Terre C, Baranger L, Mugneret F, Chiesa J, Mozziconacci MJ, Callet-Bauchu E, Veronese L, Blons H, Owen R, Lejeune J, Chevret S, Merle-Beral H, Leblondon V; Groupe Francais d'Etude de la Leucemie Lymphoide Chronique et Maladie de Waldenstrom (GFCLL/MW); Groupe Ouest-Est d'etude des Leucemie Aigues et Autres Maladies du Sang (GOELAMS); Groupe d'Etude des Lymphomes de l'Adulte (GELA). Chromosomal aberrations and their prognostic value in a series of 174 untreated patients with Waldenstrom's macroglobulinemia. Haematologica. 2013 Apr;98(4):649-54. doi: 10.3324/haematol.2012.070458. Epub 2012 Oct 12.
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Public notes
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Contacts
Principal investigator
Name
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Roger G. Owen, MD, MRCP
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Address
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Leeds Cancer Centre at St. James's University Hospital
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Email
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Contact person for public queries
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT00608374
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