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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00641095
Registration number
NCT00641095
Ethics application status
Date submitted
20/03/2008
Date registered
21/03/2008
Date last updated
31/10/2018
Titles & IDs
Public title
Phase III, Multicentre, Randomised Study of Fludarabine/Cyclophosphamide Combination With or Without Rituximab in Patients With Untreated Mantle Cell Lymphoma
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Scientific title
Phase III, Multicentre, Randomised Study of Fludarabine/Cyclophosphamide Combination With or Without Rituximab in Patients With Untreated Mantle Cell Lymphoma
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Secondary ID [1]
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2006-001965-41
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Secondary ID [2]
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UCL/06/052
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Universal Trial Number (UTN)
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Trial acronym
MCLPIII
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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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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Other - rituximab
Treatment: Drugs - Cyclophosphamide
Treatment: Drugs - Fludarabine
Experimental: Fludarabine/Cyclophosphamide/Rituximab - Fludarabine 40mgs/m2 oral days 1-3 Cyclophosphamide 250mgs/m2 oral days 1-3 Rituximab 375mgs/m2 day 1 iv infusion
Every 28 days
Active comparator: Fludarabine/Cyclophosphamide - Fludarabine 40mgs/m2 oral days 1-3 Cyclophosphamide 250mgs/m2 oral days 1-3
Every 28 days
Treatment: Other: rituximab
concentrate for solution for infusion
Treatment: Drugs: Cyclophosphamide
Tablets
Treatment: Drugs: Fludarabine
Film coated tablet
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Intervention code [1]
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Treatment: Other
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Intervention code [2]
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Treatment: Drugs
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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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Overall survival
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Assessment method [1]
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Overall survival - Time from date of first administration of treatment until death from any cause
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Timepoint [1]
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From date of first administration of treatment until the date of death from any cause, assessed up to a maximum of 60 months
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Secondary outcome [1]
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Progression-free survival
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Assessment method [1]
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Progression-free survival - Time from date of first administration of treatment to Disease Progression or replapse
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Timepoint [1]
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From date of first treatment administration until the date of first documented progression or relapse, whichever came first, assessed up to a maximum of 60 months
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Secondary outcome [2]
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Toxicity - Number of patients with >=grade 3 toxicity
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Assessment method [2]
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Toxicity - Number of patients who suffer grade 3 or 4 toxicities
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Timepoint [2]
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Within 30 days after last dose of treatment
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Secondary outcome [3]
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Toxicity - Percentage of patients with >=grade 3 toxicity
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Assessment method [3]
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Toxicity - Percentage of patients who suffer grade 3 or 4 toxicities
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Timepoint [3]
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Within 30 days after last dose of treatment
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Secondary outcome [4]
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Tumor response duration
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Assessment method [4]
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Tumor response duration - Time from Complete or Partial Response to disease progression
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Timepoint [4]
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From date of first documentation of PR or CR until the date of first progression up to a maximum of 60 months
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Eligibility
Key inclusion criteria
DISEASE CHARACTERISTICS:
* Histologically confirmed mantle cell lymphoma (MCL), meeting the following criteria:
* Diagnosis confirmed by examination of representative material (lymph nodes or bone marrow) together with a typical immunophenotype CD5+, CD23-, sIgM, cyclin D1 nuclear positivity is desirable but not essential
* Central review of histology will be performed on diagnostic material
* Molecular or cytogenetic confirmation of diagnosis is not required
* Previously untreated disease at any stage requiring therapy in the opinion of the treating physician
PATIENT CHARACTERISTICS:
* Life expectancy = 3 months
* Life expectancy not severely limited by other illness
* Creatinine clearance = 30 mL/min
* Not pregnant or nursing
* Negative pregnancy test
* Fertile patients must use effective contraception during study therapy
* No known serological positivity for HBV, HCV, or HIV
* No concurrent uncontrolled serious medical conditions
* No severe impairment of renal or liver function (alkaline phosphatase, bilirubin or creatinine > 2.5 times upper limit of normal) not related to lymphoma
* No known hypersensitivity to murine proteins
* No prior malignancy in the past 5 years, except for nonmelanoma skin tumor or curatively resected carcinoma in situ of the uterine cervix
* No history of a psychological illness or condition that, in the opinion of the investigator, may adversely affect compliance with study medication
PRIOR CONCURRENT THERAPY:
* No prior chemotherapy
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Minimum age
18
Years
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Maximum age
120
Years
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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
Parallel
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Other design features
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Phase
Phase 2
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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
7/12/2006
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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
22/05/2015
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Sample size
Target
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Accrual to date
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Final
370
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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Peter MacCallum Cancer Centre - East Melbourne
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Recruitment postcode(s) [1]
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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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Country [2]
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United Kingdom
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State/province [2]
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Scotland
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Country [3]
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United Kingdom
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State/province [3]
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Wales
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Country [4]
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United Kingdom
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State/province [4]
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Amersham
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Country [5]
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United Kingdom
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State/province [5]
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Taunton
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Funding & Sponsors
Primary sponsor type
Other
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Name
University College, London
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Address
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Other collaborator category [1]
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Other
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Name [1]
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Cancer Research UK
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
This randomized phase III trial is comparing how well fludarabine and cyclophosphamide work when given together with or without rituximab in treating patients with previously untreated mantle cell lymphoma.
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Trial website
https://clinicaltrials.gov/study/NCT00641095
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Trial related presentations / publications
Rule S, Smith P, Johnson PW, Bolam S, Follows G, Gambell J, Hillmen P, Jack A, Johnson S, Kirkwood AA, Kruger A, Pocock C, Seymour JF, Toncheva M, Walewski J, Linch D. The addition of rituximab to fludarabine and cyclophosphamide chemotherapy results in a significant improvement in overall survival in patients with newly diagnosed mantle cell lymphoma: results of a randomized UK National Cancer Research Institute trial. Haematologica. 2016 Feb;101(2):235-40. doi: 10.3324/haematol.2015.128710. Epub 2015 Nov 26.
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Public notes
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Contacts
Principal investigator
Name
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Simon Rule, MD
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Address
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Derriford Hospital
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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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/NCT00641095
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