Leukemia Clinical Trial
Official title:
A Phase II Study of Fludarabine Induction Followed by CAMPATH-1H Consolidation in Untreated Patients With B-Cell Chronic Lymphocytic Leukemia
RATIONALE: Drugs used in chemotherapy use different ways to stop cancer cells from dividing
so they stop growing or die. Monoclonal antibodies such as alemtuzumab can locate cancer
cells and either kill them or deliver cancer-killing substances to them without harming
normal cells.
PURPOSE: Phase II trial to study the effectiveness of fludarabine followed by alemtuzumab in
treating patients who have chronic lymphocytic leukemia.
OBJECTIVES: I. Determine the overall response rate of previously untreated patients with
stage I, II, III, or IV B-cell chronic lymphocytic leukemia when treated with fludarabine
induction followed by alemtuzumab consolidation. II. Determine the infectious toxic effects
and feasibility of this regimen in this patient population. III. Determine the
treatment-related toxic effects, including infection and injection site reactions, of
subcutaneous vs intravenous alemtuzumab in patients treated with this regimen. IV. Determine
the progression-free and overall survival of patients treated with this regimen. V.
Determine the immunologic effects of this regimen in these patients.
OUTLINE: Patients receive fludarabine IV over 30 minutes 5 days a week. Treatment repeats
every 28 days for 4 courses in the absence of disease progression. Patients undergo clinical
staging after completion of course 4 of fludarabine followed by 2 months of observation.
Patients with stable or responding disease receive alemtuzumab subcutaneously 3 days a week
for 6 weeks. Patients undergo clinical staging again after completion of 6 weeks of
alemtuzumab followed by 2 more months of observation. Patients are followed every 3 months
for 1 year and then every 6 months for 8 years.
;
Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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