Phase II trial of alemtuzumab, dexamethasone and lenalidomide followed by randomisation to lenalidomide maintenance versus no further treatment for high-risk CLL (NCRI CLL210)
| Phase | Type | Status | Age | Sponsor | Protocol IDs | Recruitment |
| II | Treatment | Open | University of Liverpool; RLBUHT | EUDRACT No: 2010-019575-29 ISRCTN No: ISRCTN40303610 |
16 |
CLL210 is a new phase II trial of alemtuzumab, dexamethasone and lenalidomide for patients with high-risk CLL, defined as 17p- or early failure of fludarabine. Patients who respond to induction treatment and do not have an allogeneic transplant are randomised to lenalidomide maintenance versus no further treatment.
Rituximab containing chemo-immunotherapy has been shown to be ineffective in treating high risk CLL, and improving outcomes for affected patients is an important area of unmet clinical need.
A previous phase II study (CLL206) demonstrated that alemtuzumab-glucocorticoid combination therapy is effective in 17p- CLL, but improvement could be made in terms of response rates and toxicity. CLL210 will evaluate a new induction regimen that differs from CLL206 in three main respects:
- A third drug (lenalidomide - an oral agent with established activity in high-risk CLL) is included.
- The glucocorticoid regimen has been changed to pulsed oral dexamethasone, which contains a lower glucocorticoid dose than used in CLL206.
- Alemtuzumab will be given subcutaneously throughout.
Phase II trial of alemtuzumab, dexamethasone and lenalidomide followed by randomisation to lenalidomide maintenance versus no further treatment for high-risk CLL (NCRI CLL210)
23/01/2012
James Dodd
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