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Treatment of advanced, relapsed chronic lymphocytic leukemia (CLL) with fludarabine, miroxantrone and cyclophosphamide combination therapy with or without granulocyte colony stimulating factor (G-CSF)
ISRCTN ISRCTN31486124
ClinicalTrials.gov identifier
Public title Treatment of advanced, relapsed chronic lymphocytic leukemia (CLL) with fludarabine, miroxantrone and cyclophosphamide combination therapy with or without granulocyte colony stimulating factor (G-CSF)
Scientific title
Acronym N/A
Serial number at source CLL6 protocol
Study hypothesis The prophylactic administration of G-CSF prevents the incidence of infections during relapse chemotherapy in chronic lymphocytic leukemia (CLL) patients
Lay summary
Ethics approval Not provided at time of registration
Study design Randomised controlled trial
Countries of recruitment Germany
Disease/condition/study domain Relapsed B-cell chronic lymphocytic leukemia (B-CLL)
Participants - inclusion criteria 1. B-cell chronic lymphocytic leukemia (B-CLL)
2. Binet stage C, Binet stage B with treatment indication
3. Maximum of 3 previous treatment regimen
4. Age 18-70 years
5. Life expectancy more than 6 months
6. Eastern Cooperative Oncology Group (ECOG) 0-3
7. Normal cardiac function
8. Signed inform consent
Participants - exclusion criteria 1. Severe organ dysfunction
2. Autoimmune haemolytic anaemia (AIHA)
3. More than 3 chemotherapy regimens
4. Concomitant or previous neoplasm
5. Non-response to previous treatment with Fludarabine + Cyclophosphamide, Fludarabine + Mitoxantrone, Fludarabine + Epirubicine
Anticipated start date 06/08/1999
Anticipated end date 30/09/2004
Status of trial Completed
Patient information material
Target number of participants 165
Interventions Fludarabine 25 mg/m^2 day 1-3, mitoxantrone 8 mg/m^2 day 1, cyclophosphamide 200 mg/m^2 day 1-3, repeated every 28 days, maximum 6 courses.

Arm A with G-CSF: 5 µg/kg bodyweight/day subcutaneously (sc) beginning on day +6 until neutrophil recovery above 1500/µl.
Arm B without G-CSF.
Primary outcome measure(s) 1. Incidence of severe and life threatening infections
2. Incidence of severe side effects
3. Remission rate
Secondary outcome measure(s) 1. Overall survival
2. Progression free survival
3. Quality of remission
Sources of funding Amgen (USA)
Trial website
Publications
Contact name Prof  Michael  Hallek
  Address Kerpenerstr. 62
  City/town Cologne
  Zip/Postcode 50924
  Country Germany
  Tel +49 221 478 4400
  Fax +49 221 478 86886
  Email michael.hallek@uk-koeln.de
Sponsor German CLL Study Group (GCLLSG) (Germany)
  Address Herderstr. 52-54
  City/town Cologne
  Zip/Postcode 50931
  Country Germany
  Tel +49 221 478 3988
  Fax +49 221 478 86886
  Email cllstudie@uk-koeln.de
  Sponsor website: http://www.dcllsg.de
Date applied 30/06/2005
Last edited 09/11/2009
Date ISRCTN assigned 11/10/2005
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