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Trial · NCT00098371

Flavopiridol in Treating Patients With Chronic Lymphocytic Leukemia or Prolymphocytic Leukemia

NCT00098371, Phase 2, Terminated, National Cancer Institute (NCI); results first posted 2016-10-24

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Flavopiridol in Treating Patients With Chronic Lymphocytic Leukemia or Prolymphocytic Leukemia. Trials, record NCT00098371. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00098371

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Flavopiridol in Treating Patients With Chronic Lymphocytic Leukemia or Prolymphocytic Leukemia
NCT number
NCT00098371
Status
Terminated
Phases
Phase 2
Enrollment
64 participants, actual
Lead sponsor
National Cancer Institute (NCI)
Conditions
B-cell Chronic Lymphocytic Leukemia, Prolymphocytic Leukemia, Refractory Chronic Lymphocytic Leukemia
Interventions
alvocidib
First posted
2004-12-08
Last updated
2016-10-24
Results first posted
2016-10-24

Source ClinicalTrials.gov

Registered outcomes15

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryComplete Response (CR) RateUp to 8 months
CR requires all of the following for at least two months from completion of therapy: Absence of lymphadenopathy in excess of 1 cm on physical exam; No hepatomegaly or splenomegaly on physical exam; Absence of constitutional symptoms; Normal CBC (complete blood count) as exhibited by polymorphonuclear leukocytes \> 1500/µL, platelets \> 100,000/µL, hemoglobin \> 11.0 g/dl (untransfused); lymphocyte count \< 5,000/µL; Bone marrow aspirate and biopsy must be normocellular for age with \< 30% of nucleated cells being lymphocytes. Lymphoid nodules must be absent.
PrimaryOverall Response Rate (CR + PR)Up to 8 months
CR requires all of the following: Absence of lymphadenopathy in excess of 1 cm on physical exam; No hepatomegaly or splenomegaly on physical exam; Absence of constitutional symptoms; Normal CBC as exhibited by polymorphonuclear leukocytes \> 1500/µL, platelets \> 100,000/µL, hemoglobin \> 11.0 g/dl (untransfused); lymphocyte count \< 5,000/µL; Bone marrow aspirate and biopsy must be normocellular for age with \< 30% of nucleated cells being lymphocytes. Lymphoid nodules must be absent. Patients with CR after induction but wih treatment-related persistent cytopenia is a PR. PR requires a \> 50% decrease in peripheral lymphocyte count from pretreatment value, \> 50% reduction in lymphadenopathy, and/or \> 50% reduction in splenomegaly/hepatomegaly. These patients must have one of the following: polymorphonuclear leukocytes \> 1,500/μL , platelets \> 100,000/μL, hemoglobin \> 11.0 g/dl (untransfused) or any with 50% improvement from pretreatment value.
PrimaryResponse DurationUp to 8 months
Response evaluation criteria based on the Revised National Cancer Institute-sponsored Working Group Guidelines for response. Descriptive statistics will be computed (median, range, mean, standard deviation, minimum, and maximum) on response duration.
PrimaryProgression-free Survival (PFS) for Responding Patients as Assessed Using Standard Kaplan-Meier MethodsUp to 5 years
PFS was calculated from the date of study entry until time of disease progression or death, whichever came first, censoring patients alive and relapse free at last follow up. Patients who withdrew from study to undergo an allogeneic SCT (Stem cell transplantation) were censored at the time of transplantation.
PrimaryProgression-free Survival for All Patients as Assessed Using Standard Kaplan-Meier MethodsUp to 5 years
PFS was calculated from the date of study entry until time of disease progression or death, whichever came first, censoring patients alive and relapse free at last follow up. Patients who withdrew from study to undergo an allogeneic SCT were censored at the time of transplantation.
PrimaryOverall SurvivalUp to 5 yearsOverall survival data will be reported on a 3-month basis for 5 years
PrimaryToxicityMeasurement prior to each infusion, at end of therapy, 2 months post-completion and post-treatment follow-up every 3 months for two years.Toxicity determination based on NCI Common Toxicity Criteria version 3 and modified NCI Common toxicity guidelines for evaluating hematologic toxicity in leukemia.
SecondaryPharmacokinetics (PK) (AUC) as Assessed by Plasma Levels of Both Flavopiridol and Metabolites of FlavopiridolDuring treatment day 1 and day 8 of cycle 1Pharmacokinetics were performed on day 1 and day 8 of cycle 1 by plasma levels of both flavopiridol and metabolites of flavopiridol using Area Under the Curve (AUC)
SecondaryPK (Cmax) as Assessed by Plasma Levels of Both Flavopiridol and Metabolites of FlavopiridolDuring treatment day 1 and day 8 of course 1Pharmacokinetics were performed on day 1 and day 8 of cycle 1 by plasma levels of both flavopiridol and metabolites of flavopiridol
SecondaryPK as Assessed by Levels of Both Flavopiridol and Metabolites of Flavopiridol in Urine SamplesUrine collected at 4 separate times in some patients during the first 24 hours after start of infusion on day 1 of course 1.
urine samples were collected in some patients during the first 24 hours after the start of the infusion on cycle 1, day 1 to isolate metabolites of flavopiridol to be used as internal standard for plasma metabolite quantification experiments.

Outcomes15

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYComplete Response (CR) RateUp to 8 monthsPatients were assessed for clinical response after two, four and six cycles.percent of patientsNUMBER
PRIMARYOverall Response Rate (CR + PR)Up to 8 monthsSchedule was amended (cycle length) from 42 to 28 days, reduction in the number of doses per cycle from 4 to 3 and administration of prophylactic dexamethasone 20 mg IV on each treatment day.percent of patientsNUMBER
PRIMARYResponse DurationUp to 8 monthsDuration of response was not collected for patients.
PRIMARYProgression-free Survival (PFS) for Responding Patients as Assessed Using Standard Kaplan-Meier MethodsUp to 5 yearsmonthsMEDIAN
PRIMARYProgression-free Survival for All Patients as Assessed Using Standard Kaplan-Meier MethodsUp to 5 yearsmonthsMEDIAN
PRIMARYOverall SurvivalUp to 5 yearsmonthsMEDIAN
PRIMARYToxicityMeasurement prior to each infusion, at end of therapy, 2 months post-completion and post-treatment follow-up every 3 months for two years.Grade 3 to 4 infections requiring IV antibiotics and were generally related to upper or lower respiratory infections or infections of indwelling central venous catheters.percentage of patientsNUMBER
SECONDARYPharmacokinetics (PK) (AUC) as Assessed by Plasma Levels of Both Flavopiridol and Metabolites of FlavopiridolDuring treatment day 1 and day 8 of cycle 1The values are overall averages for all patients on days 1 and 8 - therefore, there is only a single value for each parameter.μM*hrMEAN
SECONDARYPK (Cmax) as Assessed by Plasma Levels of Both Flavopiridol and Metabolites of FlavopiridolDuring treatment day 1 and day 8 of course 1The values are overall averages for all patients on days 1 and 8 - therefore, there is only a single value for each parameter.μMMEAN
SECONDARYPK as Assessed by Levels of Both Flavopiridol and Metabolites of Flavopiridol in Urine SamplesUrine collected at 4 separate times in some patients during the first 24 hours after start of infusion on day 1 of course 1.Data for this PK analysis was not collected and analyzed.

Results by group24

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Complete Response (CR) RateTreatment (Alvocidib)2percent of patients
Overall Response Rate (CR + PR)Treatment (Alvocidib)5395% Confidence Interval 41 to 65percent of patients
Progression-free Survival (PFS) for Responding Patients as Assessed Using Standard Kaplan-Meier MethodsTreatment (Alvocidib)1295% Confidence Interval 8.5 to 13.1months
Progression-free Survival for All Patients as Assessed Using Standard Kaplan-Meier MethodsTreatment (Alvocidib)8.695% Confidence Interval 6.7 to 12.6months
Overall SurvivalTreatment (Alvocidib)28.895% Confidence Interval 18.6 to 32.9months
ToxicityTreatment (Alvocidib)25percentage of patients
Pharmacokinetics (PK) (AUC) as Assessed by Plasma Levels of Both Flavopiridol and Metabolites of FlavopiridolTreatment (Alvocidib)9.42Standard Deviation 5.11μM*hr
PK (Cmax) as Assessed by Plasma Levels of Both Flavopiridol and Metabolites of FlavopiridolTreatment (Alvocidib)2.04Standard Deviation 1.05μM
Serial Levels of IL-6 as Assessed by Blood PlasmaGroup 14.5 hours3.595% Confidence Interval 2.7 to 4.6pg/ml
Serial Levels of IL-6 as Assessed by Blood PlasmaGroup 24.5 hours1.695% Confidence Interval 1.2 to 2.0pg/ml

Participant flow3

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDTreatment (Alvocidib)64
Overall StudyCOMPLETEDTreatment (Alvocidib)64
Overall StudyNOT COMPLETEDTreatment (Alvocidib)0

Adverse events14

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherNeutropeniaInvestigationsTreatment (Alvocidib)626462
otherAnemiaBlood and lymphatic system disordersTreatment (Alvocidib)386438
otherThrombocytopeniaInjury, poisoning and procedural complicationsTreatment (Alvocidib)426442
otherFatigueGeneral disordersTreatment (Alvocidib)606460
otherDiarrheaGastrointestinal disordersTreatment (Alvocidib)606460
otherNausea and VomitingGastrointestinal disordersTreatment (Alvocidib)486448
otherAnorexiaMetabolism and nutrition disordersTreatment (Alvocidib)206420
otherAnxiety/DepressionPsychiatric disordersTreatment (Alvocidib)116411
otherTumor Lysis SyndromeMetabolism and nutrition disordersTreatment (Alvocidib)286428
otherCytokine Release SyndromeImmune system disordersTreatment (Alvocidib)276427

Adverse event totals3

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityTreatment (Alvocidib)
Total, other adverse eventsTreatment (Alvocidib)6464
Total, serious adverse eventsTreatment (Alvocidib)464

Papers4

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
19826119RESULTPubMed
22289993RESULTPubMed
24990615RESULTPubMed
25596730DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00098371

GET https://conductscience.org/api/trials/v1/NCT00098371/results?page=2