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Trial ยท NCT00281918

Fludarabine and Cyclophosphamide With or Without Rituximab in Patients With Previously Untreated Chronic B-Cell Lymphocytic Leukemia

NCT00281918, Phase 3, Completed, Hoffmann-La Roche; results first posted 2011-03-29

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Fludarabine and Cyclophosphamide With or Without Rituximab in Patients With Previously Untreated Chronic B-Cell Lymphocytic Leukemia. Trials, record NCT00281918. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00281918

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Trial

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

Title
Fludarabine and Cyclophosphamide With or Without Rituximab in Patients With Previously Untreated Chronic B-Cell Lymphocytic Leukemia
NCT number
NCT00281918
Status
Completed
Phases
Phase 3
Enrollment
817 participants, actual
Lead sponsor
Hoffmann-La Roche
Conditions
Leukemia
Interventions
Rituximab, Cyclophosphamide, Fludarabine Phosphate
First posted
2006-01-25
Last updated
2013-09-19
Results first posted
2011-03-29

Source ClinicalTrials.gov

Registered outcomes11

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

ListOutcomeTime frameDescription
PrimaryProgression-free Survival (PFS)Median observation time at time of analysis was approximately 21 monthsProgression-free survival (PFS) was defined as the time between randomization and the date of first documented disease progression, relapse or death by any cause, whichever came first.
PrimaryFinal Analysis: Time to Progression-free Survival EventMedian observation time was approximately 66.4 monthsProgression-free survival was defined as the time between randomization and the date of first documented disease progression, relapse or death by any cause, whichever came first.
SecondaryEvent-free Survival (EFS)Median observation time at time of analysis was approximately 21 monthsEvent-free survival (EFS) was defined as the time between randomization and the date of disease progression, relapse, start of new CLL treatment or death by any cause.
SecondaryOverall Survival (OS)Median observation time at time of analysis was approximately 21 monthsOverall survival (OS) was defined as the time between randomization and the date of death due to any cause. Median OS was not reached.
SecondaryDisease-free Survival (DFS) of Patients With Confirmed Complete Response (CR).Median observation time at time of analysis was approximately 21 months
CR is defined by at least 8 weeks of: 1)Absence of lymphadenopathy 2)No hepatomegaly or splenomegaly 3)Absence of B-symptoms 4)Normal blood count 5)Bone marrow aspirate and biopsy 8 weeks after the clinical and laboratory results demonstrated that a CR was achieved. A marrow sample had to be normocellular for age with less than 30% lymphocytes. Lymphoid nodules had to be absent. If marrow was hypocellular,a repeat biopsy was taken 4 weeks later and samples were re-reviewed in conjunction with the prior pathology. DFS was calculated from time of CR to relapse or death. Median DFS was not reached.
SecondaryFinal Analysis: Time to Overall Survival EventMedian observation time was approximately 66.4 monthsOverall survival (OS) was defined as the time between randomization and the date of death due to any cause.
SecondaryFinal Analysis: Time to Event-free Survival EventMedian observation time was approximately 66.4 monthsEvent-free survival was defined as the time between randomization and the date of disease progression, relapse, start of new Chronic Lymphocytic Leukemia treatment or death by any cause.
SecondaryFinal Analysis: Time to Disease-free Survival (DFS) Event in Participants With Complete Response (CR)Median observation time was approximately 66.4 months
CR is defined by at least 8 weeks of: 1)Absence of lymphadenopathy 2)No hepatomegaly or splenomegaly 3)Absence of B-symptoms 4)Normal blood count 5)Bone marrow aspirate and biopsy 8 weeks after the clinical and laboratory results demonstrated that a CR was achieved. A marrow sample had to be normocellular for age with less than 30% lymphocytes. Lymphoid nodules had to be absent. If marrow was hypocellular,a repeat biopsy was taken 4 weeks later and samples were re-reviewed in conjunction with the prior pathology. DFS was calculated from time of CR to relapse or death
SecondaryFinal Analysis: Duration of ResponseMedian observation time was approximately 66.4 monthsDuration of response was defined as the time from the first documented Complete Response, Partial Response to disease progression or death by any cause.
SecondaryFinal Analysis: Percentage of Participants With Complete Response (CR) and Partial ResponseMedian observation time was approximately 66.4 months
CR is defined by at least 8 weeks of: 1)Absence of lymphadenopathy 2)No hepatomegaly or splenomegaly 3)Absence of B-symptoms 4)Normal blood count 5)Bone marrow aspirate and biopsy 8 weeks after the clinical and laboratory results demonstrated that a CR was achieved. A marrow sample had to be normocellular for age with less than 30% lymphocytes. Lymphoid nodules had to be absent. If marrow was hypocellular,a repeat biopsy was taken 4 weeks later and samples were re-reviewed in conjunction with the prior pathology. Partial response is defined as a decrease in the size of a tumor, or in the extent of cancer in the body, in response to treatment.

Outcomes11

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYProgression-free Survival (PFS)Median observation time at time of analysis was approximately 21 months
The Intent-to-treat (ITT) population was comprised of all patients randomized in the study, irrespective of whether they received treatment or not. Informed consent was unavailable at the time of analysis for 2 patients in the FC group and 5 patients in the FCR group. ITT population: FC = 407; FCR = 403.
DaysMEDIAN
SECONDARYEvent-free Survival (EFS)Median observation time at time of analysis was approximately 21 months
The ITT population was comprised of all patients randomized in the study, irrespective of whether they received treatment or not. Informed consent was unavailable at the time of analysis for 2 patients in the FC group and 5 patients in the FCR group. ITT population: FC = 407; FCR = 403.
DaysMEDIAN
SECONDARYOverall Survival (OS)Median observation time at time of analysis was approximately 21 months
The ITT population was comprised of all patients randomized in the study, irrespective of whether they received treatment or not. Informed consent was unavailable at the time of analysis for 2 patients in the FC group and 5 patients in the FCR group. ITT population: FC = 407; FCR = 403.
DaysNUMBER
SECONDARYDisease-free Survival (DFS) of Patients With Confirmed Complete Response (CR).Median observation time at time of analysis was approximately 21 months
The ITT population was comprised of all patients randomized in the study, irrespective of whether they received treatment or not. Informed consent was unavailable at the time of analysis for 2 patients in the FC group and 5 patients in the FCR group. ITT population: FC = 407; FCR = 403.
Days to an eventNUMBER
PRIMARYFinal Analysis: Time to Progression-free Survival EventMedian observation time was approximately 66.4 monthsParticipants from the Intent-to-treat population, that included all randomized participants, with PFS events.DaysMEDIAN
SECONDARYFinal Analysis: Time to Overall Survival EventMedian observation time was approximately 66.4 monthsParticipants from the Intent-to-treat population, that included all randomized participants who died.DaysMEDIAN
SECONDARYFinal Analysis: Time to Event-free Survival EventMedian observation time was approximately 66.4 monthsParticipants from the Intent-to-treat population, that included all randomized participants, with disease progression, relapse, start of new Chronic Lymphocytic Leukemia treatment or death.DaysMEDIAN
SECONDARYFinal Analysis: Time to Disease-free Survival (DFS) Event in Participants With Complete Response (CR)Median observation time was approximately 66.4 monthsParticipants from the Intent-to-treat population, all randomized participants, with complete response who experienced a disease free survival event (disease relapse or death).DaysMEDIAN
SECONDARYFinal Analysis: Duration of ResponseMedian observation time was approximately 66.4 monthsParticipants from the Intent-to-treat population, all randomized participants, with complete response or partial response who experienced an event (disease progression or death due to any cause).DaysMEDIAN
SECONDARYFinal Analysis: Percentage of Participants With Complete Response (CR) and Partial ResponseMedian observation time was approximately 66.4 monthsIntent-to-treat population included all randomized participants.Percentage of participantsNUMBER

Results by group26

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

OutcomeGroupCategoryValueSpreadUnits
Progression-free Survival (PFS)Fludarabine+Cyclophosphamide (FC)981.0Full Range 1 to 1343Days
Progression-free Survival (PFS)Fludarabine+Cyclophosphamide+Rituximab (FCR)1212.0Full Range 1 to 1372Days
Event-free Survival (EFS)Fludarabine+Cyclophosphamide (FC)947.0Full Range 1 to 1343Days
Event-free Survival (EFS)Fludarabine+Cyclophosphamide+Rituximab (FCR)1212.0Full Range 1 to 1372Days
Overall Survival (OS)Fludarabine+Cyclophosphamide (FC)Minimum number of days to an event583 to 90Days
Overall Survival (OS)Fludarabine+Cyclophosphamide+Rituximab (FCR)Minimum number of days to an event489 to 95Days
Overall Survival (OS)Fludarabine+Cyclophosphamide (FC)Maximum number of days to an event1373Days
Overall Survival (OS)Fludarabine+Cyclophosphamide+Rituximab (FCR)Maximum number of days to an event1372Days
Disease-free Survival (DFS) of Patients With Confirmed Complete Response (CR).Fludarabine+Cyclophosphamide (FC)Minimum number of days to an event840 to 0Days to an event
Disease-free Survival (DFS) of Patients With Confirmed Complete Response (CR).Fludarabine+Cyclophosphamide+Rituximab (FCR)Minimum number of days to an event91939 to 9999Days to an event

Participant flow8

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDFludarabine+Cyclophosphamide (FC)409
Overall StudySTARTEDFludarabine+Cyclophosphamide+Rituximab (FCR)408
Overall StudySafety Population; Received Study DrugFludarabine+Cyclophosphamide (FC)398
Overall StudySafety Population; Received Study DrugFludarabine+Cyclophosphamide+Rituximab (FCR)402
Overall StudyCOMPLETEDFludarabine+Cyclophosphamide (FC)267
Overall StudyCOMPLETEDFludarabine+Cyclophosphamide+Rituximab (FCR)300
Overall StudyNOT COMPLETEDFludarabine+Cyclophosphamide (FC)142
Overall StudyNOT COMPLETEDFludarabine+Cyclophosphamide+Rituximab (FCR)108

Adverse events452

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherNeutropeniaBlood and lymphatic system disordersFludarabine+Cyclophosphamide (FC)71398
otherNeutropeniaBlood and lymphatic system disordersFludarabine+Cyclophosphamide+Rituximab (FCR)116402
otherLeukopeniaBlood and lymphatic system disordersFludarabine+Cyclophosphamide (FC)45398
otherLeukopeniaBlood and lymphatic system disordersFludarabine+Cyclophosphamide+Rituximab (FCR)88402
otherThrombocytopeniaBlood and lymphatic system disordersFludarabine+Cyclophosphamide (FC)35398
otherThrombocytopeniaBlood and lymphatic system disordersFludarabine+Cyclophosphamide+Rituximab (FCR)21402
seriousPneumoniaInfections and infestationsFludarabine+Cyclophosphamide (FC)21398
seriousPneumoniaInfections and infestationsFludarabine+Cyclophosphamide+Rituximab (FCR)18402
seriousHerpes ZosterInfections and infestationsFludarabine+Cyclophosphamide (FC)6398
seriousHerpes ZosterInfections and infestationsFludarabine+Cyclophosphamide+Rituximab (FCR)8402

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityFludarabine+Cyclophosphamide (FC)
Total, all-cause mortalityFludarabine+Cyclophosphamide+Rituximab (FCR)
Total, other adverse eventsFludarabine+Cyclophosphamide (FC)122398
Total, other adverse eventsFludarabine+Cyclophosphamide+Rituximab (FCR)185402
Total, serious adverse eventsFludarabine+Cyclophosphamide (FC)164398
Total, serious adverse eventsFludarabine+Cyclophosphamide+Rituximab (FCR)186402

Papers11

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
20888994DERIVEDPubMed
21139079DERIVEDPubMed
24652989DERIVEDPubMed
24797299DERIVEDPubMed
24916506DERIVEDPubMed
26486789DERIVEDPubMed
29255066DERIVEDPubMed
32735048DERIVEDPubMed
33131249DERIVEDPubMed
33730841DERIVEDPubMed

1 to 10 of 11

See all 11 papers

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 comparisons1

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

Comparison
Fludarabine+Cyclophosphamide (FC) vs Fludarabine+Cyclophosphamide+Rituximab (FCR): serious adverse events

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/NCT00281918

GET https://conductscience.org/api/trials/v1/NCT00281918/results?page=2