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Trial · NCT00923013

Cladribine With Simultaneous or Delayed Rituximab to Treat Hairy Cell Leukemia

NCT00923013, Phase 2, Active not recruiting, National Cancer Institute (NCI); results first posted 2025-08-08

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Cladribine With Simultaneous or Delayed Rituximab to Treat Hairy Cell Leukemia. Trials, record NCT00923013. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00923013

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Trial

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

Title
Cladribine With Simultaneous or Delayed Rituximab to Treat Hairy Cell Leukemia
NCT number
NCT00923013
Status
Active not recruiting
Phases
Phase 2
Enrollment
175 participants, actual
Lead sponsor
National Cancer Institute (NCI)
Conditions
Hairy Cell Leukemia
Interventions
Cladribine, Rituximab, BMbx, MRI, EKG, Echocardiogram, Abdominal/splenic ultrasound, Stress test
First posted
2009-06-18
Last updated
2026-08-18
Results first posted
2025-08-08

Source ClinicalTrials.gov

Registered outcomes3

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

ListOutcomeTime frameDescription
PrimaryResponse Rate Comparing Minimal Residual Disease (MRD) at 6 Months After Start of Treatment in Comparison GroupsRestaged 6 months after the start of treatment
Participants with newly diagnosed Hairy Cell Leukemia (HCL) and once relapsed HCL were split and both groups were randomized to receive either simultaneous treatment with Cladribine and Rituxan or Cladribine with Rituxan given no earlier than 6 months after cladribine as needed. Outcome measured by Bone Marrow and Blood Flow cytometry and histochemistry of the core biopsy at the 6 months after start of treatment time point. If all three were negative for hairy cells participants were in a minimal residual disease status (MRD). And were considered without HCL disease at that time point.
SecondaryMinimal Residual Disease (MRD)-Free Survival After Cladribine and up to 2 Courses of RituximabTesting done 6 months post first dose of treatment, then yearly x2 years and then every 2 years after cladribine indefinitely
Compare Cladribine + Rituxan vs cladribine alone in terms of MRD-free survival. MRD free survival time is the time until relapsing from MRD to -free to Complete response. Measured by blood and bone marrow flow cytometry, complete blood count (CBC), and bone marrow immunohistochemistry.
OtherNumber of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAEv3.0)
From first study intervention,Study Day 1, Cycle 1-30 days after study agent up to day 35 for participants receiving cladribine only, up to day 80 for participants receiving cladribine+rituximab, &up to day 80 for participants receiving delayed rituximab.
Here is the number of participants with serious and/or non-serious adverse events (AE's) assessed by the Common Terminology Criteria for Adverse Events (CTCAE v3.0). A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life-threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned.

Outcomes3

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYResponse Rate Comparing Minimal Residual Disease (MRD) at 6 Months After Start of Treatment in Comparison GroupsRestaged 6 months after the start of treatmentCohort 2, Arm 3 and Cohort 3, Arm 3 are not reported because the investigator is only comparing the randomized groups. The primary goal is comparing the randomization and Cohort 2 was not randomized.Percentage of participantsNUMBER
SECONDARYMinimal Residual Disease (MRD)-Free Survival After Cladribine and up to 2 Courses of RituximabTesting done 6 months post first dose of treatment, then yearly x2 years and then every 2 years after cladribine indefinitely
OTHER_PRE_SPECIFIEDNumber of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAEv3.0)
From first study intervention,Study Day 1, Cycle 1-30 days after study agent up to day 35 for participants receiving cladribine only, up to day 80 for participants receiving cladribine+rituximab, &up to day 80 for participants receiving delayed rituximab.
ParticipantsCOUNT_OF_PARTICIPANTS

Results by group10

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

OutcomeGroupCategoryValueSpreadUnits
Response Rate Comparing Minimal Residual Disease (MRD) at 6 Months After Start of Treatment in Comparison GroupsCohort 1 Arm 1 SubGroup 1 -Cladribine + Rituximab97.1Percentage of participants
Response Rate Comparing Minimal Residual Disease (MRD) at 6 Months After Start of Treatment in Comparison GroupsCohort 1 Arm 1 SubGroup 2 -Cladribine + Rituximab62.5Percentage of participants
Response Rate Comparing Minimal Residual Disease (MRD) at 6 Months After Start of Treatment in Comparison GroupsCohort 1 Arm 2 SubGroup 1-Cladribine(+Rituximab After 6 Months if Minimal Residual Disease Detected)23.5Percentage of participants
Response Rate Comparing Minimal Residual Disease (MRD) at 6 Months After Start of Treatment in Comparison GroupsCohort 1 Arm 2 SubGroup 2-Cladribine(+Rituximab After 6 Months if Minimal Residual Disease Detected)3.3Percentage of participants
Number of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAEv3.0)Cohort 1 Arm 1 SubGroup 1 -Cladribine + Rituximab34Participants
Number of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAEv3.0)Cohort 1 Arm 1 SubGroup 2 -Cladribine + Rituximab31Participants
Number of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAEv3.0)Cohort 1 Arm 2 SubGroup 1-Cladribine(+Rituximab After 6 Months if Minimal Residual Disease Detected)34Participants
Number of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAEv3.0)Cohort 1 Arm 2 SubGroup 2-Cladribine(+Rituximab After 6 Months if Minimal Residual Disease Detected)29Participants
Number of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAEv3.0)Cohort 2 Arm 3 SubGroup 1-Cladribine (Rituximab Before 1st of 5 Daily Doses of Cladribine on Day 1)24Participants
Number of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAEv3.0)Cohort 3Arm3 HairyCell LeukemiaVariant-Cladribine +(Rituximab Before 1st of 5 Daily Doses Cladribine19Participants

Participant flow36

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDCohort 1 Arm 1 SubGroup 1 -Cladribine + Rituximab34
Overall StudySTARTEDCohort 1 Arm 1 SubGroup 2 -Cladribine + Rituximab32
Overall StudySTARTEDCohort 1 Arm 2 SubGroup 1-Cladribine(+Rituximab After 6 Months if Minimal Residual Disease Detected)34
Overall StudySTARTEDCohort 1 Arm 2 SubGroup 2-Cladribine(+Rituximab After 6 Months if Minimal Residual Disease Detected)30
Overall StudySTARTEDCohort 2 Arm 3 SubGroup 1-Cladribine (Rituximab Before 1st of 5 Daily Doses of Cladribine on Day 1)25
Overall StudySTARTEDCohort 3Arm3 HairyCell LeukemiaVariant-Cladribine +(Rituximab Before 1st of 5 Daily Doses Cladribine20
Overall StudyDisease Progression on StudyCohort 1 Arm 1 SubGroup 1 -Cladribine + Rituximab1
Overall StudyDisease Progression on StudyCohort 1 Arm 1 SubGroup 2 -Cladribine + Rituximab0
Overall StudyDisease Progression on StudyCohort 1 Arm 2 SubGroup 1-Cladribine(+Rituximab After 6 Months if Minimal Residual Disease Detected)0
Overall StudyDisease Progression on StudyCohort 1 Arm 2 SubGroup 2-Cladribine(+Rituximab After 6 Months if Minimal Residual Disease Detected)0

Adverse events1,122

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherALT, SGPT (serum glutamic pyruvic transaminase)Metabolism and nutrition disordersCohort 1 Arm 1 SubGroup 1 -Cladribine + Rituximab143416
otherALT, SGPT (serum glutamic pyruvic transaminase)Metabolism and nutrition disordersCohort 1 Arm 1 SubGroup 2 -Cladribine + Rituximab3324
otherALT, SGPT (serum glutamic pyruvic transaminase)Metabolism and nutrition disordersCohort 1 Arm 2 SubGroup 1-Cladribine(+Rituximab After 6 Months if Minimal Residual Disease Detected)93410
otherALT, SGPT (serum glutamic pyruvic transaminase)Metabolism and nutrition disordersCohort 1 Arm 2 SubGroup 2-Cladribine(+Rituximab After 6 Months if Minimal Residual Disease Detected)5305
otherALT, SGPT (serum glutamic pyruvic transaminase)Metabolism and nutrition disordersCohort 2 Arm 3 SubGroup 1-Cladribine (Rituximab Before 1st of 5 Daily Doses of Cladribine on Day 1)4254
otherALT, SGPT (serum glutamic pyruvic transaminase)Metabolism and nutrition disordersCohort 3Arm3 HairyCell LeukemiaVariant-Cladribine +(Rituximab Before 1st of 5 Daily Doses Cladribine3203
otherAST, SGOT(serum glutamic oxaloacetic transaminase)Metabolism and nutrition disordersCohort 1 Arm 1 SubGroup 1 -Cladribine + Rituximab123413
otherAST, SGOT(serum glutamic oxaloacetic transaminase)Metabolism and nutrition disordersCohort 1 Arm 1 SubGroup 2 -Cladribine + Rituximab3323
otherAST, SGOT(serum glutamic oxaloacetic transaminase)Metabolism and nutrition disordersCohort 1 Arm 2 SubGroup 1-Cladribine(+Rituximab After 6 Months if Minimal Residual Disease Detected)103411
otherAST, SGOT(serum glutamic oxaloacetic transaminase)Metabolism and nutrition disordersCohort 1 Arm 2 SubGroup 2-Cladribine(+Rituximab After 6 Months if Minimal Residual Disease Detected)2302

Adverse event totals18

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityCohort 1 Arm 1 SubGroup 1 -Cladribine + Rituximab234
Total, all-cause mortalityCohort 1 Arm 1 SubGroup 2 -Cladribine + Rituximab232
Total, all-cause mortalityCohort 1 Arm 2 SubGroup 1-Cladribine(+Rituximab After 6 Months if Minimal Residual Disease Detected)034
Total, all-cause mortalityCohort 1 Arm 2 SubGroup 2-Cladribine(+Rituximab After 6 Months if Minimal Residual Disease Detected)130
Total, all-cause mortalityCohort 2 Arm 3 SubGroup 1-Cladribine (Rituximab Before 1st of 5 Daily Doses of Cladribine on Day 1)025
Total, all-cause mortalityCohort 3Arm3 HairyCell LeukemiaVariant-Cladribine +(Rituximab Before 1st of 5 Daily Doses Cladribine520
Total, other adverse eventsCohort 1 Arm 1 SubGroup 1 -Cladribine + Rituximab3434
Total, other adverse eventsCohort 1 Arm 1 SubGroup 2 -Cladribine + Rituximab3132
Total, other adverse eventsCohort 1 Arm 2 SubGroup 1-Cladribine(+Rituximab After 6 Months if Minimal Residual Disease Detected)3434
Total, other adverse eventsCohort 1 Arm 2 SubGroup 2-Cladribine(+Rituximab After 6 Months if Minimal Residual Disease Detected)2930

Papers5

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
7820038BACKGROUNDPubMed
11399570BACKGROUNDPubMed
17237035BACKGROUNDPubMed
32109194DERIVEDPubMed
34607348DERIVEDPubMed

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/NCT00923013

GET https://conductscience.org/api/trials/v1/NCT00923013/flow?page=2