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Trial · NCT01059786

Randomized Phase II Trial of Rituximab With Either Pentostatin or Bendamustine for Multiply Relapsed or Refractory Hairy Cell Leukemia

NCT01059786, Phase 2, Active not recruiting, National Cancer Institute (NCI); results first posted 2024-05-01

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Randomized Phase II Trial of Rituximab With Either Pentostatin or Bendamustine for Multiply Relapsed or Refractory Hairy Cell Leukemia. Trials, record NCT01059786. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT01059786

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Trial

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

Title
Randomized Phase II Trial of Rituximab With Either Pentostatin or Bendamustine for Multiply Relapsed or Refractory Hairy Cell Leukemia
NCT number
NCT01059786
Status
Active not recruiting
Phases
Phase 2
Enrollment
69 participants, actual
Lead sponsor
National Cancer Institute (NCI)
Conditions
Hairy Cell Leukemia
Interventions
Pentostatin, Rituximab, Bendamustine, Acetaminophen, Diphenhydramine, Epinephrine, Antihistamines, Corticosteroids, Bronchodilators, Intravenous (IV) Saline
First posted
2010-02-01
Last updated
2026-10-15
Results first posted
2024-05-01

Source ClinicalTrials.gov

Registered outcomes12

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

ListOutcomeTime frameDescription
PrimaryNumber of Participants Receiving Pentostatin + Rituximab and Bendamustine + Rituximab Who Achieve a Complete Remission (CR) + Partial Response (PR)At end of treatment, approximately 6 months
Number of participants receiving pentostatin + rituximab and bendamustine + rituximab who achieve a CR +PR measured by the following response criteria. Complete remission is all of the following for at least 4 weeks: absolute neutrophil count ≥ 1500/mm\^3, platelets ≥ 100,000/mm\^3, hemoglobin ≥ 11g/dl, spleen non-palpable below the costal margin, or not below costal margin on computed tomography, and circulating hairy cell leukemia (HCL) cells either non-visible on Wright stain or \< 1% by flow cytometry. Partial response is all of the following for at least 4 weeks: neutrophils ≥ 1,500/µL or 50% improvement over baseline, platelets ≥100,000/µL or 50% improvement over baseline, hemoglobin ≥ 11.0 g/dL or 50% improvement over baseline, ≥ 50% decrease in circulating malignant HCL count from the pretreatment baseline, ≥ 50% reduction in sum of products of perpendicular diameters or decrease to ≤ 2 cm in evaluable (\> 2cm) lymphadenopathy.
SecondaryPentostatin + Rituximab and Bendamustine + Rituximab in Crossover When Used After Failure of the 1st Regimen4 yearsCompare the 2 regimens - pentostatin + rituximab and bendamustine + rituximab in crossover when used after failure of the 1st regimen.
SecondaryResponse Rate4 years
Response rate between participants who received rituximab plus either pentostatin or bendamustine measured by the following response criteria. Complete remission is all of the following for at least 4 weeks: absolute neutrophil count ≥ 1500/mm\^3, platelets ≥ 100,000/mm\^3, hemoglobin ≥ 11g/dl, spleen non-palpable below the costal margin, or not below costal margin on computed tomography, and circulating hairy cell leukemia (HCL) cells either non-visible on Wright stain or \< 1% by flow cytometry. Partial response is all of the following for at least 4 weeks: neutrophils ≥ 1,500/µL or 50% improvement over baseline, platelets ≥100,000/µL or 50% improvement over baseline, hemoglobin ≥ 11.0 g/dL or 50% improvement over baseline, ≥ 50% decrease in circulating malignant HCL count from the pretreatment baseline, ≥ 50% reduction in sum of products of perpendicular diameters. Progressive disease is appearance of new evaluable lymph nodes \>2cm. Stable disease is none of the above
SecondaryMechanism of Thrombocytopenia4 yearsThe mechanism of thrombocytopenia after purine analog plus rituximab.
SecondaryHairy Cell Leukemia (HCL) Biology4 yearsHCL biology was determined by cloning, sequencing and characterizing monoclonal immunoglobulin rearrangements, and other genes.
SecondaryCorrelation of Measurable Residual Disease (MRD) Levels and Tumor Markers With Response4 years
Determine if MRD levels and tumor markers (soluble cluster of Differentiation 25 (CD25) and cluster of differentiation-22 (CD22), and real-time quantitative reverse transcriptase polymerase chain reaction (RQ-PCR) correlate with response and clinical endpoints, and if bone marrow magnetic resonance imaging (MRI) signal correlates with bone marrow biopsy (BMBx) results, and whether these tests could in some cases possibly replace BMBx.
SecondaryMeasurable Residual Disease (MRD)-Free Survival4 yearsMRD-free survival is defined by the Response criteria.
SecondaryDisease-free Survival (DFS)time from start of treatment to documented evidence of disease progression
Disease-free survival is the time from start of treatment to documented evidence of disease progression measured by the following response criteria. Progressive disease ≥50% increase in sum of products of perpendicular diameters of evaluable (\> 2cm) lymphadenopathy or appearance of new evaluable lymph nodes \>2cm.
SecondaryOverall Survivaltime between the first day of treatment to the day of deathOS is the time between the first day of treatment to the day of death.
SecondaryGrade 3 and/or 4 Toxicity4 years
Toxicity was assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0). 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.

Outcomes12

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Participants Receiving Pentostatin + Rituximab and Bendamustine + Rituximab Who Achieve a Complete Remission (CR) + Partial Response (PR)At end of treatment, approximately 6 monthsParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYPentostatin + Rituximab and Bendamustine + Rituximab in Crossover When Used After Failure of the 1st Regimen4 years
SECONDARYResponse Rate4 years
SECONDARYMechanism of Thrombocytopenia4 years
SECONDARYHairy Cell Leukemia (HCL) Biology4 years
SECONDARYCorrelation of Measurable Residual Disease (MRD) Levels and Tumor Markers With Response4 years
SECONDARYMeasurable Residual Disease (MRD)-Free Survival4 years
SECONDARYDisease-free Survival (DFS)time from start of treatment to documented evidence of disease progression
SECONDARYOverall Survivaltime between the first day of treatment to the day of death
SECONDARYToxicity4 years

Results by group15

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

OutcomeGroupCategoryValueSpreadUnits
Number of Participants Receiving Pentostatin + Rituximab and Bendamustine + Rituximab Who Achieve a Complete Remission (CR) + Partial Response (PR)Non-Randomized to 70 mg/m2 Bendamustine-RituximabComplete Remission3Participants
Number of Participants Receiving Pentostatin + Rituximab and Bendamustine + Rituximab Who Achieve a Complete Remission (CR) + Partial Response (PR)Non-randomized to 90 mg/m^2 Bendamustine-RituximabComplete Remission4Participants
Number of Participants Receiving Pentostatin + Rituximab and Bendamustine + Rituximab Who Achieve a Complete Remission (CR) + Partial Response (PR)Randomized to 90 mg/m^2 Bendamustine-RituximabComplete Remission20Participants
Number of Participants Receiving Pentostatin + Rituximab and Bendamustine + Rituximab Who Achieve a Complete Remission (CR) + Partial Response (PR)Randomized to Pentostatin-RituximabComplete Remission22Participants
Number of Participants Receiving Pentostatin + Rituximab and Bendamustine + Rituximab Who Achieve a Complete Remission (CR) + Partial Response (PR)Non-randomized to Bendamustine 90mg/m^2 or Pentostatin 4mg/m^2 With RituximabComplete Remission1Participants
Number of Participants Receiving Pentostatin + Rituximab and Bendamustine + Rituximab Who Achieve a Complete Remission (CR) + Partial Response (PR)Non-Randomized to 70 mg/m2 Bendamustine-RituximabPartial Response3Participants
Number of Participants Receiving Pentostatin + Rituximab and Bendamustine + Rituximab Who Achieve a Complete Remission (CR) + Partial Response (PR)Non-randomized to 90 mg/m^2 Bendamustine-RituximabPartial Response2Participants
Number of Participants Receiving Pentostatin + Rituximab and Bendamustine + Rituximab Who Achieve a Complete Remission (CR) + Partial Response (PR)Randomized to 90 mg/m^2 Bendamustine-RituximabPartial Response4Participants
Number of Participants Receiving Pentostatin + Rituximab and Bendamustine + Rituximab Who Achieve a Complete Remission (CR) + Partial Response (PR)Randomized to Pentostatin-RituximabPartial Response4Participants
Number of Participants Receiving Pentostatin + Rituximab and Bendamustine + Rituximab Who Achieve a Complete Remission (CR) + Partial Response (PR)Non-randomized to Bendamustine 90mg/m^2 or Pentostatin 4mg/m^2 With RituximabPartial Response0Participants

Participant flow15

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDNon-Randomized to 70 mg/m2 Bendamustine-Rituximab6
Overall StudySTARTEDNon-randomized to 90 mg/m^2 Bendamustine-Rituximab6
Overall StudySTARTEDRandomized to 90 mg/m^2 Bendamustine-Rituximab28
Overall StudySTARTEDRandomized to Pentostatin-Rituximab28
Overall StudySTARTEDNon-randomized to Bendamustine 90mg/m^2 or Pentostatin 4mg/m^2 With Rituximab1
Overall StudyCOMPLETEDNon-Randomized to 70 mg/m2 Bendamustine-Rituximab6
Overall StudyCOMPLETEDNon-randomized to 90 mg/m^2 Bendamustine-Rituximab6
Overall StudyCOMPLETEDRandomized to 90 mg/m^2 Bendamustine-Rituximab24
Overall StudyCOMPLETEDRandomized to Pentostatin-Rituximab27
Overall StudyCOMPLETEDNon-randomized to Bendamustine 90mg/m^2 or Pentostatin 4mg/m^2 With Rituximab1

Adverse events935

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAbdominal painGastrointestinal disordersNon-Randomized to 70 mg/m2 Bendamustine-Rituximab5610
otherAbdominal painGastrointestinal disordersNon-randomized to 90 mg/m^2 Bendamustine-Rituximab262
otherAbdominal painGastrointestinal disordersRandomized to 90 mg/m^2 Bendamustine-Rituximab5285
otherAbdominal painGastrointestinal disordersRandomized to Pentostatin-Rituximab5287
otherAbdominal painGastrointestinal disordersNon-randomized to Bendamustine 90mg/m^2 or Pentostatin 4mg/m^2 With Rituximab010
otherActivated partial thromboplastin time prolongedInvestigationsNon-Randomized to 70 mg/m2 Bendamustine-Rituximab060
otherActivated partial thromboplastin time prolongedInvestigationsNon-randomized to 90 mg/m^2 Bendamustine-Rituximab060
otherActivated partial thromboplastin time prolongedInvestigationsRandomized to 90 mg/m^2 Bendamustine-Rituximab1281
otherActivated partial thromboplastin time prolongedInvestigationsRandomized to Pentostatin-Rituximab1281
otherActivated partial thromboplastin time prolongedInvestigationsNon-randomized to Bendamustine 90mg/m^2 or Pentostatin 4mg/m^2 With Rituximab010

Adverse event totals15

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityNon-Randomized to 70 mg/m2 Bendamustine-Rituximab06
Total, all-cause mortalityNon-randomized to 90 mg/m^2 Bendamustine-Rituximab06
Total, all-cause mortalityRandomized to 90 mg/m^2 Bendamustine-Rituximab328
Total, all-cause mortalityRandomized to Pentostatin-Rituximab528
Total, all-cause mortalityNon-randomized to Bendamustine 90mg/m^2 or Pentostatin 4mg/m^2 With Rituximab01
Total, other adverse eventsNon-Randomized to 70 mg/m2 Bendamustine-Rituximab66
Total, other adverse eventsNon-randomized to 90 mg/m^2 Bendamustine-Rituximab66
Total, other adverse eventsRandomized to 90 mg/m^2 Bendamustine-Rituximab2828
Total, other adverse eventsRandomized to Pentostatin-Rituximab2828
Total, other adverse eventsNon-randomized to Bendamustine 90mg/m^2 or Pentostatin 4mg/m^2 With Rituximab11

Papers4

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
7820038BACKGROUNDPubMed
11399570BACKGROUNDPubMed
17237035BACKGROUNDPubMed
41060318DERIVEDPubMed

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/NCT01059786

GET https://conductscience.org/api/trials/v1/NCT01059786/events?page=2