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Trial · NCT01998880

CLL11: A Study of Rituximab With Chlorambucil or Chlorambucil Alone in Patients With Previously Untreated Chronic Lymphocytic Leukemia (Stage 1b)

NCT01998880, Phase 3, Completed, Hoffmann-La Roche; results first posted 2014-01-28

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. CLL11: A Study of Rituximab With Chlorambucil or Chlorambucil Alone in Patients With Previously Untreated Chronic Lymphocytic Leukemia (Stage 1b). Trials, record NCT01998880. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT01998880

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Trial

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

Title
CLL11: A Study of Rituximab With Chlorambucil or Chlorambucil Alone in Patients With Previously Untreated Chronic Lymphocytic Leukemia (Stage 1b)
NCT number
NCT01998880
Status
Completed
Phases
Phase 3
Enrollment
787 participants, actual
Lead sponsor
Hoffmann-La Roche
Conditions
Lymphocytic Leukemia, Chronic
Interventions
obinutuzumab, rituximab, chlorambucil
First posted
2013-12-02
Last updated
2018-09-14
Results first posted
2014-01-28

Source ClinicalTrials.gov

Registered outcomes13

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

ListOutcomeTime frameDescription
PrimaryProgression-free Survival (PFS)Randomization to clinical cutoff (median observation 57.7 months)
PFS was defined as the time from randomization to the first occurrence of progression, relapse, or death from any cause as assessed by the investigator. Progressive disease required at least one of the following: ≥50% increase in the absolute number of lymphocytes, appearance of new palpable lymph nodes (\>15 mm in longest diameter) or any new extra nodal lesion, ≥50% increase in the longest diameter of any previous site of clinically significant lymphadenopathy, ≥50% increase in the enlargement of the liver and/or spleen, Transformation to a more aggressive histology or After treatment, the progression of any cytopenia (a decrease of hemoglobin levels \>20 g/L or \<10 g/dL or a decrease of platelet counts \>50% or \<100 x 10\^9/L or by a decrease of neutrophil counts \>50% or \<1.0 x 10\^9/L).
PrimaryPercentage of Participants With Progression Free Survival EventsRandomization to clinical cutoff (median observation 57.7 months)Percentage of Participants with Progression Free Survival Events: progression, relapse, or death.
SecondaryEvent Free SurvivalRandomization to clinical cutoff (median observation 57.7 months)
Event-free survival (EFS) was defined as the time between date of randomization and the date of disease progression/relapse, death, or start of a new anti-leukemic therapy. Progressive disease required at least one of the following: ≥50% increase in the absolute number of lymphocytes, appearance of new palpable lymph nodes (\>15 mm in longest diameter) or any new extra nodal lesion, ≥50% increase in the longest diameter of any previous site of clinically significant lymphadenopathy, ≥50% increase in the enlargement of the liver and/or spleen, Transformation to a more aggressive histology or After treatment, the progression of any cytopenia (a decrease of hemoglobin levels \>20 g/L or \<10 g/dL or a decrease of platelet counts \>50% or \<100 x 10\^9/L or by a decrease of neutrophil counts \>50% or \<1.0 x 10\^9/L).
SecondaryOverall SurvivalRandomization to clinical cutoff (median observation 57.7 months)Overall Survival (OS) was defined as the time between the date of randomization and the date of death due to any cause.
SecondaryPercentage of Participants With End of Treatment Response (EOTR)Randomization to clinical cutoff (median observation 57.7 months)
EOTR was the first response assessment 56 days from the last dose according to the International Workshop on Chronic Lymphocytic Leukaemia (IWCLL) guidelines. CR required: Peripheral blood lymphocytes below 4 x 10\^9/L, Absence of significant lymphadenopathy, No hepatomegaly, No splenomegaly, Absence of disease, Blood counts above the following values (Neutrophils \>1.5 x 10\^9/L, Platelets \>100 x 10\^9/L, Hemoglobin \>11g/dL) and Bone marrow at least normocellular for age. CRi was CR with incomplete bone marrow recovery. PR required the following for at least 2 months from end of treatment: ≥50% decrease in peripheral blood lymphocyte count from the pre-treatment value AND Either a ≥ 50% reduction in lymphadenopathy OR ≥50% reduction of liver enlargement OR ≥50% reduction of spleen enlargement PLUS at least one of the following: Neutrophils \>1.5 x 10\^9/ or ≥50% increase, Platelets \>100 x 10\^9/L or ≥50% increase, Hemoglobin 11 g/dL or ≥50% increase.
SecondaryPercentage of Participants With Molecular Remission at the End of TreatmentRandomization to clinical cutoff (median observation 57.7 months)
Molecular remission was defined as a minimal residual disease (MRD)-negative result at the end of treatment (assessment that occurred between 56 days and 6 months of last treatment). Molecular remission was assessed for all patients using a blood sample. Additionally, a bone marrow sample was obtained from patients whom the investigator assumed to have a complete response, consistent with the IWCLL guidelines. A combined analysis of blood and bone marrow results was conducted. A patient was considered MRD negative if result was less than 1 CLL cell in 10000 leukocytes (MRD value \< 0.0001) based on the method of allele specific polymerase chain reaction (ASO-PCR).
SecondaryProgression Free Survival Based on Independent Review Committee (IRC) DataRandomization to clinical cutoff date of 9 May 2013 (median observation 22.7 months)
PFS was defined as the time from randomization to the first occurrence of progression, relapse, or death from any cause as assessed by Independent Review Committee. Progressive disease required at least one of the following: ≥50% increase in the absolute number of lymphocytes, appearance of new palpable lymph nodes (\>15 mm in longest diameter) or any new extra nodal lesion, ≥50% increase in the longest diameter of any previous site of clinically significant lymphadenopathy, ≥50% increase in the enlargement of the liver and/or spleen, Transformation to a more aggressive histology or After treatment, the progression of any cytopenia (a decrease of hemoglobin levels \>20 g/L or \<10 g/dL or a decrease of platelet counts \>50% or \<100 x 10\^9/L or by a decrease of neutrophil counts \>50% or \<1.0 x 10\^9/L).
SecondaryPercentage of Participants With Progression Free Survival Events Based on Independent Review Committee (IRC) DataRandomization to clinical cutoff date of 9 May 2013 (median observation 22.7 months)Percentage of Participants with Progression Free Survival Events: progression, relapse, or death from any cause as assessed by an Independent Review Committee.
SecondaryEuropean Organization for Research and Treatment of Cancer (EORTC) QLQ-C30 Questionnaire ScoreBaseline and Cycle 4 Day 1 (Cy4D1)
The EORTC Quality of Life Questionnaire QLQ-C30 was used to assess patient-reported outcomes (PRO) and symptom burden. The QLQ-C30 contains 30 items including the functional scales of physical functioning (5 items), role functioning (2 items), emotional functioning (4 items), cognitive functioning (2 items), social functioning (2 items) and symptom scales including fatigue (3 items), nausea and vomiting (2 items), and pain (4 items) and six single item scales on dyspnea, sleep disturbance, appetite loss, constipation, diarrhea and financial impact. Final scores are transformed such that they range from 0 - 100, whereby higher scores indicate greater functioning, greater quality of life, or a greater degree of symptoms, with changes of 5 - 10 points considered to be of minimally important difference to participants. A positive change from Baseline indicated improvement.
SecondaryEuropean Organization for Research and Treatment of Cancer (EORTC) QLQ-CLL16 Questionnaire ScoreBaseline and Cycle 4 Day 1 (Cy4D1)
EORTC Quality of Life Questionnaire (QLQ-CLL16) module was used to assess patient-reported outcomes and symptom burden. The QLQ-CLL16 module includes three multi-item scales assessing fatigue (2 items), treatment side effects and disease symptoms (8 items), infection (4 items) and two single item scales on social activities and future health worries. Final scores are transformed such that they range from 0 - 100, whereby higher scores indicate greater functioning, greater quality of life, or a greater degree of symptoms, with changes of 5 - 10 points considered to be of minimally important difference to participants. A positive change from Baseline indicated improvement.

Outcomes13

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYProgression-free Survival (PFS)Randomization to clinical cutoff (median observation 57.7 months)Intent-to-treat population included all randomized participants. Patients without PFS events were censored.MonthsMEDIAN
PRIMARYPercentage of Participants With Progression Free Survival EventsRandomization to clinical cutoff (median observation 57.7 months)Intent-to-treat population included all randomized participants.Percentage of participantsNUMBER
SECONDARYEvent Free SurvivalRandomization to clinical cutoff (median observation 57.7 months)Intent-to-treat population included all randomized participants. Patients without EFS events were censored.MonthsMEDIAN
SECONDARYOverall SurvivalRandomization to clinical cutoff (median observation 57.7 months)Intent-to-treat population included all randomized participants. Patients without OS events were censored.MonthsMEDIAN
SECONDARYPercentage of Participants With End of Treatment Response (EOTR)Randomization to clinical cutoff (median observation 57.7 months)
Participants from the Intent-to-treat population (all randomized participants) with data available for analysis. Participants who did not reach the 3 month Follow-up visit at the time of the clinical cutoff are excluded.
Percentage of participantsNUMBER
SECONDARYPercentage of Participants With Molecular Remission at the End of TreatmentRandomization to clinical cutoff (median observation 57.7 months)
Participants from the Intent-to-treat population (all randomized participants) with MRD data available for analysis. Participants who did not reach the 3 month Follow-up visit at the time of the clinical cutoff are excluded.
Percentage of participantsNUMBER
SECONDARYProgression Free Survival Based on Independent Review Committee (IRC) DataRandomization to clinical cutoff date of 9 May 2013 (median observation 22.7 months)Intent-to-treat population included all randomized participants. Patients without PFS events were censored.monthsMEDIAN
SECONDARYPercentage of Participants With Progression Free Survival Events Based on Independent Review Committee (IRC) DataRandomization to clinical cutoff date of 9 May 2013 (median observation 22.7 months)Intent-to-treat population included all randomized participants. Participants without PFS events were censored.Percentage of participantsNUMBER
SECONDARYEuropean Organization for Research and Treatment of Cancer (EORTC) QLQ-C30 Questionnaire ScoreBaseline and Cycle 4 Day 1 (Cy4D1)ITT population. Here, n signifies the number of participants who were evaluated for specified categories.unit on a scaleMEAN
SECONDARYEuropean Organization for Research and Treatment of Cancer (EORTC) QLQ-CLL16 Questionnaire ScoreBaseline and Cycle 4 Day 1 (Cy4D1)ITT population. Here, n signifies the number of participants who were evaluated for specified categories.unit on a scaleMEAN

Results by group130

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

OutcomeGroupCategoryValueSpreadUnits
Progression-free Survival (PFS)Rituximab + Chlorambucil (RClb)16.595% Confidence Interval 14.3 to 17.7Months
Progression-free Survival (PFS)Chlorambucil (Clb)11.195% Confidence Interval 10.7 to 11.3Months
Percentage of Participants With Progression Free Survival EventsRituximab + Chlorambucil (RClb)90.1Percentage of participants
Percentage of Participants With Progression Free Survival EventsChlorambucil (Clb)90.7Percentage of participants
Event Free SurvivalRituximab + Chlorambucil (RClb)15.795% Confidence Interval 14.2 to 17.2Months
Event Free SurvivalChlorambucil (Clb)10.895% Confidence Interval 8.0 to 11.1Months
Overall SurvivalRituximab + Chlorambucil (RClb)74.995% Confidence Interval 60.8 to NAMonths
Overall SurvivalChlorambucil (Clb)66.795% Confidence Interval 50.9 to NAMonths
Percentage of Participants With End of Treatment Response (EOTR)Rituximab + Chlorambucil (RClb)Complete Response (CR)4.795% Confidence Interval 2.4 to 8.3Percentage of participants
Percentage of Participants With End of Treatment Response (EOTR)Chlorambucil (Clb)Complete Response (CR)0.095% Confidence Interval 0.0 to 3.1Percentage of participants

Participant flow8

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDRituximab + Chlorambucil (RClb)233
Overall StudySTARTEDChlorambucil (Clb)118
Overall StudyReceived Study DrugRituximab + Chlorambucil (RClb)230
Overall StudyReceived Study DrugChlorambucil (Clb)116
Overall StudyCOMPLETEDRituximab + Chlorambucil (RClb)205
Overall StudyCOMPLETEDChlorambucil (Clb)78
Overall StudyNOT COMPLETEDRituximab + Chlorambucil (RClb)28
Overall StudyNOT COMPLETEDChlorambucil (Clb)40

Adverse events312

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherNeutropeniaBlood and lymphatic system disordersRituximab + Chlorambucil (RClb)71225
otherNeutropeniaBlood and lymphatic system disordersChlorambucil (Clb)21116
otherAnaemiaBlood and lymphatic system disordersRituximab + Chlorambucil (RClb)28225
otherAnaemiaBlood and lymphatic system disordersChlorambucil (Clb)12116
otherThrombocytopeniaBlood and lymphatic system disordersRituximab + Chlorambucil (RClb)16225
otherThrombocytopeniaBlood and lymphatic system disordersChlorambucil (Clb)9116
otherNauseaGastrointestinal disordersRituximab + Chlorambucil (RClb)32225
otherNauseaGastrointestinal disordersChlorambucil (Clb)29116
otherDiarrhoeaGastrointestinal disordersRituximab + Chlorambucil (RClb)19225
otherDiarrhoeaGastrointestinal disordersChlorambucil (Clb)13116

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityRituximab + Chlorambucil (RClb)
Total, all-cause mortalityChlorambucil (Clb)
Total, other adverse eventsRituximab + Chlorambucil (RClb)202225
Total, other adverse eventsChlorambucil (Clb)89116
Total, serious adverse eventsRituximab + Chlorambucil (RClb)87225
Total, serious adverse eventsChlorambucil (Clb)45116

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

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
Rituximab + Chlorambucil (RClb) vs Chlorambucil (Clb): 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.

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GET https://conductscience.org/api/trials/v1/NCT01998880/results?page=2