DCLLSG

CLL4B Trial

Title Consolidation therapy with CAMPATH-1H (alemtuzumab) in patients ≤ 65 years with chronic lymphocytic leukemia who are in complete or partial remission after initial cytoreduction with fludarabine or fludarabine plus cyclophosphamide
Protocol IDs ---
Status prematurely terminated due to severe infections in 7 of 11 patients
Contact DCLLSG Office: Tel. +49 (0) 221-478-88220
Design Prospektive, open-label, multicentre, randomized phase III trial
Objectives - Does consolidation therapy with CAMPATH-1H result in a prolonged progression-free survival in comparison to patients who do not receive further treatment?
- Is it possible to eliminate (minimal) residual disease by treatment with CAMPATH-1H (to turn a PR into a CR? to turn a PCR-positive CR into a PCR-negative CR?)?
- Does consolidation therapy with CAMPATH-1H translate into a survival benefit or even cure compared to patients with no further treatment?
- How is the safety profile and the quality of life in patients treated with CAMPATH-1H as consolidation therapy?
Primary Endpoint(s) Progression free survival (PFS)
Secondary Endpoint(s) Rate of molecular/complete responses, remission duration, overall survival, side effects, quality of life, resource use assessment
Study Population B-CLL, Binet-Stage C or B
CR/PR after treatment with F/ FC in the CLL4 protocol of the DCLLSG
Age  ≥ 18 or ≤ 65 years
Treatment Arm A (CAMPATH-1H):
Alemtuzumab (3-30mg, 3x/week; dose escalation d1-3 of first week)
max. 12  weeks
+ Premedication
+ Prophylaxis
Arm B:
wait & watch
Patients recruited 23 patients, 21 evaluable (Alemtuzumab: 11, w&w: 10)
Time schedule recruitment period: 20.06.2001 - 05.07.2002
End of study: Sept 2002
Clinical Study Report / Publication: June 2004
End of archiving period: Sept 2012
Sponsor University of Cologne
Principal investigators Prof. Dr. M. Hallek, University of Cologne
Prof. Dr. B. Emmerich, University of Munich (LMU)
Publications Wendtner CM, Ritgen M, Schweighofer CD, Fingerle-Rowson G, Campe H, Jager G, Eichhorst B, Busch R, Diem H, Engert A, Stilgenbauer S, Dohner H, Kneba M, Emmerich B, Hallek M; German CLL Study Group (GCLLSG)
Consolidation with alemtuzumab in patients with chronic lymphocytic leukemia (CLL) in first remission--experience on safety and efficacy within a randomized multicenter phase III trial of the German CLL Study Group (GCLLSG)
Leukemia. 2004; 18(6): 1093 - 101