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    Summary
    EudraCT Number:2008-004392-22
    Sponsor's Protocol Code Number:LLC-LENAR-08
    National Competent Authority:Spain - AEMPS
    Clinical Trial Type:EEA CTA
    Trial Status:Ongoing
    Date on which this record was first entered in the EudraCT database:2008-10-28
    Trial results
    Index
    A. PROTOCOL INFORMATION
    B. SPONSOR INFORMATION
    C. APPLICANT IDENTIFICATION
    D. IMP IDENTIFICATION
    D.8 INFORMATION ON PLACEBO
    E. GENERAL INFORMATION ON THE TRIAL
    F. POPULATION OF TRIAL SUBJECTS
    G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
    N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTRY CONCERNED
    P. END OF TRIAL
    Expand All   Collapse All
    A. Protocol Information
    A.1Member State ConcernedSpain - AEMPS
    A.2EudraCT number2008-004392-22
    A.3Full title of the trial
    Estudio fase I/II de la seguridad y actividad de la combinación Lenalidomida y Rituximab (LenRtx) en pacientes con Leucemia Linfática Crónica (LLC) refractaria o en recidiva.
    A.4.1Sponsor's protocol code numberLLC-LENAR-08
    A.7Trial is part of a Paediatric Investigation Plan Information not present in EudraCT
    A.8EMA Decision number of Paediatric Investigation Plan
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorFundación MD Ánderson Internacional España
    B.1.3.4CountrySpain
    B.3.1 and B.3.2Status of the sponsorNon-Commercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing support
    B.4.2Country
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisation
    B.5.2Functional name of contact point
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.1.1Trade name REVLIMID
    D.2.1.1.2Name of the Marketing Authorisation holderCELGENE
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community Yes
    D.2.5.1Orphan drug designation numberEU/3/07/494
    D.3 Description of the IMP
    D.3.4Pharmaceutical form Capsule, hard
    D.3.4.1Specific paediatric formulation Information not present in EudraCT
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNLENALIDOMIDA
    D.3.9.1CAS number 191732-72-6
    D.3.9.2Current sponsor codeCC-5013
    D.3.9.3Other descriptive nameCDC-501
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typerange
    D.3.10.3Concentration number2,5 to 25
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) Information not present in EudraCT
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy Information not present in EudraCT
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product Information not present in EudraCT
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product Yes
    D.3.11.13.1Other medicinal product typeInmunomodulador
    D.IMP: 2
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.1.1Trade name MABTHERA
    D.2.1.1.2Name of the Marketing Authorisation holderROCHE
    D.2.1.2Country which granted the Marketing AuthorisationSpain
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.4Pharmaceutical form Concentrate for solution for infusion
    D.3.4.1Specific paediatric formulation Information not present in EudraCT
    D.3.7Routes of administration for this IMPIntravenous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNRITUXIMAB
    D.3.10 Strength
    D.3.10.1Concentration unit mg/m2 milligram(s)/square meter
    D.3.10.2Concentration typerange
    D.3.10.3Concentration number375 to 500
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin No
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) Yes
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) Information not present in EudraCT
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy Information not present in EudraCT
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product Information not present in EudraCT
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product Yes
    D.3.11.13.1Other medicinal product typeAnticuerpo monoclonal
    D.8 Information on Placebo
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Pacientes mayores de 18 años que presenten Leucemia Linfática Crónica activa, recurrente o refractaria, que hayan recibido al menos un tratamiento previo con análogos de la purina.
    MedDRA Classification
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    Al ser un estudio que consta de dos fases. Se presenta un objetivo por fase:

    - Fase I: Determinar la pauta de tratamiento recomendada para la combinación de lenalidomida y rituximab (LenRtx), en pacientes con Leucemia Linfática Crónica de células B (LLC-B).
    - Fase II: Determinar la tasa de respuesta clínica (combinando los criterios morfológicos NCI WG y los criterios de respuesta molecular) tras el tratamiento de LenRtx en los pacientes con LLC-B
    E.2.2Secondary objectives of the trial
    - Establecer el perfil de toxicidad de la combinación de LenRtx
    - Determinar el tiempo hasta el fallo de tratamiento
    - Determinar la tasa de respuesta molecular y respuesta valorada por citometría de flujo, siguiente al tratamiento de LenRtx en pacientes con LLC-B.
    - Buscar la relación entre el inicio de la dosis y el tiempo de reducción en el recuento de linfocitos periféricos.
    - Explorar si se produce una reducción rápida inicial en el recuento de linfocitos periféricos (reducción de más del 80% de linfocitos clonales tras el primer o segundo ciclo de tratamiento)
    - Encontrar factores predictivos de respuesta para LenRtx: Recuento de linfocitos T reguladores y de células NK y cambios tempranos después del ciclo 1.
    - Determinar la tasa de respuesta objetiva como rescate tras quimioterapia.
    - Analizar cambios en los niveles séricos de las citoquinas (IL-1, IL-6, TNF-α) así como en el perfil génico de linfocitos B malignos y linfocitos T reguladores tras LenRtx.
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    - Firma del consentimiento informado
    - Pacientes mayores de 18 años que presenten LLC activa, recurrente o refractaria y que hayan recibido al menos un tratamiento previo con análogos de la purina, definida por la existencia de uno de los siguientes (*)
    (*) Síntomas relacionados (pérdida de peso > 10% en los últimos 6 meses, o fiebre > 38ºC durante 2 semanas sin evidencia de infección, o fatiga extrema, o sudoración nocturna sin evidencia de infección).
    (*) Adenopatías o mazacotes adenopáticos gigantes (> 10 cm de diámetro) o adenopatías de crecimiento progresivo.
    (*) Esplenomegalia gigante (> 6 cm por debajo del reborde costal) o esplenomegalia progresiva.
    (*) Linfocitosis progresiva (incremento > 50% en periodo de 2 meses) o tiempo de duplicación linfocitario (anticipado) < 6 meses.
    (*) Evidencia de fallo medular progresivo manifestado por desarrollo o empeoramiento de anemia y/o trombosis.
    NOTA: La presencia de anemia hemolítica autoinmune o hipogammaglobulinemia no es criterio para iniciar tratamiento.

    - Función hepática (bilirrubina total ≤ límite superior de la normalidad (LSN) y SGPT ≤ 4 x LSN) y renal (aclaramiento de creatinina [fórmula de Cockcoft-Gault] > 60 ml/min) adecuadas. Los pacientes con disfunción hepática o renal que se sospecha se debe a infiltración del órgano pueden ser elegibles tras discutir el caso con el Investigador Coordinador, siempre y cuando los niveles de creatinina sean < 3 mg/dl y de bilirrubina < 6 mg/dl.
    - Estado funcional ECOG ≤ 2
    - Hombres y mujeres en edad fértil que accedan a usar un método anticonceptivo efectivo durante todo el tratamiento con el fin de evitar embarazos. Mujeres que puedan potencialmente quedarse embarazadas (se excluyen de este grupo las pacientes histerectomizadas y menopáusicas durante 24 meses consecutivos) necesitan un primer test de embarazo negativo en suero u orina en los 10-14 días anteriores a su inclusión al estudio y un segundo test negativo dentro de las 24 horas previas a la prescripción de lenalidomida. Además, deberán someterse un nuevo test cada 4 semanas.
    E.4Principal exclusion criteria
    - Marcadores serológicos positivos de hepatitis B (al menos un marcador de hepatitis B positivo) con la excepción de HBsAc en pacientes vacunados previamente.
    - Pacientes embarazadas o en periodo de lactancia.
    - Pacientes infectados con VIH
    - Pacientes que estén recibiendo tratamiento quimioterápico o inmunoterápico concomitante
    - Otras neoplasias malignas en los 2 años anteriores a su inclusión en el estudio, a excepción de carcinoma cutáneo localizado
    - Algún problema neurológico que impida el entendimiento del protocolo y sus procedimientos
    - Pacientes con antecedentes de insuficiencia renal que requiriese diálisis.
    E.5 End points
    E.5.1Primary end point(s)
    Determinar la tasa de respuesta global según los criterios de respuesta morfológicos del Nacional Cancer Institute Work Group (NCI WG)
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis No
    E.6.3Therapy Yes
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic No
    E.6.7Pharmacodynamic No
    E.6.8Bioequivalence No
    E.6.9Dose response Yes
    E.6.10Pharmacogenetic No
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others No
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) Yes
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other Yes
    E.7.1.3.1Other trial type description
    Actividad y seguridad de la combinación terapéutica: Lenalidomida y Rituximab
    E.7.2Therapeutic exploratory (Phase II) Yes
    E.7.3Therapeutic confirmatory (Phase III) No
    E.7.4Therapeutic use (Phase IV) No
    E.8 Design of the trial
    E.8.1Controlled No
    E.8.1.1Randomised Information not present in EudraCT
    E.8.1.2Open Information not present in EudraCT
    E.8.1.3Single blind Information not present in EudraCT
    E.8.1.4Double blind Information not present in EudraCT
    E.8.1.5Parallel group Information not present in EudraCT
    E.8.1.6Cross over Information not present in EudraCT
    E.8.1.7Other Information not present in EudraCT
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) Information not present in EudraCT
    E.8.2.2Placebo Information not present in EudraCT
    E.8.2.3Other Information not present in EudraCT
    E.8.3 The trial involves single site in the Member State concerned No
    E.8.4 The trial involves multiple sites in the Member State concerned Yes
    E.8.4.1Number of sites anticipated in Member State concerned8
    E.8.5The trial involves multiple Member States No
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA No
    E.8.6.2Trial being conducted completely outside of the EEA Information not present in EudraCT
    E.8.7Trial has a data monitoring committee No
    E.8.8 Definition of the end of the trial and justification where it is not the last visit of the last subject undergoing the trial
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years2
    E.8.9.1In the Member State concerned months
    E.8.9.1In the Member State concerned days
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 No
    F.1.1.1In Utero Information not present in EudraCT
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) Information not present in EudraCT
    F.1.1.3Newborns (0-27 days) Information not present in EudraCT
    F.1.1.4Infants and toddlers (28 days-23 months) Information not present in EudraCT
    F.1.1.5Children (2-11years) Information not present in EudraCT
    F.1.1.6Adolescents (12-17 years) Information not present in EudraCT
    F.1.2Adults (18-64 years) Yes
    F.1.3Elderly (>=65 years) Yes
    F.2 Gender
    F.2.1Female Yes
    F.2.2Male Yes
    F.3 Group of trial subjects
    F.3.1Healthy volunteers No
    F.3.2Patients Yes
    F.3.3Specific vulnerable populations No
    F.3.3.1Women of childbearing potential not using contraception Information not present in EudraCT
    F.3.3.2Women of child-bearing potential using contraception Information not present in EudraCT
    F.3.3.3Pregnant women Information not present in EudraCT
    F.3.3.4Nursing women Information not present in EudraCT
    F.3.3.5Emergency situation Information not present in EudraCT
    F.3.3.6Subjects incapable of giving consent personally Information not present in EudraCT
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state42
    G. Investigator Networks to be involved in the Trial
    N. Review by the Competent Authority or Ethics Committee in the country concerned
    N.Competent Authority Decision Authorised
    N.Date of Competent Authority Decision2008-12-22
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2008-12-04
    P. End of Trial
    P.End of Trial StatusOngoing
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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