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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: ClinicalTrials.gov
Last refreshed on: 19 February 2015
Main ID:  NCT00373594
Date of registration: 07/09/2006
Prospective Registration: No
Primary sponsor: University of Bergen
Public title: Therapy for Chronic Cold Agglutinin Disease
Scientific title: Therapy for Chronic Cold Agglutinin Disease: A Prospective, Non-randomized International Multicentre Study on the Safety and Efficacy of Rituximab in Combination With Fludarabine.
Date of first enrolment: June 2005
Target sample size: 30
Recruitment status: Completed
URL:  http://clinicaltrials.gov/show/NCT00373594
Study type:  Interventional
Study design:  Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment  
Phase:  Phase 2
Countries of recruitment
Norway Russian Federation
Contacts
Name:     Elling Ulvestad, MD, PhD
Address: 
Telephone:
Email:
Affiliation:  The Gade Institute, Haukeland University Hospital, Bergen
Name:     Sigbjorn Berentsen, MD, PhD
Address: 
Telephone:
Email:
Affiliation:  Haugesund Hospital and University of Bergen
Name:     Geir E Tjonnfjord, MD, PhD
Address: 
Telephone:
Email:
Affiliation:  Rikshospitalet-Radiumhospitalet University Hospital, Oslo
Key inclusion & exclusion criteria

Inclusion Criteria:

1. CAD diagnosis defined by the combination of:

- Chronic haemolysis

- Cold agglutinin titre > 64

- Positive direct antiglobulin test when performed with polyspecific antiserum,
negative (or only weakly positive) with anti-IgG, and strongly positive with
anti-C3d

2. The presence of a clonal B-cell lymphoproliferative disorder defined by:

- Monoclonal IgM? band by serum electrophoresis and immunofixation, and

- Lymphocyte phenotype with ?/?-ratio > 3.5 and CD20+,?+ co-expression, using
flowcytometric immunophenotyping of bone marrow aspirates

3. Clinical symptoms requiring treatment, such as anaemia or Raynaud-like symptoms

4. Informed consent

Exclusion Criteria:

1. An aggressive lymphoma

2. Blood lymphocyte count > 50 . 109/L

3. Non-lymphatic malignant disease other than basal cell carcinoma

4. Contra-indications to rituximab or fludarabine therapy

5. Inability to cooperate



Age minimum: 18 Years
Age maximum: 90 Years
Gender: Both
Health Condition(s) or Problem(s) studied
Cold Agglutinin Disease
Intervention(s)
Drug: Rituximab
Drug: Fludarabine
Primary Outcome(s)
Adverse effects
Hemoglobin level
Serum monoclonal immunoglobulin level
Circulatory symptoms
Hemolysis
Changes in bone marrow histology
Secondary Outcome(s)
Secondary ID(s)
911238
Source(s) of Monetary Support
Please refer to primary and secondary sponsors
Secondary Sponsor(s)
Ethics review
Results
Results available:
Date Posted:
Date Completed:
URL:
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