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Contact the study team using the details below to take part. If there are no contact details below please ask your doctor in the first instance.

Contact Information:

Miss Sophie Cramp
+44 (0)1213717867
STELLAR@trials.bham.ac.uk


Study Location:

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Be Part of Research - Trial Details - A trial of CHOP-R therapy, with or without acalabrutinib, in patients with newly diagnosed Richter's Syndrome

A trial of CHOP-R therapy, with or without acalabrutinib, in patients with newly diagnosed Richter's Syndrome

Medical Conditions

Richter syndrome


This information is provided directly by researchers, and we recognise that it isn't always easy to understand. We are working with researchers to improve the accessibility of this information. In some summaries, you may come across links to external websites. These websites will have more information to help you better understand the study.


Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.  

The recruitment start and end dates are as follows:

31 Mar 2019 31 May 2025

Publications

2019 Protocol article in https://www.ncbi.nlm.nih.gov/pubmed/31109313 protocol (added 22/05/2019)

Interventional

Intervention Type : Drug
Intervention Description : Participants who have Richter’s Syndrome and are suitable for CHOP-R will be recruited by specialised hospitals across the UK. People with another cancer, heart problems, or recent stroke cannot take part. Participants will have a lymph node biopsy, 3-4 bone marrow biopsies, blood samples, and PET-CT and CT scans.

Randomised Trial Component:

Patients will be randomised 1:1 to either treatment with CHOP-R (Standard of Care [SoC]) or CHOP-R + acalabrutinib (Experimental). The induction treatment (CHOP-R) will continue for up to 6 cycles (each cycle is 21 days), and will be given according to the following schedule:

Rituximab, 375 mg/m2, IV infusion, OD, 6 cycles, days of cycle: 1Cyclophosphamide, 750 mg/m2, IV bolus, OD, 6 cycles, days of cycle: 1Doxorubicin, 50 mg/m2, IV bolus, OD, 6 cycles, days of cycle: 1Vincristine, 1.4 mg/m2, IV infusion, OD, 6 cycles, days of cycle: 1Prednisolone, 40 mg/m2, PO, OD, 6 cycles, days of cycle: 1-5Acalabrutinib, 100 mg, PO, BD, 6 cycles, continuous thereafter until disease progression toxicity, patient choice or death, days of cycle: 6-21 Patients will be followed up for 2 year survival data.

Single-Arm Platform Studies:

Cohort 1:Patients registered to Cohort 1 will receive 100 mg acalabrutinib monotherapy, twice daily, continuously from day 1 until disease progression, toxicity, patient choice or death. Patients will be followed up for 2 year survival data.

Cohort 2:Patients registered to Cohort 2 will receive CHOP-R + acalabrutinib. The induction treatment (CHOP-R) will continue for up to 6 cycles (each cycle is 21 days), and will be given according to the following schedule:

Rituximab, 375 mg/m2, IV infusion, OD, 6 cycles, days of cycle: 1Cyclophosphamide, 750 mg/m2, IV bolus, OD, 6 cycles, days of cycle: 1Doxorubicin, 50 mg/m2, IV bolus, OD, 6 cycles, days of cycle: 1Vincristine, 1.4 mg/m2, IV infusion, OD, 6 cycles, days of cycle: 1Prednisolone, 40 mg/m2, PO, OD, 6 cycles, days of cycle: 1-5Acalabrutinib, 100 mg, PO, BD, 6 cycles, continuous thereafter until disease progression toxicity, patient choice or death, days of cycle: 6-21 Patients will be followed up for 2 year survival data.




You can take part if:



You may not be able to take part if:


Exclusion criteria ALL:1. Known central nervous system (CNS) involvement of CLL or DLBCL2. Any other active malignancy that requires active treatment, with the exception of basal cell carcinoma, in-situ cervical cancer, and non-invasive squamous cell carcinoma of the skin3. Chronic or ongoing active infectious disease4. Positive serology for Hepatitis B (HBKnown human immunodeficiency virus (HIV) positive5. Patients with active bleeding or history of bleeding diathesis (e.g. haemophilia, von Willebrand disease)6. Patients receiving therapeutic anticoagulation with warfarin or equivalent (e.g. phenoprocoumon)7. Uncorrected prolonged prothrombin time (PT) or an activated partial thromboplastin time (APTT) > 2 x the upper limit of normal (ULN)8. Major surgery within 30 days prior to randomisation and/or inadequate recovery from any prior major surgery, toxicity or complications9. Patients with malabsorption syndrome or medical conditions significantly affecting gastrointestinal function10. Clinically significant cardiac disease including unstable angina, uncontrolled congestive heart failure, and unstable arrhythmias requiring therapy, with the exception of extra systoles or minor conduction abnormalities11. Significant concurrent, uncontrolled severe medical condition including, but not limited to, renal, hepatic, haematological, gastrointestinal, endocrine, pulmonary, neurological, cerebral or psychiatric disease12. History of significant cerebrovascular disease in the 6 months prior to randomisation, including intracranial haemorrhage13. Known or suspected hypersensitivity to components of the investigational products14. Patients who have received treatment with any non-marketed drug substance or experimental therapy within 4 weeks prior to proposed start of treatment 15. Current participation in any other interventional clinical study16. Patients known or suspected of not being able to comply with a study17. Breastfeeding women or women with a positive pregnancy test at screening18. Women of childbearing potential and men not willing to use adequate contraception during study and for 3 months after last dose of study therapy

Additional exclusion criteria for the Randomised Trial:1. Prior therapy with CHOP or any anthracycline containing treatment at any time prior to randomisation2. Ibrutinib-exposed CLL patients who have been newly diagnosed with RS within four weeks of their last dose of ibrutinib. (Ibrutinib-exposed CLL patients who discontinue ibrutinib due to toxicity or progressive CLL and later (more than four weeks) develop RS are not excluded from the randomised trial component)3. Previous acalabrutinib exposure

Additional exclusion criteria for Cohort 1 (progressive RS following chemo-immunotherapy):1. Previous acalabrutinib exposure

Additional exclusion criteria for Cohort 2 (anthracycline-naïve RS patients, diagnosed while on ibrutinib):1. Prior therapy with CHOP or any anthracycline containing treatment at any time prior to randomisation2. Previous acalabrutinib exposure


Below are the locations for where you can take part in the trial. Please note that not all sites may be open.

  • Beatson West of Scotland Cancer Centre
    1053 Great Western Road
    Glasgow
    G12 0YN
  • Christie Hospital
    Wilmslow Road
    Manchester
    M20 4BX
  • University Hospital of Wales
    Heath Park
    Cardiff
    CF14 4XW
  • Royal Hallamshire Hospital
    Glossop Road
    Sheffield
    S10 2JF
  • Royal Bournemouth Hospital
    Bournemouth
    BH7 7DW
  • Southampton General Hospital
    Tremona Road
    Southampton
    SO16 6YD
  • Belfast City Hospital
    Lisburn Road
    Belfast
    BT9 7AB
  • Leicester Royal Infirmary
    Infirmary Square
    Leicester
    LE1 5WW
  • University College London Hospital
    235 Euston Road
    London
    NW1 2BU
  • The Queen Elizabeth Hospital
    Edgbaston
    Birmingham
    B15 2TH
  • King’s College Hospital
    Denmark Hill
    London
    SE5 9RS
  • Churchill Hospital
    Old Road
    Oxford
    OX3 7LJ
  • Nottingham City Hospital
    City Hospital Campus
    Nottingham
    NG5 1PB
  • St Bartholomew’s Hospital
    West Smithfield
    London
    EC1A 7BE
  • The Clatterbridge Cancer Centre
    Clatterbridge Rd Bebington Birkenhead
    Wirral
    CH63 4JY
  • St James’ University Hospital
    Beckett St
    Leeds
    LS9 7TF

This information has not yet been provided by the study team. You'll have an opportunity to discuss any risks and benefits that may be associated with this study prior to consenting to taking part.


The study is sponsored by University of Birmingham and funded by Acerta Pharma; Bloodwise; Grant Codes: 17003.




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Read full details for Trial ID: ISRCTN52839057
Last updated 14 May 2024

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