TREANDA was studied in patients with CLL in a pivotal phase 3 randomized trial

Phase 3 trial design

  • Chlorambucil was chosen as the comparator because it was approved for first-line use in CLL in all participating countries when the pivotal trial was planned in 20011

clinical trial design

*ORR includes patients with a best response of complete response (CR), nodular partial response (nPR), and partial response (PR) (ORR=CR+nPR+PR).

  • Duration of treatment depended on response. Patients with CR, nPR, or PR after 3 cycles could receive 2 consolidation cycles, but no more than 6 cycles. Patients with stable disease (SD) were administered a total of at least 3 cycles. Patients with progressive disease (PD) discontinued treatment

Patients in the pivotal trial had a variety of disease-related issues

Baseline characteristics in both treatment groups

baseline characteristics

Indications

TREANDA is indicated for the treatment of patients with chronic lymphocytic leukemia (CLL). Efficacy relative to first-line therapies other than chlorambucil has not been established.

TREANDA is indicated for the treatment of patients with indolent B-cell non-Hodgkin’s lymphoma (NHL) that has progressed during or within 6 months of treatment with rituximab or a rituximab-containing regimen.

Important Safety Information

  • Serious adverse reactions, including myelosuppression, infections, infusion reactions and anaphylaxis, tumor lysis syndrome, skin reactions including SJS/TEN, other malignancies, and extravasation, have been associated with TREANDA. Some reactions, such as myelosuppression, infections, and SJS/TEN (when TREANDA was administered concomitantly with allopurinol and other medications known to cause SJS/TEN), have been fatal. Patients should be monitored closely for these reactions and treated promptly if any occur

  • Adverse reactions may require interventions such as decreasing the dose of TREANDA, or withholding or delaying treatment

  • TREANDA is contraindicated in patients with a known hypersensitivity to bendamustine or mannitol. Women should be advised to avoid becoming pregnant while using TREANDA

  • The most common non-hematologic adverse reactions associated with TREANDA (frequency ≥15%) were pyrexia, nausea, and vomiting. The most common hematologic abnormalities associated with TREANDA (frequency ≥15%) were anemia, thrombocytopenia, neutropenia, lymphopenia, and leukopenia

TO REPORT SIDE EFFECTS: Contact us at 1-800-896-5855 or usmedinfo@cephalon.com

References
  1. Knauf WU, Lissichkov T, Aldaoud A, et al. Phase III randomized study of bendamustine compared with chlorambucil in previously untreated patients with chronic lymphocytic leukemia. J Clin Oncol. 2009;27:4378-4384.
  2. Data on file. Cephalon, Inc.
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This article is based upon the pivotal study that formed the basis for approval of TREANDA. The conclusions reached in this article are consistent with the TREANDA Prescribing Information, however, the article contains information that differs from the TREANDA Prescribing Information. Please review this article in conjunction with the accompanying full Prescribing Information.

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