Page last updated: 2024-10-24

chlorambucil and Diarrhea

chlorambucil has been researched along with Diarrhea in 6 studies

Chlorambucil: A nitrogen mustard alkylating agent used as antineoplastic for chronic lymphocytic leukemia, Hodgkin's disease, and others. Although it is less toxic than most other nitrogen mustards, it has been listed as a known carcinogen in the Fourth Annual Report on Carcinogens (NTP 85-002, 1985). (Merck Index, 11th ed)
chlorambucil : A monocarboxylic acid that is butanoic acid substituted at position 4 by a 4-[bis(2-chloroethyl)amino]phenyl group. A chemotherapy drug that can be used in combination with the antibody obinutuzumab for the treatment of chronic lymphocytic leukemia.

Diarrhea: An increased liquidity or decreased consistency of FECES, such as running stool. Fecal consistency is related to the ratio of water-holding capacity of insoluble solids to total water, rather than the amount of water present. Diarrhea is not hyperdefecation or increased fecal weight.

Research Excerpts

ExcerptRelevanceReference
"Treatment with prednisone and chlorambucil was initiated, and the dog had a good response."1.37Waldenström's macroglobulinemia in a dog with a bleeding diathesis. ( Fournel-Fleury, C; Jaillardon, L, 2011)

Research

Studies (6)

TimeframeStudies, this research(%)All Research%
pre-19901 (16.67)18.7374
1990's2 (33.33)18.2507
2000's0 (0.00)29.6817
2010's2 (33.33)24.3611
2020's1 (16.67)2.80

Authors

AuthorsStudies
Sugita, K1
Shima, A1
Takahashi, K1
Matsuda, Y1
Miyajima, M1
Hirokawa, M1
Kondo, H1
Kimura, J1
Ishihara, G1
Ohmori, K1
Burger, JA1
Tedeschi, A1
Barr, PM1
Robak, T1
Owen, C1
Ghia, P1
Bairey, O1
Hillmen, P1
Bartlett, NL1
Li, J1
Simpson, D1
Grosicki, S1
Devereux, S1
McCarthy, H1
Coutre, S1
Quach, H1
Gaidano, G1
Maslyak, Z1
Stevens, DA1
Janssens, A1
Offner, F1
Mayer, J1
O'Dwyer, M1
Hellmann, A1
Schuh, A1
Siddiqi, T1
Polliack, A1
Tam, CS1
Suri, D1
Cheng, M1
Clow, F1
Styles, L1
James, DF1
Kipps, TJ1
Jaillardon, L1
Fournel-Fleury, C1
Ramos, A1
Martínez-Taboada, VM1
Fito, C1
Rodriguéz-Valverde, V1
Martínez-Taboacla, VM1
Cabrera, ME1
Labra, S1
Ford, A1
Matutes, E1
Ferracci, C1
Darracq, R1
Bobin, P1
Varieras, G1

Clinical Trials (5)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Combination Ibrutinib and Rituximab for the Treatment of Chronic Graft-Versus-Host Disease Following Allogeneic Stem Cell Transplant[NCT03689894]Phase 1/Phase 22 participants (Actual)Interventional2019-04-11Terminated (stopped due to Insufficient accrual)
Long-term Effect of Chronic Ibrutinib Therapy on Left Atrial Function[NCT03751410]40 participants (Actual)Observational [Patient Registry]2018-12-01Completed
Randomized, Multicenter, Open-label, Phase 3 Study of the Bruton's Tyrosine Kinase Inhibitor Ibrutinib Versus Chlorambucil in Patients 65 Years or Older With Treatment-naive Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma[NCT01722487]Phase 3269 participants (Actual)Interventional2013-03-31Completed
Efficacy of BCR Inhibitors in the Treatment of Autoimmune Cytopenias Associated With Chronic Lymphocytic Leukemia (CLL): A Retrospective Analysis of the French Innovative Leukemia Organization (FILO)[NCT03469895]40 participants (Actual)Observational2017-07-21Active, not recruiting
Phase III Randomized Study to Investigate the Use of Acalabrutinib in the Treatment of Patients With Early Stage CLL With High Risk of Early Disease Progression[NCT04178798]Phase 322 participants (Actual)Interventional2019-12-09Active, not recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Assess the Response Rate of cGVHD to Treatment With Ibrutinib Plus Rituximab

Response rate of clinically significant GVHD will be assessed using NIH criteria (from 2014 NIH Consensus Development Project). (NCT03689894)
Timeframe: 6 weeks, 3 months, and 6 months after initiation of treatment

InterventionParticipants (Count of Participants)
Ibrutinib Plus Rituximab0

ORR (Overall Response Rate)

ORR is defined as the proportion of subjects who achieved complete response (CR), complete response with incomplete marrow recovery (CRi), nodule partial response (nPR) or PR per IRC assessment. Response criteria are as outlined in the International Workshop on CLL (iwCLL) 2008 criteria with the 2012 iwCLL modification stating that treatment-related lymphocytosis in the setting of improvement in other parameters was not considered as PD and the 2013 iwCLL clarification of criteria for a partial response to therapy. (NCT01722487)
Timeframe: Analysis was conducted when 15 months had elapsed after the last subject was randomized with the cutoff date of 4 May 2015. The median follow-up time is 18 month.

Interventionpercentage of participants (Number)
Ibrutinib82.4
Chlorambucil35.3

Overall Survival (OS)

OS is calculated for all randomized subjects as the duration of time from the date of randomization to the date of death due to any cause or the date last known alive for subjects who were not known to have died at study closure. (NCT01722487)
Timeframe: Analysis was conducted when 15 months had elapsed after the last subject was randomized with the cutoff date of 4 May 2015. The median follow-up time is 18 month.

InterventionMonths (Median)
IbrutinibNA
ChlorambucilNA

PFS (Progression Free Survival)

"The primary objective of this study was to evaluate the efficacy of Ibrutinib compared with Chlorambucil based on the independent review committee (IRC) assessment of PFS~Progressive disease according to 2008 IWCLL guidelines was defined as:~Group A~Lymphadenopathy, increase ≥50%~Hepatomegaly, increase ≥50%~Splenomegaly, increase ≥50%~Blood lymphocytes, increase ≥ 50% over baseline~Group B~Platelets counts, decrease of ≥ 50% from baseline secondary to CLL~Hemoglobin, decrease of > 2 g/dL from baseline secondary to CLL" (NCT01722487)
Timeframe: Analysis was conducted when 15 months had elapsed after the last subject was randomized with the cutoff date of 4 May 2015. The median follow-up time is 18 month.

InterventionMonths (Median)
IbrutinibNA
Chlorambucil18.9

Proportion of Sustained Hemoglobin Improvement

The proportion of subjects who achieved Hemoglobin >11 g/dL or increase ≥ 2 g/dL over baseline and persisted continuously for ≥56 days (8 weeks) without blood transfusion or growth factors. (NCT01722487)
Timeframe: Analysis was conducted when 15 months had elapsed after the last subject was randomized with the cutoff date of 4 May 2015. The median follow-up time is 18 month.

InterventionPercentage of Participants (Number)
Ibrutinib45.6
Chlorambucil20.3

Proportion of Sustained Hemoglobin Improvement in Subjects With Baseline Anemia

In randomized subjects with baseline hemoglobin ≤ 11 g/dL, the proportion of subjects who achieved Hemoglobin >11 g/dL or increase ≥ 2 g/dL over baseline persisted continuously for ≥56 days (8 weeks) without blood transfusion or growth factors. (NCT01722487)
Timeframe: Analysis was conducted when 15 months had elapsed after the last subject was randomized with the cutoff date of 4 May 2015. The median follow-up time is 18 month.

InterventionPercentage of Participants (Number)
Ibrutinib84.3
Chlorambucil45.5

Proportion of Sustained Platelet Improvement

The proportion of subjects who achieved platelet >100 x 10^9/L or increase ≥50% over baseline and persisted continuously for ≥56 days (8 weeks) without blood transfusion or growth factors. (NCT01722487)
Timeframe: Analysis was conducted when 15 months had elapsed after the last subject was randomized with the cutoff date of 4 May 2015. The median follow-up time is 18 month.

InterventionPercentage of Participants (Number)
Ibrutinib27.2
Chlorambucil11.3

Proportion of Sustained Platelet Improvement in Subjects With Baseline Thrombocytopenia

In randomized subjects with baseline platelet ≤ 100 x 10^9/L, the proportion of subjects who achieved platelet >100 x 10^9/L or increase ≥50% over baseline persisted continuously for ≥56 days (8 wee without blood transfusion or growth factors. (NCT01722487)
Timeframe: Analysis was conducted when 15 months had elapsed after the last subject was randomized with cutoff date of 4 May 2015. The median follow-up time is 18 month.

InterventionPercentage of Participants (Number)
Ibrutinib77.1
Chlorambucil42.9

Trials

1 trial available for chlorambucil and Diarrhea

ArticleYear
Ibrutinib as Initial Therapy for Patients with Chronic Lymphocytic Leukemia.
    The New England journal of medicine, 2015, Dec-17, Volume: 373, Issue:25

    Topics: Adenine; Aged; Antineoplastic Agents; Chlorambucil; Diarrhea; Disease-Free Survival; Fatigue; Female

2015
Ibrutinib as Initial Therapy for Patients with Chronic Lymphocytic Leukemia.
    The New England journal of medicine, 2015, Dec-17, Volume: 373, Issue:25

    Topics: Adenine; Aged; Antineoplastic Agents; Chlorambucil; Diarrhea; Disease-Free Survival; Fatigue; Female

2015
Ibrutinib as Initial Therapy for Patients with Chronic Lymphocytic Leukemia.
    The New England journal of medicine, 2015, Dec-17, Volume: 373, Issue:25

    Topics: Adenine; Aged; Antineoplastic Agents; Chlorambucil; Diarrhea; Disease-Free Survival; Fatigue; Female

2015
Ibrutinib as Initial Therapy for Patients with Chronic Lymphocytic Leukemia.
    The New England journal of medicine, 2015, Dec-17, Volume: 373, Issue:25

    Topics: Adenine; Aged; Antineoplastic Agents; Chlorambucil; Diarrhea; Disease-Free Survival; Fatigue; Female

2015
Ibrutinib as Initial Therapy for Patients with Chronic Lymphocytic Leukemia.
    The New England journal of medicine, 2015, Dec-17, Volume: 373, Issue:25

    Topics: Adenine; Aged; Antineoplastic Agents; Chlorambucil; Diarrhea; Disease-Free Survival; Fatigue; Female

2015
Ibrutinib as Initial Therapy for Patients with Chronic Lymphocytic Leukemia.
    The New England journal of medicine, 2015, Dec-17, Volume: 373, Issue:25

    Topics: Adenine; Aged; Antineoplastic Agents; Chlorambucil; Diarrhea; Disease-Free Survival; Fatigue; Female

2015
Ibrutinib as Initial Therapy for Patients with Chronic Lymphocytic Leukemia.
    The New England journal of medicine, 2015, Dec-17, Volume: 373, Issue:25

    Topics: Adenine; Aged; Antineoplastic Agents; Chlorambucil; Diarrhea; Disease-Free Survival; Fatigue; Female

2015
Ibrutinib as Initial Therapy for Patients with Chronic Lymphocytic Leukemia.
    The New England journal of medicine, 2015, Dec-17, Volume: 373, Issue:25

    Topics: Adenine; Aged; Antineoplastic Agents; Chlorambucil; Diarrhea; Disease-Free Survival; Fatigue; Female

2015
Ibrutinib as Initial Therapy for Patients with Chronic Lymphocytic Leukemia.
    The New England journal of medicine, 2015, Dec-17, Volume: 373, Issue:25

    Topics: Adenine; Aged; Antineoplastic Agents; Chlorambucil; Diarrhea; Disease-Free Survival; Fatigue; Female

2015
Ibrutinib as Initial Therapy for Patients with Chronic Lymphocytic Leukemia.
    The New England journal of medicine, 2015, Dec-17, Volume: 373, Issue:25

    Topics: Adenine; Aged; Antineoplastic Agents; Chlorambucil; Diarrhea; Disease-Free Survival; Fatigue; Female

2015
Ibrutinib as Initial Therapy for Patients with Chronic Lymphocytic Leukemia.
    The New England journal of medicine, 2015, Dec-17, Volume: 373, Issue:25

    Topics: Adenine; Aged; Antineoplastic Agents; Chlorambucil; Diarrhea; Disease-Free Survival; Fatigue; Female

2015
Ibrutinib as Initial Therapy for Patients with Chronic Lymphocytic Leukemia.
    The New England journal of medicine, 2015, Dec-17, Volume: 373, Issue:25

    Topics: Adenine; Aged; Antineoplastic Agents; Chlorambucil; Diarrhea; Disease-Free Survival; Fatigue; Female

2015
Ibrutinib as Initial Therapy for Patients with Chronic Lymphocytic Leukemia.
    The New England journal of medicine, 2015, Dec-17, Volume: 373, Issue:25

    Topics: Adenine; Aged; Antineoplastic Agents; Chlorambucil; Diarrhea; Disease-Free Survival; Fatigue; Female

2015
Ibrutinib as Initial Therapy for Patients with Chronic Lymphocytic Leukemia.
    The New England journal of medicine, 2015, Dec-17, Volume: 373, Issue:25

    Topics: Adenine; Aged; Antineoplastic Agents; Chlorambucil; Diarrhea; Disease-Free Survival; Fatigue; Female

2015
Ibrutinib as Initial Therapy for Patients with Chronic Lymphocytic Leukemia.
    The New England journal of medicine, 2015, Dec-17, Volume: 373, Issue:25

    Topics: Adenine; Aged; Antineoplastic Agents; Chlorambucil; Diarrhea; Disease-Free Survival; Fatigue; Female

2015
Ibrutinib as Initial Therapy for Patients with Chronic Lymphocytic Leukemia.
    The New England journal of medicine, 2015, Dec-17, Volume: 373, Issue:25

    Topics: Adenine; Aged; Antineoplastic Agents; Chlorambucil; Diarrhea; Disease-Free Survival; Fatigue; Female

2015
Ibrutinib as Initial Therapy for Patients with Chronic Lymphocytic Leukemia.
    The New England journal of medicine, 2015, Dec-17, Volume: 373, Issue:25

    Topics: Adenine; Aged; Antineoplastic Agents; Chlorambucil; Diarrhea; Disease-Free Survival; Fatigue; Female

2015
Ibrutinib as Initial Therapy for Patients with Chronic Lymphocytic Leukemia.
    The New England journal of medicine, 2015, Dec-17, Volume: 373, Issue:25

    Topics: Adenine; Aged; Antineoplastic Agents; Chlorambucil; Diarrhea; Disease-Free Survival; Fatigue; Female

2015
Ibrutinib as Initial Therapy for Patients with Chronic Lymphocytic Leukemia.
    The New England journal of medicine, 2015, Dec-17, Volume: 373, Issue:25

    Topics: Adenine; Aged; Antineoplastic Agents; Chlorambucil; Diarrhea; Disease-Free Survival; Fatigue; Female

2015
Ibrutinib as Initial Therapy for Patients with Chronic Lymphocytic Leukemia.
    The New England journal of medicine, 2015, Dec-17, Volume: 373, Issue:25

    Topics: Adenine; Aged; Antineoplastic Agents; Chlorambucil; Diarrhea; Disease-Free Survival; Fatigue; Female

2015
Ibrutinib as Initial Therapy for Patients with Chronic Lymphocytic Leukemia.
    The New England journal of medicine, 2015, Dec-17, Volume: 373, Issue:25

    Topics: Adenine; Aged; Antineoplastic Agents; Chlorambucil; Diarrhea; Disease-Free Survival; Fatigue; Female

2015
Ibrutinib as Initial Therapy for Patients with Chronic Lymphocytic Leukemia.
    The New England journal of medicine, 2015, Dec-17, Volume: 373, Issue:25

    Topics: Adenine; Aged; Antineoplastic Agents; Chlorambucil; Diarrhea; Disease-Free Survival; Fatigue; Female

2015
Ibrutinib as Initial Therapy for Patients with Chronic Lymphocytic Leukemia.
    The New England journal of medicine, 2015, Dec-17, Volume: 373, Issue:25

    Topics: Adenine; Aged; Antineoplastic Agents; Chlorambucil; Diarrhea; Disease-Free Survival; Fatigue; Female

2015
Ibrutinib as Initial Therapy for Patients with Chronic Lymphocytic Leukemia.
    The New England journal of medicine, 2015, Dec-17, Volume: 373, Issue:25

    Topics: Adenine; Aged; Antineoplastic Agents; Chlorambucil; Diarrhea; Disease-Free Survival; Fatigue; Female

2015
Ibrutinib as Initial Therapy for Patients with Chronic Lymphocytic Leukemia.
    The New England journal of medicine, 2015, Dec-17, Volume: 373, Issue:25

    Topics: Adenine; Aged; Antineoplastic Agents; Chlorambucil; Diarrhea; Disease-Free Survival; Fatigue; Female

2015

Other Studies

5 other studies available for chlorambucil and Diarrhea

ArticleYear
Successful outcome after a single endoscopic fecal microbiota transplantation in a Shiba dog with non-responsive enteropathy during the treatment with chlorambucil.
    The Journal of veterinary medical science, 2021, Jul-10, Volume: 83, Issue:6

    Topics: Animals; Chlorambucil; Diarrhea; Dog Diseases; Dogs; Dysbiosis; Fecal Microbiota Transplantation; Fe

2021
Waldenström's macroglobulinemia in a dog with a bleeding diathesis.
    Veterinary clinical pathology, 2011, Volume: 40, Issue:3

    Topics: Animals; Antineoplastic Agents; Blood Cell Count; Bone Marrow; Chlorambucil; Diarrhea; Disease Susce

2011
Clostridium difficile-associated diarrhea in rheumatoid arthritis patients who are receiving therapy with low-dose chlorambucil.
    Arthritis and rheumatism, 1997, Volume: 40, Issue:11

    Topics: Aged; Antineoplastic Agents, Alkylating; Arthritis, Rheumatoid; Chlorambucil; Clostridioides diffici

1997
HTLV-I induced intestinal lymphoma.
    Leukemia & lymphoma, 1999, Volume: 35, Issue:5-6

    Topics: Adult; Antineoplastic Agents, Alkylating; Chile; Chlorambucil; Diarrhea; DNA, Viral; Duodenal Neopla

1999
[Case of Waldenström's disease with predominantly digestive symptomatology].
    Bulletin de la Societe medicale d'Afrique noire de langue francaise, 1974, Volume: 19, Issue:1

    Topics: Adult; Chlorambucil; Diarrhea; Gastric Mucosa; Hepatomegaly; Humans; Immunoglobulin A; Immunoglobuli

1974