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Status unknownNCT04811950Updated Mar 23, 2021

Prognostic Role of Platelet _lymphocyte and Neutrophil _monocyte in CLL

An observational study in CLL Progression, sponsored by Assiut University. Status unknown. Per ClinicalTrials.gov, last updated 2021-03-23.

Sponsored by Assiut University · Observational

The sponsor has not verified this record recently (last verified Mar 2021), so the status shown — last known as Not yet recruiting — may be out of date.
Study type
Observational
Model
Other
Time perspective
Retrospective
Enrollment
100
Sex
All
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Study summary

The biological rationale in calculating PLR stems from the increase in the lymphocyte count and reduction in the platelet count often encountered in the advances stages of CLL .NMR median value was significantly higher in untreated patients than in patients who received treatment strengthening the hypothesis that this ratio is associated with a more indolent form of disease

Read the detailed description

Chronic lymphocytic leukemia (CLL) is the most common type of leukemia in the western world. In Egypt, CLL is the most common subtype of leukemias

  • the National Cancer Registry reported over 80% of lymphoid leukemias are CLL . It is the most common types of leukemia diagnosed in adult. ChroniclymphocyticleukemialymphocytesareclonalCD19-positiveBcells characterized by the accumulation of CD5 positive monoclonal B cells in peripheral blood. Bone marrow aspiration shows lymphocytic replacement of normal marrow elements, lymphocytes comprise 25-95% .Trephine biopsy reveals nodular, diffuse or interstitial involvement by lymphocytes
  • Both the International Workshop on Chronic Lymphocytic Leukemia (IWCLL) and European Society of Medical Oncology guidelines also require persistence of lymphocytosis for longer than 3 months

The most important prognostic factors in CLL are clinical staging systems developed by Rai and Binet

. These systems based on clinical examination e.g. lymphadenopathy and organomegaly, peripheral blood findings (platelet andhaemoglobinvalues),markersoftumorload(thymidinekinaseand B2-microglobulin), expression of specific proteins in CLL cells; CD38, CD49d \& ZAP-70, genetic abnormalities quantified by FISH which include del(13q), tri12, del(11q), \& del(17p) and genetic parameters.including immunoglobulin heavy chain variable gene segment (IGHV) mutational status. Finally, prognostication in patients with CLL should not only address disease progression and overall survival, but also response to therapy. The biological rationale in calculating PLR stems from the increase in the lymphocyte count and reduction in the platelet count often encountered in the advanced stages of CLL. Therefore, we hypothesized that the ratio using both the platelet and lymphocyte counts may have a prognostic role in patients with CLL. Neutrophil-monocyte ratio(NMR) was found to be higher in untreated patients than in patients who received treatment . and therefore it will be used to prove its relation with disease severity and itsprognosticvalues. It is important to highlight that using these indices, is simple, cheap, easily measured and reproducible and can be integrated into our daily clinical practice as prognostic marker of CLL

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Conditions studied

  • CLL Progression

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In context

Disease Progression

544 studies on the registry are indexed under Disease Progression; 144 are open to participants now.

This study's planned enrollment of 100 is below the median of 198 across 260 observational studies indexed under Disease Progression.

Browse Disease Progression studies →

Lead sponsor

Assiut University is the lead sponsor of 4,901 studies on the registry; 2,098 are open to participants now.

Of its 13 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

All Patients with CLL come to South Egypt Cancer institute from 2010 to 2020

Inclusion criteria

  • All CLL patients

Exclusion criteria

Exclusion Criteria:

  • CLL patients on treatment
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Study design

Observational model
Other
Time perspective
Retrospective
Enrollment
100 participants (estimated)
Patient registry
No

Interventions

  • DeviceEmerald

    Complete blood countdevice

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What researchers measure

Primary outcomes

  1. platelet-lymphocyte and neutrophilo_monocyte ratio in CLL

    Calculating the ratio of platelets to lymphocytes and neutrophils to monocytes in CLL cases

    Time frame: base line

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Study locations

No study locations are listed for this record.

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References and documents

Publications

  • Yu H, Xu W, Shen QD. [Serum levels of soluble CD(23) and thrombopoietin in chronic lymphocytic leukemia]. Zhonghua Nei Ke Za Zhi. 2008 Oct;47(10):826-9. Chinese. PubMed 19080142 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 23, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04811950
Lead sponsor
Assiut University
Responsible party
Fatma Hussein Mahmoud (Principal investigator, Assiut University) — Principal investigator
First posted
Mar 23, 2021
Start date
Jun 2022 (estimated)
Primary completion
Sep 2022 (estimated)
Completion
Oct 2023 (estimated)
Last update
Mar 23, 2021

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Mar 2021. You cannot join it, but the record below documents what was studied.

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