Diffuse Large B-Cell Lymphoma (DLBCL)Phase 3NCT00400478
A Multicentre, Randomized Phase III Study of Rituximab as Maintenance Treatment Versus Observation in Patients With Aggressive B-cell Lymphoma: NHL-13
A Phase 3 study testing Rituximab in people with Diffuse Large B-Cell Lymphoma (DLBCL) and Follicular NHL Grade 3b, run by Arbeitsgemeinschaft medikamentoese Tumortherapie at 131 sites in 26 countries.
Trial summary
This is a randomized, open label, phase III study to evaluate the ability of rituximab maintenance therapy to prolong event-free survival in aggressive NHL. Patients will be screened after successful standard induction therapy (CR or Cru following standard R-CHOP-like therapy with 8 infusions of rituximab plus… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Diffuse Large B-Cell Lymphoma (DLBCL), Follicular NHL Grade 3b
- What is being tested?
- Rituximab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 683 participants
- Where
- 131 sitesin 26 countries
- Study dates
- Jan 2006to Mar 2013
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- 4 to 8 cycles R-CHOP/like, total of 8x Rituximab
- CR, CRu
- ECOG/ 0.1 or 2
- Known IPI at time of diagnosis
- Age > 18 years
- Negative pregnancy test
- Men must agree not to father a child during the therapy
Who cannot join
- Transformed lymphoma
- Secondary malignancy
- Evidence of CNS - involvement
- Significant cardiac disease
- Creatinine > 2.0 mg/dl
- HIV, Hepatitis positive
Trial locations and contacts
131 sites in 26 countries.
131 sites in 26 countries
Austria36 sites
LKH Bregenz
Bregenz, A-6900
KH Dornbirn
Dornbirn, A-6850
Bezirkskrankenhaus Kufstein
Endach, Tyrol, A-6330
Landeskrankenhaus Feldkirch
Feldkirch, Vorarlberg, A-6806
A.ö. Landeskrankenhaus Fürstenfeld
Fürstenfeld, A-8280
Universitätsklinikum Graz
Graz, A-8036
A.oe.Bezirkskrankenhaus Hall
Hall in Tirol, Tyrol, A-6060
LKH Hohenems
Hohenems, A-6845
Universitätsklinik Innsbruck/ Klinik für Innere Medizin
Innsbruck, Tyrol, A-6020
Universitaetsklinik Innsbruck
Innsbruck, A-6020
Landeskrankenhaus Klagenfurt
Klagenfurt, A-9020
A.ö. Landeskrankenhaus Leoben
Leoben, A-8700
Krankenhaus d. Barmherzigen Schwestern Linz
Linz, Upper Austria, A-4010
Krankenhaus der Elisabethinen Linz
Linz, Upper Austria, A-4010
Krankenhaus der Stadt Linz
Linz, A-4020
LKH Weinviertel Mistelbach
Mistelbach, A-2130
Krankenhaus Oberpullendorf
Oberpullendorf, Burgenland, A-7350
Krankenhaus Oberwart
Oberwart, Burgenland, A-7400
KH Barmherzige Schwestern Ried
Ried, Upper Austria, A-4910
St. Johanns LK
Salzburg, State of Salzburg, A-5020
A.ö. Krankenhaus der Landeshauptstadt St. Pölten
Sankt Pölten, Lower Austria, A-3100
A.ö. Landeskrankenhaus Steyr
Steyr, Styria, A-4400
KH Barmherzige Brüder
Vienna, State of Vienna, A-1020
Krankenhaus der Stadt Wien Rudolfsstiftung
Vienna, State of Vienna, A-1030
AKH Wien / Hämatologie u. Hämostaseologie
Vienna, State of Vienna, A-1090
Kaiser-Franz-Josef-Spital
Vienna, State of Vienna, A-1100
Krankenhaus der Stadt Wien Lainz
Vienna, State of Vienna, A-1130
Hanusch-Krankenhaus
Vienna, State of Vienna, A-1140
Wilhelminenspital
Vienna, State of Vienna, A-1160
Sozialmedizinisches Zentrum Ost - Donauspital
Vienna, State of Vienna, A-1220
LKH Villach
Villach, A-9500
LKH Vöcklabruck
Vöcklabruck, A-4840
KH Waidhofen/Thaya
Waidhofen an der Thaya, A-3830
Klinikum Kreuzschwestern Wels GmbH
Wels, Upper Austria, A-4600
A.ö. Krankenhaus der Statutarstadt Wr. Neustadt
Wiener Neustadt, Lower Austria, A-2770
BKH Zams
Zams, A-6511
Czechia11 sites
Nemocnice Boskovice s.r.o.
Boskovice
Faculty Hospital Brno
Brno
Univ. Hospital and Med. School Hradec Kralove
Kralove
Onkologické Centrum J.G. Mendela
Novi Jicin
Fakultni Nemocnice Olomouc
Olomouc
Hospital Opava
Opava
Fakultni nemocnice Ostrava
Ostrava-Poruba
Charles University Hospital
Prague
Faculty Hospital Binohrady FNKV
Prague
University Hospital Motol
Prague
RTO MN Usti n. Labem
Ústí nad Labem
Russia7 sites
Belgorod regional Clinical Hospital
Belgorod, 308007
Moscow Regional Clinical Research Institute
Moscow, 115478
Botkin City Clinical Hospital
Moscow, 125101
Leningrad regional Cliniacal Hospital
Saint Petersburg, 194291
SPB Pavlov State Medical University
Saint Petersburg, 197089
Republican Clinic Oncology Dispensary
Ufa, 450054
Novgorod Regional Clinical Hospital
Velikiy Novgorod, 603126
Thailand7 sites
King Chulalongkorn Memorial Hospital
Bangkok
Phramongkutklao College of Medicine
Bangkok
Ramathibodi Hospital
Bangkok
Siriray Hospital
Bangkok
Chiang Mai University
Chiang Mai
Srinagarind Hospital
Khon Kaen
Songklanagrarind Hospital
Songkhla
China6 sites
Chinese PLA General hospital
Beijing
West China Hospital of Sichuan University
Chengdu
Harbin Institue
Harbin
Jiangsu Cancer Hospital
Nanjing
Changhai Hospital
Shanghai
Shanghai Ruijin Hospital
Shanghai
Mexico6 sites
ISSSTE Hospital Regional de Leon
León
Hospital Espanol de Mexico
Mexico City
Hospital General de Mexico
Mexico City
Instituto National de Cancerologia
Mexico City
Hospital Regional Monterrey, ISSTE
Monterrey
ISSSTEP Puebla
Puebla City
Australia5 sites
Concord Repatriation General Hospital
Concord
Gosford Hospital
Gosford
Greenslopes Hospital
Greenslopes
Prince of Wales Hospital
Sydney
Border Medical Oncology
Wodonga, Victoria
Romania5 sites
Coltea Hospital
Bucharest, 22328
Coltea Hospital
Bucharest
University Emergency Center Bucharest
Bucharest
Clinic Judatean de Urgenta Brasov
Târgu Mureş
Emergency County Clinical Hospital
Târgu Mureş
Brazil4 sites
Centro Goiano de Oncologia
Goiânia
Hospital Santa Izabel
Salvador
Hospital das Clinicas FMUSP
São Paulo
Hospital deas Clinical FMUSP
São Paulo
Israel4 sites
Soroka Medical Centre
Beersheba
Rambam Medical Centre
Haifa
Rabin Medical Centre
Petah Tikva
Kaplan Medical Centre
Rehovot
Serbia4 sites
Clinical centre of Serbia
Belgrade, Belgrade, 11000
Institute of Oncology Sremska Kamenica
Kamenitz, 21204
Clinical Centre Nis
Niš, 18000
Clinical Centre Novi Sad
Novisad, 11000
Slovakia4 sites
National Cancer Institut Bratislava
Bratislava
OUSA Bratislava
Bratislava
Východoslovenský onkolgický ústav
Košice
Martinská fakultná nemocnima
Martin
Sweden4 sites
Falun Hospital
Falun, 79182
Sunderby Hospital
Luleå, 97180
Sundsvall Hospital
Sundsvall, 85186
Uddevalla Hospital
Uddevalla, 45180
Turkey (Türkiye)4 sites
Ankara University, School of Medicine
Ankara, 06620
Osmangazi Univ. school of Medicine
Eskişehir, 26480
Gaziantep University School of Medicine
Gaziantep, 27310
Ericyes Univ. Med. School
Kayseri, 38039
Bulgaria3 sites
UMHAT "St. George" Plodviv
Plovdiv
Nat. Centre of Hematology and Transfusiology Sofia
Sofia
MHAT "St. Marina" Varna
Varna
Croatia3 sites
Clinical Hopital Center Zagreb
Zagreb
Clinical Hospital Dubrava
Zagreb
Clinicall Hospital "Merkur"
Zagreb
Taiwan3 sites
Kaohsiung Medical University Hospital
Kaohsiung City, 807
Taipei Veterans General Hospital
Taipei, 112
Taichung Veterans General Hospital
Taipei
Bosnia and Herzegovina2 sites
Clinical Centre University Sarajevo
Sarajevo, 71 000
University Center Tuzla
Tuzla, 75000
Estonia2 sites
North Estonian Regional Hospital
Tallinn, 12915
Tartu University Hospital
Tartu, 15014
Malaysia2 sites
Hospital Ampang
Ampang
Hospital University Kebangsaan Malaysia
Kuala Lumpur
Peru2 sites
Hospital Carlso alberto seguin escobedo Arequipa
Arequipa
Hospital Alberto Sabogal sooguren Callao
Callao
South Africa2 sites
Hopelands Cancer Centre
Pietremarizburg
Wilgers Oncology Centre
Pretoria
About this study
Official title: A Multicentre, Randomized Phase III Study of Rituximab as Maintenance Treatment Versus Observation Alone in Patients With Aggressive B-cell Lymphoma: NHL-13
This is a randomized, open label, phase III study to evaluate the ability of rituximab maintenance therapy to prolong event-free survival in aggressive NHL.
Patients will be screened after successful standard induction therapy (CR or Cru following standard R-CHOP-like therapy with 8 infusions of rituximab plus CHOP-like chemotherapy (4-8 cycles). Patients will be followed until an event occurs as defined in the protocol. To evaluate the clinical efficacy of rituximab maintenance therapy as compared to observation in patients with aggressive B-cell Non-Hodgkins lymphoma or follicular lymphoma grade 3b who have achieved a complete remission after appropriate first-line therapy, measured by event-free survival (EFS), 440 patients with DLCBL or follicular NHL grade 3 (220 per arm) will be recruited.
- Being tested
- Rituximab
- Keywords
- DLBCL, NHL 13, Rituximab, maintenance
- Medical subject headings
- Lymphoma, Large B-Cell, Diffuse
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
RituximabDrug
Rituximab 375mg/m2 i every 8 weeks for two years (12 infusions)
| Study group | Role | What they receive |
|---|---|---|
| A | Active comparator | Treatment Receives: Drug: Rituximab |
| B | No intervention | Observation |
What is being measured
The primary outcome is the main question the study is designed to answer.
event free survival
Measured: 4 years
Secondary outcomes (1)
progression free survival, overall survival and safety
Measured: four years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Nov 2006 (estimated)
- Study startJan 2006
- Primary completionMar 2013
- Study completionMar 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Diffuse Large B-Cell Lymphoma (DLBCL)Studies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 683 participants (actual)
Sponsor and investigators
- Lead sponsor
- Arbeitsgemeinschaft medikamentoese Tumortherapie
- Sponsor type
- University, hospital or other
- Collaborators
- Hoffmann-La Roche
- Responsible party
- Sponsor
- Investigators
- Ulrich Jaeger, Prof. Dr., Principal investigator, Medical University of Vienna
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00400478
- Sponsor's protocol ID
- NHL-13 (ML18223)
- Status last verified
- May 2016
- First submitted
- 16 Nov 2006
- Last updated
- 26 May 2016
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Jaeger U, Trneny M, Melzer H, Praxmarer M, Nawarawong W, Ben Yehuda D, Goldstein D, Mihaljevic B, Ilhan O, Ballova V, Hedenus M, Hsiao LT, Au WY, Burgstaller S, Weidinger G, Keil F, Dittrich C, Skrabs C, Klingler A, Chott A, Fridrik MA, Greil R; AGMT-NHL13 Investigators. Rituximab maintenance for patients with aggressive B-cell lymphoma in first remission: results of the randomized NHL13 trial. Haematologica. 2015 Jul;100(7):955-63. doi: 10.3324/haematol.2015.125344. Epub 2015 Apr 24.
PubMed 25911553Jaeger U, Praxmarer M, Greil R; AGMT-NHL13 investigators. Response to comment by P. Vassilakopoulos and colleagues. Haematologica. 2015 Nov;100(11):e482. doi: 10.3324/haematol.2015.134288. No abstract available.
PubMed 26521299
Study at a glance
From the registry record, last updated by the sponsor on 26 May 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicentre, Randomized Phase III Study of Rituximab as Maintenance Treatment Versus Observation Alone in Patients With Aggressive B-cell Lymphoma: NHL-13
- ClinicalTrials.gov ID
- NCT00400478
- Acronym / sponsor ID
- NHL-13 (ML18223)
- Keywords
- DLBCL, NHL 13, Rituximab, maintenance
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 683 participants (actual)
- Lead sponsor
- Arbeitsgemeinschaft medikamentoese TumortherapieUniversity, hospital or other
- Collaborators
- Hoffmann-La Roche
- Study start
- Jan 2006
- Primary completion
- Mar 2013 (actual)
- Study completion
- Mar 2013 (actual)
- First posted
- 17 Nov 2006 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a randomized, open label, phase III study to evaluate the ability of rituximab maintenance therapy to prolong event-free survival in aggressive NHL.
Patients will be screened after successful standard induction therapy (CR or Cru following standard R-CHOP-like therapy with 8 infusions of rituximab plus CHOP-like chemotherapy (4-8 cycles). Patients will be followed until an event occurs as defined in the protocol. To evaluate the clinical efficacy of rituximab maintenance therapy as compared to observation in patients with aggressive B-cell Non-Hodgkins lymphoma or follicular lymphoma grade 3b who have achieved a complete remission after appropriate first-line therapy, measured by event-free survival (EFS), 440 patients with DLCBL or follicular NHL grade 3 (220 per arm) will be recruited.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| A | Active comparator | Drug: RituximabTreatment |
| B | No intervention | –Observation |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- 4 to 8 cycles R-CHOP/like, total of 8x Rituximab
- CR, CRu
- ECOG/ 0.1 or 2
- Known IPI at time of diagnosis
- Age > 18 years
Key exclusion criteria (6 listed)
- Transformed lymphoma
- Secondary malignancy
- Evidence of CNS - involvement
- Significant cardiac disease
- Creatinine > 2.0 mg/dl
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| RituximabRituximab 375mg/m2 i every 8 weeks for two years (12 infusions) | Drug | A |
Primary outcome
event free survival
Time frame: 4 years
1 secondary outcome
progression free survival, overall survival and safety
Time frame: four years
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 May 2016.
- Results publication: PubMed 25911553Jaeger U, Trneny M, Melzer H, Praxmarer M, Nawarawong W, Ben Yehuda D, Goldstein D, Mihaljevic B, Ilhan O, Ballova V, Hedenus M, Hsiao LT, Au WY, Burgstaller S, Weidinger G, Keil F, Dittrich C, Skrabs C, Klingler A, Chott A, Fridrik MA, Greil R; AGMT-NHL13 Investigators. Rituximab maintenance for patients with aggressive B-cell lymphoma in first remission: results of the randomized NHL13 trial. Haematologica. 2015 Jul;100(7):955-63. doi: 10.3324/haematol.2015.125344. Epub 2015 Apr 24.
- Results publication: PubMed 26521299Jaeger U, Praxmarer M, Greil R; AGMT-NHL13 investigators. Response to comment by P. Vassilakopoulos and colleagues. Haematologica. 2015 Nov;100(11):e482. doi: 10.3324/haematol.2015.134288. No abstract available.
- AGMTLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Ulrich Jaeger, Prof. Dr. principal investigator
Medical University of Vienna
131 sites in 26 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Rituximab in people with Diffuse Large B-Cell Lymphoma (DLBCL) and Follicular NHL Grade 3b, run by Arbeitsgemeinschaft medikamentoese Tumortherapie at 131 sites in 26 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 26 May 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 131 sites in Austria, Czechia, Russia, Thailand, China and 21 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
event free survival (time frame: 4 years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00400478, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 May 2016.