AzTrials
AzTrials

Lymphoma, FollicularPhase 3A+BNCT01077518

Ofatumumab Bendamustine Combination Compared With Bendamustine Monotherapy in Indolent B-cell NHL Unresponsive to Rituxtherapy

A Phase 3 study testing Ofatumumab, Bendamustine infusion and Ofatumumab and Bendamustine infusions (Arm A) in people with Lymphoma, Follicular, run by Novartis Pharmaceuticals at 140 sites in 17 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The purpose of this study was to evaluate the safety and efficacy of ofatumumab and bendamustine combination therapy in patients with indolent B-cell NHL that did not respond to rituximab or a rituximab-containing regimen during or within 6 months of the last rituximab treatment. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Lymphoma, Follicular
What is being tested?
Ofatumumab, Bendamustine infusion and Ofatumumab and Bendamustine infusions (Arm A)
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
346 participants
Where
140 sitesin 17 countries
Study dates
26 Aug 2010to 26 Dec 2018
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

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

  • Indolent lymphoma including Grades 1-3a follicular, small lymphocytic, lymphoplasmacytic, and marginal zone lymphoma; Stages III-IV, or bulky disease, Stage II. Tumor verified CD20+ and CT imaging done at screening verifying disease
  • Indolent B-cell NHL that remains stable or unresponsive during or within 6 months of treatment with rituximab or a rituximab-containing regimen
  • Indolent lymphoma including grades 1-3a follicular, small lymphocytic, lymphoplasmacytic, and marginal zone lymphoma; stages III-IV, or bulky disease stage II (i.e. as any single mass > 5 cm in any direction)
  • ECOG Performance Status of 0, 1, or 2
  • Life expectancy of at least 6 months
  • 18 years or older
  • Signed, written informed consent

Who cannot join

  • Grade 3b follicular lymphoma or evidence that the indolent lymphoma has transformed to aggressive lymphoma
  • Previous allogeneic stem cell transplant
  • Previous autologous stem cell transplant, fludarabine therapy, or radioimmunotherapy in the past 12 months
  • Previous external beam radiation therapy to the pelvis. Previous external beam radiation therapy for bony disease to the cranium, mediastinum, and axilla, or to two or to more than 3 vertebral bodies
  • High dose steroids greater to or equal to 60 mg prednisone/day (or equivalent) within 3 months of randomization. No more than 10 mg prednisone (or equivalent) daily at the time of randomization
  • Prior bendamustine treatment within 1 year of randomization not resulting in a CR or PR for at least 6 months
Show all 19Show fewer
  • Treatment with anti-CD20 monoclonal antibody within 3 months of randomization
  • Known CNS involvement of indolent lymphoma
  • Other past or current malignancy. Subjects free of malignancy for at least 5 years or have history of definitively treated non-melanoma skin cancer, or successfully treated in situ carcinoma, are eligible
  • Chronic or current active infectious disease requiring systemic antibiotics, antifungal, or antiviral treatment
  • Clinically significant cardiac disease
  • History of significant cerebrovascular disease or event with significant symptoms
  • Positive serology for Hepatitis B
  • Current active liver or biliary disease (except Gibber's syndrome or asymptomatic gallstones, liver metastases, or otherwise stable chronic liver disease)
  • Known HIV positive
  • Abnormal/inadequate blood values, liver and kidney function
  • Current participation in other clinical study
  • Inability to comply with the protocol activities
  • Lactating or pregnant women or female patients of child-bearing potential (or male patients with such partners) not willing to use adequate contraception

Trial locations and contacts

140 sites in 17 countries.

140 sites in 17 countries

Germany24 sites
  • Novartis Investigative Site

    Aschaffenburg, Bavaria, 63739

  • Novartis Investigative Site

    Berlin, 12200

  • Novartis Investigative Site

    Bielefeld, North Rhine-Westphalia, 33604

  • Novartis Investigative Site

    Bottrop, North Rhine-Westphalia, 46236

  • Novartis Investigative Site

    Bremen, 28239

  • Novartis Investigative Site

    Essen, North Rhine-Westphalia, 45122

  • Novartis Investigative Site

    Frankfurt am Main, Hesse, 60488

  • Novartis Investigative Site

    Fürth, Bavaria, 90766

  • Novartis Investigative Site

    Giessen, Hesse, 35392

  • Novartis Investigative Site

    Goch, North Rhine-Westphalia, 47574

  • Novartis Investigative Site

    Hanau, Hesse, 63450

  • Novartis Investigative Site

    Herford, North Rhine-Westphalia, 32049

  • Novartis Investigative Site

    Kaiserslautern, Rhineland-Palatinate, 67655

  • Novartis Investigative Site

    Kassel, Hesse, 34119

  • Novartis Investigative Site

    Koblenz, Rhineland-Palatinate, 56068

  • Novartis Investigative Site

    Leverkusen, North Rhine-Westphalia, 51375

  • Novartis Investigative Site

    Mannheim, Baden-Wurttemberg, 68167

  • Novartis Investigative Site

    Marburg, Hesse, 35037

  • Novartis Investigative Site

    Munich, Bavaria, 80335

  • Novartis Investigative Site

    Munich, Bavaria, 81241

  • Novartis Investigative Site

    Neunkirchen, Saarland, 66538

  • Novartis Investigative Site

    Paderborn, North Rhine-Westphalia, 33098

  • Novartis Investigative Site

    Recklinghausen, North Rhine-Westphalia, 45657

  • Novartis Investigative Site

    Weilheim, Bavaria, 82362

Other trials in Germany

United States18 sites
  • Novartis Investigative Site

    Atlanta, Georgia, 30341

  • Novartis Investigative Site

    Beverly Hills, California, 90211

  • Novartis Investigative Site

    Charleston, South Carolina, 29425

  • Novartis Investigative Site

    Coeur d'Alene, Idaho, 83814

  • Novartis Investigative Site

    Danville, Pennsylvania, 17822

  • Novartis Investigative Site

    Detroit, Michigan, 48202

  • Novartis Investigative Site

    Mineola, New York, 11501

  • Novartis Investigative Site

    Morgantown, West Virginia, 26506

  • Novartis Investigative Site

    Nashville, Tennessee, 37203

  • Novartis Investigative Site

    Palm Springs, California, 92262

  • Novartis Investigative Site

    Philadelphia, Pennsylvania, 19106

  • Novartis Investigative Site

    Richmond, Virginia, 23230

  • Novartis Investigative Site

    Rochester, New York, 14642

  • Novartis Investigative Site

    Seattle, Washington, 98108

  • Novartis Investigative Site

    Silver Spring, Maryland, 21044

  • Novartis Investigative Site

    St Louis, Missouri, 63141

  • Novartis Investigative Site

    Tucson, Arizona, 85715

  • Novartis Investigative Site

    Washington D.C., District of Columbia, 20037

Other trials in United States

France12 sites
  • Novartis Investigative Site

    Avignon, 84902

  • Novartis Investigative Site

    Clermont-Ferrand, 63003

  • Novartis Investigative Site

    Grenoble, 38043

  • Novartis Investigative Site

    La Roche-sur-Yon, 85925

  • Novartis Investigative Site

    Le Mans, 72015

  • Novartis Investigative Site

    Marseille, 13273

  • Novartis Investigative Site

    Nantes, 44093

  • Novartis Investigative Site

    Nantes, 44277

  • Novartis Investigative Site

    Pessac, 33604

  • Novartis Investigative Site

    Saint-Denis, 97405

  • Novartis Investigative Site

    Saint-Pierre, 97448

  • Novartis Investigative Site

    Tours, 37044

Other trials in France

Russia12 sites
  • Novartis Investigative Site

    Chelyabinsk, 454087

  • Novartis Investigative Site

    Kaluga, 248007

  • Novartis Investigative Site

    Kazan', 420029

  • Novartis Investigative Site

    Moscow, 115478

  • Novartis Investigative Site

    Nizhny Novgorod, 603126

  • Novartis Investigative Site

    Novosibirsk, 630087

  • Novartis Investigative Site

    Penza, 440071

  • Novartis Investigative Site

    Saint Petersburg, 197758

  • Novartis Investigative Site

    St'Petersburg, 197341

  • Novartis Investigative Site

    Tula, 300053

  • Novartis Investigative Site

    Ufa, 450054

  • Novartis Investigative Site

    Volgograd, 400138

Other trials in Russia

Italy11 sites
  • Novartis Investigative Site

    Genoa, Liguria, 16132

  • Novartis Investigative Site

    Meldola (FC), Emilia-Romagna, 47014

  • Novartis Investigative Site

    Milan, Lombardy, 20133

  • Novartis Investigative Site

    Milan, Lombardy, 20162

  • Novartis Investigative Site

    Naples, Campania, 80131

  • Novartis Investigative Site

    Novara, Piedmont, 28100

  • Novartis Investigative Site

    Reggio Calabria, Calabria, 89100

  • Novartis Investigative Site

    Rome, Lazio, 00168

  • Novartis Investigative Site

    San Giovanni Rotondo, Apulia, 71013

  • Novartis Investigative Site

    Terni, Umbria, 05100

  • Novartis Investigative Site

    Verona, Veneto, 37134

Other trials in Italy

Japan11 sites
  • Novartis Investigative Site

    Aichi, 466-8650

  • Novartis Investigative Site

    Fukuoka, 810-8563

  • Novartis Investigative Site

    Hiroshima, 737-0023

  • Novartis Investigative Site

    Hyōgo, 670-8520

  • Novartis Investigative Site

    Ibaraki, 305-8576

  • Novartis Investigative Site

    Kanagawa, 259-1143

  • Novartis Investigative Site

    Miyagi, 980-8574

  • Novartis Investigative Site

    Okayama, 710-8602

  • Novartis Investigative Site

    Osaka, 545-8586

  • Novartis Investigative Site

    Tokyo, 104-0045

  • Novartis Investigative Site

    Tokyo, 135-8550

Other trials in Japan

Poland10 sites
  • Novartis Investigative Site

    Gdansk, 80-952

  • Novartis Investigative Site

    Gdynia

  • Novartis Investigative Site

    Legnica, 59-200

  • Novartis Investigative Site

    Opole, 45-061

  • Novartis Investigative Site

    Warsaw, 02-097

  • Novartis Investigative Site

    Warsaw, 02-507

  • Novartis Investigative Site

    Warsaw, 02-776

  • Novartis Investigative Site

    Warsaw

  • Novartis Investigative Site

    Wroclaw, 50-367

  • Novartis Investigative Site

    Wroclaw, 53-439

Other trials in Poland

Austria7 sites
  • Novartis Investigative Site

    Graz, 8036

  • Novartis Investigative Site

    Innsbruck, 6020

  • Novartis Investigative Site

    Leoben, 8700

  • Novartis Investigative Site

    Linz, 4020

  • Novartis Investigative Site

    Salzburg, A-5020

  • Novartis Investigative Site

    Steyr, 4400

  • Novartis Investigative Site

    Vienna, 1090

Other trials in Austria

Greece7 sites
  • Novartis Investigative Site

    Alexandroupoli, 68100

  • Novartis Investigative Site

    Athens, 106 76

  • Novartis Investigative Site

    Athens, 11 527

  • Novartis Investigative Site

    Haidari, Athens, 12462

  • Novartis Investigative Site

    Heraklion, Crete, 71201

  • Novartis Investigative Site

    Ioannina, 45 500

  • Novartis Investigative Site

    Piraeus, 18537

Other trials in Greece

Argentina5 sites
  • Novartis Investigative Site

    Buenos Aires, C1437JCP

  • Novartis Investigative Site

    Capital Federal, Buenos Aires, C1417DTN

  • Novartis Investigative Site

    Ciudad Autonoma de Buenos Aires, Buenos Aires, C1431FWO

  • Novartis Investigative Site

    Derqui, Pilar, Buenos Aires, B1629AHJ

  • Novartis Investigative Site

    La Plata, Buenos Aires, B1900AXI

Other trials in Argentina

Belgium5 sites
  • Novartis Investigative Site

    Bruges, 8000

  • Novartis Investigative Site

    Brussels, 1000

  • Novartis Investigative Site

    Brussels, 1090

  • Novartis Investigative Site

    Ghent, 9000

  • Novartis Investigative Site

    Leuven, 3000

Other trials in Belgium

Canada5 sites
  • Novartis Investigative Site

    Barrie, Ontario, L4M 6M2

  • Novartis Investigative Site

    Calgary, Alberta, T2N 4N2

  • Novartis Investigative Site

    Halifax, Nova Scotia, B3H 2Y9

  • Novartis Investigative Site

    Saskatoon, Saskatchewan, S7N 4H4

  • Novartis Investigative Site

    Toronto, Ontario, M4N 3M5

Other trials in Canada

United Kingdom5 sites
  • Novartis Investigative Site

    Harrow, HA1 3UJ

  • Novartis Investigative Site

    Northwood, Middlesex, HA6 2RN

  • Novartis Investigative Site

    Plymouth, Devon, PL68DH

  • Novartis Investigative Site

    Southampton, SO16 6YD

  • Novartis Investigative Site

    Uxbridge, UB8 3NN

Other trials in United Kingdom

Ukraine3 sites
  • Novartis Investigative Site

    Kyiv, 03022

  • Novartis Investigative Site

    Lviv, 79044

  • Novartis Investigative Site

    Makiivka, 86132

Other trials in Ukraine

Hong Kong2 sites
  • Novartis Investigative Site

    Shatin, New Territories

  • Novartis Investigative Site

    Tuenmen

Other trials in Hong Kong

Puerto Rico2 sites
  • Novartis Investigative Site

    Hato Rey, 00919

  • Novartis Investigative Site

    San Juan, 00927

Other trials in Puerto Rico

Slovakia1 site
  • Novartis Investigative Site

    Bratislava, 833 10

Other trials in Slovakia

About this study

Official title: Randomized Open Label of Ofatumumab and Bendamustine Combination Compared With Bendamustine Monotherapy in Indolent B-cell Non-Hodgkin's Lymphoma Unresponsive to Rituximab or a Rituximab-Containing Regimen During or Within Six Months of Treatment

The purpose of this study was to evaluate the safety and efficacy of ofatumumab and bendamustine combination therapy in patients with indolent B-cell NHL that did not respond to rituximab or a rituximab-containing regimen during or within 6 months of the last rituximab treatment.

Read the detailed description

Ofatumumab is an anti-CD20 monoclonal antibody shown to have monotherapy activity in patients with follicular lymphoma that has relapsed following rituximab-containing therapy. Bendamustine was approved by FDA for the treatment of in patients with indolent B-cell Non-Hodgkin's Lymphoma (NHL) that did not respond to rituximab or a rituximab-containing regimen during or within 6 months of the last rituximab treatment.

Biologics have demonstrated enhanced efficacy when added to chemotherapeutic combinations in the frontline treatment for indolent NHL. The combination of ofatumumab and bendamustine may provide additional clinical benefit and efficacy to those who no longer respond to rituximab or rituximab-containing regimens.

The objective of this study is to determine the effect of ofatumumab and bendamustine combination therapy in patients with indolent B-cell NHL that did not respond to rituximab or a rituximab-containing regimen during or within 6 months of the last rituximab treatment.

Being tested
Ofatumumab, Bendamustine infusion, Ofatumumab and Bendamustine infusions (Arm A), Bendamustine infusion (Arm B)
Keywords
Refractory, Safety, Efficacy, Rituximab refractory, Oncology, Ofatumumab, Bendamustine, Indolent B-cell Non- Hodgkin's Lymphoma Unresponsive, Rituximab, Rituximab-Containing Regimen
Medical subject headings
Lymphoma, Follicular, Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • OfatumumabDrug

    Also called OMB157

    Ofatumumab was a liquid concentrate solution for infusion presented in glass vials containing 50 mL of solution at a concentration of 20 mg/mL to provide 1000 mg per vial. The ofatumumab infusions were prepared in 1000 mL sterile, pyrogen-free 0.9% NaCl to yield a 1 mg/mL ofatumumab concentration infusion.

  • Bendamustine infusionDrug

    Bendamustine 100 mg/vial, injection

  • Ofatumumab and Bendamustine infusions (Arm A)Drug

    Up to 8 cycles of Bendamustine (90 mg/m2 Days 1 and 2, every 21 days) given in combination with 12 doses of ofatumumab (1000 mg). Ofatumumab will be given on day 1 of each cycle of bendamustine as long as patients in Arm A receive bendamustine. Once patients in Arm A complete bendamustine therapy, the remaining doses of ofatumumab will be given monthly until all 12 doses are completed.

  • Bendamustine infusion (Arm B)Drug

    Bendamustine (120 mg/m2 Days 1 and 2, every 21 days, up to 8 cycles).

Study groups in NCT01077518
Study groupRoleWhat they receive
Ofatumumab and Bendamustine (Arm A)ExperimentalUp to 8 cycles of bendamustine (90 mg/m2) on Days 1,2 every 21 days with12 doses of ofatumumab (1000 mg, Day 1 q21 days when with bendamustine and q28 days when given as monotherapy)
Receives: Drug: Ofatumumab; Drug: Ofatumumab and Bendamustine infusions (Arm A)
Bendamustine (Arm B)Active comparatorUp to 8 cycles of bendamustine (120 mg/m2) on Days 1,2 every 21 days
Receives: Drug: Ofatumumab; Drug: Bendamustine infusion; Drug: Bendamustine infusion (Arm B)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Progression-free Survival (PFS) as Assessed by the Independent Review Committee (IRC)

    PFS is defined as the time interval between randomization until disease progression or death (due to any cause).

    Measured: From randomization to the date of first documented disease progression or death due to any cause (67.5 months)

Secondary outcomes (27)
  1. Progression-free Survival (PFS) in Participants With Follicular Lymphoma (FL) Per IRC

    PFS is defined as the time interval between randomization until disease progression or death (due to any cause).

    Measured: From randomization to the date of first documented disease progression or death due to any cause (67.5 months)

  2. Overall Response Rate (ORR) in All Participants Per IRC

    ORR: Percentage of subjects achieving complete response (CR) or partial response (PR) from the start of randomization until disease progression or the start of new anti-cancer therapy, including the optional ofatumumab for subjects in Arm B based on responses from the IRC assessment of best overall response using the Revised Response Criteria for Malignant Lymphoma (RRCML). Response criteria is CR, PR, standard disease (SD), progressive disease (PD) or not estimable. CR is the complete disappearance of all detectable clinical evidence of disease \& disease-related symptoms. PR is at least a 50% decrease from baseline in the sum of the product of the diameters (SPD) of target lesions. SD is failure to attain the criteria needed for a CR, PR or PD. PD is the appearance of any new lesion more than 1.5 cm in any axis or at least a 50% increase from nadir in the SPD of target or non target lesions or at least a 50% increase in the longest diameter(SLD) or any Target or non target lesions.

    Measured: From randomization until the 217th PFS event occurred, up to about 67.5 months

  3. Overall Response Rate (ORR) in Participants With FL Per IRC

    ORR: Percentage of subjects achieving complete response (CR) or partial response (PR) from the start of randomization until disease progression or the start of new anti-cancer therapy, including the optional ofatumumab for subjects in Arm B based on responses from the IRC assessment of best overall response using the Revised Response Criteria for Malignant Lymphoma (RRCML). Response criteria is CR, PR, standard disease (SD), progressive disease (PD) or not estimable. CR is the complete disappearance of all detectable clinical evidence of disease \& disease-related symptoms. PR is at least a 50% decrease from baseline in the sum of the product of the diameters (SPD) of target lesions. SD is failure to attain the criteria needed for a CR, PR or PD. PD is the appearance of any new lesion more than 1.5 cm in any axis or at least a 50% increase from nadir in the SPD of target or non target lesions or at least a 50% increase in the longest diameter(SLD) or any Target or non target lesions.

    Measured: From randomization until the 217th PFS event occurred, up to about 67.5 months

  4. Overall Survival (OS) in All Participants

    The interval of time between the date of randomization and the date of death due to any cause. For subjects who are alive, time of death will be censored at the date of last contact.

    Measured: From randomization up to about 89 months

  5. Overall Survival (OS) in Participants With FL

    The interval of time between the date of randomization and the date of death due to any cause. For subjects who are alive, time of death will be censored at the date of last contact.

    Measured: From randomization up to about 89 months

  6. Time to Response in All Participants Per IRC

    Time to response = time from randomization to the first response (CR/ PR). If no CR/PR value was present data was to be censored at last adequate assessment.

    Measured: From randomization to up to 67.5 months

  7. Time to Response in Participants With FL Per IRC

    Time to response = time from randomization to the first response (CR/ PR). If no CR/PR value was present data was to be censored at last adequate assessment.

    Measured: From randomization to up to 67.5 months

  8. Duration of Response in All Participants Per IRC

    Time (in months) from the initial response (CR/PR) to first documented sign of disease progression or death due to any cause.

    Measured: time from the initial response (CR/PR) (Day 84) to first documented sign of disease progression or death due to any cause up to 67.5 months

  9. Duration of Response in Participants With FL Per IRC

    Time (in months) from the initial response (CR/PR) to first documented sign of disease progression or death due to any cause.

    Measured: time from the initial response (CR/PR) (Day 84) to first documented sign of disease progression or death due to any cause up to 67.5 months

  10. Time to Progression in All Participants Per IRC

    Time from randomization until disease progression

    Measured: From randomization to the date of first documented disease progression, whichever occurred first, reported betwen day of first participant randomized up to about 67.5 months

  11. Time to Progression in Participants With FL Per IRC

    Time from randomization until disease progression

    Measured: From randomization to the date of first documented disease progression, whichever occurred first, reported betwen day of first participant randomized up to about 67.5 months

  12. Time to Next Therapy in All Participants Per IRC

    Time to next therapy was defined as the time (in months) from randomization date to the date of receiving the next line treatment, including all therapy types.

    Measured: from randomization date to the date of receiving the next line treatment or death, up to 67.5 months

  13. Time to Next Therapy in Participants With FL Per IRC

    Time to next therapy was defined as the time (in months) from randomization date to the date of receiving the next line treatment, including all therapy types

    Measured: from randomization date to the date of receiving the next line treatment or death, up to 67.5 months

  14. PRO - Change From Baseline in Health Related Quality of Life (HRQL) Measures in All Participants: The FACT-Lym

    The Functional Assessment of Cancer Therapy - Lymphoma (FACT-Lym) is intended as a lymphoma specific additional concerns subscale that is designed to supplement the FACT-G. The subscale consists of 15 items. Subjects respond to the items on a five point Likert scale ranging from 0 'Not at all' to 4 'Very much'. Subscale scores are calculated by summing individual items to obtain a score, then multiplying the sum of the item scores by the number of items in the subscale, then dividing by the number of items answered. The Score range is 0 -28 for Physical Well-Being, Social/Family Well-Being, 0 -24 for Functional Well-Being and 0 - 60 for the Lymphoma subscale (LYMS). FACT lymphoma TOI is the sum of Physical, Functional Well-Being \& Lymphoma scores. FACT-G Total Score is the sum of Physical, Emotional, Social and Functional Well-Being scores. FACT-Lymph is the sum of Physical, Social, Emotional, Functional and Lymphoma scores. The higher the score, the better the QOL. C =cycle; D=Day

    Measured: administered at the screening visit and C5D1 (month 5), C11D1 (month 11), D252, 12m post-D252, withdrawal (24m post-D252) up to 67.5 months; Cycle = 21 days

  15. PRO - Change From Baseline in Health Related Quality of Life (HRQL) Measures in Participants With FL: The FACT-Lym

    The Functional Assessment of Cancer Therapy - Lymphoma (FACT-Lym) is intended as a lymphoma specific additional concerns subscale that is designed to supplement the FACT-G. The subscale consists of 15 items. Subjects respond to the items on a five point Likert scale ranging from 0 'Not at all' to 4 'Very much'. Subscale scores are calculated by summing individual items to obtain a score, then multiplying the sum of the item scores by the number of items in the subscale, then dividing by the number of items answered. The Score range is 0 -28 for Physical Well-Being, Social/Family Well-Being, 0 -24 for Functional Well-Being and 0 - 60 for the Lymphoma subscale (LYMS). FACT lymphoma TOI is the sum of Physical, Functional Well-Being \& Lymphoma scores. FACT-G Total Score is the sum of Physical, Emotional, Social and Functional Well-Being scores. FACT-Lymph is the sum of Physical, Social, Emotional, Functional and Lymphoma scores. The higher the score, the better the QOL. C =cycle; D=Day

    Measured: administered at the screeing visit and C5D1 (month 5), C11D1 (month 11), D252, 12m post-D252, withdrawal (24m post-D252) up to 67.5 months; Cycle = 21 days

  16. PRO - Change From Baseline in HRQL Measures in All Participants: The EQ-5D

    The EuroQoL Five-Dimension (EQ-5D) is a self-administered, generic, indirect utility measure used for health economic analysis.EQ-5D should be answered as one of 3 levels about current condition for 5 dimensions and was calculated total average by giving a weighting on 3 level of answers (EQ-5D levels into 'no problems' (level 1) and 'problems' (level 2 and 3)).

    Table of scores by each level for EQ-5D items: mobility(level 1=0, level2=0.069,level 3=0.314), self care(level 1=0, level2=0.104,level 3=0.214), usual activities(level 1=0, level2=0.036,level 3=0.094), pain/discomfort (level 1=0, level2=0.,level 3=0.386) and anxiety/depression(level 1=0, level2=0.071,level 3=0.2)

    *EQ-5D Total = 1 - 0.081 - (the score of the each level) - 0.269 (if at least one of level 3 presents)

    Measured: administered at screening and C5D1 (month 5), C11D1 (month 11), D252, 12m post-D252, withdrawal (24m post-D252) up to 67.5 months; Cycle = 21 days

  17. PRO - Change From Baseline in HRQL Measures in Participants With FL: The EQ-5D

    The EuroQoL Five-Dimension (EQ-5D) is a self-administered, generic, indirect utility measure used for health economic analysis.EQ-5D should be answered as one of 3 levels about current condition for 5 dimensions and was calculated total average by giving a weighting on 3 level of answers (EQ-5D levels into 'no problems' (level 1) and 'problems' (level 2 and 3)).

    Table of scores by each level for EQ-5D items: mobility(level 1=0, level2=0.069,level 3=0.314), self care(level 1=0, level2=0.104,level 3=0.214), usual activities(level 1=0, level2=0.036,level 3=0.094), pain/discomfort (level 1=0, level2=0.,level 3=0.386) and anxiety/depression(level 1=0, level2=0.071,level 3=0.2)

    *EQ-5D Total = 1 - 0.081 - (the score of the each level) - 0.269 (if at least one of level 3 presents)

    Measured: administered at screening and C5D1 (month 5), C11D1 (month 11), D252, 12m post-D252, withdrawal (24m post-D252) up to 67.5 months; Cycle = 21 days

  18. PRO - Change in Health Treatment in HRQL Measures in All Participants: The Health Change Questionnaire (HCQ)

    The Health Change Questionnaire,(HCQ) used is a nine item scale that asks the patient to rate change in status since beginning treatment on this study. For HCQ, values from 1 to 9 were assigned to the 9 responses in the HCQ questionnaire, ranging from 1 for 'my health is a great deal better' to 9 for 'my health is a great deal worse' since the beginning of the study. Lower scores represent better conditions

    Measured: administered at screening and C5D1 (month 5), C11D1 (month 11), D252, 12m post-D252, withdrawal (24m post-D252) up to 67.5 months; Cycle = 21 days

  19. PRO - Change in Health Treatment in HRQL Measures in Participants With FL: The Health Change Questionnaire (HCQ)

    The Health Change Questionnaire, (HCQ) used is a nine item scale that asks the patient to rate change in status since beginning treatment on this study. For HCQ, values from 1 to 9 were assigned to the 9 responses in the HCQ questionnaire, ranging from 1 for 'my health is a great deal better' to 9 for 'my health is a great deal worse' since the beginning of the study. Lower scores represent better conditions

    Measured: administered at screening and C5D1 (month 5), C11D1 (month 11), D252, 12m post-D252, withdrawal (24m post-D252) up to 67.5 months; Cycle = 21 days

  20. Reduction in Tumor Size

    Tumor size was measured by the mean change in the sum of the products of the greatest diameter (SPD) of the largest abnormal nodes from baseline to post-baseline by CT Scan.

    Measured: baseline, post-baseline (up to 55 months)

  21. Summary of Change in Eastern Cooperative Oncology Group (ECOG) Performance Status

    This is the number of participants with change in ECOG status. Change is measured categorically by "Improvement, deterioration and No change". Improvement is defined as decrease from baseline by at least one step on the ECOG performance status scale. Deteriorations is defined as increase from baseline by at least one step on the ECOG performance status scale. ECOG status to evaluate daily living: 0: Fully active, able to carry on all pre-disease performance without restriction; 1: Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature, e.g., light house work, office work; 2: Ambulatory and capable of all self-care but unable to carry out any work activities. Up and about more than 50% of waking hours; 3: Capable of only limited self-care, confined to bed or chair more than 50% of waking hours; 4: Completely disabled; cannot carry on any self care.Totally confined to bed or chai; 5: Dead

    Measured: administered at screening and C5D1 (month 5), C11D1 (month 11), D252, 12m post-D252, withdrawal (24m post-D252) up to 67.5 months; Cycle = 21 days

  22. Summary of Number of Participants With Human Anti-Human Antibodies (HAHA)

    A summary by responders and non-responders

    Measured: From randomization up to about 67.5 months

  23. Overall Response Rate (ORR) to Optional Ofatumumab Monotherapy in Subjects Who Progressed During or Following Single-agent Bendamustine

    ORR: Percentage of subjects achieving complete response (CR) or partial response (PR) from the start of randomization until disease progression or the start of new anti-cancer therapy, including the optional ofatumumab for subjects in Arm B based on responses from the IRC assessment of best overall response using the Revised Response Criteria for Malignant Lymphoma (RRCML). Response criteria is CR, PR, standard disease (SD), progressive disease (PD) or not estimable. CR is the complete disappearance of all detectable clinical evidence of disease \& disease-related symptoms. PR is at least a 50% decrease from baseline in the sum of the product of the diameters (SPD) of target lesions. SD is failure to attain the criteria needed for a CR, PR or PD. PD is the appearance of any new lesion more than 1.5 cm in any axis or at least a 50% increase from nadir in the SPD of target or non target lesions or at least a 50% increase in the longest diameter(SLD) or any Target or non target lesions.

    Measured: From randomization until the 217th PFS event occurred, up to about 67.8 months

  24. Quantitative Assessments of Immunoglobulins A, G and M (IgA, IgG, IgM)

    at scheduled visits for actual values as well as for change from baseline

    Measured: Screening, C1D1, 1M post D252, 6M post D252, 12M post D252 up to 67.5 months; Cycle = 21 days

  25. Plasma Ofatumumab Concentrations

    Concentrations of ofatumumab in plasma listed by actual relative time and summarized by nominal time.

    Measured: C1D1, C7D1, C12D1, C1D1, C12D1, 12M post-D252, withdrawal up to 12 months follow up

  26. B-cell Monitoring (CD19+, CD20+)

    The percent change of CD5+CD19+ and CD5-CD19+ from baseline was summarized to assess the treatment effect, to monitor the normal B-cell population, and to follow their recovery.

    Measured: C5D1 (month 5), 1M post-D252, 9M post-D252, up to 67.5 months; Cycle = 21 days

  27. Human Anti-chimeric Antibodies (HACA) Over Time

    The number of participants with positive and negative baseline HACA results

    Measured: At Baseline and Cycle 1 day 1

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Mar 2010 (estimated)
  2. Study start26 Aug 2010
  3. Primary completion3 Jan 2018
  4. Study completion26 Dec 2018

Why it stopped: The study was terminated early as it did not meet the Primary efficacy objective after primary analysis.

Resources

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
Model description
randomized open label bendamustine monotherapy vs. ofatumumab
Masking
None (open label)
Enrolment
346 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01077518
Sponsor's protocol ID
110918
Other IDs
2008-004177-17, COMB157E2301, 2008
Acronym
A+B
Status last verified
Mar 2020
First submitted
25 Feb 2010
Last updated
27 Mar 2020
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com

Publications

  • Rummel MJ, Janssens A, MacDonald D, Keating MM, Zaucha JM, Davis J, Lasher J, Babanrao Pisal C, Izquierdo M, Friedberg JW. A phase 3, randomized study of ofatumumab combined with bendamustine in rituximab-refractory iNHL (COMPLEMENT A + B study). Br J Haematol. 2021 Jun;193(6):1123-1133. doi: 10.1111/bjh.17420. Epub 2021 May 10.

    PubMed 33973233

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Ofatumumab, Bendamustine infusion and Ofatumumab and Bendamustine infusions (Arm A) in people with Lymphoma, Follicular, run by Novartis Pharmaceuticals at 140 sites in 17 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 19 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: stopped early, as of the sponsor's last update on 27 Mar 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 140 sites in Germany, United States, France, Russia, Italy and 12 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?

Yes. Results are posted in the registry (first posted 27 Mar 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Progression-free Survival (PFS) as Assessed by the Independent Review Committee (IRC) (time frame: From randomization to the date of first documented disease progression or death due to any cause (67.5 months)). 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 NCT01077518, which also lists 1 linked publication.

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 27 Mar 2020.

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