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.
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
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- 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
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
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
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
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
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
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
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
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
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
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
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
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
Ukraine3 sites
Novartis Investigative Site
Kyiv, 03022
Novartis Investigative Site
Lviv, 79044
Novartis Investigative Site
Makiivka, 86132
Hong Kong2 sites
Novartis Investigative Site
Shatin, New Territories
Novartis Investigative Site
Tuenmen
Puerto Rico2 sites
Novartis Investigative Site
Hato Rey, 00919
Novartis Investigative Site
San Juan, 00927
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.
- Conditions
- Lymphoma, Follicular
- 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 group | Role | What they receive |
|---|---|---|
| Ofatumumab and Bendamustine (Arm A) | Experimental | Up 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 comparator | Up 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.
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)
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)
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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)
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
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
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
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
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
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
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.
- First posted1 Mar 2010 (estimated)
- Study start26 Aug 2010
- Primary completion3 Jan 2018
- 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
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Lymphoma, FollicularStudies of the same condition, open and under way.
- More trials run by Novartis PharmaceuticalsThe sponsor's other registered studies.
- 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
- Model description
- randomized open label bendamustine monotherapy vs. ofatumumab
- Masking
- None (open label)
- Enrolment
- 346 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novartis Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Novartis Pharmaceuticals, Study director, Novartis Pharmaceuticals
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
- Results posted
- Yes, on ClinicalTrials.gov
- 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
Study at a glance
From the registry record, last updated by the sponsor on 27 Mar 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- 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
- ClinicalTrials.gov ID
- NCT01077518
- Acronym / sponsor ID
- A+B / 110918
- Conditions
- Lymphoma, Follicular
- Keywords
- Refractory, Safety, Efficacy, Rituximab refractory, Oncology, Ofatumumab, Bendamustine, Indolent B-cell Non- Hodgkin's Lymphoma Unresponsive
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: The study was terminated early as it did not meet the Primary efficacy objective after primary analysis.
- Enrolment
- 346 participants (actual)
- Lead sponsor
- Novartis PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- 26 Aug 2010 (actual)
- Primary completion
- 3 Jan 2018 (actual)
- Study completion
- 26 Dec 2018 (actual)
- First posted
- 1 Mar 2010 (estimated)
- Results
- Posted 27 Mar 2020
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- randomized open label bendamustine monotherapy vs. ofatumumab
| Arm | Type | Receives |
|---|---|---|
| Ofatumumab and Bendamustine (Arm A) | Experimental | Drug: Ofatumumab, Drug: Ofatumumab and Bendamustine infusions (Arm A)Up 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) |
| Bendamustine (Arm B) | Active comparator | Drug: Ofatumumab, Drug: Bendamustine infusion, Drug: Bendamustine infusion (Arm B)Up to 8 cycles of bendamustine (120 mg/m2) on Days 1,2 every 21 days |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- 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
Key exclusion criteria (19 listed)
- 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
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 |
|---|---|---|
| OfatumumabAlso: OMB157Ofatumumab 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. | Drug | Bendamustine (Arm B), Ofatumumab and Bendamustine (Arm A) |
| Bendamustine infusionBendamustine 100 mg/vial, injection | Drug | Bendamustine (Arm B) |
| Ofatumumab and Bendamustine infusions (Arm A)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. | Drug | Ofatumumab and Bendamustine (Arm A) |
| Bendamustine infusion (Arm B)Bendamustine (120 mg/m2 Days 1 and 2, every 21 days, up to 8 cycles). | Drug | Bendamustine (Arm B) |
Primary outcome
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)
PFS is defined as the time interval between randomization until disease progression or death (due to any cause).
27 secondary outcomes
Progression-free Survival (PFS) in Participants With Follicular Lymphoma (FL) Per IRC
Time frame: From randomization to the date of first documented disease progression or death due to any cause (67.5 months)
Overall Response Rate (ORR) in All Participants Per IRC
Time frame: From randomization until the 217th PFS event occurred, up to about 67.5 months
Overall Response Rate (ORR) in Participants With FL Per IRC
Time frame: From randomization until the 217th PFS event occurred, up to about 67.5 months
Overall Survival (OS) in All Participants
Time frame: From randomization up to about 89 months
Overall Survival (OS) in Participants With FL
Time frame: From randomization up to about 89 months
Time to Response in All Participants Per IRC
Time frame: From randomization to up to 67.5 months
Time to Response in Participants With FL Per IRC
Time frame: From randomization to up to 67.5 months
Duration of Response in All Participants Per IRC
Time frame: 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
Duration of Response in Participants With FL Per IRC
Time frame: 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
Time to Progression in All Participants Per IRC
Time frame: 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
Time to Progression in Participants With FL Per IRC
Time frame: 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
Time to Next Therapy in All Participants Per IRC
Time frame: from randomization date to the date of receiving the next line treatment or death, up to 67.5 months
Time to Next Therapy in Participants With FL Per IRC
Time frame: from randomization date to the date of receiving the next line treatment or death, up to 67.5 months
PRO - Change From Baseline in Health Related Quality of Life (HRQL) Measures in All Participants: The FACT-Lym
Time frame: 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
PRO - Change From Baseline in Health Related Quality of Life (HRQL) Measures in Participants With FL: The FACT-Lym
Time frame: 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
PRO - Change From Baseline in HRQL Measures in All Participants: The EQ-5D
Time frame: 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
PRO - Change From Baseline in HRQL Measures in Participants With FL: The EQ-5D
Time frame: 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
PRO - Change in Health Treatment in HRQL Measures in All Participants: The Health Change Questionnaire (HCQ)
Time frame: 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
PRO - Change in Health Treatment in HRQL Measures in Participants With FL: The Health Change Questionnaire (HCQ)
Time frame: 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
Reduction in Tumor Size
Time frame: baseline, post-baseline (up to 55 months)
Summary of Change in Eastern Cooperative Oncology Group (ECOG) Performance Status
Time frame: 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
Summary of Number of Participants With Human Anti-Human Antibodies (HAHA)
Time frame: From randomization up to about 67.5 months
Overall Response Rate (ORR) to Optional Ofatumumab Monotherapy in Subjects Who Progressed During or Following Single-agent Bendamustine
Time frame: From randomization until the 217th PFS event occurred, up to about 67.8 months
Quantitative Assessments of Immunoglobulins A, G and M (IgA, IgG, IgM)
Time frame: Screening, C1D1, 1M post D252, 6M post D252, 12M post D252 up to 67.5 months; Cycle = 21 days
Plasma Ofatumumab Concentrations
Time frame: C1D1, C7D1, C12D1, C1D1, C12D1, 12M post-D252, withdrawal up to 12 months follow up
B-cell Monitoring (CD19+, CD20+)
Time frame: C5D1 (month 5), 1M post-D252, 9M post-D252, up to 67.5 months; Cycle = 21 days
Human Anti-chimeric Antibodies (HACA) Over Time
Time frame: At Baseline and Cycle 1 day 1
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Mar 2020.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 33973233Rummel 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.
- Individual participant dataSharing planned: 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
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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.
Novartis Pharmaceuticals study director
Novartis Pharmaceuticals
140 sites in 17 countries: see every site and its status.
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.