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Non-Hodgkin's LymphomaPhase 2NCT01153971

A Study of Induction and Maintenance Treatment With MabThera (Rituximab) in Patients With Indolent B-Cell Nonfollicular Lymphomas

A Phase 2 study testing rituximab in people with Non-Hodgkin's Lymphoma, run by Hoffmann-La Roche at 15 sites in Italy.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study will evaluate the efficacy and safety of MabThera in combination chemotherapy, followed by maintenance treatment with MabThera. The anticipated time on study treatment is 1-2 years, and the target sample size is <100 individuals. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Non-Hodgkin's Lymphoma
What is being tested?
rituximab
Could I receive a placebo?
No, everyone receives an active treatment
How many people
47 participants
Where
15 sitesItaly
Study dates
20 Jul 2005to 24 Sep 2010
Phase
Phase 2
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 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • adult patients 18-65 years of age;
  • previously untreated indolent nonfollicular non-Hodgkin's lymphoma;
  • active disease;
  • >=3 involved sites.

Who cannot join

  • typical chronic lymphocytic leukemia;
  • other malignancies within 3 years before study, except basal or squamous cell skin cancer or cancer in situ of the cervix;
  • systemic corticosteroid use for >1 month;
  • significant cardiovascular disease;
  • central nervous system involvement;
  • hepatitis B or C virus infection, or HIV infection.

Trial locations and contacts

15 sites in 1 country.

15 sites in 1 country

Italy15 sites
  • Ospedale Civile SS. Antonio E Biagio DI Alessandria; Ematologia

    Alessandria, Piedmont, 15121

  • A.O. Spedali Civili Di Brescia-P.O. Spedali Civili;U.O. Ematologia

    Brescia, Lombardy, 25123

  • Az. Osp. S. Croce Ospedale Generale; Sezione Di Ematologia

    Cuneo, Piedmont, 12100

  • Az. Osp. Di Careggi; Divisione Di Ematologia

    Florence, Tuscany, 50135

  • Az. Osp. Papardo; Struttura Complessa Di Ematologia

    Messina, Sicily, 98165

  • Ospedale Maggiore Di Milano; U.O. Ematologia I - Padiglione Marcora

    Milan, Lombardy, 20122

  • Asst Grande Ospedale Metropolitano Niguarda; Dipartimento Di Ematologia Ed Oncologia

    Milan, Lombardy, 20162

  • A.O.U. Policlinico di Modena-Dipartimento di Medicina Diagnostica, Clinica e di Sanità pubblica

    Modena, Emilia-Romagna, 41100

  • Ospedale Civile Dello Spirito Santo; Divisione Di Ematologia

    Pescara, Abruzzo, 65100

  • Ospedale Civile; Divisione Di Oncologia

    Pescara, Abruzzo, 65124

  • Ospedale Riuniti; Divisione Di Ematologia

    Reggio Calabria, Calabria, 89100

  • Az. Osp. Arcispedale S. Maria Nuova; U.O. Di Ematologia

    Reggio Emilia, Emilia-Romagna, 42100

  • Ospedale Oncologico Regionale; U.O. Oncologia Medica Ed Ematologia

    Rionero in Vulture, Basilicate, 85028

  • Universita' Degli Studi La Sapienza-Ist.Di Ematologia;Dip. Biotecnologie Cel CELLULARI ED EMATOLOGIA

    Rome, Lazio, 00161

  • A.O. Universitaria S. Giovanni Battista-Molinette Di Torino; Ematologia 1

    Turin, Piedmont, 10126

Other trials in Italy

About this study

Official title: An Open-label Study of Fludarabine and Cyclophosphamide Plus MabThera Followed by Maintenance With MabThera on Failure-free Survival in Treatment-naïve Patients With Advanced Indolent B-cell Nonfollicular Lymphoma

This study will evaluate the efficacy and safety of MabThera in combination chemotherapy, followed by maintenance treatment with MabThera. The anticipated time on study treatment is 1-2 years, and the target sample size is <100 individuals.

Being tested
rituximab
Medical subject headings
Lymphoma, Non-Hodgkin

What participants receive

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

Study groups in NCT01153971
Study groupRoleWhat they receive
1ExperimentalNot described
Receives: Drug: rituximab

What is being measured

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

  1. Percentage of Participants Remaining Failure-Free After 2 Years From Treatment Start Date

    Percentage of participants who at 2 years from the start of treatment remained free from documented disease progression, relapse, or death. Failure status was based on tumor evaluation performed on Month 28. Participants who did not have a tumor evaluation at Month 28 were counted as failures.

    Measured: Month 28

Secondary outcomes (17)
  1. Percentage of Participants Achieving a Best Overall Response of CR, CRu, or PR by Study Phase

    CR: complete disappearance of all symptoms/objective signs of disease (enlarged lymph nodes, hepatomegaly, splenomegaly) for at least 3 months following definitive re-evaluation at end of therapy. For initial bone marrow involvement, clearance of bone marrow documented by biopsy, normalization of blood counts with granulocytes greater than (>)1,500 per microliter (/µL), hemoglobin >12 grams per deciliter (g/dL), platelets >100,000/µL. CRu: disappearance of all symptoms and nearly all measurable lesions, but persistence of some radiologic abnormalities with normalization of all biologic abnormalities; normalization of the performance status for at least 3 months after the definite evaluation of therapy. PR: at least 50 percent (%) reduction of measurable and evaluable lymphoma involvement for at least 4 weeks without occurrence of new manifestations, normalization of blood counts. Participants without evaluation at end of induction/maintenance phase were considered nonresponders.

    Measured: Baseline, Months 4, 7 (Induction Phase), 11, 16 (Maintenance Phase),22, 28, 34, and 40(Follow-Up Phase)

  2. Percentage of Participants Achieving a Response by Response Type and Study Phase

    CR: complete disappearance of all symptoms/objective signs of disease (enlarged lymph nodes, hepatomegaly, splenomegaly) for at least 3 months following definitive re-evaluation at end of therapy. For initial bone marrow involvement, clearance of bone marrow documented by biopsy, normalization of blood counts with granulocytes greater than (>)1,500 per microliter (/µL), hemoglobin >12 grams per deciliter (g/dL), platelets >100,000/µL. CRu: disappearance of all symptoms and nearly all measurable lesions, but persistence of some radiologic abnormalities with normalization of all biologic abnormalities; normalization of the performance status for at least 3 months after the definite evaluation of therapy. PR: at least 50 percent (%) reduction of measurable and evaluable lymphoma involvement for at least 4 weeks without occurrence of new manifestations, normalization of blood counts. Participants without evaluation at end of induction/maintenance phase were considered nonresponders.

    Measured: Baseline, Months 4, 7, 11, 16, 22, 28, 34, and 40

  3. Failure-Free Survival (FFS), Percentage of Participants Estimated to be Free of Documented Disease Progression, Relapse, or Death

    FFS data were analyzed using Kaplan-Meier survival analysis. FFS was measured from the date of treatment start to the date of documented disease progression, relapse, or death from any cause. Responding participants, participants who were lost to follow up, who withdrew consent, or dropped out due to adverse events (AE) were censored at their last assessment date. The reported data refer to values up to 40 months.

    Measured: Baseline, Months 1-8, 10-12, 14, 16, 22, 28, 34 and 40

  4. FFS - Percentage of Participants With an Event

    FFS was measured from the date of treatment start to the date of documented disease progression, relapse, or death from any cause. Responding participants, participants who were lost to follow up, who withdrew consent, or who dropped out due to AEs were censored at their last assessment date.

    Measured: Baseline, Months 1-8, 10-12, 14, 16, 22, 28, 34 and 40

  5. FFS - Time to Event

    FFS was measured from the date of treatment start to the date of documented disease progression, relapse or death from any cause. Responding participants, participants who were lost to follow up, who withdrew consent or dropped out due to AEs were censored at their last assessment date. NOTE: The mean survival time and its standard error were underestimated because the largest observation was censored and the estimation was restricted to the largest event time.

    Measured: Baseline, Months 1-8, 10-12, 14, 16, 22, 28, 34 and 40

  6. Overall Survival (OS) - Percentage of Participants Estimated to be Alive

    OS data were analyzed using Kaplan-Meier survival analysis. OS was defined as the time from first dosage of study drug to the date of death from any cause. Reported data refer to values up to 40 months.

    Measured: Baseline, Months 1-8, 10-12, 14, 16, 22, 28, 34 and 40

  7. OS - Percentage of Participants With an Event

    OS was defined as the time from first dosage of study drug to the date of death from any cause.

    Measured: Baseline, Months 1-8, 10-12, 14, 16, 22, 28, 34 and 40.

  8. OS - Time to Event

    Overall survival was defined as the time from first dosage of study drug to the date of death from any cause.

    Measured: Baseline, Months 1-8, 10-12, 14, 16, 22, 28, 34 and 40.

  9. Disease-Free Survival (DFS) - Percentage of Participants Estimated to be Disease-Free

    DFS data were analyzed using Kaplan-Meier survival analysis. DFS was defined for all participants who achieved a complete response (CR/CRu) at month 1 after the completion of treatment of the induction phase (Month 7 of the study) and was measured from the time of CR to the date of relapse. Participants without relapse were censored at their last assessment date. Participants who died due to tumour burden were considered in relapse. Participants who died due to any other causes were censored as of the death date. The reported data refer to values up to 40 months.

    Measured: Baseline, Months 1-8, 10-12, 14, 16, 22, 28, 34 and 40

  10. DFS - Percentage of Participants With an Event

    DFS was defined for all patients who achieved a complete response (CR/CRu) at month 1 after the completion of treatment of the induction phase (month 7 of the study) and was measured from the time of complete response to the date of relapse. Participants without relapse were censored at their last assessment date. Participants who died due to tumour burden were considered in relapse. Participants who died due to any other causes were censored on the death date.

    Measured: Baseline, Months 1-8, 10-12, 14, 16, 22, 28, 34 and 40.

  11. DFS - Time to Event

    DFS was defined for all participants who achieved a complete response (CR/CRu) at month 1 after the completion of treatment of the induction phase (month 7 of the study) and was measured from the time of complete response to the date of relapse. Participants without relapse were censored at their last assessment date. Participants who died due to tumour burden were considered in relapse. Participants who died due to any other causes were censored on the death date. NOTE: The mean survival time and its standard error were underestimated because the largest observation was censored and the estimation was restricted to the largest event time.

    Measured: Baseline, Months 1-8, 10-12, 14, 16, 22, 28, 34 and 40.

  12. Progression-free Survival (PFS) - Percentage of Participants Estimated to Be Progress Free

    PFS data were analyzed using Kaplan-Meier survival analysis. PFS was defined as the time from treatment start to the date of documented disease progression. Reported data refer to values up to 40 months.

    Measured: Baseline, Months 1-8, 10-12, 14, 16, 22, 28, 34 and 40

  13. PFS - Percentage of Participants With an Event

    Progression-free survival was defined as the time from the date of treatment start to the date of documented disease progression.

    Measured: Baseline, Months 1-8, 10-12, 14, 16, 22, 28, 34 and 40

  14. PFS - Time to Event

    Progression-free survival was defined as the time from treatment start to the date of documented disease progression. NOTE: The mean survival time and its standard error were underestimated because the largest observation was censored and the estimation was restricted to the largest event time.

    Measured: Baseline, Months 1-8, 10-12, 14, 16, 22, 28, 34 and 40

  15. Duration of Response (DR) - Percentage of Participants Expected to Maintain a Response

    DR data were analyzed using Kaplan-Meier survival analysis. DR was defined for all participants who achieved a response (CR, CRu and PR) at month 1 after the completion of treatment of the induction phase (Month 7 of the study) and was measured from the time of response until the date of progression or relapse. Participants without relapse or progression were censored at their last assessment date. Participants who died due to tumour were considered in progression. Participants who died for any other cause were censored to the death date.

    Measured: Baseline, Months 1-8, 10-12, 14, 16, 22, 28, 34 and 40

  16. DR - Percentage of Participants With an Event

    DR was defined for all participants who achieved a response (CR, CRu and PR) at month 1 after the completion of treatment of the induction phase (Month 7 of the study) and was measured from the time of response until the date of progression or relapse. Participants without relapse or progression were censored at their last assessment date. Participants who died due to tumour were considered in progression. Participants who died for any other cause were censored to the death date.

    Measured: Baseline, Months 1-8, 10-12, 14, 16, 22, 28, 34 and 40

  17. DR - Time to Event

    DR was defined for all participants who achieved a response (CR, CRu and PR) at month 1 after the completion of treatment of the induction phase (Month 7 of the study) and was measured from the time of response until the date of progression or relapse. Participants without relapse or progression were censored at their last assessment date. Participants who died due to tumour were considered in progression. Participants who died for any other cause were censored to the death date.

    Measured: Baseline, Months 1-8, 10-12, 14, 16, 22, 28, 34 and 40

Timeline

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

  1. First posted30 Jun 2010 (estimated)
  2. Study start20 Jul 2005
  3. Primary completion24 Sep 2010
  4. Study completion24 Sep 2010

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 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
47 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01153971
Sponsor's protocol ID
ML18324
Status last verified
Jun 2017
First submitted
14 Jun 2010
Last updated
1 Aug 2017

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing rituximab in people with Non-Hodgkin's Lymphoma, run by Hoffmann-La Roche at 15 sites in Italy.

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 4 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 1 Aug 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 15 sites in Italy. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 21 Aug 2014). 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?

Percentage of Participants Remaining Failure-Free After 2 Years From Treatment Start Date (time frame: Month 28). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 1 Aug 2017.

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