Non-Hodgkin's LymphomaPhase 3HOMERNCT01200589
Single Agent Ofatumumab Vs. Single Agent Rituximab in Indolent B-Cell Non Hodgkin Lymphoma Relapsed After Rituximab-Containing Therapy
A Phase 3 study testing Ofatumumab and Rituximab in people with Non-Hodgkin's Lymphoma, run by Novartis Pharmaceuticals at 155 sites in 16 countries.
Trial summary
This was a multi-center, parallel, active comparator controlled, open-label, randomized (1:1) phase III study of single agent ofatumumab compared to single agent rituximab in subjects with rituximab-sensitive indolent B-cell non hodgkin lymphoma that has relapsed at least 6 months after completing treatment with… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Non-Hodgkin's Lymphoma
- What is being tested?
- Ofatumumab and Rituximab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 438 participants
- Where
- 155 sitesin 16 countries
- Study dates
- 11 Oct 2010to 19 Dec 2016
- 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 NHL subtypes defined according to World Health Organization guidelines:
- Follicular lymphoma Grades 1, 2, 3 A
- Small lymphocytic lymphoma (SLL)
- Marginal zone lymphoma
- Lymphoplasmacytic lymphoma
- Rituximab-sensitive iNHL, defined as a partial or complete response to their last prior treatment with rituximab or a rituximab-containing regimen lasting at least 6 months following completion of rituximab treatment.
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- Relapse or disease progression following response to prior rituximab-based therapy, as defined by 2007 RRCML criteria, which requires therapy.
- Radiographically measurable disease, defined as: 2 or more clearly demarcated lesions/nodes with a long axis >1.5 cm and short axis ≥1.0cm. OR 1 clearly demarcated lesion/node with a long axis >2.0 cm and short axis ≥1.0cm.
- ECOG Performance Status of 0, 1, or 2.
- Age ≥18 years.
- Life expectancy of at least 6 months in the opinion of the investigator.
- The patient or their legally acceptable representative must be capable of giving written informed consent prior to performing any study-specific tests or procedures.
- All prior treatment related non-hematologic toxicities (with the exception of alopecia) must have resolved to CTCAE (Version 4.0) ≤ Grade 2 at the time of randomization.
- One or more of the following indications for treatment:
- Cytopenias
- One or more of the following lymphoma-related symptoms:
- Night sweats without signs of infection
- Unintentional weight loss (10% within the previous 6 months)
- Recurrent, unexplained fever of greater than 100.5F (38C) without signs of infection
- Fatigue which interferes with the patient's quality of life
- Progressive or massive lymphadenopathy OR
- Progressive or massive organomegaly French subjects: In France, a subject will be eligible for inclusion in this study only if either affiliated to or a beneficiary of a social security category.
Who cannot join
- Previous treatment with ofatumumab.
- Previous anti-CD20 radioimmunotherapy (RIT) or non-rituximab anti-CD20 therapy (such as obinutuzumab) within 6 months prior to randomization. Patients who have received previous anti-CD20 RIT or non-rituximab anti-CD20 therapy (such as obinutuzumab) must have attained a partial or complete response lasting at least 6 months, and must have recovered from any hematologic or other toxicity.
- Previous autologous stem cell transplantation within 6 months prior to randomization.
- Previous allogeneic stem cell transplantation.
- Previous anti-lymphoma monoclonal antibody therapy (excluding anti-CD20 therapy and anti-CD20 RIT), chemotherapy, glucocorticoid, or other systemic therapy for lymphoma within 3 months prior to randomization.
- Current or previous participation in the treatment phase of another interventional clinical study within 4 weeks prior to randomization. Patients may continue in the follow-up phase of another interventional clinical study, but may not have undergone any treatment on the other study within 4 weeks prior to randomization.
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- Current or previous other malignancy within 2 years prior to randomization. Subjects who have been free of malignancy for at least 2 years, or have a history of completely resected non-melanoma skin cancer or successfully treated carcinoma in situ, are eligible.
- Chronic or current active infectious disease requiring systemic antibiotics, antifungal, or antiviral treatment such as, but not limited to, chronic renal infection, chronic chest infection with bronchiectasis, tuberculosis, active Hepatitis C, and known HIV disease. All HIV-positive patients are excluded from this study, regardless of whether they have an Acquired Immunodeficiency Syndrome (AIDS) defining disease and/or are on antiviral therapy. Prophylactic antiviral and/or antibacterial antibiotics to prevent recurrence of previous infections are permitted.
- Clinically significant cardiac disease as judged by the investigator including unstable angina, acute myocardial infarction within 6 months prior to randomization, uncontrolled congestive heart failure, and uncontrolled arrhythmia. Subjects with congestive heart disease or arrhythmias such as atrial fibrillation whose cardiac disease is well controlled on a stable medical regimen are eligible.
- Other significant concurrent, uncontrolled medical conditions including, but not limited to, renal, hepatic, autoimmune, hematological, gastrointestinal, endocrine, pulmonary, neurological, cerebral or psychiatric disease which, in the investigator's opinion, will impact study participation.
- Screening laboratory values:
- Neutrophils < 1.5 x 10^9/L (unless due to iNHL involvement of the bone marrow)
- Platelets < 50 x 10^9/L (unless due to iNHL involvement of the bone marrow)
- ALT or AST > 3 x ULN
- Alkaline phosphatase > 1.5 x ULN (unless due to lymphoma or a non-malignant, non-hepatic cause such as Paget's disease)
- Total bilirubin > 1.5 x ULN (unless due to lymphoma or isolated, predominantly indirect hyperbilirubinemia due to Gilbert's syndrome)
- Known or suspected inability to fully comply with study protocol
- Because the effects of ofatumumab on fetuses and nursing infants are not known, the following are ineligible for study entry:
- Lactating women.
- Women with a positive pregnancy test at study entry.
- Men with partners of childbearing potential and women of childbearing potential who are not willing to use adequate contraception from study entry through one year following last treatment dose. (Adequate contraception is defined as abstinence, oral hormonal birth control, hormonal birth control injections, implants of levonorgestrel, estrogenic vaginal ring, percutaneous contraceptive patches, intrauterine device, and male partner sterilization if male partner is the sole partner for a female subject. The double barrier method can be used in regions where considered acceptable and adequate, defined as condom or occlusive cap plus spermicidal agent).
- Current active liver or biliary disease (with the exception of Gilbert's syndrome or asymptomatic gallstones).
- Positive serology for Hepatitis B (HB) defined as a positive test for HBsAg. In addition, if negative for HBsAg but HBcAb positive (regardless of HBsAb status), a HB DNA test will be performed and if positive the subject will be excluded.
Trial locations and contacts
155 sites in 16 countries.
155 sites in 16 countries
United States70 sites
Novartis Investigative Site
Albuquerque, New Mexico, 87110
Novartis Investigative Site
Albuquerque, New Mexico, 87131
Novartis Investigative Site
Ames, Iowa, 50010
Novartis Investigative Site
Anchorage, Alaska, 99508
Novartis Investigative Site
Anderson, Indiana, 46016
Novartis Investigative Site
Bismarck, North Dakota, 58501
Novartis Investigative Site
Bozeman, Montana, 59715
Novartis Investigative Site
Canton, Ohio, 44708
Novartis Investigative Site
Canton, Ohio, 44710
Novartis Investigative Site
Chattanooga, Tennessee, 37404
Novartis Investigative Site
Columbia, Missouri, 65201
Novartis Investigative Site
Danville, Pennsylvania, 17822
Novartis Investigative Site
Ephrata, Pennsylvania, 17522
Novartis Investigative Site
Evanston, Illinois, 60201
Novartis Investigative Site
Fort Sam Houston, Texas, 78234
Novartis Investigative Site
Fredericksburg, Virginia, 22408
Novartis Investigative Site
Germantown, Tennessee, 38138
Novartis Investigative Site
Gilbert, Arizona, 85234
Novartis Investigative Site
Grand Rapids, Michigan, 49503
Novartis Investigative Site
Greenbrae, California, 94904
Novartis Investigative Site
Greensboro, North Carolina, 27403
Novartis Investigative Site
Hot Springs, Arkansas, 71913
Novartis Investigative Site
Houston, Texas, 77030
Novartis Investigative Site
Indianapolis, Indiana, 46237
Novartis Investigative Site
Jackson, Mississippi, 39202
Novartis Investigative Site
Kalamazoo, Michigan, 49007
Novartis Investigative Site
Kansas City, Missouri, 64111
Novartis Investigative Site
Kennewick, Washington, 99336
Novartis Investigative Site
Kirkland, Washington, 98034
Novartis Investigative Site
Knoxville, Tennessee, 37916
Novartis Investigative Site
Lake Success, New York, 10042
Novartis Investigative Site
Lakeland, Florida, 33805
Novartis Investigative Site
Lancaster, Pennsylvania, 17605
Novartis Investigative Site
Lincoln, Nebraska, 68506
Novartis Investigative Site
Lincoln, Nebraska, 68510
Novartis Investigative Site
Macon, Georgia, 31201-8300
Novartis Investigative Site
Marietta, Georgia, 30060
Novartis Investigative Site
Metairie, Louisiana, 70006
Novartis Investigative Site
Monterey, California, 93940
Novartis Investigative Site
Mount Kisco, New York, 10549
Novartis Investigative Site
Mount Sterling, Kentucky, 40353
Novartis Investigative Site
Mount Vernon, Washington, 98273
Novartis Investigative Site
New Milford, Connecticut, 06776
Novartis Investigative Site
Ogden, Utah, 84403
Novartis Investigative Site
Orlando, Florida, 32806
Novartis Investigative Site
Pembroke Pines, Florida, 33028
Novartis Investigative Site
Peoria, Illinois, 61615
Novartis Investigative Site
Pleasant Hill, California, 94523
Novartis Investigative Site
Port Saint Lucie, Florida, 34952
Novartis Investigative Site
Portland, Oregon, 97213
Novartis Investigative Site
Quincy, Illinois, 62301
Novartis Investigative Site
Rancho Mirage, California, 92270
Novartis Investigative Site
Saint Joseph, Missouri, 64507
Novartis Investigative Site
Salinas, California, 93901
Novartis Investigative Site
Salt Lake City, Utah, 84106
Novartis Investigative Site
San Diego, California, 92123
Novartis Investigative Site
San Pablo, California, 94806
Novartis Investigative Site
Santa Monica, California, 90403
Novartis Investigative Site
Seattle, Washington, 98109
Novartis Investigative Site
Seattle, Washington, 98112
Novartis Investigative Site
Sequim, Washington, 98382
Novartis Investigative Site
Shreveport, Louisiana, 71103
Novartis Investigative Site
Silver Spring, Maryland, 20910
Novartis Investigative Site
Skokie, Illinois, 60076
Novartis Investigative Site
Spokane, Washington, 99208
Novartis Investigative Site
Springfield, Missouri, 65807
Novartis Investigative Site
Torrington, Connecticut, 06790
Novartis Investigative Site
Waterville, Maine, 04901
Novartis Investigative Site
West Palm Beach, Florida, 33401
Novartis Investigative Site
Willow Grove, Pennsylvania, 19090
Brazil12 sites
Novartis Investigative Site
Barretos, São Paulo, 14784-400
Novartis Investigative Site
Betim, Minas Gerais, 32.651-760
Novartis Investigative Site
Curitiba, Paraná, 80060-900
Novartis Investigative Site
Jaú, São Paulo, 17210-080
Novartis Investigative Site
Porto Alegre, Rio Grande do Sul, 90470-340
Novartis Investigative Site
Rio de Janeiro, 20230 -130
Novartis Investigative Site
Rio de Janeiro, 22793-080
Novartis Investigative Site
Salvador, Estado de Bahia, 41253-190
Novartis Investigative Site
São Paulo, São Paulo, 01223-001
Novartis Investigative Site
São Paulo, São Paulo, 01308-000
Novartis Investigative Site
São Paulo, São Paulo, 04039-901
Novartis Investigative Site
São Paulo, São Paulo, 05403-000
China11 sites
Novartis Investigative Site
Beijing, 100021
Novartis Investigative Site
Beijing, 100044
Novartis Investigative Site
Beijing, 100071
Novartis Investigative Site
Beijing, 100142
Novartis Investigative Site
Beijing, 100730
Novartis Investigative Site
Guangzhou, Guangdong, 510060
Novartis Investigative Site
Guangzhou, Guangdong, 510080
Novartis Investigative Site
Hangzhou, Zhejiang, 310003
Novartis Investigative Site
Shanghai, 200025
Novartis Investigative Site
Shanghai, 200032
Novartis Investigative Site
Tianjin, 300020
Belgium8 sites
Novartis Investigative Site
Antwerp, 2020
Novartis Investigative Site
Antwerp, 2060
Novartis Investigative Site
Bruges, 8000
Novartis Investigative Site
Brussels, 1000
Novartis Investigative Site
Brussels, 1090
Novartis Investigative Site
Kortrijk, 8500
Novartis Investigative Site
Leuven, 3000
Novartis Investigative Site
Wilrijk, 2610
Japan8 sites
Novartis Investigative Site
Aichi, 466-8650
Novartis Investigative Site
Kyoto, 602-8566
Novartis Investigative Site
Miyagi, 980-8574
Novartis Investigative Site
Nagasaki, 852-8501
Novartis Investigative Site
Saitama, 350-8550
Novartis Investigative Site
Tochigi, 329-0498
Novartis Investigative Site
Tokyo, 104-0045
Novartis Investigative Site
Tokyo, 135-8550
Bulgaria6 sites
Novartis Investigative Site
Pleven, 5800
Novartis Investigative Site
Plovdiv, 4000
Novartis Investigative Site
Sofia, 1233
Novartis Investigative Site
Sofia, 1431
Novartis Investigative Site
Sofia
Novartis Investigative Site
Varna, 9010
France6 sites
Novartis Investigative Site
Boulogne-sur-Mer, 62321
Novartis Investigative Site
Clermont-Ferrand, 63003
Novartis Investigative Site
La Roche-sur-Yon, 85925
Novartis Investigative Site
Le Mans, 72015
Novartis Investigative Site
Montpellier, 34295
Novartis Investigative Site
Pessac, 33604
Ukraine6 sites
Novartis Investigative Site
Donetsk, 83045
Novartis Investigative Site
Kyiv, 03022
Novartis Investigative Site
Kyiv, 03115
Novartis Investigative Site
Lviv, 79044
Novartis Investigative Site
Makiivka, 86132
Novartis Investigative Site
Simferopil, 95023
Peru5 sites
Novartis Investigative Site
Lima, Lima 11
Novartis Investigative Site
Lima, Lima 34
Novartis Investigative Site
Lima, Lima 41
Novartis Investigative Site
Miraflores, Lima region, Lima 18
Novartis Investigative Site
San Isidro, Lima region, Lima 27
Canada4 sites
Novartis Investigative Site
Kitchener, Ontario, N2G 1G3
Novartis Investigative Site
Moncton, New Brunswick, E1C 6Z8
Novartis Investigative Site
Québec, Quebec, G1J 1Z4
Novartis Investigative Site
Sherbrooke, Quebec, J1H 5N4
Czechia4 sites
Novartis Investigative Site
Brno, 625 00
Novartis Investigative Site
Hradec Králové
Novartis Investigative Site
Ostrava, 708 52
Novartis Investigative Site
Prague, 128 08
Hungary4 sites
Novartis Investigative Site
Budapest, 1122
Novartis Investigative Site
Debrecen, 4012
Novartis Investigative Site
Győr, 9023
Novartis Investigative Site
Szeged, 6720
South Africa4 sites
Novartis Investigative Site
Athlone Park, Amanzimtoti, 4126
Novartis Investigative Site
Parktown, Gauteng, 2193
Novartis Investigative Site
Port Elizabeth, 6045
Novartis Investigative Site
Saxonwold, Johannesburg, 2196
Slovakia3 sites
Novartis Investigative Site
Bratislava, 833 10
Novartis Investigative Site
Košice, 041 66
Novartis Investigative Site
Martin, 036 59
South Korea3 sites
Novartis Investigative Site
Busan, 602-715
Novartis Investigative Site
Seoul, 120-752
Novartis Investigative Site
Seoul, 135-710
About this study
Official title: Phase III Randomized, Open Label Study of Single Agent Ofatumumab Vs. Single Agent Rituximab in Indolent B-Cell Non Hodgkin Lymphoma Relapsed After Rituximab-Containing Therapy
This was a multi-center, parallel, active comparator controlled, open-label, randomized (1:1) phase III study of single agent ofatumumab compared to single agent rituximab in subjects with rituximab-sensitive indolent B-cell non hodgkin lymphoma that has relapsed at least 6 months after completing treatment with single agent rituximab or a rituximab-containing regimen. Subjects must have attained a Complete Response or Partial Response to their last prior rituximab containing therapy lasting at least six months beyond the end of rituximab therapy. Subjects were to receive four weekly doses of single agent ofatumumab (1000 mg) or rituximab (375 mg/m2), followed by ofatumumab (1000 mg) or rituximab (375 mg/m2) every 2 months for four additional doses. Therefore, subjects were to receive a total of eight doses of anti-CD20 antibody over 9 months. Subjects were evaluated for response after completion of the first four doses of therapy, after six doses of therapy, and after completion of study therapy. Subjects were to be followed until the end of the designated follow-up period (total study duration of 200 weeks) or until they meet the withdrawal criteria.
The primary objective of the study OMB157D 2303 was to demonstrate the efficacy of Arzerra based on the primary endpoint (Progression-free survival (PFS) as assessed by the IRC) in patients with Indolent B-cell Non-Hodgkin's Lymphoma Relapsed After Rituximab-Containing Regimen.
Read more
The Independent Data Monitoring Committee (IDMC) met on November 22, 2015 and recommended the termination of the study due to futility (cut-off date = 12Jun2015). The IDMC reviewed analyses results for progression free survival (PFS), overall response rate (ORR), and overall survival (OS). Novartis accepted this recommendation and the study was closed.
Final analysis was performed (cut-off date =19 Dec 2016). As the study was stopped for futility, the primary objective was not met and some secondary endpoints, supportive of primary objective (Duration of Response (DOR), time to next therapy, and pharmacokinetics) were removed as secondary end points.
- Conditions
- Non-Hodgkin's Lymphoma
- Being tested
- Ofatumumab, Rituximab
- Keywords
- Randomized trial, Ofatumumab, Rituximab, Indolent B-Cell Non Hodgkin Lymphoma
- 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.
OfatumumabBiological
Also called Arzerra
liquid concentrate for solution for infusion in glass vials containing 50 mL of solution at a concentration of 20mg/ml to provide 1000 mg per vial.
RituximabBiological
Also called Mabthera, Rituxan
sourced locally from commercial stock
OfatumumabBiological
Also called Arzerra
Four weekly doses of single agent ofatumumab (1000 mg), followed by ofatumumab (1000 mg) every two months for four additional doses.
RituximabBiological
Also called Mabthera, Rituxan
Four weekly doses of single agent rituximab (375 mg/m2), followed by rituximab (375 mg/m2) every two months for four additional doses.
| Study group | Role | What they receive |
|---|---|---|
| Arm A: Ofatumumab | Experimental | Four weekly doses of single agent ofatumumab (1000 mg), followed by ofatumumab (1000 mg) every two months for four additional doses. Receives: Biological: Ofatumumab |
| Arm B: Rituximab | Active comparator | Four weekly doses of single agent rituximab (375 mg/m2), followed by rituximab (375 mg/m2) every two months for four additional doses. Receives: Biological: Rituximab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-free Survival (PFS) - Number of Participants With PFS Events
Disease response assessed by modified 2007 Revised Response Criteria for Malignant Lymphoma. Nodal disease, PD: 1)prev. normal node (<=1.5cm x <=1.0cm) that incr. to >2.0 x ≥1.5cm; 2)≥50% incr. from nadir product of perpendicular diameter (PPD) of any prev. involved node with long axis >1.5cm at baseline (BL) (must incr. by ≥0.5mm \& to >2.0cm) OR ≥50% incr. from nadir in long axis of any prev. inv. node with long axis of >1.5cm at BL (long axis must incr. by ≥0.5mm \& to >2.0cm); or 3)≥50% incr. from nadir in the sums of prod. of diameters (SPD) of target nodes \& ≥1 node with long axis >1.5cm. Extranodal, PD 1)any new lesion >2.0 x ≥1.5cm not attributed to non-lymphoma causes; 2)≥50% incr. from nadir PPD of any targ. les. \& >5mm incr. in either axis \& les. must measure >1.5cm x ≥1.5cm OR ≥50% incr. from nadir in long axis of any targ. les. \& >5mm incr. in either axis \& les. must measure >1.5cm x ≥1.5cm; or 3)≥50% incr. from nadir in SPD of targ. nodes \& ≥1 node with long axis >1.5cm.
Measured: 200 weeks
Secondary outcomes (9)
Number of Participants With Complete Response (CR)
Complete response was assessed according to modified 2007 Revised Response Criteria for Malignant Lymphoma (RRCML) and defined as follows: 1) complete disappearance of all detectable clinical evidence of disease (all target nodes regressing to <=1.5cm in the long axis and all non-target lesions being normal in size by imaging) and disease-related symptoms if present before therapy; 2) the spleen/liver, if considered enlarged due to lymphoma based on CT scan prior to therapy, would be normal and nodules should disappear; and 3) if bone marrow was involved before treatment, the infiltrate must clear on repeat bone marrow biopsy. Computed tomography (CT) scans of the neck, thorax, abdomen and pelvis were performed as part of the efficacy evaluation.
Measured: 200 weeks
Number of Participants With Overall Response (OR)
The overall response rate (ORR) was defined as the number of participants achieving a CR or partial response (PR). from start of randomization until disease progression, or the start of a new anti-cancer therapy. Disease response was assessed according to modified 2007 Revised Response Criteria for Malignant Lymphoma (RRCML). Computed tomography (CT) scans of the neck, thorax, abdomen and pelvis were performed as part of the efficacy evaluation. Bone marrow examination to confirm a suspected complete response (CR) was performed within 8 weeks following the onset of a CT scan confirmed CR.
Measured: 200 weeks
Number of Deaths
The number of deaths were assessed.
Measured: 200 weeks
Number of Participants With Infection Related Adverse Events
The number of participants with infection related adverse events was assessed.
Measured: 200 weeks
Number of Participants With Infusion Related Adverse Events Due to Study Drug
The number of participants with infusion related adverse events due to study drug was assessed.
Measured: 36 weeks + 60 days
Number of Participants With Myelosuppression Adverse Events
The number of participants with myelosuppression adverse events was assessed.
Measured: 200 weeks
Duration of Response (DOR)
Measured: 200 weeks
Time to Next Treatment
Measured: 200 weeks
Pharmacokinetics
Measured: 70 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Sep 2010 (estimated)
- Study start11 Oct 2010
- Primary completion19 Dec 2016
- Study completion19 Dec 2016
Why it stopped: The study stopped due to futility.
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 Non-Hodgkin's LymphomaStudies 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
- Masking
- None (open label)
- Enrolment
- 438 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novartis Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- GlaxoSmithKline
- Responsible party
- Sponsor
- Investigators
- Novartis Pharmaceuticals, Study director, Novartis Pharmaceuticals
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01200589
- Sponsor's protocol ID
- 113676
- Acronym
- HOMER
- Status last verified
- Apr 2018
- First submitted
- 10 Sep 2010
- Last updated
- 16 May 2018
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Maloney DG, Ogura M, Fukuhara N, Davis J, Lasher J, Izquierdo M, Banerjee H, Tobinai K. A phase 3 randomized study (HOMER) of ofatumumab vs rituximab in iNHL relapsed after rituximab-containing therapy. Blood Adv. 2020 Aug 25;4(16):3886-3893. doi: 10.1182/bloodadvances.2020001942.
PubMed 32810220
Study at a glance
From the registry record, last updated by the sponsor on 16 May 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Phase III Randomized, Open Label Study of Single Agent Ofatumumab Vs. Single Agent Rituximab in Indolent B-Cell Non Hodgkin Lymphoma Relapsed After Rituximab-Containing Therapy
- ClinicalTrials.gov ID
- NCT01200589
- Acronym / sponsor ID
- HOMER / 113676
- Conditions
- Non-Hodgkin's Lymphoma
- Keywords
- Randomized trial, Ofatumumab, Rituximab, Indolent B-Cell Non Hodgkin Lymphoma
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: The study stopped due to futility.
- Enrolment
- 438 participants (actual)
- Lead sponsor
- Novartis PharmaceuticalsIndustry (pharma, biotech, devices)
- Collaborators
- GlaxoSmithKline
- Study start
- 11 Oct 2010 (actual)
- Primary completion
- 19 Dec 2016 (actual)
- Study completion
- 19 Dec 2016 (actual)
- First posted
- 13 Sep 2010 (estimated)
- Results
- Posted 16 May 2018
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This was a multi-center, parallel, active comparator controlled, open-label, randomized (1:1) phase III study of single agent ofatumumab compared to single agent rituximab in subjects with rituximab-sensitive indolent B-cell non hodgkin lymphoma that has relapsed at least 6 months after completing treatment with single agent rituximab or a rituximab-containing regimen. Subjects must have attained a Complete Response or Partial Response to their last prior rituximab containing therapy lasting at least six months beyond the end of rituximab therapy. Subjects were to receive four weekly doses of single agent ofatumumab (1000 mg) or rituximab (375 mg/m2), followed by ofatumumab (1000 mg) or rituximab (375 mg/m2) every 2 months for four additional doses. Therefore, subjects were to receive a total of eight doses of anti-CD20 antibody over 9 months. Subjects were evaluated for response after completion of the first four doses of therapy, after six doses of therapy, and after completion of study therapy. Subjects were to be followed until the end of the designated follow-up period (total study duration of 200 weeks) or until they meet the withdrawal criteria.
The primary objective of the study OMB157D 2303 was to demonstrate the efficacy of Arzerra based on the primary endpoint (Progression-free survival (PFS) as assessed by the IRC) in patients with Indolent B-cell Non-Hodgkin's Lymphoma Relapsed After Rituximab-Containing Regimen.
The Independent Data Monitoring Committee (IDMC) met on November 22, 2015 and recommended the termination of the study due to futility (cut-off date = 12Jun2015). The IDMC reviewed analyses results for progression free survival (PFS), overall response rate (ORR), and overall survival (OS). Novartis accepted this recommendation and the study was closed.
Final analysis was performed (cut-off date =19 Dec 2016). As the study was stopped for futility, the primary objective was not met and some secondary endpoints, supportive of primary objective (Duration of Response (DOR), time to next therapy, and pharmacokinetics) were removed as secondary end points.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Arm A: Ofatumumab | Experimental | Biological: OfatumumabFour weekly doses of single agent ofatumumab (1000 mg), followed by ofatumumab (1000 mg) every two months for four additional doses. |
| Arm B: Rituximab | Active comparator | Biological: RituximabFour weekly doses of single agent rituximab (375 mg/m2), followed by rituximab (375 mg/m2) every two months for four additional doses. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (22 listed)
- Indolent NHL subtypes defined according to World Health Organization guidelines:
- Rituximab-sensitive iNHL, defined as a partial or complete response to their last prior treatment with rituximab or a rituximab-containing regimen lasting at least 6 months following completion of rituximab treatment.
- Relapse or disease progression following response to prior rituximab-based therapy, as defined by 2007 RRCML criteria, which requires therapy.
- Radiographically measurable disease, defined as: 2 or more clearly demarcated lesions/nodes with a long axis >1.5 cm and short axis ≥1.0cm. OR 1 clearly demarcated lesion/node with a long axis >2.0 cm and short axis ≥1.0cm.
- ECOG Performance Status of 0, 1, or 2.
Key exclusion criteria (23 listed)
- Previous treatment with ofatumumab.
- Previous anti-CD20 radioimmunotherapy (RIT) or non-rituximab anti-CD20 therapy (such as obinutuzumab) within 6 months prior to randomization. Patients who have received previous anti-CD20 RIT or non-rituximab anti-CD20 therapy (such as obinutuzumab) must have attained a partial or complete response lasting at least 6 months, and must have recovered from any hematologic or other toxicity.
- Previous autologous stem cell transplantation within 6 months prior to randomization.
- Previous allogeneic stem cell transplantation.
- Previous anti-lymphoma monoclonal antibody therapy (excluding anti-CD20 therapy and anti-CD20 RIT), chemotherapy, glucocorticoid, or other systemic therapy for lymphoma within 3 months prior to 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: Arzerraliquid concentrate for solution for infusion in glass vials containing 50 mL of solution at a concentration of 20mg/ml to provide 1000 mg per vial. | Biological | Arm A: Ofatumumab |
| RituximabAlso: Mabthera, Rituxansourced locally from commercial stock | Biological | Arm B: Rituximab |
| OfatumumabAlso: ArzerraFour weekly doses of single agent ofatumumab (1000 mg), followed by ofatumumab (1000 mg) every two months for four additional doses. | Biological | Arm A: Ofatumumab |
| RituximabAlso: Mabthera, RituxanFour weekly doses of single agent rituximab (375 mg/m2), followed by rituximab (375 mg/m2) every two months for four additional doses. | Biological | Arm B: Rituximab |
Primary outcome
Progression-free Survival (PFS) - Number of Participants With PFS Events
Time frame: 200 weeks
Disease response assessed by modified 2007 Revised Response Criteria for Malignant Lymphoma. Nodal disease, PD: 1)prev. normal node (<=1.5cm x <=1.0cm) that incr. to >2.0 x ≥1.5cm; 2)≥50% incr. from nadir product of perpendicular diameter (PPD) of any prev. involved node with long axis >1.5cm at baseline (BL) (must incr. by ≥0.5mm \& to >2.0cm) OR ≥50% incr. from nadir in long axis of any prev. inv. node with long axis of >1.5cm at BL (long axis must incr. by ≥0.5mm \& to >2.0cm); or 3)≥50% incr. from nadir in the sums of prod. of diameters (SPD) of target nodes \& ≥1 node with long axis >1.5cm. Extranodal, PD 1)any new lesion >2.0 x ≥1.5cm not attributed to non-lymphoma causes; 2)≥50% incr. from nadir PPD of any targ. les. \& >5mm incr. in either axis \& les. must measure >1.5cm x ≥1.5cm OR ≥50% incr. from nadir in long axis of any targ. les. \& >5mm incr. in either axis \& les. must measure >1.5cm x ≥1.5cm; or 3)≥50% incr. from nadir in SPD of targ. nodes \& ≥1 node with long axis >1.5cm.
9 secondary outcomes
Number of Participants With Complete Response (CR)
Time frame: 200 weeks
Number of Participants With Overall Response (OR)
Time frame: 200 weeks
Number of Deaths
Time frame: 200 weeks
Number of Participants With Infection Related Adverse Events
Time frame: 200 weeks
Number of Participants With Infusion Related Adverse Events Due to Study Drug
Time frame: 36 weeks + 60 days
Number of Participants With Myelosuppression Adverse Events
Time frame: 200 weeks
Duration of Response (DOR)
Time frame: 200 weeks
Time to Next Treatment
Time frame: 200 weeks
Pharmacokinetics
Time frame: 70 weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 May 2018.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 32810220Maloney DG, Ogura M, Fukuhara N, Davis J, Lasher J, Izquierdo M, Banerjee H, Tobinai K. A phase 3 randomized study (HOMER) of ofatumumab vs rituximab in iNHL relapsed after rituximab-containing therapy. Blood Adv. 2020 Aug 25;4(16):3886-3893. doi: 10.1182/bloodadvances.2020001942.
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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
155 sites in 16 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Ofatumumab and Rituximab in people with Non-Hodgkin's Lymphoma, run by Novartis Pharmaceuticals at 155 sites in 16 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 22 inclusion and 23 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 16 May 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 155 sites in United States, Brazil, China, Belgium, Japan and 11 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 16 May 2018). 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) - Number of Participants With PFS Events (time frame: 200 weeks). 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 NCT01200589, 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 16 May 2018.