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Lymphoma, Non-HodgkinPhase 3JASMINENCT02747043

Study to Assess if ABP798 is Safe & Effective in Treating Non Hodgkin Lymphoma Compared to Rituximab

A Phase 3 study testing ABP 798 and Rituximab in people with Lymphoma, Non-Hodgkin, run by Amgen at 98 sites in 20 countries.

Completed

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

Official record
Search all trials

Trial summary

This was a randomized, double-blind, active-controlled, multiple-dose, clinical similarity study to evaluate the efficacy, pharmacokinetics, pharmacodynamics, safety, tolerability and immunogenicity of ABP 798 compared with rituximab in subjects with grade 1, 2, or 3a follicular B-cell NHL and low tumor burden. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Lymphoma, Non-Hodgkin
What is being tested?
ABP 798 and Rituximab
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
256 participants
Where
98 sitesin 20 countries
Study dates
25 May 2016to 28 Jun 2019
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

  • Males and females 18 years of age and older
  • Histological confirmed (by lymph node or extranodal region biopsy), Grade 1, 2, or 3a follicular B-cell NHL expressing CD20 within 12 months before randomization
  • Stage 2, 3, or 4 (per Cotswold's Modification of Ann Arbor Staging System) with measurable disease (per International Working Group)
  • subjects must have a baseline scan (computed tomography [CT]) of the neck (if palpable lymph node > 1.0 cm), chest, abdomen, and pelvis to assess disease burden within 6 weeks before randomization
  • subjects must have had a baseline bone marrow biopsy within 12 months before randomization. Previously confirmed positive bone marrow involvement does not need to be repeated for purposes of screening.
  • Low tumor burden based on the Groupe d'Etudes des Lymphomes Folliculaires (GELF) criteria
Show all 12Show fewer
  • largest nodal or extranodal mass ≤ 7 cm
  • no more than 3 nodal sites with diameter > 3 cm
  • no splenomegaly > 16cm by CT scan and no symptomatic splenomegaly
  • no significant pleural or peritoneal serous effusions by CT
  • lactate dehydrogenase ≤ upper limit of normal (ULN)
  • no B symptoms (night sweats, fever [temperature > 38°C], weight loss > 10% in the previous 6 months)

Who cannot join

  • Diffuse large cell component and/or Grade 3b follicular NHL
  • History or known presence of central nervous system metastases
  • Malignancy other than NHL within 5 years (except treated in-situ cervical cancer, or squamous or basal cell carcinoma of the skin)
  • Recent infection requiring a course of systemic anti-infective agents that was completed ≤ 7 days before randomization (with the exception of uncomplicated urinary tract infection)
  • Other investigational procedures that can impact the study data, results, or patient safety while participating in this study are excluded; participation in observational studies is allowed.
  • Subject is currently enrolled in or has not yet completed at least 30 days or 5 half-lives (whichever is longer) since ending other investigational device or drug study(s), including vaccines, or subject is receiving other investigational agent(s)
  • Previous use of either commercially available or investigational chemotherapy, biological, or immunological therapy for NHL (including rituximab or biosimilar rituximab, or other anti-CD20 treatments)
  • Systemic corticosteroid use within 3 months before randomization (inhaled are allowable)

Trial locations and contacts

98 sites in 20 countries.

98 sites in 20 countries

Italy13 sites
  • Research Site

    Aviano, Pordenone, 33081

  • Research Site

    Bergamo, Lombardy, 24127

  • Research Site

    Brescia, 25123

  • Research Site

    Candiolo, Torino, 10060

  • Research Site

    Milan, 20141

  • Research Site

    Milan, 20153

  • Research Site

    Padova, 35128

  • Research Site

    Parma, 43126

  • Research Site

    Pesaro, Pesaro E Urbino, 61100

  • Research Site

    Ravenna, 48100

  • Research Site

    Rimini, 47900

  • Research Site

    San Giovanni Rotondo, Foggia, 71013

  • Research Site

    Terni, 05100

Other trials in Italy

South Korea10 sites
  • Research Site

    Daegu, 41931

  • Research Site

    Daegu, 42415

  • Research Site

    Jinju, Gyeongsangnam-do, 52727

  • Research Site

    Pusan, Gyeongsangnam-do, 48108

  • Research Site

    Seoul, Gyeonggi-do, 135-710

  • Research Site

    Seoul, Gyeonggi-do, 158-710

  • Research Site

    Seoul, 03080

  • Research Site

    Seoul, 03181

  • Research Site

    Seoul, 03722

  • Research Site

    Ulsan, 44033

Other trials in South Korea

Spain9 sites
  • Research Site

    Barcelona, 08003

  • Research Site

    Cáceres, 10003

  • Research Site

    Cadiz, 11009

  • Research Site

    Córdoba, Cordoba, 14004

  • Research Site

    La Laguna Tenerife, Santa CRUZ DE Tenerife, 38320

  • Research Site

    Madrid, 28046

  • Research Site

    Majadahonda, Madrid, 28222

  • Research Site

    Sabadell, Barcelona, 08208

  • Research Site

    Salamanca, 37007

Other trials in Spain

Japan8 sites
  • Research Site

    Chiba, Chiba, 260-8717

  • Research Site

    Fukuoka, Fukuoka, 811-1395

  • Research Site

    Kobe, Hyōgo, 650-0047

  • Research Site

    Maebashi, Gunma, 371-8511

  • Research Site

    Tachikawa, Tokyo, 190-0014

  • Research Site

    Tokyo, 150-8935

  • Research Site

    Tsu, Mie-ken, 514-8507

  • Research Site

    Utsunomiya, Tochigi, 320-0834

Other trials in Japan

Germany7 sites
  • Research Site

    Augsburg, Bavaria, 86156

  • Research Site

    Flensburg, Schleswig-Holstein, 24939

  • Research Site

    Freiburg im Breisgau, Baden-Wurttemberg, 79110

  • Research Site

    Kassel, Hesse, 34125

  • Research Site

    Leipzig, Saxony, 04103

  • Research Site

    Münster, North Rhine-Westphalia, 48149

  • Research Site

    Würzburg, Bavaria, 97080

Other trials in Germany

India7 sites
  • Research Site

    Bangalore, Karnataka, 560068

  • Research Site

    Bikaner, Rajasthan, 334 003

  • Research Site

    Mangalore, Karnataka, 575001

  • Research Site

    Nashik, Maharashtra, 422004

  • Research Site

    Pune, Maharashtra, 411 001

  • Research Site

    Surat, Gujarat, 395010

  • Research Site

    Vadodara, Gujarat, 390001

Other trials in India

France6 sites
  • Research Site

    Bordeaux, Aquitaine, 33077

  • Research Site

    Boulogne-sur-Mer, Hauts-de-France, 62321

  • Research Site

    Cesson-Sévigné, Brittany Region, 35576

  • Research Site

    Clermont-Ferrand, Auvergne, 63050

  • Research Site

    La Rochelle, Poitou-charentes, 17000

  • Research Site

    Poitiers, Poitou-charentes, 86021

Other trials in France

United States5 sites
  • Research Site

    Billings, Montana, 59102

  • Research Site

    Encinitas, California, 92024-1332

  • Research Site

    Mount Sterling, Kentucky, 40353

  • Research Site

    Roanoke, Virginia, 24014

  • Research Site

    Zanesville, Ohio, 43701

Other trials in United States

Ukraine5 sites
  • Research Site

    Chernivtsi, 58013

  • Research Site

    Dnipropetrovsk, 49055

  • Research Site

    Kyiv, Kyiv City, 03115

  • Research Site

    Kyiv, Kyiv City, 04112

  • Research Site

    Uzhhorod, Zakarpattia Oblast, 88014

Other trials in Ukraine

Georgia4 sites
  • Research Site

    Batumi, 6000

  • Research Site

    Tbilisi, 0112

  • Research Site

    Tbilisi, 0160

  • Research Site

    Tbilisi, 0186

Other trials in Georgia

Poland4 sites
  • Research Site

    Gdansk, Pomeranian Voivodeship, 80-219

  • Research Site

    Krakow, Lesser Poland Voivodeship, 31-826

  • Research Site

    Legnica, Lower Silesian Voivodeship, 59-220

  • Research Site

    Torun, Kuyavian-Pomeranian Voivodeship, 87-100

Other trials in Poland

Romania4 sites
  • Research Site

    Bucharest, 030171

  • Research Site

    Târgu Mureş, Mureș County, 540042

  • Research Site

    Târgu Mureş, Mureș County, 540136

  • Research Site

    Timișoara, Timiș County, 300021

Other trials in Romania

Australia3 sites
  • Research Site

    Frankston, Victoria, 3199

  • Research Site

    Gosford, New South Wales, 2250

  • Research Site

    Perth, Western Australia, 6000

Other trials in Australia

Greece3 sites
  • Research Site

    Athens, Attica, 11525

  • Research Site

    Athens, Attica, 11527

  • Research Site

    Patra, Peloponnese, 26504

Other trials in Greece

Bulgaria2 sites
  • Research Site

    Plovdiv, 4002

  • Research Site

    Stara Zagora, 6000

Other trials in Bulgaria

Colombia2 sites
  • Research Site

    Bogota, Cundinamarca, 110111

  • Research Site

    Medellín, Antioquia, 050034

Other trials in Colombia

Czechia2 sites
  • Research Site

    Ostrava - Poruba, Severomoravsky KRAJ, 708 52

  • Research Site

    Prague, Prague, 150 06

Other trials in Czechia

Mexico2 sites
  • Research Site

    Chihuahua City, 31203

  • Research Site

    Mexico City, Mexico City, 01120

Other trials in Mexico

Canada1 site
  • Research Site

    Windsor, Ontario, N8W 2X3

Other trials in Canada

Israel1 site
  • Research Site

    Be’er Ya‘aqov, Rehoboth, 7030000

Other trials in Israel

About this study

Official title: A Randomized, Double-Blind Study Evaluating the Efficacy, Safety and Immunogenicity of ABP 798 Compared With Rituximab in Subjects With CD20 Positive B-Cell Non-Hodgkin Lymphoma (NHL)

This was a randomized, double-blind, active-controlled, multiple-dose, clinical similarity study to evaluate the efficacy, pharmacokinetics, pharmacodynamics, safety, tolerability and immunogenicity of ABP 798 compared with rituximab in subjects with grade 1, 2, or 3a follicular B-cell NHL and low tumor burden.

Subjects were randomized in a 1:1 ratio to receive a 375 mg/m^2 intravenous infusion of either ABP 798 or rituximab once weekly for 4 weeks followed by dosing at weeks 12 and 20.

Being tested
ABP 798, Rituximab
Keywords
CD20 Positive B-cell Non-Hodgkin Lymphoma, ABP 798
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.

  • ABP 798Biological

    Also called biosimilar to rituximab

    ABP 798 was supplied as a sterile, preservative-free liquid concentrate for IV infusion at a concentration of 10 mg/mL in either 100 mg/10 mL or 500 mg/50 mL single-dose vials. Subjects were to receive premedications before each infusion. Premedications were to be given according to local practice for administration of rituximab therapy.

  • RituximabBiological

    Also called Rituxan

    Rituximab was procured from commercial supplies in the US and was supplied as a sterile, clear, colorless, preservative-free liquid concentrate for IV infusion at a concentration of 10 mg/mL in either 100-mg/10 mL or 500-mg/50 mL single-dose vials. Subjects were to receive premedications before each infusion. Premedications were to be given according to local practice for administration of rituximab therapy.

Study groups in NCT02747043
Study groupRoleWhat they receive
ABP 798ExperimentalABP 798 was administered at a dose of 375 mg/m^2 as an intravenous (IV) infusion once weekly for 4 weeks followed by dosing at weeks 12 and 20.
Receives: Biological: ABP 798
RituximabActive comparatorRituximab was administered at a dose of 375 mg/m^2 as an IV infusion once weekly for 4 weeks followed by dosing at weeks 12 and 20.
Receives: Biological: Rituximab

What is being measured

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

  1. Percentage of Participants Who Responded (Overall Response Rate - ORR) by Week 28 Based on Independent Central Assessment of Disease

    Overall response within the first treatment cycle was assessed according to International Working Group - Non-Hodgkin Lymphoma criteria (IWG-NHL criteria [Cheson et al, 1999]) by a central reader. Response was evaluated using computerized tomography (CT) scans and positron emission tomography (PET) (to assess nodal disease/organ enlargement), and bone marrow biopsy (to assess bone marrow infiltration). ORR was the percentage of participants with a best overall response of complete response (CR), unconfirmed complete response (CRu) or partial response (PR). Participants that do not meet the criteria for response were considered non-responders.

    CR was defined as no evidence of disease. CRu showed nodes in the original sum of the products (SPD) regressed by >75% and/or indeterminate bone marrow results.

    PR was a ≥ 50% decrease in SPD of the six largest dominant nodes; >=50% decrease in liver and spleen nodes, and no increase in size of other nodes nor any new sites of disease.

    Measured: Post treatment up to Week 28

Secondary outcomes (10)
  1. Percentage of Participants Who Responded (Overall Response Rate - ORR) at Week 12 Based on Independent Central Assessment of Disease

    Overall response within the first treatment cycle was assessed according to International Working Group - Non-Hodgkin Lymphoma criteria (IWG-NHL criteria [Cheson et al, 1999]) by a central reader. Response was evaluated using computerized tomography (CT) scans and positron emission tomography (PET) (to assess nodal disease/organ enlargement), and bone marrow biopsy (to assess bone marrow infiltration). ORR was the percentage of participants with a best overall response of complete response (CR), unconfirmed complete response (CRu) or partial response (PR). Participants that do not meet the criteria for response were considered non-responders.

    CR was defined as no evidence of disease. CRu showed nodes in the original sum of the products (SPD) regressed by >75% and/or indeterminate bone marrow results.

    PR was a ≥ 50% decrease in SPD of the six largest dominant nodes; >=50% decrease in liver and spleen nodes, and no increase in size of other nodes nor any new sites of disease.

    Measured: Week 12

  2. Pharmacokinetic Serum Concentrations by Visit

    Pharmacokinetic serum samples were analyzed by a central lab. Lower limit of quantification (LLOQ) was 0.25 ug/mL. PK concentrations below the lower limit of quantification were assigned a value of 0. Geometric mean and geometric CV were only calculated using concentrations >0.

    Measured: Weeks 2, 3, 4, 12 and 20

  3. Percentage of Participants With Complete Depletion of Clusters of Differentiation 19-Positive (CD19+) Cell Count From Baseline to Day 8

    Complete depletion of CD19+ cell count at any postdose time was defined as CD19+ cell counts < 20 cell/μL (0.02 * 10^9 cell/L). Participants with missing CD19+ cell count at baseline or participants with CD19+ cell count < 20 cell/μL at baseline were to be excluded from the derivation of complete depletion of CD19+ cell count.

    Measured: Baseline (Day 1), Study Day 8

  4. Total Immunoglobulin G (IgG) Results by Visit

    Samples were analyzed by a central lab.

    Measured: Baseline (Day 1), Day 8 (Week 2), Weeks 3, 4, 28

  5. Total Immunoglobulin M (IgM) Results by Visit

    Samples were analyzed by a central lab.

    Measured: Baseline (Day 1), Day 8 (Week 2), Weeks 3, 4, 28

  6. Participants With Treatment-Emergent Adverse Events

    An adverse event (AE) is defined as any untoward medical occurrence in a clinical trial participant. The event does not necessarily have a causal relationship with study treatment. Each AE was graded for severity according to the Common Terminology Criteria for Adverse Events (CTCAE) version 4.03, where Grade 1 = Mild AE Grade 2 = Moderate AE Grade 3 = Severe AE Grade 4 = Life-threatening or disabling AE Grade 5 = Death related to AE. Serious adverse events include any event that is fatal, life threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, a congenital anomaly/birth defect, or other significant medical hazard.

    IP = investigational product

    Measured: Day 1 (post treatment) to Week 28

  7. Percentage of Participants With Treatment-emergent Adverse Events of Interest (AEOIs)

    The AEOIs prespecified for this study were infusion reactions including hypersensitivity, cardiac disorders, serious infections, progressive multifocal leukoencephalopathy, hematological reactions, hepatitis B reactivation, opportunistic infections, severe mucocutaneous reactions, tumor lysis syndrome, gastrointestinal perforation, and reversible posterior leukoencephalopathy syndrome.

    Infusion reactions including hypersensitivity adverse events of interest must have start date the same as, or one day after, an investigational product administration start date.

    Measured: Day 1 (post treatment) to Week 28

  8. Number of Participants Who Developed Anti-drug Antibodies

    Samples were first tested in an electrochemiluminescence (ECL)-based bridging immunoassay to detect antibodies capable of binding to ABP 798/rituximab (Binding Antibody Assay). Samples confirmed to be positive for binding antibodies were subsequently tested in a cell-based assay to determine neutralizing activity against ABP 798/rituximab (Neutralizing Antibody Assay).

    Developing antibody incidence was defined as participants with a negative or no binding antibody result at baseline and a positive antibody result at any post-baseline time point.

    Measured: Baseline (Day 1), Weeks 12, 20 and 28

  9. Participants' Progression-Free Survival (PFS) Status Based on the Independent Central Assessment of Disease

    PFS was based on disease assessments determined by the central, independent, blinded radiologists' and oncologist's review.

    Measured: Day 1 up to Week 28

  10. Percentage of Participants Who Survived -- Overall Survival (OS)

    Percentage of participants who were alive at the end of the study.

    Measured: Day 1 up to Week 28

Timeline

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

  1. First posted21 Apr 2016 (estimated)
  2. Study start25 May 2016
  3. Primary completion28 Jun 2019
  4. Study completion28 Jun 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
256 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02747043
Sponsor's protocol ID
20130109
Other IDs
2013-005542-11
Acronym
JASMINE
Status last verified
Sep 2022
First submitted
19 Apr 2016
Last updated
10 Sep 2022
Data monitoring committee
Yes
Individual data sharing
Yes: De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request

Publications

  • Niederwieser D, Hamm C, Cobb P, Mo M, Forsyth C, Tucci A, Hanes V, Delwail V, Hajek R, Chien D. Efficacy and Safety of ABP 798: Results from the JASMINE Trial in Patients with Follicular Lymphoma in Comparison with Rituximab Reference Product. Target Oncol. 2020 Oct;15(5):599-611. doi: 10.1007/s11523-020-00748-4.

    PubMed 33044684

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing ABP 798 and Rituximab in people with Lymphoma, Non-Hodgkin, run by Amgen at 98 sites in 20 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 12 inclusion and 8 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 10 Sep 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 98 sites in Italy, South Korea, Spain, Japan, Germany and 15 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 18 Aug 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?

Percentage of Participants Who Responded (Overall Response Rate - ORR) by Week 28 Based on Independent Central Assessment of Disease (time frame: Post treatment up to Week 28). 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 NCT02747043, 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 10 Sep 2022.

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