AzTrials
AzTrials

Follicular LymphomaURBANNCT04034056

Untreated FolliculaR Lymphoma Treated With OBinituzumAb in a Non-interventional Study (URBAN)

An observational study of Follicular Lymphoma, run by Hoffmann-La Roche at 46 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

To evaluate the effectiveness and safety of obinutuzumab in clinical routine in 1L FL measured by the % of relapse within 24 months from start of therapy. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Follicular Lymphoma
What is being tested?
Obinutuzumab
Type of treatment
Injection or infusion
How many people
299 participants
Where
46 sitesItaly
Study dates
2 Sep 2019to 22 Apr 2024
Phase
Observational
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

Study population: The patient population taking part in the study will comprise patients aged ≥ 18 years in first treatment for advanced FL, in which Obinutuzumab are administered in combination with chemotherapy during the induction phase, followed by Obinutuzumab maintenance therapy. This indication and treatment scheme is that approved by the EMA as per EU countries agency and AIFA as per Italian local agency.

Who may be able to join

  • Signed Informed consent according to local regulations, after performing at least 2 cycles of induction treatment with Obinutuzumab and chemotherapy, within 1 year from beginning of treatment

Who cannot join

  • Any contraindications to Obinutuzumab therapy according to local label for specific indication;
  • Concomitant participation in an interventional clinical study;
  • Participants not receiving treatment for untreated follicular lymphoma with Obinutuzumab according to standard of care and in line with local labeling.

Trial locations and contacts

46 sites in 1 country.

46 sites in 1 country

Italy46 sites
  • Azienda Ospedaliera SS. Antonio E. Biagio E. Cesare Arrigo di Alessandria

    Alessandria, Piedmont, 15121

  • Ospedali Riuniti Umberto I

    Ancona, The Marches, 60100

  • Azienda Ospedaliera S.G. Moscati

    Avellino, Campania, 83100

  • Irccs Centro Di Riferimento Oncologico (CRO)

    Aviano, Friuli Venezia Giulia, 33081

  • AOU Policlinico Consorziale

    Bari, Apulia, 70124

  • Giovanni Paolo II/I.R.C.C.S. Istituto Tumori

    Bari, Apulia, 70124

  • Asl Bat Ospedale Mons. Dimiccoli

    Barletta, Apulia, 75121

  • Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII (Presidio Papa Giovanni XXIII)

    Bergamo, Lombardy, 24127

  • Azienda Ospedaliera Universitaria Policlinico Sant'Orsola Malpigh

    Bologna, Emilia-Romagna, 40138

  • Ospedale Businco

    Cagliari, Sardinia, 09121

  • A.O. S. Anna e San Sebastiano

    Caserta, Campania, 81100

  • ARNAS Garibaldi

    Catania, Sicily, 95122

  • Azienda Ospedaliero - Universitaria Policlinico - Vittorio Emanuele

    Catania, Sicily, 95123

  • Azienda Ospedaliera Universitaria Careggi

    Florence, Tuscany, 50141

  • Ospedale Vito Fazzi

    Lecce, Apulia, 73100

  • Irccs Ospedale San Raffaele

    Milan, Lombardy, 20132

  • Asst Grande Ospedale Metropolitano Niguarda

    Milan, Lombardy, 20162

  • UOC Oncoematologia, Ospedale Maggiore Policlinico

    Milano Policlinico Maggiore, Lombardy, 20122

  • A.O. Universitaria Policlinico Di Modena

    Modena, Emilia-Romagna, 41100

  • Istituto Nazionale Tumori Irccs Fondazione g. Pascale

    Naples, Campania, 80131

  • Ospedale Cardarelli

    Naples, Campania, 80131

  • Osp. San Francesco

    Nuoro, Sardinia, 08100

  • Ematologia/immunologia Clinica Azienda Ospedaliera Policlinico di Padova

    Padova, Veneto, DUMMY_VALUE

  • Ospedale "A.Tortora" ? Ematologia

    Pagani (Sa), Campania, 84016

  • Azienda Ospedaliera Vincenzo Cervello

    Palermo, Sicily, 90127

  • Casa Di Cura La Maddalena

    Palermo, Sicily, 90146

  • Fondazione IRCCS Policlinico San Matteo

    Pavia, Lombardy, 27100

  • Azienda Ospedaliera S. Maria della Misericordia

    Perugia, Umbria, 06100

  • Ospedale Civile Dello Spirito Santo

    Pescara, Abruzzo, 65100

  • Azienda Ospedaliero Universitaria Pisana

    Pisa, Tuscany, 56100

  • USL 4 di Prato - Nuovo Ospeale di Prato

    Prato, Tuscany, 59100

  • Azienda Ospedaliera Bianchi-Melacrino-Morelli

    Reggio Calabria, Calabria, 89100

  • Az. Osp. Arcispedale S. Maria Nuova

    Reggio Emilia, Emilia-Romagna, 42100

  • Azienda Ospedaliera Universitaria Policlinico Tor Vergata

    Rome, Lazio, 00133

  • Univesità La Sapienza Policlinico Umberto I

    Rome, Lazio, 00161

  • Policlinico Universitario Agostino Gemelli

    Rome, Lazio, 00168

  • Azienda Ospedaliera Sant'Andrea-Universitr di Roma La Sapien

    Rome, Lazio, 189

  • Casa Sollievo della Sofferenza U.O. Ematologia

    San Giovanni Rotondo (FG), Apulia, 71013

  • A.O. Universitaria Senese

    Siena, Tuscany, 53100

  • Az. Osp. S. Maria

    Terni, Umbria, 05100

  • Ospedale Ca Foncello

    Treviso, Veneto, 31100

  • Az. Osp. C. Panico

    Tricase - LE, Apulia, 73039

  • Città della Salute e della Scienza di Torino. Presidio Molinette

    Turin, Piedmont, 10126

  • Azienda Ospedaliero-Universitaria Santa Maria della Misericordia

    Udine, Friuli Venezia Giulia, 33100

  • Ospedale Di Circolo E Fondazione Macchi

    Varese, Lombardy, 21100

  • Azienda Ospedaliera Universitaria Integrata Verona - Ospedale Borgo Roma

    Verona, Veneto, 37134

Other trials in Italy

About this study

Official title: A Non-Interventional, Retrospective And Prospective, Multicenter, Single Arm Study Evaluating The Effectiveness And Safety Of Obinutuzumab In Patients With Previously Untreated Advanced Follicular Lymphoma

To evaluate the effectiveness and safety of obinutuzumab in clinical routine in 1L FL measured by the % of relapse within 24 months from start of therapy.

Read the detailed description

This observational study has been planned to evaluate the effectiveness of obinutuzumab in combination with chemotherapy in previously untreated advanced FL patients, in the real world setting in Italy. The study will allow to collect real-life data in a significant number of Italian patients when compared to participants in pivotal studies of obinutuzumab and thus will allow to verify in routine practice (after physician hands-on) the effectiveness and safety management in 50 reference sites all over the country.

Being tested
Obinutuzumab
Medical subject headings
Lymphoma, Follicular

What participants receive

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

  • ObinutuzumabDrug

    Induction phase: 1000 milligram (mg) intravenously (IV) on Day 1, 8, 15 of Cycle 1 an Day 1 of Cycles 2-6 or 2-8. Maintenance phase: 1000 mg IV every 2 months for 2 years or until disease progression (whatever occurs earlier).

Study groups in NCT04034056
Study groupRoleWhat they receive
ObinutuzumabNot described
Receives: Drug: Obinutuzumab

What is being measured

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

  1. Percentage of Participants With Progression of Disease at Year 2 (POD24)

    POD24=time from date of treatment initiation with obinutuzumab until first documented PD/death due to PD, whichever occurs first, within 24 months from start of treatment with obinutuzumab. According to standard Cheson criteria \& Deauville 5-point scale, PD=20% increase in sum of longest diameters (LD) of target lesions; for small lymph nodes measuring <15 millimeters (mm) post therapy, a minimum absolute increase of 5 mm \& LD should exceed 15 mm; appearance of a new lesion; any bone marrow involvement \& any 18F-fluorodeoxyglucose-positron emission tomography (FDG-PET) results. Participants with no PD \& who didn't die due to PD/were lost to follow-up at time of analysis were censored at date of last tumor assessment where no progression was documented/last date of follow-up for disease, whichever was last. Participants without post-baseline tumor assessments were censored at time of their baseline visit unless death due to PD occurred prior to their first scheduled tumor assessment.

    Measured: At Year 2

Secondary outcomes (28)
  1. Percentage of Participants With Progression-free Survival at Year 2 (PFS2)

    PFS was defined as the time from the date of treatment initiation until the first documented PD measured by routine clinical care or death from any cause, whichever occurred first. According to standard Cheson criteria and Deauville 5-point scale, PD was defined as 20% increase in the sum of LD of target lesions; for small lymph nodes measuring < 15 mm post-therapy, a minimum absolute increase of 5 mm and the LD should exceed 15 mm; the appearance of a new lesion; any bone marrow involvement and any FDG-PET results. Kaplan-Meier estimate of the PFS2 rate at 2 years (that is, the estimated percentage of participants with PFS2 at Year 2) is presented.

    Measured: At Year 2

  2. Percentage of Participants With PFS at Year 3 (PFS3)

    PFS was defined as the time from the date of treatment initiation until the first documented PD measured by routine clinical care or death from any cause, whichever occurred first. According to standard Cheson criteria and Deauville 5-point scale, PD was defined as 20% increase in the sum of LD of target lesions; for small lymph nodes measuring < 15 mm post therapy, a minimum absolute increase of 5 mm and the LD should exceed 15 mm; appearance of a new lesion; any bone marrow involvement \& any FDG-PET results. Kaplan-Meier estimate of the PFS3 rate at 3 years (that is, the estimated percentage of participants with PFS3 at Year 3) is presented.

    Measured: At Year 3

  3. Time to Next Treatment (TTNT)

    TTNT was defined as the time to initiation of subsequent systemic anti-cancer therapy following initiation of obinutuzumab containing therapy. Participants who did not start subsequent systemic anti-cancer therapy were censored at the date of the last study visit.

    Measured: Up to approximately 56 months

  4. Overall Survival (OS)

    OS was defined as the time from initiation of study treatment to death from any cause. Participants who were still alive at the time of analysis and participants who were lost to follow-up were censored at their last time known to be alive.

    Measured: Up to approximately 56 months

  5. Time From First Dose to Loss of Clinical Benefit (TTLCB)

    TTLCB was defined as the time from first dose to loss of clinical benefit as assessed by the treating physician (single or multiple reasons possible: e.g. PD, deterioration in Eastern Cooperative Oncology Group Performance Status (ECOG PS), death, other). Participants who did not lose clinical benefit were censored at the date of the last study visit. Participants without post-baseline tumor assessments were censored at the time of their baseline visit unless death occurred prior to their first scheduled tumor assessment.

    Measured: Up to approximately 56 months

  6. Overall Response Rate (ORR)

    ORR was defined as the percentage of participants with a complete response (CR) or partial response (PR) at mid and end of induction (6 months), and during and after maintenance therapy (24 months), as per clinical practice, with and without FDG-PET. Per standard Cheson criteria and Deauville 5-point scale, CR was defined as complete disappearance of all target lesions \& all nodes with long axis < 10 mm or ≥ 30% decrease in sum of LD of target lesions with normalization of FDG-PET (Deauville score 1-3); no new lesions \& no bone marrow involvement. PR was defined as ≥ 30% decrease in sum of LD of target lesions but not a CR; positive FDG-PET (Deauville score 4-5); no new lesions and any bone marrow involvement. The Deauville 5-Point Scale is based on visual interpretation of FDG uptake. Scale ranges from 1 to 5, where 1 (best)=no FDG uptake; 2=FDG uptake ≤ mediastinum; 3=FDG uptake > mediastinum but ≤ liver; 4=FDG uptake moderately > liver; 5 (worst)=FDG uptake markedly > than liver.

    Measured: Up to approximately 56 months

  7. Percentage of Participants With CR

    According to standard Cheson criteria and Deauville 5-point scale, CR was defined as complete disappearance of all target lesions and all nodes with long axis < 10 mm or ≥ 30% decrease in the sum of LD of target lesions with normalization of FDG-PET (Deauville score 1-3); no new lesions and no bone marrow involvement. CR was assessed at mid and end of induction (6 months), and during and after maintenance therapy (24 months), as per clinical practice, with and without FDG-PET results. The Deauville 5-Point Scale is based on visual interpretation of FDG uptake. Scale ranges from 1 to 5, where 1 (best)=no FDG uptake; 2=FDG uptake ≤ mediastinum; 3=FDG uptake > mediastinum but ≤ liver; 4=FDG uptake moderately > liver; 5 (worst)=FDG uptake markedly > than liver.

    Measured: Up to approximately 56 months

  8. Percentage of Participants With CR at 30 Months (CR30)

    According to standard Cheson criteria and Deauville 5-point scale, CR at 30 months was defined as complete disappearance of all target lesions and all nodes with long axis < 10 mm or ≥ 30% decrease in the sum of LD of target lesions with normalization of FDG-PET (Deauville score 1-3); no new lesions and no bone marrow involvement. The Deauville 5-Point Scale is based on visual interpretation of FDG uptake. Scale ranges from 1 to 5, where 1 (best)=no FDG uptake; 2=FDG uptake ≤ mediastinum; 3=FDG uptake > mediastinum but ≤ liver; 4=FDG uptake moderately > liver; 5 (worst)=FDG uptake markedly > than liver.

    Measured: At 30 months

  9. Duration of Response (DOR)

    DOR=time from first documentation of CR/PR until PD, as evaluated by physician according to routine clinical practice/death. CR=complete disappearance of all target lesions \& all nodes with long axis <10 mm/ ≥30% decrease in sum of LD of target lesions with normalization of FDG-PET (Deauville score 1-3); no new lesions \& no bone marrow involvement. PR= ≥30% decrease in sum of LD of target lesions but not CR; positive FDG-PET (Deauville score 4-5); no new lesions \& any bone marrow involvement. PD=20% increase in sum of LD of target lesions; for small lymph nodes measuring <15 mm post therapy, minimum absolute increase of 5 mm \& LD should exceed 15 mm; appearance of new lesion; any bone marrow involvement \& FDG-PET results. Deauville 5-Point Scale is based on visual interpretation of FDG uptake. Scale ranges from 1-5, where 1 (best)=no FDG uptake; 2=FDG uptake ≤mediastinum; 3=FDG uptake >mediastinum but ≤liver; 4=FDG uptake moderately >liver; 5 (worst)=FDG uptake markedly >than liver.

    Measured: Up to approximately 56 months

  10. Time to Response (TTR)

    TTR was defined as time from first dose of obinutuzumab to first documented response (CR or PR) as assessed in clinical routine. Per standard Cheson criteria \& Deauville 5-point scale, CR was defined as the complete disappearance of all target lesions and all nodes with long axis < 10 mm or ≥ 30% decrease in the sum of LD of target lesions with normalization of FDG-PET (Deauville score 1-3); no new lesions and no bone marrow involvement. PR was defined as ≥30% decrease in the sum of LD of target lesions but not a CR (Deauville score 4-5); no new lesions \& any bone marrow involvement. The Deauville 5-Point Scale is based on visual interpretation of FDG uptake. Scale ranges from 1 to 5, where 1 (best)=no FDG uptake; 2=FDG uptake ≤ mediastinum; 3=FDG uptake > mediastinum but ≤ liver; 4=FDG uptake moderately > liver; 5 (worst)=FDG uptake markedly > than liver.

    Measured: Up to approximately 56 months

  11. Percentage of Participants With SD

    According to standard Cheson criteria and Deauville 5-point scale, SD was defined as < 10% decrease or ≤ 20% increase in the sum of LD of target lesions; no new lesions; any bone marrow involvement and any FDG-PET results. SD was assessed at mid and end of induction (6 months), and during and after maintenance therapy (24 months).

    Measured: Up to approximately 56 months

  12. Percentage of Participants With FDG-PET Response at End of Induction and End of Maintenance

    ORR was defined as percentage of participants with a CR/PR at end of induction \& maintenance therapy, as per clinical practice, with FDG-PET. According to standard Cheson criteria \& Deauville 5-point scale, CR was defined as complete disappearance of all target lesions \& all nodes with long axis < 10 mm or ≥ 30% decrease in sum of LD of target lesions with normalization of FDG-PET (Deauville score 1-3); no new lesions \& no bone marrow involvement. PR was defined as ≥30% decrease in sum of LD of target lesions but not a CR; positive FDG-PET (Deauville score 4-5); no new lesions \& any bone marrow involvement. The Deauville 5-Point Scale is based on visual interpretation of FDG uptake. Scale ranges from 1 to 5, where 1 (best)=no FDG uptake; 2=FDG uptake ≤ mediastinum; 3=FDG uptake > mediastinum but ≤ liver; 4=FDG uptake moderately > liver; 5 (worst)=FDG uptake markedly > than liver.

    Measured: Up to approximately 56 months

  13. Number of Participants With Adverse Events (AEs)

    An AE is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product, regardless of causal attribution. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.

    Measured: Up to 185 days after the final obinutuzumab dose or until initiation of another anti-cancer therapy (approximately 48 months)

  14. Number of Participants With Serious Adverse Events (SAEs)

    An AE is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product, regardless of causal attribution. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An SAE is any AE that meets any of the following criteria: is fatal; life-threatening; requires or prolongs inpatient hospitalization; results in persistent or significant disability/incapacity; is a congenital anomaly/birth defect in a neonate/infant born to a mother exposed to study medicine and is a significant medical event in the physician's judgment.

    Measured: Up to 185 days after the final obinutuzumab dose or until initiation of another anti-cancer therapy (approximately 48 months)

  15. Number of Participants With Adverse Events of Special Interests (AESIs)

    An AE is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product, regardless of causal attribution. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. AESIs for this study may include the following: tumor lysis syndrome (TLS), irrespective of causality; second malignancies; cases of potential medicine-induced liver injury that include an elevated alanine aminotransferase (ALT) or aspartate transaminase (AST) in combination with either an elevated bilirubin or clinical jaundice, as defined by Hy's law and suspected transmission of an infectious agent by the study medicine.

    Measured: Up to 185 days after the final obinutuzumab dose or until initiation of another anti-cancer therapy (approximately 48 months)

  16. Number of Participants With Infusion-related Reactions (IRRs)

    An AE is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product, regardless of causal attribution. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. IRRs were defined as all AEs that occurred during or within 24 hours after study treatment infusion and were judged to be related to infusion of study treatment.

    Measured: Up to 185 days after the final obinutuzumab dose or until initiation of another anti-cancer therapy (approximately 48 months)

  17. Percentage of Participants With PFS2 Stratified by Follicular Lymphoma International Prognostic Index (FLIPI)

    PFS=time from the date of treatment initiation until the first documented PD measured by routine clinical care or death from any cause, whichever occurred first. Per standard Cheson criteria \& Deauville 5-point scale, PD=20% increase in sum of LD of target lesions; for small lymph nodes measuring <15 mm post-therapy, a minimum absolute increase of 5 mm \& the LD should exceed 15 mm; appearance of a new lesion; any bone marrow involvement \& any FDG-PET results. The FLIPI tool predicts the prognosis of participants diagnosed with FL. Prognosis depends on 5 FLIPI risk factors: age >60 years, Ann Arbor stage III-IV, hemoglobin (Hb) level <12 grams per deciliter (gm/dL), >4 nodal areas \& raised lactate dehydrogenase (LDH) levels. Each factor was given a point if it was positive. FLIPI score range from 0-5 where 0-1 = low risk; 2=intermediate risk and 3-5=high risk. Higher score indicates worse prognosis. Participants who were event-free at 2 years, stratified by FLIPI score are presented.

    Measured: At Year 2

  18. Percentage of Participants With PFS2 Stratified by ECOG PS

    PFS was defined as the time from the date of treatment initiation until the first documented PD measured by routine clinical care or death from any cause, whichever occurred first. PD was defined as outlined in the description of outcome measure 1 (POD24). ECOG-PS assessed participant's performance status on a 5 point scale where 0=fully active, able to carry on all pre-disease activities without restriction; 1=restricted in physically strenuous activity, but ambulatory, able to carry out light/sedentary work; 2=ambulatory, capable of all self-care, but unable to carry out any work activities (>50% of waking hours); 3=capable of only limited self-care, confined to bed/chair (>50% of waking hours); 4=completely disabled, cannot carry on any selfcare, totally confined to bed or chair and 5=Dead. Higher score=lower performance. Data for participants who were event-free at 2 years, stratified by ECOG-PS score are presented.

    Measured: At Year 2

  19. Percentage of Participants With PFS2 Stratified by Age

    PFS was defined as the time from the date of treatment initiation until the first documented PD measured by routine clinical care or death from any cause, whichever occurred first. According to standard Cheson criteria and Deauville 5-point scale, PD was defined as 20% increase in the sum of LD of target lesions; for small lymph nodes measuring < 15 mm post-therapy, a minimum absolute increase of 5 mm and the LD should exceed 15 mm; the appearance of a new lesion; any bone marrow involvement and any FDG-PET results. Data for participants who were event-free at 2 years, stratified by age (≤60 years \& >60 years) are presented.

    Measured: At Year 2

  20. Percentage of Participants With PFS2 Stratified by Chemotherapy Backbone Choice

    PFS was defined as the time from the date of treatment initiation until the first documented PD measured by routine clinical care or death from any cause, whichever occurred first. According to standard Cheson criteria and Deauville 5-point scale, PD was defined as 20% increase in the sum of LD of target lesions; for small lymph nodes measuring < 15 mm post-therapy, a minimum absolute increase of 5 mm and the LD should exceed 15 mm; the appearance of a new lesion; any bone marrow involvement and any FDG-PET results. Participants treated with chemotherapy were given the following options: Bendamustine; CHOP (cyclophosphamide, doxorubicin, vincristine, prednisone), and CVP (cyclophosphamide, vincristine, prednisone). Data for participants who were event-free at 2 years, stratified by chemotherapy backbone are presented.

    Measured: At Year 2

  21. Percentage of Participants With PFS2 Stratified by Hepatitis B Virus (HBV) Infection

    PFS was defined as the time from the date of treatment initiation until the first documented PD measured by routine clinical care or death from any cause, whichever occurred first. According to standard Cheson criteria and Deauville 5-point scale, PD was defined as 20% increase in the sum of LD of target lesions; for small lymph nodes measuring < 15 mm post-therapy, a minimum absolute increase of 5 mm and the LD should exceed 15 mm; the appearance of a new lesion; any bone marrow involvement and any FDG-PET results. History of past/resolved infection or latent HBV after prophylaxis as per standard treatment guidelines was assessed. Data for participants who were event-free at 2 years, stratified by positive \& negative HBV infection are presented.

    Measured: At Year 2

  22. Percentage of Participants With PFS2 Stratified by Presence of Autoimmune Disease, Renal and Hepatobilliary Disorders

    PFS was defined as the time from the date of treatment initiation until the first documented PD measured by routine clinical care or death from any cause, whichever occurred first. According to standard Cheson criteria and Deauville 5-point scale, PD was defined as 20% increase in the sum of LD of target lesions; for small lymph nodes measuring < 15 mm post-therapy, a minimum absolute increase of 5 mm and the LD should exceed 15 mm; the appearance of a new lesion; any bone marrow involvement and any FDG-PET results. Data for participants who were event-free at 2 years, stratified by a history of autoimmune, renal and hepatobilliary disorders are presented.

    Measured: At Year 2

  23. Percentage of Participants With PFS3 Stratified by FLIPI

    PFS was defined as the time from the date of treatment initiation until the first documented PD measured by routine clinical care or death from any cause, whichever occurred first. Per standard Cheson criteria \& Deauville 5-point scale, PD was defined as 20% increase in sum of LD of target lesions; for small lymph nodes measuring <15 mm post-therapy, a minimum absolute increase of 5 mm \& the LD should exceed 15 mm; appearance of a new lesion; any bone marrow involvement \& any FDG-PET results. The FLIPI tool predicts the prognosis of participants diagnosed with FL. Prognosis depends on 5 FLIPI risk factors: age >60 years, Ann Arbor stage III-IV, Hb level <12 gm/dL, >4 nodal areas \& raised LDH levels. Each factor was given a point if it was positive. FLIPI score range from 0-5 where 0-1 = low risk; 2=intermediate risk and 3-5=high risk. Higher score indicates worse prognosis. Participants who were event-free at 3 years, stratified by FLIPI score are presented.

    Measured: At Year 3

  24. Percentage of Participants With PFS3 Stratified by ECOG PS

    PFS was defined as the time from the date of treatment initiation until the first documented PD measured by routine clinical care or death from any cause, whichever occurred first. PD was defined as outlined in the description of outcome measure 1 (POD24). ECOG-PS assessed participant's performance status on a 5 point scale where 0=fully active, able to carry on all pre-disease activities without restriction; 1=restricted in physically strenuous activity, but ambulatory, able to carry out light/sedentary work; 2=ambulatory, capable of all self-care, but unable to carry out any work activities (>50% of waking hours); 3=capable of only limited self-care, confined to bed/chair (>50% of waking hours); 4=completely disabled, cannot carry on any selfcare, totally confined to bed or chair and 5=Dead. Higher score=lower performance. Data for participants who were event-free at 3 years, stratified by ECOG-PS score are presented.

    Measured: At Year 3

  25. Percentage of Participants With PFS3 Stratified by Age

    PFS was defined as the time from the date of treatment initiation until the first documented PD measured by routine clinical care or death from any cause, whichever occurred first. According to standard Cheson criteria and Deauville 5-point scale, PD was defined as 20% increase in the sum of LD of target lesions; for small lymph nodes measuring < 15 mm post-therapy, a minimum absolute increase of 5 mm and the LD should exceed 15 mm; the appearance of a new lesion; any bone marrow involvement and any FDG-PET results. Data for participants who were event-free at 3 years, stratified by age (≤60 years \& >60 years) are presented.

    Measured: At Year 3

  26. Percentage of Participants With PFS3 Stratified by Chemotherapy Backbone Choice

    PFS was defined as the time from the date of treatment initiation until the first documented PD measured by routine clinical care or death from any cause, whichever occurred first. According to standard Cheson criteria and Deauville 5-point scale, PD was defined as 20% increase in the sum of LD of target lesions; for small lymph nodes measuring < 15 mm post-therapy, a minimum absolute increase of 5 mm and the LD should exceed 15 mm; the appearance of a new lesion; any bone marrow involvement and any FDG-PET results. Participants treated with chemotherapy were given the following options: Bendamustine; CHOP (cyclophosphamide, doxorubicin, vincristine, prednisone), and CVP (cyclophosphamide, vincristine, prednisone). Data for participants who were event-free at 3 years, stratified by chemotherapy backbone are presented.

    Measured: At Year 3

  27. Percentage of Participants With PFS3 Stratified by HBV Infection

    PFS was defined as the time from the date of treatment initiation until the first documented PD measured by routine clinical care or death from any cause, whichever occurred first. According to standard Cheson criteria and Deauville 5-point scale, PD was defined as 20% increase in the sum of LD of target lesions; for small lymph nodes measuring < 15 mm post-therapy, a minimum absolute increase of 5 mm and the LD should exceed 15 mm; the appearance of a new lesion; any bone marrow involvement and any FDG-PET results. History of past/resolved infection or latent HBV after prophylaxis as per standard treatment guidelines was assessed. Data for participants who were event-free at 3 years, stratified by positive \& negative HBV infection are presented.

    Measured: At Year 3

  28. Percentage of Participants With PFS3 Stratified by Presence of Autoimmune Disease, Renal and Hepatobilliary Disorders

    PFS was defined as the time from the date of treatment initiation until the first documented PD measured by routine clinical care or death from any cause, whichever occurred first. According to standard Cheson criteria and Deauville 5-point scale, PD was defined as 20% increase in the sum of LD of target lesions; for small lymph nodes measuring < 15 mm post-therapy, a minimum absolute increase of 5 mm and the LD should exceed 15 mm; the appearance of a new lesion; any bone marrow involvement and any FDG-PET results. Data for participants who were event-free at 3 years, stratified by a history of autoimmune, renal and hepatobilliary disorders are presented. Percentages have been rounded off.

    Measured: At Year 3

Timeline

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

  1. First posted26 Jul 2019
  2. Study start2 Sep 2019
  3. Primary completion22 Apr 2024
  4. Study completion22 Apr 2024

Resources

More details

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

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Retrospective
Enrolment
299 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04034056
Sponsor's protocol ID
ML41215
Acronym
URBAN
Status last verified
May 2025
First submitted
23 Jul 2019
Last updated
9 May 2025
FDA-regulated drug
No
Individual data sharing
No: Qualified researchers may request access to individual patient level data through the clinical study data request platform (www.clinicalstudydatarequest.com). Further details on Roche's criteria for eligible studies are available here (https://clinicalstudydatarequest.com/Study-Sponsors/Study-Sponsors-Roche.aspx). For further details on Roche's Global Policy on Sharing of Clinical Study Information and how to request access to related clinical study documents, see here (https://www.roche.com/research\_and\_development/who\_we\_are\_how\_we\_work/clinical\_trials/our\_commitment\_to\_data\_sharing.htm).

Publications

  • Pinto A, Caltagirone M, Battista M, Gazzoli GC, Patti C, Pennese E, De Lorenzo S, Pavone V, Merli M, Chiarenza A, Gorgone AG, Piazza F, Puccini B, Noto A, Arcaini L, De Filippi R, Zinzani PL, Ferreri AJM, Ladetto M, Ferrari S, Gritti G. Exposure to obinutuzumab does not affect outcomes of SARS-CoV-2 infection in vaccinated patients with newly diagnosed advanced-stage follicular lymphoma. Br J Haematol. 2024 Dec;205(6):2219-2227. doi: 10.1111/bjh.19661. Epub 2024 Jul 22.

    PubMed 39039666

Questions about this trial

What is this clinical trial studying?

An observational study of Follicular Lymphoma, run by Hoffmann-La Roche at 46 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 1 inclusion and 3 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 9 May 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 46 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.

Are results available for this study?

Yes. Results are posted in the registry (first posted 9 May 2025). 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 With Progression of Disease at Year 2 (POD24) (time frame: At Year 2). 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 NCT04034056, 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 9 May 2025.

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