Bendamustine hydrochloride is an alkylating agent used in the treatment of chronic lymphocytic leukemia (CLL) and other hematologic malignancies. It is a nitrogen mustard derivative that acts by binding to DNA and inhibiting cell replication. Bendamustine hydrochloride is synthesized through a multi-step process that involves the reaction of an aromatic amine with a chloroethylating agent. The compound is then reacted with hydrochloric acid to form the hydrochloride salt. Bendamustine hydrochloride has shown promising results in clinical trials for the treatment of CLL, Waldenstrom macroglobulinemia, and non-Hodgkin lymphoma. It is also being investigated for other types of cancer, such as multiple myeloma and breast cancer. The compound is well tolerated, but it can cause side effects such as nausea, vomiting, fatigue, and bone marrow suppression.'
ID Source | ID |
---|---|
PubMed CID | 77082 |
CHEMBL ID | 1201734 |
SCHEMBL ID | 18843 |
MeSH ID | M0307744 |
Synonym |
---|
bendamustine hydrochloride injection |
unii-981y8sx18m |
981y8sx18m , |
gamma(1-methyl-5-bis(beta-chloraethyl)aminobenzimidazoyl-2)buttersaeurehydrochlorid |
bendamustine hydrochloride [usan:jan] |
ribomustine |
zimet 33/93 |
bendit |
imet 3393 |
bendamustin hydrochloride |
1h-benzimidazole-2-butanoic acid, 5-(bis(2-chloroethyl)amino)-1-methyl-, monohydrochloride |
2-benzimidazolinebutryric acid, 1-methyl-5-bis(2-chloroethyl)amino-, hydrochloride |
cytostasan |
ccris 1864 |
2-benzimidazolebutyric acid, 5-(bis(2-chloroethyl)amino)-1-methyl-, monohydrochloride |
nsc 138783 |
gamma(1-methyl-5-bis(beta-chloraethyl)aminobenzimidazoyl-2)buttersaeurehydrochlorid [german] |
ribomustin (tn) |
D07085 |
bendamustine hydrochloride (jan/usan) |
3543-75-7 |
nsc138783 |
2-benzimidazolebutyric acid, monohydrochloride |
2-benzimidazolinebutryric acid, hydrochloride |
cytostosan |
wln: t56 bn dnj b1 c3vq gn2g2g &gh |
nsc-138783 |
treanda |
bendamustine hydrochloride , |
sdx-105 |
ribomustin |
symbenda |
syb l-0501 |
benda |
inno-p08001 |
treakisym |
levact |
innomustine |
CHEMBL1201734 |
bendamustine hcl |
vivimusta |
sybl-0501 |
FT-0650624 |
FT-0696296 |
4-[5-[bis(2-chloroethyl)amino]-1-methylbenzimidazol-2-yl]butanoic acid hydrochloride |
BCP9000390 |
97832-05-8 |
AKOS015951203 |
4-(5-(bis(2-chloroethyl)amino)-1-methyl-1h-benzo[d]imidazol-2-yl)butanoic acid hydrochloride |
bendeka |
BCPP000348 |
LP00623 |
bendamustine hydrochloride [usan] |
bendamustine hydrochloride [mart.] |
bendamustine hydrochloride [who-dd] |
bendamustine hydrochloride [jan] |
bendamustine hydrochloride [usp-rs] |
bendamustine hydrochloride [orange book] |
bendamustine hydrochloride [mi] |
4-[5-[bis(2-chloroethyl)amino]-1-methyl-1h-benzimidazole-2-yl]butanoic acid monohydrochloride |
bendamustine hydrochloride [usp monograph] |
S1212 |
1h-benzimidazole-2-butanoicacid, 5-[bis(2-chloroethyl)amino]-1-methyl-, hydrochloride (1:?) |
CCG-221927 |
HY-B0077 |
CS-1771 |
bendamustine (hydrochloride) |
smr004234484 |
MLS006010156 |
B4033 |
1h-benzimidazole-2-butanoic acid, 5-[bis(2-chloroethyl)amino]-1-methyl-, hydrochloride (1:1) |
AM20090666 |
5-[bis(2-chloroethyl)amino]-1-methylbenzimidazole-2-butyric acid hydrochloride |
SCHEMBL18843 |
NCGC00261308-01 |
tox21_500623 |
ZHSKUOZOLHMKEA-UHFFFAOYSA-N |
5-[bis(2-chloroethyl)amino]-1-methyl-1h-benzimidazole-2-butanoic acid hydrochloride |
4-[5-[bis(2-chloroethyl)amino]-1-methylbenzimidazol-2-yl]butanoic acid;hydrochloride |
hydrochloride, bendamustine |
DTXSID40188912 , |
ep-3101 |
sdx-105 (cytostasane) hcl |
AC-1619 |
mfcd01658758 |
bendamustine hcl (sdx-105, cytostasane) |
3543-75-7 (hcl) |
4-(5-(bis(2-chloroethyl)amino)-1-methyl-1h-benzo-[d]imidazol-2-yl)butanoic acid hydrochloride |
SW219266-1 |
fmoc-(s)-3-amino-3-(3-trifluoromethyl-phenyl)-propionicacid |
4-(5-(bis(2-chloroethyl)amino)-1-methylbenzimidazol-2-yl)butanoic acid hcl |
AS-15856 |
BCP02107 |
SB17462 |
Q27272066 |
5-[bis(2-chloroethyl)-amino]-1-methyl-1h-benzimidazole-2-butanoic acid hydrochloride;ribomustin hcl |
treanda hcl |
BP-25399 |
4-(5-(bis(2-chloroethyl)amino)-1-methyl-1h-benzo[d]imidazol-2-yl)butanoicacidhydrochloride |
BB164239 |
4-{5-[bis(2-chloroethyl)amino]-1-methyl-1h-1,3-benzodiazol-2-yl}butanoic acid hydrochloride |
EN300-18586056 |
4-(5-(bis(2-chloroethyl)amino)-1-methyl-1h-benzimidazole-2-yl)butanoic acid monohydrochloride |
belrapzo |
bendamustine hydrochloride (mart.) |
4-(5-(bis(2-chloroethyl)amino)-1-methyl-1h-benzoimidazol-2-yl)butanoic acid monohydrochloride |
bendamustine hydrochloride (usp monograph) |
bendamustine hydrochloride (usp-rs) |
dtxcid00111403 |
cytostasan hydrochloride |
Z2235802251 |
Bendamustine hydrochloride is an alkylating agent that was developed for the treatment of various human cancers. It is a novel cytotoxic agent that possesses alkylator and purine-like structural groups, which may confer a unique mechanism of action.
Excerpt | Reference | Relevance |
---|---|---|
" administration of 1, the bioavailability of the drug was found to be increased in the leukemia-bearing animals." | ( Influence of leukemia P388 on plasma concentration-time profiles of bendamustine in B6D2F1 mice. Amlacher, R; Hoffmann, H; Preiss, R; Weber, H, 1992) | 0.28 |
" The absorption of the drug from the gastrointestinal tract is incomplete resulting in an absolute bioavailability of about 40%." | ( [Pharmacokinetics of bendamustin (Cytostasan) in B6D2F1-mice]. Amlacher, R; Hoffmann, H; Preiss, R; Weber, H, 1991) | 0.28 |
" It has good oral bioavailability but has been studied almost exclusively in the intravenous formulation." | ( Bendamustine for the treatment of chronic lymphocytic leukemia and rituximab-refractory, indolent B-cell non-Hodgkin lymphoma. Dennie, TW; Kolesar, JM, 2009) | 0.35 |
Protein | Taxonomy | Measurement | Average (µ) | Min (ref.) | Avg (ref.) | Max (ref.) | Bioassay(s) |
---|---|---|---|---|---|---|---|
estrogen-related nuclear receptor alpha | Homo sapiens (human) | Potency | 33.4915 | 0.0015 | 30.6073 | 15,848.9004 | AID1224819; AID1224820 |
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023] |
Assay ID | Title | Year | Journal | Article |
---|---|---|---|---|
AID1347410 | qHTS for inhibitors of adenylyl cyclases using a fission yeast platform: a pilot screen against the NCATS LOPAC library | 2019 | Cellular signalling, 08, Volume: 60 | A fission yeast platform for heterologous expression of mammalian adenylyl cyclases and high throughput screening. |
AID1347405 | qHTS to identify inhibitors of the type 1 interferon - major histocompatibility complex class I in skeletal muscle: primary screen against the NCATS LOPAC collection | 2020 | ACS chemical biology, 07-17, Volume: 15, Issue:7 | High-Throughput Screening to Identify Inhibitors of the Type I Interferon-Major Histocompatibility Complex Class I Pathway in Skeletal Muscle. |
AID1347057 | CD47-SIRPalpha protein protein interaction - LANCE assay qHTS validation | 2019 | PloS one, , Volume: 14, Issue:7 | Quantitative high-throughput screening assays for the discovery and development of SIRPα-CD47 interaction inhibitors. |
AID1347151 | Optimization of GU AMC qHTS for Zika virus inhibitors: Unlinked NS2B-NS3 protease assay | 2020 | Proceedings of the National Academy of Sciences of the United States of America, 12-08, Volume: 117, Issue:49 | Therapeutic candidates for the Zika virus identified by a high-throughput screen for Zika protease inhibitors. |
AID1347059 | CD47-SIRPalpha protein protein interaction - Alpha assay qHTS validation | 2019 | PloS one, , Volume: 14, Issue:7 | Quantitative high-throughput screening assays for the discovery and development of SIRPα-CD47 interaction inhibitors. |
AID1347058 | CD47-SIRPalpha protein protein interaction - HTRF assay qHTS validation | 2019 | PloS one, , Volume: 14, Issue:7 | Quantitative high-throughput screening assays for the discovery and development of SIRPα-CD47 interaction inhibitors. |
AID1794808 | Fluorescence-based screening to identify small molecule inhibitors of Plasmodium falciparum apicoplast DNA polymerase (Pf-apPOL). | 2014 | Journal of biomolecular screening, Jul, Volume: 19, Issue:6 | A High-Throughput Assay to Identify Inhibitors of the Apicoplast DNA Polymerase from Plasmodium falciparum. |
AID1794808 | Fluorescence-based screening to identify small molecule inhibitors of Plasmodium falciparum apicoplast DNA polymerase (Pf-apPOL). | |||
[information is prepared from bioassay data collected from National Library of Medicine (NLM), extracted Dec-2023] |
Timeframe | Studies, This Drug (%) | All Drugs % |
---|---|---|
pre-1990 | 12 (1.15) | 18.7374 |
1990's | 11 (1.06) | 18.2507 |
2000's | 118 (11.34) | 29.6817 |
2010's | 608 (58.41) | 24.3611 |
2020's | 292 (28.05) | 2.80 |
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023] |
According to the monthly volume, diversity, and competition of internet searches for this compound, as well the volume and growth of publications, there is estimated to be strong demand-to-supply ratio for research on this compound.
| This Compound (42.68) All Compounds (24.57) |
Publication Type | This drug (%) | All Drugs (%) |
---|---|---|
Trials | 246 (23.10%) | 5.53% |
Reviews | 151 (14.18%) | 6.00% |
Case Studies | 173 (16.24%) | 4.05% |
Observational | 18 (1.69%) | 0.25% |
Other | 477 (44.79%) | 84.16% |
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023] |
Trial | Phase | Enrollment | Study Type | Start Date | Status | ||
---|---|---|---|---|---|---|---|
A Phase I Study of FT576 as Monotherapy and in Combination With Daratumumab in Subjects With Relapsed/Refractory Multiple Myeloma [NCT05182073] | Phase 1 | 168 participants (Anticipated) | Interventional | 2021-11-24 | Recruiting | ||
Study of Bendamustine Hydrochloride Injection in Previously Untreated Chronic Lymphocytic Leukemia Patients [NCT01109264] | Phase 2 | 147 participants (Actual) | Interventional | 2010-03-31 | Completed | ||
Isatuximab and Bendamustine in Systemic Light Chain Amyloidosis [NCT04943302] | Phase 2 | 0 participants (Actual) | Interventional | 2022-09-30 | Withdrawn(stopped due to PI left institution. Study not moving forward in her absence.) | ||
A Phase III, Open-Label, Multicenter Randomized Study Evaluating Glofitamab as a Single Agent Versus Investigator's Choice in Patients With Relapsed/Refractory Mantle Cell Lymphoma [NCT06084936] | Phase 3 | 182 participants (Anticipated) | Interventional | 2023-10-22 | Recruiting | ||
A Randomized Phase III Study of Bendamustine Plus Rituximab Versus Ibrutinib Plus Rituximab Versus Ibrutinib Alone in Untreated Older Patients (>/= 65 Years of Age) With Chronic Lymphocytic Leukemia (CLL) [NCT01886872] | Phase 3 | 547 participants (Actual) | Interventional | 2013-12-09 | Active, not recruiting | ||
The Efficacy of Bendamustine, Gemcytabine, Dexamethasone (BGD) Salvage Chemotherapy With Autologous Stem Cell Transplantation (ASCT) Consolidation in Advanced Classical Hodgkin Lymphoma Patients Not Responding to ABVD Therapy- Multicentre Phase II Clinica [NCT03615664] | Phase 2 | 115 participants (Actual) | Interventional | 2017-11-06 | Active, not recruiting | ||
Phase 1b Study Evaluating the Safety and Efficacy of Autologous CD30.CAR-T in Combination With PD-1 Checkpoint Inhibitor (Nivolumab) in Relapsed or Refractory Classical Hodgkin Lymphoma Patients After Failure of Frontline Therapy (ACTION) [NCT05352828] | Phase 1 | 15 participants (Actual) | Interventional | 2022-07-25 | Active, not recruiting | ||
A Phase 1b, Dose Escalation Study to Determine the Recommended Phase 2 Dose of TAK-659 in Combination With Bendamustine (±Rituximab), Gemcitabine, Lenalidomide, or Ibrutinib for the Treatment of Patients With Advanced Non-Hodgkin Lymphoma After At Least 1 [NCT02954406] | Phase 1 | 43 participants (Actual) | Interventional | 2017-03-05 | Terminated(stopped due to Business decision, insufficient enrollment, no safety or efficacy concerns.) | ||
Bendamustine + Obinutuzumab Induction Chemoimmunotherapy With Risk-adapted Obinutuzumab Maintenance Therapy in Previously Untreated Mantle Cell Lymphoma [NCT03311126] | Phase 2 | 21 participants (Actual) | Interventional | 2017-10-19 | Active, not recruiting | ||
Study Phase II Non-randomized Prospective Open to Assess the Combination of Rituximab, Bendamustine (RB) for Patients With Follicular Lymphoma Refractory or Relapsed After Treatment With R-chemotherapy in First Line. [NCT01127841] | Phase 2 | 60 participants (Anticipated) | Interventional | 2009-07-31 | Active, not recruiting | ||
PHASE 1B/PHASE 3 MULTICENTER STUDY OF AVELUMAB (MSB0010718C) IN COMBINATION REGIMENS THAT INCLUDE AN IMMUNE AGONIST, EPIGENETIC MODULATOR, CD20 ANTAGONIST AND/OR CONVENTIONAL CHEMOTHERAPY IN PATIENTS WITH RELAPSED OR REFRACTORY DIFFUSE LARGE B-CELL LYMPHO [NCT02951156] | Phase 3 | 29 participants (Actual) | Interventional | 2016-12-16 | Terminated(stopped due to Study was terminated due to closure of study arms following futility analysis and difficulty in enrolling participants due to evolving treatment landscape) | ||
A Randomised, Open Label, Multi-centre, Phase III Study to Investigate the Efficacy of Bendamustine Compared to Treatment of Physician's Choice in the Treatment of Subjects With Indolent Non-Hodgkin's Lymphoma (NHL) Refractory to Rituximab [NCT01289223] | Phase 3 | 88 participants (Actual) | Interventional | 2011-02-28 | Terminated(stopped due to Ongoing challenges to successfully recruit the required number of subjects) | ||
A Phase III, Randomised, Open-label,, Multi-Center Clinical Study Comparing JS004 Plus Toripalimab With Investigator-Selected Chemotherapy in Patients With PD-(L)1 Monoclonal Antibody Refractory Classic Hodgkin Lymphoma (cHL) [NCT06170489] | Phase 3 | 185 participants (Anticipated) | Interventional | 2023-12-22 | Not yet recruiting | ||
A Phase 3, Randomized Study to Compare the Efficacy and Safety of Nemtabrutinib Versus Chemoimmunotherapy for Previously Untreated Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma Without TP53 Aberrations [NCT05624554] | Phase 3 | 300 participants (Anticipated) | Interventional | 2023-03-16 | Recruiting | ||
A Phase I/II b (Randomized Controlled) Study of Atezolizumab Combined to BEGEV Regimen as First Salvage Treatment in Patients With Relapsed or Refractory Hodgkin's Lymphoma Candidate to Autologous Stem-Cell Transplantation [NCT05300282] | Phase 1/Phase 2 | 140 participants (Anticipated) | Interventional | 2022-08-03 | Recruiting | ||
Lenalidomide, Bendamustine and Rituximab as First-line Therapy for Patients Over 65 Years With Mantle Cell Lymphoma - a Nordic Lymphoma Group Trial [NCT00963534] | Phase 1/Phase 2 | 51 participants (Actual) | Interventional | 2009-09-30 | Completed | ||
A Randomized, Multicenter, Open-Label, Phase 3 Study of Acalabrutinib (ACP-196) Versus Investigator's Choice of Either Idelalisib Plus Rituximab or Bendamustine Plus Rituximab in Subjects With R/R Chronic Lymphocytic Leukemia [NCT02970318] | Phase 3 | 310 participants (Actual) | Interventional | 2017-02-02 | Active, not recruiting | ||
Phase I Dose-Escalation Study of CPI-613, in Combination With Bendamustine, in Patients With Relapsed or Refractory T-Cell Non-Hodgkin Lymphoma or Classic Hodgkin Lymphoma [NCT02168140] | Phase 1 | 16 participants (Actual) | Interventional | 2014-09-30 | Completed | ||
An Open-label Phase I/II Trial of Venetoclax-Dexamethasone in Relapsed and/or Refractory t(11;14) Systemic Light-Chain Amyloidosis [NCT05451771] | Phase 1/Phase 2 | 53 participants (Anticipated) | Interventional | 2022-10-26 | Recruiting | ||
A Single Center Phase Ib Study of Carfilzomib, Bendamustine, and Dexamethasone in Subjects With Relapsed/Refractory Multiple Myeloma [NCT02095834] | Phase 1 | 18 participants (Actual) | Interventional | 2014-04-24 | Completed | ||
Phase 1 Study of the Administration of T Lymphocytes Expressing the Kappa Chimeric Antigen Receptor (CAR) and CD28 Endodomain for Relapsed/Refractory Kappa+ Non-Hodgkin Lymphoma and Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma. [NCT04223765] | Phase 1 | 20 participants (Anticipated) | Interventional | 2020-11-12 | Recruiting | ||
Phase II Study of Simvastatin, Zoledronic Acid, Bortezomib, Bendamustine and Methylprednisolone for Relapsed/Refractory Myeloma [NCT01332617] | Phase 2 | 0 participants (Actual) | Interventional | 2011-04-30 | Withdrawn(stopped due to Investigators no longer interested in activating study) | ||
Observational Program for Evaluation of Ribomustin Use in the First Line Therapy of Chronic Lymphocytic Leukemia [NCT02110394] | 190 participants (Actual) | Observational | 2012-06-30 | Completed | |||
[NCT01376401] | Phase 2 | 60 participants (Anticipated) | Interventional | 2011-07-31 | Completed | ||
A Multi-Center, Open-Label, Single-Arm Phase II Trial of Bendamustine, Rituximab and the Second Generation BTK Inhibitor Acalabrutinib in Previously Untreated Waldenstrom's Macroglobulinemia [NCT04624906] | Phase 2 | 59 participants (Anticipated) | Interventional | 2021-03-02 | Recruiting | ||
Clinical Research of Gene Therapy for Refractory B-Cell Non-Hodgkin Lymphoma Using Autologous T Cells Expressing a Chimeric Antigen Receptor Specific to the CD19 Antigen [NCT02134262] | Phase 1/Phase 2 | 18 participants (Anticipated) | Interventional | 2014-05-31 | Recruiting | ||
[NCT02162888] | Phase 1 | 81 participants (Actual) | Interventional | 2013-11-30 | Completed | ||
Bendamustine Plus Bortezomib Plus Dexamethasone in the Treatment of Stage II/III Relapsed or Refractory Multiple Myeloma [NCT01168804] | Phase 2 | 79 participants (Actual) | Interventional | 2010-06-30 | Completed | ||
Phase I/II Study With Bendamustine and Temsirolimus in Patients With Relapsed or Refractory Mantle Cell Non-hodgkin's Lymphoma (NHL) Not Eligible for High Dose Chemotherapy and Autologous/Allogeneic Stem Cell Transplantation [NCT01170052] | Phase 1/Phase 2 | 20 participants (Anticipated) | Interventional | 2010-05-31 | Withdrawn(stopped due to insufficient enrollment) | ||
Bendamustine, Cytarabine, Etoposide and Melphalan as Conditioning for Autologous Stem Cell Transplant in Patients With Aggressive Non Hodgkin's Lymphoma. [NCT01296256] | Phase 2 | 60 participants (Actual) | Interventional | 2011-05-31 | Completed | ||
A Phase I/II Trial to Evaluate the Safety, Feasibility and Efficacy of the Addition of Temsirolimus to a Regimen of Bendamustine and Rituximab for the Treatment of Patients With Follicular Lymphoma or Mantle Cell Lymphoma in First to Third Relapse [NCT01078142] | Phase 1/Phase 2 | 39 participants (Actual) | Interventional | 2010-02-02 | Completed | ||
Efficacy of Polatuzumab, Bendamustine and Rituximab in Patients With Relapsed/ Refractory Mantle Cell Lymphoma - a Single Center Phase II Trial [NCT05868395] | Phase 2 | 16 participants (Anticipated) | Interventional | 2023-05-24 | Not yet recruiting | ||
A Phase 1b, Open-Label, Multicenter Study of FT596 in Combination With R-CHOP in Subjects With B-Cell Lymphoma [NCT05934097] | Phase 1 | 0 participants (Actual) | Interventional | 2022-12-31 | Withdrawn(stopped due to This study was withdrawn (Sponsor decision).) | ||
Phase II Trial of Venetoclax and Rituximab as Initial Therapy in Older Patients With Mantle Cell Lymphoma [NCT05025423] | Phase 2 | 40 participants (Anticipated) | Interventional | 2022-06-21 | Recruiting | ||
A Phase 3 Multicenter, Randomized, Prospective, Open-label Trial of Standard Chemoimmunotherapy (FCR/BR) Versus Rituximab Plus Venetoclax (RVe) Versus Obinutuzumab (GA101) Plus Venetoclax (GVe) Versus Obinutuzumab Plus Ibrutinib Plus Venetoclax (GIVe) in [NCT02950051] | Phase 3 | 926 participants (Actual) | Interventional | 2016-12-13 | Active, not recruiting | ||
A Phase I/II Clinical Trial to Evaluate the Safety and Efficacy of Nivolumab and Bendamustine Combination (NB) in Patients With Relapsed or Refractory Hodgkin's Lymphoma [NCT03343652] | Phase 1/Phase 2 | 30 participants (Actual) | Interventional | 2017-05-27 | Completed | ||
Phase I Dose-Escalation Study of CPI-613, in Combination With Bendamustine and Rituximab, in Patients With Relapsed or Refractory B-Cell Non-Hodgkin Lymphoma [NCT02168907] | Phase 1 | 1 participants (Actual) | Interventional | 2014-12-31 | Terminated(stopped due to Slow Accruals) | ||
Ofatumumab With or Without Bendamustine for Patients With Mantle Cell Lymphoma Ineligible for Autologous Stem Cell Transplant [NCT01437709] | Phase 2 | 30 participants (Actual) | Interventional | 2011-09-30 | Completed | ||
A Phase I Safety and Feasibility Study of Cellular Immunotherapy for Extensive Stage Small Cell Neuroendocrine Prostate Cancer Using Autologous T Cells Lentivirally Transduced to Express L1CAM-Specific Chimeric Antigen Receptor [NCT06094842] | Phase 1 | 20 participants (Anticipated) | Interventional | 2024-03-01 | Not yet recruiting | ||
A Multicenter, Phase 1/2 Study of Selinexor in Combination With Backbone Treatments or Novel Therapies in Patients With Relapsed or Refractory (RR) Diffuse Large B-Cell Lymphoma (DLBCL) [NCT04607772] | Phase 1/Phase 2 | 350 participants (Anticipated) | Interventional | 2020-11-18 | Suspended(stopped due to Sponsor decision) | ||
A Study of Thalidomide, Bendamustine and Dexamethasone (BTD) Versus Bortezomib, Bendamustine and Dexamethasone (BBD) in Patients With Renal Failure Defined as a GFR Below 30 Mls/Min [NCT02424851] | Phase 2 | 31 participants (Actual) | Interventional | 2014-11-30 | Completed | ||
Phase I Study of Escalating-Doses of Bendamustine for Patients With Previously Treated Multiple Myeloma [NCT02315157] | Phase 1 | 0 participants (Actual) | Interventional | Withdrawn(stopped due to Withdrawn by PI) | |||
A Prospective, Multicenter, Phase-II Trial Evaluating Efficacy and Safety of Bendamustine + GA101 (BG) in Patients With Relapsed CLL Followed by Maintenance Therapy With GA101 for Responding Patients [NCT02320383] | Phase 2 | 27 participants (Actual) | Interventional | 2014-11-30 | Active, not recruiting | ||
Fase II Study With Bortezomib, Rituximab and Bendamustin-BRB- for Non-Hodgkin Lymphoplasmocytic Lymphoma/Waldenstrom Macroglobulinemia's Patients at First Relapse [NCT02371148] | Phase 2 | 38 participants (Actual) | Interventional | 2014-06-30 | Completed | ||
Bendamustine, Prednisone and Velcade® for First-line Treatment of Patients With Symptomatic Multiple Myeloma Not Eligible for High-dose Chemotherapy Followed by Autologous Stem Cell Transplantation (BPV). [NCT02237261] | Phase 2 | 46 participants (Actual) | Interventional | 2014-11-30 | Completed | ||
A Multicenter, Open-label, Phase I Study of SyB C-0501(Oral Bendamustine) in Patients With Advanced Solid Tumors: [NCT03604679] | Phase 1 | 18 participants (Actual) | Interventional | 2018-05-24 | Completed | ||
A Prospective, Open-label, Multicenter Phase-II Trial to Evaluate the Efficacy and Safety of a Sequential Regimen of Bendamustine Followed by GA101 and ABT-199 Followed by ABT-199 and GA101 Maintenance in CLL Patients [NCT02401503] | Phase 2 | 66 participants (Actual) | Interventional | 2015-05-06 | Active, not recruiting | ||
A Multi-Center, Open Label Phase 1/2 Study of CYT-0851 in Patients With Relapsed/Refractory B-Cell Malignancies and Advanced Solid Tumors [NCT03997968] | Phase 1/Phase 2 | 170 participants (Anticipated) | Interventional | 2019-10-09 | Active, not recruiting | ||
A Phase I/Ib Study of Haploidentical Bone Marrow Transplant With Post-Transplant Cyclophosphamide and/or Bendamustine [NCT02996773] | Phase 1 | 50 participants (Actual) | Interventional | 2016-11-29 | Active, not recruiting | ||
A Phase 2 Clinical Trial to Evaluate the Efficacy of Zanubrutinib Followed Zanubrutinib Plus FCR (Fludarabine Cyclophosphamide and Rituximab) / BR(Bendamustine and Rituximab) in Newly Diagnosed Symptomatic CLL/SLL (STOP Trial) [NCT05287984] | Phase 2 | 63 participants (Anticipated) | Interventional | 2022-03-22 | Not yet recruiting | ||
A Phase 2 Open-label Study of Brentuximab Vedotin in Front-line Therapy of Hodgkin Lymphoma (HL) an dCD30-expressing Peripheral T-cell Lymphoma (PTCL) in Older Patients or Patients With Significant Comorbidities Ineligible for Standard Chemotherapy [NCT01716806] | Phase 2 | 131 participants (Actual) | Interventional | 2012-10-31 | Completed | ||
Phase II Study of Bendamustine and Rituximab Induction Chemoimmunotherapy Followed by Maintenance Rituximab and Lenalidomide in Previously Untreated Chronic Lymphocytic Leukemia (CLL) and Small Lymphocytic Lymphoma (SLL) [NCT01754857] | Phase 2 | 36 participants (Actual) | Interventional | 2013-11-12 | Completed | ||
A Randomized, Double-blind, Placebo-controlled Phase 3 Study of the Bruton's Tyrosine Kinase (BTK) Inhibitor, PCI-32765 (Ibrutinib), in Combination With Bendamustine and Rituximab (BR) in Subjects With Newly Diagnosed Mantle Cell Lymphoma [NCT01776840] | Phase 3 | 523 participants (Actual) | Interventional | 2013-05-16 | Active, not recruiting | ||
A Phase II Study of Rituximab/Bendamustine Followed by Rituximab/Cytarabine for Untreated Mantle Cell Lymphoma [NCT01661881] | Phase 2 | 23 participants (Actual) | Interventional | 2012-08-16 | Active, not recruiting | ||
A Study to Infuse ROR1-Specific Autologous T Cells for Patients With Chronic Lymphocytic Leukemia (CLL) / Small Lymphocytic Lymphoma (SLL) [NCT02194374] | Phase 1 | 0 participants (Actual) | Interventional | 2015-01-31 | Withdrawn(stopped due to Study closed with no enrollment due to unavailability of reagent.) | ||
An Open-Label, Dose-Finding, and Cohort-Expansion Phase 1 Study Evaluating Safety and Efficacy of INCB050465 in Combination With Bendamustine and Obinutuzumab in Subjects With Relapsed or Refractory Follicular Lymphoma (CITADEL-102) [NCT03039114] | Phase 1 | 26 participants (Actual) | Interventional | 2017-02-15 | Completed | ||
Anti-CD22 Immunoconjugate Inotuzumab Ozogamicin (CMC-544) Added to Fludarabine, Bendamustine and Rituximab and Allogeneic Transplantation for CD22 Positive-Lymphoid Malignancies [NCT01664910] | Phase 1/Phase 2 | 27 participants (Actual) | Interventional | 2012-10-29 | Completed | ||
A Study of the Zanubrutinib Given in Combination With Bendamustine and Rituximab in (Elderly or TP53 Alterations or Chemotherapy Intolerance) Patients With Newly Diagnosed Mantle Cell Lymphoma [NCT06136351] | Phase 2 | 23 participants (Anticipated) | Interventional | 2023-11-15 | Recruiting | ||
Relapsed Follicular Lymphoma Randomised Trial Against Standard ChemoTherapy (REFRACT): A Randomised Phase II Trial of Investigator Choice Standard Therapy Versus Sequential Novel Therapy Experimental Arms [NCT05848765] | Phase 2 | 284 participants (Anticipated) | Interventional | 2023-09-04 | Recruiting | ||
Intergroup Randomized Phase 2 Four Arm Study In Patients ≥ 60 With Previously Untreated Mantle Cell Lymphoma Of Therapy With: Arm A = Rituximab+ Bendamustine Followed By Rituximab Consolidation (RB → R); Arm B = Rituximab + Bendamustine + Bortezomib Follo [NCT01415752] | Phase 2 | 373 participants (Actual) | Interventional | 2012-08-09 | Active, not recruiting | ||
Observational Program for Evaluation of Ribomustin and Rituximab Combined Therapy With Following Rituximab Maintenance of Relapsed or Refractory Indolent B-cell Non-Hodgkin's Lymphoma [NCT02072967] | 97 participants (Actual) | Observational | 2012-05-31 | Completed | |||
Phase 2 Study Evaluating the Safety and Efficacy of Pembrolizumab (KEytruda) in Combination With Bendamustine (TREanda) in Relapsed/Refractory Hodgkin Lymphoma [NCT04510636] | Phase 2 | 37 participants (Anticipated) | Interventional | 2021-12-20 | Recruiting | ||
A Phase I/II Trial of Rituximab, Bendamustine, and Obatoclax in Patients With Relapsed or Refractory Indolent Non-Hodgkin's Lymphoma [NCT01238146] | Phase 1/Phase 2 | 0 participants (Actual) | Interventional | 2010-10-31 | Withdrawn(stopped due to No patients accrued.) | ||
Prospective, Open-label, Multicenter Phase-II Trial to Evaluate Efficacy and Safety of a Sequential Regimen of Bendamustine Followed by GA101 (Obinutuzumab) and CAL-101 (Idelalisib) Followed by CAL-101 and GA101 Maintenance in CLL Patients [NCT02445131] | Phase 2 | 48 participants (Actual) | Interventional | 2015-05-28 | Completed | ||
A Phase 1b/2, Open-Label Trial to Assess the Safety and Preliminary Efficacy of Epcoritamab (GEN3013; DuoBody®-CD3xCD20) in Combination With Other Agents in Subjects With B-cell Non-Hodgkin Lymphoma (B-NHL) [NCT04663347] | Phase 1/Phase 2 | 662 participants (Anticipated) | Interventional | 2020-11-03 | Recruiting | ||
PHASE II CLINICAL PROTOCOL FOR THE TREATMENT OF PATIENTS WITH PREVIOUSLY UNTREATED CHRONIC LYMPHOCYTIC LEUKEMIA WITH A COMBINATION OF BENDAMUSTINE AND OFATUMUMAB [NCT01125787] | Phase 2 | 1 participants (Actual) | Interventional | 2010-05-31 | Terminated(stopped due to Low enrollment) | ||
Randomized Phase 3 Study Evaluating the Efficacy and the Safety of Oral Azacitidine (CC-486) Compared to Investigator's Choice Therapy in Patient With Relapsed or Refractory Angioimmunoblastic T Cell Lymphoma [NCT03593018] | Phase 3 | 86 participants (Actual) | Interventional | 2018-11-09 | Active, not recruiting | ||
Phase I/II Trial of Dexamethasone, Ofatumumab and Bendamustine [Treanda] (DOT) as First-line Treatment of Mantle-cell Lymphoma (MCL) in the Elderly [NCT01221103] | Phase 1/Phase 2 | 50 participants (Anticipated) | Interventional | 2010-04-30 | Recruiting | ||
A Retrospective Multicenter Trial on Efficacy and Toxicity of Bendamustine Alone or Associated With Rituximab, as Salvage Therapy in Patients With Chronic Lymphoproliferative Disorders [NCT01224769] | 109 participants (Actual) | Observational | 2005-09-30 | Completed | |||
PHASE II CLINICAL PROTOCOL FOR THE TREATMENT OF PATIENTS WITH RELAPSED/REFRACTORY CHRONIC LYMPHOCYTIC LEUKEMIA WITH A COMBINATION OF BENDAMUSTINE AND OFATUMUMAB [NCT01131247] | Phase 2 | 37 participants (Anticipated) | Interventional | Withdrawn(stopped due to PI left institution) | |||
Phase I Trial With Cohort Expansion of Pentostatin, Bendamustine and Ofatumumab (PBO) for the Treatment of Chronic Lymphocytic Leukemia and Non-Hodgkin's Lymphoma [NCT01352312] | Phase 1 | 10 participants (Actual) | Interventional | 2011-05-25 | Terminated(stopped due to Insufficient accrual over 12 mo period) | ||
BRIEF: Bendamustine and Rituximab In Elderly Follicular: A Multicentric Phase II Study Evaluating the Benefit of a Short Induction Treatment by Bendamustine and Rituximab Followed by Maintenance Therapy With Rituximab In Elderly (≥ 60 Years Old) Patients [NCT01313611] | Phase 2 | 62 participants (Actual) | Interventional | 2011-02-28 | Terminated(stopped due to Treament with rituximab during maintenance phase was stoped, according to DSMC recommendations, since 3 cases of deaths occured.) | ||
A Phase I Study of Bendamustine and Bevacizumab for Patients With Advanced Cancers [NCT01152203] | Phase 1 | 59 participants (Actual) | Interventional | 2010-06-30 | Completed | ||
A Phase 1/2 Study of Lenalidomide in Combination With Bendamustine (LEBEN) in Relapsed and Primary Refractory Hodgkin Lymphoma [NCT01412307] | Phase 1/Phase 2 | 36 participants (Anticipated) | Interventional | 2011-07-31 | Active, not recruiting | ||
A Phase II, Multicenter, Prospective, Non-randomised, Open-label, Clinical Trial to Evaluate Effectiveness and Safety of BeEAC Conditioning Regimen in Malignant Lymphoma Subjects With Indications to Autologous Hematopoietic Stem-cell Transplantation [NCT03315520] | Phase 2 | 100 participants (Anticipated) | Interventional | 2016-01-22 | Recruiting | ||
A Phase II Study of Bendamustine HCL in Relapsed and Primary Refractory Hodgkin Lymphoma. [NCT00705250] | Phase 2 | 36 participants (Actual) | Interventional | 2008-06-30 | Completed | ||
A Prospective, Open-label, Multicenter Phase-II Trial to Evaluate the Efficacy and Safety of a Sequential Regimen of Bendamustine Followed by Obinutuzumab (GA101), Zanubrutinib (BGB-3111) and Venetoclax (ABT-199) in Patients With Relapsed/Refractory CLL ( [NCT04515238] | Phase 2 | 42 participants (Actual) | Interventional | 2020-10-01 | Active, not recruiting | ||
An Open-Label, Multi-Centre, Randomised, Phase Ib Study to Investigate the Safety and Efficacy of RO5072759 Given in Combination With CHOP, FC or Bendamustine Chemotherapy in Patients With CD20+ B-Cell Follicular Non-Hodgkin's Lymphoma [NCT00825149] | Phase 1 | 137 participants (Actual) | Interventional | 2009-02-28 | Completed | ||
"A PHASE 3 OPEN-LABEL RANDOMIZED STUDY TO COMPARE THE EFFICACY AND SAFETY OF RITUXIMAB PLUS LENALIDOMIDE (CC-5013) VERSUS RITUXIMAB PLUS CHEMOTHERAPY FOLLOWED BY RITUXIMAB IN SUBJECTS WITH PREVIOUSLY UNTREATED FOLLICULAR LYMPHOMA The RELEVANCE Trial (Ritu [NCT01650701] | Phase 3 | 1,030 participants (Actual) | Interventional | 2012-02-29 | Active, not recruiting | ||
A Phase II Trial of Bendamustine in Combination With Rituximab in Older Patients With Previously Untreated Diffuse Large B-cell Lymphoma [NCT01234467] | Phase 2 | 23 participants (Actual) | Interventional | 2011-03-31 | Completed | ||
Phase II Study of Bendamustine and Rituximab Induction Chemoimmunotherapy With Maintenance Lenalidomide and Rituximab in Relapsed/Refractory CLL/SLL [NCT00974233] | Phase 2 | 34 participants (Actual) | Interventional | 2009-10-31 | Completed | ||
A Phase 3, Randomized, Double-blind Study of Duvelisib Administered in Combination With Rituximab and Bendamustine vs Placebo Administered in Combination With Rituximab and Bendamustine in Subjects With Previously-Treated Indolent Non-Hodgkin Lymphoma [NCT02576275] | Phase 3 | 0 participants (Actual) | Interventional | 2015-12-31 | Withdrawn(stopped due to The scope of the program has been reduced to focus resources on studies which can potentially enable the registration of duvelisib.) | ||
Phase II Clinical Study on SyB L-0501 in Patients With Indolent B-cell Non-Hodgkin's Lymphoma or Mantle Cell Lymphoma (Multicenter, Open-label Study) [NCT00612183] | Phase 2 | 56 participants (Anticipated) | Interventional | 2007-12-31 | Completed | ||
A Phase 3b Study in Previously Untreated Chronic Lymphocytic Leukemia (CLL) Subjects, Excluding Those With the 17p Deletion, to Evaluate Debulking Regimens Prior to Initiating Venetoclax Combination Therapy [NCT03406156] | Phase 3 | 120 participants (Actual) | Interventional | 2018-08-10 | Completed | ||
A Phase 1-2 Study of a Novel Conditioning Regimen of Bendamustine and Melphalan Followed by Autologous Stem Cell Transplant for Patients With Multiple Myeloma [NCT00916058] | Phase 1/Phase 2 | 57 participants (Actual) | Interventional | 2009-04-23 | Completed | ||
An Open-Label Study to Evaluate Bendamustine Hydrochloride in the Treatment of Chinese Patients With Indolent Non-Hodgkin Lymphoma (NHL) Refractory to Rituximab Treatment [NCT01596621] | Phase 3 | 102 participants (Actual) | Interventional | 2012-08-06 | Completed | ||
The CAD5 Study::Therapy for Chronic Cold Agglutinin Disease: A Prospective, Non-randomized International Multicenter Trial on the Safety and Efficacy of Bendamustine and Rituximab Combination Therapy [NCT02689986] | Phase 2 | 43 participants (Actual) | Interventional | 2013-01-31 | Completed | ||
Shortened vs Standard Chemotherapy Combined With Immunotherapy for the Initial Treatment of Patients With High Tumor Burden Follicular Lymphoma. A Randomized, Open Label, Phase III Study by Fondazione Italiana Linfomi. [NCT05058404] | Phase 3 | 602 participants (Anticipated) | Interventional | 2021-12-01 | Recruiting | ||
Post-Transplant Bendamustine (PT-BEN) for GVHD Prophylaxis [NCT04022239] | Phase 1/Phase 2 | 40 participants (Anticipated) | Interventional | 2020-03-13 | Recruiting | ||
Phase I Study of Bendamustine With Concurrent Whole Brain Radiation Therapy in Patients With Brain Metastases From Solid Tumors [NCT00879073] | Phase 1 | 12 participants (Actual) | Interventional | 2009-04-30 | Terminated(stopped due to Principal Investigator is leaving Moffitt) | ||
Phase I Study to Evaluate Cellular Immunotherapy Using Memory-Enriched T Cells Lentivirally Transduced to Express a CD19-Specific, Hinge-Optimized, CD28-Costimulatory Chimeric Receptor and a Truncated EGFR Following Lymphodepleting Chemotherapy in Adult P [NCT02153580] | Phase 1 | 37 participants (Actual) | Interventional | 2014-09-24 | Active, not recruiting | ||
A Phase II Evaluation of Bendamustine, Obinutuzumab and Venetoclax in Patients With Untreated Mantle Cell Lymphoma [NCT03872180] | Phase 2 | 23 participants (Actual) | Interventional | 2019-04-11 | Active, not recruiting | ||
A Phase I/II Study of Gemcitabine, Bendamustine, and Nivolumab in Patients With Relapsed or Refractory Classical Hodgkin Lymphoma [NCT03739619] | Phase 1/Phase 2 | 54 participants (Anticipated) | Interventional | 2018-11-26 | Active, not recruiting | ||
A Phase II Study With Bendamustine Plus Brentuximab Vedotin in Hodgkin's Lymphoma and CD30+ Peripheral T-cell Lymphoma in First Salvage Setting: the BBV Regimen. [NCT02499627] | Phase 2 | 43 participants (Actual) | Interventional | 2015-12-23 | Terminated(stopped due to expected accrual not reached) | ||
A Phase 1/2 Clinical Trial to Assess Safety and Efficacy of a New Treatment for Hodgkin Lymphoma's Disease Combining Adcetris® and Levact® in Old Patients [NCT02467946] | Phase 1/Phase 2 | 60 participants (Actual) | Interventional | 2016-01-14 | Completed | ||
Phase I/II Study of the Combination of Bendamustine, Rituximab and MK-2206 in the Treatment of Relapsed Chronic Lymphocytic Leukemia and Small Lymphocytic Lymphoma [NCT01369849] | Phase 1/Phase 2 | 15 participants (Actual) | Interventional | 2011-09-30 | Completed | ||
Adjustment of Chemotherapy Duration in Follicular Lymphoma Patients According to Peripheral Blood or Bone Marrow Minimal Residual Disease Status [NCT04934930] | Phase 2 | 40 participants (Anticipated) | Interventional | 2020-01-29 | Recruiting | ||
A Phase I Study of Melphalan, Bendamustine, and Carfilzomib for Autologous Hematopoietic Stem Cell Transplantation in Patients With Multiple Myeloma [NCT02148913] | Phase 1 | 18 participants (Actual) | Interventional | 2014-06-30 | Completed | ||
A Phase II Study of Bendamustine Plus Rituximab (BR) in Patients With Relapsed or Progressive Marginal Zone B-cell Lymphoma (MZBCL) [NCT02433795] | Phase 2 | 27 participants (Actual) | Interventional | 2015-05-31 | Completed | ||
A Phase II Trial of Bendamustine, Carboplatin and Dexamethasone (BCD) for Refractory or Relapsed Peripheral T-cell Lymphoma: BENCART Trial [NCT02424045] | Phase 2 | 30 participants (Actual) | Interventional | 2015-05-31 | Completed | ||
A Phase 3, Open-label, Randomized Study to Compare the Efficacy and Safety of Odronextamab (REGN1979), an Anti-CD20 X Anti-CD3 Bispecific Antibody Versus Investigator's Choice in Previously Untreated Participants With Follicular Lymphoma (OLYMPIA-1) [NCT06091254] | Phase 3 | 478 participants (Anticipated) | Interventional | 2023-12-12 | Recruiting | ||
A Pilot Study of Immunotherapy Including Haploidentical NK Cell Infusion Following CD133+ Positively-Selected Autologous Hematopoietic Stem Cells in Children With High Risk Solid Tumors or Lymphomas [NCT02130869] | Phase 1 | 8 participants (Actual) | Interventional | 2014-10-10 | Completed | ||
A Phase 3 Randomized, Open-Label, Multicenter Study Comparing Zanubrutinib (BGB-3111) Plus Rituximab Versus Bendamustine Plus Rituximab in Patients With Previously Untreated Mantle Cell Lymphoma Who Are Ineligible for Stem Cell Transplantation [NCT04002297] | Phase 3 | 500 participants (Anticipated) | Interventional | 2019-08-21 | Recruiting | ||
A Phase Ib Dose Escalation Trial of Carfilzomib in Combination With Bendamustine and Rituximab In Patients With Relapsed or Refractory Non-Hodgkin Lymphoma [NCT02187133] | Phase 1 | 10 participants (Actual) | Interventional | 2015-05-05 | Completed | ||
A Phase I Trial of Bendamustine Plus Alemtuzumab for the Treatment of Fludarabine Refractory Chronic Lymphocytic Leukemia [NCT00947388] | Phase 1 | 9 participants (Actual) | Interventional | 2008-11-30 | Terminated(stopped due to No more eligible patients) | ||
A Phase 1, Open-Label, Single Center Study of KYV-101, an Autologous Fully-Human Anti-CD19 Chimeric Antigen Receptor T-Cell (CD19 CAR T) Therapy, in Subjects With Non-relapsing and Progressive Forms of Multiple Sclerosis [NCT06138132] | Phase 1 | 12 participants (Anticipated) | Interventional | 2023-12-31 | Not yet recruiting | ||
Phase II Study of the Administration of T Lymphocytes Expressing the CD30 Chimeric Antigen Receptor (CAR) for Relapsed/Refractory CD30+ Peripheral T Cell Lymphoma [NCT04083495] | Phase 2 | 20 participants (Anticipated) | Interventional | 2019-09-17 | Recruiting | ||
A Phase 1/2, Open-label, Multi-center Study to Assess the Safety and Tolerability of Durvalumab (Anti-PDL1 Antibody) as Monotherapy and in Combination Therapy in Subjects With Lymphoma or Chronic Lymphocitic Leukemia [NCT02733042] | Phase 1/Phase 2 | 106 participants (Actual) | Interventional | 2016-05-11 | Completed | ||
A Multicentric, Open-Label, Single Arm Study of Obinutuzumab Short Duration Infusion (SDI) in Patients With Previously Untreated Advanced Follicular Lymphoma [NCT03817853] | Phase 4 | 114 participants (Actual) | Interventional | 2019-02-26 | Completed | ||
Frontline Treatment With Bendamustine in Combination With Rituximab in Adults Age 65 or Older With Chronic Lymphocytic Leukemia: A Phase II Study [NCT00758693] | Phase 2 | 0 participants (Actual) | Interventional | 2008-10-31 | Withdrawn(stopped due to Funding was withdrawn due to insufficient accrual) | ||
An Open-Label Study of Bendamustine Combined With Bortezomib for Patients With Relapsed/Refractory Multiple Myeloma [NCT00920855] | Phase 1/Phase 2 | 40 participants (Actual) | Interventional | 2009-06-30 | Completed | ||
A Phase II Study of the Bruton's Tyrosine Kinase Inhibitor, PCI-32765 (Ibrutinib), in Combination With Bendamustine and Rituximab (BR) for Patients With Relapsed/Refractory Aggressive B Cell Lymphomas [NCT02747732] | Phase 2 | 72 participants (Anticipated) | Interventional | 2016-12-31 | Recruiting | ||
An Open-Label Study of Bendamustine Hydrochloride in Combination With Rituximab in the Treatment of Patients With Relapsed/Refractory Mantle Cell Lymphoma [NCT00891839] | Phase 2 | 45 participants (Actual) | Interventional | 2009-06-30 | Completed | ||
Rituximab, Bendamustine and Lenalidomide in Patients With Aggressive B-cell Lymphoma Not Eligible for High Dose Chemotherapy or Anthracycline-Based Therapy. A Phase I/II Trial. [NCT00987493] | Phase 1/Phase 2 | 49 participants (Actual) | Interventional | 2009-09-30 | Completed | ||
Phase 2 Study of Cytarabine in Association With Bendamustine and Rituximab in the Treatment of Relapsed/Refractory Diffuse Large B Cell Lymphoma [NCT02758925] | Phase 2 | 78 participants (Anticipated) | Interventional | 2016-06-30 | Not yet recruiting | ||
A Phase 2/3 Multicenter, Open-label, Randomized, Active-Control Study of Zilovertamab Vedotin (MK-2140) in Combination With Standard of Care in Participants With Relapsed or Refractory Diffuse Large B-Cell Lymphoma (waveLINE-003) [NCT05139017] | Phase 2/Phase 3 | 420 participants (Anticipated) | Interventional | 2022-01-14 | Recruiting | ||
Multicentric, Non-Randomized Phase 2 Trial of Bendamustine And Rituximab for Patients With Previously Untreated Extranodal Mucosa-Associated Lymphoid Tissue (MALT) Lymphoma [NCT01015248] | Phase 2 | 60 participants (Actual) | Interventional | 2009-05-31 | Completed | ||
Prospective Randomised Multicenter Study for Therapy Optimization (First Line) of Advanced Progredient, Low Malignant Non-Hodgkin Lymphomas and Mantle Cell Lymphomas [NCT00991211] | Phase 3 | 549 participants (Actual) | Interventional | 2004-01-31 | Completed | ||
IIT2017-03-Merin-HaploBFR: Bendamustine, Fludarabine, And Rituximab Conditioning For Haploidentical Stem Cell Transplantation With CD56-Enriched Donor Cell Infusion For Relapsed/Refractory Lymphoma, Multiple Myeloma, and CLL [NCT03524235] | Phase 1 | 30 participants (Anticipated) | Interventional | 2018-07-18 | Active, not recruiting | ||
Phase I Study of Bendamustine and Fractionated Stereotactic Radiotherapy of Patients With 1- 4 Brain Metastases From Solid Malignancies [NCT00837928] | Phase 1 | 18 participants (Actual) | Interventional | 2009-02-19 | Completed | ||
A Multicentre Phase I-II Study to Investigate the Combination of Bendamustine With Weekly Paclitaxel as First or Second Line Therapy in Patients With Metastatic Breast Cancer [NCT00661739] | Phase 1 | 38 participants (Actual) | Interventional | 2005-07-31 | Completed | ||
Phase III Trial of Combined Immunochemotherapy With Fludarabine, Cyclophosphamide and Rituximab (FCR) Versus Bendamustine and Rituximab (BR) in Patients With Previously Untreated Chronic Lymphocytic Leukaemia [NCT00769522] | Phase 3 | 564 participants (Actual) | Interventional | 2008-10-02 | Completed | ||
A Phase III, Multicenter, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of Polatuzumab Vedotin in Combination With Bendamustine and Rituximab Compared With Bendamustine and Rituximab Alone in Chinese Patients With [NCT04236141] | Phase 3 | 42 participants (Actual) | Interventional | 2020-07-10 | Terminated(stopped due to Sponsor's decision, no safety concerns) | ||
Open Label Phase II Trial of Bendamustine Hydrochloride (HCL) in Women With Advanced Ovarian Cancer [NCT00867503] | Phase 2 | 10 participants (Actual) | Interventional | 2009-02-28 | Completed | ||
A Multicenter Phase I Clinical Trial to Assess the Safety of Two Consecutive Days of SyB L-0501 in Combination With Rituximab to Patients With Aggressive B-cell Non-Hodgkin's Lymphoma [NCT00794638] | Phase 1 | 9 participants (Actual) | Interventional | 2008-11-30 | Completed | ||
First-line Treatment of Mantle Cell Lymphoma of Old Patients . Evaluate the Efficacy, Toxicity, and Molecular Prognostic Factors of Velcade®) in Association With Chemotherapy and Immunotherapy With Rituximab [NCT00740415] | Phase 2 | 39 participants (Actual) | Interventional | 2007-06-30 | Completed | ||
Prospective, Open-label, Multicentre Phase-II Trial to Evaluate Efficacy and Safety of a Sequential Regimen of Bendamustine Followed by Ofatumumab and Ibrutinib Followed by Ibrutinib and Ofatumumab Maintenance in CLL Patients [NCT02689141] | Phase 2 | 66 participants (Actual) | Interventional | 2016-02-04 | Completed | ||
A Randomized Phase II Trial of Ofatumumab and Bendamustine vs. Ofatumumab, Bortezomib (NSC # 681239) and Bendamustine in Patients With Untreated Follicular Lymphoma [NCT01286272] | Phase 2 | 135 participants (Actual) | Interventional | 2011-04-08 | Active, not recruiting | ||
Multicenter Phase II Study of Bendamustine Plus Subcutaneous Rituximab in Patients With Diffuse Large B-cell Lymphoma (DLBCL) Type Monomorphic Post-transplant Lymphoproliferative Disorder [NCT02753062] | Phase 2 | 22 participants (Anticipated) | Interventional | 2015-08-31 | Recruiting | ||
Bendamustine Combined With Rituximab for Patients With Relapsed or Refractory Diffuse Large B-Cell Lymphoma [NCT00831597] | Phase 2 | 61 participants (Actual) | Interventional | 2008-11-30 | Completed | ||
S0902, Phase II Study of Bendamustine Plus Rituximab for the Treatment of Refractory B-Cell Chronic Lymphocytic Leukemia [NCT00939328] | Phase 2 | 0 participants (Actual) | Interventional | 2009-09-30 | Withdrawn(stopped due to question was no longer committee priority) | ||
A Phase 1 Study Evaluating the Safety of ABT-263 in Combination With Either Fludarabine/Cyclophosphamide/Rituximab (FCR) or Bendamustine/Rituximab (BR) in Subjects With Relapsed or Refractory Chronic Lymphocytic Leukemia [NCT00868413] | Phase 1 | 32 participants (Actual) | Interventional | 2009-11-30 | Completed | ||
Pilot Study of Bortezomib, Bendamustine and Rituximab for Patients With Relapsed or Refractory, Indolent or Mantle Cell Non-Hodgkin's Lymphoma [NCT00547534] | Phase 2 | 31 participants (Actual) | Interventional | 2007-10-31 | Completed | ||
Fludarabine, Bendamustine, and Rituximab (FBR) Non-Myeloablative Allogeneic Conditioning for Patients With Lymphoid Malignancies [NCT00880815] | Phase 1 | 60 participants (Actual) | Interventional | 2009-02-17 | Completed | ||
Addition of Inotuzumab Ozogamicin Pre- and Post-Allogeneic Transplantation [NCT03856216] | Phase 2 | 44 participants (Anticipated) | Interventional | 2019-10-28 | Recruiting | ||
"Bendamustine in Patients With Refractory or Relapsed T-cell Lymphoma. A Phase II Multicenter Study BENTLY" [NCT00959686] | Phase 2 | 45 participants (Anticipated) | Interventional | 2009-09-30 | Completed | ||
Bendamustine Versus Fludarabine as 2nd-line Treatment in Chronic Lymphocytic Leukemia, Stage BINET B+C / RAI II-IV [NCT01423032] | Phase 2/Phase 3 | 96 participants (Actual) | Interventional | 2001-09-30 | Completed | ||
A Phase II Study of Bendamustine, Velcade and Dexamethasone (BVD) in the Treatment of Elderly Patients (>= 65 Years) With Multiple Myeloma in 1st Relapse or Refractory to 1st Line Therapy [NCT01045681] | Phase 2 | 75 participants (Actual) | Interventional | 2010-03-03 | Completed | ||
A Phase II Multicenter Open Label Risk Stratified Sequential Treatment With Rituximab, Brentuximab Vedotin and Bendamustine (RBvB) in Patients Newly Diagnosed. [NCT04138875] | Phase 2 | 0 participants (Actual) | Interventional | 2022-01-31 | Withdrawn(stopped due to Lack of funding) | ||
Immunochemotherapy With Rituximab-Bendamustine-Cytarabine for Patients With Mantle Cell Lymphoma Not Eligible for Intensive Regimens or Autologous Transplantation. [NCT00992134] | Phase 2 | 41 participants (Actual) | Interventional | 2009-06-30 | Completed | ||
Open-Label Study to Investigate the Pharmacokinetics of Bendamustine Hydrochloride Following Intravenous Infusion of [14C] Bendamustine Hydrochloride in Patients With Relapsed or Refractory Malignancy [NCT00863850] | Phase 1 | 6 participants (Actual) | Interventional | 2009-05-31 | Completed | ||
Phase I Clinical Trial of Bendamustine, Lenalidomide and Rituximab in B-Cell Lymphoid Malignancies [NCT00864942] | Phase 1 | 28 participants (Actual) | Interventional | 2009-02-28 | Completed | ||
Phase I Study of Bendamustine in Combination With Lenalidomide (CC-5013) and Dexamethasone in Patients With Refractory or Relapsed Multiple Myeloma [NCT01042704] | Phase 1 | 29 participants (Actual) | Interventional | 2008-02-29 | Completed | ||
A Phase 3, Randomized, Open-Label, Controlled, Multicenter Study of Zandelisib (ME- 401) in Combination With Rituximab Versus Standard Immunochemotherapy in Patients With Relapsed Indolent Non Hodgkin's Lymphoma (iNHL) - The COASTAL Study [NCT04745832] | Phase 3 | 82 participants (Actual) | Interventional | 2021-08-13 | Terminated(stopped due to Discontinuation of zandelisib program) | ||
Pilot Study of CPI-613, in Combination With Bendamustine, in Patients With Relapsed or Refractory T-Cell Non-Hodgkin Lymphoma [NCT04217317] | Phase 2 | 12 participants (Anticipated) | Interventional | 2020-09-16 | Recruiting | ||
A Phase 3, Randomized, Double-blind, Placebo-controlled, Multicenter Study of Bendamustine and Rituximab (BR) Alone Versus in Combination With Acalabrutinib (ACP-196) in Subjects With Previously Untreated Mantle Cell Lymphoma [NCT02972840] | Phase 3 | 635 participants (Actual) | Interventional | 2017-04-05 | Active, not recruiting | ||
Adequacy of Peripheral Blood Stem Cell Mobilization in Patients With Relapsed Lymphoma Treated With Bendamustine: A Pilot Project and a Proof of Concept Study [NCT01022021] | Early Phase 1 | 17 participants (Actual) | Interventional | 2010-01-31 | Completed | ||
Phase II Study With Bendamustine, Gemcitabine and Vinorelbine (BeGEV) as Induction Therapy in Relapsed/Refractory Hodgkin's Lymphoma Patients Before High Dose Chemotherapy With Autologous Hematopoietic Stem Cells Transplant [NCT01884441] | Phase 2 | 59 participants (Anticipated) | Interventional | 2011-07-31 | Recruiting | ||
A Phase I Trial of Bendamustine in Combination With Clofarabine and Etoposide in Pediatric Patients With Relapsed or Refractory Hematologic Malignancies [NCT01900509] | Phase 1 | 16 participants (Actual) | Interventional | 2013-08-31 | Completed | ||
A Phase I/II Trial of Bendamustine in Combination With Bortezomib and Pegylated Liposomal Doxorubicin in Patients With Relapsed or Refractory Multiple Myeloma: Hoosier Cancer Research Network MM08-141 [NCT01177683] | Phase 1/Phase 2 | 32 participants (Actual) | Interventional | 2010-07-31 | Terminated(stopped due to Lack of accrual) | ||
A Multicenter, Single-arm Phase II Study to Evaluate the Efficacy and Safety of Bendamustine Hydrochloride Injection in Subjects With Rituximab-resistant Indolent B-Cell Non-Hodgkin's Lymphomas [NCT04569838] | Phase 2 | 91 participants (Actual) | Interventional | 2012-05-31 | Completed | ||
Rituximab Plus Bendamustine as Front Line Treatment in Frail Elderly (>70 Years) Patients With Diffuse Large B-cell Non-Hodgkin's Lymphoma: a Phase II Multicenter Study of the Fondazione Italiana Linfomi (FIL) [NCT01990144] | Phase 2 | 49 participants (Anticipated) | Interventional | 2011-11-30 | Recruiting | ||
Phase I/II Study of Carfilzomib in Combination With Bendamustine and Dexamethasone in Patients With Newly Diagnosed Multiple Myeloma [NCT02002598] | Phase 1/Phase 2 | 20 participants (Actual) | Interventional | 2013-11-30 | Completed | ||
A Phase I/Ib Study Evaluating the Efficacy and Safety of Ublituximab, a Third-Generation Anti-CD20 Monoclonal Antibody, in Combination With TGR-1202, a Novel PI3k Delta Inhibitor; and Ibrutinib or Bendamustine, in Patients With B-cell Malignancies. [NCT02006485] | Phase 1 | 160 participants (Actual) | Interventional | 2013-12-13 | Completed | ||
A Phase 1b/2 Open Label Study to Evaluate the Safety and Efficacy of TRU-016 in Combination With Bendamustine vs. Bendamustine Alone in Patients With Relapsed Chronic Lymphocytic Leukemia [NCT01188681] | Phase 1/Phase 2 | 79 participants (Actual) | Interventional | 2010-09-30 | Completed | ||
Phase I Study of Bendamustine, Rituximab, Ibrutinib, and Venetoclax in Relapsed, Refractory Mantle Cell Lymphoma [NCT03295240] | Early Phase 1 | 10 participants (Actual) | Interventional | 2017-09-20 | Active, not recruiting | ||
A Multicenter Phase II Study Evaluating BeEAM (Bendamustine, Etoposide, Cytarabine, Melphalan) Prior to Autologous Stem Cell Transplant for First and Second Chemosensitive Relapses in Patients With Follicular Lymphoma [NCT02008006] | Phase 2 | 21 participants (Actual) | Interventional | 2014-07-09 | Terminated(stopped due to Insufficient recruitment and unavailability of the treatment) | ||
AN OPEN-LABEL, RANDOMIZED, PHASE 3 STUDY OF INOTUZUMAB OZOGAMICIN ADMINISTERED IN COMBINATION WITH RITUXIMAB COMPARED TO DEFINED INVESTIGATOR'S CHOICE THERAPY IN SUBJECTS WITH RELAPSED OR REFRACTORY CD22-POSITIVE AGGRESSIVE NON-HODGKIN LYMPHOMA WHO ARE NO [NCT01232556] | Phase 3 | 338 participants (Actual) | Interventional | 2011-04-04 | Terminated(stopped due to The study was terminated prematurely on May 16, 2013, for futility. No new or unexpected safety issues were identified.) | ||
A Phase 3 Open-Label, Randomized Study of Pirtobrutinib (LOXO-305) Versus Bendamustine Plus Rituximab in Untreated Patients With Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma [NCT05023980] | Phase 3 | 250 participants (Anticipated) | Interventional | 2021-09-23 | Recruiting | ||
A Phase 3 Randomized Clinical Study of MK-4280A (Coformulated Favezelimab [MK-4280] Plus Pembrolizumab [MK-3475]) Versus Physician's Choice Chemotherapy in PD-(L)1-refractory, Relapsed or Refractory Classical Hodgkin Lymphoma (KEYFORM-008) [NCT05508867] | Phase 3 | 360 participants (Anticipated) | Interventional | 2022-10-18 | Recruiting | ||
Randomized Phase II Trial in Early Relapsing or Refractory Follicular Lymphoma [NCT03269669] | Phase 2 | 95 participants (Anticipated) | Interventional | 2018-01-23 | Recruiting | ||
An Open-Label Study of Bendamustine Hydrochloride for the Treatment of Pediatric Patients With Relapsed or Refractory Acute Leukemia [NCT01088984] | Phase 1/Phase 2 | 43 participants (Actual) | Interventional | 2010-08-31 | Completed | ||
A Phase I Study to Investigate the Safety and Clinical Activity of Idelalisib in Combination With Chemotherapeutic Agents, Immunomodulatory Agents and Anti-CD20 mAb in Subjects With Relapsed or Refractory Indolent B-cell Non-Hodgkin Lymphoma, Mantle Cell [NCT01088048] | Phase 1 | 241 participants (Actual) | Interventional | 2010-03-25 | Completed | ||
Phase II Trial of Bendamustine in Adult Patients With Acute Lymphoblastic Leukemia/Lymphoma [NCT01649622] | Phase 2 | 0 participants (Actual) | Interventional | 2012-12-31 | Withdrawn | ||
"Subcutaneous Rituximab and Intravenous Bendamustine in Very Elderly Patients or Elderly Medically Non Fit Patients (Slow Go) With Aggressive CD20-positive B-cell" [NCT01686321] | Phase 2 | 68 participants (Actual) | Interventional | 2012-07-04 | Completed | ||
A Multicenter, Phase III, Open-Label, Randomized Study in Previously Untreated Patients With Advanced Indolent Non-Hodgkin's Lymphoma Evaluating the Benefit of GA101 (RO5072759) Plus Chemotherapy Compared With Rituximab Plus Chemotherapy Followed by GA101 [NCT01332968] | Phase 3 | 1,401 participants (Actual) | Interventional | 2011-07-06 | Completed | ||
A Phase 1b/2a Study of ABT-888 in Combination With Bendamustine +/- Rituximab in Lymphoma, Multiple Myeloma and Solid Tumors [NCT01326702] | Phase 1/Phase 2 | 43 participants (Actual) | Interventional | 2011-07-31 | Completed | ||
Phase 1 Trial of Dasatinib and Bendamustine in Chronic Lymphocytic Leukemia [NCT00872976] | Phase 1 | 0 participants (Actual) | Interventional | 2009-05-31 | Withdrawn(stopped due to Business Objectives Changed) | ||
Treatment With Lenalidomide, Bendamustine and Prednisone (RBP) in Patients With Relapsed or Refractory Multiple Myeloma After Autologous Stem Cell Transplantation or Conventional Chemotherapy OSHO #077 [NCT01002703] | Phase 1/Phase 2 | 50 participants (Anticipated) | Interventional | 2009-09-30 | Recruiting | ||
Phase II Study of Brentuximab Vedotin in Combination With Bendamustine and Rituximab, in Patients With CD30 Positive, Relapsed or Refractory B Cell Non-Hodgkin Lymphoma (NHL) [NCT02623920] | Phase 2 | 0 participants (Actual) | Interventional | 2015-12-16 | Withdrawn(stopped due to Pharmaceutical company supplying the drug withdraw financial support. PI has decided to close study prior to enrollment of any patients.) | ||
Phase I/IIa Study of the Novel Combination of Bendamustine With Irinotecan Followed by Etoposide/Carboplatin in Chemonaive Patients With Extensive Stage Small Cell Lung Cancer [NCT00856830] | Phase 1/Phase 2 | 30 participants (Actual) | Interventional | 2009-04-30 | Completed | ||
Bendamustine Combined With Alemtuzumab in Pretreated Chronic Lymphocytic Leukemia (CLL) - A Phase I/II Trial With Concomitant Evaluation of Safety and Efficacy [NCT00951457] | Phase 1/Phase 2 | 20 participants (Actual) | Interventional | 2009-03-31 | Completed | ||
An Open-Label, Multicenter, Randomized, Phase III Study to Investigate the Efficacy and Safety of Bendamustine Compared With Bendamustine+RO5072759 (GA101) in Patients With Rituximab-Refractory, Indolent Non-Hodgkin's Lymphoma [NCT01059630] | Phase 3 | 413 participants (Actual) | Interventional | 2010-04-30 | Completed | ||
An Open-Label Study to Evaluate the Efficacy and Safety of Treatment With Bendamustine in Combination With Ofatumumab in Previously Untreated Patients With Indolent B-Cell Non-Hodgkin's Lymphoma (NHL) [NCT01108341] | Phase 2 | 50 participants (Actual) | Interventional | 2010-05-31 | Completed | ||
A Study to Assess the Effect of Treatment With Bendamustine in Combination With Rituximab on QT Interval in Patients With Advanced Indolent Non-Hodgkin's Lymphoma (NHL) or Mantle Cell Lymphoma (MCL) [NCT01073163] | Phase 3 | 54 participants (Actual) | Interventional | 2010-02-28 | Completed | ||
A Phase II Study of Bendamustine, Mitoxantrone, and Rituximab (BMR) for Patients With Untreated High Risk Follicular Lymphoma [NCT00901927] | Phase 2 | 14 participants (Actual) | Interventional | 2009-05-31 | Terminated(stopped due to Study was closed early due to toxicity) | ||
Nonmyeloablative Stem Cell Transplantation With or Without Lenalidomide for Chronic Lymphocytic Leukemia (RV-CLL-PI-0294) [NCT00899431] | Phase 2 | 39 participants (Actual) | Interventional | 2009-05-06 | Terminated(stopped due to Terminated per PI's request at the time of continuing review) | ||
An Open-Label, Randomized, Parallel-Group Study of Bendamustine Hydrochloride and Rituximab (BR) Compared With Rituximab, Cyclophosphamide, Vincristine, and Prednisone (R-CVP) or Rituximab, Cyclophosphamide, Doxorubicin, Vincristine, and Prednisone (R-CHO [NCT00877006] | Phase 3 | 447 participants (Actual) | Interventional | 2009-04-30 | Completed | ||
Phase II Study for Safety and Efficacy of BEB (Bendamustine, Etoposide, Busulfan) Conditioning Regimen for ASCT in Non-Hodgkin's Lymphoma [NCT02836639] | Phase 2 | 20 participants (Anticipated) | Interventional | 2016-02-29 | Recruiting | ||
Bendamustine and Rituximab for the Treatment of Splenic Marginal Zone Lymphoma. The International Extranodal Lymphoma Study Group (IELSG) 36 Phase II Prospective Study [NCT02853370] | Phase 2 | 78 participants (Actual) | Interventional | 2012-07-31 | Completed | ||
Lenalidomide in Combination With Bendamustine and Rituximab for Previously Untreated Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma(CLL/SLL): a Phase I Study [NCT01400685] | Phase 1 | 34 participants (Anticipated) | Interventional | 2012-12-31 | Completed | ||
A Phase II, Multicenter, Randomized, Controlled, Open-Label Study of Bendamustine + Rituximab With or Without Navitoclax in Patients With Relapsed Diffuse Large B-Cell Lymphoma [NCT01423539] | Phase 2 | 0 participants (Actual) | Interventional | 2011-10-31 | Withdrawn(stopped due to The NAVIGATE study has been terminated due to non-safety related reasons.) | ||
A Pilot/Feasibility Phase I Study of Bendamustine, Rituximab and Lenalidomide in Patients With Refractory/Relapsed Indolent NHL [NCT01429025] | Phase 1 | 26 participants (Actual) | Interventional | 2012-05-31 | Completed | ||
A Phase 2b Randomized Study to Assess the Efficacy and Safety of the Combination of Ublituximab + Umbralisib With or Without Bendamustine and Umbralisib Alone in Patients With Previously Treated Non-Hodgkin's Lymphoma [NCT02793583] | Phase 2/Phase 3 | 710 participants (Actual) | Interventional | 2016-05-25 | Terminated(stopped due to Strategic/Business Decision) | ||
Randomized Open Label of Ofatumumab and Bendamustine Combination Compared With Bendamustine Monotherapy in Indolent B-cell Non-Hodgkin's Lymphoma Unresponsive to Rituximab or a Rituximab-Containing Regimen During or Within Six Months of Treatment [NCT01077518] | Phase 3 | 346 participants (Actual) | Interventional | 2010-08-26 | Terminated(stopped due to The study was terminated early as it did not meet the Primary efficacy objective after primary analysis.) | ||
Dose-escalation Study of Graft-versus-host Disease Prophylaxis With High-dose Post-transplantation Bendamustine in Patients With Refractory Acute Leukemia [NCT02799147] | Phase 1/Phase 2 | 27 participants (Actual) | Interventional | 2016-06-30 | Completed | ||
A Phase I, Dose-escalation Trial of Rituxan and Bendamustine in Combination With Bruton's Tyrosine Kinase Inhibitor, PCI-32765, in Patients With Relapsed Diffuse Large B-cell Lymphoma, Mantle Cell Lymphoma, or Indolent Non-Hodgkin's Lymphoma [NCT01479842] | Phase 1 | 48 participants (Actual) | Interventional | 2011-12-07 | Active, not recruiting | ||
An Open-label, Phase Ib Study of IPI-145 in Combination With Rituximab or Bendamustine/Rituximab in Select Subjects With Lymphoma or Chronic Lymphocytic Leukemia [NCT01871675] | Phase 1 | 48 participants (Actual) | Interventional | 2013-05-31 | Completed | ||
A Phase II Open-Label Study of Ofatumumab and Bendamustine Followed by Maintenance Ofatumumab for Indolent B-cell Non-Hodgkin's Lymphoma (B-NHL) Which Has Relapsed After Rituximab or a Rituximab Containing Therapy [NCT01294579] | Phase 2 | 49 participants (Actual) | Interventional | 2011-05-17 | Completed | ||
A Phase II Study of Bendamustine in the Treatment of Recurrent High-Grade Gliomas (Anaplastic Gliomas and Glioblastoma) [NCT00823797] | Phase 2 | 45 participants (Actual) | Interventional | 2008-10-31 | Completed | ||
Department of Hematologic Oncology, Sun Yat-sen University Cancer Center, Guangzhou, China [NCT04762745] | Phase 1/Phase 2 | 56 participants (Anticipated) | Interventional | 2021-02-28 | Not yet recruiting | ||
A Single-arm, Multi-center Phase II Trial of Bendamustine/Rituximab Induction Followed by Venetoclax and Rituximab Consolidation for the Frontline Treatment of Chronic Lymphocytic Leukemia (CLL) [NCT03609593] | Phase 2 | 42 participants (Actual) | Interventional | 2018-11-12 | Active, not recruiting | ||
A Dose-Ranging Study of Bendamustine and Rituximab in Chronic Lymphocytic Leukemia (CLL) Patients With Comorbidities and/or Renal Dysfunction [NCT01832922] | Phase 1 | 8 participants (Actual) | Interventional | 2013-04-30 | Completed | ||
Phase I Study of the Administration of T Lymphocytes Co-Expressing the CD30 Chimeric Antigen Receptor (CAR) and CCR4 for Relapsed/Refractory CD30+ Hodgkin Lymphoma and Cutaneous T-Cell Lymphoma [NCT03602157] | Phase 1 | 59 participants (Anticipated) | Interventional | 2018-12-12 | Recruiting | ||
Benadamustine, Fludarabine and Busulfan Conditioning in Recipients of Haploidentical Stem Cell Transplantation (FluBuBe) [NCT04942730] | Phase 2 | 40 participants (Anticipated) | Interventional | 2021-01-21 | Recruiting | ||
Graft-versus-host Disease Prophylaxis With Combination of Post-transplantation Benadamustine and Cyclophosphamide in Patients With Refractory Myeloid Malignancies (PTBCy) [NCT04943757] | Phase 2 | 50 participants (Anticipated) | Interventional | 2021-01-21 | Recruiting | ||
A Multi-Center, Open-Label, Phase 1/2 Clinical Trial to Evaluate the Safety and Anti-Tumor Activity of AB-101 Monotherapy and AB-101 With Immunotherapy in Patients With Relapsed/Refractory Non-Hodgkin Lymphoma of B-Cell Origin. [NCT04673617] | Phase 1/Phase 2 | 108 participants (Anticipated) | Interventional | 2021-03-29 | Recruiting | ||
A Multicenter, Phase III, Open-Label, Randomized Study in Relapsed/Refractory Patients With Chronic Lymphocytic Leukemia to Evaluate the Benefit of Venetoclax (GDC-0199/ABT-199) Plus Rituximab Compared With Bendamustine Plus Rituximab [NCT02005471] | Phase 3 | 389 participants (Actual) | Interventional | 2014-03-17 | Completed | ||
A Multi-Center Phase III Study to Investigate the Safety and Efficacy of Treanda™ (Bendamustine HCl) in Patients With Indolent Non-Hodgkin's Lymphoma (NHL) Who Are Refractory to Rituximab [NCT00139841] | Phase 3 | 103 participants (Actual) | Interventional | 2005-10-31 | Completed | ||
A Multicenter, Phase III, Randomized Study to Evaluate the Efficacy of Response-adapted Strategy to Define Maintenance After Standard Chemoimmunotherapy in Patients With Advanced-stage Follicular Lymphoma. [NCT02063685] | Phase 3 | 807 participants (Actual) | Interventional | 2012-07-31 | Completed | ||
A Phase II Study of Bendamustine in Combination With Rituximab as Initial Treatment for Patients With Indolent Non-follicular Non-Hodgkin's Lymphoma [NCT01929265] | Phase 2 | 73 participants (Actual) | Interventional | 2011-01-31 | Completed | ||
A Phase 1 Study of Cosibelimab (TG-1501) in Subjects With Relapsed or Refractory Lymphoma [NCT03778073] | Phase 1 | 18 participants (Actual) | Interventional | 2019-04-17 | Terminated(stopped due to Strategic/Business Decision) | ||
A Multi-Center Phase II Study to Investigate the Safety and Activity of SDX-105 (Bendamustine) in Combination With Rituximab in Patients With Relapsed Indolent or Mantle Cell Non-Hodgkin's Lymphoma (NHL) [NCT00076349] | Phase 2 | 66 participants (Actual) | Interventional | 2004-04-30 | Completed | ||
Treatment of Relapsed / Refractory Chronic Lymphocytic Leukemia (CLL) WITH Bendamustine / Mitoxantrone (BM) [NCT00274963] | Phase 2 | 60 participants (Anticipated) | Interventional | 2004-10-31 | Completed | ||
A Prospective, Open-Label, Multicenter Randomized Phase III Study to Compare The Efficacy and Safety of A Combined Regimen of Venetoclax and Obinutuzumab Versus Fludarabine, Cyclophosphamide, and Rituximab (FCR)/Bendamustine and Rituximab (BR) in FIT Pati [NCT04285567] | Phase 3 | 166 participants (Actual) | Interventional | 2020-05-28 | Active, not recruiting | ||
A Phase 3 Randomized, Open-Label, Multicenter Study Evaluating the Efficacy of Axicabtagene Ciloleucel Versus Standard of Care Therapy in Subjects With Relapsed/Refractory Follicular Lymphoma [NCT05371093] | Phase 3 | 230 participants (Anticipated) | Interventional | 2022-09-12 | Recruiting | ||
Phase I/II Study of Bendamustine and Erlotinib for Metastatic or Locally Advanced Triple Negative Breast Cancer [NCT00834678] | Phase 1/Phase 2 | 11 participants (Actual) | Interventional | 2009-04-30 | Completed | ||
Ofatumumab and Bendamustine in Previously Treated Chronic Lymphocytic Leukemia/ Small Lymphocytic Leukemia [NCT01010568] | Phase 2 | 10 participants (Actual) | Interventional | 2010-04-30 | Terminated(stopped due to Unable to accrue patients due to change in standard CLL therapy) | ||
A Phase I/II Clinical Trial of Fludarabine, Bendamustine, and Rituximab (FBR) in Previously Treated Patients With Chronic Lymphocytic Leukemia (CLL) [NCT01096992] | Phase 1/Phase 2 | 51 participants (Actual) | Interventional | 2010-04-19 | Completed | ||
Phase II Study of the Combination of Bendamustine and Dexamethasone in Patients With Relapsed AL Amyloidosis [NCT01222260] | Phase 2 | 40 participants (Actual) | Interventional | 2013-01-31 | Completed | ||
A Phase I Study of FT819 in Subjects With B-cell Malignancies [NCT04629729] | Phase 1 | 396 participants (Anticipated) | Interventional | 2021-07-26 | Recruiting | ||
Multicenter Phase II Study With Bendamustin for Patients With Refractory Soft Tissue Sarcoma [NCT00204620] | Phase 2 | 28 participants | Interventional | 2002-03-31 | Completed | ||
An Open-Label, Multicenter, Phase Ib Trial of GA101 (RO5072759) in Combination With Chemotherapy in Patients With Previously Untreated Chronic Lymphocytic Leukemia [NCT01300247] | Phase 1 | 41 participants (Actual) | Interventional | 2011-05-31 | Completed | ||
A Phase I Study of Bendamustine and Melphalan Conditioning and Autologous Stem Cell Transplantation for Treatment of Multiple Myeloma and Relapsed/Refractory B-cell Lymphoma in Elderly Patients [NCT03352765] | Phase 1 | 28 participants (Anticipated) | Interventional | 2017-11-20 | Active, not recruiting | ||
Brief Induction Chemoimmunotherapy With Rituximab + Bendamustine + Mitoxantrone Followed by Rituximab in Elderly Patients With Advanced Stage Previously Untreated Follicular Lymphoma [NCT01523860] | Phase 2 | 76 participants (Actual) | Interventional | 2009-06-30 | Completed | ||
Phase II Multicenter Clinical Trial to Investigate the Efficacy and Safety of Bendamustine, Dexamethasone and Thalidomide in R/R MM Pts After Treatment With Lenalidomide and Bortezomib or Which Are Ineligible to One of These Drugs [NCT01526694] | Phase 2 | 30 participants (Actual) | Interventional | 2012-07-31 | Completed | ||
A Multicenter, Open Study to Assess the Tolerability, Pharmacokinetics and Antitumor Effect of Bendamustine Hydrochloride (SyB L-0501: 90 or 120 mg/m2/Day) Administered Intravenously for Two Days in Patients With Indolent Lymphoma [NCT00389051] | Phase 1 | 9 participants (Actual) | Interventional | 2006-10-31 | Completed | ||
Multicentre Phase II Trial of Bendamustine in Combination With Rituximab for Patients With Previously Untreated or Relapsed Chronic Lymphocytic Leukemia. CLL2M Protocol of the German CLL-Study Group (GCLLSG) [NCT00274989] | Phase 2 | 195 participants (Actual) | Interventional | 2005-11-30 | Completed | ||
Phase II Study to Determine the Efficacy of Bendamustin (Ribomustin) in Patients With Recurrent Small Cell Bronchial Carcinoma After Cytostatic Polychemotherapy [NCT00168922] | Phase 2 | 50 participants | Interventional | 2001-02-28 | Recruiting | ||
A Randomised Investigation of Alternative Ofatumumab-containing Regimens in Less Fit Patients With CLL [NCT01678430] | Phase 3 | 670 participants (Anticipated) | Interventional | 2011-12-31 | Recruiting | ||
Phase I-II Study of Bendamustine in Patients With Acute Leukemia and High-Risk Myelodysplastic Syndrome (MDS) [NCT00790855] | Phase 1/Phase 2 | 27 participants (Actual) | Interventional | 2008-11-30 | Terminated(stopped due to Lack of Response) | ||
Randomized Phase III Trial of Chemotherapy vs. Pembrolizumab Plus Chemotherapy for Relapsed/Refractory Classical Hodgkin Lymphoma [NCT05711628] | Phase 3 | 0 participants (Actual) | Interventional | 2023-08-10 | Withdrawn(stopped due to Other - Protocol moved to Withdrawn) | ||
BrUOG 326: A Phase I Dose-Escalation Study of Vincristine Sulfate Liposome Injection (Marqibo®) in Combination With Bendamustine and Rituximab (BRiM) in Indolent Non-Hodgkin Lymphoma [NCT02257242] | Phase 1 | 11 participants (Actual) | Interventional | 2017-05-10 | Completed | ||
Phase 1b, Open Label Study to Evaluate Safety and Efficacy of TRU-016 in Combination With Rituximab, Obinutuzumab, Rituximab and Idelalisib, or Ibrutinib in Chronic Lymphocytic Leukemia and With Bendamustine in Peripheral T-cell Lymphoma [NCT01644253] | Phase 1 | 87 participants (Actual) | Interventional | 2012-09-30 | Terminated(stopped due to Business decision) | ||
Phase II Trial of Bendamustine, Bortezomib, and Rituximab in Patients With Previously Untreated Low Grade Lymphoma [NCT01029730] | Phase 2 | 55 participants (Actual) | Interventional | 2010-03-31 | Completed | ||
A Phase I/II Clinical Trial of the Combination of Brentuximab Vedotin and Bendamustine in Patients With Relapsed or Refractory Hodgkin Lymphoma or Anaplastic Large Cell Lymphoma [NCT01657331] | Phase 1/Phase 2 | 71 participants (Actual) | Interventional | 2012-07-31 | Completed | ||
Study of Bendamustine Hydrochloride Injection in Previously Untreated Chronic Lymphocytic Leukemia Patients [NCT01657955] | Phase 3 | 96 participants (Anticipated) | Interventional | 2011-01-31 | Recruiting | ||
A Phase I/II Study of Bendamustine, Lenalidomide and Low-dose Dexamethasone, (BdL) for the Treatment of Patients With Relapsed Myeloma. [NCT01686386] | Phase 1/Phase 2 | 60 participants (Anticipated) | Interventional | 2010-02-28 | Recruiting | ||
An Open-label Phase I Drug-drug Interaction Study of Ofatumumab With Bendamustine for the Treatment of Subjects With Indolent B-cell Non-Hodgkin's Lymphoma [NCT01691807] | Phase 1 | 30 participants (Actual) | Interventional | 2013-01-31 | Completed | ||
A Phase 1, Open-Label, Dose-Finding Study of INCB050465 in Combination With Investigator Choice of Rituximab, Bendamustine and Rituximab, or Ibrutinib in Participants With Previously Treated B-Cell Lymphoma (CITADEL-112) [NCT03424122] | Phase 1 | 50 participants (Actual) | Interventional | 2018-07-02 | Completed | ||
An Open, Multicentric Phase II Trial to Evaluate the Efficacy and Safety of Bendamustine, Lenalidomide (Revlimid®) and Dexamethasone (BRd) as 2nd-line Therapy for Patients With Relapsed or Refractory Multiple Myeloma [NCT01701076] | Phase 2 | 50 participants (Actual) | Interventional | 2012-03-31 | Completed | ||
Bendamustine, Lenalidomide and Rituximab (R2-B) Combination as a Second-Line Therapy for First Relapsed-Refractory Mantle Cell Lymphomas: A Phase II Study [NCT01737177] | Phase 2 | 42 participants (Actual) | Interventional | 2012-07-31 | Completed | ||
Efficacy and Safety Study of Second-Line Prolgolimab Monotherapy or in Combination With Bendamustine for Relapsed/Refractory Classical Hodgkin Lymphoma [NCT05757466] | Phase 2 | 30 participants (Anticipated) | Interventional | 2023-04-19 | Recruiting | ||
Consolidation With ADCT-402 (Loncastuximab Tesirine) After a Short Course of Immunochemotherapy: a Phase II Study in BTKi-treated (or BTKi Intolerant) Relapsed/Refractory (R/R) Mantle Cell Lymphoma (MCL) Patients [NCT05249959] | Phase 2 | 56 participants (Anticipated) | Interventional | 2022-04-21 | Recruiting | ||
Phase I/II Study of Bendamustine in Combination With Ofatumumab, Carboplatin and Etoposide for Refractory or Relapsed Aggressive B-cell Lymphomas [NCT01458366] | Phase 1/Phase 2 | 38 participants (Actual) | Interventional | 2011-11-09 | Completed | ||
HO11415: Phase II Study of Bendamustine and Rituximab Induction Chemoimmunotherapy Followed by Maintenance Rituximab (Rituxan®) and Lenalidomide (Revlimid®) in Relapsed and Refractory Chronic Lymphocytic Leukemia (CLL) and Small Lymphocytic Lymphoma (SLL) [NCT01754870] | Phase 2 | 0 participants (Actual) | Interventional | 2013-11-30 | Withdrawn(stopped due to slow accrual) | ||
A Multicenter, Open-Label, Single-Arm, Phase IIIb, International Study Evaluating the Safety of Obinutuzumab Alone or in Combination With Chemotherapy in Patients With Previously Untreated or Relapsed/Refractory Chronic Lymphocytic Leukemia [NCT01905943] | Phase 3 | 979 participants (Actual) | Interventional | 2013-11-04 | Completed | ||
A Phase I/II Trial of Bendamustine/Treanda®, Rituximab, Etoposide, and Carboplatin for Patients With Relapsed or Refractory Lymphoid Malignancies and Select Untreated Lymphomas (TREC) [NCT01165112] | Phase 1/Phase 2 | 48 participants (Actual) | Interventional | 2010-09-30 | Completed | ||
A Multicenter, Open Label, Phase II Study of Bendamustine and Rituximab Followed by 90-yttrium (Y) Ibritumomab Tiuxetan for Untreated Follicular Lymphoma (Fol-BRITe Study) [NCT01234766] | Phase 2 | 39 participants (Actual) | Interventional | 2010-10-31 | Completed | ||
A Phase I/II Study Of Gemcitabine And Bendamustine In Patients With Relapsed Or Refractory Hodgkin's Lymphoma [NCT01535924] | Phase 1/Phase 2 | 26 participants (Actual) | Interventional | 2012-02-09 | Completed | ||
A Phase 3 Open-Label, Randomized Study of LOXO-305 Versus Investigator's Choice of Idelalisib Plus Rituximab or Bendamustine Plus Rituximab in BTK Inhibitor Pretreated Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma (BRUIN CLL-321) [NCT04666038] | Phase 3 | 250 participants (Anticipated) | Interventional | 2021-03-09 | Recruiting | ||
A Phase II, Multi-centre Study Investigating the Safety and Efficacy of Ofatumumab and Bendamustine Combination in Patients With Untreated or Relapsed Chronic Lymphocytic Leukaemia (CLL) [NCT01520922] | Phase 2 | 99 participants (Actual) | Interventional | 2012-03-31 | Completed | ||
Phase II Study of Bendamustine, Bortezomib, and Dexamethasone (BBD) for Newly Diagnosed Patients With Multiple Myeloma [NCT02224729] | Phase 2 | 24 participants (Actual) | Interventional | 2014-08-25 | Completed | ||
A Phase II Study of Brentuximab Vedotin Plus Bendamustine for Relapsed/Refractory Follicular Lymphoma [NCT04587687] | Phase 2 | 23 participants (Anticipated) | Interventional | 2020-12-04 | Recruiting | ||
Phase I Study of Autologous Transgenic T-Cells Expressing High Affinity Mesothelin-Specific T-Cell Receptor (TCR) (FH-TCR Tᴍsʟɴ) in Patients With Metastatic Pancreatic Ductal Adenocarcinoma [NCT04809766] | Phase 1 | 15 participants (Anticipated) | Interventional | 2021-12-14 | Recruiting | ||
A Pilot Study of Acalabrutinib With Bendamustine / Rituximab Followed by Cytarabine / Rituximab for Untreated Mantle Cell Lymphoma [NCT03623373] | Phase 2 | 13 participants (Actual) | Interventional | 2018-11-29 | Active, not recruiting | ||
A Multinational, Multicenter, Open-Label Phase II Study of SyB L-0501 in Combination With Rituximab in Patients With Relapsed/Refractory Diffuse Large B-Cell Lymphoma [NCT01118845] | Phase 2 | 63 participants (Actual) | Interventional | 2010-04-30 | Completed | ||
Phase II Study of Second-Line Bendamustine in Relapsed or Refractory Small Cell Lung Cancer (SCLC). [NCT00984542] | Phase 2 | 50 participants (Actual) | Interventional | 2009-09-30 | Completed | ||
A Prospective Clinical Study of Hanlikang and BTK Inhibitors in the Treatment of Newly Diagnosed Mantle Cell Lymphoma [NCT05506410] | 100 participants (Anticipated) | Observational [Patient Registry] | 2022-08-12 | Recruiting | |||
A Phase I/II, Multicenter, Open-label, Dose-escalation Study of Bendamustine in Combination With Lenalidomide and Dexamethasone in Patients With Relapsed Multiple Myeloma [NCT01049945] | Phase 1/Phase 2 | 70 participants (Actual) | Interventional | 2010-02-28 | Completed | ||
Phase II Study of Age-Adjusted R-BAC (Rituximab, Bendamustine, Cytarabine) as Induction Therapy in Older Patients With Mantle Cell Lymphoma (MCL) [NCT01662050] | Phase 2 | 57 participants (Actual) | Interventional | 2012-03-20 | Completed | ||
A Phase 1 Study of TRU-016 in Combination With Rituximab and Bendamustine in Subjects With Relapsed Indolent Lymphoma [NCT01317901] | Phase 1 | 12 participants (Actual) | Interventional | 2011-05-31 | Completed | ||
A Phase II Study of Bendamustine (B), Etoposide (E), Dexamethasone (D), and GCSF for Peripheral Blood Hematopoietic Stem Cell Mobilization (BED) [NCT01110135] | Phase 2 | 43 participants (Actual) | Interventional | 2010-08-31 | Completed | ||
Safety and Clinical Activity of Treanda® (Bendamustine HCL) and Idarubicin in Combination Therapy for Patients Age >= 50 With Previously Untreated Acute Myeloid Leukemia and High Risk Myelodysplastic Syndrome [NCT01141725] | Phase 1/Phase 2 | 39 participants (Actual) | Interventional | 2010-09-30 | Completed | ||
A Single-Arm Multi-Center Trial of Bendamustine Given With Ofatumumab (BendOfa) in Patients With Refractory or Relapsed Chronic Lymphocytic Leukemia (CLL). EudraCT Number 2009-017663-42. GIMEMA CLL0809 Protocol [NCT01244451] | Phase 2 | 49 participants (Actual) | Interventional | 2010-12-31 | Completed | ||
A Randomized, Double-Blind, Placebo-Controlled Phase 3 Study of the Bruton's Tyrosine Kinase Inhibitor, PCI-32765 (Ibrutinib), in Combination With Either Bendamustine and Rituximab (BR) or Rituximab, Cyclophosphamide, Doxorubicin, Vincristine, and Prednis [NCT01974440] | Phase 3 | 405 participants (Actual) | Interventional | 2014-01-31 | Completed | ||
Prospective Randomized Evaluation of Single Agent GA101 Versus GA101 Plus Bendamustine Followed by GA101 [NCT03492775] | Phase 2 | 46 participants (Actual) | Interventional | 2017-12-12 | Completed | ||
Prospective Randomised Multicenter Study for Therapy Optimization of Recurrent, Progressive Low Grade Non-Hodgkin Lymphomas and Mantle Cell Lymphomas [NCT01456351] | Phase 3 | 230 participants (Actual) | Interventional | 2003-09-30 | Completed | ||
A Phase 2/3, Randomised, Multicentre Study of Tafasitamab With Bendamustine Versus Rituximab With Bendamustine in Patients With Relapsed or Refractory Diffuse Large B-Cell Lymphoma (R-R DLBCL) Who Are Not Eligible for High-Dose Chemotherapy (HDC) and Auto [NCT02763319] | Phase 2/Phase 3 | 450 participants (Actual) | Interventional | 2016-06-30 | Active, not recruiting | ||
A Phase 3, Randomized, Double-Blind Study Comparing Parsaclisib, a PI3Kδ Inhibitor, in Combination With Bendamustine and Rituximab (BR), With Placebo and BR for the Treatment of Newly Diagnosed Mantle Cell Lymphoma [NCT04849715] | Phase 3 | 0 participants (Actual) | Interventional | 2022-03-11 | Withdrawn(stopped due to business decision; no enrolled patients) | ||
A Prospective Phase II Study of Bendamustine in Patients Aged Over 60 Years With Classical Hodgkin Lymphoma Treated by Prednisone, Vinblastine and Doxorubicin [NCT02414568] | Phase 2 | 90 participants (Actual) | Interventional | 2015-07-17 | Completed | ||
An Open Label, Single Arm, Phase I/II in the Combination of Azacytidine, Bendamustine and Piamprizumab in Refractory/Relapsed B-cell Non-Hodgkin's [NCT04897477] | Phase 1/Phase 2 | 30 participants (Anticipated) | Interventional | 2021-04-22 | Recruiting | ||
Feasibility of Assessing Lymphoma Response to Precise Local Injection of Candidate Chemotherapy Agents Using the CIVO(tm) Microdosing System [NCT01831505] | Phase 1 | 4 participants (Actual) | Interventional | 2012-11-30 | Completed | ||
Phase I Study of Everolimus + Bendamustine in Patients With Relapsed/Refractory Hematological Malignancies [NCT02240719] | Phase 1 | 20 participants (Actual) | Interventional | 2014-10-31 | Completed | ||
A phaseI/II Safety and Efficacy Trial of a Combination of Bendamustine, Rituximab and Lenalidomide (BRL) in Patients With Relapsed or Refractory Chronic Lymphocytic Leukemia [NCT01558167] | Phase 1/Phase 2 | 22 participants (Actual) | Interventional | 2011-02-28 | Completed | ||
A Multicenter, Single Arm Clinical Trial in Patients With Rituximab Refractory B-cell Indolent Lymphoma [NCT01570049] | Phase 3 | 100 participants (Anticipated) | Interventional | 2010-04-30 | Recruiting | ||
A Phase 1 Study Evaluating the Safety and Pharmacokinetics of ABT-199 in Combination With Bendamustine/Rituximab (BR) in Subjects With Relapsed or Refractory Non-Hodgkin's Lymphoma [NCT01594229] | Phase 1 | 60 participants (Actual) | Interventional | 2012-05-21 | Completed | ||
A Phase II Study of VELCADE (Bortezomib) in Combination With Bendamustine and Rituximab in Subjects With Relapsed or Refractory Follicular Lymphoma [NCT00636792] | Phase 2 | 73 participants (Actual) | Interventional | 2008-02-29 | Completed | ||
Bendamustine Plus Rituximab for Mantle Cell Lymphoma: a Multicenter Retrospective Analysis(BR-MCL) [NCT04127916] | 40 participants (Anticipated) | Observational [Patient Registry] | 2020-01-30 | Recruiting | |||
Study Phase II Non-randomized Prospective Open to Assess the Combination of Rituximab, Bendamustine, Mitoxantrone, Dexamethasone (R-BMD) in Patients With Follicular Lymphoma Refractory or Relapsed [NCT01133158] | Phase 2 | 61 participants (Actual) | Interventional | 2009-07-31 | Completed | ||
MRD-Guided Abbreviation of Bendamustine and Rituximab Chemotherapy in Combination With Copanlisib in Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma [NCT04155840] | Phase 2 | 1 participants (Actual) | Interventional | 2020-01-31 | Terminated(stopped due to Terminated due to low accrual) | ||
A Randomized Study to Assess the Effect on Response Rate of MabThera (Rituximab) Added to a Standard Chemotherapy, Bendamustine or Chlorambucil, in Patients With Chronic Lymphocytic Leukemia [NCT01056510] | Phase 4 | 357 participants (Actual) | Interventional | 2010-03-31 | Completed | ||
Phase II Study for the Evaluation of Bendamustine, Bortezomib and Dexamethasone (BBD) in the First-Line Treatment of Patients With Multiple Myeloma Who Are Not Candidates for High Dose Chemotherapy [NCT01056276] | Phase 2 | 59 participants (Actual) | Interventional | 2010-05-31 | Completed | ||
Risk-based, Response-adapted, Phase II Open-label Trial of Nivolumab + Brentuximab Vedotin (N + Bv) for Children, Adolescents, and Young Adults With Relapsed/Refractory (R/R) CD30 + Classic Hodgkin Lymphoma (cHL) After Failure of First-line Therapy, Follo [NCT02927769] | Phase 2 | 72 participants (Actual) | Interventional | 2017-03-28 | Active, not recruiting | ||
A Phase III, Randomized, Double-blind, Controlled Multicenter Study of Intravenous PI3K Inhibitor Copanlisib in Combination With Standard Immunochemotherapy Versus Standard Immunochemotherapy in Patients With Relapsed Indolent Non-Hodgkin's Lymphoma (iNHL [NCT02626455] | Phase 3 | 547 participants (Actual) | Interventional | 2016-01-06 | Terminated(stopped due to The study did not meet the primary endpoint. The addition of copanlisib to standard immunochemo therapy did not improve progression-free survival compared to the control arm. Base on the study results, company decided to terminate the study.) | ||
An Open-Label Phase I/II Study of Bendamustine, Weekly Bortezomib, Lenalidomide and Dexamethasone for the Treatment of Relapsed or Refractory Multiple Myeloma [NCT01484626] | Phase 1/Phase 2 | 3 participants (Actual) | Interventional | 2011-05-05 | Terminated(stopped due to Celgene would no longer supply lenalidomide for the study) | ||
Phase II Trial of Bortezomib and Bendamustine in the Treatment of Relapsed/Refractory Myeloma [NCT01315873] | Phase 2 | 24 participants (Actual) | Interventional | 2011-09-30 | Terminated(stopped due to PI left the institution before all data analysis was completed) | ||
A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study Evaluating the Efficacy and Safety of Idelalisib in Combination With Bendamustine and Rituximab for Previously Untreated Chronic Lymphocytic Leukemia [NCT01980888] | Phase 3 | 311 participants (Actual) | Interventional | 2014-02-05 | Terminated | ||
Phase I Study of Autologous CD8+ and CD4+ Transgenic T Cells Expressing High Affinity KRASG12V Mutation-Specific T Cell Receptors in Participants With Metastatic Pancreatic, Colorectal and Non-Small Cell Lung Cancers With KRAS G12V Mutations [NCT06043713] | Phase 1 | 24 participants (Anticipated) | Interventional | 2024-01-01 | Recruiting | ||
A Single Arm Phase I/II Study of Tazemetostat With Rituximab and Abbreviated Bendamustine in the Frontline Treatment of High Tumor Burden Follicular Lymphoma Big Ten Cancer Research Consortium BTCRC-LYM20-463 [NCT05551936] | Phase 1/Phase 2 | 42 participants (Anticipated) | Interventional | 2023-01-26 | Recruiting | ||
A Phase 3 Open-Label Randomized Study to Compare the Efficacy and Safety of Rituximab Plus Lenalidomide (CC-5013) Versus Rituximab Plus Chemotherapy in Subjects With Previously Untreated Follicular Lymphoma [NCT01476787] | Phase 3 | 255 participants (Actual) | Interventional | 2011-12-29 | Active, not recruiting | ||
Randomized Phase II Trial of Rituximab With Either Pentostatin or Bendamustine for Multiply Relapsed or Refractory Hairy Cell Leukemia [NCT01059786] | Phase 2 | 68 participants (Actual) | Interventional | 2010-07-01 | Active, not recruiting | ||
A 3-Arm Randomized Phase II Trial of Bendamustine-Rituximab (BR) Followed by Rituximab vs Bortezomib-BR (BVR) Followed by Rituximab vs BR Followed by Lenalidomide/Rituximab in High Risk Follicular Lymphoma [NCT01216683] | Phase 2 | 289 participants (Actual) | Interventional | 2011-02-09 | Completed | ||
Phase II Study for Treatment of Patients With Relapsed or Primary Refractory Aggressive B- Cell NHL and Anthracycline Chemotherapy Pretreatment, Who Received or Did Not Qualify for Autologous Stem Cell Transplantation. [NCT00385125] | Phase 2 | 30 participants | Interventional | 2004-08-31 | Recruiting | ||
Multicenter Phase II Study of the Bendamustine, Obinutuzumab, and Dexamethasone (BOD) Regimen in Un-fit Elderly ≥ 70 Years of Age Diffuse Large B-Cell Non-Hodgkin Lymphoma (DLBCL) Patients [NCT02420210] | Phase 2 | 2 participants (Actual) | Interventional | 2015-11-30 | Terminated(stopped due to Trials was stopped early due to lack of funding.) | ||
An Open-Label Expanded Access Trial for Bendamustine HCl in Patients With Indolent Non-Hodgkin's Lymphoma That Has Progressed During or Following Treatment With a Rituximab Regimen or Previously Untreated Chronic Lymphocytic Leukemia [NCT01500083] | Phase 3 | 90 participants (Actual) | Interventional | 2012-03-31 | Completed | ||
A Phase 2 Multi-Center Study Evaluating the Safety and Efficacy of CD30-Directed Genetically Modified Autologous T Cells (CD30.CAR-T) in Adult and Pediatric Patients With Relapsed or Refractory Classical Hodgkin Lymphoma [NCT04268706] | Phase 2 | 97 participants (Anticipated) | Interventional | 2021-02-01 | Active, not recruiting | ||
A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study Evaluating the Efficacy and Safety of Idelalisib (GS-1101) in Combination With Bendamustine and Rituximab for Previously Treated Chronic Lymphocytic Leukemia [NCT01569295] | Phase 3 | 416 participants (Actual) | Interventional | 2012-06-15 | Completed | ||
A Phase I, Open-Label, Multicenter Study of FT596 as a Monotherapy and in Combination With Rituximab or Obinutuzumab in Subjects With Relapsed/Refractory B-cell Lymphoma and Chronic Lymphocytic Leukemia [NCT04245722] | Phase 1 | 98 participants (Actual) | Interventional | 2020-03-19 | Terminated(stopped due to The study was terminated by the Sponsor.) | ||
A Phase I Study of FT516 as Monotherapy in Relapsed/Refractory Acute Myelogenous Leukemia and in Combination With Monoclonal Antibodies in Relapsed/Refractory B-Cell Lymphoma [NCT04023071] | Phase 1 | 72 participants (Actual) | Interventional | 2019-10-04 | Terminated(stopped due to The study was terminated by the Sponsor.) | ||
Weekly Bendamustine and Bortezomib Combination Therapy in Relapsed or Refractory Indolent Non-Hodgkin's Lymphoma or B-CLL: A Single-Center Phase 2 Study [NCT00426855] | Phase 1/Phase 2 | 12 participants (Actual) | Interventional | 2007-01-31 | Completed | ||
A Phase 2 Open-label Study of MEDI-551 and Bendamustine vs Rituximab and Bendamustine in Adults With Relapsed or Refractory CLL [NCT01466153] | Phase 2 | 183 participants (Actual) | Interventional | 2012-02-07 | Completed | ||
Observation of the Efficacy of BAd Regimen in the Treatment of Relapsed and Refractory Multiple Myeloma [NCT05006469] | Phase 3 | 10 participants (Anticipated) | Interventional | 2021-06-01 | Recruiting | ||
A Phase I/II Clinical Trial to Evaluate the Safety and Efficacy of Bendamustine, Gemcitabine, Rituximab, Nivolumab Combination (BeGeRN) in Patients With Relapsed or Refractory Diffuse Large B-cell Lymphoma [NCT03259529] | Phase 1/Phase 2 | 30 participants (Actual) | Interventional | 2017-03-27 | Completed | ||
A Phase II, Open-label Study of Polatuzumab-vedotin (PV) in Combination With Bendamustine and Rituximab for Patients With Mantle Cell Lymphoma, Who Relapse After Previous Therapy With Bruton Tyrosine Kinase Inhibitor [NCT04913103] | Phase 2 | 21 participants (Anticipated) | Interventional | 2021-09-01 | Not yet recruiting | ||
A Randomized, Open Label, Phase 2 Study of Rituximab and Bendamustine With or Without Brentuximab Vedotin for Relapsed or Refractory CD30-Positive Diffuse Large B-Cell Lymphoma [NCT02594163] | Phase 2 | 25 participants (Actual) | Interventional | 2015-10-31 | Terminated(stopped due to Sponsor decision based on portfolio prioritization) | ||
A Phase IB/II Study Evaluating the Safety and Efficacy of Atezolizumab in Combination With Either Obinutuzumab Plus Bendamustine or Obinutuzumab Plus CHOP in Patients With Follicular Lymphoma or Rituximab Plus CHOP in Patients With Diffuse Large B-Cell Ly [NCT02596971] | Phase 1/Phase 2 | 91 participants (Actual) | Interventional | 2015-12-22 | Completed | ||
Phase II Study of Bendamustine and Ofatumumab in Elderly Patients With Newly Diagnosed Diffuse Large B-Cell Lymphoma Who Are Poor Candidates for R-CHOP Chemotherapy [NCT01626352] | Phase 2 | 22 participants (Actual) | Interventional | 2012-10-31 | Completed | ||
A Randomized Phase II Trial Comparing Bendamustine and Melphalan With Melphalan Alone as Conditioning Regimen for Autologous Stem Cell Transplantation (ASCT) in Myeloma Patients [NCT03187223] | Phase 2 | 121 participants (Actual) | Interventional | 2017-07-20 | Completed | ||
Prospective Multicenter Study: Bendamustine in Combination With Rituximab as a First-line Therapy Followed by Maintenance Therapy With Rituximab in Patients With Follicular Lymphoma [NCT02423837] | Phase 3 | 200 participants (Anticipated) | Interventional | 2013-12-31 | Recruiting | ||
A Pivotal Phase II Randomised, Multi-centre, Open-label Study to Evaluate the Efficacy and Safety of MB-CART2019.1 Compared to SoC Therapy in Participants With r/r DLBCL, Who Are Not Eligible for HDC and ASCT [NCT04844866] | Phase 2 | 168 participants (Anticipated) | Interventional | 2021-08-18 | Recruiting | ||
A Real-world Study of the Efficacy and Safety of Obinutuzumab-based Therapy for Previously Untreated Follicular Lymphoma [NCT05899621] | 332 participants (Anticipated) | Observational | 2023-06-01 | Recruiting | |||
Observational Study in Comorbid Patients With Chronic Lymphocytic Leukemia Receiving First-line Bendamustine With Rituximab [NCT02381899] | 83 participants (Actual) | Observational | 2014-09-30 | Completed | |||
Phase II Clinical Study of Zanubrutinib Combined With Bendamustine and Rituximab (ZBR) for Time-limited Treatment of Waldenstrom Macroglobulinemia [NCT05914662] | Phase 2 | 30 participants (Anticipated) | Interventional | 2023-02-15 | Recruiting | ||
A Randomized 3-Arm Phase II Study Comparing 1.) Bendamustine, Rituximab and High Dose Cytarabine (BR/CR) 2.) Bendamustine, Rituximab, High Dose Cytarabine and Acalabrutinib (BR/CR-A), and 3.) Bendamustine, Rituximab and Acalabrutinib (BR-A) in Patients &l [NCT04115631] | Phase 2 | 360 participants (Actual) | Interventional | 2019-12-13 | Active, not recruiting | ||
A Prospective, Open-label, Multicenter Phase-II Trial to Evaluate the Efficacy and Safety of a Sequential Regimen of Bendamustine Followed by GA101 and Ibrutinib (BIG) Followed by GA101 and Ibrutinib Maintenance in CLL Patients (CLL2-BIG Protocol) [NCT02345863] | Phase 2 | 66 participants (Actual) | Interventional | 2015-01-16 | Completed | ||
Phase I/II Study of the Combination of Bendamustine, Rituximab and Pixantrone in Patients With Relapsed/Refractory B Cell Non-Hodgkin's Lymphoma [NCT01491841] | Phase 1 | 33 participants (Actual) | Interventional | 2011-11-01 | Completed | ||
A Phase II, Trial of Chloroquine in Combination With VELCADE and Cyclophosphamide in Patients With Relapsed and Refractory Myeloma [NCT01438177] | Phase 2 | 11 participants (Actual) | Interventional | 2011-10-31 | Terminated(stopped due to PI left institution.) | ||
A Randomized Phase II Trial of R-HCVAD/MTX/ARA-C Induction Followed by Consolidation With an Autologous Stem Cell Transplant Vs. R-Bendamustine Induction Followed by Consolidation With an Autologous Stem Cell Transplant for Patients ≤ 65 Years of Age With [NCT01412879] | Phase 2 | 53 participants (Actual) | Interventional | 2011-11-30 | Completed | ||
A Phase 1/2 Single-arm, Open-label Study to Evaluate the Safety and Efficacy of Brentuximab Vedotin in Combination With Bendamustine in Patients With Relapsed or Refractory Hodgkin Lymphoma (HL) [NCT01874054] | Phase 1/Phase 2 | 55 participants (Actual) | Interventional | 2013-06-30 | Completed | ||
A Phase IB, Open-Label Study Evaluating the Safety and Pharmacokinetics of Venetoclax (GDC-0199, ABT-199) in Combination With Bendamustine+Rituximab (BR) or Bendamustine+Obinutuzumab (BG) in Patients With Relapsed/Refractory or Previously Untreated Chroni [NCT01671904] | Phase 1 | 84 participants (Actual) | Interventional | 2014-01-13 | Completed | ||
A Phase II, Open-Label Study Evaluating the Safety and Efficacy of GDC-0199 (ABT-199) Plus Bendamustine Plus Rituximab (BR) in Comparison With BR Alone or GDC-0199 Plus Rituximab (R) in Patients With Relapsed and Refractory Follicular Non-Hodgkin's Lympho [NCT02187861] | Phase 2 | 163 participants (Actual) | Interventional | 2014-12-01 | Completed | ||
A Prospective, Open-label, Multicenter Phase-II Trial to Evaluate the Efficacy and Safety of a Sequential Regimen of Bendamustine Followed by GA101 (Obinutuzumab), Acalabrutinib (ACP-196) and ABT-199 (Venetoclax) in Patients With Relapsed/Refractory CLL ( [NCT03787264] | Phase 2 | 46 participants (Actual) | Interventional | 2019-01-14 | Completed | ||
A Phase I-II Study of the Combination of Bendamustine and Pomalidomide With Dexamethasone in Patients With Relapsed or Refractory Multiple Myeloma [NCT01754402] | Phase 1/Phase 2 | 56 participants (Actual) | Interventional | 2013-01-07 | Active, not recruiting | ||
Phase III, Multicenter, Open Label, Randomized, Controlled Study Investigating Mosunetuzumab-Lenalidomide Versus Investigator Choices in Patients With Relapsed or Refractory Marginal Zone Lymphoma [NCT06006117] | Phase 3 | 260 participants (Anticipated) | Interventional | 2023-09-05 | Recruiting | ||
BeEAM (Bendamustine, Etoposide, Cytarabine, Melphalan) Versus CEM (Carboplatin, Etoposide, Melphalan) in Lymphoma Patients as a Conditioning Regimen Before Autologous Hematopoietic Cell Transplantation [NCT05813132] | 60 participants (Actual) | Interventional | 2022-12-01 | Completed | |||
Pediatric Classical Hodgkin Lymphoma Consortium Study: cHOD17 [NCT03755804] | Phase 2 | 250 participants (Anticipated) | Interventional | 2018-12-12 | Recruiting | ||
A Phase I Study of Autologous Activated T-cells Targeting the CD19 Antigen and Containing the Inducible Caspase 9 Safety Switch in Subjects With Relapsed/Refractory B-cell Lymphoma [NCT03696784] | Phase 1 | 30 participants (Anticipated) | Interventional | 2019-03-12 | Recruiting | ||
A Single Arm, Multicentre, Phase IIIB Study to Evaluate Safety, Efficacy and Pharmacokinetic (PK) of Subcutaneous (SC) Rituximab Administered During Induction Phase or Maintenance in Previously Untreated Patients With CD20+ Diffuse Large B Cell Lymphoma ( [NCT01889069] | Phase 3 | 159 participants (Actual) | Interventional | 2013-07-31 | Completed | ||
An International, Phase 3, Open-Label, Randomized Study of BGB-3111 Compared With Bendamustine Plus Rituximab in Patients With Previously Untreated Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma (CLL/SLL) [NCT03336333] | Phase 3 | 590 participants (Actual) | Interventional | 2017-10-31 | Active, not recruiting | ||
A Phase 1B/2 Randomized, Multicenter, Open-Label Study Of Iberdomide (CC-220) In Combination With Polatuzumab Vedotin Plus Rituximab Or Tafasitamab Or Rituximab Plus Chemotherapy For Subjects With Relapsed Or Refractory Aggressive B-Cell Lymphoma [NCT04882163] | Phase 1/Phase 2 | 0 participants (Actual) | Interventional | 2021-10-10 | Withdrawn(stopped due to Business objectives have changed) | ||
Randomized, Double-blind, Placebo-controlled Phase 3 Study of Ibrutinib, a Bruton's Tyrosine Kinase (BTK) Inhibitor, in Combination With Bendamustine and Rituximab (BR) in Subjects With Relapsed or Refractory Chronic Lymphocytic Leukemia/Small Lymphocytic [NCT01611090] | Phase 3 | 578 participants (Actual) | Interventional | 2012-09-19 | Completed | ||
Dose-Intense Yttrium-90 Ibritumomab Tiuxetan (Zevalin)-Containing Non-Myeloablative Conditioning for Allogeneic Stem Cell Transplantation in B-cell Malignancies [NCT01490723] | Phase 2 | 20 participants (Actual) | Interventional | 2013-01-31 | Completed | ||
A Prospective, Open-label, Multicenter Study of Zanubrutinib Combined With BR (Bendamustine/Rituximab) Regimen in Subjects With Newly-diagnosed Waldenström's Macroglobulinemia [NCT05979948] | Phase 2 | 60 participants (Anticipated) | Interventional | 2023-08-01 | Recruiting | ||
Observational Study to Assess the Efficacy and Safety of Bendamustine Plus Rituximab in Patients Affected by Chronic Lymphocytic Leukemia [NCT02491398] | 494 participants (Actual) | Observational | 2016-02-29 | Completed | |||
Capecitabine in Combination With Bendamustine in Women With Pretreated Locally Advanced or Metastatic Her2-negative Breast Cancer, a Phase II Trial [NCT01891227] | Phase 2 | 40 participants (Actual) | Interventional | 2013-08-09 | Completed | ||
A Randomized, Open-label, Mutli-centre Study to Evaluate Patient Preference With Subcutaneous Administration of Rituximab Versus Intravenous Rituximab in Previously Untreated Patients With CD20+ Diffuse Large B-cell Lymphoma or CD20+ Follicular Non-Hodgki [NCT01724021] | Phase 3 | 743 participants (Actual) | Interventional | 2012-12-31 | Completed | ||
A Phase 1 Study of FT522 in Combination With Rituximab in Participants With Relapsed/Refractory B-Cell Lymphoma [NCT05950334] | Phase 1 | 322 participants (Anticipated) | Interventional | 2023-11-01 | Recruiting | ||
A Phase 1, Multicenter, Open-Label Study of CC-95266 in Subjects With Relapsed and/or Refractory Multiple Myeloma [NCT04674813] | Phase 1 | 180 participants (Anticipated) | Interventional | 2021-02-24 | Recruiting | ||
A Pilot Study of Bendamustine and Rituximab Alternating With Cytarabine and Rituximab for Untreated Mantle Cell Lymphoma [NCT02728531] | Phase 1 | 18 participants (Actual) | Interventional | 2016-04-18 | Completed | ||
A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study Evaluating the Efficacy and Safety of Idelalisib (GS-1101) in Combination With Bendamustine and Rituximab for Previously Treated Indolent Non-Hodgkin Lymphomas [NCT01732926] | Phase 3 | 475 participants (Actual) | Interventional | 2013-01-02 | Terminated | ||
Compassionate Use Re-Infusion of ATLCAR.CD30 [NCT03914885] | 0 participants | Expanded Access | No longer available | ||||
Phase I Dose Escalation Trial of CD19 Directed Chimeric Antigen Receptor T Cell Therapy in the Treatment of Relapsed/Refractory B Cell Malignancies [NCT04892277] | Phase 1 | 25 participants (Anticipated) | Interventional | 2022-07-14 | Recruiting | ||
Phase II Trial to Evaluate The Efficacy of Obinutuzumab (RO5072759) + Bendamustine Treatment in Patients With Refractory Or Relapsed Chronic Lymphocytic Leukemia [NCT02071225] | Phase 2 | 72 participants (Actual) | Interventional | 2014-04-09 | Completed | ||
Phase II Study of Bendamustine and Rituximab Plus Venetoclax in Untreated Mantle Cell Lymphoma Over 60 Years of Age [NCT03834688] | Phase 2 | 33 participants (Actual) | Interventional | 2020-01-13 | Active, not recruiting | ||
Phase I/II Study of Bendamustine and IXAZOMIB (MLN9708) Plus Dexamethasone in Relapsed/Refractory Multiple Myeloma [NCT02477215] | Phase 1/Phase 2 | 38 participants (Actual) | Interventional | 2015-10-09 | Completed | ||
A Pilot Study of a Sequential Regimen of Intensive Chemotherapy Followed by Autologous or Allogeneic Transplantation for Refractory Lymphoma (Non-Hodgkin's and Hodgkin's) and Phase 2 Expansion Cohort [NCT02059239] | Phase 1/Phase 2 | 34 participants (Actual) | Interventional | 2014-06-04 | Completed | ||
A Phase IB/II Study Evaluating The Safety, Tolerability and Anti-Tumor Activity of Polatuzumab Vedotin in Combination With Rituximab (R) or Obinutuzumab (G) Plus Bendamustine (B) in Relapsed or Refractory Follicular or Diffuse Large B-Cell Lymphoma [NCT02257567] | Phase 1/Phase 2 | 331 participants (Actual) | Interventional | 2014-10-15 | Completed | ||
A Phase I/II Trial of Isatuximab, Bendamustine, and Prednisone in Refractory Multiple Myeloma [NCT04083898] | Phase 1 | 15 participants (Actual) | Interventional | 2020-04-03 | Active, not recruiting | ||
A Phase II, Open-Label Study of Obinutuzumab Plus Bendamustine (BG) in Patients With Previously Untreated Chronic Lymphocytic Leukemia [NCT02320487] | Phase 2 | 102 participants (Actual) | Interventional | 2015-03-31 | Completed | ||
[information is prepared from clinicaltrials.gov, extracted Sep-2024] |
(NCT00426855)
Timeframe: Three weeks after treatment termination
Intervention | mg/m^2 (Number) |
---|---|
Group 1 | 60 |
To determine the progression-free survival following treatment with the BVR combination in patients with relapsed or refractory indolent and mantle cell non-Hodgkin lymphoma. (NCT00547534)
Timeframe: Two years
Intervention | Participants (Number) |
---|---|
Lymphoma Subjects | 13 |
(NCT00547534)
Timeframe: Two years
Intervention | Lymphoma Subjects (Number) |
---|---|
Lymphoma Subjects | 13 |
Overall response rate (ORR)to protocol treatment - Partial response, Complete response, etc. (NCT00547534)
Timeframe: Two years
Intervention | Lymphoma Subjects (Number) |
---|---|
Lymphoma Subjects | 13 |
Response is assessed by investigator according to International Working Group (IWG) criteria. Complete response requires disappearance of all evidence of disease. Partial response requires regression of measurable disease and no new sites. (NCT00636792)
Timeframe: 12 weeks after the last subject completes their end of treatment visit
Intervention | participants (Number) |
---|---|
VELCADE, Bendamustine, Rituximab (VBR) Treatment | 53 |
Response is assessed by investigator according to International Working Group (IWG) criteria. Complete response requires disappearance of all evidence of disease. (NCT00636792)
Timeframe: 12 weeks after the last subject completes their end of treatment visit.
Intervention | participants (Number) |
---|---|
VELCADE, Bendamustine, Rituximab (VBR) Treatment | 32 |
The percentage of evaluable participants who achieved either a complete response (CR) or partial response (PR). CR Disappearance of all evidence of disease. (a) FDGavid or PET positive prior to therapy; mass of any size permitted if PET negative (b) Variably FDG-avid or PET negative; regression to normal size on CT. PR Regression of measurable disease and no new sites. > or = to 50% decrease in SPD of up to 6 largest dominant masses; no increase in size of other nodes (a) FDG-avid or PET positive prior to therapy; one or more PET positive at previously involved site (b) Variably FDG-avid or PET negative; regression on CT. (NCT00705250)
Timeframe: up to 3 years
Intervention | percentage of evaluable participants (Number) |
---|---|
All Participants | 56 |
A complete response (CR) is defined as normalization of the bone marrow and peripheral blood counts with = 5% marrow blasts in a normo-or hypercellular marrow, with a granulocyte count of >/= 10^9/L and a platelet count of >/=100 X 10^9/L. A partial response (PR) was defined as for CR, but with only >/=50% reduction of marrow blasts and to a range of 6%-25%. A marrow complete response was defined as a reduction of marrow blasts to =5% but without recovery of peripheral counts. (NCT00790855)
Timeframe: 1 - 24 week cycles (up to 8 weeks)
Intervention | participants (Number) | ||
---|---|---|---|
Complete Response | Partial Response | Marrow Complete Response | |
Bendamustine (75 mg/m^2) | 0 | 0 | 1 |
The MTD is the highest dose level in which <2 patients of 6 develop first cycle dose limiting toxicity (DLT). MTD assessed during course 1 (4 week cycle), every 3-7 days. (NCT00790855)
Timeframe: During course 1 (4 week cycle)
Intervention | mg/m^2 (Number) |
---|---|
Bendamustine | 75 |
*inclusive of subjects still alive at time of last reporting. (NCT00823797)
Timeframe: Until death or last reported survival
Intervention | months (Median) |
---|---|
Treatment (Bendamustine Hydrochloride) for Glioblastoma | 18.3 |
Treatment (Bendamustine Hydrochloride) for Anaplastic Glioma | 45.6 |
Defined as the time from date of initial therapy to first objective documentation of tumor progression or death. (NCT00823797)
Timeframe: Up to progression or death, whichever came first, assessed up to 108 months
Intervention | months (Median) |
---|---|
Treatment (Bendamustine Hydrochloride) for Glioblastoma | 1.0 |
Treatment (Bendamustine Hydrochloride) for Anaplastic Glioma | 2.6 |
Defined as the proportion of patients who remain alive and free of any disease progression at 6 months. PFS over time will be estimated using the Kaplan-Meier method with standard errors estimated using Greenwood's formula. (NCT00823797)
Timeframe: At 6 months
Intervention | Participants (Count of Participants) |
---|---|
Treatment (Bendamustine Hydrochloride) for Glioblastoma | 1 |
Treatment (Bendamustine Hydrochloride) for Anaplastic Glioma | 8 |
Defined as death that is possibly, probably, or definitely attributed to bendamustine hydrochloride. (NCT00823797)
Timeframe: Up to 30 days after completion of study treatment
Intervention | Participants (Count of Participants) |
---|---|
Treatment (Bendamustine Hydrochloride) for Glioblastoma | 0 |
Treatment (Bendamustine Hydrochloride) for Anaplastic Glioma | 0 |
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR. (NCT00834678)
Timeframe: Up to two years
Intervention | patients (Number) | |
---|---|---|
Dose Level 1 | Dose Level 2 | |
Bendamustine and Erlotinib | 0 | 1 |
Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions (NCT00834678)
Timeframe: Up to two years
Intervention | months (Mean) |
---|---|
Bendamustine and Erlotinib | 3.7 |
(NCT00834678)
Timeframe: from time of study enrollment until death, for up to 2 years
Intervention | months (Median) |
---|---|
Bendamustine and Erlotinib | 10.8 |
28 day cycle included intravenous erlotinib on days 15-21. (NCT00834678)
Timeframe: Up to two years
Intervention | mg (Number) |
---|---|
Bendamustine and Erlotinib | 150 |
28 day cycle included intravenous bendamustine on days 1 and 2. (NCT00834678)
Timeframe: Up to two years
Intervention | mg/m^2 (Number) |
---|---|
Bendamustine and Erlotinib | 120 |
(NCT00834678)
Timeframe: Up to two years
Intervention | months to progression (Median) |
---|---|
Bendamustine and Erlotinib | 3.7 |
(NCT00834678)
Timeframe: Up to two years
Intervention | patients (Number) | |
---|---|---|
Dose level I, n=5 | Dose level II, n=6 | |
Bendamustine and Erlotinib | 0 | 1 |
The degree of toxicity as defined by The National Cancer Institute Common Toxicity Criteria version 3. (NCT00856830)
Timeframe: 9 weeks
Intervention | participants (Number) |
---|---|
Novel Drug Combination | 8 |
The determination of the dose limiting toxicity as defined by The National Cancer Institute Common Toxicity Criteria version 3 as follows: grade 4 neutropenia >5 days; grade 3/4 febrile neutropenia; grade 4 thrombocytopenia; or grade >2 non-hematologic toxicities (except for nausea/vomiting, alopecia, or fatigue). (NCT00856830)
Timeframe: 9 weeks
Intervention | participants (Number) | ||
---|---|---|---|
Phase I - Cohort I | Phase I - Cohort II | Phase I - Cohort III | |
Novel Drug Combination | 0 | 1 | 1 |
Using the Response Evaluation Criteria in Solid Tumors (RECIST 2000), progression is defined as 20% or greater increase from the baseline tumor parameters or new lesions. (NCT00856830)
Timeframe: 7 months
Intervention | months (Median) |
---|---|
Novel Drug Combination | 6.0 |
Grade 4 Toxicity (NCT00867503)
Timeframe: Life of the study
Intervention | Partcipants (Number) |
---|---|
Bendamustine Grade 4 Toxicity | 0 |
(NCT00867503)
Timeframe: Life of study
Intervention | Days (Median) |
---|---|
Median Overall Survival in Days | 393 |
Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria or Cancer Antigen (CA)125 response using the modified Gynecologic Cancer Intergroup(GCIG) criteria (NCT00867503)
Timeframe: life of the study
Intervention | Days (Median) |
---|---|
Bendamustine Median Progression Free Surivial in Months | 140 |
"Relapsed disease (after CR) and progressive disease (PD) (after PR or SD):~Lymph nodes were considered abnormal if the long axis was greater than 1.5 cm. Lymph nodes with a long axis of 1.1 to 1.5 cm were considered abnormal if its short axis was greater than 1.0 cm.~In patients with no prior history of pulmonary lymphoma, new lung nodules identified by CT require histologic confirmation.~>= 50% increase from nadir in sum of the products of the greatest diameters (SPD) of any previously involved nodes, or in a single involved node, or the size of other lesions (eg, splenic or hepatic nodules). To be considered progressive disease, a lymph node with a diameter of the short axis of less than 1.0 cm must have increased by 2: 50% and to a size of 1.5 cm by 1.5 cm, or more than 1.5 cm in the long axis~other conditions as specified in the protocol" (NCT00877006)
Timeframe: Treatment Period: 18-32 weeks Long-Term Follow-up Period: up to 5 years after the Treatment Period
Intervention | Participants (Count of Participants) |
---|---|
Bendamustine and Rituximab (BR) | 36 |
R-CHOP/R-CVP | 30 |
OS was defined as the time from randomization to death from any cause. (NCT00877006)
Timeframe: Day 1 up to 5.6 years (Treatment Period + Long-Term Follow-up Period)
Intervention | months (Median) |
---|---|
Bendamustine and Rituximab (BR) | 65.0 |
R-CHOP/R-CVP | 64.1 |
PFS was defined as the time from randomization to disease progression or relapse, or death from any cause, whichever occurred first. (NCT00877006)
Timeframe: Day 1 up to 5.6 years (Treatment Period + Long-Term Follow-up Period)
Intervention | months (Median) |
---|---|
Bendamustine and Rituximab (BR) | 31.8 |
R-CHOP/R-CVP | 33.4 |
"EFS was defined as the time from randomization to treatment failure, disease progression or relapse, other malignancies, or death from any cause, whichever occurred first.~Treatment failure was defined as failure to achieve a CR or PR after 6 cycles of treatment. If a patient failed to achieve CR or PR by the time of data analysis or early withdrawal, the treatment failure date was set at 126 days (6 cycles of treatment) after randomization or the new anticancer treatment date, whichever is earlier." (NCT00877006)
Timeframe: Day 1 up to 5.6 years (Treatment Period + Long-Term Follow-up Period)
Intervention | months (Median) |
---|---|
Bendamustine and Rituximab (BR) | 31.8 |
R-CHOP/R-CVP | 32.6 |
EORTC QLQ-C30 is a 30-item questionnaire to assess the overall quality of life in cancer patients. EORTC QLQ-C30 includes functional scales (physical, role, cognitive, emotional, and social), global health status, symptom scales (fatigue, pain, nausea/vomiting), and other (dyspnoea, appetite loss, insomnia, constipation/diarrhea, and financial difficulties). This outcome reports the global health status on a scale of 0-100 with a high score for the global health status/QOL represents a high quality of life. (NCT00877006)
Timeframe: Day 1 (prior to treatment), 32 weeks
Intervention | units on a scale (Mean) |
---|---|
Bendamustine and Rituximab (BR) | 3.6 |
R-CHOP/R-CVP | -5.1 |
DOR was defined as the time from first response (CR or PR) to disease progression or relapse, or death due to any cause. (NCT00877006)
Timeframe: Day 1 up to 5.6 years (Treatment Period + Long-Term Follow-up Period)
Intervention | months (Median) |
---|---|
Bendamustine and Rituximab (BR) | 26.5 |
R-CHOP/R-CVP | 32.1 |
(NCT00877006)
Timeframe: prior to start of treatment
Intervention | participants (Number) | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Psycholeptics | Sex Hormones and Modulators of the Genital System | Stomatological Preparations | Throat Preparations | Thyroid Therapy | Topical Products for Join and Muscular Pain | Unspecified Herbal | Urologicals | Vaccines | Vasoprotectives | Vitamins | |
Bendamustine and Rituximab (BR) | 57 | 11 | 0 | 0 | 16 | 1 | 10 | 20 | 2 | 0 | 70 |
R-CHOP/R-CVP | 59 | 12 | 0 | 0 | 17 | 0 | 10 | 11 | 7 | 0 | 61 |
Hematology test data were graded according to National Cancer Institute's (NCI) CTCAE version 3, and graded as 1 (mild), 2 (moderate), 3 (severe), 4 (life-threatening), 5 (death). The table presents the worst CTCAE grades for hematology test results experienced by participants overall (i.e., the worst post-baseline grade value for each participant and hematology test across all cycles). (NCT00877006)
Timeframe: 32 weeks (conducted at screening, Day 1 of each cycle, weekly during treatment, and at the end-of-treatment visit)
Intervention | participants (Number) | ||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Absolute Neutrophil Count: Grade 1 | Absolute Neutrophil Count: Grade 2 | Absolute Neutrophil Count: Grade 3 | Absolute Neutrophil Count: Grade 4 | Absolute Neutrophil Count: Grades 1-4 | Hemoglobin: Grade 1 | Hemoglobin: Grade 2 | Hemoglobin: Grade 3 | Hemoglobin: Grade 4 | Hemoglobin: Grades 1-4 | Lymphocytes Absolute: Grade 1 | Lymphocytes Absolute: Grade 2 | Lymphocytes Absolute: Grade 3 | Lymphocytes Absolute: Grade 4 | Lymphocytes Absolute: Grades 1-4 | Platelets: Grade 1 | Platelets: Grade 2 | Platelets: Grade 3 | Platelets: Grade 4 | Platelets: Grades 1-4 | White Blood Cells: Grade 1 | White Blood Cells: Grade 2 | White Blood Cells: Grade 3 | White Blood Cells: Grade 4 | White Blood Cells: Grades 1-4 | |
Bendamustine and Rituximab (BR) | 22 | 51 | 48 | 50 | 171 | 129 | 42 | 5 | 1 | 177 | 1 | 5 | 54 | 83 | 143 | 106 | 14 | 9 | 7 | 136 | 41 | 79 | 65 | 19 | 204 |
R-CHOP/R-CVP | 14 | 20 | 47 | 104 | 185 | 129 | 51 | 7 | 2 | 189 | 6 | 55 | 55 | 9 | 125 | 72 | 14 | 7 | 8 | 101 | 22 | 49 | 89 | 27 | 187 |
Participants' ECOG Performance Status was evaluated at the end of treatment as improved, stayed the same, or worsened from baseline (see Baseline Characteristics for ECOG Performance Status). (NCT00877006)
Timeframe: Week 32
Intervention | participants (Number) | ||
---|---|---|---|
Improved | Stayed the Same | Worsened | |
Bendamustine/Rituximab | 32 | 153 | 34 |
R-CHOP/R-CVP | 28 | 141 | 42 |
Clinical laboratory data were graded according to National Cancer Institute's (NCI) CTCAE version 3, and graded as 1 (mild), 2 (moderate), 3 (severe), 4 (life-threatening), 5 (death). The table presents the worst CTCAE grades for serum chemistry test results experienced by participants overall (i.e., the worst post-baseline grade value for each participant and laboratory test across all cycles). (NCT00877006)
Timeframe: 32 weeks (conducted at screening, Day 1 of each cycle, and end-of-treatment visit)
Intervention | participants (Number) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Albumin: Grade 1 | Albumin: Grade 2 | Albumin: Grade 3 | Albumin: Grade 4 | Albumin: Grades 1-4 | Alkaline Phosphatase: Grade 1 | Alkaline Phosphatase: Grade 2 | Alkaline Phosphatase: Grade 3 | Alkaline Phosphatase: Grade 4 | Alkaline Phosphatase: Grades 1-4 | Creatinine: Grade 1 | Creatinine: Grade 2 | Creatinine: Grade 3 | Creatinine: Grade 4 | Creatinine: Grades 1-4 | Gamma-glutamyl transferase: Grade 1 | Gamma-glutamyl transferase: Grade 2 | Gamma-glutamyl transferase: Grade 3 | Gamma-glutamyl transferase: Grade 4 | Gamma-glutamyl transferase: Grades 1-4 | Hypercalcemia: Grade 1 | Hypercalcemia: Grade 2 | Hypercalcemia: Grade 3 | Hypercalcemia: Grade 4 | Hypercalcemia: Grades 1-4 | Hyperglycemia: Grade 1 | Hyperglycemia: Grade 2 | Hyperglycemia: Grade 3 | Hyperglycemia: Grade 4 | Hyperglycemia: Grades 1-4 | Hyperkalemia: Grade 1 | Hyperkalemia: Grade 2 | Hyperkalemia: Grade 3 | Hyperkalemia: Grade 4 | Hyperkalemia: Grades 1-4 | Hypernatremia: Grade 1 | Hypernatremia: Grade 2 | Hypernatremia: Grade 3 | Hypernatremia: Grade 4 | Hypernatremia: Grades 1-4 | Hypocalcemia: Grade 1 | Hypocalcemia: Grade 2 | Hypocalcemia: Grade 3 | Hypocalcemia: Grade 4 | Hypocalcemia: Grades 1-4 | Hypoglycemia: Grade 1 | Hypoglycemia: Grade 2 | Hypoglycemia: Grade 3 | Hypoglycemia: Grade 4 | Hypoglycemia: Grades 1-4 | Hypokalemia: Grade 1 | Hypokalemia: Grade 2 | Hypokalemia: Grade 3 | Hypokalemia: Grade 4 | Hypokalemia: Grades 1-4 | Hyponatremia: Grade 1 | Hyponatremia: Grade 2 | Hyponatremia: Grade 3 | Hyponatremia: Grade 4 | Hyponatremia: Grades 1-4 | Magnesium: Grade 1 | Magnesium: Grade 2 | Magnesium: Grade 3 | Magnesium: Grade 4 | Magnesium: Grades 1-4 | Phosphorus: Grade 1 | Phosphorus: Grade 2 | Phosphorus: Grade 3 | Phosphorus: Grade 4 | Phosphorus: Grades 1-4 | Aspartate Aminotransferase: Grade 1 | Aspartate Aminotransferase: Grade 2 | Aspartate Aminotransferase: Grade 3 | Aspartate Aminotransferase: Grade 4 | Aspartate Aminotransferase: Grades 1-4 | Alanine Aminotransferase: Grade 1 | Alanine Aminotransferase: Grade 2 | Alanine Aminotransferase: Grade 3 | Alanine Aminotransferase: Grade 4 | Alanine Aminotransferase: Grades 1-4 | Total Bilirubin: Grade 1 | Total Bilirubin: Grade 2 | Total Bilirubin: Grade 3 | Total Bilirubin: Grade 4 | Total Bilirubin: Grades 1-4 | Uric Acid: Grade 1 | Uric Acid: Grade 2 | Uric Acid: Grade 3 | Uric Acid: Grade 4 | Uric Acid: Grades 1-4 | |
Bendamustine and Rituximab (BR) | 33 | 14 | 3 | 0 | 50 | 41 | 1 | 0 | 0 | 42 | 19 | 3 | 1 | 0 | 23 | 31 | 18 | 3 | 0 | 52 | 6 | 0 | 1 | 0 | 7 | 94 | 20 | 15 | 0 | 129 | 7 | 3 | 1 | 0 | 11 | 8 | 0 | 0 | 0 | 8 | 36 | 8 | 1 | 3 | 48 | 15 | 1 | 0 | 0 | 16 | 18 | 0 | 0 | 0 | 18 | 40 | 0 | 0 | 0 | 40 | 46 | 0 | 0 | 0 | 46 | 7 | 25 | 3 | 0 | 35 | 42 | 2 | 1 | 0 | 45 | 46 | 6 | 2 | 0 | 54 | 14 | 1 | 0 | 0 | 15 | 41 | 0 | 0 | 1 | 42 |
R-CHOP/R-CVP | 44 | 13 | 0 | 0 | 57 | 25 | 3 | 0 | 0 | 28 | 25 | 1 | 0 | 0 | 26 | 37 | 10 | 6 | 0 | 53 | 6 | 0 | 0 | 0 | 6 | 74 | 34 | 15 | 1 | 124 | 8 | 1 | 0 | 0 | 9 | 10 | 0 | 0 | 0 | 10 | 28 | 6 | 0 | 0 | 34 | 10 | 0 | 0 | 0 | 10 | 16 | 0 | 1 | 0 | 17 | 28 | 0 | 5 | 0 | 33 | 44 | 1 | 1 | 0 | 46 | 5 | 22 | 3 | 1 | 31 | 32 | 2 | 1 | 0 | 35 | 38 | 3 | 1 | 0 | 42 | 7 | 0 | 0 | 0 | 7 | 42 | 0 | 0 | 0 | 42 |
(NCT00877006)
Timeframe: 32 weeks
Intervention | participants (Number) | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Psycholeptics | Sex Hormones and Modulators of the Genital System | Stomatological Preparations | Throat Preparations | Thyroid Therapy | Topical Preparations for Join and Muscular Pain | Unspecified Herbal | Urologicals | Vaccines | Vasoprotectives | Vitamins | |
Bendamustine and Rituximab (BR) | 69 | 6 | 23 | 3 | 3 | 1 | 3 | 5 | 11 | 1 | 16 |
R-CHOP/R-CVP | 74 | 4 | 29 | 2 | 1 | 2 | 5 | 4 | 11 | 8 | 21 |
Participants were weighed at Baseline and at Endpoint (Week 32); those participants with an increase or decrease of >=10% were considered potentially clinically significant. (NCT00877006)
Timeframe: Baseline, Week 32
Intervention | participants (Number) | |
---|---|---|
Increase >=10% | Decrease >=10% | |
Bendamustine and Rituximab (BR) | 8 | 18 |
R-CHOP/R-CVP | 5 | 8 |
Death is due to any cause. Data are broken out by patients who died within 30 days of the last dose of study medications, and those who died greater than 30 days of the last dose of study medications. (NCT00877006)
Timeframe: Treatment Period: 18-32 weeks Long-Term Follow-up Period: up to 5 years after the Treatment Period
Intervention | Participants (Count of Participants) | ||
---|---|---|---|
All Deaths | Deaths within 30 days of study treatment | Deaths greater than 30 days of study treatment | |
Bendamustine and Rituximab (BR) | 40 | 2 | 38 |
R-CHOP/R-CVP | 32 | 1 | 31 |
AE=any untoward medical occurrence that develops or worsens in severity after dispensation of the study drug and does not necessarily have a causal relationship to the study drug. An AE can, therefore, be any unfavorable and unintended physical sign, symptom, or laboratory parameter that develops or worsens in severity during the course of the study, or significant worsening of the disease under study (or any concurrent disease), whether or not considered related to the study drug. AEs were graded as 1 (mild), 2 (moderate), 3 (severe), 4 (life-threatening), 5 (death). SAE=an adverse event occurring at any dose that results in: death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, a persistent or significant disability/incapacity (a substantial disruption of one's ability to conduct normal life functions), a congenital anomaly/birth defect, or other important medical event. (NCT00877006)
Timeframe: 32 weeks
Intervention | participants (Number) | |||||
---|---|---|---|---|---|---|
Any AE | Severe AEs (grades 3, 4, 5) | Treatment-related AEs | Deaths | SAEs | Withdrawn due to AEs | |
Bendamustine and Rituximab (BR) | 221 | 130 | 209 | 12 | 60 | 10 |
R-CHOP/R-CVP | 213 | 127 | NA | 9 | 49 | 3 |
(NCT00877006)
Timeframe: 32 weeks (conducted at screening, Day 1 of each cycle, and end-of-treatment visit)
Intervention | participants (Number) | |||||
---|---|---|---|---|---|---|
Heart Rate >=120 and ↑ >=15 bpm | Heart Rate <=50 and ↓ >=15 bpm | Systolic Blood Pressure(BP) >=180 and ↑ >=20 mm Hg | Systolic BP <=90 and ↓ >=20 mm Hg | Diastolic BP >=105 and ↑ from Baseline >=15 mm Hg | Diastolic BP <=50 and ↓ from Baseline >=15 mm Hg | |
Bendamustine and Rituximab (BR) | 0 | 2 | 2 | 6 | 1 | 2 |
R-CHOP/R-CVP | 1 | 2 | 2 | 2 | 2 | 2 |
Overall Response=participants with Complete Remission (CR) + those with Partial Remission (PR). CR=see Outcome Measure 1 for details. PR= at least a 50% decrease in the sum of the product of the greatest diameters (SPD) of up to 6 of the largest dominant nodes/masses; at least a 50% decrease in the SPD of hepatic and splenic nodules in their greatest transverse diameter; no increase in the size of the liver, spleen, and other nodes; no measurable disease in organs other than the liver or spleen; no new sites of disease; protocol-specified PET scan and bone marrow criteria. (NCT00877006)
Timeframe: 6 to 8 21 or 28-day cycles (18-32 weeks)
Intervention | percentage of participants (Number) |
---|---|
Bendamustine and Rituximab (BR) | 97 |
R-CHOP/R-CVP | 91 |
CR=complete disappearance of all detectable clinical evidence of disease and disease-related symptoms, if present pretherapy; protocol-specified positron emission tomography (PET) scan assessment criteria; (if the spleen and/or liver were enlarged on the basis of physical examination and/or anatomic imaging before treatment) the liver and/or spleen were considered normal size on physical examination and by anatomic imaging after therapy, with disappearance of all nodules related to lymphoma; (if the bone marrow was involved by lymphoma before treatment) the infiltrate must have cleared on subsequent bone marrow biopsies. (NCT00877006)
Timeframe: 6 to 8 21 or 28-day cycles (18-32 weeks)
Intervention | percentage of participants (Number) |
---|---|
Bendamustine and Rituximab (BR) | 31 |
R-CHOP/R-CVP | 25 |
Duration of response is defined as the time between the date of the first response to date of progression or death. Response is determined on the basis of the 2007 IWG criteria. A complete response is a complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present before therapy. A partial response is at least a 50% decrease in sum of the product of the diameters (SPD) of up to 6 of the largest dominant nodes or nodal masses, no increase should be observed in the size of other nodes, liver or spleen, and no new sites of disease should be observed. (NCT00891839)
Timeframe: Day 1 up to Month 43
Intervention | months (Median) |
---|---|
Bendamustine+Rituximab | 18.9 |
Overall survival is defined as the time from first exposure to study medication to death, or to last date from adverse events, concomitant medications, vital signs, lost to follow-up, or last known alive, for overall survival censoring date. (NCT00891839)
Timeframe: Day 1 up to Month 57
Intervention | months (Median) |
---|---|
Bendamustine+Rituximab | 38.4 |
Progression-free survival is defined as the time from first exposure to study medication to disease progression or relapse, or death due to any cause. Progression is defined using the 2007 International Working Group criteria, as any new lesion or increase by at least 50% of previously involved sites from nadir. (NCT00891839)
Timeframe: Day 1 up to Month 45
Intervention | months (Median) |
---|---|
Bendamustine+Rituximab | 17.2 |
"The International Working Group (IWG) criteria (Cheson et al 2007) for a complete response is a complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present before therapy. A partial response is at least a 50% decrease in sum of the product of the diameters (SPD) of up to 6 of the largest dominant nodes or nodal masses, no increase should be observed in the size of other nodes, liver or spleen, and no new sites of disease should be observed.~95% CIs are calculated using binomial exact method." (NCT00891839)
Timeframe: Month 3 (end of cycle 3), Month 6 (end of cycle 6)
Intervention | percentage of participants (Number) | |
---|---|---|
end of Cycle 3 | end of Cycle 6 | |
Bendamustine+Rituximab | 71 | 82 |
"The ECOG scale is:~Grade 0: Fully active, able to carry on all pre-disease activities without restriction;~Grade 1: Restricted in physically strenuous activity, ambulatory and able to carry out work of a light nature;~Grade 2: Ambulatory and capable of all self-care but unable to work. Up and about more than 50% of waking hours;~Grade 3: Capable of only limited self-care, confined to bed or chair > 50% of waking hours;~Grade 4: Completely disabled. Cannot carry on any self-care. Confined to bed or Chair.~The shift table compares baseline ECOG scores to the ECOG scores as of the last treatment visit." (NCT00891839)
Timeframe: Day 0 (baseline) up to Month 8
Intervention | participants (Number) | ||
---|---|---|---|
Improved | Stayed the same | Deteriorated | |
Bendamustine+Rituximab | 8 | 32 | 4 |
Participants had a whole-body PET at baseline and at the end of cycle 6 or the end-of-treatment visit. Negative PET refers to PET results showing no abnormal lymph nodes; conversely, positive PET refers to PET results showing abnormal lymph nodes. (NCT00891839)
Timeframe: Baseline (Days -30 to 0), post treatment (up to Month 9, 30 days following completion of therapy)
Intervention | participants (Number) | |||
---|---|---|---|---|
Baseline Negative - Study Negative | Baseline Positive - Study Negative | Baseline Negative - Study Positive | Baseline Positive - Study Positive | |
Bendamustine+Rituximab | 0 | 0 | 23 | 15 |
Acute grade 2 to 4 Graft versus host disease( GVHD )for patients who were able to be analyzed by measuring the T cell counts for increased CD3+ before and after lenalidomide. (NCT00899431)
Timeframe: Up to 6 months after allotransplant
Intervention | Participants (Count of Participants) |
---|---|
Group 1 | 0 |
Group 2 | 3 |
Group 3 | 1 |
To evaluate the complete response rate of the combination of BMR in previously untreated follicular non-Hodgkin's lymphoma. CR defined by International Working Group Criteria for Response for Non-Hodgkin's Lymphoma as complete disappearance of all detectable clinical evidence of disease and disease-related symptoms. (NCT00901927)
Timeframe: 3 months
Intervention | participants (Number) |
---|---|
Bendamustine + Mitoxantrone + Rituximab | 3 |
To evaluate the toxicity and safety of BMR in participants with untreated follicular lymphoma. (NCT00901927)
Timeframe: 3 months
Intervention | Participants (Count of Participants) |
---|---|
Bendamustine + Mitoxantrone + Rituximab | 3 |
Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. (NCT00901927)
Timeframe: 5 months
Intervention | months (Median) |
---|---|
Bendamustine + Mitoxantrone + Rituximab | 5 |
The Maximum Tolerated Dose was not met in Phase 1 of the study. Phase 2 participants were enrolled at the highest dose administered in Phase 1 (Dose Level 6) and this Outcome Measure is the reported number of dose-limiting toxicities experienced by Phase 1 participants. DLTs were defined as any grade 3 non-hematologic adverse even that did not resolve within 72 hours, any occurrence of a grade 4 non-hematologic adverse event, or failure to engraft with an absolute neutrophil count of 500/mm^3 and platelet count of 20,000/mm^3 untransfused by Day 35 post-transplant. (NCT00916058)
Timeframe: 35 days post-transplant
Intervention | Participants (Count of Participants) |
---|---|
Dose Level 1 | 0 |
Dose Level 2 | 1 |
Dose Level 3 | 0 |
Dose Level 4 | 0 |
Dose Level 5 | 0 |
Dose Level 6 | 0 |
"Time elapsed between Day 0 and disease progression, as defined by the International Myeloma Working Group (IMWG) disease response criteria. Disease progression is defined as an increase of >25% from lowest response value in any one or more of the following:~Serum M-component and/or (the absolute increase must be > 0.5 g/dL)~Urine M-component and/or (the absolute increase must be > 200 mg/24 h)~Only in patients without measurable serum and urine M-protein levels; the difference between involved and uninvolved free light chain levels. The absolute increase must be > 10 mg/dL~Bone marrow plasma cell percentage; the absolute percentage must be > 10%~Definite development of new bone lesions or soft tissue plasmacytomas or definite increase in the size of existing bone lesions or soft tissue plasmacytomas~Development of hypercalcaemia (corrected serum calcium > 11.5 mg/dL or 2.65 mmol/L) that can be attributed solely to the plasma cell proliferative disorder" (NCT00916058)
Timeframe: From Day 0 to first incidence of disease progression, up to 86 months
Intervention | Months (Median) |
---|---|
Phase 2 | 47 |
"Time elapsed between Day 0 and disease progression, as defined by the International Myeloma Working Group (IMWG) disease response criteria. Disease progression is defined as an increase of >25% from lowest response value in any one or more of the following:~Serum M-component and/or (the absolute increase must be > 0.5 g/dL)~Urine M-component and/or (the absolute increase must be > 200 mg/24 h)~Only in patients without measurable serum and urine M-protein levels; the difference between involved and uninvolved free light chain levels. The absolute increase must be > 10 mg/dL~Bone marrow plasma cell percentage; the absolute percentage must be > 10%~Definite development of new bone lesions or soft tissue plasmacytomas or definite increase in the size of existing bone lesions or soft tissue plasmacytomas~Development of hypercalcaemia (corrected serum calcium > 11.5 mg/dL or 2.65 mmol/L) that can be attributed solely to the plasma cell proliferative disorder" (NCT00916058)
Timeframe: From Day 0 to first incidence of disease progression, up to 1,128 days
Intervention | Days (Median) |
---|---|
Phase 1 | 791 |
Number of patients achieving at least a partial response or better in disease status at Day 100 post-transplant, as defined by the International Myeloma Working Group (IMWG) disease response criteria. Partial response in disease status is defined by the IMWG as ≥50% reduction of serum M-protein and reduction in 24-h urinary M-protein by ≥90% or to <200 mg per 24 hours; If the serum and urine M-protein are unmeasurable, a ≥50% decrease in the difference between involved and uninvolved FLC levels is required in place of the M-protein criteria; If serum and urine M-protein are unmeasurable, and serum-free light assay is also unmeasurable, ≥50% reduction in plasma cells is required in place of M-protein, provided baseline bone marrow plasma-cell percentage was ≥30%. In addition to these criteria, if present at baseline, a ≥50% reduction in the size (SPD) of soft tissue plasmacytomas is also required (NCT00916058)
Timeframe: 100 days post-transplant
Intervention | Participants (Count of Participants) |
---|---|
Phase 2 | 33 |
Time elapsed between Day 0 and death from any cause, whichever came first, assessed up to 2 years. (NCT00916058)
Timeframe: From Day 0 until time of death, assessed up to 2 years.
Intervention | Percentage of participants alive (Median) |
---|---|
Phase 1 | 70 |
Time elapsed between Day 0 and death from any cause, whichever came first, assessed up to 3 years. (NCT00916058)
Timeframe: From Day 0 until time of death, assessed up to 3 years.
Intervention | Percentage of participants alive (Median) |
---|---|
Phase 2 | 88 |
"Time to progression was defined as the time from initiation of therapy to progressive disease (PD). PD requires at least one of the following:~>25% increase in serum monoclonal paraprotein (which must also be an absolute increase of at least 5 g/L),~>25% increase in 24-hour urinary light chain excretion (which must also be an absolute increase of at least 200 mg/24 h),~>25% increase in plasma cells in a bone marrow aspirate or on trephine biopsy (which must also be an absolute increase of at least 10%),~definite increase in the size of existing lytic bone lesions or soft tissue plasmacytomas,~the development of new bone lesions or soft tissue plasmacytomas,~the development of hypercalcemia (corrected serum calcium > 11.5 mg/dL or 2.8 mmol/L not attributable to any other cause)." (NCT00920855)
Timeframe: up to 8.6 months
Intervention | months (Median) |
---|---|
Bendamustine and Bortezomib - Overall | 8.4 |
"Maximum tolerated dose was the dose that was 1 step lower than the dose where at least one third of patients experienced DLT. A DLT was defined as any of the following occurring during the first cycle:~grade 4 hematologic toxicity without regard for relationship to study drug treatment~thrombocytopenia grade 3 with grade 3 or grade 4 hemorrhage~grade 3 febrile neutropenia~grade 3 or grade 4 nausea and vomiting refractory to anti emetic therapy~any study drug related grade 3 or grade 4 nonhematologic toxicity~any drug related death~Toxicity grades (3=severe AE and 4=life-threatening or disabling AE) were assessed using the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v3." (NCT00920855)
Timeframe: Day 1 - 28
Intervention | participants (Number) |
---|---|
Bendamustine 50 mg/m^2 Cohort | 0 |
Bendamustine 70 mg/m^2 Cohort | 0 |
Bendamustine 90 mg/m^2 Cohort | 0 |
Overall tumor response is the sum of a complete response (CR), very good partial response (VGPR), partial response (PR) and minimal response (MR). A modified version of the Bladé criteria for response was used. Abbreviated definitions for the response categories can be found in the description of outcome #3. (NCT00920855)
Timeframe: Up to 7.5 months (eight 28-day cycles)
Intervention | percentage of participants (Number) |
---|---|
Bendamustine 50 mg/m^2 Cohort | 40.0 |
Bendamustine 70 mg/m^2 Cohort | 25.0 |
Bendamustine 90 mg/m^2 Cohort | 51.6 |
Time to first response is defined as the time from the initiation of therapy to the first evidence of a confirmed response (ie, CR, VGPR, PR, or MR). (NCT00920855)
Timeframe: up to 8.5 months
Intervention | months (Mean) |
---|---|
Bendamustine and Bortezomib - Overall | 1.9 |
Duration of response (DR) is defined as the time from the first response to progressive disease (PD). See outcome #4 for a PD definition. (NCT00920855)
Timeframe: up to 8.5 months
Intervention | months (Median) |
---|---|
Bendamustine and Bortezomib - Overall | NA |
Abbreviated criteria for response categories: CR includes the disappearance of the original monoclonal protein (M-protein) from blood and urine, and <5% plasma cells in the bone marrow, and no increase in size/number of lytic bone lesions, and disappearance of soft tissue plasmacytomas for >=4 weeks. VGPR includes serum and urine M-protein detectable by immunofixation but not electrophoresis, and reduction in 24-hr urinary light chain excretion by <100 mg, and disappearance of soft tissue plasmacytomas for >= 4 weeks, and no increase in size/number of lytic bone lesions. PR includes a >=50% reduction in serum M-protein, and reduction in 24-hr urinary light chain excretion by either >=90% or to <200 mg, and >=50% reduction in size of soft tissue plasmacytomas, and no increase in size/number of lytic bone lesions. MR includes a >=25% and <=49% reduction in serum M-protein. SD does not meet criteria for the other response categories. See outcome #4 for a definition of PD. (NCT00920855)
Timeframe: up to 7.5 months (eight 28-day cycles)
Intervention | participants (Number) | |||||
---|---|---|---|---|---|---|
Complete response (CR) | Very good partial response (VGPR) | Partial response (PR) | Minimal response (MR) | Stable disease (SD) | Progressive disease (PD) | |
Bendamustine 50 mg/m^2 Cohort | 0 | 0 | 1 | 1 | 2 | 1 |
Bendamustine 70 mg/m^2 Cohort | 0 | 0 | 0 | 1 | 2 | 1 |
Bendamustine 90 mg/m^2 Cohort | 1 | 2 | 8 | 5 | 13 | 2 |
Counts of participants who had AEs are summarized in a variety of categories. Severity and relatedness to study drug are in the opinion of the investigator according to the National Cancer Institute's Common Terminology Criteria for Adverse Events (NCI CTCAE) v3.0. Severity is rated on a 5-point scale: 1=mild, 2=moderate, 3=severe, 4=life threatening or disabling, and 5= death related to AE. Relatedness is assessed on a 5-point scale: not related, unlikely, possible, probable and definite. Definite, probable and possible answers are reported as 'related' to study medication. Deaths are reported up to 18 months. All the deaths occurred beyond the treatment-emergent timeframe since they occurred 6.5-16 months after the final dosing. All other parts of the summary represent the treatment-emergent timeframe (up to 8.5 months) which is the treatment period plus 30 days. (NCT00920855)
Timeframe: up to 8.5 months. Deaths are reported up to 18 months
Intervention | participants (Number) | ||||||
---|---|---|---|---|---|---|---|
Any adverse event | Any non-haematologic adverse event | Severe adverse event (grade 3 or 4) | Treatment-related adverse events | Deaths | Serious adverse events | Withdrawn from study due to AE | |
Bendamustine 50 mg/m^2 Cohort | 5 | 5 | 3 | 4 | 1 | 0 | 2 |
Bendamustine 70 mg/m^2 Cohort | 4 | 4 | 3 | 4 | 0 | 1 | 2 |
Bendamustine 90 mg/m^2 Cohort | 31 | 31 | 22 | 31 | 5 | 7 | 5 |
Overall survival is defined as the time from initiation of therapy to death from any cause or last follow-up visit. (NCT00920855)
Timeframe: up to 23 months
Intervention | months (Median) |
---|---|
Bendamustine and Bortezomib - Overall | 17.82 |
Progression free survival is the time between the date of initiation of therapy to progressive disease (PD) or death from any cause, whichever occurs first. See outcome #4 for a definition of PD. (NCT00920855)
Timeframe: up to 23 months
Intervention | months (Median) |
---|---|
Bendamustine and Bortezomib - Overall | 15.21 |
The primary endpoint of this study was progression-free survival (PFS), defined as the number of days from the day of first study drug administration to the day the patient experienced disease progression or death from any cause. Response and progression in cases of small lymphocytic lymphoma(SLL) were evaluated using the International Working Group Criteria for response in NHL (Cheson, et al 1996). Response and progression in cases of chronic lymphocytic leukemia (CLL) were evaluated using the NCI-sponsored CLL Working Group guidelines for CLL (Cheson, et al 2007). (NCT00974233)
Timeframe: 42 months (6 months induction therapy, 12 months maintenance, 24 months long-term follow-up)
Intervention | months (Median) |
---|---|
Induction/Maintenance Chemotherapy | 18.3 |
Progression-free survival (PFS) is defined as the time from the day of first study drug administration until progression of CLL/SLL or death from any cause. PFS is reported as the proportion of participants with PFS up to 42 months. (NCT00974233)
Timeframe: 42 months (6 months induction therapy, 12 months maintenance, 24 months long-term follow-up)
Intervention | Proportion of participants (Median) | ||
---|---|---|---|
1-year progression-free survival | 2-year progression-free survival | 3-year progression-free survival | |
Induction/Maintenance Chemotherapy | 0.62 | 0.35 | 0.23 |
Toxicities were reported using the Common Terminology Criteria for Adverse Events, version 3.0. (NCT00974233)
Timeframe: 42 months (6 months induction therapy, 12 months maintenance, 24 months long-term follow-up)
Intervention | participants (Number) | ||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Grade 3 leukopenia | Grade 4 leukopenia | Grade 3 neutropenia | Grade 4 neutropenia | Grade 3 anemia | Grade 3 thrombocytopenia | Grade 4 thrombocytopenia | Grade 3 febrile neutropenia | Grade 3 infection | Grade 4 infection | Grade 5 infection | Grade 3 fatigue | Grade 4 fatigue | Grade 3 nausea/emesis | Grade 3 serum transaminase levels (Gr 3/Gr 4) | |
Induction Chemoimmunotherapy | 5 | 5 | 6 | 14 | 1 | 5 | 2 | 4 | 10 | 1 | 1 | 2 | 0 | 3 | 4 |
Maintenance | 6 | 1 | 7 | 2 | 0 | 1 | 0 | 1 | 4 | 1 | 0 | 0 | 1 | 0 | 0 |
Response and progression in cases of SLL were evaluated using the International Working Group Criteria for response in NHL (Cheson, et al 1996). Response and progression in cases of CLL were evaluated using the NCI-sponsored CLL Working Group guidelines for CLL (Cheson, et al 2007). Complete response defined as resolution enlarged lymph nodes, spleen and liver; normalization of blood counts (neutrophils, hemoglobin, platelets); no residual CLL/SLL detectable in the bone marrow. Partial response defined as 50% or more reduction in size of enlarged lymph nodes, liver or spleen; 50% or more improvement of blood counts; 50% or more improvement in the blood lymphocyte count. Progressive disease defined as 50% or more increase in the combined measurements of at least 2 lymph nodes as measured on CT scans or the appearance of new enlarged lymph nodes; 50% of more increase in the size of the spleen or liver; 50% or more increase in blood lymphocyte count. (NCT00974233)
Timeframe: 42 months (6 months induction therapy, 12 months maintenance, 24 months long-term follow-up)
Intervention | participants (Number) |
---|---|
Complete Response (CR) | 7 |
Partial Response (PR) | 12 |
Stable Disease | 9 |
Overall Response Rate | 19 |
Overall survival (OS) is defined as the time from the day of first study drug administration until death from any cause. (NCT00974233)
Timeframe: 42 months (6 months induction therapy, 12 months maintenance, 24 months long-term follow-up)
Intervention | months (Median) |
---|---|
Overall Study Population | 42.8 |
Estimated probable duration of life from on-study date to date of death from any cause, using the Kaplan-Meier method with censoring (see analysis population description for additional details) (NCT00984542)
Timeframe: On study to date of death from any cause or last date known alive, measured every 6-8 weeks from the end of treatment, up to 31 months
Intervention | days (Median) |
---|---|
Bendatmustine | 144 |
Number of patients with worst-grade toxicity at each of five grades following NCI Common Toxicity Criteria with grade 1 = mild, grade 2 = moderate, grade 3 = severe, grade 4 = life-threatening/disabling, 5 = death. (NCT00984542)
Timeframe: Day 1 of each 21-day cycle for 6 cycles and at 30 days after end of treatment, at 156 days
Intervention | participants (Number) | ||||
---|---|---|---|---|---|
Number of patients with worst-grade toxicity of 1 | Number of patients with worst-grade toxicity of 2 | Number of patients with worst-grade toxicity of 3 | Number of patients with worst-grade toxicity of 4 | Number of patients with worst-grade toxicity of 5 | |
Bendamustine | 1 | 14 | 21 | 5 | 9 |
Estimated probable duration from on-study date to date of disease progression, using the Kaplan-Meier method with censoring (see analysis population description for additional details). Disease progression is defined under RECIST v1.1 as >=20% increase in sum of longest diameters of target lesions, unequivocal progression of non-target lesions, or appearance of new lesions. (NCT00984542)
Timeframe: On-study to date of progression, measured following cycle 2, 4, and 6 of a 21-day cycle for 6 cycles, (during 126 days)
Intervention | days (Median) |
---|---|
Bendamustine | 123 |
"Number of patients in each response category, per RECIST v1.1, summarized as follows for target lesion criteria (see RECIST v1.1 for additional details):~complete response (CR),disappearance of target lesions; partial response (PR), >=30% decrease in sum of longest diameter of target lesions; progressive disease (PD), >=20% increase in sum of LD of target lesions or appearance of new lesions; stable disease (SD), insufficient change in target lesions or new lesions to qualify as either PD or SD. Patients are categorized according to the best response achieved prior to occurrence of progressive disease, where best response hierarchy is CR>PR>SD>PD." (NCT00984542)
Timeframe: On-treatment date to date of disease progression, following cycle 2, 4, and 6 of a 21-day cycle for 6 cycles, (assessed up to 126 days)
Intervention | participants (Number) | |||
---|---|---|---|---|
Complete Response | Partial Response | Progressive Disease | Stable Disease | |
Bendamustine | 1 | 10 | 14 | 17 |
Estimated probable duration of life without disease progression, from on-study date to earlier of progression date or date of death from any cause, using the Kaplan-Meier method with censoring (see analysis population description for additional details). Disease progression is defined under RECIST v1.1 as >=20% increase in sum of longest diameters of target lesions, unequivocal progression of non-target lesions, or appearance of new lesions. (NCT00984542)
Timeframe: On-study date to lesser of date of progression or date of death from any cause ,measured following cycle 2, 4, 6 of a 21-day cycle for 6 cycles, (assessed up to 126 days)
Intervention | days (Median) |
---|---|
Bendamustine | 98 |
NCI IWG response criteria (NCT01010568)
Timeframe: 6 months
Intervention | participants (Number) |
---|---|
Ofatumumab and Bendamustine | 2 |
Kaplan Meyer PFS (NCT01010568)
Timeframe: 2 years
Intervention | months (Median) |
---|---|
Ofatumumab and Bendamustine | 8.1 |
40% per the National Cancer Institute Working Group Response Criteria for Chronic Lymphocytic Leukemia (NCT01010568)
Timeframe: 6 months
Intervention | participants (Number) |
---|---|
Ofatumumab and Bendamustine | 4 |
Percentage of patients experiencing a complete response (CR) per RECIST. CR = disappearance of all target lesions. (NCT01029730)
Timeframe: 18 months
Intervention | percentage of evaluable participants (Number) |
---|---|
Bendamustine/Bortezomib/Rituximab | 65 |
The Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Worsening of Their Disease. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. (NCT01029730)
Timeframe: at 3 and 6 months, then every 3 months post-treatment for 1 year and every 6 months thereafter until disease progression; projected 2 years.
Intervention | months (Median) |
---|---|
Bendamustine/Bortezomib/Rituximab | NA |
The Percentage of Patients Who Experience an Objective Benefit From Treatment. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI or CT: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR. (NCT01029730)
Timeframe: At 3 and 6 months during treatment, then 6 months post-treatment.
Intervention | percentage of evaluable participants (Number) |
---|---|
Bendamustine/Bortezomib/Rituximab | 94 |
Toxicity grades will be assessed using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v4.0. Includes adverse events occurring in >1 patient (NCT01029730)
Timeframe: Days 1,8, and 15 of each 28-day cycle for 6 months, then every 3 months for a year, projected 2 years.
Intervention | participants (Number) | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Leukopenia | Neutropenia | Lymphopenia | Thrombocytopenia | Anemia | Peripheral Neuropathy | Diarrhea | Fatigue | Nausea/Vomiting | Cough | Rash | Syncope | Hypocalcemia/Hyponatremia | |
Bendamustine/Bortezomib/Rituximab | 16 | 16 | 9 | 4 | 3 | 5 | 4 | 4 | 3 | 2 | 2 | 2 | 2 |
The progression-free survival time is defined as the time from registration to disease progression (PD=Increase of > 25% from lowest response value in Serum/Urine M-component) while receiving bendamustine, lenalidomide, and dexamethasone or death due to any cause, whichever comes first. The distribution of progression-free survival will be estimated using the method of Kaplan-Meier. Treatment response was assessed using the International Myeloma Working Group uniform criteria. (NCT01049945)
Timeframe: Up to 2 years from study completion
Intervention | months (Median) |
---|---|
Maximum Tolerated Dose, Dose Level 4 | 11.8 |
The overall survival time is defined as the time from registration to death due to any cause. The distribution of overall survival will be estimated using the method of Kaplan-Meier. The overall survival rate at 6 months is defined as the percentage of participants who are alive at 6 months. (NCT01049945)
Timeframe: at 6 months
Intervention | percentage of participants (Number) |
---|---|
Maximum Tolerated Dose, Dose Level 4 | 87 |
The event-free survival time is defined as the time from registration to disease progression (PD=Increase of > 25% from lowest response value in Serum/Urine M-component) while receiving bendamustine, lenalidomide, and dexamethasone, death due to any cause, or subsequent treatment for multiple myeloma. The distribution of event-free survival will be estimated using the method of Kaplan-Meier. Treatment response was assessed using the International Myeloma Working Group uniform criteria. (NCT01049945)
Timeframe: Up to 2 years from study completion
Intervention | months (Median) |
---|---|
Maximum Tolerated Dose, Dose Level 4 | 5.6 |
DOR is the time from the date the patient's objective status is first noted to be PR or better to the earliest date of progression (PD=Increase of > 25% from lowest response value in Serum/Urine M-component) is documented. Treatment response was assessed using the International Myeloma Working Group uniform criteria. Complete response (CR)=Negative immunofixation on the serum and urine and disappearance of any soft tissue plasmacytomas and <5% plasma cells in bone marrow. Stringent complete response (sCR)=A CR plus normal FLC ratio and no clonal cells in bone marrow. Near complete response (nCR)=A CR, with the persistence of original monoclonal protein. Very good partial response (VGPR) =Serum and urine M-component detectable by immunofixation but not on electrophoresis or 90% or greater reduction in serum M-component plus urine M-component <100 mg per 24 h, Partial response (PR)=≥50% reduction of serum M-protein and reduction in 24-h urinary M-protein by ≥90% or to <200 mg per 24 h. (NCT01049945)
Timeframe: Up to 2 years from study completion
Intervention | months (Median) |
---|---|
Maximum Tolerated Dose, Dose Level 4 | 24.4 |
"The Maximum Tolerated Dose (MTD) is the dose level below that at which a dose limiting toxicity (DLT) is observed in ≥ 33% (i.e., ≥ 2 of 6) subjects in a cohort. A dose limiting toxicity is defined as one of the following adverse events in the Common Terminology Criteria for Adverse Events (CTCAE) v 3.0 deemed at least possibly related to treatment:~Grade 2 neuropathy with pain~Any grade 3 Non-Hematologic toxicity~Any grade Non-Hematologic event requiring a dose reduction in cycle 1 or delaying the next cycle by >14 days.~Grade 4 neutropenia~Febrile neutropenia~Grade 4 thrombocytopenia~Grade 3 thrombocytopenia associated with bleeding~Any Hematologic event requiring a dose reduction in cycle 1 or a delay in the next cycle of treatment by >14 days.~We are reporting the results of this endpoint as the number of DLTs per dose level." (NCT01049945)
Timeframe: One cycle of treatment
Intervention | Dose Limiting Toxic Events (Number) |
---|---|
Phase I, Dose Level 1 | 0 |
Phase I, Dose Level 2 | 1 |
Phase I, Dose Level 3 | 0 |
Phase I, Dose Level 4 | 0 |
Phase I, Dose Level 5 | 2 |
"Complete response (CR)~- Negative immunofixation on the serum and urine and disappearance of any soft tissue plasmacytomas and <5% plasma cells in bone marrow.~Stringent complete response (sCR) - A CR plus normal FLC ratio and no clonal cells in bone marrow~Near complete response (nCR) A CR, with the persistence of original monoclonal protein~Very good partial response (VGPR)~- Serum and urine M-component detectable by immunofixation but not on electrophoresis or 90% or greater reduction in serum M-component plus urine M-component <100 mg per 24 h~Partial response (PR)~≥50% reduction of serum M-protein and reduction in 24-h urinary M-protein by ≥90% or to <200 mg per 24 h.~a ≥50% decrease in the difference between involved and uninvolved FLC levels~or a ≥50% reduction in plasma cells is required in place of M-protein, if ≥30% at baseline." (NCT01049945)
Timeframe: Up to 6 cycles of treatment
Intervention | percentage of participants (Number) |
---|---|
Maximum Tolerated Dose, Dose Level 4 | 44 |
Defined as the percent of patients having a complete response (CR) to treatment, assessed using the International Myeloma Working Group (IMWG) Uniform Response Criteria. CR=disappearance of soft tissue plasmacytomas and 5% or less plasma cells in bone marrow. (NCT01056276)
Timeframe: every 8 weeks for approximately 48 months
Intervention | percentage of participants (Number) |
---|---|
Original BBD Regimen | 0 |
Modified BBD Regimen | 13 |
Defined as the interval of time (in months) that patient are alive from date of first protocol treatment to date of documented tumor progression or date of death from any cause. Progressive disease, assessed according to International Myeloma Working Group Uniform Response Criteria, is defined as at least a 25% increase from the nadir in any one of the following criteria: serum M-protein, urine M-protein, or bone marrow plasma cell percentage of 10% or greater. (NCT01056276)
Timeframe: every 8 weeks for up to 48 months
Intervention | months (Median) |
---|---|
Original BBD Regimen | 11.1 |
Modified BBD Regimen | 18.9 |
The number of patients with observed complete or partial response (CR or PR) assessed by International Myeloma Working Group (IMWG) Uniform Response Criteria. PR=50% or greater reduction from baseline in serum M-protein and 90% or greater reduction from baseline in 24-hour urinary M-protein. (NCT01056276)
Timeframe: every 4 weeks for approximately 2 years
Intervention | participants (Number) | |
---|---|---|
CR | PR | |
Modified BBD Regimen | 5 | 8 |
Originl BBD Regimen | 0 | 5 |
All serious adverse events (SAEs) and non-serious adverse events (AEs) were assessed using National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) v4.0, and were collected from start of study treatment until 30 days after last dose of study medication. Refer to the Adverse Event module for specific terms. (NCT01056276)
Timeframe: approximately 36 weeks
Intervention | participants (Number) | |
---|---|---|
SAEs | AEs | |
Modified BBD Regimen | 17 | 38 |
Original BBD Regimen | 7 | 18 |
Defined as the interval of time, in months, from first study treatment until the earlier of the date of death or date last known alive. (NCT01056276)
Timeframe: every 4 weeks until progressive disease then every 12 weeks, projected 48 months
Intervention | months (Median) |
---|---|
Original BBD Regimen | NA |
BBD Treatment | NA |
The criteria for CR, CRi, PR, and nPR are identified in previous outcome measure(s). PD was defined by at least one of the following: the presence of lymphadenopathy; an increase in the previously noted enlargement of the liver or spleen by >/= 50% or the de novo appearance of hepatomegaly or splenomegaly; an increase in the number of blood lymphocytes by >/= 50% with >/= 5000 B-cells per microliter (B-cells/mcL); transformation to a more aggressive histology; or occurrence of cytopenia attributable to CLL. Participants not achieving a CR or PR, and who did not exhibit PD, were considered to have stable disease (SD). The percentage of participants achieving each level of response was calculated as the number of participants meeting the above criteria divided by the number of participants analyzed. The rows below are labeled first by the level of response at the end of 6 cycles (C6), then by level of response at the confirmation assessment. (NCT01056510)
Timeframe: After 6 treatment cycles and at the confirmation of response assessment at least 12 weeks later (up to 36 weeks)
Intervention | percentage of participants (Number) | ||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
CR with biopsy (C6), CR (confirmed) | CR with biopsy (C6), CRi (confirmed) | CR with biopsy (C6), nPR (confirmed) | CR with biopsy (C6), PR (confirmed) | CR with biopsy (C6), SD (confirmed) | CR with biopsy (C6), PD (confirmed) | CR with biopsy (C6), Missing (confirmed) | CR without biopsy (C6), CR (confirmed) | CR without biopsy (C6), CRi (confirmed) | CR without biopsy (C6), nPR (confirmed) | CR without biopsy (C6), PR (confirmed) | CR without biopsy (C6), SD (confirmed) | CR without biopsy (C6), PD (confirmed) | CR without biopsy (C6), Missing (confirmed) | PR (C6), CR (confirmed) | PR (C6), CRi (confirmed) | PR (C6), nPR (confirmed) | PR (C6), PR (confirmed) | PR (C6), SD (confirmed) | PR (C6), PD (confirmed) | PR (C6), Missing (confirmed) | SD (C6), CR (confirmed) | SD (C6), CRi (confirmed) | SD (C6), nPR (confirmed) | SD (C6), PR (confirmed) | SD (C6), SD (confirmed) | SD (C6), PD (confirmed) | SD (C6), Missing (confirmed) | Missing (C6), CR (confirmed) | Missing (C6), CRi (confirmed) | Missing (C6), nPR (confirmed) | Missing (C6), PR (confirmed) | Missing (C6), SD (confirmed) | Missing (C6), PD (confirmed) | Missing (C6), Missing (confirmed) | |
Rituximab + Bendamustine | 21.5 | 2.5 | 1.7 | 19.0 | 0 | 0 | 0 | 2.5 | 0 | 0 | 16.5 | 0 | 0 | 0.8 | 1.7 | 0 | 0 | 8.3 | 0 | 0.8 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.8 | 0 | 0 | 0 | 0 | 0 | 24.0 |
Rituximab + Chlorambucil | 9.2 | 0 | 6.7 | 17.5 | 1.7 | 0 | 0 | 5.8 | 0 | 0 | 10.0 | 0 | 0 | 0 | 4.2 | 0 | 0 | 21.7 | 0 | 2.5 | 0 | 0 | 0 | 0 | 0 | 0.8 | 0.8 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 19.2 |
Molecular response was defined as negative minimal residual disease (MRD) during study treatment or within 4 months after the end of treatment. Negative MRD was defined as a proportion of malignant B-cells in normal B-cells < 0.0001. The percentage of participants achieving molecular response was calculated as the number of participants with negative MRD divided by the number of participants analyzed. (NCT01056510)
Timeframe: Up to 4 months after the last treatment cycle (up to 40 weeks)
Intervention | percentage of participants (Number) | |
---|---|---|
Molecular response | No molecular response | |
Rituximab + Bendamustine | 57.1 | 42.9 |
Rituximab + Chlorambucil | 16.0 | 84.0 |
The definition of confirmed CR required all of the following criteria as assessed at least 2 months after completion of therapy: peripheral blood lymphocytes < 4 times 10^9 cells/L; absence of significant lymphadenopathy, hepatomegaly, or splenomegaly due to CLL involvement; absence of constitutional symptoms; normal CBC without need for transfusion or exogenous growth factors, as exhibited by neutrophils >/= 1.5 times 10^9 cells/L, platelets > 100 times 10^9 cells/L, and hemoglobin > 11.0 g/dL; normocellular BM aspirate with < 30% lymphocytes; absence of lymphoid nodules; and BM biopsy without CLL activity. The percentage of participants achieving confirmed CR was calculated as the number of participants meeting the above criteria divided by the number of participants analyzed, multiplied by 100. (NCT01056510)
Timeframe: At least 2 months after completion of therapy (up to 32 weeks)
Intervention | percentage of participants (Number) | ||
---|---|---|---|
Confirmed CR with biopsy | CR without biopsy | No confirmed CR | |
Rituximab + Bendamustine | 15.8 | 3.5 | 80.7 |
Rituximab + Chlorambucil | 1.7 | 1.7 | 96.6 |
The definition of confirmed CR required all of the following criteria as assessed at least 2 months after completion of therapy: peripheral blood lymphocytes < 4 times 10^9 cells/L; absence of significant lymphadenopathy, hepatomegaly, or splenomegaly due to CLL involvement; absence of constitutional symptoms; normal CBC without need for transfusion or exogenous growth factors, as exhibited by neutrophils >/= 1.5 times 10^9 cells/L, platelets > 100 times 10^9 cells/L, and hemoglobin > 11.0 g/dL; normocellular BM aspirate with < 30% lymphocytes; absence of lymphoid nodules; and BM biopsy without CLL activity. The percentage of participants achieving confirmed CR was calculated as the number of participants meeting the above criteria divided by the number of participants analyzed, multiplied by 100. (NCT01056510)
Timeframe: At least 2 months after completion of therapy (up to 32 weeks)
Intervention | percentage of participants (Number) | ||
---|---|---|---|
Confirmed CR with biopsy | CR without biopsy | No confirmed CR | |
Rituximab + Bendamustine | 21.3 | 2.8 | 75.8 |
Rituximab + Chlorambucil | 6.7 | 4.5 | 88.8 |
The definition of confirmed CR required all of the following criteria as assessed at least 2 months after completion of therapy: peripheral blood lymphocytes less than (<) 4 times 10^9 cells per liter (cells/L); absence of significant lymphadenopathy, hepatomegaly, or splenomegaly due to chronic lymphocytic leukemia (CLL) involvement; absence of constitutional symptoms; normal complete blood count (CBC) without need for transfusion or exogenous growth factors, as exhibited by neutrophils at least (>/=) 1.5 times 10^9 cells/L, platelets greater than (>) 100 times 10^9 cells/L, and hemoglobin > 11.0 grams per deciliter (g/dL); normocellular bone marrow (BM) aspirate with < 30 percent (%) lymphocytes; absence of lymphoid nodules; and BM biopsy without CLL activity. The percentage of participants achieving confirmed CR was calculated as the number of participants meeting the above criteria divided by the number of participants analyzed, multiplied by 100. (NCT01056510)
Timeframe: At least 2 months after completion of therapy (up to 32 weeks)
Intervention | percentage of participants (Number) | ||
---|---|---|---|
Confirmed CR with biopsy | CR without biopsy | No confirmed CR | |
Rituximab + Bendamustine | 24 | 2.5 | 73.6 |
Rituximab + Chlorambucil | 9.2 | 5.8 | 85 |
The criteria for CR are identified in previous outcome measure(s). Those fulfilling CR criteria but who have persistent anemia, thrombocytopenia, or neutropenia were considered CRi. The definition of PR required that the following be documented for minimum 2 months: >/= 50% decrease in peripheral blood lymphocytes from Baseline; reduction in lymphadenopathy; >/= 50% reduction in spleen or liver enlargement; and CBC with one of the following without need for transfusion or exogenous growth factors: polymorphonuclear leukocytes >/= 1.5 times 10^9 cells/L, platelets > 100 times 10^9 cells/L or >/= 50% improvement from Baseline, or hemoglobin > 11.0 g/dL or >/= 50% improvement from Baseline. Participants with lymphoid nodules who otherwise met CR criteria were considered nPR. The percentage of participants achieving each level of response was calculated as the number of participants meeting the above criteria divided by the number of participants analyzed, multiplied by 100. (NCT01056510)
Timeframe: After 3 and 6 treatment cycles and from Baseline to the end-of-treatment (EOT) visit, completed within 10 days before cutoff for data collection
Intervention | percentage of participants (Number) | ||
---|---|---|---|
After 3 cycles | After 6 cycles | At the EOT visit | |
Rituximab + Bendamustine | 78.5 | 75.2 | 90.9 |
Rituximab + Chlorambucil | 80.0 | 79.2 | 85.8 |
The criteria for PD and SD are identified in previous outcome measure(s). EFS was defined as the time from the first dose of trial treatment to the first documentation of PD, the beginning of new treatment for any hematologic malignancy, or death from any cause. Those with SD were considered event-free. EFS was calculated in months as [first event date minus first dose date plus 1] divided by 30.44. (NCT01056510)
Timeframe: End of Cycles 3 and 6 (both treatment arms), end of Cycles 7 to 12 (Rituximab + Chlorambucil arm), after an additional 8 weeks as confirmation of response, then every 3 months for 1 year, then every 6 months until study cutoff (up to 4.5 years)
Intervention | months (Median) |
---|---|
Rituximab + Bendamustine | 39.6 |
Rituximab + Chlorambucil | 29.9 |
OS was defined as the time from recorded diagnosis to death from any cause. OS was calculated in months as [death date or last-known alive date minus diagnosis date plus 1] divided by 30.44. (NCT01056510)
Timeframe: End of Cycles 3 and 6 (both treatment arms), end of Cycles 7 to 12 (Rituximab + Chlorambucil arm), after an additional 8 weeks as confirmation of response, then every 3 months for 1 year, then every 6 months until study cutoff (up to 4.5 years)
Intervention | months (Median) |
---|---|
Rituximab + Bendamustine | 43.8 |
Rituximab + Chlorambucil | NA |
The percentage of participants experiencing death was calculated as the number of participants with event divided by the number of participants analyzed, multiplied by 100. (NCT01056510)
Timeframe: End of Cycles 3 and 6 (both treatment arms), end of Cycles 7 to 12 (Rituximab + Chlorambucil arm), after an additional 8 weeks as confirmation of response, then every 3 months for 1 year, then every 6 months until study cutoff (up to 4.5 years)
Intervention | percentage of participants (Number) |
---|---|
Rituximab + Bendamustine | 14.9 |
Rituximab + Chlorambucil | 15.0 |
The criteria for PD are identified in previous outcome measure(s). The percentage of participants experiencing PD or death was calculated as the number of participants with event divided by the number of participants analyzed, multiplied by 100. (NCT01056510)
Timeframe: End of Cycles 3 and 6 (both treatment arms), end of Cycles 7 to 12 (Rituximab + Chlorambucil arm), after an additional 8 weeks as confirmation of response, then every 3 months for 1 year, then every 6 months until study cutoff (up to 4.5 years)
Intervention | percentage of participants (Number) |
---|---|
Rituximab + Bendamustine | 27.3 |
Rituximab + Chlorambucil | 46.7 |
The criteria for PD are identified in previous outcome measure(s). The percentage of participants experiencing PD, intake of new (post-trial) leukemia therapy, or death was calculated as the number of participants with event divided by the number of participants analyzed, multiplied by 100. (NCT01056510)
Timeframe: End of Cycles 3 and 6 (both treatment arms), end of Cycles 7 to 12 (Rituximab + Chlorambucil arm), after an additional 8 weeks as confirmation of response, then every 3 months for 1 year, then every 6 months until study cutoff (up to 4.5 years)
Intervention | percentage of participants (Number) |
---|---|
Rituximab + Bendamustine | 29.8 |
Rituximab + Chlorambucil | 49.2 |
The percentage of participants with documented intake of new (post-trial) leukemia therapy was calculated as the number of participants with new therapy divided by the number of participants analyzed, multiplied by 100. (NCT01056510)
Timeframe: During Cycles 1 to 6 (both treatment arms), Cycles 7 to 12 (Rituximab + Chlorambucil arm), after an additional 8 weeks, then every 3 months for 1 year, then every 6 months until study cutoff (up to 4.5 years)
Intervention | percentage of participants (Number) |
---|---|
Rituximab + Bendamustine | 9.1 |
Rituximab + Chlorambucil | 18.3 |
The criteria for CR, CRi, and PD are identified in previous outcome measure(s). The percentage of participants experiencing PD or death was calculated as the number of participants with event divided by the number of participants analyzed, multiplied by 100. (NCT01056510)
Timeframe: End of Cycles 3 and 6 (both treatment arms), end of Cycles 7 to 12 (Rituximab + Chlorambucil arm), after an additional 8 weeks as confirmation of response, then every 3 months for 1 year, then every 6 months until study cutoff (up to 4.5 years)
Intervention | percentage of participants (Number) |
---|---|
Rituximab + Bendamustine | 17.8 |
Rituximab + Chlorambucil | 33.8 |
The criteria for PD are identified in previous outcome measure(s). PFS was defined as the time from the first dose of trial treatment to the first documentation of PD or death, whichever occurred first. PFS was calculated in months as [first event date minus first dose date plus 1] divided by 30.44. (NCT01056510)
Timeframe: End of Cycles 3 and 6 (both treatment arms), end of Cycles 7 to 12 (Rituximab + Chlorambucil arm), after an additional 8 weeks as confirmation of response, then every 3 months for 1 year, then every 6 months until study cutoff (up to 4.5 years)
Intervention | months (Median) |
---|---|
Rituximab + Bendamustine | 39.6 |
Rituximab + Chlorambucil | 29.9 |
The proportion of malignant B-cells in normal B-cells was quantitatively determined, and was calculated as the number of malignant B-cells divided by the number of normal B-cells observed. (NCT01056510)
Timeframe: After 6 treatment cycles (up to 24 weeks)
Intervention | proportion (Mean) |
---|---|
Rituximab + Bendamustine | 0.0836 |
Rituximab + Chlorambucil | 0.1125 |
TNLT was defined as the time from the first dose of trial treatment to the first documentation of any new leukemia treatment. TNLT was calculated in months as [first new treatment date minus first dose date plus 1] divided by 30.44. (NCT01056510)
Timeframe: During Cycles 1 to 6 (both treatment arms), Cycles 7 to 12 (Rituximab + Chlorambucil arm), after an additional 8 weeks, then every 3 months for 1 year, then every 6 months until study cutoff (up to 4.5 years)
Intervention | months (Median) |
---|---|
Rituximab + Bendamustine | NA |
Rituximab + Chlorambucil | NA |
Negative MRD was defined as a proportion of malignant B-cells in normal B-cells < 0.0001, and positive MRD was defined as a proportion of malignant B-cells in normal B-cells >/= 0.0001. (NCT01056510)
Timeframe: After 6 treatment cycles (up to 24 weeks)
Intervention | participants (Number) | |
---|---|---|
Positive outcome | Negative outcome | |
Rituximab + Bendamustine | 30 | 48 |
Rituximab + Chlorambucil | 64 | 14 |
The criteria for CR, CRi, PR, nPR, and PD are identified in previous outcome measure(s). The percentage of participants experiencing PD or death was calculated as the number of participants with event divided by the number of participants analyzed, multiplied by 100. (NCT01056510)
Timeframe: End of Cycles 3 and 6 (both treatment arms), end of Cycles 7 to 12 (Rituximab + Chlorambucil arm), after an additional 8 weeks as confirmation of response, then every 3 months for 1 year, then every 6 months until study cutoff (up to 4.5 years)
Intervention | percentage of participants (Number) |
---|---|
Rituximab + Bendamustine | 24.6 |
Rituximab + Chlorambucil | 43.9 |
The criteria for CR, CRi, and PD are identified in previous outcome measure(s). DFS was defined as the time from the first assessment of CR or CRi to the first documentation of PD or death, whichever occurred first. DFS was calculated in months as [first event date minus first assessment date of CR/CRi plus 1] divided by 30.44. (NCT01056510)
Timeframe: End of Cycles 3 and 6 (both treatment arms), end of Cycles 7 to 12 (Rituximab + Chlorambucil arm), after an additional 8 weeks as confirmation of response, then every 3 months for 1 year, then every 6 months until study cutoff (up to 4.5 years)
Intervention | months (Median) |
---|---|
Rituximab + Bendamustine | 36.8 |
Rituximab + Chlorambucil | 32.0 |
The criteria for CR, CRi, PR, nPR, and PD are identified in previous outcome measure(s). Duration of response was defined as the time from the first assessment of CR, CRi, PR, or nPR to the first documentation of PD or death, whichever occurred first. Duration of response was calculated in months as [first event date minus first assessment date of CR/CRi/PR/nPR plus 1] divided by 30.44. (NCT01056510)
Timeframe: End of Cycles 3 and 6 (both treatment arms), end of Cycles 7 to 12 (Rituximab + Chlorambucil arm), after an additional 8 weeks as confirmation of response, then every 3 months for 1 year, then every 6 months until study cutoff (up to 4.5 years)
Intervention | months (Median) |
---|---|
Rituximab + Bendamustine | 36.8 |
Rituximab + Chlorambucil | 27.7 |
BOR observed during assessment period according to modified response criteria for iNHL (Modified Cheson et al, 2007). CR: complete disappearance of all detectable clinical evidence of disease & disease-related symptoms if present prior to therapy, PR: at least 50% regression of measurable disease compared to tumors measured by baseline scan & no new sites; no increase in size of other nodes, liver, or spleen; with exception of splenic & hepatic nodules, involvement of other organs is usually assessable & no measurable disease should be present, SD: Failing to attain criteria needed for a CR/PR, but not fulfilling those for PD, PD: appearance of any new lesion >1.5 cm in any axis during or at end of therapy, even if other lesions are decreasing in size; at least a 50% increase from nadir in SPD of any previously involved nodes, or in single involved node, or size of other lesions (e.g., splenic or hepatic nodules). IRC review was performed up clinical cutoff date of to 1 May 2015. (NCT01059630)
Timeframe: Baseline until PD or death, whichever occurred first (up to approximately 5 years)
Intervention | percentage of participants (Number) | |||||
---|---|---|---|---|---|---|
CR | PR | SD | PD | Unable to evaluate | Missing | |
Bendamustine Alone | 17.2 | 60.3 | 12.0 | 5.7 | 1.0 | 3.8 |
Obinutuzumab + Bendamustine | 16.2 | 59.3 | 13.7 | 4.9 | 1.0 | 4.9 |
BOR: best response for a participant, observed during assessment period according to modified response criteria for iNHL (Modified Cheson et al, 2007). CR: complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present prior to therapy, PR: at least 50% regression of measurable disease compared to tumors measured by baseline scan and no new sites; no increase in size of other nodes, liver, or spleen; with exception of splenic and hepatic nodules, involvement of other organs is usually assessable and no measurable disease should be present, SD: Failing to attain the criteria needed for a CR or PR, but not fulfilling those for PD, PD: appearance of any new lesion more than 1.5 cm in any axis during or at the end of therapy, even if other lesions are decreasing in size; at least a 50% increase from nadir in the SPD of any previously involved nodes, or in single involved node, or the size of other lesions (e.g., splenic or hepatic nodules). (NCT01059630)
Timeframe: Baseline until PD or death, whichever occurred first (up to approximately 8.5 years)
Intervention | percentage of participants (Number) | |||||
---|---|---|---|---|---|---|
CR | PR | SD | PD | Unable to evaluate | Missing | |
Bendamustine Alone | 21.5 | 61.7 | 6.7 | 4.8 | 1.4 | 3.8 |
Obinutuzumab + Bendamustine | 23.5 | 58.8 | 6.4 | 6.4 | 0.5 | 4.4 |
"The FACT-Lym measures 5 sub-scales which includes 42 items; responses to each item range from 0, Not at all to 4, Very much. Total score ranges from 0-168. Physical Well-being sub-scale includes 7 items measured on 0-4 point scale. The total score for physical well-being sub-scale is sum of each 7 items (range: 0-28). Higher scores indicate a better participant-reported outcome (PRO)/quality of life (QoL). In timeframe, follow-up months represents months after end of induction (e.g. Follow-up Month 2 is 2 months after end of induction) and extension follow-up months represents months after end of 2 years normal follow-up (e.g. extension follow-up Month 6 is 6 months after end of normal 2 year follow-up)." (NCT01059630)
Timeframe: Baseline, Day 1 of Cycles 3, 4, 5, End of induction treatment (up to Month 6); Follow-up Months 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, Final Follow-up (up to 2 years after end of induction); Extension follow-up Months 6, 18 and 24
Intervention | units on a scale (Mean) | ||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Baseline | CFB at Cycle 3 Day 1 | CFB at Cycle 4 Day 1 | CFB at Cycle 5 Day 1 | CFB at End of Induction Treatment | CFB at Follow-up Month 2 | CFB at Follow-up Month 4 | CFB at Follow-up Month 6 | CFB at Follow-up Month 8 | CFB at Follow-up Month 10 | CFB at Follow-up Month 12 | CFB at Follow-up Month 14 | CFB at Follow-up Month 16 | CFB at Follow-up Month 18 | CFB at Follow-up Month 20 | CFB at Follow-up Month 22 | CFB at Follow-up Month 24 | CFB at Final Follow-up | CFB at Extension Follow-up Month 6 | CFB at Extension Follow-up Month 18 | CFB at Extension Follow-up Month 24 | |
Bendamustine Alone | 22.58 | -1.56 | -6.80 | -1.82 | -1.00 | 0.62 | 0.53 | 0.29 | -0.01 | 0.06 | 0.26 | 0.03 | -0.10 | -0.22 | -0.36 | -0.25 | -0.77 | 0.16 | 0.36 | 0.80 | 1.53 |
Obinutuzumab + Bendamustine | 22.76 | -0.69 | -3.00 | -0.72 | -0.61 | 0.58 | 0.88 | 0.91 | 0.87 | 0.56 | 0.74 | 0.71 | 1.31 | 0.92 | 0.74 | 0.40 | 0.52 | 0.22 | 0.57 | 1.19 | 0.56 |
"The FACT-G is the sum of 4 sub-scales (physical, social, emotional and functional well-being) of FACT-Lym which includes total 27 items; responses to each item range from 0, Not at all to 4, Very much. Total score ranges from 0-108. Higher scores indicate a better PRO/QoL. In timeframe, follow-up months represents months after end of induction (e.g. Follow-up Month 2 is 2 months after end of induction) and extension follow-up months represents months after end of 2 years normal follow-up (e.g. extension follow-up Month 6 is 6 months after end of normal 2 year follow-up)." (NCT01059630)
Timeframe: Baseline, Day 1 of Cycles 3, 4, 5, End of induction treatment (up to Month 6); Follow-up Months 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, Final Follow-up (up to 2 years after end of induction); Extension follow-up Months 6, 18 and 24
Intervention | Units on a scale (Mean) | ||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Baseline | CFB at Cycle 3 Day 1 | CFB at Cycle 4 Day 1 | CFB at Cycle 5 Day 1 | CFB at End of Induction Treatment | CFB at Follow-up Month 2 | CFB at Follow-up Month 4 | CFB at Follow-up Month 6 | CFB at Follow-up Month 8 | CFB at Follow-up Month 10 | CFB at Follow-up Month 12 | CFB at Follow-up Month 14 | CFB at Follow-up Month 16 | CFB at Follow-up Month 18 | CFB at Follow-up Month 20 | CFB at Follow-up Month 22 | CFB at Follow-up Month 24 | CFB at Final Follow-up | CFB at Extension Follow Up Month 6 | CFB at Extension Follow Up Month 18 | CFB at Extension Follow Up Month 24 | |
Bendamustine Alone | 79.86 | -1.87 | -9.37 | -2.44 | -1.84 | 1.53 | 2.55 | 2.54 | -0.53 | 2.29 | 0.68 | 2.48 | 1.54 | 1.16 | -1.21 | 0.64 | -2.39 | 0.50 | 0.48 | 2.29 | 4.48 |
Obinutuzumab + Bendamustine | 80.78 | 0.11 | 0.52 | 0.06 | -0.92 | 1.22 | 3.06 | 3.24 | 2.49 | 3.46 | 2.82 | 2.94 | 4.09 | 4.06 | 3.05 | 1.80 | 2.28 | 0.78 | 1.74 | 4.56 | 4.47 |
"The FACT-Lym measures 5 sub-scales which includes 42 items; responses to each item range from 0, Not at all to 4, Very much. Total score ranges from 0-168. Social/family Well-being sub-scale includes 7 items measured on 0-4 point scale. The total score for social/family well-being sub-scale is sum of each 7 items (range: 0-28). Higher scores indicate a better PRO/QoL. In timeframe, follow-up months represents months after end of induction (e.g. Follow-up Month 2 is 2 months after end of induction) and extension follow-up months represents months after end of 2 years normal follow-up (e.g. extension follow-up Month 6 is 6 months after end of normal 2 year follow-up)." (NCT01059630)
Timeframe: Baseline, Day 1 of Cycles 3, 4, 5, End of induction treatment (up to Month 6); Follow-up Months 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, Final Follow-up (up to 2 years after end of induction); Extension follow-up Months 6, 18 and 24
Intervention | units on a scale (Mean) | ||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Baseline | CFB at Cycle 3 Day 1 | CFB at Cycle 4 Day 1 | CFB at Cycle 5 Day 1 | CFB at End of Induction Treatment | CFB at Follow-up Month 2 | CFB at Follow-up Month 4 | CFB at Follow-up Month 6 | CFB at Follow-up Month 8 | CFB at Follow-up Month 10 | CFB at Follow-up Month 12 | CFB at Follow-up Month 14 | CFB at Follow-up Month 16 | CFB at Follow-up Month 18 | CFB at Follow-up Month 20 | CFB at Follow-up Month 22 | CFB at Follow-up Month 24 | CFB at Final Follow-up | CFB at Extension Follow-up Month 6 | CFB at Extension Follow-up Month 18 | CFB at Extension Follow-up Month 24 | |
Bendamustine Alone | 22.04 | -0.21 | -1.00 | -0.34 | -0.65 | -0.02 | 0.27 | 0.05 | -0.68 | 0.56 | 0.06 | 0.56 | 0.36 | 0.44 | -0.66 | 0.29 | -1.29 | -0.19 | -0.35 | -0.15 | -0.41 |
Obinutuzumab + Bendamustine | 22.14 | -0.10 | 3.11 | -0.34 | -0.88 | -0.57 | -0.26 | -0.08 | -0.37 | 0.13 | -0.47 | -0.03 | -0.15 | 0.04 | 0.00 | -0.50 | -0.41 | -0.52 | -0.16 | 0.71 | 0.44 |
BOR: best response for a participant, observed during assessment period according to modified response criteria for iNHL (Modified Cheson et al, 2007). CR: complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present prior to therapy, PR: at least 50% regression of measurable disease compared to tumors measured by a baseline scan and no new sites; no increase in size of other nodes, liver, or spleen; with exception of splenic and hepatic nodules, involvement of other organs is usually assessable and no measurable disease should be present, SD: Failing to attain criteria needed for a CR or PR, but not fulfilling those for PD, PD: appearance of any new lesion more than 1.5 cm in any axis during or at the end of therapy, even if other lesions are decreasing in size; at least a 50% increase from nadir in the SPD of any previously involved nodes, or in a single involved node, or the size of other lesions (e.g., splenic or hepatic nodules). (NCT01059630)
Timeframe: Baseline until end of induction treatment (assessed at baseline, 14 days prior to Cy 4 Day 1 [1 Cy=28days], 28-42 days after Cy 6 Day 1)
Intervention | percentage of participants (Number) | |||||
---|---|---|---|---|---|---|
CR | PR | SD | PD | Unable to Evaluate | Missing | |
Bendamustine Alone | 15.8 | 53.1 | 4.3 | 12.0 | 2.9 | 12.0 |
Obinutuzumab + Bendamustine | 17.2 | 60.3 | 3.9 | 9.3 | 0.5 | 8.8 |
"The FACT-Lym measures 5 sub-scales which includes 42 items; responses to each item range from 0, Not at all to 4, Very much. Total score ranges from 0-168. Lymphoma scale includes 15 items measured on 0-4 point scale. The total score for lymphoma sub-scale is sum of each 15 items (range: 0-60). Higher scores indicate a better PRO/QoL. In timeframe, follow-up months represents months after end of induction (e.g. Follow-up Month 2 is 2 months after end of induction) and extension follow-up months represents months after end of 2 years normal follow-up (e.g. extension follow-up Month 6 is 6 months after end of normal 2 year follow-up)." (NCT01059630)
Timeframe: Baseline, Day 1 of Cycles 3, 4, 5, End of induction treatment (up to Month 6); Follow-up Months 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, Final Follow-up (up to 2 years after end of induction); Extension follow-up Months 6, 18 and 24
Intervention | units on a scale (Mean) | ||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Baseline | CFB at Cycle 3 Day 1 | CFB at Cycle 4 Day 1 | CFB at Cycle 5 Day 1 | CFB at End of Induction Treatment | CFB at Follow-up Month 2 | CFB at Follow-up Month 4 | CFB at Follow-up Month 6 | CFB at Follow-up Month 8 | CFB at Follow-up Month 10 | CFB at Follow-up Month 12 | CFB at Follow-up Month 14 | CFB at Follow-up Month 16 | CFB at Follow-up Month 18 | CFB at Follow-up Month 20 | CFB at Follow-up Month 22 | CFB at Follow-up Month 24 | CFB at Final Follow-up | CFB at Extension Follow-up Month 6 | CFB at Extension Follow-up Month 18 | CFB at Extension Follow-up Month 24 | |
Bendamustine Alone | 44.79 | 0.98 | -2.80 | 0.75 | 1.64 | 3.44 | 2.77 | 2.33 | 1.79 | 1.90 | 2.12 | 0.48 | 0.44 | 1.18 | 0.57 | 1.89 | 0.66 | 1.62 | 0.92 | 1.80 | 4.89 |
Obinutuzumab + Bendamustine | 45.61 | 1.24 | 9.50 | 1.41 | 0.74 | 2.45 | 2.39 | 3.00 | 2.52 | 2.28 | 2.89 | 2.58 | 3.27 | 2.91 | 2.83 | 2.55 | 2.73 | 1.33 | 2.98 | 2.35 | 2.23 |
BOR observed during assessment period according to modified response criteria for iNHL (Modified Cheson et al, 2007). CR: complete disappearance of all detectable clinical evidence of disease & disease-related symptoms if present prior to therapy, PR: at least 50% regression of measurable disease compared to tumors measured by a baseline scan & no new sites; no increase in size of other nodes, liver or spleen; with exception of splenic & hepatic nodules, involvement of other organs is usually assessable & no measurable disease should be present, SD: Failing to attain criteria needed for a CR/PR, but not fulfilling those for PD, PD: appearance of any new lesion >1.5 cm in any axis during or at end of therapy, even if other lesions are decreasing in size; at least a 50% increase from nadir in the SPD of any previously involved nodes, or in a single involved node, or size of other lesions (e.g., splenic/hepatic nodules). IRC review was performed up clinical cutoff date of to 1 May 2015. (NCT01059630)
Timeframe: Baseline until end of induction treatment (assessed at baseline, 14 days prior to Cy 4 Day 1 [1 Cy=28days], 28-42 days after Cy 6 Day 1)
Intervention | percentage of participants (Number) | |||||
---|---|---|---|---|---|---|
CR | PR | SD | PD | Unable to Evaluate | Missing | |
Bendamustine Alone | 12.0 | 52.4 | 10.1 | 10.6 | 2.9 | 12.0 |
Obinutuzumab + Bendamustine | 11.8 | 54.9 | 11.8 | 8.8 | 2.0 | 10.8 |
FACT-Lym: 42-items in 5 subscales. Responses to each item range from 0 (Not at all) to 4 (Very much). FACT-Lym Lymphoma subscale includes 15 items (total score range = 0-60). FACT-Lym TOI is sum of 3 subscales (physical well-being, functional well-being, lymphoma subscale) and includes 29 items (total score range = 0-116). FACT-Lym total score is sum of 42 items (total score ranges from 0-168). For all above, higher scores indicate a better PRO/QoL. DI from baseline: at least 3 point increase from baseline in FACT-Lym Lymphoma subscale; at least 6 point increase from baseline in FACT Lym TOI; at least 7 point increase from baseline in FACT Lym total scores. In timeframe, follow-up months represents months after EOI (e.g. Follow-up Month 2 is 2 months after EOI; EOI = up to Month 6). (NCT01059630)
Timeframe: Baseline, Cycle 5 Day 1 (C5D1) (Cycle length = 28 days), Follow-up Months 6 (FUM6), 12 (FUM12), 18 (FUM18), 24 (FUM24), Extension Follow Up Month 6 (Extension FUM6)
Intervention | Percentage of participants (Number) | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
C5D1 (>=3 pt increase) | FUM6 (>=3 pt increase) | FUM12 (>=3 pt increase) | FUM18 (>=3 pt increase) | FUM24 (>=3 pt increase) | Ext FUM6 (>=3 pt increase) | C5D1 (>=6 pt increase) | FUM6 (>=6 pt increase) | FUM12 (>=6 pt increase) | FUM18 (>=6 pt increase) | FUM24 (>=6 pt increase) | Ext FUM6 (>=6 pt increase) | C5D1 (>=7 pt increase) | FUM6 (>=7 pt increase) | FUM12 (>=7 pt increase) | FUM18 (>=7 pt increase) | FUM24 (>=7 pt increase) | Ext FUM6 (>=7 pt increase) | |
Bendamustine Alone | 30.3 | 37.9 | 36.7 | 35.6 | 35.3 | 36.0 | 23.1 | 29.5 | 26.2 | 28.9 | 26.5 | 44 | 24.4 | 34.1 | 31.1 | 31.1 | 20.6 | 32 |
Obinutuzumab + Bendamustine | 41.7 | 47.1 | 46.5 | 53.0 | 50 | 57.8 | 34.4 | 43.7 | 47.0 | 51.8 | 48.0 | 56.9 | 28.0 | 40.3 | 45.0 | 43.4 | 42.7 | 47.7 |
"The FACT-Lym measures 5 sub-scales which includes 42 items; responses to each item range from 0, Not at all to 4, Very much. Total score ranges from 0-168. Functional Well-being sub-scale includes 7 items measured on 0-4 point scale. The total score for functional well-being sub-scale is sum of each 7 items (range: 0-28). Higher scores indicate a better PRO/QoL. In timeframe, follow-up months represents months after end of induction (e.g. Follow-up Month 2 is 2 months after end of induction) and extension follow-up months represents months after end of 2 years normal follow-up (e.g. extension follow-up Month 6 is 6 months after end of normal 2 year follow-up)." (NCT01059630)
Timeframe: Baseline, Day 1 of Cycles 3, 4, 5, End of induction treatment (up to Month 6); Follow-up Months 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, Final Follow-up (up to 2 years after end of induction); Extension follow-up Months 6, 18 and 24
Intervention | units on a scale (Mean) | ||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Baseline | CFB at Cycle 3 Day 1 | CFB at Cycle 4 Day 1 | CFB at Cycle 5 Day 1 | CFB at End of Induction Treatment | CFB at Follow-up Month 2 | CFB at Follow-up Month 4 | CFB at Follow-up Month 6 | CFB at Follow-up Month 8 | CFB at Follow-up Month 10 | CFB at Follow-up Month 12 | CFB at Follow-up Month 14 | CFB at Follow-up Month 16 | CFB at Follow-up Month 18 | CFB at Follow-up Month 20 | CFB at Follow-up Month 22 | CFB at Follow-up Month 24 | CFB at Final Follow-up | CFB at Extension Follow-up Month 6 | CFB at Extension Follow-up Month 18 | CFB at Extension Follow-up Month 24 | |
Bendamustine Alone | 17.98 | -0.54 | -0.80 | -0.71 | -0.50 | 0.31 | 0.24 | 0.95 | -0.27 | 1.09 | 0.18 | 1.16 | 0.91 | 0.21 | -0.27 | -0.32 | -0.96 | -0.08 | 1.01 | 0.96 | 2.22 |
Obinutuzumab + Bendamustine | 17.90 | 0.38 | 1.78 | 0.67 | 0.00 | 0.65 | 1.31 | 1.26 | 0.92 | 1.00 | 1.78 | 1.22 | 1.69 | 1.84 | 1.43 | 0.82 | 0.98 | 0.50 | 0.85 | 1.90 | 2.62 |
"The FACT-Lym measures 5 sub-scales which includes 42 items; responses to each item range from 0, Not at all to 4, Very much. Total score ranges from 0-168. Emotional Well-being sub-scale includes 6 items measured on 0-4 point scale. The total score for emotional well-being sub-scale is sum of each 6 items (range: 0-24). Higher scores indicate a better PRO/QoL. In timeframe, follow-up months represents months after end of induction (e.g. Follow-up Month 2 is 2 months after end of induction) and extension follow-up months represents months after end of 2 years normal follow-up (e.g. extension follow-up Month 6 is 6 months after end of normal 2 year follow-up)." (NCT01059630)
Timeframe: Baseline, Day 1 of Cycles 3, 4, 5, End of induction treatment (up to Month 6); Follow-up Months 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, Final Follow-up (up to 2 years after end of induction); Extension follow-up Months 6, 18 and 24
Intervention | units on a scale (Mean) | ||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Baseline | CFB at Cycle 3 Day 1 | CFB at Cycle 4 Day 1 | CFB at Cycle 5 Day 1 | CFB at End of Induction Treatment | CFB at Follow-up Month 2 | CFB at Follow-up Month 4 | CFB at Follow-up Month 6 | CFB at Follow-up Month 8 | CFB at Follow-up Month 10 | CFB at Follow-up Month 12 | CFB at Follow-up Month 14 | CFB at Follow-up Month 16 | CFB at Follow-up Month 18 | CFB at Follow-up Month 20 | CFB at Follow-up Month 22 | CFB at Follow-up Month 24 | CFB at Final Follow-up | CFB at Extension Follow-up Month 6 | CFB at Extension Follow-up Month 18 | CFB at Extension Follow-up Month 24 | |
Bendamustine Alone | 17.38 | 0.61 | -0.60 | 0.37 | 0.53 | 0.66 | 1.34 | 0.89 | 0.26 | 0.69 | -0.07 | 0.46 | 0.13 | 0.42 | -0.43 | 0.18 | 0.06 | 0.38 | -0.44 | -0.08 | 1.04 |
Obinutuzumab + Bendamustine | 17.81 | 0.78 | 3.40 | 0.50 | 0.59 | 0.67 | 0.95 | 0.96 | 0.97 | 1.32 | 0.95 | 1.07 | 1.04 | 1.00 | 0.94 | 0.97 | 1.12 | 0.34 | 0.39 | 0.75 | 0.97 |
DoR: time from first objective response of CR/PR to first occurrence of PD/relapse/death from any cause. CR: Complete disappearance of all detectable evidence of disease & disease-related symptoms if present before therapy; liver, spleen returned to normal size; if bone marrow involved by lymphoma before treatment, infiltrate must be cleared on repeat bone marrow biopsy. PR: at least 50% measurable disease regressed vs. to baseline scan and no new sites; no increase in size of other nodes/liver/spleen, exception: splenic, hepatic nodules; other organs involved is usually assessable; no measurable disease present. PD: any new lesion >1.5 cm in any axis appear during or at end of therapy, even if other lesions are decreasing in size; at least 50% increase from nadir in SPD of any previously involved nodes, or in single involved node, or size of other lesions. DoR estimated using Kaplan-Meier method. IRC review performed up to clinical cutoff date 1 May 2015. (NCT01059630)
Timeframe: Baseline until PD or death, whichever occurred first (up to approximately 5 years)
Intervention | months (Median) |
---|---|
Bendamustine Alone | 12.7 |
Obinutuzumab + Bendamustine | 38.5 |
DoR: time from first objective response of CR/PR to first occurrence of PD/relapse/death from any cause. CR: Complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present prior to therapy; liver, spleen returned to normal size (if enlarged at baseline); if bone marrow was involved by lymphoma prior to treatment, infiltrate must have cleared on repeat bone marrow biopsy. PR: at least 50% regression of measurable disease compared to baseline scan and no new sites; no increase in size of other nodes, liver, or spleen; with exception of splenic, hepatic nodules; involvement of other organs is usually assessable; no presence of measurable disease. PD: appearance of any new lesion >1.5 cm in any axis during or at end of therapy, even if other lesions are decreasing in size; at least 50% increase from nadir in SPD of any previously involved nodes, or in single involved node, or size of other lesions. DoR was estimated using Kaplan-Meier method. (NCT01059630)
Timeframe: Baseline until PD or death, whichever occurred first (up to approximately 8.5 years)
Intervention | months (Median) |
---|---|
Bendamustine Alone | 12.7 |
Obinutuzumab + Bendamustine | 32.3 |
DFS was defined as the time from the first occurrence of a documented CR until progression on the basis of the IRC assessments (as per modified response criteria for iNHL [Modified Cheson et al, 2007]) or death from any cause on study. CR: Complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present prior to therapy, liver and spleen have returned to normal size (if enlarged at baseline), If the bone marrow was involved by lymphoma prior to treatment, the infiltrate must have cleared on repeat bone marrow biopsy. PD: appearance of any new lesion >1.5 cm in any axis during or at end of therapy, even if other lesions are decreasing in size; at least a 50% increase from nadir in SPD of any previously involved nodes, or in a single involved node, or size of other lesions. DFS was estimated using Kaplan-Meier method. IRC review was performed up clinical cutoff date of to 1 May 2015. (NCT01059630)
Timeframe: Baseline until PD or death, whichever occurred first (up to approximately 5 years)
Intervention | months (Median) |
---|---|
Bendamustine Alone | 13.2 |
Obinutuzumab + Bendamustine | NA |
DFS was defined as the time from the first occurrence of a documented CR until progression on the basis of the IRC assessments (as per modified response criteria for iNHL [Modified Cheson et al, 2007]) or death from any cause on study. CR: Complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present prior to therapy, liver and spleen have returned to normal size (if enlarged at baseline), If the bone marrow was involved by lymphoma prior to treatment, the infiltrate must have cleared on repeat bone marrow biopsy. PD: appearance of any new lesion >1.5 cm in any axis during or at end of therapy, even if other lesions are decreasing in size; at least a 50% increase from nadir in SPD of any previously involved nodes, or in a single involved node, or size of other lesions. DFS was estimated using Kaplan-Meier method. (NCT01059630)
Timeframe: Baseline until PD or death, whichever occurred first (up to approximately 8.5 years)
Intervention | months (Median) |
---|---|
Bendamustine Alone | 20.0 |
Obinutuzumab + Bendamustine | 36.0 |
"EQ-5D: participant rated questionnaire to assess health-related quality of life in terms of a single index value. The VAS component rates current health state on a scale from 0 millimeter (mm) (worst imaginable health state) to 100 mm (best imaginable health state); higher scores indicate a better health state. In timeframe, follow-up months represents months after end of induction (e.g. Follow-up Month 2 is 2 months after end of induction). For 'Obinutuzumab + Bendamustine' arm, participants who had their follow-up Month 2 and 4 visits before start of maintenance treatment were reported in induction phase results under CFB at Follow-up Month 2 and CFB at Follow-up Month 4 categories." (NCT01059630)
Timeframe: Baseline, Day 1 of Cycles 3, 4, 5, End of induction treatment (up to Month 6); Follow-up Months 2, 4 and 14
Intervention | units on a scale (Mean) | ||||||
---|---|---|---|---|---|---|---|
Baseline | CFB at Cycle 3 Day 1 | CFB at Cycle 4 Day 1 | CFB at Cycle 5 Day 1 | CFB at End of Induction Treatment | CFB at Follow-up Month 2 | CFB at Follow-up Month 14 | |
Bendamustine Alone | 69.48 | 0.91 | -14.00 | 0.35 | 5.71 | 5.19 | 10.00 |
"EQ-5D: participant rated questionnaire to assess health-related quality of life in terms of a single index value. The VAS component rates current health state on a scale from 0 millimeter (mm) (worst imaginable health state) to 100 mm (best imaginable health state); higher scores indicate a better health state. In timeframe, follow-up months represents months after end of induction (e.g. Follow-up Month 2 is 2 months after end of induction). For 'Obinutuzumab + Bendamustine' arm, participants who had their follow-up Month 2 and 4 visits before start of maintenance treatment were reported in induction phase results under CFB at Follow-up Month 2 and CFB at Follow-up Month 4 categories." (NCT01059630)
Timeframe: Baseline, Day 1 of Cycles 3, 4, 5, End of induction treatment (up to Month 6); Follow-up Months 2, 4 and 14
Intervention | units on a scale (Mean) | ||||||
---|---|---|---|---|---|---|---|
Baseline | CFB at Cycle 3 Day 1 | CFB at Cycle 4 Day 1 | CFB at Cycle 5 Day 1 | CFB at End of Induction Treatment | CFB at Follow-up Month 2 | CFB at Follow-up Month 4 | |
Obinutuzumab + Bendamustine | 68.03 | 3.32 | -4.33 | 5.17 | 5.82 | 6.85 | 0.00 |
"EQ-5D: participant rated questionnaire to assess health-related quality of life in terms of a single utility score. Health State Profile component assesses level of current health for 5 domains: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression; 1 indicates better health state (no problems); 3 indicates worst health state (confined to bed). Scoring formula developed by EuroQoL Group assigns a utility value for each domain in the profile. Score is transformed and results in a total score range -0.594 to 1.000; higher score indicates a better health state. In timeframe, follow-up months represents months after end of induction (e.g. Follow-up Month 2 is 2 months after end of induction). For 'Obinutuzumab + Bendamustine' arm, participants who had their follow-up Month 2 and 4 visits before start of maintenance treatment were reported in induction phase results under CFB at Follow-up Month 2 and CFB at Follow-up Month 4 categories." (NCT01059630)
Timeframe: Baseline, Day 1 of Cycles 3, 4, 5, End of induction treatment (up to Month 6); Follow-up Months 2, 4 and 14
Intervention | units on a scale (Mean) | ||||||
---|---|---|---|---|---|---|---|
Baseline | CFB at Cycle 3 Day 1 | CFB at Cycle 4 Day 1 | CFB at Cycle 5 Day 1 | CFB at End of Induction Treatment | CFB at Follow-up Month 2 | CFB at Follow-up Month 14 | |
Bendamustine Alone | 0.77 | 0.03 | -0.10 | 0.01 | 0.01 | 0.06 | 0.12 |
EQ-5D: participant rated questionnaire to assess health-related quality of life in terms of a single index value. The VAS component rates current health state on a scale from 0 mm (worst imaginable health state) to 100 mm (best imaginable health state); higher scores indicate a better health state. Data for this outcome was planned to be reported only for 'Obinutuzumab + Bendamustine' arm. In timeframe, follow-up months represents months after end of induction (e.g. Follow-up Month 2 is 2 months after end of induction). Follow-up months were during maintenance phase. (NCT01059630)
Timeframe: Baseline, Follow-up Months 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, Final Follow-up (up to 2 years after end of induction) (end of induction = up to Month 6)
Intervention | units on a scale (Mean) | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
CFB at Follow-up Month 2 | CFB at Follow-up Month 4 | CFB at Follow-up Month 6 | CFB at Follow-up Month 8 | CFB at Follow-up Month 10 | CFB at Follow-up Month 12 | CFB at Follow-up Month 14 | CFB at Follow-up Month 16 | CFB at Follow-up Month 18 | CFB at Follow-up Month 20 | CFB at Follow-up Month 22 | CFB at Follow-up Month 24 | CFB at Final Follow-up | |
Obinutuzumab + Bendamustine | -40.00 | 5.59 | 6.04 | 4.79 | 4.62 | 5.73 | 5.45 | 6.66 | 6.13 | 7.56 | 6.97 | 8.28 | 4.47 |
"EQ-5D: participant rated questionnaire to assess health-related quality of life in terms of a single utility score. Health State Profile component assesses level of current health for 5 domains: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression; 1 indicates better health state (no problems); 3 indicates worst health state (confined to bed). Scoring formula developed by EuroQoL Group assigns a utility value for each domain in the profile. Score is transformed and results in a total score range -0.594 to 1.000; higher score indicates a better health state. In timeframe, follow-up months represents months after end of induction (e.g. Follow-up Month 2 is 2 months after end of induction). For 'Obinutuzumab + Bendamustine' arm, participants who had their follow-up Month 2 and 4 visits before start of maintenance treatment were reported in induction phase results under CFB at Follow-up Month 2 and CFB at Follow-up Month 4 categories." (NCT01059630)
Timeframe: Baseline, Day 1 of Cycles 3, 4, 5, End of induction treatment (up to Month 6); Follow-up Months 2, 4 and 14
Intervention | units on a scale (Mean) | ||||||
---|---|---|---|---|---|---|---|
Baseline | CFB at Cycle 3 Day 1 | CFB at Cycle 4 Day 1 | CFB at Cycle 5 Day 1 | CFB at End of Induction Treatment | CFB at Follow-up Month 2 | CFB at Follow-up Month 4 | |
Obinutuzumab + Bendamustine | 0.79 | 0.00 | -0.07 | 0.02 | 0.01 | 0.04 | -0.12 |
"EQ-5D: participant rated questionnaire to assess health-related quality of life in terms of a single utility score. Health State Profile component assesses level of current health for 5 domains: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression; 1 indicates better health state (no problems); 3 indicates worst health state (confined to bed). Scoring formula developed by EuroQoL Group assigns a utility value for each domain in the profile. Score is transformed and results in a total score range -0.594 to 1.000; higher score indicates a better health state. Data for this outcome was planned to be reported only for 'Obinutuzumab + Bendamustine' arm. In timeframe, follow-up months represents months after end of induction (e.g. Follow-up Month 2 is 2 months after end of induction). Follow-up months were during maintenance phase." (NCT01059630)
Timeframe: Baseline, Follow-up Months 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, Final follow-up (up to 2 years after end of induction) (End of induction = up to Month 6)
Intervention | units on a scale (Mean) | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
CFB at Follow-up Month 2 | CFB at Follow-up Month 4 | CFB at Follow-up Month 6 | CFB at Follow-up Month 8 | CFB at Follow-up Month 10 | CFB at Follow-up Month 12 | CFB at Follow-up Month 14 | CFB at Follow-up Month 16 | CFB at Follow-up Month 18 | CFB at Follow-up Month 20 | CFB at Follow-up Month 22 | CFB at Follow-up Month 24 | CFB at Final Follow-up | |
Obinutuzumab + Bendamustine | -0.15 | 0.03 | 0.04 | 0.04 | 0.03 | 0.06 | 0.06 | 0.05 | 0.05 | 0.05 | 0.05 | 0.03 | 0.03 |
"EQ-5D: participant rated questionnaire to assess health-related quality of life in terms of a single utility score. Health State Profile component assesses level of current health for 5 domains: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression; 1 indicates better health state (no problems); 3 indicates worst health state (confined to bed). Scoring formula developed by EuroQoL Group assigns a utility value for each domain in the profile. Score is transformed and results in a total score range -0.594 to 1.000; higher score indicates a better health state. Data for this outcome was planned to be reported only for 'Obinutuzumab + Bendamustine' arm. In timeframe, follow-up months represents months after end of induction (e.g. Follow-up Month 2 is 2 months after end of induction). Follow-up months were during maintenance phase." (NCT01059630)
Timeframe: Baseline, Follow-up Months 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, Final follow-up (up to 2 years after end of induction) (End of induction = up to Month 6)
Intervention | units on a scale (Mean) | |||
---|---|---|---|---|
CFB at Follow-up Month 4 | CFB at Follow-up Month 6 | CFB at Follow-up Month 8 | CFB at Follow-up Month 10 | |
Bendamustine Alone | 0.15 | 0.15 | 0.15 | 0.15 |
EQ-5D: participant rated questionnaire to assess health-related quality of life in terms of a single index value. The VAS component rates current health state on a scale from 0 mm (worst imaginable health state) to 100 mm (best imaginable health state); higher scores indicate a better health state. Data for this outcome was planned to be reported only for 'Obinutuzumab + Bendamustine' arm. In timeframe, follow-up months represents months after end of induction (e.g. Follow-up Month 2 is 2 months after end of induction). Follow-up months were during maintenance phase. (NCT01059630)
Timeframe: Baseline, Follow-up Months 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, Final Follow-up (up to 2 years after end of induction) (end of induction = up to Month 6)
Intervention | units on a scale (Mean) | |||
---|---|---|---|---|
CFB at Follow-up Month 4 | CFB at Follow-up Month 6 | CFB at Follow-up Month 8 | CFB at Follow-up Month 10 | |
Bendamustine Alone | 5.00 | 5.00 | 5.00 | -15.00 |
PFS was defined as the time from randomization to the first occurrence of PD or death as assessed by an IRC according to the modified response criteria for iNHL (Modified Cheson et al, 2007). PD was defined as appearance of any new lesion more than 1.5 cm in any axis during or at the end of therapy, even if other lesions are decreasing in size; at least a 50% increase from nadir in the SPD of any previously involved nodes, or in a single involved node, or the size of other lesions (e.g., splenic or hepatic nodules). To be PD, a lymph node with a diameter of the short axis of <1.0 cm must increase by ≥ 50% and to a size of 1.5 multiplied by 1.5 cm or more than 1.5 cm in the long axis; at least a 50% increase in the longest diameter of any single previously identified node >1 cm in its short axis. PFS was estimated using Kaplan-Meier method and 95% confidence interval (CI) for median was computed using the method of Brookmeyer and Crowley. (NCT01059630)
Timeframe: Baseline until PD or death, whichever occurred first (assessed at baseline, 14 days prior to Cy 4 Day 1 [1 Cy=28days], 28-42 days after Cy 6 Day 1, then every 3 months up to 2 years and every 6 months for next 2 years [up to 4.5 years overall])
Intervention | months (Median) |
---|---|
Bendamustine Alone | 14.1 |
Obinutuzumab + Bendamustine | 29.2 |
PFS was defined as the time from randomization to the first occurrence of PD as assessed by an investigator according to the modified response criteria for iNHL (Modified Cheson et al, 2007), or death from any cause on study. PD was defined as appearance of any new lesion more than 1.5 cm in any axis during or at the end of therapy, even if other lesions are decreasing in size; at least a 50% increase from nadir in the SPD of any previously involved nodes, or in a single involved node, or the size of other lesions (e.g., splenic or hepatic nodules). To be considered PD, a lymph node with a diameter of the short axis of <1.0 cm must increase by ≥ 50% and to a size of 1.5 multiplied by 1.5 cm or more than 1.5 cm in the long axis; at least a 50% increase in the longest diameter of any single previously identified node >1 cm in its short axis. PFS was estimated using Kaplan-Meier method and 95% CI for median was computed using the method of Brookmeyer and Crowley. (NCT01059630)
Timeframe: Baseline until PD or death, whichever occurred first (up to 8.5 years overall)
Intervention | months (Median) |
---|---|
Bendamustine Alone | 14.1 |
Obinutuzumab + Bendamustine | 25.8 |
"FACT-Lym total score is the sum of physical well-being score (7 items), social/family well-being (7 items), emotional well-being (6 items), functional well-being (7 items), and Lymphoma sub-scale (15 items); responses to each item range from 0, Not at all to 4, Very much. Total score ranges from 0-168. Higher scores indicate a better PRO/QoL. In timeframe, follow-up months represents months after end of induction (e.g. Follow-up Month 2 is 2 months after end of induction) and extension follow-up months represents months after end of 2 years normal follow-up (e.g. extension follow-up Month 6 is 6 months after end of normal 2 year follow-up)." (NCT01059630)
Timeframe: Baseline, Day 1 of Cycles 3, 4, 5, End of induction treatment (up to Month 6); Follow-up Months 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, Final Follow-up (up to 2 years after end of induction); Extension follow-up Months 6, 18 and 24
Intervention | Units on a scale (Mean) | ||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Baseline | CFB at Cycle 3 Day 1 | CFB at Cycle 4 Day 1 | CFB at Cycle 5 Day 1 | CFB at End of Induction Treatment | CFB at Follow-up Month 2 | CFB at Follow-up Month 4 | CFB at Follow-up Month 6 | CFB at Follow-up Month 8 | CFB at Follow-up Month 10 | CFB at Follow-up Month 12 | CFB at Follow-up Month 14 | CFB at Follow-up Month 16 | CFB at Follow-up Month 18 | CFB at Follow-up Month 20 | CFB at Follow-up Month 22 | CFB at Follow-up Month 24 | CFB at Final follow-up | CFB at Extension Follow Up Month 6 | CFB at Extension Follow Up Month 18 | CFB at Extension Follow Up Month 24 | |
Bendamustine Alone | 124.56 | -0.74 | -12.16 | -1.68 | 0.02 | 5.10 | 5.40 | 5.03 | 1.48 | 4.58 | 2.97 | 3.18 | 2.25 | 2.16 | -0.89 | 2.15 | -2.13 | 2.15 | 1.22 | 4.92 | 9.69 |
Obinutuzumab + Bendamustine | 126.22 | 1.33 | 22.53 | 1.71 | 0.35 | 3.54 | 5.50 | 6.57 | 5.18 | 5.70 | 5.88 | 5.92 | 7.59 | 6.99 | 5.66 | 4.59 | 5.28 | 2.55 | 5.14 | 6.88 | 6.13 |
"The median time, in month, from date of randomization until a clinically meaningful decline from baseline in TOI or death, whichever occurred first. TOI: sum of physical well-being score,functional well-being score, and Lymphoma sub-scale of FACT-Lym; total 29 items, responses to each item range from 0, Not at all to 4, Very much. Total score ranges from 0-116. Higher scores indicate a better PRO/QoL. A clinically meaningful decline in TOI score was defined as at least a 6 point decline from baseline. Time to deterioration was estimated using Kaplan-Meier method and 95% CI for median was computed using the method of Brookmeyer and Crowley. In timeframe, follow-up months represents months after end of induction (EOI) (e.g. Follow-up Month 2 is 2 months after end of induction) and extension follow-up months represents months after end of 2 years normal follow-up (e.g. extension follow-up Month 6 is 6 months after end of normal 2 year follow-up)." (NCT01059630)
Timeframe: Baseline up to approximately 8.5 years
Intervention | Months (Median) |
---|---|
Bendamustine Alone | 5.6 |
Obinutuzumab + Bendamustine | 8.0 |
"TOI is the sum of 3 sub-scales (physical well-being, functional well-being, and Lymphoma sub-scale) of FACT-Lym which includes total 29 items; responses to each item range from 0, Not at all to 4, Very much. Total score ranges from 0-116. Higher scores indicate a better PRO/QoL. In timeframe, follow-up months represents months after end of induction (e.g. Follow-up Month 2 is 2 months after end of induction) and extension follow-up months represents months after end of 2 years normal follow-up (e.g. extension follow-up Month 6 is 6 months after end of normal 2 year follow-up)." (NCT01059630)
Timeframe: Baseline, Day 1 of Cycles 3, 4, 5, End of induction treatment (up to Month 6); Follow-up Months 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, Final Follow-up (up to 2 years after end of induction); Extension follow-up Months 6, 18 and 24
Intervention | Units on a scale (Mean) | ||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Baseline | CFB at Cycle 3 Day 1 | CFB at Cycle 4 Day 1 | CFB at Cycle 5 Day 1 | CFB at End of Induction Treatment | CFB at Follow-up Month 2 | CFB at Follow-up Month 4 | CFB at Follow-up Month 6 | CFB at Follow-up Month 8 | CFB at Follow-up Month 10 | CFB at Follow-up Month 12 | CFB at Follow-up Month 14 | CFB at Follow-up Month 16 | CFB at Follow-up Month 18 | CFB at Follow-up Month 20 | CFB at Follow-up Month 22 | CFB at Follow-up Month 24 | CFB at Final Follow-up | CFB at Extension Follow Up Month 6 | CFB at Extension Follow Up Month 18 | CFB at Extension Follow Up Month 24 | |
Bendamustine Alone | 84.66 | -1.94 | -10.40 | -1.38 | -0.52 | 3.75 | 3.81 | 3.26 | 1.36 | 3.52 | 2.05 | 2.25 | 0.75 | 1.36 | -0.64 | 2.26 | -0.14 | 0.84 | 2.30 | 4.02 | 10.04 |
Obinutuzumab + Bendamustine | 84.76 | 1.81 | 26.44 | 2.37 | 0.40 | 4.60 | 5.18 | 6.07 | 5.36 | 4.94 | 6.13 | 5.13 | 6.78 | 7.26 | 6.36 | 5.30 | 5.30 | 3.84 | 5.53 | 7.31 | 7.07 |
Objective response was defined as having CR or PR as assessed according to the modified response criteria for iNHL (Modified Cheson et al, 2007). CR: Complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present prior to therapy, liver and spleen have returned to normal size (if enlarged at baseline), If the bone marrow was involved by lymphoma prior to treatment, the infiltrate must have cleared on repeat bone marrow biopsy. PR: at least 50% regression of measurable disease compared to tumors measured by a baseline scan and no new sites; no increase in the size of the other nodes, liver, or spleen; with the exception of splenic and hepatic nodules, involvement of other organs is usually assessable and no measurable disease should be present. IRC review was performed up clinical cutoff date of to 1 May 2015. (NCT01059630)
Timeframe: Baseline until end of induction treatment (assessed at baseline, 14 days prior to Cy 4 Day 1 [1 Cy=28days], 28-42 days after Cy 6 Day 1)
Intervention | percentage of participants (Number) |
---|---|
Bendamustine Alone | 64.4 |
Obinutuzumab + Bendamustine | 66.7 |
Objective response was defined as having CR or PR as assessed according to the modified response criteria for iNHL (Modified Cheson et al, 2007). CR: Complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present prior to therapy, liver and spleen have returned to normal size (if enlarged at baseline), If the bone marrow was involved by lymphoma prior to treatment, the infiltrate must have cleared on repeat bone marrow biopsy. PR: at least 50% regression of measurable disease compared to tumors measured by a baseline scan and no new sites; no increase in the size of the other nodes, liver, or spleen; with the exception of splenic and hepatic nodules, involvement of other organs is usually assessable and no measurable disease should be present. (NCT01059630)
Timeframe: Baseline until end of induction treatment (assessed at baseline, 14 days prior to Cy 4 Day 1 [1 Cy=28days], 28-42 days after Cy 6 Day 1)
Intervention | percentage of participants (Number) |
---|---|
Bendamustine Alone | 68.9 |
Obinutuzumab + Bendamustine | 77.5 |
Objective response was defined as having CR or PR as assessed according to the modified response criteria for iNHL (Modified Cheson et al, 2007). CR: Complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present prior to therapy, liver and spleen have returned to normal size (if enlarged at baseline), If the bone marrow was involved by lymphoma prior to treatment, the infiltrate must have cleared on repeat bone marrow biopsy. PR: at least 50% regression of measurable disease compared to tumors measured by a baseline scan and no new sites; no increase in the size of the other nodes, liver, or spleen; with the exception of splenic and hepatic nodules, involvement of other organs is usually assessable and no measurable disease should be present. IRC review was performed up clinical cutoff date of to 1 May 2015. (NCT01059630)
Timeframe: Baseline until PD or death, whichever occurred first (up to approximately 5 years)
Intervention | percentage of participants (Number) |
---|---|
Bendamustine Alone | 77.5 |
Obinutuzumab + Bendamustine | 75.5 |
Objective response was defined as having CR or PR as assessed according to the modified response criteria for iNHL (Modified Cheson et al, 2007). CR: Complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present prior to therapy, liver and spleen have returned to normal size (if enlarged at baseline), If the bone marrow was involved by lymphoma prior to treatment, the infiltrate must have cleared on repeat bone marrow biopsy. PR: at least 50% regression of measurable disease compared to tumors measured by a baseline scan and no new sites; no increase in the size of the other nodes, liver, or spleen; with the exception of splenic and hepatic nodules, involvement of other organs is usually assessable and no measurable disease should be present. (NCT01059630)
Timeframe: Baseline until PD or death, whichever occurred first (up to approximately 8.5 years)
Intervention | percentage of participants (Number) |
---|---|
Bendamustine Alone | 83.3 |
Obinutuzumab + Bendamustine | 82.4 |
(NCT01059630)
Timeframe: Baseline until death (up to 8.5 years overall)
Intervention | percentage of participants (Number) |
---|---|
Bendamustine Alone | 49.3 |
Obinutuzumab + Bendamustine | 41.2 |
OS was defined as the time between the date of randomization and the date of death from any cause. OS was estimated using Kaplan-Meier method and 95% CI for median was computed using the method of Brookmeyer and Crowley. (NCT01059630)
Timeframe: Baseline until death (up to 8.5 years overall)
Intervention | months (Median) |
---|---|
Bendamustine Alone | 65.6 |
Obinutuzumab + Bendamustine | 88.3 |
PD was assessed by an IRC according to the modified response criteria for indolent Non-Hodgkin's Lymphoma (iNHL) (Modified Cheson et al, 2007). PD was defined as appearance of any new lesion more than 1.5 centimeters (cm) in any axis during or at the end of therapy, even if other lesions are decreasing in size; at least a 50 percent (%) increase from nadir in the sum of product diameter (SPD) of any previously involved nodes, or in a single involved node, or the size of other lesions (example: splenic or hepatic nodules). To be considered PD, a lymph node with a diameter of the short axis of less than (<) 1.0 cm must increase by greater than or equal to (≥) 50% and to a size of 1.5 multiplied by 1.5 cm or more than 1.5 cm in the long axis; at least a 50% increase in the longest diameter of any single previously identified node greater than (>) 1 cm in its short axis. (NCT01059630)
Timeframe: Baseline until PD or death, whichever occurred first (assessed at baseline, 14 days prior to Cycle [Cy] 4 Day 1 [1 Cy=28days], 28-42 days after Cy 6 Day 1, then every 3 months up to 2 years and every 6 months for next 2 years [up to 4.5 years overall])
Intervention | participants (Number) |
---|---|
Bendamustine Alone | 125 |
Obinutuzumab + Bendamustine | 87 |
PD was assessed by an investigator according to the modified response criteria for iNHL (Modified Cheson et al, 2007). PD was defined as appearance of any new lesion more than 1.5 cm in any axis during or at the end of therapy, even if other lesions are decreasing in size; at least a 50% increase from nadir in the SPD of any previously involved nodes, or in a single involved node, or the size of other lesions (e.g., splenic or hepatic nodules). To be considered PD, a lymph node with a diameter of the short axis of <1.0 cm must increase by ≥ 50% and to a size of 1.5 multiplied by 1.5 cm or more than 1.5 cm in the long axis; at least a 50% increase in the longest diameter of any single previously identified node >1 cm in its short axis. (NCT01059630)
Timeframe: Baseline until PD or death, whichever occurred first (up to 8.5 years overall))
Intervention | participants (Number) |
---|---|
Bendamustine Alone | 152 |
Obinutuzumab + Bendamustine | 132 |
EFS was defined as the time between the date of randomization and the date of PD/relapse based on IRC assessments (as per modified response criteria for iNHL [Modified Cheson et al, 2007]), death from any cause on study, or start of a new anti-lymphoma therapy. PD: appearance of any new lesion >1.5 cm in any axis during or at end of therapy, even if other lesions are decreasing in size; at least a 50% increase from nadir in SPD of any previously involved nodes, or in a single involved node, or size of other lesions. EFS was estimated using Kaplan-Meier method. IRC review was performed up clinical cutoff date of to 1 May 2015. (NCT01059630)
Timeframe: Baseline until PD or death, whichever occurred first (up to approximately 5 years)
Intervention | months (Median) |
---|---|
Bendamustine Alone | 13.7 |
Obinutuzumab + Bendamustine | 25.3 |
Grade 1=Mild, 2=Moderate, 3=Severe/medically significant, 4=Life-threatening. Overall is defined as the worst postbaseline grade value for each patient and laboratory test across all cycles. Only postbaseline grades are summarized. If absolute neutrophil count (ANC) and neutrophils absolute (ABS) were both measured, the worse grade value from the two was summarized. Otherwise the worst ANC grade value or the worst neutrophils ABS grade value was summarized. WBC=white blood cell; LLN=lower limit of normal (NCT01073163)
Timeframe: Adverse events were collected throughout the study and up to 30 days after the last dose of study drug. The median number of 28-day cycles was 6.0. The median duration of the treatment period was 143 days.
Intervention | participants (Number) | ||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
ANC, Grade 1: ANC, Grade 2: <1.5 - 1.0*10^9/L | ANC, Grade 3: <1.0 - 0.5*10^9/L | ANC, Grade 4: <0.5*10^9/L | ANC, Grade 1-4 | Hemoglobin, Grade 1: | Hemoglobin, Grade 2: <100 - 80 g/L | Hemoglobin, Grade 3: <80 - 65 g/L | Hemoglobin, Grade 4: <65 g/L | Hemoglobin, Grade 1-4 | Lymphocytes ABS, Grade 1: | Lymphocytes ABS, Grade 2: <0.8 - 0.5*10^9/L | Lymphocytes ABS, Grade 3: <0.5 - 0.2*10^9/L | Lymphocytes ABS, Grade 4: <0.2*10^9/L | Lymphocytes ABS, Grade 1-4 | Platelets, Grade 1: | Platelets, Grade 2: <75.0 - 50.0*10^9/L | Platelets, Grade 3: <50.0 - 25.0*10^9/L | Platelets, Grade 4: <25.0*10^9 /L | Platelets, Grade 1-4 | WBC, Grade 1: | WBC, Grade 2: <3.0 - 2.0*10^9/L | WBC, Grade 3: <2.0 - 1.0*10^9/L | WBC, Grade 4: <1.0*10^9/L | WBC, Grade 1-4 | | |
Bendamustine With Rituximab | 5 | 12 | 11 | 12 | 40 | 36 | 12 | 1 | 0 | 49 | 0 | 2 | 13 | 22 | 37 | 19 | 9 | 3 | 1 | 32 | 9 | 19 | 15 | 5 | 48 |
Results from a pharmacokinetic-pharmacodynamic model to show the relationship of the overall predicted change from Baseline in QTcF at the average Cmax of bendamustine and its metabolites M3 and M4. (NCT01073163)
Timeframe: Baseline ECGs (Day 2 of Cycle 1): 15 minutes prior to bendamustine infusion. Postinfusion ECGs (Day 2 of Cycle 1): at the end of the 30-minute infusion and 1 hour postinfusion.
Intervention | ms (Mean) | ||
---|---|---|---|
Bendamustine | Metabolite M3 | Metabolite M4 | |
Bendamustine With Rituximab | 5.4097 | 5.9995 | 7.1390 |
Boxplots of model-predicted Bayesian bendamustine clearance (CL) values in the presence of rituximab were generated based on the administered bendamustine doses, rate of infusion, and sample times. (NCT01073163)
Timeframe: Day 1 of Cycle 1: prior to start of bendamustine infusion, immediately postinfusion, 15 minutes and 30 minutes postinfusion. Day 2 of Cycle 1: 15 minutes prior to start of bendamustine infusion, 15 minutes, 30 minutes, 1, 3, and 5 hours postinfusion.
Intervention | L/h (Median) |
---|---|
Bendamustine With Rituximab | 32.9 |
The core ECG laboratory cardiologist assessed all leads in the ECGs and defined morphological changes. Changes from baseline (looking at each of the 3 ECGs at Day 2 Cycle 1 individually and the ECGs at all on-treatment time points individually) were noted for the following events: atrial fibrillation or flutter; second degree heart block; third degree heart block; complete right bundle branch block; complete left bundle branch block; ST segment depression; T wave abnormalities (negative T waves only); myocardial infarction pattern; any new abnormal U waves. (NCT01073163)
Timeframe: Baseline ECGs (Day 2 of Cycle 1): 15 minutes prior to bendamustine infusion. Postinfusion ECGs (Day 2 of Cycle 1): at the end of the 30-minute infusion and 1 hour postinfusion.
Intervention | participants (Number) |
---|---|
Bendamustine With Rituximab | 0 |
Complete response, as defined by the International Working Group (IWG) Revised Response Criteria For Malignant Lymphoma. Results are presented for participants with non-Hodgkin lymphoma and mantle cell lymphoma as well as all participants. (NCT01073163)
Timeframe: The median number of 28-day cycles was 6.0. The median duration of the treatment period was 143 days.
Intervention | percentage of participants (Number) |
---|---|
Non-Hodgkin Lymphoma | 40 |
Mantle Cell Lymphoma | 55 |
Total | 43 |
Overall Response was comprised of those participants who had Complete Response (CR) plus those who had Partial Response (PR), as defined by the International Working Group (IWG) Revised Response Criteria For Malignant Lymphoma. Results are presented for participants with non-Hodgkin lymphoma and mantle cell lymphoma as well as all participants. (NCT01073163)
Timeframe: The median number of 28-day cycles was 6.0. The median duration of the treatment period was 143 days.
Intervention | percentage of participants (Number) |
---|---|
Non-Hodgkin Lymphoma | 93 |
Mantle Cell Lymphoma | 100 |
Total | 94 |
The investigator assessed each patient's ECOG performance status according to the ECOG scale at screening, on Day 1 of each treatment cycle, and at the end-of-treatment visit. Scale scores were: 0=fully active, able to carry on all pre-disease performance without restriction; 1=restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature; 2=ambulatory and capable of all self-care but unable to carry out any work activities. Up and about more than 50% of waking hours; 3=capable of only limited self-care, confined to bed or chair more than 50% of waking hours; 4=completely disabled. Cannot carry on any self-care. Totally confined to bed or chair; 5=dead. Any change in score to a higher value signifies worsening, and any change to a lower value signifies improvement. (NCT01073163)
Timeframe: End of study. The median number of 28-day cycles was 6.0. The median duration of the treatment period was 143 days.
Intervention | participants (Number) | ||
---|---|---|---|
Improved | Stayed the same | Worsened | |
Bendamustine With Rituximab | 10 | 35 | 8 |
On Day 2 of Cycle 1, three electrocardiograms (ECGs) were collected 15 minutes prior to any study drug administration. The baseline ECG interval value was obtained by averaging these 3 ECGs, and was compared to the average of the 3 ECGs taken on treatment with bendamustine at the end of the infusion. (NCT01073163)
Timeframe: Baseline ECGs (Day 2 of Cycle 1): 15 minutes prior to bendamustine infusion. Postinfusion ECGs (Day 2 of Cycle 1): at the end of the 30-minute infusion.
Intervention | milliseconds (ms) (Mean) | |
---|---|---|
Baseline, n=53 | End of Infusion, n=52 | |
Bendamustine With Rituximab | 410.4 | 6.7 |
On Day 2 of Cycle 1, three ECGs were collected 15 minutes prior to any study drug administration. The baseline ECG interval value was obtained by averaging these 3 ECGs, and was compared to the average of the 3 ECGs taken on treatment with bendamustine 1 hour postinfusion. (NCT01073163)
Timeframe: Baseline ECGs (Day 2 of Cycle 1): 15 minutes prior to bendamustine infusion. Postinfusion ECGs (Day 2 of Cycle 1): 1 hour postinfusion.
Intervention | ms (Mean) | |
---|---|---|
Baseline | 1 Hour Postinfusion | |
Bendamustine With Rituximab | 410.4 | 4.1 |
"Participants were considered to have an outlier ECG value based on the most extreme value across each of the time points. New means not present at baseline and becomes present on at least 1 on-treatment ECG time point. A participant had a new outlier event (500) if the maximum QTcF was >500 ms while their baseline was <=500 ms, or had an outlier event (480) if the maximum QTcF was >480 ms while their baseline was <= 480 ms. QTcF in the 30-60 ms or >60 ms categories were also considered outliers." (NCT01073163)
Timeframe: Baseline ECGs (Day 2 of Cycle 1): 15 minutes prior to bendamustine infusion. Postinfusion ECGs (Day 2 of Cycle 1): at the end of the 30-minute infusion and 1 hour postinfusion.
Intervention | participants (Number) | |||||||
---|---|---|---|---|---|---|---|---|
QTcF New >500 ms at End of Infusion; n=52 | QTcF New >500 ms 1 Hour Postinfusion; n=53 | QTcF New >480 ms at End of Infusion; n=52 | QTcF New >480 ms 1 Hour Postinfusion; n=53 | QTcF New >60 ms at End of Infusion; n=52 | QTcF New >60 ms 1 Hour Postinfusion; n=53 | QTcF New 30-60 ms at End of Infusion; n=52 | QTcF New 30-60 ms 1 Hour Postinfusion; n=53 | |
Bendamustine With Rituximab | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 |
Number of participants with cardiac disorders overall, with severity from grades 1 (mild) to grade 4 (severe), according to the Common Terminology Criteria for Adverse Events (CTCAE) version 3.0 (grade 1=mild, grade 2=moderate, grade 3=severe, grade 4=life-threatening, grade 5= death). Participants may have reported more than 1 event. (NCT01073163)
Timeframe: Adverse events were collected throughout the study and up to 30 days after the last dose of study drug. The median number of 28-day cycles was 6.0. The median duration of the treatment period was 143 days.
Intervention | participants (Number) | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
ECG QT prolonged: Overall | ECG QT prolonged: Grade >/=3 | Blood pressure decreased: Overall | Blood pressure decreased: Grade >/=3 | Cardiac murmur: Overall | Cardiac murmur: Grade >/=3 | ECG ST segment abnormal: Overall | ECG ST segment abnormal: Grade >/=3 | Heart rate irregular: Overall | Heart rate irregular: Grade >/=3 | Palpitations: Overall | Palpitations: Grade >/=3 | Arteriosclerosis coronary artery: Overall | Arteriosclerosis coronary artery: Grade >/=3 | Atrial fibrillation: Overall | Atrial fibrillation: Grade >/=3 | Cardiac failure congestive: Overall | Cardiac failure congestive: Grade >/=3 | Left ventricular dysfunction: Overall | Left ventricular dysfunction: Grade >/=3 | Sinus tachycardia: Overall | Sinus tachycardia: Grade >/=3 | Tachycardia: Overall | Tachycardia: Grade >/=3 | |
Bendamustine With Rituximab | 3 | 2 | 1 | 1 | 1 | 0 | 1 | 0 | 1 | 0 | 2 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 1 | 1 | 0 | 1 | 0 |
Adverse event (AE)=any untoward medical occurrence in a patient administered study drug that develops or worsens in severity during the conduct of a clinical study of a pharmaceutical product and does not necessarily have a causal relationship to the study drug. Treatment-related AEs=those that began or worsened after treatment with study drug. AE severity was graded according to the National Cancer Institute's Common Terminology Criteria for AEs (grade 1=mild, grade 2=moderate, grade 3=severe, grade 4=life-threatening, grade 5= death). Relationship of an AE to study drug was categorized as definite, probable, possible, unlikely, or not related. Serious AE (SAE)=one that occurred at any dose that resulted in any of the following outcomes or actions: death; a life-threatening adverse event; inpatient hospitalization or prolongation of existing hospitalization; a persistent or significant disability/incapacity; a congenital anomaly/birth defect; or an otherwise important medical event. (NCT01073163)
Timeframe: Adverse events were collected throughout the study and up to 30 days after the last dose of study drug. The median number of 28-day cycles was 6.0. The median duration of the treatment period was 143 days.
Intervention | participants (Number) | |||||
---|---|---|---|---|---|---|
Any adverse event | Severe adverse events (grade 3, 4, 5) | Treatment-related adverse events | Deaths | Other serious adverse events | Withdrawn from study due to adverse events | |
Bendamustine With Rituximab | 53 | 33 | 52 | 1 | 14 | 1 |
(NCT01073163)
Timeframe: Day 1 of Cycle 1: prior to start of rituximab infusion, immediately postinfusion. Day 2 of Cycle 1: 15 minutes prior to the start of the bendamustine infusion. Day 7 and Day 14: anytime. Day 1 of Cycle 2: prior to start of rituximab infusion.
Intervention | mcg/mL (Median) | ||
---|---|---|---|
0.5 Hours Postinfusion; n=19 | 24 Hours Postinfusion; n=19 | 7 Days Postinfusion; n=17 | |
Bendamustine With Rituximab | 173.0 | 105.0 | 30.5 |
PFS is defined as the time interval between randomization until disease progression or death (due to any cause). (NCT01077518)
Timeframe: From randomization to the date of first documented disease progression or death due to any cause (67.5 months)
Intervention | months (Median) |
---|---|
Ofa + Benda (Arm A) | 16.62 |
Benda (Arm B) | 12.12 |
Tumor size was measured by the mean change in the sum of the products of the greatest diameter (SPD) of the largest abnormal nodes from baseline to post-baseline by CT Scan. (NCT01077518)
Timeframe: baseline, post-baseline (up to 55 months)
Intervention | mm^2 (Mean) |
---|---|
Ofa + Benda (Arm A) | -33.2 |
Benda (Arm B) | -32.8 |
Time to next therapy was defined as the time (in months) from randomization date to the date of receiving the next line treatment, including all therapy types. (NCT01077518)
Timeframe: from randomization date to the date of receiving the next line treatment or death, up to 67.5 months
Intervention | Months (Median) |
---|---|
Ofa + Benda (Arm A) | 39.82 |
Benda (Arm B) | 26.94 |
Time to next therapy was defined as the time (in months) from randomization date to the date of receiving the next line treatment, including all therapy types (NCT01077518)
Timeframe: from randomization date to the date of receiving the next line treatment or death, up to 67.5 months
Intervention | Months (Median) |
---|---|
Ofa + Benda (Arm A) | 36.96 |
Benda (Arm B) | 25.43 |
Time from randomization until disease progression (NCT01077518)
Timeframe: From randomization to the date of first documented disease progression, whichever occurred first, reported betwen day of first participant randomized up to about 67.5 months
Intervention | Months (Median) |
---|---|
Ofa + Benda (Arm A) | 19.35 |
Benda (Arm B) | 16.56 |
Time from randomization until disease progression (NCT01077518)
Timeframe: From randomization to the date of first documented disease progression, whichever occurred first, reported betwen day of first participant randomized up to about 67.5 months
Intervention | Months (Median) |
---|---|
Ofa + Benda (Arm A) | 19.35 |
Benda (Arm B) | 13.80 |
Time to response = time from randomization to the first response (CR/ PR). If no CR/PR value was present data was to be censored at last adequate assessment. (NCT01077518)
Timeframe: From randomization to up to 67.5 months
Intervention | Months (Median) |
---|---|
Ofa + Benda (Arm A) | 2.86 |
Benda (Arm B) | 2.89 |
Time to response = time from randomization to the first response (CR/ PR). If no CR/PR value was present data was to be censored at last adequate assessment. (NCT01077518)
Timeframe: From randomization to up to 67.5 months
Intervention | Months (Median) |
---|---|
Ofa + Benda (Arm A) | 2.86 |
Benda (Arm B) | 2.86 |
The percent change of CD5+CD19+ and CD5-CD19+ from baseline was summarized to assess the treatment effect, to monitor the normal B-cell population, and to follow their recovery. (NCT01077518)
Timeframe: C5D1 (month 5), 1M post-D252, 9M post-D252, up to 67.5 months; Cycle = 21 days
Intervention | percentage change from baseline (Mean) | |
---|---|---|
C5D1: CD45+CD19+ | C1D1: CD45+CD20+ | |
Benda (Arm B) | -97.0 | -98.0 |
The percent change of CD5+CD19+ and CD5-CD19+ from baseline was summarized to assess the treatment effect, to monitor the normal B-cell population, and to follow their recovery. (NCT01077518)
Timeframe: C5D1 (month 5), 1M post-D252, 9M post-D252, up to 67.5 months; Cycle = 21 days
Intervention | percentage change from baseline (Mean) | |||||
---|---|---|---|---|---|---|
C5D1: CD45+CD19+ | 1M post-D252: CD45+CD19+ | 9M post-D252: CD45+CD19+ | C1D1: CD45+CD20+ | 1M post-D252: CD45+CD20+ | 9M post-D252: CD45+CD20+ | |
Ofa + Benda (Arm A) | -94.0 | -82.0 | 1421.0 | -100.0 | -100.0 | 925.0 |
The number of participants with positive and negative baseline HACA results (NCT01077518)
Timeframe: At Baseline and Cycle 1 day 1
Intervention | Participants (Number) | |||
---|---|---|---|---|
Baseline: Negative | Baseline: Positive | C1D1: Negative | C1D1:Positive | |
Benda (Arm B) | 119 | 23 | 119 | 23 |
Ofa + Benda (Arm A) | 145 | 25 | 145 | 25 |
Concentrations of ofatumumab in plasma listed by actual relative time and summarized by nominal time. (NCT01077518)
Timeframe: C1D1, C7D1, C12D1, C1D1, C12D1, 12M post-D252, withdrawal up to 12 months follow up
Intervention | ug/mL (Mean) | |||||||||
---|---|---|---|---|---|---|---|---|---|---|
C1D1 pre-dose | C1D1 End of infusion (EOI) | C1D1 1h post-EOI | C7D1 pre-dose | C7D1 EOI | C7D1 1h post-EOI | C12D1 pre-dose | C12D1 EOI | 12M post-D252 | Withdrawal | |
Ofa + Benda (Arm A) | 1.1 | 262.0 | 283.2 | 153.6 | 402.2 | 419.1 | 143.5 | 392.0 | 0.9 | 29.6 |
The Functional Assessment of Cancer Therapy - Lymphoma (FACT-Lym) is intended as a lymphoma specific additional concerns subscale that is designed to supplement the FACT-G. The subscale consists of 15 items. Subjects respond to the items on a five point Likert scale ranging from 0 'Not at all' to 4 'Very much'. Subscale scores are calculated by summing individual items to obtain a score, then multiplying the sum of the item scores by the number of items in the subscale, then dividing by the number of items answered. The Score range is 0 -28 for Physical Well-Being, Social/Family Well-Being, 0 -24 for Functional Well-Being and 0 - 60 for the Lymphoma subscale (LYMS). FACT lymphoma TOI is the sum of Physical, Functional Well-Being & Lymphoma scores. FACT-G Total Score is the sum of Physical, Emotional, Social and Functional Well-Being scores. FACT-Lymph is the sum of Physical, Social, Emotional, Functional and Lymphoma scores. The higher the score, the better the QOL. C =cycle; D=Day (NCT01077518)
Timeframe: administered at the screening visit and C5D1 (month 5), C11D1 (month 11), D252, 12m post-D252, withdrawal (24m post-D252) up to 67.5 months; Cycle = 21 days
Intervention | scores on a scale (Mean) | |||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Physical well-being score: C5D1 | Physical well-being score C11D1 | Physical well-being score D252 | Physical well-being score 12M post-D252 | Physical well-being score Withdrawal | Social/Family well-being score C5D1 | Social/Family well-being score C11D1 | Social/Family well-being score D252 | Soc./Fam. well-being score 12M post-D252 | Social/Family well-being score Withdrawal | Emotional well-being score C5D1 | Emotional well-being score C11D1 | Emotional well-being score D252 | Emotional well-being score 12M post-D252 | Emotional well-being score Withdrawal | Functional well-being score C5D1 | Functional well-being score C11D1 | Functional well-being score D252 | Functional well-being score 12M post-D252 | Functional well-being score Withdrawal | Lymphoma subscale score C5D1 | Lymphoma subscale score C11D1 | Lymphoma subscale score D252 | Lymphoma subscale score 12M post-D252 | Lymphoma subscale score Withdrawal | FACT-Lymphoma TOI C1D1 | FACT-Lymphoma TOI C11D1 | FACT-Lymphoma TOI D252 | FACT-Lymphoma TOI 12M post-D252 | FACT-Lymphoma TOI Withdrawal | FACT-G Total Score C5D1 | FACT-G Total Score C11D1 | FACT-G Total score D252 | FACT-G Total Score 12M post-D252 | FACT-G Total Score Withdrawal | FACT-Lymph. Tot. score C5D1 | FACT-Lymph. Tot. score C11D1 | FACT-Lymph. Tot. score D252 | FACT-Lymph. Tot. score 12M post-D252 | FACT-Lymph. Tot. score Withdrawal | |
Benda (Arm B) | -2.8 | 1.0 | 1.7 | 1.3 | -1.5 | -0.5 | -1.1 | -5.4 | -1.3 | 0.3 | 0.1 | 0.7 | -2.5 | 0.7 | -2.3 | -1.5 | -0.6 | -2.2 | 0.8 | -1.6 | -1.0 | 2.3 | 0.7 | 2.0 | -1.6 | -5.3 | 2.7 | 0.2 | 4.1 | -4.3 | -4.7 | 0.1 | -8.4 | 1.5 | -5.3 | -5.8 | 2.4 | -7.7 | 3.5 | -6.5 |
Ofa + Benda (Arm A) | 0.2 | 1.1 | -5.0 | 0.9 | -4.1 | 0.2 | -1.2 | -1.6 | 0.3 | 0.9 | 1.7 | 1.4 | -5.3 | 1.5 | -2.2 | 0.7 | 1.1 | -4.3 | 1.1 | -2.3 | 3.6 | 4.4 | -2.3 | 3.2 | -1.4 | 4.5 | 6.7 | -11.7 | 5.1 | -7.8 | 2.7 | 2.3 | -16.2 | 3.7 | -7.7 | 6.3 | 6.7 | -18.6 | 6.9 | -9.1 |
The Functional Assessment of Cancer Therapy - Lymphoma (FACT-Lym) is intended as a lymphoma specific additional concerns subscale that is designed to supplement the FACT-G. The subscale consists of 15 items. Subjects respond to the items on a five point Likert scale ranging from 0 'Not at all' to 4 'Very much'. Subscale scores are calculated by summing individual items to obtain a score, then multiplying the sum of the item scores by the number of items in the subscale, then dividing by the number of items answered. The Score range is 0 -28 for Physical Well-Being, Social/Family Well-Being, 0 -24 for Functional Well-Being and 0 - 60 for the Lymphoma subscale (LYMS). FACT lymphoma TOI is the sum of Physical, Functional Well-Being & Lymphoma scores. FACT-G Total Score is the sum of Physical, Emotional, Social and Functional Well-Being scores. FACT-Lymph is the sum of Physical, Social, Emotional, Functional and Lymphoma scores. The higher the score, the better the QOL. C =cycle; D=Day (NCT01077518)
Timeframe: administered at the screeing visit and C5D1 (month 5), C11D1 (month 11), D252, 12m post-D252, withdrawal (24m post-D252) up to 67.5 months; Cycle = 21 days
Intervention | scores on a scale (Mean) | ||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Physical well-being score C5D1 | Physical well-being score C11D1 | Physical well-being score D252 | Physical well-being score 12M post-D252 | Physical well-being score Withdrawal | Social/Family well-being score C5D1 | Social/Family well-being score C11D1 | Social/Family well-being score D252 | Soc./Fam. well-being score 12M post-D252 | Social/Family well-being score Withdrawal | Emotional well-being score C5D1 | Emotional well-being score C11D1 | Emotional well-being score D252 | Emotional well-being score 12M post-D252 | Emotional well-being score Withdrawal | Functional well-being score C5D1 | Functional well-being score C11D1 | Functional well-being score D252 | Functional well-being score 12M post-D252 | Functional well-being score Withdrawal | Lymphoma subscale score C5D1 | Lymphoma subscale score C11D1 | Lymphoma subscale score D252 | Lymphoma subscale score 12M post-D252 | Lymphoma subscale score Withdrawal | FACT-Lymphoma TOI C5D1 | FACT-Lymphoma TOI C11D1 | FACT-Lymphoma TOI D252 | FACT-Lymphoma TOI 12M post-D252 | FACT-Lymphoma TOI Withdrawal | FACT-G Total score C5D1 | FACT-G Total score C11D1 | FACT-G Total score D252 | FACT-G Total score 12M post-D252 | FACT-Lymphoma Tot. score C5D1 | FACT-Lymphoma Tot. score C11D1 | FACT-Lymphoma Tot. score D252 | FACT-Lymphoma Tot. score 12M post-D252 | FACT-Lymphoma Tot. score Withdrawal | |
Benda (Arm B) | -3.4 | 1.2 | 7.5 | 1.8 | -0.6 | -0.7 | -1.4 | 2.5 | -1.9 | 0.6 | -0.0 | 0.5 | -1.0 | 0.6 | -1.9 | -1.7 | -0.0 | 7.0 | 1.0 | -1.5 | -2.2 | 2.4 | 7.0 | 2.2 | -0.4 | -7.3 | 3.6 | 21.5 | 4.9 | -1.7 | -5.8 | 0.2 | 16.0 | 1.4 | -8.0 | 2.7 | 23.0 | 3.6 | -3.1 |
Ofa + Benda (Arm A) | 0.0 | 0.9 | 2.0 | 0.5 | -5.0 | -0.1 | -1.6 | 2.0 | 0.3 | 1.1 | 1.8 | 1.2 | -6.0 | 1.5 | -2.3 | 0.1 | 0.5 | -6.0 | 0.7 | -1.6 | 3.7 | 3.7 | -18.7 | 2.6 | -2.5 | 3.7 | 5.0 | -2.0 | 3.7 | -9.2 | 1.7 | 1.0 | -8.0 | 2.9 | 5.4 | 4.7 | -6.0 | 5.5 | -10.4 |
"The EuroQoL Five-Dimension (EQ-5D) is a self-administered, generic, indirect utility measure used for health economic analysis.EQ-5D should be answered as one of 3 levels about current condition for 5 dimensions and was calculated total average by giving a weighting on 3 level of answers (EQ-5D levels into 'no problems' (level 1) and 'problems' (level 2 and 3)).~Table of scores by each level for EQ-5D items: mobility(level 1=0, level2=0.069,level 3=0.314), self care(level 1=0, level2=0.104,level 3=0.214), usual activities(level 1=0, level2=0.036,level 3=0.094), pain/discomfort (level 1=0, level2=0.,level 3=0.386) and anxiety/depression(level 1=0, level2=0.071,level 3=0.2)~*EQ-5D Total = 1 - 0.081 - (the score of the each level) - 0.269 (if at least one of level 3 presents)" (NCT01077518)
Timeframe: administered at screening and C5D1 (month 5), C11D1 (month 11), D252, 12m post-D252, withdrawal (24m post-D252) up to 67.5 months; Cycle = 21 days
Intervention | scores on a scale (Mean) | |||||||||
---|---|---|---|---|---|---|---|---|---|---|
EQ5D01-EQ VAS Score C5D1 | EQ5D01-EQ VAS Score C11D1 | EQ5D01-EQ VAS Score D252 | EQ5D01-EQ VAS Score 12M post-D252 | EQ5D01-EQ VAS Score Withdrawal | EuroQoL Tariffs C5D1 | EuroQoL Tariffs C11D1 | EuroQoL Tariffs D252 | EuroQoL Tariffs 12M post-D252 | EuroQoL Tariffs Withdrawal | |
Benda (Arm B) | -3.8 | 2.7 | -0.8 | 7.1 | 0.7 | 0.0 | 0.0 | 0.1 | 0.0 | 0.1 |
Ofa + Benda (Arm A) | 5.8 | 12.9 | -11.7 | 14.7 | -14.7 | 0.21 | 0.1 | -0.4 | 0.0 | -0.2 |
"The EuroQoL Five-Dimension (EQ-5D) is a self-administered, generic, indirect utility measure used for health economic analysis.EQ-5D should be answered as one of 3 levels about current condition for 5 dimensions and was calculated total average by giving a weighting on 3 level of answers (EQ-5D levels into 'no problems' (level 1) and 'problems' (level 2 and 3)).~Table of scores by each level for EQ-5D items: mobility(level 1=0, level2=0.069,level 3=0.314), self care(level 1=0, level2=0.104,level 3=0.214), usual activities(level 1=0, level2=0.036,level 3=0.094), pain/discomfort (level 1=0, level2=0.,level 3=0.386) and anxiety/depression(level 1=0, level2=0.071,level 3=0.2)~*EQ-5D Total = 1 - 0.081 - (the score of the each level) - 0.269 (if at least one of level 3 presents)" (NCT01077518)
Timeframe: administered at screening and C5D1 (month 5), C11D1 (month 11), D252, 12m post-D252, withdrawal (24m post-D252) up to 67.5 months; Cycle = 21 days
Intervention | scores on a scale (Mean) | |||||||||
---|---|---|---|---|---|---|---|---|---|---|
EQ5D01-EQ VAS Score C5D1 | EQ5D01-EQ VAS Score C11D1 | EQ5D01-EQ VAS Score D252 | EQ5D01-EQ VAS Score 12M post-D252 | EQ5D01-EQ VAS Score Withdrawal | EuroQoL Tariffs C5D1 | EuroQoL Tariffs C11D1 | EuroQoL Tariffs D252 | EuroQoL Tariffs 12M post-D252 | EuroQoL Tariffs Withdrawal | |
Benda (Arm B) | -6.5 | 1.1 | -7.5 | 6.7 | 5.4 | 0.0 | 0.0 | 0.4 | 0.0 | 0.1 |
Ofa + Benda (Arm A) | 5.5 | 12.9 | 0.00 | 14.2 | -18.5 | 0.0 | 0.1 | 0.0 | 0.0 | -0.1 |
The Health Change Questionnaire,(HCQ) used is a nine item scale that asks the patient to rate change in status since beginning treatment on this study. For HCQ, values from 1 to 9 were assigned to the 9 responses in the HCQ questionnaire, ranging from 1 for 'my health is a great deal better' to 9 for 'my health is a great deal worse' since the beginning of the study. Lower scores represent better conditions (NCT01077518)
Timeframe: administered at screening and C5D1 (month 5), C11D1 (month 11), D252, 12m post-D252, withdrawal (24m post-D252) up to 67.5 months; Cycle = 21 days
Intervention | scores on a scale (Mean) | ||||
---|---|---|---|---|---|
Change in health treatment C5D1 | Change in health treatment C11D1 | Change in health treatment D252 | Change in health treatment 12M post D252 | Change in health treatment Withdrawal | |
Benda (Arm B) | 3.8 | 2.5 | 4.8 | 2.6 | 4.3 |
Ofa + Benda (Arm A) | 2.8 | 2.6 | 5.3 | 2.4 | 5.4 |
The Health Change Questionnaire, (HCQ) used is a nine item scale that asks the patient to rate change in status since beginning treatment on this study. For HCQ, values from 1 to 9 were assigned to the 9 responses in the HCQ questionnaire, ranging from 1 for 'my health is a great deal better' to 9 for 'my health is a great deal worse' since the beginning of the study. Lower scores represent better conditions (NCT01077518)
Timeframe: administered at screening and C5D1 (month 5), C11D1 (month 11), D252, 12m post-D252, withdrawal (24m post-D252) up to 67.5 months; Cycle = 21 days
Intervention | scores on a scale (Mean) | ||||
---|---|---|---|---|---|
Change in health treatment C5D1 | Change in health treatment C11D1 | Change in health treatment D252 | Change in health treatment 12M post D252 | Change in health treatment Withdrawal | |
Benda (Arm B) | 3.9 | 2.4 | 4.5 | 2.1 | 4.2 |
Ofa + Benda (Arm A) | 2.9 | 2.7 | 3.0 | 2.7 | 7.2 |
at scheduled visits for actual values as well as for change from baseline (NCT01077518)
Timeframe: Screening, C1D1, 1M post D252, 6M post D252, 12M post D252 up to 67.5 months; Cycle = 21 days
Intervention | g/L (Mean) | ||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
IgA @ screening (BL) | IgG @ screening | IgM @ screening | IgA @ C1D1 | IgG @ C1D1 | IgM @ C1D1 | IgA @ 1M post-D252 | IgG @ 1M post-D252 | IgM @ 1M post-D252 | IgA @ 6M post D252 | IgG @ 6M post D252 | IgM @ 6M post D252 | IgA @ 12M post D252 | IgG @12M post D252 | IgM @ 12M post D252 | |
Ofa + Benda (Arm A) | 0.7 | 4.7 | 0.6 | 1.3 | 7.7 | 1.4 | 1.1 | 7.1 | 0.6 | 1.1 | 7.3 | 0.7 | 1.1 | 7.1 | 0.7 |
"This is the number of participants with change in ECOG status. Change is measured categorically by Improvement, deterioration and No change. Improvement is defined as decrease from baseline by at least one step on the ECOG performance status scale. Deteriorations is defined as increase from baseline by at least one step on the ECOG performance status scale. ECOG status to evaluate daily living: 0: Fully active, able to carry on all pre-disease performance without restriction; 1: Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature, e.g., light house work, office work; 2: Ambulatory and capable of all self-care but unable to carry out any work activities. Up and about more than 50% of waking hours; 3: Capable of only limited self-care, confined to bed or chair more than 50% of waking hours; 4: Completely disabled; cannot carry on any self care.Totally confined to bed or chai; 5: Dead" (NCT01077518)
Timeframe: administered at screening and C5D1 (month 5), C11D1 (month 11), D252, 12m post-D252, withdrawal (24m post-D252) up to 67.5 months; Cycle = 21 days
Intervention | participants (Number) | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
C5D1: Deteriorated | C5D1: Improved | C5D1: No Change | C11D1: Deteriorated | C11D1: Improved | C11D1: No Change | 12M post D252: Deteriorated | 12M post-D252: Improved | 12M post-D252: No Change | Withdrawal: Deteriorated | Withdrawal: Improved | Withdrawal: No Change | |
Benda (Arm B) | 24 | 22 | 88 | 9 | 23 | 58 | 6 | 12 | 38 | 8 | 2 | 11 |
Ofa + Benda (Arm A) | 18 | 30 | 94 | 13 | 27 | 75 | 9 | 17 | 44 | 7 | 2 | 8 |
A summary by responders and non-responders (NCT01077518)
Timeframe: From randomization up to about 67.5 months
Intervention | Participants (Number) | |||
---|---|---|---|---|
# of participants with post-Ofa HAHA results | with at least 1 conf. +ve post-Ofa HAHA result | -ve post-Ofa HAHA results, no Ofa conc. <200 ug/mL | -ve post-Ofa HAHA, at least 1 Ofa conc<200ug/mL | |
Ofa + Benda (Arm A) | 151 | 1 | 6 | 144 |
ORR: Percentage of subjects achieving complete response (CR) or partial response (PR) from the start of randomization until disease progression or the start of new anti-cancer therapy, including the optional ofatumumab for subjects in Arm B based on responses from the IRC assessment of best overall response using the Revised Response Criteria for Malignant Lymphoma (RRCML). Response criteria is CR, PR, standard disease (SD), progressive disease (PD) or not estimable. CR is the complete disappearance of all detectable clinical evidence of disease & disease-related symptoms. PR is at least a 50% decrease from baseline in the sum of the product of the diameters (SPD) of target lesions. SD is failure to attain the criteria needed for a CR, PR or PD. PD is the appearance of any new lesion more than 1.5 cm in any axis or at least a 50% increase from nadir in the SPD of target or non target lesions or at least a 50% increase in the longest diameter(SLD) or any Target or non target lesions. (NCT01077518)
Timeframe: From randomization until the 217th PFS event occurred, up to about 67.5 months
Intervention | Percentage of participants (Number) |
---|---|
Ofa + Benda (Arm A) | 77 |
Benda (Arm B) | 76 |
The interval of time between the date of randomization and the date of death due to any cause. For subjects who are alive, time of death will be censored at the date of last contact. (NCT01077518)
Timeframe: From randomization up to about 89 months
Intervention | months (Median) |
---|---|
Ofa + Benda (Arm A) | NA |
Benda (Arm B) | 53.59 |
ORR: Percentage of subjects achieving complete response (CR) or partial response (PR) from the start of randomization until disease progression or the start of new anti-cancer therapy, including the optional ofatumumab for subjects in Arm B based on responses from the IRC assessment of best overall response using the Revised Response Criteria for Malignant Lymphoma (RRCML). Response criteria is CR, PR, standard disease (SD), progressive disease (PD) or not estimable. CR is the complete disappearance of all detectable clinical evidence of disease & disease-related symptoms. PR is at least a 50% decrease from baseline in the sum of the product of the diameters (SPD) of target lesions. SD is failure to attain the criteria needed for a CR, PR or PD. PD is the appearance of any new lesion more than 1.5 cm in any axis or at least a 50% increase from nadir in the SPD of target or non target lesions or at least a 50% increase in the longest diameter(SLD) or any Target or non target lesions. (NCT01077518)
Timeframe: From randomization until the 217th PFS event occurred, up to about 67.8 months
Intervention | Percentage of participants (Number) |
---|---|
Optional Ofa | 17 |
The interval of time between the date of randomization and the date of death due to any cause. For subjects who are alive, time of death will be censored at the date of last contact. (NCT01077518)
Timeframe: From randomization up to about 89 months
Intervention | months (Median) |
---|---|
Ofa + Benda (Arm A) | 59.76 |
Benda (Arm B) | 58.22 |
ORR: Percentage of subjects achieving complete response (CR) or partial response (PR) from the start of randomization until disease progression or the start of new anti-cancer therapy, including the optional ofatumumab for subjects in Arm B based on responses from the IRC assessment of best overall response using the Revised Response Criteria for Malignant Lymphoma (RRCML). Response criteria is CR, PR, standard disease (SD), progressive disease (PD) or not estimable. CR is the complete disappearance of all detectable clinical evidence of disease & disease-related symptoms. PR is at least a 50% decrease from baseline in the sum of the product of the diameters (SPD) of target lesions. SD is failure to attain the criteria needed for a CR, PR or PD. PD is the appearance of any new lesion more than 1.5 cm in any axis or at least a 50% increase from nadir in the SPD of target or non target lesions or at least a 50% increase in the longest diameter(SLD) or any Target or non target lesions. (NCT01077518)
Timeframe: From randomization until the 217th PFS event occurred, up to about 67.5 months
Intervention | Percentage of participants (Number) |
---|---|
Ofa + Benda (Arm A) | 73 |
Benda (Arm B) | 75 |
Time (in months) from the initial response (CR/PR) to first documented sign of disease progression or death due to any cause. (NCT01077518)
Timeframe: time from the initial response (CR/PR) (Day 84) to first documented sign of disease progression or death due to any cause up to 67.5 months
Intervention | months (Median) |
---|---|
Ofa + Benda (Arm A) | 16.39 |
Benda (Arm B) | 11.20 |
Time (in months) from the initial response (CR/PR) to first documented sign of disease progression or death due to any cause. (NCT01077518)
Timeframe: time from the initial response (CR/PR) (Day 84) to first documented sign of disease progression or death due to any cause up to 67.5 months
Intervention | months (Median) |
---|---|
Ofa + Benda (Arm A) | 17.71 |
Benda (Arm B) | 14.49 |
PFS is defined as the time interval between randomization until disease progression or death (due to any cause). (NCT01077518)
Timeframe: From randomization to the date of first documented disease progression or death due to any cause (67.5 months)
Intervention | months (Median) |
---|---|
Ofa + Benda (Arm A) | 16.66 |
Benda (Arm B) | 13.83 |
(NCT01088048)
Timeframe: Predose, 1.5 hours postdose at Week 1 and predose at Week 5
Intervention | ng/mL (Mean) | ||
---|---|---|---|
Pre-dose (Week 1) | 1.5 hr post-dose (Week 1) | Pre-dose (Week 5) | |
Lenalidomide (Cohort 7a, 7b, 7c) | NA | 51.6 | NA |
(NCT01088048)
Timeframe: pre dose and 0.5, 1, 1.5, 2.0, 3.0, 4.0, and 6.0 hours post dose
Intervention | ng/mL (Mean) | |||||||
---|---|---|---|---|---|---|---|---|
Pre-dose | 0.5 hr post-dose | 1.0 hr post-dose | 1.5 hr post-dose | 2.0 hr post-dose | 3.0 hr post-dose | 4.0 hr post-dose | 6.0 hr post-dose | |
Idelalisib 100 mg (Cohort 1a, 1b) | 1.5 | 437.6 | 1022.4 | 1264.7 | 1282.7 | 1001.0 | 788.4 | 523.7 |
Idelalisib 150 mg (Cohorts 2a, 2b, 3a, 3c, 3d, 3e, 3f, 3g, 4a, 4b) | 0.0 | 1222.1 | 1723.1 | 1599.2 | 1646.2 | 1238.5 | 879.8 | 489.3 |
(NCT01088048)
Timeframe: Predose, 0.5, 1.0, 1.5, 2.0, 3.0, 4.0, 6.0 hours postdose at Week 0; predose, 1.5 hours postdose at Weeks 4, 12, and 24
Intervention | ng/mL (Mean) | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Pre-dose (Week 0) | 0.5 hr post-dose (Week 0) | 1.0 hr post-dose (Week 0) | 1.5 hr post-dose (Week 0) | 2.0 hr post-dose (Week 0) | 3.0 hr post-dose (Week 0) | 4.0 hr post-dose (Week 0) | 6.0 hr post-dose (Week 0) | Pre-dose (Week 4) | 1.5 hr post-dose (Week 4) | Pre-dose (Week 12) | 1.5 hr post-dose (Week 12) | Pre-dose (Week 24) | 1.5 hr post-dose (Week 24) | |
Idelalisib 100 mg (Cohort 1) | 0.4 | 437.6 | 1022.4 | 1434.0 | 1282.7 | 1001.0 | 788.4 | 523.7 | 416.5 | 1297.2 | 361.9 | 1309.5 | 369.9 | 1061.6 |
Idelalisib 150 mg (Cohort 5) | 0.0 | 1380.0 | 1600.0 | 1564.7 | 1400.0 | 1170.0 | 795.0 | 517.0 | 408.0 | 1877.9 | 433.9 | 1426.8 | 549.1 | 885.6 |
Idelalisib 150 mg (Cohorts 2 and 3) | 68.8 | 1231.4 | 1789.3 | 2017.3 | 1732.8 | 1296.1 | 910.0 | 486.0 | 364.1 | 1808.1 | 351.4 | 1883.0 | 419.7 | 1840.1 |
(NCT01088048)
Timeframe: Predose, 1.5 hours postdose at Weeks 0, 4, 12 and 24
Intervention | ng/mL (Mean) | |||||||
---|---|---|---|---|---|---|---|---|
Pre-dose (Week 0) | 1.5 hr post-dose (Week 0) | Pre-dose (Week 4) | 1.5 hr post-dose (Week 4) | Pre-dose (Week 12) | 1.5 hr post-dose (Week 12) | Pre-dose (Week 24) | 1.5 hr post-dose (Week 24) | |
Idelalisib 150 mg (Cohort 6) | 0.0 | 1930.7 | 530.8 | 1869.8 | 677.9 | 1733.0 | 346.8 | 1710.7 |
(NCT01088048)
Timeframe: Predose, 1.5 hours postdose at Weeks 0, 5 and 13
Intervention | ng/mL (Mean) | |||||
---|---|---|---|---|---|---|
Pre-dose (Week 0) | 1.5 hr post-dose (Week 0) | Pre-dose (Week 5) | 1.5 hr post-dose (Week 5) | Pre-dose (Week 13) | 1.5 hr post-dose (Week 13) | |
Idelalisib 150 mg (Cohort 7) | NA | 1603.1 | 20.7 | 1621.3 | 354.8 | 592.7 |
(NCT01088048)
Timeframe: Predose at Week 0; predose, 0.5, 1.0, 1.5, 2.0, 3.0, 4.0, 6.0 hours postdose at Week 4; predose, 1.5 hours postdose at Week 12; and predose, 1.5 hours postdose at Week 24
Intervention | ng/mL (Mean) | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Pre-dose (Week 0) | Pre-dose (Week 4) | 0.5 hr post-dose (Week 4) | 1.0 hr post-dose (Week 4) | 1.5 hr post-dose (Week 4) | 2.0 hr post-dose (Week 4) | 3.0 hr post-dose (Week 4) | 4.0 hr post-dose (Week 4) | 6.0 hr post-dose (Week 4) | Pre-dose (Week 12) | 1.5 hr post-dose (Week 12) | Pre-dose (Week 24) | 1.5 hr post-dose (Week 24) | |
Idelalisib 150 mg (Cohort 4) | 0.0 | 0.0 | 1119.5 | 994.5 | 1758.2 | 737.0 | 605.0 | 547.0 | 524.0 | 401.9 | 2018.2 | 752.5 | 2251.1 |
Duration of exposure to IDELA was summarized using descriptive statistics. (NCT01088048)
Timeframe: First dose date up to 12 months
Intervention | months (Mean) |
---|---|
Idelalisib + Rituximab | 8.1 |
Idelalisib + Bendamustine | 7.6 |
Idelalisib + Everolimus | 4.2 |
Idelalisib + Bortezomib | 5.1 |
Idelalisib + Rituximab + Bendamustine | 8.0 |
Idelalisib + Ofatumumab | 8.3 |
Idelalisib + Fludarabine | 8.9 |
Idelalisib + Chlorambucil | 8.8 |
Idelalisib + Rituximab + Chlorambucil | 8.7 |
Idelalisib + Rituximab + Lenalidomide | 7.7 |
(NCT01088048)
Timeframe: Predose, 1.5 hours postdose at Weeks 0 and 4
Intervention | ng/mL (Mean) | |||
---|---|---|---|---|
Pre-dose (Week 0) | 1.5 hr post-dose (Week 0) | Pre-dose (Week 4) | 1.5 hr post-dose (Week 4) | |
Everolimus (Cohort 5a) | NA | 93.0 | 3.0 | 56.3 |
(NCT01088048)
Timeframe: Predose, 0.25, 0.5, 0.75, 1.0, 1.25, 1.5, 2.0, 3.0, 4.0, 5.0, 6.0 hours postdose at Week 0
Intervention | ng/mL (Mean) | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Pre-dose (Week 0) | 0.25 hr post-dose (Week 0) | 0.5 hr post-dose (Week 0) | 0.75 hr post-dose (Week 0) | 1.0 hr post-dose (Week 0) | 1.25 hr post-dose (Week 0) | 1.5 hr post-dose (Week 0) | 2.0 hr post-dose (Week 0) | 3.0 hr post-dose (Week 0) | 4.0 hr post-dose (Week 0) | 5.0 hr post-dose (Week 0) | 6.0 hr post-dose (Week 0) | |
Bendamustine (Cohorts 1b, 2b, 3a, 3b, 3f, 3g, 4b, 5c) | NA | 3484.1 | 4694.7 | 3433.2 | 2847.2 | 1916.4 | 1211.2 | 514.0 | 463.4 | 78.5 | 15.3 | 4.4 |
Duration of response (DOR) was defined as the interval from the first documentation of CR or PR to the earlier of the first documentation of disease progression or death from any cause. (NCT01088048)
Timeframe: Up to 5 years
Intervention | months (Median) |
---|---|
Idelalisib + Rituximab | NA |
Idelalisib + Bendamustine | NA |
Idelalisib + Everolimus | 5.6 |
Idelalisib + Bortezomib | 9.3 |
Idelalisib + Rituximab + Bendamustine | NA |
Idelalisib + Ofatumumab | NA |
Idelalisib + Fludarabine | NA |
Idelalisib + Chlorambucil | NA |
Idelalisib + Rituximab + Chlorambucil | NA |
Idelalisib + Rituximab + Lenalidomide | NA |
"Overall Response Rate (ORR) was defined as the percentage of participants achieving a complete response (CR) or partial response (PR).~The response definitions were based on the following standard criteria established for each indication:~CLL: International Workshop on chronic lymphocytic leukemia (IWCLL),2008~iNHL & MCL: Cheson, 2007" (NCT01088048)
Timeframe: Up to 5 years
Intervention | percentage of participants (Number) |
---|---|
Idelalisib + Rituximab | 78.4 |
Idelalisib + Bendamustine | 84.3 |
Idelalisib + Everolimus | 44.4 |
Idelalisib + Bortezomib | 61.1 |
Idelalisib + Rituximab + Bendamustine | 81.8 |
Idelalisib + Ofatumumab | 71.4 |
Idelalisib + Fludarabine | 91.7 |
Idelalisib + Chlorambucil | 66.7 |
Idelalisib + Rituximab + Chlorambucil | 93.3 |
Idelalisib + Rituximab + Lenalidomide | 71.4 |
Overall Survival (OS) was defined as the interval from the start of study drug to death from any cause. (NCT01088048)
Timeframe: Up to 5 years
Intervention | months (Median) |
---|---|
Idelalisib + Rituximab | NA |
Idelalisib + Bendamustine | NA |
Idelalisib + Everolimus | NA |
Idelalisib + Bortezomib | NA |
Idelalisib + Rituximab + Bendamustine | NA |
Idelalisib + Ofatumumab | NA |
Idelalisib + Fludarabine | NA |
Idelalisib + Chlorambucil | NA |
Idelalisib + Rituximab + Chlorambucil | NA |
Idelalisib + Rituximab + Lenalidomide | NA |
"Progression free survival (PFS) was defined as the interval from the start of study drug to the earlier of the first documentation of disease progression or death from any cause.~The response definitions were based on the following standard criteria established for each indication:~CLL: International Workshop on chronic lymphocytic leukemia (IWCLL), 2008~iNHL & MCL: Cheson, 2007" (NCT01088048)
Timeframe: Up to 5 years
Intervention | months (Median) |
---|---|
Idelalisib + Rituximab | NA |
Idelalisib + Bendamustine | NA |
Idelalisib + Everolimus | 4.3 |
Idelalisib + Bortezomib | 8.1 |
Idelalisib + Rituximab + Bendamustine | NA |
Idelalisib + Ofatumumab | NA |
Idelalisib + Fludarabine | NA |
Idelalisib + Chlorambucil | NA |
Idelalisib + Rituximab + Chlorambucil | NA |
Idelalisib + Rituximab + Lenalidomide | NA |
Time to response (TTR) was defined as the interval from the start of study drug to the first documentation of CR or PR. (NCT01088048)
Timeframe: Up to 5 years
Intervention | months (Median) |
---|---|
Idelalisib + Rituximab | 1.9 |
Idelalisib + Bendamustine | 1.9 |
Idelalisib + Everolimus | 1.9 |
Idelalisib + Bortezomib | 1.9 |
Idelalisib + Rituximab + Bendamustine | 1.9 |
Idelalisib + Ofatumumab | 1.9 |
Idelalisib + Fludarabine | 1.9 |
Idelalisib + Chlorambucil | 1.9 |
Idelalisib + Rituximab + Chlorambucil | 1.9 |
Idelalisib + Rituximab + Lenalidomide | 3.0 |
Percentage of participants experiencing toxicities of administration of IDELA were measured according to the Common Terminology Criteria for Adverse Events v4.02 (NCT01088048)
Timeframe: First dose date up to 5 years
Intervention | percentage of participants (Number) |
---|---|
Idelalisib + Rituximab | 100.0 |
Idelalisib + Bendamustine | 100.0 |
Idelalisib + Everolimus | 100.0 |
Idelalisib + Bortezomib | 83.33 |
Idelalisib + Rituximab + Bendamustine | 100.0 |
Idelalisib + Ofatumumab | 100.0 |
Idelalisib + Fludarabine | 100.0 |
Idelalisib + Chlorambucil | 100.0 |
Idelalisib + Rituximab + Chlorambucil | 100.0 |
Idelalisib + Rituximab + Lenalidomide | 100.0 |
RP2D was determined by a traditional 3+3 dose escalation design, with the following restrictions: only doses of 60, 90, 120, and 150 mg/m^2 were explored, and escalation to 150 mg/m^2 would only occur if the 120 mg/m^2 dose was deemed safe and pharmacokinetic data indicate subtherapeutic exposure as compared with adults. The first cohort was administered bendamustine at the 90 mg/m^2 dose; de-escalation to the 60 mg/m^2 dose would only occur if the starting dose led to dose-limiting toxicity (DLT) in 2 or more participants. A DLT was defined as any study drug-related nonhematologic adverse event (AE) that was grade 4 for toxicity by National Cancer Institute's Common Toxicity Criteria for AEs, version 4. In addition, grade 3 or above allergic reaction or skin rash were considered DLTs. Hematologic AEs were not considered DLTs. The dose level at which at least 2 of 3 or 2 of 6 participants had a DLT was considered as exceeding the RP2D. The RP2D was the dose 1 step below that level. (NCT01088984)
Timeframe: Induction Cycle (21- to 35-day cycle)
Intervention | mg/m^2 (Number) |
---|---|
Phase 1: Bendamustine 90 or 120 mg/m^2 | 120 |
(NCT01088984)
Timeframe: Cycle 1, Day 1: before infusion, immediately following the infusion, and 3, 6, 10(±2), and 24 hours after the start of infusion. The 24-hour postinfusion sample was obtained before the start of the infusion on Day 2.
Intervention | ng*hr/mL (Geometric Mean) | ||
---|---|---|---|
Bendamustine; n=1, 13 | Metabolite M3; n=0, 2 | Metabolite M4; n=0, 0 | |
Bendamustine 120 mg/m^2 | 12929.22 | 1336.89 | NA |
Bendamustine 90 mg/m^2 | 14998.00 | NA | NA |
(NCT01088984)
Timeframe: Cycle 1, Day 1: before infusion, immediately following the infusion, and 3, 6, 10(±2), and 24 hours after the start of infusion. The 24-hour postinfusion sample was obtained before the start of the infusion on Day 2.
Intervention | ng*hr/mL (Geometric Mean) | ||
---|---|---|---|
Bendamustine; n=5, 37 | Metabolite M3; n=5, 36 | Metabolite M4; n=5, 37 | |
Bendamustine 120 mg/m^2 | 11046.32 | 701.19 | 72.78 |
Bendamustine 90 mg/m^2 | 11174.86 | 697.09 | 43.80 |
(NCT01088984)
Timeframe: Cycle 1, Day 1: before infusion, immediately following the infusion, and 3, 6, 10(±2), and 24 hours after the start of infusion. The 24-hour postinfusion sample was obtained before the start of the infusion on Day 2.
Intervention | ng/mL (Geometric Mean) | ||
---|---|---|---|
Bendamustine; n=5, 37 | Metabolite M3; n=5, 36 | Metabolite M4; n=5, 37 | |
Bendamustine 120 mg/m^2 | 6401.80 | 403.52 | 48.27 |
Bendamustine 90 mg/m^2 | 5093.24 | 311.70 | 37.53 |
(NCT01088984)
Timeframe: Cycle 1, Day 1: before infusion, immediately following the infusion, and 3, 6, 10(±2), and 24 hours after the start of infusion. The 24-hour postinfusion sample was obtained before the start of the infusion on Day 2.
Intervention | hours (Geometric Mean) | ||
---|---|---|---|
Bendamustine; n=5, 37 | Metabolite M3; n=5, 36 | Metabolite M4; n=5, 37 | |
Bendamustine 120 mg/m^2 | 1.07 | 1.07 | 1.07 |
Bendamustine 90 mg/m^2 | 1.14 | 1.14 | 1.14 |
Biological activity of bendamustine was defined as achieving a best response of partial response (PR), CRp, or CR. Rate was calculated as follows: number of participants in the primary analysis set achieving a best overall response of PR, CRp, or CR, divided by the number of participants in the primary analysis set. The most positive response for each patient during the study was counted. The 95% CI was calculated using binomial parameter exact method. Response was determined by the investigator, and evaluated per Jeha et al, 2006: A PR had to meet the following criteria: complete disappearance of circulating blasts and an M2 marrow (≥ 5% and ≤ 25% bone marrow blasts) and appearance of normal progenitor cells or an M1 marrow that did not qualify for CR or CRp. See Outcome Measure 2 for full definitions for CRp and CR. (NCT01088984)
Timeframe: At each treatment cycle (21 to 35 days), for a maximum of 12 cycles
Intervention | percentage of participants (Number) |
---|---|
Phase 2: Bendamustine 120 mg/m^2 | 6 |
ORR was calculated as follows: number of participants in the primary analysis set achieving a best overall response of complete remission without platelet recovery (CRp) or complete remission (CR), divided by the number of participants in the primary analysis set. The most positive response for each patient during the study was counted. The 95% CI was calculated using binomial parameter exact method. Response was determined by the investigator, and evaluated per Jeha et al, 2006: A CR required no evidence of circulating blasts or extramedullary disease, an M1 marrow (≤ 5% bone marrow blasts), and recovery of peripheral counts (platelets ≥ 100 × 10^9/L and absolute neutrophil count ≥ 1.0 × 10^9/L). A CR without platelet recovery (CRp) required all of the criteria for a CR with the exception of platelet recovery. (NCT01088984)
Timeframe: Assessed at each treatment cycle (21 to 35 days), for a maximum of 12 cycles
Intervention | percentage of participants (Number) |
---|---|
Phase 2: Bendamustine 120 mg/m^2 | 0 |
Biological activity of bendamustine was defined as achieving a best response of partial response (PR), CRp, or CR. Rate was calculated as follows: number of participants in the primary analysis set achieving a best overall response of PR, CRp, or CR, divided by the number of participants in the primary analysis set. The most positive response for each patient during the study was counted. The 95% CI was calculated using binomial parameter exact method. Response was determined by the investigator, and evaluated per Jeha et al, 2006: A PR had to meet the following criteria: complete disappearance of circulating blasts and an M2 marrow (≥ 5% and ≤ 25% bone marrow blasts) and appearance of normal progenitor cells or an M1 marrow that did not qualify for CR or CRp. See Outcome Measure 2 for full definitions for CRp and CR. (NCT01088984)
Timeframe: At each treatment cycle (21 to 35 days), for a maximum of 12 cycles
Intervention | percentage of participants (Number) |
---|---|
Phase 1: Bendamustine 90 or 120 mg/m^2 | 18 |
Phase 2: Bendamustine 120 mg/m^2 | 6 |
Total | 9 |
MTD defined as highest dose level in which 6 participants have been treated with = to 1 patient experiencing dose limiting toxicity (DLT). MTD exceeded if 2 or more of 6 patients experience grade 3 or higher, non-hematologic, non-infusion related toxicity a major organ system. DLT defined as treatment-related, grade >/= 3 non-hematologic toxicity. Hematologic toxicity grade >/= 3 that lasts longer than 42 days considered a DLT. Hematologic toxicity graded according to the 2008 IWCLL criteria for grading. Tumor lysis not considered a DLT. (NCT01096992)
Timeframe: After 4 week cycle
Intervention | mg/m^2 (Number) |
---|---|
Phase 1 | 30 |
Overall Response is Complete response (CR) + Partial response (PR). Overall response evaluated by 2008 International Workshop on Chronic Lymphocytic Leukemia (IWCLL) 2008 for complete or partial response and progressive disease. Complete remission (CR), requiring absence of peripheral blood clonal lymphocytes by immunophenotyping, absence of lymphadenopathy, absence of hepatomegaly or splenomegaly, absence of constitutional symptoms and satisfactory blood counts; positive or negative minimal residual disease (MRD); Partial remission (PR), defined as ≥ 50% fall in lymphocyte count, ≥ 50% reduction in lymphadenopathy or ≥ 50% reduction in liver or spleen, together with improvement in peripheral blood counts; (NCT01096992)
Timeframe: Overall response assessed 2 months after 6th or last course if participants not able to receive all 6 intended courses of treatment.
Intervention | Participants (Count of Participants) |
---|---|
Phase 1 20 mg/m^2 | 5 |
Phase 1 30 mg/m^2 | 3 |
Phase 1 40 mg/m^2 | 5 |
Phase 1 50 mg/m^2 | 2 |
Phase 2 | 17 |
The IWG criteria (Cheson et al 2007) for a CR is a complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present before therapy. A PR is at least a 50% decrease in sum of the product of the diameters (SPD) of up to 6 of the largest dominant nodes or nodal masses, no increase should be observed in the size of other nodes, liver or spleen, and no new sites of disease should be observed. (NCT01108341)
Timeframe: up to Week 32
Intervention | percentage of participants (Number) |
---|---|
Bendamustine and Ofatumumab | 90 |
The IWG criteria (Cheson et al 2007) for a CR is a complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present before therapy. (NCT01108341)
Timeframe: up to Week 32
Intervention | percentage of participants (Number) |
---|---|
Bendamustine and Ofatumumab | 67 |
Count of participants with successful mobilization and collection of PBSCs. Defined as collection of > 2 x 10^6 CD34/kg. The current study will be deemed to be potentially efficacious if the observed rate of success is at least 80%. (NCT01110135)
Timeframe: Within 7 days of apheresis and within 6 weeks of receiving bendamustine hydrochloride
Intervention | Participants (Count of Participants) |
---|---|
Treatment (Chemotherapy and Colony-stimulating Factor) | 34 |
(NCT01118845)
Timeframe: Prior to and 30 min after start of administration, and 0, 30, 60, 120 min after completion of administration on Day 2 of the 1st cycle
Intervention | ng/mL (Mean) |
---|---|
SyB L-0501 | 8095.99 |
(NCT01118845)
Timeframe: Prior to and 30 min after start of administration, and 0, 30, 60, 120 min after completion of administration on Day 2 of the 1st cycle
Intervention | hour (Median) |
---|---|
SyB L-0501 | 1.0 |
"CR: Disappearance of all evidence of disease. PR: Regression of measurable disease and no new sites.~For the criteria for CR, See Outcome measure 2 description.~The criteria for PR is as below.~Nodal Masses:~more than 50% decrease in sum of the product of the perpendicular diameters (SPD) of up to 6 largest dominant masses; no increase in size of other nodes~FDG-avid or PET positive prior to therapy; one or more PET positive at previously involved site~Variably FDG-avid or PET negative; regression on CT~Spleen, Liver:~more than 50% decrease in SPD of nodules (for single nodule in greatest transverse diameter); no increase in size of liver or spleen~Bone Marrow:~Irrelevant if positive prior to therapy; cell type should be specified" (NCT01118845)
Timeframe: up to 30 weeks
Intervention | Percentage of Participants (Number) |
---|---|
SyB L-0501 | 62.7 |
(NCT01118845)
Timeframe: up to 30 weeks
Intervention | Participants (Number) | |||
---|---|---|---|---|
concomitant medications for adverse events | concomitant medications for complications | concomitant medications for supportive therapy | concomitant medications for other reasons | |
SyB L-0501 | 58 | 50 | 59 | 59 |
(NCT01118845)
Timeframe: up to 30 weeks
Intervention | Events (Number) | |
---|---|---|
Adverse events | Serious adverse events | |
SyB L-0501 | 1848 | 23 |
"Abnormalities in laboratory test values in overall study period were analyzed. Severity of abnormalities were evaluated using Common Terminology Criteria for Adverse Events (CTCAE).~grade 1 : mild grade 2 : moderate grade 3 : severe grade 4 : life threatening or disabling grade 5 : death related to adverse event" (NCT01118845)
Timeframe: up to 30 weeks
Intervention | Participants (Number) | |
---|---|---|
Subjects with grade 3 abnormality | Subjects with grade 4 abnormality | |
SyB L-0501 | 2 | 54 |
(NCT01118845)
Timeframe: up to 30 weeks
Intervention | Participants (Number) | |
---|---|---|
Subjects with adverse event | Subjects with serious adverse event | |
SyB L-0501 | 59 | 14 |
(NCT01118845)
Timeframe: up to 30 weeks
Intervention | Participants (Number) | |
---|---|---|
Subjects with grade 3 Physical Findings | Subjects with grade 4 Physical Findings | |
SyB L-0501 | 1 | 22 |
(NCT01118845)
Timeframe: Prior to and 30 min after start of administration, and 0, 30, 60, 120 min after completion of administration on Day 2 of the 1st cycle
Intervention | hour (Median) |
---|---|
SyB L-0501 | 0.9 |
"PFS = day of the first PFS event - day of start of study treatment + 1~The definitions of PFS event are as below.~PD according to overall response on the basis of Revised Response Criteria for Malignant Lymphoma~PD: Any new lesion or increase by ≥50% of previously involved sites from nadir. Nodal masses; Appearance of a new lesion(s) >1.5 cm in any axis, ≥50% increase in SPD of more than one node, or ≥50% increase in longest diameter of a previously identified node >1 cm in short axis. Lesions PET positive if FDG-avid lymphoma or PET positive prior to therapy. Spleen, Liver; ≥50% increase from nadir in the SPD of any previous lesions. Bone marrow; New or recurrent involvement~Disease progression during treatment period~Disease progression during follow up period~Start of treatment of new lesion~Occurrence of other multiple malignant tumors~Death" (NCT01118845)
Timeframe: up to 30 weeks
Intervention | Days (Median) |
---|---|
SyB L-0501 | 200.0 |
(NCT01118845)
Timeframe: Prior to and 30 min after start of administration, and 0, 30, 60, 120 min after completion of administration on Day 2 of the 1st cycle
Intervention | ng・h/mL (Mean) |
---|---|
SyB L-0501 | 10394.39 |
(NCT01118845)
Timeframe: Prior to and 30 min after start of administration, and 0, 30, 60, 120 min after completion of administration on Day 2 of the 1st cycle
Intervention | ng・h/mL (Mean) |
---|---|
SyB L-0501 | 9218.56 |
"The criteria for CR is as below~Nodal Masses:~fluorodeoxy glucose (FDG)-avid or positron emission tomography (PET) positive prior to therapy; mass of any size permitted if PET negative~Variably FDG-avid or PET negative; regression to normal size on computed tomography (CT)~Spleen, Liver:~Not palpable, nodules disappeared~Bone Marrow:~Infiltrate cleared on repeat biopsy; if indeterminate by morphology, immunohistochemistry should be negative" (NCT01118845)
Timeframe: up to 30 weeks
Intervention | Percentage of participants (Number) |
---|---|
SyB L-0501 | 37.3 |
(NCT01118845)
Timeframe: Prior to and 30 min after start of administration, and 0, 30, 60, 120 min after completion of administration on Day 2 of the 1st cycle
Intervention | hour (Median) |
---|---|
SyB L-0501 | 0.39 |
(NCT01118845)
Timeframe: Prior to and 30 min after start of administration, and 0, 30, 60, 120 min after completion of administration on Day 2 of the 1st cycle
Intervention | hour (Median) |
---|---|
SyB L-0501 | 0.48 |
(NCT01118845)
Timeframe: Prior to and 30 min after start of administration, and 0, 30, 60, 120 min after completion of administration on Day 2 of the 1st cycle
Intervention | ng/mL (Mean) |
---|---|
SyB L-0501 | 8365.82 |
"The primary endpoint is the number of Participants with Response according to the criteria of the International Workshop to Standardize Response Criteria for NHL~Complete Remission (CR):~Nodes returned to normal (if GTD >15 mm before therapy, GTD now ≤15 mm; if GTD 11-15 and SA >10 mm before therapy, SA now ≤10 mm) All (non-nodal) target lesions completely resolved~Partial Remission (PR) SPD of target lesions decreased ≥50% from baseline Spleen and liver nodules regress by 50% in SPD or single lesion in GTD~Stable Disease (SD) Not enough shrinkage for PR Not enough growth for PD~Progressive Disease (PD):~SPD increase ≥50% from nadir (smallest value seen during trial) in nodal target lesions overall or in any single nodal target lesion" (NCT01133158)
Timeframe: 7 years
Intervention | Participants (Count of Participants) |
---|---|
Induction Rituximab, Bendamustine, Mitoxantrone, Dexamethasone | 57 |
Maintenance Rituximab | 35 |
(NCT01133158)
Timeframe: 7 years
Intervention | months (Median) | |||
---|---|---|---|---|
Progression-Free Survival | Disease-Free Survival | Global Survival | Duration of the Response | |
R-BMD | 56 | 51 | NA | 54 |
In a five year following, the median survival was obtained. (NCT01141725)
Timeframe: 5 years
Intervention | months (Median) |
---|---|
Treatment (Combination Chemotherapy) | 7.2 |
Toxicities will be graded using the National Cancer Institute (NCI) Common Toxicity Criteria version 3.0. (NCT01141725)
Timeframe: Up to day +100 after end of therapy or until the patient received an alternative treatment for leukemia, whatever happens earlier
Intervention | Participants (Count of Participants) |
---|---|
Treatment A | 0 |
Treatment B | 0 |
Treatment C | 2 |
In a five year following, the disease free survival was obtained. (NCT01141725)
Timeframe: 5 years
Intervention | days (Median) |
---|---|
Treatment (Combination Chemotherapy) | 235 |
A bayesian approach to estimate the MTD of bendamustine associated with a CR rate of at least 40% and with <30% grade 3-4 non-haematological toxicity was used (Wathen et al, 2008).The MTD of bendamustine in combination with idarubicin was determined after two cases of grade 3 toxicity were noted in the three patients entered at the 75 mg/m2 dose. The DLTs were congestive heart failure and mucositis in one patient each. Patients subsequent to this were treated at the 60 mg/m2 bendamustine dose. (NCT01141725)
Timeframe: 6 months
Intervention | mg/m2 (Number) |
---|---|
Treatment (Combination Chemotherapy) | 60 |
Defined as dose at which approximately =< 25% of patients experience a DLT. Following completed observation of final patient, two-parameter logistic model fit to data, generating dose-response curve based on observed toxicity rate at dose levels visited. Based on this fitted model, MTD is estimated to be dose that is associated with toxicity rate of 25%. If estimate of slope parameter for fitted curve is not positive and finite, geometric mean of dose level used for last cohort and dose level that would have been assigned to next cohort is taken as MTD. (NCT01165112)
Timeframe: Up to 5 weeks after the last course
Intervention | mg/m2 x 2 (Number) |
---|---|
Treatment (Chemotherapy and Monoclonal Antibody Therapy) | 120 |
(NCT01165112)
Timeframe: Up to 5 weeks after the last course
Intervention | Participants (Count of Participants) |
---|---|
Treatment (Chemotherapy and Monoclonal Antibody Therapy) | 30 |
Count of participants experiencing a dose limiting toxicity. The National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version (v)4.0 will be used to classify and grade toxicities. (NCT01165112)
Timeframe: Up to 5 weeks after the last course
Intervention | Participants (Count of Participants) |
---|---|
Treatment (Chemotherapy and Monoclonal Antibody Therapy) | 0 |
Response will be defined by standard NCI criteria (Cheson et al) for lymphoid malignancies. (NCT01165112)
Timeframe: Up to 5 weeks after the last course
Intervention | Participants (Count of Participants) |
---|---|
Treatment (Chemotherapy and Monoclonal Antibody Therapy) | 33 |
Toxicity profile (for all patients) were presented by rate of overall toxicity and rates of grade 3 or 4 toxicities analyzed separately and combined. (NCT01177683)
Timeframe: From C1D1 until death or up to a maximum of 54 months
Intervention | Participants (Count of Participants) | |||
---|---|---|---|---|
Number of patients had at least one adverse event of any grade | Number of patients had at least one grade 3 or greater adverse event | Number of patients had at least one grade 3 or greater treatment related adverse event | Number of patients having serious adverse event | |
Phase I Level 1 : Bendamustine at 90mg/m^2 With Bortezomib and Pegylated Liposomal Doxorubicin. | 3 | 2 | 2 | 1 |
Phase I Level 2 : Bendamustine at 120mg/m^2 With Bortezomib and Pegylated Liposomal Doxorubicin. | 3 | 3 | 3 | 1 |
Phase II : Bendamustine in Combination With Bortezomib and Pegylated Liposomal Doxorubicin. | 24 | 19 | 14 | 8 |
Duration of MM patients treated with bendamustine, bortezomib and pegylated liposomal doxorubicin. from first date of at least partial response to the time of progression or death due to disease progression as events, with disease progression and death due to disease progression as events and deaths due to causes other than progression as censored. Censoring date will be the last disease evaluation date or date of death due to other causes as appropriate. (NCT01177683)
Timeframe: From C1D1 up to a maximum of 52 months
Intervention | months (Median) |
---|---|
Phase II : Bendamustine in Combination With Bortezomib and Pegylated Liposomal Doxorubicin. | 13.80 |
The time from the start of treatment to death from any cause with last date known alive as censoring date. (NCT01177683)
Timeframe: From C1D1 up to a maximum of 54 months or until death
Intervention | months (Median) |
---|---|
Phase II : Bendamustine in Combination With Bortezomib and Pegylated Liposomal Doxorubicin. | 30.13 |
"The time from the start of treatment of MM patients treated with bendamustine, bortezomib and pegylated liposomal doxorubicin. to disease progression or death (regardless of cause of death), whichever comes first. Censoring date will be the last disease evaluation date.Per modified International Myeloma Working Group criteria: Progressive disease (PD) is reported if any one of the following criteria is met:~Increase of 25% or more in serum or urine M-protein from baseline;Serum M-protein and/or the absolute increase must be ≥0.5 g/dL;Urine M-protein and/or absolute increase must be ≥200 mg/24 hours ; Development of new bone lesions or soft tissue plasmacytomas or definite increase in the size of existing bone lesions or soft tissue plasmacytomas;Development of hyperc." (NCT01177683)
Timeframe: From C1D1 up to a maximum of 54 months until death
Intervention | months (Median) |
---|---|
Phase II : Bendamustine in Combination With Bortezomib and Pegylated Liposomal Doxorubicin. | 18.96 |
"The time from the start of treatment (i.e., first dose) of MM patients treated with bendamustine, bortezomib and pegylated liposomal doxorubicin to disease progression, with disease progression and death due to disease progression as events and deaths due to causes other than progression as censored. Censoring date will be the last disease evaluation date for patient without progression/death or date of death due to other diseases for patients' deaths due to other causes.Per modified International Myeloma Working Group criteria: Progressive disease (PD) is reported if any one of the following criteria is met:~Increase of 25% or more in serum or urine M-protein from baseline;Serum M-protein and/or the absolute increase must be ≥0.5 g/dL;Urine M-protein and/or absolute increase must be ≥200 mg/24 hours ; Development of new bone lesions or soft tissue plasmacytomas or definite increase in the size of existing bone lesions or soft tissue plasmacytomas;Development of hyperc." (NCT01177683)
Timeframe: From C1D1 up to a maximum of 54 months or until death
Intervention | months (Median) |
---|---|
Phase II : Bendamustine in Combination With Bortezomib and Pegylated Liposomal Doxorubicin. | 20.53 |
In the first phase, MTD of bendamustine was determined in combination with bortezomib and pegylated liposomal doxorubicin to gain a better idea of safe dosing before proceeding with the second phase to assess efficacy. Assuming myelosuppression being a dose-limiting effect that could have been overcome with growth factor support, MTD of the combination with myeloid growth factor support was also tested. (NCT01177683)
Timeframe: From C1D1 up to a maximum of 7 months or until death
Intervention | mg/m^2 (Number) |
---|---|
Phase I Level 1:Bendamustine at 90 mg/m^2 With Bortezomib and Pegylated Liposomal Doxorubicin. | 120 |
Phase I Level 2:Bendamustine at 120 mg/m^2 With Bortezomib and Pegylated Liposomal | 120 |
Patients had full clinical response assessment monthly during treatment, at the end of treatment (EOT) visit, 30 and 60 days after the EOT visit, and subsequently every 3 months until the earliest of progression of CLL, death, initiation of new therapy, withdrawal from the study, or completion of 18 months of follow-up evaluations. Clinical response assessment included physical examination with measurement of spleen, liver, and lymph nodes, disease-related symptoms, and laboratory measurements, specifically complete blood count (CBC) with differential. (NCT01188681)
Timeframe: 1 and 2 months after end of treatment, then every 3 months until disease progression, death, initiation of new therapy, study withdrawal, or 2 years
Intervention | percentage of patients (Number) |
---|---|
Phase 1 15 mg/kg TRU-016 | 66.7 |
Phase 1 20 mg/kg TRU-016 | 83.3 |
TRU-016 and Bendamustine | 68.8 |
Bendamustine | 39.4 |
Overall response rate per National Cancer Institute (NCI) Working group criteria. (NCT01188681)
Timeframe: 1 and 2 months after end of treatment, then every 3 months until disease progression, death, initiation of new therapy, study withdrawal, or 2 years
Intervention | percentage of patients (Number) |
---|---|
Phase 2: TRU-016 and Bendamustine | 81.3 |
Phase 2: Bendamustine | 66.7 |
Phase 1: 15 mg/kg TRU-016 +Beendamustine | 66.7 |
Phase 1: 20 mg/kg TRU-016 +Bendamustine | 100 |
"The Functional Assessment of Chronic Illness Therapy - Fatigue (FACIT-Fatigue) is comprised of 13 items that assess fatigue and its impact with a scale of 0-4. The FACIT-Fatigue subscale score ranges between 0 and 52. The higher the score, the better the quality of life.~FACIT-Fatigue subscale score at cycle 3 is considered as mid-treatment score. If FACIT-Fatigue subscale score at cycle 3 is not available, the score at cycle 4 will be used as the mid-treatment score." (NCT01216683)
Timeframe: Assessed at cycle 3 or cycle 4, approximately 3 or 4 months
Intervention | score on a scale (Mean) |
---|---|
Arm A Then Arm D (Induction With Bendamustine + Rituximab; Continuation With Rituximab) | 39.2 |
Arm B Then Arm E (Induction With Bendamustine + Rituximab + Bortezomib; Continuation With Rituximab) | 34.5 |
Arm C Then Arm F (Induction With Bendamustine+Rituximab; Continuation With Lenalidomide + Rituximab) | 36.3 |
"Progression-free survival is defined as the time from registration of induction treatment to progression, relapse or death, whichever occurs first. Patients alive without documented progression are censored at last disease assessment. Progression/relapse is defined as appearance of any new lesion more than 1.5 cm in any axis during or at the end of therapy, >=50% increase from nadir in the SPD of any previously involved nodes or extranodal masses or the size of other lesions, or >=50% increase in the longest diameter of any single previously identified node or extranodal mass more than 1 cm in its short axis.~The five FLIPI risk factors were: age > 60 years, Ann Arbor stage III-IV, hemoglobin level < 12 gm/dL, >4 nodal areas, and serum LDH level above normal. The FLIPI score was calculated by summing the number of risk factors. The higher the FLIPI score, the worse the prognosis." (NCT01216683)
Timeframe: Assessed every cycle during treatment and every 6 months between 2 and 5 years from study entry
Intervention | years (Median) |
---|---|
FLIPI 0-2/Unknown | 6.1 |
FLIPI 3-5 | 6.2 |
Peripheral neuropathy was assessed using NCI Common Terminology Criteria for Adverse Events (CTCAE) version 4.0. Proportion of patients with grade 3 or higher peripheral neuropathy was compared between patients with subcutaneous bortezomib and patients with intravenous bortezomib. (NCT01216683)
Timeframe: Assessed every cycle during treatment and for 30 days after discontinuation of treatment, up to 15 years
Intervention | proportion of participants (Number) |
---|---|
Subcutaneous Bortezomib | 0.06 |
Intravenous Bortezomib | 0.12 |
"1-year post induction disease-free survival rate is defined as the proportion of patients achieving complete remission during induction treatment and are alive and maintaining complete remission at 1 year after induction completion.~This analysis was conducted among 203 evaluable patients in the continuation treatment portion of the study. The 1-year post induction disease-free survival rate was compared between patients with FLIPI of 3-5 and patients with FLIPI of 0-2/unknown.~The FLIPI was developed in order to predict prognosis of patients with newly diagnosed follicular lymphoma (FL). The five FLIPI risk factors were: age > 60 years, Ann Arbor stage III-IV, hemoglobin level < 12 gm/dL, >4 nodal areas, and serum LDH level above normal. The FLIPI score was calculated by summing the number of risk factors. The higher the FLIPI score, the worse the prognosis." (NCT01216683)
Timeframe: Assessed at 1 year post-induction, approximately 1.5 years
Intervention | proportion of participants (Number) |
---|---|
FLIPI 0-2/Unknown | 0.84 |
FLIPI 3-5 | 0.74 |
"Overall survival is defined as the time from randomization to death or date last known alive. 5-year overall survival rate is the proportion of patients who were alive at 5 years estimated using the method of Kaplan-Meier.~The FLIPI was developed in order to predict prognosis of patients with newly diagnosed follicular lymphoma (FL). The five FLIPI risk factors were: age > 60 years, Ann Arbor stage III-IV, hemoglobin level < 12 gm/dL, >4 nodal areas, and serum LDH level above normal. The FLIPI score was calculated by summing the number of risk factors. The higher the FLIPI score, the worse the prognosis." (NCT01216683)
Timeframe: Assessed every cycle during treatment and every 6 months between 2 and 5 years from study entry
Intervention | proportion of participants (Number) |
---|---|
FLIPI 0-2/Unknown | 0.90 |
FLIPI 3-5 | 0.81 |
The Functional Assessment of Cancer Therapy - General (FACT-G) is a 27-item questionnaire that has four areas of measurements (physical well-being, social/family well-being, emotional well-being and functional well-being) with a scale of 0-4. The FACT-G total score ranges between 0 and 108. The higher the score, the better the quality of life. (NCT01216683)
Timeframe: Assessed at baseline
Intervention | score on a scale (Mean) |
---|---|
Arm A Then Arm D (Induction With Bendamustine + Rituximab; Continuation With Rituximab) | 83.9 |
Arm B Then Arm E (Induction With Bendamustine + Rituximab + Bortezomib; Continuation With Rituximab) | 84.7 |
Arm C Then Arm F (Induction With Bendamustine+Rituximab; Continuation With Lenalidomide + Rituximab) | 86.0 |
The Functional Assessment of Cancer Therapy - General (FACT-G) is a 27-item questionnaire that has four areas of measurements (physical well-being, social/family well-being, emotional well-being and functional well-being) with a scale of 0-4. The FACT-G total score ranges between 0 and 108. The higher the score, the better the quality of life. (NCT01216683)
Timeframe: Assessed at cycle 6, approximately 6 months
Intervention | score on a scale (Mean) |
---|---|
Arm A Then Arm D (Induction With Bendamustine + Rituximab; Continuation With Rituximab) | 86.0 |
Arm B Then Arm E (Induction With Bendamustine + Rituximab + Bortezomib; Continuation With Rituximab) | 86.5 |
Arm C Then Arm F (Induction With Bendamustine+Rituximab; Continuation With Lenalidomide + Rituximab) | 84.9 |
"The Functional Assessment of Cancer Therapy - General (FACT-G) is a 27-item questionnaire that has four areas of measurements (physical well-being, social/family well-being, emotional well-being and functional well-being) with a scale of 0-4. The FACT-G total score ranges between 0 and 108. The higher the score, the better the quality of life.~FACT-G total score at cycle 3 is considered as mid-treatment score. If FACT-G total score at cycle 3 is not available, the score at cycle 4 will be used as the mid-treatment score." (NCT01216683)
Timeframe: Assessed at cycle 3 or cycle 4, approximately 3 or 4 months
Intervention | score on a scale (Mean) |
---|---|
Arm A Then Arm D (Induction With Bendamustine + Rituximab; Continuation With Rituximab) | 85.5 |
Arm B Then Arm E (Induction With Bendamustine + Rituximab + Bortezomib; Continuation With Rituximab) | 84.2 |
Arm C Then Arm F (Induction With Bendamustine+Rituximab; Continuation With Lenalidomide + Rituximab) | 85.2 |
The Functional Assessment of Cancer Therapy - Lymphoma (FACT-Lym) is a 15-item questionnaire that evaluates disease-related symptoms and concerns specific to lymphoma with a scale of 0-4. The FACT-Lym subscale score ranges between 0 and 60. The higher the score, the better the quality of life. (NCT01216683)
Timeframe: Assessed at baseline
Intervention | score on a scale (Mean) |
---|---|
Arm A Then Arm D (Induction With Bendamustine + Rituximab; Continuation With Rituximab) | 43.8 |
Arm B Then Arm E (Induction With Bendamustine + Rituximab + Bortezomib; Continuation With Rituximab) | 44.3 |
Arm C Then Arm F (Induction With Bendamustine+Rituximab; Continuation With Lenalidomide + Rituximab) | 44.9 |
"1-year post induction disease-free survival rate is defined as the proportion of patients achieving complete remission during induction treatment and are alive and maintaining complete remission at 1 year after induction completion.~This analysis was conducted among 250 evaluable patients with Cumulative Illness Rating Scale (CIRS) data available. The proportion of patients disease-free and alive at 1 year post induction treatment was compared between patients with CIRS <10 and patients with CIRS >=10. Higher CIRS scores indicate higher severity with max score of 56 points." (NCT01216683)
Timeframe: Assessed at 1 year post-induction, approximately 1.5 years
Intervention | proportion of participants (Number) |
---|---|
CIRS <10 | 0.62 |
CIRS >=10 | 0.65 |
"The Functional Assessment of Cancer Therapy - Lymphoma (FACT-Lym) is a 15-item questionnaire that evaluates disease-related symptoms and concerns specific to lymphoma with a scale of 0-4. The FACT-Lym subscale score ranges between 0 and 60. The higher the score, the better the quality of life.~FACT-Lym subscale score at cycle 3 is considered as mid-treatment score. If FACT-Lym subscale score at cycle 3 is not available, the score at cycle 4 will be used as the mid-treatment score." (NCT01216683)
Timeframe: Assessed at cycle 3 or cycle 4, approximately 3 or 4 months
Intervention | score on a scale (Mean) |
---|---|
Arm A Then Arm D (Induction With Bendamustine + Rituximab; Continuation With Rituximab) | 47.9 |
Arm B Then Arm E (Induction With Bendamustine + Rituximab + Bortezomib; Continuation With Rituximab) | 46.8 |
Arm C Then Arm F (Induction With Bendamustine+Rituximab; Continuation With Lenalidomide + Rituximab) | 46.5 |
"Overall survival is defined as the time from randomization to death or date last known alive. 5-year overall survival rate is the proportion of patients who were alive at 5 years estimated using the method of Kaplan-Meier.~The 5-year overall survival rate is reported by Cumulative Illness Rating Scale (CIRS) score (<10 vs. >=10). Higher CIRS scores indicate higher severity with max score of 56 points." (NCT01216683)
Timeframe: Assessed every cycle during treatment and every 6 months between 2 and 5 years from study entry
Intervention | proportion of participants (Number) |
---|---|
CIRS <10 | 0.87 |
CIRS >=10 | 0.80 |
"Complete remission is defined as complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present prior to therapy.~This analysis was conducted among 250 evaluable patients with Cumulative Illness Rating Scale (CIRS) data available. The proportion of patients with complete remission was compared between patients with CIRS <10 and patients with CIRS >=10. Higher CIRS scores indicate higher severity with max score of 56 points." (NCT01216683)
Timeframe: Assessed every 4 weeks during induction treatment and every 8 weeks during continuation treatment, up to 2 years
Intervention | proportion of participants (Number) |
---|---|
CIRS <10 | 0.70 |
CIRS >=10 | 0.70 |
"Complete remission is defined as complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present prior to therapy.~This analysis was conducted among 222 evaluable patients. The proportion of patients with complete remission was compared between patients with Follicular Lymphoma International Prognostic Index (FLIPI) of 3-5 and patients with FLIPI of 0-2/unknown.~The FLIPI was developed in order to predict prognosis of patients with newly diagnosed follicular lymphoma (FL). The five FLIPI risk factors were: age > 60 years, Ann Arbor stage III-IV, hemoglobin level < 12 gm/dL, >4 nodal areas, and serum LDH level above normal. The FLIPI score was calculated by summing the number of risk factors. The higher the FLIPI score, the worse the prognosis." (NCT01216683)
Timeframe: Assessed every 4 weeks during induction treatment and every 8 weeks during continuation treatment, up to 2 years
Intervention | proportion of participants (Number) |
---|---|
FLIPI 0-2/Unknown | 0.71 |
FLIPI 3-5 | 0.64 |
"Complete remission is defined as complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present prior to therapy.~This analysis was conducted among 222 evaluable patients for the primary analysis. The purpose of this analysis is to compare the complete remission rate of rituximab + bendamustine vs. bortezomib + rituximab + bendamustine as induction therapy, therefore, the proportion of patients with complete remission was compared between Arm B (bortezomib + rituximab + bendamustine) and Arms A and C combined (rituximab + bendamustine)." (NCT01216683)
Timeframe: Assessed every 4 weeks during induction treatment and every 8 weeks during continuation treatment, up to 2 years
Intervention | proportion of participants (Number) |
---|---|
Arm A and Arm C (Induction With Bendamustine + Rituximab) | 0.62 |
Arm B (Induction With Bendamustine + Rituximab + Bortezomib) | 0.75 |
Overall survival is defined as the time from randomization to death or date last known alive. 5-year overall survival rate is the proportion of patients who were alive at 5 years estimated using the method of Kaplan-Meier. (NCT01216683)
Timeframe: Assessed every cycle during treatment and every 6 months between 2 and 5 years from study entry
Intervention | proportion of participants (Number) |
---|---|
Arm A Then Arm D (Induction With Bendamustine + Rituximab; Continuation With Rituximab) | 0.87 |
Arm B Then Arm E (Induction With Bendamustine + Rituximab + Bortezomib; Continuation With Rituximab) | 0.86 |
Arm C Then Arm F (Induction With Bendamustine+Rituximab; Continuation With Lenalidomide + Rituximab) | 0.83 |
The Functional Assessment of Cancer Therapy - Lymphoma (FACT-Lym) is a 15-item questionnaire that evaluates disease-related symptoms and concerns specific to lymphoma with a scale of 0-4. The FACT-Lym subscale score ranges between 0 and 60. The higher the score, the better the quality of life. (NCT01216683)
Timeframe: Assessed at cycle 6, approximately 6 months
Intervention | score on a scale (Mean) |
---|---|
Arm A Then Arm D (Induction With Bendamustine + Rituximab; Continuation With Rituximab) | 48.9 |
Arm B Then Arm E (Induction With Bendamustine + Rituximab + Bortezomib; Continuation With Rituximab) | 48.4 |
Arm C Then Arm F (Induction With Bendamustine+Rituximab; Continuation With Lenalidomide + Rituximab) | 47.2 |
"Progression-free survival is defined as the time from registration of induction treatment to progression, relapse or death, whichever occurs first. Patients alive without documented progression are censored at last disease assessment. 3-year progression-free survival rate is the proportion of patients who were progression-free and alive at 3 years estimated using the method of Kaplan-Meier.~Progression/relapse is defined as appearance of any new lesion more than 1.5 cm in any axis during or at the end of therapy, >=50% increase from nadir in the SPD of any previously involved nodes or extranodal masses or the size of other lesions, or >=50% increase in the longest diameter of any single previously identified node or extranodal mass more than 1 cm in its short axis.~The 3-year progression-free survival rate is reported by Cumulative Illness Rating Scale (CIRS) score (<10 vs. >=10). Higher CIRS scores indicate higher severity with max score of 56 points." (NCT01216683)
Timeframe: Assessed every cycle during treatment and every 6 months between 2 and 5 years from study entry
Intervention | proportion of participants (Number) |
---|---|
CIRS <10 | 0.83 |
CIRS >=10 | 0.68 |
"Progression-free survival is defined as the time from registration of induction treatment to progression, relapse or death, whichever occurs first. Patients alive without documented progression are censored at last disease assessment. 3-year progression-free survival rate is the proportion of patients who were progression-free and alive at 3 years estimated using the method of Kaplan-Meier.~Progression/relapse is defined as appearance of any new lesion more than 1.5 cm in any axis during or at the end of therapy, >=50% increase from nadir in the SPD of any previously involved nodes or extranodal masses or the size of other lesions, or >=50% increase in the longest diameter of any single previously identified node or extranodal mass more than 1 cm in its short axis." (NCT01216683)
Timeframe: Assessed every cycle during treatment and every 6 months between 2 and 5 years from study entry
Intervention | proportion of participants (Number) |
---|---|
Arm A Then Arm D (Induction With Bendamustine + Rituximab; Continuation With Rituximab) | 0.77 |
Arm B Then Arm E (Induction With Bendamustine + Rituximab + Bortezomib; Continuation With Rituximab) | 0.82 |
Arm C Then Arm F (Induction With Bendamustine+Rituximab; Continuation With Lenalidomide + Rituximab) | 0.76 |
"1-year post induction disease-free survival rate is defined as the proportion of patients achieving complete remission during induction treatment and are alive and maintaining complete remission at 1 year after induction completion.~The purpose of this analysis is to compare the 1-year post-induction disease-free survival (DFS) rate with rituximab plus lenalidomide to rituximab alone as continuation therapy following induction treatment of bendamustine+rituximab, therefore, patients with induction treatment of bendamustine + rituximab + bortezomib were not included in this analysis." (NCT01216683)
Timeframe: Assessed at 1 year post-induction, approximately 1.5 years
Intervention | proportion of participants (Number) |
---|---|
Arm A Then Arm D (Induction With Bendamustine + Rituximab; Continuation With Rituximab) | 0.85 |
Arm C Then Arm F (Induction With Bendamustine+Rituximab; Continuation With Lenalidomide + Rituximab) | 0.67 |
The Functional Assessment of Cancer Therapy/Gynecologic Oncology Group - Neurotoxicity (FACT-GOG-NTX) subscale is comprised of 11 items that assess neurotoxicity with a scale of 0-4. The FACT-GOG-NTX subscale score ranges between 0 and 44. The higher the score, the better the quality of life. (NCT01216683)
Timeframe: Assessed at baseline
Intervention | score on a scale (Mean) |
---|---|
Arm A Then Arm D (Induction With Bendamustine + Rituximab; Continuation With Rituximab) | 39.9 |
Arm B Then Arm E (Induction With Bendamustine + Rituximab + Bortezomib; Continuation With Rituximab) | 38.7 |
Arm C Then Arm F (Induction With Bendamustine+Rituximab; Continuation With Lenalidomide + Rituximab) | 38.8 |
The Functional Assessment of Cancer Therapy/Gynecologic Oncology Group - Neurotoxicity (FACT-GOG-NTX) subscale is comprised of 11 items that assess neurotoxicity with a scale of 0-4. The FACT-GOG-NTX subscale score ranges between 0 and 44. The higher the score, the better the quality of life. (NCT01216683)
Timeframe: Assessed at cycle 3, approximately 3 months
Intervention | score on a scale (Mean) |
---|---|
Arm A Then Arm D (Induction With Bendamustine + Rituximab; Continuation With Rituximab) | 40.0 |
Arm B Then Arm E (Induction With Bendamustine + Rituximab + Bortezomib; Continuation With Rituximab) | 38.6 |
Arm C Then Arm F (Induction With Bendamustine+Rituximab; Continuation With Lenalidomide + Rituximab) | 39.1 |
The Functional Assessment of Cancer Therapy/Gynecologic Oncology Group - Neurotoxicity (FACT-GOG-NTX) subscale is comprised of 11 items that assess neurotoxicity with a scale of 0-4. The FACT-GOG-NTX subscale score ranges between 0 and 44. The higher the score, the better the quality of life. (NCT01216683)
Timeframe: Assessed at end of induction treatment (cycle 6), approximately 6 months
Intervention | score on a scale (Mean) |
---|---|
Arm A Then Arm D (Induction With Bendamustine + Rituximab; Continuation With Rituximab) | 39.8 |
Arm B Then Arm E (Induction With Bendamustine + Rituximab + Bortezomib; Continuation With Rituximab) | 36.1 |
Arm C Then Arm F (Induction With Bendamustine+Rituximab; Continuation With Lenalidomide + Rituximab) | 39.0 |
The Functional Assessment of Chronic Illness Therapy - Fatigue (FACIT-Fatigue) is comprised of 13 items that assess fatigue and its impact with a scale of 0-4. The FACIT-Fatigue subscale score ranges between 0 and 52. The higher the score, the better the quality of life. (NCT01216683)
Timeframe: Assessed at baseline
Intervention | score on a scale (Mean) |
---|---|
Arm A Then Arm D (Induction With Bendamustine + Rituximab; Continuation With Rituximab) | 38.6 |
Arm B Then Arm E (Induction With Bendamustine + Rituximab + Bortezomib; Continuation With Rituximab) | 37.9 |
Arm C Then Arm F (Induction With Bendamustine+Rituximab; Continuation With Lenalidomide + Rituximab) | 38.1 |
The Functional Assessment of Chronic Illness Therapy - Fatigue (FACIT-Fatigue) is comprised of 13 items that assess fatigue and its impact with a scale of 0-4. The FACIT-Fatigue subscale score ranges between 0 and 52. The higher the score, the better the quality of life. (NCT01216683)
Timeframe: Assessed at cycle 6, approximately 6 months
Intervention | score on a scale (Mean) |
---|---|
Arm A Then Arm D (Induction With Bendamustine + Rituximab; Continuation With Rituximab) | 39.9 |
Arm B Then Arm E (Induction With Bendamustine + Rituximab + Bortezomib; Continuation With Rituximab) | 39.1 |
Arm C Then Arm F (Induction With Bendamustine+Rituximab; Continuation With Lenalidomide + Rituximab) | 36.3 |
Survival is assessed as time to death from first day of treatment The OS function for response-evaluable will be estimated using the product-limit (Kaplan-Meier) estimator, along with 95% confidence bounds. The median survival will be estimated from the survival function. The analysis will be repeated on all patients who receive any therapy. (NCT01222260)
Timeframe: Up to 2 years
Intervention | months (Median) |
---|---|
Treatment Arm | 18.2 |
The proportion of response-evaluable patients experiencing ORR will be estimated, with a 95% exact binomial confidence interval. Amyloid-related organ response will be evaluated on the basis of the accepted criteria described: Kidneys: 30% reduction or drop below 0.5 g in 24-hour urine protein excretion in the absence of progressive renal insufficiency. Heart: N-terminal pro b-type natriuretic peptide (NT-proBNP) or B-type natriuretic peptide response (>30% and >300 ng/L decrease in patients with baseline NT-proBNP ≥ 650 ng/L or New York Heart Association (NYHA) class response (≥ 2 class decrease in subjects with baseline NYHA class 3 or 4). Liver: 50% decrease of an initially elevated alkaline phosphatase level or reduction in the size of the liver by at least 2 cm. Neuropathy: improvement supported by clinical history, neurologic exam, orthostatic vital signs, resolution of severe constipation or reduction of diarrhea to less than 50% of previous movements/day. (NCT01222260)
Timeframe: Up to 2 years
Intervention | Participants (Count of Participants) |
---|---|
Treatment Arm | 7 |
The proportion of response-evaluable patients experiencing OHR will be estimated, with a 95% exact binomial confidence interval. Overall hematologic response rate as defined by normalization of the free light chain levels and ratio, negative serum and urine immunofixation OR reduction in the difference between involved and uninvolved free light chains (dFLC) to <4 mg/dL. (NCT01222260)
Timeframe: Up to 2 years
Intervention | Participants (Count of Participants) |
---|---|
Treatment Arm | 16 |
Only patients who have received at least 2 cycles of therapy are eligible for response assessment. The proportion of patients with PHR two months post-treatment will be estimated, with a 95% exact binomial confidence interval. Partial response is defined as the reduction of the difference between involved and uninvolved free light chains (dFLC) of ≥ 50% OR a reduction of ≥ 50% of the M-protein if M-spike is ≥ 0.5 g/dL. (NCT01222260)
Timeframe: Up to 2 years
Intervention | Participants (Count of Participants) |
---|---|
Treatment Arm | 16 |
The duration of overall response is measured from the first date of response until the first date that the progressive disease (PD) or death is objectively documented. The hazard ratio and corresponding 95% 2-sided confidence interval were calculated using stratified Cox proportional hazard regression. (NCT01232556)
Timeframe: Up to 2 years from first study drug dose or up to final study visit, whichever occurs first, including but not limited to planned assessments scheduled approximately every 12 weeks.
Intervention | Months (Median) |
---|---|
Inotuzumab Ozogamicin+Rituximab | 11.56 |
Rituximab+Gemcitabine or Rituximab+Bendamustine | 6.93 |
FACT-Lym is a questionnaire that begins with 27 items covering four core Health-Related Quality of Life subscales: Physical Well-being (7 items), Social/Family Well-being (7), Emotional Well-being (6), and Functional Well-being (7). The FACT-Lym also includes an additional concerns subscale (15 items). It also asks participants about their concerns about lumps and swelling, fevers, infections, weight, appetite, emotional stability and treatment. The participants were requested to circle one number on a 0 to 4 points scale per line to indicate how true each statement has been for him/her during the past 7 days. FACT-Lym total score, which was reported, was derived based on FACT-Lym scoring guideline (Version 4). The range of FACT-Lym total score is 0 to 168. Higher scores mean better outcomes. The average post-baseline FACT-Lym total scores were computed at approximately Week 12. The overall treatment comparisons were estimated at approximately Week 12. (NCT01232556)
Timeframe: Assessed at Day 1 of each cycle and 6-9 weeks after the last dose, Cycle 3 (Week 12) reported
Intervention | Unit on a scale (Mean) |
---|---|
Inotuzumab Ozogamicin+Rituximab | 120.07 |
Rituximab+Gemcitabine or Rituximab+Bendamustine | 116.96 |
EQ-5D consists of a descriptive system and an EQ visual analogue scale. The descriptive system comprises the following 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 3 levels: no problems, some problems, extreme problems. The scale, the best state is marked 100 and the worst state is marked 0, is to help the participant to say how good or bad a health state is. EQ-5D index, which was reported, was derived based on US weight. The range of EQ-5D index is -0.109 to 1.00. Higher scores mean better outcomes. The average post-baseline scores for EQ-5D index were computed at approximately Week 12. The overall treatment comparisons were estimated at approximately Week 12. (NCT01232556)
Timeframe: Assessed at Day 1 of each cycle and 6-9 weeks after the last dose, Cycle 3 (Week 12) reported
Intervention | Unit on a scale (Mean) |
---|---|
Inotuzumab Ozogamicin+Rituximab | 0.79 |
Rituximab+Gemcitabine or Rituximab+Bendamustine | 0.77 |
Overall Survival (OS) was defined as the time from randomization to death due to any cause, censoring at the date of last contact or the end of the study. The Kaplan-Meier method was used to determine OS. The hazard ratio and corresponding 95% 2-sided confidence interval were calculated using stratified Cox proportional hazard regression. (NCT01232556)
Timeframe: From randomization up to 5 years after last dose or up to final study visit, whichever occurs first.
Intervention | Months (Median) |
---|---|
Inotuzumab Ozogamicin+Rituximab | 9.5 |
Rituximab+Gemcitabine or Rituximab+Bendamustine | 9.5 |
"CR is defined as disappearance of all detectable clinical evidence of disease (including cleared infiltrate on repeat bone marrow aspirate/biopsy if lymphoma involvement of bone marrow before treatment).~Partial Response (PR) requires the following:~≥50 % decrease in SPD of the six largest dominant nodes or nodal masses.~No increase in the size of other nodes, liver, or spleen.~Splenic and hepatic nodules must regress by ≥50% in the SPD, or for single nodules, in the greatest transverse diameter.~With the exception of splenic and hepatic nodules, involvement of other organs is usually assessable and no measurable disease should be present.~No new sites of disease. unCR and unPR means didn't have confirmatory assessment (including bone marrow assessment for CR).~The 95% CI was determined using the exact method based on binomial distribution." (NCT01232556)
Timeframe: Up to 2 years from first study drug dose or up to final study visit, whichever occurs first, including but not limited to planned assessments scheduled approximately every 12 weeks.
Intervention | Percentage of Participants (Number) |
---|---|
Inotuzumab Ozogamicin+Rituximab | 41.0 |
Rituximab+Gemcitabine or Rituximab+Bendamustine | 43.6 |
"CR is defined as disappearance of all detectable clinical evidence of disease (including cleared infiltrate on repeat bone marrow aspirate/biopsy if lymphoma involvement of bone marrow before treatment).~Partial Response (PR) requires the following:~≥50 % decrease in SPD of the six largest dominant nodes or nodal masses.~No increase in the size of other nodes, liver, or spleen.~Splenic and hepatic nodules must regress by ≥50% in the SPD, or for single nodules, in the greatest transverse diameter.~With the exception of splenic and hepatic nodules, involvement of other organs is usually assessable and no measurable disease should be present.~No new sites of disease. The 95% CI was determined using the exact method based on binomial distribution." (NCT01232556)
Timeframe: Up to 2 years from first study drug dose or up to final study visit, whichever occurs first, including but not limited to planned assessments scheduled approximately every 12 weeks.
Intervention | Percentage of Participants (Number) |
---|---|
Inotuzumab Ozogamicin+Rituximab | 29.5 |
Rituximab+Gemcitabine or Rituximab+Bendamustine | 29.7 |
Includes all TEAEs: Any event that occurred after the first dose of study drug and was not present prior to study drug administration or worsened in severity after study drug administration.. (NCT01232556)
Timeframe: Up to 20 weeks after the first dose of study drug
Intervention | Percentage of Participants (Number) | ||||||
---|---|---|---|---|---|---|---|
% participants with a TEAE | % participants with serious TEAE | % participants with Grade 3 or 4 TEAE | % participants with Grade 5 TEAE | % participants for study drug discontinuation | % participants with dose reductions due to TEAEs | % participants for study drug stopped temporarily | |
Inotuzumab Ozogamicin+Rituximab | 98.8 | 37.2 | 79.9 | 14.6 | 25.0 | 27.4 | 31.1 |
Rituximab+Gemcitabine or Rituximab+Bendamustine | 100.0 | 37.7 | 79.6 | 13.8 | 18.0 | 29.3 | 46.1 |
"PFS is defined as time from date of randomization to date of progressive disease (PD, including investigator's claim of clinical progression), date of death from any cause, or initiation of a new treatment for the lymphoma due to persistent/refractory disease. The Kaplan-Meier method was used to determine PFS. The hazard ratio and corresponding 95% 2-sided confidence interval were calculated using stratified Cox proportional hazard regression.~PD requires the following:~Appearance of any new lesion more than 1.5 cm in any axis during or at the end of treatment, even if other lesions are decreasing in size.~At least a 50% increase from nadir in the sum of the product diameters of any previously involved nodes, or in a single involved node, or the size of other lesions.~At least a 50% increase in the longest diameter of any single previously identified node more than 1 cm in its short axis." (NCT01232556)
Timeframe: From randomization up to 2 years or final study visit, whichever occurs first, including but not limited to planned assessments scheduled approximately every 12 weeks.
Intervention | Months (Median) |
---|---|
Inotuzumab Ozogamicin+Rituximab | 3.7 |
Rituximab+Gemcitabine or Rituximab+Bendamustine | 3.5 |
The major grade 3 or higher adverse events were haematological toxicities. The results below include common haematological and non-haematological toxicities of grade 3 or higher. A complete record of all adverse events are reported in the adverse events section. National Cancer Institute Common Toxicity Criteria for Adverse Events (CTCAE), version 4.0 were used to assess toxicity. (NCT01234467)
Timeframe: Adverse events were collected while patients were on active treatment. The median treatment time was 18 weeks.
Intervention | percentage of patients (Number) | ||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Lymphopenia | Anemia | Neutropenia | Thrombocytopenia | Lymphocytosis | Fatigue | Anorexia | Hyperglycemia | Urinary Tract Infection | Arthralgia | Atrial Fibrillation | Cognitive Disturbance | Generalized Muscle Weakness | Heart Failure | Hypoalbuminemia | Hyponatremia | Infusion Related Reaction | Myalgia | Nausea | Pleural Effusion | Maculopapular Rash | Sepsis | Skin Infection | |
Bendamustine, Rituximab | 70 | 26 | 17 | 17 | 4 | 13 | 9 | 9 | 9 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 |
This represents the Kaplan-Meier estimates of median overall survival defined as the time from start of treatment until death as a result of any cause. (NCT01234467)
Timeframe: 2 years with the median follow-up of 29 months
Intervention | Months (Median) |
---|---|
Bendamustine, Rituximab | 10.2 |
The percentage of participants achieving a partial response (PR). PR is defined by The International Harmonization Project for Response Criteria as regression of measurable disease and no new sites. (NCT01234467)
Timeframe: 2 years
Intervention | percentage of participants (Number) |
---|---|
Bendamustine, Rituximab | 26 |
The ORR consists of the complete response rate + the partial response rate (percentage of participants achieving a complete or partial response). Complete response is defined by The International Harmonization Project for Response Criteria as the complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present before therapy. Partial response is defined as regression of measurable disease and no new sites. (NCT01234467)
Timeframe: 2 years
Intervention | percentage of participants (Number) |
---|---|
Bendamustine, Rituximab | 78 |
Progression-free survival (PFS) will be summarized using the Kaplan-Meier method. PFS was defined as the time from the start of treatment until lymphoma progression or death as a result of any cause. Progression was defined by The International Harmonization Project for Response Criteria as any new lesion or increase by ≥50% of previously involved sites from nadir. (NCT01234467)
Timeframe: 2 years with the median follow-up of 29 months
Intervention | Months (Median) |
---|---|
Bendamustine, Rituximab | 5.4 |
Complete response (CR) is defined as the complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present before therapy. The complete response rate is the percentage of participants achieving a CR. (NCT01234467)
Timeframe: 2 years
Intervention | percentage of participants (Number) |
---|---|
Bendamustine, Rituximab | 52 |
The primary endpoint is complete response (CR) rate. Historical complete response (CR) rate has been 35%. This rate will be considered as the null hypothesis. (NCT01234766)
Timeframe: 3 years
Intervention | Participants (Count of Participants) |
---|---|
Single Arm | 30 |
Number of patients experiencing 3 or >3 AEs (both hematological and not hematological) (NCT01244451)
Timeframe: At 44 months from treatment start.
Intervention | participants (Number) |
---|---|
Study Group | 47 |
Patients still alive and known to be progression-free will be censored at the moment of last follow-up. Patients disease progression will be assessed by clinical examination, peripheral blood, bone marrow aspirate and biopsy and radiographic evaluation according to the revised IWCLL 2008 criteria. (NCT01244451)
Timeframe: Up to 32 months: from the date of first BendOfa treatment dose - induction phase - until the date of the first documentation of progressive disease or until death (whatever the cause), whichever occurs first.
Intervention | Participants (Count of Participants) |
---|---|
Bendofa | 49 |
Patients still alive will be censored at the moment of last follow-up. (NCT01244451)
Timeframe: At 44 months from treatment start.
Intervention | participants (Number) |
---|---|
Bendofa | 38 |
Patients response to treatment will be assessed by clinical examination, peripheral blood, bone marrow aspirate and biopsy and radiographic evaluation according to the revised IWCLL 2008 criteria. (NCT01244451)
Timeframe: After 8 months from therapy start (6 months of treatment plus 2 months from the last course to response evaluation)
Intervention | participants (Number) |
---|---|
Bendofa | 34 |
The number of patients who experienced grade 3+ hematologic and non-hematologic adverse events at least possibly related to treatment assessed according to National Cancer Institute Common Terminology Criteria for Adverse Events version 4.0 (NCT01286272)
Timeframe: From date of randomization until patient stops treatment for any reason, up to 484 days post-randomization
Intervention | Participants (Count of Participants) | |
---|---|---|
Hematologic | Non-Hematologic | |
Arm A (Ofatumumab, Bendamustine Hydrochloride) | 45 | 17 |
Arm B (Ofatumumab, Bendamustine Hydrochloride, Bortezomib) | 41 | 33 |
Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. PFS rates (percentages) at 1, 2, ,3 and 4 years are defined as the percentage of patients who are alive and progression-free at the respective time points. The p-values of the log-rank test will be calculated to compare PFS between the two arms. (NCT01286272)
Timeframe: Up to 4 years
Intervention | percentage of patients (Number) | |||
---|---|---|---|---|
PFS at 1 year | PFS at 2 years | PFS at 3 years | PFS at 4 years | |
Arm A (Ofatumumab, Bendamustine Hydrochloride) | 93.8 | 80.3 | 65.9 | 57.3 |
Arm B (Ofatumumab, Bendamustine Hydrochloride, Bortezomib) | 84.8 | 75.6 | 67.1 | 64.7 |
"A complete response was defined using International Harmonization Project Response Criteria as the complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present before therapy. If the bone marrow was involved by lymphoma before treatment, the infiltrate must have cleared on repeat bone marrow biopsy.~The complete response (CR) rate was calculated in newly diagnosed untreated follicular lymphoma patients receiving 6 cycles of ofatumumab-bendamustine (ARM A) and 6 cycles of ofatumumab, bortezomib, and bendamustine (ARM B).~The complete response rate was calculated as the number of patients with a complete response divided by the number of patients eligible for evaluation." (NCT01286272)
Timeframe: From date of randomization until patient stops treatment for any reason, up to 484 days post-randomization
Intervention | proportion of patients (Number) |
---|---|
Arm A (Ofatumumab, Bendamustine Hydrochloride) | .621 |
Arm B (Ofatumumab, Bendamustine Hydrochloride, Bortezomib) | .597 |
Progression Free Survival (PFS) is defined as the interval between first treatment and disease progression or death due to any cause. PFS events: progression documented between scheduled visits, death before first PD assessment (or death at baseline or prior to any adequate assessments), death between adequate assessment visits. For the PFS analysis, the survival function was estimated using Kaplan-Meier estimates. (NCT01294579)
Timeframe: Baseline up to approximately 30 months
Intervention | months (Median) |
---|---|
Ofatumumab and Bendamustine | 29.7 |
Deaths were collected and were considered to be an on treatment death up to 60 days post treatment. (NCT01294579)
Timeframe: Baseline up to approximately 30 months
Intervention | participants (Number) | ||||
---|---|---|---|---|---|
Disease progression | Pneumonia | Myelodysplastic syndrome -reported post study | Squamous cell carcinoma of lung | Chronic obstructive pulmonary disease | |
Ofatumumab and Bendamustine | 3 | 1 | 1 | 1 | 1 |
Progression free survival (PFS) is defined as the interval between first treatment and disease progression or death due to any cause. PFS criteria: A previously normal node (≤ 1.5 x ≤ 1.0cm), including nodes that were not previously visible, must increase to >2.0 x ≥ 1.5cm; ≥ 50% increase from nadir in the PPD of any target node. The long axis must increase by at least 5 mm and to >2.0cm.; ≥ 50% increase from nadir in the long axis of any target node. The long axis must increase by at least 5 mm and to >2.0 cm.; ≥ 50% increase from nadir in the SPD of target nodes and at least one node should have a long axis >1.5 cm. (NCT01294579)
Timeframe: Baseline up to approximately 30 months
Intervention | percentage of participants (Number) | |||
---|---|---|---|---|
PFS events | PFS events - Progression | PFS events - Death | censored - follow-up ended | |
Ofatumumab and Bendamustine | 42.9 | 32.7 | 10.2 | 57.1 |
The overall response = CR (defined in Primary Outcome) + Partial Response (PR) which required all of the following: > or = to 50% decrease from baseline in target nodules; > or = to 50% decrease in hepatic/splenic nodules and no increase in liver or spleen size; no unequivocal progression in non-target lestions; no new sites of disease. (NCT01294579)
Timeframe: Baseline up to 24 weeks
Intervention | percentage of participants (Number) |
---|---|
Ofatumumab and Bendamustine | 67.3 |
Complete response (CR) included all of the following: complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present before therapy. All target nodes had to have regressed to ≤ 1.5cm in the longest diameter. Non-measureable nodes 1.1 to 1.5cm in the longest diameter and >1cm in the short axis at baseline had to regress to ≤ 1cm in the short axis by visual estimation; enlarged spleen or liver (with nodules) must have returned to normal size and nodules disappeared and if bone marrow was involved, infiltrate had to have cleared on repeat biopsy sample. CR was not valid without imaging data. The corresponding 2-sided 95% exact confidence interval (CI) of the response rate was estimated by the Clopper-Pearson method. (NCT01294579)
Timeframe: Baseline up to 24 weeks
Intervention | percentage of participants (Number) |
---|---|
Ofatumumab and Bendamustine | 24.5 |
Rate of conversion from PR in the Induction phase, to CR with maintenance ofatumumab in subjects who have a PR with induction therapy with ofatumumab and bendamustine (NCT01294579)
Timeframe: Partial response in induction phase up to 24 weeks
Intervention | percentage of participants (Number) |
---|---|
Ofatumumab and Bendamustine | 37.5 |
(NCT01300247)
Timeframe: Baseline up to relapse or progression or death from any cause, whichever occurred first, up to end of study (up to approximately 4 years)
Intervention | percentage of participants (Number) |
---|---|
Obinutuzumab + Fludarabine + Cyclophosphamide | 95.2 |
Obinutuzumab + Bendamustine | 95.0 |
Objective response was defined as a complete response (CR), CR with incomplete marrow recovery (CRi) or partial response (PR), as determined by investigator. CR:required peripheral blood lymphocytes <4x10^9/L; absence of lymphadenopathy; no hepatomegaly or splenomegaly by physical examination as determined by measurement below relevant costal margin; absence of disease/constitutional symptoms; bone marrow at least normocellular for age, with <30% of nucleated cells being lymphocytes. PR:Greater than equal to (>=) 50% decrease in peripheral blood lymphocyte count, >=50% reduction in lymphadenopathy, >=50% reduction of liver and/or spleen enlargement, either neutrophil, platelet, or hemoglobin (Hb) recovery. CRi:met all CR criteria including confirmed lymphocyte infiltration <30%; may not meet Hb, platelet or neutrophil count recovery. The 95% confidence interval (CI) was estimated by Clopper-Pearson method. The end of treatment response visit occurred 2-3 months after end of treatment. (NCT01300247)
Timeframe: Baseline up to relapse or progression or death from any cause, whichever occurred first up to end of treatment response visit (up to approximately 9 months)
Intervention | percentage of participants (Number) |
---|---|
Obinutuzumab + Fludarabine + Cyclophosphamide | 61.9 |
Obinutuzumab + Bendamustine | 90.0 |
(NCT01300247)
Timeframe: Cycle 1 Day 1 (cycle length = 28 days) up to clinical data cutoff date 24 January 2013 (up to approximately 1.75 years)
Intervention | participants (Number) |
---|---|
Obinutuzumab + Fludarabine + Cyclophosphamide | 0 |
Obinutuzumab + Bendamustine | 0 |
B-cell recovery was defined as CD19 >=0.07×10^9/L, where participants' CD19 were previously depleted. B-cell recovery was only considered possible when the participant had received the last dose of study treatment. (NCT01300247)
Timeframe: Follow-up at 6 months, 6-12 months and after 12 months up to end of study (up to approximately 4 years)
Intervention | percentage of participants (Number) | ||
---|---|---|---|
Follow-up at 6 months | Within 6-12 months of follow-up | After 12 months follow-up | |
Obinutuzumab + Bendamustine | 0 | 0 | 30.0 |
Obinutuzumab + Fludarabine + Cyclophosphamide | 0 | 9.5 | 42.9 |
B-cell depletion was defined as cluster of differentiation 19 (CD19) <0.07×10^9/L and could occur only after at least one dose of study drug had been administered. (NCT01300247)
Timeframe: Up to the end of the treatment period, and follow-up at 6 months, 6-12 months and after 12 months up to end of study (up to approximately 4 years)
Intervention | percentage of participants (Number) | |||
---|---|---|---|---|
End of the treatment period | Follow-up at 6 months | Within 6-12 months of follow-up | After 12 months follow-up | |
Obinutuzumab + Bendamustine | 100.0 | 100.0 | 100.0 | 70.0 |
Obinutuzumab + Fludarabine + Cyclophosphamide | 90.5 | 85.7 | 81.0 | 47.6 |
Progressive disease assessed using IWCLL: >=50% increase in the absolute number of circulating lymphocytes to at least 5x10^9/L; Appearance of new palpable lymph nodes (>15 millimeters [mm] in longest diameter) or any new extra-nodal lesion; >=50% increase in the longest diameter of any previous site of lymphadenopathy; >=50% increase in the enlargement of the liver and/or spleen; transformation to a more aggressive histology. (NCT01300247)
Timeframe: Baseline up to relapse or progression or death from any cause, whichever occurred first, up to end of study (up to approximately 4 years)
Intervention | percentage of participants (Number) |
---|---|
Obinutuzumab + Fludarabine + Cyclophosphamide | 90.5 |
Obinutuzumab + Bendamustine | 90.0 |
DOR for participants with OR: time from first CR, CRi or PR to disease progression (DP), relapse, or death, assessed by the investigator. DP: >=50% increase in lymphocytes to at least 5x10^9/L;new palpable lymph nodes (>15 millimeters [mm] in longest diameter) or any new extra-nodal lesion; >=50% increase in the longest diameter of any previous site of lymphadenopathy; >=50% increase in the enlargement of the liver and/or spleen; transformation to a more aggressive histology. CR:peripheral blood lymphocytes (PBL) <4x10^9/L; no lymphadenopathy; no hepatomegaly or splenomegaly (below relevant costal margin); no symptoms; bone marrow at least normocellular for age, with <30% of nucleated cells being lymphocytes. PR: >=50% decrease in PBL, >=50% reduction in lymphadenopathy, >=50% reduction of liver and/or spleen enlargement, either neutrophil, platelet, or hemoglobin (Hb) recovery. CRi: met CR criteria, lymphocyte infiltration <30%; may not meet Hb, platelet or neutrophil count recovery. (NCT01300247)
Timeframe: From first documented objective response up to disease progression or relapse or death, whichever occurred first (up to approximately 6 months)
Intervention | percentage of participants (Number) |
---|---|
Obinutuzumab + Fludarabine + Cyclophosphamide | NA |
Obinutuzumab + Bendamustine | 100.00 |
Response was assessed by the investigator on the basis of clinical, radiological, and pathological (i.e., bone marrow) criteria, using the IWG criteria (Cheson et al 2007). A CR is a complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present before therapy. A PR is at least a 50% decrease in sum of the product of the diameters (SPD) of up to 6 of the largest dominant nodes or nodal masses, no increase should be observed in the size of other nodes, liver or spleen, and no new sites of disease should be observed. (NCT01317901)
Timeframe: Day 15 and Day 28 of even-numbered cycles
Intervention | participants (Number) | |||
---|---|---|---|---|
Complete Response | Partial Response | Stable disease | Relapsed/progressive disease | |
20 mg/kg of TRU 016 + Bendamustine + Rituximab | 2 | 4 | 0 | 0 |
TRU-016 (10 mg/kg) + Bendamustine + Rituximab | 3 | 1 | 1 | 1 |
Maximum Tolerated Dose (MTD) reflects the highest dose of Veliparib when combined with Bendamustine Hydrochloride that did not cause a DLT. The maximum tolerated dose (MTD) was defined as the highest dose level at which 33% of patients experienced DLT. (NCT01326702)
Timeframe: 28 days
Intervention | mg (Number) |
---|---|
All Study Participants | 300 |
Kaplan-Meier estimates will be calculated and log-rank tests will be employed when certain comparisons are needed. Changes in the largest diameter (unidimensional measurement) of the tumor lesions and the shortest diameter in the case of malignant lymph nodes are used in the RECIST criteria. (NCT01326702)
Timeframe: 2 years
Intervention | Months (Median) |
---|---|
All Study Participants | 14.2 |
Summary statistics will be used for CR. Responses will be evaluated by the International Uniform Response Criteria for Multiple Myeloma. (NCT01326702)
Timeframe: 2 years
Intervention | Participants (Count of Participants) |
---|---|
All Study Participants | 5 |
Adverse events assessed by NCI CTCAE version 4.0 (Phase Ib) See adverse events section. (NCT01326702)
Timeframe: 2 years
Intervention | participants (Number) |
---|---|
Dose Level 1-Bendamustine 70 mg/m2, ABT-888 50 mg | 3 |
Dose Level 2: Bendamustine 90 mg/m2, ABT-888 50 mg | 3 |
Dose Level 3: Bendamustine 90 mg/m2, ABT-888 100 mg BID | 4 |
Dose Level 4: Bendamustine 90 mg/m2, ABT-888 150 mg BID | 2 |
Dose Level 5: Bendamustine 90 mg/m2, ABT-888 200 mg BID | 2 |
Dose Level 6: Bendamustine 90 mg/m2, ABT-888 300 mg BID | 5 |
Dose Level 7: Bendamustine 90 mg/m2, ABT-888 400 mg BID | 3 |
(NCT01326702)
Timeframe: 28 days
Intervention | participants (Number) |
---|---|
Dose Level 1-Bendamustine 70 mg/m2, ABT-888 50 mg | 0 |
Dose Level 2: Bendamustine 90 mg/m2, ABT-888 50 mg | 0 |
Dose Level 3: Bendamustine 90 mg/m2, ABT-888 100 mg BID | 1 |
Dose Level 4: Bendamustine 90 mg/m2, ABT-888 150 mg BID | 0 |
Dose Level 5: Bendamustine 90 mg/m2, ABT-888 200 mg BID | 0 |
Dose Level 6: Bendamustine 90 mg/m2, ABT-888 300 mg BID | 1 |
Dose Level 7: Bendamustine 90 mg/m2, ABT-888 400 mg BID | 2 |
Area Under the Curve from time zero to 12 hours following Veliparib administration (NCT01326702)
Timeframe: From time zero to 12 hours on day 2 of course 1
Intervention | μg*h/mL (Geometric Mean) |
---|---|
Dose Level 1-Bendamustine 70 mg/m2, ABT-888 50 mg | 1.79 |
Dose Level 2: Bendamustine 90 mg/m2, ABT-888 50 mg | 3.58 |
Dose Level 3: Bendamustine 90 mg/m2, ABT-888 100 mg BID | 7.93 |
Dose Level 4: Bendamustine 90 mg/m2, ABT-888 150 mg BID | 12.6 |
Dose Level 5: Bendamustine 90 mg/m2, ABT-888 200 mg BID | 16.9 |
Dose Level 6: Bendamustine 90 mg/m2, ABT-888 300 mg BID | 19.0 |
Dose Level 7: Bendamustine 90 mg/m2, ABT-888 400 mg BID | 25.0 |
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI and/or CT: Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Stable Disease (SD), neither sufficient shrinkage to qualify for a Partial Response nor sufficient increase to qualify for Progression of Disease (POD); POD, 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions; Complete Response (CR), Disappearance of all target lesions. (NCT01326702)
Timeframe: 2 years
Intervention | Participants (Count of Participants) | |||
---|---|---|---|---|
Complete Response | Partial Response | Stable Disease | Progression of Disease | |
Dose Level 1-Bendamustine 70 mg/m2, ABT-888 50 mg | 0 | 1 | 1 | 1 |
Dose Level 2: Bendamustine 90 mg/m2, ABT-888 50 mg | 0 | 1 | 2 | 0 |
Dose Level 3: Bendamustine 90 mg/m2, ABT-888 100 mg BID | 1 | 0 | 2 | 2 |
Dose Level 4: Bendamustine 90 mg/m2, ABT-888 150 mg BID | 0 | 0 | 2 | 0 |
Dose Level 5: Bendamustine 90 mg/m2, ABT-888 200 mg BID | 0 | 1 | 0 | 2 |
Dose Level 6: Bendamustine 90 mg/m2, ABT-888 300 mg BID | 4 | 4 | 5 | 1 |
Dose Level 7: Bendamustine 90 mg/m2, ABT-888 400 mg BID | 0 | 0 | 0 | 2 |
The EQ-5D is a quality of life questionnaire with five questions, each with three categories (no problem, moderate problem, severe problems) and a visual analogue scale (VAS) from 0 (worst possible health state) to 100 (best possible health state. Summary score ranges from 0 to 1. Higher scores indicate better outcomes. A positive change from baseline indicates an improvement. Maintenance/Observation is indicated as Maint/Obs in data categories. Completion includes completion visit and early termination visit. (NCT01332968)
Timeframe: Induction: Cycle 1 Day 1 (Baseline), Cycle 3 Day 1, End of Induction (up to 7 months); Maintenance: 2, 12 after Day 1 of last induction cycle, Follow-up: every year for up to data cut-off (up to 5 years and 2 months)
Intervention | units on a scale (Mean) | |
---|---|---|
Change Baseline, Follow-Up Month 36 | Change Baseline, Follow-Up Month 48 | |
Obinutuzumab+Chemotherapy | 0.06 | 0.06 |
Rituximab+Chemotherapy | 0.05 | 0.05 |
Percentage of participants with complete response in the overall study population was determined on the basis of investigator assessments with the use of Revised Response Criteria for Malignant Lymphoma. Tumor assessments were performed with CT/MRI with or without PET. CR was defined as disappearance of all target lesions. (NCT01332968)
Timeframe: Baseline up to end of induction period (up to approximately 7 months)
Intervention | percentage of participants with event (Number) | |
---|---|---|
Without PET | With PET | |
Obinutuzumab+Chemotherapy | 18.4 | 61.1 |
Rituximab+Chemotherapy | 23.3 | 57.0 |
FACT-G consists of the following 4 FACT-Lym sub-questionnaires: Physical Well-being (range: 0-28), Social/Family Well-being (range: 0-28), Emotional Well-being (range: 0-24) and Functional Well-being (range: 0-28). Higher scores indicate better outcomes. A positive change from baseline indicates improvement. Maint = Maintenance period. (NCT01332968)
Timeframe: Baseline (Induction Cycle 1, Day 1), data cut-off (up to approximately 5 years and 2 months)
Intervention | units on a scale (Mean) | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Physical Well-being (PW), Baseline | PW Change, Cycle 3, Day 1 | PW Change, End Induction | PW Change, Maint Month 2 | PW Change, Maint Month 12 | PW Change, End Maint | Social/Family Well-being , Baseline | S/FW Change, Cycle 3 Day 1 | S/FW Change, End Induction | S/FW Change, Maint Month 2 | S/FW Change, Maint Month 12 | S/FW Change, End Maint | Emotional Well-being (EW), Baseline | EW Change, Cycle 3 Day 1 | EW Change, End Induction | EW Change, Maint Month 2 | EW Change, Maint Month 12 | EW Change, End Maint | Functional Well-being (FW), Baseline | FW Change, Cycle 3 Day 1 | FW Change, End Induction | FW Change, Maint Month 2 | FW Change, Maint Month 12 | FW Change, End Maint | |
Obinutuzumab+Chemotherapy | 23.14 | -0.21 | 0.56 | 1.42 | 1.34 | 1.33 | 23.28 | -0.67 | -0.56 | -0.67 | -0.97 | -0.71 | 17.87 | 1.35 | 1.14 | 1.49 | 1.46 | 1.49 | 18.76 | -0.07 | 0.93 | 1.25 | 1.65 | 1.72 |
Rituximab+Chemotherapy | 23.36 | -0.91 | -0.06 | 0.83 | 1.14 | 0.88 | 22.84 | -0.52 | -0.46 | -0.39 | -0.61 | -0.93 | 17.64 | 1.49 | 1.16 | 1.77 | 1.45 | 1.43 | 18.66 | -0.30 | 0.44 | 1.04 | 1.84 | 1.40 |
Time to next anti-lymphoma treatment was defined as the time from the date of randomization to the start date of the next anti-lymphoma treatment or death from any cause. Reported is the percentage of participants with event. (NCT01332968)
Timeframe: Baseline up to data cut-off (up to approximately 5 years and 2 months)
Intervention | percentage of participants with event (Number) |
---|---|
Rituximab+Chemotherapy | 21.6 |
Obinutuzumab+Chemotherapy | 15.7 |
Time to next anti-lymphoma treatment was defined as the time from the date of randomization to the start date of the next anti-lymphoma treatment or death from any cause. Reported is the percentage of participants with event. (NCT01332968)
Timeframe: Baseline up to 10 years
Intervention | percentage of participants with event (Number) |
---|---|
Rituximab+Chemotherapy | 34.8 |
Obinutuzumab+Chemotherapy | 26.6 |
Progression-free survival in participants with follicular lymphoma was defined as the time from randomization until the first documented day of disease progression or death from any cause, whichever occurred first, on the basis of investigator assessments according to the Revised Response Criteria for Malignant Lymphoma. Progression was defined as at least 50% increase in nodal lesions or >/=50% increase in any node > 1 centimeter (cm) or >/= 50% increase in other target measurable lesions (e.g., splenic or hepatic nodules) and/or appearance of any new bone marrow involvement and/or appearance of any new lesion > 1.5 cm or >/= 50% increase in any previously involved node with a diameter = 1 cm such that it is now >1.5 cm. Tumor measurements were obtained by computed tomography (CT) or magnetic resonance imaging (MRI). (NCT01332968)
Timeframe: Baseline up to final analysis (up to 10 years)
Intervention | percentage of participants with event (Number) |
---|---|
Rituximab+Chemotherapy | 40.6 |
Obinutuzumab+Chemotherapy | 34.3 |
Progression-free survival in participants with follicular lymphoma was defined as the time from randomization until the first documented day of disease progression or death from any cause, whichever occurred first, on the basis of investigator assessments according to the Revised Response Criteria for Malignant Lymphoma. Progression was defined as at least 50% increase in nodal lesions or >/=50% increase in any node > 1 centimeter (cm) or >/= 50% increase in other target measurable lesions (e.g., splenic or hepatic nodules) and/or appearance of any new bone marrow involvement and/or appearance of any new lesion > 1.5 cm or >/= 50% increase in any previously involved node with a diameter = 1 cm such that it is now >1.5 cm. Tumor measurements were obtained by computed tomography (CT) or magnetic resonance imaging (MRI). (NCT01332968)
Timeframe: Baseline up to data cut-off (up to approximately 4 years and 7 months)
Intervention | percentage of participants with event (Number) |
---|---|
Rituximab+Chemotherapy | 24.0 |
Obinutuzumab+Chemotherapy | 16.8 |
Progression-free survival in the overall study population was defined as the time from randomization until the first documented day of disease progression or death from any cause, whichever occurred first, on the basis of IRC assessments according to the Revised Response Criteria for Malignant Lymphoma. Progression was defined as at least 50% increase in nodal lesions or >/=50% increase in any node > 1 centimeter (cm) or >/= 50% increase in other target measurable lesions (e.g., splenic or hepatic nodules) and/or appearance of any new bone marrow involvement and/or appearance of any new lesion > 1.5 cm or >/= 50% increase in any previously involved node with a diameter = 1 cm such that it is now >1.5 cm. Tumor measurements were obtained by CT/MRI. (NCT01332968)
Timeframe: Baseline up to data cut-off (up to approximately 5 years and 2 months)
Intervention | percentage of participants with event (Number) |
---|---|
Rituximab+Chemotherapy | 24.6 |
Obinutuzumab+Chemotherapy | 18.4 |
An adverse event is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as adverse events. (NCT01332968)
Timeframe: Baseline up to 10 years
Intervention | percentage of participants (Number) |
---|---|
Rituximab+Chemotherapy | 99.6 |
Obinutuzumab+Chemotherapy | 99.9 |
Overall survival in the overall study population was defined as the time from the date of randomization to the date of death from any cause. Reported is the percentage of participants with event. (NCT01332968)
Timeframe: Baseline up to data cut-off (up to approximately 5 years and 2 months)
Intervention | percentage of participants with event (Number) |
---|---|
Rituximab+Chemotherapy | 10.2 |
Obinutuzumab+Chemotherapy | 8.4 |
Disease-free survival in the overall study population was defined as the time from the date of the first occurrence of a documented CR to the date of disease progression/ relapse, or death from any cause for the subgroup of participants with a response of CR at any time prior to NALT on the basis of investigator assessments with the use of Revised Response Criteria for Malignant Lymphoma. Tumor assessments were performed with CT/MRI. CR was defined as disappearance of all target lesions. Progression/relapse was defined as at least 50% increase in nodal lesions or >/=50% increase in any node > 1 centimeter (cm) or >/= 50% increase in other target measurable lesions (e.g., splenic or hepatic nodules) and/or appearance of any new bone marrow involvement and/or appearance of any new lesion > 1.5 cm or >/= 50% increase in any previously involved node with a diameter = 1 cm such that it is now >1.5 cm. Reported is the percentage of participants with event. (NCT01332968)
Timeframe: From first occurrence of documented CR to data cut-off (up to approximately 5 years and 2 months)
Intervention | percentage of participants with event (Number) |
---|---|
Rituximab+Chemotherapy | 14.9 |
Obinutuzumab+Chemotherapy | 11.2 |
Overall response in the overall study population was defined as percentage of participants with PR or CR determined on the basis of IRC assessments with the use of Revised Response Criteria for Malignant Lymphoma. Tumor assessments were performed with CT/MRI with or without PET. CR was defined as disappearance of all target lesions; PR was defined as >=50% decrease target lesions in up to six dominant lesions identified at baseline, no new lesions and no increase in the size of the liver, spleen, or other nodes. Splenic and hepatic nodules must have regressed by >/= 50%; Overall Response (OR) = CR + PR. (NCT01332968)
Timeframe: Baseline up to end of induction period (up to approximately 7 months)
Intervention | percentage of participants with event (Number) | |
---|---|---|
Without PET | With PET | |
Obinutuzumab+Chemotherapy | 89.9 | 87.2 |
Rituximab+Chemotherapy | 86.7 | 83.3 |
Overall response in the overall study population was defined as percentage of participants with partial response (PR) or complete response (CR) determined on the basis of investigator assessments with the use of Revised Response Criteria for Malignant Lymphoma. Tumor assessments were performed with CT/MRI with or without positron emission tomography (PET). CR was defined as disappearance of all target lesions; PR was defined as >=50% decrease target lesions in up to six dominant lesions identified at baseline, no new lesions and no increase in the size of the liver, spleen, or other nodes. Splenic and hepatic nodules must have regressed by >/= 50%; Overall Response (OR) = CR + PR. (NCT01332968)
Timeframe: Baseline up to end of induction period (up to approximately 7 months)
Intervention | percentage of participants with event (Number) | |
---|---|---|
Without PET | With PET | |
Obinutuzumab+Chemotherapy | 87.3 | 85.4 |
Rituximab+Chemotherapy | 85.7 | 81.8 |
DOR was defined as the time from first occurrence of a documented CR or PR to disease progression/relapse, or death from any cause for participants with a response of CR or PR any time prior to NALT based on RRCML. Tumor assessments were performed with CT/MRI. CR was defined as disappearance of all target lesions. PR was defined as >/=50% decrease target lesions in up to six dominant lesions identified at baseline, no new lesions and no increase in the size of the liver, spleen, or other nodes. Splenic and hepatic nodules must have regressed by >/= 50%. Progression/relapse was defined as at least 50% increase in nodal lesions or >/=50% increase in any node > 1 centimeter (cm) or >/= 50% increase in other target measurable lesions (e.g., splenic or hepatic nodules) and/or appearance of any new bone marrow involvement and/or appearance of any new lesion > 1.5 cm or >/= 50% increase in any previously involved node with a diameter = 1 cm such that it is now >1.5 cm. (NCT01332968)
Timeframe: From first occurrence of documented CR or PR to data cut-off (up to approximately 4 years and 7 months)
Intervention | percentage of participants with event (Number) |
---|---|
Rituximab+Chemotherapy | 25.5 |
Obinutuzumab+Chemotherapy | 18.7 |
DOR was defined as the time from first occurrence of a documented CR or PR to disease progression/relapse, or death from any cause for participants with a response of CR or PR any time prior to NALT based on RRCML. Tumor assessments were performed with CT/MRI. CR was defined as disappearance of all target lesions. PR was defined as >/=50% decrease target lesions in up to six dominant lesions identified at baseline, no new lesions and no increase in the size of the liver, spleen, or other nodes. Splenic and hepatic nodules must have regressed by >/= 50%. Progression/relapse was defined as at least 50% increase in nodal lesions or >/=50% increase in any node > 1 centimeter (cm) or >/= 50% increase in other target measurable lesions (e.g., splenic or hepatic nodules) and/or appearance of any new bone marrow involvement and/or appearance of any new lesion > 1.5 cm or >/= 50% increase in any previously involved node with a diameter = 1 cm such that it is now >1.5 cm. (NCT01332968)
Timeframe: From first occurrence of documented CR or PR to data cut-off (up to approximately 5 years and 2 months)
Intervention | percentage of participants with event (Number) |
---|---|
Rituximab+Chemotherapy | 39.3 |
Obinutuzumab+Chemotherapy | 33.3 |
Percentage of participants with complete response in the follicular lymphoma population was determined on the basis of IRC assessments with the use of Revised Response Criteria for Malignant Lymphoma. Tumor assessments were performed with CT/MRI with or without PET. CR was defined as disappearance of all target lesions. (NCT01332968)
Timeframe: Baseline up to end of induction period (up to approximately 7 months)
Intervention | percentage of participants with event (Number) | |
---|---|---|
Without PET | With PET | |
Obinutuzumab+Chemotherapy | 28.5 | 71.4 |
Rituximab+Chemotherapy | 26.8 | 59.7 |
Disease-free survival in the follicular lymphoma population was defined as the time from the date of the first occurrence of a documented CR to the date of disease progression/ relapse, or death from any cause for the subgroup of participants with a response of CR at any time prior to NALT on the basis of investigator assessments with the use of Revised Response Criteria for Malignant Lymphoma (RRCML). Tumor assessments were performed with CT/MRI. CR was defined as disappearance of all target lesions. Progression/relapse was defined as at least 50% increase in nodal lesions or >/=50% increase in any node > 1 centimeter (cm) or >/= 50% increase in other target measurable lesions (e.g., splenic or hepatic nodules) and/or appearance of any new bone marrow involvement and/or appearance of any new lesion > 1.5 cm or >/= 50% increase in any previously involved node with a diameter = 1 cm such that it is now >1.5 cm. Reported is the percentage of participants with event. (NCT01332968)
Timeframe: From first occurrence of documented CR to data cut-off (up to approximately 5 years and 2 months)
Intervention | percentage of participants with event (Number) |
---|---|
Rituximab+Chemotherapy | 27.9 |
Obinutuzumab+Chemotherapy | 26.3 |
Event-free survival in the follicular lymphoma population was defined as the time from the date of randomization to the date to disease progression/relapse, death from any cause, or initiation of a new anti-lymphoma treatment (NALT) on the basis of investigator assessment assessments with the use of Revised Response Criteria for Malignant Lymphoma. Disease progression/relapse was defined as at least 50% increase in nodal lesions or >/=50% increase in any node > 1 centimeter (cm) or >/= 50% increase in other target measurable lesions (e.g., splenic or hepatic nodules) and/or appearance of any new bone marrow involvement and/or appearance of any new lesion > 1.5 cm or >/= 50% increase in any previously involved node with a diameter = 1 cm such that it is now >1.5 cm. Tumor measurements were obtained by CT/MRI. Reported is the percentage of participants with an event. (NCT01332968)
Timeframe: Baseline up to 10 years
Intervention | percentage of participants with event (Number) |
---|---|
Rituximab+Chemotherapy | 42.9 |
Obinutuzumab+Chemotherapy | 35.8 |
Event-free survival in the overall study population was defined as the time from the date of randomization to the date to disease progression/relapse, death from any cause, or initiation of a new anti-lymphoma treatment (NALT) on the basis of investigator assessment assessments with the use of Revised Response Criteria for Malignant Lymphoma. Disease progression/relapse was defined as at least 50% increase in nodal lesions or >/=50% increase in any node > 1 centimeter (cm) or >/= 50% increase in other target measurable lesions (e.g., splenic or hepatic nodules) and/or appearance of any new bone marrow involvement and/or appearance of any new lesion > 1.5 cm or >/= 50% increase in any previously involved node with a diameter = 1 cm such that it is now >1.5 cm. Tumor measurements were obtained by CT/MRI. Reported is the percentage of participants with event. (NCT01332968)
Timeframe: Baseline up to data cut-off (up to approximately 5 years and 2 months)
Intervention | percentage of participants with event (Number) |
---|---|
Rituximab+Chemotherapy | 30.6 |
Obinutuzumab+Chemotherapy | 22.6 |
Overall response in the follicular lymphoma population was defined as percentage of participants with PR or complete response CR determined on the basis of IRC assessments with the use of Revised Response Criteria for Malignant Lymphoma. Tumor assessments were performed with CT/MRI with or without PET. CR was defined as disappearance of all target lesions; PR was defined as >=50% decrease target lesions in up to six dominant lesions identified at baseline, no new lesions and no increase in the size of the liver, spleen, or other nodes. Splenic and hepatic nodules must have regressed by >/= 50%. Overall Response (OR) = CR + PR. (NCT01332968)
Timeframe: Baseline up to end of induction period (up to approximately 7 months)
Intervention | percentage of participants with event (Number) | |
---|---|---|
Without PET | With PET | |
Obinutuzumab+Chemotherapy | 91.3 | 88.6 |
Rituximab+Chemotherapy | 88.0 | 85.2 |
Overall response in the follicular lymphoma population was defined as percentage of participants with PR or complete response CR determined on the basis of investigator assessments with the use of Revised Response Criteria for Malignant Lymphoma. Tumor assessments were performed with CT/MRI with and without PET. CR was defined as disappearance of all target lesions; PR was defined as >=50% decrease target lesions in up to six dominant lesions identified at baseline, no new lesions and no increase in the size of the liver, spleen, or other nodes. Splenic and hepatic nodules must have regressed by >/= 50%. Overall Response (OR) = CR + PR. (NCT01332968)
Timeframe: Baseline up to end of induction period (up to approximately 7 months)
Intervention | percentage of participants with event (Number) | |
---|---|---|
Without PET | With PET | |
Obinutuzumab+Chemotherapy | 88.2 | 85.5 |
Rituximab+Chemotherapy | 86.4 | 81.2 |
Overall survival in the follicular lymphoma population was defined as the time from the date of randomization to the date of death from any cause. Reported is the percentage of participants with event. (NCT01332968)
Timeframe: Baseline up to 10 years
Intervention | percentage of participants with event (Number) |
---|---|
Rituximab+Chemotherapy | 14.3 |
Obinutuzumab+Chemotherapy | 12.6 |
Percentage of participants with complete response in the overall study population was determined on the basis of IRC assessments with the use of Revised Response Criteria for Malignant Lymphoma. Tumor assessments were performed with CT/MRI with or without PET. CR was defined as disappearance of all target lesions. (NCT01332968)
Timeframe: Baseline up to end of induction period (up to approximately 7 months)]
Intervention | percentage of participants with event (Number) | |
---|---|---|
Without PET | With PET | |
Obinutuzumab+Chemotherapy | 27.1 | 69.5 |
Rituximab+Chemotherapy | 26.3 | 59.4 |
Progression-free survival in the participants with follicular lymphoma was defined as the time from randomization until the first documented day of disease progression or death from any cause, whichever occurred first, on the basis of IRC assessments according to the Revised Response Criteria for Malignant Lymphoma. Progression was defined as at least 50% increase in nodal lesions or >/=50% increase in any node > 1 centimeter (cm) or >/= 50% increase in other target measurable lesions (e.g., splenic or hepatic nodules) and/or appearance of any new bone marrow involvement and/or appearance of any new lesion > 1.5 cm or >/= 50% increase in any previously involved node with a diameter = 1 cm such that it is now >1.5 cm. Tumor measurements were obtained by CT/MRI. In the first 170 patients with follicular lymphoma, an FDG-PET was mandatory where a PET scanner was available. (NCT01332968)
Timeframe: Baseline up to data cut-off (up to approximately 5 years and 2 months)
Intervention | percentage of participants with event (Number) |
---|---|
Rituximab+Chemotherapy | 23.5 |
Obinutuzumab+Chemotherapy | 18.0 |
Percentage of participants with complete response in the follicular lymphoma population was determined on the basis of investigator assessments with the use of Revised Response Criteria for Malignant Lymphoma. Tumor assessments were performed with CT/MRI with or without PET. CR was defined as disappearance of all target lesions. (NCT01332968)
Timeframe: Baseline up to end of induction period (up to approximately 7 months)
Intervention | percentage of participants with event (Number) | |
---|---|---|
Without PET | With PET | |
Obinutuzumab+Chemotherapy | 18.6 | 62.0 |
Rituximab+Chemotherapy | 24.1 | 56.7 |
The FACT-Lym Total Score for the follicular lymphoma population was derived from the following 5 individual FACT-Lym questionnaire subscale scores: Physical Well-being (range: 0-28), Social/Family Well-being (range: 0-28), Emotional Well-being (range: 0-24),Functional Well-being (range: 0-28) and Lymphoma (range: 0-60). The FACT-Lym Total Score is the sum of all 5 individual subscales (range 0-168). Higher scores indicate better outcomes. A positive change from baseline indicates an improvement. (NCT01332968)
Timeframe: Baseline (Induction Cycle 1, Day 1), data cut-off (up to approximately 5 years and 2 months)
Intervention | units on a scale (Mean) | |||||
---|---|---|---|---|---|---|
Total Score, Baseline | Total Score Change, Cycle 3 Day 1 | Total Score Change, End Induction | Total Score Change, Maint Month 2 | Total Score Change, Maint Month 12 | Total Score Change, End Maint | |
Obinutuzumab+Chemotherapy | 128.42 | 3.21 | 5.10 | 8.13 | 7.90 | 8.80 |
Rituximab+Chemotherapy | 127.40 | 1.98 | 4.18 | 8.40 | 8.87 | 7.43 |
Progression-free survival in the overall study population was defined as the time from randomization until the first documented day of disease progression or death from any cause, whichever occurred first, on the basis of investigator assessments according to the Revised Response Criteria for Malignant Lymphoma. Progression was defined as at least 50% increase in nodal lesions or >/=50% increase in any node > 1 centimeter (cm) or >/= 50% increase in other target measurable lesions (e.g., splenic or hepatic nodules) and/or appearance of any new bone marrow involvement and/or appearance of any new lesion > 1.5 cm or >/= 50% increase in any previously involved node with a diameter = 1 cm such that it is now >1.5 cm. Tumor measurements were obtained by CT/MRI. (NCT01332968)
Timeframe: Baseline up to data cut-off (up to approximately 5 years and 2 months)
Intervention | percentage of participants with event (Number) |
---|---|
Rituximab+Chemotherapy | 41.5 |
Obinutuzumab+Chemotherapy | 34.8 |
The FACT-Lym Individual Subscale Lymphoma Score for the follicular lymphoma population was derived from the Lymphoma subscale questionnaire (range: 0-60). Higher scores indicate better outcomes. A positive change from baseline indicates an improvement. (NCT01332968)
Timeframe: Baseline (Induction Cycle 1, Day 1), data cut-off (up to approximately 5 years and 2 months)
Intervention | units on a scale (Mean) | |||||
---|---|---|---|---|---|---|
Lymphoma, Baseline | Lymphoma Change, Cycle 3 Day 1 | Lymphoma Change, End Induction | Lymphoma Change, Maint Month 2 | Lymphoma Change, Maint Month 12 | Lymphoma Change, End Maint | |
Obinutuzumab+Chemotherapy | 45.54 | 2.71 | 3.01 | 4.52 | 4.27 | 4.57 |
Rituximab+Chemotherapy | 45.01 | 2.04 | 2.99 | 4.80 | 4.93 | 4.31 |
The EQ-5D is a quality of life questionnaire with five questions, each with three categories (no problem, moderate problem, severe problems) and a visual analogue scale (VAS) from 0 (worst possible health state) to 100 (best possible health state. Summary score ranges from 0 to 1 Higher scores indicate better outcomes. A positive change from baseline indicates an improvement. Maintenance/Observation is indicated as Maint/Obs. Completion includes completion visit and early termination visit. (NCT01332968)
Timeframe: Induction: Cycle 1 Day 1 (Baseline), Cycle 3 Day 1, End of Induction (up to 7 months); Maintenance: 2, 12 months after Day 1 of last induction cycle, Follow-up: every year up to data cut-off (up to 5 years and 2 months)
Intervention | units on a scale (Mean) | ||
---|---|---|---|
Change Baseline, Maint/Obs Month 2 | Change Baseline, Maint/Obs Month 12 | Change Baseline, Maint/Obs Completion | |
Obinutuzumab+Chemotherapy | 0.04 | 0.06 | 0.05 |
Rituximab+Chemotherapy | 0.04 | 0.06 | 0.03 |
The EQ-5D is a quality of life questionnaire with five questions, each with three categories (no problem, moderate problem, severe problems) and a visual analogue scale (VAS) from 0 (worst possible health state) to 100 (best possible health state. Summary score ranges from 0 to 1. Higher scores indicate better outcomes. A positive change from baseline indicates an improvement. Completion (Compl) includes completion visit and early termination visit. Maintenance/Observation is indicated as Maint/Obs. (NCT01332968)
Timeframe: Induction: Cycle 1 Day 1 (Baseline), Cycle 3 Day 1, End of Induction (up to 7 months); Maintenance: 2, 12 months after Day 1 of last induction cycle, Follow-up: every year up to data cut-off (up to 5 years and 2 months)
Intervention | units on a scale (Mean) | |||||
---|---|---|---|---|---|---|
Baseline Induction | Change Baseline, Cycle 3 Day 1 | Change Baseline, Induction Compl | Change Baseline, Maint/Obs Month 2 | Change from Baseline, Maint/Obs Month 12 | Change Baseline, Maint/Obs Completion | |
Obinutuzumab+Chemotherapy | 0.81 | 0.03 | 0.03 | 0.06 | -0.20 | -0.10 |
The EQ-5D is a quality of life questionnaire with five questions, each with three categories (no problem, moderate problem, severe problems) and a visual analogue scale (VAS) from 0 (worst possible health state) to 100 (best possible health state. Summary score ranges from 0 to 1. Higher scores indicate better outcomes. A positive change from baseline indicates an improvement. Completion (Compl) includes completion visit and early termination visit. Maintenance/Observation is indicated as Maint/Obs. (NCT01332968)
Timeframe: Induction: Cycle 1 Day 1 (Baseline), Cycle 3 Day 1, End of Induction (up to 7 months); Maintenance: 2, 12 months after Day 1 of last induction cycle, Follow-up: every year up to data cut-off (up to 5 years and 2 months)
Intervention | units on a scale (Mean) | ||||
---|---|---|---|---|---|
Baseline Induction | Change Baseline, Cycle 3 Day 1 | Change Baseline, Induction Compl | Change Baseline, Maint/Obs Month 2 | Change from Baseline, Maint/Obs Month 12 | |
Rituximab+Chemotherapy | 0.80 | 0.03 | 0.04 | 0.05 | 0.00 |
The FACT-Lym TOI Score for the follicular lymphoma population was derived from the following 3 individual FACT-Lym questionnaire subscale scores: Physical Well-being (range: 0-28), Functional Well-being (range: 0-28) and Lymphoma (range: 0-60). The FACT-Lym TOI Score is the sum of the 3 individual subscales (range 0-116). Higher scores indicate better outcomes. A positive change from baseline indicates an improvement. (NCT01332968)
Timeframe: Baseline (Induction Cycle 1, Day 1), data cut-off (up to approximately 5 years and 2 months)
Intervention | units on a scale (Mean) | |||||
---|---|---|---|---|---|---|
TOI Score, Baseline | TOI Score Change, Cycle 3 Day 1 | TOI Score Change, End Induction | TOI Score Change, Maint M2 | TOI Score Change, Maint M12 | TOI Score Change, End Maint | |
Obinutuzumab+Chemotherapy | 86.94 | 2.18 | 4.57 | 7.17 | 7.20 | 7.44 |
Rituximab+Chemotherapy | 86.61 | 0.46 | 2.91 | 6.22 | 7.61 | 6.23 |
The Maximum Tolerated Dose (MTD) is defined as the dose level below the lowest dose that induces dose-limiting toxicity (DLT) in at least one-third of patients graded according to NCI Common Terminology Criteria for Adverse Events (CTCAE) version 4.0. Dose-limiting toxicities include non-hematologic events graded 3 or higher and deemed at least possibly related to treatment. A total of 6 patients treated at the MTD will be sufficient to identify common toxicities at the MTD.The number of patients reporting a dose-limiting event are reported. (NCT01369849)
Timeframe: Up to 35 days
Intervention | Patients reporting Dose-Limiting Events (Number) |
---|---|
Phase I: Dose Level 1 | 1 |
Phase I: Dose Level 2 | 2 |
The Overall response rate is estimated by the total number of complete or partial responses (CR, CRi, CCR, nPR, or PR) divided by the total number of evaluate patients. Complete and partial responses were scored using the NCI Working Group criteria. A Complete Response (CR, CRi, and CCR) is characterized by an absence of lymphadenopathy, heptomegaly and splenomegaly with or without normalized blood counts and bone marrow assessment . A PR is defined as having >50% decrease in lymphocyte count and reduction in sum of the products of measured nodes and an improvement in blood counts. Exact binomial 95% confidence intervals for the true overall response rate will be calculated. (NCT01369849)
Timeframe: 3 months post-treatment
Intervention | proportion of patients (Number) |
---|---|
All Patients | 0.92 |
"A Complete Response (CR) is defined by the NCI Working Group criteria and requires all of the following for a period of at least 2 months:~Absence of lymphadenopathy (e.g. lymph nodes >1.5 cm) by physical examination.~No hepatomegaly or splenomegaly by physical examination.~Absence of constitutional symptoms.~Neutrophils ≥1500/ul.~Platelets >100,000/ul (untransfused).~Hemoglobin >11.0 gm/dl (untransfused)~Peripheral blood lymphocytes <4000/uL~Patients who fulfill all criteria for a CR but who have a persistent anemia, thrombocytopenia, or neutropenia related to drug toxicity rather than residual CLL will be classified as CR with incomplete marrow recovery (CRi).~The proportion of successes will be estimated by the number of successes divided by the total number of evaluable patients. Confidence intervals for the true success proportion will be calculated according to the approach of Duffy and Santner." (NCT01369849)
Timeframe: From registration to response, up to 84 days
Intervention | percentage of participants (Number) |
---|---|
Dose Level 1 | 50 |
Treatment free survival is defined to be the time from registration to the date of initation of subsequent therapy or death. The distribution of treatment free survival will be estimated using the method of Kaplan-Meier. (NCT01369849)
Timeframe: Time from registration to the date of initiation of subsequent therapy or death, median follow-up time is 37 months
Intervention | months (Median) |
---|---|
All Patients | 24.5 |
CD38, CD49d, and ZAP-70 status will be evaluated pre-treatment. These factors will be summarized and used to help characterize the types of patients accrued to this trial. (NCT01369849)
Timeframe: Baseline
Intervention | Participants (Count of Participants) | ||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
CD3872587790 | CD3872587791 | CD3872587792 | CD49d72587790 | CD49d72587791 | CD49d72587792 | ZAP-7072587790 | ZAP-7072587792 | ZAP-7072587791 | |||||||||||||||||||
Not Done | Positive | Negative | |||||||||||||||||||||||||
Phase I: Dose Level 1 | 2 | ||||||||||||||||||||||||||
Phase II | 3 | ||||||||||||||||||||||||||
Phase I: Dose Level 1 | 1 | ||||||||||||||||||||||||||
Phase I: Dose Level 2 | 3 | ||||||||||||||||||||||||||
Phase II | 0 | ||||||||||||||||||||||||||
Phase I: Dose Level 1 | 4 | ||||||||||||||||||||||||||
Phase I: Dose Level 1 | 6 | ||||||||||||||||||||||||||
Phase I: Dose Level 2 | 1 | ||||||||||||||||||||||||||
Phase I: Dose Level 1 | 0 | ||||||||||||||||||||||||||
Phase I: Dose Level 2 | 2 | ||||||||||||||||||||||||||
Phase II | 1 | ||||||||||||||||||||||||||
Phase I: Dose Level 2 | 0 | ||||||||||||||||||||||||||
Phase II | 2 |
Duration of response is defined for all evaluable patients who have achieved a clinical response as the date at which the patient's objective status is first noted to be a CR, CRi, CCR, nPR, or PR to the earliest date progression is documented. The distribution of duration of response will be estimated using the method of Kaplan-Meier. (NCT01369849)
Timeframe: Median follow-up of 39 months and maximum follow-up of 54 months
Intervention | months (Median) |
---|---|
All Patients | NA |
Minimal residual disease (MRD) will be evaluated after treatment in patients who achieve a complete clinical response. Flow cytometry will be used to detect approximately 1 CLL cell per 10,000 leukocytes following induction. A score of positive means CLL cells were found and a negative score means no CLL cells were found. The number of patients with an MRD negative score are reported here. (NCT01369849)
Timeframe: Cycle 6 assessment (maximum of 231 days post-registration)
Intervention | Participants (Count of Participants) |
---|---|
All Patients | 2 |
Measured from date of registration to date of death due to any cause. Patients last known to be alive and are censored at date of last contact. (NCT01412879)
Timeframe: Up to 5 years
Intervention | percentage of participants (Number) |
---|---|
Arm 1: R-HCVAD/MTX/Ara-C (Induction Therapy) | 81 |
Arm 2: R-Bendamustine (Induction Therapy) | 79 |
Disease progression is defined using the 2007 revised Cheson et al. criteria that is at least 50% increase in sum of the product of the diameters (SPD) of target measurable nodal lesions over the smallest sum observed, or >= 50% increase in greatest transverse diameter (GTD) of any nodal > 1 cm in shortest axis, or >= 50% increase in the SPD of other target measurable lesions over the smallest sum observed, any new bone marrow involvement, any new lesion, lymph node with long axis is > 1.5 cm or if both long and short axes are > 1 cm, PET positive if patients with no pretreatment PET scan or when PET scan was positive before therapy. Progression-free survival is measured from date of registration to date of first observation of progressive disease, or death due to any cause. Patients last known to be alive and progression-free are censored at date of last contact. (NCT01412879)
Timeframe: Up to 2 years
Intervention | percentage of participants (Number) |
---|---|
Arm 1: R-HCVAD/MTX/Ara-C (Induction Therapy) | 82 |
Arm 2: R-Bendamustine (Induction Therapy) | 81 |
Complete Response (CR) is a complete disappearance of all disease with the exception of the following. If no PET scan or when the PET scan was positive before therapy, a post-treatment residual mass of any size is permitted if it is PET negative. If the PET scan was negative before therapy, all nodal masses at baseline must have regressed. No new lesions. Previously enlarged organs must have regressed and not be palpable. Bone marrow (BM) must be negative if positive at baseline. Normalization of markers. Partial Response (PR) is a 50% decrease in the sum of products of greatest diameters (SPD) for up to 6 identified dominant lesions, including spleenic and hepatic nodules from baseline. No new lesions and no increase in the size of liver, spleen or other nodes. If PET scan or when the PET scan was positive before therapy, PET should be positive in at least one previously involved site. (NCT01412879)
Timeframe: Up to 9 months
Intervention | percentage of participants (Number) |
---|---|
Arm 1: R-HCVAD/MTX/Ara-C (Induction Therapy) | 94.1 |
Arm 2: R-Bendamustine (Induction Therapy) | 82.9 |
Adverse Events (AEs) are reported by the NCI Common Terminology Criteria for Adverse Events (CTCAE) version 4.0. For each patient, worst grade of each event type is reported. Grade 3 = Severe, Grade 4 = Life-threatening, Grade 5 = Fatal. (NCT01412879)
Timeframe: Up to 8 months (Assessed at the beginning of each cycle of treatment, at restaging, and at post transplant.)
Intervention | Participants (Number) | |||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Acidosis | Adult respiratory distress syndrome | Alanine aminotransferase increased | Anemia | Anorexia | Arthralgia | Aspartate aminotransferase increased | Blood bilirubin increased | CD4 lymphocytes decreased | Catheter related infection | Dehydration | Device related infection | Diarrhea | Enterocolitis | Enterocolitis infectious | Epistaxis | Fatigue | Febrile neutropenia | Gallbladder infection | Hyperglycemia | Hypoalbuminemia | Hypocalcemia | Hypokalemia | Hypomagnesemia | Hyponatremia | Hypophosphatemia | Hypotension | Hypoxia | Infections and infestations - Other, specify | Infusion related reaction | Lung infection | Lymphocyte count decreased | Myalgia | Nausea | Neutrophil count decreased | Pain in extremity | Platelet count decreased | Pruritus | Rash maculo-papular | Rectal hemorrhage | Small intestinal obstruction | Sore throat | Syncope | Tumor pain | Urinary tract infection | Vascular access complication | Vomiting | White blood cell decreased | |
R-Bendamustine (Induction Therapy) | 0 | 0 | 0 | 3 | 0 | 1 | 0 | 0 | 2 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 5 | 0 | 0 | 1 | 0 | 2 | 0 | 0 | 1 | 0 | 0 | 1 | 1 | 0 | 27 | 1 | 0 | 12 | 1 | 6 | 1 | 1 | 0 | 0 | 1 | 0 | 1 | 1 | 1 | 0 | 14 |
R-HCVAD/MTX/Ara-C (Induction Therapy) | 0 | 0 | 1 | 10 | 0 | 0 | 1 | 0 | 2 | 1 | 1 | 0 | 1 | 0 | 0 | 1 | 0 | 5 | 0 | 2 | 0 | 0 | 5 | 0 | 0 | 4 | 0 | 0 | 0 | 0 | 0 | 10 | 0 | 1 | 11 | 0 | 12 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 10 |
Stem Cell Transplant (Consolidation Therapy) | 1 | 1 | 0 | 9 | 1 | 0 | 0 | 2 | 0 | 1 | 0 | 1 | 4 | 1 | 1 | 0 | 0 | 13 | 1 | 0 | 0 | 2 | 1 | 1 | 1 | 3 | 1 | 1 | 0 | 0 | 1 | 12 | 0 | 2 | 16 | 0 | 19 | 0 | 1 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 20 |
Duration of response is the time from response (CR or PR) until progression of disease or relapse. Responses and progression were evaluated based on the criteria published by the International Myeloma Working Group (Durie, et al, 2006). (NCT01438177)
Timeframe: up to 2 years
Intervention | months (Median) |
---|---|
Velcade+Cyclophosphamide+Chloroquine | 4.4 |
"Response rate is defined as the percentage of patients who have a complete response (CR) or partial response (PR). Responses were assessed every two cycles of treatment, based on the criteria published by the International Myeloma Working Group (Durie, et al, 2006). Per International Myeloma Working Group response criteria:~CR: Negative immunofixation on the serum and urine and disappearance of any soft tissue plasmacytomas and < 5% plasma cells in bone marrow PR: > 50% reduction of serum M-protein and reduction in 24 hours urinary M-protein by >90% or to < 200 mg/24 h" (NCT01438177)
Timeframe: Up to 2 years
Intervention | percentage of participants (Number) |
---|---|
Velcade+Cyclophosphamide+Chloroquine | 30 |
Adverse events reported here were at least possibly related to the protocol therapy. (NCT01438177)
Timeframe: Treatment period plus 30 days post-treatment
Intervention | participants (Number) | |||||
---|---|---|---|---|---|---|
Fatigue | Hemoglobin | Nasal cavity/paranasal reactions | ANC/AGC | Pain: pleural | Platelets | |
Velcade+Cyclophosphamide+Chloroquine | 2 | 1 | 1 | 4 | 1 | 5 |
"To define safety and tolerability of the combination of ofatumumab, bendamustine, carboplatin and etoposide as measured by the number of dose modifications made to Bendamustine..~Determined through dose modifications for bendamustine according to patient's toxicity levels:~Initial 120 mg/m2 dose decreased to 90 mg/m2~Initial 90 mg/m2 dose decreased to 70 mg/m2~Initial 70 mg/m2 dose decreased to 50 mg/m2~Initial 50 mg/m2 dose decreased to Withdrawn from study" (NCT01458366)
Timeframe: After each cycle (after approximately 3 days, 25 days, and 50 days)
Intervention | dose modifications (Number) |
---|---|
Bendamustine, Ofatumumab, Carboplatin, and Etoposide (BOCE) | 0 |
To determine the proportion of patients who are able to undergo stem cell transplant among transplant-eligible patients. Patients can receive SCT after Cycle 2. (NCT01458366)
Timeframe: At 2 years after completion of treatment
Intervention | Participants (Count of Participants) |
---|---|
Bendamustine, Ofatumumab, Carboplatin, and Etoposide (BOCE) | 12 |
"Based on the revised response criteria for malignant lymphoma [Cheson 2007]~CR= complete disappearance of all detectable clinical evidence of disease and disease related symptoms if present before therapy PR= >/= 50% decrease in sum of the product of the diameters (SPD) of up to 6 of the largest dominant nodes or nodal masses; no increase in size of other nodes, liver or spleen;" (NCT01458366)
Timeframe: CT and PET scans after Cycle 2 (approximately 25 days) and 3-8 weeks post-treatment
Intervention | Participants (Count of Participants) | |||||
---|---|---|---|---|---|---|
Phase 272275434 | Phase 172275434 | |||||
Complete Response | Partial Response | No response | ||||
Bendamustine, Ofatumumab, Carboplatin, and Etoposide (BOCE) | 12 | |||||
Bendamustine, Ofatumumab, Carboplatin, and Etoposide (BOCE) | 4 | |||||
Bendamustine, Ofatumumab, Carboplatin, and Etoposide (BOCE) | 8 | |||||
Bendamustine, Ofatumumab, Carboplatin, and Etoposide (BOCE) | 5 | |||||
Bendamustine, Ofatumumab, Carboplatin, and Etoposide (BOCE) | 3 |
To determine 1 and 2 year progression-free survival [Cheson 2007] CR= complete disappearance of all detectable clinical evidence of disease and disease related symptoms if present before therapy PR= >/= 50% decrease in sum of the product of the diameters (SPD) of up to 6 of the largest dominant nodes or nodal masses; no increase in size of other nodes, liver or spleen; (NCT01458366)
Timeframe: At 1 and 2 years after completion of treatment; year 2 reported
Intervention | months (Median) |
---|---|
Bendamustine, Ofatumumab, Carboplatin, and Etoposide (BOCE) | 5.1 |
To determine the overall frequency of response with combination bendamustine, ofatumumab, carboplatin, and etoposide for refractory or relapsed aggressive B-cell lymphomas. Overall response is determined as cumulative Complete Response (CR) and Partial Response (PR). (NCT01458366)
Timeframe: At 25 days and 3-8 weeks post-treatment
Intervention | Participants (Count of Participants) |
---|---|
Bendamustine, Ofatumumab, Carboplatin, and Etoposide (BOCE) | 20 |
1 and 2 year overall survival for those who received Stem Cell Transplant (SCT) versus those who did not receive SCT (NCT01458366)
Timeframe: At 1 and 2 years after completion of treatment; year 2 reported
Intervention | months (Median) | |
---|---|---|
Did not receive transplant | Received transplant | |
Bendamustine, Ofatumumab, Carboplatin, and Etoposide (BOCE) | 7.4 | 27.3 |
"To determine the overall frequency of response--overall response will include all subjects with complete response (CR) and partial response (PR). Based on the revised response criteria for malignant lymphoma [Cheson 2007]~CR= complete disappearance of all detectable clinical evidence of disease and disease related symptoms if present before therapy PR= >/= 50% decrease in sum of the product of the diameters (SPD) of up to 6 of the largest dominant nodes or nodal masses; no increase in size of other nodes, liver or spleen;" (NCT01458366)
Timeframe: CT and PET scans after Cycle 2 (approximately 25 days) and 3-8 weeks post-treatment
Intervention | Participants (Count of Participants) |
---|---|
Bendamustine, Ofatumumab, Carboplatin, and Etoposide (BOCE) | 7 |
To determine the maximum-tolerated dose of bendamustine in combination with ofatumumab, carboplatin and etoposide for patients with refractory or relapsed aggressive B cell lymphomas. Toxicity levels will be assessed after every cycle until a dose-limiting toxicity (DLT) is found. Toxicities will be graded according to the National Cancer Institute Common Terminology Criteria (CTCAE version 4.0). DLT will be defined as any grade 4 infection, or grade >/= 3 non-hematologic toxicity that persists for 7 days or more. (NCT01458366)
Timeframe: Baseline through 50 days
Intervention | mg/m^2 (Number) |
---|---|
Bendamustine, Ofatumumab, Carboplatin, and Etoposide (BOCE) | 120 |
A participant was considered ADA-positive across the study if they had a positive reading at any time point during the study. (NCT01466153)
Timeframe: From treatment administration (Day 1) until disease progression, death, initiation of alternative therapy, withdrawal of consent, or end of study (up to 24 months)
Intervention | Participants (Number) |
---|---|
MEDI-551 2 mg/kg + Bendamustine | 4 |
MEDI-551 4 mg/kg + Bendamustine | 8 |
ORR, defined as the proportion of participants with complete response (CR) or partial response (PR) out of total number of participants. Responses were assessed by using National Cancer Institute - Working Group guidelines on CLL. (NCT01466153)
Timeframe: From treatment administration (Day 1) until disease progression, death, initiation of alternative therapy, withdrawal of consent, or end of study (up to 24 months)
Intervention | Percentage of Participants (Number) |
---|---|
Rituximab + Bendamustine | 59.7 |
MEDI-551 2 mg/kg + Bendamustine | 52.8 |
MEDI-551 4 mg/kg + Bendamustine | 63.9 |
OS was determined as the time from the start of treatment with study drug until death due to any cause. For participants who were alive at the end of the study or lost to follow-up, OS was censored on the last date when the participant was known be alive. Kaplan-Meier method was used for evaluation. (NCT01466153)
Timeframe: From treatment administration (Day 1) until disease progression, death, initiation of alternative therapy, withdrawal of consent, or end of study (up to 24 months)
Intervention | Months (Number) |
---|---|
Rituximab + Bendamustine | NA |
MEDI-551 2 mg/kg + Bendamustine | NA |
MEDI-551 4 mg/kg + Bendamustine | NA |
Terminal phase elimination half-life (T1/2) was the time required for half of the drug to be eliminated from the serum. (NCT01466153)
Timeframe: Pre-infusion and 1 hour post infusion on Days 2 and 8, Days 15 and 22 of cycle 1
Intervention | Day (Mean) |
---|---|
MEDI-551 2 mg/kg + Bendamustine | 17.2 |
MEDI-551 4 mg/kg + Bendamustine | 22.0 |
TTP was defined as the time from onset of treatment with study drug until first evidence/diagnosis of progressive disease or - in the absence of any diagnosis of progressive disease - until the participant´s death. (NCT01466153)
Timeframe: From treatment administration (Day 1) until disease progression, death, initiation of alternative therapy, withdrawal of consent, or end of study (up to 24 months)
Intervention | Months (Median) |
---|---|
Rituximab + Bendamustine | 15.4 |
MEDI-551 2 mg/kg + Bendamustine | 15.0 |
MEDI-551 4 mg/kg + Bendamustine | 16.1 |
Time to response was evaluated using the Kaplan-Meier method. (NCT01466153)
Timeframe: From treatment administration (Day 1) until disease progression, death, initiation of alternative therapy, withdrawal of consent, or end of study (up to 24 months)
Intervention | Months (Median) |
---|---|
Rituximab + Bendamustine | 2.1 |
MEDI-551 2 mg/kg + Bendamustine | 1.9 |
MEDI-551 4 mg/kg + Bendamustine | 2.1 |
An abnormal laboratory finding which required an action or intervention by the investigator, or a finding judged by the investigator to represent a change beyond the range of normal physiologic fluctuation were reported as an adverse event. Laboratory evaluations (haematology, serum chemistry and urinalysis) of blood and urine samples were performed. (NCT01466153)
Timeframe: From time of consent to 90 days post last dose
Intervention | Participants (Number) | ||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Hyperbilirubinaemia | Hypercalcaemia | Hypercholesterolaemia | Hyperglycaemia | Hyperkalaemia | Hyperlipidaemia | Hypermagnesaemia | Hyperphosphataemia | Hypertriglyceridaemia | Hyperuricaemia | Hypoalbuminaemia | Hypocalcaemia | Hypokalaemia | Hypomagnesaemia | Hyponatraemia | Alanine Aminotransferase Increased | Aspartate Aminotransferase Increased | Blood Alkaline Phosphatase Increased | Blood Bilirubin Increased | Blood Cholesterol Decreased | Blood Creatinine Decreased | Blood Creatinine Increased | Blood Immunoglobulin G Decreased | Blood Lactate Dehydrogenase Increased | Blood Urea Increased | Gamma-Glutamyltransferase Increased | Hepatic enzyme Increased | Anaemia | Eosinophilia | Lymphopenia | Neutropenia | Thromobocytopenia | Activated Partial Thromboplastin Time Prolonged | Blood Fibrinogen Increased | Haemoglobin Decreased | Lymphocyte Count Decreased | Neutrophil Count Decreased | Platelet Count Decreased | Prothrombin Time Shortened | Haematuria | Proteinuria | White Blood Cells in Urine | ||
MEDI-551 2 mg/kg + Bendamustine | 2 | 0 | 0 | 2 | 1 | 1 | 0 | 1 | 0 | 5 | 0 | 1 | 1 | 2 | 1 | 0 | 0 | 1 | 1 | 0 | 0 | 2 | 0 | 0 | 1 | 1 | 0 | 7 | 0 | 3 | 10 | 6 | 0 | 0 | 0 | 1 | 0 | 1 | 2 | 0 | 2 | 1 | 0 |
MEDI-551 4 mg/kg + Bendamustine | 1 | 0 | 1 | 1 | 2 | 0 | 0 | 1 | 0 | 2 | 2 | 1 | 4 | 1 | 0 | 3 | 3 | 2 | 1 | 1 | 0 | 1 | 1 | 0 | 0 | 2 | 0 | 9 | 1 | 1 | 19 | 10 | 0 | 0 | 1 | 0 | 2 | 3 | 3 | 0 | 1 | 0 | 1 |
Complete response was as per IWG was the complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present before therapy. (NCT01466153)
Timeframe: From treatment administration (Day 1) until disease progression, death, initiation of alternative therapy, withdrawal of consent, or end of study (up to 24 months)
Intervention | Percentage of Participants (Number) |
---|---|
Rituximab + Bendamustine | 6.5 |
MEDI-551 2 mg/kg + Bendamustine | 5.6 |
MEDI-551 4 mg/kg + Bendamustine | 11.5 |
The MRD-negative CR rate was defined as the percentage of participants who achieved CR and became MRD-negative as determined by flow cytometry. CR as per International Working Group (IWG) was complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present before therapy. (NCT01466153)
Timeframe: From treatment administration (Day 1) until disease progression, death, initiation of alternative therapy, withdrawal of consent, or end of study (up to 24 months)
Intervention | Percentage of Participants (Number) |
---|---|
Rituximab + Bendamustine | 1.6 |
MEDI-551 2 mg/kg + Bendamustine | 5.6 |
MEDI-551 4 mg/kg + Bendamustine | 4.9 |
An abnormal laboratory finding which required an action or intervention by the investigator, or a finding judged by the investigator to represent a change beyond the range of normal physiologic fluctuation were reported as an adverse event. Laboratory evaluations (haematology, serum chemistry and urinalysis) of blood and urine samples were performed. (NCT01466153)
Timeframe: From time of consent to 90 days post last dose
Intervention | Participants (Number) | ||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Hyperbilirubinaemia | Hypercalcaemia | Hypercholesterolaemia | Hyperglycaemia | Hyperkalaemia | Hyperlipidaemia | Hypermagnesaemia | Hyperphosphataemia | Hypertriglyceridaemia | Hyperuricaemia | Hypoalbuminaemia | Hypocalcaemia | Hypokalaemia | Hypomagnesaemia | Hyponatraemia | Alanine Aminotransferase Increased | Aspartate Aminotransferase Increased | Blood Alkaline Phosphatase Increased | Blood Bilirubin Increased | Blood Cholesterol Decreased | Blood Creatinine Decreased | Blood Creatinine Increased | Blood Lactate Dehydrogenase Increased | Blood Urea Increased | Gamma-Glutamyltransferase Increased | Hepatic enzyme Increased | Anaemia | Eosinophilia | Lymphopenia | Neutropenia | Thromobocytopenia | Activated Partial Thromboplastin Time Prolonged | Blood Fibrinogen Increased | Blood Immunoglobulin g Decreased | Haemoglobin Decreased | Lymphocyte Count Decreased | Neutrophil Count Decreased | Platelet Count Decreased | Prothrombin Time Shortened | Haematuria | Proteinuria | White Blood Cells in Urine | ||
Rituximab + Bendamustine | 0 | 1 | 1 | 4 | 2 | 0 | 1 | 0 | 1 | 3 | 2 | 3 | 6 | 2 | 2 | 1 | 1 | 1 | 0 | 0 | 1 | 1 | 0 | 4 | 1 | 1 | 1 | 18 | 0 | 4 | 28 | 12 | 2 | 1 | 0 | 0 | 3 | 9 | 2 | 1 | 0 | 0 | 0 |
AEs observed in participants with clinically significant ECG abnormalities were assessed. (NCT01466153)
Timeframe: From time of consent to 90 days post last dose
Intervention | Participants (Number) | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Atrial Fibrillation | Atrioventricular Block | Palpitations | Sinus Bradycardia | Sinus Tachycardia | Tachycardia | Pyrexia | Dyspnoea | Dyspnoea Exertional | Hypertension | Hypotension | Orthostatic Hypotension | |
MEDI-551 2 mg/kg + Bendamustine | 2 | 0 | 0 | 0 | 0 | 1 | 11 | 2 | 1 | 0 | 2 | 0 |
MEDI-551 4 mg/kg + Bendamustine | 1 | 0 | 2 | 0 | 0 | 1 | 14 | 4 | 0 | 1 | 6 | 1 |
Rituximab + Bendamustine | 1 | 1 | 0 | 1 | 1 | 2 | 20 | 9 | 3 | 1 | 5 | 0 |
An adverse event (AE) was any untoward medical occurrence attributed to study drug in a participant who received study drug (MEDI-551). A serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience; persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between administration of study drug and Day 90 that were absent before treatment or that worsened relative to pre-treatment state. An AESIs was one of scientific and medical interest specific to understanding of study product and may have required close monitoring and rapid communication by investigator to the sponsor. Treatment emergent AESIs were collected from the time of dosing through Day 90 after the last dose of study drug.Hepatic function abnormality and infusion reactions resulting in discontinuation were considered as AESIs. (NCT01466153)
Timeframe: From time of consent to 90 days post last dose
Intervention | Participants (Number) | ||
---|---|---|---|
TEAEs | TESAEs | AESIs | |
MEDI-551 2 mg/kg + Bendamustine | 33 | 16 | 4 |
MEDI-551 4 mg/kg + Bendamustine | 57 | 19 | 6 |
Rituximab + Bendamustine | 58 | 19 | 2 |
PFS was measured from the start of treatment with study drug until the first documentation of disease progression or death due to any cause, whichever occurred first. Kaplan-Meier method was used for evaluation. (NCT01466153)
Timeframe: From treatment administration (Day 1) until disease progression, death, initiation of alternative therapy, withdrawal of consent, or end of study (up to 24 months)
Intervention | Months (Median) |
---|---|
Rituximab + Bendamustine | 14.8 |
MEDI-551 2 mg/kg + Bendamustine | 15.0 |
MEDI-551 4 mg/kg + Bendamustine | 16.1 |
Number of participants without treatment related mortality at day 100. (NCT01490723)
Timeframe: 100 days
Intervention | Participants (Count of Participants) |
---|---|
Yttrium-90 Ibritumomab + Chemo | 18 |
Percentage of participants alive at 3 years. (NCT01490723)
Timeframe: From date of treatment to date of relapse or death, up to 3 years
Intervention | Participants (Count of Participants) |
---|---|
Yttrium-90 Ibritumomab + Chemo | 14 |
Dose limiting toxicities plus % of patients with a clinically significant change in left ventricular ejection fraction. (NCT01491841)
Timeframe: 30 days post last dose of study drug
Intervention | Participants (Count of Participants) | ||
---|---|---|---|
Dose-Limiting Toxicity | Left Ventricular Ejection Fraction | Other Adverse Events | |
Phase 1: Pixantrone, 115mg/m^2 | 1 | 0 | 6 |
Phase 1: Pixantrone, 55mg/m^2 | 1 | 1 | 6 |
Phase 1: Pixantrone, 85mg/m^2 | 1 | 0 | 6 |
(NCT01491841)
Timeframe: From day 1 of treatment to disease progression, death or 5 years, whichever comes first
Intervention | months (Median) |
---|---|
Bendamustine + Rituximab + Pixantrone + Pegfilgrastim | 3.9 |
(NCT01491841)
Timeframe: from day 1 of treatment to death
Intervention | months (Median) |
---|---|
Bendamustine + Rituximab + Pixantrone + Pegfilgrastim | 7.9 |
Dose-limiting toxicity (DLT) assessments were performed weekly during cycles 1 and 2. A DLT was defined as any grade 3 non-hematologic toxicity that lasted longer than 48 hours, despite proper supportive care, any grade 4 non-hematologic toxicity, or any grade 3 or 4 hematologic toxicity lasting longer than 7 days. Alopecia and febrile neutropenia were not considered DLTs. Any NCI CTC (National Cancer Institute Common Terminology Criteria) v4.03 grade 5 (death) toxicity was considered a DLT. Dose Limiting Toxicities were used as the assessment criteria to determine the Maximum Tolerated Dose (MTD). MTD is presented. (NCT01491841)
Timeframe: 4 years
Intervention | milligrams per meter squared (Number) |
---|---|
Bendamustine + Rituximab + Pixantrone + Pegfilgrastim | 115 |
"Partial response and complete response evaluated using a modified version of the revised response criteria for malignant lymphoma by Cheson et al~Complete Response (CR) • Complete disappearance of all detectable clinical and radiographic evidence of disease and disappearance of all disease-related symptoms if present prior to therapy.~Complete Response Unconfirmed (CRu) meets the CR criteria, but with one or more of the following:~A residual node > 1.5 cm in greatest transverse diameter that has regressed >75% in the sum of the product of the diameters (SPD). Individual nodes that were previously confluent must have regressed >75% in their SPD compared with the size of the original mass.~Indeterminate bone marrow (increased number or size of aggregates without cytologic or architectural atypia by immunohistochemistry or flow cytometry).~Partial Response (PR)~• A decrease of ≥ 50% in the SPD of up to six of the largest dominant nodes or nodal masses." (NCT01491841)
Timeframe: up to 220 days
Intervention | Participants (Count of Participants) |
---|---|
Pixantrone, 55mg/m^2 | 2 |
Pixantrone, 85mg/m^2 | 2 |
Pixantrone, 115mg/m^2 | 5 |
(NCT01500083)
Timeframe: Up to 266 days
Intervention | number of adverse events (Number) |
---|---|
Patients With Previously Untreated CLL | 298 |
Patients With iNHL | 302 |
Time to response is defined as time from date of the first administration of study treatment to the first response (CR, CRi, nPR, or PR). Response was determined according to the IWCLL updated NCI-WG guidelines 2008. CR: all of the following criteria at least 2 months after last treatment: no lymphadenopathy (Ly)/ hepatomegaly/ splenomegaly/ constitutional symptoms; neutrophils >1500 per microliter (µL), platelets (PL) >100,000/µL, hemoglobin (Hb) >11.0 grams/deciliter (g/dL), lymphocytes (LC) <4000/µL, bone marrow (BM) sample must be normocellular for age, <30% LC, no lymphoid nodule. CRi: CR criteria, persistent anemia/ thrombocytopenia/ neutropenia unrelated to CLL but related to drug toxicity. nPR: persistent nodules BM. PR: >=50% decrease in LC, Ly, size of liver and spleen and at least one of the following results: PL >100,000/µL or 50% improvement over Baseline (BL), Hb >11.0 g/dL or 50% improvement over BL, LC <4000/µL. (NCT01520922)
Timeframe: From the start of study treatment to the first response (CR, CRi, nPR, or PR) (up to 3 Month Follow-up (F/U) visit)
Intervention | Months (Median) |
---|---|
Ofatumumab + Bendamustine 90 mg/m^2 | 0.95 |
Ofatumumab + Bendamustine 70 mg/m^2 | 1.08 |
"AIHA is a disease where the body's immune system fails to recognize red blood cells as self and begins destroying these red blood cells. The number of participants diagnosed with AIHA are presented." (NCT01520922)
Timeframe: From first dose of study medication to 60 days after the last dose of study medication (if the event is considered as an AE), or up to 3 years after the last dose of study treatment or until the time of the next anti-CLL therapy, if considered a SAE
Intervention | Participants (Number) |
---|---|
Ofatumumab + Bendamustine 90 mg/m^2 | 0 |
Ofatumumab + Bendamustine 70 mg/m^2 | 1 |
Participants with the indicated Grade 3 or Grade 4 adverse event of infection are presented. AEs were graded according to the NCI CTCAE grade, version 4.0 (1, mild; 2, moderate; 3, severe; 4, life-threatening/disabling; 5, death). (NCT01520922)
Timeframe: From first dose of study medication to 60 days after the last dose of study medication (if the event is considered as an AE), or up to 3 years after the last dose of study treatment or until the time of the next anti-CLL therapy, if considered a SAE
Intervention | Participants (Number) |
---|---|
Ofatumumab + Bendamustine 90 mg/m^2 | 5 |
Ofatumumab + Bendamustine 70 mg/m^2 | 10 |
Time to next therapy is defined as the time from the date of the first administration of study treatment until the start of the next anti-CLL therapy. (NCT01520922)
Timeframe: From the start of study treatment until the start of the next anti-CLL therapy (up to 3 years after the last dose of study treatment)
Intervention | Months (Median) |
---|---|
Ofatumumab + Bendamustine 90 mg/m^2 | 31.18 |
Ofatumumab + Bendamustine 70 mg/m^2 | 16.82 |
CD5-CD19+ cells were counted by flow cytometry. Flow cytometry is a technique for counting and examining microscopic particles with an electronic detection apparatus. Baseline CD5- CD19+ cell count value is the last pre-dose assessment values performed on cycle 1 Day 1. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. (NCT01520922)
Timeframe: Baseline, 3-Month Follow-up to 36-Month Follow-up (in 3 months interval)
Intervention | Cell per microliter (Mean) | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
3 month F/U - Baseline (n= 32, 31) | 6 month F/U - Baseline (n= 30, 28) | 9 month F/U - Baseline (n= 37, 23) | 12 month F/U - Baseline (n= 32, 23) | 15 month F/U - Baseline (n= 29, 21) | 18 month F/U - Baseline (n= 23, 11) | 21 month F/U - Baseline (n= 17, 8) | 24 month F/U - Baseline (n= 15, 7) | 27 month F/U - Baseline (n= 19, 6) | 30 month F/U - Baseline (n= 15, 6) | 33 month F/U - Baseline (n= 10, 3) | 36 month F/U - Baseline (n= 8, 4) | |
Ofatumumab + Bendamustine 70 mg/m^2 | -2052.4 | -3822.8 | -2288.4 | -4656.3 | -4256.2 | -5043.6 | -275.1 | -224.0 | -3870.5 | -3964.3 | -206.0 | -5693.0 |
Ofatumumab + Bendamustine 90 mg/m^2 | -5800.8 | -3921.1 | -5969.7 | -6756.8 | -5323.6 | -4677.9 | -5224.2 | -4522.7 | -7259.0 | -7673.6 | -9511.2 | -8430.1 |
CD5+ CD19+ cells were counted by flow cytometry. Flow cytometry is a technique for counting and examining microscopic particles with an electronic detection apparatus. Baseline CD5+ CD19+ cell count value is the last pre-dose assessment values performed on cycle 1 Day 1. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. (NCT01520922)
Timeframe: Baseline, 3-Month Follow-up to 36-Month Follow-up (in 3 months interval)
Intervention | Cell per microliter (Mean) | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
3 month F/U - Baseline (n=32, 31) | 6 month F/U - Baseline (n=30,28) | 9 month F/U - Baseline (n=37,23) | 12 month F/U - Baseline (n=32,23) | 15 month F/U - Baseline (n=29,21) | 18 month F/U - Baseline (n=23,11) | 21 month F/U - Baseline (n=17,8) | 24 month F/U - Baseline (n=15,7) | 27 month F/U - Baseline (n=19, 6) | 30 month F/U - Baseline (n=15, 6) | 33 month F/U - Baseline (n=10, 3) | 36 month F/U - Baseline (n=8, 4) | |
Ofatumumab + Bendamustine 70 mg/m^2 | -40644.2 | -45630.4 | -49527.3 | -43994.3 | -39985.6 | -31229.5 | -52665.1 | -37969.3 | -24824.8 | -30938.0 | -38216.3 | -30961.0 |
Ofatumumab + Bendamustine 90 mg/m^2 | -72622.5 | -61258.2 | -76688.7 | -77884.8 | -80997.6 | -85837.7 | -82180.6 | -92850.6 | -82553.4 | -96903.7 | -65321.8 | -52087.1 |
Immunoglobulins, or antibodies, are large proteins used by the immune system to identify and neutralize foreign particles such as bacteria and viruses. Their normal blood levels indicate proper immune status. Low levels indicate immuno-suppression. IgA, IgG, and IgM were measured in the blood samples of the participants. Baseline IgA, IgG, and IgM values are the last pre-dose assessment values performed on cycle 1 Day 1. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. (NCT01520922)
Timeframe: Baseline and end of study treatment (up to 30 months)
Intervention | Gram per liter (Mean) | ||
---|---|---|---|
IgA | IgG | IgM | |
Ofatumumab + Bendamustine 70 mg/m^2 | 0.0540 | -1.246 | -0.0463 |
Ofatumumab + Bendamustine 90 mg/m^2 | 0.0768 | -0.714 | -0.0490 |
Lymph nodes were evaluated by physical examination which involved recording the diameter in two planes (sum of the product of the diameter [SPD]) of the largest palpable node in each of the following sites: cervical, axillary, supraclavicular, inguinal and femoral. Lymphadenopathy is defined as lymph nodes with the largest diameter greater than 1.5 centimeters. The maximum reduction in SPD from Baseline at C2D1, C3D1, C4D1, C5D1, C6D1, 3-Month F/U, 6-Month F/U and 9-Month F/U are provided. (NCT01520922)
Timeframe: Baseline, Cycle 2 Day 1 (C2D1), Cycle 3 Day 1 (C3D1), Cycle 4 Day 1 (C4D1), Cycle 5 Day 1 (C5D1), Cycle 6 Day 1 (C6D1), 3-Month Follow-Up (F/U), 6-Month F/U and 9-Month F/U
Intervention | cm^2 (centimeters squared) (Mean) | |||||||
---|---|---|---|---|---|---|---|---|
C2D1, n=34, 35 | C3D1, n=32, 35 | C4D1, n=32, 35 | C5D1, n=29, 35 | C6D1, n=30, 33 | 3-Month F/U, n=33, 32 | 6-Month F/U, n=3, 1 | 9-Month F/U, n=1, 0 | |
Ofatumumab + Bendamustine 70 mg/m^2 | -77.3 | -90.9 | -94.6 | -96.2 | -97.0 | -95.9 | -100.0 | NA |
Ofatumumab + Bendamustine 90 mg/m^2 | -83.5 | -92.1 | -99.1 | -99.6 | -99.6 | -99.2 | -100.0 | -68.4 |
Participants who received no transfusion and at least one transfusion during the study are presented. Participants who took any blood products are counted in this table. (NCT01520922)
Timeframe: From start of treatment until earliest date of disease progression or death (up to 3 years after the last dose of study treatment)
Intervention | Participants (Number) | |
---|---|---|
No transfusions | At least one transfusion | |
Ofatumumab + Bendamustine 70 mg/m^2 | 33 | 20 |
Ofatumumab + Bendamustine 90 mg/m^2 | 38 | 6 |
MRD refers to small number of leukemic cells that remain in the participant during treatment or after treatment at the time the participant achieved a confirmed CR. MRD analysis was performed for the partcipants who were suspected of achieving a primary endpoint CR. Analysis of CD5+ CD19+ was performed on the bone marrow aspirate sample obtained no sooner than 2 months following the last dose of study treatment. MRD results were reported as negative or positive. The absence of MRD (negative MRD) is defined as less than one CLL cell per 10000 leukocytes. (NCT01520922)
Timeframe: 3 month follow up to the 36 Month Follow-up (in 3 month interval)
Intervention | Participants (Number) | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
3 month F/U, MRD Positive (n=16 , 4) | 3 month F/U, MRD Negative (n=16 , 4) | 6 month F/U, MRD Positive (n=8 , 2) | 6 month F/U, MRD Negative (n=8 , 2) | 9 month F/U, MRD Positive (n=11 , 2) | 9 month F/U, MRD Negative (n=11 , 2) | 12 month F/U, MRD Positive (n=9 , 2) | 12 month F/U, MRD Negative (n=9 , 2) | 15 month F/U, MRD Positive (n=9 , 2) | 15 month F/U, MRD Negative (n=9 , 2) | 18 month F/U, MRD Positive (n=6 , 1) | 18 month F/U, MRD Negative (n=6 , 1) | 21 month F/U, MRD Positive (n=7, 1) | 21 month F/U, MRD Negative (n=7 , 1) | 24 month F/U, MRD Positive (n=6 , 1) | 24 month F/U, MRD Negative (n=6 , 1) | 27 month F/U, MRD Positive (n=3 , 1) | 27 month F/U, MRD Negative (n=3 , 1) | 30 month F/U, MRD Positive (n=4 , 1) | 30 month F/U, MRD Negative (n=4 , 1) | 33 month F/U, MRD Positive (n=4 , 1) | 33 month F/U, MRD Negative (n=4 , 1) | 36 month F/U, MRD Positive (n=2 , 1) | 36 month F/U, MRD Negative (n=2 , 1) | |
Ofatumumab + Bendamustine 70 mg/m^2 | 4 | 0 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 1 |
Ofatumumab + Bendamustine 90 mg/m^2 | 7 | 9 | 1 | 7 | 3 | 8 | 1 | 8 | 3 | 6 | 1 | 5 | 2 | 5 | 0 | 6 | 0 | 3 | 1 | 3 | 1 | 3 | 0 | 2 |
An Infusion reaction is defined as events occurring after the beginning of an infusion of ofatumumab or within 24 hours following the end of an infusion of bendamustine. (NCT01520922)
Timeframe: From the first dose of study medication to 60 days after the last dose of study medication (up to 24 hours after last dose of study treatment)
Intervention | Participants (Number) | |||
---|---|---|---|---|
Any ofatumumab only IR | Any ofatumumab only SIR | Any ofatumumab plus bendamustine IR | Any ofatumumab plus bendamustine SIR | |
Ofatumumab + Bendamustine 70 mg/m^2 | 34 | 4 | 35 | 4 |
Ofatumumab + Bendamustine 90 mg/m^2 | 30 | 3 | 30 | 4 |
An AE is defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product. An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, or is an event of possible drug-induced liver injury. Refer to the general Adverse AE/SAE module for a complete list of AEs and SAEs. (NCT01520922)
Timeframe: From first dose of study medication to 60 days after the last dose of study medication (if the event is considered as an AE), or up to 3 years after the last dose of study treatment or until the time of the next anti-CLL therapy, if considered a SAE
Intervention | Participants (Number) | |
---|---|---|
Any AE | Any SAE | |
Ofatumumab + Bendamustine 70 mg/m^2 | 50 | 25 |
Ofatumumab + Bendamustine 90 mg/m^2 | 43 | 20 |
PFS is defined as the interval of time between the date of the first administration of study treatment and the earlier of the date of disease progression (PD) and the date of death due to any cause. PD requires at least one of the following:new lesion or increase by >=50% from BL in LC, Ly, size of liver and spleen, PL >= 50% decrease from BL, or to <100,000/uL secondary to CLL, Hb decrease of >2 g/dL from BL or to <10 g/dL secondary to CLL, CLL- transformation. Response was determined according to the IWCLL updated NCI-WG guidelines 2008. Participants who have neither progressed or died at the time of analysis were censored at the date of the last adequate assessment. If there was more than 1 scheduled visit missed, PFS is censored at the last adequate assessment of response. An adequate assessment is defined as an assessment where the investigator determined a response of CR, CRi, nPR, PR, or stable disease (SD). (NCT01520922)
Timeframe: From the start of study treatment until earliest date of disease progression or death (up to 3 years after the last dose of study treatment)
Intervention | Months (Median) |
---|---|
Ofatumumab + Bendamustine 90 mg/m^2 | 36.07 |
Ofatumumab + Bendamustine 70 mg/m^2 | 22.54 |
Response was determined according to the IWCLL updated NCI-WG guidelines 2008. CR requires all of the following criteria at least 2 months after the last treatment: no lymphadenopathy (Ly)/ hepatomegaly/ splenomegaly/ constitutional symptoms; neutrophils >1500/µL, platelets (PL) >100,000/µL, hemoglobin (Hb) >11.0 g/dL, lymphocytes (LC) <4000/µL, bone marrow (BM) sample must be normocellular for age, <30% LC, no lymphoid nodule. (NCT01520922)
Timeframe: From the start of study treatment until 3 months after the last dose of study treatment
Intervention | Participants (Number) | |
---|---|---|
CR without CT scan assessment | CR with CT scan assessment | |
Ofatumumab + Bendamustine 70 mg/m^2 | 6 | 5 |
Ofatumumab + Bendamustine 90 mg/m^2 | 19 | 12 |
The ECOG performance status scales and criteria are used by doctors and researchers to assess how a participant's disease is progressing, assess how the disease affects the daily living abilities of the participant, and determine appropriate treatment and prognosis. Grade 0, fully active, able to carry on all pre-disease performance without restriction. Grade 1, restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature, e.g., light house work, office work. Grade 2, ambulatory and capable of all selfcare, but unable to carry out any work activities; up and about more than 50% of waking hours. Grade 3, capable of only limited selfcare; confined to bed or chair more than 50% of waking hours. Grade 4, completely disabled; cannot carry on any selfcare; totally confined to bed or chair. Grade 5, dead. (NCT01520922)
Timeframe: Baseline (BL), Cycle 3 Day 1 (C3D1), Cycle 6 Day 1 (C6D1), 12, 24 and 36 month follow up (F/U)
Intervention | Participants (Number) | |||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
BL, Score of 0, n=44, 53 | BL, Score of 1, n=44, 53 | BL, Score of 2, n=44, 53 | BL, Score of 3, n=44, 53 | BL, Score of 4-5, n=44, 53 | C3D1, Score of 0, n=42, 48 | C3D1, Score of 1, n=42, 48 | C3D1, Score of 2, n=42, 48 | C3D1, Score of 3, n=42, 48 | C3D1, Score of 4-5, n=42, 48 | C6D1, Score of 0, n=38, 47 | C6D1, Score of 1, n=38, 47 | C6D1, Score of 2, n=38, 47 | C6D1, Score of 3, n=38, 47 | C6D1, Score of 4-5, n=38, 47 | 12 Month F/U, Score of 0, n=39, 28 | 12 Month F/U, Score of 1, n=39, 28 | 12 Month F/U, Score of 2, n=39, 28 | 12 Month F/U, Score of 3, n=39, 28 | 12 Month F/U, Score of 4-5, n=39, 28 | 24 Month F/U, Score of 0, n=28, 16 | 24 Month F/U, Score of 1, n=28, 16 | 24 Month F/U, Score of 2, n=28, 16 | 24 Month F/U, Score of 3, n=28, 16 | 24 Month F/U, Score of 4-5, n=28, 16 | 36 Month F/U, Score of 0, n=21, 9 | 36 Month F/U, Score of 1, n=21, 9 | 36 Month F/U, Score of 2, n=21, 9 | 36 Month F/U, Score of 3, n=21, 9 | 36 Month F/U, Score of 4-5, n=21, 9 | |
Ofatumumab + Bendamustine 70 mg/m^2 | 23 | 29 | 1 | 0 | 0 | 27 | 21 | 0 | 0 | 0 | 27 | 19 | 1 | 0 | 0 | 19 | 8 | 1 | 0 | 0 | 13 | 3 | 0 | 0 | 0 | 8 | 1 | 0 | 0 | 0 |
Ofatumumab + Bendamustine 90 mg/m^2 | 16 | 28 | 0 | 0 | 0 | 17 | 25 | 0 | 0 | 0 | 19 | 19 | 0 | 0 | 0 | 24 | 14 | 1 | 0 | 0 | 16 | 11 | 1 | 0 | 0 | 15 | 5 | 1 | 0 | 0 |
ZAP-70 is a protein normally expressed near the surface membrane of T cells and natural killer cells. ZAP-70 in B cells is used as a prognostic marker in identifying different forms of CLL. Participants with ZAP-70 testing results intermediate (Int), positive (Pos) and negative (Neg) at Baseline and who had a clinical response after last dose of study treatment are provided. Clinical responses included complete remission (CR), complete response with incomplete bone marrow recovery (CRi), nodular partial remission (nPR), partial remission (PR), disease progression (PD), and stable disease (SD). The participants with a PR, CRi, PR or nPR are called responders and the participants with SD and PD are called non-responders. (NCT01520922)
Timeframe: From the start of study treatment until earliest date of disease progression or death (up to 3 months following last dose of study treatment)
Intervention | Participants (Number) | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
ZAP-70, Int, CR, n=6, 6 | ZAP-70, Int, CRi, n=6, 6 | ZAP-70, Int, nPR, n=6, 6 | ZAP-70, Int, PR, n=6, 6 | ZAP-70, Int, PD, n=6, 6 | ZAP-70, Int, SD, n=6, 6 | ZAP-70, Neg, CR, n=2, 2 | ZAP-70, Neg, CRi, n=2, 2 | ZAP-70, Neg, nPR, n=2, 2 | ZAP-70, Neg, PR, n=2, 2 | ZAP-70, Neg, PD, n=2, 2 | ZAP-70, Neg, SD, n=2, 2 | ZAP-70, Pos, CR, n=36, 44 | ZAP-70, Pos, CRi, n=36, 44 | ZAP-70, Pos, nPR, n=36, 44 | ZAP-70, Pos, PR, n=36, 44 | ZAP-70, Pos, PD, n=36, 44 | ZAP-70, Pos, SD, n=36, 44 | |
Ofatumumab + Bendamustine 70 mg/m^2 | 1 | 0 | 0 | 3 | 1 | 0 | 0 | 0 | 0 | 2 | 0 | 0 | 5 | 2 | 8 | 17 | 7 | 5 |
Ofatumumab + Bendamustine 90 mg/m^2 | 1 | 0 | 0 | 3 | 0 | 1 | 1 | 0 | 0 | 1 | 0 | 0 | 17 | 3 | 5 | 11 | 0 | 0 |
Organomegaly is the abnormal enlargement of organs. Physical examination of the liver (L) and spleen (S) were done at Screening (SCR), C3D1, C6D1, 12-Month F/U, 24-Month F/U and 36-Month F/U. The result of the physical examination of the liver (L) and spleen (S) was presented as normal (NOR), enlarged (EL) and not assessed (NOA). (NCT01520922)
Timeframe: Screening (Scr), Cycle 3 Day 1 (C3D1), Cycle 6 Day 1 (C6D1), 12, 24 and 36 -Month Follow-Up (F/U)
Intervention | Participants (Number) | |||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
SCR, S, NOR, n=44, 50 | SCR, S, EL, n=44, 50 | SCR, S, NOA, n=44, 50 | SCR, L, NOR, n=44, 51 | SCR, L, EL, n=44, 51 | SCR, L, NOA, n=44, 51 | C3D1, S, NOR, n=42, 48 | C3D1, S, EL, n=42, 48 | C3D1, S, NOA, n=42, 48 | C3D1, L, NOR, n=42, 48 | C3D1, L, EL, n=42, 48 | C3D1, L, NOA, n=42, 48 | C6D1, S, NOR, n=39, 46 | C6D1, S, EL, n=39, 46 | C6D1, S, NOA, n=39, 46 | C6D1, L, NOR, n=39, 46 | C6D1, L, EL, n=39, 46 | C6D1, L, NOA, n=39, 46 | 12 Month F/U, S, NOR, n=39, 29 | 12 Month F/U, S, EL, n=39, 29 | 12 Month F/U, S, NOA, n=39, 29 | 12 Month F/U, L, NOR, n=39, 29 | 12 Month F/U, L, EL, n=39, 29 | 12 Month F/U, L, NOA, n=39, 29 | 24 Month F/U, S, NOR, n=29, 17 | 24 Month F/U, S, EL, n=29, 17 | 24 Month F/U, S, NOA, n=29, 17 | 24 Month F/U, L, NOR, n=29, 17 | 24 Month F/U, L, EL, n=29, 17 | 24 Month F/U, L, NOA, n=29, 17 | 36 Month F/U, S, NOR, n=21, 9 | 36 Month F/U, S, EL, n=21, 9 | 36 Month F/U, S, NOA, n=21, 9 | 36 Month F/U, L, NOR, n=21, 9 | 36 Month F/U, L, EL, n=21, 9 | 36 Month F/U, L, NOA, n=21, 9 | |
Ofatumumab + Bendamustine 70 mg/m^2 | 31 | 19 | 0 | 41 | 9 | 1 | 41 | 6 | 1 | 42 | 5 | 1 | 43 | 2 | 1 | 44 | 0 | 2 | 28 | 1 | 0 | 28 | 1 | 0 | 16 | 1 | 0 | 16 | 1 | 0 | 9 | 0 | 0 | 9 | 0 | 0 |
Ofatumumab + Bendamustine 90 mg/m^2 | 23 | 21 | 0 | 38 | 6 | 0 | 37 | 5 | 0 | 38 | 4 | 0 | 39 | 0 | 0 | 37 | 2 | 0 | 39 | 0 | 0 | 38 | 1 | 0 | 29 | 0 | 0 | 29 | 0 | 0 | 21 | 0 | 0 | 21 | 0 | 0 |
Participants with IgVH mutation results as mutated and unmutated status and clinical response after last dose of study treatment were provided. Clinical responses included complete remission (CR), complete response with incomplete bone marrow recovery (CRi), nodular partial remission (nPR), partial remission (PR), disease progression (PD), and stable disease (SD). The participants with a PR, CRi, PR or nPR are called responders and the participants with SD and PD are called non-responders. (NCT01520922)
Timeframe: From the start of study treatment until earliest date of disease progression or death (up to up to 3 months following last dose of study treatment)
Intervention | Participants (Number) | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
IgVH Mutated (<=98 %), CR, n=12, 13 | IgVH Mutated (<=98 %), CRi, n=12, 13 | IgVH Mutated (<=98 %), nPR, n=12, 13 | IgVH Mutated (<=98 %), PR, n=12, 13 | IgVH Mutated (<=98 %), SD, n=12, 13 | IgVH Mutated (<=98 %), PD, n=12, 13 | IgVH unmutated (>98%), CR, n=23, 34 | IgVH unmutated (>98%), CRi, n=23, 34 | IgVH unmutated (>98%), nPR, n=23, 34 | IgVH unmutated (>98%), PR, n=23, 34 | IgVH unmutated (>98%), SD, n=23, 34 | IgVH unmutated (>98%), PD, n=23, 34 | |
Ofatumumab + Bendamustine 70 mg/m^2 | 4 | 0 | 4 | 2 | 0 | 3 | 1 | 2 | 4 | 18 | 5 | 3 |
Ofatumumab + Bendamustine 90 mg/m^2 | 6 | 2 | 0 | 4 | 0 | 0 | 11 | 1 | 5 | 5 | 0 | 0 |
Participants with a Grade 3 or Grade 4 myelosuppression (anemia, neutropenia, and thrombocytopenia) are presented. Myelosuppression is defined as the decrease in the ability of the bone marrow to produce blood cells. AEs were graded according to NCI common terminology criteria for adverse events (CTCAE) grade, version 4.0 (1, mild; 2, moderate; 3, severe; 4, life-threatening/disabling; 5, death). (NCT01520922)
Timeframe: From the first dose of study medication to 60 days after the last dose of study medication
Intervention | Participants (Number) | |||||
---|---|---|---|---|---|---|
Neutropenia/Febrile neutropenia, Grade 3 | Neutropenia/Febrile Neutropenia, Grade 4 | Thrombocytopenia, Grade 3 | Thrombocytopenia, Grade 4 | Anemia, Grade 3 | Anemia, Grade 4 | |
Ofatumumab + Bendamustine 70 mg/m^2 | 27 | 16 | 2 | 2 | 0 | 0 |
Ofatumumab + Bendamustine 90 mg/m^2 | 8 | 9 | 1 | 0 | 1 | 0 |
Cytogenetics refers to the study of numerical and structural chromosomal abnormalities. Cytogenetics (analyzed by fluorescent in situ hybridization [FISH]) of 17p deletion, 11q deletion, 17p or 11q deletions, 6q- or +12q or 13q- deletions, and no aberration at Baseline were summarized by clinical responses after the last dose of study treatment. Clinical responses included complete remission (CR), nodular partial remission (nPR), complete response with incomplete bone marrow Recovery (CRi), partial remission (PR), disease progression (PD), and stable disease (SD). The participants with a PR, CRi, PR or nPR are called responders and the participants with SD and PD are called non-responders. (NCT01520922)
Timeframe: From the start of study treatment until earliest date of disease progression or death (up to up to 3 months following last dose of study treatment)
Intervention | Participants (Number) | |||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
17p-, CR, n=2, 6 | 17p-, CRi, n=2, 6 | 17p-, nPR, n=2, 6 | 17p-, PR, n=2, 6 | 17p-, SD, n=2, 6 | 17p-, PD, n=2, 6 | 11q-, CR, n=8, 15 | 11q-, CRi, No, n=8, 15 | 11q-, nPR, n=8, 15 | 11q-, PR, n=8, 15 | 11q-, SD, n=8, 15 | 11q-, PD, n=8, 15 | 17p- or 11q-, CR, n=10, 20 | 17p- or 11q-, CRi, n=10, 20 | 17p- or 11q-, nPR, n=10, 20 | 17p- or 11q-, PR, n=10, 20 | 17p- or 11q-, SD, n=10, 20 | 17p- or 11q-, PD, n=10, 20 | 6q- or +12q or 13q-, CR, n=20, 24 | 6q- or +12q or 13q-, CRi, n=20, 24 | 6q- or +12q or 13q-, nPR, n=20, 24 | 6q- or +12q or 13q-, PR, n=20, 24 | 6q- or +12q or 13q-, SD, n=20, 24 | 6q- or +12q or 13q-, PD, n=20, 24 | No aberration, CR, n= 14, 8 | No aberration, CRi, n= 14, 8 | No aberration, nPR, n= 14, 8 | No aberration, PR, n= 14, 8 | No aberration, SD, n= 14, 8 | No aberration, PD, n= 14, 8 | |
Ofatumumab + Bendamustine 70 mg/m^2 | 0 | 0 | 0 | 1 | 3 | 2 | 1 | 0 | 3 | 7 | 1 | 3 | 1 | 0 | 3 | 8 | 3 | 5 | 3 | 2 | 4 | 10 | 2 | 2 | 2 | 0 | 1 | 4 | 0 | 1 |
Ofatumumab + Bendamustine 90 mg/m^2 | 0 | 0 | 0 | 0 | 1 | 0 | 3 | 0 | 1 | 4 | 0 | 0 | 3 | 0 | 1 | 4 | 1 | 0 | 11 | 1 | 1 | 7 | 0 | 0 | 5 | 2 | 3 | 4 | 0 | 0 |
Participants with the indicated constitutional or B-symptoms (night sweats, weight loss, fever or extreme fatigue) were presented for different time points. (NCT01520922)
Timeframe: Screening (SCR), Cycle 3 Day 1 (C3D1), Cycle 6 Day 1 (C6D1), 12, 24 and 36 Month Follow-up (F/U)
Intervention | Participants (Number) | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
SCR, night sweats, n =44, 52 | SCR, weight loss, n=44, 52 | SCR, fever, n=44, 52 | SCR, extreme fatigue, n=44, 52 | C3D1, night sweats, n =42, 49 | C3D1, weight loss, n=42, 49 | C3D1, fever, n=42, 49 | C3D1, extreme fatigue, n=42, 49 | C6D1, night sweats, n =39, 47 | C6D1, weight loss, n =39, 47 | C6D1, fever, n =39, 47 | C6D1, extreme fatigue, n =39, 47 | 12 Month F/U, night sweats, n =39, 29 | 12 Month F/U, weight loss, n =39, 29 | 12 Month F/U, fever, n =39, 29 | 12 Month F/U, extreme fatigue, n =39, 29 | 24 Month F/U, night sweats, n =29, 17 | 24 Month F/U, weight loss, n=29, 17 | 24 Month F/U, fever, n=29, 17 | 24 Month F/U, extreme fatigue, n=29, 17 | 36 Month F/U, night sweats, n =21, 9 | 36 Month F/U, weight loss, n=21, 9 | 36 Month F/U, fever, n=21, 9 | 36 Month F/U, extreme fatigue, n=21, 9 | |
Ofatumumab + Bendamustine 70 mg/m^2 | 22 | 5 | 2 | 15 | 2 | 2 | 0 | 4 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Ofatumumab + Bendamustine 90 mg/m^2 | 19 | 4 | 1 | 14 | 5 | 0 | 0 | 2 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 |
Participants with B2M concentration of <=4000 µg/L and >4000 µg/L at Baseline and who had clinical response after the last dose of study treatment were provided. Clinical responses included complete remission (CR), complete response with incomplete bone marrow Recovery (CRi), nodular partial remission (nPR), and partial remission (PR), disease progression (PD), and stable disease (SD). The participants with a PR, CRi, PR or nPR are called responders and the participants with SD and PD are called non-responders. (NCT01520922)
Timeframe: From the start of study treatment until earliest date of disease progression or death (up to up to 3 months following last dose of study treatment)
Intervention | Participants (Number) | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
<= 4000 µg/L, CR, n=23, 24 | <= 4000 µg/L, CRi, n=23, 24 | <= 4000 µg/L, nPR, n=23, 24 | <= 4000 µg/L, PR, n=23, 24 | <= 4000 µg/L, SD, n=23, 24 | <= 4000 µg/L, PD, n=23, 24 | > 4000 µg/L, CR, n=17, 29 | > 4000 µg/L, CRi, n=17, 29 | > 4000 µg/L, nPR, n=17, 29 | > 4000 µg/L, PR, n=17, 29 | > 4000 µg/L, SD, n=17, 29 | > 4000 µg/L, PD, n=17, 29 | |
Ofatumumab + Bendamustine 70 mg/m^2 | 3 | 2 | 6 | 9 | 2 | 2 | 3 | 0 | 2 | 14 | 3 | 6 |
Ofatumumab + Bendamustine 90 mg/m^2 | 9 | 3 | 4 | 7 | 0 | 0 | 9 | 0 | 1 | 6 | 0 | 0 |
OR is defined as the number of participants achieving an objective response (complete response [CR], CR with incomplete bone marrow recovery [CRi], partial response [PR], and nodular PR [nPR]), after 3 cycles, after 6 cycles, and after the last dose of ofatumumab and bendamustine treatment. CR (all the criteria at least 2 months after last treatment): no lymphadenopathy (Ly)/ hepatomegaly/ splenomegaly/ constitutional symptoms; neutrophils >1500 per microliter (µL), platelets (PL) >100,000/µL, hemoglobin (Hb) >11 grams/deciliter (g/dL), lymphocytes (LC) <4000/µL, bone marrow (BM) sample must be normocellular for age, <30% LC, no lymphoid nodule. CRi: CR criteria, persistent anemia/thrombocytopenia/neutropenia unrelated to CLL but related to drug toxicity. PR: >=50% decrease in LC, Ly, size of liver and spleen and at least one of the following results: PL >100,000/µL or 50% improvement over Baseline (BL), Hb >11 g/dL or 50% improvement over BL, LC <4000/µL. nPR: persistent nodules BM. (NCT01520922)
Timeframe: From the start of study treatment until 3 months after the last dose of study treatment
Intervention | Participants (Number) | |||
---|---|---|---|---|
CR | CRi | nPR | PR | |
Ofatumumab + Bendamustine 70 mg/m^2 | 6 | 2 | 8 | 23 |
Ofatumumab + Bendamustine 90 mg/m^2 | 19 | 2 | 4 | 17 |
OR is defined as the number of participants achieving an objective response (complete response [CR], CR with incomplete bone marrow recovery [CRi], partial response [PR], and nodular PR [nPR]), after 3 cycles, after 6 cycles, and after the last dose of ofatumumab and bendamustine treatment. CR (all the criteria at least 2 months after last treatment): no lymphadenopathy (Ly)/ hepatomegaly/ splenomegaly/ constitutional symptoms; neutrophils >1500 per microliter (µL), platelets (PL) >100,000/µL, hemoglobin (Hb) >11 grams/deciliter (g/dL), lymphocytes (LC) <4000/µL, bone marrow (BM) sample must be normocellular for age, <30% LC, no lymphoid nodule. CRi: CR criteria, persistent anemia/thrombocytopenia/neutropenia unrelated to CLL but related to drug toxicity. PR: >=50% decrease in LC, Ly, size of liver and spleen and at least one of the following results: PL >100,000/µL or 50% improvement over Baseline (BL), Hb >11 g/dL or 50% improvement over BL, LC <4000/µL. nPR: persistent nodules BM. (NCT01520922)
Timeframe: From the start of study treatment until 3 months after the last dose of study treatment
Intervention | Participants (Number) | |||
---|---|---|---|---|
CR | CRi | nPR | PR | |
Ofatumumab + Bendamustine 70 mg/m^2 | 5 | 2 | 6 | 24 |
Ofatumumab + Bendamustine 90 mg/m^2 | 12 | 1 | 2 | 22 |
The presence of HAHA in human serum was determined using a validated electrochemiluminescent assay in a multi-tier assay format. All samples were first assessed in a screening (SCR) assay, and the potential positive (Pos) samples were further tested in the confirmation (CNF) assays. Confirmed positives were reported as HAHA positive and titer was determined for each positive sample. The drug tolerance of the HAHA assay is 200 microgram/milliliter (µg/mL); thus, samples that tested negative in the assay and had ofatumumab concentrations no more than 200 µg/mL were considered as conclusive negative (C Neg) results. (NCT01520922)
Timeframe: Cycle 1 Day 1 (C1D1), Cycle 6 Day 1 (C6D1), 6-Month Follow-up (F/U), and any post-dose time point
Intervention | Participants (Number) | |||
---|---|---|---|---|
C1D1, n=41, 53 | C6D1, n=34, 43 | 6-Month F/U, n=35, 37 | Any post dose time, n=42, 47 | |
Ofatumumab + Bendamustine 70 mg/m^2 | 0 | 0 | 0 | 0 |
Ofatumumab + Bendamustine 90 mg/m^2 | 0 | 0 | 0 | 0 |
The duration of response is defined as the time from the initial response (CR, CRi, nPR, or PR) to the first documented sign of disease progression (PD) or death due to any cause. PD requires at least one of the following: new lesion or increase by >=50% from Baseline in lymphocytes (LC) with at least 5000B-lymphocytes per microliter (5.0 x 10^9/L), lymphadenopathy (Ly), size of liver and spleen, platelets (PL) >= 50% decrease from Baseline, or to <100,000/uL secondary to CLL, hemoglobin (Hb) decrease of >2 g/dL from Baseline or to <10 g/dL secondary to CLL, CLL- transformation, cytopenia after treatment. Response was determined according to the IWCLL updated NCI-WG guidelines 2008. (NCT01520922)
Timeframe: From time of initial response (CR, CRi, nPR, or PR) to disease progression or death, whichever came first (up to 3 years after the last doseof study treatment)
Intervention | Months (Median) |
---|---|
Ofatumumab + Bendamustine 90 mg/m^2 | 35.15 |
Ofatumumab + Bendamustine 70 mg/m^2 | 21.75 |
OS is defined as the interval of time between the date of the first administration of study treatment and the date of death due to any cause. For participants who did not die, time of death was censored at the date of last contact. (NCT01520922)
Timeframe: From the start of study treatment to the date of death due to any cause (up to 3 years after the last dose of study treatment)
Intervention | Months (Median) |
---|---|
Ofatumumab + Bendamustine 90 mg/m^2 | NA |
Ofatumumab + Bendamustine 70 mg/m^2 | NA |
Time to progression is defined as the time from the date of the first administration of study treatment to disease progression (PD). PD requires at least one of the following: new lesion or increase by >=50% from Baseline in lymphocytes (LC) with at least 5000 B-lymphocytes per microliter (5.0 x 10^9/L), lymphadenopathy (Ly), size of liver and spleen, platelets (PL) >= 50% decrease from Baseline, or to <100,000/uL secondary to CLL, hemoglobin (Hb) decrease of >2 g/dL from Baseline or to <10 g/dL secondary to CLL, CLL- transformation, cytopenia after treatment. Response was determined according to the IWCLL updated NCI-WG guidelines 2008. (NCT01520922)
Timeframe: From the start of study treatment to disease progression (up to 3 years after the last dose of study treatment)
Intervention | Months (Median) |
---|---|
Ofatumumab + Bendamustine 90 mg/m^2 | 36.0 |
Ofatumumab + Bendamustine 70 mg/m^2 | 22.67 |
Dose limiting toxicity will be defined during cycle 1 only of the phase I trial. Hematologic and Infectious Dose Limiting Toxicities include: Grade 3 febrile neutropenia persisting> 7 days, Grade 4 infection or febrile neutropenia. Treatment delay>14 days due to grade 3-4 neutropenia or thrombocytopenia. Non-Hematological Dose Limiting Toxicities include: any Grade 3 or 4 non-hematologic toxicity related to study treatment with the exception of nausea or vomiting, alopecia, or electrolyte/glucose abnormalities that are correctable within 72 hours. (NCT01535924)
Timeframe: up to 5 years
Intervention | number of patients (Number) |
---|---|
Phase 1 (Dose Levels 1) | 0 |
Phase 1 (Dose Levels 2) | 0 |
Phase 1 (Dose Levels 3) | 0 |
Phase 1 (Dose Levels 4) | 0 |
Tested using Simon's two-stage Minimax design. Descriptive statistics (i.e. means, standard deviations, 95% confidence intervals for continuous variables, and frequencies for discrete data) and graphical analyses will be used for all correlative laboratory parameters. The associations between correlative laboratory parameters and clinical response will be evaluated using two sample t test or Fisher's exact test, whichever is appropriate. (NCT01535924)
Timeframe: up to 5 years
Intervention | percentage of patients (Number) |
---|---|
Phase 2 (Dose Levels 5) | 67 |
Phase 2 | 71 |
PFS was defined as the interval from randomization to the earlier of the first documentation of definitive disease progression or death from any cause. PFS (months) = (minimum (date of disease progression, date of death) - date of randomization + 1)/30.4375. (NCT01569295)
Timeframe: Up to 84 months
Intervention | months (Median) |
---|---|
Idelalisib + Bendamustine + Rituximab | 21.8 |
Placebo + Bendamustine + Rituximab | 11.1 |
Lymph node response rate was defined as the percentage of participants who achieved a ≥ 50% decrease from baseline in the sum of the products of the greatest perpendicular diameters (SPD) of index lesions. (NCT01569295)
Timeframe: Up to 84 months
Intervention | percentage of particpants (Number) |
---|---|
Idelalisib + Bendamustine + Rituximab | 96.9 |
Placebo + Bendamustine + Rituximab | 60.9 |
"ORR was the percentage of participants who achieved a complete response (CR), CR with incomplete marrow recovery (CRi,) or partial response (PR) and maintained the response for at least 12 weeks. CR was defined as no lymphadenopathy, hepatomegaly, splenomegaly; normal complete blood count; confirmed by bone marrow aspirate & biopsy.~PR was defined as >1 of the following criteria: a 50% decrease in peripheral blood lymphocytes, lymphadenopathy, liver size, spleen size; plus ≥ 1 of the following: ≥ 1500/μL absolute neutrophil count, > 100000/μL platelets, > 11.0 g/dL hemoglobin or 50% improvement for either of these parameters without transfusions or growth factors. CRi was defined as all criteria for CR met but with persistent anemia, thrombocytopenia, neutropenia or a hypocellular bone marrow." (NCT01569295)
Timeframe: Up to 84 months
Intervention | percentage of participants (Number) |
---|---|
Idelalisib + Bendamustine + Rituximab | 70.0 |
Placebo + Bendamustine + Rituximab | 45.5 |
Overall survival (OS) was defined as the interval from randomization to death from any cause. Overall survival (months) = (date of death - date of randomization + 1)/30.4375. (NCT01569295)
Timeframe: Up to 84 months
Intervention | months (Median) |
---|---|
Idelalisib + Bendamustine + Rituximab | 56.2 |
Placebo + Bendamustine + Rituximab | 42.6 |
Complete response (CR) rate was defined as the percentage of participants who achieved a CR. (NCT01569295)
Timeframe: Up to 84 months
Intervention | percentage of participants (Number) |
---|---|
Idelalisib + Bendamustine + Rituximab | 4.3 |
Placebo + Bendamustine + Rituximab | 0.5 |
(NCT01596621)
Timeframe: Prior to the start of infusion on Day 1 for up to 24 hours after the end of infusion during Cycle 1 (each cycle is 21 days)
Intervention | nanograms (ng)/milliliters (mL) (Mean) |
---|---|
Bendamustine | 3909.9 |
(NCT01596621)
Timeframe: Prior to the start of infusion on Day 1 for up to 24 hours after the end of infusion during Cycle 1 (each cycle is 21 days)
Intervention | hours (Median) |
---|---|
Bendamustine | 1.30 |
Duration of response was defined as the time from the date of first documentation of response to the first documentation of disease progression, new anticancer therapy, or death (regardless of cause), whichever occurred first for participants with a best response of CR or PR determined by the modified International Workshop Response Criteria. CR: disappearance of all evidence of disease; nodal masses regression on normal size on CT; spleen and liver not palpable and nodule disappeared; bone marrow infiltrate cleared on repeat biopsy. PR: Regression of measurable disease and no new sites; nodal masses ≥50% decrease in SPD of up to 6 largest dominant masses and no increase in size of other nodes; spleen and liver ≥50% decrease in SPD of nodules and no increase in size of liver or spleen. Disease progression: any new lesion or increase by ≥50% of previously involved sites from nadir. (NCT01596621)
Timeframe: From the date of first documentation of response to the first documentation of disease progression, new anticancer therapy, or death (regardless of cause), whichever occurred first (up to 2.5 Years)
Intervention | months (Median) |
---|---|
Bendamustine | 16.2 |
An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. AEs included both SAEs and non-serious AEs. A summary of other non-serious AEs and all SAEs, regardless of causality is located in the 'Reported AE section'. (NCT01596621)
Timeframe: From first administration of bendamustine through 30 days after the last administration (up to 2.5 Years)
Intervention | Participants (Count of Participants) |
---|---|
Bendamustine | 101 |
(NCT01596621)
Timeframe: Prior to the start of infusion on Day 1 for up to 24 hours after the end of infusion during Cycle 1 (each cycle is 21 days)
Intervention | 1/hour (Mean) |
---|---|
Bendamustine | 0.4525 |
(NCT01596621)
Timeframe: Prior to the start of infusion on Day 1 for up to 24 hours after the end of infusion during Cycle 1 (each cycle is 21 days)
Intervention | ng*hour/mL (Mean) |
---|---|
Bendamustine | 5660.7 |
Progression free survival was defined as the time from the date of the first administration of bendamustine to the first documentation of disease progression/relapse, new anticancer therapy, or death (regardless of cause), whichever occurred first for all participants. Disease progression/relapse: appearance of any new lesion or increase by ≥50% of previously involved sites from nadir. (NCT01596621)
Timeframe: From the date of the first administration of bendamustine to the first documentation of disease progression/relapse, new anticancer therapy, or death (regardless of cause), whichever occurred first (up to 2.5 Years)
Intervention | months (Median) |
---|---|
Bendamustine | 18.6 |
(NCT01596621)
Timeframe: Prior to the start of infusion on Day 1 for up to 24 hours after the end of infusion during Cycle 1 (each cycle is 21 days)
Intervention | percentage of AUC0-∞ (Mean) |
---|---|
Bendamustine | 0.01 |
The ORR was defined as the percentage of participants who achieved a best response of complete response (CR) or partial response (PR) during the study based on the modified International Workshop Response Criteria. CR: disappearance of all evidence of disease; nodal masses regression on normal size on computed tomography (CT); spleen and liver not palpable and nodule disappeared; bone marrow infiltrate cleared on repeat biopsy. PR: Regression of measurable disease and no new sites; nodal masses ≥50% decrease in sum of the product of the diameters (SPD) of up to 6 largest dominant masses and no increase in size of other nodes; spleen and liver ≥50% decrease in SPD of nodules and no increase in size of liver or spleen. (NCT01596621)
Timeframe: From the date of the first administration of bendamustine to the first documentation of disease progression/relapse, new anticancer therapy, or death (regardless of cause), whichever occurred first (up to 2.5 Years)
Intervention | percentage of participants (Number) |
---|---|
Bendamustine | 73 |
Concomitant medications included all medications taken while the participant received study drug. (NCT01596621)
Timeframe: From first administration of bendamustine up to the end of treatment (up to 2.5 Years)
Intervention | Participants (Count of Participants) |
---|---|
Bendamustine | 102 |
(NCT01596621)
Timeframe: From first administration of bendamustine up to the end of treatment (up to 2.5 Years)
Intervention | Participants (Count of Participants) |
---|---|
Bendamustine | 71 |
(NCT01596621)
Timeframe: Prior to the start of infusion on Day 1 for up to 24 hours after the end of infusion during Cycle 1 (each cycle is 21 days)
Intervention | hours (Mean) |
---|---|
Bendamustine | 1.83 |
(NCT01596621)
Timeframe: Prior to the start of infusion on Day 1 for up to 24 hours after the end of infusion during Cycle 1 (each cycle is 21 days)
Intervention | ng*hour/mL (Mean) |
---|---|
Bendamustine | 6278.7 |
The EQ-5D questionnaire is a brief, generic health-related quality of life assessment (HRQOL) that can also be used to incorporate participant preferences into health economic evaluations. The EQ-5D questionnaire assesses HRQOL in terms of degree of limitation on 5 health dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression) and as overall health using a visual analog scale with response options ranging from 0 (worst imaginable health) to 100 (best imaginable health). (NCT01611090)
Timeframe: Baseline to EOT (up to 2 years)
Intervention | Units on a scale (Mean) |
---|---|
Ibrutinib+BR | -4.3 |
Placebo+BR | 4.0 |
FACIT-Fatigue is an instrument for use as a measure of the effect of fatigue in patients with cancer and other chronic diseases. Responses to the 13-item FACIT Fatigue Scale are reported on a 5-point categorical response scale ranging from 0 (not at all) to 4 (very much). The sum of all responses resulted in the FACIT-Fatigue score for a total possible score of 0 (worst score) to 52 (best score). (NCT01611090)
Timeframe: Baseline to EOT (up to 2 years)
Intervention | Units on a scale (Mean) |
---|---|
Ibrutinib+BR | -0.9 |
Placebo+BR | 0.0 |
"EORTC QLQ-C30 Physical Functioning Score is a questionnaire to assess quality of life of cancer patients. It is composed of 30 items, multi-item measure (28 items) and 2 single-item measures. For the multiple item measure, 4-point scale is used and the score for each item range from 1 = not at all to 4 = very much. Higher scores indicate worsening. The 2 single-item measure involves question about the overall health and overall quality of life which was rated on a 7-point scale ranging from 1 = very poor to 7 = excellent. Lower scores indicate worsening. All scale and item scores were linearly transformed to be in range from 0-100. A higher score represents a higher (better) level of functioning, or a higher (worse) level of symptoms." (NCT01611090)
Timeframe: Baseline to EOT (up to 2 years)
Intervention | Units on a scale (Mean) |
---|---|
Ibrutinib+BR | -2.1 |
Placebo+BR | -4.1 |
Number of participants who received subsequent antineoplastic therapy was reported. (NCT01611090)
Timeframe: Up to 5 years
Intervention | Participants (Count of Participants) |
---|---|
Ibrutinib+BR | 52 |
Placebo+BR | 61 |
The disease-related symptoms included fatigue, weight loss, fevers, night sweats, abdominal discomfort/splenomegaly and anorexia. (NCT01611090)
Timeframe: From the date of randomization to disease progression (Up to 2 years)
Intervention | Participants (Count of Participants) |
---|---|
Ibrutinib+BR | 0 |
Placebo+BR | 0 |
ORR defined as number of participants achieving a complete response (CR), complete response with incomplete marrow recovery (CRi), nodular partial response (nPR) or partial response (PR). IWCLL 2008 criteria: CR- No lymphadenopathy and hepatosplenomegaly, no constitutional symptoms, neutrophils >1.5*10^9/liter (L), platelets >100*10^9/L, Hgb >11 gram per deciliter (g/dL) and absolute lymphocyte count <4000/microliter (mcL); CRi- CR with incomplete recovery of bone marrow; nPR- participants meet criteria for CR, but the bone marrow biopsy shows B-lymphoid nodules, may represent a clonal infiltrate; PR-2 of the following when abnormal at baseline: >=50% decrease in ALC, >=50% decrease in sum products of up to 6 lymph nodes, >=50% decrease in enlargement of spleen or liver; and 1 of the following: neutrophils >1.5*10^9/L, Platelets >100*10^9/L and Hgb>11 g/dL or >=50% improvement over baseline in any of these; no new enlarged nodes or new hepatosplenomegaly. (NCT01611090)
Timeframe: Up to 5 years
Intervention | Percentage of participants (Number) |
---|---|
Ibrutinib+BR | 87.2 |
Placebo+BR | 66.1 |
OS was defined as the interval between the date of randomization and the date of death from any cause. (NCT01611090)
Timeframe: Up to 5 years
Intervention | Months (Median) |
---|---|
Ibrutinib+BR | NA |
Placebo+BR | NA |
MRD-negative response was defined as the percentage of participants who reach MRD negative disease status (less than 1 chronic lymphocytic leukemia [CLL] cell per 10,000 leukocytes) in either bone marrow or peripheral blood. All randomized participants were included in this analysis. Participants with missing MRD data were considered non-responders. (NCT01611090)
Timeframe: Up to 5 years
Intervention | Percentage of participants (Number) |
---|---|
Ibrutinib+BR | 28.7 |
Placebo+BR | 5.9 |
PFS was defined as the interval between the date of randomization and the date of disease progression or death, whichever was first reported. IWCLL 2008 criteria for PD: New enlarged nodes >1.5 cm, new hepatomegaly or splenomegaly, or other new organ infiltrates, bone lesion, ascites, or pleural effusion confirmed due to chronic lymphocytic leukemia (CLL); >=50% increase in existing lymph nodes; >=50% increase in enlargement of liver or spleen; >=50% increase from baseline in lymphocyte count (and to >=5*10^9/L) or >=50% increase from nadir count confirmed on >=2 serial assessments if absolute lymphocyte count (ALC) >=30,000 per microliter and lymphocyte doubling time is rapid, unless considered treatment-related lymphocytosis; new cytopenia (Hemoglobin b [Hgb] or platelets) attributable to CLL; and transformation to a more aggressive histology. (NCT01611090)
Timeframe: Up to 5 years
Intervention | Months (Median) |
---|---|
Ibrutinib+BR | 65.12 |
Placebo+BR | 14.32 |
The EORTC QLQ-CLL 16 is a 16-item disease specific module that comprises 5 domains of patient-reported health status important in CLL. There are three multi-item scales that include fatigue (2 items), treatment side effects and disease symptoms (8 items), and infection (4 items), and 2 single-item scales on social activities and future health worries. Responses are measured on a 4 point scale ranging from 1 (not at all) to 4 (very much). (NCT01611090)
Timeframe: Baseline to EOT (up to 2 years)
Intervention | Units on the scale (Mean) | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Lost weight | Dry mouth | Bruises | Abdominal discomfort | Temperature going up and down | Night sweats | Skin problems | Feel ill | Feel lethargic | Felt slowed down | Limited in planning activities | Worried about health in the future | Trouble with chest infections | Trouble with other infections | Repeated courses of antibiotics | Worried about picking up infection | |
Ibrutinib+BR | 0.1 | 0.3 | 0.1 | 0.1 | 0.1 | -0.6 | 0.4 | 0.1 | 0.1 | 0.3 | 0.2 | 0.0 | 0.2 | 0.7 | 0.9 | 0.3 |
Placebo+BR | 0.0 | 0.1 | 0.0 | 0.0 | 0.0 | -0.3 | 0.3 | 0.2 | 0.0 | 0.0 | 0.1 | 0.0 | 0.0 | 0.1 | 0.0 | 0.2 |
Sustained hematologic improvement was defined as hematological improvement that was sustained continuously for greater than or equal to (>=) 56 days without blood transfusion or growth factors: 1) Platelet counts greater than (>)100* 109/liter (L) if baseline less than or equal to (<=) 100*109/L or increase >= 50 percent (%) over baseline; 2) Hemoglobin >11 gram per deciliters (g/dL) if baseline <= 11 g/dL or increase >= 2 g/dL over baseline. (NCT01611090)
Timeframe: Up to 5 years
Intervention | Percentage of Participants (Number) | |
---|---|---|
Hemoglobin | Platelets | |
Ibrutinib+BR | 36.7 | 30.8 |
Placebo+BR | 29.1 | 21.8 |
Time to improvement is defined as the time interval (months) from randomization to the first observation of improvement. FACIT-Fatigue is an instrument for use as a measure of the effect of fatigue in patients with cancer and other chronic diseases. Responses to the 13-item FACIT Fatigue Scale are reported on a 5-point categorical response scale ranging from 0 (not at all) to 4 (very much). The sum of all responses resulted in the FACIT-Fatigue score for a total possible score of 0 (worst score) to 52 (best score). (NCT01611090)
Timeframe: Up to 2 years
Intervention | Months (Number) |
---|---|
Ibrutinib+BR | 6.5 |
Placebo+BR | 4.6 |
Change from baseline in beta2 microglobulin at end of treatment at time of primary analysis was reported. (NCT01611090)
Timeframe: Baseline to EOT (Up to 2 years)
Intervention | milligram per liter (mg/L) (Mean) |
---|---|
Ibrutinib+BR | -0.46 |
Placebo+BR | -0.23 |
The EuroQol-5 is a five dimensional health state classification. Each dimension is assessed on a 3-point ordinal scale (1=no problems, 2=some problems, 3=extreme problems). The responses to the five EQ-5D dimensions were scored using a utility-weighted algorithm to derive an EQ-5D health status index score between 0 to 1. High score indicating a high level of utility. (NCT01611090)
Timeframe: Baseline to EOT (up to 2 years)
Intervention | Units on a scale (Mean) |
---|---|
Ibrutinib+BR | 0.0 |
Placebo+BR | 0.0 |
Defined as the time from date of first treatment to the date of first documented disease progression or relapse from complete response as defined by the International Working Group (IMW)-revised response criteria for malignant lymphoma (Cheson 2007). This criteria categorizes the response of a patient's tumor to treatment as Complete Response (CR): the disappearance of all disease evidence; Partial Response (PR): regression of measurable disease and no new sites; Stable Disease (SD): less than a PR but not progressive disease (PD); Relapsed Disease or PD: Any new lesion or increase by ≥ 50% of previously involved sites from nadir. (NCT01626352)
Timeframe: After cycles 3 and 6 of each 21-day cycle, and every 3 months thereafter until progression or relapse from complete response for up to 40 months
Intervention | months (Median) |
---|---|
Bendamustine/Ofatumumab | 10.5 |
Defined as the time from first treatment until objective tumor progression, relapse from complete response, or death from any cause. Tumor response is defined by the International Working Group (IMW)-revised response criteria for malignant lymphoma (Cheson 2007). This criteria categorizes the response of a patient's tumor to treatment as Complete Response (CR): the disappearance of all disease evidence; Partial Response (PR): regression of measurable disease and no new sites; Stable Disease (SD): less than a PR but not progressive disease (PD); Relapsed Disease or PD: Any new lesion or increase by ≥ 50% of previously involved sites from nadir. Patients who are alive and free from disease progression will be censored at the date of last tumor assessment. (NCT01626352)
Timeframe: After cycles 3 and 6 of each 21-day cycle, and every 3 months thereafter until progression or relapse from complete response for up to 40 months
Intervention | months (Median) |
---|---|
Bendamustine/Ofatumumab | 8.6 |
Defined as the time from Day 1 of study drug administration to date of death from any cause. (NCT01626352)
Timeframe: every 3 cycles during treatment and every 3 months thereafter until progression or death from any cause, projected 18 months
Intervention | months (Median) |
---|---|
Bendamustine/Ofatumumab | 12.0 |
Overall response is the number of patients with observed complete or partial response (CR or PR) as assessed using the International Working Group (IMW) revised response criteria for malignant lymphoma (Cheson 2007). Complete response requires disappearance of all evidence of disease. Partial response requires regression of measurable disease and no new sites. (NCT01626352)
Timeframe: after cycles 3 and 6 of each 21-day cycle, and every 3 months thereafter, projected 18 months
Intervention | Participants (Count of Participants) |
---|---|
Bendamustine/Ofatumumab | 19 |
A treatment-related adverse event was any untoward medical occurrence in a participant which was considered to have a relationship with the study drug (suspected to be possibly or probably related to the study drug per the Investigator's assessment). Adverse events were evaluated using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) v4.0. (NCT01626352)
Timeframe: after cycles 3 and 6 of each 21-day cycle, and up to 30 days after last dose, projected 24 weeks
Intervention | Participants (Count of Participants) |
---|---|
Bendamustine/Ofatumumab | 16 |
Disease response assessments will be performed using the International Working Group (IMW)-revised response criteria for malignant lymphoma (Cheson 2007). Complete response requires a disappearance of all evidence of disease. (NCT01626352)
Timeframe: 18 months
Intervention | Participants (Count of Participants) |
---|---|
Bendamustine/Ofatumumab | 7 |
Defined as the time from date of first documented confirmed response to date of disease progression or relapse from complete response as defined by the International Working Group (IMW)-revised response criteria for malignant lymphoma (Cheson 2007). This criteria categorizes the response of a patient's tumor to treatment as Complete Response (CR): the disappearance of all disease evidence; Partial Response (PR): regression of measurable disease and no new sites; Stable Disease (SD): less than a PR but not progressive disease (PD); Relapsed Disease or PD: Any new lesion or increase by ≥ 50% of previously involved sites from nadir. Patients who are alive and free from disease progression will be censored at the date of last tumor assessment. Patients who begin further anticancer therapy prior to disease progression will be censored at the date of last tumor assessment prior to the start date of the anticancer therapy. (NCT01626352)
Timeframe: After cycles 3 and 6 of each 21-day cycle and every 3 months thereafter until disease progression or relapse from complete response for up to 38 months
Intervention | months (Median) |
---|---|
Bendamustine/Ofatumumab | 5.6 |
The CR rate is defined as the proportion of patients who after 6 cycles of therapy achieve complete remission based on the International Working Group (IWG) Criteria (Cheson et al, 1999), using CT scans. CR or CRu (CR unconfirmed) by CT scans was defined by standard IWG criteria, ie resolution of all abnormal adenopathy and organomegaly, and clearance of marrow disease when present at baseline. (NCT01661881)
Timeframe: Disease was assessed after three- and six-cycles of therapy, up to approximately 25 weeks. All patients completed 6 cycles of therapy with a cycle duration of 28 days.
Intervention | proportion of participants (Number) |
---|---|
RB/RC | .96 |
ASCT rate is the proportion of patients who completed therapy and proceeded to autologous stem cell transplant (ASCT) (NCT01661881)
Timeframe: All patients were followed for continuation to ASCT upon completion of induction therapy. Patients usually proceed to ASCT within 3 months of completing induction.
Intervention | proportion of participants (Number) |
---|---|
RB/RC | .91 |
1-year progression-free survival is the probability of patients remaining alive and progression-free at 1 year from study entry estimated using Kaplan-Meier methods. Disease progression was based on the International Working Group (IWG) Criteria (Cheson et al, 1999). (NCT01661881)
Timeframe: Disease was assessed after three- and six-cycles of therapy and in long-term follow-up per standard practice every 6 months until the earliest of relapse, death or 5 years. Median follow-up in this study cohort was 13 months.
Intervention | probability (Number) |
---|---|
RB/RC | .96 |
An AE was defined as 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. (NCT01724021)
Timeframe: Randomization of first participant to clinical cutoff date (Up to 4 years)
Intervention | participants (Number) |
---|---|
Arm A | 352 |
Arm B | 347 |
EFS was defined as the time from randomization to first occurrence of progression or relapse according to IWG response criteria. IWG criteria is defined using the following response categories: CR: Complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present before therapy; partial response (PR): At least a 50% decrease in sum of the product of the diameters (SPD) of up to six of the largest dominant nodes or nodal masses; stable disease (SD): participants fails to attain the criteria needed for a CR or PR, but does not fulfill those for progressive disease (PD); PD: Lymph nodes considered abnormal if the long axis is more than 1.5 centimeter (cm) regardless of the short axis. Lymph node has a long axis of 1.1 to 1.5 cm, it is considered abnormal if its short axis is more than 1.0. Lymph nodes less than or equal to (<=) 1.0 × <= 1.0 cm would not be considered as abnormal for PD. (NCT01724021)
Timeframe: From the time of randomization until disease progression or 24 months post treatment follow up or which ever occur first (Up to 4 years)
Intervention | months (Median) |
---|---|
Arm A | NA |
Arm B | NA |
(NCT01724021)
Timeframe: Pre-dose Cycle 1 to 8, interim staging, final staging, 6, 12 months follow-up, end of study (Up to 4 years)
Intervention | percentage of participants (Number) | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Cycle 1 | Cycle 2 | Cycle 3 | Cycle 4 | Interim staging | Cycle 5 | Cycle 6 | Cycle 7 | Cycle 8 | Final staging | Follow-up, 6 months | Follow-up, 12 months | End of study/early treatment termination | |
Arm A | 11.4 | 7.0 | 7.1 | 7.0 | 9.0 | 12.5 | 16.0 | 23.8 | 13.3 | 10.0 | 6.5 | 7.7 | 3.5 |
Arm B | 15.6 | 18.2 | 23.5 | 14.7 | 9.7 | 10.2 | 11.6 | 10.9 | 11.0 | 12.6 | 13.4 | 8.7 | 6.3 |
OS was defined as the time from randomization to death from any cause. (NCT01724021)
Timeframe: From the time of randomization until disease progression or 24 months post treatment follow up or which ever occur first (Up to 4 years)
Intervention | months (Median) |
---|---|
Arm A | NA |
Arm B | NA |
Participants who preferred rituximab SC over rituximab IV, along with the corresponding 95% confidence interval (CI), were estimated using the patient preference questionnaire (PPQ) after completing cycle 6. (NCT01724021)
Timeframe: Cycle 6 (Up to 24 weeks)
Intervention | percentage of participants (Number) |
---|---|
Arm A | 79.1 |
Arm B | 80.6 |
CTSQ is a validated 16-item questionnaire that measures three domains related to participants' satisfaction with cancer therapy. These include expectations of therapy, feelings about side effects, and satisfaction with therapy. Each domain is scored on a scale of 0 to 100, with higher scores indicative of more positive feelings toward therapy. The score for each domain was averaged among all participants. (NCT01724021)
Timeframe: During Cycle 4, 8 of treatment (Up to 32 weeks)
Intervention | units on a scale (Mean) | ||
---|---|---|---|
Expectations of therapy domain | Feelings about side effects domain | Satisfaction with therapy domain | |
Rituximab Intravenous (IV) | 80.88 | 60.63 | 84.59 |
Rituximab Subcutaneous (SC) | 82.07 | 61.64 | 85.42 |
Participants who preferred rituximab SC over rituximab IV, along with the corresponding 95% confidence interval (CI), were estimated using the patient preference questionnaire (PPQ) after completing Cycle 8. (NCT01724021)
Timeframe: Cycle 8 (Up to 32 weeks)
Intervention | percentage of participants (Number) |
---|---|
Arm A | 77.1 |
Arm B | 84.2 |
CR rate was assessed according to the International Working Group (IWG) Response Criteria (CHESON ET AL. 1999) and included CR and CR unconfirmed (CRu). CR was defined as complete disappearance of all clinical and radiographic evidence of disease and disease-related symptoms, regression of lymph nodes to normal size, absence of splenomegaly, and absence of bone marrow involvement. CRu was defined as disappearance of clinical and radiographic evidence of disease and absence of splenomegaly, with regression of lymph nodes by > 75 % but still >1.5 cm in size, and indeterminate bone marrow assessment. Tumor assessments were based on computed tomography (CT) scans with contrast of the neck, chest, and abdomen (if detectable by these techniques) or other diagnostic means, if applicable. Other methods (e.g., MRI) were acceptable for participants in whom contrast CT scans were contraindicated. Due to the limited availability of FDG-PET scanners, an FDG-PET scan was not mandated in the study. (NCT01724021)
Timeframe: 28 days (± 3 days) after Day 1 of the last dose of induction treatment
Intervention | percentage of participants (Number) |
---|---|
Arm A | 49.2 |
Arm B | 52.7 |
DFS was defined as the period from the data of the initial CR/CRu until the date of relapse or death from any cause, whichever occurred first. (NCT01724021)
Timeframe: From the time of randomization until disease progression or 24 months post treatment follow up or which ever occur first (Up to 4 years)
Intervention | months (Median) |
---|---|
Arm A | NA |
Arm B | NA |
(NCT01724021)
Timeframe: Pre-dose Cycle 1 to 8, interim staging, final staging, 6, 12 months follow-up, end of study (Up to 4 years)
Intervention | microgram per milliter (Mean) | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Cycle 1 | Cycle 2 | Cycle 3 | Cycle 4 | Interim staging | Cycle 5 | Cycle 6 | Cycle 7 | Cycle 8 | Final staging | Follow-up, 6 months | Follow-up, 12 months | End of study/early treatment termination | |
Arm A | 3355.9 | 25053.1 | 62977.0 | 87956.6 | 117273.6 | 108030.9 | 100927.7 | 95614.0 | 104873.0 | 86806.6 | 7802.9 | 2380.1 | 9302.0 |
Arm B | 970.1 | 24541.1 | 46093.9 | 59485.5 | 77665.3 | 70387.3 | 98679.7 | 117172.0 | 137048.1 | 120995.7 | 8042.9 | 1685.3 | 9553.9 |
The RASQ is a 20-item questionnaire that measures five domains related to the impact of treatment administration. These include physical impact, psychological impact, impact on activities of daily living (ADLs), convenience, and satisfaction. Each domain is scored on a scale of 0 to 100, with higher scores indicative of more positive feelings toward therapy. The score for each domain was averaged among all participants. (NCT01724021)
Timeframe: During Cycle 4, 8 of treatment (Up to 32 weeks)
Intervention | units on a scale (Mean) | ||||
---|---|---|---|---|---|
Physical impact domain | Psychological Impact domain | Impact on activitiesf daily living | Convenience domain | Satisfaction domain | |
Rituximab Intravenous (IV) | 82.14 | 77.73 | 59.49 | 59.05 | 74.88 |
Rituximab Subcutaneous (SC) | 82.08 | 84.00 | 81.86 | 81.05 | 87.26 |
(NCT01724021)
Timeframe: Pre-dose Cycle 1 to 8, interim staging, final staging, 6, 12 months follow-up, end of study (Up to 4 years)
Intervention | percentage of participants (Number) | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Cycle 1 | Cycle 2 | Cycle 3 | Cycle 4 | Interim staging | Cycle 5 | Cycle 6 | Cycle 7 | Cycle 8 | Final staging | Follow-up, 6 months | Follow-up, 12 months | End of study/early treatment termination | |
Arm A | 2.0 | 2.1 | 0.3 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1.8 | 2.1 | 0.6 |
Arm B | 3.0 | 2.2 | 0.9 | 0.3 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.6 | 0.6 |
PFS was defined as the time from randomization to the first occurrence of progression or relapse, according to the IWG response criteria. IWG criteria is defined criteria using the following response categories: CR: Complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present before therapy; PR: At least a 50% decrease in SPD of up to six of the largest dominant nodes or nodal masses; SD: participants fails to attain the criteria needed for a CR or PR, but does not fulfill those for PD; PD: Lymph nodes considered abnormal if the long axis is more than 1.5 cm regardless of the short axis. Lymph node has a long axis of 1.1 to 1.5 cm, it is considered abnormal if its short axis is more than 1.0. Lymph nodes <= 1.0 × <= 1.0 cm would not be considered as abnormal for PD. (NCT01724021)
Timeframe: From the time of randomization until disease progression or 24 months post treatment follow up or which ever occur first (Up to 4 years)
Intervention | months (Median) |
---|---|
Arm A | NA |
Arm B | NA |
Administration time was defined as the time from start to end of the SC injection or from start to end of the IV infusion (NCT01724021)
Timeframe: Cycle 1-4, Cycle 5-8 for both SC and IV (Up to 32 weeks)
Intervention | minutes (Median) |
---|---|
Rituximab Intravenous (IV) | 840 |
Rituximab Subcutaneous (SC) | 22 |
"In the phase I dose escalation portion, patients will be sequentially enrolled in 4 cohorts at dose levels in a standard 3+3 design until the maximum tolerated dose (MTD) is reached.~Cohort 1 (bendamustine 120mg/m2 + pomalidomide 3mg); Cohort 2 (bendamustine 120mg/m2 + pomalidomide 4mg); Cohort 3 (bendamustine 150mg/m2 + pomalidomide 4mg); Cohort 4 (bendamustine 180mg/m2 + pomalidomide 4mg)~If dose limiting toxicity (DLT) is observed in 2 or more of the six patients at the same dosing level while DLT is observed in only 1 or none of the 6 patients at the dosing level immediately below it, then the lower dosing level will be defined as the maximum tolerated dose (MTD)." (NCT01754402)
Timeframe: 2 cycles (approximately 2 months)
Intervention | milligrams (Number) | |
---|---|---|
Pomalidomide | Bendamustine | |
Cohorts 1 and 2 | 3 | 120 |
"The number of patients achieving a complete response (CR) or partial response (PR). Response is defined by the International Myeloma Working Group as:~CR- Negative immunofixation on serum and urine and disappearance of soft tissue plasmacytomas and < 5% plasma cells in bone marrow~PR- > 50% reduction of serum M-protein and urine M-protein by >90% or to < 200 mg/24 h In addition, if present at baseline, a > 50% reduction in the size of soft tissue plasmacytomas is also required~VGPR - Serum and urine M-protein detectable by immunofixation but n" (NCT01754402)
Timeframe: 2 cycles (approximately 2 months)
Intervention | Participants (Count of Participants) | ||
---|---|---|---|
Partial Response | Very Good Partial Response | Complete Response | |
Cohort 1: 120mg Bendamustine + 3mg Pomalidomide | 1 | 0 | 0 |
Expansion: 120mg Bendamustine + 3mg Pomalidomide | 11 | 2 | 0 |
The primary objective is progression-free survival (PFS). Tumor measurements and disease assessments will be performed at the time of screening, following cycles 3 and 6 of induction chemotherapy, every 4 cycles during the maintenance portion of treatment, and at the end of treatment (EOT). Subjects with clinical evidence of progression prior to a planned disease assessment will be evaluated at the time of clinically suspected progression. Follow-up visits for disease assessment will occur every 3 months after the EOT visit until PD, initiation of alternate anti-neoplastic therapy, decision by the subject to withdraw from the study, or death. The follow-up period will begin after the EOT visit, and all subjects will be followed for at least 2 years after completion of therapy or until death or progression and until the last patient has been followed for at least 1 year following completion of therapy. (NCT01754857)
Timeframe: At least 24 months following completion of therapy, an average of 5 years
Intervention | years (Median) |
---|---|
Bendamustine, Rituximab, Lenalidomide | 4.76 |
To determine toxicities observed with induction chemotherapy and maintenance therapy. Safety evaluations will be based on the incidence, intensity, and type of adverse events (AEs) and clinical laboratory results. Drug doses will be modified as required based on toxicity as assessed using the National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE), version 4.0. (NCT01754857)
Timeframe: Up to 30 months
Intervention | toxicity related events (Number) | |
---|---|---|
Serious Adverse Events due to toxicities | Adverse Events due to toxicities | |
Bendamustine, Rituximab, Lenalidomide | 41 | 167 |
Overall survival is defined as the time from the date of randomization to the date of the participant's death. (NCT01776840)
Timeframe: Up to 97 months
Intervention | months (Median) |
---|---|
Ibrutinib + BR (Treatment B) | NA |
Placebo + BR (Treatment A) | NA |
Percentage of participants with overall response that is participants who achieved CR or PR was reported. Criteria for CR: disappearance of all evidence of disease; mass of any size permitted if PET negative; regression to normal size on CT; spleen and liver: not palpable, nodules disappeared; bone marrow: infiltrate cleared on repeat biopsy. Criteria for PR: greater than or equal to (>=) 50% decrease in sum of the diameter of all target lesions compared with baseline, in absence of new lesions or unequivocal progression of non-target lesions. (NCT01776840)
Timeframe: Up to 97 months
Intervention | percentage of participants (Number) |
---|---|
Ibrutinib + BR (Treatment B) | 89.7 |
Placebo + BR (Treatment A) | 88.5 |
Maximum observed plasma concentration of ibrutinib was determined using PopPK modeling. (NCT01776840)
Timeframe: Day 2 of Cycles 1, 2 and 3 (each cycle was of 28 days)
Intervention | ng/mL (Mean) |
---|---|
Ibrutinib + BR (Treatment B) | 74.5 |
Time-to-next treatment was measured from the date of randomization to the start date of any anti-mantle cell lymphoma (anti-MCL) treatment subsequent to the study treatment. (NCT01776840)
Timeframe: Up to 97 months
Intervention | months (Median) |
---|---|
Ibrutinib + BR (Treatment B) | NA |
Placebo + BR (Treatment A) | 92.0 |
Oral volume of distribution at steady state of ibrutinib was determined using PopPK modeling. (NCT01776840)
Timeframe: Day 2 of Cycles 1, 2 and 3 (each cycle was of 28 days)
Intervention | liter (Mean) |
---|---|
Ibrutinib + BR (Treatment B) | 7286 |
Duration of Response (DoR) was defined as the interval between the date of initial documentation of a response including PR and the date of first documented evidence of PD or death. (NCT01776840)
Timeframe: Up to 97 months
Intervention | months (Median) |
---|---|
Ibrutinib + BR (Treatment B) | 81 |
Placebo + BR (Treatment A) | 63.5 |
Duration of complete response (DoCR) was defined as the interval between the date of initial documentation of a CR and the date of first documented evidence of PD or death whichever occurs first, for participants who achieved CR. (NCT01776840)
Timeframe: Up to 97 months
Intervention | months (Median) |
---|---|
Ibrutinib + BR (Treatment B) | NA |
Placebo + BR (Treatment A) | 78.1 |
Complete response (CR) rate is defined as the percentage of participants who achieve CR (based on investigator assessment) on or prior to the initiation of subsequent anticancer therapy. Criteria for CR: disappearance of all evidence of disease; mass of any size permitted if positron emission tomography (PET) negative; regression to normal size on computed tomography (CT); spleen and liver: not palpable, nodules disappeared; bone marrow: infiltrate cleared on repeat biopsy. (NCT01776840)
Timeframe: Up to 97 months
Intervention | percentage of participants (Number) |
---|---|
Ibrutinib + BR (Treatment B) | 65.5 |
Placebo + BR (Treatment A) | 57.6 |
Area under the concentration curve of ibrutinib during 24 hours after dosing at steady state was determined using PopPK modeling. (NCT01776840)
Timeframe: Day 2 of Cycles 1, 2 and 3 (each cycle was of 28 days)
Intervention | nanogram*hour per milliliter (ng*h/mL) (Mean) |
---|---|
Ibrutinib + BR (Treatment B) | 425 |
Number of participants with TEAEs were reported. Treatment-emergent adverse events are defined as adverse events with onset or worsening on or after date of first dose of study treatment up to and including 30 days after date of last dose of study medication, or the initiation of subsequent anticancer therapy, whichever is earlier. (NCT01776840)
Timeframe: Up to 97 months
Intervention | Participants (Count of Participants) |
---|---|
Ibrutinib + BR (Treatment B) | 259 |
Placebo + BR (Treatment A) | 257 |
Minimum observed plasma concentration of ibrutinib was determined using PopPK modeling. (NCT01776840)
Timeframe: Day 2 of Cycles 1, 2 and 3 (each cycle was of 28 days)
Intervention | nanograms per milliliter (ng/mL) (Mean) |
---|---|
Ibrutinib + BR (Treatment B) | 3.90 |
Minimal residual disease negative rate was defined as the percentage of participants with a best overall response of CR with MRD-negative disease status (that is, <5 mantle cell lymphoma [MCL] cell per 10,000 leukocytes for detection using the MRD assay), as assessed by flow cytometry of a bone marrow and/or peripheral blood sample. (NCT01776840)
Timeframe: Up to 97 months
Intervention | percentage of participants (Number) |
---|---|
Ibrutinib + BR (Treatment B) | 62.1 |
Placebo + BR (Treatment A) | 56.5 |
CL/F of Ibrutinib was determined using population pharmacokinetics (PopPK modeling). (NCT01776840)
Timeframe: Day 2 of Cycles 1, 2 and 3 (each cycle was of 28 days)
Intervention | liter per hour (L/h) (Mean) |
---|---|
Ibrutinib + BR (Treatment B) | 1123 |
"Time to worsening in the Lymphoma subscale of the FACT-Lym, defined as the interval from the date of randomization to the start date of worsening of participant symptoms. Worsening was defined by a 5-point decrease from baseline, death, or a missing assessment due to being too ill, whichever occurred first. FACT-Lym Lymphoma subscale contains 15 questions, scores from 0 to 4 for each question (higher the worse). Lymphoma subscale score is the total of reverse scores, range 0 to 60. Higher scores indicate a better quality of life." (NCT01776840)
Timeframe: Up to 97 months
Intervention | months (Median) |
---|---|
Ibrutinib + BR (Treatment B) | 17.4 |
Placebo + BR (Treatment A) | 22.2 |
Time to response was defined as the interval between the date of randomization and the date of initial documentation of a response. (NCT01776840)
Timeframe: Up to 97 months
Intervention | months (Median) |
---|---|
Ibrutinib + BR (Treatment B) | 2.79 |
Placebo + BR (Treatment A) | 2.79 |
Progression-free survival (PFS) is defined as the interval between the date of randomization to the date of disease progression (PD) or relapse from complete response (CR) or death, whichever is first reported. Disease assessments were based on the 2007 Revised Response Criteria for Malignant Lymphoma. PD is defined as any new lesion or increase by 50 percent (%) of previously involved sites from nadir (PD criteria: Appearance of new nodal lesion 1.5 centimeters [cm] in any axis, 50% increase in sum of product of diameters [SPD] of greater than [>] 1 node or 50% increase in longest diameter of previously identified node 1 cm in short axis). (NCT01776840)
Timeframe: Up to 97 months
Intervention | months (Median) |
---|---|
Ibrutinib + BR (Treatment B) | 80.6 |
Placebo + BR (Treatment A) | 52.9 |
The time from first dose of study medication to first documentation of disease progression/relapse, or to death due to any cause, whichever occurs first. (NCT01874054)
Timeframe: Up to 49 months
Intervention | months (Median) |
---|---|
Brentuximab Vedotin + Bendamustine | 44.2 |
Incidence of dose-limiting toxicity (DLT) was evaluated in an initial safety cohort of 10 patients who were followed for protocol-defined DLT events until Cycle 2 Day 1. (NCT01874054)
Timeframe: Up to 3 weeks; first cycle of therapy through the first day of Cycle 2
Intervention | Participants (Count of Participants) |
---|---|
Brentuximab Vedotin + Bendamustine | 0 |
The time from first observation of remission to disease progression/relapse or death from any cause, whichever occurs first. (NCT01874054)
Timeframe: Up to 47.8 months
Intervention | months (Median) |
---|---|
Brentuximab Vedotin + Bendamustine | 43.0 |
Complete remission rate among all subjects (Phase 1 and 2 combined) treated at the dose level selected for Phase 2. Complete remission (CR) per Cheson 2007 Revised Response Criteria for Malignant Lymphoma is a disappearance of all evidence of disease. (NCT01874054)
Timeframe: Up to 4.6 months
Intervention | percentage of participants (Number) |
---|---|
Brentuximab Vedotin + Bendamustine | 73.6 |
All AEs reported after initiation of treatment and pre-existing conditions that worsen after initiation of treatment will be considered treatment-emergent AEs (TEAEs). All AEs will be coded by system organ class, MedDRA preferred term, and severity grade using NCI CTCAE V4.03. All recorded AEs will be included in the data listings. (NCT01874054)
Timeframe: Up to 13.8 months
Intervention | Participants (Count of Participants) | |||||
---|---|---|---|---|---|---|
Any Treatment-Emergent Adverse Event (TEAE) | Any TEAE with Severity >= Grade 3 | Any Treatment-Related Adverse Event | Any Serious Adverse Event | Any Treatment-Related Serious Adverse Event | Treatment Discontinuation Due to Adverse Event | |
Brentuximab Vedotin + Bendamustine | 55 | 31 | 54 | 18 | 15 | 20 |
Complete response (CR) requires all of the following: absence of lymphadenopathy > 1.5 cm on physical exam/CT scan, no hepatomegaly or splenomegaly on physical exam, no clonal B-cells in the blood, Normal CBC, bone marrow aspirate and biopsy must be normocellular for age. Complete response rate and corresponding exact binomial 95% confidence intervals provided. (NCT01886872)
Timeframe: Performed at 2.5 years after the last patient enrolled; up to 4 years.
Intervention | percentage of patients (Number) |
---|---|
Arm A (Rituximab, Bendamustine Hydrochloride) | 26 |
Arm B (Ibrutinib) | 7 |
Arm C (Ibrutinib, Rituximab) | 12 |
The Kaplan-Meier method will be used to estimate median DOR. DOR is the time from first objective status to progression or death. CR requires all of the following: absence of lymphadenopathy > 1.5 cm on physical exam/CT scan, no hepatomegaly/splenomegaly on physical exam, no clonal B-cells in the blood, Normal CBC, bone marrow aspirate & biopsy must be normocellular for age. PR requires >= 50% decrease in peripheral lymphocyte count from pre-treatment value, >= 50% reduction in lymphadenopathy, and/or ≥ 50% reduction in splenomegaly/hepatomegaly. CR with exception of having bone marrow lymphoid CLL nodules will be considered a nodular PR (nPR). CR with exception of not having a bone marrow biopsy performed will be considered a clinical CR (CCR). PR with the exception of having less than a 50% reduction in peripheral lymphocyte count will be considered a PR except persistent lymphocytosis (PRL). (NCT01886872)
Timeframe: From the date of first response until progression or death, performed at 2.5 years after the last patient enrolled; up to 4 years.
Intervention | months (Median) |
---|---|
Arm A (Rituximab, Bendamustine Hydrochloride) | 50 |
Arm B (Ibrutinib) | NA |
Arm C (Ibrutinib, Rituximab) | NA |
The rate of grade 3, 4, or 5 treatment-related non-hematologic adverse events (toxicities) by arm; excludes adverse events occurring post-crossover for patients in Arm A (NCT01886872)
Timeframe: Performed at 2.5 years after the last patient enrolled; up to 4 years.
Intervention | percentage of patients (Number) |
---|---|
Arm A (Rituximab, Bendamustine Hydrochloride) | 41 |
Arm B (Ibrutinib) | 48 |
Arm C (Ibrutinib, Rituximab) | 39 |
The Kaplan-Meier method will be used to estimate the rate of overall survival at 2 years in each treatment arm. OS will be measured from the date of registration to the date of the event (i.e., death) or the date of last follow-up to evaluate that event. Patients who are event-free at their last follow-up evaluation will be censored at that time point. (NCT01886872)
Timeframe: From the date of registration to the date of death, assessed up to 2 years
Intervention | percentage of patients (Number) |
---|---|
Arm A (Rituximab, Bendamustine Hydrochloride) | 95 |
Arm B (Ibrutinib) | 90 |
Arm C (Ibrutinib, Rituximab) | 94 |
The Kaplan-Meier method will be used to estimate the rate of progression free survival at 2 years in each treatment arm. Progression is defined as any one of the following: an increase in number of blood lymphocytes by >= 50%, >= 50% increase in the products of at least 2 lymph nodes on 2 consecutive determination 2 weeks apart, >= 50% increase in the size of the liver/spleen, transformation to a more aggressive histology, progression of any cytopenia (i.e. decrease of Hb levels > 2g/dL). Progression free survival time will be the time to either progression or death whichever occurs first. (NCT01886872)
Timeframe: Time from study entry to the time of documented disease progression or death, assessed up to 2 years
Intervention | percentage of patients (Number) |
---|---|
Arm A (Rituximab, Bendamustine Hydrochloride) | 74 |
Arm B (Ibrutinib) | 87 |
Arm C (Ibrutinib, Rituximab) | 88 |
The Kaplan-Meier method will be used to estimate the progression free survival distributions for each arm, with median estimates provided. Progression is defined as any one of the following: an increase in number of blood lymphocytes by >= 50% with >= 5000 B lymphocytes/mL in patients on Arm A or those on Arms 2 or 3 no longer receiving ibrutinib, >= 50% increase in the products of at least 2 lymph nodes on 2 consecutive determination 2 weeks apart, >= 50% increase in the size of the liver/spleen, transformation to a more aggressive histology, progression of any cytopenia (i.e. decrease of Hb levels > 2g/dL). Progression free survival time will be the time to either progression or death whichever occurs first. (NCT01886872)
Timeframe: Time from study entry to the time of documented disease progression or death. The analysis was event driven, performed at 2.5 years after the last patient enrolled;up to 4 years.
Intervention | months (Median) |
---|---|
Arm A (Rituximab, Bendamustine Hydrochloride) | 43 |
Arm B (Ibrutinib) | NA |
Arm C (Ibrutinib, Rituximab) | NA |
Complete response (CR) requires all of the following: absence of lymphadenopathy >1.5 cm on physical exam/CT scan, no hepatomegaly/splenomegaly on physical exam, no clonal B-cells in the blood, Normal CBC, bone marrow aspirate & biopsy must be normocellular for age. Partial response (PR) requires >= 50% decrease in peripheral lymphocyte count from pre-treatment value, >= 50% reduction in lymphadenopathy, and/or ≥ 50% reduction in splenomegaly/hepatomegaly. CR with exception of having bone marrow lymphoid CLL nodules will be considered a nodular PR (nPR). CR with exception of not having a bone marrow biopsy performed will be considered a clinical CR (CCR). PR with the exception of having less than a 50% reduction in peripheral lymphocyte count will be considered a PR except persistent lymphocytosis (PRL).Overall response rate and corresponding exact binomial 95% CI provided. (NCT01886872)
Timeframe: Performed at 2.5 years after the last patient enrolled;up to 4 years.
Intervention | percentage of patients (Number) |
---|---|
Arm A (Rituximab, Bendamustine Hydrochloride) | 75 |
Arm B (Ibrutinib) | 93 |
Arm C (Ibrutinib, Rituximab) | 94 |
Complete response (CR) requires all of the following: absence of lymphadenopathy > 1.5 cm on physical exam/CT scan, no hepatomegaly or splenomegaly on physical exam, no clonal B-cells in the blood, Normal CBC, bone marrow aspirate and biopsy must be normocellular for age. CR with exception of having bone marrow lymphoid CLL nodules will be considered a nodular PR (nPR). CR with exception of not having a bone marrow biopsy performed will be considered a clinical CR (CCR). Response rate and corresponding exact binomial 95% confidence intervals provided. (NCT01886872)
Timeframe: Performed at 2.5 years after the last patient enrolled; up to 4 years.
Intervention | percentage of patients (Number) |
---|---|
Arm A (Rituximab, Bendamustine Hydrochloride) | 33 |
Arm B (Ibrutinib) | 10 |
Arm C (Ibrutinib, Rituximab) | 23 |
Estimated using the number of patients who achieve minimal residual disease divided by the total number randomized to that treatment arm. Corresponding exact binomial 95% confidence intervals for MRD rates will be calculated. (NCT01886872)
Timeframe: Cycle 9 Day 1 Evaluation
Intervention | percentage of patients (Number) |
---|---|
Arm A (Rituximab, Bendamustine Hydrochloride) | 8 |
Arm B (Ibrutinib) | 1 |
Arm C (Ibrutinib, Rituximab) | 4 |
FL participants could be enrolled during induction or maintenance phase and they should have received at least 1 infusion of rituximab and must have been able to receive at least 4 cycles of rituximab SC if enrolled during induction or 4 cycles of rituximab SC if enrolled during maintenance. PK data only collected for participants enrolled during Induction. During the induction phase each Cycle is 21 days. (NCT01889069)
Timeframe: Induction collection: Cycle 2 Predose, Cycle 3 Predose, Cycle 4 Predose, Cycle 5 Predose, Baseline Predose, and Cycle 8 Predose on Day 1
Intervention | micrograms per millilitre (ug/mL) (Mean) | |||||
---|---|---|---|---|---|---|
Cycle 2 Predose | Cycle 3 Predose | Cycle 4 Predose | Cycle 5 Predose | Baseline | Cycle 8 Predose | |
Follicular Lymphoma (FL) | 48.86 | 156.33 | 200.33 | 7.60 | 97.90 | 284.08 |
FL participants could be enrolled during induction or maintenance phase and they should have received at least 1 infusion of rituximab and must have been able to receive at least 4 cycles of rituximab SC if enrolled during induction or 4 cycles of rituximab SC if enrolled during maintenance. Pharmacokinetic (PK) data only collected for participants enrolled during Induction. During the induction phase each Cycle is 21 days. (NCT01889069)
Timeframe: Induction collection: Cycle 2 Predose, Cycle 3 Predose, Cycle 4 Predose, Cycle 5 Predose, Baseline Predose, and Cycle 8 Predose on Day 1
Intervention | micrograms per millilitre (ug/mL) (Mean) | |||||
---|---|---|---|---|---|---|
Cycle 2 Predose | Cycle 3 Predose | Cycle 4 Predose | Cycle 5 Predose | Baseline | Cycle 8 Predose | |
Follicular Lymphoma (FL) | 55.49 | 119.50 | 157.25 | 7.60 | 90.88 | 201.56 |
DLBCL participants received at least 1 infusion of rituximab and must have been able to receive at least 4 cycles of rituximab SC; therefore DLBCL participants could be enrolled at Cycle 2, Cycle 3, Cycle 4, or Cycle 5 and as a result the baseline PK sample could be collected at Cycle 2, Cycle 3, Cycle 4, or Cycle 5. Each Cycle is 21 days. (NCT01889069)
Timeframe: Cycle 2 Predose, Cycle 3 Predose, Cycle 4 Predose, Cycle 5 Predose, Baseline Predose, Cycle 7 Predose on Day 1, Cycle 7 Day 7, Cycle 7 Day 14, Cycle 8 Predose on Day 1
Intervention | micrograms per millilitre (ug/mL) (Mean) | ||||||
---|---|---|---|---|---|---|---|
Cycle 2 Predose | Cycle 3 Predose | Cycle 4 Predose | Cycle 5 Predose | Baseline | Cycle 7 Predose | Cycle 8 Predose | |
Diffuse Large B-Cell Lymphoma (DLBCL) | 53.97 | 101.79 | 110.50 | 121.67 | 109.40 | 157.93 | 132.57 |
DLBCL participants received at least 1 infusion of rituximab and must have been able to receive at least 4 cycles of rituximab SC; therefore DLBCL participants could be enrolled at Cycle 2, Cycle 3, Cycle 4, or Cycle 5 and as a result the baseline PK sample could be collected at Cycle 2, Cycle 3, Cycle 4, or Cycle 5. Each Cycle is 21 days. (NCT01889069)
Timeframe: Cycle 2 Predose, Cycle 3 Predose, Cycle 4 Predose, Cycle 5 Predose, Baseline Predose, Cycle 7 Predose on Day 1, Cycle 7 Day 7, Cycle 7 Day 14, Cycle 8 pre-dose on Day 1
Intervention | micrograms per millilitre (ug/mL) (Mean) | ||||||
---|---|---|---|---|---|---|---|
Cycle 2 Predose | Cycle 3 Predose | Cycle 4 Predose | Cycle 5 Predose | Baseline | Cycle 7 Predose | Cycle 8 Predose | |
Diffuse Large B-Cell Lymphoma (DLBCL) | 42.53 | 88.92 | 110.50 | 100.20 | 92.92 | 141.44 | 117.61 |
DLBCL participants received at least 1 infusion of rituximab and must have been able to receive at least 4 cycles of rituximab SC; therefore DLBCL participants could be enrolled at Cycle 2, Cycle 3, Cycle 4, or Cycle 5 and as a result the baseline PK sample could be collected at Cycle 2, Cycle 3, Cycle 4, or Cycle 5. Each Cycle is 21 days. (NCT01889069)
Timeframe: Cycle 2 Predose, Cycle 3 Predose, Cycle 4 Predose, Cycle 5 Predose, Baseline Predose, Cycle 7 Predose on Day 1, Cycle 7 Day 7, Cycle 7 Day 14, Cycle 8 Predose on Day 1
Intervention | micrograms per millilitre (ug/mL) (Mean) | ||||||||
---|---|---|---|---|---|---|---|---|---|
Cycle 2 Predose | Cycle 3 Predose | Cycle 4 Predose | Cycle 5 Predose | Baseline | Cycle 7 Predose | Cycle 7 Day 7 | Cycle 7 Day 14 | Cycle 8 Predose | |
Diffuse Large B-Cell Lymphoma (DLBCL) | 42.53 | 88.92 | 110.50 | 100.20 | 92.92 | 141.44 | 348.81 | 226.40 | 117.61 |
Plasma concentrations of rituximab in participants with DLBCL by chemotherapy regimen cyclophosphamide, oncovine (vincristine), doxorubicin, prednisone/prednisolone given every 14 days (R-CHOP-14) or cyclophosphamide, oncovine (vincristine), doxorubicin, prednisone/prednisolone given every 21 days (R-CHOP-21) in the PK) population.DLBCL participants received at least 1 infusion of rituximab and must have been able to receive at least 4 cycles of rituximab SC; therefore DLBCL participants could be enrolled at Cycle 2, Cycle 3, Cycle 4, or Cycle 5 and as a result the baseline PK sample could be collected at Cycle 2, Cycle 3, Cycle 4, or Cycle 5. Each Cycle is 21 days. (NCT01889069)
Timeframe: Cycle 2 Predose, Cycle 3 Predose, Cycle 4 Predose, Cycle 5 Predose, Baseline Predose, Cycle 7 Predose on Day 1, Cycle 7 Day 7, Cycle 7 Day 14, Cycle 8 Predose on Day 1
Intervention | micrograms per millilitre (ug/mL) (Mean) | ||||||||
---|---|---|---|---|---|---|---|---|---|
Cycle 2 Predose | Cycle 3 Predose | Cycle 4 Predose | Cycle 5 Predose | Baseline | Cycle 7 Predose | Cycle 7 Day 7 | Cycle 7 Day 14 | Cycle 8 Predose | |
Diffuse Large B-Cell Lymphoma (DLBCL) R-CHOP-21 | 28.37 | 88.92 | 110.50 | 94.00 | 74.25 | 150.13 | 398.76 | 272.50 | 123.76 |
Plasma concentrations of rituximab in participants with DLBCL by chemotherapy regimen cyclophosphamide, oncovine (vincristine), doxorubicin, prednisone/prednisolone given every 14 days (R-CHOP-14) or cyclophosphamide, oncovine (vincristine), doxorubicin, prednisone/prednisolone given every 21 days (R-CHOP-21) in the PK) population.DLBCL participants received at least 1 infusion of rituximab and must have been able to receive at least 4 cycles of rituximab SC; therefore DLBCL participants could be enrolled at Cycle 2, Cycle 3, Cycle 4, or Cycle 5 and as a result the baseline PK sample could be collected at Cycle 2, Cycle 3, Cycle 4, or Cycle 5. Each Cycle is 21 days. (NCT01889069)
Timeframe: Cycle 2 Predose, Cycle 3 Predose, Cycle 4 Predose, Cycle 5 Predose, Baseline Predose, Cycle 7 Predose on Day 1, Cycle 7 Day 7, Cycle 7 Day 14, Cycle 8 Predose on Day 1
Intervention | micrograms per millilitre (ug/mL) (Mean) | ||||||
---|---|---|---|---|---|---|---|
Cycle 2 Predose | Cycle 5 Predose | Baseline | Cycle 7 Predose | Cycle 7 Day 7 | Cycle 7 Day 14 | Cycle 8 Predose | |
Diffuse Large B-Cell Lymphoma (DLBCL) R-CHOP-14 | 170.00 | 125.00 | 214.25 | 93.50 | 71.55 | 42.00 | 78.50 |
PFS was defined as the time from first dose of rituximab to the first occurrence of disease progression or relapse, according to the International Working Group (IWG) response criteria or other country standards, or death from any cause, whichever occurred first. (NCT01889069)
Timeframe: Day 1 up to first occurrence of progression or relapse, or death, whichever occurs first (up to maximum 54 months)
Intervention | Percentage of Participants (Number) |
---|---|
Diffuse Large B-Cell Lymphoma (DLBCL) | 29.2 |
Follicular Lymphoma (FL) | 22.1 |
Subcutaneous (SC) Rituximab | 25.3 |
OS was defined as the time from first dose of rituximab to death from any cause. (NCT01889069)
Timeframe: Day 1 until death (up to maximum 54 months)
Intervention | Percentage of Participants (Number) |
---|---|
Diffuse Large B-Cell Lymphoma (DLBCL) | 19.4 |
Follicular Lymphoma (FL) | 4.7 |
Subcutaneous (SC) Rituximab | 11.4 |
EFS was defined as the time from first dose of rituximab to first occurrence of progression or relapse, according to the International Working Group (IWG) response criteria or other country standards, or initiation of a non-protocol-specified anti-lymphoma therapy or death, whichever occurred first. (NCT01889069)
Timeframe: Day 1 up to first occurrence of progression or relapse, or initiation of a non-protocol-specified anti-lymphoma therapy or death, whichever occurs first (up to maximum 54 months)
Intervention | Percentage of Participants (Number) |
---|---|
Diffuse Large B-Cell Lymphoma (DLBCL) | 29.2 |
Follicular Lymphoma (FL) | 22.1 |
Subcutaneous (SC) Rituximab | 25.3 |
DFS assessed in participants achieving complete response (CR) including complete response unconfirmed (Cru) and was defined as the period from 4 to 8 weeks after end of Induction period up to relapse or death from any cause, whichever occured first. (NCT01889069)
Timeframe: From 4 to 8 weeks after end of Induction period up to relapse or death from any cause, whichever occurs first (up to maximum 54 months) (end of Induction period = up to 8 months)
Intervention | Percentage of Participants (Number) |
---|---|
Diffuse Large B-Cell Lymphoma (DLBCL) | 21.7 |
Follicular Lymphoma (FL) | 25.6 |
Subcutaneous (SC) Rituximab | 23.5 |
Complete response required: 1) the complete disappearance of all detectable clinical and radiographic evidence of disease and disappearance of all disease-related symptoms if present before therapy, and normalization of those biochemical abnormalities, 2) all lymph nodes and nodal masses had regressed to normal size, 3) the spleen, if considered to be enlarged before therapy on the basis of a CT scan, must have regressed in size and not be palpable on physical examination and 4) if the bone marrow was involved by lymphoma before treatment, the infiltrate was cleared on repeat bone marrow aspirate and biopsy of the same site. CR/unconfirmed (CRu) included those patients who fulfilled criteria 1 and 3 above as well as 1) a residual lymph node mass greater than 1.5 cm in greatest transverse diameter that regressed by more than 75% in the SPD and 2) indeterminate bone marrow. Response was assessed according to the IWG response criteria. (NCT01889069)
Timeframe: At 4 to 8 weeks after end of Induction period (end of Induction period = up to 8 months)
Intervention | Percentage of Participants (Number) |
---|---|
Diffuse Large B-Cell Lymphoma (DLBCL) | 65.2 |
Follicular Lymphoma (FL) | 67.9 |
Subcutaneous (SC) Rituximab | 66.4 |
SAE was defined as any experience that suggested a significant hazard, contraindication, side effect, or precaution, and fulfilled any of the following criteria: fatal (resulted in death), life-threatening, required in-patient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/ birth defect, was medically significant or required intervention to prevent any of the other outcomes listed here. (NCT01889069)
Timeframe: Baseline up to 54 months
Intervention | Percentage of Participants (Number) |
---|---|
Diffuse Large B-Cell Lymphoma (DLBCL) | 36.1 |
Follicular Lymphoma (FL) | 26.7 |
Subcutaneous (SC) Rituximab | 31.0 |
An AE was any untoward medical occurrence in a participant administered a pharmaceutical product and which did not necessarily have to have a causal relationship with the treatment. An adverse event was therefore any unfavourable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Pre-existing conditions which worsened during the study were also considered as adverse events. Grading was completed according to the CTCAE, version 4.0. (NCT01889069)
Timeframe: Baseline up to 54 months
Intervention | Percentage of Participants (Number) |
---|---|
Diffuse Large B-Cell Lymphoma (DLBCL) | 51.4 |
Follicular Lymphoma (FL) | 43.0 |
Subcutaneous (SC) Rituximab | 46.8 |
Grading of IIRRs was completed according to the CTCAE, version 4.0. (NCT01889069)
Timeframe: Baseline up to 54 months
Intervention | Percentage of Participants (Number) |
---|---|
Diffuse Large B-Cell Lymphoma (DLBCL) | 0 |
Follicular Lymphoma (FL) | 0 |
Subcutaneous (SC) Rituximab | 0 |
FL participants could be enrolled during induction or maintenance phase and they should have received at least 1 infusion of rituximab and must have been able to receive at least 4 cycles of rituximab SC if enrolled during induction or 4 cycles of rituximab SC if enrolled during maintenance. PK data only collected for participants enrolled during Induction. During the induction phase each Cycle is 21 days. (NCT01889069)
Timeframe: Induction collection: Cycle 2 Predose, Cycle 3 Predose, Cycle 4 Predose, Cycle 5 Predose, Baseline Predose, and Cycle 8 Predose on Day 1
Intervention | micrograms per millilitre (ug/mL) (Geometric Least Squares Mean) |
---|---|
Follicular Lymphoma (FL) | 61.01 |
DLBCL participants received at least 1 infusion of rituximab and must have been able to receive at least 4 cycles of rituximab SC; therefore DLBCL participants could be enrolled at Cycle 2, Cycle 3, Cycle 4, or Cycle 5 and as a result the baseline PK sample could be collected at Cycle 2, Cycle 3, Cycle 4, or Cycle 5. Each Cycle is 21 days. (NCT01889069)
Timeframe: Cycle 2 Predose, Cycle 3 Predose, Cycle 4 Predose, Cycle 5 Predose, Baseline Predose, Cycle 7 Predose on Day 1, Cycle 7 Day 7, Cycle 7 Day 14, Cycle 8 Predose on Day 1
Intervention | micrograms per millilitre (ug/mL) (Geometric Least Squares Mean) |
---|---|
Diffuse Large B-Cell Lymphoma (DLBCL) | 70.50 |
DLBCL participants received at least 1 infusion of rituximab and must have been able to receive at least 4 cycles of rituximab SC; therefore DLBCL participants could be enrolled at Cycle 2, Cycle 3, Cycle 4, or Cycle 5 and as a result the baseline PK sample could be collected at Cycle 2, Cycle 3, Cycle 4, or Cycle 5. Each Cycle is 21 days. (NCT01889069)
Timeframe: Cycle 2 Predose, Cycle 3 Predose, Cycle 4 Predose, Cycle 5 Predose, Baseline Predose, Cycle 7 Predose on Day 1, Cycle 7 Day 7, Cycle 7 Day 14, Cycle 8 Predose on Day 1
Intervention | micrograms per millilitre (ug/mL) (Mean) |
---|---|
Diffuse Large B-Cell Lymphoma (DLBCL) | NA |
DLBCL participants received at least 1 infusion of rituximab and must have been able to receive at least 4 cycles of rituximab SC; therefore DLBCL participants could be enrolled at Cycle 2, Cycle 3, Cycle 4, or Cycle 5 and as a result the baseline PK sample could be collected at Cycle 2, Cycle 3, Cycle 4, or Cycle 5. Each Cycle is 21 days. (NCT01889069)
Timeframe: Cycle 2 Predose, Cycle 3 Predose, Cycle 4 Predose, Cycle 5 Predose, Baseline Predose, Cycle 7 Predose on Day 1, Cycle 7 Day 7, Cycle 7 Day 14, Cycle 8 Predose on Day 1
Intervention | mcg*hr/mL (Mean) |
---|---|
Diffuse Large B-Cell Lymphoma (DLBCL) | NA |
DLBCL participants received at least 1 infusion of rituximab and must have been able to receive at least 4 cycles of rituximab SC; therefore DLBCL participants could be enrolled at Cycle 2, Cycle 3, Cycle 4, or Cycle 5 and as a result the baseline PK sample could be collected at Cycle 2, Cycle 3, Cycle 4, or Cycle 5. Each Cycle is 21 days. (NCT01889069)
Timeframe: Cycle 2 Predose, Cycle 3 Predose, Cycle 4 Predose, Cycle 5 Predose, Baseline Predose, Cycle 7 Predose on Day 1, Cycle 7 Day 7, Cycle 7 Day 14, Cycle 8 Predose on Day 1
Intervention | liter per hour (L/h) (Mean) |
---|---|
Diffuse Large B-Cell Lymphoma (DLBCL) | NA |
Patient-assessed satisfaction was evaluated using RASQ. Participants were asked questions regarding convenience and satisfaction for rituximab SC. Each domain is scored on a scale of 0 to 100, with higher scores indicative of more positive feelings toward therapy. The score for each domain was averaged among all participants. DLBCL participants could be enrolled at cycle 2, cycle 3, or cycle 4. FL participants could be enrolled during induction or maintenance phase and they should have received at least 1 infusion of rituximab and must be able to receive at least 4 cycles of rituximab SC if enrolled during induction or 4 cycles of rituximab SC if enrolled during maintenance. Each Cycle is 21 days for DLBCL. Each Cycle 21 days during the Induction phase and 2 months during Maintenance phase for FL. (NCT01889069)
Timeframe: DLBCL: Cycle (C) 2, C3, C4, C5, C6, End of C8; FL: Induction: C3, C4, C5, C6, C8, Maintenance: C2, C3, C4, C5, C6, C7, C8, C10, C12, End of treatment (4-8 weeks after last dose)
Intervention | Units on a Scale (Mean) | |||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Convenience domain Cycle 3 Induction | Convenience domain Cycle 4 Induction | Convenience domain Cycle 5 Induction | Convenience domain Cycle 6 Induction | Convenience domain Cycle 8 Induction | Convenience domain Cycle 2 Maintenance | Convenience domain Cycle 3 Maintenance | Convenience domain Cycle 4 Maintenance | Convenience domain Cycle 5 Maintenance | Convenience domain Cycle 6 Maintenance | Convenience domain Cycle 7 Maintenance | Convenience domain Cycle 8 Maintenance | Convenience domain Cycle 10 Maintenance | Convenience domain Cycle 12 Maintenance | Convenience domain End of Treatment | Satisfaction domain Cycle 3 Induction | Satisfaction domain Cycle 4 Induction | Satisfaction domain Cycle 5 Induction | Satisfaction domain Cycle 6 Induction | Satisfaction domain Cycle 8 Induction | Satisfaction domain Cycle 2 Maintenance | Satisfaction domain Cycle 3 Maintenance | Satisfaction domain Cycle 4 Maintenance | Satisfaction domain Cycle 5 Maintenance | Satisfaction domain Cycle 6 Maintenance | Satisfaction domain Cycle 7 Maintenance | Satisfaction domain Cycle 8 Maintenance | Satisfaction domain Cycle 10 Maintenance | Satisfaction domain Cycle 12 Maintenance | Satisfaction domain End of Treatment | |
Follicular Lymphoma (FL) | 81.8 | 76.5 | 79.6 | 95.8 | 83.1 | 83.6 | 87.5 | 100.0 | 80.2 | 83.3 | 82.7 | 93.8 | 91.7 | 86.3 | 75.0 | 89.4 | 84.1 | 91.7 | 93.8 | 91.3 | 92.0 | 79.2 | 100.0 | 79.7 | 87.5 | 94.2 | 93.8 | 50.0 | 91.0 | 75.0 |
Patient-assessed satisfaction was evaluated using RASQ. Participants were asked questions regarding convenience and satisfaction for rituximab SC. Each domain is scored on a scale of 0 to 100, with higher scores indicative of more positive feelings toward therapy. The score for each domain was averaged among all participants. DLBCL participants could be enrolled at cycle 2, cycle 3, or cycle 4. FL participants could be enrolled during induction or maintenance phase and they should have received at least 1 infusion of rituximab and must be able to receive at least 4 cycles of rituximab SC if enrolled during induction or 4 cycles of rituximab SC if enrolled during maintenance. Each Cycle is 21 days for DLBCL. Each Cycle 21 days during the Induction phase and 2 months during Maintenance phase for FL. (NCT01889069)
Timeframe: DLBCL: Cycle (C) 2, C3, C4, C5, C6, End of C8; FL: Induction: C3, C4, C5, C6, C8, Maintenance: C2, C3, C4, C5, C6, C7, C8, C10, C12, End of treatment (4-8 weeks after last dose)
Intervention | Units on a Scale (Mean) | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Convenience domain Cycle 2 Treatment | Convenience domain Cycle 3 Treatment | Convenience domain Cycle 4 Treatment | Convenience domain Cycle 5 Treatment | Convenience domain Cycle 6 Treatment | Convenience domain Cycle 8 Treatment | Satisfaction domain Cycle 2 Treatment | Satisfaction domain Cycle 3 Treatment | Satisfaction domain Cycle 4 Treatment | Satisfaction domain Cycle 5 Treatment | Satisfaction domain Cycle 6 Treatment | Satisfaction domain Cycle 8 Treatment | |
Diffuse Large B-Cell Lymphoma (DLBCL) | 75.0 | 81.9 | 82.1 | 83.3 | 80.8 | 83.8 | 87.5 | 83.3 | 85.6 | 83.3 | 84.6 | 91.2 |
AARs were defined as all adverse events (AEs) occurring within 24 hours of rituximab administration and which were considered related to study drug. AARs included infusion/injection-related reactions (IIRRs), injection-site reactions, administration site conditions and all symptoms thereof. Grading was completed according to the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE), version 4.0. (NCT01889069)
Timeframe: Baseline up to 54 months
Intervention | Percentage of Participants (Number) | |||
---|---|---|---|---|
At least One AAR | At Least One AAR Grade ≥3 | Cutaneous and Soft Tissue AARs (Localized) | Cutaneous and Soft Tissue AARs (Non-Localized) | |
Diffuse Large B-Cell Lymphoma (DLBCL) | 4.2 | 0 | 1.4 | 2.8 |
Follicular Lymphoma (FL) | 8.1 | 0 | 8.1 | 0 |
Subcutaneous (SC) Rituximab | 6.3 | 0 | 5.1 | 1.3 |
"The following AEs were defined as AEPIs: AEs with the preferred term Progressive multifocal leukoencephalopathy (PML), hepatitis B reactivation defined as AEs with preferred term containing Hepatitis B or hepatitis acute, thrombocytopenia defined via Roche MedDRA basket subgroup haematopoietic thrombocytopenia, second malignancies defined as AEs from the SOC Neoplasms benign, malignant and unspecified starting 6 months after the first study drug intake, second malignancies based on standardised MedDRA queries (SMQ) starting 6 months after the first study drug intake based on the MedDRA SMQ Malignant or unspecified tumours, in which benign neoplasms are not included, Cardiac events including AEs from the SOC Cardiac disorders, and hemorrhagic events defined via Roche MedDRA basket subgroup Haemorrhagic events. Reported are number of participants with total AEPIs and each of the AEPI categories." (NCT01905943)
Timeframe: Baseline up to time of primary completion (3 years)
Intervention | Participants (Count of Participants) | |||||||
---|---|---|---|---|---|---|---|---|
Total AEPIs | Thrombocytopenia | Cardiac events | Second malignancies | Second malignancies (SMQ) | Hemorrhagic events | Hepatitis B reactivation | PML | |
Obinutuzumab | 467 | 314 | 109 | 82 | 75 | 69 | 3 | 1 |
An adverse event is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as adverse events. AEs, including AEs of Special Interest and AEs of Particular Interest, were reported based on the national cancer institute common terminology criteria for AEs, Version 4.0 (NCI-CTCAE, v4.0). Reported are the number of subjects with AEs, Grade 3-5 AEs, and Serious Adverse Events (SAEs). (NCT01905943)
Timeframe: Baseline up to time of primary completion (3 years)
Intervention | Participants (Count of Participants) | ||
---|---|---|---|
AEs | Grade 3-5 AEs | SAEs | |
Obinutuzumab | 950 | 780 | 516 |
OR: percentage of participants with complete response (CR) or CR with incomplete marrow recovery (CRi), or partial response (PR), as determined by the investigator based on International Workshop on Chronic Lymphocytic Leukemia (IWCLL) tumor response criteria. CR: Peripheral blood lymphocytes 4,000/mcL, no significant lymphadenopathy, no hepatomegaly and splenomegaly, no disease symptoms, blood counts: neutrophils >1,500/mcL, platelets > 100,000/mcL, hemoglobin > 110 g/L and bone marrow normocellular for age. Cri: CR with persistent cytopenia. PR: >/= 50% decrease in peripheral blood lymphocyte count AND >/= 50% reduction in lymphadenopathy OR >/= 50% reduction of liver enlargement OR >/= 50% reduction of spleen PLUS one of the following: neutrophils >1,500/mcL, platelets > 100,000/mcL, hemoglobin > 110 g/L OR >/= 50% increase in neutrophils, platelets or hemoglobin. (NCT01905943)
Timeframe: 3 months after the last dose of study treatment (up to approximately 5 years)
Intervention | percentage of participants (Number) |
---|---|
G Mono: Previously Untreated Fit | 71.0 |
G Mono: Previously Untreated Unfit | 59.4 |
G Mono: Relapsed/Refractory | 41.5 |
G-Benda: Previously Untreated Fit | 83.9 |
G-Benda: Previously Untreated Unfit | 81.6 |
G-Benda: Relapsed/Refractory | 73.2 |
G-FC: Previously Untreated Fit | 90.0 |
G-FC: Previously Untreated Unfit | 84.6 |
G-FC: Relapsed/Refractory | 85.0 |
G-Clb: Previously Untreated Fit | 100 |
G-Clb: Previously Untreated Unfit | 82.1 |
G-Clb: Relapsed/Refractory | 56.5 |
BOR was defined as the percentage of participants with the best response obtained throughout the trial with CR, CRi, or PR, as determined by the investigator based on IWCLL tumor response criteria. CR: Peripheral blood lymphocytes 4,000/mcL, no significant lymphadenopathy, no hepatomegaly and splenomegaly, no disease symptoms, blood counts: neutrophils >1,500/mcL, platelets > 100,000/mcL, hemoglobin > 110 g/L and bone marrow normocellular for age. Cri: CR with persistent cytopenia. PR: >/= 50% decrease in peripheral blood lymphocyte count AND >/= 50% reduction in lymphadenopathy OR >/= 50% reduction of liver enlargement OR >/= 50% reduction of spleen PLUS one of the following: neutrophils >1,500/mcL, platelets > 100,000/mcL, hemoglobin > 110 g/L OR >/= 50% increase in neutrophils, platelets or hemoglobin. (NCT01905943)
Timeframe: Baseline, Day 85, end of treatment or early termination, and follow-up, assessed up to disease progression or death, whichever occurs first (up to approximately 5 years)
Intervention | percentage of participants (Number) |
---|---|
G Mono: Previously Untreated Fit | 83.9 |
G Mono: Previously Untreated Unfit | 71.9 |
G Mono: Relapsed/Refractory | 60.0 |
G-Benda: Previously Untreated Fit | 91.7 |
G-Benda: Previously Untreated Unfit | 93.9 |
G-Benda: Relapsed/Refractory | 86.8 |
G-FC: Previously Untreated Fit | 97.1 |
G-FC: Previously Untreated Unfit | 84.6 |
G-FC: Relapsed/Refractory | 97.5 |
G-Clb: Previously Untreated Fit | 100 |
G-Clb: Previously Untreated Unfit | 94.0 |
G-Clb: Relapsed/Refractory | 84.8 |
Kaplan Meier estimate of median TTR was defined as the time at which half of the participants reached CR or PR based on IWCLL tumor response criteria. CR: Peripheral blood lymphocytes 4,000/mcL, no significant lymphadenopathy, no hepatomegaly and splenomegaly, no disease symptoms, blood counts: neutrophils >1,500/mcL, platelets > 100,000/mcL, hemoglobin > 110 g/L and bone marrow normocellular for age. PR: >/= 50% decrease in peripheral blood lymphocyte count AND >/= 50% reduction in lymphadenopathy OR >/= 50% reduction of liver enlargement OR >/= 50% reduction of spleen PLUS one of the following: neutrophils >1,500/mcL, platelets > 100,000/mcL, hemoglobin > 110 g/L OR >/= 50% increase in neutrophils, platelets or hemoglobin. (NCT01905943)
Timeframe: Baseline, Day 85, end of treatment or early termination, and follow-up, assessed up to disease progression or death, whichever occurs first (up to approximately 5 years)
Intervention | months (Median) |
---|---|
G Mono: Previously Untreated Fit | 3.6 |
G Mono: Previously Untreated Unfit | 3.6 |
G Mono: Relapsed/Refractory | 3.9 |
G-Benda: Previously Untreated Fit | 3.5 |
G-Benda: Previously Untreated Unfit | 3.5 |
G-Benda: Relapsed/Refractory | 3.7 |
G-FC: Previously Untreated Fit | 3.6 |
G-FC: Previously Untreated Unfit | 4.1 |
G-FC: Relapsed/Refractory | 3.6 |
G-Clb: Previously Untreated Fit | 3.3 |
G-Clb: Previously Untreated Unfit | 3.6 |
G-Clb: Relapsed/Refractory | 3.7 |
Kaplan Meier estimate of the median PFS was defined as the time at which half of the participants have progressed (progressive disease [PD]) based on IWCLL tumor response criteria or died from any cause, whichever occurred first. PD: at least one of the following: >/= 50% increase in the absolute number of circulating lymphocytes to at least 5,000/mcL, appearance of new palpable lymph nodes, >/= 50% increase in the longest diameter of any previous site of clinically significant lymphadenopathy, >/= 50% increase in the enlargement of the liver and/or spleen, transformation to more aggressive histology, progression of any cytopenia, decrease of hemoglobin levels by more than 20 g/L or to less than 100 g/L, decrease of platelet counts by more than 50% or to less than 100,000 /mcL, decrease of neutrophil counts by more than 50% or to less than 1,000/mcL. (NCT01905943)
Timeframe: Baseline, Day 85, end of treatment or early termination, and follow-up, assessed up to disease progression or death, whichever occurs first (up to approximately 5 years)
Intervention | months (Median) |
---|---|
G Mono: Previously Untreated Fit | 43.0 |
G Mono: Previously Untreated Unfit | 21.2 |
G Mono: Relapsed/Refractory | 17.6 |
G-Benda: Previously Untreated Fit | 58.0 |
G-Benda: Previously Untreated Unfit | NA |
G-Benda: Relapsed/Refractory | 28.6 |
G-FC: Previously Untreated Fit | NA |
G-FC: Previously Untreated Unfit | NA |
G-FC: Relapsed/Refractory | 24.8 |
G-Clb: Previously Untreated Fit | 31.3 |
G-Clb: Previously Untreated Unfit | 31.8 |
G-Clb: Relapsed/Refractory | 14.1 |
Kaplan Meier estimate of median TTNT was defined as the time at which half of the participants have initiated a new anti-leukemic therapy. (NCT01905943)
Timeframe: Baseline until end of study (up to approximately 5 years)
Intervention | months (Median) |
---|---|
G Mono: Previously Untreated Fit | NA |
G Mono: Previously Untreated Unfit | NA |
G Mono: Relapsed/Refractory | 22.5 |
G-Benda: Previously Untreated Fit | NA |
G-Benda: Previously Untreated Unfit | NA |
G-Benda: Relapsed/Refractory | 38.3 |
G-FC: Previously Untreated Fit | NA |
G-FC: Previously Untreated Unfit | NA |
G-FC: Relapsed/Refractory | 32.6 |
G-Clb: Previously Untreated Fit | NA |
G-Clb: Previously Untreated Unfit | 53.7 |
G-Clb: Relapsed/Refractory | 20.4 |
Kaplan Meier estimate of median EFS is the time at which half of the participants have progressed as assessed by investigator based on IWCLL tumor response criteria, or have initiated a non-protocol-specified anti-leukemia therapy or died, whichever occurs first. PD: at least 1 of the following: >/= 50% increase in absolute number of circulating lymphocytes to at least 5,000/mcL, appearance of new palpable lymph nodes, >/= 50% increase in longest diameter of any previous site of clinically significant lymphadenopathy, >/= 50% increase in enlargement of liver and/or spleen, transformation to more aggressive histology, progression of any cytopenia, decrease of hemoglobin levels by more than 20 g/L or to less than 100 g/L, decrease of platelet counts by more than 50% or to less than 100,000 /mcL, decrease of neutrophil counts by more than 50% or to less than 1,000/mcL. (NCT01905943)
Timeframe: Baseline, Day 85, end of treatment or early termination, and follow-up, assessed up to disease progression or death, whichever occurs first (up to approximately 5 years)
Intervention | months (Median) |
---|---|
G Mono: Previously Untreated Fit | 35.2 |
G Mono: Previously Untreated Unfit | 17.9 |
G Mono: Relapsed/Refractory | 14.0 |
G-Benda: Previously Untreated Fit | 58.0 |
G-Benda: Previously Untreated Unfit | 52.9 |
G-Benda: Relapsed/Refractory | 25.1 |
G-FC: Previously Untreated Fit | NA |
G-FC: Previously Untreated Unfit | NA |
G-FC: Relapsed/Refractory | 24.2 |
G-Clb: Previously Untreated Fit | 31.3 |
G-Clb: Previously Untreated Unfit | 31.8 |
G-Clb: Relapsed/Refractory | 13.7 |
Kaplan Meier estimate of median DoR was defined as the time at which half of the responding (PR or CR) participants had progressed (PD) or died from any cause, whichever occurred first. PR: >/= 50% decrease in peripheral blood lymphocyte count AND >/= 50% reduction in lymphadenopathy OR >/= 50% reduction of liver enlargement OR >/= 50% reduction of spleen PLUS one of the following: neutrophils >1,500/mcL, platelets > 100,000/mcL, hemoglobin > 110 g/L OR >/= 50% increase in neutrophils, platelets or hemoglobin. CR: Peripheral blood lymphocytes 4,000/mcL, no significant lymphadenopathy, no hepatomegaly and splenomegaly, no disease symptoms, blood counts: neutrophils >1,500/mcL, platelets > 100,000/mcL, hemoglobin > 110 g/L and bone marrow normocellular for age. PD: as defined in the description for Event-Free Survival outcome measure. (NCT01905943)
Timeframe: Baseline, Day 85, end of treatment or early termination, and follow-up, assessed up to disease progression or death, whichever occurs first (up to approximately 5 years)
Intervention | months (Median) |
---|---|
G Mono: Previously Untreated Fit | 40.1 |
G Mono: Previously Untreated Unfit | 20.1 |
G Mono: Relapsed/Refractory | 15.0 |
G-Benda: Previously Untreated Fit | 55.0 |
G-Benda: Previously Untreated Unfit | 49.3 |
G-Benda: Relapsed/Refractory | 25.5 |
G-FC: Previously Untreated Fit | NA |
G-FC: Previously Untreated Unfit | NA |
G-FC: Relapsed/Refractory | 21.2 |
G-Clb: Previously Untreated Fit | 28.1 |
G-Clb: Previously Untreated Unfit | 28.1 |
G-Clb: Relapsed/Refractory | 12.3 |
MRD-negativity was defined as the presence of less than 1 chronic lymphocytic leukemia (CLL) cell per 10,000 leukocytes in blood and bone marrow as assessed by flow cytometry 3 months after last dose of study treatment (i.e. at final response assessment [FRA] visit). (NCT01905943)
Timeframe: 3 months after the last dose of study treatment (up to approximately 5 years)
Intervention | percentage of participants (Number) | |
---|---|---|
Blood | Bone Marrow | |
G Mono: Previously Untreated Fit | 8.3 | 4.2 |
G Mono: Previously Untreated Unfit | 23.1 | 3.8 |
G Mono: Relapsed/Refractory | 4.1 | 2.0 |
G-Benda: Previously Untreated Fit | 63.1 | 31.5 |
G-Benda: Previously Untreated Unfit | 65.3 | 27.2 |
G-Benda: Relapsed/Refractory | 39.8 | 14.9 |
G-Clb: Previously Untreated Unfit | 9.4 | 5.7 |
G-Clb: Relapsed/Refractory | 6.3 | 3.1 |
G-FC: Previously Untreated Fit | 72.0 | 40.0 |
G-FC: Previously Untreated Unfit | 58.3 | 41.7 |
G-FC: Relapsed/Refractory | 51.5 | 24.2 |
Kaplan Meier estimate of median OS was defined as the time at which half of the participants had died, regardless of the cause of death. (NCT01905943)
Timeframe: Baseline until death (Approximately up to 5 years)
Intervention | months (Median) |
---|---|
G Mono: Previously Untreated Fit | NA |
G Mono: Previously Untreated Unfit | NA |
G Mono: Relapsed/Refractory | NA |
G-Benda: Previously Untreated Fit | NA |
G-Benda: Previously Untreated Unfit | NA |
G-Benda: Relapsed/Refractory | NA |
G-FC: Previously Untreated Fit | NA |
G-FC: Previously Untreated Unfit | NA |
G-FC: Relapsed/Refractory | NA |
G-Clb: Previously Untreated Fit | NA |
G-Clb: Previously Untreated Unfit | NA |
G-Clb: Relapsed/Refractory | NA |
"The following AEs were defined as AESIs: AEs with the preferred term Tumour Lysis Syndrome (TLS), Infusion-Related Reactions (IRRs) defined as AEs that occurred during or within 24 hours of the completion of obinutuzumab infusion and were assessed as related to obinutuzumab by the Investigator, Infections defined as AEs from System Organ Class (SOC) Infections and infestations and AEs with the preferred term Neutropenia. Reported are number of participants with total AESIs, IRRs, Infections, Neutropenia and TLS." (NCT01905943)
Timeframe: Baseline up to time of primary completion (3 years)
Intervention | Participants (Count of Participants) | ||||
---|---|---|---|---|---|
Total AESIs | IRRs | Neutropenia | Infections | TLS | |
Obinutuzumab | 905 | 635 | 599 | 521 | 62 |
Number of participants with TEAEs were reported. Adverse event (AE) was defined as any untoward medical occurrence in a clinical study participant administered a pharmaceutical (investigational or non investigational) product. An AE did not necessarily have a causal relationship with the pharmaceutical/biological agent under study. TEAEs were defined as adverse events with onset or worsening on or after date of first dose of study treatment up to and including 30 days after date of last dose of study medication. (NCT01974440)
Timeframe: Up to 8 years
Intervention | Participants (Count of Participants) |
---|---|
Placebo + Chemoimmunotherapy (CIT) | 197 |
Ibrutinib + CIT | 199 |
CRR was defined as the percentage of participants who achieved a complete response (CR); (based on investigator assessment) on or prior to the initiation of subsequent antilymphoma therapy. Criteria for CR: disappearance of all evidence of disease; mass of any size permitted if positron emission tomography (PET) negative; regression to normal size on CT; spleen and liver: not palpable, nodules disappeared; bone marrow: infiltrate cleared on repeat biopsy and no new sites of disease detected during assessment. Kaplan-Meier method was used for the analysis. Stratification factors were used for the analysis. (NCT01974440)
Timeframe: Up to 8 years
Intervention | percentage of participants (Number) |
---|---|
Placebo + Chemoimmunotherapy (CIT) | 50.2 |
Ibrutinib + CIT | 55 |
DOR was defined as the interval (in months) between the date of initial documentation of response (CR or PR) and the date of first documented evidence of progressive disease (or relapse for participants who experienced CR during the study) or death, whichever occurred first. Criteria for CR: disappearance of all evidence of disease; mass of any size permitted if PET negative; regression to normal size on CT; spleen and liver: not palpable, nodules disappeared; bone marrow: infiltrate cleared on repeat biopsy and no new sites of disease detected during assessment. Criteria for PR: >=50% decrease in sum of the diameter of all target lesions compared with baseline, in absence of new lesions or unequivocal progression of non-target lesions. Kaplan-Meier method was used for the analysis. Stratification factors were used for the analysis. (NCT01974440)
Timeframe: Up to 8 years
Intervention | months (Median) |
---|---|
Placebo + Chemoimmunotherapy (CIT) | 21.68 |
Ibrutinib + CIT | 44.32 |
PFS in MZL participants was defined as duration (in months) from the date of randomization to the date of disease progression or relapse from CR or death, whichever was first reported. PFS was assessed by the investigator based on the 2007 Revised Response Criteria for Malignant Lymphoma. Disease progression was defined as any new lesion or increase by >=50% of previously involved sites from nadir disease progression criteria: Appearance of new nodal lesion 1.5 cm in any axis, 50% increase in SPD of >1 node or 50% increase in longest diameter of previously identified node 1 cm in short axis. Participants who were progression-free and alive or had unknown status were censored at the last tumor assessment. Kaplan-Meier method was used for the analysis. For this outcome measure, unstratified analysis was performed on participants with MZL. (NCT01974440)
Timeframe: Up to 8 years
Intervention | months (Median) |
---|---|
Placebo + Chemoimmunotherapy (CIT) | 91.63 |
Ibrutinib + CIT | NA |
ORR was defined as the percentage of participants who achieved a CR or partial response (PR). Criteria for CR: disappearance of all evidence of disease; mass of any size permitted if PET negative; regression to normal size on CT; spleen and liver: not palpable, nodules disappeared; bone marrow: infiltrate cleared on repeat biopsy and no new sites of disease detected during assessment. Criteria for PR: >=50% decrease in sum of the diameter of all target lesions compared with baseline, in absence of new lesions or unequivocal progression of non-target lesions. Kaplan-Meier method was used for the analysis. Stratification factors were used for the analysis. (NCT01974440)
Timeframe: Up to 8 years
Intervention | percentage of participants (Number) |
---|---|
Placebo + Chemoimmunotherapy (CIT) | 90.5 |
Ibrutinib + CIT | 91.6 |
OS was defined as the interval (in months) between the date of randomization and the date of the participant's death due to any cause. Kaplan-Meier method was used for the analysis. Stratification factors were used for the analysis. (NCT01974440)
Timeframe: Up to 8 years
Intervention | months (Median) |
---|---|
Placebo + Chemoimmunotherapy (CIT) | NA |
Ibrutinib + CIT | NA |
PFS was defined as duration (in months) from the date of randomization to the date of disease progression or relapse from complete response (CR) or death, whichever was first reported. PFS was assessed by the investigator based on the 2007 Revised Response Criteria for Malignant Lymphoma. Disease progression was defined as any new lesion or increase by greater than or equal to (>=) 50 percent (%) of previously involved sites from nadir disease progression criteria: Appearance of new nodal lesion 1.5 centimeters (cm) in any axis, 50% increase in sum of product of diameters (SPD) of greater than (>) 1 node or 50% increase in longest diameter of previously identified node 1 cm in short axis. Participants who were progression-free and alive or had unknown status were censored at the last tumor assessment. Kaplan-Meier method was used for the analysis. Stratification factors were used for the analysis. (NCT01974440)
Timeframe: Up to 8 years
Intervention | months (Median) |
---|---|
Placebo + Chemoimmunotherapy (CIT) | 23.75 |
Ibrutinib + CIT | 40.51 |
Time-to-worsening in the Lymphoma subscale of the FACT-Lym was defined as the time (in months) from the date of randomization to the start date of the worsening of participant symptoms. Worsening was defined by a 5-point decrease from baseline in participant symptoms. FACT-Lym Lymphoma subscale contains 15 questions, scores from 0 to 4 for each question (0 = not at all, 1 = a little bit, 2 = some what, 3 = quite a bit and 4 = very much, where the higher score indicated worse condition). Lymphoma subscale score is the total of reverse scores, range 0 to 60. Higher scores indicate a better quality of life. (NCT01974440)
Timeframe: Up to 8 years
Intervention | months (Median) |
---|---|
Placebo + Chemoimmunotherapy (CIT) | 37.03 |
Ibrutinib + CIT | 24.84 |
DOR in MZL participants was defined as the interval (in months) between the date of initial documentation of response (CR or PR) and the date of first documented evidence of progressive disease (or relapse for participants who experienced CR during the study) or death, whichever occurred first. Criteria for CR: disappearance of all evidence of disease; mass of any size permitted if PET negative; regression to normal size on CT; spleen and liver: not palpable, nodules disappeared; bone marrow: infiltrate cleared on repeat biopsy and no new sites of disease detected during assessment. Criteria for PR: >=50% decrease in sum of the diameter of all target lesions compared with baseline, in absence of new lesions or unequivocal progression of non-target lesions. Kaplan-Meier method was used for the analysis. For this outcome measure, unstratified analysis was performed on participants with MZL. (NCT01974440)
Timeframe: Up to 8 years
Intervention | months (Median) |
---|---|
Placebo + Chemoimmunotherapy (CIT) | 89.17 |
Ibrutinib + CIT | NA |
Number of MZL participants with TEAEs were reported. AE was defined as any untoward medical occurrence in a clinical study participant administered a pharmaceutical (investigational or non investigational) product. An AE did not necessarily have a causal relationship with the pharmaceutical/biological agent under study. TEAEs were defined as adverse events with onset or worsening on or after date of first dose of study treatment up to and including 30 days after date of last dose of study medication. (NCT01974440)
Timeframe: Up to 8 years
Intervention | Participants (Count of Participants) |
---|---|
Placebo + Chemoimmunotherapy (CIT) | 28 |
Ibrutinib + CIT | 28 |
ORR in MZL participants was defined as the percentage of participants who achieved a CR or PR. Criteria for CR: disappearance of all evidence of disease; mass of any size permitted if PET negative; regression to normal size on CT; spleen and liver: not palpable, nodules disappeared; bone marrow: infiltrate cleared on repeat biopsy and no new sites of disease detected during assessment. Criteria for PR: >=50% decrease in sum of the diameter of all target lesions compared with baseline, in absence of new lesions or unequivocal progression of non-target lesions. Kaplan-Meier method was used for the analysis. For this outcome measure, unstratified analysis was performed on participants with MZL. (NCT01974440)
Timeframe: Up to 8 years
Intervention | percentage of participants (Number) |
---|---|
Placebo + Chemoimmunotherapy (CIT) | 82.1 |
Ibrutinib + CIT | 89.3 |
OS in MZL participants was defined as the interval (in months) between the date of randomization and the date of the participant's death due to any cause. Kaplan-Meier method was used for the analysis. For this outcome measure, unstratified analysis was performed on participants with MZL. (NCT01974440)
Timeframe: Up to 8 years
Intervention | months (Median) |
---|---|
Placebo + Chemoimmunotherapy (CIT) | NA |
Ibrutinib + CIT | NA |
TTW in MZL participants in the Lymphoma subscale of the FACT-Lym was defined as the time (in months) from the date of randomization to the start date of the worsening of participant symptoms. Worsening was defined by a 5-point decrease from baseline in participant symptoms. FACT-Lym Lymphoma subscale contains 15 questions, scores from 0 to 4 for each question (0 = not at all, 1 = a little bit, 2 = some what, 3 = quite a bit and 4 = very much, where the higher score indicated worse condition). Lymphoma subscale score is the total of reverse scores, range 0 to 60. Higher scores indicate a better quality of life. (NCT01974440)
Timeframe: Up to 8 years
Intervention | months (Median) |
---|---|
Placebo + Chemoimmunotherapy (CIT) | 36.83 |
Ibrutinib + CIT | 58.91 |
CRR in MZL participants was defined as the percentage of participants who achieved a CR (based on investigator assessment) on or prior to the initiation of subsequent antilymphoma therapy. Criteria for CR: disappearance of all evidence of disease; mass of any size permitted if PET negative; regression to normal size on CT; spleen and liver: not palpable, nodules disappeared; bone marrow: infiltrate cleared on repeat biopsy and no new sites of disease detected during assessment. Kaplan-Meier method was used for the analysis. For this outcome measure, unstratified analysis was performed on participants with MZL. (NCT01974440)
Timeframe: Up to 8 years
Intervention | percentage of participants (Number) |
---|---|
Placebo + Chemoimmunotherapy (CIT) | 60.7 |
Ibrutinib + CIT | 64.3 |
Progression-free survival (PFS) is defined as the interval from randomization to the first documentation of definitive disease progression or death from any cause. Definitive disease progression is CLL progression based on standard criteria, excluding lymphocytosis alone. PFS was to be assessed by an independent review committee (IRC). (NCT01980888)
Timeframe: Up to 22 months
Intervention | months (Median) |
---|---|
Idelalisib+Bendamustine+Rituximab | NA |
Placebo+Bendamustine+Rituximab | NA |
Assessment of response was performed by the investigator according to the iwCLL guidelines. PD was defined as occurrence of one of the following events: appearance of any new extra nodal lesion; new palpable lymph node (>1.5 cm); unequivocal progression of non-target lesion; an increase of >/=50% compared to baseline in splenomegaly, hepatomegaly, number of blood lymphocytes with lymphocyte count >/=5000/mcL, or in longest diameter of any extra nodal lesion; transformation to a more aggressive histology; decrease of >/=50% compared to baseline in platelet or neutrophil count; or decrease in hemoglobin level by >2 g/dL or to <10 g/dL. Percentages are rounded off. (NCT02005471)
Timeframe: Baseline up to PD or death, whichever occurred first (up to approximately 8 years 5 months)
Intervention | percentage of participants (Number) |
---|---|
Bendamustine + Rituximab 17p Del. Population | 80.4 |
Venetoclax + Rituximab 17p Del. Population | 80.4 |
Assessment of response was performed by the IRC according to the iwCLL guidelines. PD was defined as occurrence of one of the following events: appearance of any new extra nodal lesion; new palpable lymph node (>1.5 cm); unequivocal progression of non-target lesion; an increase of >/=50% compared to baseline in splenomegaly, hepatomegaly, number of blood lymphocytes with lymphocyte count >/=5000/mcL, or in longest diameter of any extra nodal lesion; transformation to a more aggressive histology; decrease of >/=50% compared to baseline in platelet or neutrophil count; or decrease in hemoglobin level by >2 g/dL or to <10 g/dL. No new IRC data was generated post the primary analysis. (NCT02005471)
Timeframe: Baseline up to PD or death, whichever occurred first (up to approximately 3 years)
Intervention | percentage of participants (Number) |
---|---|
Bendamustine + Rituximab Main Study | 54.4 |
Venetoclax + Rituximab Main Study | 18.0 |
Assessment of response was performed by the investigator according to the iwCLL guidelines. PD was defined as occurrence of one of the following events: appearance of any new extra nodal lesion; new palpable lymph node (greater than [>] 1.5 centimeters [cm]); unequivocal progression of non-target lesion; an increase of greater than or equal to (>/=) 50 percent (%) compared to baseline in splenomegaly, hepatomegaly, number of blood lymphocytes with lymphocyte count >/=5000 per microliter (mcL), or in longest diameter of any extra nodal lesion; transformation to a more aggressive histology; decrease of >/=50% compared to baseline in platelet or neutrophil count; or decrease in hemoglobin level by >2 grams per deciliter (g/dL) or to less than [<] 10 g/dL. Percentages are rounded off. (NCT02005471)
Timeframe: Baseline up to PD or death from any cause, whichever occurred first (up to approximately 8 years 5 months)
Intervention | percentage of participants (Number) |
---|---|
Bendamustine + Rituximab Main Study | 88.7 |
Venetoclax + Rituximab Main Study | 70.1 |
Response was assessed by the IRC according to the iwCLL guidelines and was confirmed by repeat assessment >/=4 weeks after initial documentation. CR: peripheral blood lymphocytes <4000/mcL; absence of any new lesion, nodal disease, lymphadenopathy, hepatomegaly, splenomegaly, and constitutional symptoms; neutrophils >1500/mcL, platelets >100000/mcL, hemoglobin >11.0 g/dL without need for transfusion or exogenous growth factors; normocellular bone marrow with <30% lymphocytes; no lymphoid nodules. CRi: fulfilling all CR criteria but persistent cytopenia. PR: >/=50% reduction in two of the following: peripheral blood lymphocytes, lymphadenopathy, spleen and/or liver enlargement; and one of the following: neutrophils >1500/mcL, platelets >100000/mcL, hemoglobin >11.0 g/dL or >/=50% improvement without need for transfusion or exogenous growth factors. nPR: fulfilling all CR criteria but presence of lymphoid nodules. The 95% CI was computed using Pearson-Clopper method. (NCT02005471)
Timeframe: EoCTR visit (8 to 12 weeks after C6D1); Cycle length = 28 days
Intervention | percentage of participants (Number) |
---|---|
Bendamustine + Rituximab Main Study | 62.6 |
Venetoclax + Rituximab Main Study | 87.1 |
Response was assessed by investigator according to iwCLL guidelines and was confirmed by repeat assessment >/=4 weeks after initial documentation. CR: peripheral blood lymphocytes <4000/mcL; absence of any new lesion, nodal disease, lymphadenopathy, hepatomegaly, splenomegaly, and constitutional symptoms; neutrophils >1500/mcL, platelets >100000/mcL, hemoglobin >11.0 g/dL without need for transfusion or exogenous growth factors; normocellular bone marrow with <30% lymphocytes; no lymphoid nodules. CRi: fulfilling all CR criteria but persistent cytopenia. PR: >/=50% reduction in 2 of following: peripheral blood lymphocytes, lymphadenopathy, spleen and/or liver enlargement; and 1 of following: neutrophils >1500/mcL, platelets >100000/mcL, hemoglobin >11.0 g/dL or >/=50% improvement without need for transfusion or exogenous growth factors. nPR: fulfilling all CR criteria but presence of lymphoid nodules. 95% CI was computed using Pearson-Clopper method. Percentages are rounded off. (NCT02005471)
Timeframe: End of combination treatment response (EoCTR) visit (8 to 12 weeks after Cycle [C] 6 Day [1]); Cycle length = 28 days
Intervention | percentage of participants (Number) |
---|---|
Bendamustine + Rituximab Main Study | 63.1 |
Venetoclax + Rituximab Main Study | 88.1 |
MRD-negativity was defined as the presence of <1 malignant B-cell per 10000 normal B-cells in a sample of at least 200000 B-cells, as assessed flow cytometry technique. Percentage of participants with MRD-negativity was reported. The 95% CI was computed using Pearson-Clopper method. Percentages are rounded off. (NCT02005471)
Timeframe: EoCTR visit (8 to 12 weeks after C6D1); Cycle length = 28 days
Intervention | percentage of participants (Number) |
---|---|
Bendamustine + Rituximab Main Study | 1.0 |
Venetoclax + Rituximab Main Study | 14.4 |
MRD-negativity was defined as the presence of <1 malignant B-cell per 10000 normal B-cells in a sample of at least 200000 B-cells, as assessed by the allele specific oligonucleotide polymerase chain reaction (ASO-PCR) and/or flow cytometry technique. Percentage of participants with MRD-negativity was reported. The 95% CI was computed using Pearson-Clopper method. Percentage is rounded off. (NCT02005471)
Timeframe: EoCTR visit (8 to 12 weeks after C6D1); Cycle length = 28 days
Intervention | percentage of participants (Number) |
---|---|
Bendamustine + Rituximab Main Study | 13.3 |
Venetoclax + Rituximab Main Study | 62.4 |
Response was assessed by IRC according to iwCLL guidelines and was confirmed by repeat assessment >/=4 weeks after initial documentation. CR: peripheral blood lymphocytes <4000/mcL; absence of any new lesion, nodal disease, lymphadenopathy, hepatomegaly, splenomegaly, constitutional symptoms; neutrophils >1500/mcL, platelets >100000/mcL, hemoglobin >11.0 g/dL without need for transfusion or exogenous growth factors; normocellular bone marrow with <30% lymphocytes; no lymphoid nodules. CRi: fulfilling all CR criteria but persistent cytopenia. PR: >/=50% reduction in 2 of following: peripheral blood lymphocytes, lymphadenopathy, spleen and/or liver enlargement; 1 of following: neutrophils >1500/mcL, platelets >100000/mcL, hemoglobin >11.0 g/dL or >/=50% improvement without need for transfusion or exogenous growth factors. nPR: fulfilling all CR criteria but presence of lymphoid nodules. 95% CI was computed using Pearson-Clopper method.No new IRC data was generated post primary analysis. (NCT02005471)
Timeframe: Baseline up to last FUV (up to approximately 3 years)
Intervention | percentage of participants (Number) |
---|---|
Bendamustine + Rituximab Main Study | 67.7 |
Venetoclax + Rituximab Main Study | 93.3 |
DOR was defined as the time from first occurrence of a documented response of CR, CRi, nPR, or PR until PD/relapse, as assessed by the investigator according to the iwCLL guidelines, or death from any cause. PD: occurrence of one of the following: new lesion; new palpable lymph node (>1.5 cm); unequivocal progression of non-target lesion; increase of >/=50% in splenomegaly, hepatomegaly, blood lymphocytes with count >/=5000/mcL, longest diameter of any lesion; transformation to more aggressive histology; decrease of >/=50% in platelet or neutrophil count, or hemoglobin level by >2 g/dL or to <10 g/dL. Participants without PD or death after response were censored at the last date of adequate response assessment. The median DOR was estimated using Kaplan-Meier method and the 95% CI was computed using method of Brookmeyer and Crowley. CR, CRi, nPR, and PR have been defined in previous outcomes, and are not repeated here due to space constraint. (NCT02005471)
Timeframe: From time of achieving best overall response until PD or death from any cause, whichever occurred first (up to approximately 8 years 5 months)
Intervention | months (Median) |
---|---|
Bendamustine + Rituximab Main Study | 19.1 |
Venetoclax + Rituximab Main Study | 53.6 |
Percentage of participants who died from any cause, during the study, was reported. Percentage is rounded off. (NCT02005471)
Timeframe: Baseline up to approximately 8 years 5 months
Intervention | percentage of participants (Number) |
---|---|
Bendamustine + Rituximab Main Study | 43.1 |
Venetoclax + Rituximab Main Study | 30.9 |
OS was defined as the time from the date of randomization to the date of death from any cause. Participants alive at the time of the analysis were censored at the date when they were last known to be alive as documented by the investigator. The median OS was estimated using Kaplan-Meier method and the 95% CI was computed using method of Brookmeyer and Crowley. (NCT02005471)
Timeframe: Baseline up to approximately 8 years 5 months
Intervention | months (Median) |
---|---|
Bendamustine + Rituximab Main Study | 87.8 |
Venetoclax + Rituximab Main Study | NA |
EFS was defined as the time from date of randomization until the date of PD/relapse, start of a new non-protocol-specified anti-CLL therapy, or death from any cause, whichever occurred first, as assessed by the investigator. PD: occurrence of one of the following: new lesion; new palpable lymph node (>1.5 cm); unequivocal progression of non-target lesion; increase of >/=50% in splenomegaly, hepatomegaly, blood lymphocytes with count >/=5000/mcL, longest diameter of any lesion; transformation to more aggressive histology; decrease of >/=50% in platelet or neutrophil count, or hemoglobin level by >2 g/dL or to <10 g/dL. Participants without any of the specified event at the time of analysis were censored at the date of last adequate response assessment. In case of no post-baseline response assessment, participants were censored at the randomization date. The median EFS was estimated using Kaplan-Meier method and the 95% CI was computed using method of Brookmeyer and Crowley. (NCT02005471)
Timeframe: Baseline up to PD/relapse, start of a new anti-CLL therapy, or death from any cause, whichever occurred first (approximately 8 years 5 months)
Intervention | months (Median) |
---|---|
Bendamustine + Rituximab Main Study | 16.4 |
Venetoclax + Rituximab Main Study | 53.7 |
Percentage of participants with PD as assessed by the investigator according to the iwCLL guidelines or death from any cause during the study was reported. PD was defined as occurrence of one of the following events: appearance of any new extra nodal lesion; new palpable lymph node (>1.5 cm); unequivocal progression of non-target lesion; an increase of >/=50% compared to baseline in splenomegaly, hepatomegaly, number of blood lymphocytes with lymphocyte count >/=5000/mcL, or in longest diameter of any extra nodal lesion; transformation to a more aggressive histology; decrease of >/=50% compared to baseline in platelet or neutrophil count; or decrease in hemoglobin level by >2 g/dL or to <10 g/dL. CR, CRi, nPR, and PR have been defined in previous outcomes, and are not repeated here due to space constraint. Percentage is rounded off. (NCT02005471)
Timeframe: From time of achieving best overall response until PD or death from any cause, whichever occurred first (up to approximately 8 years 5 months)
Intervention | percentage of participants (Number) |
---|---|
Bendamustine + Rituximab Main Study | 95.5 |
Venetoclax + Rituximab Main Study | 68.5 |
TTNT was defined as the time from randomization until start of new non-protocol-specified anti-CLL treatment or death from any cause. Participants without the event at the time of analysis were censored at the last visit date for this outcome measure analysis. The median TTNT was estimated using Kaplan-Meier method and the 95% CI was computed using method of Brookmeyer and Crowley. (NCT02005471)
Timeframe: Baseline up to start of new ani-CLL therapy or death, whichever occurred first (up to approximately 8 years 5 months)
Intervention | months (Median) |
---|---|
Bendamustine + Rituximab Main Study | 24.0 |
Venetoclax + Rituximab Main Study | 63.0 |
(NCT02005471)
Timeframe: Pre-dose (0 hour, anytime before venetoclax administration) and 4 hours post-dose on D1 of Cycles 1 and 4; Cycle length = 28 days
Intervention | micrograms per milliliter (mcg/mL) (Mean) | |||
---|---|---|---|---|
C1D1, Pre-dose | C1D1, 4 hours Post-Dose | C4D1, Pre-dose | C4D1, 4 hours Post-Dose | |
Venetoclax + Rituximab Main Study | 0.626 | 1.34 | 0.681 | 1.34 |
Response was assessed by investigator according to iwCLL guidelines and was confirmed by repeat assessment >/=4 weeks after initial documentation. CR: peripheral blood lymphocytes <4000/mcL; absence of any new lesion, nodal disease, lymphadenopathy, hepatomegaly, splenomegaly, and constitutional symptoms; neutrophils >1500/mcL, platelets >100000/mcL, hemoglobin >11.0 g/dL without need for transfusion or exogenous growth factors; normocellular bone marrow with <30% lymphocytes; no lymphoid nodules. CRi: fulfilling all CR criteria but persistent cytopenia. PR: >/=50% reduction in two of following: peripheral blood lymphocytes, lymphadenopathy, spleen and/or liver enlargement; and 1 of following: neutrophils >1500/mcL, platelets >100000/mcL, hemoglobin >11.0 g/dL or >/=50% improvement without need for transfusion or exogenous growth factors. nPR: fulfilling all CR criteria but presence of lymphoid nodules. 95% CI was computed using Pearson-Clopper method.Percentages are rounded off. (NCT02005471)
Timeframe: Baseline up to approximately 8 years 5 months
Intervention | percentage of participants (Number) | |||
---|---|---|---|---|
CR | CRi | nPR | PR | |
Bendamustine + Rituximab Main Study | 8.2 | 0.5 | 6.2 | 52.8 |
Venetoclax + Rituximab Main Study | 26.3 | 1.5 | 3.6 | 61.9 |
An AE was defined as any untoward medical occurrence in a participant administered with Mircera and which does not necessarily have a causal relationship with Mircera. A SAE is any significant hazard, contraindication, side effect that is fatal or life threatening; requires in-patient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability/incapacity; is a congenital anomaly/birth defect; is medically significant or requires intervention to prevent one or other of the outcomes listed above. TLS and IRRs were graded using the National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE v4.0). Grade 1 = Mild; Grade 2 = Moderate; Grade 3 = Severe or medically significant; Grade 4 = Life-threatening; Grade 5 = Death. A higher grade indicates a worse outcome. (NCT02005471)
Timeframe: From signing of informed consent form up to approximately 8 years 5 months
Intervention | Participants (Count of Participants) | |
---|---|---|
TLS | IRRs | |
Bendamustine + Rituximab Main Study | 2 | 10 |
Venetoclax + Rituximab Main Study | 6 | 4 |
An AE was defined as any untoward medical occurrence in a participant administered with Mircera and which does not necessarily have a causal relationship with Mircera. A Serious Adverse Event (SAE) is any significant hazard, contraindication, side effect that is fatal or life threatening; requires in-patient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability/incapacity; is a congenital anomaly/birth defect; is medically significant or requires intervention to prevent one or other of the outcomes listed above. AEs were assessed using National Cancer Institute Common Terminology Criteria for Adverse Events, version 4.0 (NCI CTCAE, v4.0) (NCT02005471)
Timeframe: From signing of informed consent form up to approximately 8 years 5 months
Intervention | Participants (Count of Participants) | |
---|---|---|
Adverse Events | Serious Adverse Events | |
Bendamustine + Rituximab Main Study | 185 | 84 |
Venetoclax + Rituximab Main Study | 194 | 101 |
MDASI is a 25-item validated questionnaire consisting of 2 parts. Part 1: 19-items divided into 2 scales, Core Symptom Severity (average of Questions 1 to 13; total 13 items: pain, fatigue, nausea, disturbed sleep, distress, shortness of breath, remembering things, lack of appetite, drowsiness, dry mouth, sadness, vomiting, and numbness) and Module Symptom Severity (average of Questions 14 to 19; total 6 items: night sweats, fevers and chills, lymph node swelling, diarrhea, bruising easy or bleeding, and constipation). Part 2: 6-items to assess Interference (symptom distress) (average of Questions 20 to 25; total 6 items: general activity, walking, work, mood, relations with other people, and enjoyment of life). Each item was rated from 0 to 10, with lower scores indicating better outcome. Total score for Core Symptom Severity, Module Symptom Severity, and Interference are reported which range from 0 to 10, with lower scores indicating better health-related quality of life (HRQoL). (NCT02005471)
Timeframe: Baseline, Days 1, 8, and 15 of Cycles 1, 2, and 3; Cycle length = 28 days
Intervention | units on a scale (Mean) | |||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Baseline; Mean core symptom severity | Change at C1D1; Mean core symptom severity | Change at C1D8; Mean core symptom severity | Change at C1D15; Mean core symptom severity | Change at C2D1; Mean core symptom severity | Change at C2D8; Mean core symptom severity | Change at C2D15; Mean core symptom severity | Change at C3D1; Mean core symptom severity | Change at C3D8; Mean core symptom severity | Change at C3D15; Mean core symptom severity | Baseline; Mean module symptom severity | Change at C1D1; Mean module symptom severity | Change at C1D8; Mean module symptom severity | Change at C1D15; Mean module symptom severity | Change at C2D1; Mean module symptom severity | Change at C2D8; Mean module symptom severity | Change at C2D15; Mean module symptom severity | Change at C3D1; Mean module symptom severity | Change at C3D8; Mean module symptom severity | Change at C3D15; Mean module symptom severity | Baseline; Mean interference | Change at C1D1; Mean interference | Change at C1D8; Mean interference | Change at C1D15; Mean interference | Change at C2D1; Mean interference | Change at C2D8; Mean interference | Change at C2D15; Mean interference | Change at C3D1; Mean interference | Change at C3D8; Mean interference | Change at C3D15; Mean interference | |
Bendamustine + Rituximab Main Study | 1.76 | 0.00 | 0.26 | 0.00 | -0.23 | 0.17 | -0.13 | -0.26 | -0.13 | -0.42 | 1.60 | 0.00 | -0.22 | -0.43 | -0.49 | -0.46 | -0.69 | -0.65 | -0.51 | -0.83 | 1.81 | 0.00 | 0.45 | 0.36 | 0.01 | 0.58 | 0.06 | -0.02 | 0.15 | -0.07 |
Venetoclax + Rituximab Main Study | 1.55 | -0.08 | -0.30 | -0.27 | -0.33 | -0.45 | -0.53 | -0.40 | -0.66 | -0.53 | 1.57 | -0.19 | -0.53 | -0.73 | -0.65 | -0.77 | -0.94 | -0.81 | -0.83 | -0.92 | 1.90 | -0.13 | -0.29 | 0.01 | -0.34 | -0.58 | -0.64 | -0.73 | -0.82 | -0.55 |
The EORTC QLQ-CLL16 module is designed for participants with Stage 0 to Stage 4 CLL. It is composed of 16 questions and there are four multi-item scales on Fatigue (2 items), Treatment-related side effects (TRSE, 4 items), Disease-related symptoms (DRS, 4 items), and Infection (4 items); and two single-item scales on social activities and future health worries. Multi-item scales score are reported and the total score for each multi-item scale was transformed to result in a total score range of 0 to 100, where higher score = poor HRQoL. (NCT02005471)
Timeframe: Baseline, D1 of Cycles 1, 2, 3, 4, 5, 6, STC/EW visit (up to C6D28), EoCTR visit (8 to 12 weeks after C6D1), and FUVs (every 12 weeks after EoCTR up to 3 years); Cycle length = 28 days
Intervention | units on a scale (Mean) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Baseline; TRSE | Change at C1D1; TRSE | Change at C2D1; TRSE | Change at C3D1; TRSE | Change at C4D1; TRSE | Change at C5D1; TRSE | Change at C6D1; TRSE | Change at STC/EW; TRSE | Change at EoCTR; TRSE | Change at FUV1; TRSE | Change at FUV2; TRSE | Change at FUV3; TRSE | Change at FUV4; TRSE | Change at FUV5; TRSE | Change at FUV6; TRSE | Change at FUV7; TRSE | Change at FUV8; TRSE | Change at FUV9; TRSE | Baseline; DRS | Change at C1D1; DRS | Change at C2D1; DRS | Change at C3D1; DRS | Change at C4D1; DRS | Change at C5D1; DRS | Change at C6D1; DRS | Change at STC/EW; DRS | Change at EoCTR; DRS | Change at FUV1; DRS | Change at FUV2; DRS | Change at FUV3; DRS | Change at FUV4; DRS | Change at FUV5; DRS | Change at FUV6; DRS | Change at FUV7; DRS | Change at FUV8; DRS | Change at FUV9; DRS | Baseline; Fatigue | Change at C1D1; Fatigue | Change at C2D1; Fatigue | Change at C3D1; Fatigue | Change at C4D1; Fatigue | Change at C5D1; Fatigue | Change at C6D1; Fatigue | Change at STC/EW; Fatigue | Change at EoCTR; Fatigue | Change at FUV1; Fatigue | Change at FUV2; Fatigue | Change at FUV3; Fatigue | Change at FUV4; Fatigue | Change at FUV5; Fatigue | Change at FUV6; Fatigue | Change at FUV7; Fatigue | Change at FUV8; Fatigue | Change at FUV9; Fatigue | Baseline; Infection | Change at C1D1; Infection | Change at C2D1; Infection | Change at C3D1; Infection | Change at C4D1; Infection | Change at C5D1; Infection | Change at C6D1; Infection | Change at STC/EW; Infection | Change at EoCTR; Infection | Change at FUV1; Infection | Change at FUV2; Infection | Change at FUV3; Infection | Change at FUV4; Infection | Change at FUV5; Infection | Change at FUV6; Infection | Change at FUV7; Infection | Change at FUV8; Infection | Change at FUV9; Infection | |
Bendamustine + Rituximab Main Study | 14.29 | 0.0 | 1.62 | -0.26 | -0.49 | -0.51 | 0.46 | 0.81 | -0.88 | -1.20 | -1.70 | -2.08 | -1.97 | -2.68 | -1.01 | 2.56 | 1.67 | 8.33 | 19.57 | 0.0 | -3.33 | -4.77 | -6.03 | -5.90 | -6.40 | -5.80 | -6.57 | -6.55 | -8.63 | -7.37 | -8.55 | -8.33 | -6.31 | -15.38 | -10.00 | -4.17 | 28.76 | 0.0 | -2.55 | -2.83 | -3.18 | -2.38 | -2.66 | -3.11 | -6.69 | -6.37 | -6.64 | -5.79 | -9.65 | -6.55 | -5.05 | -10.26 | -6.67 | -8.33 | 15.92 | 0.0 | -0.02 | -1.66 | -1.44 | -1.91 | -1.09 | -0.12 | -0.55 | 1.08 | 0.05 | -1.90 | -4.24 | -4.51 | -1.60 | -0.43 | 8.89 | -2.78 |
The EORTC QLQ-CLL16 module is designed for participants with Stage 0 to Stage 4 CLL. It is composed of 16 questions and there are four multi-item scales on Fatigue (2 items), Treatment-related side effects (TRSE, 4 items), Disease-related symptoms (DRS, 4 items), and Infection (4 items); and two single-item scales on social activities and future health worries. Multi-item scales score are reported and the total score for each multi-item scale was transformed to result in a total score range of 0 to 100, where higher score = poor HRQoL. (NCT02005471)
Timeframe: Baseline, D1 of Cycles 1, 2, 3, 4, 5, 6, STC/EW visit (up to C6D28), EoCTR visit (8 to 12 weeks after C6D1), and FUVs (every 12 weeks after EoCTR up to 3 years); Cycle length = 28 days
Intervention | units on a scale (Mean) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Baseline; TRSE | Change at C1D1; TRSE | Change at C2D1; TRSE | Change at C3D1; TRSE | Change at C4D1; TRSE | Change at C5D1; TRSE | Change at C6D1; TRSE | Change at STC/EW; TRSE | Change at EoCTR; TRSE | Change at FUV1; TRSE | Change at FUV2; TRSE | Change at FUV3; TRSE | Change at FUV4; TRSE | Change at FUV5; TRSE | Change at FUV6; TRSE | Change at FUV7; TRSE | Change at FUV8; TRSE | Baseline; DRS | Change at C1D1; DRS | Change at C2D1; DRS | Change at C3D1; DRS | Change at C4D1; DRS | Change at C5D1; DRS | Change at C6D1; DRS | Change at STC/EW; DRS | Change at EoCTR; DRS | Change at FUV1; DRS | Change at FUV2; DRS | Change at FUV3; DRS | Change at FUV4; DRS | Change at FUV5; DRS | Change at FUV6; DRS | Change at FUV7; DRS | Change at FUV8; DRS | Baseline; Fatigue | Change at C1D1; Fatigue | Change at C2D1; Fatigue | Change at C3D1; Fatigue | Change at C4D1; Fatigue | Change at C5D1; Fatigue | Change at C6D1; Fatigue | Change at STC/EW; Fatigue | Change at EoCTR; Fatigue | Change at FUV1; Fatigue | Change at FUV2; Fatigue | Change at FUV3; Fatigue | Change at FUV4; Fatigue | Change at FUV5; Fatigue | Change at FUV6; Fatigue | Change at FUV7; Fatigue | Change at FUV8; Fatigue | Baseline; Infection | Change at C1D1; Infection | Change at C2D1; Infection | Change at C3D1; Infection | Change at C4D1; Infection | Change at C5D1; Infection | Change at C6D1; Infection | Change at STC/EW; Infection | Change at EoCTR; Infection | Change at FUV1; Infection | Change at FUV2; Infection | Change at FUV3; Infection | Change at FUV4; Infection | Change at FUV5; Infection | Change at FUV6; Infection | Change at FUV7; Infection | Change at FUV8; Infection | |
Venetoclax + Rituximab Main Study | 9.42 | 0.12 | 0.62 | 1.98 | 0.52 | 0.64 | -0.13 | 0.13 | 0.26 | 1.19 | 2.65 | -0.13 | 2.84 | 1.32 | -1.67 | -8.33 | 0.00 | 16.95 | -2.74 | -4.77 | -3.35 | -5.12 | -4.79 | -5.30 | -6.51 | -5.86 | -5.82 | -3.57 | -3.76 | -2.66 | -2.19 | -3.33 | -8.33 | -8.33 | 21.74 | -2.24 | -5.47 | -3.17 | -4.17 | -4.36 | -2.31 | -4.69 | -3.97 | -4.23 | -1.85 | -2.42 | -0.35 | 3.51 | 3.33 | -33.33 | 0.00 | 14.01 | -2.24 | -3.61 | -1.32 | -3.13 | -2.56 | -2.95 | -1.69 | -3.44 | -2.65 | -0.53 | -0.54 | 0.53 | 7.46 | 8.33 | -16.67 | -25.00 |
EORTC QLQ-C30 is a validated self-report measure consisting of 30 questions incorporated into 5 functional scales (Physical, Role, Cognitive, Emotional, and Social), 3 symptom scales (fatigue, pain, nausea, and vomiting), a global health status/global QoL scale, and single items (dyspnea, appetite loss, sleep disturbance, constipation, and diarrhea). Most questions used 4-point scale (1='Not at all' to 4='Very much'), while 2 questions used 7-point scale (1='very poor' to 7='Excellent'). Scores were averaged, transformed to 0-100 scale; where higher score for functional scales=poor level of functioning; higher score for global health status/global QoL=better HRQoL. (NCT02005471)
Timeframe: Baseline, D1 of Cycles 1, 2, 3, 4, 5, 6, STC/EW visit (up to C6D28), EoCTR visit (8 to 12 weeks after C6D1), and FUVs (every 12 weeks after EoCTR up to 3 years); Cycle length = 28 days
Intervention | units on a scale (Mean) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Baseline; Physical functioning | Change at C1D1; Physical functioning | Change at C2D1; Physical functioning | Change at C3D1; Physical functioning | Change at C4D1; Physical functioning | Change at C5D1; Physical functioning | Change at C6D1; Physical functioning | Change at STC/EW; Physical functioning | Change at EoCTR; Physical functioning | Change at FUV1; Physical functioning | Change at FUV2; Physical functioning | Change at FUV3; Physical functioning | Change at FUV4; Physical functioning | Change at FUV5; Physical functioning | Change at FUV6; Physical functioning | Change at FUV7; Physical functioning | Change at FUV8; Physical functioning | Change at FUV9; Physical functioning | Baseline; Role functioning | Change at C1D1; Role functioning | Change at C2D1; Role functioning | Change at C3D1; Role functioning | Change at C4D1; Role functioning | Change at C5D1; Role functioning | Change at C6D1; Role functioning | Change at STC/EW; Role functioning | Change at EoCTR; Role functioning | Change at FUV1; Role functioning | Change at FUV2; Role functioning | Change at FUV3; Role functioning | Change at FUV4; Role functioning | Change at FUV5; Role functioning | Change at FUV6; Role functioning | Change at FUV7; Role functioning | Change at FUV8; Role functioning | Change at FUV9; Role functioning | Baseline; Emotional functioning | Change at C1D1; Emotional functioning | Change at C2D1; Emotional functioning | Change at C3D1; Emotional functioning | Change at C4D1; Emotional functioning | Change at C5D1; Emotional functioning | Change at C6D1; Emotional functioning | Change at STC/EW; Emotional functioning | Change at EoCTR; Emotional functioning | Change at FUV1; Emotional functioning | Change at FUV2; Emotional functioning | Change at FUV3; Emotional functioning | Change at FUV4; Emotional functioning | Change at FUV5; Emotional functioning | Change at FUV6; Emotional functioning | Change at FUV7; Emotional functioning | Change at FUV8; Emotional functioning | Change at FUV9; Emotional functioning | Baseline; Cognitive functioning | Change at C1D1; Cognitive functioning | Change at C2D1; Cognitive functioning | Change at C3D1; Cognitive functioning | Change at C4D1; Cognitive functioning | Change at C5D1; Cognitive functioning | Change at C6D1; Cognitive functioning | Change at STC/EW; Cognitive functioning | Change at EoCTR; Cognitive functioning | Change at FUV1; Cognitive functioning | Change at FUV2; Cognitive functioning | Change at FUV3; Cognitive functioning | Change at FUV4; Cognitive functioning | Change at FUV5; Cognitive functioning | Change at FUV6; Cognitive functioning | Change at FUV7; Cognitive functioning | Change at FUV8; Cognitive functioning | Change at FUV9; Cognitive functioning | Baseline; Social functioning | Change at C1D1; Social functioning | Change at C2D1; Social functioning | Change at C3D1; Social functioning | Change at C4D1; Social functioning | Change at C5D1; Social functioning | Change at C6D1; Social functioning | Change at STC/EW; Social functioning | Change at EoCTR; Social functioning | Change at FUV1; Social functioning | Change at FUV2; Social functioning | Change at FUV3; Social functioning | Change at FUV4; Social functioning | Change at FUV5; Social functioning | Change at FUV6; Social functioning | Change at FUV7; Social functioning | Change at FUV8; Social functioning | Change at FUV9; Social functioning | Baseline; Global health status/QoL | Change at C1D1; Global health status/QoL | Change at C2D1; Global health status/QoL | Change at C3D1; Global health status/QoL | Change at C4D1; Global health status/QoL | Change at C5D1; Global health status/QoL | Change at C6D1; Global health status/QoL | Change at STC/EW; Global health status/QoL | Change at EoCTR; Global health status/QoL | Change at FUV1; Global health status/QoL | Change at FUV2; Global health status/QoL | Change at FUV3; Global health status/QoL | Change at FUV4; Global health status/QoL | Change at FUV5; Global health status/QoL | Change at FUV6; Global health status/QoL | Change at FUV7; Global health status/QoL | Change at FUV8; Global health status/QoL | Change at FUV9; Global health status/QoL | |
Bendamustine + Rituximab Main Study | 82.59 | 0.0 | 0.31 | 0.22 | 2.11 | 2.44 | 2.25 | 1.68 | 2.92 | 2.27 | 2.40 | 2.54 | 4.74 | 1.90 | -1.41 | -3.08 | -9.33 | -10.00 | 78.25 | 0.0 | -1.26 | -0.10 | 0.87 | 0.45 | 0.70 | -0.41 | 3.26 | 2.93 | 3.07 | 5.26 | 5.41 | 2.34 | -4.04 | 2.56 | 0.00 | -16.67 | 78.98 | 0.0 | 2.24 | 2.99 | 2.61 | 1.14 | 2.06 | 2.43 | 2.58 | 3.49 | 4.39 | 0.63 | 4.82 | 3.13 | 2.27 | 5.77 | 3.33 | -16.67 | 86.55 | 0.0 | -0.19 | -0.32 | -1.54 | -1.94 | -2.68 | -2.19 | -2.23 | -2.02 | 1.32 | -1.63 | 0.44 | -1.49 | -0.51 | -1.28 | 0.00 | 16.67 | 82.48 | 0.0 | -2.44 | -2.32 | -0.55 | -5.48 | -5.13 | -4.06 | -0.47 | -1.08 | 0.58 | -0.91 | 1.97 | 1.79 | 1.52 | -2.56 | -10.00 | -25.00 | 63.02 | 0.0 | 2.73 | 2.34 | 3.84 | 7.36 | 4.25 | 4.32 | 6.10 | 5.91 | 6.94 | 4.80 | 7.35 | 4.46 | 1.01 | 8.33 | 6.67 | 0.00 |
EORTC QLQ-C30 is a validated self-report measure consisting of 30 questions incorporated into 5 functional scales (Physical, Role, Cognitive, Emotional, and Social), 3 symptom scales (fatigue, pain, nausea, and vomiting), a global health status/global QoL scale, and single items (dyspnea, appetite loss, sleep disturbance, constipation, and diarrhea). Most questions used 4-point scale (1='Not at all' to 4='Very much'), while 2 questions used 7-point scale (1='very poor' to 7='Excellent'). Scores were averaged, transformed to 0-100 scale; where higher score for functional scales=poor level of functioning; higher score for global health status/global QoL=better HRQoL. (NCT02005471)
Timeframe: Baseline, D1 of Cycles 1, 2, 3, 4, 5, 6, STC/EW visit (up to C6D28), EoCTR visit (8 to 12 weeks after C6D1), and FUVs (every 12 weeks after EoCTR up to 3 years); Cycle length = 28 days
Intervention | units on a scale (Mean) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Baseline; Physical functioning | Change at C1D1; Physical functioning | Change at C2D1; Physical functioning | Change at C3D1; Physical functioning | Change at C4D1; Physical functioning | Change at C5D1; Physical functioning | Change at C6D1; Physical functioning | Change at STC/EW; Physical functioning | Change at EoCTR; Physical functioning | Change at FUV1; Physical functioning | Change at FUV2; Physical functioning | Change at FUV3; Physical functioning | Change at FUV4; Physical functioning | Change at FUV5; Physical functioning | Change at FUV6; Physical functioning | Change at FUV7; Physical functioning | Change at FUV8; Physical functioning | Baseline; Role functioning | Change at C1D1; Role functioning | Change at C2D1; Role functioning | Change at C3D1; Role functioning | Change at C4D1; Role functioning | Change at C5D1; Role functioning | Change at C6D1; Role functioning | Change at STC/EW; Role functioning | Change at EoCTR; Role functioning | Change at FUV1; Role functioning | Change at FUV2; Role functioning | Change at FUV3; Role functioning | Change at FUV4; Role functioning | Change at FUV5; Role functioning | Change at FUV6; Role functioning | Change at FUV7; Role functioning | Change at FUV8; Role functioning | Baseline; Emotional functioning | Change at C1D1; Emotional functioning | Change at C2D1; Emotional functioning | Change at C3D1; Emotional functioning | Change at C4D1; Emotional functioning | Change at C5D1; Emotional functioning | Change at C6D1; Emotional functioning | Change at STC/EW; Emotional functioning | Change at EoCTR; Emotional functioning | Change at FUV1; Emotional functioning | Change at FUV2; Emotional functioning | Change at FUV3; Emotional functioning | Change at FUV4; Emotional functioning | Change at FUV5; Emotional functioning | Change at FUV6; Emotional functioning | Change at FUV7; Emotional functioning | Change at FUV8; Emotional functioning | Baseline; Cognitive functioning | Change at C1D1; Cognitive functioning | Change at C2D1; Cognitive functioning | Change at C3D1; Cognitive functioning | Change at C4D1; Cognitive functioning | Change at C5D1; Cognitive functioning | Change at C6D1; Cognitive functioning | Change at STC/EW; Cognitive functioning | Change at EoCTR; Cognitive functioning | Change at FUV1; Cognitive functioning | Change at FUV2; Cognitive functioning | Change at FUV3; Cognitive functioning | Change at FUV4; Cognitive functioning | Change at FUV5; Cognitive functioning | Change at FUV6; Cognitive functioning | Change at FUV7; Cognitive functioning | Change at FUV8; Cognitive functioning | Baseline; Social functioning | Change at C1D1; Social functioning | Change at C2D1; Social functioning | Change at C3D1; Social functioning | Change at C4D1; Social functioning | Change at C5D1; Social functioning | Change at C6D1; Social functioning | Change at STC/EW; Social functioning | Change at EoCTR; Social functioning | Change at FUV1; Social functioning | Change at FUV2; Social functioning | Change at FUV3; Social functioning | Change at FUV4; Social functioning | Change at FUV5; Social functioning | Change at FUV6; Social functioning | Change at FUV7; Social functioning | Change at FUV8; Social functioning | Baseline; Global health status/QoL | Change at C1D1; Global health status/QoL | Change at C2D1; Global health status/QoL | Change at C3D1; Global health status/QoL | Change at C4D1; Global health status/QoL | Change at C5D1; Global health status/QoL | Change at C6D1; Global health status/QoL | Change at STC/EW; Global health status/QoL | Change at EoCTR; Global health status/QoL | Change at FUV1; Global health status/QoL | Change at FUV2; Global health status/QoL | Change at FUV3; Global health status/QoL | Change at FUV4; Global health status/QoL | Change at FUV5; Global health status/QoL | Change at FUV6; Global health status/QoL | Change at FUV7; Global health status/QoL | Change at FUV8; Global health status/QoL | |
Venetoclax + Rituximab Main Study | 83.77 | 1.39 | 2.99 | 1.46 | 5.54 | 4.62 | 4.51 | 4.53 | 4.34 | 3.81 | 2.75 | 3.44 | 0.85 | -1.75 | 1.33 | 0.00 | 0.00 | 83.82 | -1.74 | 2.49 | 1.82 | 5.13 | 4.36 | 1.79 | 2.60 | 2.12 | 2.65 | -1.85 | 1.88 | -0.35 | 1.75 | -13.33 | -16.67 | 16.67 | 82.13 | 4.35 | 5.60 | 5.34 | 4.19 | 3.97 | 3.08 | 5.34 | 3.49 | 4.37 | 0.66 | 2.82 | 1.95 | 2.63 | 5.00 | -8.33 | 0.00 | 89.86 | -1.24 | 0.25 | -1.56 | -0.26 | -0.26 | -0.77 | 1.04 | -0.27 | -0.26 | -2.38 | -2.96 | -1.77 | -6.14 | 0.00 | 0.00 | 0.00 | 85.51 | -1.74 | 0.25 | 3.65 | 4.62 | 2.56 | 3.85 | 1.04 | 1.88 | 1.59 | 1.32 | 1.88 | 1.06 | 0.00 | 10.00 | 33.33 | 33.33 | 67.39 | 6.34 | 5.35 | 2.21 | 7.05 | 7.18 | 5.90 | 6.51 | 7.66 | 7.01 | 4.50 | 6.32 | 6.38 | 4.39 | 5.00 | 16.67 | 8.33 |
PFS was defined as the time from randomization until first occurrence of PD/relapse as assessed by the investigator using iwCLL guidelines, or death from any cause, whichever occurred first. PD: occurrence of one of the following: new lesion; new palpable lymph node (>1.5 cm); unequivocal progression of non-target lesion; increase of >/=50% in splenomegaly, hepatomegaly, blood lymphocytes with count >/=5000/mcL, longest diameter of any lesion; transformation to more aggressive histology; decrease of >/=50% in platelet or neutrophil count, or hemoglobin level by >2 g/dL or to <10 g/dL. Participants who had not progressed, relapsed, or died at the time of analysis, were censored on the date of last assessment. In case of no disease assessment after baseline, PFS was censored at the time of randomization+1 day. The median PFS was estimated using Kaplan-Meier method and the 95% confidence interval (CI) was computed using method of Brookmeyer and Crowley. (NCT02005471)
Timeframe: Baseline up to PD or death, whichever occurred first (up to approximately 8 years 5 months)
Intervention | months (Median) |
---|---|
Bendamustine + Rituximab Main Study | 17.0 |
Venetoclax + Rituximab Main Study | 54.7 |
PFS was defined as the time from randomization until first occurrence of PD/relapse as assessed by the IRC using iwCLL guidelines, or death from any cause, whichever occurred first. PD: occurrence of one of the following: new lesion; new palpable lymph node (>1.5 cm); unequivocal progression of non-target lesion; increase of >/=50% in splenomegaly, hepatomegaly, blood lymphocytes with count >/=5000/mcL, longest diameter of any lesion; transformation to more aggressive histology; decrease of >/=50% in platelet or neutrophil count, or hemoglobin level by >2 g/dL or to <10 g/dL. Participants who had not progressed, relapsed, or died at the time of analysis, were censored on the date of last assessment. In case of no disease assessment after baseline, PFS was censored at the time of randomization+1 day. The median PFS was estimated using Kaplan-Meier method and the 95% CI was computed using method of Brookmeyer and Crowley. No new IRC data was generated post the primary analysis. (NCT02005471)
Timeframe: Baseline up to PD or death, whichever occurred first (up to approximately 3 years)
Intervention | months (Median) |
---|---|
Bendamustine + Rituximab 17p Del. Population | 16.1 |
Venetoclax + Rituximab 17p Del. Population | NA |
PFS was defined as the time from randomization until first occurrence of PD/relapse as assessed by the IRC using iwCLL guidelines, or death from any cause, whichever occurred first. PD: occurrence of one of the following: new lesion; new palpable lymph node (>1.5 cm); unequivocal progression of non-target lesion; increase of >/=50% in splenomegaly, hepatomegaly, blood lymphocytes with count >/=5000/mcL, longest diameter of any lesion; transformation to more aggressive histology; decrease of >/=50% in platelet or neutrophil count, or hemoglobin level by >2 g/dL or to <10 g/dL. Participants who had not progressed, relapsed, or died at the time of analysis, were censored on the date of last assessment. In case of no disease assessment after baseline, PFS was censored at the time of randomization+1 day. The median PFS was estimated using Kaplan-Meier method and the 95% CI was computed using method of Brookmeyer and Crowley. No new IRC data was generated post the primary analysis. (NCT02005471)
Timeframe: Baseline up to PD or death, whichever occurred first (up to approximately 3 years)
Intervention | months (Median) |
---|---|
Bendamustine + Rituximab Main Study | 18.1 |
Venetoclax + Rituximab Main Study | NA |
PFS was defined as the time from randomization until first occurrence of PD/relapse as assessed by the investigator using iwCLL guidelines, or death from any cause, whichever occurred first. PD: occurrence of one of the following: new lesion; new palpable lymph node (>1.5 cm); unequivocal progression of non-target lesion; increase of >/=50% in splenomegaly, hepatomegaly, blood lymphocytes with count >/=5000/mcL, longest diameter of any lesion; transformation to more aggressive histology; decrease of >/=50% in platelet or neutrophil count, or hemoglobin level by >2 g/dL or to <10 g/dL. Participants who had not progressed, relapsed, or died at the time of analysis, were censored on the date of last assessment. In case of no disease assessment after baseline, PFS was censored at the time of randomization+1 day. The median PFS was estimated using Kaplan-Meier method and the 95% CI was computed using method of Brookmeyer and Crowley. (NCT02005471)
Timeframe: Baseline up to PD or death, whichever occurred first (up to approximately 8 years 5 months)
Intervention | months (Median) |
---|---|
Bendamustine + Rituximab 17p Del. Population | 15.4 |
Venetoclax + Rituximab 17p Del. Population | 47.9 |
Percentage of participants with start of new non-protocol-specified anti-CLL therapy, as assessed by the investigator, or death from any cause, during the study, was reported. Percentage is rounded off. (NCT02005471)
Timeframe: Baseline up to start of new ani-CLL therapy or death, whichever occurred first (up to approximately 8 years 5 months)
Intervention | percentage of participants (Number) |
---|---|
Bendamustine + Rituximab Main Study | 81.5 |
Venetoclax + Rituximab Main Study | 62.4 |
Percentage of participants with PD/relapse, death from any cause, or start of a new non-protocol-specified anti-CLL therapy as assessed by the investigator, during the study, was reported. PD was defined as occurrence of one of the following events: appearance of any new extra nodal lesion; new palpable lymph node (>1.5 cm); unequivocal progression of non-target lesion; an increase of >/=50% compared to baseline in splenomegaly, hepatomegaly, number of blood lymphocytes with lymphocyte count >/=5000/mcL, or in longest diameter of any extra nodal lesion; transformation to a more aggressive histology; decrease of >/=50% compared to baseline in platelet or neutrophil count; or decrease in hemoglobin level by >2 g/dL or to <10 g/dL. Percentages are rounded off. (NCT02005471)
Timeframe: Baseline up to PD/relapse, start of a new anti-CLL therapy, or death from any cause, whichever occurred first (approximately 8 years 5 months)
Intervention | percentage of participants (Number) |
---|---|
Bendamustine + Rituximab Main Study | 89.2 |
Venetoclax + Rituximab Main Study | 71.1 |
Assessment of response was performed by the IRC according to the iwCLL guidelines. PD was defined as occurrence of one of the following events: appearance of any new extra nodal lesion; new palpable lymph node (>1.5 cm); unequivocal progression of non-target lesion; an increase of >/=50% compared to baseline in splenomegaly, hepatomegaly, number of blood lymphocytes with lymphocyte count >/=5000/mcL, or in longest diameter of any extra nodal lesion; transformation to a more aggressive histology; decrease of >/=50% compared to baseline in platelet or neutrophil count; or decrease in hemoglobin level by >2 g/dL or to <10 g/dL. No new IRC data was generated post the primary analysis. (NCT02005471)
Timeframe: Baseline up to PD or death, whichever occurred first (up to approximately 3 years)
Intervention | percentage of participants (Number) |
---|---|
Bendamustine + Rituximab 17p Del. Population | 47.8 |
Venetoclax + Rituximab 17p Del. Population | 19.6 |
Proportion of patients who successfully achieve neutrophil engraftment after stem cell transplant, defined as an absolute neutrophil count of 500/mm3 or for three consecutive days. (NCT02059239)
Timeframe: 35 Days Post-Transplant
Intervention | Participants (Count of Participants) |
---|---|
Chemo Plus Autologous Transplantation | 16 |
Chemo Plus Allogeneic Transplantation | 13 |
Proportion of patients who successfully achieve platelet engraftment after stem cell transplant, defined as a platelet count of >20k/microL for three consecutive days without transfusion support for seven consecutive days. (NCT02059239)
Timeframe: 74 Days Post-Transplant
Intervention | Participants (Count of Participants) |
---|---|
Chemo Plus Autologous Transplantation | 16 |
Chemo Plus Allogeneic Transplantation | 12 |
Time elapsed between stem cell transplant (Day 0) and disease progression, as defined by the Cheson Criteria (the appearance of any new lesion >1.5cm in size or a greater than 50% increase in the diameter of a previously identified node of over 1cm in size) (NCT02059239)
Timeframe: Stem cell transplant (Day 0) up to 2 years post-transplant
Intervention | Months (Median) |
---|---|
Chemo Plus Autologous Transplantation | NA |
Chemo Plus Allogeneic Transplantation | 8 |
Death due to any cause other than disease progression within first 100 days post-transplant. (NCT02059239)
Timeframe: From Day 0 until time of death, up to 100 days post-transplant.
Intervention | Participants (Count of Participants) |
---|---|
Chemo Plus Autologous Transplantation | 0 |
Chemo Plus Allogeneic Transplantation | 2 |
Proportion of patients achieving a complete remission (CR; disappearance of clinically overt disease with no FDG-avid lesions on PET scan), partial remission (PR; reduction in clinical disease buden and >50% bi-dimensional decrease in tumor size on imaging), stable disease (SD; failure to meet the criteria for CR, PR or PD with no new areas of disease involvement) or progressive disease (PD; the appearance of any new lesion >1.5cm in size or a greater than 50% increase in the diameter of a previously identified node of over 1cm in size), as per Cheson Criteria, 30 days following autologous or allogeneic stem cell transplant (NCT02059239)
Timeframe: 30 days after stem cell transplant
Intervention | Participants (Count of Participants) | ||||
---|---|---|---|---|---|
Complete Remission | Partial Remission | Stable Disease | Progressive Disease | Not Assessed | |
Chemo Plus Allogeneic Transplantation | 7 | 3 | 1 | 1 | 1 |
Chemo Plus Autologous Transplantation | 12 | 2 | 2 | 0 | 0 |
The time from stem cell infusion (Day 0) to death from any cause. (NCT02059239)
Timeframe: From Day 0 until time of death, assessed up to 365 days post-transplant
Intervention | Participants (Count of Participants) | |
---|---|---|
Alive | Deceased | |
Chemo Plus Allogeneic Transplantation | 6 | 7 |
Chemo Plus Autologous Transplantation | 16 | 0 |
Proportion of patients achieving a complete remission (CR; disappearance of clinically overt disease with no FDG-avid lesions on PET scan), partial remission (PR; reduction in clinical disease buden and >50% bi-dimensional decrease in tumor size on imaging), stable disease (SD; failure to meet the criteria for CR, PR or PD with no new areas of disease involvement) or progressive disease (PD; the appearance of any new lesion >1.5cm in size or a greater than 50% increase in the diameter of a previously identified node of over 1cm in size), as per Cheson Criteria, 1 year following autologous or allogeneic stem cell transplant (NCT02059239)
Timeframe: 1 year after stem cell transplant
Intervention | Participants (Count of Participants) | |||||
---|---|---|---|---|---|---|
Complete Remission | Partial Remission | Stable Disease | Progressive Disease | Not Assessed | Patient Deceased | |
Chemo Plus Allogeneic Transplantation | 4 | 0 | 0 | 2 | 0 | 7 |
Chemo Plus Autologous Transplantation | 12 | 1 | 0 | 3 | 0 | 0 |
Proportion of patients achieving a complete remission (CR; disappearance of clinically overt disease with no FDG-avid lesions on PET scan), partial remission (PR; reduction in clinical disease buden and >50% bi-dimensional decrease in tumor size on imaging), stable disease (SD; failure to meet the criteria for CR, PR or PD with no new areas of disease involvement) or progressive disease (PD; the appearance of any new lesion >1.5cm in size or a greater than 50% increase in the diameter of a previously identified node of over 1cm in size), as per Cheson Criteria, following salvage chemotherapy with Bendamustine. (NCT02059239)
Timeframe: Within 14 days of salvage chemotherapy treatment
Intervention | Participants (Count of Participants) | ||||
---|---|---|---|---|---|
Complete Remission | Partial Remission | Stable Disease | Progressive Disease | Not Assessed | |
Chemo Plus Allogeneic Transplantation | 1 | 6 | 2 | 6 | 1 |
Chemo Plus Autologous Transplantation | 4 | 8 | 4 | 1 | 1 |
IRRs were defined as AEs occurring during or within 24 hours following the administration of an infusion and considered related to drug treatment. (NCT02071225)
Timeframe: Up to end of treatment at 6 months
Intervention | percentage of participants (Number) |
---|---|
Obinutuzumab + Bendamustine | 20.8 |
(NCT02071225)
Timeframe: Up to approximately 4.5 years
Intervention | percentage of participants (Number) |
---|---|
Obinutuzumab + Bendamustine | 97.2 |
PFS is defined as the time from the start of treatment to disease progression (DP), relapse or death from any cause, whichever occurs first, as assessed by the investigator. DP: at least one of the following characteristics: increase ≥ 50% in lymphocytes up to at least 5 x 10^9/L, appearance of new palpable lymph nodes, increase ≥ 50% of the longest diameter of any previous area of clinically significant lymphadenopathy, increase ≥ 50% of the size of the liver and/or spleen, transformation to a more aggressive histology, after treatment progression of any cytopenia: decrease of hemoglobin levels of more than 20 g/L or to below 100 g/L and/or decrease of platelet counts by more than 50% or to below 100 x 10^9/L and/or decrease in the neutrophil counts by more than 50% or to below 1.0 x 10^9/L if the marrow biopsy also shows infiltration of clonal chronic lymphocytic leukemia (CLL) cells. (NCT02071225)
Timeframe: From start of treatment up to disease progression or relapse or death, whichever occurred first (up to approximately 4.5 years)
Intervention | months (Median) |
---|---|
Obinutuzumab + Bendamustine | 24.14 |
Best overall response was defined as percentage of participants achieving a best response of CR, CRi and PR. CR: lymphocytes below 4 x 10^9/L, absence of lymphadenopathy, hepatomegaly and splenomegaly, absence of disease or constitutional symptoms, neutrophils > 1.5 x 10^9/L, platelets > 100 x 10^9/L, hemoglobin > 110 g/L, bone marrow at least normocellular for age. CRi: CR with persistent cytopenia, i.e. anemia, thrombocytopenia and/or neutropenia. PR: reduction ≥ 50% of the lymphocyte count AND reduction ≥ 50% of the lymphadenopathy OR reduction ≥ 50% of the size of the liver if enlarged at baseline OR reduction ≥ 50% of the size of the spleen if enlarged at baseline PLUS one of the following: neutrophils > 1.5 x 10^9/L, platelets > 100 x 10^9/L, hemoglobin > 110 g/L or increase ≥ 50% compared to pre-treatment. (NCT02071225)
Timeframe: During study treatment and until 6 months after end of study treatment at approximately 12 months
Intervention | percentage of participants (Number) | ||
---|---|---|---|
CR | CRi | PR | |
Obinutuzumab + Bendamustine | 46.3 | 1.9 | 42.6 |
An AE is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as AEs. An SAE was any AE that was any of the following: fatal, life-threatening, required or prolonged inpatient hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/ birth defect, and was considered a significant medical event by the investigator. (NCT02071225)
Timeframe: Up to approximately 4.5 years
Intervention | percentage of participants (Number) | |
---|---|---|
AEs | SAEs | |
Obinutuzumab + Bendamustine | 94.4 | 51.4 |
MRD negativity was defined as the presence of less than 1 cell of CLL per 10,000 leukocytes (= category 0, <0.01%) assessed in bone marrow (BM) and peripheral blood (PB) by flow cytometry after the end of the treatment at the final response assessment. (NCT02071225)
Timeframe: At approximately 9 months
Intervention | percentage of participants (Number) | |
---|---|---|
MRD in BM: Cat 0 | MRD in PB: Cat 0 | |
Obinutuzumab + Bendamustine | 36.4 | 53.4 |
Time to re-treatment/new leukemia therapy was defined as the time between the start of treatment and the date of the first administration of re-treatment or new leukemia therapy. (NCT02071225)
Timeframe: Up to 4.5 years
Intervention | months (Median) |
---|---|
Obinutuzumab + Bendamustine | NA |
DFS was defined for all participants who achieved complete response (CRi or CR). DFS lasted from the date on which CRi or CR was recorded until the date on which the first DP or death from any cause occurred. DP: at least one of the following characteristics: increase ≥ 50% in lymphocytes up to at least 5 x 10^9/L, appearance of new palpable lymph nodes, increase ≥ 50% of the longest diameter of any previous area of clinically significant lymphadenopathy, increase ≥ 50% of the size of the liver and/or spleen, transformation to a more aggressive histology, after treatment, progression of any cytopenia: decrease of hemoglobin levels of more than 20 g/L or to below 100 g/L and/or decrease of platelet counts by more than 50% or to below 100 x 10^9/L and/or decrease in the neutrophil counts by more than 50% or to below 1.0 x 10^9/L if the marrow biopsy also shows infiltration of clonal CLL cells. (NCT02071225)
Timeframe: From occurrence of complete response up to disease progression or death, whichever occurred first (up to approximately 4.5 years)
Intervention | months (Median) |
---|---|
Obinutuzumab + Bendamustine | 23.02 |
ORR was defined as percentage of participants achieving Complete Response (CR), incomplete CR (CRi) or Partial Response (PR). CR: lymphocytes below 4 x 10^9/L, absence of lymphadenopathy, hepatomegaly and splenomegaly, absence of disease or constitutional symptoms, neutrophils > 1.5 x 10^9/L, platelets > 100 x 10^9/L, hemoglobin > 110 g/L, bone marrow at least normocellular for age. CRi: CR with persistent cytopenia, i.e. anemia, thrombocytopenia and/or neutropenia. PR: reduction ≥ 50% of the lymphocyte count AND reduction ≥ 50% of the lymphadenopathy OR reduction ≥ 50% of the size of the liver if enlarged at baseline OR reduction ≥ 50% of the size of the spleen if enlarged at baseline PLUS one of the following: neutrophils > 1.5 x 10^9/L, platelets > 100 x 10^9/L, hemoglobin > 110 g/L or increase ≥ 50% compared to pre-treatment. (NCT02071225)
Timeframe: 2-3 months after last dose of the study treatment (up to approximately 9 months)
Intervention | percentage of participants (Number) |
---|---|
Obinutuzumab + Bendamustine | 78.6 |
DR was defined for participants with CRi, CR or PR. DR spanned from the date on which response was recorded until the date on which DP or death from any cause occurred. DP: at least one of the following characteristics: increase ≥ 50% in lymphocytes up to at least 5 x 10^9/L, appearance of new palpable lymph nodes, increase ≥ 50% of the longest diameter of any previous area of clinically significant lymphadenopathy, increase ≥ 50% of the size of the liver and/or spleen, transformation to a more aggressive histology, after treatment, progression of any cytopenia: decrease of hemoglobin levels of more than 20 g/L or to below 100 g/L and/or decrease of platelet counts by more than 50% or to below 100 x 10^9/L and/or decrease in the neutrophil counts by more than 50% or to below 1.0 x 10^9/L if the marrow biopsy also shows infiltration of clonal CLL cells. (NCT02071225)
Timeframe: From occurrence of CR or PR up to disease progression or death, whichever occurred first (up to approximately 4.5 years)
Intervention | months (Median) |
---|---|
Obinutuzumab + Bendamustine | 21.41 |
AESIs included any of the following: SAEs associated with the infusion of obinutuzumab: obinutuzumab serious infusion-related reactions, which were defined as AEs occurring during or within 24 hours following the administration of an infusion of obinutuzumab and considered related to obinutuzumab; serious infection; serious neutropenia; any tumor lysis syndrome (TLS); second malignancies. (NCT02071225)
Timeframe: Up to approximately 4.5 years
Intervention | percentage of participants (Number) |
---|---|
Obinutuzumab + Bendamustine | 45.8 |
Concomitant therapies included any medication (prescription medication, over-the-counter medications, herbal/homeopathic remedies, nutritional supplements) used by subjects in the 7 days prior to screening until the end of treatment. The following treatments were not permitted during the study treatment period: investigational or unauthorized or unapproved medicinal products, immunotherapy or radioimmunotherapy (other than the trial immunotherapy, obinutuzumab), chemotherapy (other than the trial chemotherapy, bendamustine) and radiotherapy. (NCT02071225)
Timeframe: From 7 days prior to screening to the end of treatment at 6 months
Intervention | percentage of participants (Number) |
---|---|
Obinutuzumab + Bendamustine | 54.2 |
OS was defined as the time from the start of study treatment to death from any cause. (NCT02071225)
Timeframe: From start of treatment up to death of any cause (up to approximately 4.5 years)
Intervention | months (Median) |
---|---|
Obinutuzumab + Bendamustine | NA |
(NCT02071225)
Timeframe: Up to end of treatment at 6 months
Intervention | percentage of participants (Number) |
---|---|
Obinutuzumab + Bendamustine | 41.7 |
EFS was defined as the time from the start of treatment to DP/relapse, death from any cause or start of a new anti-leukemia therapy. DP: at least one of the following characteristics: increase ≥ 50% in lymphocytes up to at least 5 x 10^9/L, appearance of new palpable lymph nodes, increase ≥ 50% of the longest diameter of any previous area of clinically significant lymphadenopathy, increase ≥ 50% of the size of the liver and/or spleen, transformation to a more aggressive histology, after treatment, progression of any cytopenia: decrease of hemoglobin levels of more than 20 g/L or to below 100 g/L and/or decrease of platelet counts by more than 50% or to below 100 x 10^9/L and/or decrease in the neutrophil counts by more than 50% or to below 1.0 x 10^9/L if the marrow biopsy also shows infiltration of clonal CLL cells. (NCT02071225)
Timeframe: From start of treatment up to disease progression or relapse or death or start of a new anti-leukemic therapy, whichever occurred first (up to approximately 4.5 years)
Intervention | months (Median) |
---|---|
Obinutuzumab + Bendamustine | 24.14 |
CMR: a score 1 (no uptake above background), 2 (uptake <=mediastinum), or 3 (
Timeframe: 48-56 weeks after Cycle 1 Day 1 (Cycle length = 28 days)
Intervention | percentage of participants (Number) |
---|---|
Chemotherapy-Containing Cohort:Safety Run-In (Venetoclax + BR) | 55.6 |
Chemotherapy-Free Cohort: Arm A (Venetoclax + Rituximab) | 17.3 |
Chemotherapy-Containing Cohort: Arm B (Venetoclax + BR) | 39.2 |
Chemotherapy-Containing Cohort: Arm C (BR) | 47.1 |
CMR: a score 1 (no uptake above background), 2 (uptake <=mediastinum), or 3 (uptake
Timeframe: 48-56 weeks after Cycle 1 Day 1 (Cycle length = 28 days)
Intervention | percentage of participants (Number) |
---|---|
Chemotherapy-Containing Cohort:Safety Run-In (Venetoclax + BR) | 55.6 |
Chemotherapy-Free Cohort: Arm A (Venetoclax + Rituximab) | 21.2 |
Chemotherapy-Containing Cohort: Arm B (Venetoclax + BR) | 41.2 |
Chemotherapy-Containing Cohort: Arm C (BR) | 39.2 |
CMR: a score 1 (no uptake above background), 2 (uptake less than or equal to [<=] mediastinum), or 3 (uptake less than [<] mediastinum but <=liver) with or without a residual mass on PET 5-point scale (5-PS), for lymph nodes and extralymphatic sites with no new lesions and no evidence of fluorodeoxyglucose (FDG)-avid disease in bone marrow. Assessment was performed by an IRC according to Lugano classification using PET scan. 95% confidence interval (CI) for percentage of responders was calculated using Clopper-Pearson method. (NCT02187861)
Timeframe: 6-8 weeks after Cycle 6 Day 1 (PRA) (Cycle length = 28 days)
Intervention | percentage of participants (Number) |
---|---|
Chemotherapy-Containing Cohort:Safety Run-In (Venetoclax + BR) | 55.6 |
Chemotherapy-Free Cohort: Arm A (Venetoclax + Rituximab) | 11.5 |
Chemotherapy-Containing Cohort: Arm B (Venetoclax + BR) | 74.5 |
Chemotherapy-Containing Cohort: Arm C (BR) | 70.6 |
PD: a score 4 (uptake moderately >liver) or 5 (uptake markedly >liver and/or new lesions) with increase in intensity of uptake from baseline on PET 5-PS for individual target nodes/nodal lesions; new FDG-avid foci for extranodal lesions; new FDG-avid foci consistent with lymphoma for new lesions; or new or recurrent FDG-avid foci for bone marrow. Assessment was performed by Investigator according to Lugano classification using PET or CT scan. (NCT02187861)
Timeframe: Baseline until disease progression or death due to any cause (assessed up to approximately 2.5 years)
Intervention | percentage of participants (Number) |
---|---|
Chemotherapy-Containing Cohort:Safety Run-In (Venetoclax + BR) | 44.4 |
Chemotherapy-Free Cohort: Arm A (Venetoclax + Rituximab) | 86.5 |
Chemotherapy-Containing Cohort: Arm B (Venetoclax + BR) | 41.2 |
Chemotherapy-Containing Cohort: Arm C (BR) | 52.9 |
PD: a score 4 (uptake moderately >liver) or 5 (uptake markedly >liver and/or new lesions) with increase in intensity of uptake from baseline on PET 5-PS for individual target nodes/nodal lesions; new FDG-avid foci for extranodal lesions; new FDG-avid foci consistent with lymphoma for new lesions; or new or recurrent FDG-avid foci for bone marrow. Assessment was performed by Investigator according to Lugano classification using PET or CT scan. (NCT02187861)
Timeframe: Baseline until disease progression, death, or start of a new anti-lymphoma therapy whichever occurred first (assessed up to approximately 2.5 years)
Intervention | percentage of participants (Number) |
---|---|
Chemotherapy-Containing Cohort:Safety Run-In (Venetoclax + BR) | 44.4 |
Chemotherapy-Free Cohort: Arm A (Venetoclax + Rituximab) | 86.5 |
Chemotherapy-Containing Cohort: Arm B (Venetoclax + BR) | 41.2 |
Chemotherapy-Containing Cohort: Arm C (BR) | 52.9 |
OR was defined as CMR/CR or PMR/PR. CMR, CR, PMR, and PR have been defined in previous endpoints, and are not repeated here due to space constraint. Assessment was performed by Investigator according to Lugano classification using PET scan or CT scan (if PET is missing). (NCT02187861)
Timeframe: Baseline until disease progression or death due to any cause (assessed up to approximately 2.5 years)
Intervention | percentage of participants (Number) |
---|---|
Chemotherapy-Containing Cohort:Safety Run-In (Venetoclax + BR) | 66.7 |
Chemotherapy-Free Cohort: Arm A (Venetoclax + Rituximab) | 36.5 |
Chemotherapy-Containing Cohort: Arm B (Venetoclax + BR) | 80.4 |
Chemotherapy-Containing Cohort: Arm C (BR) | 80.4 |
PFS was defined as the period from the date of treatment initiation (Safety Run-in and Arm A) or randomization date (Arms B and C) until the date of disease progression, or death due to any cause. PD: a score 4 (uptake moderately >liver) or 5 (uptake markedly >liver and/or new lesions) with increase in intensity of uptake from baseline on PET 5-PS for individual target nodes/nodal lesions; new FDG-avid foci for extranodal lesions; new FDG-avid foci consistent with lymphoma for new lesions; or new or recurrent FDG-avid foci for bone marrow. Assessment was performed by Investigator according to Lugano classification using PET or CT scan. PFS was calculated using Kaplan-Meier method. (NCT02187861)
Timeframe: Baseline until disease progression or death due to any cause (assessed up to approximately 2.5 years)
Intervention | months (Median) |
---|---|
Chemotherapy-Containing Cohort:Safety Run-In (Venetoclax + BR) | 35.09 |
Chemotherapy-Free Cohort: Arm A (Venetoclax + Rituximab) | 6.57 |
Chemotherapy-Containing Cohort: Arm B (Venetoclax + BR) | 27.63 |
Chemotherapy-Containing Cohort: Arm C (BR) | 18.43 |
CR: defined as reduction of longest transverse diameter of lesion (LDi) of target nodes/nodal masses to <=1.5 centimeters (cm), and no extralymphatic sites of disease; absence of non-measured lesions and new lesions; reduction of enlarged organs to normal; and normal/immunohistochemistry (IHC)-negative bone marrow morphology. Assessment was performed by an IRC according to Lugano classification using CT scan. 95% CI for percentage of responders was calculated using Clopper-Pearson method. (NCT02187861)
Timeframe: 6-8 weeks after Cycle 6 Day 1 and 48-56 weeks after Cycle 1 Day 1 (Cycle length = 28 days)
Intervention | percentage of participants (Number) | |
---|---|---|
6-8 weeks after Cycle 6 Day 1 | Year 1 | |
Chemotherapy-Containing Cohort: Arm B (Venetoclax + BR) | 39.2 | 27.5 |
Chemotherapy-Containing Cohort: Arm C (BR) | 25.5 | 23.5 |
Chemotherapy-Containing Cohort:Safety Run-In (Venetoclax + BR) | 44.4 | 55.6 |
Chemotherapy-Free Cohort: Arm A (Venetoclax + Rituximab) | 5.7 | 13.2 |
CR: defined as reduction of LDi of target nodes/nodal masses to <=1.5 cm, and no extralymphatic sites of disease; absence of non-measured lesions and new lesions; reduction of enlarged organs to normal; and normal/IHC-negative bone marrow morphology. Assessment was performed by Investigator according to Lugano classification using CT scan. 95% CI for percentage of responders was calculated using Clopper-Pearson method. (NCT02187861)
Timeframe: 4-10 weeks after Cycle 6 Day 1 and 48-56 weeks after Cycle 1 Day 1 (Cycle length = 28 days)
Intervention | percentage of participants (Number) | |
---|---|---|
4-10 weeks after Cycle 6 Day 1 | Year 1 | |
Chemotherapy-Containing Cohort: Arm B (Venetoclax + BR) | 15.7 | 13.7 |
Chemotherapy-Containing Cohort: Arm C (BR) | 31.4 | 21.6 |
Chemotherapy-Containing Cohort:Safety Run-In (Venetoclax + BR) | 22.2 | 33.3 |
Chemotherapy-Free Cohort: Arm A (Venetoclax + Rituximab) | 5.7 | 5.7 |
OR was defined as CMR or Partial Metabolic Response (PMR). CMR: a score 1 (no uptake above background), 2 (uptake <=mediastinum), or 3 (
Timeframe: 6-8 weeks after Cycle 6 Day 1 and 48-56 weeks after Cycle 1 Day 1 (Cycle length = 28 days)
Intervention | percentage of participants (Number) | |
---|---|---|
6-8 weeks after Cycle 6 Day 1 | Year 1 | |
Chemotherapy-Containing Cohort: Arm B (Venetoclax + BR) | 76.5 | 45.1 |
Chemotherapy-Containing Cohort: Arm C (BR) | 74.5 | 51.0 |
Chemotherapy-Containing Cohort:Safety Run-In (Venetoclax + BR) | 55.6 | 66.7 |
Chemotherapy-Free Cohort: Arm A (Venetoclax + Rituximab) | 21.2 | 32.7 |
OR was defined as CR or PR. CR: reduction of LDi of target nodes/nodal masses to <=1.5 cm, and no extralymphatic sites of disease; absence of non-measured lesions and new lesions; reduction of enlarged organs to normal; and normal/IHC-negative bone marrow morphology. PR: >=50% decrease in SPD of up to 6 target measurable nodes and extra-nodal sites; absence/reduction/no increase in size of non-measured lesions; reduction in length of spleen at least >50% beyond normal; and no new lesions. Assessment was performed by Investigator according to Lugano classification using CT scan. 95% CI for percentage of responders was calculated using Clopper-Pearson method. (NCT02187861)
Timeframe: 4-10 weeks after Cycle 6 Day 1 and 48-56 weeks after Cycle 1 Day 1 (Cycle length = 28 days)
Intervention | percentage of participants (Number) | |
---|---|---|
4-10 weeks after Cycle 6 Day 1 | Year 1 | |
Chemotherapy-Containing Cohort: Arm B (Venetoclax + BR) | 74.5 | 47.1 |
Chemotherapy-Containing Cohort: Arm C (BR) | 78.4 | 49.0 |
Chemotherapy-Containing Cohort:Safety Run-In (Venetoclax + BR) | 55.6 | 55.6 |
Chemotherapy-Free Cohort: Arm A (Venetoclax + Rituximab) | 32.1 | 28.3 |
OR was defined as CMR or PMR. CMR: a score 1 (no uptake above background), 2 (uptake <=mediastinum), or 3 (
Timeframe: 4-10 weeks after Cycle 6 Day 1 and 48-56 weeks after Cycle 1 Day 1 (Cycle length = 28 days)
Intervention | percentage of participants (Number) | |
---|---|---|
4-10 weeks after Cycle 6 Day 1 | Year 1 | |
Chemotherapy-Containing Cohort: Arm B (Venetoclax + BR) | 76.5 | 39.2 |
Chemotherapy-Containing Cohort: Arm C (BR) | 76.5 | 49.0 |
Chemotherapy-Containing Cohort:Safety Run-In (Venetoclax + BR) | 55.6 | 55.6 |
Chemotherapy-Free Cohort: Arm A (Venetoclax + Rituximab) | 28.8 | 21.2 |
OR was defined as CR or Partial Response (PR). CR: reduction of LDi of target nodes/nodal masses to <=1.5 cm, and no extralymphatic sites of disease; absence of non-measured lesions and new lesions; reduction of enlarged organs to normal; and normal/IHC-negative bone marrow morphology. PR: greater than or equal to (>=) 50 percent (%) decrease in sum of the product of the perpendicular diameters (SPD) of up to 6 target measurable nodes and extra-nodal sites; absence/reduction/no increase in size of non-measured lesions; reduction in length of spleen at least >50% beyond normal; and no new lesions. Assessment was performed by an IRC according to Lugano classification using CT scan. 95% CI for percentage of responders was calculated using Clopper-Pearson method. (NCT02187861)
Timeframe: 6-8 weeks after Cycle 6 Day 1 and 48-56 weeks after Cycle 1 Day 1 (Cycle length = 28 days)
Intervention | percentage of participants (Number) | |
---|---|---|
6-8 weeks after Cycle 6 Day 1 | Year 1 | |
Chemotherapy-Containing Cohort: Arm B (Venetoclax + BR) | 80.4 | 41.2 |
Chemotherapy-Containing Cohort: Arm C (BR) | 84.3 | 60.8 |
Chemotherapy-Containing Cohort:Safety Run-In (Venetoclax + BR) | 66.7 | 66.7 |
Chemotherapy-Free Cohort: Arm A (Venetoclax + Rituximab) | 30.2 | 22.6 |
(NCT02187861)
Timeframe: Pre-dose (within 30 minutes), and 2, 4, 6, 8 hours post-dose on Cycle 1 Day 1; pre-dose (within 30 minutes) on Cycle 1 Days 8, 15, 22; pre-dose (within 30 minutes) and 4 hours post-dose on Day 1 of Cycles 4 and 6 (Cycle length = 28 days)
Intervention | hours (Median) |
---|---|
Chemotherapy-Containing Cohort:Safety Run-In (Venetoclax + BR) | 8.00 |
Chemotherapy-Free Cohort: Arm A (Venetoclax + Rituximab) | 6.00 |
Chemotherapy-Containing Cohort: Arm B (Venetoclax + BR) | 6.21 |
Area under the plasma concentration versus time curve from time 0 (pre-dose) to 8 hours post dose (AUC0-8h). (NCT02187861)
Timeframe: Pre-dose (within 30 minutes), and 2, 4, 6, 8 hours post-dose on Cycle 1 Day 1; pre-dose (within 30 minutes) on Cycle 1 Days 8, 15, 22; pre-dose (within 30 minutes) and 4 hours post-dose on Day 1 of Cycles 4 and 6 (Cycle length = 28 days)
Intervention | hours*ng/mL (Mean) |
---|---|
Chemotherapy-Containing Cohort:Safety Run-In (Venetoclax + BR) | 5240 |
Chemotherapy-Free Cohort: Arm A (Venetoclax + Rituximab) | 4820 |
Chemotherapy-Containing Cohort: Arm B (Venetoclax + BR) | 5330 |
Area under the plasma concentration versus time curve from zero to the last measured concentration (AUClast). (NCT02187861)
Timeframe: Pre-dose (within 30 minutes), and 2, 4, 6, 8 hours post-dose on Cycle 1 Day 1; pre-dose (within 30 minutes) on Cycle 1 Days 8, 15, 22; pre-dose (within 30 minutes) and 4 hours post-dose on Day 1 of Cycles 4 and 6 (Cycle length = 28 days)
Intervention | hours*ng/mL (Mean) |
---|---|
Chemotherapy-Containing Cohort:Safety Run-In (Venetoclax + BR) | 5310 |
Chemotherapy-Free Cohort: Arm A (Venetoclax + Rituximab) | 4950 |
Chemotherapy-Containing Cohort: Arm B (Venetoclax + BR) | 5500 |
DOR was defined as time from CMR/CR or PMR/PR until progressive disease (PD) or death due to any cause. CMR, CR, PMR, and PR have been defined in previous endpoints, and are not repeated here due to space constraint. PD: a score 4 (uptake moderately >liver) or 5 (uptake markedly >liver and/or new lesions) with increase in intensity of uptake from baseline on PET 5-PS for individual target nodes/nodal lesions; new FDG-avid foci for extranodal lesions; new FDG-avid foci consistent with lymphoma for new lesions; or new or recurrent FDG-avid foci for bone marrow. Assessment was performed by Investigator according to Lugano classification using PET scan or CT scan (if PET is missing). DOR was calculated using Kaplan-Meier method. (NCT02187861)
Timeframe: From CMR or PMR until disease progression or death due to any cause (assessed up to approximately 2.5 years)
Intervention | months (Median) |
---|---|
Chemotherapy-Containing Cohort:Safety Run-In (Venetoclax + BR) | 32.46 |
Chemotherapy-Free Cohort: Arm A (Venetoclax + Rituximab) | 15.79 |
Chemotherapy-Containing Cohort: Arm B (Venetoclax + BR) | 24.87 |
Chemotherapy-Containing Cohort: Arm C (BR) | 15.64 |
EFS was defined as the period from the date of treatment initiation (Safety Run-in and Arm A) or randomization date (Arms B and C) to the date of disease progression, death, or start of a new anti-lymphoma therapy whichever occurred first. PD: a score 4 (uptake moderately >liver) or 5 (uptake markedly >liver and/or new lesions) with increase in intensity of uptake from baseline on PET 5-PS for individual target nodes/nodal lesions; new FDG-avid foci for extranodal lesions; new FDG-avid foci consistent with lymphoma for new lesions; or new or recurrent FDG-avid foci for bone marrow. Assessment was performed by Investigator according to Lugano classification using PET or CT scan. EFS was calculated using Kaplan-Meier method. (NCT02187861)
Timeframe: Baseline until disease progression, death, or start of a new anti-lymphoma therapy whichever occurred first (assessed up to approximately 2.5 years)
Intervention | months (Median) |
---|---|
Chemotherapy-Containing Cohort:Safety Run-In (Venetoclax + BR) | 35.09 |
Chemotherapy-Free Cohort: Arm A (Venetoclax + Rituximab) | 6.57 |
Chemotherapy-Containing Cohort: Arm B (Venetoclax + BR) | 27.63 |
Chemotherapy-Containing Cohort: Arm C (BR) | 18.43 |
(NCT02187861)
Timeframe: Pre-dose (within 30 minutes), and 2, 4, 6, 8 hours post-dose on Cycle 1 Day 1; pre-dose (within 30 minutes) on Cycle 1 Days 8, 15, 22; pre-dose (within 30 minutes) and 4 hours post-dose on Day 1 of Cycles 4 and 6 (Cycle length = 28 days)
Intervention | nanograms per milliliter (ng/mL) (Mean) |
---|---|
Chemotherapy-Containing Cohort:Safety Run-In (Venetoclax + BR) | 1350 |
Chemotherapy-Free Cohort: Arm A (Venetoclax + Rituximab) | 1220 |
Chemotherapy-Containing Cohort: Arm B (Venetoclax + BR) | 1340 |
OS was defined as the period from the date of treatment initiation (Safety Run-in and Arm A) or randomization date (Arms B and C) to death due to any cause. For participants who are alive, OS was censored at the last contact. OS was calculated using Kaplan-Meier method. (NCT02187861)
Timeframe: Baseline until death due to any cause (assessed up to approximately 2.5 years)
Intervention | months (Median) |
---|---|
Chemotherapy-Containing Cohort:Safety Run-In (Venetoclax + BR) | NA |
Chemotherapy-Free Cohort: Arm A (Venetoclax + Rituximab) | NA |
Chemotherapy-Containing Cohort: Arm B (Venetoclax + BR) | NA |
Chemotherapy-Containing Cohort: Arm C (BR) | NA |
(NCT02187861)
Timeframe: Baseline until death due to any cause (assessed up to approximately 2.5 years
Intervention | percentage of participants (Number) |
---|---|
Chemotherapy-Containing Cohort:Safety Run-In (Venetoclax + BR) | 0 |
Chemotherapy-Free Cohort: Arm A (Venetoclax + Rituximab) | 5.8 |
Chemotherapy-Containing Cohort: Arm B (Venetoclax + BR) | 2.0 |
Chemotherapy-Containing Cohort: Arm C (BR) | 3.9 |
CMR: a score 1 (no uptake above background), 2 (uptake <=mediastinum), or 3 (
Timeframe: 4-10 weeks after Cycle 6 Day 1 (Cycle length = 28 days)
Intervention | percentage of participants (Number) |
---|---|
Chemotherapy-Containing Cohort:Safety Run-In (Venetoclax + BR) | 55.6 |
Chemotherapy-Free Cohort: Arm A (Venetoclax + Rituximab) | 15.4 |
Chemotherapy-Containing Cohort: Arm B (Venetoclax + BR) | 70.6 |
Chemotherapy-Containing Cohort: Arm C (BR) | 68.6 |
All adverse events are tracked during the course of the trial. Adverse events with a grade of 3-4 will be tracked and recorded. (NCT02224729)
Timeframe: Up to 1 year
Intervention | Adverse Events (Number) |
---|---|
Bendamustine, Bortezomib, Dexamethasone (Standard) | 22 |
ORR (partial remission or better) to induction therapy following 4 cycles of the combination regimen BBd. (NCT02224729)
Timeframe: At least 140 days
Intervention | Participants (Count of Participants) |
---|---|
Bendamustine, Bortezomib, Dexamethasone (Standard) | 13 |
The amount of participants that start treatment with BBd and survive at least one year post treatment completion. (NCT02224729)
Timeframe: 1 year
Intervention | Participants (Count of Participants) |
---|---|
Bendamustine, Bortezomib, Dexamethasone (Standard) | 2 |
The amount of participants that survive one year after treatment with BBd and do not experience worsening disease. (NCT02224729)
Timeframe: 1 year
Intervention | Participants (Count of Participants) |
---|---|
Bendamustine, Bortezomib, Dexamethasone (Standard) | 2 |
Very good partial remission (VGPR) to induction therapy following 4 cycles of the combination regimen BBd. As defined as no dectable M-protein on SPEP (Serum protein electrophoresis) but positive IFX (Immunofixation) on serum or urine and >90% reduction of M-protein in serum and urine (NCT02224729)
Timeframe: Up to 1 year
Intervention | Participants (Count of Participants) |
---|---|
Bendamustine, Bortezomib, Dexamethasone (Standard) | 9 |
(NCT02257242)
Timeframe: Up to 6 cycles of treatment (approximately 6 months)
Intervention | Participants (Count of Participants) |
---|---|
Vincristine Sulfate Liposome Injection: 1.8 mg/m^2 | 1 |
Vincristine Sulfate Liposome Injection: 1.95 mg/m^2 | 0 |
Vincristine Sulfate Liposome Injection: 1.98 mg/m^2 | 1 |
Vincristine Sulfate Liposome Injection: 2.04 mg/m^2 | 1 |
Vincristine Sulfate Liposome Injection: 2.10 mg/m^2 | 1 |
Vincristine Sulfate Liposome Injection: 2.14 mg/m^2 | 1 |
Vincristine Sulfate Liposome Injection: 2.19 mg/m^2 | 1 |
Vincristine Sulfate Liposome Injection: 2.22 mg/m^2 | 1 |
Vincristine Sulfate Liposome Injection: 2.24 mg/m^2 | 1 |
Determined as the median of the marginal posterior distribution using data from all available patients (NCT02257242)
Timeframe: Up to 6 cycles of treatment (approximately 6 months)
Intervention | mg/m^2 (Number) |
---|---|
Dose-escalation Cohort | 2.24 |
The number of patients achieving complete response during treatment on study (NCT02257242)
Timeframe: Up to 6 cycles of treatment (approximately 6 months)
Intervention | Participants (Count of Participants) |
---|---|
Vincristine Sulfate Liposome Injection 1.8 mg/m^2 | 1 |
Vincristine Sulfate Liposome Injection 1.95 mg/m^2 | 0 |
Vincristine Sulfate Liposome Injection 1.98 mg/m^2 | 0 |
Vincristine Sulfate Liposome Injection 2.04 mg/m^2 | 1 |
Vincristine Sulfate Liposome Injection 2.10 mg/m^2 | 0 |
Vincristine Sulfate Liposome Injection 2.14 mg/m^2 | 1 |
Vincristine Sulfate Liposome Injection 2.19 mg/m^2 | 0 |
Vincristine Sulfate Liposome Injection 2.22 mg/m^2 | 1 |
Vincristine Sulfate Liposome Injection 2.24 mg/m^2 | 1 |
PK of three pola-related analytes: acMMAE, total antibody, and unconjugated MMAE were measured. (NCT02257567)
Timeframe: Cycle 1 Day 2 (cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts)
Intervention | mL/kg (Mean) | |
---|---|---|
acMMAE | Total Ab | |
Cohort 1b (Phase Ib Safety Run-In): Pola+BG in DLBCL | 64.7 | 87.9 |
Cohort 1b (Phase Ib Safety Run-In): Pola+BG in FL | 77.2 | 87.5 |
PK of three pola-related analytes: acMMAE, total antibody, and unconjugated MMAE were measured. (NCT02257567)
Timeframe: Cycle 1 Day 2 (cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts)
Intervention | L (Geometric Mean) |
---|---|
Bendamustine | |
Arm A (Phase II Randomization): Pola+BR in FL | 36.5 |
Arm C (Phase II Randomization): Pola+BR in DLBCL | 34.3 |
PK of three pola-related analytes: acMMAE, total antibody, and unconjugated MMAE were measured. (NCT02257567)
Timeframe: Cycle 1 Day 2 (cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts)
Intervention | L (Geometric Mean) |
---|---|
Bendamustine | |
Arm E (Phase II Expansion): Pola+BG in FL | 51.2 |
Arm F (Phase II Expansion): Pola+BG in DLBCL | 31.5 |
(NCT02257567)
Timeframe: Cycle 1 Day 2 (cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts)
Intervention | L (Geometric Mean) |
---|---|
Bendamustine | |
Arm B (Phase II Randomization): BR in FL | 44.9 |
Arm D (Phase II Randomization): BR in DLBCL | 33.2 |
PK of three pola-related analytes: acMMAE, unconjugated MMAE and total antibody were measured. (NCT02257567)
Timeframe: Cycle 1; Cycle 4 (cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts)
Intervention | ug/mL (Mean) | ||||||
---|---|---|---|---|---|---|---|
acMMAE: Cycle 1 | acMMAE: Cycle 4 | Total Ab: Cycle 1 | Total Ab: Cycle 4 | Bendamustine: Cycle 1 | Obinutuzumab: Cycle 1 | Obinutuzumab: Cycle 4 | |
Arm E (Phase II Expansion): Pola+BG in FL | 692 | 845 | 33.3 | 56.1 | 3.30 | 349 | 727 |
Arm F (Phase II Expansion): Pola+BG in DLBCL | 703 | 713 | 39.0 | 37.8 | 5.47 | 274 | 666 |
PK of three pola-related analytes: acMMAE, total antibody and unconjugated MMAE were measured. (NCT02257567)
Timeframe: Cycle 1; Cycle 4 (cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts)
Intervention | ng/mL (Mean) | |||||
---|---|---|---|---|---|---|
acMMAE: Cycle 1 | acMMAE: Cycle 4 | Total Ab: Cycle 1 | Total Ab: Cycle 4 | Bendamustine: Cycle 1 | Rituximab: Cycle 1 | |
Arm A (Phase II Randomization): Pola+BR in FL | 622 | 703 | 36.7 | 46.1 | 3.57 | 188 |
Arm C (Phase II Randomization): Pola+BR in DLBCL | 661 | 659 | 35.7 | 41.4 | 4.23 | 191 |
(NCT02257567)
Timeframe: Cycle 1 Day 2 (cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts)
Intervention | ug/mL (Mean) | |
---|---|---|
Bendamustine | Rituximab | |
Arm B (Phase II Randomization): BR in FL | 3.21 | 207 |
Arm D (Phase II Randomization): BR in DLBCL | 3.85 | 183 |
PK of three pola-related analytes: acMMAE, total antibody, and unconjugated MMAE were measured. (NCT02257567)
Timeframe: Cycle 1 Day 2 (cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts)
Intervention | Liters per hour (L/h) (Geometric Mean) |
---|---|
Bendamustine | |
Arm A (Phase II Randomization): Pola+BR in FL | 47.9 |
Arm C (Phase II Randomization): Pola+BR in DLBCL | 42.6 |
PK of three pola-related analytes: acMMAE, total antibody, and unconjugated MMAE were measured. (NCT02257567)
Timeframe: Cycle 1 Day 2 (cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts)
Intervention | L/h (Geometric Mean) |
---|---|
Bendamustine | |
Arm E (Phase II Expansion): Pola+BG in FL | 61.3 |
Arm F (Phase II Expansion): Pola+BG in DLBCL | 39.9 |
(NCT02257567)
Timeframe: Cycle 1 Day 2 (cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts)
Intervention | L/h (Geometric Mean) |
---|---|
Bendamustine | |
Arm B (Phase II Randomization): BR in FL | 54.4 |
Arm D (Phase II Randomization): BR in DLBCL | 46.4 |
PK of three pola-related analytes: acMMAE, total antibody, and unconjugated MMAE were measured. (NCT02257567)
Timeframe: Cycle 1 Day 2 (cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts)
Intervention | h*ug/mL (Geometric Mean) |
---|---|
Bendamustine | |
Arm A (Phase II Randomization): Pola+BR in FL | 3.29 |
Arm C (Phase II Randomization): Pola+BR in DLBCL | 3.62 |
PK of three pola-related analytes: acMMAE, total antibody, and unconjugated MMAE were measured. (NCT02257567)
Timeframe: Cycle 1 Day 2 (cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts)
Intervention | h*ug/mL (Geometric Mean) |
---|---|
Bendamustine | |
Arm E (Phase II Expansion): Pola+BG in FL | 2.88 |
Arm F (Phase II Expansion): Pola+BG in DLBCL | 4.10 |
(NCT02257567)
Timeframe: Cycle 1 Day 2 (cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts)
Intervention | h*ug/mL (Geometric Mean) |
---|---|
Bendamustine | |
Arm B (Phase II Randomization): BR in FL | 2.86 |
Arm D (Phase II Randomization): BR in DLBCL | 3.43 |
Cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts. As pre specified in the protocol plasma concentration of bendamustine was not assessed in the Phase II NF Cohort (Arm G+H). (NCT02257567)
Timeframe: Cycle 1 Day 2: pre-dose, 5 min, 1 hour (h); 2h, 3h and 4h post dose
Intervention | ng/mL (Geometric Mean) | |||||
---|---|---|---|---|---|---|
Cycle 1 Day 2: Pre-dose | Cycle 1 Day 2: 5 min Post Dose | Cycle 1 Day 2: 1h Post Dose | Cycle 1 Day 2: 2h Post Dose | Cycle 1 Day 2: 3h Post Dose | Cycle 1 Day 2: 4h Post Dose | |
Arm A (Phase II Randomization): Pola+BR in FL | NA | 2130 | 456 | 84.4 | 20.5 | 7.60 |
Arm B (Phase II Randomization): BR in FL | NA | 2810 | 353 | 55.1 | 12.7 | 4.58 |
Arm C (Phase II Randomization): Pola+BR in DLBCL | NA | 2740 | 518 | 93.8 | 23.5 | 8.11 |
Arm D (Phase II Randomization): BR in DLBCL | NA | 1700 | 451 | 101 | 21.5 | 8.08 |
Arm E (Phase II Expansion): Pola+BG in FL | NA | 3090 | 478 | 62.8 | 12.4 | 3.30 |
Arm F (Phase II Expansion): Pola+BG in DLBCL | NA | 3790 | 639 | 128 | 28.2 | 6.18 |
PK of pola-related analyte acMMAE was measured. Cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts. (NCT02257567)
Timeframe: Cycle 1 Day 2: pre-dose and 30 minutes (min) post dose; Cycle 1 Days 8 and 15; Cycle 2 and 4 Day 1: pre-dose and 30 min post dose; unscheduled visits: pre-dose and 30 min post dose; study treatment completion (up to approximately 84 months)
Intervention | ng/mL (Geometric Mean) | |||||
---|---|---|---|---|---|---|
Cycle 1 Day 2: Pre-dose | Cycle 1 Day 2: 30 min Post Dose | Cycle 2 Day 1: Pre-dose | Cycle 4 Day 1: Pre-dose | Cycle 4 Day 1: 30 min Post Dose | Study Treatment Completion | |
Arm F (Phase II Expansion): Pola+BG in DLBCL | NA | 472 | 13.1 | 19.6 | 709 | 12.3 |
PK of pola-related analyte acMMAE was measured. Cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts. (NCT02257567)
Timeframe: Cycle 1 Day 2: pre-dose and 30 minutes (min) post dose; Cycle 1 Days 8 and 15; Cycle 2 and 4 Day 1: pre-dose and 30 min post dose; unscheduled visits: pre-dose and 30 min post dose; study treatment completion (up to approximately 84 months)
Intervention | ng/mL (Geometric Mean) | ||||||
---|---|---|---|---|---|---|---|
Cycle 1 Day 2: Pre-dose | Cycle 1 Day 2: 30 min Post Dose | Cycle 2 Day 1: Pre-dose | Cycle 4 Day 1: Pre-dose | Cycle 4 Day 1: 30 min Post Dose | Unscheduled Visit: Pre-dose | Study Treatment Completion | |
Arm A (Phase II Randomization): Pola+BR in FL | NA | 492 | 4.72 | 11.2 | 689 | 1.21 | 10.7 |
PK of pola-related analyte acMMAE was measured. Cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts. (NCT02257567)
Timeframe: Cycle 1 Day 2: pre-dose and 30 minutes (min) post dose; Cycle 1 Days 8 and 15; Cycle 2 and 4 Day 1: pre-dose and 30 min post dose; unscheduled visits: pre-dose and 30 min post dose; study treatment completion (up to approximately 84 months)
Intervention | ng/mL (Geometric Mean) | ||||||
---|---|---|---|---|---|---|---|
Cycle 1 Day 2: Pre-dose | Cycle 1 Day 2: 30 min Post Dose | Cycle 2 Day 1: Pre-dose | Cycle 4 Day 1: Pre-dose | Cycle 4 Day 1: 30 min Post Dose | Unscheduled Visit | Study Treatment Completion | |
Arm E (Phase II Expansion): Pola+BG in FL | NA | 453 | 9.05 | 15.2 | 829 | 53.0 | 14.9 |
PK of pola-related analyte acMMAE was measured. Cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts. (NCT02257567)
Timeframe: Cycle 1 Day 2: pre-dose and 30 minutes (min) post dose; Cycle 1 Days 8 and 15; Cycle 2 and 4 Day 1: pre-dose and 30 min post dose; unscheduled visits: pre-dose and 30 min post dose; study treatment completion (up to approximately 84 months)
Intervention | ng/mL (Geometric Mean) | |||||||
---|---|---|---|---|---|---|---|---|
Cycle 1 Day 2: Pre-dose | Cycle 1 Day 2: 30 min Post Dose | Cycle 1 Day 8 | Cycle 1 Day 15 | Cycle 2 Day 1: Pre-dose | Cycle 2 Day 1: 30 min Post Dose | Cycle 4 Day 1: Pre-dose | Cycle 4 Day 1: 30 min Post Dose | |
Cohort 1a (Phase Ib Safety Run-In): Pola+BR in DLBCL | NA | 617 | 75.9 | 25.4 | 12.4 | 683 | 21.1 | 754 |
Cohort 1a (Phase Ib Safety Run-In): Pola+BR in FL | NA | 654 | 29.4 | 12.2 | 3.21 | 685 | 12.2 | 748 |
Cohort 1b (Phase Ib Safety Run-In): Pola+BG in DLBCL | NA | 718 | 109 | 34.4 | 16.6 | 834 | 26.2 | 716 |
PK of pola-related analyte acMMAE was measured. Cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts. (NCT02257567)
Timeframe: Cycle 1 Day 2: pre-dose and 30 minutes (min) post dose; Cycle 1 Days 8 and 15; Cycle 2 and 4 Day 1: pre-dose and 30 min post dose; unscheduled visits: pre-dose and 30 min post dose; study treatment completion (up to approximately 84 months)
Intervention | ng/mL (Geometric Mean) | ||||||||
---|---|---|---|---|---|---|---|---|---|
Cycle 1 Day 2: Pre-dose | Cycle 1 Day 2: 30 min Post Dose | Cycle 1 Day 8 | Cycle 1 Day 15 | Cycle 2 Day 1: Pre-dose | Cycle 2 Day 1: 30 min Post Dose | Cycle 4 Day 1: Pre-dose | Cycle 4 Day 1: 30 min Post Dose | Study Treatment Completion | |
Cohort 1b (Phase Ib Safety Run-In): Pola+BG in FL | NA | 719 | 90.7 | 28.9 | 8.75 | 803 | 15.3 | 734 | 18.7 |
OR at PRA was defined as the percentage of participants with CR or PR at the PRA, as assessed by the investigator based on MLRC. Per MLRC, CR based on CT was defined as complete radiologic response in lymph nodes and ELS with target nodes/nodal masses regressing to ≤ 1.5 cm in LDi and no ELS of disease organ enlargement regressing to normal; no new lesions; bone marrow normal by morphology, if indeterminate, IHC negative. PR per CT only was defined as partial remission in lymph nodes and ELS with ≥50% decrease in sum of the products of greatest diameters (SPD) of up to 6 target measurable lymph nodes and extranodal sites, absent/normal/regressed but with no increase in non-measured lesions, spleen regressing by ≥50% in length beyond normal it, no new sites of lesions. The analysis was done 6-8 weeks after Cycle 6, Day 1 (each cycle is 21 days for DLBCL cohorts and 28 days for FL cohorts). (NCT02257567)
Timeframe: 6 to 8 weeks after Cycle 6 Day 1 (cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts) or last dose of study drug (up to approximately 28 weeks)
Intervention | percentage of participants (Number) |
---|---|
Arm A (Phase II Randomization): Pola+BR in FL | 79.5 |
Arm B (Phase II Randomization): BR in FL | 75.6 |
Arm C (Phase II Randomization): Pola+BR in DLBCL | 45.0 |
Arm D (Phase II Randomization): BR in DLBCL | 15.0 |
Arm E (Phase II Expansion): Pola+BG in FL | 80.0 |
Arm F (Phase II Expansion): Pola+BG in DLBCL | 33.3 |
Arm G+H (Phase II NF Cohort): Pola+BR in DLBCL | 42.5 |
CR was assessed by IRC at PRA according to MLRC. Per MLRC, CR based on PET-CT was defined as complete MR in lymph nodes and ELS with a score of 1, 2, or 3 with or without residual mass, on 5PS where 1=no uptake above background; 2=uptake ≤ mediastinum; 3=uptake > mediastinum but ≤ liver; 4=uptake moderately > liver; 5=uptake markedly higher than liver and/or new lesions no evidence of FDG-avid disease in bone marrow. Bone marrow is normal by morphology; if indeterminate, IHC negative. The analysis was done 6-8 weeks after Cycle 6, Day 1 (each cycle is 21 days for DLBCL cohorts) or after final dose of study treatment. Values have been rounded off to the nearest whole number. (NCT02257567)
Timeframe: 6-8 weeks after Cycle 6, Day 1 (cycle length is 21 days for DLBCL cohorts) or last dose of study drug (up to approximately 23 weeks)
Intervention | percentage of participants (Number) |
---|---|
Arm H (Phase II NF Cohort): Pola+BR in DLBCL | 42.2 |
An AE is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as AEs. AEs were reported based on the NCI-CTCAE, v4.0. As pre-specified in the protocol data reported is combined for Arms G and H. Values have been rounded off to the nearest whole number. (NCT02257567)
Timeframe: From Month 37 to Month 84 (up to approximately 47 months)
Intervention | percentage of participants (Number) |
---|---|
Arm G+H (Phase II NF Cohort): Pola+BR in DLBCL | 99.1 |
OR at PRA was defined as the percentage of participants with CR or PR at the PRA, as assessed by the IRC based on MLRC. Per MLRC, CR based on CT was defined as complete radiologic response in lymph nodes and ELS with target nodes/nodal masses regressing to ≤ 1.5 cm in LDi and no ELS of disease organ enlargement regressing to normal; no new lesions; normal bone marrow by morphology, if indeterminate, IHC negative. PR per CT only was defined as partial remission in lymph nodes and ELS with ≥50% decrease in SPD of up to 6 target measurable lymph nodes and extranodal sites, absent/normal/regressed but with no increase in non-measured lesions, spleen regressing by ≥50% in length beyond normal it, no new sites of lesions. The analysis was done 6-8 weeks after Cycle 6, Day 1 (each cycle is 21 days for DLBCL cohorts). (NCT02257567)
Timeframe: 6 to 8 weeks after Cycle 6 Day 1 (cycle length is 21 days for DLBCL cohorts) or last dose of study drug (up to 23 weeks)
Intervention | percentage of participants (Number) |
---|---|
Arm G (Phase II NF Cohort): Pola+BR in DLBCL | 33.3 |
OR at PRA was defined as the percentage of participants with CR or PR at the PRA, as assessed by the investigator based on MLRC. Per MLRC, CR based on CT was defined as complete radiologic response in lymph nodes and ELS with target nodes/nodal masses regressing to ≤ 1.5 cm in LDi and no ELS of disease organ enlargement regressing to normal; no new lesions; normal bone marrow by morphology, if indeterminate, IHC negative. PR per CT only was defined as partial remission in lymph nodes and ELS with ≥50% decrease in SPD of up to 6 target measurable lymph nodes and extranodal sites, absent/normal/regressed but with no increase in non-measured lesions, spleen regressing by ≥50% in length beyond normal it, no new sites of lesions. The analysis was done 6-8 weeks after Cycle 6, Day 1 (each cycle is 21 days for DLBCL cohorts). (NCT02257567)
Timeframe: 6 to 8 weeks after Cycle 6 Day 1 (cycle length is 21 days for DLBCL cohorts) or last dose of study drug (up to 23 weeks)
Intervention | percentage of participants (Number) |
---|---|
Arm G (Phase II NF Cohort): Pola+BR in DLBCL | 38.1 |
CR was assessed by IRC at PRA according to MLRC. Per MLRC, CR based on PET-CT was defined as complete MR in lymph nodes and ELS with a score of 1, 2, or 3 with or without residual mass, on 5PS where 1=no uptake above background; 2=uptake ≤ mediastinum; 3=uptake > mediastinum but ≤ liver; 4=uptake moderately > liver; 5=uptake markedly higher than liver and/or new lesions no evidence of FDG-avid disease in bone marrow. Bone marrow is normal by morphology; if indeterminate, IHC negative. As pre-specified in the protocol data reported is combined for Arms G and H. The analysis was done 6-8 weeks after Cycle 6, Day 1 (each cycle is 21 days for DLBCL cohorts) or after final dose of study treatment. Values have been rounded off to the nearest whole number. (NCT02257567)
Timeframe: 6 to 8 weeks after Cycle 6 Day 1 (cycle length is 21 days for DLBCL cohorts) or last dose of study drug (up to approximately 23 weeks)
Intervention | percentage of participants (Number) |
---|---|
Arm G (Phase II NF Cohort): Pola+BR in DLBCL | 35.7 |
CR was determined by IRC at PRA according to the MLRC. Per MLRC, CR based on CT was defined as complete radiologic response in lymph nodes and ELS with target nodes/nodal masses regressing to ≤ 1.5 cm in LDi and no ELS of disease organ enlargement regressing to normal; no new lesions; normal bone marrow by morphology, if indeterminate, IHC negative. The analysis was done 6-8 weeks after Cycle 6, Day 1 (each cycle is 21 days for DLBCL cohorts). Values have been rounded off to the nearest whole number. (NCT02257567)
Timeframe: 6 to 8 weeks after Cycle 6 Day 1 (cycle length is 21 days for DLBCL cohorts) or last dose of study drug (up to approximately 23 weeks)
Intervention | percentage of participants (Number) |
---|---|
Arm G (Phase II NF Cohort): Pola+BR in DLBCL | 14.3 |
CR was determined by Investigator at PRA according to the MLRC. Per MLRC, CR based on CT was defined as complete radiologic response in lymph nodes and ELS with target nodes/nodal masses regressing to ≤ 1.5 cm in LDi and no ELS of disease organ enlargement regressing to normal; no new lesions; normal bone marrow by morphology, if indeterminate, IHC negative. The analysis was done 6-8 weeks after Cycle 6, Day 1 (each cycle is 21 days for DLBCL cohorts). Values have been rounded off to the nearest whole number. (NCT02257567)
Timeframe: 6 to 8 weeks after Cycle 6 Day 1 (cycle length is 21 days for DLBCL cohorts) or last dose of study drug (up to approximately 23 weeks)
Intervention | percentage of participants (Number) |
---|---|
Arm G (Phase II NF Cohort): Pola+BR in DLBCL | 9.5 |
PK of pola-related analyte acMMAE was measured. Cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts. (NCT02257567)
Timeframe: Cycle 1 Day 2: pre-dose and 30 minutes (min) post dose; Cycle 1 Days 8 and 15; Cycle 2 and 4 Day 1: pre-dose and 30 min post dose; unscheduled visits: pre-dose and 30 min post dose; study treatment completion (up to approximately 84 months)
Intervention | ng/mL (Geometric Mean) | ||||||||
---|---|---|---|---|---|---|---|---|---|
Cycle 1 Day 2: Pre-dose | Cycle 1 Day 2: 30 min Post Dose | Cycle 2 Day 1: Pre-dose | Cycle 4 Day 1: Pre-dose | Cycle 4 Day 1: 30 min Post Dose | Unscheduled Visit | Unscheduled Visit: Pre-dose | Unscheduled Visit: 30 min Post Dose | Study Treatment Completion | |
Arm C (Phase II Randomization): Pola+BR in DLBCL | NA | 643 | 12.7 | 20.7 | 645 | 41.1 | 0.180 | 915 | 14.2 |
PK of pola-related analytes unconjugated MMAE was measured. Cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts. (NCT02257567)
Timeframe: Cycle 1 Day 2: pre-dose and 30 min post dose, Cycle 1 Days 8 and 15; Cycles 2 and 4: pre-dose and 30 min post dose; unscheduled visits: pre-dose and 30 min post dose; study treatment completion (up to approximately 84 months)
Intervention | ng/mL (Geometric Mean) | |||||
---|---|---|---|---|---|---|
Cycle 1 Day 2: Pre-dose | Cycle 1 Day 2: 30 min Post Dose | Cycle 2 Day 1: Pre-dose | Cycle 4 Day 1: Pre-dose | Cycle 4 Day 1: 30 min Post Dose | Study Treatment Completion | |
Arm F (Phase II Expansion): Pola+BG in DLBCL | NA | 0.456 | 0.186 | 0.141 | 0.283 | 0.150 |
PK of pola-related analytes unconjugated MMAE was measured. Cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts. (NCT02257567)
Timeframe: Cycle 1 Day 2: pre-dose and 30 min post dose, Cycle 1 Days 8 and 15; Cycles 2 and 4: pre-dose and 30 min post dose; unscheduled visits: pre-dose and 30 min post dose; study treatment completion (up to approximately 84 months)
Intervention | ng/mL (Geometric Mean) | ||||||
---|---|---|---|---|---|---|---|
Cycle 1 Day 2: Pre-dose | Cycle 1 Day 2: 30 min Post Dose | Cycle 2 Day 1: Pre-dose | Cycle 4 Day 1: Pre-dose | Cycle 4 Day 1: 30 min Post Dose | Unscheduled Visit: Pre-dose | Study Treatment Completion | |
Arm A (Phase II Randomization): Pola+BR in FL | NA | 0.402 | 0.0373 | 0.0554 | 0.198 | 0.0180 | 0.0506 |
PK of pola-related analytes unconjugated MMAE was measured. Cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts. (NCT02257567)
Timeframe: Cycle 1 Day 2: pre-dose and 30 min post dose, Cycle 1 Days 8 and 15; Cycles 2 and 4: pre-dose and 30 min post dose; unscheduled visits: pre-dose and 30 min post dose; study treatment completion (up to approximately 84 months)
Intervention | ng/mL (Geometric Mean) | ||||||
---|---|---|---|---|---|---|---|
Cycle 1 Day 2: Pre-dose | Cycle 1 Day 2: 30 min Post Dose | Cycle 2 Day 1: Pre-dose | Cycle 4 Day 1: Pre-dose | Cycle 4 Day 1: 30 min Post Dose | Unscheduled Visit | Study Treatment Completion | |
Arm E (Phase II Expansion): Pola+BG in FL | NA | 0.243 | 0.0451 | 0.0481 | 0.195 | 0.738 | 0.0682 |
Cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts. (NCT02257567)
Timeframe: Cycles 1 and 4 Days 1: pre-dose and 30 min post dose; Cycle 2 Day1: pre-dose; Follow up visits on Day 1: Months 3, 6, 12, 18 and 24; unscheduled visits: pre-dose and 30 min post dose; study treatment completion (up to approximately 84 months)
Intervention | g/mL (Geometric Mean) | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Cycle 1 Day 1: Pre-dose | Cycle 1 Day 1: 30 min Post Dose | Cycle 2 Day 1: Pre-dose | Cycle 4 Day 1: Pre-dose | Cycle 4 Day 1: 30 min Post Dose | Follow up on Month 3, Day 1 | Follow up on Month 6, Day 1 | Follow up on Month 12, Day 1 | Follow up on Month 18, Day 1 | Unscheduled | Study Treatment Completion Visit | |
Arm E (Phase II Expansion): Pola+BG in FL | NA | 341 | 301 | 291 | 701 | 38.5 | 7.64 | 0.162 | 0.00842 | 20.8 | 242 |
PK of pola-related analytes unconjugated MMAE was measured. Cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts. (NCT02257567)
Timeframe: Cycle 1 Day 2: pre-dose and 30 min post dose, Cycle 1 Days 8 and 15; Cycles 2 and 4: pre-dose and 30 min post dose; unscheduled visits: pre-dose and 30 min post dose; study treatment completion (up to approximately 84 months)
Intervention | ng/mL (Geometric Mean) | |||||||
---|---|---|---|---|---|---|---|---|
Cycle 1 Day 2: Pre-dose | Cycle 1 Day 2: 30 min Post Dose | Cycle 1 Day 8 | Cycle 1 Day 15 | Cycle 2 Day 1: Pre-dose | Cycle 2 Day 1: 30 min Post Dose | Cycle 4 Day 1: Pre-dose | Cycle 4 Day 1: 30 min Post Dose | |
Cohort 1a (Phase Ib Safety Run-In): Pola+BR in DLBCL | NA | 0.234 | 1.84 | 0.531 | 0.158 | 0.263 | 0.133 | 0.266 |
Cohort 1a (Phase Ib Safety Run-In): Pola+BR in FL | NA | 0.726 | 1.48 | 0.311 | 0.0264 | 0.185 | 0.0414 | 0.234 |
Cohort 1b (Phase Ib Safety Run-In): Pola+BG in DLBCL | NA | 0.327 | 2.34 | 0.688 | 0.150 | 0.345 | 0.150 | 0.257 |
PK of pola-related analytes unconjugated MMAE was measured. Cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts. (NCT02257567)
Timeframe: Cycle 1 Day 2: pre-dose and 30 min post dose, Cycle 1 Days 8 and 15; Cycles 2 and 4: pre-dose and 30 min post dose; unscheduled visits: pre-dose and 30 min post dose; study treatment completion (up to approximately 84 months)
Intervention | ng/mL (Geometric Mean) | |||||||
---|---|---|---|---|---|---|---|---|
Cycle 1 Day 2: Pre-dose | Cycle 1 Day 2: 30 min Post Dose | Cycle 2 Day 1: Pre-dose | Cycle 4 Day 1: Pre-dose | Cycle 4 Day 1: 30 min Post Dose | Unscheduled Visit: Pre-dose | Unscheduled Visit: 30 min Post Dose | Study Treatment Completion | |
Arm C (Phase II Randomization): Pola+BR in DLBCL | NA | 0.315 | 0.159 | 0.158 | 0.316 | 0.0180 | 0.114 | 0.0749 |
PK of pola-related analytes unconjugated MMAE was measured. Cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts. (NCT02257567)
Timeframe: Cycle 1 Day 2: pre-dose and 30 min post dose, Cycle 1 Days 8 and 15; Cycles 2 and 4: pre-dose and 30 min post dose; unscheduled visits: pre-dose and 30 min post dose; study treatment completion (up to approximately 84 months)
Intervention | ng/mL (Geometric Mean) | ||||||||
---|---|---|---|---|---|---|---|---|---|
Cycle 1 Day 2: Pre-dose | Cycle 1 Day 2: 30 min Post Dose | Cycle 1 Day 8 | Cycle 1 Day 15 | Cycle 2 Day 1: Pre-dose | Cycle 2 Day 1: 30 min Post Dose | Cycle 4 Day 1: Pre-dose | Cycle 4 Day 1: 30 min Post Dose | Study Treatment Completion | |
Cohort 1b (Phase Ib Safety Run-In): Pola+BG in FL | NA | 0.397 | 1.96 | 0.705 | 0.0512 | 0.231 | 0.0511 | 0.167 | 0.0595 |
Cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts. (NCT02257567)
Timeframe: Cycles 1 and 4 Days 1: pre-dose and 30 min post dose; Cycle 2 Day1: pre-dose; Follow up visits on Day 1: Months 3, 6, 12, 18 and 24; unscheduled visits: pre-dose and 30 min post dose; study treatment completion (up to approximately 84 months)
Intervention | g/mL (Geometric Mean) | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Cycle 1 Day 1: Pre-dose | Cycle 1 Day 1: 30 min Post Dose | Cycle 2 Day 1: Pre-dose | Cycle 4 Day 1: Pre-dose | Cycle 4 Day 1: 30 min Post Dose | Follow up on Month 3, Day 1 | Follow up on Month 6, Day 1 | Follow up on Month 12, Day 1 | Follow up on Month 18, Day 1 | Follow up on Month 24, Day 1 | Unscheduled Visit: Pre-dose | Unscheduled Visit: 30 min Post Dose | Study Treatment Completion Visit | |
Arm F (Phase II Expansion): Pola+BG in DLBCL | NA | 221 | 349 | 290 | 642 | 55.1 | 15.8 | 0.732 | 0.0460 | 0.00203 | 0.0626 | 349 | 232 |
Cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts. (NCT02257567)
Timeframe: Cycles 1 and 4 Days 1: pre-dose and 30 min post dose; Cycle 2 Day1: pre-dose; Follow up visits on Day 1: Months 3, 6, 12, 18 and 24; unscheduled visits: pre-dose and 30 min post dose; study treatment completion (up to approximately 84 months)
Intervention | g/mL (Geometric Mean) | ||||||||
---|---|---|---|---|---|---|---|---|---|
Cycle 1 Day 1: Pre-dose | Cycle 2 Day 1: Pre-dose | Cycle 4 Day 1: Pre-dose | Follow up on Month 3, Day 1 | Follow up on Month 6, Day 1 | Follow up on Month 12, Day 1 | Follow up on Month 18, Day 1 | Follow up on Month 24, Day 1 | Study Treatment Completion Visit | |
Cohort 1b (Phase Ib Safety Run-In): Pola+BG in FL | NA | 283 | 293 | 67.7 | 11.5 | 0.237 | 0.00978 | 0.00203 | 367 |
Cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts. (NCT02257567)
Timeframe: Cycles 1 and 4 Days 1: pre-dose and 30 min post dose; Cycle 2 Day1: pre-dose; Follow up visits on Day 1: Months 3, 6, 12, 18 and 24; unscheduled visits: pre-dose and 30 min post dose; study treatment completion (up to approximately 84 months)
Intervention | g/mL (Geometric Mean) | ||||||||
---|---|---|---|---|---|---|---|---|---|
Cycle 1 Day 1: Pre-dose | Cycle 2 Day 1: Pre-dose | Cycle 4 Day 1: Pre-dose | Follow up on Month 3, Day 1 | Follow up on Month 6, Day 1 | Follow up on Month 12, Day 1 | Follow up on Month 18, Day 1 | Follow up on Month 24, Day 1 | Unscheduled | |
Cohort 1b (Phase Ib Safety Run-In): Pola+BG in DLBCL | NA | 412 | 359 | 28.8 | 5.38 | 0.389 | 0.0107 | 0.00203 | 3.09 |
PK of three pola-related analytes: acMMAE, total antibody, and unconjugated MMAE were measured. (NCT02257567)
Timeframe: Cycle 1 Day 2 (cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts)
Intervention | mL/kg (Geometric Mean) | |
---|---|---|
acMMAE | Total Ab | |
Cohort 1a (Phase Ib Safety Run-In): Pola+BR in DLBCL | 82.7 | 76.6 |
Cohort 1a (Phase Ib Safety Run-In): Pola+BR in FL | 73.0 | 82.3 |
PK of three pola-related analytes: acMMAE, total antibody, and unconjugated MMAE were measured. (NCT02257567)
Timeframe: Cycles 1, 2 and 4 (cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts)
Intervention | ng/mL (Mean) | ||||||
---|---|---|---|---|---|---|---|
acMMAE: Cycle 1 | acMMAE: Cycle 2 | acMMAE: Cycle 4 | Total Ab: Cycle 1 | Total Ab: Cycle 2 | Total Ab: Cycle 4 | Unconjugated MMAE: Cycle 1 | |
Cohort 1a (Phase Ib Safety Run-In): Pola+BR in DLBCL | 634 | 694 | 759 | 37.6 | 40.6 | 44.8 | 2.21 |
Cohort 1a (Phase Ib Safety Run-In): Pola+BR in FL | 676 | 697 | 763 | 34.3 | 36.6 | 41.3 | 3.31 |
PK of three pola-related analytes: acMMAE, total antibody, and unconjugated MMAE were measured. (NCT02257567)
Timeframe: Cycles 1, 2 and 4 (cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts)
Intervention | ng/mL (Mean) | ||||||
---|---|---|---|---|---|---|---|
acMMAE: Cycle 1 | acMMAE: Cycle 2 | acMMAE: Cycle 4 | Total Ab: Cycle 1 | Total Ab: Cycle 2 | Total Ab: Cycle 4 | Unconjugated MMAE: Cycle 1 | |
Cohort 1b (Phase Ib Safety Run-In): Pola+BG in DLBCL | 725 | 841 | 721 | 34.9 | 43.1 | 48.2 | 2.39 |
Cohort 1b (Phase Ib Safety Run-In): Pola+BG in FL | 738 | 816 | 749 | 38.7 | 45.0 | 44.2 | 2.17 |
PK of three pola-related analytes: acMMAE, total antibody, and unconjugated MMAE were measured. (NCT02257567)
Timeframe: Cycle 1 Day 2 (cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts)
Intervention | mL/day/kg (Geometric Mean) | |
---|---|---|
acMMAE | Total Ab | |
Cohort 1a (Phase Ib Safety Run-In): Pola+BR in DLBCL | 15.2 | 8.48 |
Cohort 1a (Phase Ib Safety Run-In): Pola+BR in FL | 11.3 | 6.05 |
PK of three pola-related analytes: acMMAE, total antibody, and unconjugated MMAE were measured. (NCT02257567)
Timeframe: Cycle 1 Day 2 (cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts)
Intervention | mL/day/kg (Geometric Mean) | |
---|---|---|
acMMAE | Total Ab | |
Cohort 1b (Phase Ib Safety Run-In): Pola+BG in DLBCL | 12.1 | 7.17 |
Cohort 1b (Phase Ib Safety Run-In): Pola+BG in FL | 12.3 | 6.76 |
PK of pola-related analyte Total Ab was measured. Cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts. (NCT02257567)
Timeframe: Cycle 1 Days 2: pre-dose & 30 min post dose; Cycle 1 Days 8 & 15; Cycle 2 and 4 Day 1 and unscheduled visits: pre-dose & 30 min post dose; Follow up at Day 1: Months 3, 6, 12, 18 & 24; study treatment completion visit (up to approx. 84 months)
Intervention | grams per milliliters (g/mL) (Geometric Mean) | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Cycle 1 Day 2: Pre-dose | Cycle 1 Day 2: 30 min Post Dose | Cycle 2 Day 1: Pre-dose | Cycle 4 Day 1: Pre-dose | Cycle 4 Day 1: 30 min Post Dose | Follow up on Month 3, Day 1 | Follow up on Month 6, Day 1 | Follow up on Month 12, Day 1 | Follow up on Month 18, Day 1 | Follow up on Month 24, Day 1 | Study Treatment Completion Visit | |
Arm F (Phase II Expansion): Pola+BG in DLBCL | NA | 38.3 | 2.83 | 5.03 | 37.5 | 0.543 | 0.150 | 0.0250 | 0.0250 | 0.0250 | 3.23 |
PK of pola-related analyte Total Ab was measured. Cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts. (NCT02257567)
Timeframe: Cycle 1 Days 2: pre-dose & 30 min post dose; Cycle 1 Days 8 & 15; Cycle 2 and 4 Day 1 and unscheduled visits: pre-dose & 30 min post dose; Follow up at Day 1: Months 3, 6, 12, 18 & 24; study treatment completion visit (up to approx. 84 months)
Intervention | grams per milliliters (g/mL) (Geometric Mean) | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Cycle 1 Day 2: Pre-dose | Cycle 1 Day 2: 30 min Post Dose | Cycle 2 Day 1: Pre-dose | Cycle 4 Day 1: Pre-dose | Cycle 4 Day 1: 30 min Post Dose | Follow up on Month 3, Day 1 | Follow up on Month 6, Day 1 | Follow up on Month 12, Day 1 | Follow up on Month 18, Day 1 | Unscheduled Visit: Pre-dose | Study Treatment Completion Visit | |
Arm A (Phase II Randomization): Pola+BR in FL | NA | 35.4 | 1.23 | 3.61 | 44.8 | 0.265 | 0.0539 | 0.0250 | 0.0250 | 0.279 | 3.34 |
PK of pola-related analyte Total Ab was measured. Cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts. (NCT02257567)
Timeframe: Cycle 1 Days 2: pre-dose & 30 min post dose; Cycle 1 Days 8 & 15; Cycle 2 and 4 Day 1 and unscheduled visits: pre-dose & 30 min post dose; Follow up at Day 1: Months 3, 6, 12, 18 & 24; study treatment completion visit (up to approx. 84 months)
Intervention | grams per milliliters (g/mL) (Geometric Mean) | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Cycle 1 Day 2: Pre-dose | Cycle 1 Day 2: 30 min Post Dose | Cycle 2 Day 1: Pre-dose | Cycle 4 Day 1: Pre-dose | Cycle 4 Day 1: 30 min Post Dose | Follow up on Month 3, Day 1 | Follow up on Month 6, Day 1 | Follow up on Month 12, Day 1 | Follow up on Month 18, Day 1 | Unscheduled Visit | Study Treatment Completion Visit | |
Arm E (Phase II Expansion): Pola+BG in FL | NA | 32.4 | 2.20 | 4.82 | 55.0 | 0.489 | 0.0920 | 0.0250 | 0.0250 | 1.23 | 4.57 |
PK of pola-related analyte Total Ab was measured. Cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts. (NCT02257567)
Timeframe: Cycle 1 Days 2: pre-dose & 30 min post dose; Cycle 1 Days 8 & 15; Cycle 2 and 4 Day 1 and unscheduled visits: pre-dose & 30 min post dose; Follow up at Day 1: Months 3, 6, 12, 18 & 24; study treatment completion visit (up to approx. 84 months)
Intervention | grams per milliliters (g/mL) (Geometric Mean) | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Cycle 1 Day 2: Pre-dose | Cycle 1 Day 2: 30 min Post Dose | Cycle 2 Day 1: Pre-dose | Cycle 4 Day 1: Pre-dose | Cycle 4 Day 1: 30 min Post Dose | Follow up on Month 3, Day 1 | Follow up on Month 6, Day 1 | Follow up on Month 12, Day 1 | Unscheduled Visit | Unscheduled Visit: Pre-dose | Unscheduled Visit: 30 min Post Dose | Study Treatment Completion Visit | |
Arm C (Phase II Randomization): Pola+BR in DLBCL | NA | 34.6 | 2.48 | 5.72 | 40.6 | 0.316 | 0.0564 | 0.0301 | 1.65 | 0.0250 | 42.0 | 4.33 |
PK of pola-related analyte Total Ab was measured. Cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts. (NCT02257567)
Timeframe: Cycle 1 Days 2: pre-dose & 30 min post dose; Cycle 1 Days 8 & 15; Cycle 2 and 4 Day 1 and unscheduled visits: pre-dose & 30 min post dose; Follow up at Day 1: Months 3, 6, 12, 18 & 24; study treatment completion visit (up to approx. 84 months)
Intervention | grams per milliliters (g/mL) (Geometric Mean) | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Cycle 1 Day 2: Pre-dose | Cycle 1 Day 2: 30 min Post Dose | Cycle 1 Day 8 | Cycle 1 Day 15 | Cycle 2 Day 1: Pre-dose | Cycle 2 Day 1: 30 min Post Dose | Cycle 4 Day 1: Pre-dose | Cycle 4 Day 1: 30 min Post Dose | Follow up on Month 3, Day 1 | Follow up on Month 6, Day 1 | Follow up on Month 12, Day 1 | Follow up on Month 18, Day 1 | Follow up on Month 24, Day 1 | Study Treatment Completion Visit | |
Cohort 1b (Phase Ib Safety Run-In): Pola+BG in FL | NA | 37.5 | 10.2 | 4.61 | 2.20 | 43.4 | 4.61 | 43.0 | 0.910 | 0.219 | 0.0298 | 0.0250 | 0.0250 | 5.34 |
PK of pola-related analyte Total Ab was measured. Cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts. (NCT02257567)
Timeframe: Cycle 1 Days 2: pre-dose & 30 min post dose; Cycle 1 Days 8 & 15; Cycle 2 and 4 Day 1 and unscheduled visits: pre-dose & 30 min post dose; Follow up at Day 1: Months 3, 6, 12, 18 & 24; study treatment completion visit (up to approx. 84 months)
Intervention | grams per milliliters (g/mL) (Geometric Mean) | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Cycle 1 Day 2: Pre-dose | Cycle 1 Day 2: 30 min Post Dose | Cycle 1 Day 8 | Cycle 1 Day 15 | Cycle 2 Day 1: Pre-dose | Cycle 2 Day 1: 30 min Post Dose | Cycle 4 Day 1: Pre-dose | Cycle 4 Day 1: 30 min Post Dose | Follow up on Month 3, Day 1 | Follow up on Month 6, Day 1 | Follow up on Month 12, Day 1 | Follow up on Month 18, Day 1 | Follow up on Month 24, Day 1 | Unscheduled Visit | |
Cohort 1a (Phase Ib Safety Run-In): Pola+BR in DLBCL | NA | 36.6 | 9.01 | 4.26 | 2.31 | 39.5 | 5.03 | 44.6 | 0.771 | 0.0788 | 0.0250 | 0.0250 | 0.0250 | 0.0250 |
Cohort 1a (Phase Ib Safety Run-In): Pola+BR in FL | NA | 33.2 | 3.43 | 1.83 | 0.696 | 35.8 | 3.44 | 40.2 | 0.164 | 0.0250 | 0.0250 | 0.0250 | 0.0250 | 0.0250 |
Cohort 1b (Phase Ib Safety Run-In): Pola+BG in DLBCL | NA | 34.3 | 10.0 | 5.22 | 3.70 | 42.2 | 6.26 | 47.1 | 0.394 | 0.104 | 0.0250 | 0.0250 | 0.0250 | 0.0250 |
Cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts. As pre specified in the protocol serum concentration of rituximab was not assessed in the Phase II NF Cohort (Arm G+H). (NCT02257567)
Timeframe: Cycle 1 Days 1: pre-dose and 30 min post dose; Cycle 2 and 4 Day 1: pre-dose; unscheduled visits: pre-dose and 30 min post dose (up to approximately 84 months)
Intervention | ng/mL (Geometric Mean) | |||
---|---|---|---|---|
Cycle 1 Days 1: Pre-dose | Cycle 1 Days 1: 30 min Post Dose | Cycle 2 Days 1: Pre-dose | Cycle 4 Days 1: Pre-dose | |
Arm B (Phase II Randomization): BR in FL | NA | 202 | 20.2 | 62.3 |
Cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts. As pre specified in the protocol serum concentration of rituximab was not assessed in the Phase II NF Cohort (Arm G+H). (NCT02257567)
Timeframe: Cycle 1 Days 1: pre-dose and 30 min post dose; Cycle 2 and 4 Day 1: pre-dose; unscheduled visits: pre-dose and 30 min post dose (up to approximately 84 months)
Intervention | ng/mL (Geometric Mean) | ||||
---|---|---|---|---|---|
Cycle 1 Days 1: Pre-dose | Cycle 1 Days 1: 30 min Post Dose | Cycle 2 Days 1: Pre-dose | Cycle 4 Days 1: Pre-dose | Unscheduled: Pre-dose | |
Arm A (Phase II Randomization): Pola+BR in FL | NA | 182 | 22.8 | 65.1 | 30.6 |
Arm C (Phase II Randomization): Pola+BR in DLBCL | NA | 188 | 34.9 | 74.7 | 298 |
Cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts. As pre specified in the protocol serum concentration of rituximab was not assessed in the Phase II NF Cohort (Arm G+H). (NCT02257567)
Timeframe: Cycle 1 Days 1: pre-dose and 30 min post dose; Cycle 2 and 4 Day 1: pre-dose; unscheduled visits: pre-dose and 30 min post dose (up to approximately 84 months)
Intervention | ng/mL (Geometric Mean) | |||||
---|---|---|---|---|---|---|
Cycle 1 Days 1: Pre-dose | Cycle 1 Days 1: 30 min Post Dose | Cycle 2 Days 1: Pre-dose | Cycle 4 Days 1: Pre-dose | Unscheduled: Pre-dose | Unscheduled: 30 min Post Dose | |
Arm D (Phase II Randomization): BR in DLBCL | NA | 180 | 34.6 | 83.3 | 2.00 | 165 |
The TINAS is an 11-item questionnaire that assesses the severity of neuropathy-related symptoms in the last 24 hours. The 11 items assessed were: hot/burning sensations in hands/feet, sensations pins and needles arms/legs, numbness or tingling in hands/feet, sensations of electric shock, pain when touching cold things, cramps in hands/feet, discomfort when touching things, discomfort skin contact with something, trouble grasping small objects, trouble walking loss feeling legs/feet, difficulty balance loss feeling leg/feet. Each item was scored on a 0-10 scale, with 0 being the symptom is not present, and 10 being the symptom is as bad as the participant can imagine. Higher scores indicate more severe disease. Scores were averaged at each week. (NCT02257567)
Timeframe: Every week during treatment (up to 24 weeks) and for the first 2 months after treatment, thereafter every month for 10 months or until withdrawal (up to 18 months overall)
Intervention | Points on scale (Mean) | ||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Baseline | Week 2 | Week 3 | Week 4 | Week 5 | Week 6 | Week 7 | Week 8 | Week 9 | Week 10 | Week 11 | Week 12 | Week 13 | Week 14 | Week 15 | Week 16 | Week 17 | Week 18 | Week 19 | Week 20 | Week 21 | Week 22 | Week 23 | Week 24 | Week 25 | Week 26 | Week 27 | Week 28 | Week 29 | Week 30 | Week 31 | Week 35 | Week 39 | Week 43 | End of Treatment | |
Arm D (Phase II Randomization): BR in DLBCL | 0.6 | 1.0 | 0.9 | 0.7 | 0.6 | 0.7 | 0.4 | 0.6 | 0.5 | 0.2 | 0.4 | 0.3 | 0.2 | 0.4 | 0.4 | 0.4 | 0.4 | 0.1 | 0.5 | 0.1 | 0.1 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.1 | 0.0 | 0.0 | 0.0 | 0.0 | 0.6 | 0.0 | 0.0 | 0.8 |
The TINAS is an 11-item questionnaire that assesses the severity of neuropathy-related symptoms in the last 24 hours. The 11 items assessed were: hot/burning sensations in hands/feet, sensations pins and needles arms/legs, numbness or tingling in hands/feet, sensations of electric shock, pain when touching cold things, cramps in hands/feet, discomfort when touching things, discomfort skin contact with something, trouble grasping small objects, trouble walking loss feeling legs/feet, difficulty balance loss feeling leg/feet. Each item was scored on a 0-10 scale, with 0 being the symptom is not present, and 10 being the symptom is as bad as the participant can imagine. Higher scores indicate more severe disease. Scores were averaged at each week. (NCT02257567)
Timeframe: Every week during treatment (up to 24 weeks) and for the first 2 months after treatment, thereafter every month for 10 months or until withdrawal (up to 18 months overall)
Intervention | Points on scale (Mean) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Baseline | Week 2 | Week 3 | Week 4 | Week 5 | Week 6 | Week 7 | Week 8 | Week 9 | Week 10 | Week 11 | Week 12 | Week 13 | Week 14 | Week 15 | Week 16 | Week 17 | Week 18 | Week 19 | Week 20 | Week 21 | Week 22 | Week 23 | Week 24 | Week 25 | Week 26 | Week 27 | Week 28 | Week 29 | Week 30 | Week 31 | Week 32 | Week 33 | Week 34 | Week 35 | Week 36 | Week 37 | Week 38 | Week 39 | Week 40 | Week 41 | Week 42 | Week 43 | Week 44 | Week 45 | Week 46 | Week 47 | Week 48 | Week 49 | Week 50 | Week 51 | Week 52 | Week 53 | Week 54 | Week 55 | Week 56 | Week 57 | Week 59 | Week 61 | Week 63 | Week 64 | Week 65 | Week 69 | Week 72 | Week 73 | End of Treatment | |
Arm B (Phase II Randomization): BR in FL | 0.5 | 0.5 | 0.7 | 0.8 | 0.6 | 0.8 | 0.9 | 0.8 | 0.5 | 0.4 | 0.5 | 0.9 | 0.6 | 0.7 | 0.7 | 0.8 | 0.8 | 0.7 | 0.8 | 0.8 | 0.9 | 0.8 | 0.8 | 1.0 | 0.2 | 3.3 | 1.1 | 1.2 | 0.8 | 0.7 | 0.0 | 0.1 | 0.1 | 1.3 | 0.0 | 0.2 | 0.1 | 0.1 | 0.0 | 0.0 | 0.7 | 0.0 | 0.0 | 0.0 | 0.1 | 0.1 | 0.0 | 0.8 | 0.0 | 0.1 | 0.0 | 0.4 | 0.7 | 0.0 | 0.2 | 0.2 | 0.0 | 0.0 | 0.3 | 0.0 | 1.1 | 0.0 | 0.3 | 1.2 | 0.0 | 0.6 |
The TINAS is an 11-item questionnaire that assesses the severity of neuropathy-related symptoms in the last 24 hours. The 11 items assessed were: hot/burning sensations in hands/feet, sensations pins and needles arms/legs, numbness or tingling in hands/feet, sensations of electric shock, pain when touching cold things, cramps in hands/feet, discomfort when touching things, discomfort skin contact with something, trouble grasping small objects, trouble walking loss feeling legs/feet, difficulty balance loss feeling leg/feet. Each item was scored on a 0-10 scale, with 0 being the symptom is not present, and 10 being the symptom is as bad as the participant can imagine. Higher scores indicate more severe disease. Scores were averaged at each week. (NCT02257567)
Timeframe: Every week during treatment (up to 24 weeks) and for the first 2 months after treatment, thereafter every month for 10 months or until withdrawal (up to 18 months overall)
Intervention | Points on scale (Mean) | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Baseline | Week 1 | Week 2 | Week 3 | Week 4 | Week 5 | Week 6 | Week 7 | Week 8 | Week 9 | Week 10 | Week 11 | Week 12 | Week 13 | Week 14 | Week 15 | Week 16 | Week 17 | Week 18 | Week 19 | Week 20 | Week 21 | Week 22 | Week 23 | Week 24 | Week 25 | Week 26 | Week 27 | Week 28 | Week 29 | Week 30 | Week 31 | Week 32 | Week 33 | Week 34 | Week 35 | Week 36 | Week 37 | Week 38 | Week 39 | Week 40 | Week 41 | Week 42 | Week 43 | Week 44 | Week 45 | Week 46 | Week 47 | Week 49 | Week 50 | Week 51 | Week 52 | Week 53 | Week 54 | Week 55 | Week 56 | Week 57 | Week 58 | Week 59 | Week 60 | Week 61 | Week 62 | Week 63 | Week 64 | Week 65 | Week 66 | Week 67 | Week 69 | Week 70 | Week 71 | Week 73 | Week 74 | Week 75 | Week 78 | Week 80 | Week 84 | Week 86 | Week 90 | End of Treatment | |
Arm A (Phase II Randomization): Pola+BR in FL | 0.2 | 0.3 | 0.3 | 0.2 | 0.1 | 0.2 | 0.2 | 0.3 | 0.3 | 0.4 | 0.5 | 0.5 | 0.5 | 0.7 | 0.6 | 0.2 | 0.4 | 0.2 | 0.2 | 0.2 | 0.0 | 0.3 | 0.2 | 0.2 | 0.4 | 0.2 | 0.6 | 0.3 | 0.5 | 0.2 | 0.7 | 0.3 | 0.4 | 0.3 | 0.2 | 0.3 | 0.5 | 0.4 | 0.4 | 0.7 | 0.5 | 0.6 | 0.5 | 0.3 | 1.6 | 0.8 | 1.1 | 0.4 | 0.6 | 1.0 | 0.1 | 0.4 | 0.2 | 0.8 | 0.3 | 0.6 | 0.3 | 0.7 | 0.0 | 0.4 | 0.4 | 0.7 | 0.4 | 0.4 | 0.2 | 0.6 | 0.2 | 0.2 | 0.7 | 0.1 | 0.4 | 1.3 | 0.2 | 0.7 | 0.0 | 0.0 | 0.6 | 0.7 | 0.4 |
The TINAS is an 11-item questionnaire that assesses the severity of neuropathy-related symptoms in the last 24 hours. The 11 items assessed were: hot/burning sensations in hands/feet, sensations pins and needles arms/legs, numbness or tingling in hands/feet, sensations of electric shock, pain when touching cold things, cramps in hands/feet, discomfort when touching things, discomfort skin contact with something, trouble grasping small objects, trouble walking loss feeling legs/feet, difficulty balance loss feeling leg/feet. Each item was scored on a 0-10 scale, with 0 being the symptom is not present, and 10 being the symptom is as bad as the participant can imagine. Higher scores indicate more severe disease. Scores were averaged at each week. (NCT02257567)
Timeframe: Every week during treatment (up to 24 weeks) and for the first 2 months after treatment, thereafter every month for 10 months or until withdrawal (up to 18 months overall)
Intervention | Points on scale (Mean) | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Baseline | Week 2 | Week 3 | Week 4 | Week 5 | Week 6 | Week 7 | Week 8 | Week 9 | Week 10 | Week 11 | Week 12 | Week 13 | Week 14 | Week 15 | Week 16 | Week 17 | Week 18 | Week 19 | Week 20 | Week 21 | Week 22 | Week 23 | Week 24 | Week 25 | Week 26 | Week 27 | Week 28 | Week 29 | Week 30 | Week 31 | Week 32 | Week 33 | Week 34 | Week 35 | Week 36 | Week 37 | Week 38 | Week 39 | Week 40 | Week 41 | Week 42 | Week 43 | Week 44 | Week 45 | Week 46 | Week 47 | Week 48 | Week 49 | Week 50 | Week 51 | Week 52 | Week 53 | Week 54 | Week 55 | Week 56 | Week 57 | Week 58 | Week 59 | Week 60 | Week 61 | Week 62 | Week 63 | Week 64 | Week 65 | Week 66 | Week 67 | Week 68 | Week 69 | Week 70 | Week 71 | Week 72 | Week 73 | Week 74 | Week 75 | Week 76 | Week 77 | Week 78 | Week 79 | Week 80 | Week 81 | Week 82 | Week 83 | Week 84 | Week 85 | Week 86 | Week 94 | Week 95 | Week 96 | Week 98 | Week 99 | Week 100 | Week 102 | Week 103 | Week 104 | Week 105 | End of Treatment | |
Arm C (Phase II Randomization): Pola+BR in DLBCL | 0.4 | 0.3 | 0.1 | 0.3 | 0.3 | 0.3 | 0.2 | 0.2 | 0.2 | 0.1 | 0.2 | 0.3 | 0.3 | 0.3 | 0.4 | 0.4 | 0.5 | 0.3 | 0.4 | 0.6 | 0.5 | 0.9 | 0.6 | 0.5 | 0.3 | 0.4 | 0.5 | 0.5 | 0.7 | 0.8 | 1.3 | 1.0 | 1.0 | 0.8 | 1.2 | 1.2 | 1.1 | 1.5 | 1.5 | 0.9 | 1.4 | 0.3 | 0.6 | 0.2 | 1.0 | 0.2 | 0.1 | 0.2 | 1.1 | 0.2 | 0.2 | 0.2 | 0.2 | 0.2 | 0.2 | 0.0 | 1.5 | 0.0 | 0.0 | 0.0 | 1.5 | 0.0 | 0.0 | 0.1 | 0.8 | 0.0 | 0.0 | 0.0 | 1.5 | 0.0 | 0.0 | 0.0 | 1.3 | 0.0 | 0.0 | 0.7 | 1.5 | 1.4 | 1.4 | 1.1 | 0.6 | 0.6 | 0.6 | 0.6 | 0.6 | 0.6 | 0.0 | 0.5 | 0.0 | 0.0 | 0.1 | 0.3 | 0.2 | 0.3 | 0.2 | 0.1 | 0.5 |
PK of three pola-related analytes: acMMAE, total antibody, and unconjugated MMAE were measured. (NCT02257567)
Timeframe: Cycle 1 Day 2 (cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts)
Intervention | day*ug/mL (Geometric Mean) | |
---|---|---|
acMMAE | Total Ab | |
Cohort 1b (Phase Ib Safety Run-In): Pola+BG in DLBCL | 2650 | 252 |
Cohort 1b (Phase Ib Safety Run-In): Pola+BG in FL | 2600 | 267 |
PK of three pola-related analytes: acMMAE, total antibody, and unconjugated MMAE were measured. The unit of measure for AUC is day*micrograms per milliliter [day*ug/mL]). (NCT02257567)
Timeframe: Cycle 1 Day 2 (cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts)
Intervention | day*ug/mL (Geometric Mean) | |
---|---|---|
acMMAE | Total Ab | |
Cohort 1a (Phase Ib Safety Run-In): Pola+BR in DLBCL | 2110 | 214 |
Cohort 1a (Phase Ib Safety Run-In): Pola+BR in FL | 2830 | 298 |
"The number of participants with positive results for ADA against pola and obinutuzumab at Baseline and at any of the post-baseline assessment time-points were reported. Participants positive at any post-baseline time points were post-baseline evaluable participants determined to have Treatment-induced ADAs or Treatment-enhanced ADA during the study period. Treatment-induced ADA = negative or missing baseline ADA result(s) and at least one positive post-baseline ADA result. Treatment-enhanced ADA = a participant with positive ADA result at baseline who has one or more post-baseline titer results that are at least 0.60 t.u. greater than the baseline titer result. Treatment emergent ADA is the sum of treatment-induced ADAs and treatment enhanced ADAs. Values have been rounded off to the nearest whole number." (NCT02257567)
Timeframe: Baseline up to approximately Month 24
Intervention | percentage of participants (Number) | |||
---|---|---|---|---|
Baseline Prevalence of ADAs to Polatuzumab vedotin | Post-Baseline Incidence of ADAs to Polatuzumab vedotin | Baseline Prevalence of ADAs to Obinutuzumab | Post-Baseline Incidence of ADA to Obinutuzumab | |
Cohort 1b (Phase Ib Safety Run-In): Pola+BG in DLBCL | 0 | 0 | 0 | 0 |
Cohort 1b (Phase Ib Safety Run-In): Pola+BG in FL | 0 | 0 | 0 | 0 |
"The number of participants with positive results for ADA against pola at Baseline and at any of the post-baseline assessment time-points were reported. Participants positive at any post-baseline time points were post-baseline evaluable participants determined to have Treatment-induced ADAs or Treatment-enhanced ADA during the study period. Treatment-induced ADA = negative or missing baseline ADA result(s) and at least one positive post-baseline ADA result. Treatment-enhanced ADA = a participant with positive ADA result at baseline who has one or more post-baseline titer results that are at least 0.60 titer unit (t.u.) greater than the baseline titer result. Treatment emergent ADA is the sum of treatment-induced ADAs and treatment enhanced ADAs. Values have been rounded off to the nearest whole number." (NCT02257567)
Timeframe: Baseline up to approximately Month 24
Intervention | percentage of participants (Number) | |
---|---|---|
Baseline Prevalence of ADAs | Post-Baseline Incidence of ADAs | |
Cohort 1a (Phase Ib Safety Run-In): Pola+BR in DLBCL | 33.3 | 33.3 |
Cohort 1a (Phase Ib Safety Run-In): Pola+BR in FL | 50.0 | 0 |
"The number of participants with positive results for ADA against lyophilized pola at Baseline and at any of the post-baseline assessment time-points were reported. Participants positive at any post-baseline time points were post-baseline evaluable participants determined to have Treatment-induced ADAs or Treatment-enhanced ADA during the study period. Treatment-induced ADA = negative or missing baseline ADA result(s) and at least one positive post-baseline ADA result. Treatment-enhanced ADA = a participant with positive ADA result at baseline who has one or more post-baseline titer results that are at least 0.60 t.u. greater than the baseline titer result. Treatment emergent ADA is the sum of treatment-induced ADAs and treatment enhanced ADAs. Values have been rounded off to the nearest whole number." (NCT02257567)
Timeframe: From Month 37 to Month 84 (up to approximately 47 months)
Intervention | percentage of participants (Number) | |
---|---|---|
Baseline Prevalence of ADAs to Polatuzumab | Post-Baseline Incidence of ADAs to Polatuzumab | |
Arm G (Phase II NF Cohort): Pola+BR in DLBCL | 0.0 | 2.6 |
Arm H (Phase II NF Cohort): Pola+BR in DLBCL | 1.6 | 5.0 |
"The number of participants with positive results for ADA against pola and obinutuzumab at Baseline and at any of the post-baseline assessment time-points were reported. Participants positive at any post-baseline time points were post-baseline evaluable participants determined to have Treatment-induced ADAs or Treatment-enhanced ADA during the study period. Treatment-induced ADA = negative or missing baseline ADA result(s) and at least one positive post-baseline ADA result. Treatment-enhanced ADA = a participant with positive ADA result at baseline who has one or more post-baseline titer results that are at least 0.60 t.u. greater than the baseline titer result. Treatment emergent ADA is the sum of treatment-induced ADAs and treatment enhanced ADAs. Values have been rounded off to the nearest whole number." (NCT02257567)
Timeframe: Baseline to approximately Month 24
Intervention | percentage of participants (Number) | |||
---|---|---|---|---|
Baseline Prevalence of ADAs to Polatuzumab | Post-Baseline Incidence of ADAs to Polatuzumab | Baseline Prevalence of ADAs to Obinutuzumab | Post-Baseline Incidence of ADAs to Obinutuzumab | |
Arm E (Phase II Expansion): Pola+BG in FL | 0 | 5.3 | 0 | 0 |
Arm F (Phase II Expansion): Pola+BG in DLBCL | 0 | 5.6 | 0 | 0 |
"The number of participants with positive results for ADA against pola at Baseline and at any of the post-baseline assessment time-points were reported. Participants positive at any post-baseline time points were post-baseline evaluable participants determined to have Treatment-induced ADAs or Treatment-enhanced ADA during the study period. Treatment-induced ADA = negative or missing baseline ADA result(s) and at least one positive post-baseline ADA result. Treatment-enhanced ADA = a participant with positive ADA result at baseline who has one or more post-baseline titer results that are at least 0.60 t.u. greater than the baseline titer result. Treatment emergent ADA is the sum of treatment-induced ADAs and treatment enhanced ADAs. Values have been rounded off to the nearest whole number." (NCT02257567)
Timeframe: Baseline to approximately Month 24
Intervention | percentage of participants (Number) | |
---|---|---|
Baseline Prevalence of ADAs | Post-Baseline Incidence of ADAs | |
Arm A (Phase II Randomization): Pola+BR in FL | 0 | 7.9 |
Arm C (Phase II Randomization): Pola+BR in DLBCL | 0 | 2.9 |
PK of one pola-related analytes: Unconjugated MMAE was measured. Cycle length is 21 days for DLBCL cohorts. As pre-specified in the protocol data is reported combined for arms G+H. (NCT02257567)
Timeframe: Cycle 1 Day 2: post dose; Cycle 1 and 3 Day 8 and 15; Cycle 2, 3 and 4 Day 1: pre-dose and post dose
Intervention | ng/mL (Mean) | ||||
---|---|---|---|---|---|
Cycle 1 Day 2: Post Dose | Cycle 2 Day 1: Pre-dose | Cycle 2 Day 1: Post Dose | Cycle 4 Day 1: Pre-dose | Cycle 4 Day 1: Post Dose | |
Arm G+H (Phase II NF Cohort): Pola+BR in DLBCL | 0.590 | 0.229 | 0.316 | 0.186 | 0.256 |
PK of pola-related analyte: Total Ab was measured. Cycle length is 21 days for DLBCL cohorts. As pre-specified in the protocol data is reported combined for arms G+H. (NCT02257567)
Timeframe: Cycle 1 Day 2: post dose; Cycle 2 and 4 Day 1: pre-dose and post dose
Intervention | ng/mL (Mean) | ||||
---|---|---|---|---|---|
Cycle 1 Day 2: Post Dose | Cycle 2 Day 1: Pre-dose | Cycle 2 Day 1: Post Dose | Cycle 4 Day 1: Pre-dose | Cycle 4 Day 1: Post Dose | |
Arm G+H (Phase II NF Cohort): Pola+BR in DLBCL | 33.9 | 3.27 | 36.0 | 5.41 | 39.2 |
PK of one pola-related analytes: acMMAE was measured. Cycle length is 21 days for DLBCL cohorts. As pre-specified in the protocol data is reported combined for arms G+H. (NCT02257567)
Timeframe: Cycle 1 Day 2: post dose; Cycle 2 and 4 Day 1: pre-dose and post dose
Intervention | ng/mL (Mean) | ||||
---|---|---|---|---|---|
Cycle 1 Day 2: Post Dose | Cycle 2 Day 1: Pre-dose | Cycle 2 Day 1: Post Dose | Cycle 4 Day 1: Pre-dose | Cycle 4 Day 1: Post Dose | |
Arm G+H (Phase II NF Cohort): Pola+BR in DLBCL | 653 | 14.6 | 667 | 23.2 | 659 |
PK of three pola-related analytes: acMMAE, total antibody, and unconjugated MMAE were measured. (NCT02257567)
Timeframe: Days 2, 8 and 15 of Cycle 1, Day 1 of Cycle 2 and 4,(cycle length is 21 days for DLBCL cohorts) up to approximately 9 weeks
Intervention | nanograms per milliliters (ng/mL) (Geometric Mean) | |
---|---|---|
acMMAE | MMAE | |
Arm G (Phase II NF Cohort): Pola+BR in DLBCL | 724 | 2.01 |
Pharmacokinetic (PK) of three pola-related analytes: antibody conjugated monomethyl auristatin E (acMMAE), total antibody, and unconjugated MMAE were measured. The unit of measure for AUC is nanograms*day per milliliters. (NCT02257567)
Timeframe: Days 2, 8 and 15 of Cycle 1, Day 1 of Cycle 2 and 4, (each cycle is 21 days DLBCL cohorts) up to approximately 9 weeks
Intervention | ng*day/mL (Geometric Mean) | |
---|---|---|
acMMAE | MMAE | |
Arm G (Phase II NF Cohort): Pola+BR in DLBCL | 2880 | 21.6 |
OR at PRA was defined as the percentage of participants with CR or PR at the PRA, as assessed by the IRC according to MLRC. Per MLRC, CR based on PET-CT= complete MR in lymph nodes and ELS with a score of 1, 2, or 3 with or without residual mass on 5PS, where 1=no uptake above background; 2=uptake ≤ mediastinum; 3=uptake mediastinum but ≤ liver; 4=uptake moderately > liver; 5=uptake markedly higher than liver and/or new lesions; no new lesions and no evidence of FDG-avid disease in bone marrow. Bone marrow normal by morphology; if indeterminate, IHC negative. PR based on PET-CT was defined as partial MR in lymph nodes and ELS with a score of 4 or 5 with reduced uptake compared with baseline and residual mass(es) of any size at interim, residual uptake higher than uptake in normal bone marrow but reduced compared with baseline (diffuse uptake compatible with reactive changes from chemotherapy allowed). (NCT02257567)
Timeframe: 6 to 8 weeks after Cycle 6 Day 1 (cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts) or last dose of study drug (up to approximately 28 weeks)
Intervention | percentage of participants (Number) |
---|---|
Arm A (Phase II Randomization): Pola+BR in FL | 76.9 |
Arm B (Phase II Randomization): BR in FL | 73.2 |
Arm C (Phase II Randomization): Pola+BR in DLBCL | 42.5 |
Arm D (Phase II Randomization): BR in DLBCL | 17.5 |
Arm E (Phase II Expansion): Pola+BG in FL | 85.0 |
Arm F (Phase II Expansion): Pola+BG in DLBCL | 38.1 |
Arm G+H (Phase II NF Cohort): Pola+BR in DLBCL | 43.4 |
OR at PRA was defined as the percentage of participants with CR or PR at the PRA, as assessed by the IRC based on MLRC. Per MLRC, CR based on CT was defined as complete radiologic response in lymph nodes and ELS with target nodes/nodal masses regressing to ≤ 1.5 cm in LDi and no ELS of disease organ enlargement regressing to normal; no new lesions; bone marrow normal by morphology, if indeterminate, IHC negative. PR per CT only was defined as partial remission in lymph nodes and ELS with ≥50% decrease SPD of up to 6 target measurable lymph nodes and extranodal sites, absent/normal/regressed but with no increase in non-measured lesions, spleen regressing by ≥50% in length beyond normal it, no new sites of lesions. The analysis was done 6-8 weeks after Cycle 6, Day 1 (each cycle is 21 days for DLBCL cohorts and 28 days for FL cohorts). (NCT02257567)
Timeframe: 6 to 8 weeks after Cycle 6 Day 1 (cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts) or last dose of study drug (up to approximately 28 weeks)
Intervention | percentage of participants (Number) |
---|---|
Arm A (Phase II Randomization): Pola+BR in FL | 74.4 |
Arm B (Phase II Randomization): BR in FL | 80.5 |
Arm C (Phase II Randomization): Pola+BR in DLBCL | 40.0 |
Arm D (Phase II Randomization): BR in DLBCL | 15.0 |
Arm E (Phase II Expansion): Pola+BG in FL | 80.0 |
Arm F (Phase II Expansion): Pola+BG in DLBCL | 38.1 |
Arm G+H (Phase II NF Cohort): Pola+BR in DLBCL | 41.5 |
The TINAS is an 11-item questionnaire that assesses the severity of neuropathy-related symptoms in the last 24 hours. The 11 items assessed were: hot/burning sensations in hands/feet, sensations pins and needles arms/legs, numbness or tingling in hands/feet, sensations of electric shock, pain when touching cold things, cramps in hands/feet, discomfort when touching things, discomfort skin contact with something, trouble grasping small objects, trouble walking loss feeling legs/feet, difficulty balance loss feeling leg/feet. Each item was scored on a 0-10 scale, with 0 being the symptom is not present, and 10 being the symptom is as bad as the participant can imagine. Higher scores indicate more severe disease. Scores were averaged at each week. (NCT02257567)
Timeframe: Every week during treatment (up to 24 weeks) and for the first 2 months after treatment, thereafter every month for 10 months or until withdrawal (up to 18 months overall)
Intervention | Points on scale (Mean) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Baseline | Week 1 | Week 2 | Week 3 | Week 4 | Week 5 | Week 6 | Week 7 | Week 8 | Week 9 | Week 10 | Week 11 | Week 12 | Week 13 | Week 14 | Week 15 | Week 16 | Week 17 | Week 18 | Week 19 | Week 20 | Week 21 | Week 22 | Week 23 | Week 24 | Week 25 | Week 27 | Week 28 | Week 29 | Week 30 | Week 31 | Week 32 | Week 33 | Week 34 | Week 35 | Week 36 | Week 37 | Week 38 | Week 39 | Week 40 | Week 41 | Week 42 | Week 43 | Week 44 | Week 45 | Week 46 | Week 47 | Week 48 | Week 49 | Week 50 | Week 51 | Week 52 | Week 53 | Week 54 | Week 55 | Week 57 | Week 58 | Week 59 | Week 61 | Week 62 | Week 63 | Week 64 | Week 65 | Week 66 | Week 67 | Week 68 | Week 69 | Week 70 | Week 71 | Week 72 | Week 73 | Week 74 | Week 75 | Week 76 | Week 77 | Week 79 | Week 80 | Week 83 | Week 85 | Week 86 | Week 89 | Week 90 | Week 91 | Week 92 | Week 93 | Week 94 | Week 95 | Week 96 | Week 97 | Week 98 | Week 99 | Week 100 | Week 101 | Week 102 | Week 103 | Week 104 | Week 105 | Week 107 | Week 108 | End of Treatment | |
Arm E (Phase II Expansion): Pola+BG in FL | 0.8 | 0.0 | 0.2 | 0.0 | 0.2 | 0.1 | 0.1 | 0.0 | 0.2 | 0.1 | 0.1 | 0.1 | 0.2 | 0.3 | 0.2 | 0.9 | 0.3 | 0.3 | 0.3 | 0.3 | 0.3 | 0.3 | 0.5 | 0.5 | 0.3 | 0.1 | 0.4 | 0.1 | 0.1 | 0.1 | 0.1 | 0.2 | 0.2 | 0.2 | 0.4 | 0.1 | 0.2 | 0.3 | 0.3 | 0.1 | 0.3 | 0.5 | 0.4 | 0.7 | 0.3 | 0.5 | 0.8 | 0.6 | 0.3 | 0.5 | 0.5 | 0.5 | 0.2 | 0.5 | 0.5 | 0.2 | 0.6 | 0.6 | 0.3 | 0.6 | 0.8 | 0.7 | 0.0 | 0.8 | 0.9 | 1.2 | 0.0 | 1.0 | 0.8 | 0.9 | 0.0 | 0.8 | 1.1 | 0.6 | 0.9 | 0.8 | 0.8 | 0.8 | 0.6 | 0.6 | 0.7 | 0.7 | 0.7 | 0.7 | 0.7 | 0.7 | 0.7 | 0.8 | 0.7 | 0.7 | 0.7 | 0.7 | 0.7 | 0.7 | 0.7 | 0.7 | 0.8 | 0.7 | 0.7 | 0.1 |
OR at PRA was defined as the percentage of participants with CR or PR at the PRA, as assessed by the investigator according to MLRC. Per MLRC, CR based on PET-CT complete MR in lymph nodes and ELS with a score of 1, 2, or 3 with or without residual mass on 5PS, where 1=no uptake above background; 2=uptake ≤ mediastinum; 3=uptake mediastinum but ≤ liver; 4=uptake moderately > liver; 5=uptake markedly higher than liver and/or new lesions; no new lesions and no evidence of FDG-avid disease in bone marrow, normal by morphology; if indeterminate, IHC negative. PR based on PET-CT was defined as partial MR in lymph nodes and ELS with a score of 4 or 5 with reduced uptake compared with baseline and residual mass(es) of any size at interim, residual uptake higher than uptake in normal bone marrow but reduced compared with baseline (diffuse uptake compatible with reactive changes from chemotherapy allowed). (NCT02257567)
Timeframe: 6 to 8 weeks after Cycle 6 Day 1 (cycle length 21 for DLBCL cohorts and 28 days for FL cohorts) or last dose of study drug (up to approximately 28 weeks)
Intervention | percentage of participants (Number) |
---|---|
Arm A (Phase II Randomization): Pola+BR in FL | 79.5 |
Arm B (Phase II Randomization): BR in FL | 80.5 |
Arm C (Phase II Randomization): Pola+BR in DLBCL | 47.5 |
Arm D (Phase II Randomization): BR in DLBCL | 17.5 |
Arm E (Phase II Expansion): Pola+BG in FL | 85.0 |
Arm F (Phase II Expansion): Pola+BG in DLBCL | 33.3 |
Arm G+H (Phase II NF Cohort): Pola+BR in DLBCL | 42.5 |
CR was assessed by investigator at PRA according to MLRC. Per MLRC, CR based on PET-CT was defined as complete MR in lymph nodes and ELS with a score of 1, 2, or 3 with or without residual mass, on 5PS where 1=no uptake above background; 2=uptake ≤ mediastinum; 3=uptake > mediastinum but ≤ liver; 4=uptake moderately > liver; 5=uptake markedly higher than liver and/or new lesions no evidence of FDG-avid disease in bone marrow. Bone marrow is normal by morphology; if indeterminate, IHC negative. The analysis was done 6-8 weeks after Cycle 6, Day 1 (each cycle is 21 days for DLBCL cohorts and 28 days for FL cohorts) or after final dose of study treatment. As pre-specified in the protocol data reported is combined for Arms G and H. Values have been rounded off to the nearest whole number. (NCT02257567)
Timeframe: 6 to 8 weeks after Cycle 6 Day 1 (cycle length 21 days for DLBCL cohorts and 28 days for FL cohorts) or last dose of study drug (up to approximately 28 weeks)
Intervention | percentage of participants (Number) |
---|---|
Arm A (Phase II Randomization): Pola+BR in FL | 64.1 |
Arm B (Phase II Randomization): BR in FL | 63.4 |
Arm C (Phase II Randomization): Pola+BR in DLBCL | 42.5 |
Arm D (Phase II Randomization): BR in DLBCL | 15.0 |
Arm E (Phase II Expansion): Pola+BG in FL | 65.0 |
Arm F (Phase II Expansion): Pola+BG in DLBCL | 33.3 |
Arm G+H (Phase II NF Cohort): Pola+BR in DLBCL | 36.8 |
CR was determined by IRC a at PRA according to the MLRC. Per MLRC, CR based on CT was defined as complete radiologic response in lymph nodes and ELS with target nodes/nodal masses regressing to ≤ 1.5 cm in LDi and no ELS of disease organ enlargement regressing to normal; no new lesions; normal bone marrow by morphology, if indeterminate, IHC negative. The analysis was done 6-8 weeks after Cycle 6, Day 1 (each cycle is 21 days for DLBCL cohorts and 28 days for FL cohorts). As pre-specified in the protocol data reported is combined for Arms G and H. Values have been rounded off to the nearest whole number. (NCT02257567)
Timeframe: 6 to 8 weeks after Cycle 6 Day 1 (cycle length 21 days for DLBCL cohorts and 28 days for FL cohorts) or last dose of study drug (up to approximately 28 weeks)
Intervention | percentage of participants (Number) |
---|---|
Arm A (Phase II Randomization): Pola+BR in FL | 41.0 |
Arm B (Phase II Randomization): BR in FL | 36.6 |
Arm C (Phase II Randomization): Pola+BR in DLBCL | 22.5 |
Arm D (Phase II Randomization): BR in DLBCL | 2.5 |
Arm E (Phase II Expansion): Pola+BG in FL | 50.0 |
Arm F (Phase II Expansion): Pola+BG in DLBCL | 23.8 |
Arm G+H (Phase II NF Cohort): Pola+BR in DLBCL | 17.9 |
CR was determined by investigator at PRA according to the MLRC. Per MLRC, CR based on CT was defined as complete radiologic response in lymph nodes and ELS with target nodes/nodal masses regressing to ≤ 1.5 centimetres (cm) in in longest transverse diameter (LDi) and no ELS of disease organ enlargement regressing to normal; no new lesions; normal bone marrow by morphology, if indeterminate, IHC negative. The analysis was done 6-8 weeks after Cycle 6, Day 1 (each cycle is 21 days for DLBCL cohorts and 28 days for FL cohorts). As pre-specified in the protocol data reported is combined for Arms G and H. Values have been rounded off to the nearest whole number. (NCT02257567)
Timeframe: 6 to 8 weeks after Cycle 6 Day 1 (cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts) or last dose of study drug (up to approximately 28 weeks)
Intervention | percentage of participants (Number) |
---|---|
Arm A (Phase II Randomization): Pola+BR in FL | 46.2 |
Arm B (Phase II Randomization): BR in FL | 19.5 |
Arm C (Phase II Randomization): Pola+BR in DLBCL | 20.0 |
Arm D (Phase II Randomization): BR in DLBCL | 5.0 |
Arm E (Phase II Expansion): Pola+BG in FL | 20.0 |
Arm F (Phase II Expansion): Pola+BG in DLBCL | 14.3 |
Arm G+H (Phase II NF Cohort): Pola+BR in DLBCL | 14.2 |
BOR=CR/PR per PET-CT/CT per MLRC.CR per PET-CT=complete MR in LN & ELS, score=1, 2,3 with/without a residual mass on 5-PS; 1=no uptake(UT) above background;2=UT≤mediastinum;3=UT>mediastinum but ≤liver;4=UT moderately>liver;5=UT markedly higher than liver &/or new lesions;no evidence of FDG-avid disease, bone marrow morphology=normal;if indeterminate, is IHC negative.PR per PET-CT=partial MR in LN & ELS, score=4 or 5, reduced UT than baseline (BL) & residual mass of any size;residual UT>UT in normal marrow but reduced than BL.CR per CT=complete radiologic response with target nodes/nodal masses regressed to ≤1.5cm in LDi & no ELS of disease, absences of non-measured lesion;organ enlargement regressed to normal;no new lesions;bone marrow= normal;if indeterminate, is IHC negative.PR per CT=≥50% decrease in SPD of up to 6 target nodes & extranodal sites;non-measured lesions=absent/normal/regressed/no increase;spleen=regressed by ≥50% in length beyond normal, no new lesions. (NCT02257567)
Timeframe: Up to every 6 months until disease progression, withdrawal or study completion (up to approximately 84 months)
Intervention | percentage of participants (Number) |
---|---|
Arm A (Phase II Randomization): Pola+BR in FL | 89.7 |
Arm B (Phase II Randomization): BR in FL | 90.2 |
Arm C (Phase II Randomization): Pola+BR in DLBCL | 70.0 |
Arm D (Phase II Randomization): BR in DLBCL | 32.5 |
Arm E (Phase II Expansion): Pola+BG in FL | 90.0 |
Arm F (Phase II Expansion): Pola+BG in DLBCL | 52.4 |
Arm G+H (Phase II NF Cohort): Pola+BR in DLBCL | 62.3 |
An AE is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as AEs. AEs were reported based on the NCI-CTCAE, v4.0. As pre-specified in the protocol data reported is combined for Arms G and H. Values have been rounded off to the nearest whole number. (NCT02257567)
Timeframe: From the study start up to the end of the study (up to approximately 84 months)
Intervention | percentage of participants (Number) |
---|---|
Arm A (Phase II Randomization): Pola+BR in FL | 100 |
Arm B (Phase II Randomization): BR in FL | 100 |
Arm C (Phase II Randomization): Pola+BR in DLBCL | 100 |
Arm D (Phase II Randomization): BR in DLBCL | 97.4 |
Arm E (Phase II Expansion): Pola+BG in FL | 100 |
Arm F (Phase II Expansion): Pola+BG in DLBCL | 100 |
Arm G+H (Phase II NF Cohort): Pola+BR in DLBCL | 99.1 |
CR was assessed by IRC at PRA according to Modified Lugano Response Criteria (MLRC). Per MLRC, CR based on PET-CT was defined as complete metabolic response (MR) in lymph nodes and extralymphatic sites (ELS) with a score of 1, 2, or 3 with or without residual mass, on 5-point scale (5PS) where 1=no uptake above background; 2=uptake ≤ mediastinum; 3=uptake > mediastinum but ≤ liver; 4=uptake moderately > liver; 5=uptake markedly higher than liver and/or new lesions no evidence of fluorodeoxyglucose (FDG)-avid disease in bone marrow. Bone marrow is normal by morphology; if indeterminate, immunohistochemistry (IHC) negative. As pre-specified in the protocol data reported is combined for Arms G and H. The analysis was done 6-8 weeks after Cycle 6, Day 1 (each cycle is 21 days for DLBCL cohorts and 28 days for FL cohorts) or after final dose of study treatment. Values have been rounded off to the nearest whole number. (NCT02257567)
Timeframe: 6 to 8 weeks after Cycle 6 Day 1 (cycle length is 21 days for DLBCL cohorts and 28 days for FL cohorts) or last dose of study drug (up to approximately 28 weeks)
Intervention | percentage of participants (Number) |
---|---|
Arm A (Phase II Randomization): Pola+BR in FL | 69.2 |
Arm B (Phase II Randomization): BR in FL | 63.4 |
Arm C (Phase II Randomization): Pola+BR in DLBCL | 42.5 |
Arm D (Phase II Randomization): BR in DLBCL | 17.5 |
Arm G+H (Phase II NF Cohort): Pola+BR in DLBCL | 39.6 |
BOR=CR/PR per PET-CT/CT per MLRC. CR per PET-CT=complete MR in lymph nodes & ELS, score=1, 2,3 with/without a residual mass on 5-PS; 1=no UT above background; 2=UT≤mediastinum;3=UT>mediastinum but ≤liver;4=UT moderately>liver;5=UT markedly higher than liver &/or new lesions;no evidence of FDG-avid disease, bone marrow morphology=normal;if indeterminate, is IHC negative.PR per PET-CT=partial MR in lymph nodes & ELS, score=4 or 5, reduced UT than BL & residual mass of any size;residual UT>UT in normal marrow but reduced than BL.CR per CT=complete radiologic response with target nodes/nodal masses regressed to ≤1.5cm in LDi & no ELS of disease, absences of non-measured lesion;organ enlargement regressed to normal;no new lesions;bone marrow= normal;if indeterminate, is IHC negative.PR per CT=≥50% decrease in SPD of up to 6 target nodes & extranodal sites;non-measured lesions=absent/normal/regressed/no increase;spleen=regressed by ≥50% in length beyond normal, no new lesions. (NCT02257567)
Timeframe: Up to every 6 months until disease progression, withdrawal or study completion (from Month 37 to Month 84 [up to approximately 47 months])
Intervention | percentage of participants (Number) |
---|---|
Arm G+H (Phase II NF Cohort): Pola+BR in DLBCL | 57.5 |
BOR=CR/PR per PET-CT/CT per MLRC. CR per PET-CT=complete MR in lymph nodes & ELS, score=1, 2,3 with/without a residual mass on 5-PS; 1=no UT above background; 2=UT≤mediastinum;3=UT>mediastinum but ≤liver;4=UT moderately>liver;5=UT markedly higher than liver &/or new lesions;no evidence of FDG-avid disease, bone marrow morphology=normal;if indeterminate, is IHC negative.PR per PET-CT=partial MR in lymph nodes & ELS, score=4 or 5, reduced UT than BL & residual mass of any size;residual UT>UT in normal marrow but reduced than BL.CR per CT=complete radiologic response with target nodes/nodal masses regressed to ≤1.5cm in LDi & no ELS of disease, absences of non-measured lesion;organ enlargement regressed to normal;no new lesions;bone marrow= normal;if indeterminate, is IHC negative.PR per CT=≥50% decrease in SPD of up to 6 target nodes & extranodal sites;non-measured lesions=absent/normal/regressed/no increase;spleen=regressed by ≥50% in length beyond normal, no new lesions. (NCT02257567)
Timeframe: Up to every 6 months until disease progression, withdrawal or study completion (from Month 37 to Month 84 [up to approximately 47 months])
Intervention | percentage of participants (Number) |
---|---|
Arm G+H (Phase II NF Cohort): Pola+BR in DLBCL | 62.3 |
OS was defined as the time from the date of randomization or first treatment (for obinutuzumab arms) to the date of death from any cause. As pre-specified in the protocol data reported is combined for Arms G and H. (NCT02257567)
Timeframe: From Month 37 to Month 84 (up to approximately 47 months)
Intervention | months (Median) |
---|---|
Arm G+H (Phase II NF Cohort): Pola+BR in DLBCL | 12.320 |
PFS was defined as the time from randomization or from first study treatment (for obinuzumab arms) to the first occurrence of disease progression, relapse or death, from any cause based on PET-CT or CT only, as determined by the IRC assessment. As pre-specified in the protocol data reported is combined for Arms G and H. (NCT02257567)
Timeframe: From the date of randomization or first treatment to the first occurrence of progression or relapse, or death from any cause (from Month 37 to Month 84 [up to approximately 47 months])
Intervention | months (Median) |
---|---|
Arm G+H (Phase II NF Cohort): Pola+BR in DLBCL | 6.965 |
PFS was defined as the time from randomization or from first study treatment (for obinuzumab arms) to the first occurrence of disease progression, relapse or death, from any cause based on PET-CT or CT only, as determined by the investigators assessment. As pre-specified in the protocol data reported is combined for Arms G and H. (NCT02257567)
Timeframe: From the date of randomization or first treatment to the first occurrence of progression or relapse, or death from any cause (from Month 37 to Month 84 [up to approximately 47 months])
Intervention | months (Median) |
---|---|
Arm G+H (Phase II NF Cohort): Pola+BR in DLBCL | 5.881 |
OR at PRA was defined as the percentage of participants with CR or PR at the PRA, as assessed by the IRC according to MLRC. Per MLRC, CR based on PET-CT= complete MR in lymph nodes and ELS with a score of 1, 2, or 3 with or without residual mass on 5PS, where 1=no uptake above background; 2=uptake ≤ mediastinum; 3=uptake mediastinum but ≤ liver; 4=uptake moderately > liver; 5=uptake markedly higher than liver and/or new lesions ; no new lesions and no evidence of FDG-avid disease in bone marrow, bone marrow normal by morphology; if indeterminate, IHC negative. PR based on PET-CT was defined as partial MR in lymph nodes and ELS with a score of 4 or 5 with reduced uptake compared with baseline and residual mass(es) of any size at interim, residual uptake higher than uptake in normal bone marrow but reduced compared with baseline (diffuse uptake compatible with reactive changes from chemotherapy allowed). (NCT02257567)
Timeframe: 6 to 8 weeks after Cycle 6 Day 1 (cycle length is 21 days for DLBCL cohorts) or last dose of study drug (up to approximately 23 weeks)
Intervention | percentage of participants (Number) |
---|---|
Arm G+H (Phase II NF Cohort): Pola+BR in DLBCL | 43.4 |
OR at PRA was defined as the percentage of participants with CR or PR at the PRA, as assessed by the investigator according to MLRC. Per MLRC, CR based on PET-CT= complete MR in lymph nodes and ELS with a score of 1, 2, or 3 with or without residual mass on 5PS, where 1=no uptake above background; 2=uptake ≤ mediastinum; 3=uptake mediastinum but ≤ liver; 4=uptake moderately>liver; 5=uptake markedly higher than liver and/or new lesions ; no new lesions and no evidence of FDG-avid disease in bone marrow, normal by morphology; if indeterminate, IHC negative. PR based on PET-CT was defined as partial MR in lymph nodes and ELS with a score of 4 or 5 with reduced uptake compared with baseline and residual mass(es) of any size at interim, residual uptake higher than uptake in normal bone marrow but reduced compared with baseline (diffuse uptake compatible with reactive changes from chemotherapy allowed). (NCT02257567)
Timeframe: 6 to 8 weeks after Cycle 6 Day 1 (cycle length is 21 days for DLBCL cohorts) or last dose of study drug (up to approximately 23 weeks)
Intervention | percentage of participants (Number) |
---|---|
Arm G+H (Phase II NF Cohort): Pola+BR in DLBCL | 42.5 |
CR was assessed by Investigator at PRA according to MLRC. Per MLRC, CR based on PET-CT was defined as complete MR in lymph nodes and ELS with a score of 1, 2, or 3 with or without residual mass, on 5PS where 1=no uptake above background; 2=uptake ≤ mediastinum; 3=uptake > mediastinum but ≤ liver; 4=uptake moderately > liver; 5=uptake markedly higher than liver and/or new lesions no evidence of FDG-avid disease in bone marrow. Bone marrow is normal by morphology; if indeterminate, IHC negative. As pre-specified in the protocol data reported is combined for Arms G and H. The analysis was done 6-8 weeks after Cycle 6, Day 1 (each cycle is 21 days for DLBCL cohorts) or after final dose of study treatment. Values have been rounded off to the nearest whole number. (NCT02257567)
Timeframe: 6 to 8 weeks after Cycle 6 Day 1 (cycle length 21 days for DLBCL cohorts) or last dose of study drug (up to approximately 23 weeks)
Intervention | percentage of participants (Number) |
---|---|
Arm G+H (Phase II NF Cohort): Pola+BR in DLBCL | 36.8 |
EFS was defined as time from randomization to disease progression or relapse, as assessed by the investigator or death from any cause. As pre-specified in the protocol data reported is combined for Arms G and H. (NCT02257567)
Timeframe: From Month 37 to Month 84 (up to approximately 47 months)
Intervention | months (Median) |
---|---|
Arm G+H (Phase II NF Cohort): Pola+BR in DLBCL | 5.092 |
DOR=first occurrence of CR/PR to disease progression/relapse/death per PET-CT/CT, per IRC per MLRC.CR per PET-CT=score 1/2/3 with/without a residual mass on 5-PS for LN and ELS;1=no UT> background; 2=UT≤mediastinum;3=UT>mediastinum but ≤liver;4=UT moderately>liver;5=UT>than liver &/or new lesions;bone marrow morphology=no evidence of FDG-avid disease, normal;if indeterminate IHC negative.PR per PET-CT=score of 4/5 with reduced UT compared to BL & residual mass of any size at interim for LN & ELS;residual UT>UT in normal bone marrow but
Timeframe: From the date of the first occurrence of a documented CR or PR to the date of disease progression, relapse, or death from any cause whichever occur first (from Month 37 to Month 84 [up to approximately 47 months])
Intervention | months (Median) |
---|---|
Arm G+H (Phase II NF Cohort): Pola+BR in DLBCL | 13.437 |
DOR=first occurrence of CR/PR to disease progression/relapse/death per PET-CT/CT, per investigator per MLRC.CR per PET-CT=score 1/2/3 with/without a residual mass on 5-PS for LN and ELS;1=no UT> background; 2=UT≤mediastinum;3=UT>mediastinum but ≤liver;4=UT moderately>liver;5=UT>than liver &/or new lesions;bone marrow morphology=no evidence of FDG-avid disease, normal;if indeterminate IHC negative.PR per PET-CT=score of 4/5 with reduced UT compared to BL & residual mass of any size at interim for LN & ELS;residual UT>UT in normal bone marrow but
Timeframe: From the date of the first occurrence of a documented CR or PR to the date of disease progression, relapse, or death from any cause whichever occur first (from Month 37 to Month 84 [up to approximately 47 months])
Intervention | months (Median) |
---|---|
Arm G+H (Phase II NF Cohort): Pola+BR in DLBCL | 11.335 |
CR was assessed by IRC at PRA according to MLRC. Per MLRC, CR based on PET-CT was defined as complete MR in lymph nodes and ELS with a score of 1, 2, or 3 with or without residual mass, on 5PS where 1=no uptake above background; 2=uptake ≤ mediastinum; 3=uptake > mediastinum but ≤ liver; 4=uptake moderately > liver; 5=uptake markedly higher than liver and/or new lesions no evidence of FDG-avid disease in bone marrow. Bone marrow is normal by morphology; if indeterminate, IHC negative. The analysis was done 6-8 weeks after Cycle 6, Day 1 (each cycle is 21 days for DLBCL cohorts and 28 days for FL cohorts) or after final dose of study treatment. Values have been rounded off to the nearest whole number. (NCT02257567)
Timeframe: 6 to 8 weeks after Cycle 6 Day 1 (cycle length 21 days for DLBCL cohorts and 28 days for FL cohorts) or last dose of study drug (up to approximately 28 weeks)
Intervention | percentage of participants (Number) |
---|---|
Arm E (Phase II Expansion): Pola+BG in FL | 65.0 |
Arm F (Phase II Expansion): Pola+BG in DLBCL | 33.3 |
Arm G (Phase II Expansion): Pola+BR in DLBCL | 35.7 |
An AE is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as adverse events. AEs were reported based on the National Cancer Institute Common Terminology Criteria for AEs, version 4.0 (NCI-CTCAE, v4.0). (NCT02257567)
Timeframe: From the study start up to the end of the study (up to approximately 84 months)
Intervention | percentage of participants (Number) |
---|---|
Cohort 1a (Phase Ib Safety Run-In): Pola+BR in FL | 100 |
Cohort 1a (Phase Ib Safety Run-In): Pola+BR in DLBCL | 100 |
Cohort 1b (Phase Ib Safety Run-In): Pola+BG in FL | 100 |
Cohort 1b (Phase Ib Safety Run-In): Pola+BG in DLBCL | 100 |
PFS was defined as the time randomization or from first study treatment (for obinuzumab arms) to the first occurrence of disease progression, relapse or death, from any cause based on PET-CT or CT only, as determined by the investigators assessment. As pre-specified in the protocol data reported is combined for Arms G and H. (NCT02257567)
Timeframe: From the date of randomization or first treatment to the first occurrence of progression or relapse, or death from any cause (up to approximately 84 months)
Intervention | months (Median) |
---|---|
Arm C (Phase II Randomization): Pola+BR in DLBCL | 7.491 |
Arm D (Phase II Randomization): BR in DLBCL | 2.037 |
Arm F (Phase II Expansion): Pola+BG in DLBCL | 5.125 |
Arm G+H (Phase II NF Cohort): Pola+BR in DLBCL | 5.881 |
PFS was defined as the time randomization or from first study treatment (for obinuzumab arms) to the first occurrence of disease progression, relapse or death, from any cause based on PET-CT or CT only, as determined by the IRC assessment. As pre-specified in the protocol data reported is combined for Arms G and H. (NCT02257567)
Timeframe: From the date of randomization or first treatment to the first occurrence of progression or relapse, or death from any cause (up to approximately 84 months)
Intervention | months (Median) |
---|---|
Arm C (Phase II Randomization): Pola+BR in DLBCL | 9.248 |
Arm D (Phase II Randomization): BR in DLBCL | 3.713 |
Arm F (Phase II Expansion): Pola+BG in DLBCL | 5.848 |
Arm G+H (Phase II NF Cohort): Pola+BR in DLBCL | 6.965 |
BOR=CR/PR per PET-CT/CT per MLRC.CR per PET-CT=complete MR in LN & ELS, score=1, 2,3 with/without a residual mass on 5-PS; 1=no uptake(UT) above background;2=UT≤mediastinum;3=UT>mediastinum but ≤liver;4=UT moderately>liver;5=UT markedly higher than liver &/or new lesions;no evidence of FDG-avid disease, bone marrow morphology=normal;if indeterminate, is IHC negative.PR per PET-CT=partial MR in LN & ELS, score=4 or 5, reduced UT than baseline (BL) & residual mass of any size;residual UT>UT in normal marrow but reduced than BL.CR per CT=complete radiologic response with target nodes/nodal masses regressed to ≤1.5cm in LDi & no ELS of disease, absences of non-measured lesion;organ enlargement regressed to normal;no new lesions;bone marrow= normal;if indeterminate, is IHC negative.PR per CT=≥50% decrease in SPD of up to 6 target nodes & extranodal sites;non-measured lesions=absent/normal/regressed/no increase;spleen=regressed by ≥50% in length beyond normal, no new lesions. (NCT02257567)
Timeframe: Up to every 6 months until disease progression, withdrawal or study completion (up to approximately 84 months)
Intervention | percentage of participants (Number) |
---|---|
Arm C (Phase II Randomization): Pola+BR in DLBCL | 62.5 |
Arm D (Phase II Randomization): BR in DLBCL | 25.0 |
Arm F (Phase II Expansion): Pola+BG in DLBCL | 42.9 |
Arm G+H (Phase II NF Cohort): Pola+BR in DLBCL | 57.5 |
DOR=first occurrence of CR/PR to disease progression/relapse/death per PET-CT/CT, per investigator per MLRC.CR per PET-CT=score 1/2/3 with/without a residual mass on 5-PS for LN and ELS;1=no UT> background; 2=UT≤mediastinum;3=UT>mediastinum but ≤liver;4=UT moderately>liver;5=UT>than liver &/or new lesions;bone marrow morphology=no evidence of FDG-avid disease, normal;if indeterminate IHC negative.PR per PET-CT=score of 4/5 with reduced UT compared to BL & residual mass of any size at interim for LN & ELS;residual UT>UT in normal bone marrow but
Timeframe: From the date of the first occurrence of a documented CR or PR to the date of disease progression, relapse, or death from any cause whichever occur first (up to approximately 84 months)
Intervention | months (Median) |
---|---|
Arm C (Phase II Randomization): Pola+BR in DLBCL | 12.665 |
Arm D (Phase II Randomization): BR in DLBCL | 4.074 |
Arm F (Phase II Expansion): Pola+BG in DLBCL | 16.099 |
Arm G+H (Phase II NF Cohort): Pola+BR in DLBCL | 11.335 |
DOR=first occurrence of CR/PR to disease progression/relapse/death per PET-CT/CT, per IRC per MLRC.CR per PET-CT=score 1/2/3 with/without a residual mass on 5-PS for LN and ELS;1=no UT> background; 2=UT≤mediastinum;3=UT>mediastinum but ≤liver;4=UT moderately>liver;5=UT>than liver &/or new lesions;bone marrow morphology=no evidence of FDG-avid disease, normal;if indeterminate IHC negative.PR per PET-CT=score of 4/5 with reduced UT compared to BL & residual mass of any size at interim for LN & ELS;residual UT>UT in normal bone marrow but
Timeframe: From the date of the first occurrence of a documented CR or PR to the date of disease progression, relapse, or death from any cause whichever occur first (up to approximately 84 months)
Intervention | months (Median) |
---|---|
Arm C (Phase II Randomization): Pola+BR in DLBCL | 10.908 |
Arm D (Phase II Randomization): BR in DLBCL | 10.645 |
Arm F (Phase II Expansion): Pola+BG in DLBCL | 25.758 |
Arm G+H (Phase II NF Cohort): Pola+BR in DLBCL | 13.437 |
The EORTC Quality of Life Questionnaire-Chronic Lymphocytic Leukemia 16 (QLQ-CLL16) module included assessments of fatigue, treatment side effects, disease symptoms, infection, social activities, and future health worries. Final scores are transformed such that they range from 0 - 100, whereby higher scores indicate greater functioning, greater quality of life, or a greater degree of symptoms, with changes of 5 - 10 points considered to be a minimally important difference to participants. A positive change from Day 1, Cycle 1 (baseline) indicates improvement. EOT=end of treatment. (NCT02320487)
Timeframe: Day 1 Cycles 1 (baseline), 3, 6; end of treatment, 2 months after last dose, every 3 months thereafter for 2 years (up to 46 months) (1 cycle = 28 days)
Intervention | score on a scale (Mean) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Fatigue: Cycle 3 | Fatigue: Cycle 6 | Fatigue: EOT/Early Discontinuation | Fatigue: Response Visit | Fatigue: 3-Month Follow-Up | Fatigue: 6-Month Follow-Up | Fatigue: 9-Month Follow-Up | Fatigue: 12-Month Follow-Up | Fatigue: 15-Month Follow-Up | Fatigue: 18-Month Follow-Up | Fatigue: 21-Month Follow-Up | Fatigue: 24-Month Follow-Up | Fatigue: 27-Month Follow-Up | Fatigue: 30-Month Follow-Up | Side Effects: Cycle 3 | Side Effects: Cycle 6 | Side Effects: EOT/Early Discontinuation | Side Effects: Response Visit | Side Effects: 3-Month Follow-Up | Side Effects: 6-Month Follow-Up | Side Effects: 9-Month Follow-Up | Side Effects: 12-Month Follow-Up | Side Effects: 15-Month Follow-Up | Side Effects: 18-Month Follow-Up | Side Effects: 21-Month Follow-Up | Side Effects: 24-Month Follow-Up | Side Effects: 27-Month Follow-Up | Side Effects: 30-Month Follow-Up | Disease Symptoms: Cycle 3 | Disease Symptoms: Cycle 6 | Disease Symptoms: EOT/Early Discontinuation | Disease Symptoms: Response Visit | Disease Symptoms: 3-Month Follow-Up | Disease Symptoms: 6-Month Follow-Up | Disease Symptoms: 9-Month Follow-Up | Disease Symptoms: 12-Month Follow-Up | Disease Symptoms: 15-Month Follow-Up | Disease Symptoms: 18-Month Follow-Up | Disease Symptoms: 21-Month Follow-Up | Disease Symptoms: 24-Month Follow-Up | Disease Symptoms: 27-Month Follow-Up | Disease Symptoms: 30-Month Follow-Up | Infection: Cycle 3 | Infection: Cycle 6 | Infection: EOT/Early Discontinuation | Infection: Response Visit | Infection: 3-Month Follow-Up | Infection: 6-Month Follow-Up | Infection: 9-Month Follow-Up | Infection: 12-Month Follow-Up | Infection: 15-Month Follow-Up | Infection: 18-Month Follow-Up | Infection: 21-Month Follow-Up | Infection: 24-Month Follow-Up | Infection: 27-Month Follow-Up | Infection: 30-Month Follow-Up | Social Activities: Cycle 3 | Social Activities: Cycle 6 | Social Activities: EOT/Early Discont. | Social Activities: Response Visit | Social Activities: 3-Month Follow-Up | Social Activities: 6-Month Follow-Up | Social Activities: 9-Month Follow-Up | Social Activities: 12-Month Follow-Up | Social Activities: 15-Month Follow-Up | Social Activities: 18-Month Follow-Up | Social Activities: 21-Month Follow-Up | Social Activities: 24-Month Follow-Up | Social Activities: 27-Month Follow-Up | Social Activities: 30-Month Follow-Up | Future Health Worries: Cycle 3 | Future Health Worries: Cycle 6 | Future Health Worries: EOT/Early Discont. | Future Health Worries: Response Visit | Future Health Worries: 3-Month Follow-Up | Future Health Worries: 6-Month Follow-Up | Future Health Worries: 9-Month Follow-Up | Future Health Worries: 12-Month Follow-Up | Future Health Worries: 15-Month Follow-Up | Future Health Worries: 18-Month Follow-Up | Future Health Worries: 21-Month Follow-Up | Future Health Worries: 24-Month Follow-Up | Future Health Worries: 27-Month Follow-Up | Future Health Worries: 30-Month Follow-Up | |
Obinutuzumab + Bendamustine (BG) | -12.02 | -10.17 | -12.87 | -21.23 | -20.04 | -17.44 | -22.77 | -17.32 | -14.52 | -15.49 | -16.42 | -24.70 | -19.56 | -6.67 | 1.52 | 0.07 | -0.67 | -2.08 | -3.30 | -2.61 | -3.36 | -2.27 | -3.17 | -4.54 | -1.66 | -3.08 | -2.96 | -11.67 | -9.56 | -8.30 | -10.02 | -12.67 | -12.20 | -10.13 | -12.28 | -8.62 | -9.05 | -10.41 | -9.16 | -10.71 | -11.41 | -5.00 | 6.20 | 4.11 | 1.65 | 0.76 | 2.59 | 3.46 | 1.45 | 4.42 | 2.86 | 2.62 | 2.78 | 0.89 | 1.45 | -5.00 | -3.92 | -3.95 | -6.41 | -9.24 | -11.87 | -4.69 | -13.33 | -7.89 | -6.76 | -5.71 | -4.55 | -11.51 | -9.42 | 0.00 | -20.08 | -14.04 | -18.57 | -20.24 | -25.11 | -17.44 | -23.47 | -19.23 | -17.14 | -19.72 | -21.21 | -21.82 | -25.36 | -6.67 |
MRD was assessed by 4-color flow cytometry, using iwCLL criteria for MRD negativity if the value is <10^-4 (<1 CLL cell detected in 10,000 leukocytes) in peripheral blood. Flow cytometry provides rapid analysis of multiple characteristics of single cells by using light to count and profile cells in a fluid mixture. Time to MRD-negative status is defined as the time between MRD positivity (>= 10^-4) or the time of first dose treatment for patients who were missing MRD status assessment at baseline to the first achievement of MRD negativity in the peripheral blood. (NCT02320487)
Timeframe: Baseline up to 46 months
Intervention | months (Median) |
---|---|
Obinutuzumab + Bendamustine (BG) | 8.2 |
PFS was defined as the time from the start of induction treatment (Day 1) to the first occurrence of disease progression, relapse as determined by the investigator using iwCLL NCI WG guidelines, or death (within 28 days after the last dose of study drug), whichever occurred first. Disease progression: at least one of the following: lymphadenopathy; increase in the liver or spleen size by 50% or more or the appearance of hepatomegaly or splenomegaly; an increase in the number of blood lymphocytes by 50% or more with at least 5000 B lymphocytes per microliter; transformation to a more aggressive histology; occurrence of cytopenia (neutropenia, anemia, or thrombocytopenia) attributable to CLL. Relapse: Having achieved CR or PR, but after a period of 6 or more months, having demonstrated evidence of disease progression. Participants who did not experience death or disease progression before the end of the study were censored on the day of the last available assessment. (NCT02320487)
Timeframe: Day 1 until disease progression, relapse, or death from any cause, whichever occurred first (up to 46 months)
Intervention | months (Median) |
---|---|
Obinutuzumab + Bendamustine (BG) | NA |
CR is defined in the previous outcome measure. The definition of PR required that the following be documented for minimum 2 months: >/= 50% decrease in peripheral blood lymphocytes from Baseline; reduction in lymphadenopathy; >/= 50% reduction in spleen or liver enlargement; and CBC with one of the following without need for transfusion or exogenous growth factors: polymorphonuclear leukocytes >/= 1.5 times 10^9 cells/L, platelets > 100 times 10^9 cells/L or >/= 50% improvement from Baseline, or hemoglobin > 11.0 g/dL or >/= 50% improvement from Baseline. (NCT02320487)
Timeframe: 2 to 3 months after the last infusion of study treatment (up to approximately 228 to 258 days)
Intervention | percentage of participants (Number) |
---|---|
Obinutuzumab + Bendamustine (BG) | 89.2 |
The CR rate was defined as CR or CR with incomplete blood count recovery (CRi), assessed by the investigator according to iwCLL NCI-WG criteria. The definition of confirmed CR required all of the following criteria as assessed at least 2 months after completion of therapy: peripheral blood lymphocytes < 4 times 10^9 cells/L; absence of significant lymphadenopathy, hepatomegaly, or splenomegaly due to CLL involvement; absence of constitutional symptoms; normal complete blood count (CBC) without need for transfusion or exogenous growth factors, as exhibited by neutrophils >/= 1.5 times 10^9 cells/L, platelets > 100 times 10^9 cells/L, and hemoglobin > 11.0 g/dL; normocellular BM aspirate with < 30% lymphocytes; absence of lymphoid nodules; and BM biopsy without CLL activity. Those fulfilling CR criteria but who have persistent anemia, thrombocytopenia, or neutropenia were considered CRi. (NCT02320487)
Timeframe: 2 to 3 months after the last infusion of study treatment (up to approximately 228 to 258 days)
Intervention | percentage of participants (Number) |
---|---|
Obinutuzumab + Bendamustine (BG) | 50.0 |
An AE is any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a study drug, whether or not considered related to the study drug. (NCT02320487)
Timeframe: Day 1 up to 46 months
Intervention | percentage of participants (Number) |
---|---|
Obinutuzumab + Bendamustine (BG) | 100 |
OS was defined as the time from the start of induction treatment to death from any cause. Participants who did not experience death or disease progression before the end of the study were censored on the day of the last available assessment. (NCT02320487)
Timeframe: Day 1 until death from any cause (up to 46 months)
Intervention | months (Median) |
---|---|
Obinutuzumab + Bendamustine (BG) | NA |
MRD was assessed by 4-color flow cytometry, using iwCLL criteria for MRD negativity (<1 CLL cell detected in 10,000 leukocytes) in peripheral blood. Flow cytometry provides rapid analysis of multiple characteristics of single cells by using light to count and profile cells in a fluid mixture. (NCT02320487)
Timeframe: Baseline up to 46 months
Intervention | percentage of participants (Number) |
---|---|
Obinutuzumab + Bendamustine (BG) | 83.2 |
An AE is any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a study drug, whether or not considered related to the study drug. (NCT02320487)
Timeframe: Day 1 up to 46 months
Intervention | hospitalizations (Mean) |
---|---|
Obinutuzumab + Bendamustine (BG) | 1.43 |
Ctrough is the measured concentration of a drug at the end of a dosing interval at steady state. (NCT02320487)
Timeframe: Pre-infusion (0 hours) on Day 1 Cycle 3 (1 cycle = 28 days)
Intervention | nanograms per milliliter (ng/mL) (Geometric Mean) |
---|---|
Obinutuzumab + Bendamustine (BG) | 235.92 |
MRD was assessed by 4-color flow cytometry, using iwCLL criteria for MRD negativity (<1 CLL cell detected in 10,000 leukocytes) in bone marrow aspirate. Flow cytometry provides rapid analysis of multiple characteristics of single cells by using light to count and profile cells in a fluid mixture. (NCT02320487)
Timeframe: Up to 46 months
Intervention | percentage of participants (Number) |
---|---|
Obinutuzumab + Bendamustine (BG) | 58.8 |
Duration of response was defined as the time from the first assessment of CR, CRi, PR, or nodular partial response (nPR) to the first documentation of PD or death, whichever occurred first. CR, CRi, and PR are identified in previous outcome measures. Participants with lymphoid nodules who otherwise met CR criteria were considered nPR. Participants with post-baseline response assessments (excluding progressive disease) but with no end-of-induction treatment response available were censored on Day 1, and those with end-of-induction treatment response available but who did not experience death or disease progression before the end of the study were censored on the day of the last available assessment. (NCT02320487)
Timeframe: From the first assessment of CR, CRi, PR, or nPR (at up to approximately 228 to 258 days) until disease progression, relapse, or death from any cause, whichever occurred first (up to 46 months)
Intervention | months (Median) |
---|---|
Obinutuzumab + Bendamustine (BG) | NA |
MRD was assessed by 4-color flow cytometry, using iwCLL criteria for MRD negativity (<1 CLL cell detected in 10,000 leukocytes) in peripheral blood. Flow cytometry provides rapid analysis of multiple characteristics of single cells by using light to count and profile cells in a fluid mixture. Duration of MRD-negativity among patients who achieved MRD negativity in the study is defined as the period between the first occurrence of MRD-negative status and a subsequent MRD-positive status. (NCT02320487)
Timeframe: Baseline up to 46 months
Intervention | months (Median) |
---|---|
Obinutuzumab + Bendamustine (BG) | 28.9 |
Ctrough is the measured concentration of a drug at the end of a dosing interval at steady state. (NCT02320487)
Timeframe: Pre-infusion (0 hours) on Day 1 Cycle 5 (1 cycle = 28 days)
Intervention | nanograms per milliliter (ng/mL) (Geometric Mean) |
---|---|
Obinutuzumab + Bendamustine (BG) | 264.27 |
The EORTC QLQ-C30 included global health status, functional scales (physical, role, emotional, cognitive, and social), symptom scales (fatigue, nausea/vomiting, and pain) and single items (dyspnoea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties). Most questions used a 4-point scale (1 'Not at all' to 4 'Very much'; 2 questions used 7-point scale [1 'very poor' to 7 'Excellent']). Scores were averaged and transformed to 0 - 100 scale, whereby higher scores indicate greater functioning, greater quality of life, or a greater degree of symptoms, with changes of 5 - 10 points considered to be a minimally important difference to participants. A positive change from Day 1, Cycle 1 (baseline) indicates improvement. EOT=end of treatment. (NCT02320487)
Timeframe: Day 1 Cycles 1 (baseline), 3, 6; end of treatment, 2 months after last dose, every 3 months thereafter for 2 years (up to 46 months) (1 cycle = 28 days)
Intervention | score on a scale (Mean) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Global Health Status (GHS)/QoL: Cycle 3 | GHS/QoL: Cycle 6 | GHS/QoL: EOT/Early Discontinuation | GHS/QoL: Response Visit | GHS/QoL: 3-Month Follow-Up | GHS/QoL: 6-Month Follow-Up | GHS/QoL: 9-Month Follow-Up | GHS/QoL: 12-Month Follow-Up | GHS/QoL: 15-Month Follow-Up | GHS/QoL: 18-Month Follow-Up | GHS/QoL: 21-Month Follow-Up | GHS/QoL: 24-Month Follow-Up | GHS/QoL: 27-Month Follow-Up | GHS/QoL: 30-Month Follow-Up | Physical Function: Cycle 3 | Physical Function: Cycle 6 | Phys. Function: EOT/Early Discontinuation | Physical Function: Response Visit | Physical Function: 3-Month Follow-Up | Physical Function: 6-Month Follow-Up | Physical Function: 9-Month Follow-Up | Physical Function: 12-Month Follow-Up | Physical Function: 15-Month Follow-Up | Physical Function: 18-Month Follow-Up | Physical Function: 21-Month Follow-Up | Physical Function: 24-Month Follow-Up | Physical Function: 27-Month Follow-Up | Physical Function: 30-Month Follow-Up | Role Function: Cycle 3 | Role Function: Cycle 6 | Role Function: EOT/Early Discontinuation | Role Function: Response Visit | Role Function: 3-Month Follow-Up | Role Function: 6-Month Follow-Up | Role Function: 9-Month Follow-Up | Role Function: 12-Month Follow-Up | Role Function: 15-Month Follow-Up | Role Function: 18-Month Follow-Up | Role Function: 21-Month Follow-Up | Role Function: 24-Month Follow-Up | Role Function: 27-Month Follow-Up | Role Function: 30-Month Follow-Up | Emotional Function: Cycle 3 | Emotional Function: Cycle 6 | Emotional Function: EOT/Early Discont. | Emotional Function: Response Visit | Emotional Function: 3-Month Follow-Up | Emotional Function: 6-Month Follow-Up | Emotional Function: 9-Month Follow-Up | Emotional Function: 12-Month Follow-Up | Emotional Function: 15-Month Follow-Up | Emotional Function: 18-Month Follow-Up | Emotional Function: 21-Month Follow-Up | Emotional Function: 24-Month Follow-Up | Emotional Function: 27-Month Follow-Up | Emotional Function: 30-Month Follow-Up | Cognitive Function: Cycle 3 | Cognitive Function: Cycle 6 | Cognitive Function: EOT/Early Discont. | Cognitive Function: Response Visit | Cognitive Function: 3-Month Follow-Up | Cognitive Function: 6-Month Follow-Up | Cognitive Function: 9-Month Follow-Up | Cognitive Function: 12-Month Follow-Up | Cognitive Function: 15-Month Follow-Up | Cognitive Function: 18-Month Follow-Up | Cognitive Function: 21-Month Follow-Up | Cognitive Function: 24-Month Follow-Up | Cognitive Function: 27-Month Follow-Up | Cognitive Function: 30-Month Follow-Up | Social Function: Cycle 3 | Social Function: Cycle 6 | Social Function: EOT/Early Discontinuation | Social Function: Response Visit | Social Function: 3-Month Follow-Up | Social Function: 6-Month Follow-Up | Social Function: 9-Month Follow-Up | Social Function: 12-Month Follow-Up | Social Function: 15-Month Follow-Up | Social Function: 18-Month Follow-Up | Social Function: 21-Month Follow-Up | Social Function: 24-Month Follow-Up | Social Function: 27-Month Follow-Up | Social Function: 30-Month Follow-Up | Fatigue: Cycle 3 | Fatigue: Cycle 6 | Fatigue: EOT/Early Discontinuation | Fatigue: Response Visit | Fatigue: 3-Month Follow-Up | Fatigue: 6-Month Follow-Up | Fatigue: 9-Month Follow-Up | Fatigue: 12-Month Follow-Up | Fatigue: 15-Month Follow-Up | Fatigue: 18-Month Follow-Up | Fatigue: 21-Month Follow-Up | Fatigue: 24-Month Follow-Up | Fatigue: 27-Month Follow-Up | Fatigue: 30-Month Follow-Up | Nausea/Vomiting: Cycle 3 | Nausea/Vomiting: Cycle 6 | Nausea/Vomiting: EOT/Early Discontinuation | Nausea/Vomiting: Response Visit | Nausea/Vomiting: 3-Month Follow-Up | Nausea/Vomiting: 6-Month Follow-Up | Nausea/Vomiting: 9-Month Follow-Up | Nausea/Vomiting: 12-Month Follow-Up | Nausea/Vomiting: 15-Month Follow-Up | Nausea/Vomiting: 18-Month Follow-Up | Nausea/Vomiting: 21-Month Follow-Up | Nausea/Vomiting: 24-Month Follow-Up | Nausea/Vomiting: 27-Month Follow-Up | Nausea/Vomiting: 30-Month Follow-Up | Pain: Cycle 3 | Pain: Cycle 6 | Pain: EOT/Early Discontinuation | Pain: Response Visit | Pain: 3-Month Follow-Up | Pain: 6-Month Follow-Up | Pain: 9-Month Follow-Up | Pain: 12-Month Follow-Up | Pain: 15-Month Follow-Up | Pain: 18-Month Follow-Up | Pain: 21-Month Follow-Up | Pain: 24-Month Follow-Up | Pain: 27-Month Follow-Up | Pain: 30-Month Follow-Up | Dyspnoea: Cycle 3 | Dyspnoea: Cycle 6 | Dyspnoea: EOT/Early Discontinuation | Dyspnoea: Response Visit | Dyspnoea: 3-Month Follow-Up | Dyspnoea: 6-Month Follow-Up | Dyspnoea: 9-Month Follow-Up | Dyspnoea: 12-Month Follow-Up | Dyspnoea: 15-Month Follow-Up | Dyspnoea: 18-Month Follow-Up | Dyspnoea: 21-Month Follow-Up | Dyspnoea: 24-Month Follow-Up | Dyspnoea: 27-Month Follow-Up | Dyspnoea: 30-Month Follow-Up | Insomnia: Cycle 3 | Insomnia: Cycle 6 | Insomnia: EOT/Early Discontinuation | Insomnia: Response Visit | Insomnia: 3-Month Follow-Up | Insomnia: 6-Month Follow-Up | Insomnia: 9-Month Follow-Up | Insomnia: 12-Month Follow-Up | Insomnia: 15-Month Follow-Up | Insomnia: 18-Month Follow-Up | Insomnia: 21-Month Follow-Up | Insomnia: 24-Month Follow-Up | Insomnia: 27-Month Follow-Up | Insomnia: 30-Month Follow-Up | Appetite Loss: Cycle 3 | Appetite Loss: Cycle 6 | Appetite Loss: EOT/Early Discontinuation | Appetite Loss: Response Visit | Appetite Loss: 3-Month Follow-Up | Appetite Loss: 6-Month Follow-Up | Appetite Loss: 9-Month Follow-Up | Appetite Loss: 12-Month Follow-Up | Appetite Loss: 15-Month Follow-Up | Appetite Loss: 18-Month Follow-Up | Appetite Loss: 21-Month Follow-Up | Appetite Loss: 24-Month Follow-Up | Appetite Loss: 27-Month Follow-Up | Appetite Loss: 30-Month Follow-Up | Constipation: Cycle 3 | Constipation: Cycle 6 | Constipation: EOT/Early Discontinuation | Constipation: Response Visit | Constipation: 3-Month Follow-Up | Constipation: 6-Month Follow-Up | Constipation: 9-Month Follow-Up | Constipation: 12-Month Follow-Up | Constipation: 15-Month Follow-Up | Constipation: 18-Month Follow-Up | Constipation: 21-Month Follow-Up | Constipation: 24-Month Follow-Up | Constipation: 27-Month Follow-Up | Constipation: 30-Month Follow-Up | Diarrhoea: Cycle 3 | Diarrhoea: Cycle 6 | Diarrhoea: EOT/Early Discontinuation | Diarrhoea: Response Visit | Diarrhoea: 3-Month Follow-Up | Diarrhoea: 6-Month Follow-Up | Diarrhoea: 9-Month Follow-Up | Diarrhoea: 12-Month Follow-Up | Diarrhoea: 15-Month Follow-Up | Diarrhoea: 18-Month Follow-Up | Diarrhoea: 21-Month Follow-Up | Diarrhoea: 24-Month Follow-Up | Diarrhoea: 27-Month Follow-Up | Diarrhoea: 30-Month Follow-Up | Financial Difficulty: Cycle 3 | Financial Difficulty: Cycle 6 | Financial Difficulty: EOT/Early Discont. | Financial Difficulty: Response Visit | Financial Difficulty: 3-Month Follow-Up | Financial Difficulty: 6-Month Follow-Up | Financial Difficulty: 9-Month Follow-Up | Financial Difficulty: 12-Month Follow-Up | Financial Difficulty: 15-Month Follow-Up | Financial Difficulty: 18-Month Follow-Up | Financial Difficulty: 21-Month Follow-Up | Financial Difficulty: 24-Month Follow-Up | Financial Difficulty: 27-Month Follow-Up | Financial Difficulty: 30-Month Follow-Up | |
Obinutuzumab + Bendamustine (BG) | 4.02 | 5.26 | 5.17 | 10.98 | 10.25 | 5.68 | 9.26 | 6.43 | 6.57 | 9.84 | 7.60 | 8.91 | 13.26 | 1.66 | -2.46 | 0.00 | 2.62 | 3.90 | 4.14 | 1.62 | 4.95 | 3.00 | 2.44 | 1.11 | 1.37 | 3.10 | 4.22 | 5.34 | 6.01 | 4.11 | 10.55 | 13.14 | 14.87 | 10.86 | 15.51 | 10.63 | 12.68 | 10.88 | 10.95 | 11.49 | 14.97 | -13.33 | 7.91 | 6.29 | 9.60 | 9.12 | 8.11 | 6.94 | 11.00 | 7.81 | 6.34 | 5.75 | 7.11 | 9.77 | 10.15 | 8.33 | 2.55 | -1.75 | 0.42 | 2.74 | 2.25 | 1.77 | 6.02 | 1.48 | 2.11 | 2.55 | 3.19 | 4.02 | 1.70 | -3.33 | -2.35 | -4.17 | 2.53 | 5.69 | 5.41 | -0.25 | 8.10 | 2.74 | 3.76 | 3.70 | 2.70 | 5.46 | 7.48 | -10.00 | -4.01 | -5.48 | -11.67 | -16.34 | -15.92 | -13.64 | -17.28 | -13.12 | -11.27 | -13.43 | -13.07 | -14.37 | -14.51 | -2.22 | 2.33 | 3.68 | 2.32 | -0.39 | -1.58 | -1.26 | -0.23 | -1.04 | 0.70 | -0.23 | -1.72 | -2.01 | -1.70 | 10.00 | -3.68 | 0.65 | -1.90 | -4.90 | -1.80 | -1.52 | -0.69 | -0.21 | 0.94 | -0.46 | -0.00 | -2.59 | -5.44 | 6.67 | 0.39 | -1.73 | -5.91 | -5.88 | -9.46 | -8.08 | -7.87 | -5.83 | -5.63 | -7.87 | -8.82 | -7.47 | -11.56 | -20.00 | -6.59 | -9.09 | -9.70 | -10.98 | -9.46 | -14.65 | -12.50 | -9.70 | -13.61 | -8.80 | -7.84 | -14.37 | -10.20 | -6.67 | -2.71 | 0.00 | -3.80 | -7.06 | -9.91 | -9.60 | -10.80 | -8.75 | -6.57 | -7.41 | -4.90 | -7.47 | -8.16 | -6.67 | 3.92 | -0.00 | -4.27 | -4.36 | -5.02 | -6.06 | -5.16 | -3.80 | -3.76 | -0.46 | -2.45 | -6.32 | -6.80 | 0.00 | 1.18 | 4.82 | 4.64 | 2.75 | -2.25 | -1.01 | 3.24 | -0.43 | 0.00 | -2.78 | 3.43 | -0.57 | 1.36 | 0.00 | 0.78 | -2.19 | -1.27 | -3.53 | -5.86 | -7.18 | -7.04 | -3.80 | -8.45 | -6.02 | -6.86 | -7.47 | -11.56 | -13.33 |
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR (NCT02420210)
Timeframe: Up to 8 months
Intervention | Participants (Count of Participants) |
---|---|
Treatment (Bendamustine, Obinutuzumab, Dexamethasone) | 2 |
(NCT02424851)
Timeframe: End of 2nd treatment cycle, week 6
Intervention | Participants (Count of Participants) | ||
---|---|---|---|
Partial response | Minor response | No repsonse | |
Arm A (BBD) | 2 | 9 | 4 |
Arm B (BTD) | 0 | 7 | 6 |
"The EQ-5D-3L descriptive system comprises the following five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension is scored on a scale of 1 to 3: 1 (no problems), 2 (some problems), and 3 (extreme problems). Higher score equates to a worse outcome.~As stated in the official EQ-5D user guide, patient responses to the 5 questions were converted into a single index value as per Dolan P (1997). Modeling valuations for EuroQol health states. Med Care 35(11):1095-108. These index values, with country specific value sets, facilitate the calculation of quality-adjusted life years (QALYs) that are used to inform economic evaluations of health care interventions. In the UK, the values range from -0.594 to +1." (NCT02424851)
Timeframe: Baseline and 1 month follow up
Intervention | Units on a scale (Mean) | |
---|---|---|
Baseline | 1 month FU | |
Arm A (BBD) | 0.72 | 0.69 |
Arm B (BTD) | 0.69 | 0.80 |
(NCT02424851)
Timeframe: End of weeks 3, 6, 9, 12 (after receiving 4 cycles of therapy), 30 days after final treatment and 12 months after randomisation
Intervention | Events (Number) | |
---|---|---|
Serious adverse events | Adverse events | |
Arm A (BBD) | 2 | 3 |
Arm B (BTD) | 0 | 6 |
(NCT02424851)
Timeframe: 1 month post end of treatment and 1 year post randomisation
Intervention | Participants (Count of Participants) |
---|---|
Arm A (BBD) | 9 |
Arm B (BTD) | 13 |
(NCT02424851)
Timeframe: End of week 6 (after receiving two cycles of therapy)
Intervention | Participants (Count of Participants) |
---|---|
Arm A (BBD) | 13 |
Arm B (BTD) | 3 |
Objective response rate was defined as the number of subjects achieving a complete response (CR) or partial response (PR) after at least four cycles of ixazomib (MLN9708) and bendamustine plus dexamethasone. (NCT02477215)
Timeframe: 18 months
Intervention | participants (Number) |
---|---|
MLN9708, Bendamustine and Dexamethasone | 11 |
A 3+3 design was employed. At each dose, three patients were initially evaluated. If no dose limiting toxicities were observed, the bendamustine dose was increased; if one dose limiting toxicity is observed, three additional patients were treated at that dose. A dose at which 2 DLTs were observed in 3 or 6 patients were judged to be too toxic and the lower dose was defined as the maximally tolerated dose (MTD). (NCT02477215)
Timeframe: Six months
Intervention | Participants (Count of Participants) |
---|---|
Bendamustine (70 mg/m^2), MLN9708, Dexamethasone | 0 |
Bendamustine (80 mg/m^2), MLN9708, Dexamethasone | 1 |
Bendamustine (90 mg/m^2), MLN9708, Dexamethasone | 2 |
Maximum tolerated dose of bendamustine in combination with fixed doses of ixazomib (MLN9708) and dexamethasone will be determined from the incidence of dose limiting toxicities at each dosage. (NCT02477215)
Timeframe: Six months for each dosing cohort
Intervention | mg/m^2 (Number) |
---|---|
MLN9708, Bendamustine and Dexamethasone | 80 |
Median time in months participants maintain CR, PR or stable disease. (NCT02477215)
Timeframe: 36 months
Intervention | MONTHS (Median) |
---|---|
MLN9708, Bendamustine and Dexamethasone | 5.1 |
Percentage of subject response rates at any point during the eight cycles. (NCT02477215)
Timeframe: 18 months
Intervention | percentage of participants (Number) |
---|---|
MLN9708, Bendamustine and Dexamethasone | 28 |
Overall survival was determined as the average number of months subjects survived following enrollment. (NCT02477215)
Timeframe: 36 months
Intervention | MONTHS (Median) |
---|---|
MLN9708, Bendamustine and Dexamethasone | 23.2 |
This measure is the number of months participants remain free from evidence of disease. (NCT02477215)
Timeframe: 18 months
Intervention | MONTHS (Median) |
---|---|
MLN9708, Bendamustine and Dexamethasone | 5.2 |
All AEs are included in the summaries, unless treatment-emergent is specified. (NCT02594163)
Timeframe: Approximately 1 year
Intervention | Participants (Count of Participants) | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Treatment-Emergent Adverse Event | Treatment-Related Adverse Event | Brentuximab Vedotin-Related Adverse Event | Rituximab-Related Adverse Event | Bendamustine-Related Adverse Event | Adverse Event with Outcome of Death | Serious Adverse Event | Treatment-Related Serious Adverse Event | Adverse Event Leading to Dose Delay | Adverse Event Leading to Treatment Discontinuation | Grade 3-5 Treatment-Emergent Adverse Event | |
Brentuximab Vedotin Plus Rituximab Plus Bendamustine | 13 | 13 | 11 | 10 | 13 | 1 | 8 | 3 | 0 | 5 | 11 |
Rituximab, Bendamustine Control | 11 | 10 | 0 | 6 | 10 | 0 | 3 | 3 | 3 | 1 | 4 |
PFS is defined as the time from randomization to disease progression/relapse, receipt of subsequent lymphoma chemotherapy other than the components of the study treatment regimen, or death from any cause, whichever occurs first. (NCT02594163)
Timeframe: Up to 11.8 months
Intervention | months (Median) |
---|---|
Rituximab, Bendamustine Control | 4.9 |
Brentuximab Vedotin Plus Rituximab Plus Bendamustine | 3.7 |
OS is defined as the time randomization to death from any cause (NCT02594163)
Timeframe: Up to 1.5 years
Intervention | months (Median) |
---|---|
Rituximab, Bendamustine Control | 14.3 |
Brentuximab Vedotin Plus Rituximab Plus Bendamustine | 6.5 |
ORR is defined as the percentage of patients who achieve a Complete Response (CR) (including Complete Metabolic Response (CMR)) or Partial Response (PR) (including Partial Metabolic Response (PMR)) as best response to combination therapy on study (NCT02594163)
Timeframe: Approximately 1 year
Intervention | percentage of participants (Number) |
---|---|
Rituximab, Bendamustine Control | 91.7 |
Brentuximab Vedotin Plus Rituximab Plus Bendamustine | 61.5 |
DOR is defined as the time from first observation of response to disease progression/relapse, receipt of subsequent lymphoma chemotherapy other than the components of the study treatment regimen, or death from any cause, whichever occurs first. (NCT02594163)
Timeframe: Up to 10.5 months
Intervention | months (Median) |
---|---|
Rituximab, Bendamustine Control | 3.7 |
Brentuximab Vedotin Plus Rituximab Plus Bendamustine | 4.1 |
CRR is the proportion of patients who achieve CR (including Complete Metabolic Response (CMR)) as best response to combination therapy on study. (NCT02594163)
Timeframe: Approximately 1 year
Intervention | Participants (Count of Participants) |
---|---|
Rituximab, Bendamustine Control | 8 |
Brentuximab Vedotin Plus Rituximab Plus Bendamustine | 7 |
Primary end point was positron emission tomography (PET) CR at EOI by IRC according to modified Lugano classification using PET/CT scan. CR was defined as a score of 1 (no uptake above background), 2 (uptake less than or equal to [=] mediastinum), or 3 (uptake less than [<] mediastinum but =liver) with or without a residual mass on PET 5-point scale (5-PS), for lymph nodes and extralymphatic sites; no new lesions; no evidence of fluorodeoxyglucose (FDG)-avid disease in bone marrow; and normal/immunohistochemistry (IHC)-negative bone marrow morphology. All PET evaluable 1L FL and 1L DLBCL participants with at least one dose of atezolizumab were included in efficacy population. (NCT02596971)
Timeframe: Up to approximately 6 months
Intervention | percentage of participants (Number) |
---|---|
Atezo-G-Benda Cohort (Safety Run-In and Expansion Phases) | 75 |
Atezo-R-CHOP Cohort (Expansion Phase) | 77.5 |
Objective response: having CR or PR as assessed according to the modified response criteria for iNHL (Modified Cheson et al, 2007). CR: Complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present prior to therapy, liver and spleen have returned to normal size (if enlarged at baseline), If the bone marrow was involved by lymphoma prior to treatment, the infiltrate must have cleared on repeat bone marrow biopsy. PR: at least 50% regression of measurable disease compared to tumors measured by a baseline scan and no new sites; no increase in the size of the other nodes, liver, or spleen; with the exception of splenic and hepatic nodules, involvement of other organs is usually assessable and no measurable disease should be present. All positron emission tomography (PET) evaluable 1L FL and 1L DLBCL patients with at least one dose of atezolizumab were included in efficacy population. (NCT02596971)
Timeframe: Up to approximately 6 months
Intervention | percentage of participants (Number) |
---|---|
Atezo-G-Benda Cohort (Safety Run-In and Expansion Phases) | 95.0 |
Atezo-R-CHOP Cohort (Expansion Phase) | 87.5 |
Tumor response assessment was performed by investigator according to modified Lugano classification using PET/CT scan. OR: a response of CR or PR. CR: a score of 1 (no uptake above background), 2 (uptake =mediastinum), or 3 (uptake
Timeframe: Up to approximately 6 months
Intervention | percentage of participants (Number) |
---|---|
Atezo-G-Benda Cohort (Safety Run-In and Expansion Phases) | 95.0 |
Atezo-R-CHOP Cohort (Expansion Phase) | 87.5 |
Complete response according to the modified Cheson 2007 criteria using PET/CT scan: complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present prior to therapy, liver and spleen have returned to normal size (if enlarged at baseline), If the bone marrow was involved by lymphoma prior to treatment, the infiltrate must have cleared on repeat bone marrow biopsy. Partial Response (PR): at least 50% regression of measurable disease compared to tumors measured by a baseline scan and no new sites; no increase in the size of the other nodes, liver, or spleen; with the exception of splenic and hepatic nodules, involvement of other organs is usually assessable and no measurable disease should be present. All PET evaluable 1L FL and 1L DLBCL patients with at least one dose of atezolizumab were included in efficacy population. (NCT02596971)
Timeframe: Up to approximately 6 months
Intervention | percentage of participants (Number) |
---|---|
Atezo-G-Benda Cohort (Safety Run-In and Expansion Phases) | 75.0 |
Atezo-R-CHOP Cohort (Expansion Phase) | 77.5 |
Objective response: having CR or PR as assessed according to the modified response criteria for iNHL (Modified Cheson et al, 2007). CR: Complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present prior to therapy, liver and spleen have returned to normal size (if enlarged at baseline), If the bone marrow was involved by lymphoma prior to treatment, the infiltrate must have cleared on repeat bone marrow biopsy. PR: at least 50% regression of measurable disease compared to tumors measured by a baseline scan and no new sites; no increase in the size of the other nodes, liver, or spleen; with the exception of splenic and hepatic nodules, involvement of other organs is usually assessable and no measurable disease should be present. All positron emission tomography (PET) evaluable 1L FL and 1L DLBCL patients with at least one dose of atezolizumab were included in efficacy population. (NCT02596971)
Timeframe: Up to approximately 6 months
Intervention | percentage of participants (Number) |
---|---|
Atezo-G-Benda Cohort (Safety Run-In and Expansion Phases) | 90.0 |
Atezo-R-CHOP Cohort (Expansion Phase) | 90.0 |
"Atezo-G-Benda: Induction:Predose on D1 of Cy5,6 & D1,15 of Cy2,3 (1Cy:21/28 days), Cy2D1:0.5h postinfusion; Maintenance:Predose on D1 of Month 1,2,4,7,15,23, Month 2 D1: 0.5h postinfusion; 120 days & 1 year of last dose or at treatment discontinuation (up to 4 years); Atezo-G-CHOP: Induction:Predose on D1 of Cy2,3,5,6 (1Cy:21 days), Cy2D1:0.5h postinfusion; Maintenance:Predose on D1 of Month 1,2,3,4,7,15,23, Month 2 D1: 0.5h postinfusion; 120 days & 1 year of last dose or at treatment discontinuation (up to 4 years). Predose time point was within 5 hour prior to dose for Cy2,3,5,6 during induction phase and for Months 1 to 24 during maintenance phase. infusion length: 30-60 minutes." (NCT02596971)
Timeframe: Atezo-R-CHOP: Predose on D1 of Cy2,3,5,8,9,10,11,12,16,20,25 (1Cy:21 days), 0.5h postinfusion of D1 of Cy2,9; at 120 days & 1 year of last dose or at treatment discontinuation (up to 4 years)
Intervention | ug/mL (Median) | ||
---|---|---|---|
Cycle 2 - Cmax after 1st infusion | C2 - Cmin before 2nd infusion | C6 - Cmin after 6th infusion | |
Atezo-G-Benda Cohort (Safety Run-In and Expansion Phases) | 275 | 83 | 256 |
Atezo-G-CHOP Cohort (Safety Run-In Phase) | 424 | 94 | 195 |
Complete response according to modified Cheson 2007 criteria using PET/CT scan: complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present prior to therapy, liver and spleen have returned to normal size (if enlarged at baseline), If bone marrow was involved by lymphoma prior to treatment, infiltrate must have cleared on repeat bone marrow biopsy. PR: at least 50% regression of measurable disease compared to tumors measured by a baseline scan and no new sites; no increase in the size of other nodes, liver, or spleen; with exception of splenic and hepatic nodules, involvement of other organs is usually assessable and no measurable disease should be present. All PET evaluable 1L FL and 1L DLBCL patients with at least one dose of atezolizumab were included in efficacy population. Only Atezo-G-Benda and Atezo-R-Chop cohorts were evaluated for efficacy. (NCT02596971)
Timeframe: Up to approximately 6 months
Intervention | percentage of participants (Number) |
---|---|
Atezo-G-Benda Cohort (Safety Run-In and Expansion Phases) | 80.0 |
Atezo-R-CHOP Cohort (Expansion Phase) | 75.0 |
Tumor response assessment was performed by the investigator according to modified Lugano classification using PET/CT scan. CR was defined as a score of 1 (no uptake above background), 2 (uptake =mediastinum), or 3 (uptake
Timeframe: Up to approximately 6 months
Intervention | percentage of participants (Number) |
---|---|
Atezo-G-Benda Cohort (Safety Run-In and Expansion Phases) | 87.5 |
Atezo-R-CHOP Cohort (Expansion Phase) | 77.5 |
Tumor response assessment was performed by IRC according to modified Lugano classification using PET/CT scan. OR defined as a response of CR or PR. CR: a score of 1 (no uptake above background), 2 (uptake =mediastinum), or 3 (uptake
Timeframe: Up to approximately 6 months
Intervention | percentage of participants (Number) |
---|---|
Atezo-G-Benda Cohort (Safety Run-In and Expansion Phases) | 90.0 |
Atezo-R-CHOP Cohort (Expansion Phase) | 87.5 |
Induction: Predose (any time prior to dose) on D1 of Cy1,5,6 (1Cy: 21/28 days); Maintenance: Predose (any time prior to dose) on D1 of Month 1; at 120 days and 1 year of last obinutuzumab dose or at treatment discontinuation (up to 4 years) (NCT02596971)
Timeframe: Baseline up to approximately 4 years
Intervention | percentage of participants (Number) | |||||
---|---|---|---|---|---|---|
Induction Cycle 1 Day 1 | Induction Cycle 5 Day 1 | Induction Cycle 6 Day 1 | Maintenance Month 1 | Study Drug Completion or Early Discontinuation | Obinutuzumab Day 120 Follow up | |
Atezo-G-Benda Cohort (Safety Run-In and Expansion Phases) | 2.4 | 0 | 0 | 0 | 0 | 0 |
"Atezo-G-Benda: Induction:Predose on D1 of Cy5,6 & D1,15 of Cy2,3 (1Cy:21/28 days), Cy2D1:0.5h postinfusion; Maintenance:Predose on D1 of Month 1,2,4,7,15,23, Month 2 D1: 0.5h postinfusion; 120 days & 1 year of last dose or at treatment discontinuation (up to 4 years); Atezo-G-CHOP: Induction:Predose on D1 of Cy2,3,5,6 (1Cy:21 days), Cy2D1:0.5h postinfusion; Maintenance:Predose on D1 of Month 1,2,3,4,7,15,23, Month 2 D1: 0.5h postinfusion; 120 days & 1 year of last dose or at treatment discontinuation (up to 4 years). Predose time point was within 5 hour prior to dose for Cy2,3,5,6 during induction phase and for Months 1 to 24 during maintenance phase. infusion length: 30-60 minutes." (NCT02596971)
Timeframe: Atezo-R-CHOP: Predose on D1 of Cy2,3,5,8,9,10,11,12,16,20,25 (1Cy:21 days), 0.5h postinfusion of D1 of Cy2,9; at 120 days & 1 year of last dose or at treatment discontinuation (up to 4 years)
Intervention | ug/mL (Median) | |||
---|---|---|---|---|
Cycle 2 - Cmax after 1st infusion | C2 - Cmin before 2nd infusion | C8 - Cmax after 7th infusion | C8 - Cmin before 8th infusion | |
Atezo-R-CHOP Cohort (Expansion Phase) | 332 | 82.1 | 486.5 | 184 |
An adverse event is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as adverse events. (NCT02596971)
Timeframe: Baseline up to approximately 4 years
Intervention | percentage of participants (Number) |
---|---|
Atezo-G-Benda Cohort (Safety Run-In and Expansion Phases) | 100 |
Atezo-G-CHOP Cohort (Safety Run-In Phase) | 100 |
Atezo-R-CHOP Cohort (Expansion Phase) | 100 |
Induction: Predose (any time prior to dose) on D1 of Cy1,5,8 (1Cy: 21 days); Maintenance: at 120 days and 1 year of last rituximab dose or at treatment discontinuation (up to 4 years) (NCT02596971)
Timeframe: Baseline up to approximately 4 years
Intervention | percentage of participants (Number) | ||||||
---|---|---|---|---|---|---|---|
Baseline | Induction Cycle 1 Day 1 | Induction Cycle 5 Day 1 | Induction Cycle 8 Day 1 | Rituximab Day 120 Follow up | Rituximab 1 Year Follow up | Study Drug Completion or Early Discontinuation | |
Atezo-R-CHOP Cohort (Expansion Phase) | 14.3 | 0 | 0 | 0 | 0 | 0 | 0 |
"Atezo-G-CHOP: Induction: Predose on D1 of Cy2,3,5,6 (1 Cy: 21 days); Maintenance: Predose on D1 of Month 1,2,4,7,15,23; at 120 days and 1 year of last atezolizumab dose or at treatment discontinuation (up to 4 years); Atezo-R-CHOP: Predose on D1 of Cy 2,3,5,8,16,25 (1 Cy: 21 days); at 120 days and 1 year of last atezolizumab dose or at treatment discontinuation (up to 4 years). Predose time point was any time prior to dose for Cycles 2,3,5,6,8 during induction phase, for Cycles 16,25 during consolidation treatment, and for Months 1 to 24 during maintenance phase. Atezo-G-Benda: Induction: Predose on D1 of Cy2,3,5,6 (1Cy: 28 days), Cy3D15: Predose; ; Maintenance: Predose on D1 of Month 1,4,7,15,23; at 120 days and 1 year of last atezolizumab dose or at treatment discontinuation (up to 4 years). The percentage of participants with positive results for ATAs to atezolizumab at baseline and at post-baseline time points are reported." (NCT02596971)
Timeframe: Baseline up to approximately 4 years
Intervention | percentage of participants (Number) | ||||
---|---|---|---|---|---|
Baseline | Induction Cycle 2 Day 1 | Consolidation Cycle 16 | Atezolizumab Day 120 Follow up | Atezo PK and Immunogenicity Follow Up (1YR) | |
Atezo-R-CHOP Cohort (Expansion Phase) | 14.3 | 2.6 | 5.9 | 9.1 | 5.6 |
"Atezo-G-CHOP: Induction: Predose on D1 of Cy2,3,5,6 (1 Cy: 21 days); Maintenance: Predose on D1 of Month 1,2,4,7,15,23; at 120 days and 1 year of last atezolizumab dose or at treatment discontinuation (up to 4 years); Atezo-R-CHOP: Predose on D1 of Cy 2,3,5,8,16,25 (1 Cy: 21 days); at 120 days and 1 year of last atezolizumab dose or at treatment discontinuation (up to 4 years). Predose time point was any time prior to dose for Cycles 2,3,5,6,8 during induction phase, for Cycles 16,25 during consolidation treatment, and for Months 1 to 24 during maintenance phase. Atezo-G-Benda: Induction: Predose on D1 of Cy2,3,5,6 (1Cy: 28 days), Cy3D15: Predose; ; Maintenance: Predose on D1 of Month 1,4,7,15,23; at 120 days and 1 year of last atezolizumab dose or at treatment discontinuation (up to 4 years). The percentage of participants with positive results for ATAs to atezolizumab at baseline and at post-baseline time points are reported." (NCT02596971)
Timeframe: Baseline up to approximately 4 years
Intervention | percentage of participants (Number) | |||
---|---|---|---|---|
Baseline | Induction Cycle 2 Day 1 | Atezolizumab Day 120 Follow up | Atezo PK and Immunogenicity Follow Up (1YR) | |
Atezo-G-Benda Cohort (Safety Run-In and Expansion Phases) | 2.4 | 0 | 0 | 0 |
Atezo-G-CHOP Cohort (Safety Run-In Phase) | 0 | 0 | 0 | 0 |
"Predose time point was any time prior to dose for Cycle 1 and within 5 hour prior to dose for other cycles (Cycles 2,5,8) during induction phase and for Months 1 to 24 during maintenance phase. Infusion duration for administration of first infusion should begin at an initial rate of 50 mg/hour. If no infusion-related or hypersensitivity reaction occurs, increase the infusion rate in 50 mg/hour increments every 30 minutes to a maximum of 400 mg/hour. If no reaction occurs, increase the infusion rate in 100 mg/hour increments every 30 minutes to a maximum of 400 mg/hour." (NCT02596971)
Timeframe: Predose, 0.5h postinfusion on D1 of Cy1,2,5,8 (1Cy: 21 days); at 120 days and 1 year after last rituximab dose or at treatment discontinuation (up to 4 years)
Intervention | ug/mL (Median) | |||
---|---|---|---|---|
C1 - Cmax after dosing C1 | C1 - Ctrough after dosing C1 | C8 - Cmax after dosing C8 | C8 - Ctrough after dosing C8 | |
Atezo-R-CHOP Cohort (Expansion Phase) | 159 | 26.1 | 229 | 105.5 |
"Predose time point was any time prior to dose for Cycle (Cy) 1 and within 5 hour prior to dose for other cycles (Cy 2,5,6) and for Months 1 to 24 during maintenance phase. Infusion duration for administration of first infusion should begin at an initial rate of 50 milligrams per hour (mg/hour). If no reaction occurs, increase the infusion rate in 100 mg/hour increments every 30 minutes to a maximum of 400 mg/hour." (NCT02596971)
Timeframe: Induction: Predose, 0.5 hour (h) postinfusion on Day (D) 1 of Cy1,2,5,6 (1Cy: 21/28 days); Maintenance: Predose, 0.5h postinfusion on Day 1 of Month 1,3,7,15,23; 120 days & 1 year of last dose or at treatment discontinuation (up to 4 years)
Intervention | ug/mL (Median) | |||
---|---|---|---|---|
C1 Cmax after 1st infusion | C1 Cmin after the last infusion on C1 | C6 - Cmax after last dosing of induction | C6 - Cmin after last dosing of induction | |
Atezo-G-Benda Cohort (Safety Run-In and Expansion Phases) | 329 | 322 | 544 | 203 |
Atezo-G-CHOP Cohort (Safety Run-In Phase) | 400 | 399 | 659 | 245 |
CR: Complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present prior to therapy, liver and spleen have returned to normal size (if enlarged at baseline), If the bone marrow was involved by lymphoma prior to treatment, the infiltrate must have cleared on repeat bone marrow biopsy. PR: at least 50% regression of measurable disease compared to tumors measured by a baseline scan and no new sites; no increase in the size of the other nodes, liver, or spleen; with the exception of splenic and hepatic nodules, involvement of other organs is usually assessable and no measurable disease should be present. Only Atezo-G-Benda and Atezo-R-Chop cohorts were evaluated for efficacy. (NCT02596971)
Timeframe: Baseline up to approximately 4 years (assessed at Baseline, 6 to 8 weeks after Day [D] 1 of Cycle [Cy] 6 or 8 (1Cy: 21 or 28 days), then every 2 months up to 24 months, at 35 days of last dose, and at every 3 months post-treatment follow-up [up 4 years])
Intervention | percentage of participants (Number) |
---|---|
Atezo-G-Benda Cohort (Safety Run-In and Expansion Phases) | 80.0 |
Atezo-R-CHOP Cohort (Expansion Phase) | 75.0 |
Progression-free survival was calculated as the time from first dose of study drug to the first documented progression or death (from any cause) during the entire efficacy evaluation period. For participants with no progression or death, PFS was censored at the last assessment date the participant was known to be progression-free. (NCT02733042)
Timeframe: From first dose of any study drug to the end of follow-up, up to the data cutoff date of March 6, 2019; median (minimum, maximum) time on study was 16.7 (0.9, 32.9) months.
Intervention | months (Median) |
---|---|
Part 1, Arm A: DUR 1500 mg + LEN 20 mg | 8.41 |
Part 1, Arm A: DUR 1500 mg + LEN 20 mg + RIT 375 mg/m² | NA |
Part 1, Arm A: DUR 1500 mg + LEN 10 mg + RIT 375 mg/m² | NA |
Part 1, Arm B: DUR 1500 mg + IBR 420 mg | NA |
Part 1, Arm B: DUR 1500 mg + IBR 560 mg | 28.71 |
Part 1, Arm C: DUR 1500 mg + RIT 375 mg/m² | 9.69 |
Part 1, Arm C: DUR 1500 mg + BEN 70 mg/m² | 1.25 |
Part 1, Arm C: DUR 1500 mg + RIT 375 mg/m² + BEN 70 mg/m² | 3.82 |
Part 1, Arm C: DUR 1500 mg + RIT 375 mg/m² + BEN 90 mg/m² | 2.48 |
Part 2, Arm B CLL/SLL: DUR 1500 mg + IBR 420 mg | NA |
Part 2, Arm B MCL: DUR 1500 mg + IBR 560 mg | NA |
Part 2, Arm C FL: DUR 1500 mg + RIT 375 mg/m² + BEN 70 mg/m² | 14.65 |
Part 2 Arm C DLBCL: DUR 1500 mg + RIT 375 mg/m² + BEN 70 mg/m² | 2.06 |
Part 2, Arm C CLL/SLL: DUR 1500 mg + RIT 375 mg/m² + BEN 70 mg/m² | NA |
Part 2, Arm D FL: DUR 1500 mg | 1.68 |
Part 2, Arm D DLBCL: DUR 1500 mg | 1.17 |
Part 2, Arm D CLL/SLL: DUR 1500 mg | 2.76 |
Part 2, Arm D MCL: DUR 1500 mg | 2.33 |
Part 2, Arm D HL: DUR 1500 mg | 2.66 |
(NCT02733042)
Timeframe: Cycle 1, Day 1 (pre-dose and at end of infusion), and 4, 24, 48, 168 (Day 8), 336 (Day 15), and 508 (Day 22) hours after the end of infusion.
Intervention | μg/L (Geometric Mean) |
---|---|
Arm A: Durvalumab + Lenalidomide ± Rituximab | 420264.066 |
Arm B: Durvalumab + Ibrutinib | 361906.229 |
Arm C: Durvalumab + Bendamustine ± Rituximab | 331572.478 |
Arm D: Durvalumab Monotherapy | 392663.668 |
For lymphoma participants, response evaluation was based on International Working Group (IWG) response criteria for malignant lymphoma (the Lugano Classification). Overall response rate is defined as the percent of participants with best response of complete response (CR) or partial response (PR). For chronic lymphocytic leukemia participants, response evaluation was based on International Workshop on Chronic Lymphocytic Leukemia (IWCLL) guidelines for diagnosis and treatment of CLL. The ORR is defined as the percent of participants with best response of CR, complete response with incomplete marrow recovery (CRi), nodular partial response (nPR), PR, or partial response with lymphocytosis (PRL). (NCT02733042)
Timeframe: Up to 13 cycles (12 months)
Intervention | percentage of participants (Number) |
---|---|
Part 1, Arm A: DUR 1500 mg + LEN 20 mg | 33.3 |
Part 1, Arm A: DUR 1500 mg + LEN 20 mg + RIT 375 mg/m² | 66.7 |
Part 1, Arm A: DUR 1500 mg + LEN 10 mg + RIT 375 mg/m² | 80.0 |
Part 1, Arm B: DUR 1500 mg + IBR 420 mg | 66.7 |
Part 1, Arm B: DUR 1500 mg + IBR 560 mg | 75.0 |
Part 1, Arm C: DUR 1500 mg + RIT 375 mg/m² | 33.3 |
Part 1, Arm C: DUR 1500 mg + RIT 375 mg/m² + BEN 70 mg/m² | 50.0 |
Part 1, Arm C: DUR 1500 mg + RIT 375 mg/m² + BEN 90 mg/m² | 0 |
Part 2, Arm B CLL/SLL: DUR 1500 mg + IBR 420 mg | 88.9 |
Part 2, Arm B MCL: DUR 1500 mg + IBR 560 mg | 60.0 |
Part 2, Arm C FL: DUR 1500 mg + RIT 375 mg/m² + BEN 70 mg/m² | 88.9 |
Part 2 Arm C DLBCL: DUR 1500 mg + RIT 375 mg/m² + BEN 70 mg/m² | 30.0 |
Part 2, Arm C CLL/SLL: DUR 1500 mg + RIT 375 mg/m² + BEN 70 mg/m² | 50.0 |
Part 2, Arm D FL: DUR 1500 mg | 0 |
Part 2, Arm D DLBCL: DUR 1500 mg | 0 |
Part 2, Arm D CLL/SLL: DUR 1500 mg | 0 |
Part 2, Arm D MCL: DUR 1500 mg | 0 |
Part 2, Arm D HL: DUR 1500 mg | 20.0 |
For lymphoma participants, response evaluation was based on International Working Group (IWG) response criteria for malignant lymphoma (the Lugano Classification) (Cheson, 2014). Overall response rate is defined as the percent of participants with best response of complete response (CR) or partial response (PR). For chronic lymphocytic leukemia participants, response evaluation was based on International Workshop on Chronic Lymphocytic Leukemia (IWCLL) guidelines for diagnosis and treatment of CLL. The ORR is defined as the percentage of participants with best response of CR, complete response with incomplete marrow recovery (CRi), nodular partial response (nPR), PR, or partial response with lymphocytosis (PRL). (NCT02733042)
Timeframe: From first dose of any study drug to the end of follow-up, up to the data cutoff date of March 6, 2019; median (minimum, maximum) time on study was 16.7 (0.9, 32.9) months.
Intervention | percentage of participants (Number) |
---|---|
Part 1, Arm A: DUR 1500 mg + LEN 20 mg | 66.7 |
Part 1, Arm A: DUR 1500 mg + LEN 20 mg + RIT 375 mg/m² | 66.7 |
Part 1, Arm A: DUR 1500 mg + LEN 10 mg + RIT 375 mg/m² | 80.0 |
Part 1, Arm B: DUR 1500 mg + IBR 420 mg | 66.7 |
Part 1, Arm B: DUR 1500 mg + IBR 560 mg | 75.0 |
Part 1, Arm C: DUR 1500 mg + RIT 375 mg/m² | 33.3 |
Part 1, Arm C: DUR 1500 mg + RIT 375 mg/m² + BEN 70 mg/m² | 50.0 |
Part 1, Arm C: DUR 1500 mg + RIT 375 mg/m² + BEN 90 mg/m² | 0 |
Part 2, Arm B CLL/SLL: DUR 1500 mg + IBR 420 mg | 100.0 |
Part 2, Arm B MCL: DUR 1500 mg + IBR 560 mg | 70.0 |
Part 2, Arm C FL: DUR 1500 mg + RIT 375 mg/m² + BEN 70 mg/m² | 88.9 |
Part 2 Arm C DLBCL: DUR 1500 mg + RIT 375 mg/m² + BEN 70 mg/m² | 30.0 |
Part 2, Arm C CLL/SLL: DUR 1500 mg + RIT 375 mg/m² + BEN 70 mg/m² | 50.0 |
Part 2, Arm D FL: DUR 1500 mg | 0 |
Part 2, Arm D DLBCL: DUR 1500 mg | 0 |
Part 2, Arm D CLL/SLL: DUR 1500 mg | 0 |
Part 2, Arm D MCL: DUR 1500 mg | 0 |
Part 2, Arm D HL: DUR 1500 mg | 20.0 |
Dose limiting toxicities were evaluated during the DLT evaluation period for participants in the dose finding cohorts. The severity grading was determined according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) Version 4.03. A DLT is defined as below: Hematologic DLT • Grade 4 neutropenia observed for greater than 5 days duration • Grade 3 neutropenia associated with fever (≥ 38.5 °C) of any duration • Grade 4 thrombocytopenia or Grade 3 thrombocytopenia with bleeding, or any requirement for platelets transfusion • Grade 4 anemia, unexplained by underlying disease • Any other grade 4 hematologic toxicity that does not resolve to participant's pretreatment baseline level within 72 hours. Non-Hematologic DLT • Any non-hematological toxicity ≥ Grade 3 except for alopecia and nausea controlled by medical management • Any treatment interruption greater than 2 weeks due to adverse event. (NCT02733042)
Timeframe: Cycle 1 (28 days)
Intervention | Participants (Count of Participants) |
---|---|
Part 1, Arm A: DUR 1500 mg + LEN 20 mg | 0 |
Part 1, Arm A: DUR 1500 mg + LEN 20 mg + RIT 375 mg/m² | 3 |
Part 1, Arm A: DUR 1500 mg + LEN 10 mg + RIT 375 mg/m² | 1 |
Part 1, Arm B: DUR 1500 mg + IBR 420 mg | 0 |
Part 1, Arm B: DUR 1500 mg + IBR 560 mg | 0 |
Part 1, Arm C: DUR 1500 mg + RIT 375 mg/m² | 0 |
Part 1, Arm C: DUR 1500 mg + RIT 375 mg/m² + BEN 70 mg/m² | 0 |
Part 1, Arm C: DUR 1500 mg + RIT 375 mg/m² + BEN 90 mg/m² | 1 |
(NCT02733042)
Timeframe: Cycle 1, Day 1 (pre-dose and at end of infusion), and 4, 24, 48, 168 (Day 8), 336 (Day 15), and 508 (Day 22) hours after the end of infusion.
Intervention | days (Geometric Least Squares Mean) |
---|---|
Arm A: Durvalumab + Lenalidomide ± Rituximab | 11.596 |
Arm B: Durvalumab + Ibrutinib | 17.344 |
Arm C: Durvalumab + Bendamustine ± Rituximab | 16.327 |
Arm D: Durvalumab Monotherapy | 15.399 |
Time to response was calculated as the time from first dose of study drug to the first response date (CR or PR for lymphoma participants and CR, CRi, nPR, PR, or PRL for CLL participants). (NCT02733042)
Timeframe: From first dose of any study drug to the end of follow-up, up to the data cutoff date of March 6, 2019; median (minimum, maximum) time on study was 16.7 (0.9, 32.9) months.
Intervention | weeks (Median) |
---|---|
Part 1, Arm A: DUR 1500 mg + LEN 20 mg | 70.85 |
Part 1, Arm A: DUR 1500 mg + LEN 20 mg + RIT 375 mg/m² | 12.60 |
Part 1, Arm A: DUR 1500 mg + LEN 10 mg + RIT 375 mg/m² | 18.20 |
Part 1, Arm B: DUR 1500 mg + IBR 420 mg | 11.85 |
Part 1, Arm B: DUR 1500 mg + IBR 560 mg | 13.40 |
Part 1, Arm C: DUR 1500 mg + RIT 375 mg/m² | 13.00 |
Part 1, Arm C: DUR 1500 mg + RIT 375 mg/m² + BEN 70 mg/m² | 13.10 |
Part 2, Arm B CLL/SLL: DUR 1500 mg + IBR 420 mg | 12.10 |
Part 2, Arm B MCL: DUR 1500 mg + IBR 560 mg | 12.10 |
Part 2, Arm C FL: DUR 1500 mg + RIT 375 mg/m² + BEN 70 mg/m² | 12.35 |
Part 2 Arm C DLBCL: DUR 1500 mg + RIT 375 mg/m² + BEN 70 mg/m² | 12.00 |
Part 2, Arm C CLL/SLL: DUR 1500 mg + RIT 375 mg/m² + BEN 70 mg/m² | 12.10 |
Part 2, Arm D HL: DUR 1500 mg | 13.10 |
(NCT02733042)
Timeframe: Cycle 1, Day 1 (pre-dose and at end of infusion), and 4, 24, 48, 168 (Day 8), 336 (Day 15), and 508 (Day 22) hours after the end of infusion.
Intervention | days (Median) |
---|---|
Arm A: Durvalumab + Lenalidomide ± Rituximab | 0.0510 |
Arm B: Durvalumab + Ibrutinib | 0.0479 |
Arm C: Durvalumab + Bendamustine ± Rituximab | 0.0510 |
Arm D: Durvalumab Monotherapy | 0.0420 |
(NCT02733042)
Timeframe: Cycle 1, Day 1 (pre-dose and at end of infusion), and 4, 24, 48, 168 (Day 8), 336 (Day 15), and 508 (Day 22) hours after the end of infusion.
Intervention | liters (Geometric Least Squares Mean) |
---|---|
Arm A: Durvalumab + Lenalidomide ± Rituximab | 5.155 |
Arm B: Durvalumab + Ibrutinib | 6.451 |
Arm C: Durvalumab + Bendamustine ± Rituximab | 7.418 |
Arm D: Durvalumab Monotherapy | 5.957 |
(NCT02733042)
Timeframe: Cycle 1 Day 1 at predose and 1, 2, 4, and 24 hours post-dose, and Cycle 1 Day 15 at pre-dose, 1, 2, and 4 hours post-dose.
Intervention | ng/mL (Geometric Least Squares Mean) | |
---|---|---|
Cycle 1 Day 1 | Cycle 1 Day 15 | |
Arm A: Lenalidomide 10 mg | 141.881 | 107.635 |
Arm A: Lenalidomide 20 mg | 309.917 | 174.090 |
Treatment-emergent adverse events (TEAEs) are defined as adverse events (AEs) occurring or worsening on or after the first dose of any study treatment (durvalumab, lenalidomide, ibrutinib, bendamustine or rituximab) and within 90 days after last dose of durvalumab or 28 days after the last dose of other study drugs, whichever was later, as well as those serious adverse events made known to the investigator at any time thereafter that were suspected of being related to study treatment. The intensity of AEs was graded according to the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 4.03. For all other AEs not described in the CTCAE criteria, the intensity was assessed by the investigator as mild (Grade 1), moderate (Grade 2), severe (Grade 3), life-threatening (Grade 4), or death (Grade 5). (NCT02733042)
Timeframe: From first dose of any study drug to 90 days after last dose of durvalumab or 28 days after last dose of other study drugs, up to the data cut-off date of 6 March 2019. Maximum time on treatment was 55.4 weeks for DUR and 130 weeks for other study drugs.
Intervention | Participants (Count of Participants) | |||||||||
---|---|---|---|---|---|---|---|---|---|---|
Any TEAE | TEAE Related to Any Study Drug | CTCAE Grade 3-4 TEAE | CTCAE Grade 3-4 TEAE Related to Any Study Drug | CTCAE Grade 5 TEAE | CTCAE Grade 5 TEAE Related to Any Study Drug | Serious TEAE | Serious TEAE Related to Any Study Drug | TEAE Leading to Discontinuation of Any Study Drug | TEAE Leading to Dose Modifications of Study Drug | |
Part 1, Arm A: DUR 1500 mg + LEN 10 mg + RIT 375 mg/m² | 8 | 8 | 7 | 7 | 0 | 0 | 4 | 3 | 3 | 3 |
Part 1, Arm A: DUR 1500 mg + LEN 20 mg | 3 | 3 | 1 | 1 | 0 | 0 | 1 | 1 | 1 | 1 |
Part 1, Arm A: DUR 1500 mg + LEN 20 mg + RIT 375 mg/m² | 3 | 3 | 3 | 3 | 0 | 0 | 2 | 2 | 0 | 3 |
Part 1, Arm B: DUR 1500 mg + IBR 420 mg | 3 | 3 | 2 | 1 | 0 | 0 | 2 | 1 | 1 | 3 |
Part 1, Arm B: DUR 1500 mg + IBR 560 mg | 4 | 4 | 3 | 1 | 0 | 0 | 2 | 0 | 0 | 4 |
Part 1, Arm C: DUR 1500 mg + BEN 70 mg/m² | 1 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 1 |
Part 1, Arm C: DUR 1500 mg + RIT 375 mg/m² | 3 | 3 | 2 | 2 | 0 | 0 | 2 | 1 | 0 | 3 |
Part 1, Arm C: DUR 1500 mg + RIT 375 mg/m² + BEN 70 mg/m² | 4 | 4 | 3 | 2 | 0 | 0 | 1 | 0 | 0 | 4 |
Part 1, Arm C: DUR 1500 mg + RIT 375 mg/m² + BEN 90 mg/m² | 5 | 5 | 4 | 2 | 0 | 0 | 3 | 1 | 0 | 4 |
Part 2 Arm C DLBCL: DUR 1500 mg + RIT 375 mg/m² + BEN 70 mg/m² | 9 | 9 | 9 | 7 | 0 | 0 | 5 | 3 | 1 | 4 |
Part 2, Arm B CLL/SLL: DUR 1500 mg + IBR 420 mg | 10 | 10 | 8 | 7 | 0 | 0 | 6 | 2 | 0 | 8 |
Part 2, Arm B MCL: DUR 1500 mg + IBR 560 mg | 10 | 9 | 10 | 6 | 1 | 1 | 7 | 3 | 2 | 9 |
Part 2, Arm C CLL/SLL: DUR 1500 mg + RIT 375 mg/m² + BEN 70 mg/m² | 5 | 5 | 5 | 3 | 1 | 0 | 2 | 1 | 2 | 3 |
Part 2, Arm C FL: DUR 1500 mg + RIT 375 mg/m² + BEN 70 mg/m² | 10 | 10 | 6 | 5 | 0 | 0 | 5 | 3 | 2 | 7 |
Part 2, Arm D CLL/SLL: DUR 1500 mg | 2 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Part 2, Arm D DLBCL: DUR 1500 mg | 9 | 3 | 7 | 2 | 4 | 0 | 7 | 1 | 0 | 0 |
Part 2, Arm D FL: DUR 1500 mg | 5 | 4 | 4 | 3 | 1 | 0 | 4 | 3 | 1 | 2 |
Part 2, Arm D HL: DUR 1500 mg | 5 | 2 | 3 | 1 | 0 | 0 | 2 | 0 | 0 | 3 |
Part 2, Arm D MCL: DUR 1500 mg | 5 | 3 | 4 | 1 | 0 | 0 | 3 | 0 | 1 | 3 |
TEAEs defined as AEs occurring or worsening on or after first dose of any study treatment (durvalumab, lenalidomide, ibrutinib, bendamustine or rituximab) and within 90 days after last dose of durvalumab or 28 days after the last dose of other study drugs, whichever was later, as well as those serious adverse events made known to the investigator at any time thereafter that were suspected of being related to study treatment. Intensity of AEs graded according to the NCI CTCAE V. 4.03. For all other AEs not described in the CTCAE criteria, the intensity was assessed by investigator as mild (Grade 1), moderate (Grade 2), severe (Grade 3), life-threatening (Grade 4), or death (Grade 5). This outcome measure represents an updated version of the primary endpoint to include additional data collection that has occurred after the primary completion date (assessments made until August 21, 2022). (NCT02733042)
Timeframe: From first dose of any study drug to 90 days after last dose of durvalumab or 28 days after last dose of other study drugs, up to the study completion date of August 21, 2022 (up to approximately 75 months).
Intervention | Participants (Count of Participants) | |||||||||
---|---|---|---|---|---|---|---|---|---|---|
Any TEAE | TEAE Related to Any Study Drug | CTCAE Grade 3-4 TEAE | CTCAE Grade 3-4 TEAE Related to Any Study Drug | CTCAE Grade 5 TEAE | CTCAE Grade 5 TEAE Related to Any Study Drug | Serious TEAE | Serious TEAE Related to Any Study Drug | TEAE Leading to Discontinuation of Any Study Drug | TEAE Leading to Dose Modifications of Study Drug | |
Part 1, Arm A: DUR 1500 mg + LEN 10 mg + RIT 375 mg/m² | 8 | 8 | 7 | 7 | 0 | 0 | 4 | 3 | 3 | 5 |
Part 1, Arm A: DUR 1500 mg + LEN 20 mg | 3 | 3 | 1 | 1 | 0 | 0 | 1 | 1 | 1 | 1 |
Part 1, Arm A: DUR 1500 mg + LEN 20 mg + RIT 375 mg/m² | 3 | 3 | 3 | 3 | 0 | 0 | 2 | 2 | 0 | 3 |
Part 1, Arm B: DUR 1500 mg + IBR 420 mg | 3 | 3 | 2 | 1 | 0 | 0 | 2 | 1 | 1 | 3 |
Part 1, Arm B: DUR 1500 mg + IBR 560 mg | 4 | 4 | 4 | 1 | 0 | 0 | 3 | 0 | 0 | 4 |
Part 1, Arm C: DUR 1500 mg + BEN 70 mg/m² | 1 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 1 |
Part 1, Arm C: DUR 1500 mg + RIT 375 mg/m² | 3 | 3 | 2 | 2 | 0 | 0 | 2 | 1 | 0 | 3 |
Part 1, Arm C: DUR 1500 mg + RIT 375 mg/m² + BEN 70 mg/m² | 4 | 4 | 3 | 2 | 0 | 0 | 1 | 0 | 0 | 4 |
Part 1, Arm C: DUR 1500 mg + RIT 375 mg/m² + BEN 90 mg/m² | 5 | 5 | 4 | 2 | 0 | 0 | 3 | 1 | 0 | 4 |
Part 2 Arm C DLBCL: DUR 1500 mg + RIT 375 mg/m² + BEN 70 mg/m² | 9 | 9 | 9 | 7 | 0 | 0 | 5 | 3 | 1 | 4 |
Part 2, Arm B CLL/SLL: DUR 1500 mg + IBR 420 mg | 10 | 10 | 9 | 8 | 0 | 0 | 6 | 3 | 0 | 9 |
Part 2, Arm B MCL: DUR 1500 mg + IBR 560 mg | 10 | 9 | 10 | 6 | 1 | 1 | 7 | 3 | 2 | 9 |
Part 2, Arm C CLL/SLL: DUR 1500 mg + RIT 375 mg/m² + BEN 70 mg/m² | 5 | 5 | 5 | 3 | 1 | 0 | 2 | 1 | 2 | 3 |
Part 2, Arm C FL: DUR 1500 mg + RIT 375 mg/m² + BEN 70 mg/m² | 10 | 10 | 6 | 5 | 0 | 0 | 5 | 3 | 2 | 7 |
Part 2, Arm D CLL/SLL: DUR 1500 mg | 2 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Part 2, Arm D DLBCL: DUR 1500 mg | 9 | 3 | 7 | 2 | 4 | 0 | 7 | 1 | 0 | 0 |
Part 2, Arm D FL: DUR 1500 mg | 5 | 4 | 4 | 3 | 1 | 0 | 4 | 3 | 1 | 2 |
Part 2, Arm D HL: DUR 1500 mg | 5 | 2 | 3 | 1 | 0 | 0 | 2 | 0 | 0 | 3 |
Part 2, Arm D MCL: DUR 1500 mg | 5 | 3 | 4 | 1 | 0 | 0 | 3 | 0 | 1 | 3 |
(NCT02733042)
Timeframe: Cycle 1 Day 1 at predose and 1, 2, 4, and 24 hours post-dose, and Cycle 1 Day 15 at pre-dose, 1, 2, and 4 hours post-dose.
Intervention | hours (Median) | |
---|---|---|
Cycle 1 Day 1 | Cycle 1 Day 15 | |
Arm B: Ibrutinib 420 mg | 2.000 | 1.8833 |
Arm B: Ibrutinib 560 mg | 1.9333 | 2.000 |
(NCT02733042)
Timeframe: Cycle 1 Day 1 at predose and 1, 2, 4, and 24 hours post-dose, and Cycle 1 Day 15 at pre-dose, 1, 2, and 4 hours post-dose.
Intervention | hours (Median) | |
---|---|---|
Cycle 1 Day 1 | Cycle 1 Day 15 | |
Arm A: Lenalidomide 10 mg | 1.9500 | 3.0333 |
Arm A: Lenalidomide 20 mg | 1.1667 | 1.000 |
(NCT02733042)
Timeframe: Cycle 1, Day 1 (pre-dose and at end of infusion), and 4, 24, 48, 168 (Day 8), 336 (Day 15), and 508 (Day 22) hours after the end of infusion.
Intervention | days*μg/L (Geometric Mean) |
---|---|
Arm A: Durvalumab + Lenalidomide ± Rituximab | 4867431.378 |
Arm B: Durvalumab + Ibrutinib | 5818262.846 |
Arm C: Durvalumab + Bendamustine ± Rituximab | 4762968.345 |
Arm D: Durvalumab Monotherapy | 5593532.553 |
(NCT02733042)
Timeframe: Cycle 1, Day 1 (pre-dose and at end of infusion), and 4, 24, 48, 168 (Day 8), 336 (Day 15), and 508 (Day 22) hours after the end of infusion.
Intervention | days*μg/L (Geometric Mean) |
---|---|
Arm A: Durvalumab + Lenalidomide ± Rituximab | 3120149.759 |
Arm B: Durvalumab + Ibrutinib | 3225869.344 |
Arm C: Durvalumab + Bendamustine ± Rituximab | 2670168.397 |
Arm D: Durvalumab Monotherapy | 3053060.746 |
(NCT02733042)
Timeframe: Cycle 1 Day 1 at predose and 1, 2, 4, and 24 hours post-dose
Intervention | h*ng/mL (Geometric Least Squares Mean) |
---|---|
Arm B: Ibrutinib 420 mg | 586.396 |
Arm B: Ibrutinib 560 mg | 436.855 |
(NCT02733042)
Timeframe: Cycle 1 Day 1 at predose and 1, 2, 4, and 24 hours post-dose, and Cycle 1 Day 15 at pre-dose, 1, 2, and 4 hours post-dose.
Intervention | ng/mL (Geometric Least Squares Mean) | |
---|---|---|
Cycle 1 Day 1 | Cycle 1 Day 15 | |
Arm B: Ibrutinib 420 mg | 129.704 | 86.840 |
Arm B: Ibrutinib 560 mg | 67.728 | 72.436 |
(NCT02733042)
Timeframe: Cycle 1 Day 1 at predose and 1, 2, 4, and 24 hours post-dose
Intervention | h*ng/mL (Geometric Least Squares Mean) |
---|---|
Arm A: Lenalidomide 10 mg | 789.297 |
Arm A: Lenalidomide 20 mg | 805.299 |
(NCT02733042)
Timeframe: Cycle 1, Day 1 (pre-dose and at end of infusion), and 4, 24, 48, 168 (Day 8), 336 (Day 15), and 508 (Day 22) hours after the end of infusion.
Intervention | L/day (Geometric Least Squares Mean) |
---|---|
Arm A: Durvalumab + Lenalidomide ± Rituximab | 0.3082 |
Arm B: Durvalumab + Ibrutinib | 0.2578 |
Arm C: Durvalumab + Bendamustine ± Rituximab | 0.3149 |
Arm D: Durvalumab Monotherapy | 0.2682 |
Duration of response is defined for responders only as the time from the first documented response (CR or PR for lymphoma participants or CR, CRi, nPR, PR, or PRL for CLL participants) to disease progression or death (from any cause). For participants with response but no progression, or death, duration of response was censored at the last date that the participant was known to be progression-free. (NCT02733042)
Timeframe: From first dose of any study drug to the end of follow-up, up to the data cutoff date of March 6, 2019; median (minimum, maximum) time on study was 16.7 (0.9, 32.9) months.
Intervention | weeks (Median) |
---|---|
Part 1, Arm A: DUR 1500 mg + LEN 20 mg | 10.14 |
Part 1, Arm A: DUR 1500 mg + LEN 20 mg + RIT 375 mg/m² | NA |
Part 1, Arm A: DUR 1500 mg + LEN 10 mg + RIT 375 mg/m² | NA |
Part 1, Arm B: DUR 1500 mg + IBR 420 mg | NA |
Part 1, Arm B: DUR 1500 mg + IBR 560 mg | NA |
Part 1, Arm C: DUR 1500 mg + RIT 375 mg/m² | 29.29 |
Part 1, Arm C: DUR 1500 mg + RIT 375 mg/m² + BEN 70 mg/m² | NA |
Part 2, Arm B CLL/SLL: DUR 1500 mg + IBR 420 mg | NA |
Part 2, Arm B MCL: DUR 1500 mg + IBR 560 mg | NA |
Part 2, Arm C FL: DUR 1500 mg + RIT 375 mg/m² + BEN 70 mg/m² | NA |
Part 2 Arm C DLBCL: DUR 1500 mg + RIT 375 mg/m² + BEN 70 mg/m² | 24.14 |
Part 2, Arm C CLL/SLL: DUR 1500 mg + RIT 375 mg/m² + BEN 70 mg/m² | NA |
Part 2, Arm D HL: DUR 1500 mg | 11.14 |
Percentage of patients alive after 3 years from study entry (NCT02853370)
Timeframe: 3 years after treatment start
Intervention | Percentage of patients (Number) |
---|---|
Bendamustine and Rituximab | 96 |
"Percentage of patients free from disease progression after 3 years from study entry.~Progression is defined as reappearance of cytopenia or lymphoma relapse/ progression with enlarged lymph node(s) or spleen if present, histologic transformation or death as a result of any cause." (NCT02853370)
Timeframe: 3 years after study entry
Intervention | Percentage of patients (Number) |
---|---|
Bendamustine and Rituximab | 90 |
Percentage of responding patients after 3 years from study entry. DOR is defined for all patients who achieved a response (CR and PR) (NCT02853370)
Timeframe: 3 years from study entry
Intervention | Percentage of patients (Number) |
---|---|
Bendamustine and Rituximab | 93 |
Percentage of patients free from events after 3 years from study entry. Events are defined as any treatment failure including disease progression, or discontinuation of treatment for any cause (eg, disease progression, toxicity, patient preference, initiation of new treatment without documented progression, or death). (NCT02853370)
Timeframe: 3 years after study entry
Intervention | Percentage of patients (Number) |
---|---|
Bendamustine and Rituximab | 80 |
Percentage of patients alive after 5 years from study entry (NCT02853370)
Timeframe: Five years after study entry
Intervention | Percentage of patients (Number) |
---|---|
Bendamustine and Rituximab | 93 |
"Percentage of patients with complete response. Complete response to be assessed by means of CT-scan, Immunophenotype in blood and bone marrow (PET-scan optional) Complete response (CR) requires the disappearance of all evidence of disease~Regression to normal size on CT of organomegaly (splenomegaly, hepatomegaly and lymphoadenopathies)~Normalization of the blood counts (Hb >12 g/dl; platelets >100.000/mm3; neutrophils >1.500/mm3 and no evidence of circulating clonal B-cells)~No evidence or minor (<5%) BM infiltration detected by immunohistochemistry" (NCT02853370)
Timeframe: At the end of treatment (After 24 weeks of treatment)
Intervention | Percentage of patients (Number) |
---|---|
Bendamustine and Rituximab | 73 |
"Percentage of patients with complete and partial response. Partial response (PR) requires regression of 50% or greater in the measurable disease manifestations and no new sites of disease.~This should include: resolution or decrease in spleen size, improvement on cytopenias and resolution or decrease in lymphadenopathy if present. Bone Marrow should show a decrease in the level of lymphoid infiltration and improvement of the haemopoietic reserve" (NCT02853370)
Timeframe: At the end of treatment (After 24 weeks of treatment)
Intervention | Percentage of patients (Number) |
---|---|
Bendamustine and Rituximab | 91 |
Percentage of patients free from disease progression after 5 years from treatment start. Progression is defined as reappearance of cytopenia or lymphoma relapse/ progression with enlarged lymph node(s) or spleen if present, histologic transformation or death as a result of any cause. (NCT02853370)
Timeframe: Five years after study entry
Intervention | Percentage of patients (Number) |
---|---|
Bendamustine and Rituximab | 83 |
AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. As per NCI-CTCAE version 4.03,severity was graded as Grade 1:asymptomatic/mild symptoms,clinical/diagnostic observations only, intervention not indicated; Grade 2:moderate, minimal, local/noninvasive intervention indicated,limiting age-appropriate instrumental activities of daily life (ADL); Grade 3:severe/medically significant but not immediately life-threatening, hospitalization/prolongation of existing hospitalization indicated, disabling, limiting self-care ADL; Grade 4:life-threatening consequence, urgent intervention indicated; Grade 5:death related to AE. TEAE was defined as events which occurred during on-treatment period beginning with first dose of study treatment through minimum (30 days + last dose of study treatment or start of new anti-cancer drug therapy). In this outcome measure participant with any TEAE of Grade 3 or above are reported. (NCT02951156)
Timeframe: From first dose of study treatment up to at least 30 days after the last dose of study treatment or initiation of new anti-cancer therapy (up to 36 months)
Intervention | Participants (Count of Participants) |
---|---|
Avelumab+Rituximab+Utomilumab | 4 |
Avelumab+Azacitidine+Utomilumab | 7 |
Avelumab+Bendamustine+Rituximab | 10 |
Number of participants with MRD positive, negative and not evaluable status were reported in this outcome measure. (NCT02951156)
Timeframe: Baseline, Day 1 of Cycle 3, 6, 9, 12 and 18
Intervention | Participants (Count of Participants) | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Baseline: Positive | Baseline: Negative | Baseline: NE | Cycle 3 Day 1: Positive | Cycle 3 Day 1: Negative | Cycle 3 Day 1: NE | Cycle 6 Day 1: Positive | Cycle 6 Day 1: Negative | Cycle 6 Day 1: NE | Cycle 9 Day 1: Positive | Cycle 9 Day 1: Negative | Cycle 9 Day 1: NE | Cycle 12 Day 1: Positive | Cycle 12 Day 1: Negative | Cycle 12 Day 1: NE | Cycle 18 Day 1: Positive | Cycle 18 Day 1: Negative | Cycle 18 Day 1: NE | |
Avelumab+Azacitidine+Utomilumab | 1 | 0 | 8 | 1 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Avelumab+Bendamustine+Rituximab | 3 | 2 | 6 | 1 | 3 | 1 | 0 | 2 | 2 | 0 | 1 | 2 | 0 | 1 | 2 | 0 | 0 | 1 |
Avelumab+Rituximab+Utomilumab | 3 | 0 | 5 | 3 | 0 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
ECG abnormalities included: 1) QT interval, QT interval corrected using Bazett's formula (QTcB) and QT interval corrected using Fridericia's formula (QTcF): increase from baseline greater than (>) 30 millisecond (ms) or 60 ms; absolute value >450 ms, >480 ms and >500 ms; 2) heart rate (HR): absolute value <=50 beats per minute (bpm) and decrease from baseline >=20 bpm; absolute value >=120 bpm and increase from baseline >=20 bpm; 3) PR interval: absolute value >=220 ms and increase from baseline >=20 ms; 4) QRS interval: absolute value >=120 ms. (NCT02951156)
Timeframe: From first dose of study treatment up to at least 30 days after the last dose of study treatment or initiation of new anti-cancer therapy (up to 36 months)
Intervention | Participants (Count of Participants) | ||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
QT: Increase from baseline >30 ms | QT: Increase from baseline >60 ms | QT: >450 ms | QT: >480 ms | QT: >500 ms | QTcB: Increase from baseline >30 ms | QTcB: Increase from baseline >60 ms | QTcB: >450 ms | QTcB: >480 ms | QTcB: >500 ms | QTcF: Increase from baseline >30 ms | QTcF: Increase from baseline >60 ms | QTcF: >450 ms | QTcF: >480 ms | QTcF: >500 ms | Heart rate: <=50 bpm and decrease from baseline >=20 bpm | Heart rate: >=120 bpm and increase from baseline >=20 bpm | PR: >=220 ms and increase from baseline >=20 ms | QRS: >=120 ms | |
Avelumab+Azacitidine+Utomilumab | 4 | 3 | 2 | 1 | 0 | 3 | 1 | 5 | 3 | 2 | 3 | 2 | 3 | 2 | 2 | 1 | 0 | 0 | 1 |
Avelumab+Bendamustine+Rituximab | 4 | 2 | 2 | 1 | 0 | 4 | 0 | 9 | 4 | 1 | 3 | 0 | 6 | 0 | 0 | 0 | 1 | 0 | 2 |
Avelumab+Rituximab+Utomilumab | 4 | 1 | 2 | 0 | 0 | 1 | 1 | 4 | 2 | 1 | 1 | 0 | 4 | 0 | 0 | 0 | 0 | 0 | 1 |
Overall survival was defined as the time (in months) from the date of randomization to the date of death due to any cause. Participants last known to be alive were censored at date of last contact. Analysis was performed using Kaplan-Meier method. (NCT02951156)
Timeframe: From the date of randomization to discontinuation from the study or death, whichever occurred first (maximum up to 36 months)
Intervention | Months (Median) |
---|---|
Avelumab+Rituximab+Utomilumab | 14.8 |
Avelumab+Azacitidine+Utomilumab | 4.0 |
Avelumab+Bendamustine+Rituximab | 5.2 |
Investigator assessed PFS was defined as time (in months) from date of randomization to the first documentation of disease progression or death (due to any cause), whichever occurred first. PFS data was censored on the date of the last adequate tumor assessment for participants who had no an event (PD or death), for participants who start a new anti-cancer therapy prior to an event or for participants with an event after 2 or more missing or inadequate post-baseline tumor assessment. Participants without an adequate baseline or post-baseline tumor assessment were censored on the date of randomization unless death occurred on or before the time of the second planned tumor assessment in which case the death was considered as an event. (NCT02951156)
Timeframe: From the date of randomization to progression of disease, study discontinuation, censoring date or death due to any cause, whichever occurred first (up to 36 months)
Intervention | Months (Median) |
---|---|
Avelumab+Rituximab+Utomilumab | 1.8 |
Avelumab+Azacitidine+Utomilumab | 1.5 |
Avelumab+Bendamustine+Rituximab | 2.7 |
TTR was defined for participants who achieved objective response as time from randomization to first documentation of objective tumor response (CR or PR) that was subsequently confirmed. CR was defined as a score of 1 (no uptake above background), 2 (uptake <= mediastinum), or 3 (uptake
Timeframe: From the date of randomization to the first documentation of objective response (CR or PR) (maximum up to 36 months)
Intervention | Months (Median) |
---|---|
Avelumab+Rituximab+Utomilumab | 1.8 |
Avelumab+Bendamustine+Rituximab | 1.9 |
(NCT02951156)
Timeframe: 1 hour Post dose Day 2 Cycle 1, 144 hour Post dose Day 8 of Cycle 1, 0 hour Post dose Day 16 of Cycle 1, Day 1 of Cycle 4 and Cycle 6
Intervention | microgram per milliliter (mcg/mL) (Mean) | |||
---|---|---|---|---|
Cycle 1 Day 2 | Cycle 1 Day 8 | Cycle 1 Day 16 | Cycle 4 Day 1 | |
Avelumab+Rituximab+Utomilumab | 183.29 | 75.14 | 25.33 | 25.00 |
(NCT02951156)
Timeframe: 1 hour Post dose Day 2 Cycle 1, 144 hour Post dose Day 8 of Cycle 1, 0 hour Post dose Day 16 of Cycle 1, Day 1 of Cycle 4 and Cycle 6
Intervention | microgram per milliliter (mcg/mL) (Mean) | ||||
---|---|---|---|---|---|
Cycle 1 Day 2 | Cycle 1 Day 8 | Cycle 1 Day 16 | Cycle 4 Day 1 | Cycle 6 Day 1 | |
Avelumab+Azacitidine+Utomilumab | 198.43 | 68.44 | 26.53 | 62.00 | 7.57 |
Avelumab+Bendamustine+Rituximab | 193.30 | 65.33 | 19.36 | 120.88 | 39.43 |
ADA never-positive was defined as no positive ADA results at any time point. ADA ever-positive was defined as at least one positive ADA result at any time point. (NCT02951156)
Timeframe: Baseline: 2 hours pre-dose of first dose of avelumab, Post baseline: post first dose up to up to 30 Days after the end of treatment (maximum up to 36 months)
Intervention | Participants (Count of Participants) | |||
---|---|---|---|---|
Baseline: ADA ever-positive | Baseline: ADA never-positive | Post Baseline: ADA ever-positive | Post Baseline: ADA never-positive | |
Avelumab+Azacitidine+Utomilumab | 0 | 9 | 0 | 9 |
Avelumab+Bendamustine+Rituximab | 1 | 10 | 0 | 11 |
Avelumab+Rituximab+Utomilumab | 0 | 8 | 0 | 8 |
ADA never-positive was defined as no positive ADA results at any time point. ADA ever-positive was defined as at least one positive ADA result at any time point. (NCT02951156)
Timeframe: From the date of first study treatment up to 30 Days after the end of treatment (maximum up to 36 months)
Intervention | Participants (Count of Participants) | |
---|---|---|
ADA ever-positive | ADA never-positive | |
Avelumab+Bendamustine+Rituximab | 0 | 11 |
Avelumab+Rituximab+Utomilumab | 0 | 8 |
ORR was defined as percentage of participants with complete response (CR) or partial response (PR), as assessed by investigator per lugano response classification criteria. CR was defined as a score of 1 (no uptake above background), 2 (uptake less than or equal to [<=] mediastinum), or 3 (uptake less than [<] mediastinum but <=liver) with or without a residual mass on PET 5-point scale (5-PS), for lymph nodes and extralymphatic sites; no new lesions; no evidence of fluorodeoxyglucose (FDG)-avid disease in bone marrow. PR was defined as >=50% decrease in SPD of up to six of the largest dominant lymph nodes, no increase in size of other nodes, liver, or spleen volume, a >=50% decrease in sum of products of diameters (SPD) of hepatic and splenic nodules, absence of other organ involvement, and no new sites of disease. (NCT02951156)
Timeframe: Randomization until date of PD, start of new anticancer therapy, discontinuation from study or death due to any cause, whichever occurred first (maximum up to 36 months)
Intervention | Percentage of participants (Number) |
---|---|
Avelumab+Rituximab+Utomilumab | 11.1 |
Avelumab+Azacitidine+Utomilumab | 0 |
Avelumab+Bendamustine+Rituximab | 27.3 |
ADA never-positive was defined as no positive ADA results at any time point. ADA ever-positive was defined as at least one positive ADA result at any time point. (NCT02951156)
Timeframe: From the date of first study treatment up to 30 Days after the end of treatment (maximum up to 36 months)
Intervention | Participants (Count of Participants) | |
---|---|---|
ADA ever-positive | ADA never-positive | |
Avelumab+Azacitidine+Utomilumab | 2 | 7 |
Avelumab+Rituximab+Utomilumab | 1 | 7 |
AEs occurring in first 4 weeks of treatment,attributable to 1 of study drugs. Hematology:1)Grade 4 neutropenia,2)Grade >=3 febrile neutropenia with single temperature of >38.3 degrees Celsius (C)/sustained temperature of >=38.0 degrees C for more than 1 hour with/without associated sepsis,3)Grade >=3 neutropenic infection,4)Grade 4 thrombocytopenia/Grade 3 thrombocytopenia with clinically significant bleeding,5)Grade 4 anemia 6)Any grade >=3 non-hematology toxicity except:transient Grade 3 flu like symptoms/fever controlled with standard medical management;transient Grade 3 fatigue,localized skin reactions/headache that resolves to Grade <=1;Grade 3 nausea,vomiting/diarrhea resolved to Grade <=1 in ˂72 hours after initiation of adequate medical management;Grade 3 skin toxicity resolved to Grade <=1 in ˂7 days;tumor flare;Single laboratory values that are out of normal range,that have no clinical correlate and resolve to Grade <=1 within 7 days with adequate medical management. (NCT02951156)
Timeframe: Day 1 Cycle 1 up to 4 Weeks
Intervention | Participants (Count of Participants) |
---|---|
Avelumab+Rituximab+Utomilumab | 1 |
Avelumab+Azacitidine+Utomilumab | 0 |
Avelumab+Bendamustine+Rituximab | 0 |
Investigator assessed DOR: was defined for participants with OR as time from first documentation of OR to time of first documentation of disease progression/death due to any cause, whichever occurred first. CR: score of 1(no uptake above background),2(uptake <=mediastinum),or 3(uptake
Timeframe: First response (CR or PR) to date of PD, start of new anti-cancer therapy, discontinuation from the study, censoring date or death due to any cause, whichever occurred first (maximum up to 36 months)
Intervention | Months (Median) |
---|---|
Avelumab+Rituximab+Utomilumab | 1.81 |
Avelumab+Bendamustine+Rituximab | NA |
Disease control rate was defined as percentage of participants with disease control. Disease Control (DC) was defined as the best overall response of CR, PR, or stable disease (SD). CR: score of 1 (no uptake above background), 2 (uptake <= mediastinum), or 3 (uptake less than
Timeframe: From the date of randomization to the first documentation of PD, study discontinuation, start of new anti-cancer therapy or death due to any cause, whichever occurred first (maximum up to 36 months)
Intervention | Percentage of participants (Number) |
---|---|
Avelumab+Rituximab+Utomilumab | 22.2 |
Avelumab+Azacitidine+Utomilumab | 0 |
Avelumab+Bendamustine+Rituximab | 36.4 |
Laboratory parameters included hematological and biochemistry: Hematological parameters included: anemia, haemoglobin increased, lymphocyte count decreased, lymphocyte count increased, neutrophil count decreased, platelet count decreased and white blood cells decreased. Biochemistry parameters included alanine aminotransferase increased, alkaline phosphatase increased, aspartate aminotransferase increased, blood bilirubin increased, cholesterol high, creatine kinase(cpk) increased, creatinine increased, gamma glutamyl transferase(ggt) increased, hypercalcemia, hyperglycemia, hyperkalemia, hypermagnesemia, hypernatremia, hypertriglyceridemia, hypoalbuminemia, hypocalcemia, hypoglycemia, hypokalemia, hypomagnesemia, hyponatremia, hypophosphatemia, lipase increased,serum amylase increased.Test abnormalities were graded by NCI CTCAE version 4.03 as Grade 1=mild; Grade 2=moderate; Grade 3/Grade 4=severe/life-threatening. Number of participants with abnormalities of any grade were reported. (NCT02951156)
Timeframe: From first dose of study treatment up to at least 30 days after the last dose of study treatment or initiation of new anti-cancer therapy (up to 36 months)
Intervention | Participants (Count of Participants) | |||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Anemia | Hemoglobin increased | Lymphocyte count decreased | Lymphocyte count increased | Neutrophil count decreased | Platelet count decreased | White blood cell decreased | Alanine aminotransferase increased | Alkaline phosphatase increased | Aspartate aminotransferase increased | Blood bilirubin increased | Cholesterol high | Cpk increased | Creatinine increased | GGT increased | Hypercalcemia | Hyperglycemia | Hyperkalemia | Hypermagnesemia | Hypernatremia | Hypertriglyceridemia | Hypoalbuminemia | Hypocalcemia | Hypoglycemia | Hypokalemia | Hypomagnesemia | Hyponatremia | Hypophosphatemia | Lipase increased | Serum amylase increased | |
Avelumab+Azacitidine+Utomilumab | 8 | 0 | 7 | 0 | 2 | 3 | 4 | 5 | 4 | 6 | 3 | 3 | 1 | 6 | 4 | 3 | 1 | 0 | 1 | 0 | 3 | 4 | 0 | 0 | 1 | 0 | 1 | 0 | 2 | 1 |
Avelumab+Bendamustine+Rituximab | 10 | 0 | 9 | 0 | 9 | 8 | 8 | 2 | 6 | 3 | 3 | 3 | 2 | 10 | 6 | 2 | 2 | 2 | 1 | 1 | 7 | 6 | 2 | 1 | 4 | 4 | 3 | 5 | 3 | 3 |
Avelumab+Rituximab+Utomilumab | 6 | 0 | 4 | 0 | 2 | 4 | 1 | 2 | 3 | 3 | 0 | 2 | 2 | 6 | 3 | 0 | 3 | 0 | 1 | 0 | 3 | 3 | 1 | 0 | 1 | 0 | 0 | 1 | 1 | 2 |
Percentage of Tumor and Immune Cells as Assessed by Immunohistochemistry at Baseline. (NCT02951156)
Timeframe: Screening (prior to first dose of study treatment)
Intervention | Percentage of cells staining positive (Median) | |
---|---|---|
Tumor Cells (membrane) | Immune Cells | |
Avelumab+Azacitidine+Utomilumab | 0.5 | 7.5 |
Avelumab+Bendamustine+Rituximab | 0 | 17.5 |
Avelumab+Rituximab+Utomilumab | 0 | 7.5 |
nAb never-positive was defined as no positive nAb results at any time point and nAb ever-positive was defined as at least one positive nAb result at any time point. (NCT02951156)
Timeframe: From the date of first study treatment up to 30 Days after the end of treatment (maximum up to 36 months)
Intervention | Participants (Count of Participants) | |
---|---|---|
nAb ever-positive | nAb never-positive | |
Avelumab+Azacitidine+Utomilumab | 0 | 2 |
Avelumab+Rituximab+Utomilumab | 0 | 1 |
(NCT02954406)
Timeframe: Days 1 and 15: Pre-dose and at multiple time points (up to 24 hours) post-dose in Cycle 1 (Cohorts A, B and C - each cycle was of 21 days and Cohorts D and E - each cycle was of 28 days)
Intervention | nanograms(ng)/mL (Geometric Mean) | |
---|---|---|
Cycle 1 Day 1 | Cycle 1 Day 15 | |
Dose Escalation Phase Cohort A: TAK-659 100 mg + Bendamustine 90 mg/m^2 | 118.10 | 187.73 |
Dose Escalation Phase Cohort A: TAK-659 60 mg + Bendamustine 90 mg/m^2 | 83.61 | 126.49 |
Dose Escalation Phase Cohort A: TAK-659 80 mg + Bendamustine 90 mg/m^2 | 89.74 | 145.03 |
Dose Escalation Phase Cohort B: TAK-659 100 mg + Bendamustine 90 mg/m^2 + Rituximab 375 mg/m^2 | 180.10 | 223.53 |
Dose Escalation Phase Cohort B: TAK-659 60 mg + Bendamustine 90 mg/m^2 + Rituximab 375 mg/m^2 | 128.58 | 158.28 |
Dose Escalation Phase Cohort B: TAK-659 80 mg + Bendamustine 90 mg/m^2 + Rituximab 375 mg/m^2 | 142.84 | 222.96 |
Dose Escalation Phase Cohort C: TAK-659 60 mg + Gemcitabine 1000 mg/m^2 | 141.27 | 303.34 |
Dose Escalation Phase Cohort D: TAK-659 40 mg + Lenalidomide 25 mg | 139.00 | 188.00 |
Dose Escalation Phase Cohort D: TAK-659 60 mg + Lenalidomide 25 mg | 65.03 | 202.90 |
Dose Escalation Phase Cohort E: TAK-659 60 mg + Ibrutinib 560 mg | 120.23 | 306.59 |
(NCT02954406)
Timeframe: Days 1 and 15: Pre-dose and at multiple time points (up to 24 hours) post-dose in Cycle 1 (Cohorts A, B and C - each cycle was of 21 days and Cohorts D and E - each cycle was of 28 days)
Intervention | h×ng/mL (Geometric Mean) | |
---|---|---|
Cycle 1 Day 1 | Cycle 1 Day 15 | |
Dose Escalation Phase Cohort A: TAK-659 100 mg + Bendamustine 90 mg/m^2 | 1532.34 | 3050.97 |
Dose Escalation Phase Cohort A: TAK-659 60 mg + Bendamustine 90 mg/m^2 | 1094.51 | 1845.21 |
Dose Escalation Phase Cohort A: TAK-659 80 mg + Bendamustine 90 mg/m^2 | 1011.49 | 1675.91 |
Dose Escalation Phase Cohort B: TAK-659 100 mg + Bendamustine 90 mg/m^2 + Rituximab 375 mg/m^2 | 1444.89 | 2662.16 |
Dose Escalation Phase Cohort B: TAK-659 60 mg + Bendamustine 90 mg/m^2 + Rituximab 375 mg/m^2 | 852.36 | 1896.76 |
Dose Escalation Phase Cohort B: TAK-659 80 mg + Bendamustine 90 mg/m^2 + Rituximab 375 mg/m^2 | 1455.92 | 2788.61 |
Dose Escalation Phase Cohort C: TAK-659 60 mg + Gemcitabine 1000 mg/m^2 | 387.54 | 3251.29 |
Dose Escalation Phase Cohort D: TAK-659 40 mg + Lenalidomide 25 mg | 1456.03 | 2536.48 |
Dose Escalation Phase Cohort D: TAK-659 60 mg + Lenalidomide 25 mg | 758.76 | 2578.30 |
Dose Escalation Phase Cohort E: TAK-659 60 mg + Ibrutinib 560 mg | 968.82 | 4218.90 |
TTP was defined as the time from the date of first drug administration to the date of first documented PD. PD was defined as any new lesion or increase by >50% of previously involved sites from nadir. (NCT02954406)
Timeframe: Up to 123 weeks
Intervention | months (Median) |
---|---|
Dose Escalation Phase Cohort A: TAK-659 60 mg + Bendamustine 90 mg/m^2 | 4.2 |
Dose Escalation Phase Cohort A: TAK-659 80 mg + Bendamustine 90 mg/m^2 | 2.7 |
Dose Escalation Phase Cohort A: TAK-659 100 mg + Bendamustine 90 mg/m^2 | 9.6 |
Dose Escalation Phase Cohort B: TAK-659 60 mg + Bendamustine 90 mg/m^2 + Rituximab 375 mg/m^2 | 2.6 |
Dose Escalation Phase Cohort B: TAK-659 80 mg + Bendamustine 90 mg/m^2 + Rituximab 375 mg/m^2 | 4.2 |
Dose Escalation Phase Cohort B: TAK-659 100 mg + Bendamustine 90 mg/m^2 + Rituximab 375 mg/m^2 | 1.3 |
Dose Escalation Phase Cohort C: TAK-659 60 mg + Gemcitabine 1000 mg/m^2 | 1.4 |
Dose Escalation Phase Cohort D: TAK-659 40 mg + Lenalidomide 25 mg | 3.4 |
Dose Escalation Phase Cohort D: TAK-659 60 mg + Lenalidomide 25 mg | NA |
Dose Escalation Phase Cohort E: TAK-659 60 mg + Ibrutinib 560 mg | 2.7 |
DOR was defined as the time from the date of first documented response to the date of first documented PD. PD was defined as any new lesion or increase by > 50% of previously involved sites from nadir. (NCT02954406)
Timeframe: Up to 123 weeks
Intervention | months (Median) |
---|---|
Dose Escalation Phase Cohort A: TAK-659 60 mg + Bendamustine 90 mg/m^2 | 2.3 |
Dose Escalation Phase Cohort A: TAK-659 80 mg + Bendamustine 90 mg/m^2 | 2.8 |
Dose Escalation Phase Cohort A: TAK-659 100 mg + Bendamustine 90 mg/m^2 | NA |
Dose Escalation Phase Cohort B: TAK-659 60 mg + Bendamustine 90 mg/m^2 + Rituximab 375 mg/m^2 | NA |
Dose Escalation Phase Cohort B: TAK-659 80 mg + Bendamustine 90 mg/m^2 + Rituximab 375 mg/m^2 | 3.9 |
Dose Escalation Phase Cohort D: TAK-659 40 mg + Lenalidomide 25 mg | 1.8 |
Dose Escalation Phase Cohort D: TAK-659 60 mg + Lenalidomide 25 mg | NA |
Dose Escalation Phase Cohort E: TAK-659 60 mg + Ibrutinib 560 mg | NA |
The RP2D was the MTD or less. The dose recommended for use in phase 2 studies was analyzed on the basis of the safety, tolerability, and preliminary pharmacokinetic (PK) and efficacy data obtained in phase 1 studies. Each cohort (A, B, C, D and E) received different escalating doses of TAK-659 in combination with other drugs. For each cohort the recommended Phase 2 dose of TAK-659 in combination with the other drug/s from the selected dose range is reported. (NCT02954406)
Timeframe: Cycle 1 (Cohorts A, B and C - each cycle was of 21 days and Cohorts D and E each cycle was of 28 days)
Intervention | mg (Number) |
---|---|
Dose Escalation Phase Cohort A: TAK-659 60-100 mg + Bendamustine 90 mg/m^2 | NA |
Dose Escalation Phase Cohort B: TAK-659 60-100 mg + Bendamustine 90 mg/m^2 + Rituximab 375 mg/m^2 | 60 |
Dose Escalation Phase Cohort C: TAK-659 60 mg + Gemcitabine 1000 mg/m^2 | NA |
Dose Escalation Phase Cohort D: TAK-659 40-60 mg + Lenalidomide 25 mg | NA |
Dose Escalation Phase Cohort E: TAK-659 60 mg + Ibrutinib 560 mg | NA |
(NCT02954406)
Timeframe: Days 1 and 15: Pre-dose and at multiple time points (up to 24 hours) post-dose in Cycle 1 (Cohorts A, B and C - each cycle was of 21 days and Cohorts D and E - each cycle was of 28 days)
Intervention | hours (h) (Median) | |
---|---|---|
Cycle 1 Day 1 | Cycle 1 Day 15 | |
Dose Escalation Phase Cohort A: TAK-659 100 mg + Bendamustine 90 mg/m^2 | 4.00 | 3.83 |
Dose Escalation Phase Cohort A: TAK-659 60 mg + Bendamustine 90 mg/m^2 | 4.00 | 4.00 |
Dose Escalation Phase Cohort A: TAK-659 80 mg + Bendamustine 90 mg/m^2 | 2.03 | 1.09 |
Dose Escalation Phase Cohort B: TAK-659 100 mg + Bendamustine 90 mg/m^2 + Rituximab 375 mg/m^2 | 2.00 | 2.47 |
Dose Escalation Phase Cohort B: TAK-659 60 mg + Bendamustine 90 mg/m^2 + Rituximab 375 mg/m^2 | 1.10 | 1.17 |
Dose Escalation Phase Cohort B: TAK-659 80 mg + Bendamustine 90 mg/m^2 + Rituximab 375 mg/m^2 | 2.00 | 1.93 |
Dose Escalation Phase Cohort C: TAK-659 60 mg + Gemcitabine 1000 mg/m^2 | 4.13 | 2.76 |
Dose Escalation Phase Cohort D: TAK-659 40 mg + Lenalidomide 25 mg | 0.6 | 1.9 |
Dose Escalation Phase Cohort D: TAK-659 60 mg + Lenalidomide 25 mg | 2.12 | 2.08 |
Dose Escalation Phase Cohort E: TAK-659 60 mg + Ibrutinib 560 mg | 1.00 | 1.01 |
MTD was defined as the maximum dose that is determined to be safe and tolerable in different cohorts. Each cohort (A, B, C, D and E) received different escalating doses of TAK-659 in combination with other drugs. For each cohort the maximum tolerated dose of TAK-659 in combination with the other drug/s from the selected dose range is reported. (NCT02954406)
Timeframe: Cycle 1 (Cohorts A, B and C - each cycle was of 21 days and Cohorts D and E - each cycle was of 28 days)
Intervention | mg (Number) |
---|---|
Dose Escalation Phase Cohort A: TAK-659 60-100 mg + Bendamustine 90 mg/m^2 | NA |
Dose Escalation Phase Cohort B: TAK-659 60-100 mg + Bendamustine 90 mg/m^2 + Rituximab 375 mg/m^2 | NA |
Dose Escalation Phase Cohort C: TAK-659 60 mg + Gemcitabine 1000 mg/m^2 | NA |
Dose Escalation Phase Cohort D: TAK-659 40-60 mg + Lenalidomide 25 mg | NA |
Dose Escalation Phase Cohort E: TAK-659 60 mg + Ibrutinib 560 mg | NA |
ORR was defined as the percentage of participants in the response-evaluable population who achieved either complete response (CR), or partial response (PR). CR was defined as the disappearance of all evidence of disease, and PR was defined as regression of measurable disease and no new sites. (NCT02954406)
Timeframe: Up to 123 weeks
Intervention | percentage of participants (Number) |
---|---|
Dose Escalation Phase Cohort A: TAK-659 60 mg + Bendamustine 90 mg/m^2 | 33.3 |
Dose Escalation Phase Cohort A: TAK-659 80 mg + Bendamustine 90 mg/m^2 | 75.0 |
Dose Escalation Phase Cohort A: TAK-659 100 mg + Bendamustine 90 mg/m^2 | 50.0 |
Dose Escalation Phase Cohort B: TAK-659 60 mg + Bendamustine 90 mg/m^2 + Rituximab 375 mg/m^2 | 40.0 |
Dose Escalation Phase Cohort B: TAK-659 80 mg + Bendamustine 90 mg/m^2 + Rituximab 375 mg/m^2 | 80.0 |
Dose Escalation Phase Cohort B: TAK-659 100 mg + Bendamustine 90 mg/m^2 + Rituximab 375 mg/m^2 | 0.0 |
Dose Escalation Phase Cohort C: TAK-659 60 mg + Gemcitabine 1000 mg/m^2 | 0.0 |
Dose Escalation Phase Cohort D: TAK-659 40 mg + Lenalidomide 25 mg | 100.0 |
Dose Escalation Phase Cohort D: TAK-659 60 mg + Lenalidomide 25 mg | 33.3 |
Dose Escalation Phase Cohort E: TAK-659 60 mg + Ibrutinib 560 mg | 50.0 |
Duration of Response (DOR) is defined as from the first documentation of CR, CRi, PR, or nPR to the earlier of the first documentation of disease progression or death from any cause. (NCT02970318)
Timeframe: Investigator assessments were done from randomization date until date of death or study discontinuation or data cutoff date on 03Sep2021, whichever came first up to 53 months of follow-up.
Intervention | Months (Median) |
---|---|
Arm A: Acalabrutinib Monotherapy | NA |
Arm B: Investigator's Choice | 18.3 |
Time to Next Treatment (TTNT) is defined as the time from date of randomization to date of institution of non-protocol-specified treatment for CLL (or first dose date of acalabrutinib for Arm B subjects crossing over to receive acalabrutinib) or death due to any cause, whichever comes first. (NCT02970318)
Timeframe: From randomization date to start of non-protocol specified subsequent anticancer therapy for CLL or death due to any cause or study discontinuation or data cutoff date on 03Sep2021,, whichever came first up to 53 months of follow-up.
Intervention | Months (Median) |
---|---|
Arm A: Acalabrutinib Monotherapy | NA |
Arm B: Investigator's Choice | 22.5 |
Duration of Response (DOR) is defined as from the first documentation of CR, CRi, PR, or nPR to the earlier of the first documentation of disease progression or death from any cause. (NCT02970318)
Timeframe: IRC assessments from randomization date until disease progression or death or IRC discontinuation on 15Jan2019 (as IA per this data cutoff showed crossing superiority boundary) whichever came first, up to 22 months of follow-up
Intervention | Months (Median) |
---|---|
Arm A: Acalabrutinib Monotherapy | NA |
Arm B: Investigator's Choice | 13.6 |
PFS per investigator assessment based on the final analysis data cutoff date of 03 September 2021. (NCT02970318)
Timeframe: From randomization date to date of disease progression or death due to any cause or data cutoff date on 03Sep2021, whichever came first, regardless of use of subsequent anticancer therapy, until 53 months of follow-up.
Intervention | Months (Median) |
---|---|
Arm A: Acalabrutinib Monotherapy | NA |
Arm B: Investigator's Choice | 16.8 |
"To evaluate the efficacy of acalabrutinib monotherapy (Arm A) compared with idelalisib/rituximab or bendamustine/rituximab (Arm B) based on Independent Review Committee (IRC) assessment of progression-free survival (PFS) per International Workshop on Chronic Lymphocytic Leukemia (IWCLL) 2008 criteria (Hallek 2008) with incorporation of the clarification for treatment-related lymphocytosis (Cheson 2012) hereafter referred to as IWCLL 2008 criteria in subjects with relapsed or refractory (R/R) chronic lymphocytic leukemia (CLL). As planned and reported in the interim clinical study report (dated 17 July 2019), because the study did cross the boundary at interim analysis.~IRC assessments were discontinued after the interim analysis. All IRC-related efficacy analyses in this clinical study report were based on the interim analysis data cutoff date of 15 January 2019. All other efficacy analyses were based on the final analysis data cutoff date of 03 September 2021." (NCT02970318)
Timeframe: IRC assessments from randomization date until disease progression or death or IRC discontinuation on 15Jan2019 (as IA per this data cutoff showed crossing superiority boundary) whichever came first, up to 22 months of follow-up
Intervention | Months (Median) |
---|---|
Arm A: Acalabrutinib Monotherapy | NA |
Arm B: Investigators Choice | 16.5 |
Overall Survival (OS) was based on data cutoff date of 03Sep2021 (NCT02970318)
Timeframe: From randomization date to date of death due to any cause, or date of study discontinuation, or date of data cutoff on 03Sep2021, whichever came first until 54 months of follow-up.
Intervention | Months (Median) |
---|---|
Arm A: Acalabrutinib Monotherapy | NA |
Arm B: Investigator's Choice | NA |
IRC-assessed overall response rate (ORR) including complete response (CR), CR with incomplete blood count recovery (CRi) nodular PR (nPR), and Partial Response (PR) (NCT02970318)
Timeframe: IRC assessments from randomization date until disease progression or death or IRC discontinuation on 15Jan2019 (as IA per this data cutoff showed crossing superiority boundary) whichever came first, up to 22 months of follow-up
Intervention | Participants (Count of Participants) |
---|---|
Arm A: Acalabrutinib Monotherapy | 126 |
Arm B: Investigator's Choice | 117 |
IRC-assessed overall response rate (ORR) including complete response (CR), CR with incomplete blood count recovery (CRi) nodular PR (nPR), and Partial Response (PR) (NCT02970318)
Timeframe: Investigator assessments were done from randomization date until date of death or date of exit from study or data cut off date on 03Sep2021, whichever came first, up to 53 months of follow-up.
Intervention | Participants (Count of Participants) |
---|---|
Arm A: Acalabrutinib Monotherapy | 128 |
Arm B: Investigator's Choice | 130 |
PFS is defined as the time from randomization until first documentation of progression or death from any cause, whichever occurs first, as assessed by the ICR per 2008 International Workshop on Chronic Lymphocytic Leukemia (iwCLL) guidelines with modifications for treatment-related lymphocytosis in participants with CLL and the Revised Criteria for Response for Malignant Lymphoma in participants with small lymphocytic lymphoma (SLL). (NCT03336333)
Timeframe: Up to approximately 3 years and 7 months (as of cut-off date of 07MAY2021)
Intervention | Months (Median) |
---|---|
Cohort 1: Bendamustine + Rituximab Without Del(17p) | 33.7 |
Cohort 1: Zanubrutinib Without Del(17p) | NA |
TTP is defined as the number of days from the date of first dose of any study drug (either venetoclax, obinutuzumab, or bendamustine) to date of disease progression. All disease progression was to be included regardless of whether the event occurred during or after the participant was taking any study drug.The distribution of the time to progression was estimated using Kaplan-Meier methodology. (NCT03406156)
Timeframe: From first dose of study drug until the last participant completed Week 65 assessments (data cut-off date of 13 October 2021); overall median time on follow-up was up to 787 days
Intervention | months (Median) |
---|---|
Obinutuzumab | NA |
Obinutuzumab/Bendamustine | NA |
DoR is defined as the number of days from the date of first response (CR, CRi, nPR, or PR per the 2008 Modified IWCLL NCI-WG criteria) to the date of disease progression or death, whichever occurs first. All disease progression was to be included regardless whether the event occurred during or after the participant was taking any study drug (either venetoclax, obinutuzumab, or bendamustine). Duration of response was analyzed by Kaplan-Meier (K-M) methodology. (NCT03406156)
Timeframe: From first dose of study drug until the last participant completed Week 65 assessments (data cut-off date of 13 October 2021); overall median time on follow-up was up to 787 days
Intervention | months (Median) |
---|---|
Obinutuzumab | 21.7 |
Obinutuzumab/Bendamustine | NA |
ORR is defined as the percentage of participants who achieved a best response of complete remission (CR), complete remission with incomplete marrow recovery (CRi), nodular partial remission (nPR), or partial remission (PR) based on the 2008 Modified IWCLL NCI-WG criteria at any time during the study as assessed by investigator up through the completion of the 65-week disease response assessment after the start of venetoclax. Participants who did not respond were considered non-responders. (NCT03406156)
Timeframe: From first dose of study drug until the last participant completed Week 65 assessments (data cut-off date of 13 October 2021); overall median time on follow-up was up to 787 days
Intervention | percentage of participants (Number) |
---|---|
Obinutuzumab | 94.0 |
Obinutuzumab/Bendamustine | 88.9 |
OS is defined as number of days from the date of first dose of any study drug (either venetoclax, obinutuzumab, or bendamustine) to the date of death. If a participant had not died, their data was censored at the date when they were last known to be alive prior to the cutoff date.The distribution of OS was estimated using Kaplan-Meier methodology. (NCT03406156)
Timeframe: From first dose of study drug until the last participant completed Week 65 assessments (data cut-off date of 13 October 2021); overall median time on follow-up was up to 787 days
Intervention | months (Median) |
---|---|
Obinutuzumab | NA |
Obinutuzumab/Bendamustine | NA |
PFS is defined as the number of days from the date of first dose of any study drug (either venetoclax, obinutuzumab, or bendamustine) to the date of disease progression or death, whichever occurs first. All disease progression was to be included regardless whether the event occurred during or after the participant was taking any study drug. Progression-free survival was analyzed by Kaplan-Meier methodology. (NCT03406156)
Timeframe: From first dose of study drug until the last participant completed Week 65 assessments (data cut-off date of 13 October 2021); overall median time on follow-up was up to 787 days
Intervention | months (Median) |
---|---|
Obinutuzumab | 23.3 |
Obinutuzumab/Bendamustine | NA |
Low tumor burden is defined as absolute lymphocyte count (ALC) < 25 × 10^9 /L and all lymph nodes < 5 cm per computed tomography (CT) scans. (NCT03406156)
Timeframe: From Baseline to the end of Cycles 2, 4, and 6, up to approximately 24 weeks after initial dose of study drug
Intervention | percentage of participants (Number) | ||
---|---|---|---|
From Baseline to the End of Cycle 2 | From Baseline to the End of Cycle 4 | From Baseline to the End of Cycle 6 | |
Obinutuzumab | 81.4 | 88.3 | 95.0 |
Obinutuzumab/Bendamustine | 83.9 | 87.1 | 90.3 |
The level of MRD was assessed in the peripheral blood of all participants at 5 months after last dose of obinutuzumab, and at 3 months after last dose of venetoclax/end of treatment (including early study termination) to determine the rate of UMRD. Undetectable Minimal Residual Disease is defined as less than one CLL cell per 10,000 leukocytes (< 10^-4 ). (NCT03406156)
Timeframe: From first dose of study drug until the last participant completed Week 65 assessments (data cut-off date of 13 October 2021)
Intervention | percentage of participants (Number) | |
---|---|---|
At Week 38 | At Week 65 | |
Obinutuzumab | 100 | 95.5 |
Obinutuzumab/Bendamustine | 100 | 100 |
"Complete response rate is defined as the percentage of participants achieving complete remission (CR) or complete remission with incomplete marrow recovery (CRi) as their best response based on 2008 Modified International Workshop for Chronic Lymphocytic Leukemia National Cancer Institute-Working Group (IWCLL NCI-WG) criteria.~CR required all of the following:~Peripheral blood lymphocytes <4000/μL~Absence of lymphadenopathy by physical examination and computed tomography scan~No hepatomegaly or splenomegaly by physical examination~Absence of disease or constitutional symptoms (unexplained fevers >38°C, drenching night sweats, ≥10% weight loss in last 6 months)~Blood counts above the following:~Neutrophils >1500/μL~Platelets >100,000/μL~Hemoglobin >11.0 g/dL~Bone marrow at least normocellular for age, <30% lymphocytes~CRi was defined as participants with CR who had persistent cytopenia unrelated to CLL but related to drug toxicity." (NCT03406156)
Timeframe: From first dose of study drug until the last participant completed Week 65 assessments (data cut-off date of 13 October 2021); overall median time on follow-up was up to 787 days
Intervention | percentage of participants (Number) |
---|---|
Obinutuzumab | 51.2 |
Obinutuzumab/Bendamustine | 16.7 |
-For definitions of CR and PR please refer to the Recommendations for Initial Evaluation, Staging and Response Assessment of Hodgkin and Non-Hodgkin Lymphoma: The Lugano Classification (NCT03623373)
Timeframe: Through completion of treatment (estimated to be 6 months)
Intervention | Participants (Count of Participants) |
---|---|
Bendamustine/Rituximab/Acalabrutinib/Cytarabine | 10 |
-For definitions of CR, please refer to the Recommendations for Initial Evaluation, Staging and Response Assessment of Hodgkin and Non-Hodgkin Lymphoma: The Lugano Classification (NCT03623373)
Timeframe: Through completion of treatment (estimated to be 6 months)
Intervention | Participants (Count of Participants) |
---|---|
Bendamustine/Rituximab/Acalabrutinib/Cytarabine | 9 |
-Stem cell mobilization success is defined as a yield of >2x10^6 CD34+ stem cells/kg with a maximum of 5 courses of apheresis (NCT03623373)
Timeframe: Through 5 courses of apheresis (up to 5 days)
Intervention | Participants (Count of Participants) |
---|---|
Bendamustine/Rituximab/Acalabrutinib/Cytarabine | 4 |
-Toxicity is measured using NCI Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 (NCT03623373)
Timeframe: 30 days following completion of treatment (estimated to be 7 months)
Intervention | Participants (Count of Participants) | ||||||||
---|---|---|---|---|---|---|---|---|---|
Diarrhea | Infusion related reaction | Upper respiratory infection | Skin infection | Perirectal abscess | Peritoneal infection | Blood bilirubin increased | Ejection fraction decreased | Alanine aminotransferase increased | |
Bendamustine/Rituximab/Acalabrutinib/Cytarabine | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 |
ORR at EOI therapy was defined as the percentage of particpants with either a CR, CR unconfirmed or PR at the EOI visit, as determined by the investigator and according to the guidelines used at the site. (NCT03817853)
Timeframe: Baseline up to end of induction therapy (up to approximately 6 months)
Intervention | Percentage of Participants (Number) | |
---|---|---|
Complete Response | Partial Response | |
All Participants | 72.1 | 19.1 |
IRRs were defined as all adverse events (AEs) that occurred during or within 24 hours from the end of study treatment infusion and were judged as related to infusion of study treatment components by the investigator. (NCT03817853)
Timeframe: Within 24 hours from the end of study treatment infusion in all cycles, including maintenance ((1 cycle: 21 or 28 days depending on the chemotherapy selected); up to approximately 2.5 years)
Intervention | Percentage of Participants (Number) | |||||||||
---|---|---|---|---|---|---|---|---|---|---|
Cycle 1 Day 1 | Cycle 1 Day 2 | Cycle 1 Day 8 | Cycle 1 Day 15 | Cycle 2 | Cycle 3 | Cycle 4 | Cycle 5 | Cycle 6 | Cycle 7 | |
All Participants | 49.6 | 7.8 | 4.5 | 4.5 | 11.8 | 8.3 | 4.9 | 6.2 | 3.6 | 4.4 |
(NCT03817853)
Timeframe: All cycles including maintenance (1 cycle: 21 or 28 days depending on the chemotherapy selected; up to approximately 2.5 years)
Intervention | Percentage of Participants (Number) | ||
---|---|---|---|
Cycle (C) 5- Hypertension | C5 - Renal failure | C5 - Weight increased | |
All Participants | 33.3 | 33.3 | 33.3 |
The duration of obinutuzumab administration (in minutes) by cycle was defined as the difference between the end time and the start time of obinutuzumab administration. (NCT03817853)
Timeframe: All cycles including maintenance (1 cycle: 21 or 28 days depending on the chemotherapy selected; up to approximately 2.5 years)
Intervention | Minutes (Mean) | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Cycle(C) 1 Day(D) 1 | C1D8 | C1D15 | C2 | C3 | C4 | C5 | C6 | C7 | C8 | Maintenance Week 1 | Maintenance Week 9 | Maintenance Week 17 | Maintenance Week 25 | Maintenance Week 33 | Maintenance Week 41 | |
All Participants | 295.96 | 215.97 | 207.52 | 101.48 | 102.97 | 98.33 | 98.26 | 99.49 | 99.56 | 94.54 | 101.48 | 97.21 | 97.64 | 93.83 | 92.50 | 90.00 |
The duration, in minutes, of IRRs during all cycles, where obinutuzumab was administered as an SDI. (NCT03817853)
Timeframe: All cycles including maintenance (1 cycle: 21 or 28 days depending on the chemotherapy selected; up to approximately 2.5 years)
Intervention | Minutes (Mean) |
---|---|
All Participants | 165.0 |
IRRs were defined as all adverse events (AEs) that occurred during or within 24 hours from the end of study treatment infusion and were judged as related to infusion of study treatment components by the investigator. (NCT03817853)
Timeframe: Within 24 hours from the end of study treatment infusion of Day 1 in Cycle 2 (1 cycle: 21 or 28 days depending on the chemotherapy selected)
Intervention | Percentage of Participants (Number) |
---|---|
All Participants | 0 |
An AE was defined as any untoward medical occurrence in a clinical investigation participant who was administered a pharmaceutical product, regardless of causal attribution. An AE was therefore any unfavourable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Pre-existing conditions which worsened during the study, recurrence of an intermittent medical condition, deterioration in a laboratory value or other clinical test or were related to a protocol-mandated intervention were also considered AEs. Grading was completed according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) Version 5.0. (NCT03817853)
Timeframe: Baseline up to clinical cut off date (up to approximately 1.5 years)
Intervention | Percentage of Participants (Number) |
---|---|
All Participants | 99.1 |
Maintenance: Obinutuzumab | 41.1 |
Follow-up | 35.3 |
Time to IRR (of any grade) in Cycle 2 was defined as the time from the start of infusion (i.e., start date/time of infusion of the first component of study treatment) in Cycle 2 to the onset of the IRR (of any grade) during Cycle 2. (NCT03817853)
Timeframe: From infusion to onset of IRR during Cycle 2 (1 cycle: 21 or 28 days depending on the chemotherapy selected)
Intervention | Hours (Mean) |
---|---|
All Participants | 11.800 |
Treatment Emergent ADA is (a) negative or missing baseline ADA result(s) and at least one positive post-baseline ADA result, OR (b) positive ADA result at baseline and one or more post-baseline titer results that are at least 0.60 titer unit (t.u.) greater than the baseline titer result. (NCT04236141)
Timeframe: Baseline up to approximately 39 weeks
Intervention | Participants (Count of Participants) |
---|---|
Polatuzumab Vedotin Plus Bendamustine and Rituximab | 0 |
OS was defined as the time from date of randomization until the date of death from any cause. (NCT04236141)
Timeframe: Up to approximately 82 weeks
Intervention | months (Median) |
---|---|
Polatuzumab Vedotin Plus Bendamustine and Rituximab | 10.89 |
Placebo Plus Bendamustine and Rituximab | 7.67 |
An AE is any untoward medical occurrence in a clinical investigation participant administered a pharmaceutical product, regardless of causal attribution. An adverse event can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product, any new disease or exacerbation of an existing disease (a worsening in the character, frequency, or severity of a known condition), recurrence of an intermittent medical condition not present at baseline, any deterioration in a laboratory value or other clinical test that is associated with symptoms or leads to a change in study treatment or concomitant treatment or discontinuation from study drug or adverse events that are related to a protocol-mandated intervention, including those that occur prior to assignment of study treatment. (NCT04236141)
Timeframe: Up to approximately 82 weeks
Intervention | percentage of participants (Number) |
---|---|
Polatuzumab Vedotin Plus Bendamustine and Rituximab | 100 |
Placebo Plus Bendamustine and Rituximab | 100 |
BOR=CR/PR per PET-CT/CT by investigator per LRC.CR perPET-CT=complete MR in lymph nodes & extralymphatic sites(ELS),score=1,2,3 with/without residual mass on5PS,1=no uptake(UT)above background;2=UT≤mediastinum;3=UT>mediastinum but ≤liver;4=UT moderately>liver;5=UT markedly higher than liver and/or new lesions; no new lesions & FDG-avid disease absent in bone marrow.CR perCT=complete radiologic response with target nodes/nodal masses regressedto≤1.5 cm in LDi&no ELS of disease;absence of non-measured lesion;organ enlargement regressed to normal;no new lesions;bone marrow morphology=normal,if indeterminate,IHC negative.PR per PET-CT=partial MR in lymph nodes&ELS,score=4or5,reduced UT than baseline(BL)&residual masses=any size;no new lesions&residual UT >UT in normal marrow,reduced than BL.PR per CT by LCR=≥50% decrease in SPD of up to 6 target nodes & extranodal sites;non-measured lesion=absent/normal,regressed,no increase;spleen=regressed by>50%in length beyond normal;no new lesions. (NCT04236141)
Timeframe: Up to every 6 months after end of treatment assessment until disease progression, study withdrawal, end of study, or death, whichever occurred first (up to approximately 82 weeks)
Intervention | percentage of participants (Number) |
---|---|
Polatuzumab Vedotin Plus Bendamustine and Rituximab | 53.6 |
Placebo Plus Bendamustine and Rituximab | 28.6 |
CR was determined by IRC according to the Lugano Response Criteria (LRC) for Malignant Lymphoma. Per LRC , CR based on PET-CT was defined as complete metabolic response (MR) in lymph nodes and extralymphatic sites with a score of 1, 2, or 3 with or without residual mass, on 5-point scale (5PS), where, 1= no uptake above background; 2 = uptake ≤ mediastinum; 3 = uptake > mediastinum but ≤ liver; 4 = uptake moderately > liver; 5 = uptake markedly higher than liver and/or new lesions; no new lesions and no evidence of fluorodeoxyglucose (FDG)-avid disease in bone marrow. The analysis was done 6-8 weeks after Cycle 6, Day 1 (1 cycle = 21 days) or after final dose of study treatment. (NCT04236141)
Timeframe: Up to approximately 23 weeks
Intervention | percentage of participants (Number) |
---|---|
Polatuzumab Vedotin Plus Bendamustine and Rituximab | 25.0 |
Placebo Plus Bendamustine and Rituximab | 14.3 |
PK of polatuzumab vedodtin-related analyte- acMMAE was measured. (NCT04236141)
Timeframe: Predose and post dose on Day 2 of Cycle 1, and post dose on Days 8 and 15 of Cycles 1 and 3; predose and post dose on Day 1 of Cycles 2, 3 and 4; treatment completion/early discontinuation visit (each cycle = 21 days) up to approximately 19 weeks
Intervention | nanograms per milliliter (ng/mL) (Geometric Mean) | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Cycle 1 Day 2: Pre-dose | Cycle 1 Day 2: Post dose | Cycle 1 Day 8 Post dose | Cycle 1 Day 15 Post dose | Cycle 2 Day 1: Pre-dose | Cycle 2 Day 1: Post dose | Cycle 3 Day 1: Pre-dose | Cycle 3 Day 1: Post dose | Cycle 3 Day 8 Post dose | Cycle 3 Day 15 Post dose | Cycle 4 Day 1: Pre-dose | Cycle 4 Day 1: Post dose | Treatment completion/Early discontinuation | |
Polatuzumab Vedotin Plus Bendamustine and Rituximab | NA | 560 | 65.5 | 26.7 | 10.9 | 524 | 14.6 | 605 | 64.5 | 33.7 | 15.4 | 602 | 10.6 |
BOR=CR/PR per PET-CT/CT by IRC per LRC. CR per PET-CT=complete MR in lymph nodes& ELS, score=1, 2,3 with/without residual mass on 5PS, 1=no UT above background; 2=UT≤mediastinum; 3=UT>mediastinum but ≤liver; 4=UT moderately>liver; 5=UT markedly higher than liver and/or new lesions; no new lesions & FDG-avid disease absent in bone marrow.CR per CT=complete radiologic response with target nodes/nodal masses regressed to≤1.5 cm in LDi and no ELS of disease; absence of non-measured lesion; organ enlargement regressed to normal; no new lesions; bone marrow morphology=normal, if indeterminate, IHC negative. PR per PET-CT=partial MR in lymph nodes & ELS, score =4 or 5,reduced UT than baseline(BL)&residual masses=any size; no new lesions &residual UT >UT in normal marrow, reduced than BL.PR per CT by LCR=≥50% decrease in SPD of up to 6 target nodes& extranodal sites; non-measured lesion=absent/normal, regressed, no increase; spleen=regressed by>50% in length beyond normal; no new lesions. (NCT04236141)
Timeframe: Up to every 6 months after end of treatment assessment until disease progression, study withdrawal, end of study, or death, whichever occurred first (up to approximately 82 weeks)
Intervention | percentage of participants (Number) |
---|---|
Polatuzumab Vedotin Plus Bendamustine and Rituximab | 53.6 |
Placebo Plus Bendamustine and Rituximab | 50.0 |
DOR was defined as time from first occurrence of a documented objective response to disease progression, relapse or death from any cause, as determined by IRC according to the LRC. (NCT04236141)
Timeframe: Up to every 6 months after end of treatment assessment until disease progression, study withdrawal, end of study, or death, whichever occurred first (up to approximately 82 weeks)
Intervention | months (Median) |
---|---|
Polatuzumab Vedotin Plus Bendamustine and Rituximab | 8.74 |
Placebo Plus Bendamustine and Rituximab | 4.27 |
DOR was defined as time from first occurrence of a documented objective response to disease progression, relapse or death from any cause, as determined by the investigator according to the LRC (NCT04236141)
Timeframe: Up to every 6 months after end of treatment assessment until disease progression, study withdrawal, end of study, or death, whichever occurred first (up to approximately 82 weeks)
Intervention | months (Median) |
---|---|
Polatuzumab Vedotin Plus Bendamustine and Rituximab | 5.45 |
Placebo Plus Bendamustine and Rituximab | 4.34 |
EFS was defined as the time from date of randomization to any treatment failure including disease progression, relapse, initiation of new anti-lymphoma treatment (NALT), or death based on PET-CT or CT only, as determined by the investigator according to the LRC. (NCT04236141)
Timeframe: Up to approximately 82 weeks
Intervention | months (Median) |
---|---|
Polatuzumab Vedotin Plus Bendamustine and Rituximab | 4.83 |
Placebo Plus Bendamustine and Rituximab | 2.00 |
CR was determined by the investigator according to the LRC. Per LRC, CR based on CT was defined as complete radiologic response in lymph nodes and extralymphatic sites with target nodes/nodal masses regressing to ≤ 1.5 centimeters (cm) in longest transverse diameter (LDi) and no extralymphatic sites of disease; absence of non-measured lesion; organ enlargement regressing to normal; no new lesions; normal bone marrow by morphology, if indeterminate, immunohistochemistry (IHC) negative. The analysis was done 6-8 weeks after Cycle 6, Day 1 (1 cycle = 21 days) or after final dose of study treatment. (NCT04236141)
Timeframe: Up to approximately 23 weeks
Intervention | percentage of participants (Number) |
---|---|
Polatuzumab Vedotin Plus Bendamustine and Rituximab | 17.9 |
Placebo Plus Bendamustine and Rituximab | 0 |
CR was determined by the IRC according to the LRC. Per LRC, CR based on CT was defined as complete radiologic response in lymph nodes and extralymphatic sites with target nodes/nodal masses regressing to ≤ 1.5 cm in LDi and no extralymphatic sites of disease; absence of non-measured lesion; organ enlargement regressing to normal; no new lesions; normal bone marrow by morphology, if indeterminate, IHC negative. The analysis was done 6-8 weeks after Cycle 6, Day 1 (1 cycle = 21 days) or after final dose of study treatment. (NCT04236141)
Timeframe: Up to approximately 23 weeks
Intervention | percentage of participants (Number) |
---|---|
Polatuzumab Vedotin Plus Bendamustine and Rituximab | 17.9 |
Placebo Plus Bendamustine and Rituximab | 0 |
PFS was defined as the period from date of randomization until the date of disease progression, relapse, or death from any cause based on PET-CT or CT only, as determined by the investigator according to the LRC. (NCT04236141)
Timeframe: Up to approximately 82 weeks
Intervention | months (Median) |
---|---|
Polatuzumab Vedotin Plus Bendamustine and Rituximab | 4.90 |
Placebo Plus Bendamustine and Rituximab | 2.00 |
CR was determined by investigator according to the LRC for Malignant Lymphoma. Per LRC, CR based on PET-CT was defined as complete MR in lymph nodes and extralymphatic sites with a score of 1, 2, or 3 with or without residual mass, on 5PS, where, 1= no uptake above background; 2 = uptake ≤ mediastinum; 3 = uptake > mediastinum but ≤ liver; 4 = uptake moderately > liver; 5 = uptake markedly higher than liver and/or new lesions; no new lesions and no evidence of FDG-avid disease in bone marrow. The analysis was done 6-8 weeks after Cycle 6, Day 1 (1 cycle = 21 days) or after final dose of study treatment. Percentages have been rounded off to the first decimal point. (NCT04236141)
Timeframe: Up to approximately to 23 weeks
Intervention | percentage of participants (Number) |
---|---|
Polatuzumab Vedotin Plus Bendamustine and Rituximab | 21.4 |
Placebo Plus Bendamustine and Rituximab | 14.3 |
OR was defined as CR or partial response (PR) at the end of treatment assessment based on PET-CT, as determined by the investigator according to the LRC. CR based on PET-CT was defined as complete MR in lymph nodes and extralymphatic sites with a score of 1, 2, or 3 with or without residual mass on 5PS, where, 1= no uptake above background; 2 = uptake ≤ mediastinum; 3 = uptake > mediastinum but ≤ liver; 4 = uptake moderately > liver; 5 = uptake markedly higher than liver and/or new lesions; no new lesions and no evidence of FDG-avid disease in bone marrow. PR based on PET-CT was defined as partial MR in lymph nodes and extralymphatic sites with a score of 4 or 5 with reduced uptake compared with baseline and residual mass(es) of any size; no new lesions and residual uptake higher than uptake in normal bone marrow but reduced compared with baseline. The analysis was done 6-8 weeks after Cycle 6, Day 1 (1 cycle = 21 days) or after final dose of study treatment. (NCT04236141)
Timeframe: Up to approximately 23 weeks
Intervention | percentage of participants (Number) |
---|---|
Polatuzumab Vedotin Plus Bendamustine and Rituximab | 28.6 |
Placebo Plus Bendamustine and Rituximab | 14.3 |
OR was defined as CR or PR, at the EOT assessment based on CT only, as determined by the investigator according to the LRC. Per LRC, CR based on CT was defined as complete radiologic response in lymph nodes and extralymphatic sites with target nodes/nodal masses regressing to ≤ 1.5 cm in LDi and no extralymphatic sites of disease; absence of non-measured lesion; organ enlargement regressing to normal; no new lesions; normal bone marrow by morphology, if indeterminate, IHC negative. Per LRC, PR was defined as ≥ 50% decrease in sum of the product of the perpendicular diameters (SPD) of up to 6 target nodes and extranodal sites; non-measured lesion is absent/normal, regressed, but no increase; spleen must have regressed by >50 % in length beyond normal; and no new lesions. The analysis was done 6-8 weeks after Cycle 6, Day 1 (1 cycle = 21 days) or after final dose of study treatment. Percentages have been rounded off to the first decimal point. (NCT04236141)
Timeframe: Up to approximately 23 weeks
Intervention | percentage of participants (Number) |
---|---|
Polatuzumab Vedotin Plus Bendamustine and Rituximab | 32.1 |
Placebo Plus Bendamustine and Rituximab | 14.3 |
OR was defined as percentage of participants with CR or PR, at EOT assessment based on CT only, as determined by IRC according to the LRC. Per LRC, CR based on CT was defined as complete radiologic response with target nodes/nodal masses regressing to ≤ 1.5 cm in LDi. PR is ≥ 50% decrease in SPD of up to 6 target nodes and extranodal sites. The analysis was done 6-8 weeks after Cycle 6, Day 1 (1 cycle = 21 days) or after final dose of study treatment. (NCT04236141)
Timeframe: Up to approximately 23 weeks
Intervention | percentage of participants (Number) |
---|---|
Polatuzumab Vedotin Plus Bendamustine and Rituximab | 28.6 |
Placebo Plus Bendamustine and Rituximab | 14.3 |
OR was defined as CR or PR at the end of treatment assessment based on PET-CT, as determined by the IRC according to the LRC. CR based on PET-CT was defined as complete MR in lymph nodes and extralymphatic sites with a score of 1, 2, or 3 with or without residual mass on 5PS, where, 1= no uptake above background; 2 = uptake ≤ mediastinum; 3 = uptake > mediastinum but ≤ liver; 4 = uptake moderately > liver; 5 = uptake markedly higher than liver and/or new lesions; no new lesions and no evidence of FDG-avid disease in bone marrow. PR per PET-CT was defined as partial MR in lymph nodes and extralymphatic sites with a score of 4 or 5 with reduced uptake compared with baseline and residual mass(es) of any size; no new lesions and residual uptake higher than uptake in normal marrow but reduced compared with baseline. The analysis was done 6-8 weeks after Cycle 6, Day 1(1 cycle= 21 days) or after final dose of study treatment.Percentages have been rounded off to the first decimal point. (NCT04236141)
Timeframe: Up to approximately 23 weeks
Intervention | percentage of participants (Number) |
---|---|
Polatuzumab Vedotin Plus Bendamustine and Rituximab | 35.7 |
Placebo Plus Bendamustine and Rituximab | 14.3 |
PFS was defined as the period from date of randomization until the date of disease progression, relapse, or death from any cause based on PET-CT or CT only, as determined by IRC according to the LRC. (NCT04236141)
Timeframe: Up to approximately 82 weeks
Intervention | months (Median) |
---|---|
Polatuzumab Vedotin Plus Bendamustine and Rituximab | 5.42 |
Placebo Plus Bendamustine and Rituximab | 6.01 |
PK of polatuzumab vedodtin-related analyte- total antibody was measured (NCT04236141)
Timeframe: Predose & post dose on Day 2 of Cycle 1,& post dose on Days 8 & 15 of Cycles 1& 3; predose & post dose on Day 1 of Cycles 2, 3 & 4; treatment completion/early discontinuation visit; follow-up visits at Months 3 &6 (1 cycle=21 days) up to approx. 46 weeks
Intervention | micrograms per milliliter (μg/mL) (Geometric Mean) | ||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Cycle 1 Day 2: Pre-dose | Cycle 1 Day 2: Post dose | Cycle 1 Day 8 Post dose | Cycle 1 Day 15 Post dose | Cycle 2 Day 1: Pre-dose | Cycle 2 Day 1: Post dose | Cycle 3 Day 1: Pre-dose | Cycle 3 Day 1: Post dose | Cycle 3 Day 8 Post dose | Cycle 3 Day 15 Post dose | Cycle 4 Day 1: Pre-dose | Cycle 4 Day 1: Post dose | Treatment completion/Early discontinuation | Follow-Up Month 3 | Follow-Up Month 6 | |
Polatuzumab Vedotin Plus Bendamustine and Rituximab | NA | 41.5 | 9.83 | 5.42 | 3.13 | 49.1 | 4.30 | 45.6 | 13.6 | 8.48 | 5.37 | 47.2 | 4.44 | 0.182 | 0.0410 |
PK of polatuzumab vedodtin-related analyte- unconjugated MMAE was measured. (NCT04236141)
Timeframe: Predose and post dose on Day 2 of Cycle 1, and post dose on Days 8 and 15 of Cycles 1 and 3; predose and post dose on Day 1 of Cycles 2, 3 and 4; treatment completion/early discontinuation visit (each cycle = 21 days) up to approximately 19 weeks
Intervention | ng/mL (Geometric Mean) | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Cycle 1 Day 2: Pre-dose | Cycle 1 Day 2: Post dose | Cycle 1 Day 8 Post dose | Cycle 1 Day 15 Post dose | Cycle 2 Day 1: Pre-dose | Cycle 2 Day 1: Post dose | Cycle 3 Day 1: Pre-dose | Cycle 3 Day 1: Post dose | Cycle 3 Day 8 Post dose | Cycle 3 Day 15 Post dose | Cycle 4 Day 1: Pre-dose | Cycle 4 Day 1: Post dose | Treatment completion/Early discontinuation | |
Polatuzumab Vedotin Plus Bendamustine and Rituximab | NA | 0.139 | 2.47 | 0.627 | 0.0870 | 0.127 | 0.0944 | 0.171 | 1.49 | 0.509 | 0.0851 | 0.152 | 0.0711 |
Measured by the number of SAEs (NCT04745832)
Timeframe: 1 year 7 months
Intervention | Participants (Count of Participants) |
---|---|
Rituximab Plus Zandelisib | 12 |
Rituximab Plus Chemotherapy | 8 |
Measured by the number of Treatment Emergent AEs (NCT04745832)
Timeframe: 1 year 7 months
Intervention | Participants (Count of Participants) |
---|---|
Rituximab Plus Zandelisib | 38 |
Rituximab Plus Chemotherapy | 37 |
Substance | Relationship Strength | Studies | Trials | Classes | Roles |
---|---|---|---|---|---|
gamma-aminobutyric acid gamma-Aminobutyric Acid: The most common inhibitory neurotransmitter in the central nervous system.. gamma-aminobutyric acid : A gamma-amino acid that is butanoic acid with the amino substituent located at C-4. | 3.14 | 1 | 0 | amino acid zwitterion; gamma-amino acid; monocarboxylic acid | human metabolite; neurotransmitter; Saccharomyces cerevisiae metabolite; signalling molecule |
adenine [no description available] | 15.65 | 57 | 16 | 6-aminopurines; purine nucleobase | Daphnia magna metabolite; Escherichia coli metabolite; human metabolite; mouse metabolite; Saccharomyces cerevisiae metabolite |
ammonium hydroxide azane : Saturated acyclic nitrogen hydrides having the general formula NnHn+2. | 2.1 | 1 | 0 | azane; gas molecular entity; mononuclear parent hydride | EC 3.5.1.4 (amidase) inhibitor; metabolite; mouse metabolite; neurotoxin; NMR chemical shift reference compound; nucleophilic reagent; refrigerant |
cytosine [no description available] | 3.11 | 1 | 0 | aminopyrimidine; pyrimidine nucleobase; pyrimidone | Escherichia coli metabolite; human metabolite; mouse metabolite; Saccharomyces cerevisiae metabolite |
lactic acid Lactic Acid: A normal intermediate in the fermentation (oxidation, metabolism) of sugar. The concentrated form is used internally to prevent gastrointestinal fermentation. (From Stedman, 26th ed). 2-hydroxypropanoic acid : A 2-hydroxy monocarboxylic acid that is propanoic acid in which one of the alpha-hydrogens is replaced by a hydroxy group. | 2.13 | 1 | 0 | 2-hydroxy monocarboxylic acid | algal metabolite; Daphnia magna metabolite |
hydrogen carbonate Bicarbonates: Inorganic salts that contain the -HCO3 radical. They are an important factor in determining the pH of the blood and the concentration of bicarbonate ions is regulated by the kidney. Levels in the blood are an index of the alkali reserve or buffering capacity.. hydrogencarbonate : The carbon oxoanion resulting from the removal of a proton from carbonic acid. | 2.07 | 1 | 0 | carbon oxoanion | cofactor; Escherichia coli metabolite; human metabolite; mouse metabolite; Saccharomyces cerevisiae metabolite |
uric acid Uric Acid: An oxidation product, via XANTHINE OXIDASE, of oxypurines such as XANTHINE and HYPOXANTHINE. It is the final oxidation product of purine catabolism in humans and primates, whereas in most other mammals URATE OXIDASE further oxidizes it to ALLANTOIN.. uric acid : An oxopurine that is the final oxidation product of purine metabolism.. 6-hydroxy-1H-purine-2,8(7H,9H)-dione : A tautomer of uric acid having oxo groups at C-2 and C-8 and a hydroxy group at C-6.. 7,9-dihydro-1H-purine-2,6,8(3H)-trione : An oxopurine in which the purine ring is substituted by oxo groups at positions 2, 6, and 8. | 2.45 | 2 | 0 | uric acid | Escherichia coli metabolite; human metabolite; mouse metabolite |
p-aminohippuric acid p-Aminohippuric Acid: The glycine amide of 4-aminobenzoic acid. Its sodium salt is used as a diagnostic aid to measure effective renal plasma flow (ERPF) and excretory capacity.. p-aminohippurate : A hippurate that is the conjugate base of p-aminohippuric acid, arising from deprotonation of the carboxy group.. p-aminohippuric acid : An N-acylglycine that is the 4-amino derivative of hippuric acid; used as a diagnostic agent in the measurement of renal plasma flow. | 2.41 | 2 | 0 | N-acylglycine | Daphnia magna metabolite |
busulfan [no description available] | 3.64 | 1 | 1 | methanesulfonate ester | alkylating agent; antineoplastic agent; carcinogenic agent; insect sterilant; teratogenic agent |
carmustine Carmustine: A cell-cycle phase nonspecific alkylating antineoplastic agent. It is used in the treatment of brain tumors and various other malignant neoplasms. (From Martindale, The Extra Pharmacopoeia, 30th ed, p462) This substance may reasonably be anticipated to be a carcinogen according to the Fourth Annual Report on Carcinogens (NTP 85-002, 1985). (From Merck Index, 11th ed). carmustine : A member of the class of N-nitrosoureas that is 1,3-bis(2-chloroethyl)urea in which one of the nitrogens is substituted by a nitroso group. | 5.95 | 11 | 0 | N-nitrosoureas; organochlorine compound | alkylating agent; antineoplastic agent |
chlorambucil Chlorambucil: A nitrogen mustard alkylating agent used as antineoplastic for chronic lymphocytic leukemia, Hodgkin's disease, and others. Although it is less toxic than most other nitrogen mustards, it has been listed as a known carcinogen in the Fourth Annual Report on Carcinogens (NTP 85-002, 1985). (Merck Index, 11th ed). chlorambucil : A monocarboxylic acid that is butanoic acid substituted at position 4 by a 4-[bis(2-chloroethyl)amino]phenyl group. A chemotherapy drug that can be used in combination with the antibody obinutuzumab for the treatment of chronic lymphocytic leukemia. | 14.06 | 36 | 9 | aromatic amine; monocarboxylic acid; nitrogen mustard; organochlorine compound; tertiary amino compound | alkylating agent; antineoplastic agent; carcinogenic agent; drug allergen; immunosuppressive agent |
ciprofloxacin Ciprofloxacin: A broad-spectrum antimicrobial carboxyfluoroquinoline.. ciprofloxacin : A quinolone that is quinolin-4(1H)-one bearing cyclopropyl, carboxylic acid, fluoro and piperazin-1-yl substituents at positions 1, 3, 6 and 7, respectively. | 2.53 | 2 | 0 | aminoquinoline; cyclopropanes; fluoroquinolone antibiotic; N-arylpiperazine; quinolinemonocarboxylic acid; quinolone antibiotic; quinolone; zwitterion | antibacterial drug; antiinfective agent; antimicrobial agent; DNA synthesis inhibitor; EC 5.99.1.3 [DNA topoisomerase (ATP-hydrolysing)] inhibitor; environmental contaminant; topoisomerase IV inhibitor; xenobiotic |
fluorouracil Fluorouracil: A pyrimidine analog that is an antineoplastic antimetabolite. It interferes with DNA synthesis by blocking the THYMIDYLATE SYNTHETASE conversion of deoxyuridylic acid to thymidylic acid.. 5-fluorouracil : A nucleobase analogue that is uracil in which the hydrogen at position 5 is replaced by fluorine. It is an antineoplastic agent which acts as an antimetabolite - following conversion to the active deoxynucleotide, it inhibits DNA synthesis (by blocking the conversion of deoxyuridylic acid to thymidylic acid by the cellular enzyme thymidylate synthetase) and so slows tumour growth. | 4.85 | 4 | 2 | nucleobase analogue; organofluorine compound | antimetabolite; antineoplastic agent; environmental contaminant; immunosuppressive agent; radiosensitizing agent; xenobiotic |
ifosfamide [no description available] | 2.55 | 2 | 0 | ifosfamides | alkylating agent; antineoplastic agent; environmental contaminant; immunosuppressive agent; xenobiotic |
leflunomide Leflunomide: An isoxazole derivative that inhibits dihydroorotate dehydrogenase, the fourth enzyme in the pyrimidine biosynthetic pathway. It is used an immunosuppressive agent in the treatment of RHEUMATOID ARTHRITIS and PSORIATIC ARTHRITIS.. leflunomide : A monocarboxylic acid amide obtained by formal condensation of the carboxy group of 5-methyl-1,2-oxazole-4-carboxylic acid with the anilino group of 4-(trifluoromethyl)aniline. The prodrug of teriflunomide. | 3.27 | 1 | 0 | (trifluoromethyl)benzenes; isoxazoles; monocarboxylic acid amide | antineoplastic agent; antiparasitic agent; EC 1.3.98.1 [dihydroorotate oxidase (fumarate)] inhibitor; EC 3.1.3.16 (phosphoprotein phosphatase) inhibitor; hepatotoxic agent; immunosuppressive agent; non-steroidal anti-inflammatory drug; prodrug; pyrimidine synthesis inhibitor; tyrosine kinase inhibitor |
lomustine [no description available] | 3.35 | 1 | 1 | N-nitrosoureas; organochlorine compound | alkylating agent; antineoplastic agent |
mechlorethamine nitrogen mustard : Compounds having two beta-haloalkyl groups bound to a nitrogen atom, as in (X-CH2-CH2)2NR. | 2.6 | 1 | 0 | nitrogen mustard; organochlorine compound | alkylating agent |
methylphenidate Methylphenidate: A central nervous system stimulant used most commonly in the treatment of ATTENTION DEFICIT DISORDER in children and for NARCOLEPSY. Its mechanisms appear to be similar to those of DEXTROAMPHETAMINE. The d-isomer of this drug is referred to as DEXMETHYLPHENIDATE HYDROCHLORIDE.. methylphenidate : A racemate comprising equimolar amounts of the two threo isomers of methyl phenyl(piperidin-2-yl)acetate. A central stimulant and indirect-acting sympathomimetic, is used (generally as the hydrochloride salt) in the treatment of hyperactivity disorders in children and for the treatment of narcolepsy.. methyl phenyl(piperidin-2-yl)acetate : A amino acid ester that is methyl phenylacetate in which one of the hydrogens alpha to the carbonyl group is replaced by a piperidin-2-yl group. | 2.13 | 1 | 0 | beta-amino acid ester; methyl ester; piperidines | |
mitoxantrone Mitoxantrone: An anthracenedione-derived antineoplastic agent.. mitoxantrone : A dihydroxyanthraquinone that is 1,4-dihydroxy-9,10-anthraquinone which is substituted by 6-hydroxy-1,4-diazahexyl groups at positions 5 and 8. | 10.26 | 13 | 8 | dihydroxyanthraquinone | analgesic; antineoplastic agent |
entinostat [no description available] | 2.08 | 1 | 0 | benzamides; carbamate ester; primary amino compound; pyridines; substituted aniline | antineoplastic agent; apoptosis inducer; EC 3.5.1.98 (histone deacetylase) inhibitor |
ondansetron Ondansetron: A competitive serotonin type 3 receptor antagonist. It is effective in the treatment of nausea and vomiting caused by cytotoxic chemotherapy drugs, including cisplatin, and has reported anxiolytic and neuroleptic properties. | 2.07 | 1 | 0 | carbazoles | |
4-aminobenzoic acid para-Aminobenzoates: Benzoic acids, salts, or esters that contain an amino group attached to carbon number 4 of the benzene ring structure.. 4-aminobenzoate : An aromatic amino-acid anion that is the conjugate base of 4-aminobenzoic acid. | 2.31 | 1 | 0 | aminobenzoate; aromatic amino-acid anion | Escherichia coli metabolite; plant metabolite; Saccharomyces cerevisiae metabolite |
procarbazine Procarbazine: An antineoplastic agent used primarily in combination with mechlorethamine, vincristine, and prednisone (the MOPP protocol) in the treatment of Hodgkin's disease.. procarbazine : A benzamide obtained by formal condensation of the carboxy group of 4-[(2-methylhydrazino)methyl]benzoic acid with the amino group of isopropylamine. An antineoplastic chemotherapy drug used for treatment of Hodgkin's lymphoma. Metabolism yields azo-procarbazine and hydrogen peroxide, which results in the breaking of DNA strands. | 4.34 | 4 | 1 | benzamides; hydrazines | antineoplastic agent |
streptonigrin [no description available] | 3.35 | 1 | 1 | pyridines; quinolone | antimicrobial agent; antineoplastic agent |
vorinostat Vorinostat: A hydroxamic acid and anilide derivative that acts as a HISTONE DEACETYLASE inhibitor. It is used in the treatment of CUTANEOUS T-CELL LYMPHOMA and SEZARY SYNDROME.. vorinostat : A dicarboxylic acid diamide comprising suberic (octanedioic) acid coupled to aniline and hydroxylamine. A histone deacetylase inhibitor, it is marketed under the name Zolinza for the treatment of cutaneous T cell lymphoma (CTCL). | 6.11 | 8 | 1 | dicarboxylic acid diamide; hydroxamic acid | antineoplastic agent; apoptosis inducer; EC 3.5.1.98 (histone deacetylase) inhibitor |
temozolomide [no description available] | 3.53 | 1 | 1 | imidazotetrazine; monocarboxylic acid amide; triazene derivative | alkylating agent; antineoplastic agent; prodrug |
thalidomide Thalidomide: A piperidinyl isoindole originally introduced as a non-barbiturate hypnotic, but withdrawn from the market due to teratogenic effects. It has been reintroduced and used for a number of immunological and inflammatory disorders. Thalidomide displays immunosuppressive and anti-angiogenic activity. It inhibits release of TUMOR NECROSIS FACTOR-ALPHA from monocytes, and modulates other cytokine action.. thalidomide : A racemate comprising equimolar amounts of R- and S-thalidomide.. 2-(2,6-dioxopiperidin-3-yl)-1H-isoindole-1,3(2H)-dione : A dicarboximide that is isoindole-1,3(2H)-dione in which the hydrogen attached to the nitrogen is substituted by a 2,6-dioxopiperidin-3-yl group. | 16.19 | 50 | 22 | phthalimides; piperidones | |
prednisolone Prednisolone: A glucocorticoid with the general properties of the corticosteroids. It is the drug of choice for all conditions in which routine systemic corticosteroid therapy is indicated, except adrenal deficiency states.. prednisolone : A glucocorticoid that is prednisone in which the oxo group at position 11 has been reduced to the corresponding beta-hydroxy group. It is a drug metabolite of prednisone. | 11.2 | 16 | 7 | 11beta-hydroxy steroid; 17alpha-hydroxy steroid; 20-oxo steroid; 21-hydroxy steroid; 3-oxo-Delta(1),Delta(4)-steroid; C21-steroid; glucocorticoid; primary alpha-hydroxy ketone; tertiary alpha-hydroxy ketone | adrenergic agent; anti-inflammatory drug; antineoplastic agent; drug metabolite; environmental contaminant; immunosuppressive agent; xenobiotic |
floxuridine Floxuridine: An antineoplastic antimetabolite that is metabolized to fluorouracil when administered by rapid injection; when administered by slow, continuous, intra-arterial infusion, it is converted to floxuridine monophosphate. It has been used to treat hepatic metastases of gastrointestinal adenocarcinomas and for palliation in malignant neoplasms of the liver and gastrointestinal tract.. floxuridine : A pyrimidine 2'-deoxyribonucleoside compound having 5-fluorouracil as the nucleobase; used to treat hepatic metastases of gastrointestinal adenocarcinomas and for palliation in malignant neoplasms of the liver and gastrointestinal tract. | 2.11 | 1 | 0 | nucleoside analogue; organofluorine compound; pyrimidine 2'-deoxyribonucleoside | antimetabolite; antineoplastic agent; antiviral drug; radiosensitizing agent |
prednisone Prednisone: A synthetic anti-inflammatory glucocorticoid derived from CORTISONE. It is biologically inert and converted to PREDNISOLONE in the liver.. prednisone : A synthetic glucocorticoid drug that is particularly effective as an immunosuppressant, and affects virtually all of the immune system. Prednisone is a prodrug that is converted by the liver into prednisolone (a beta-hydroxy group instead of the oxo group at position 11), which is the active drug and also a steroid. | 17.73 | 93 | 31 | 11-oxo steroid; 17alpha-hydroxy steroid; 20-oxo steroid; 21-hydroxy steroid; 3-oxo-Delta(1),Delta(4)-steroid; C21-steroid; glucocorticoid; primary alpha-hydroxy ketone; tertiary alpha-hydroxy ketone | adrenergic agent; anti-inflammatory drug; antineoplastic agent; immunosuppressive agent; prodrug |
estrone Hydroxyestrones: Estrone derivatives substituted with one or more hydroxyl groups in any position. They are important metabolites of estrone and other estrogens. | 2.52 | 2 | 0 | 17-oxo steroid; 3-hydroxy steroid; phenolic steroid; phenols | antineoplastic agent; bone density conservation agent; estrogen; human metabolite; mouse metabolite |
alanine Alanine: A non-essential amino acid that occurs in high levels in its free state in plasma. It is produced from pyruvate by transamination. It is involved in sugar and acid metabolism, increases IMMUNITY, and provides energy for muscle tissue, BRAIN, and the CENTRAL NERVOUS SYSTEM.. alanine : An alpha-amino acid that consists of propionic acid bearing an amino substituent at position 2. | 3.64 | 2 | 0 | alanine zwitterion; alanine; L-alpha-amino acid; proteinogenic amino acid; pyruvate family amino acid | EC 4.3.1.15 (diaminopropionate ammonia-lyase) inhibitor; fundamental metabolite |
tyrosine Tyrosine: A non-essential amino acid. In animals it is synthesized from PHENYLALANINE. It is also the precursor of EPINEPHRINE; THYROID HORMONES; and melanin.. tyrosine : An alpha-amino acid that is phenylalanine bearing a hydroxy substituent at position 4 on the phenyl ring. | 2.96 | 1 | 0 | amino acid zwitterion; erythrose 4-phosphate/phosphoenolpyruvate family amino acid; L-alpha-amino acid; proteinogenic amino acid; tyrosine | EC 1.3.1.43 (arogenate dehydrogenase) inhibitor; fundamental metabolite; micronutrient; nutraceutical |
cytarabine [no description available] | 14.32 | 47 | 14 | beta-D-arabinoside; monosaccharide derivative; pyrimidine nucleoside | antimetabolite; antineoplastic agent; antiviral agent; immunosuppressive agent |
methylprednisolone Methylprednisolone: A PREDNISOLONE derivative with similar anti-inflammatory action.. 6alpha-methylprednisolone : The 6alpha-stereoisomer of 6-methylprednisolone. | 2.82 | 3 | 0 | 6-methylprednisolone; primary alpha-hydroxy ketone; tertiary alpha-hydroxy ketone | adrenergic agent; anti-inflammatory drug; antiemetic; environmental contaminant; neuroprotective agent; xenobiotic |
quinoxalines quinoxaline : A naphthyridine in which the nitrogens are at positions 1 and 4. | 3.51 | 1 | 1 | mancude organic heterobicyclic parent; naphthyridine; ortho-fused heteroarene | |
pyrroles 1H-pyrrole : A tautomer of pyrrole that has the double bonds at positions 2 and 4.. pyrrole : A five-membered monocyclic heteroarene comprising one NH and four CH units which forms the parent compound of the pyrrole group of compounds. Its five-membered ring structure has three tautomers. A 'closed class'.. azole : Any monocyclic heteroarene consisting of a five-membered ring containing nitrogen. Azoles can also contain one or more other non-carbon atoms, such as nitrogen, sulfur or oxygen. | 4.69 | 3 | 0 | pyrrole; secondary amine | |
quinazolines Quinazolines: A group of aromatic heterocyclic compounds that contain a bicyclic structure with two fused six-membered aromatic rings, a benzene ring and a pyrimidine ring.. quinazoline : A mancude organic heterobicyclic parent that is naphthalene in which the carbon atoms at positions 1 and 3 have been replaced by nitrogen atoms.. quinazolines : Any organic heterobicyclic compound based on a quinazoline skeleton and its substituted derivatives. | 6.41 | 4 | 1 | azaarene; mancude organic heterobicyclic parent; ortho-fused heteroarene; quinazolines | |
cyclopentane Cyclopentanes: A group of alicyclic hydrocarbons with the general formula R-C5H9.. cyclopentanes : Cyclopentane and its derivatives formed by substitution. | 2.11 | 1 | 0 | cycloalkane; cyclopentanes; volatile organic compound | non-polar solvent |
isoxazoles Isoxazoles: Azoles with an OXYGEN and a NITROGEN next to each other at the 1,2 positions, in contrast to OXAZOLES that have nitrogens at the 1,3 positions.. isoxazole : A monocyclic heteroarene with a structure consisting of a 5-membered ring containing three carbon atoms and an oxygen and nitrogen atom adjacent to each other. It is the parent of the class of isoxazoles.. isoxazoles : Oxazoles in which the N and O atoms are adjacent. | 3.27 | 1 | 0 | isoxazoles; mancude organic heteromonocyclic parent; monocyclic heteroarene | |
thiazoles [no description available] | 3.43 | 1 | 1 | 1,3-thiazoles; mancude organic heteromonocyclic parent; monocyclic heteroarene | |
pyrimidine pyrimidine : The parent compound of the pyrimidines; a diazine having the two nitrogens at the 1- and 3-positions. | 2.1 | 1 | 0 | diazine; pyrimidines | Daphnia magna metabolite |
pyrazines Pyrazines: A heterocyclic aromatic organic compound with the chemical formula C4H4N2.. pyrazine : A diazine that is benzene in which the carbon atoms at positions 1 and 4 have been replaced by nitrogen atoms. | 14.5 | 39 | 11 | diazine; pyrazines | Daphnia magna metabolite |
hydrazine diamine : Any polyamine that contains two amino groups. | 2.03 | 1 | 0 | azane; hydrazines | EC 4.3.1.10 (serine-sulfate ammonia-lyase) inhibitor |
azacitidine Azacitidine: A pyrimidine analogue that inhibits DNA methyltransferase, impairing DNA methylation. It is also an antimetabolite of cytidine, incorporated primarily into RNA. Azacytidine has been used as an antineoplastic agent.. 5-azacytidine : An N-glycosyl-1,3,5-triazine that is 4-amino-1,3,5-triazin-2(1H)-one substituted by a beta-D-ribofuranosyl residue via an N-glycosidic linkage. An antineoplastic agent, it is used in the treatment of myeloid leukaemia. | 2.78 | 3 | 0 | N-glycosyl-1,3,5-triazine; nucleoside analogue | antineoplastic agent |
acetylcysteine N-acetyl-L-cysteine : An N-acetyl-L-amino acid that is the N-acetylated derivative of the natural amino acid L-cysteine. | 2.03 | 1 | 0 | acetylcysteine; L-cysteine derivative; N-acetyl-L-amino acid | antidote to paracetamol poisoning; antiinfective agent; antioxidant; antiviral drug; ferroptosis inhibitor; geroprotector; human metabolite; mucolytic; radical scavenger; vulnerary |
deoxycytidine [no description available] | 8.27 | 6 | 2 | pyrimidine 2'-deoxyribonucleoside | Escherichia coli metabolite; human metabolite; mouse metabolite; Saccharomyces cerevisiae metabolite |
2'-deoxyadenosine 2'-deoxyformycin A: RN not in Chemline 9/85; RN and structure given in first source | 2.13 | 1 | 0 | purine 2'-deoxyribonucleoside; purines 2'-deoxy-D-ribonucleoside | Escherichia coli metabolite; human metabolite; mouse metabolite; Saccharomyces cerevisiae metabolite |
durapatite Durapatite: The mineral component of bones and teeth; it has been used therapeutically as a prosthetic aid and in the prevention and treatment of osteoporosis.. hydroxylapatite : A phosphate mineral with the formula Ca5(PO4)3(OH). | 2.55 | 2 | 0 | ||
cladribine [no description available] | 5.31 | 6 | 0 | organochlorine compound; purine 2'-deoxyribonucleoside | antineoplastic agent; immunosuppressive agent |
vidarabine adenine arabinoside : A purine nucleoside in which adenine is attached to arabinofuranose via a beta-N(9)-glycosidic bond. | 15.8 | 60 | 20 | beta-D-arabinoside; purine nucleoside | antineoplastic agent; bacterial metabolite; nucleoside antibiotic |
technetium Technetium: The first artificially produced element and a radioactive fission product of URANIUM. Technetium has the atomic symbol Tc, and atomic number 43. All technetium isotopes are radioactive. Technetium 99m (m=metastable) which is the decay product of Molybdenum 99, has a half-life of about 6 hours and is used diagnostically as a radioactive imaging agent. Technetium 99 which is a decay product of technetium 99m, has a half-life of 210,000 years. | 2.17 | 1 | 0 | manganese group element atom | |
gold Gold: A yellow metallic element with the atomic symbol Au, atomic number 79, and atomic weight 197. It is used in jewelry, goldplating of other metals, as currency, and in dental restoration. Many of its clinical applications, such as ANTIRHEUMATIC AGENTS, are in the form of its salts. | 2.6 | 1 | 0 | copper group element atom; elemental gold | |
camptothecin NSC 100880: carboxylate (opened lactone) form of camptothecin; RN refers to (S)-isomer; structure given in first source | 3.9 | 2 | 1 | delta-lactone; pyranoindolizinoquinoline; quinoline alkaloid; tertiary alcohol | antineoplastic agent; EC 5.99.1.2 (DNA topoisomerase) inhibitor; genotoxin; plant metabolite |
deuterium Deuterium: The stable isotope of hydrogen. It has one neutron and one proton in the nucleus. | 7.17 | 1 | 0 | dihydrogen | |
daunorubicin Daunorubicin: A very toxic anthracycline aminoglycoside antineoplastic isolated from Streptomyces peucetius and others, used in treatment of LEUKEMIA and other NEOPLASMS.. anthracycline : Anthracyclines are polyketides that have a tetrahydronaphthacenedione ring structure attached by a glycosidic linkage to the amino sugar daunosamine.. daunorubicin : A natural product found in Actinomadura roseola. | 3.81 | 2 | 1 | aminoglycoside antibiotic; anthracycline; p-quinones; tetracenequinones | antineoplastic agent; bacterial metabolite |
phosphotyrosine Phosphotyrosine: An amino acid that occurs in endogenous proteins. Tyrosine phosphorylation and dephosphorylation plays a role in cellular signal transduction and possibly in cell growth control and carcinogenesis.. O(4)-phospho-L-tyrosine : A non-proteinogenic L-alpha-amino acid that is L-tyrosine phosphorylated at the phenolic hydroxy group. | 2.15 | 1 | 0 | L-tyrosine derivative; non-proteinogenic L-alpha-amino acid; O(4)-phosphotyrosine | Escherichia coli metabolite; immunogen |
fludrocortisone Fludrocortisone: A synthetic mineralocorticoid with anti-inflammatory activity. | 3.13 | 1 | 0 | 11beta-hydroxy steroid; 17alpha-hydroxy steroid; 20-oxo steroid; 21-hydroxy steroid; 3-oxo-Delta(4) steroid; C21-steroid; fluorinated steroid; mineralocorticoid | adrenergic agent; anti-inflammatory drug |
paclitaxel Taxus: Genus of coniferous yew trees or shrubs, several species of which have medicinal uses. Notable is the Pacific yew, Taxus brevifolia, which is used to make the anti-neoplastic drug taxol (PACLITAXEL). | 4.15 | 3 | 1 | taxane diterpenoid; tetracyclic diterpenoid | antineoplastic agent; human metabolite; metabolite; microtubule-stabilising agent |
etoposide [no description available] | 11.43 | 26 | 10 | beta-D-glucoside; furonaphthodioxole; organic heterotetracyclic compound | antineoplastic agent; DNA synthesis inhibitor |
idarubicin Idarubicin: An orally administered anthracycline antineoplastic. The compound has shown activity against BREAST NEOPLASMS; LYMPHOMA; and LEUKEMIA. | 4.92 | 2 | 1 | anthracycline antibiotic; deoxy hexoside; monosaccharide derivative | |
simvastatin Simvastatin: A derivative of LOVASTATIN and potent competitive inhibitor of 3-hydroxy-3-methylglutaryl coenzyme A reductase (HYDROXYMETHYLGLUTARYL COA REDUCTASES), which is the rate-limiting enzyme in cholesterol biosynthesis. It may also interfere with steroid hormone production. Due to the induction of hepatic LDL RECEPTORS, it increases breakdown of LDL CHOLESTEROL.. simvastatin : A member of the class of hexahydronaphthalenes that is lovastatin in which the 2-methylbutyrate ester moiety has been replaced by a 2,2-dimethylbutyrate ester group. It is used as a cholesterol-lowering and anti-cardiovascular disease drug. | 3.42 | 1 | 1 | delta-lactone; fatty acid ester; hexahydronaphthalenes; statin (semi-synthetic) | EC 1.1.1.34/EC 1.1.1.88 (hydroxymethylglutaryl-CoA reductase) inhibitor; EC 3.4.24.83 (anthrax lethal factor endopeptidase) inhibitor; ferroptosis inducer; geroprotector; prodrug |
gemcitabine gemcitabine : A 2'-deoxycytidine having geminal fluoro substituents in the 2'-position. An inhibitor of ribonucleotide reductase, gemcitabine is used in the treatment of various carcinomas, particularly non-small cell lung cancer, pancreatic cancer, bladder cancer and breast cancer. | 8.42 | 7 | 2 | organofluorine compound; pyrimidine 2'-deoxyribonucleoside | antimetabolite; antineoplastic agent; antiviral drug; DNA synthesis inhibitor; EC 1.17.4.1 (ribonucleoside-diphosphate reductase) inhibitor; environmental contaminant; immunosuppressive agent; photosensitizing agent; prodrug; radiosensitizing agent; xenobiotic |
atorvastatin [no description available] | 3.14 | 1 | 0 | aromatic amide; dihydroxy monocarboxylic acid; monofluorobenzenes; pyrroles; statin (synthetic) | environmental contaminant; xenobiotic |
irinotecan [no description available] | 3.9 | 2 | 1 | carbamate ester; delta-lactone; N-acylpiperidine; pyranoindolizinoquinoline; ring assembly; tertiary alcohol; tertiary amino compound | antineoplastic agent; apoptosis inducer; EC 5.99.1.2 (DNA topoisomerase) inhibitor; prodrug |
plerixafor plerixafor: a bicyclam derivate, highly potent & selective inhibitor of HIV-1 & HIV-2. plerixafor : An azamacrocycle consisting of two cyclam rings connected by a 1,4-phenylenebis(methylene) linker. It is a CXCR4 chemokine receptor antagonist and a hematopoietic stem cell mobilizer. It is used in combination with grulocyte-colony stimulating factor (G-CSF) to mobilize hematopoietic stem cells to the perpheral blood for collection and subsequent autologous transplantation in patients with non-Hodgkin's lymphoma and multiple myeloma. | 3.16 | 1 | 0 | azacycloalkane; azamacrocycle; benzenes; crown amine; secondary amino compound; tertiary amino compound | anti-HIV agent; antineoplastic agent; C-X-C chemokine receptor type 4 antagonist; immunological adjuvant |
fluorodeoxyglucose f18 Fluorodeoxyglucose F18: The compound is given by intravenous injection to do POSITRON-EMISSION TOMOGRAPHY for the assessment of cerebral and myocardial glucose metabolism in various physiological or pathological states including stroke and myocardial ischemia. It is also employed for the detection of malignant tumors including those of the brain, liver, and thyroid gland. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1162) | 5.36 | 4 | 3 | 2-deoxy-2-((18)F)fluoro-D-glucose; 2-deoxy-2-fluoro-aldehydo-D-glucose | |
7-hydroxystaurosporine [no description available] | 3.11 | 1 | 0 | ||
clarithromycin Clarithromycin: A semisynthetic macrolide antibiotic derived from ERYTHROMYCIN that is active against a variety of microorganisms. It can inhibit PROTEIN SYNTHESIS in BACTERIA by reversibly binding to the 50S ribosomal subunits. This inhibits the translocation of aminoacyl transfer-RNA and prevents peptide chain elongation.. clarithromycin : The 6-O-methyl ether of erythromycin A, clarithromycin is a macrolide antibiotic used in the treatment of respiratory-tract, skin and soft-tissue infections. It is also used to eradicate Helicobacter pylori in the treatment of peptic ulcer disease. It prevents bacteria from growing by interfering with their protein synthesis. | 2.13 | 1 | 0 | macrolide antibiotic | antibacterial drug; environmental contaminant; protein synthesis inhibitor; xenobiotic |
yttrium radioisotopes Yttrium Radioisotopes: Unstable isotopes of yttrium that decay or disintegrate emitting radiation. Y atoms with atomic weights 82-88 and 90-96 are radioactive yttrium isotopes. | 2.6 | 1 | 0 | ||
ecteinascidin 743 [no description available] | 3.17 | 1 | 0 | acetate ester; azaspiro compound; bridged compound; hemiaminal; isoquinoline alkaloid; lactone; organic heteropolycyclic compound; organic sulfide; oxaspiro compound; polyphenol; tertiary amino compound | alkylating agent; angiogenesis modulating agent; anti-inflammatory agent; antineoplastic agent; marine metabolite |
clofarabine [no description available] | 4.61 | 4 | 0 | adenosines; organofluorine compound | antimetabolite; antineoplastic agent |
imatinib mesylate imatinib methanesulfonate : A methanesulfonate (mesylate) salt that is the monomesylate salt of imatinib. Used for treatment of chronic myelogenous leukemia and gastrointestinal stromal tumours. | 2.1 | 1 | 0 | methanesulfonate salt | anticoronaviral agent; antineoplastic agent; apoptosis inducer; tyrosine kinase inhibitor |
methotrexate [no description available] | 7.04 | 8 | 4 | dicarboxylic acid; monocarboxylic acid amide; pteridines | abortifacient; antimetabolite; antineoplastic agent; antirheumatic drug; dermatologic drug; DNA synthesis inhibitor; EC 1.5.1.3 (dihydrofolate reductase) inhibitor; immunosuppressive agent |
pixantrone pixantrone: an immunosuppressant; structure given in first source | 2.21 | 1 | 0 | isoquinolines | |
pomalidomide 3-aminophthalimidoglutarimide: structure in first source | 6.99 | 8 | 1 | aromatic amine; dicarboximide; isoindoles; piperidones | angiogenesis inhibitor; antineoplastic agent; immunomodulator |
imet 3146 IMET 3146: RN given refers to parent cpd without isomeric designation | 2.65 | 3 | 0 | ||
fludalanine MK 0642: combination of fludalanine & pentizidone | 3.23 | 1 | 0 | ||
enzastaurin [no description available] | 4.94 | 2 | 1 | indoles; maleimides | |
erlotinib hydrochloride [no description available] | 4.79 | 2 | 1 | hydrochloride; terminal acetylenic compound | antineoplastic agent; protein kinase inhibitor |
lapatinib [no description available] | 3.14 | 1 | 0 | furans; organochlorine compound; organofluorine compound; quinazolines | antineoplastic agent; tyrosine kinase inhibitor |
lenalidomide [no description available] | 16.19 | 53 | 19 | aromatic amine; dicarboximide; isoindoles; piperidones | angiogenesis inhibitor; antineoplastic agent; immunomodulator |
trimethoprim, sulfamethoxazole drug combination Trimethoprim, Sulfamethoxazole Drug Combination: A drug combination with broad-spectrum antibacterial activity against both gram-positive and gram-negative organisms. It is effective in the treatment of many infections, including PNEUMOCYSTIS PNEUMONIA in AIDS.. co-trimoxazole : A two-component mixture comprising trimethoprim and sulfamethoxazole. | 2.54 | 2 | 0 | ||
bortezomib [no description available] | 15.47 | 55 | 13 | amino acid amide; L-phenylalanine derivative; pyrazines | antineoplastic agent; antiprotozoal drug; protease inhibitor; proteasome inhibitor |
sjg 136 1,1'-((propane-1,3-diyl)dioxy)bis(7-methoxy-2-methylidene-1,2,3,10,11,11a-hexahydro-5H-pyrrolo(2,1-c)(1,4)benzodiazepin-5,11-dione): structure in first source | 3.17 | 1 | 0 | ||
carboplatin [no description available] | 6.52 | 4 | 4 | ||
fibrin Fibrin: A protein derived from FIBRINOGEN in the presence of THROMBIN, which forms part of the blood clot. | 1.95 | 1 | 0 | peptide | |
pentostatin Pentostatin: A potent inhibitor of ADENOSINE DEAMINASE. The drug induces APOPTOSIS of LYMPHOCYTES, and is used in the treatment of many lymphoproliferative malignancies, particularly HAIRY CELL LEUKEMIA. It is also synergistic with some other antineoplastic agents and has immunosuppressive activity.. pentostatin : A member of the class of coformycins that is coformycin in which the hydroxy group at position 2' is replaced with a hydrogen. It is a drug used for the treatment of hairy cell leukaemia. | 4.42 | 3 | 0 | coformycins | antimetabolite; antineoplastic agent; Aspergillus metabolite; bacterial metabolite; EC 3.5.4.4 (adenosine deaminase) inhibitor |
betadex beta-Cyclodextrins: Cyclic GLUCANS consisting of seven (7) glucopyranose units linked by 1,4-glycosidic bonds. | 2.11 | 1 | 0 | cyclodextrin | |
tacrolimus Tacrolimus: A macrolide isolated from the culture broth of a strain of Streptomyces tsukubaensis that has strong immunosuppressive activity in vivo and prevents the activation of T-lymphocytes in response to antigenic or mitogenic stimulation in vitro.. tacrolimus (anhydrous) : A macrolide lactam containing a 23-membered lactone ring, originally isolated from the fermentation broth of a Japanese soil sample that contained the bacteria Streptomyces tsukubaensis. | 3.27 | 1 | 0 | macrolide lactam | bacterial metabolite; immunosuppressive agent |
troxacitabine troxacitabine: shows good anti-HIV activity without cytotoxicity | 3.11 | 1 | 0 | carbohydrate derivative; nucleobase-containing molecular entity | |
melphalan Melphalan: An alkylating nitrogen mustard that is used as an antineoplastic in the form of the levo isomer - MELPHALAN, the racemic mixture - MERPHALAN, and the dextro isomer - MEDPHALAN; toxic to bone marrow, but little vesicant action; potential carcinogen.. melphalan : A phenylalanine derivative comprising L-phenylalanine having [bis(2-chloroethyl)amino group at the 4-position on the phenyl ring. | 13.82 | 35 | 17 | L-phenylalanine derivative; nitrogen mustard; non-proteinogenic L-alpha-amino acid; organochlorine compound | alkylating agent; antineoplastic agent; carcinogenic agent; drug allergen; immunosuppressive agent |
isomethyleugenol Methylation: Addition of methyl groups. In histo-chemistry methylation is used to esterify carboxyl groups and remove sulfate groups by treating tissue sections with hot methanol in the presence of hydrochloric acid. (From Stedman, 25th ed) | 1.97 | 1 | 0 | isomethyleugenol | |
s 1033 [no description available] | 2.1 | 1 | 0 | (trifluoromethyl)benzenes; imidazoles; pyridines; pyrimidines; secondary amino compound; secondary carboxamide | anticoronaviral agent; antineoplastic agent; tyrosine kinase inhibitor |
acetyl-aspartyl-glutamyl-valyl-aspartal acetyl-aspartyl-glutamyl-valyl-aspartal: a capase inhibitor. Ac-Asp-Glu-Val-Asp-H : A tetrapeptide consisting of two L-aspartic acid residues, an L-glutamyl residue and an L-valine residue with an acetyl group at the N-terminal and with the C-terminal carboxy group reduced to an aldehyde. It is an inhibitor of caspase-3/7. | 2.92 | 1 | 0 | tetrapeptide | protease inhibitor |
fludarabine [no description available] | 15.97 | 62 | 21 | purine nucleoside | |
estrone sulfate estrone sulfate: sulfoconjugated estrone; RN given refers to parent cpd | 2.52 | 2 | 0 | 17-oxo steroid; steroid sulfate | human metabolite; mouse metabolite |
dasatinib N-(2-chloro-6-methylphenyl)-2-((6-(4-(2-hydroxyethyl)piperazin-1-yl)-2-methylpyrimidin-4-yl)amino)-1,3-thiazole-5-carboxamide: a dasatinib prodrug; structure in first source. dasatinib (anhydrous) : An aminopyrimidine that is 2-methylpyrimidine which is substituted at position 4 by the primary amino group of 2-amino-1,3-thiazole-5-carboxylic acid and at position 6 by a 4-(2-hydroxyethyl)piperazin-1-yl group, and in which the carboxylic acid group has been formally condensed with 2-chloro-6-methylaniline to afford the corresponding amide. A multi-targeted kinase inhibitor, it is used, particularly as the monohydrate, for the treatment of chronic, accelerated, or myeloid or lymphoid blast phase chronic myeloid leukemia. Note that the name 'dasatinib' is used to refer to the monohydrate (USAN) as well as to anhydrous dasatinib (INN). | 3.43 | 1 | 1 | 1,3-thiazoles; aminopyrimidine; monocarboxylic acid amide; N-(2-hydroxyethyl)piperazine; N-arylpiperazine; organochlorine compound; secondary amino compound; tertiary amino compound | anticoronaviral agent; antineoplastic agent; tyrosine kinase inhibitor |
laromustine laromustine: has antineoplastic activity | 2.03 | 1 | 0 | ||
naphthoquinones Naphthoquinones: Naphthalene rings which contain two ketone moieties in any position. They can be substituted in any position except at the ketone groups. | 2.5 | 2 | 0 | ||
quercetin [no description available] | 2.31 | 1 | 0 | 7-hydroxyflavonol; pentahydroxyflavone | antibacterial agent; antineoplastic agent; antioxidant; Aurora kinase inhibitor; chelator; EC 1.10.99.2 [ribosyldihydronicotinamide dehydrogenase (quinone)] inhibitor; geroprotector; phytoestrogen; plant metabolite; protein kinase inhibitor; radical scavenger |
maytansine Maytansine: An ansa macrolide isolated from the MAYTENUS genus of East African shrubs.. maytansine : An organic heterotetracyclic compound and 19-membered macrocyclic lactam antibiotic originally isolated from the Ethiopian shrub Maytenus serrata but also found in other Maytenus species. It exhibits cytotoxicity against many tumour cell lines. | 2.08 | 1 | 0 | alpha-amino acid ester; carbamate ester; epoxide; maytansinoid; organic heterotetracyclic compound; organochlorine compound | antimicrobial agent; antimitotic; antineoplastic agent; plant metabolite; tubulin modulator |
granisetron Granisetron: A serotonin receptor (5HT-3 selective) antagonist that has been used as an antiemetic for cancer chemotherapy patients.. granisetron : A monocarboxylic acid amide resulting from the formal condensation of the carboxy group of 1-methyl-1H-indazole-3-carboxylic acid with the primary amino group of (3-endo)-9-methyl-9-azabicyclo[3.3.1]nonan-3-amine. A selective 5-HT3 receptor antagonist, it is used (generally as the monohydrochloride salt) to manage nausea and vomiting caused by cancer chemotherapy and radiotherapy, and to prevent and treat postoperative nausea and vomiting. | 2.17 | 1 | 0 | aromatic amide; indazoles | |
sirolimus Sirolimus: A macrolide compound obtained from Streptomyces hygroscopicus that acts by selectively blocking the transcriptional activation of cytokines thereby inhibiting cytokine production. It is bioactive only when bound to IMMUNOPHILINS. Sirolimus is a potent immunosuppressant and possesses both antifungal and antineoplastic properties.. sirolimus : A macrolide lactam isolated from Streptomyces hygroscopicus consisting of a 29-membered ring containing 4 trans double bonds, three of which are conjugated. It is an antibiotic, immunosupressive and antineoplastic agent. | 8.03 | 11 | 2 | antibiotic antifungal drug; cyclic acetal; cyclic ketone; ether; macrolide lactam; organic heterotricyclic compound; secondary alcohol | antibacterial drug; anticoronaviral agent; antineoplastic agent; bacterial metabolite; geroprotector; immunosuppressive agent; mTOR inhibitor |
alvocidib alvocidib: structure given in first source. alvocidib : A synthetic dihydroxyflavone that is 5,7-dihydroxyflavone which is substituted by a 3-hydroxy-1-methylpiperidin-4-yl group at position 8 and by a chlorine at the 2' position (the (-)-3S,4R stereoisomer). A cyclin-dependent kinase 9 (CDK9) inhibitor, it has been studied for the treatment of acute myeloid leukaemia, arthritis and atherosclerotic plaque formation. | 4.04 | 2 | 0 | dihydroxyflavone; hydroxypiperidine; monochlorobenzenes; tertiary amino compound | antineoplastic agent; antirheumatic drug; apoptosis inducer; EC 2.7.11.22 (cyclin-dependent kinase) inhibitor |
gallium Gallium: A rare, metallic element designated by the symbol, Ga, atomic number 31, and atomic weight 69.72.. gallium atom : A metallic element predicted as eka-aluminium by Mendeleev in 1870 and discovered by Paul-Emile Lecoq de Boisbaudran in 1875. Named in honour of France (Latin Gallia) and perhaps also from the Latin gallus cock, a translation of Lecoq. | 3.33 | 1 | 0 | boron group element atom | |
cysteine Cysteine: A thiol-containing non-essential amino acid that is oxidized to form CYSTINE.. L-cysteinium : The L-enantiomer of cysteinium.. cysteine : A sulfur-containing amino acid that is propanoic acid with an amino group at position 2 and a sulfanyl group at position 3. | 2.51 | 2 | 0 | cysteinium | fundamental metabolite |
pregabalin Pregabalin: A gamma-aminobutyric acid (GABA) derivative that functions as a CALCIUM CHANNEL BLOCKER and is used as an ANTICONVULSANT as well as an ANTI-ANXIETY AGENT. It is also used as an ANALGESIC in the treatment of NEUROPATHIC PAIN and FIBROMYALGIA.. pregabalin : A gamma-amino acid that is gamma-aminobutyric acid (GABA) carrying an isobutyl substitutent at the beta-position (the S-enantiomer). Binds with high affinity to the alpha2-delta site (an auxiliary subunit of voltage-gated calcium channels) in central nervous system tissues. | 3.14 | 1 | 0 | gamma-amino acid | anticonvulsant; calcium channel blocker |
palonosetron Palonosetron: Isoquinoline and quinuclidine derivative that acts as a 5-HT3 RECEPTOR antagonist. It is used in the prevention of nausea and vomiting induced by cytotoxic chemotherapy, and for the prevention of post-operative nausea and vomiting.. palonosetron : An organic heterotricyclic compound that is an antiemetic used (as its hydrochloride salt) in combination with netupitant (under the trade name Akynzeo) to treat nausea and vomiting in patients undergoing cancer chemotherapy. | 2.17 | 1 | 0 | azabicycloalkane; delta-lactam; organic heterotricyclic compound | antiemetic; serotonergic antagonist |
everolimus [no description available] | 7.38 | 7 | 2 | cyclic acetal; cyclic ketone; ether; macrolide lactam; primary alcohol; secondary alcohol | anticoronaviral agent; antineoplastic agent; geroprotector; immunosuppressive agent; mTOR inhibitor |
tanespimycin CP 127374: analog of herbimycin A | 3.16 | 1 | 0 | 1,4-benzoquinones; ansamycin; carbamate ester; organic heterobicyclic compound; secondary amino compound | antineoplastic agent; apoptosis inducer; Hsp90 inhibitor |
perfosfamide [no description available] | 2.1 | 1 | 0 | ||
staurosporine staurosporinium : Conjugate acid of staurosporine. | 3.11 | 1 | 0 | ammonium ion derivative | |
fluticasone furoate fluticasone furoate: a glucocorticoid; structure in first source. fluticasone furoate : A trifluorinated corticosteroid that consists of 6alpha,9-difluoro-11beta,17alpha-dihydroxy-17beta-{[(fluoromethyl)sulfanyl]carbonyl}-16-methyl-3-oxoandrosta-1,4-diene bearing a 2-furoyl substituent at position 17. Used in combination with vilanterol trifenate for treatment of bronchospasm associated with chronic obstructive pulmonary disease. | 3.59 | 1 | 1 | 11beta-hydroxy steroid; 2-furoate ester; 3-oxo-Delta(1),Delta(4)-steroid; corticosteroid; fluorinated steroid; steroid ester; thioester | anti-allergic agent; anti-asthmatic drug; prodrug |
sepantronium sepantronium: a survivin suppressant with antineoplastic activity. sepantronium : An organic cation that is 1-(2-methoxyethyl)-2-methyl-1H-naphtho[2,3-d]imidazole-4,9-dione in which the nitrogen at position 3 of the napthoimidazole moiety has been alkylated by a pyrazin-2-ylmethyl group. | 2.5 | 2 | 0 | organic cation | |
vilanterol [no description available] | 3.59 | 1 | 1 | benzyl alcohols; dichlorobenzene; ether; phenols; secondary amino compound | beta-adrenergic agonist; bronchodilator agent |
ribose ribopyranose : The pyranose form of ribose. | 2.41 | 1 | 0 | D-ribose; ribopyranose | |
abt-737 [no description available] | 2.52 | 2 | 0 | aromatic amine; aryl sulfide; biphenyls; C-nitro compound; monochlorobenzenes; N-arylpiperazine; N-sulfonylcarboxamide; secondary amino compound; tertiary amino compound | anti-allergic agent; anti-inflammatory agent; antineoplastic agent; apoptosis inducer; B-cell lymphoma 2 inhibitor |
carfilzomib [no description available] | 9.27 | 10 | 4 | epoxide; morpholines; tetrapeptide | antineoplastic agent; proteasome inhibitor |
idelalisib idelalisib: an antineoplastic agent and p110delta inhibitor; structure in first source. idelalisib : A member of the class of quinazolines that is 5-fluoro-3-phenylquinazolin-4-one in which the hydrogen at position 2 is replaced by a (1S)-1-(3H-purin-6-ylamino)propyl group. used for for the treatment of refractory indolent non-Hodgkin's lymphoma and relapsed chronic lymphocytic leukemia. | 9.64 | 9 | 4 | aromatic amine; organofluorine compound; purines; quinazolines; secondary amino compound | antineoplastic agent; apoptosis inducer; EC 2.7.1.137 (phosphatidylinositol 3-kinase) inhibitor |
lorcaserin lorcaserin: orally active, small-molecule 5-hydroxytryptamine 2C agonist for the potential treatment of obesity and diabetes. lorcaserin : A benzazepine that is 2,3,4,5-tetrahydro-3-benzazepine substituted at position 1 by a methyl group and a t position 6 by a chloro group. | 3.14 | 1 | 0 | benzazepine; organochlorine compound | anti-obesity agent; appetite depressant |
glucagon-like peptide 1 Glucagon-Like Peptide 1: A peptide of 36 or 37 amino acids that is derived from PROGLUCAGON and mainly produced by the INTESTINAL L CELLS. GLP-1(1-37 or 1-36) is further N-terminally truncated resulting in GLP-1(7-37) or GLP-1-(7-36) which can be amidated. These GLP-1 peptides are known to enhance glucose-dependent INSULIN release, suppress GLUCAGON release and gastric emptying, lower BLOOD GLUCOSE, and reduce food intake. | 3.04 | 1 | 0 | ||
cellulose DEAE-Cellulose: Cellulose derivative used in chromatography, as ion-exchange material, and for various industrial applications. | 2.15 | 1 | 0 | glycoside | |
pevonedistat pevonedistat: a potent and selective inhibitor of NAE (NEDD8-activating enzyme). pevonedistat : A pyrrolopyrimidine that is 7H-pyrrolo[2,3-d]pyrimidine which is substituted by a (1S)-2,3-dihydro-1H-inden-1-ylnitrilo group at position 4 and by a (1S,3S,4S)-3-hydroxy-4-[(sulfamoyloxy)methyl]cyclopentyl group at position 7. It is a potent and selective NEDD8-activating enzyme inhibitor with an IC50 of 4.7 nM, and currently under clinical investigation for the treatment of acute myeloid leukemia (AML) and myelodysplastic syndromes. | 2.11 | 1 | 0 | cyclopentanols; indanes; pyrrolopyrimidine; secondary amino compound; sulfamidate | antineoplastic agent; apoptosis inducer |
cep 8983 CEP 8983: inhibits PAR polymerase-1 and PAR polymerase-2; structure in first source | 2.1 | 1 | 0 | ||
sgi 1776 SGI 1776: a Pim kinase inhibitor; structure in first source | 2.08 | 1 | 0 | imidazoles | |
pci 32765 ibrutinib: a Btk protein inhibitor. ibrutinib : A member of the class of acrylamides that is (3R)-3-[4-amino-3-(4-phenoxyphenyl)pyrazolo[3,4-d]pyrimidin-1-yl]piperidine in which the piperidine nitrogen is replaced by an acryloyl group. A selective and covalent inhibitor of the enzyme Bruton's tyrosine kinase, it is used for treatment of B-cell malignancies. | 15.95 | 62 | 18 | acrylamides; aromatic amine; aromatic ether; N-acylpiperidine; pyrazolopyrimidine; tertiary carboxamide | antineoplastic agent; EC 2.7.10.2 (non-specific protein-tyrosine kinase) inhibitor |
mk 2206 MK 2206: a protein kinase inhibitor and antineoplastic agent | 3.91 | 2 | 1 | organic heterotricyclic compound | EC 2.7.1.137 (phosphatidylinositol 3-kinase) inhibitor |
navitoclax [no description available] | 2.07 | 1 | 0 | aryl sulfide; monochlorobenzenes; morpholines; N-sulfonylcarboxamide; organofluorine compound; piperazines; secondary amino compound; sulfone; tertiary amino compound | antineoplastic agent; apoptosis inducer; B-cell lymphoma 2 inhibitor |
incb-018424 [no description available] | 2.1 | 1 | 0 | nitrile; pyrazoles; pyrrolopyrimidine | antineoplastic agent; EC 2.7.10.2 (non-specific protein-tyrosine kinase) inhibitor |
ixazomib ixazomib: a proteasome inhibitor with antineoplastic activity; MLN2238 is the biologically active form of MLN9708; structure in first source. ixazomib : A glycine derivative that is the amide obtained by formal condensation of the carboxy group of N-(2,5-dichlorobenzoyl)glycine with the amino group of [(1R)-1-amino-3-methylbutyl]boronic acid. The active metabolite of ixazomib citrate, it is used in combination therapy for treatment of multiple myeloma. | 4.11 | 2 | 0 | benzamides; boronic acids; dichlorobenzene; glycine derivative | antineoplastic agent; apoptosis inducer; drug metabolite; orphan drug; proteasome inhibitor |
piperidines Piperidines: A family of hexahydropyridines. | 16.05 | 62 | 18 | ||
gx 15-070 obatoclax: a pan-Bcl-2 inhibitor potentially useful in treating mantle cell lymphoma | 3.14 | 1 | 0 | ||
abt-199 venetoclax: A BCL-2 inhibitor with antineoplastic activity that is used in the treatment of CHRONIC LYMPHOCYTIC LEUKEMIA associated with chromosome 17p deletion; structure in first source.. venetoclax : A member of the class of pyrrolopyridines that is a potent inhibitor of the antiapoptotic protein B-cell lymphoma 2. It is used for treamtment of chronic lymphocytic leukemia with 17p deletion. | 13.47 | 24 | 15 | aromatic ether; C-nitro compound; monochlorobenzenes; N-alkylpiperazine; N-arylpiperazine; N-sulfonylcarboxamide; oxanes; pyrrolopyridine | antineoplastic agent; apoptosis inducer; B-cell lymphoma 2 inhibitor |
xl765 [no description available] | 3.51 | 1 | 1 | aromatic amine; aromatic ether; benzamides; quinoxaline derivative; sulfonamide | antineoplastic agent; EC 2.7.1.137 (phosphatidylinositol 3-kinase) inhibitor; mTOR inhibitor |
ipi-145 [no description available] | 2.11 | 1 | 0 | isoquinolines | |
rg7388 RG7388: structure in first source | 2.31 | 1 | 0 | ||
cc-292 spebrutinib: inhibits Bruton's tyrosine kinase; structure in first source | 2.21 | 1 | 0 | ||
epz-6438 tazemetostat: a histone methyltransferase EZH2 inhibitor with antineoplastic activity | 3.51 | 1 | 0 | ||
acp-196 acalabrutinib: inhibits Bruton’s tyrosine kinase; has antineoplastic activity. acalabrutinib : A member of the class of imidazopyrazines that is imidazo[1,5-a]pyrazine substituted by 4-(pyridin-2-ylcarbamoyl)phenyl, (2S)-1-(but-2-ynoyl)pyrrolidin-2-yl, and amino groups at positions 1, 3 and 8, respectively. It is an irreversible second-generation Bruton's tyrosine kinase (BTK) inhibitor that is approved by the FDA for the treatment of adult patients with mantle cell lymphoma (MCL) who have received at least one prior therapy. | 8.54 | 5 | 3 | aromatic amine; benzamides; imidazopyrazine; pyridines; pyrrolidinecarboxamide; secondary carboxamide; tertiary carboxamide; ynone | antineoplastic agent; apoptosis inducer; EC 2.7.10.2 (non-specific protein-tyrosine kinase) inhibitor |
cyclin d1 Cyclin D1: Protein encoded by the bcl-1 gene which plays a critical role in regulating the cell cycle. Overexpression of cyclin D1 is the result of bcl-1 rearrangement, a t(11;14) translocation, and is implicated in various neoplasms. | 2.69 | 2 | 0 | ||
onc201 TIC10 compound: a TRAIL-dependent antitumor agent; structure in first source | 2.21 | 1 | 0 | ||
benzyloxycarbonylvalyl-alanyl-aspartyl fluoromethyl ketone benzyloxycarbonylvalyl-alanyl-aspartyl fluoromethyl ketone: an interleukin-1beta converting enzyme (ICE)-like protease inhibitor | 2.92 | 1 | 0 | ||
nitrophenols Nitrophenols: PHENOLS carrying nitro group substituents. | 2.52 | 2 | 0 | ||
oblimersen oblimersen: targets the Bcl-2 oncogene good efficacy with low toxicity tumour regressions | 4.67 | 3 | 0 | ||
cyclosporine Cyclosporine: A cyclic undecapeptide from an extract of soil fungi. It is a powerful immunosupressant with a specific action on T-lymphocytes. It is used for the prophylaxis of graft rejection in organ and tissue transplantation. (From Martindale, The Extra Pharmacopoeia, 30th ed). | 2.9 | 2 | 0 | ||
entecavir entecavir (anhydrous) : Guanine substituted at the 9 position by a 4-hydroxy-3-(hydroxymethyl)-2-methylidenecyclopentyl group. A synthetic analogue of 2'-deoxyguanosine, it is a nucleoside reverse transcriptase inhibitor with selective antiviral activity against hepatitis B virus. Entecavir is phosphorylated intracellularly to the active triphosphate form, which competes with deoxyguanosine triphosphate, the natural substrate of hepatitis B virus reverse transcriptase, inhibiting every stage of the enzyme's activity, although it has no activity against HIV. It is used for the treatment of chronic hepatitis B. | 2.48 | 2 | 0 | 2-aminopurines; oxopurine; primary alcohol; secondary alcohol | antiviral drug; EC 2.7.7.49 (RNA-directed DNA polymerase) inhibitor |
acyclovir Acyclovir: A GUANOSINE analog that acts as an antimetabolite. Viruses are especially susceptible. Used especially against herpes.. acyclovir : An oxopurine that is guanine substituted by a (2-hydroxyethoxy)methyl substituent at position 9. Used in the treatment of viral infections. | 2.17 | 1 | 0 | 2-aminopurines; oxopurine | antimetabolite; antiviral drug |
cyclic gmp Cyclic GMP: Guanosine cyclic 3',5'-(hydrogen phosphate). A guanine nucleotide containing one phosphate group which is esterified to the sugar moiety in both the 3'- and 5'-positions. It is a cellular regulatory agent and has been described as a second messenger. Its levels increase in response to a variety of hormones, including acetylcholine, insulin, and oxytocin and it has been found to activate specific protein kinases. (From Merck Index, 11th ed). 3',5'-cyclic GMP : A 3',5'-cyclic purine nucleotide in which the purine nucleobase is specified as guanidine. | 2.11 | 1 | 0 | 3',5'-cyclic purine nucleotide; guanyl ribonucleotide | Escherichia coli metabolite; human metabolite; mouse metabolite; plant metabolite; Saccharomyces cerevisiae metabolite |
guanine [no description available] | 2.48 | 2 | 0 | 2-aminopurines; oxopurine; purine nucleobase | algal metabolite; Escherichia coli metabolite; human metabolite; mouse metabolite; Saccharomyces cerevisiae metabolite |
dacarbazine (E)-dacarbazine : A dacarbazine in which the N=N double bond adopts a trans-configuration. | 5.25 | 6 | 2 | dacarbazine | |
ganciclovir [no description available] | 3.62 | 2 | 0 | 2-aminopurines; oxopurine | antiinfective agent; antiviral drug |
allopurinol Allopurinol: A XANTHINE OXIDASE inhibitor that decreases URIC ACID production. It also acts as an antimetabolite on some simpler organisms.. allopurinol : A bicyclic structure comprising a pyrazole ring fused to a hydroxy-substituted pyrimidine ring. | 2.11 | 1 | 0 | nucleobase analogue; organic heterobicyclic compound | antimetabolite; EC 1.17.3.2 (xanthine oxidase) inhibitor; gout suppressant; radical scavenger |
forodesine forodesine: structure in first source | 5.23 | 3 | 1 | dihydroxypyrrolidine; pyrrolopyrimidine | |
valganciclovir Valganciclovir: A ganciclovir prodrug and antiviral agent that is used to treat CYTOMEGALOVIRUS RETINITIS in patients with AIDS, and for the prevention of CYTOMEGALOVIRUS INFECTIONS in organ transplant recipients who have received an organ from a CMV-positive donor.. valganciclovir : The L-valinyl ester of ganciclovir, into which it is rapidly converted by intestinal and hepatic esterases. It is a synthetic analogue of 2'-deoxyguanosine. | 3.64 | 2 | 0 | L-valyl ester; purines | antiviral drug; prodrug |
aprepitant Aprepitant: A morpholine neurokinin-1 (NK1) receptor antagonist that is used in the management of nausea and vomiting caused by DRUG THERAPY, and for the prevention of POSTOPERATIVE NAUSEA AND VOMITING.. aprepitant : A morpholine-based antiemetic, which is or the prevention of acute and delayed nausea and vomiting associated with initial and repeat courses of highly emetogenic cancer chemotherapy. Aprepitant is a selective high-affinity antagonist of human substance P/neurokinin 1 (NK1) receptors. | 3.69 | 2 | 0 | (trifluoromethyl)benzenes; cyclic acetal; morpholines; triazoles | antidepressant; antiemetic; neurokinin-1 receptor antagonist; peripheral nervous system drug; substance P receptor antagonist |
da 8159 udenafil: a pyrazolo-pyrimidinone similar to sildenafil; phosphodiesterase type 5 inhibitor; | 3.14 | 1 | 0 | sulfonamide | |
bay 80-6946 copanlisib: an antineoplastic agent with PI3K inhibitory activity; structure in first source. copanlisib : An imidazoquinazoline that is 2,3-dihydroimidazo[1,2-c]quinazoline substituted by (2-aminopyrimidine-5-carbonyl)amino, methoxy, and 3-(morpholin-4-yl)propoxy groups at positions 5, 7 and 8, respectively. It is a intravenous pan-class I PI3K inhibitor used for the treatment of relapsed follicular lymphoma in patients who have received at least 2 prior systemic therapies. | 2.41 | 1 | 0 | ||
gq1b ganglioside GQ1b ganglioside: ganglioside with nerve growth factor like activities in two neuroblastoma cell lines | 2.1 | 1 | 0 | ||
leptin Leptin: A 16-kDa peptide hormone secreted from WHITE ADIPOCYTES. Leptin serves as a feedback signal from fat cells to the CENTRAL NERVOUS SYSTEM in regulation of food intake, energy balance, and fat storage. | 3.04 | 1 | 0 | ||
pyrimidinones Pyrimidinones: Heterocyclic compounds known as 2-pyrimidones (or 2-hydroxypyrimidines) and 4-pyrimidones (or 4-hydroxypyrimidines) with the general formula C4H4N2O. | 5.23 | 3 | 1 |
Condition | Indicated | Relationship Strength | Studies | Trials |
---|---|---|---|---|
Plasmodium falciparum Malaria [description not available] | 0 | 2.1 | 1 | 0 |
Malaria, Falciparum Malaria caused by PLASMODIUM FALCIPARUM. This is the severest form of malaria and is associated with the highest levels of parasites in the blood. This disease is characterized by irregularly recurring febrile paroxysms that in extreme cases occur with acute cerebral, renal, or gastrointestinal manifestations. | 0 | 2.1 | 1 | 0 |
Congenital Zika Syndrome [description not available] | 0 | 2.25 | 1 | 0 |
Disease Models, Animal Naturally-occurring or experimentally-induced animal diseases with pathological processes analogous to human diseases. | 0 | 3.05 | 4 | 0 |
Zika Virus Infection A viral disease transmitted by the bite of AEDES mosquitoes infected with ZIKA VIRUS. Its mild DENGUE-like symptoms include fever, rash, headaches and ARTHRALGIA. The viral infection during pregnancy, in rare cases, is associated with congenital brain and ocular abnormalities, called Congenital Zika Syndrome, including MICROCEPHALY and may also lead to GUILLAIN-BARRE SYNDROME. | 0 | 2.25 | 1 | 0 |
Lymphoma of Mucosa-Associated Lymphoid Tissue [description not available] | 0 | 10.02 | 35 | 5 |
Lymphoma, B-Cell, Marginal Zone Extranodal lymphoma of lymphoid tissue associated with mucosa that is in contact with exogenous antigens. Many of the sites of these lymphomas, such as the stomach, salivary gland, and thyroid, are normally devoid of lymphoid tissue. They acquire mucosa-associated lymphoid tissue (MALT) type as a result of an immunologically mediated disorder. | 0 | 10.02 | 35 | 5 |
Diffuse Lymphocytic Lymphoma, Poorly-Differentiated [description not available] | 0 | 20.29 | 178 | 84 |
Diffuse Mixed Small and Large Cell Lymphoma [description not available] | 0 | 20.66 | 187 | 84 |
T-Cell Lymphoma [description not available] | 0 | 4.59 | 8 | 0 |
Lymphoma, Non-Hodgkin Any of a group of malignant tumors of lymphoid tissue that differ from HODGKIN DISEASE, being more heterogeneous with respect to malignant cell lineage, clinical course, prognosis, and therapy. The only common feature among these tumors is the absence of giant REED-STERNBERG CELLS, a characteristic of Hodgkin's disease. | 1 | 25.42 | 374 | 168 |
Lymphoma, T-Cell A group of heterogeneous lymphoid tumors representing malignant transformations of T-lymphocytes. | 0 | 4.59 | 8 | 0 |
Lymphoma, Mantle-Cell A form of non-Hodgkin lymphoma having a usually diffuse pattern with both small and medium lymphocytes and small cleaved cells. It accounts for about 5% of adult non-Hodgkin lymphomas in the United States and Europe. The majority of mantle-cell lymphomas are associated with a t(11;14) translocation resulting in overexpression of the CYCLIN D1 gene (GENES, BCL-1). | 1 | 22.29 | 178 | 84 |
B-Cell Lymphoma [description not available] | 0 | 15.88 | 72 | 22 |
Local Neoplasm Recurrence [description not available] | 0 | 17.81 | 117 | 53 |
Lymphoma, B-Cell A group of heterogeneous lymphoid tumors generally expressing one or more B-cell antigens or representing malignant transformations of B-lymphocytes. | 0 | 15.88 | 72 | 22 |
Granuloma, Hodgkin [description not available] | 0 | 16.73 | 90 | 41 |
Hodgkin Disease A malignant disease characterized by progressive enlargement of the lymph nodes, spleen, and general lymphoid tissue. In the classical variant, giant usually multinucleate Hodgkin's and REED-STERNBERG CELLS are present; in the nodular lymphocyte predominant variant, lymphocytic and histiocytic cells are seen. | 1 | 21.41 | 180 | 82 |
Breast Cancer [description not available] | 0 | 15.28 | 19 | 9 |
Breast Neoplasms Tumors or cancer of the human BREAST. | 0 | 10.28 | 19 | 9 |
B-Cell Chronic Lymphocytic Leukemia [description not available] | 0 | 21.61 | 281 | 94 |
Leukemia, Lymphocytic, Chronic, B-Cell A chronic leukemia characterized by abnormal B-lymphocytes and often generalized lymphadenopathy. In patients presenting predominately with blood and bone marrow involvement it is called chronic lymphocytic leukemia (CLL); in those predominately with enlarged lymph nodes it is called small lymphocytic lymphoma. These terms represent spectrums of the same disease. | 1 | 23.61 | 281 | 94 |
Brill-Symmers Disease [description not available] | 0 | 19.39 | 141 | 60 |
Familial Waldenstrom's Macroglobulinaemia [description not available] | 0 | 10.35 | 36 | 1 |
Lymphoma, Follicular Malignant lymphoma in which the lymphomatous cells are clustered into identifiable nodules within the LYMPH NODES. The nodules resemble to some extent the GERMINAL CENTER of lymph node follicles and most likely represent neoplastic proliferation of lymph node-derived follicular center B-LYMPHOCYTES. | 1 | 21.39 | 141 | 60 |
Waldenstrom Macroglobulinemia A lymphoproliferative disorder characterized by pleomorphic B-LYMPHOCYTES including PLASMA CELLS, with increased levels of monoclonal serum IMMUNOGLOBULIN M. There is lymphoplasmacytic cells infiltration into bone marrow and often other tissues, also known as lymphoplasmacytic lymphoma. Clinical features include ANEMIA; HEMORRHAGES; and hyperviscosity. | 0 | 10.35 | 36 | 1 |
Diffuse Large B-Cell Lymphoma [description not available] | 0 | 15.03 | 62 | 15 |
Lymphoma, Large B-Cell, Diffuse Malignant lymphoma composed of large B lymphoid cells whose nuclear size can exceed normal macrophage nuclei, or more than twice the size of a normal lymphocyte. The pattern is predominantly diffuse. Most of these lymphomas represent the malignant counterpart of B-lymphocytes at midstage in the process of differentiation. | 1 | 17.03 | 62 | 15 |
Bronchiolitis, Exudative [description not available] | 0 | 2.41 | 1 | 0 |
Paraneoplastic Syndromes In patients with neoplastic diseases a wide variety of clinical pictures which are indirect and usually remote effects produced by tumor cell metabolites or other products. | 0 | 4.14 | 5 | 0 |
Pemphigus Foliaceus [description not available] | 0 | 3.06 | 4 | 0 |
Bronchiolitis Obliterans Inflammation of the BRONCHIOLES leading to an obstructive lung disease. Bronchioles are characterized by fibrous granulation tissue with bronchial exudates in the lumens. Clinical features include a nonproductive cough and DYSPNEA. | 0 | 2.41 | 1 | 0 |
Pemphigus Group of chronic blistering diseases characterized histologically by ACANTHOLYSIS and blister formation within the EPIDERMIS. | 0 | 3.06 | 4 | 0 |
Aggressive Natural Killer Cell Leukemia [description not available] | 0 | 2.55 | 2 | 0 |
Duncan Disease [description not available] | 0 | 6.46 | 8 | 0 |
Benign Monoclonal Gammopathies [description not available] | 0 | 2.59 | 2 | 0 |
Aplasia Pure Red Cell [description not available] | 0 | 2.82 | 2 | 0 |
Anemia A reduction in the number of circulating ERYTHROCYTES or in the quantity of HEMOGLOBIN. | 0 | 9.17 | 12 | 4 |
Lymphoproliferative Disorders Disorders characterized by proliferation of lymphoid tissue, general or unspecified. | 0 | 6.46 | 8 | 0 |
Red-Cell Aplasia, Pure Suppression of erythropoiesis with little or no abnormality of leukocyte or platelet production. | 0 | 2.82 | 2 | 0 |
Leukemia, Large Granular Lymphocytic A spectrum of disorders characterized by clonal expansions of the peripheral blood LYMPHOCYTE populations known as large granular lymphocytes which contain abundant cytoplasm and azurophilic granules. Subtypes develop from either CD3-negative NATURAL KILLER CELLS or CD3-positive T-CELLS. The clinical course of both subtypes can vary from spontaneous regression to progressive, malignant disease. | 0 | 2.55 | 2 | 0 |
Agranulocytosis A decrease in the number of GRANULOCYTES; (BASOPHILS; EOSINOPHILS; and NEUTROPHILS). | 0 | 2.31 | 1 | 0 |
Cardiomyopathies, Primary [description not available] | 0 | 2.59 | 2 | 0 |
Cough A sudden, audible expulsion of air from the lungs through a partially closed glottis, preceded by inhalation. It is a protective response that serves to clear the trachea, bronchi, and/or lungs of irritants and secretions, or to prevent aspiration of foreign materials into the lungs. | 0 | 2.41 | 1 | 0 |
Cardiomyopathies A group of diseases in which the dominant feature is the involvement of the CARDIAC MUSCLE itself. Cardiomyopathies are classified according to their predominant pathophysiological features (DILATED CARDIOMYOPATHY; HYPERTROPHIC CARDIOMYOPATHY; RESTRICTIVE CARDIOMYOPATHY) or their etiological/pathological factors (CARDIOMYOPATHY, ALCOHOLIC; ENDOCARDIAL FIBROELASTOSIS). | 0 | 2.59 | 2 | 0 |
Lymphocytopenia [description not available] | 0 | 9.45 | 10 | 3 |
Hypogammaglobulinemia [description not available] | 0 | 3.53 | 2 | 0 |
Agammaglobulinemia An immunologic deficiency state characterized by an extremely low level of generally all classes of gamma-globulin in the blood. | 0 | 3.53 | 2 | 0 |
Lymphopenia Reduction in the number of lymphocytes. | 0 | 9.45 | 10 | 3 |
Shingles [description not available] | 0 | 3.12 | 4 | 0 |
Herpes Zoster An acute infectious, usually self-limited, disease believed to represent activation of latent varicella-zoster virus (HERPESVIRUS 3, HUMAN) in those who have been rendered partially immune after a previous attack of CHICKENPOX. It involves the SENSORY GANGLIA and their areas of innervation and is characterized by severe neuralgic pain along the distribution of the affected nerve and crops of clustered vesicles over the area. (From Dorland, 27th ed) | 0 | 3.12 | 4 | 0 |
Germinoblastoma [description not available] | 0 | 12.43 | 48 | 3 |
Lymphoma A general term for various neoplastic diseases of the lymphoid tissue. | 1 | 19.43 | 48 | 3 |
Cancer of Stomach [description not available] | 0 | 2.93 | 3 | 0 |
Stomach Neoplasms Tumors or cancer of the STOMACH. | 0 | 2.93 | 3 | 0 |
Graft-Versus-Host Disease [description not available] | 0 | 8.24 | 11 | 3 |
Graft vs Host Disease The clinical entity characterized by anorexia, diarrhea, loss of hair, leukopenia, thrombocytopenia, growth retardation, and eventual death brought about by the GRAFT VS HOST REACTION. | 0 | 8.24 | 11 | 3 |
Adverse Drug Event [description not available] | 0 | 8.25 | 6 | 5 |
Exanthem [description not available] | 0 | 3.74 | 8 | 0 |
Exanthema Diseases in which skin eruptions or rashes are a prominent manifestation. Classically, six such diseases were described with similar rashes; they were numbered in the order in which they were reported. Only the fourth (Duke's disease), fifth (ERYTHEMA INFECTIOSUM), and sixth (EXANTHEMA SUBITUM) numeric designations survive as occasional synonyms in current terminology. | 0 | 3.74 | 8 | 0 |
Drug-Related Side Effects and Adverse Reactions Disorders that result from the intended use of PHARMACEUTICAL PREPARATIONS. Included in this heading are a broad variety of chemically-induced adverse conditions due to toxicity, DRUG INTERACTIONS, and metabolic effects of pharmaceuticals. | 0 | 8.25 | 6 | 5 |
Kahler Disease [description not available] | 0 | 19.34 | 139 | 70 |
Multiple Myeloma A malignancy of mature PLASMA CELLS engaging in monoclonal immunoglobulin production. It is characterized by hyperglobulinemia, excess Bence-Jones proteins (free monoclonal IMMUNOGLOBULIN LIGHT CHAINS) in the urine, skeletal destruction, bone pain, and fractures. Other features include ANEMIA; HYPERCALCEMIA; and RENAL INSUFFICIENCY. | 1 | 21.34 | 139 | 70 |
Leukocytopenia [description not available] | 0 | 10.53 | 14 | 8 |
Thrombopenia [description not available] | 0 | 10.64 | 15 | 7 |
Leukopenia A decrease in the number of LEUKOCYTES in a blood sample below the normal range (LEUKOCYTE COUNT less than 4000). | 0 | 10.53 | 14 | 8 |
Thrombocytopenia A subnormal level of BLOOD PLATELETS. | 0 | 10.64 | 15 | 7 |
Recrudescence [description not available] | 0 | 19.29 | 155 | 100 |
Minimal Disease, Residual [description not available] | 0 | 13.84 | 24 | 17 |
Acute Lymphoid Leukemia [description not available] | 0 | 6.91 | 5 | 3 |
Neutropenia A decrease in the number of NEUTROPHILS found in the blood. | 0 | 12.77 | 34 | 25 |
Ileus A condition caused by the lack of intestinal PERISTALSIS or INTESTINAL MOTILITY without any mechanical obstruction. This interference of the flow of INTESTINAL CONTENTS often leads to INTESTINAL OBSTRUCTION. Ileus may be classified into postoperative, inflammatory, metabolic, neurogenic, and drug-induced. | 0 | 4.72 | 1 | 1 |
Precursor Cell Lymphoblastic Leukemia-Lymphoma A neoplasm characterized by abnormalities of the lymphoid cell precursors leading to excessive lymphoblasts in the marrow and other organs. It is the most common cancer in children and accounts for the vast majority of all childhood leukemias. | 0 | 6.91 | 5 | 3 |
2019 Novel Coronavirus Disease [description not available] | 0 | 4.02 | 8 | 0 |
Disease Exacerbation [description not available] | 0 | 13.55 | 36 | 12 |
Cytokine Release Syndrome A severe immune reaction characterized by excessive release of CYTOKINES. Symptoms include DYSPNEA; FEVER; HEADACHE; HYPOTENSION; NAUSEA; RASH; TACHYCARDIA; HYPOXIA; HYPERFERRITINEMIA, and MULTIPLE ORGAN FAILURE. It is associated with viral infections, SEPSIS; AUTOIMMUNE DISEASES and a variety of factors used in IMMUNOTHERAPY. | 0 | 2.41 | 1 | 0 |
Bleeding [description not available] | 0 | 5.2 | 3 | 1 |
Hemorrhage Bleeding or escape of blood from a vessel. | 0 | 5.2 | 3 | 1 |
Chronic Illness [description not available] | 0 | 3.82 | 8 | 0 |
Chronic Disease Diseases which have one or more of the following characteristics: they are permanent, leave residual disability, are caused by nonreversible pathological alteration, require special training of the patient for rehabilitation, or may be expected to require a long period of supervision, observation, or care (Dictionary of Health Services Management, 2d ed). For epidemiological studies chronic disease often includes HEART DISEASES; STROKE; CANCER; and diabetes (DIABETES MELLITUS, TYPE 2). | 0 | 3.82 | 8 | 0 |
Acquired Autoimmune Hemolytic Anemia [description not available] | 0 | 11.9 | 21 | 1 |
Anemia, Hemolytic, Autoimmune Acquired hemolytic anemia due to the presence of AUTOANTIBODIES which agglutinate or lyse the patient's own RED BLOOD CELLS. | 0 | 11.9 | 21 | 1 |
Myoclonic Jerk [description not available] | 0 | 2.41 | 1 | 0 |
Cytomegalic Inclusion Disease [description not available] | 0 | 6.61 | 10 | 1 |
Cytomegalovirus Infections Infection with CYTOMEGALOVIRUS, characterized by enlarged cells bearing intranuclear inclusions. Infection may be in almost any organ, but the salivary glands are the most common site in children, as are the lungs in adults. | 0 | 6.61 | 10 | 1 |
Cytomegalovirus A genus of the family HERPESVIRIDAE, subfamily BETAHERPESVIRINAE, infecting the salivary glands, liver, spleen, lungs, eyes, and other organs, in which they produce characteristically enlarged cells with intranuclear inclusions. Infection with Cytomegalovirus is also seen as an opportunistic infection in AIDS. | 0 | 5.95 | 8 | 1 |
Cancer of Skin [description not available] | 0 | 6.13 | 10 | 1 |
Cutaneous T-Cell Lymphoma [description not available] | 0 | 8.03 | 7 | 4 |
Skin Neoplasms Tumors or cancer of the SKIN. | 0 | 6.13 | 10 | 1 |
Lymphoma, T-Cell, Cutaneous A group of lymphomas exhibiting clonal expansion of malignant T-lymphocytes arrested at varying stages of differentiation as well as malignant infiltration of the skin. MYCOSIS FUNGOIDES; SEZARY SYNDROME; LYMPHOMATOID PAPULOSIS; and PRIMARY CUTANEOUS ANAPLASTIC LARGE CELL LYMPHOMA are the best characterized of these disorders. | 0 | 8.03 | 7 | 4 |
Neurolymphomatosis Infiltration of the nervous system by malignant lymphoma cells. | 0 | 4.21 | 9 | 0 |
Kidney Failure A severe irreversible decline in the ability of kidneys to remove wastes, concentrate URINE, and maintain ELECTROLYTE BALANCE; BLOOD PRESSURE; and CALCIUM metabolism. | 0 | 7.8 | 11 | 6 |
Renal Insufficiency Conditions in which the KIDNEYS perform below the normal level in the ability to remove wastes, concentrate URINE, and maintain ELECTROLYTE BALANCE; BLOOD PRESSURE; and CALCIUM metabolism. Renal insufficiency can be classified by the degree of kidney damage (as measured by the level of PROTEINURIA) and reduction in GLOMERULAR FILTRATION RATE. | 0 | 7.8 | 11 | 6 |
Lymphoma, T Cell, Peripheral [description not available] | 0 | 9.86 | 12 | 5 |
Lymphoma, T-Cell, Peripheral A group of malignant lymphomas thought to derive from peripheral T-lymphocytes in lymph nodes and other nonlymphoid sites. They include a broad spectrum of lymphocyte morphology, but in all instances express T-cell markers admixed with epithelioid histiocytes, plasma cells, and eosinophils. Although markedly similar to large-cell immunoblastic lymphoma (LYMPHOMA, LARGE-CELL, IMMUNOBLASTIC), this group's unique features warrant separate treatment. | 0 | 9.86 | 12 | 5 |
Pemphigoid [description not available] | 0 | 3.52 | 4 | 0 |
Pemphigoid, Bullous A chronic and relatively benign subepidermal blistering disease usually of the elderly and without histopathologic acantholysis. | 0 | 3.52 | 4 | 0 |
Febrile Neutropenia Fever accompanied by a significant reduction in the number of NEUTROPHILS. | 0 | 5.04 | 7 | 1 |
Cancer, Second Primary [description not available] | 0 | 5.18 | 9 | 1 |
Hematologic Malignancies [description not available] | 0 | 10.7 | 21 | 2 |
Hematologic Neoplasms Neoplasms located in the blood and blood-forming tissue (the bone marrow and lymphatic tissue). The commonest forms are the various types of LEUKEMIA, of LYMPHOMA, and of the progressive, life-threatening forms of the MYELODYSPLASTIC SYNDROMES. | 1 | 12.7 | 21 | 2 |
AL Amyloidosis [description not available] | 0 | 8.56 | 9 | 5 |
Immunoglobulin Light-chain Amyloidosis A nonproliferative disorder of the PLASMA CELL characterized by excessive production and misfolding of IMMUNOGLOBULIN LIGHT CHAINS that form insoluble amyloid fibrils (see AMYLOID DEPOSITS) in various tissues. Clinical features include LIVER FAILURE; MULTIPLE MYELOMA; NEPHROTIC SYNDROME; RESTRICTIVE CARDIOMYOPATHY, and neuropathies. | 0 | 8.56 | 9 | 5 |
African Lymphoma [description not available] | 0 | 4.62 | 3 | 0 |
Burkitt Lymphoma A form of undifferentiated malignant LYMPHOMA usually found in central Africa, but also reported in other parts of the world. It is commonly manifested as a large osteolytic lesion in the jaw or as an abdominal mass. B-cell antigens are expressed on the immature cells that make up the tumor in virtually all cases of Burkitt lymphoma. The Epstein-Barr virus (HERPESVIRUS 4, HUMAN) has been isolated from Burkitt lymphoma cases in Africa and it is implicated as the causative agent in these cases; however, most non-African cases are EBV-negative. | 0 | 4.62 | 3 | 0 |
Adenomyosis The extension of endometrial tissue (ENDOMETRIUM) into the MYOMETRIUM. It usually occurs in women in their reproductive years and may result in a diffusely enlarged uterus with ectopic and benign endometrial glands and stroma. | 0 | 2.6 | 1 | 0 |
Erythrophagocytic Lymphohistiocytosis, Familial [description not available] | 0 | 2.6 | 1 | 0 |
Lymphohistiocytosis, Hemophagocytic A group of related disorders characterized by LYMPHOCYTOSIS; HISTIOCYTOSIS; and hemophagocytosis. The two major forms are familial and reactive. | 0 | 2.6 | 1 | 0 |
Allergy, Drug [description not available] | 0 | 3.09 | 4 | 0 |
Drug Hypersensitivity Immunologically mediated adverse reactions to medicinal substances used legally or illegally. | 0 | 3.09 | 4 | 0 |
Encephalitis, JC Polyomavirus [description not available] | 0 | 3.09 | 4 | 0 |
Leukoencephalopathy, Progressive Multifocal An opportunistic viral infection of the central nervous system associated with conditions that impair cell-mediated immunity (e.g., ACQUIRED IMMUNODEFICIENCY SYNDROME and other IMMUNOLOGIC DEFICIENCY SYNDROMES; HEMATOLOGIC NEOPLASMS; IMMUNOSUPPRESSION; and COLLAGEN DISEASES). The causative organism is JC Polyomavirus (JC VIRUS) which primarily affects oligodendrocytes, resulting in multiple areas of demyelination. Clinical manifestations include DEMENTIA; ATAXIA; visual disturbances; and other focal neurologic deficits, generally progressing to a vegetative state within 6 months. (From Joynt, Clinical Neurology, 1996, Ch26, pp36-7) | 0 | 3.09 | 4 | 0 |
Cytomegaloviral Retinitis [description not available] | 0 | 2.58 | 2 | 0 |
Cytomegalovirus Retinitis Infection of the retina by cytomegalovirus characterized by retinal necrosis, hemorrhage, vessel sheathing, and retinal edema. Cytomegalovirus retinitis is a major opportunistic infection in AIDS patients and can cause blindness. | 0 | 2.58 | 2 | 0 |
Nephrotic Syndrome A condition characterized by severe PROTEINURIA, greater than 3.5 g/day in an average adult. The substantial loss of protein in the urine results in complications such as HYPOPROTEINEMIA; generalized EDEMA; HYPERTENSION; and HYPERLIPIDEMIAS. Diseases associated with nephrotic syndrome generally cause chronic kidney dysfunction. | 0 | 3.03 | 4 | 0 |
Obesity A status with BODY WEIGHT that is grossly above the recommended standards, usually due to accumulation of excess FATS in the body. The standards may vary with age, sex, genetic or cultural background. In the BODY MASS INDEX, a BMI greater than 30.0 kg/m2 is considered obese, and a BMI greater than 40.0 kg/m2 is considered morbidly obese (MORBID OBESITY). | 0 | 2.25 | 1 | 0 |
Cranial Nerve II Diseases [description not available] | 0 | 2.25 | 1 | 0 |
Central Nervous System Neoplasm [description not available] | 0 | 5.21 | 6 | 0 |
Optic Nerve Diseases Conditions which produce injury or dysfunction of the second cranial or optic nerve, which is generally considered a component of the central nervous system. Damage to optic nerve fibers may occur at or near their origin in the retina, at the optic disk, or in the nerve, optic chiasm, optic tract, or lateral geniculate nuclei. Clinical manifestations may include decreased visual acuity and contrast sensitivity, impaired color vision, and an afferent pupillary defect. | 0 | 2.25 | 1 | 0 |
Central Nervous System Neoplasms Benign and malignant neoplastic processes that arise from or secondarily involve the brain, spinal cord, or meninges. | 0 | 5.21 | 6 | 0 |
Lassitude [description not available] | 0 | 12.14 | 23 | 21 |
Emesis [description not available] | 0 | 11.95 | 22 | 19 |
Fatigue The state of weariness following a period of exertion, mental or physical, characterized by a decreased capacity for work and reduced efficiency to respond to stimuli. | 0 | 12.14 | 23 | 21 |
Nausea An unpleasant sensation in the stomach usually accompanied by the urge to vomit. Common causes are early pregnancy, sea and motion sickness, emotional stress, intense pain, food poisoning, and various enteroviruses. | 0 | 14.12 | 30 | 24 |
Vomiting The forcible expulsion of the contents of the STOMACH through the MOUTH. | 0 | 11.95 | 22 | 19 |
Leukemia, Lymphoblastic, Acute, T Cell [description not available] | 0 | 2.25 | 1 | 0 |
Precursor T-Cell Lymphoblastic Leukemia-Lymphoma A leukemia/lymphoma found predominately in children and young adults and characterized LYMPHADENOPATHY and THYMUS GLAND involvement. It most frequently presents as a lymphoma, but a leukemic progression in the bone marrow is common. | 0 | 2.25 | 1 | 0 |
Polyneuropathy, Acquired [description not available] | 0 | 2.25 | 1 | 0 |
Chronic Inflammatory Demyelinating Polyradiculoneuropathy [description not available] | 0 | 2.61 | 2 | 0 |
Polyneuropathies Diseases of multiple peripheral nerves simultaneously. Polyneuropathies usually are characterized by symmetrical, bilateral distal motor and sensory impairment with a graded increase in severity distally. The pathological processes affecting peripheral nerves include degeneration of the axon, myelin or both. The various forms of polyneuropathy are categorized by the type of nerve affected (e.g., sensory, motor, or autonomic), by the distribution of nerve injury (e.g., distal vs. proximal), by nerve component primarily affected (e.g., demyelinating vs. axonal), by etiology, or by pattern of inheritance. | 0 | 2.25 | 1 | 0 |
Polyradiculoneuropathy, Chronic Inflammatory Demyelinating A slowly progressive autoimmune demyelinating disease of peripheral nerves and nerve roots. Clinical manifestations include weakness and sensory loss in the extremities and enlargement of peripheral nerves. The course may be relapsing-remitting or demonstrate a step-wise progression. Protein is usually elevated in the spinal fluid and cranial nerves are typically spared. GUILLAIN-BARRE SYNDROME features a relatively rapid progression of disease which distinguishes it from this condition. (Adams et al., Principles of Neurology, 6th ed, p1337) | 0 | 2.61 | 2 | 0 |
Dermatoses [description not available] | 0 | 3.13 | 4 | 0 |
Skin Diseases Diseases involving the DERMIS or EPIDERMIS. | 0 | 3.13 | 4 | 0 |
Anemia, Hemolytic, Acquired [description not available] | 0 | 4.75 | 6 | 0 |
Anemia, Hemolytic A condition of inadequate circulating red blood cells (ANEMIA) or insufficient HEMOGLOBIN due to premature destruction of red blood cells (ERYTHROCYTES). | 0 | 4.75 | 6 | 0 |
Necrosis The death of cells in an organ or tissue due to disease, injury or failure of the blood supply. | 0 | 2.25 | 1 | 0 |
Auricular Fibrillation [description not available] | 0 | 6.59 | 3 | 3 |
Innate Inflammatory Response [description not available] | 0 | 3.64 | 1 | 1 |
Complication, Postoperative [description not available] | 0 | 3.64 | 1 | 1 |
Atrial Fibrillation Abnormal cardiac rhythm that is characterized by rapid, uncoordinated firing of electrical impulses in the upper chambers of the heart (HEART ATRIA). In such case, blood cannot be effectively pumped into the lower chambers of the heart (HEART VENTRICLES). It is caused by abnormal impulse generation. | 0 | 6.59 | 3 | 3 |
Inflammation A pathological process characterized by injury or destruction of tissues caused by a variety of cytologic and chemical reactions. It is usually manifested by typical signs of pain, heat, redness, swelling, and loss of function. | 0 | 3.64 | 1 | 1 |
Postoperative Complications Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery. | 0 | 3.64 | 1 | 1 |
Acute Myelogenous Leukemia [description not available] | 0 | 6.95 | 9 | 3 |
Leukemia, Myeloid, Acute Clonal expansion of myeloid blasts in bone marrow, blood, and other tissue. Myeloid leukemias develop from changes in cells that normally produce NEUTROPHILS; BASOPHILS; EOSINOPHILS; and MONOCYTES. | 0 | 6.95 | 9 | 3 |
Abnormal Karyotype A variation from the normal set of chromosomes characteristic of a species. | 0 | 2.61 | 2 | 0 |
Chromosomal Translocation [description not available] | 0 | 2.93 | 3 | 0 |
Peripheral Nerve Diseases [description not available] | 0 | 10.9 | 12 | 9 |
Peripheral Nervous System Diseases Diseases of the peripheral nerves external to the brain and spinal cord, which includes diseases of the nerve roots, ganglia, plexi, autonomic nerves, sensory nerves, and motor nerves. | 0 | 10.9 | 12 | 9 |
Insect Bites [description not available] | 0 | 2.31 | 1 | 0 |
Insect Bites and Stings Bites and stings inflicted by insects. | 0 | 2.31 | 1 | 0 |
Dermatitis Medicamentosa [description not available] | 0 | 7.03 | 10 | 1 |
Erythema Nodosum An erythematous eruption commonly associated with drug reactions or infection and characterized by inflammatory nodules that are usually tender, multiple, and bilateral. These nodules are located predominantly on the shins with less common occurrence on the thighs and forearms. They undergo characteristic color changes ending in temporary bruise-like areas. This condition usually subsides in 3-6 weeks without scarring or atrophy. | 0 | 2.57 | 2 | 0 |
Lymphocytosis Excess of normal lymphocytes in the blood or in any effusion. | 0 | 2.25 | 1 | 0 |
Weight Reduction [description not available] | 0 | 4.21 | 3 | 1 |
Colicky Pain [description not available] | 0 | 3.76 | 3 | 0 |
Weight Loss Decrease in existing BODY WEIGHT. | 0 | 4.21 | 3 | 1 |
Abdominal Pain Sensation of discomfort, distress, or agony in the abdominal region. | 0 | 3.76 | 3 | 0 |
Schnitzler Syndrome An extremely rare condition manifested as monoclonal IMMUNOGLOBULIN M dysproteinemia without features of lymphoproliferative disease, but with chronic urticaria, fever of unknown origin, disabling bone pain, hyperostosis, and increased erythrocyte sedimentation rate. | 0 | 2.25 | 1 | 0 |
Cancer of the Tonsil [description not available] | 0 | 2.31 | 1 | 0 |
Tonsillar Neoplasms Tumors or cancer of the PALATINE TONSIL. | 0 | 2.31 | 1 | 0 |
Cardiac Toxicity [description not available] | 0 | 2.31 | 1 | 0 |
Mucositis An INFLAMMATION of the MUCOSA with burning or tingling sensation. It is characterized by atrophy of the squamous EPITHELIUM, vascular damage, inflammatory infiltration, and ulceration. It usually occurs at the mucous lining of the MOUTH, the GASTROINTESTINAL TRACT or the airway due to chemical irritations, CHEMOTHERAPY, or radiation therapy (RADIOTHERAPY). | 0 | 3.98 | 2 | 1 |
Cardiotoxicity Damage to the HEART or its function secondary to exposure to toxic substances such as drugs used in CHEMOTHERAPY; IMMUNOTHERAPY; or RADIATION. | 0 | 2.31 | 1 | 0 |
Acute Kidney Failure [description not available] | 0 | 3.11 | 4 | 0 |
Enlarged Spleen [description not available] | 0 | 3.77 | 3 | 0 |
Angiitis [description not available] | 0 | 4.2 | 3 | 0 |
Cryoglobulinemia A condition characterized by the presence of abnormal quantities of CRYOGLOBULINS in the blood. Upon cold exposure, these abnormal proteins precipitate into the microvasculature leading to restricted blood flow in the exposed areas. | 0 | 2.59 | 2 | 0 |
Vasculitis Inflammation of any one of the blood vessels, including the ARTERIES; VEINS; and rest of the vasculature system in the body. | 0 | 4.2 | 3 | 0 |
Acute Kidney Injury Abrupt reduction in kidney function. Acute kidney injury encompasses the entire spectrum of the syndrome including acute kidney failure; ACUTE KIDNEY TUBULAR NECROSIS; and other less severe conditions. | 0 | 3.11 | 4 | 0 |
Diffuse Parenchymal Lung Disease [description not available] | 0 | 4.83 | 2 | 1 |
Airflow Obstruction, Chronic [description not available] | 0 | 4.04 | 2 | 1 |
Opportunistic Infections An infection caused by an organism which becomes pathogenic under certain conditions, e.g., during immunosuppression. | 0 | 6.11 | 6 | 1 |
P carinii Pneumonia [description not available] | 0 | 3.36 | 6 | 0 |
Alveolitis, Fibrosing [description not available] | 0 | 2.31 | 1 | 0 |
Pneumonia, Pneumocystis A pulmonary disease in humans occurring in immunodeficient or malnourished patients or infants, characterized by DYSPNEA, tachypnea, and HYPOXEMIA. Pneumocystis pneumonia is a frequently seen opportunistic infection in AIDS. It is caused by the fungus PNEUMOCYSTIS JIROVECII. The disease is also found in other MAMMALS where it is caused by related species of Pneumocystis. | 0 | 3.36 | 6 | 0 |
Pulmonary Fibrosis A process in which normal lung tissues are progressively replaced by FIBROBLASTS and COLLAGEN causing an irreversible loss of the ability to transfer oxygen into the bloodstream via PULMONARY ALVEOLI. Patients show progressive DYSPNEA finally resulting in death. | 0 | 2.31 | 1 | 0 |
Lung Diseases, Interstitial A diverse group of lung diseases that affect the lung parenchyma. They are characterized by an initial inflammation of PULMONARY ALVEOLI that extends to the interstitium and beyond leading to diffuse PULMONARY FIBROSIS. Interstitial lung diseases are classified by their etiology (known or unknown causes), and radiological-pathological features. | 0 | 4.83 | 2 | 1 |
Pulmonary Disease, Chronic Obstructive A disease of chronic diffuse irreversible airflow obstruction. Subcategories of COPD include CHRONIC BRONCHITIS and PULMONARY EMPHYSEMA. | 0 | 4.04 | 2 | 1 |
Blood Clot [description not available] | 0 | 3.23 | 1 | 0 |
Thrombosis Formation and development of a thrombus or blood clot in the blood vessel. | 0 | 3.23 | 1 | 0 |
Extravascular Hemolysis [description not available] | 0 | 2.85 | 3 | 0 |
Hemolysis The destruction of ERYTHROCYTES by many different causal agents such as antibodies, bacteria, chemicals, temperature, and changes in tonicity. | 0 | 2.85 | 3 | 0 |
Apoplexy [description not available] | 0 | 2.31 | 1 | 0 |
Acute Liver Injury, Drug-Induced [description not available] | 0 | 2.55 | 2 | 0 |
Stroke A group of pathological conditions characterized by sudden, non-convulsive loss of neurological function due to BRAIN ISCHEMIA or INTRACRANIAL HEMORRHAGES. Stroke is classified by the type of tissue NECROSIS, such as the anatomic location, vasculature involved, etiology, age of the affected individual, and hemorrhagic vs. non-hemorrhagic nature. (From Adams et al., Principles of Neurology, 6th ed, pp777-810) | 0 | 2.31 | 1 | 0 |
Chemical and Drug Induced Liver Injury A spectrum of clinical liver diseases ranging from mild biochemical abnormalities to ACUTE LIVER FAILURE, caused by drugs, drug metabolites, herbal and dietary supplements and chemicals from the environment. | 0 | 2.55 | 2 | 0 |
Dysmyelopoietic Syndromes [description not available] | 0 | 5.43 | 7 | 2 |
Myelodysplastic Syndromes Clonal hematopoietic stem cell disorders characterized by dysplasia in one or more hematopoietic cell lineages. They predominantly affect patients over 60, are considered preleukemic conditions, and have high probability of transformation into ACUTE MYELOID LEUKEMIA. | 0 | 5.43 | 7 | 2 |
Hairy Cell Leukemia [description not available] | 0 | 3.23 | 5 | 0 |
Leukemia, Hairy Cell A neoplastic disease of the lymphoreticular cells which is considered to be a rare type of chronic leukemia; it is characterized by an insidious onset, splenomegaly, anemia, granulocytopenia, thrombocytopenia, little or no lymphadenopathy, and the presence of hairy or flagellated cells in the blood and bone marrow. | 0 | 3.23 | 5 | 0 |
CACH Syndrome [description not available] | 0 | 2.31 | 1 | 0 |
Symptom Cluster [description not available] | 0 | 2.31 | 1 | 0 |
Syndrome A characteristic symptom complex. | 0 | 2.31 | 1 | 0 |
Histiocytosis General term for the abnormal appearance of histiocytes in the blood. Based on the pathological features of the cells involved rather than on clinical findings, the histiocytic diseases are subdivided into three groups: HISTIOCYTOSIS, LANGERHANS CELL; HISTIOCYTOSIS, NON-LANGERHANS-CELL; and HISTIOCYTIC DISORDERS, MALIGNANT. | 0 | 2.31 | 1 | 0 |
Dermatomyositis, Adult Type [description not available] | 0 | 2.31 | 1 | 0 |
Leukemia, Lymphocytic, Chronic, T Cell [description not available] | 0 | 3.27 | 5 | 0 |
Dermatomyositis A subacute or chronic inflammatory disease of muscle and skin, marked by proximal muscle weakness and a characteristic skin rash. The illness occurs with approximately equal frequency in children and adults. The skin lesions usually take the form of a purplish rash (or less often an exfoliative dermatitis) involving the nose, cheeks, forehead, upper trunk, and arms. The disease is associated with a complement mediated intramuscular microangiopathy, leading to loss of capillaries, muscle ischemia, muscle-fiber necrosis, and perifascicular atrophy. The childhood form of this disease tends to evolve into a systemic vasculitis. Dermatomyositis may occur in association with malignant neoplasms. (From Adams et al., Principles of Neurology, 6th ed, pp1405-6) | 0 | 2.31 | 1 | 0 |
Leukemia, Prolymphocytic, T-Cell A lymphoid leukemia characterized by a profound LYMPHOCYTOSIS with or without LYMPHADENOPATHY, hepatosplenomegaly, frequently rapid progression, and short survival. It was formerly called T-cell chronic lymphocytic leukemia. | 0 | 3.27 | 5 | 0 |
Sclera Diseases [description not available] | 0 | 2.31 | 1 | 0 |
Hypermelanosis [description not available] | 0 | 2.31 | 1 | 0 |
Vascular Diseases Pathological processes involving any of the BLOOD VESSELS in the cardiac or peripheral circulation. They include diseases of ARTERIES; VEINS; and rest of the vasculature system in the body. | 0 | 2.31 | 1 | 0 |
Hyperpigmentation Excessive pigmentation of the skin, usually as a result of increased epidermal or dermal melanin pigmentation, hypermelanosis. Hyperpigmentation can be localized or generalized. The condition may arise from exposure to light, chemicals or other substances, or from a primary metabolic imbalance. | 0 | 2.31 | 1 | 0 |
Diabetes Mellitus, Adult-Onset [description not available] | 0 | 2.55 | 2 | 0 |
Leukemia, Lymphocytic [description not available] | 0 | 2.61 | 2 | 0 |
Diabetes Mellitus, Type 2 A subclass of DIABETES MELLITUS that is not INSULIN-responsive or dependent (NIDDM). It is characterized initially by INSULIN RESISTANCE and HYPERINSULINEMIA; and eventually by GLUCOSE INTOLERANCE; HYPERGLYCEMIA; and overt diabetes. Type II diabetes mellitus is no longer considered a disease exclusively found in adults. Patients seldom develop KETOSIS but often exhibit OBESITY. | 0 | 2.55 | 2 | 0 |
Leukemia, Lymphoid Leukemia associated with HYPERPLASIA of the lymphoid tissues and increased numbers of circulating malignant LYMPHOCYTES and lymphoblasts. | 0 | 2.61 | 2 | 0 |
Acquired Nephrogenic Diabetes Insipidus [description not available] | 0 | 2.89 | 3 | 0 |
Diabetes Mellitus A heterogeneous group of disorders characterized by HYPERGLYCEMIA and GLUCOSE INTOLERANCE. | 0 | 2.41 | 1 | 0 |
Blood Pressure, High [description not available] | 0 | 4.62 | 1 | 1 |
Infection [description not available] | 0 | 11.06 | 14 | 7 |
Hypertension Persistently high systemic arterial BLOOD PRESSURE. Based on multiple readings (BLOOD PRESSURE DETERMINATION), hypertension is currently defined as when SYSTOLIC PRESSURE is consistently greater than 140 mm Hg or when DIASTOLIC PRESSURE is consistently 90 mm Hg or more. | 0 | 4.62 | 1 | 1 |
Infections Invasion of the host organism by microorganisms or their toxins or by parasites that can cause pathological conditions or diseases. | 0 | 11.06 | 14 | 7 |
C-C Fistula [description not available] | 0 | 3.06 | 1 | 0 |
Cavernous Sinus Thrombophlebitis [description not available] | 0 | 3.06 | 1 | 0 |
Cancer of Ovary [description not available] | 0 | 5.04 | 3 | 1 |
Peritoneal Carcinomatosis [description not available] | 0 | 2.21 | 1 | 0 |
Ascites Accumulation or retention of free fluid within the peritoneal cavity. | 0 | 2.21 | 1 | 0 |
Ovarian Neoplasms Tumors or cancer of the OVARY. These neoplasms can be benign or malignant. They are classified according to the tissue of origin, such as the surface EPITHELIUM, the stromal endocrine cells, and the totipotent GERM CELLS. | 0 | 5.04 | 3 | 1 |
Peritoneal Neoplasms Tumors or cancer of the PERITONEUM. | 0 | 2.21 | 1 | 0 |
Dermatitis, Radiation-Induced [description not available] | 0 | 2.15 | 1 | 0 |
Radiodermatitis A cutaneous inflammatory reaction occurring as a result of exposure to ionizing radiation. | 0 | 2.15 | 1 | 0 |
Infusion Site Adverse Event [description not available] | 0 | 4.45 | 1 | 1 |
Blast Phase [description not available] | 0 | 2.15 | 1 | 0 |
Blast Crisis An advanced phase of chronic myelogenous leukemia, characterized by a rapid increase in the proportion of immature white blood cells (blasts) in the blood and bone marrow to greater than 30%. | 0 | 2.15 | 1 | 0 |
B-Cell Leukemia [description not available] | 0 | 6.02 | 3 | 1 |
Cholera Infantum [description not available] | 0 | 5.65 | 3 | 2 |
Rheumatoid Arthritis [description not available] | 0 | 3.09 | 1 | 0 |
Arthritis, Rheumatoid A chronic systemic disease, primarily of the joints, marked by inflammatory changes in the synovial membranes and articular structures, widespread fibrinoid degeneration of the collagen fibers in mesenchymal tissues, and by atrophy and rarefaction of bony structures. Etiology is unknown, but autoimmune mechanisms have been implicated. | 0 | 3.09 | 1 | 0 |
Orbital Neoplasms Neoplasms of the bony orbit and contents except the eyeball. | 0 | 3.09 | 1 | 0 |
Intraocular Lymphoma A form of malignant cancer which occurs within the eyeball. | 0 | 3.09 | 1 | 0 |
Diarrhea An increased liquidity or decreased consistency of FECES, such as running stool. Fecal consistency is related to the ratio of water-holding capacity of insoluble solids to total water, rather than the amount of water present. Diarrhea is not hyperdefecation or increased fecal weight. | 0 | 3.94 | 2 | 1 |
Enterically-Transmitted Non-A, Non-B Hepatitis [description not available] | 0 | 2.17 | 1 | 0 |
Hepatitis E Acute INFLAMMATION of the LIVER in humans; caused by HEPATITIS E VIRUS, a non-enveloped single-stranded RNA virus. Similar to HEPATITIS A, its incubation period is 15-60 days and is enterically transmitted, usually by fecal-oral transmission. | 0 | 2.17 | 1 | 0 |
Carcinoma, Ehrlich Tumor A transplantable, poorly differentiated malignant tumor which appeared originally as a spontaneous breast carcinoma in a mouse. It grows in both solid and ascitic forms. | 0 | 2.85 | 3 | 0 |
Experimental Neoplasms [description not available] | 0 | 4.1 | 3 | 1 |
Cancer of the Vulva [description not available] | 0 | 2.17 | 1 | 0 |
Vulvar Neoplasms Tumors or cancer of the VULVA. | 0 | 2.17 | 1 | 0 |
Bunyaviridae Infections Virus diseases caused by the BUNYAVIRIDAE. | 0 | 3.09 | 1 | 0 |
Astrocytosis [description not available] | 0 | 3.09 | 1 | 0 |
Cerebromeningitis [description not available] | 0 | 3.09 | 1 | 0 |
Autoimmune Diseases of the Nervous System Disorders caused by cellular or humoral immune responses primarily directed towards nervous system autoantigens. The immune response may be directed towards specific tissue components (e.g., myelin) and may be limited to the central nervous system (e.g., MULTIPLE SCLEROSIS) or the peripheral nervous system (e.g., GUILLAIN-BARRE SYNDROME). | 0 | 3.09 | 1 | 0 |
Autonomic Dysfunction, Paraneoplastic [description not available] | 0 | 3.09 | 1 | 0 |
Atrophy Decrease in the size of a cell, tissue, organ, or multiple organs, associated with a variety of pathological conditions such as abnormal cellular changes, ischemia, malnutrition, or hormonal changes. | 0 | 3.33 | 2 | 0 |
Cancer of Spleen [description not available] | 0 | 3.94 | 4 | 0 |
Pneumonia, Viral Inflammation of the lung parenchyma that is caused by a viral infection. | 0 | 2.15 | 1 | 0 |
Benign Meningeal Neoplasms [description not available] | 0 | 2.17 | 1 | 0 |
Angioblastic Meningioma [description not available] | 0 | 2.17 | 1 | 0 |
Meningeal Neoplasms Benign and malignant neoplastic processes that arise from or secondarily involve the meningeal coverings of the brain and spinal cord. | 0 | 2.17 | 1 | 0 |
Meningioma A relatively common neoplasm of the CENTRAL NERVOUS SYSTEM that arises from arachnoidal cells. The majority are well differentiated vascular tumors which grow slowly and have a low potential to be invasive, although malignant subtypes occur. Meningiomas have a predilection to arise from the parasagittal region, cerebral convexity, sphenoidal ridge, olfactory groove, and SPINAL CANAL. (From DeVita et al., Cancer: Principles and Practice of Oncology, 5th ed, pp2056-7) | 0 | 2.17 | 1 | 0 |
Angioimmunoblastic Lymphadenopathy [description not available] | 0 | 2.17 | 1 | 0 |
Immunoblastic Lymphadenopathy A disorder characterized by proliferation of arborizing small vessels, prominent immunoblastic proliferations and amorphous acidophilic interstitial material. Clinical manifestations include fever, sweats, weight loss, generalized lymphadenopathy and frequently hepatosplenomegaly. | 0 | 2.17 | 1 | 0 |
Sicca Syndrome [description not available] | 0 | 2.61 | 2 | 0 |
Sjogren's Syndrome Chronic inflammatory and autoimmune disease in which the salivary and lacrimal glands undergo progressive destruction by lymphocytes and plasma cells resulting in decreased production of saliva and tears. The primary form, often called sicca syndrome, involves both KERATOCONJUNCTIVITIS SICCA and XEROSTOMIA. The secondary form includes, in addition, the presence of a connective tissue disease, usually rheumatoid arthritis. | 0 | 2.61 | 2 | 0 |
Chemotherapy-Induced Febrile Neutropenia FEVER accompanied by a significant reduction in NEUTROPHIL count associated with CHEMOTHERAPY. | 0 | 8.28 | 6 | 5 |
Benign Neoplasms, Brain [description not available] | 0 | 5.64 | 6 | 3 |
Astrocytoma, Grade IV [description not available] | 0 | 3.89 | 2 | 1 |
Brain Neoplasms Neoplasms of the intracranial components of the central nervous system, including the cerebral hemispheres, basal ganglia, hypothalamus, thalamus, brain stem, and cerebellum. Brain neoplasms are subdivided into primary (originating from brain tissue) and secondary (i.e., metastatic) forms. Primary neoplasms are subdivided into benign and malignant forms. In general, brain tumors may also be classified by age of onset, histologic type, or presenting location in the brain. | 0 | 5.64 | 6 | 3 |
Glioblastoma A malignant form of astrocytoma histologically characterized by pleomorphism of cells, nuclear atypia, microhemorrhage, and necrosis. They may arise in any region of the central nervous system, with a predilection for the cerebral hemispheres, basal ganglia, and commissural pathways. Clinical presentation most frequently occurs in the fifth or sixth decade of life with focal neurologic signs or seizures. | 0 | 3.89 | 2 | 1 |
Tumour Lysis Syndrome [description not available] | 0 | 7.87 | 6 | 4 |
Tumor Lysis Syndrome A syndrome resulting from cytotoxic therapy, occurring generally in aggressive, rapidly proliferating lymphoproliferative disorders. It is characterized by combinations of hyperuricemia, lactic acidosis, hyperkalemia, hyperphosphatemia and hypocalcemia. | 0 | 7.87 | 6 | 4 |
Carcinoma, Non-Small Cell Lung [description not available] | 0 | 5.27 | 4 | 3 |
Carcinoma, Non-Small-Cell Lung A heterogeneous aggregate of at least three distinct histological types of lung cancer, including SQUAMOUS CELL CARCINOMA; ADENOCARCINOMA; and LARGE CELL CARCINOMA. They are dealt with collectively because of their shared treatment strategy. | 0 | 5.27 | 4 | 3 |
Hepatic Veno Occlusive Disease [description not available] | 0 | 3.09 | 1 | 0 |
Hepatic Veno-Occlusive Disease Liver disease that is caused by injuries to the ENDOTHELIAL CELLS of the vessels and subendothelial EDEMA, but not by THROMBOSIS. Extracellular matrix, rich in FIBRONECTINS, is usually deposited around the HEPATIC VEINS leading to venous outflow occlusion and sinusoidal obstruction. | 0 | 3.09 | 1 | 0 |
Abnormalities, Autosome [description not available] | 0 | 5.83 | 4 | 1 |
Chromosome-Defective Micronuclei [description not available] | 0 | 2.21 | 1 | 0 |
Chromosomal Triplication [description not available] | 0 | 2.17 | 1 | 0 |
Adrenal Gland Hypofunction [description not available] | 0 | 2.17 | 1 | 0 |
Adrenal Cancer [description not available] | 0 | 2.17 | 1 | 0 |
Adrenal Insufficiency Conditions in which the production of adrenal CORTICOSTEROIDS falls below the requirement of the body. Adrenal insufficiency can be caused by defects in the ADRENAL GLANDS, the PITUITARY GLAND, or the HYPOTHALAMUS. | 0 | 2.17 | 1 | 0 |
Molar, Fourth [description not available] | 0 | 2.17 | 1 | 0 |
Rodent Diseases Diseases of rodents of the order RODENTIA. This term includes diseases of Sciuridae (squirrels), Geomyidae (gophers), Heteromyidae (pouched mice), Castoridae (beavers), Cricetidae (rats and mice), Muridae (Old World rats and mice), Erethizontidae (porcupines), and Caviidae (guinea pigs). | 0 | 2.17 | 1 | 0 |
Familial Hypokalemia-Hypomagnesemia [description not available] | 0 | 2.17 | 1 | 0 |
Hypokalemia Abnormally low potassium concentration in the blood. It may result from potassium loss by renal secretion or by the gastrointestinal route, as by vomiting or diarrhea. It may be manifested clinically by neuromuscular disorders ranging from weakness to paralysis, by electrocardiographic abnormalities (depression of the T wave and elevation of the U wave), by renal disease, and by gastrointestinal disorders. (Dorland, 27th ed) | 0 | 2.17 | 1 | 0 |
Histiocytic Sarcoma Malignant neoplasms composed of MACROPHAGES or DENDRITIC CELLS. Most histiocytic sarcomas present as localized tumor masses without a leukemic phase. Though the biological behavior of these neoplasms resemble lymphomas, their cell lineage is histiocytic not lymphoid. | 0 | 3.12 | 1 | 0 |
Chromosome Deletion Actual loss of portion of a chromosome. | 0 | 5.61 | 3 | 1 |
Blood Diseases [description not available] | 0 | 11.13 | 15 | 12 |
Hematologic Diseases Disorders of the blood and blood forming tissues. | 0 | 11.13 | 15 | 12 |
Psoriasis Arthropathica [description not available] | 0 | 4.51 | 1 | 1 |
Arthritis, Psoriatic A type of inflammatory arthritis associated with PSORIASIS, often involving the axial joints and the peripheral terminal interphalangeal joints. It is characterized by the presence of HLA-B27-associated SPONDYLARTHROPATHY, and the absence of rheumatoid factor. | 0 | 4.51 | 1 | 1 |
Delayed Hypersensitivity [description not available] | 0 | 2.21 | 1 | 0 |
Infections, Helicobacter [description not available] | 0 | 3.12 | 1 | 0 |
Helicobacter Infections Infections with organisms of the genus HELICOBACTER, particularly, in humans, HELICOBACTER PYLORI. The clinical manifestations are focused in the stomach, usually the gastric mucosa and antrum, and the upper duodenum. This infection plays a major role in the pathogenesis of type B gastritis and peptic ulcer disease. | 0 | 3.12 | 1 | 0 |
Body Weight The mass or quantity of heaviness of an individual. It is expressed by units of pounds or kilograms. | 0 | 4.07 | 3 | 1 |
Orphan Diseases Rare diseases that have not been well studied. | 0 | 2.21 | 1 | 0 |
Anti-Phospholipid Antibody Syndrome [description not available] | 0 | 2.81 | 3 | 0 |
Antiphospholipid Syndrome The presence of antibodies directed against phospholipids (ANTIBODIES, ANTIPHOSPHOLIPID). The condition is associated with a variety of diseases, notably systemic lupus erythematosus and other connective tissue diseases, thrombopenia, and arterial or venous thromboses. In pregnancy it can cause abortion. Of the phospholipids, the cardiolipins show markedly elevated levels of anticardiolipin antibodies (ANTIBODIES, ANTICARDIOLIPIN). Present also are high levels of lupus anticoagulant (LUPUS COAGULATION INHIBITOR). | 0 | 2.81 | 3 | 0 |
Neoplasms, Bronchial [description not available] | 0 | 2.21 | 1 | 0 |
Bronchial Neoplasms Tumors or cancer of the BRONCHI. | 0 | 2.21 | 1 | 0 |
Carcinoma, Basal Cell, Pigmented [description not available] | 0 | 2.21 | 1 | 0 |
Lymphoma, Primary Cutaneous Anaplastic Large Cell Anaplastic lymphoma of the skin which develops as a primary neoplasm expressing the CD30 ANTIGEN. It is characterized by solitary nodules or ulcerated tumors. | 0 | 2.57 | 2 | 0 |
Carcinoma, Basal Cell A malignant skin neoplasm that seldom metastasizes but has potentialities for local invasion and destruction. Clinically it is divided into types: nodular, cicatricial, morphaic, and erythematoid (pagetoid). They develop on hair-bearing skin, most commonly on sun-exposed areas. Approximately 85% are found on the head and neck area and the remaining 15% on the trunk and limbs. (From DeVita Jr et al., Cancer: Principles & Practice of Oncology, 3d ed, p1471) | 0 | 2.21 | 1 | 0 |
Acute Symptom Flare [description not available] | 0 | 3.59 | 1 | 1 |
Benign Neoplasms [description not available] | 0 | 12.22 | 20 | 6 |
Neoplasms New abnormal growth of tissue. Malignant neoplasms show a greater degree of anaplasia and have the properties of invasion and metastasis, compared to benign neoplasms. | 1 | 14.22 | 20 | 6 |
Angiohemophilia [description not available] | 0 | 2.21 | 1 | 0 |
von Willebrand Diseases Group of hemorrhagic disorders in which the VON WILLEBRAND FACTOR is either quantitatively or qualitatively abnormal. They are usually inherited as an autosomal dominant trait though rare kindreds are autosomal recessive. Symptoms vary depending on severity and disease type but may include prolonged bleeding time, deficiency of factor VIII, and impaired platelet adhesion. | 0 | 2.21 | 1 | 0 |
Conjunctival Neoplasms Tumors or cancer of the CONJUNCTIVA. | 0 | 2.21 | 1 | 0 |
Angioedema, Hereditary [description not available] | 0 | 2.21 | 1 | 0 |
Angioedemas, Hereditary Inherited disorders that are characterized by subcutaneous and submucosal EDEMA in the upper RESPIRATORY TRACT and GASTROINTESTINAL TRACT. | 0 | 2.21 | 1 | 0 |
Metastase [description not available] | 0 | 7.74 | 7 | 6 |
Neoplasm Metastasis The transfer of a neoplasm from one organ or part of the body to another remote from the primary site. | 0 | 7.74 | 7 | 6 |
Cardiac Diseases [description not available] | 0 | 4.39 | 1 | 1 |
Heart Diseases Pathological conditions involving the HEART including its structural and functional abnormalities. | 0 | 4.39 | 1 | 1 |
Liver Dysfunction [description not available] | 0 | 3.4 | 2 | 0 |
Liver Diseases Pathological processes of the LIVER. | 0 | 3.4 | 2 | 0 |
Chronic Kidney Failure [description not available] | 0 | 4.78 | 2 | 1 |
Kidney Failure, Chronic The end-stage of CHRONIC RENAL INSUFFICIENCY. It is characterized by the severe irreversible kidney damage (as measured by the level of PROTEINURIA) and the reduction in GLOMERULAR FILTRATION RATE to less than 15 ml per min (Kidney Foundation: Kidney Disease Outcome Quality Initiative, 2002). These patients generally require HEMODIALYSIS or KIDNEY TRANSPLANTATION. | 0 | 4.78 | 2 | 1 |
Sensitivity and Specificity Binary classification measures to assess test results. Sensitivity or recall rate is the proportion of true positives. Specificity is the probability of correctly determining the absence of a condition. (From Last, Dictionary of Epidemiology, 2d ed) | 0 | 4.86 | 7 | 1 |
Caliciviridae Infections Virus diseases caused by CALICIVIRIDAE. They include HEPATITIS E; VESICULAR EXANTHEMA OF SWINE; acute respiratory infections in felines, rabbit hemorrhagic disease, and some cases of gastroenteritis in humans. | 0 | 3 | 1 | 0 |
Gastroenteritis INFLAMMATION of any segment of the GASTROINTESTINAL TRACT from ESOPHAGUS to RECTUM. Causes of gastroenteritis are many including genetic, infection, HYPERSENSITIVITY, drug effects, and CANCER. | 0 | 3 | 1 | 0 |
Chronic Hepatitis C [description not available] | 0 | 3 | 1 | 0 |
Cirrhosis, Liver [description not available] | 0 | 3 | 1 | 0 |
Liver Cirrhosis Liver disease in which the normal microcirculation, the gross vascular anatomy, and the hepatic architecture have been variably destroyed and altered with fibrous septa surrounding regenerated or regenerating parenchymal nodules. | 0 | 3 | 1 | 0 |
Hepatitis C, Chronic INFLAMMATION of the LIVER in humans that is caused by HEPATITIS C VIRUS lasting six months or more. Chronic hepatitis C can lead to LIVER CIRRHOSIS. | 0 | 3 | 1 | 0 |
Mouth Ulcer [description not available] | 0 | 2.08 | 1 | 0 |
Nail Diseases Diseases of the nail plate and tissues surrounding it. The concept is limited to primates. | 0 | 2.08 | 1 | 0 |
Oral Ulcer A loss of mucous substance of the mouth showing local excavation of the surface, resulting from the sloughing of inflammatory necrotic tissue. It is the result of a variety of causes, e.g., denture irritation, aphthous stomatitis (STOMATITIS, APHTHOUS); NOMA; necrotizing gingivitis (GINGIVITIS, NECROTIZING ULCERATIVE); TOOTHBRUSHING; and various irritants. (From Jablonski, Dictionary of Dentistry, 1992, p842) | 0 | 2.08 | 1 | 0 |
Alopecia Cicatrisata [description not available] | 0 | 9.71 | 9 | 9 |
Dysesthesia [description not available] | 0 | 9.71 | 9 | 9 |
Alopecia Absence of hair from areas where it is normally present. | 0 | 9.71 | 9 | 9 |
Ph 1 Chromosome [description not available] | 0 | 2.1 | 1 | 0 |
Hepatitis B Virus Infection [description not available] | 0 | 9.1 | 5 | 0 |
Hepatitis B INFLAMMATION of the LIVER in humans caused by a member of the ORTHOHEPADNAVIRUS genus, HEPATITIS B VIRUS. It is primarily transmitted by parenteral exposure, such as transfusion of contaminated blood or blood products, but can also be transmitted via sexual or intimate personal contact. | 0 | 9.1 | 5 | 0 |
Carcinoma, Small Cell Lung [description not available] | 0 | 3.48 | 1 | 1 |
Cancer of Lung [description not available] | 0 | 6.5 | 8 | 6 |
Lung Neoplasms Tumors or cancer of the LUNG. | 1 | 8.5 | 8 | 6 |
Small Cell Lung Carcinoma A form of highly malignant lung cancer that is composed of small ovoid cells (SMALL CELL CARCINOMA). | 1 | 5.48 | 1 | 1 |
Cognition Disorders Disorders characterized by disturbances in mental processes related to learning, thinking, reasoning, and judgment. | 0 | 2.11 | 1 | 0 |
Fisher Syndrome [description not available] | 0 | 2.1 | 1 | 0 |
Acute Autoimmune Neuropathy [description not available] | 0 | 2.1 | 1 | 0 |
Altered Level of Consciousness [description not available] | 0 | 2.1 | 1 | 0 |
Guillain-Barre Syndrome An acute inflammatory autoimmune neuritis caused by T cell- mediated cellular immune response directed towards peripheral myelin. Demyelination occurs in peripheral nerves and nerve roots. The process is often preceded by a viral or bacterial infection, surgery, immunization, lymphoma, or exposure to toxins. Common clinical manifestations include progressive weakness, loss of sensation, and loss of deep tendon reflexes. Weakness of respiratory muscles and autonomic dysfunction may occur. (From Adams et al., Principles of Neurology, 6th ed, pp1312-1314) | 0 | 2.1 | 1 | 0 |
Langerhans Cell Sarcoma Rare malignant neoplasm of dendritic LANGERHANS CELLS exhibiting atypical cytology, frequent mitoses, and aggressive clinical behavior. They can be distinguished from other histiocytic and dendritic proliferations by immunohistochemical and ultrastructure studies. Cytologically benign proliferations of Langerhans cells are called LANGERHANS CELL HISTIOCYTOSIS. | 0 | 2.1 | 1 | 0 |
Central Nervous System Toxoplasmosis [description not available] | 0 | 2.11 | 1 | 0 |
Toxoplasmosis, Cerebral Infections of the BRAIN caused by the protozoan TOXOPLASMA gondii that primarily arise in individuals with IMMUNOLOGIC DEFICIENCY SYNDROMES (see also AIDS-RELATED OPPORTUNISTIC INFECTIONS). The infection may involve the brain diffusely or form discrete abscesses. Clinical manifestations include SEIZURES, altered mentation, headache, focal neurologic deficits, and INTRACRANIAL HYPERTENSION. (From Joynt, Clinical Neurology, 1998, Ch27, pp41-3) | 0 | 2.11 | 1 | 0 |
Malignant Melanoma [description not available] | 0 | 4.4 | 2 | 2 |
Melanoma A malignant neoplasm derived from cells that are capable of forming melanin, which may occur in the skin of any part of the body, in the eye, or, rarely, in the mucous membranes of the genitalia, anus, oral cavity, or other sites. It occurs mostly in adults and may originate de novo or from a pigmented nevus or malignant lentigo. Melanomas frequently metastasize widely, and the regional lymph nodes, liver, lungs, and brain are likely to be involved. The incidence of malignant skin melanomas is rising rapidly in all parts of the world. (Stedman, 25th ed; from Rook et al., Textbook of Dermatology, 4th ed, p2445) | 0 | 4.4 | 2 | 2 |
Carcinoma, Neuroendocrine A group of carcinomas which share a characteristic morphology, often being composed of clusters and trabecular sheets of round blue cells, granular chromatin, and an attenuated rim of poorly demarcated cytoplasm. Neuroendocrine tumors include carcinoids, small (oat) cell carcinomas, medullary carcinoma of the thyroid, Merkel cell tumor, cutaneous neuroendocrine carcinoma, pancreatic islet cell tumors, and pheochromocytoma. Neurosecretory granules are found within the tumor cells. (Segen, Dictionary of Modern Medicine, 1992) | 0 | 3.48 | 1 | 1 |
Acute Hemolytic Transfusion Reaction [description not available] | 0 | 2.11 | 1 | 0 |
Transfusion Reaction Complications of BLOOD TRANSFUSION. Included adverse reactions are common allergic and febrile reactions; hemolytic (delayed and acute) reactions; and other non-hemolytic adverse reactions such as infections and adverse immune reactions related to immunocompatibility. | 0 | 2.11 | 1 | 0 |
Drug-Induced Stevens Johnson Syndrome [description not available] | 0 | 2.49 | 2 | 0 |
Stevens-Johnson Syndrome Rare cutaneous eruption characterized by extensive KERATINOCYTE apoptosis resulting in skin detachment with mucosal involvement. It is often provoked by the use of drugs (e.g., antibiotics and anticonvulsants) or associated with PNEUMONIA, MYCOPLASMA. It is considered a continuum of Toxic Epidermal Necrolysis. | 0 | 2.49 | 2 | 0 |
Agnogenic Myeloid Metaplasia [description not available] | 0 | 2.1 | 1 | 0 |
Primary Myelofibrosis A de novo myeloproliferation arising from an abnormal stem cell. It is characterized by the replacement of bone marrow by fibrous tissue, a process that is mediated by CYTOKINES arising from the abnormal clone. | 0 | 2.1 | 1 | 0 |
Alkalosis, Respiratory A state due to excess loss of carbon dioxide from the body. (Dorland, 27th ed) | 0 | 2.1 | 1 | 0 |
Breathlessness [description not available] | 0 | 2.1 | 1 | 0 |
Autism-Dementia-Ataxia-Loss of Purposeful Hand Use Syndrome [description not available] | 0 | 2.1 | 1 | 0 |
Dyspnea Difficult or labored breathing. | 0 | 2.1 | 1 | 0 |
Rett Syndrome An inherited neurological developmental disorder that is associated with X-LINKED INHERITANCE and may be lethal in utero to hemizygous males. The affected female is normal until the age of 6-25 months when progressive loss of voluntary control of hand movements and communication skills; ATAXIA; SEIZURES; autistic behavior; intermittent HYPERVENTILATION; and HYPERAMMONEMIA appear. (From Menkes, Textbook of Child Neurology, 5th ed, p199) | 0 | 2.1 | 1 | 0 |
Leukemic Infiltration A pathologic change in leukemia in which leukemic cells permeate various organs at any stage of the disease. All types of leukemia show various degrees of infiltration, depending upon the type of leukemia. The degree of infiltration may vary from site to site. The liver and spleen are common sites of infiltration, the greatest appearing in myelocytic leukemia, but infiltration is seen also in the granulocytic and lymphocytic types. The kidney is also a common site and of the gastrointestinal system, the stomach and ileum are commonly involved. In lymphocytic leukemia the skin is often infiltrated. The central nervous system too is a common site. | 0 | 2.52 | 2 | 0 |
Pyrexia [description not available] | 0 | 8.53 | 7 | 6 |
Fever An abnormal elevation of body temperature, usually as a result of a pathologic process. | 0 | 8.53 | 7 | 6 |
Franklin Disease [description not available] | 0 | 2.11 | 1 | 0 |
Cells, Neoplasm Circulating [description not available] | 0 | 2.11 | 1 | 0 |
Genetic Predisposition [description not available] | 0 | 2.11 | 1 | 0 |
Autoimmune Lymphoproliferative Syndrome Rare congenital lymphoid disorder due to mutations in certain Fas-Fas ligand pathway genes. Known causes include mutations in FAS, TNFSF6, NRAS, CASP8, and CASP10 proteins. Clinical features include LYMPHADENOPATHY; SPLENOMEGALY; and AUTOIMMUNITY. | 0 | 2.13 | 1 | 0 |
Carcinoma, Anaplastic [description not available] | 0 | 2.45 | 2 | 0 |
Sarcoma, Epithelioid [description not available] | 0 | 4.13 | 3 | 1 |
Carcinoma A malignant neoplasm made up of epithelial cells tending to infiltrate the surrounding tissues and give rise to metastases. It is a histological type of neoplasm and not a synonym for cancer. | 0 | 2.45 | 2 | 0 |
Sarcoma A connective tissue neoplasm formed by proliferation of mesodermal cells; it is usually highly malignant. | 0 | 9.13 | 3 | 1 |
Dysphagia [description not available] | 0 | 2.11 | 1 | 0 |
Cancer of Esophagus [description not available] | 0 | 2.11 | 1 | 0 |
Deglutition Disorders Difficulty in SWALLOWING which may result from neuromuscular disorder or mechanical obstruction. Dysphagia is classified into two distinct types: oropharyngeal dysphagia due to malfunction of the PHARYNX and UPPER ESOPHAGEAL SPHINCTER; and esophageal dysphagia due to malfunction of the ESOPHAGUS. | 0 | 2.11 | 1 | 0 |
Esophageal Neoplasms Tumors or cancer of the ESOPHAGUS. | 0 | 2.11 | 1 | 0 |
EBV Infections [description not available] | 0 | 2.52 | 2 | 0 |
Epstein-Barr Virus Infections Infection with human herpesvirus 4 (HERPESVIRUS 4, HUMAN); which may facilitate the development of various lymphoproliferative disorders. These include BURKITT LYMPHOMA (African type), INFECTIOUS MONONUCLEOSIS, and oral hairy leukoplakia (LEUKOPLAKIA, HAIRY). | 0 | 2.52 | 2 | 0 |
Carcinoma, Oat Cell [description not available] | 0 | 5.03 | 3 | 3 |
Acquired Metabolic Diseases, Brain [description not available] | 0 | 3.5 | 1 | 1 |
MODS [description not available] | 0 | 3.5 | 1 | 1 |
Experimental Lung Inflammation Inflammation of any part, segment or lobe, of the lung parenchyma. | 0 | 5.35 | 2 | 2 |
Multiple Organ Failure A progressive condition usually characterized by combined failure of several organs such as the lungs, liver, kidney, along with some clotting mechanisms, usually postinjury or postoperative. | 0 | 3.5 | 1 | 1 |
Pneumonia Infection of the lung often accompanied by inflammation. | 0 | 5.35 | 2 | 2 |
Carcinoma, Small Cell An anaplastic, highly malignant, and usually bronchogenic carcinoma composed of small ovoid cells with scanty neoplasm. It is characterized by a dominant, deeply basophilic nucleus, and absent or indistinct nucleoli. (From Stedman, 25th ed; Holland et al., Cancer Medicine, 3d ed, p1286-7) | 0 | 5.03 | 3 | 3 |
Morbid Obesity [description not available] | 0 | 3.04 | 1 | 0 |
Obesity, Morbid The condition of weighing two, three, or more times the ideal weight, so called because it is associated with many serious and life-threatening disorders. In the BODY MASS INDEX, morbid obesity is defined as having a BMI greater than 40.0 kg/m2. | 0 | 3.04 | 1 | 0 |
Weight Gain Increase in BODY WEIGHT over existing weight. | 0 | 3.04 | 1 | 0 |
Sclerosis A pathological process consisting of hardening or fibrosis of an anatomical structure, often a vessel or a nerve. | 0 | 2.11 | 1 | 0 |
Kidney Diseases Pathological processes of the KIDNEY or its component tissues. | 0 | 3.63 | 3 | 0 |
Hemorrhagic Thrombocythemia [description not available] | 0 | 2.13 | 1 | 0 |
Thrombocythemia, Essential A clinical syndrome characterized by repeated spontaneous hemorrhages and a remarkable increase in the number of circulating platelets. | 0 | 2.13 | 1 | 0 |
Adenopathy [description not available] | 0 | 2.11 | 1 | 0 |
Adenocarcinoma, Basal Cell [description not available] | 0 | 3.86 | 2 | 1 |
Cancer of Colon [description not available] | 0 | 2.13 | 1 | 0 |
Glomerulonephritis, Minimal Change [description not available] | 0 | 2.13 | 1 | 0 |
Adenocarcinoma A malignant epithelial tumor with a glandular organization. | 0 | 3.86 | 2 | 1 |
Colonic Neoplasms Tumors or cancer of the COLON. | 0 | 2.13 | 1 | 0 |
Nephrosis, Lipoid A kidney disease with no or minimal histological glomerular changes on light microscopy and with no immune deposits. It is characterized by lipid accumulation in the epithelial cells of KIDNEY TUBULES and in the URINE. Patients usually show NEPHROTIC SYNDROME indicating the presence of PROTEINURIA with accompanying EDEMA. | 0 | 2.13 | 1 | 0 |
Proteinuria The presence of proteins in the urine, an indicator of KIDNEY DISEASES. | 0 | 2.13 | 1 | 0 |
Infectious Diseases [description not available] | 0 | 3.51 | 1 | 1 |
Communicable Diseases An illness caused by an infectious agent or its toxins that occurs through the direct or indirect transmission of the infectious agent or its products from an infected individual or via an animal, vector or the inanimate environment to a susceptible animal or human host. | 0 | 3.51 | 1 | 1 |
Extranodal NK-T-Cell Lymphoma [description not available] | 0 | 2.13 | 1 | 0 |
Fibroma, Shope [description not available] | 0 | 2.13 | 1 | 0 |
Lymphatic Diseases Diseases of LYMPH; LYMPH NODES; or LYMPHATIC VESSELS. | 0 | 3.04 | 1 | 0 |
Bright Disease A historical classification which is no longer used. It described acute glomerulonephritis, acute nephritic syndrome, or acute nephritis. Named for Richard Bright. | 0 | 2.11 | 1 | 0 |
Glomerulonephritis Inflammation of the renal glomeruli (KIDNEY GLOMERULUS) that can be classified by the type of glomerular injuries including antibody deposition, complement activation, cellular proliferation, and glomerulosclerosis. These structural and functional abnormalities usually lead to HEMATURIA; PROTEINURIA; HYPERTENSION; and RENAL INSUFFICIENCY. | 0 | 2.11 | 1 | 0 |
Composite Lymphoma Two or more distinct types of malignant lymphoid tumors occurring within a single organ or tissue at the same time. It may contain different types of non-Hodgkin lymphoma cells or both Hodgkin and non-Hodgkin lymphoma cells. | 0 | 2.13 | 1 | 0 |
Cell Transformation, Neoplastic Cell changes manifested by escape from control mechanisms, increased growth potential, alterations in the cell surface, karyotypic abnormalities, morphological and biochemical deviations from the norm, and other attributes conferring the ability to invade, metastasize, and kill. | 0 | 3.51 | 1 | 1 |
Hakim Syndrome [description not available] | 0 | 2.13 | 1 | 0 |
Hydrocephalus, Normal Pressure A form of compensated hydrocephalus characterized clinically by a slowly progressive gait disorder (see GAIT DISORDERS, NEUROLOGIC), progressive intellectual decline, and URINARY INCONTINENCE. Spinal fluid pressure tends to be in the high normal range. This condition may result from processes which interfere with the absorption of CSF including SUBARACHNOID HEMORRHAGE, chronic MENINGITIS, and other conditions. (From Adams et al., Principles of Neurology, 6th ed, pp631-3) | 0 | 2.13 | 1 | 0 |
Dermatitis Any inflammation of the skin. | 0 | 2.13 | 1 | 0 |
Gammapathy, Monoclonal [description not available] | 0 | 3.92 | 2 | 0 |
Paraproteinemias A group of related diseases characterized by an unbalanced or disproportionate proliferation of immunoglobulin-producing cells, usually from a single clone. These cells frequently secrete a structurally homogeneous immunoglobulin (M-component) and/or an abnormal immunoglobulin. | 0 | 3.92 | 2 | 0 |
Licheniform Eruptions [description not available] | 0 | 2.13 | 1 | 0 |
Arthritides, Bacterial [description not available] | 0 | 2.53 | 2 | 0 |
Eperythrozoonosis [description not available] | 0 | 2.13 | 1 | 0 |
Lymph Node Metastasis [description not available] | 0 | 3.87 | 2 | 1 |
Libman-Sacks Disease [description not available] | 0 | 2.13 | 1 | 0 |
Lupus Erythematosus, Systemic A chronic, relapsing, inflammatory, and often febrile multisystemic disorder of connective tissue, characterized principally by involvement of the skin, joints, kidneys, and serosal membranes. It is of unknown etiology, but is thought to represent a failure of the regulatory mechanisms of the autoimmune system. The disease is marked by a wide range of system dysfunctions, an elevated erythrocyte sedimentation rate, and the formation of LE cells in the blood or bone marrow. | 0 | 2.13 | 1 | 0 |
Autoimmune Disease [description not available] | 0 | 2.13 | 1 | 0 |
Autoimmune Diseases Disorders that are characterized by the production of antibodies that react with host tissues or immune effector cells that are autoreactive to endogenous peptides. | 0 | 2.13 | 1 | 0 |
Pancytopenia Deficiency of all three cell elements of the blood, erythrocytes, leukocytes and platelets. | 0 | 2.49 | 2 | 0 |
Atheroma [description not available] | 0 | 2.13 | 1 | 0 |
Vascular Calcification Deposition of calcium into the blood vessel structures. Excessive calcification of the vessels are associated with ATHEROSCLEROTIC PLAQUES formation particularly after MYOCARDIAL INFARCTION (see MONCKEBERG MEDIAL CALCIFIC SCLEROSIS) and chronic kidney diseases which in turn increase VASCULAR STIFFNESS. | 0 | 2.13 | 1 | 0 |
Arteriosclerosis, Coronary [description not available] | 0 | 2.13 | 1 | 0 |
Coronary Artery Disease Pathological processes of CORONARY ARTERIES that may derive from a congenital abnormality, atherosclerotic, or non-atherosclerotic cause. | 0 | 2.13 | 1 | 0 |
Amyloidosis A group of sporadic, familial and/or inherited, degenerative, and infectious disease processes, linked by the common theme of abnormal protein folding and deposition of AMYLOID. As the amyloid deposits enlarge they displace normal tissue structures, causing disruption of function. Various signs and symptoms depend on the location and size of the deposits. | 0 | 2.15 | 1 | 0 |
Fasciolopsiasis [description not available] | 0 | 2.15 | 1 | 0 |
Granulocytic Leukemia, Chronic [description not available] | 0 | 4.78 | 2 | 1 |
17p11.2 Monosomy [description not available] | 0 | 3.04 | 1 | 0 |
Leukemia, Myelogenous, Chronic, BCR-ABL Positive Clonal hematopoetic disorder caused by an acquired genetic defect in PLURIPOTENT STEM CELLS. It starts in MYELOID CELLS of the bone marrow, invades the blood and then other organs. The condition progresses from a stable, more indolent, chronic phase (LEUKEMIA, MYELOID, CHRONIC PHASE) lasting up to 7 years, to an advanced phase composed of an accelerated phase (LEUKEMIA, MYELOID, ACCELERATED PHASE) and BLAST CRISIS. | 0 | 4.78 | 2 | 1 |
Smith-Magenis Syndrome Complex neurobehavioral disorder characterized by distinctive facial features (FACIES), developmental delay and INTELLECTUAL DISABILITY. Behavioral phenotypes include sleep disturbance, maladaptive, self-injurious and attention-seeking behaviors. The sleep disturbance is linked to an abnormal circadian secretion pattern of MELATONIN. The syndrome is associated with de novo deletion or mutation and HAPLOINSUFFICIENCY of the retinoic acid-induced 1 protein on chromosome 17p11.2. | 0 | 3.04 | 1 | 0 |
Glial Cell Tumors [description not available] | 0 | 3.53 | 1 | 1 |
Glioma Benign and malignant central nervous system neoplasms derived from glial cells (i.e., astrocytes, oligodendrocytes, and ependymocytes). Astrocytes may give rise to astrocytomas (ASTROCYTOMA) or glioblastoma multiforme (see GLIOBLASTOMA). Oligodendrocytes give rise to oligodendrogliomas (OLIGODENDROGLIOMA) and ependymocytes may undergo transformation to become EPENDYMOMA; CHOROID PLEXUS NEOPLASMS; or colloid cysts of the third ventricle. (From Escourolle et al., Manual of Basic Neuropathology, 2nd ed, p21) | 0 | 3.53 | 1 | 1 |
Bilateral Headache [description not available] | 0 | 4.34 | 1 | 1 |
Headache The symptom of PAIN in the cranial region. It may be an isolated benign occurrence or manifestation of a wide variety of HEADACHE DISORDERS. | 0 | 4.34 | 1 | 1 |
Bone Cancer [description not available] | 0 | 3.43 | 1 | 1 |
Cancer of Liver [description not available] | 0 | 4.31 | 4 | 1 |
Neoplasms, Pleural [description not available] | 0 | 3.43 | 1 | 1 |
Bone Neoplasms Tumors or cancer located in bone tissue or specific BONES. | 0 | 3.43 | 1 | 1 |
Liver Neoplasms Tumors or cancer of the LIVER. | 0 | 4.31 | 4 | 1 |
Uterine Prolapse Downward displacement of the UTERUS. It is classified in various degrees: in the first degree the UTERINE CERVIX is within the vaginal orifice; in the second degree the cervix is outside the orifice; in the third degree the entire uterus is outside the orifice. | 0 | 2.04 | 1 | 0 |
Encephalopathy, Toxic [description not available] | 0 | 2.05 | 1 | 0 |
Sarcoma 180 An experimental sarcoma of mice. | 0 | 2.05 | 1 | 0 |
Leucocythaemia [description not available] | 0 | 6.65 | 4 | 1 |
Leukemia A progressive, malignant disease of the blood-forming organs, characterized by distorted proliferation and development of leukocytes and their precursors in the blood and bone marrow. Leukemias were originally termed acute or chronic based on life expectancy but now are classified according to cellular maturity. Acute leukemias consist of predominately immature cells; chronic leukemias are composed of more mature cells. (From The Merck Manual, 2006) | 1 | 8.65 | 4 | 1 |
Cardiovascular Stroke [description not available] | 0 | 2.05 | 1 | 0 |
Myocardial Infarction NECROSIS of the MYOCARDIUM caused by an obstruction of the blood supply to the heart (CORONARY CIRCULATION). | 0 | 2.05 | 1 | 0 |
Left Ventricular Outflow Obstruction [description not available] | 0 | 2.06 | 1 | 0 |
Gastritis Inflammation of the GASTRIC MUCOSA, a lesion observed in a number of unrelated disorders. | 0 | 2.07 | 1 | 0 |
Cancer of Head [description not available] | 0 | 2.44 | 2 | 0 |
Head and Neck Neoplasms Soft tissue tumors or cancer arising from the mucosal surfaces of the LIP; oral cavity; PHARYNX; LARYNX; and cervical esophagus. Other sites included are the NOSE and PARANASAL SINUSES; SALIVARY GLANDS; THYROID GLAND and PARATHYROID GLANDS; and MELANOMA and non-melanoma skin cancers of the head and neck. (from Holland et al., Cancer Medicine, 4th ed, p1651) | 0 | 2.44 | 2 | 0 |
Invasiveness, Neoplasm [description not available] | 0 | 2.48 | 2 | 0 |
B-Cell Prolymphocytic Leukemia [description not available] | 0 | 2.07 | 1 | 0 |
Petechiae Pinhead size (3 mm) skin discolorization due to hemorrhage. | 0 | 2.07 | 1 | 0 |
Purpura Purplish or brownish red discoloration, easily visible through the epidermis, caused by hemorrhage into the tissues. When the size of the discolorization is | 0 | 2.07 | 1 | 0 |
Leukemia, Prolymphocytic, B-Cell A neoplasm of prolymphocytes affecting the blood, bone marrow, and spleen. It is characterized by prolymphocytes exceeding 55% of the lymphoid cells in the blood and profound splenomegaly. | 0 | 2.07 | 1 | 0 |
Ache [description not available] | 0 | 3.87 | 2 | 1 |
Pain An unpleasant sensation induced by noxious stimuli which are detected by NERVE ENDINGS of NOCICEPTIVE NEURONS. | 0 | 3.87 | 2 | 1 |
Cancer of Duodenum [description not available] | 0 | 2.07 | 1 | 0 |
Hepatitis, Viral, Non-A, Non-B, Parenterally-Transmitted [description not available] | 0 | 2.07 | 1 | 0 |
Hepatitis C INFLAMMATION of the LIVER in humans caused by HEPATITIS C VIRUS, a single-stranded RNA virus. Its incubation period is 30-90 days. Hepatitis C is transmitted primarily by contaminated blood parenterally and is often associated with transfusion and intravenous drug abuse. However, in a significant number of cases, the source of hepatitis C infection is unknown. | 0 | 2.07 | 1 | 0 |
Skin Diseases, Vascular Skin diseases affecting or involving the cutaneous blood vessels and generally manifested as inflammation, swelling, erythema, or necrosis in the affected area. | 0 | 2.99 | 1 | 0 |
Leukemia, Lymphocytic, T Cell [description not available] | 0 | 2.99 | 1 | 0 |
Leukemia, T-Cell A malignant disease of the T-LYMPHOCYTES in the bone marrow, thymus, and/or blood. | 0 | 2.99 | 1 | 0 |
Acute Disease Disease having a short and relatively severe course. | 0 | 4.12 | 3 | 1 |
Prolymphocytic Leukemia [description not available] | 0 | 2.07 | 1 | 0 |
Hepatic Failure [description not available] | 0 | 2.07 | 1 | 0 |
Leukemia, Prolymphocytic A chronic leukemia characterized by a large number of circulating prolymphocytes. It can arise spontaneously or as a consequence of transformation of CHRONIC LYMPHOCYTIC LEUKEMIA. | 0 | 2.07 | 1 | 0 |
Liver Failure Severe inability of the LIVER to perform its normal metabolic functions, as evidenced by severe JAUNDICE and abnormal serum levels of AMMONIA; BILIRUBIN; ALKALINE PHOSPHATASE; ASPARTATE AMINOTRANSFERASE; LACTATE DEHYDROGENASES; and albumin/globulin ratio. (Blakiston's Gould Medical Dictionary, 4th ed) | 0 | 2.07 | 1 | 0 |
Carcinoma, Ductal, Breast An invasive (infiltrating) CARCINOMA of the mammary ductal system (MAMMARY GLANDS) in the human BREAST. | 0 | 2.01 | 1 | 0 |
Acute Hypercapnic Respiratory Failure [description not available] | 0 | 2.01 | 1 | 0 |
Respiratory Insufficiency Failure to adequately provide oxygen to cells of the body and to remove excess carbon dioxide from them. (Stedman, 25th ed) | 0 | 2.01 | 1 | 0 |
Uveal Neoplasms Tumors or cancer of the UVEA. | 0 | 3.4 | 1 | 1 |
Leukemia, Pre-B-Cell [description not available] | 0 | 3.4 | 1 | 1 |
Precursor B-Cell Lymphoblastic Leukemia-Lymphoma A leukemia/lymphoma found predominately in children and adolescents and characterized by a high number of lymphoblasts and solid tumor lesions. Frequent sites involve LYMPH NODES, skin, and bones. It most commonly presents as leukemia. | 0 | 3.4 | 1 | 1 |
Cholangiocellular Carcinoma [description not available] | 0 | 2.43 | 2 | 0 |
Cholangiocarcinoma A malignant tumor arising from the epithelium of the BILE DUCTS. | 0 | 2.43 | 2 | 0 |
Bile Duct Cancer [description not available] | 0 | 3.82 | 2 | 1 |
Bile Duct Neoplasms Tumors or cancer of the BILE DUCTS. | 0 | 3.82 | 2 | 1 |
Neoplasms, Otorhinolaryngologic [description not available] | 0 | 3.42 | 1 | 1 |
Carcinoma, Epidermoid [description not available] | 0 | 3.81 | 2 | 1 |
Carcinoma, Squamous Cell A carcinoma derived from stratified SQUAMOUS EPITHELIAL CELLS. It may also occur in sites where glandular or columnar epithelium is normally present. (From Stedman, 25th ed) | 0 | 3.81 | 2 | 1 |
Granulocytic Leukemia [description not available] | 0 | 2.44 | 2 | 0 |
Leukemia, Myeloid Form of leukemia characterized by an uncontrolled proliferation of the myeloid lineage and their precursors (MYELOID PROGENITOR CELLS) in the bone marrow and other sites. | 0 | 2.44 | 2 | 0 |
Hepatocellular Carcinoma [description not available] | 0 | 2.04 | 1 | 0 |
Carcinoma, Hepatocellular A primary malignant neoplasm of epithelial liver cells. It ranges from a well-differentiated tumor with EPITHELIAL CELLS indistinguishable from normal HEPATOCYTES to a poorly differentiated neoplasm. The cells may be uniform or markedly pleomorphic, or form GIANT CELLS. Several classification schemes have been suggested. | 0 | 2.04 | 1 | 0 |
DDD MPGNII [description not available] | 0 | 2.04 | 1 | 0 |
Glomerulonephritis, Membranoproliferative Chronic glomerulonephritis characterized histologically by proliferation of MESANGIAL CELLS, increase in the MESANGIAL EXTRACELLULAR MATRIX, and a thickening of the glomerular capillary walls. This may appear as a primary disorder or secondary to other diseases including infections and autoimmune disease SYSTEMIC LUPUS ERYTHEMATOSUS. Various subtypes are classified by their abnormal ultrastructures and immune deposits. Hypocomplementemia is a characteristic feature of all types of MPGN. | 0 | 2.04 | 1 | 0 |
Leukemia L 1210 [description not available] | 0 | 3.35 | 1 | 1 |
Leukemia P388 An experimental lymphocytic leukemia originally induced in DBA/2 mice by painting with methylcholanthrene. | 0 | 3.76 | 2 | 1 |
Experimental Leukemia [description not available] | 0 | 3.35 | 1 | 1 |
EHS Tumor [description not available] | 0 | 3.35 | 1 | 1 |
Germinoma A malignant neoplasm of the germinal tissue of the GONADS; MEDIASTINUM; or pineal region. Germinomas are uniform in appearance, consisting of large, round cells with vesicular nuclei and clear or finely granular eosinophilic-staining cytoplasm. (Stedman, 265th ed; from DeVita Jr et al., Cancer: Principles & Practice of Oncology, 3d ed, pp1642-3) | 0 | 3.39 | 1 | 1 |