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Clinical Trial Details — Status: Terminated

Administrative data

NCT number NCT01287741
Other study ID # BO21005
Secondary ID 2010-024194-39
Status Terminated
Phase Phase 3
First received
Last updated
Start date July 26, 2011
Est. completion date January 31, 2018

Study information

Verified date April 2019
Source Hoffmann-La Roche
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This open-label, randomized, parallel group study will evaluate the efficacy and safety of obinutuzumab in combination with cyclophosphamide, doxorubicin, vincristine, and prednisolone or prednisone (CHOP) chemotherapy versus rituximab (MabThera/Rituxan) with CHOP in previously untreated participants with cluster of differentiation 20 (CD20)-positive diffuse large B-cell lymphoma (DLBCL). Participants will be randomized to receive either obinutuzumab 1000 milligrams (mg) intravenously (IV) every 21 days or rituximab 375 milligrams per square meter (mg/m^2) IV every 21 days for 8 cycles, in addition to 6-8 cycles of CHOP chemotherapy IV every 21 days. Participants randomized to the obinutuzumab arm will receive an additional two doses on Days 8 and 15 of Cycle 1. Anticipated time on study treatment is 24 weeks.


Recruitment information / eligibility

Status Terminated
Enrollment 1418
Est. completion date January 31, 2018
Est. primary completion date April 29, 2016
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria:

- Previously untreated CD20-positive DLBCL

- At least 1 bi-dimensionally measurable lesion (greater than [>]1.5 centimeters [cm] in its largest dimension on the computed tomography [CT] scan)

- Eastern Cooperative Oncology Group (ECOG) performance status 0, 1 or 2

- Adequate hematological function

- Low-intermediate, high-intermediate or high-risk International Prognostic Index (IPI) score (low-risk IPI score: IPI 1 irrespective of bulky disease or IPI 0 with bulky disease, defined as one lesion greater than equal to (>/=) 7.5 cm)

- Left ventricular ejection fraction (LVEF) >/=50 percent (%) on cardiac multiple-gated acquisition (MUGA) scan or cardiac echocardiogram

Exclusion Criteria:

- History of severe allergic or anaphylactic reactions to humanized or murine monoclonal antibodies or known sensitivity or allergy to murine products or to any component of CHOP or obinutuzumab

- Contraindication to any of the individual components of CHOP, including prior receipt of anthracyclines

- Participants with transformed lymphoma and participants with follicular lymphoma IIIB

- Prior therapy for DLBCL, with the exception of nodal biopsy or local irradiation

- Prior treatment with cytotoxic drugs or rituximab for another condition (for example, rheumatoid arthritis) or prior use of an anti-CD20 antibody

- Prior use of any monoclonal antibody within 3 months of the start of Cycle 1

- Corticosteroid use of >30 milligrams per day (mg/day) of prednisone or equivalent, for purposes other than lymphoma symptom control

- Primary central nervous system (CNS) lymphoma and secondary CNS involvement by lymphoma, mantle-cell lymphoma (MCL), or histologic evidence of transformation to a Burkitt lymphoma, primary mediastinal DLBCL, primary effusion lymphoma, plasmablastic lymphoma, and primary cutaneous DLBCL

Study Design


Intervention

Drug:
Rituximab
Rituximab at a dose of 375 mg/m^2, administered by intravenous (IV) infusion on Day 1 of each 21-day cycle for 8 cycles.
Obinutuzumab
Obinutuzumab 1000 mg IV infusion, administered on Day 1 of each 21-day cycle for 8 cycles. During Cycle 1, obinutuzumab was also infused on Days 8 and 15.
Cyclophosphamide
Cyclophosphamide 750 milligrams per square metre (mg/m^2), administered intravenously (IV) on Day 1 of each 21-day cycle.
Doxorubicin
Doxorubicin 50 mg/m^2 IV, administered on Day 1 of each 21-day cycle.
Vincristine
Vincristine 1.4 mg/m^2 (maximum 2 mg) IV, administered on Day 1 of each 21-day cycle.
Prednisone
Prednisone 100 mg (or equivalent prednisolone or methylprednisolone), administered orally on Days 1-5 of each 21-day cycle.

Locations

Country Name City State
Argentina Instituto Damic Cordoba
Argentina Sanatorio Britanico: Hematologia Rosario
Argentina Sanatorio Parque de Rosario Rosario
Australia Cairns Base Hospital; Cancer Care Centre Cairns Queensland
Australia Frankston Hospital; Oncology/Haematology Frankston Victoria
Australia Monash Medical Centre; Haematology Melbourne Victoria
Australia Fiona Stanley Hospital Murdoch Western Australia
Austria Tiroler Landeskrankenanstalten Ges.M.B.H.; Innere Medizin Abt. Für Hämatologie & Onkologie Innsbruck
Austria Lkh Salzburg - Univ. Klinikum Salzburg; Iii. Medizinische Abt. Salzburg
Austria Medizinische Universität Wien; Univ.Klinik für Innere Medizin I - Hämatologie & Hämostaseologie Wien
Brazil Centro de Pesquisas Oncologicas - CEPON Florianopolis SC
Brazil Hospital Mae de Deus Porto Alegre RS
Brazil Hospital Sao Lucas - PUCRS Porto Alegre RS
Brazil Hospital Santa Marcelina;Oncologia Sao Paulo SP
Brazil Instituto de Ensino e Pesquisa Sao Lucas - IEP Sao Paulo SP
Canada Tom Baker Cancer Centre; Dept of Medicine Calgary Alberta
Canada Cross Cancer Institute Edmonton Alberta
Canada Queen Elizabeth II Health Sciences Centre; Oncology Halifax Nova Scotia
Canada Chum Hopital Notre Dame; Centre D'Oncologie Montreal Quebec
Canada Hopital Maisonneuve- Rosemont; Oncology Montreal Quebec
Canada Mcgill University - Royal Victoria Hospital; Oncology Montreal Quebec
Canada McGill University; Sir Mortimer B Davis Jewish General Hospital; Oncology Montreal Quebec
Canada Ottawa General Hospital Ottawa Ontario
Canada Hopital de L'Enfant-Jesus; Hematology Quebec City Quebec
Canada Centre de sante et de services sociaux Rimouski Neigette Rimouski Quebec
Canada Saskatoon Cancer Centre; Uni of Saskatoon Campus Saskatoon Saskatchewan
Canada Humber River Hospital Toronto Ontario
Canada North York General Hospital Toronto Ontario
Canada University Health Network; Princess Margaret Hospital; Medical Oncology Dept Toronto Ontario
Canada BCCA-Vancouver Cancer Centre Vancouver British Columbia
China Beijing Cancer Hospital Beijing
China Beijing Hospital of Ministry of Health; Hematology Beijing
China Cancer Hospital Chinese Academy of Medical Sciences. Beijing
China General Hospital of Chinese PLA; Department of Hematology Beijing
China Peking University First Hospital Beijing
China The Affiliated Hospital of Military Medical Sciences(The 307th Hospital of Chinese PLA) Beijing
China the First Hospital of Jilin University Changchun
China Hu Nan Provincial Cancer Hospital Changsha
China Fujian Medical University Union Hospital Fujian
China Fujian Cancer Hospital Fuzhou
China Guangdong General Hospital Guangzhou
China Sun Yet-sen University Cancer Center Guangzhou
China The First Affiliated Hospital of College of Medicine, Zhejiang University Hangzhou
China Harbin Medical University Cancer Hospital Harbin
China The Second Affiliated Hospital to Nanchang University Nanchang
China Jiangsu Cancer Hospital Nanjing
China Jiangsu Province Hospital Nanjing
China The First Affiliate Hospital of Guangxi Medical University Nanning
China Changhai Hospital of Shanghai Shanghai
China Fudan University Shanghai Cancer Center Shanghai
China Ruijin Hospital, Shanghai Jiao Tong University School of Medicine Shanghai
China First Hospital of China Medical University Shenyang
China First Affiliated Hospital of Soochow University Suzhou
China The Second Affiliated Hospital of Soochow University Suzhou
China Tianjin Cancer Hospital Tianjin
China Union Hospital of Tongji Medical College, Dept. of Cancer Center; Cancer Center Wuhan
China Xiehe Hospital, Tongji Medical College Huazhong University of Science & Technology Wuhan
China The Second Affiliated Hospital of The Fourth Military Medical University (Tangdu Hospital) Xi'an
Colombia Fundacion Cardioinfantil Bogota
Colombia Organizacion Sanitas Internacional Bogota
Colombia FOSCAL Floridablanca
Czechia Fakultni nemocnice Brno; Interni hematologicka a onkologicka klinika Brno
Czechia Fn Hr. Kralove; IV. Interni Hematologicka Klinika Hradec Kralove
Czechia Vseobecna Fakultni Nemocnice v Praze, I. Interni Klinika - Klinika Hematoonkologie VFN a 1. LF UK Praha 2
Denmark Aarhus Universitetshospital, Hæmatologisk Afdeling R Århus
Denmark Rigshospitalet; Hæmatologisk Klinik København Ø
Denmark Sygehus Syd Roskilde; Onkologisk/haematologisk ambulatorium Roskilde
Germany Uniklinik RWTH Aachen; Klinik IV; Klinik Hämatologie, Onkologie, Hämostaseologie und Stammz Aachen
Germany Onkologische Schwerpunktpraxis Kurfürstendamm Berlin
Germany Universitätsklinikum "Carl Gustav Carus"; Medizinische Klinik und Poliklinik I Dresden
Germany Friedrich-Alexander-Universität Erlangen-Nürnberg; Medizinische Klinik V Erlangen
Germany Klinik der Justus-Liebig-Universität; Innere Medizin Gießen
Germany Uniklinik Heidelberg, Medizinische Klinik & Poliklinik V Heidelberg
Germany Universitätsklinikum Würzburg; Medizinische Klinik und Poliklinik II; Hämatologie / Onkologie Würzburg
Hong Kong Pamela Youde Nethersole Eastern Hospital; Department of Medicine Hong Kong
Hong Kong Queen Mary Hospital; Dept of Medicine Hong Kong
Hungary National Institute of Oncology, A Dept of Internal Medicine Budapest
Hungary Semmelweis University, First Dept of Medicine Budapest
Hungary University of Debrecen Medical and Health Science Center, Institute of Internal medicine Building B Debrecen
Hungary Petz Aladar Megyei Korhaz; Hematologia Gyor
Hungary Kaposi Mor Teaching Hospital, Dept of Internal Medicine/Hematology Kaposvar
Hungary University of Pecs, I st Dept of Internal Medicine Pecs
Hungary University of Szeged, II Dept of Internal Medicine Szeged
Italy Ospedale Civile SS. Antonio E Biagio DI Alessandria; Ematologia Alessandria Piemonte
Italy Uni Degli Studi Di Bari, Policlinico; Cattedra Di Ematologia,Dipart. Di Medicina Interna E Publica Bari Puglia
Italy A.O. Universitaria Policlinico S.Orsola-Malpighi Di Bologna Bologna Emilia-Romagna
Italy A.O. Spedali Civili Di Brescia-P.O. Spedali Civili;U.O. Ematologia Brescia Lombardia
Italy Azienda Ospedaliero Univ Catania Sicilia
Italy Azienda Ospedaliera Univ Firenze Toscana
Italy A.O. Universitaria S. Martino Di Genova; Ematologia 1 Genova Liguria
Italy Ospedali Riuniti del Canavese Ivrea Piemonte
Italy Az. Osp. Papardo; Struttura Complessa Di Ematologia Messina Sicilia
Italy Hospital San Raffaele Milano Lombardia
Italy Irccs Istituto Europeo Di Oncologia (IEO); Emato-Oncologia Milano Lombardia
Italy Ist. Nazionale Per Lo Studio E Cura Dei Tumori; Div. Ematologia Trapianto Midollo Osseo Allogenico Milano Lombardia
Italy Istituto Nazionale Tumori Irccs Fondazione g. Pascale;s.c. Ematologia Oncologica Napoli Campania
Italy Nuovo Policlinico, Ii Facolta; Divisione Di Ematologia Napoli Campania
Italy Univ. Piemonte Est Amedeo Avogadro; Div.Ematologia- Dip.Clinica Med.Sperim.& Ircad Novara Piemonte
Italy Az. Osp. S. Luigi Gonzaga; S.C.D.U. Medicina Interna Ii Orbassano Piemonte
Italy Ospedale "A.Tortora" - Ematologia; Dipartimento Di Ematologia Pagani (Sa) Campania
Italy Irccs Policlinico San Matteo; Divisione Di Ematologia Pavia Lombardia
Italy Ospedale Santa Chiara; Unita Operativa Di Ematologia Pisa Toscana
Italy Ospedale Riuniti; Divisione Di Ematologia Reggio Calabria Calabria
Italy AUSL - IRCCS Santa Maria Nuova; U.O. Day Hospital di Oncologia Reggio Emilia Emilia-Romagna
Italy Universita' Degli Studi La Sapienza-Ist.Di Ematologia; Dip Biot Cel e Ematol Roma Lazio
Italy IRCCS Ospedale Casa Sollievo Della Sofferenza; Ematologia E Trapianto Di Midollo Osseo San Giovanni Rotondo Puglia
Italy Az. Osp. S. Maria; Dept. Di Oncologia Medica Terni Umbria
Italy A.O. Universitaria S. Giovanni Battista-Molinette Di Torino; Ematologia 1 Torino Piemonte
Italy A.O.U. Citta' Della Salute E Della Scienza-P.O. Molinette;S.C. Ematologia Torino Piemonte
Italy Ospedale Ca Foncello; Ematologia Treviso Veneto
Italy Az. Osp. C. Panico; Rep. Ematologia E Trapianto Tricase - LE Puglia
Italy A.O. Universitaria S. Maria Della Misericordia Di Udine; Oncologia; Clinica Ematologica Udine Friuli-Venezia Giulia
Italy Uni Di Verona Policlinico G.B. Rossi; Divisione E Cattedra Di Ematologia Verona Veneto
Italy Ospedale Di Vicenza; Nefrologia, Ematologia Vicenza Veneto
Japan Nagoya Daini Red Cross Hospital; Hematology & Oncology Aichi
Japan Chiba University Hospital; Hematology Chiba
Japan Kurume University Hospital; Hematology and Oncology Fukuoka
Japan Kyushu University Hospital; Hematology, Oncology & Cardiovascular medicine Fukuoka
Japan Gifu University Hospital; First Department of Internal Medicine Gifu
Japan Hokkaido University Hospital; Hematology Hokkaido
Japan Kobe City Medical Center General Hospital; Hematology Hyogo
Japan Iwate Medical University Hospital;Hematology and Oncology Iwate
Japan Yokohama City University Hospital; Hematology, Rheumatology, Infectious Disease Kanagawa
Japan Kyoto University Hospital; Department of Hematology/Oncology Kyoto
Japan Niigata Cancer Center Hospital; Internal Medicine Niigata
Japan Kurashiki Central Hospital; Hematology Okayama
Japan Kindai University Hospital; Hematology and Rheumatology Osaka
Japan Osaka City University Hospital; Hematology Osaka
Japan Osaka University Hospital; Hematology and Oncology Osaka
Japan Shimane University Hospital;Hematology Shimane
Japan Jichi Medical University Hospital; Hematology Tochigi
Japan National Cancer Center Hospital; Hematology Tokyo
Japan Nippon Medical School Hospital; Hematology Tokyo
Japan The Cancer Institute Hospital of JFCR; Hematology Oncology Tokyo
Japan Toranomon Hospital; Hematology Tokyo
Korea, Republic of National Cancer Center Gyeonggi-do
Korea, Republic of Chonnam National University Hwasun Hospital Jeollanam-do
Korea, Republic of Asan Medical Center - Oncology Seoul
Korea, Republic of Samsung Medical Center Seoul
Korea, Republic of Seoul National University Hospital Seoul
Korea, Republic of St. Mary'S Hospital, the Catholic University School of Medicine; Internal Medicine Seoul
Korea, Republic of Yonsei University Severance Hospital; Medical Oncology Seoul
Mexico Centro Estatal De Cancerologia De Chihuahua; Servicio De Hematologia Banco De Sangre Chihuahua
Mexico Hospital Universitario Dr. Jose E. Gonzalez; Haematology Monterrey
Mexico Oaxaca Site Management Organization Oaxaca
Mexico Centro de Estudios Clinicos de Queretaro, SC Queretaro
Panama Centro Hemato Oncologico Panama Panama
Peru Clinica de Especialidades Medicas Lima
Peru Instituto Nacional de Enfermedades Neoplasicas Lima
Peru Instituto;Oncologico Miraflores Lima
Poland Szpital Specjalistyczny Podkarpacki Osrodek Onkologiczny Brzozów
Poland Uniwersyteckie Centrum Kliniczne; Klinika Hematologii i Transplantologii Gdansk
Poland Medical University of Lodz; Hematology Lodz
Poland Katedra i Klinika Hematoonkologii i Transplantacji Szpiku; Uniwersytetu Medycznego w Lublinie Lublin
Poland Centrum Onkologii Instytut im. M. Sklodowskiej-Curie, Klinika Nowotworow Ukladu Chlonnego Warszawa
Poland Medical Uni of Wroclaw; Hematology Wroclaw
Russian Federation Clinical Oncology Dispensary of Ministry of Health of Tatarstan Kazan
Russian Federation Blokhin Cancer Research Center; Clinical Oncology Moscow
Russian Federation Regional Clinical Hospital N.A. Semashko; Hematology Nizhny Novgorod
Russian Federation Penza Regional Oncology Dispensary Penza
Russian Federation Republican Clinical Hospital n.a. Baranov; Haematology Petrozavodsk
Russian Federation Research Inst. of Hematology & Blood Transfusion ; Hematology St Petersburg
Serbia Institute of Hematology Belgrade
Serbia Clinical Center Vojvodine; Clinic for Hematology Novi Sad
Slovakia National Oncology Inst. ; Dept. of Haematology Bratislava
South Africa Constantiaberg Medical Clinic; Dept. of Haematology & Bone Marrow Translant Cape Town
South Africa Mary Potter Oncology Centre Groenkloof
South Africa Medical Oncology Centre of Rosebank; Oncology Johannesburg
South Africa Wits Donald Gordon Clinical Trial Centre; Medical Oncology Parktown, Johannesburg
South Africa Drs Thomson, Brittain an Partners Inc Pretoria
Spain Hospital Clínic i Provincial; Servicio de Hematología y Oncología Barcelona
Spain Hospital del Mar; Servicio de Hematologia Barcelona
Spain Hospital Duran i Reynals; Servicio de Hematologia Barcelona
Spain Hospital Universitari Vall d'Hebron; Servicio de Hematologia Barcelona
Spain Hospital Ramon y Cajal; Servicio de Hematologia Madrid
Spain Hospital de Navarra, Servicio de Hematología Pamplona Navarra
Spain Complejo Hospitalario de Pontevedra; Servicio de Oncologia Pontevedra
Spain Hospital Universitari Sant Joan de Reus; Servicio de Oncologia Reus Tarragona
Spain Hospital Universitario Virgen Macarena; Servicio de Oncologia Sevilla
Spain Complejo Hospitalario de Toledo- H. Virgen de la Salud; Servicio de Oncologia Toledo
Switzerland Kantonsspital Aarau; Zentrum Für Onkologie, Hämatologie & Transfusionsmedizin Aarau
Switzerland Ospedale San Giovanni; Oncologia Bellinzona
Switzerland Kantonsspital Graubünden;Onkologie und Hämatologie Chur
Switzerland UniversitätsSpital Zürich; Zentrum für Hämatologie und Onkologie, Klinik für Onkologie Zürich
Taiwan Koo Foundation Sun Yat-Sen Cancer Center; Hemato-Oncology Taipei
Taiwan National Taiwan Universtiy Hospital; Division of Hematology Taipei
Taiwan Veterans General Hospital; Division of Oncology Taipei
Taiwan Chang Gung Medical Foundation - Linkou; Division of Hematology- Oncology Taoyuan
Thailand King Chulalongkorn Memorial Hospital; Division of Hematology, Department of Medicine Bangkok
Thailand National Cancer Inst. Bangkok
Thailand Rajavithi Hospital; Medicine Bangkok
Thailand Ramathibodi Hospital; Division of Hematology, Department of Medicine Bangkok
Thailand Siriraj Hospital; Division of Hematology, Department of Medicine Bangkok
Thailand Srinagarind Hospital, Khon Kaen Uni ; Dept of Medicine Khon Kaen
United Kingdom Aberdeen Royal Infirmary; Haematology - Ward 16 Aberdeen
United Kingdom Birmingham Heartlands Hospital; Department of Haematology Birmingham
United Kingdom Addenbrookes Hospital; Haematology Cambridge
United Kingdom The HOPE Clinical Trials Unit Leicester
United Kingdom New Cross Hospital; Dept. Of Haematology Wolverhampton
United States New York Oncology Hematology, P.C. Albany New York
United States Texas Oncology, Pa - Amarillo Amarillo Texas
United States Rocky Mountain Cancer Center - Aurora Aurora Colorado
United States University of Alabama at Birmingham Birmingham Alabama
United States Ironwood Cancer TX & Rsch Ctrs Chandler Arizona
United States Medical University of SC (MUSC) Charleston South Carolina
United States Mecklenburg Medical Group Charlotte Charlotte North Carolina
United States Chattanooga Oncology and Hematology Associates, PC Chattanooga Tennessee
United States South Carolina Oncology Associates - SCRI Columbia South Carolina
United States California Cancer Associates for Research & Excellence, Inc. Encinitas California
United States cCare Encinitas California
United States Florida Cancer Specialists; Department of Oncology Fort Myers Florida
United States Texas Oncology-Fort Worth 12th Ave Fort Worth Texas
United States Illinois Cancer Care, P.C. - Galesburg Galesburg Illinois
United States MD Anderson Cancer Center Department of Lymphoma & Myeloma Houston Texas
United States Joliet Oncology-Hematology; Associates, Ltd. Joliet Illinois
United States UCLA - School of Medicine; Division of Hematology/Oncology Los Angeles California
United States Central Georgia Cancer Care PC Macon Georgia
United States Signal Point Clinical; Research Center, LLC Middletown Ohio
United States Tennessee Onc., PLLC - SCRI Nashville Tennessee
United States Cancer Care Centers of South Texas-HOAST - San Antonio New Braunfels Texas
United States Cancer Care & Hematology; Specialists of Chicagoland Niles Illinois
United States Mercy Oncology / Hematology Center; Oncology Portland Maine
United States Virginia Cancer Institute Richmond Virginia
United States Blue Ridge Cancer Care Roanoke Virginia
United States Park Nicollet Clin-Cancer Ctr Saint Louis Park Minnesota
United States Florida Cancer Specialists; Saint Petersburg Saint Petersburg Florida
United States Cleveland CL N Coast Cancer Cr Sandusky Ohio
United States Willamette Valley Cancer Insitute and Research Center Springfield Oregon
United States Northwest Medical Specialties Tacoma Washington
United States Arizona Oncology Tucson Arizona
United States Carle Cancer Center Urbana Illinois
United States Wenatchee Valley Hospital & Clinics Wenatchee Washington
United States Virginia Cancer Specialists - Winchester Winchester Virginia
United States Forsyth Regional Cancer Center; Piedmont Hematology/Oncology Associates Winston-Salem North Carolina
United States Minnesota Oncology Hematology Woodbury Woodbury Minnesota

Sponsors (2)

Lead Sponsor Collaborator
Hoffmann-La Roche Fondazione Italiana Linfomi ONLUS

Countries where clinical trial is conducted

United States,  Argentina,  Australia,  Austria,  Brazil,  Canada,  China,  Colombia,  Czechia,  Denmark,  Germany,  Hong Kong,  Hungary,  Italy,  Japan,  Korea, Republic of,  Mexico,  Panama,  Peru,  Poland,  Russian Federation,  Serbia,  Slovakia,  South Africa,  Spain,  Switzerland,  Taiwan,  Thailand,  United Kingdom, 

Outcome

Type Measure Description Time frame Safety issue
Primary Median Time to Progression-Free Survival (PFS), Investigator-Assessed Kaplan Meier estimate of the median PFS was defined as the time at which half of the participants have progressed (progressive disease [PD]). Progression-free survival was defined as the time from randomization until the first documented day of disease progression or relapse, using a modified version of the Revised Response Criteria for Malignant Lymphoma, or death from any cause, whichever occurred first, on the basis of investigator assessments. 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 Baseline up to approximately 6.5 years (up to 31 January 2018)
Secondary Median Time to Progression-Free Survival (PFS), Independent Review Committee (IRC)-Assessed Kaplan Meier estimate of median PFS was defined as time at which half of participants have progressed (progressive disease [PD]). Progression-free survival was defined as time from randomization until first documented day of disease progression or relapse, using a modified version of Revised Response Criteria for Malignant Lymphoma, or death from any cause, whichever occurred first, on basis of IRC assessments. Progression was defined as at least 50% increase in nodal lesions or >/=50% increase in any node > 1 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 diameter Baseline up to approximately 4 years and 9 months (up to 29 April 2016)
Secondary Median Time to Overall Survival (OS) 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. 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. Baseline up to approximately 6.5 years (up to 31 January 2018)
Secondary Overall Response Rate (ORR), Investigator-Assessed Overall response was determined on the basis of investigator assessments according to the International Working Group (IWG) Revised Response Criteria for Malignant Lymphoma, 2007. Tumor assessments were performed with CT/MRI with or without PET. Overall response was defined as the disappearance of all evidence of disease, regression of measurable disease, and no new sites. Baseline up to approximately 6.5 years (up to 31 January 2018)
Secondary Overall Response Rate (ORR), IRC-Assessed Overall response was determined on the basis of IRC assessments according to the International Working Group (IWG) Revised Response Criteria for Malignant Lymphoma, 2007. Tumor assessments were performed with CT/MRI with or without PET. Overall response was defined as the disappearance of all evidence of disease, regression of measurable disease, and no new sites. This outcome measure used data from primary analysis which included all 1418 participants. Baseline up to approximately 4 years and 9 months (up to 29 April 2016)
Secondary Complete Response (CR) at the End of Treatment, Investigator-Assessed Percentage of participants with complete response was determined on the basis of investigator assessments according to the International Working Group (IWG) Revised Response Criteria for Malignant Lymphoma, 2007. Tumor assessments were performed with CT/MRI with or without PET. Complete response was defined as the disappearance of all evidence of disease. Baseline up to approximately 6.5 years (up to 31 January 2018)
Secondary Complete Response (CR) at the End of Treatment, IRC-Assessed Percentage of participants with complete response was determined on the basis of IRC assessments according to the International Working Group (IWG) Revised Response Criteria for Malignant Lymphoma, 2007. Tumor assessments were performed with CT/MRI with or without PET. Complete response was defined as the disappearance of all evidence of disease. This outcome measure used data from primary analysis which included all 1418 participants. Baseline up to approximately 4 years and 9 months (up to 29 April 2016)
Secondary Median Time to Event-Free Survival (EFS), Investigator-Assessed Kaplan Meier estimate of median EFS is the time at which half of the participants have progressed. Event-free survival was defined as the time from the date of randomization until the date of disease progression, relapse, initiation of a new non-protocol-specified anti-lymphoma treatment, or death from any cause on the basis of investigator 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 Baseline up to death or disease progression, or initiation of new anti-lymphoma treatment (NALT), whichever occurred first, approximately 6.5 years (up to 31 January 2018)
Secondary Median Time to Disease-Free Survival (DFS), Investigator-Assessed Kaplan Meier estimate of median DFS was defined as time at which half of participants have disease progression/relapse or death from any cause. Disease-free survival was defined as time from date of the first occurrence of a documented CR to date of disease progression/relapse or death from any cause on basis of investigator assessments with 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 Baseline up to death or disease progression, whichever occurred first, approximately 6.5 years (up to 31 January 2018)
Secondary Duration of Response (DOR), Investigator-Assessed DOR: time from first occurrence of documented CR or PR to disease progression/relapse, or death from any cause for participants with a response of CR or PR. Tumor assessments were performed with CT/MRI. CR: disappearance of all target lesions. PR: >/=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 nodule regression >/= 50%. Progression/relapse: at least 50% increase in nodal lesions or >/=50% increase in any node > 1 cm or >/= 50% increase in other target lesions (e.g., splenic or hepatic nodules) and/or any new bone marrow involvement and/or any new lesion > 1.5 cm or >/= 50% increase in any previously involved node with a diameter Baseline up to death or disease progression, whichever occurred first, approximately 6.5 years (up to 31 January 2018)
Secondary Time to Next Anti-Lymphoma Treatment (TTNALT) 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. Baseline up to start of next anti-lymphoma treatment or death due to any cause, whichever occurred first, approximately 6.5 years (31 January 2018)
Secondary Percentage of Participants With Adverse Events (AEs) 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. Baseline up to approximately 6.5 years (up to 31 January 2018)
Secondary Percentage of Participants With Human Anti-Human Antibodies (HAHAs) to Obinutuzumab The presence of HAHAs to obinutuzumab was assessed in the first 100 randomized participants. Pre-dose (Hour 0) on Cycle (C) 4 Day (D) 1, at end of treatment/early termination (up to Month 6), every 6 months thereafter for 30 months (cycle length = 21 days)
Secondary Change From Baseline in Functional Assessment of Cancer Therapy-Lymphoma (FACT-Lym) Subscale Score The FACT-Lym subscale was developed to assess health-related quality of life in participants with non-Hodgkin lymphoma. The score range is 0-60, with higher scores indicating better outcomes. A positive change from baseline indicates an improvement. Baseline (pre-dose [Hour 0] on C1D1), C3D1, end of treatment (up to Month 6), every 12 months thereafter up to approximately 6.5 years, (cycle length = 21 days)
Secondary Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Core 30 (EORTC QLQ-C30) Domain Scores The EORTC QLQ-C30 is a health-related quality of life questionnaire. A higher score indicates better quality of life, with changes of 5 to 10 points considered to be a minimally important difference to participants. Baseline (pre-dose [Hour 0] on C1D1), C3D1, end of treatment (up to Month 6), every 12 months thereafter up to data cut-off, up to approximately 6.5 years, (cycle length = 21 days)
Secondary Serum Concentrations of Obinutuzumab in Japanese Participants With Diffuse Large B-Cell Lymphoma (DLBCL) Serum samples for assessment of obinutuzumab serum concentrations were collected only from a subset of Japanese participants following administration of 1000 mg obinutuzumab. C1: D1 post-infusion and 20-28 and 66-80 hours after end of infusion, D8 and D15 pre-and post-infusion; C2: D1 pre- and post-infusion; C4: D1 pre- and post-infusion; C6: D1 pre- and post-infusion; C8: D1 pre- and post-infusion (cycle length = 21 days)
See also
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