Adult patients aged 18-80 years with previously untreated CD20-positive diffuse large B-cell lymphoma (DLBCL) MedDRA version: 14.1 Level: PT Classification code 10012818 Term: Diffuse large B-cell lymphoma System Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: ? Age ? 18 and ? 80 years at time of study inclusion ? Histologically confirmed, previously untreated CD20-positive DLBCL according to the WHO classification system ? Patients with an IPI score of 1-5 or IPI score of 0 with bulky disease, defined as one lesion ? 7.5 cm ? At least one bi-dimensionally measurable lesion defined as ? 1.5 cm in its largest dimension on CT scan ? Adequate hematologic function ? Eastern Cooperative Oncology Group (ECOG) performance status ? 2. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 360 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 240
Exclusion criteria
Exclusion criteria: ? Histological evidence of transformation of NHL, or types of NHL other than follicular lymphoma ? Presence or history of CNS disease ? History of malignancy other than follicular NHL which could affect compliance with protocol or interpretation of results ? Recent major surgery (within 4 weeks prior to screening, excluding lymph node biopsy).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To estimate the efficacy in each treatment arm, as measured by complete response (CR) rate 4?8 weeks after the end of treatment.;Primary end point(s): The primary endpoint of CR/CRu (measured from the day of first rituximab induction dose) will be based on the Investigator?s assessment, completed according to the International Working Group response criteria (Cheson et al. 1999) at the end of induction treatment.;Secondary Objective: ? To compare patient satisfaction with rituximab administration (SC versus IV) in patients with DLBCL ? To evaluate event-free survival, disease-free survival, progression-free survival and overall survival from randomisation (at least 24 months of follow-up) ? To evaluate the safety of rituximab (SC versus IV) in patients with DLBCL.;Timepoint(s) of evaluation of this end point: The primary analysis of response rate will take place when all patients have completed their induction treatment. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Event-free survival, disease-free survival, progression-free survival and overall survival (EFS, DFS, PFS and OS), patient reported outcomes, administration times and a summary of safety data.;Timepoint(s) of evaluation of this end point: A preliminary analysis will be performed when all patients have completed their induction treatment. The final analysis of secondary efficacy endpoints (EFS, DFS, PFS and OS) will be provided when the last patient has completed at least 24 months of follow-up after the end of induction treatment, or when one of the following has been documented for all randomized patients: disease recurrence, withdrawal from the study, loss to follow up or death, whichever occurs first. | — |
Countries
Algeria, Argentina, Belgium, Brazil, Bulgaria, Canada, Colombia, Finland, France, Greece, India, Ireland, Israel, Italy, Netherlands, Peru, Poland, Portugal, Russian Federation, Saudi Arabia, Serbia, South Africa, Spain, Thailand, Turkey, Ukraine, United Kingdom, Venezuela, Bolivarian Republic of
Contacts
F. Hoffmann-La Roche Ltd