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Ofatumumab in Patients With Relapsed/Progressive Diffused Large B-Cell Lymphoma (DLBCL) Ineligible for or Relapse/Progression After Transplant

An Open-label, Single-arm. Multi-center Phase 2 Trial With Ofatumumab in Patients With Relapsed/Progressive Diffuse Large B-Cell Lymphoma (DLBCL) Ineligible for Transplant or Relapse/Progression After Autologous Transplant

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00622388
Enrollment
81
Registered
2008-02-25
Start date
2007-12-31
Completion date
2014-08-31
Last updated
2015-07-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Lymphoma, Large-Cell, Diffuse

Brief summary

The purpose of this trial is to determine the effect of ofatumumab in patients with Diffused Large B-Cell Lymphoma (DLBCL) ineligible for transplant or relapsed after autologous transplant

Interventions

DRUGOfatumumab

8 weekly intra-venous (i.v.) infusions, 1 x 300mg and 7 x 1000mg

Sponsors

GlaxoSmithKline
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Patients with DLBCL * and relapse after complete remission or disease progression after partial remission who are ineligible for autologous stem cell transplantation * and relapse after complete remission or disease progression after partial remission following autologous stem cell transplantation.

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Objective Response6-month period from start of treatment (up to Week 24)Objective response of ofatumumab treatment was assessed according to the revised response criteria for malignant lymphoma. Participants with objective response were defined as responders with complete remission (CR) or partial remission (PR) of disease. CR is defined as the disappearance of all evidence of disease, and PR is defined as the regression of measurable disease with no new sites of disease.
Number of Participants Classified as Responders and Non-responders for Objective Response6-month period from start of treatment (up to Week 24)According to the revised response criteria for malignant lymphoma, responders included participants with CR and PR, and non-responders included participants with stable disease (SD) and progressive disease (PD). Participants not evaluable (NE) were also considered to be non-responders. PD is defined as any new lesion or an increase by more than or equal to 50% of previously involved sites from baseline. SD is defined as failure to attain CR, PR, or PD.

Secondary

MeasureTime frameDescription
Time to Next Diffuse Large B-Cell Lymphoma (DLBCL) TherapyFrom date of start of treatment to 5 years or withdrawalTime to next DLBCL therapy was defined as the time from the first infusion date to the time of the first administration of the next DLBCL treatment other than ofatumumab. If the participants were lost to follow-up, the endpoint was censored, and the censoring date was the date of the last attended visit at which the endpoint was assessed.
Overall Survival (OS)From date of start of treatment to 5 years or withdrawalOverall survival is defined as the time from first infusion to death. Overall survival was a secondary endpoint in the study. However, since many participants withdrew from the study after developing disease progression overall survival could not be reliably estimated.
Number of Participants With Positive Human Anti-human Antibodies (HAHA) at Screening and at Visits 12, 13, 14, and 18Screening visit (=<14 days before treatment start), Visit 12 (Month 6), Visit 13 (Month 9), Visit 14 (Month 12), and Visit 18 (Month 24)HAHA are indicators of immune response to ofatumumab. Blood samples were collected from participants at Visits 1, 12, 13, 14, and 18 and analyzed in batches. The number of participants with positive results at each visit is reported.
Median Percent Change From Baseline in CD45+CD19+ and CD45+CD20+ Cells in the Peripheral Blood at the Indicated VisitsBaseline and Visit 10 (Week 8), Visit 11 (Week 11), Visit 12 (Month 6), Visit 13 (Month 9), Visit 14 (Month 12), Visit 15 (Month 15), Visit 16 (Month 18), Visit 17 (Month 21), Visit 18 (Month 24), Visit 19 (Month 30), Visit 20 (Month 36)B cells (CD45+CD19+ and CD45+CD20+) were measured in peripheral blood samples by flow cytometry. Percent change from Baseline = (value at the indicated visits minus the value at Baseline divided by the value at Baseline) \* 100.
Number of Participants Who Experienced at Least One Adverse Event (AE)Time frame is from date of start of treatment to 2 years or withdrawalAn AE is defined as any untoward medical occurrence in a participant administered a pharmaceutical product that does not necessarily have a causal relationship with this treatment. The protocol-defined AE reporting period was from the first infusion (Visit 2/Week 0) to Visit 18 (Month 24 of follow-up) or time of withdrawal (treatment and follow-up).
Duration of ResponseFrom date of start of treatment to 2 years or withdrawalThe duration of response was defined as the time from the initial response (CR or PR) to the time of relapse, progression, or death. If the participant was lost to follow-up, the endpoint was censored, and the censoring date was the date of the last attended visit at which the endpoint was assessed.
AUC(0-inf) and AUC(0-168) for Ofatumumab at the Eighth InfusionVisit 9 (Week 7; up to 11 months after last dose)AUC is defined as the area under the ofatumumab concentration-time curve as a measure of drug exposure. AUC(0-168) is the AUC from the start of infusion to 168 hours after the start of the infusion; AUC(0-inf) is the AUC from the start of infusion extrapolated to infinity.
Cmax and Ctrough for Ofatumumab at the First and Eighth InfusionsVisit 2 (Week 0) and Visit 9 (Week 7)Cmax is defined as the maximum concentration of drug in serum samples. Ctrough is defined as the minimum observed concentration prior to the start of the next dose. No drug is present prior to the first infusion; therefore, there are no Ctrough results for the first dose.
Half-life (T1/2) for Ofatumumab at the Eighth InfusionVisit 9 (Week 7; up to 11 months after last dose)t1/2 is defined as terminal half-life and is the time required for the amount of drug in the body to decrease by half.
Clearance (CL) of Ofatumumab at the Eighth InfusionVisit 9 (Week 7; up to 11 months after last dose)CL is the clearance of drug from serum, which is defined as the volume of serum from which the drug is cleared per unit time.
Volume of Distribution at Steady State (Vss) of Ofatumumab at the Eighth InfusionVisit 9 (Week 7; up to 11 months after the last dose)Vss is the volume of distribution at steady state of ofatumumab.
Percent Change From Screening in Complement (CH50) LevelsScreening and post-baseline visits (last visit was to occur 24 months post first dose)CH50 was mistakenly registered as an outcome measure with the protocol record. Samples were not collected, and no analysis will take place. Thus, no data will be reported for this outcome measure.
Progression-free Survival (PFS)From date of start of treatment to 2 years or withdrawalPFS was defined as the time from treatment start until progression or death.

Countries

United Kingdom

Participant flow

Participants by arm

ArmCount
Ofatumumab
Participants received 8 weekly iv infusions of ofatumumab: first infusion of 300 mg, followed by 7 infusions of 1000 mg
81
Total81

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event6
Overall StudyDeath3
Overall StudyDisease Progression47
Overall StudyInsurance Expired1
Overall StudyParticipant Refusal1
Overall StudyProtocol Violation3
Overall StudyReceived Alternate Anticancer Therapy8
Overall StudyTook Prohibited Medication2
Overall StudyWithdrew Consent1

Baseline characteristics

CharacteristicOfatumumab
Age, Continuous64.9 Years
STANDARD_DEVIATION 14.51
Number of Participants with the Indicated Prior Therapy
Ineligible for ASCT
56 participants
Number of Participants with the Indicated Prior Therapy
Prior ASCT
25 participants
Race/Ethnicity, Customized
Asian
2 participants
Race/Ethnicity, Customized
Hispanic or Latino
2 participants
Race/Ethnicity, Customized
Missing
1 participants
Race/Ethnicity, Customized
White
76 participants
Sex: Female, Male
Female
36 Participants
Sex: Female, Male
Male
45 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
68 / 81
serious
Total, serious adverse events
33 / 81

Outcome results

Primary

Number of Participants Classified as Responders and Non-responders for Objective Response

According to the revised response criteria for malignant lymphoma, responders included participants with CR and PR, and non-responders included participants with stable disease (SD) and progressive disease (PD). Participants not evaluable (NE) were also considered to be non-responders. PD is defined as any new lesion or an increase by more than or equal to 50% of previously involved sites from baseline. SD is defined as failure to attain CR, PR, or PD.

Time frame: 6-month period from start of treatment (up to Week 24)

Population: FAS

ArmMeasureGroupValue (NUMBER)
OfatumumabNumber of Participants Classified as Responders and Non-responders for Objective ResponseResponders with CR2 participants
OfatumumabNumber of Participants Classified as Responders and Non-responders for Objective ResponseResponders with PR7 participants
OfatumumabNumber of Participants Classified as Responders and Non-responders for Objective ResponseNon-responders with SD14 participants
OfatumumabNumber of Participants Classified as Responders and Non-responders for Objective ResponseNon-responders with PD34 participants
OfatumumabNumber of Participants Classified as Responders and Non-responders for Objective ResponseNon-responders with NE24 participants
Primary

Number of Participants With Objective Response

Objective response of ofatumumab treatment was assessed according to the revised response criteria for malignant lymphoma. Participants with objective response were defined as responders with complete remission (CR) or partial remission (PR) of disease. CR is defined as the disappearance of all evidence of disease, and PR is defined as the regression of measurable disease with no new sites of disease.

Time frame: 6-month period from start of treatment (up to Week 24)

Population: Full Analysis Set (FAS): all participants who were exposed to study drug irrespective of their compliance to the planned course of treatment

ArmMeasureValue (NUMBER)
OfatumumabNumber of Participants With Objective Response9 participants
95% CI: [5, 20]
Secondary

AUC(0-inf) and AUC(0-168) for Ofatumumab at the Eighth Infusion

AUC is defined as the area under the ofatumumab concentration-time curve as a measure of drug exposure. AUC(0-168) is the AUC from the start of infusion to 168 hours after the start of the infusion; AUC(0-inf) is the AUC from the start of infusion extrapolated to infinity.

Time frame: Visit 9 (Week 7; up to 11 months after last dose)

Population: FAS. Data are provided for the number of participants attending each visit for whom the parameter value could be calculated. Participants contributing AUC(0-inf) data also contributed AUC(0-168) data.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
OfatumumabAUC(0-inf) and AUC(0-168) for Ofatumumab at the Eighth InfusionAUC(0-inf), n=30720388 micrograms*hour/milliliter (µg.h/mL)Geometric Coefficient of Variation 79
OfatumumabAUC(0-inf) and AUC(0-168) for Ofatumumab at the Eighth InfusionAUC(0-168), n=46110193 micrograms*hour/milliliter (µg.h/mL)Geometric Coefficient of Variation 27
Secondary

Clearance (CL) of Ofatumumab at the Eighth Infusion

CL is the clearance of drug from serum, which is defined as the volume of serum from which the drug is cleared per unit time.

Time frame: Visit 9 (Week 7; up to 11 months after last dose)

Population: FAS. Data are presented for the number of participants at each visit for whom the parameter can be calculated.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
OfatumumabClearance (CL) of Ofatumumab at the Eighth Infusion9.1 milliliters per hour (mL/h)Geometric Coefficient of Variation 28
Secondary

Cmax and Ctrough for Ofatumumab at the First and Eighth Infusions

Cmax is defined as the maximum concentration of drug in serum samples. Ctrough is defined as the minimum observed concentration prior to the start of the next dose. No drug is present prior to the first infusion; therefore, there are no Ctrough results for the first dose.

Time frame: Visit 2 (Week 0) and Visit 9 (Week 7)

Population: FAS. Data are provided for the number of participants attending each visit.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
OfatumumabCmax and Ctrough for Ofatumumab at the First and Eighth InfusionsFirst infusion Cmax; 300 mg, n=74109 micrograms per milliliter (µg/mL)Geometric Coefficient of Variation 42
OfatumumabCmax and Ctrough for Ofatumumab at the First and Eighth InfusionsEighth infusion Cmax; 1000 mg, n=48839 micrograms per milliliter (µg/mL)Geometric Coefficient of Variation 24
OfatumumabCmax and Ctrough for Ofatumumab at the First and Eighth InfusionsEighth infusion Ctrough; 1000 mg, n=48497 micrograms per milliliter (µg/mL)Geometric Coefficient of Variation 34
Secondary

Duration of Response

The duration of response was defined as the time from the initial response (CR or PR) to the time of relapse, progression, or death. If the participant was lost to follow-up, the endpoint was censored, and the censoring date was the date of the last attended visit at which the endpoint was assessed.

Time frame: From date of start of treatment to 2 years or withdrawal

Population: FAS. Only participants with CR or PR were analyzed.

ArmMeasureValue (MEDIAN)
OfatumumabDuration of Response9.5 months
Secondary

Half-life (T1/2) for Ofatumumab at the Eighth Infusion

t1/2 is defined as terminal half-life and is the time required for the amount of drug in the body to decrease by half.

Time frame: Visit 9 (Week 7; up to 11 months after last dose)

Population: FAS. Data are provided for the number of participants at each visit for whom the parameter could be calculated.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
OfatumumabHalf-life (T1/2) for Ofatumumab at the Eighth Infusion637 hoursGeometric Coefficient of Variation 51
Secondary

Median Percent Change From Baseline in CD45+CD19+ and CD45+CD20+ Cells in the Peripheral Blood at the Indicated Visits

B cells (CD45+CD19+ and CD45+CD20+) were measured in peripheral blood samples by flow cytometry. Percent change from Baseline = (value at the indicated visits minus the value at Baseline divided by the value at Baseline) \* 100.

Time frame: Baseline and Visit 10 (Week 8), Visit 11 (Week 11), Visit 12 (Month 6), Visit 13 (Month 9), Visit 14 (Month 12), Visit 15 (Month 15), Visit 16 (Month 18), Visit 17 (Month 21), Visit 18 (Month 24), Visit 19 (Month 30), Visit 20 (Month 36)

Population: FAS. Data are provided for the number of participants attending each visit.

ArmMeasureGroupValue (MEDIAN)
OfatumumabMedian Percent Change From Baseline in CD45+CD19+ and CD45+CD20+ Cells in the Peripheral Blood at the Indicated VisitsCD45+CD19+, Visit 10 (Week 8), n=42-100.0 percent change in cells
OfatumumabMedian Percent Change From Baseline in CD45+CD19+ and CD45+CD20+ Cells in the Peripheral Blood at the Indicated VisitsCD45+CD19+, Visit 11 (Week 11), n=29-100.0 percent change in cells
OfatumumabMedian Percent Change From Baseline in CD45+CD19+ and CD45+CD20+ Cells in the Peripheral Blood at the Indicated VisitsCD45+CD19+, Visit 12 (Month 6), n=18-100.0 percent change in cells
OfatumumabMedian Percent Change From Baseline in CD45+CD19+ and CD45+CD20+ Cells in the Peripheral Blood at the Indicated VisitsCD45+CD19+, Visit 13 (Month 9), n=15-100.0 percent change in cells
OfatumumabMedian Percent Change From Baseline in CD45+CD19+ and CD45+CD20+ Cells in the Peripheral Blood at the Indicated VisitsCD45+CD19+, Visit 14 (Month 12), n=13-100.0 percent change in cells
OfatumumabMedian Percent Change From Baseline in CD45+CD19+ and CD45+CD20+ Cells in the Peripheral Blood at the Indicated VisitsCD45+CD19+, Visit 15 (Month 15), n=12-60.7 percent change in cells
OfatumumabMedian Percent Change From Baseline in CD45+CD19+ and CD45+CD20+ Cells in the Peripheral Blood at the Indicated VisitsCD45+CD19+, Visit 16 (Month 18), n=86.0 percent change in cells
OfatumumabMedian Percent Change From Baseline in CD45+CD19+ and CD45+CD20+ Cells in the Peripheral Blood at the Indicated VisitsCD45+CD19+, Visit 17 (Month 21), n=8-6.9 percent change in cells
OfatumumabMedian Percent Change From Baseline in CD45+CD19+ and CD45+CD20+ Cells in the Peripheral Blood at the Indicated VisitsCD45+CD19+, Visit 18 (Month 24), n=7-11.1 percent change in cells
OfatumumabMedian Percent Change From Baseline in CD45+CD19+ and CD45+CD20+ Cells in the Peripheral Blood at the Indicated VisitsCD45+CD19+, Visit 19 (Month 30), n=280.8 percent change in cells
OfatumumabMedian Percent Change From Baseline in CD45+CD19+ and CD45+CD20+ Cells in the Peripheral Blood at the Indicated VisitsCD45+CD19+, Visit 20 (Month 36), n=268.6 percent change in cells
OfatumumabMedian Percent Change From Baseline in CD45+CD19+ and CD45+CD20+ Cells in the Peripheral Blood at the Indicated VisitsCD45+CD20+, Visit 10 (Week 8), n=42-100.0 percent change in cells
OfatumumabMedian Percent Change From Baseline in CD45+CD19+ and CD45+CD20+ Cells in the Peripheral Blood at the Indicated VisitsCD45+CD20+, Visit 11 (Week 11), n=29-100.0 percent change in cells
OfatumumabMedian Percent Change From Baseline in CD45+CD19+ and CD45+CD20+ Cells in the Peripheral Blood at the Indicated VisitsCD45+CD20+, Visit 12 (Month 6), n=18-100.0 percent change in cells
OfatumumabMedian Percent Change From Baseline in CD45+CD19+ and CD45+CD20+ Cells in the Peripheral Blood at the Indicated VisitsCD45+CD20+, Visit 13 (Month 9), n=15-100.0 percent change in cells
OfatumumabMedian Percent Change From Baseline in CD45+CD19+ and CD45+CD20+ Cells in the Peripheral Blood at the Indicated VisitsCD45+CD20+, Visit 14 (Month 12), n=13-100 percent change in cells
OfatumumabMedian Percent Change From Baseline in CD45+CD19+ and CD45+CD20+ Cells in the Peripheral Blood at the Indicated VisitsCD45+CD20+, Visit 15 (Month 15), n=12-57.3 percent change in cells
OfatumumabMedian Percent Change From Baseline in CD45+CD19+ and CD45+CD20+ Cells in the Peripheral Blood at the Indicated VisitsCD45+CD20+, Visit 16 (Month 18), n=86.0 percent change in cells
OfatumumabMedian Percent Change From Baseline in CD45+CD19+ and CD45+CD20+ Cells in the Peripheral Blood at the Indicated VisitsCD45+CD20+, Visit 17 (Month 21), n=8-6.9 percent change in cells
OfatumumabMedian Percent Change From Baseline in CD45+CD19+ and CD45+CD20+ Cells in the Peripheral Blood at the Indicated VisitsCD45+CD20+, Visit 18 (Month 24), n=5-11.1 percent change in cells
OfatumumabMedian Percent Change From Baseline in CD45+CD19+ and CD45+CD20+ Cells in the Peripheral Blood at the Indicated VisitsCD45+CD20+, Visit 19 (Month 30), n=275.2 percent change in cells
OfatumumabMedian Percent Change From Baseline in CD45+CD19+ and CD45+CD20+ Cells in the Peripheral Blood at the Indicated VisitsCD45+CD20+, Visit 20 (Month 36), n=268.6 percent change in cells
Secondary

Number of Participants Who Experienced at Least One Adverse Event (AE)

An AE is defined as any untoward medical occurrence in a participant administered a pharmaceutical product that does not necessarily have a causal relationship with this treatment. The protocol-defined AE reporting period was from the first infusion (Visit 2/Week 0) to Visit 18 (Month 24 of follow-up) or time of withdrawal (treatment and follow-up).

Time frame: Time frame is from date of start of treatment to 2 years or withdrawal

Population: FAS

ArmMeasureValue (NUMBER)
OfatumumabNumber of Participants Who Experienced at Least One Adverse Event (AE)78 participants
Secondary

Number of Participants With Positive Human Anti-human Antibodies (HAHA) at Screening and at Visits 12, 13, 14, and 18

HAHA are indicators of immune response to ofatumumab. Blood samples were collected from participants at Visits 1, 12, 13, 14, and 18 and analyzed in batches. The number of participants with positive results at each visit is reported.

Time frame: Screening visit (=<14 days before treatment start), Visit 12 (Month 6), Visit 13 (Month 9), Visit 14 (Month 12), and Visit 18 (Month 24)

Population: FAS. Data are provided for the number of participants attending each visit.

ArmMeasureGroupValue (NUMBER)
OfatumumabNumber of Participants With Positive Human Anti-human Antibodies (HAHA) at Screening and at Visits 12, 13, 14, and 18Screening, n=790 participants
OfatumumabNumber of Participants With Positive Human Anti-human Antibodies (HAHA) at Screening and at Visits 12, 13, 14, and 18Visit 12 (Month 6), n=200 participants
OfatumumabNumber of Participants With Positive Human Anti-human Antibodies (HAHA) at Screening and at Visits 12, 13, 14, and 18Visit 13 (Month 9), n=160 participants
OfatumumabNumber of Participants With Positive Human Anti-human Antibodies (HAHA) at Screening and at Visits 12, 13, 14, and 18Visit 14 (Month 12), n=160 participants
OfatumumabNumber of Participants With Positive Human Anti-human Antibodies (HAHA) at Screening and at Visits 12, 13, 14, and 18Visit 18 (Month 24), n=80 participants
OfatumumabNumber of Participants With Positive Human Anti-human Antibodies (HAHA) at Screening and at Visits 12, 13, 14, and 18End of Trial/Withdrawal, n=430 participants
Secondary

Overall Survival (OS)

Overall survival is defined as the time from first infusion to death. Overall survival was a secondary endpoint in the study. However, since many participants withdrew from the study after developing disease progression overall survival could not be reliably estimated.

Time frame: From date of start of treatment to 5 years or withdrawal

Population: FAS

Secondary

Percent Change From Screening in Complement (CH50) Levels

CH50 was mistakenly registered as an outcome measure with the protocol record. Samples were not collected, and no analysis will take place. Thus, no data will be reported for this outcome measure.

Time frame: Screening and post-baseline visits (last visit was to occur 24 months post first dose)

Population: FAS

Secondary

Progression-free Survival (PFS)

PFS was defined as the time from treatment start until progression or death.

Time frame: From date of start of treatment to 2 years or withdrawal

Population: FAS

ArmMeasureValue (MEDIAN)
OfatumumabProgression-free Survival (PFS)2.5 months
Secondary

Time to Next Diffuse Large B-Cell Lymphoma (DLBCL) Therapy

Time to next DLBCL therapy was defined as the time from the first infusion date to the time of the first administration of the next DLBCL treatment other than ofatumumab. If the participants were lost to follow-up, the endpoint was censored, and the censoring date was the date of the last attended visit at which the endpoint was assessed.

Time frame: From date of start of treatment to 5 years or withdrawal

Population: FAS

ArmMeasureValue (MEDIAN)
OfatumumabTime to Next Diffuse Large B-Cell Lymphoma (DLBCL) TherapyNA months
Secondary

Volume of Distribution at Steady State (Vss) of Ofatumumab at the Eighth Infusion

Vss is the volume of distribution at steady state of ofatumumab.

Time frame: Visit 9 (Week 7; up to 11 months after the last dose)

Population: FAS. Data are presented for the number of participants attending each visit for whom the parameter can be calculated.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
OfatumumabVolume of Distribution at Steady State (Vss) of Ofatumumab at the Eighth Infusion8.3 litersGeometric Coefficient of Variation 45

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026