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Study to Assess the Effectiveness of RCHOP With or Without VELCADE in Previously Untreated Non-Germinal Center B-Cell-like Diffuse Large B-Cell Lymphoma Patients

An Open-Label, Randomized, Phase 2 Study to Assess the Effectiveness of RCHOP With or Without VELCADE in Previously Untreated Non-Germinal Center B-Cell-like Diffuse Large B-Cell Lymphoma Patients

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00931918
Enrollment
206
Registered
2009-07-02
Start date
2009-10-31
Completion date
2015-08-31
Last updated
2017-01-11

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

Conditions

Non-Germinal B-Cell-like (GCB) Diffuse Large B-cell Lymphoma (DLBCL)

Brief summary

This is a randomized, open-label, multi-center, phase 2 study of RCHOP with or without VELCADE in adult patients with previously untreated non-(Germinal B-Cell-like) GCB Diffuse Large B-cell Lymphoma (DLBCL). The study will determine whether the addition of VELCADE to RCHOP improves progression-free survival (PFS) in patients with non-GCB DLBCL.

Detailed description

The drug tested in this study is called bortezomib (VELCADE®). VELCADE® was tested in people who have Non-Germinal Center B-Cell-like Diffuse Large B-Cell Lymphoma. This study looked at the efficacy of RCHOP \[rituximab, cyclophosphamide, doxorubicin, vincristine and prednisone\] with or without VELCADE®. The study enrolled 206 patients. Participants were enrolled in one of the two open label treatment groups: * RCHOP * Vc-RCHOP \[bortezomib (VELCADE®), rituximab, cyclophosphamide, doxorubicin, vincristine and prednisone\] Participants received treatment for up to six, 21-day cycles. This multi-center trial was conducted in the United States. The overall time to participate in this study was up to 48 months. Participants made multiple visits to the clinic, and were followed for progression free survival and overall survival until patient withdrawal, death, or 2 years after the last participant was enrolled.

Interventions

DRUGBortezomib

Bortezomib IV

DRUGRituximab

Rituximab IV

DRUGCyclophosphamide

Cyclophosphamide IV

DRUGDoxorubicin

Doxorubicin IV solution

DRUGVincristine

Vincristine IV

DRUGPrednisone

Prednisone tablet

Sponsors

Millennium Pharmaceuticals, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

Each patient must meet all of the following inclusion criteria to be enrolled in the study: Inclusion Criteria: * Patients with previously untreated DLBCL that has been sub classified as the non-GCB subtype. * At least 1 measurable tumor mass. * Availability of paraffin block with sufficient tumor tissue. * No evidence of central nervous system lymphoma. * Eastern Cooperative Oncology Group (ECOG) performance status of \< or equal to 2. * Female patients who are post menopausal, surgically sterile, or agree to practice 2 effective methods of contraception or abstain from heterosexual intercourse. * Male patients who agree to practice effective barrier contraception or agree to abstain from heterosexual intercourse. Patients meeting any of the following

Exclusion criteria

are not to be enrolled in the study:

Design outcomes

Primary

MeasureTime frameDescription
Progression-Free Survival (PFS) in Patients With Non-germinal Center B-cell-like (Non-GCB) Diffuse Large B-cell Lymphoma (DLBCL)Median Follow-up of 34.3 months for RCHOP arm and 34.4 months for Vc-RCHOP armPFS is defined as the time in months from the date of randomization to the date of first documentation of progressive disease (PD) or death from any cause. The date of progression is the earliest date of a computed tomography/positron emission tomography (CT/PET) scan that shows evidence of PD. For a participant that has not progressed and is alive at the end of his/her study follow-up or at the time of start of an alternate therapy (whichever is first), PFS is censored at the last overall response assessment that is stable disease or better, and which is prior to the start of the alternate therapy, if any. Disease response was assessed using International Working Group (IWG)-revised response criteria for malignant lymphoma. PD= any new lesion or increase by \> 50% of previously involved sites from nadir.
Progression-Free Survival Rate2 Years (Median Follow-up of 34.3 months for RCHOP arm and 34.4 months for Vc-RCHOP arm)PFS is defined as the time in months from the date of randomization to the date of first documentation of progressive disease (PD) or death from any cause. The date of progression is the earliest date of a computed tomography/positron emission tomography (CT/PET) scan that shows evidence of PD. For a participant that has not progressed and is alive at the end of his/her study follow-up or at the time of start of an alternate therapy (whichever is first), PFS is censored at the last overall response assessment that is stable disease or better, and which is prior to the start of the alternate therapy, if any. Disease response was assessed using International Working Group (IWG)-revised response criteria for malignant lymphoma. PD= any new lesion or increase by \> 50% of previously involved sites from nadir. The progression-free survival rate is defined as the Kaplan-Meier (KM) estimate of progression-free survival at 2 years.

Secondary

MeasureTime frameDescription
Complete Response RateEnd of Cycle 2, End of Treatment (Cycle 6) [Median of 16 weeks on treatment]Complete Response Rate is defined as the percentage of participants with the best response of Complete Response (CR). Disease response was assessed using International Working Group (IWG)-revised response criteria for malignant lymphoma. CR=Disappearance of all evidence of disease.
Duration of ResponseMedian Follow-up of 34.3 months for RCHOP arm and 34.4 months for Vc-RCHOP armDuration of response is defined as the time (in months) from the date of first documentation of confirmed complete response (CR) or partial response (PR) to the date of first documentation of progressive disease (PD), relapse from CR or death related to disease. For a participant who has not progressed and is not known to have died due to disease under study at the end of his/her study follow-up or at the time of start of an alternate therapy (whichever is first), duration of response is censored at the last overall response assessment that is stable disease or better, and which is prior to the start of the alternate therapy, if any. Disease response was assessed using IWG-revised response criteria for malignant lymphoma. CR=Disappearance of all evidence of disease and PR=Regression of measurable disease and no new sites and PD= any new lesion or increase by \> 50% of previously involved sites from nadir.
Fluorodeoxyglucose Positron Emission Tomography (FDG-PET) Negative RateEnd of Cycle 2 and End of Treatment (Cycle 6) [Median of 16 weeks on treatment]FDG-PET negative rate is defined as the percentage of participants FDG-PET negative at the given time-point.
Overall SurvivalMedian Follow-up of 34.3 months for RCHOP arm and 34.4 months for Vc-RCHOP armOverall survival is defined as the time from the date of randomization to the date of death from any cause. A participant who is alive at the end of his/her study follow-up is censored at the date of last contact.
Percentage of Participants With Treatment Emergent Adverse Events (TEAEs) by CategoryFirst dose of study drug through 30 days after the last dose of study drug (Up to 26 Weeks)Percentage of participants in the following categories: • At least 1 TEAE • Drug-related, TEAEs • Grade 3 or higher TEAEs. Grade 3 are AEs of Severe Intensity • Grade 3 or higher drug-related, TEAEs • TEAEs resulting in study drug discontinuation • Serious TEAEs An Adverse Event (AE) is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. A treatment-emergent adverse event (TEAE) is defined as an adverse event with an onset that occurs after receiving study drug. A Serious Adverse Event (SAE) is any experience that suggests a significant hazard, contraindication, side effect or precaution that: results in death, is life-threatening, required in-patient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect or is medically significant.
Percentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or HigherDays 1, 4 and 10 of each cycle and end of treatment visit (Median of 16 weeks on treatment)Percentage of participants who shifted from a National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) Grade 0, 1, or 2 at Baseline to a Grade 3 or higher on study (worst post-baseline grade). Grade 1=Mild, Grade 2=Moderate, Grade 3=Severe or medically significant but not immediately life-threatening, Grade 4=Life-threatening consequences and 5=Death related to AE.
Time to Progression (TTP)Median Follow-up of 34.3 months for RCHOP arm and 34.4 months for Vc-RCHOP armTTP is defined as the time from the date of randomization to the date of first documentation of progressive disease, relapse from CR, or death related to disease under study if participant did not have any documentation of disease progression prior to death caused by lymphoma or complications thereof. For a participant who has not progressed and is not known to have died due to disease under study at the end of his/her study follow-up or at the time of start of an alternate therapy (whichever is first), TTP is censored at the last overall response assessment that is stable disease or better, and which is prior to the start of the alternate therapy, if any. Disease response was assessed using International Working Group (IWG)-revised response criteria for malignant lymphoma. PD= any new lesion or increase by \> 50% of previously involved sites from nadir.
Overall Response Rate (ORR)End of Cycle 2, End of Treatment (Cycle 6) [Median of 16 weeks on treatment]ORR is defined as the percentage of participants with the best overall response complete response (CR) + partial response (PR). Disease response was assessed using International Working Group (IWG)-revised response criteria for malignant lymphoma. CR=disappearance of all evidence of disease and PR=regression of measurable disease and no new sites.

Countries

United States

Participant flow

Recruitment details

Participants took part in the study at 69 investigative sites in the United States from 13 October 2009 to 15 August 2015.

Pre-assignment details

Participants with a diagnosis of Non-Germinal Center B-Cell-like Diffuse Large B-Cell Lymphoma were enrolled equally in 1 of 2 treatment groups: RCHOP \[rituximab, cyclophosphamide, doxorubicin, prednisone\] or Vc-RCHOP \[bortezomib (VELCADE®), rituximab, cyclophosphamide, doxorubicin, prednisone\] for 6, 21 day cycles.

Participants by arm

ArmCount
RCHOP
RCHOP \[rituximab, cyclophosphamide, doxorubicin, prednisone\] administered as follows: rituximab 375 mg/m\^2 intravenous (IV) infusion, cyclophosphamide 750 mg/m\^2 IV infusion, doxorubicin 50 mg/m\^2 IV injection and vincristine 1.4 mg/m\^2 (maximum total dose 2 mg) IV injection on Day 1 with prednisone orally on Days 1 through 5 of a 21-day (3-week) cycle for 6 cycles.
100
Vc-RCHOP
Vc-RCHOP \[bortezomib (VELCADE®), rituximab, cyclophosphamide, doxorubicin, prednisone\] administered as follows: bortezomib (VELCADE ®) 1.3 mg/m\^2 administered intravenous (IV) push on Days 1 and 4 of each cycle with RCHOP administered as follows: rituximab 375 mg/m\^2 intravenous (IV) infusion, cyclophosphamide 750 mg/m\^2 IV infusion, doxorubicin 50 mg/m\^2 IV injection and vincristine 1.4 mg/m\^2 (maximum total dose 2 mg) IV injection on Day 1 with prednisone orally on Days 1 through 5 of a 21-day (3-week) cycle for 6 cycles.
101
Total201

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event46
Overall StudyDid not receive study drug32
Overall StudyOther Reason not Specified44
Overall StudyProgressive Disease21
Overall StudySymptomatic Deterioration10
Overall StudyWithdrawal by Patient34

Baseline characteristics

CharacteristicRCHOPVc-RCHOPTotal
Age, Continuous59.8 years
STANDARD_DEVIATION 14.6
61.9 years
STANDARD_DEVIATION 13.81
60.9 years
STANDARD_DEVIATION 14.21
Age, Customized
≤ 65 years
58 participants55 participants113 participants
Age, Customized
> 65 years
42 participants46 participants88 participants
Body Surface Area2.002 m^2
STANDARD_DEVIATION 0.283
1.970 m^2
STANDARD_DEVIATION 0.304
1.986 m^2
STANDARD_DEVIATION 0.2934
Ethnicity (NIH/OMB)
Hispanic or Latino
6 Participants14 Participants20 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
90 Participants82 Participants172 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
4 Participants5 Participants9 Participants
Gender
Female
43 Participants51 Participants94 Participants
Gender
Male
57 Participants50 Participants107 Participants
Height171.1 cm
STANDARD_DEVIATION 11.3
170.3 cm
STANDARD_DEVIATION 11.48
170.7 cm
STANDARD_DEVIATION 11.37
Race/Ethnicity, Customized
Asian
6 participants5 participants11 participants
Race/Ethnicity, Customized
Black or African American
10 participants9 participants19 participants
Race/Ethnicity, Customized
Not Reported
3 participants3 participants6 participants
Race/Ethnicity, Customized
Other
4 participants5 participants9 participants
Race/Ethnicity, Customized
White
77 participants79 participants156 participants
Region of Enrollment
United States
100 participants101 participants201 participants
Weight85.19 kg
STANDARD_DEVIATION 20.684
82.86 kg
STANDARD_DEVIATION 21.745
84.02 kg
STANDARD_DEVIATION 21.203

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
100 / 100100 / 101
serious
Total, serious adverse events
31 / 10034 / 101

Outcome results

Primary

Progression-Free Survival (PFS) in Patients With Non-germinal Center B-cell-like (Non-GCB) Diffuse Large B-cell Lymphoma (DLBCL)

PFS is defined as the time in months from the date of randomization to the date of first documentation of progressive disease (PD) or death from any cause. The date of progression is the earliest date of a computed tomography/positron emission tomography (CT/PET) scan that shows evidence of PD. For a participant that has not progressed and is alive at the end of his/her study follow-up or at the time of start of an alternate therapy (whichever is first), PFS is censored at the last overall response assessment that is stable disease or better, and which is prior to the start of the alternate therapy, if any. Disease response was assessed using International Working Group (IWG)-revised response criteria for malignant lymphoma. PD= any new lesion or increase by \> 50% of previously involved sites from nadir.

Time frame: Median Follow-up of 34.3 months for RCHOP arm and 34.4 months for Vc-RCHOP arm

Population: Modified Intent-to-treat (mITT) Population included all randomized participants who received study drug and who had a central laboratory-confirmed Non-Germinal Center B-Cell (non-GCB) subtype.

ArmMeasureValue (MEDIAN)
RCHOPProgression-Free Survival (PFS) in Patients With Non-germinal Center B-cell-like (Non-GCB) Diffuse Large B-cell Lymphoma (DLBCL)NA months
Vc-RCHOPProgression-Free Survival (PFS) in Patients With Non-germinal Center B-cell-like (Non-GCB) Diffuse Large B-cell Lymphoma (DLBCL)NA months
Primary

Progression-Free Survival Rate

PFS is defined as the time in months from the date of randomization to the date of first documentation of progressive disease (PD) or death from any cause. The date of progression is the earliest date of a computed tomography/positron emission tomography (CT/PET) scan that shows evidence of PD. For a participant that has not progressed and is alive at the end of his/her study follow-up or at the time of start of an alternate therapy (whichever is first), PFS is censored at the last overall response assessment that is stable disease or better, and which is prior to the start of the alternate therapy, if any. Disease response was assessed using International Working Group (IWG)-revised response criteria for malignant lymphoma. PD= any new lesion or increase by \> 50% of previously involved sites from nadir. The progression-free survival rate is defined as the Kaplan-Meier (KM) estimate of progression-free survival at 2 years.

Time frame: 2 Years (Median Follow-up of 34.3 months for RCHOP arm and 34.4 months for Vc-RCHOP arm)

Population: Modified Intent-to-treat (mITT) Population included all randomized participants who received study drug and who had a central laboratory-confirmed Non-Germinal Center B-Cell (non-GCB) subtype.

ArmMeasureValue (NUMBER)
RCHOPProgression-Free Survival Rate78 percentage of participants
Vc-RCHOPProgression-Free Survival Rate82 percentage of participants
Secondary

Complete Response Rate

Complete Response Rate is defined as the percentage of participants with the best response of Complete Response (CR). Disease response was assessed using International Working Group (IWG)-revised response criteria for malignant lymphoma. CR=Disappearance of all evidence of disease.

Time frame: End of Cycle 2, End of Treatment (Cycle 6) [Median of 16 weeks on treatment]

Population: Response-Evaluable Population included all randomized participants who had at least 1 dose of study drug, who had a central laboratory-confirmed non-GCB subtype with measurable disease at Baseline and at least 1 post-baseline response assessment.

ArmMeasureGroupValue (NUMBER)
RCHOPComplete Response RateEnd of Cycle 223 percentage of participants
RCHOPComplete Response RateEnd of Treatment (Cycle 6)45 percentage of participants
RCHOPComplete Response RateBest Complete Response Rate49 percentage of participants
Vc-RCHOPComplete Response RateEnd of Cycle 216 percentage of participants
Vc-RCHOPComplete Response RateEnd of Treatment (Cycle 6)56 percentage of participants
Vc-RCHOPComplete Response RateBest Complete Response Rate56 percentage of participants
Secondary

Duration of Response

Duration of response is defined as the time (in months) from the date of first documentation of confirmed complete response (CR) or partial response (PR) to the date of first documentation of progressive disease (PD), relapse from CR or death related to disease. For a participant who has not progressed and is not known to have died due to disease under study at the end of his/her study follow-up or at the time of start of an alternate therapy (whichever is first), duration of response is censored at the last overall response assessment that is stable disease or better, and which is prior to the start of the alternate therapy, if any. Disease response was assessed using IWG-revised response criteria for malignant lymphoma. CR=Disappearance of all evidence of disease and PR=Regression of measurable disease and no new sites and PD= any new lesion or increase by \> 50% of previously involved sites from nadir.

Time frame: Median Follow-up of 34.3 months for RCHOP arm and 34.4 months for Vc-RCHOP arm

Population: Participants from the Response-Evaluable Population included all randomized participants who had at least 1 dose of study drug, who had a central laboratory-confirmed non-GCB subtype with measurable disease at Baseline and at least 1 post-baseline response assessment who had a CR or PR

ArmMeasureValue (MEDIAN)
RCHOPDuration of ResponseNA months
Vc-RCHOPDuration of ResponseNA months
Secondary

Fluorodeoxyglucose Positron Emission Tomography (FDG-PET) Negative Rate

FDG-PET negative rate is defined as the percentage of participants FDG-PET negative at the given time-point.

Time frame: End of Cycle 2 and End of Treatment (Cycle 6) [Median of 16 weeks on treatment]

Population: Response-Evaluable Population included all randomized participants who had at least 1 dose of study drug, who had a central laboratory-confirmed non-GCB subtype with measurable disease at Baseline and at least 1 post-baseline response assessment.

ArmMeasureGroupValue (NUMBER)
RCHOPFluorodeoxyglucose Positron Emission Tomography (FDG-PET) Negative RateEnd of Cycle 242 percentage of participants
RCHOPFluorodeoxyglucose Positron Emission Tomography (FDG-PET) Negative RateEnd of Treatment (Cycle 6)53 percentage of participants
Vc-RCHOPFluorodeoxyglucose Positron Emission Tomography (FDG-PET) Negative RateEnd of Cycle 237 percentage of participants
Vc-RCHOPFluorodeoxyglucose Positron Emission Tomography (FDG-PET) Negative RateEnd of Treatment (Cycle 6)59 percentage of participants
Secondary

Overall Response Rate (ORR)

ORR is defined as the percentage of participants with the best overall response complete response (CR) + partial response (PR). Disease response was assessed using International Working Group (IWG)-revised response criteria for malignant lymphoma. CR=disappearance of all evidence of disease and PR=regression of measurable disease and no new sites.

Time frame: End of Cycle 2, End of Treatment (Cycle 6) [Median of 16 weeks on treatment]

Population: Response-Evaluable Population included all randomized participants who had at least 1 dose of study drug, who had a central laboratory-confirmed non-GCB subtype with measurable disease at Baseline and at least 1 post-baseline response assessment.

ArmMeasureGroupValue (NUMBER)
RCHOPOverall Response Rate (ORR)End of Cycle 293 percentage of participants
RCHOPOverall Response Rate (ORR)End of Treatment (Cycle 6)88 percentage of participants
RCHOPOverall Response Rate (ORR)Best Overall Response Rate98 percentage of participants
Vc-RCHOPOverall Response Rate (ORR)End of Treatment (Cycle 6)84 percentage of participants
Vc-RCHOPOverall Response Rate (ORR)End of Cycle 290 percentage of participants
Vc-RCHOPOverall Response Rate (ORR)Best Overall Response Rate96 percentage of participants
Secondary

Overall Survival

Overall survival is defined as the time from the date of randomization to the date of death from any cause. A participant who is alive at the end of his/her study follow-up is censored at the date of last contact.

Time frame: Median Follow-up of 34.3 months for RCHOP arm and 34.4 months for Vc-RCHOP arm

Population: MITT Population included all randomized participants who received study drug and who had a central laboratory-confirmed Non-Germinal Center B-Cell (non-GCB) subtype.

ArmMeasureValue (MEDIAN)
RCHOPOverall SurvivalNA months
Vc-RCHOPOverall SurvivalNA months
Secondary

Percentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or Higher

Percentage of participants who shifted from a National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) Grade 0, 1, or 2 at Baseline to a Grade 3 or higher on study (worst post-baseline grade). Grade 1=Mild, Grade 2=Moderate, Grade 3=Severe or medically significant but not immediately life-threatening, Grade 4=Life-threatening consequences and 5=Death related to AE.

Time frame: Days 1, 4 and 10 of each cycle and end of treatment visit (Median of 16 weeks on treatment)

Population: Safety Population included all randomized participants who received at least 1 dose of study drug.

ArmMeasureGroupValue (NUMBER)
RCHOPPercentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or HigherAspartate aminotransferase (AST) increased1 percentage of participants
RCHOPPercentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or HigherLymphocytes70 percentage of participants
RCHOPPercentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or HigherWBC Count68 percentage of participants
RCHOPPercentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or HigherNeutrophils65 percentage of participants
RCHOPPercentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or HigherPlatelets18 percentage of participants
RCHOPPercentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or HigherHemoglobin10 percentage of participants
RCHOPPercentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or HigherHyperglycemia14 percentage of participants
RCHOPPercentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or HigherHypokalemia13 percentage of participants
RCHOPPercentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or HigherHypophosphatemia7 percentage of participants
RCHOPPercentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or HigherHyponatremia4 percentage of participants
RCHOPPercentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or HigherAlanine aminotransferase (ALT) increased2 percentage of participants
Vc-RCHOPPercentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or HigherAlanine aminotransferase (ALT) increased1 percentage of participants
Vc-RCHOPPercentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or HigherHyperglycemia9 percentage of participants
Vc-RCHOPPercentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or HigherLymphocytes86 percentage of participants
Vc-RCHOPPercentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or HigherHyponatremia3 percentage of participants
Vc-RCHOPPercentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or HigherWBC Count69 percentage of participants
Vc-RCHOPPercentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or HigherHypokalemia14 percentage of participants
Vc-RCHOPPercentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or HigherNeutrophils70 percentage of participants
Vc-RCHOPPercentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or HigherAspartate aminotransferase (AST) increased2 percentage of participants
Vc-RCHOPPercentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or HigherPlatelets39 percentage of participants
Vc-RCHOPPercentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or HigherHypophosphatemia10 percentage of participants
Vc-RCHOPPercentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or HigherHemoglobin15 percentage of participants
Secondary

Percentage of Participants With Treatment Emergent Adverse Events (TEAEs) by Category

Percentage of participants in the following categories: • At least 1 TEAE • Drug-related, TEAEs • Grade 3 or higher TEAEs. Grade 3 are AEs of Severe Intensity • Grade 3 or higher drug-related, TEAEs • TEAEs resulting in study drug discontinuation • Serious TEAEs An Adverse Event (AE) is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. A treatment-emergent adverse event (TEAE) is defined as an adverse event with an onset that occurs after receiving study drug. A Serious Adverse Event (SAE) is any experience that suggests a significant hazard, contraindication, side effect or precaution that: results in death, is life-threatening, required in-patient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect or is medically significant.

Time frame: First dose of study drug through 30 days after the last dose of study drug (Up to 26 Weeks)

Population: Safety Population included all randomized participants who received at least 1 dose of study drug.

ArmMeasureGroupValue (NUMBER)
RCHOPPercentage of Participants With Treatment Emergent Adverse Events (TEAEs) by CategoryAt Least 1 TEAE100 percentage of participants
RCHOPPercentage of Participants With Treatment Emergent Adverse Events (TEAEs) by CategoryDrug-related, TEAEs88 percentage of participants
RCHOPPercentage of Participants With Treatment Emergent Adverse Events (TEAEs) by CategoryGrade 3 or higher TEAEs71 percentage of participants
RCHOPPercentage of Participants With Treatment Emergent Adverse Events (TEAEs) by CategoryGrade 3 or Higher Drug-related, TEAEs55 percentage of participants
RCHOPPercentage of Participants With Treatment Emergent Adverse Events (TEAEs) by CategoryTEAEs Resulting in Study Drug Discontinuation4 percentage of participants
RCHOPPercentage of Participants With Treatment Emergent Adverse Events (TEAEs) by CategorySerious TEAEs31 percentage of participants
Vc-RCHOPPercentage of Participants With Treatment Emergent Adverse Events (TEAEs) by CategoryTEAEs Resulting in Study Drug Discontinuation6 percentage of participants
Vc-RCHOPPercentage of Participants With Treatment Emergent Adverse Events (TEAEs) by CategoryAt Least 1 TEAE99 percentage of participants
Vc-RCHOPPercentage of Participants With Treatment Emergent Adverse Events (TEAEs) by CategoryGrade 3 or Higher Drug-related, TEAEs68 percentage of participants
Vc-RCHOPPercentage of Participants With Treatment Emergent Adverse Events (TEAEs) by CategoryDrug-related, TEAEs95 percentage of participants
Vc-RCHOPPercentage of Participants With Treatment Emergent Adverse Events (TEAEs) by CategorySerious TEAEs34 percentage of participants
Vc-RCHOPPercentage of Participants With Treatment Emergent Adverse Events (TEAEs) by CategoryGrade 3 or higher TEAEs79 percentage of participants
Secondary

Time to Progression (TTP)

TTP is defined as the time from the date of randomization to the date of first documentation of progressive disease, relapse from CR, or death related to disease under study if participant did not have any documentation of disease progression prior to death caused by lymphoma or complications thereof. For a participant who has not progressed and is not known to have died due to disease under study at the end of his/her study follow-up or at the time of start of an alternate therapy (whichever is first), TTP is censored at the last overall response assessment that is stable disease or better, and which is prior to the start of the alternate therapy, if any. Disease response was assessed using International Working Group (IWG)-revised response criteria for malignant lymphoma. PD= any new lesion or increase by \> 50% of previously involved sites from nadir.

Time frame: Median Follow-up of 34.3 months for RCHOP arm and 34.4 months for Vc-RCHOP arm

Population: MITT Population included all randomized participants who received study drug and who had a central laboratory-confirmed Non-Germinal Center B-Cell (non-GCB) subtype.

ArmMeasureValue (MEDIAN)
RCHOPTime to Progression (TTP)NA months
Vc-RCHOPTime to Progression (TTP)NA months

Source: ClinicalTrials.gov · Data processed: Mar 3, 2026