Non-Germinal B-Cell-like (GCB) Diffuse Large B-cell Lymphoma (DLBCL)
Conditions
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
Bortezomib IV
Rituximab IV
Cyclophosphamide IV
Doxorubicin IV solution
Vincristine IV
Prednisone tablet
Sponsors
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| 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 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. |
| Progression-Free Survival Rate | 2 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
| Measure | Time frame | Description |
|---|---|---|
| Complete Response Rate | End 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 Response | Median Follow-up of 34.3 months for RCHOP arm and 34.4 months for Vc-RCHOP arm | 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. |
| Fluorodeoxyglucose Positron Emission Tomography (FDG-PET) Negative Rate | End 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 Survival | Median Follow-up of 34.3 months for RCHOP arm and 34.4 months for Vc-RCHOP arm | 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. |
| Percentage of Participants With Treatment Emergent Adverse Events (TEAEs) by Category | First 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 Higher | Days 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 arm | 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. |
| 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
| Arm | Count |
|---|---|
| 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 |
| Total | 201 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Adverse Event | 4 | 6 |
| Overall Study | Did not receive study drug | 3 | 2 |
| Overall Study | Other Reason not Specified | 4 | 4 |
| Overall Study | Progressive Disease | 2 | 1 |
| Overall Study | Symptomatic Deterioration | 1 | 0 |
| Overall Study | Withdrawal by Patient | 3 | 4 |
Baseline characteristics
| Characteristic | RCHOP | Vc-RCHOP | Total |
|---|---|---|---|
| Age, Continuous | 59.8 years STANDARD_DEVIATION 14.6 | 61.9 years STANDARD_DEVIATION 13.81 | 60.9 years STANDARD_DEVIATION 14.21 |
| Age, Customized ≤ 65 years | 58 participants | 55 participants | 113 participants |
| Age, Customized > 65 years | 42 participants | 46 participants | 88 participants |
| Body Surface Area | 2.002 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 Participants | 14 Participants | 20 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 90 Participants | 82 Participants | 172 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 4 Participants | 5 Participants | 9 Participants |
| Gender Female | 43 Participants | 51 Participants | 94 Participants |
| Gender Male | 57 Participants | 50 Participants | 107 Participants |
| Height | 171.1 cm STANDARD_DEVIATION 11.3 | 170.3 cm STANDARD_DEVIATION 11.48 | 170.7 cm STANDARD_DEVIATION 11.37 |
| Race/Ethnicity, Customized Asian | 6 participants | 5 participants | 11 participants |
| Race/Ethnicity, Customized Black or African American | 10 participants | 9 participants | 19 participants |
| Race/Ethnicity, Customized Not Reported | 3 participants | 3 participants | 6 participants |
| Race/Ethnicity, Customized Other | 4 participants | 5 participants | 9 participants |
| Race/Ethnicity, Customized White | 77 participants | 79 participants | 156 participants |
| Region of Enrollment United States | 100 participants | 101 participants | 201 participants |
| Weight | 85.19 kg STANDARD_DEVIATION 20.684 | 82.86 kg STANDARD_DEVIATION 21.745 | 84.02 kg STANDARD_DEVIATION 21.203 |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 100 / 100 | 100 / 101 |
| serious Total, serious adverse events | 31 / 100 | 34 / 101 |
Outcome results
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.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| RCHOP | Progression-Free Survival (PFS) in Patients With Non-germinal Center B-cell-like (Non-GCB) Diffuse Large B-cell Lymphoma (DLBCL) | NA months |
| Vc-RCHOP | Progression-Free Survival (PFS) in Patients With Non-germinal Center B-cell-like (Non-GCB) Diffuse Large B-cell Lymphoma (DLBCL) | NA months |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| RCHOP | Progression-Free Survival Rate | 78 percentage of participants |
| Vc-RCHOP | Progression-Free Survival Rate | 82 percentage of participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| RCHOP | Complete Response Rate | End of Cycle 2 | 23 percentage of participants |
| RCHOP | Complete Response Rate | End of Treatment (Cycle 6) | 45 percentage of participants |
| RCHOP | Complete Response Rate | Best Complete Response Rate | 49 percentage of participants |
| Vc-RCHOP | Complete Response Rate | End of Cycle 2 | 16 percentage of participants |
| Vc-RCHOP | Complete Response Rate | End of Treatment (Cycle 6) | 56 percentage of participants |
| Vc-RCHOP | Complete Response Rate | Best Complete Response Rate | 56 percentage of participants |
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
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| RCHOP | Duration of Response | NA months |
| Vc-RCHOP | Duration of Response | NA months |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| RCHOP | Fluorodeoxyglucose Positron Emission Tomography (FDG-PET) Negative Rate | End of Cycle 2 | 42 percentage of participants |
| RCHOP | Fluorodeoxyglucose Positron Emission Tomography (FDG-PET) Negative Rate | End of Treatment (Cycle 6) | 53 percentage of participants |
| Vc-RCHOP | Fluorodeoxyglucose Positron Emission Tomography (FDG-PET) Negative Rate | End of Cycle 2 | 37 percentage of participants |
| Vc-RCHOP | Fluorodeoxyglucose Positron Emission Tomography (FDG-PET) Negative Rate | End of Treatment (Cycle 6) | 59 percentage of participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| RCHOP | Overall Response Rate (ORR) | End of Cycle 2 | 93 percentage of participants |
| RCHOP | Overall Response Rate (ORR) | End of Treatment (Cycle 6) | 88 percentage of participants |
| RCHOP | Overall Response Rate (ORR) | Best Overall Response Rate | 98 percentage of participants |
| Vc-RCHOP | Overall Response Rate (ORR) | End of Treatment (Cycle 6) | 84 percentage of participants |
| Vc-RCHOP | Overall Response Rate (ORR) | End of Cycle 2 | 90 percentage of participants |
| Vc-RCHOP | Overall Response Rate (ORR) | Best Overall Response Rate | 96 percentage of participants |
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.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| RCHOP | Overall Survival | NA months |
| Vc-RCHOP | Overall Survival | NA months |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| RCHOP | Percentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or Higher | Aspartate aminotransferase (AST) increased | 1 percentage of participants |
| RCHOP | Percentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or Higher | Lymphocytes | 70 percentage of participants |
| RCHOP | Percentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or Higher | WBC Count | 68 percentage of participants |
| RCHOP | Percentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or Higher | Neutrophils | 65 percentage of participants |
| RCHOP | Percentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or Higher | Platelets | 18 percentage of participants |
| RCHOP | Percentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or Higher | Hemoglobin | 10 percentage of participants |
| RCHOP | Percentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or Higher | Hyperglycemia | 14 percentage of participants |
| RCHOP | Percentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or Higher | Hypokalemia | 13 percentage of participants |
| RCHOP | Percentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or Higher | Hypophosphatemia | 7 percentage of participants |
| RCHOP | Percentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or Higher | Hyponatremia | 4 percentage of participants |
| RCHOP | Percentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or Higher | Alanine aminotransferase (ALT) increased | 2 percentage of participants |
| Vc-RCHOP | Percentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or Higher | Alanine aminotransferase (ALT) increased | 1 percentage of participants |
| Vc-RCHOP | Percentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or Higher | Hyperglycemia | 9 percentage of participants |
| Vc-RCHOP | Percentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or Higher | Lymphocytes | 86 percentage of participants |
| Vc-RCHOP | Percentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or Higher | Hyponatremia | 3 percentage of participants |
| Vc-RCHOP | Percentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or Higher | WBC Count | 69 percentage of participants |
| Vc-RCHOP | Percentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or Higher | Hypokalemia | 14 percentage of participants |
| Vc-RCHOP | Percentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or Higher | Neutrophils | 70 percentage of participants |
| Vc-RCHOP | Percentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or Higher | Aspartate aminotransferase (AST) increased | 2 percentage of participants |
| Vc-RCHOP | Percentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or Higher | Platelets | 39 percentage of participants |
| Vc-RCHOP | Percentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or Higher | Hypophosphatemia | 10 percentage of participants |
| Vc-RCHOP | Percentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or Higher | Hemoglobin | 15 percentage of participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| RCHOP | Percentage of Participants With Treatment Emergent Adverse Events (TEAEs) by Category | At Least 1 TEAE | 100 percentage of participants |
| RCHOP | Percentage of Participants With Treatment Emergent Adverse Events (TEAEs) by Category | Drug-related, TEAEs | 88 percentage of participants |
| RCHOP | Percentage of Participants With Treatment Emergent Adverse Events (TEAEs) by Category | Grade 3 or higher TEAEs | 71 percentage of participants |
| RCHOP | Percentage of Participants With Treatment Emergent Adverse Events (TEAEs) by Category | Grade 3 or Higher Drug-related, TEAEs | 55 percentage of participants |
| RCHOP | Percentage of Participants With Treatment Emergent Adverse Events (TEAEs) by Category | TEAEs Resulting in Study Drug Discontinuation | 4 percentage of participants |
| RCHOP | Percentage of Participants With Treatment Emergent Adverse Events (TEAEs) by Category | Serious TEAEs | 31 percentage of participants |
| Vc-RCHOP | Percentage of Participants With Treatment Emergent Adverse Events (TEAEs) by Category | TEAEs Resulting in Study Drug Discontinuation | 6 percentage of participants |
| Vc-RCHOP | Percentage of Participants With Treatment Emergent Adverse Events (TEAEs) by Category | At Least 1 TEAE | 99 percentage of participants |
| Vc-RCHOP | Percentage of Participants With Treatment Emergent Adverse Events (TEAEs) by Category | Grade 3 or Higher Drug-related, TEAEs | 68 percentage of participants |
| Vc-RCHOP | Percentage of Participants With Treatment Emergent Adverse Events (TEAEs) by Category | Drug-related, TEAEs | 95 percentage of participants |
| Vc-RCHOP | Percentage of Participants With Treatment Emergent Adverse Events (TEAEs) by Category | Serious TEAEs | 34 percentage of participants |
| Vc-RCHOP | Percentage of Participants With Treatment Emergent Adverse Events (TEAEs) by Category | Grade 3 or higher TEAEs | 79 percentage of participants |
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.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| RCHOP | Time to Progression (TTP) | NA months |
| Vc-RCHOP | Time to Progression (TTP) | NA months |