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A Phase 2, Multicenter, Randomized, Open-label Study of MEDI-551 in Adults With Relapsed or Refractory Diffuse Large B-Cell Lymphoma (DLBCL)

A Phase 2 Randomized Open-label Study of MEDI-551 in Adults With Relapsed or Refractory DLBCL

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01453205
Enrollment
187
Registered
2011-10-17
Start date
2012-02-27
Completion date
2016-07-11
Last updated
2018-03-12

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

Conditions

Diffuse Large B-Cell Lymphoma

Keywords

Lymphoma, Non-Hodgkin's Lymphoma, Diffuse Large B-Cell Lymphoma, DLBCL, B-Cell Malignancy, anti-CD19, monoclonal antibody, second line, ASCT, Refractory

Brief summary

The overall purpose of the study is to determine if MEDI-551, when used in combination with salvage chemotherapy, Ifosfamide-carboplatin-etoposide (ICE) or Dexamethasone-cytarabine (DHAP) in patients with relapsed or refractory DLBCL who are eligible for Autologous Stem Cell Transplant (ASCT), has superior efficacy compared to rituximab in the same population.

Interventions

DRUGMEDI-551 2 mg/kg

MEDI-551 at the assigned dose will be administered via Intravenous (IV) infusion. Subjects will receive 3 cycles of M-ICE or M-DHAP unless CR is achieved at the end of Cycle 2, disease progression is noted at the end of Cycle 2, or a significant/serious drug related toxicity occurs (as per the opinion of the investigator).

DRUGRituximab

Rituximab at 375 mg/m2 will be administered via IV infusion 2 days before the start of Cycle 1 and on Day 1 of each cycle. The infusion time for rituximab will be 50 400 mg/hr, depending on subject's tolerance. Subjects will receive 3 cycles of Rituximab with Ice (R ICE) or Rituximab with DHAP (R-DHAP) unless CR is achieved at the end of Cycle 2, disease progression is noted at the end of Cycle 2, or a significant/serious drug related toxicity occurs (as per the opinion of the investigator).

DRUGICE

ICE will be administered via IV infusion as follows: ifosfamide 5 g/m2 continuously for 24 hours with mesna on Days 2 and 3; carboplatin AUC=5 mg/mL x min \[800 mg maximum) on Day 2; etoposide 100 mg/m2 on Days 1, 2, and 3) in 21-day cycles.

DRUGDHAP

DHAP will be administered via IV infusion as follows: dexamethasone 40 mg on Days 1, 2, 3, and 4; cisplatin 100 mg/m2 continuously for 24 hours on Day 1 of dosing cycle; cytarabine 2 g/m2 in 3-hour infusion repeated after 12 hours (2 doses) on Day 2 in 21-day cycles.

Subjects who achieve CR or PR will undergo stem cell harvest and autologous stem cell transplantation (ASCT) following standard institutional protocols.

DRUGMEDI-551 4 mg/kg

MEDI-551 at the assigned dose will be administered via Intravenous (IV) infusion. Subjects will receive 3 cycles of M-ICE or M-DHAP unless CR is achieved at the end of Cycle 2, disease progression is noted at the end of Cycle 2, or a significant/serious drug related toxicity occurs (as per the opinion of the investigator).

Sponsors

MedImmune LLC
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 99 Years
Healthy volunteers
No

Inclusion criteria

* Histologically confirmed aggressive B-cell DLBCL, including FL transforming to DLBCL & Grade III FL * Relapsed from or refractory to at least one treatment containing rituximab or another anti-CD20 based immunotherapy combined with anthracycline- or anthracenedione-based chemotherapy * Eligible for ASCT * Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2 * Life expectancy of ≥ 12 weeks * Adequate hematological function

Exclusion criteria

* Any chemotherapy, radiotherapy, immunotherapy, biologic, investigational or hormonal therapy for treatment of lymphoma within 28 days prior to treatment * Previous cancer therapy for DLBCL other than anthracycline- or anthracenedione based chemoimmunotherapy, monotherapy rituximab prior to first line therapy and/or as a maintenance therapy, or limited field radiotherapy * Prior autologous or allogeneic SCT * New York Heart Association ≥ Class II congestive heart failure; Clinically significant abnormality on ECG * History of other invasive malignancy within 5 years except for localized/in situ, carcinomas such as cervical carcinoma in situ. * Evidence of active infection * Documented current central nervous system involvement by leukemia or lymphoma

Design outcomes

Primary

MeasureTime frameDescription
Objective Response Rate (ORR)From treatment administration (Day 1) to 90 days after the end of study treatment (up to approximately 36 months from the randomization of last participant)Objective Response Rate is defined as the proportion of participants with a best response of complete response (CR) or partial response (PR) according to the International Working Group criteria. CR is defined as disappearance of all evidence of disease. PR is defined as 50 percent (%) decrease in the sum of the product of the perpendicular diameters (SPD) of up to 6 largest dominant nodal masses and greater than or equal to (\>=) 50% decrease in SPD of spleen/liver nodules.

Secondary

MeasureTime frameDescription
Event-Free Survival (EFS)From treatment administration (Day 1) to 90 days after the end of study treatment (up to approximately 36 months from the randomization of last participant)Event-Free Survival (EFS) is defined as the time from randomization until the first documentation of EFS events which include PD, initiation of alternative antitumor treatment or death due to any cause, whichever occurs first according to the International Working Group criteria. PD is defined as appearance of any new lesions or \>= 50% increase in SPD of more than one node or \>= 50% increase in longest diameter of a previously identified node or \>50% increase from nadir in the SPD of any previous lesions. EFS (months) = (Date of EFS or censoring - Date of randomization + 1) / (365.25/12).
Overall Survival (OS)From treatment administration (Day 1) to 90 days after the end of study treatment (up to approximately 36 months from the randomization of last participant)Overall survival is defined as the time from randomization until death due to any cause according to the International Working Group criteria. OS (months) = (Date of death or censoring - Date of randomization + 1) / (365.25/12).
Time to Progression (TTP)From treatment administration (Day 1) to 90 days after the end of study treatment (up to approximately 36 months from the randomization of last participant)Time to Progression (TTP) is defined as the time from randomization until the first documentation of PD according to the International Working Group criteria. PD is defined as appearance of any new lesions or \>= 50% increase in SPD of more than one node or \>= 50% increase in longest diameter of a previously identified node or \>50% increase from nadir in the SPD of any previous lesions. TTP (months) = (Date of PD or censoring - Date of randomization + 1) / (365.25/12).
Time to Response (TTR)From treatment administration (Day 1) to 90 days after the end of study treatment (up to approximately 36 months from the randomization of last participant)Time to response (TTR) is defined as the time from randomization until the first documentation of disease response according to the International Working Group criteria. Only participants who have achieved objective response (confirmed CR or confirmed PR) assessed by investigator were evaluated for TTR. CR is defined as disappearance of all evidence of disease. PR is defined as 50% decrease in the SPD of up to 6 largest dominant nodal masses and \>= 50% decrease in SPD of spleen/liver nodules. TTR (months) = (Date of first disease response - Date of randomization + 1) / (365.25/12).
Duration of Response (DR)From treatment administration (Day 1) to 90 days after the end of study treatment (up to approximately 36 months from the randomization of last participant)Duration of Response (DR) is defined as time from start of first documented objective response (confirmed CR or confirmed PR) to first documented PD according to the International Working Group criteria. CR is defined as disappearance of all evidence of disease. PR is defined as 50% decrease in the SPD of up to 6 largest dominant nodal masses and \>= 50% decrease in SPD of spleen/liver nodules. PD: appearance of any new lesions or \>= 50% increase in SPD of more than one node or \>= 50% increase in longest diameter of a previously identified node or \> 50% increase from nadir in the SPD of any previous lesions. Only participants who have achieved objective response assessed by investigator were evaluated. DR calculated as (months) = (Date of PD or censoring - Date of first disease response + 1)/ (365.25/12).
Number of Participants With Best Overall Response Assessed by Blinded Independent Central Review (BICR)From treatment administration (Day 1) to 90 days after the end of study treatment (up to approximately 36 months from the randomization of last participant)The best overall response was calculated, based upon the disease assessments recorded during the study visits, and summarized with the number of participants for the following categories: CR, PR, stable disease (SD), PD, and unknown. Responses were assessed according to the International Working Group criteria. CR: disappearance of all evidence of disease; PR: 50% decrease in the SPD of up to 6 largest dominant nodal masses and \>= 50% decrease in SPD of spleen/liver nodules; PD: appearance of any new lesions or \>= 50% increase in SPD of more than one node or \>= 50% increase in longest diameter of a previously identified node or \>50% increase from nadir in the SPD of any previous lesions; SD: failure to attain CR/PR or PD.
Acceptable Dose of MEDI-551After the administration of the first dose of MEDI-551 (7 days before the Cycle 1) to last dose of MEDI-551 (Cycle 3 Day 1) (each cycle of 21 days)Acceptable dose for MEDI-551 was evaluated based on the benefit-risk analysis.
Progression-Free Survival (PFS)From treatment administration (Day 1) to 90 days after the end of study treatment (up to approximately 36 months from the randomization of last participant)Progression-free survival (PFS) is defined as the time from randomization until the first documentation of progressive disease (PD) or death due to any cause, whichever occurs first according to the International Working Group criteria. PD is defined as appearance of any new lesions or \>= 50% increase in SPD of more than one node or \>= 50% increase in longest diameter of a previously identified node or \>50% increase from nadir in the SPD of any previous lesions. PFS (months) = (Date of PD/death or censoring - Date of randomization + 1) / (365.25/12).
Number of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsFrom treatment administration (Day 1) to 90 days after the end of study treatment (up to approximately 36 months from the randomization of last participant)An abnormal laboratory finding that was judged by the investigator to be clinically significant was reported as an AE. TEAEs were defined as events present at baseline that worsened in intensity after administration of MEDI-551, or events absent at baseline that emerged after administration of MEDI-551, for the period extending to 90 days after the end of study treatment (EOT).
Number of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)From treatment administration (Day 1) to 90 days after the end of study treatment (up to approximately 36 months from the randomization of last participant)An abnormal laboratory findings that was judged by the investigator to be clinically significant was reported as an AE. TEAEs were defined as events present at baseline that worsened in intensity after administration of MEDI-551, or events absent at baseline that emerged after administration of MEDI-551, for the period extending to 90 days after the end of study treatment.
Number of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesFrom treatment administration (Day 1) to 90 days after the end of study treatment (up to approximately 36 months from the randomization of last participant)Vital signs included parameters such as heart rate, blood pressure, temperature, and respiratory rate. An abnormal vital signs and ECG findings that was judged by the investigator to be clinically significant was reported an AE. TEAEs were defined as events present at baseline that worsened in intensity after administration of MEDI-551, or events absent at baseline that emerged after administration of MEDI-551, for the period extending to 90 days after the end of study treatment.
Number of Participants Who Developed Detectable MEDI-551 Anti-drug Antibodies (ADA)7 days before the start of Cycle 1, Day 1 of each subsequent Cycle, EOT, and post EOT on Days 30, 60, 90 and 270 (up to 36 months from the randomization of last participant)A participant was considered ADA-positive across the study if they had a positive reading (titer of 50 or higher) at any time point during the study.
Mean Serum Concentration of MEDI-551Cycle 1 Day -7 Post dose, pre-dose and postdose on Day 1, post-dose on Days 4, 8, 15 of Cycle 1, pre-dose and postdose on Day 1 of Cycle 2 and Cycle 3The mean serum concentration of MEDI-551 were observed.
Half-life (T1/2) of MEDI-551Cycle 1 and EOT (Day 21 of Cycle 3 [each cycle of 21 days] or earlier cycles if treatment stopped before Cycle 3)Terminal elimination half-life (T1/2) is the time required for half of the drug to be eliminated from the serum.
Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)From treatment administration (Day 1) to 90 days after the end of study treatment (up to approximately 36 months from the randomization of last participant)An Adverse Event (AE) is any unfavourable and unintended signs, symptoms, or diseases temporally associated with use of study drug, whether or not considered related to study drug. Serious adverse event (SAE) is any AE that resulted in death, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, life-threatening, a congenital anomaly/birth defect, or an important medical event. TEAEs are defined as AEs present at baseline that worsened in intensity after administration of study drug, or events absent at baseline that emerged after administration of study drug, up to 90 days after the end of treatment (EOT).

Countries

Canada, Czechia, France, Germany, Hungary, Israel, Poland, Russia, Spain, Turkey (Türkiye), United States

Participant flow

Recruitment details

The study was conducted from 27Feb2012 to 17Jun2016.

Pre-assignment details

A total of 256 participants were screened, of which 187 participants were randomized in the study.

Participants by arm

ArmCount
Rituximab+ ICE/DHAP
Participants received Rituximab in combination with ifosfamide + carboplatin + etoposide (ICE) or dexamethasone + cisplatin + cytarabine (DHAP) for 3 cycles (21-day cycles) and were followed until end of the study (36 months after the date of randomization for last participant, or date the sponsor stops the trial, whichever occurs first). Rituximab (375 mg/m\^2) was administered intravenous (IV) on 2 days before the start of Cycle 1 and on Day 1 of each cycle. After completion of rituximab, IV infusion of ICE as: ifosfamide 5 g/ m\^2 continuously for 24 hours with mesna on Day 2; carboplatin AUC=5 mg/mL x min (800 mg maximum) on Day 2; etoposide 100 mg/ m\^2 on Days 1, 2, and 3 in 21-day cycles. After completion of rituximab, IV infusion of DHAP as: dexamethasone 40 mg on Days 1, 2, 3, and 4; cisplatin 100 mg/m\^2 continuously for 24 hours on Day 1; cytarabine 2 g/m\^2 in 3-hour infusion repeated after 12 hours (2 doses) on Day 2 in 21-day cycles.
80
MEDI-551 2 mg/kg + ICE/DHAP
Participants received MEDI-551 (2 mg/kg) in combination with ICE or DHAP for 3 cycles (21-day cycles) and were followed until end of the study (36 months after the date of randomization for last participant, or date the sponsor stops the trial, whichever occurs first). MEDI-551 (2 mg/kg) was administered IV on 7 days before the start of Cycle 1 and on Day 1 of each cycle. After completion of MEDI-551, IV infusion of ICE as: ifosfamide 5 g/ m\^2 continuously for 24 hours with mesna on Day 2; carboplatin AUC=5 mg/mL x min (800 mg maximum) on Day 2; etoposide 100 mg/ m\^2 on Days 1, 2, and 3 in 21-day cycles. After completion of MEDI-551, IV infusion of DHAP as: dexamethasone 40 mg on Days 1, 2, 3, and 4; cisplatin 100 mg/m\^2 continuously for 24 hours on Day 1; cytarabine 2 g/m\^2 in 3-hour infusion repeated after 12 hours (2 doses) on Day 2 in 21-day cycles.
52
MEDI-551 4 mg/kg + ICE/DHAP
Participants received MEDI-551 (4 mg/kg) in combination with ICE or DHAP for 3 cycles (21-day cycles) and were followed until end of the study (36 months after the date of randomization for last participant, or date the sponsor stops the trial, whichever occurs first). MEDI-551 (4 mg/kg) was administered IV on 7 days before the start of Cycle 1 and on Day 1 of each cycle. After completion of MEDI-551, IV infusion of ICE as: ifosfamide 5 g/ m\^2 continuously for 24 hours with mesna on Day 2; carboplatin AUC=5 mg/mL x min (800 mg maximum) on Day 2; etoposide 100 mg/ m\^2 on Days 1, 2, and 3 in 21-day cycles. After completion of MEDI-551, IV infusion of DHAP as: dexamethasone 40 mg on Days 1, 2, 3, and 4; cisplatin 100 mg/m\^2 continuously for 24 hours on Day 1; cytarabine 2 g/m\^2 in 3-hour infusion repeated after 12 hours (2 doses) on Day 2 in 21-day cycles.
55
TOTAL
Total of all reporting groups
187
Total374

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyDeath242218
Overall StudyLost to Follow-up301
Overall StudyOther452735
Overall StudyWithdrawal by Subject830

Baseline characteristics

CharacteristicRituximab+ ICE/DHAPMEDI-551 2 mg/kg + ICE/DHAPMEDI-551 4 mg/kg + ICE/DHAPTOTAL
Age, Continuous56.4 YEARS
STANDARD_DEVIATION 12.3
56.9 YEARS
STANDARD_DEVIATION 11.4
55.9 YEARS
STANDARD_DEVIATION 11.6
56.4 YEARS
STANDARD_DEVIATION 11.8
Age, Customized
< 65 YEARS
60 Participants35 Participants43 Participants138 Participants
Age, Customized
>= 65 YEARS
20 Participants17 Participants12 Participants49 Participants
Sex: Female, Male
Female
35 Participants19 Participants24 Participants78 Participants
Sex: Female, Male
Male
45 Participants33 Participants31 Participants109 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —
other
Total, other adverse events
78 / 7949 / 5252 / 54
serious
Total, serious adverse events
33 / 7925 / 5227 / 54

Outcome results

Primary

Objective Response Rate (ORR)

Objective Response Rate is defined as the proportion of participants with a best response of complete response (CR) or partial response (PR) according to the International Working Group criteria. CR is defined as disappearance of all evidence of disease. PR is defined as 50 percent (%) decrease in the sum of the product of the perpendicular diameters (SPD) of up to 6 largest dominant nodal masses and greater than or equal to (\>=) 50% decrease in SPD of spleen/liver nodules.

Time frame: From treatment administration (Day 1) to 90 days after the end of study treatment (up to approximately 36 months from the randomization of last participant)

Population: Intent-To-Treat population included all participants who were randomized into the study.

ArmMeasureValue (NUMBER)
Rituximab+ ICE/DHAPObjective Response Rate (ORR)47.5 Percentage of participants
MEDI-551 2 mg/kg + ICE/DHAPObjective Response Rate (ORR)46.2 Percentage of participants
MEDI-551 4 mg/kg + ICE/DHAPObjective Response Rate (ORR)43.6 Percentage of participants
p-value: 0.5543Cochran-Mantel-Haenszel
Secondary

Acceptable Dose of MEDI-551

Acceptable dose for MEDI-551 was evaluated based on the benefit-risk analysis.

Time frame: After the administration of the first dose of MEDI-551 (7 days before the Cycle 1) to last dose of MEDI-551 (Cycle 3 Day 1) (each cycle of 21 days)

Population: All participants who were randomized into the study and received MEDI-551.

ArmMeasureValue (NUMBER)
Rituximab+ ICE/DHAPAcceptable Dose of MEDI-5514 milligram per kilogram (mg/kg)
Secondary

Duration of Response (DR)

Duration of Response (DR) is defined as time from start of first documented objective response (confirmed CR or confirmed PR) to first documented PD according to the International Working Group criteria. CR is defined as disappearance of all evidence of disease. PR is defined as 50% decrease in the SPD of up to 6 largest dominant nodal masses and \>= 50% decrease in SPD of spleen/liver nodules. PD: appearance of any new lesions or \>= 50% increase in SPD of more than one node or \>= 50% increase in longest diameter of a previously identified node or \> 50% increase from nadir in the SPD of any previous lesions. Only participants who have achieved objective response assessed by investigator were evaluated. DR calculated as (months) = (Date of PD or censoring - Date of first disease response + 1)/ (365.25/12).

Time frame: From treatment administration (Day 1) to 90 days after the end of study treatment (up to approximately 36 months from the randomization of last participant)

Population: Intent-To-Treat population included all participants who were randomized into the study. Here, N is number of participants analyzed for this outcome measure.

ArmMeasureValue (MEDIAN)
Rituximab+ ICE/DHAPDuration of Response (DR)NA months
MEDI-551 2 mg/kg + ICE/DHAPDuration of Response (DR)7.1 months
MEDI-551 4 mg/kg + ICE/DHAPDuration of Response (DR)7.9 months
Secondary

Event-Free Survival (EFS)

Event-Free Survival (EFS) is defined as the time from randomization until the first documentation of EFS events which include PD, initiation of alternative antitumor treatment or death due to any cause, whichever occurs first according to the International Working Group criteria. PD is defined as appearance of any new lesions or \>= 50% increase in SPD of more than one node or \>= 50% increase in longest diameter of a previously identified node or \>50% increase from nadir in the SPD of any previous lesions. EFS (months) = (Date of EFS or censoring - Date of randomization + 1) / (365.25/12).

Time frame: From treatment administration (Day 1) to 90 days after the end of study treatment (up to approximately 36 months from the randomization of last participant)

Population: Intent-To-Treat population included all participants who were randomized into the study.

ArmMeasureValue (MEDIAN)
Rituximab+ ICE/DHAPEvent-Free Survival (EFS)4.7 months
MEDI-551 2 mg/kg + ICE/DHAPEvent-Free Survival (EFS)4.2 months
MEDI-551 4 mg/kg + ICE/DHAPEvent-Free Survival (EFS)5.9 months
p-value: 0.7412Log Rank
Secondary

Half-life (T1/2) of MEDI-551

Terminal elimination half-life (T1/2) is the time required for half of the drug to be eliminated from the serum.

Time frame: Cycle 1 and EOT (Day 21 of Cycle 3 [each cycle of 21 days] or earlier cycles if treatment stopped before Cycle 3)

Population: Participants who received MEDI-551 were analyzed for this end point.

ArmMeasureGroupValue (MEAN)Dispersion
Rituximab+ ICE/DHAPHalf-life (T1/2) of MEDI-551Cycle 114.4 DayStandard Deviation 5.09
Rituximab+ ICE/DHAPHalf-life (T1/2) of MEDI-551End of Treatment18.9 DayStandard Deviation 4.34
MEDI-551 2 mg/kg + ICE/DHAPHalf-life (T1/2) of MEDI-551Cycle 116.5 DayStandard Deviation 10.5
MEDI-551 2 mg/kg + ICE/DHAPHalf-life (T1/2) of MEDI-551End of Treatment20.2 DayStandard Deviation 5.73
Secondary

Mean Serum Concentration of MEDI-551

The mean serum concentration of MEDI-551 were observed.

Time frame: Cycle 1 Day -7 Post dose, pre-dose and postdose on Day 1, post-dose on Days 4, 8, 15 of Cycle 1, pre-dose and postdose on Day 1 of Cycle 2 and Cycle 3

Population: Participants who received MEDI-551 were analyzed for this end point.

ArmMeasureGroupValue (MEAN)Dispersion
Rituximab+ ICE/DHAPMean Serum Concentration of MEDI-551Cycle 1 Day 438.8 mcg/mLStandard Deviation 14.6
Rituximab+ ICE/DHAPMean Serum Concentration of MEDI-551Cycle 1 Day-7 Post Dose47.0 mcg/mLStandard Deviation 23.7
Rituximab+ ICE/DHAPMean Serum Concentration of MEDI-551Cycle 1 Day 1 Pre Dose16.7 mcg/mLStandard Deviation 5.81
Rituximab+ ICE/DHAPMean Serum Concentration of MEDI-551Cycle 1 Day 1 Post Dose64.8 mcg/mLStandard Deviation 26.4
Rituximab+ ICE/DHAPMean Serum Concentration of MEDI-551Cycle 1 Day 830.6 mcg/mLStandard Deviation 9.69
Rituximab+ ICE/DHAPMean Serum Concentration of MEDI-551Cycle 1 Day 1519.4 mcg/mLStandard Deviation 6.19
Rituximab+ ICE/DHAPMean Serum Concentration of MEDI-551Cycle 2 Day 1 Pre Dose15.0 mcg/mLStandard Deviation 5.45
Rituximab+ ICE/DHAPMean Serum Concentration of MEDI-551Cycle 2 Day 1 Post Dose52.3 mcg/mLStandard Deviation 18.7
Rituximab+ ICE/DHAPMean Serum Concentration of MEDI-551Cycle 3 Day 1 Pre Dose14.0 mcg/mLStandard Deviation 6.5
Rituximab+ ICE/DHAPMean Serum Concentration of MEDI-551Cycle 3 Day 1 Post Dose52.4 mcg/mLStandard Deviation 16.9
MEDI-551 2 mg/kg + ICE/DHAPMean Serum Concentration of MEDI-551Cycle 2 Day 1 Post Dose112 mcg/mLStandard Deviation 32.6
MEDI-551 2 mg/kg + ICE/DHAPMean Serum Concentration of MEDI-551Cycle 1 Day 471.9 mcg/mLStandard Deviation 23
MEDI-551 2 mg/kg + ICE/DHAPMean Serum Concentration of MEDI-551Cycle 1 Day 1544.7 mcg/mLStandard Deviation 25
MEDI-551 2 mg/kg + ICE/DHAPMean Serum Concentration of MEDI-551Cycle 1 Day-7 Post Dose83.8 mcg/mLStandard Deviation 21.9
MEDI-551 2 mg/kg + ICE/DHAPMean Serum Concentration of MEDI-551Cycle 3 Day 1 Post Dose116 mcg/mLStandard Deviation 30.9
MEDI-551 2 mg/kg + ICE/DHAPMean Serum Concentration of MEDI-551Cycle 1 Day 1 Pre Dose33.1 mcg/mLStandard Deviation 16.3
MEDI-551 2 mg/kg + ICE/DHAPMean Serum Concentration of MEDI-551Cycle 2 Day 1 Pre Dose30.9 mcg/mLStandard Deviation 14.3
MEDI-551 2 mg/kg + ICE/DHAPMean Serum Concentration of MEDI-551Cycle 1 Day 1 Post Dose116 mcg/mLStandard Deviation 41.3
MEDI-551 2 mg/kg + ICE/DHAPMean Serum Concentration of MEDI-551Cycle 3 Day 1 Pre Dose36.4 mcg/mLStandard Deviation 18.7
MEDI-551 2 mg/kg + ICE/DHAPMean Serum Concentration of MEDI-551Cycle 1 Day 869.3 mcg/mLStandard Deviation 25.1
Secondary

Number of Participants Who Developed Detectable MEDI-551 Anti-drug Antibodies (ADA)

A participant was considered ADA-positive across the study if they had a positive reading (titer of 50 or higher) at any time point during the study.

Time frame: 7 days before the start of Cycle 1, Day 1 of each subsequent Cycle, EOT, and post EOT on Days 30, 60, 90 and 270 (up to 36 months from the randomization of last participant)

Population: Safety population included all participants who received any study treatment.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Rituximab+ ICE/DHAPNumber of Participants Who Developed Detectable MEDI-551 Anti-drug Antibodies (ADA)1 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants Who Developed Detectable MEDI-551 Anti-drug Antibodies (ADA)0 Participants
Secondary

Number of Participants With Best Overall Response Assessed by Blinded Independent Central Review (BICR)

The best overall response was calculated, based upon the disease assessments recorded during the study visits, and summarized with the number of participants for the following categories: CR, PR, stable disease (SD), PD, and unknown. Responses were assessed according to the International Working Group criteria. CR: disappearance of all evidence of disease; PR: 50% decrease in the SPD of up to 6 largest dominant nodal masses and \>= 50% decrease in SPD of spleen/liver nodules; PD: appearance of any new lesions or \>= 50% increase in SPD of more than one node or \>= 50% increase in longest diameter of a previously identified node or \>50% increase from nadir in the SPD of any previous lesions; SD: failure to attain CR/PR or PD.

Time frame: From treatment administration (Day 1) to 90 days after the end of study treatment (up to approximately 36 months from the randomization of last participant)

Population: ITT population included all participants who were randomized into the study.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Rituximab+ ICE/DHAPNumber of Participants With Best Overall Response Assessed by Blinded Independent Central Review (BICR)PROGRESSIVE DISEASE (PD)5 Participants
Rituximab+ ICE/DHAPNumber of Participants With Best Overall Response Assessed by Blinded Independent Central Review (BICR)STABLE DISEASE (SD)17 Participants
Rituximab+ ICE/DHAPNumber of Participants With Best Overall Response Assessed by Blinded Independent Central Review (BICR)COMPLETE RESPONSE (CR)20 Participants
Rituximab+ ICE/DHAPNumber of Participants With Best Overall Response Assessed by Blinded Independent Central Review (BICR)PARTIAL RESPONSE (PR)18 Participants
Rituximab+ ICE/DHAPNumber of Participants With Best Overall Response Assessed by Blinded Independent Central Review (BICR)UNKNOWN20 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Best Overall Response Assessed by Blinded Independent Central Review (BICR)STABLE DISEASE (SD)12 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Best Overall Response Assessed by Blinded Independent Central Review (BICR)COMPLETE RESPONSE (CR)6 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Best Overall Response Assessed by Blinded Independent Central Review (BICR)PARTIAL RESPONSE (PR)18 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Best Overall Response Assessed by Blinded Independent Central Review (BICR)PROGRESSIVE DISEASE (PD)5 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Best Overall Response Assessed by Blinded Independent Central Review (BICR)UNKNOWN11 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Best Overall Response Assessed by Blinded Independent Central Review (BICR)UNKNOWN12 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Best Overall Response Assessed by Blinded Independent Central Review (BICR)PROGRESSIVE DISEASE (PD)5 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Best Overall Response Assessed by Blinded Independent Central Review (BICR)COMPLETE RESPONSE (CR)12 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Best Overall Response Assessed by Blinded Independent Central Review (BICR)STABLE DISEASE (SD)14 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Best Overall Response Assessed by Blinded Independent Central Review (BICR)PARTIAL RESPONSE (PR)12 Participants
Secondary

Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)

An Adverse Event (AE) is any unfavourable and unintended signs, symptoms, or diseases temporally associated with use of study drug, whether or not considered related to study drug. Serious adverse event (SAE) is any AE that resulted in death, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, life-threatening, a congenital anomaly/birth defect, or an important medical event. TEAEs are defined as AEs present at baseline that worsened in intensity after administration of study drug, or events absent at baseline that emerged after administration of study drug, up to 90 days after the end of treatment (EOT).

Time frame: From treatment administration (Day 1) to 90 days after the end of study treatment (up to approximately 36 months from the randomization of last participant)

Population: Safety population included all participants who received any study treatment.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)TESAEs33 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)TEAEs78 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)TEAEs51 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)TESAEs25 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)TEAEs52 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)TESAEs27 Participants
Secondary

Number of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)

An abnormal laboratory findings that was judged by the investigator to be clinically significant was reported as an AE. TEAEs were defined as events present at baseline that worsened in intensity after administration of MEDI-551, or events absent at baseline that emerged after administration of MEDI-551, for the period extending to 90 days after the end of study treatment.

Time frame: From treatment administration (Day 1) to 90 days after the end of study treatment (up to approximately 36 months from the randomization of last participant)

Population: Safety population included all participants who received any study treatment.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hepatic enzyme increased1 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Alanine aminotransferase increased7 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hyperuricaemia5 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Gamma-glutamyltransferase increased9 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Aspartate aminotransferase increased5 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hypernatraemia3 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Blood uric acid increased1 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Blood alkaline phosphatase increased2 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Calcium deficiency0 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Blood uric acid decreased0 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Blood bicarbonate decreased1 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hypoalbuminaemia3 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Blood potassium decreased2 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Blood bilirubin increased1 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hyperbilirubinaemia1 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Blood magnesium decreased2 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Blood chloride increased0 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Blood lactate dehydrogenase increased2 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Blood creatinine increased10 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Urine sodium increased0 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hypocalcaemia11 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hyperglycaemia12 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Proteinuria0 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hypoglycaemia1 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hyperphosphataemia0 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Glucose urine present0 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hypokalaemia24 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hypermagnesaemia3 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hematuria2 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hypomagnesaemia17 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hypercalcaemia2 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Dysuria2 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hyponatraemia8 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hypertriglyerideaemia1 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Transaminases increased1 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hypophosphataemia4 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hyperkalaemia2 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Protein total decreased0 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hypoproteinaemia0 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Electrolyte imbalance2 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hypomagnesaemia6 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hyperbilirubinaemia0 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hypernatraemia1 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hyperphosphataemia0 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hypertriglyerideaemia0 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hyperuricaemia4 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hypoalbuminaemia4 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hypocalcaemia6 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hypoglycaemia1 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hypokalaemia13 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Blood chloride increased1 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hyponatraemia2 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hypophosphataemia3 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hypoproteinaemia0 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Alanine aminotransferase increased2 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Aspartate aminotransferase increased2 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Blood alkaline phosphatase increased0 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Blood bicarbonate decreased0 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Blood bilirubin increased1 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Blood creatinine increased5 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Blood lactate dehydrogenase increased1 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Blood magnesium decreased0 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Blood potassium decreased0 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Blood uric acid decreased1 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Blood uric acid increased1 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Gamma-glutamyltransferase increased3 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hepatic enzyme increased0 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Protein total decreased1 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Transaminases increased2 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Dysuria1 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hematuria3 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Glucose urine present1 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Proteinuria1 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Urine sodium increased0 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Calcium deficiency0 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Electrolyte imbalance0 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hypercalcaemia1 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hyperglycaemia9 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hyperkalaemia2 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hypermagnesaemia2 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hypertriglyerideaemia0 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hepatic enzyme increased1 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hypophosphataemia3 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hyperbilirubinaemia0 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Protein total decreased1 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hyponatraemia2 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Electrolyte imbalance0 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Transaminases increased0 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hypomagnesaemia11 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hyperphosphataemia2 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Dysuria3 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hypokalaemia14 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hypermagnesaemia0 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hematuria0 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hypoglycaemia1 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hypercalcaemia0 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Glucose urine present1 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hypocalcaemia7 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hypernatraemia1 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Proteinuria1 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Blood creatinine increased7 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Blood chloride increased0 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hypoalbuminaemia3 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Blood lactate dehydrogenase increased1 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Blood bilirubin increased1 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hyperkalaemia1 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Blood magnesium decreased0 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Blood bicarbonate decreased0 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Urine sodium increased1 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Blood potassium decreased0 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Blood alkaline phosphatase increased1 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hyperuricaemia1 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Blood uric acid decreased0 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Aspartate aminotransferase increased6 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hyperglycaemia2 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Blood uric acid increased0 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Alanine aminotransferase increased4 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Calcium deficiency1 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Gamma-glutamyltransferase increased3 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Chemistry Laboratory Results (Include Urinalysis)Hypoproteinaemia1 Participants
Secondary

Number of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory Results

An abnormal laboratory finding that was judged by the investigator to be clinically significant was reported as an AE. TEAEs were defined as events present at baseline that worsened in intensity after administration of MEDI-551, or events absent at baseline that emerged after administration of MEDI-551, for the period extending to 90 days after the end of study treatment (EOT).

Time frame: From treatment administration (Day 1) to 90 days after the end of study treatment (up to approximately 36 months from the randomization of last participant)

Population: Safety population included all participants who received any study treatment.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsLymphopenia4 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsFebrile neutropenia16 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsGranulocytopenia3 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsLeukopenia9 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsAnaemia47 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsNeutropenia30 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsPancytopenia2 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsThromobocytopenia49 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsActivated partial thromboplastin time prolonged0 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsBlood immunoglobulin g decreased0 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsBlood immunoglobulin m decreased0 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsHaemoglobin decreased0 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsImmunoglobulins decreased0 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsLymphocyte count decreased9 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsNeutrophil count decreased7 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsPlatelet count decreased12 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsPlatelet count increased0 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsWhite blood cell count decreased6 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsWhite blood cell count decreased5 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsAnaemia32 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsBlood immunoglobulin g decreased1 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsImmunoglobulins decreased1 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsFebrile neutropenia9 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsNeutrophil count decreased6 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsPlatelet count decreased8 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsGranulocytopenia0 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsBlood immunoglobulin m decreased1 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsPlatelet count increased1 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsLeukopenia6 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsActivated partial thromboplastin time prolonged2 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsLymphocyte count decreased4 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsLymphopenia2 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsThromobocytopenia24 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsHaemoglobin decreased1 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsNeutropenia15 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsPancytopenia0 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsNeutropenia20 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsPancytopenia3 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsThromobocytopenia29 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsNeutrophil count decreased8 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsActivated partial thromboplastin time prolonged0 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsWhite blood cell count decreased6 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsBlood immunoglobulin g decreased0 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsBlood immunoglobulin m decreased0 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsPlatelet count decreased10 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsHaemoglobin decreased0 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsAnaemia33 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsFebrile neutropenia12 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsImmunoglobulins decreased0 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsGranulocytopenia2 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsLeukopenia10 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsLymphopenia3 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsLymphocyte count decreased3 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Hematology/Coagulation Laboratory ResultsPlatelet count increased0 Participants
Secondary

Number of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG Abnormalities

Vital signs included parameters such as heart rate, blood pressure, temperature, and respiratory rate. An abnormal vital signs and ECG findings that was judged by the investigator to be clinically significant was reported an AE. TEAEs were defined as events present at baseline that worsened in intensity after administration of MEDI-551, or events absent at baseline that emerged after administration of MEDI-551, for the period extending to 90 days after the end of study treatment.

Time frame: From treatment administration (Day 1) to 90 days after the end of study treatment (up to approximately 36 months from the randomization of last participant)

Population: Safety population included all participants who received any study treatment.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesSystolic dysfunction0 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesArrhythmia0 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesHeart rate irregular1 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesTachycardia3 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesExtrasystoles0 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesElectrocardiogram QT prolonged0 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesPyrexia17 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesHypotension10 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesElectrocardiogram abnormal0 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesBlood pressure increased0 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesDyspnoea exertional0 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesCarbon dioxide decreased1 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesPalpitations2 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesHypertension5 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesDyspnoea11 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesSinus arrhythmia0 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesBradycardia3 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesWeight increased1 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesSinus bradycardia1 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesAtrial fibrillation1 Participants
Rituximab+ ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesWeight decreased0 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesDyspnoea exertional3 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesArrhythmia0 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesAtrial fibrillation1 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesBradycardia1 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesExtrasystoles1 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesPalpitations1 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesSinus arrhythmia0 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesSinus bradycardia2 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesSystolic dysfunction0 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesTachycardia1 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesPyrexia14 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesBlood pressure increased0 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesCarbon dioxide decreased0 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesElectrocardiogram abnormal0 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesElectrocardiogram QT prolonged2 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesHeart rate irregular0 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesWeight decreased1 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesWeight increased0 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesDyspnoea7 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesHypertension2 Participants
MEDI-551 2 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesHypotension4 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesSystolic dysfunction1 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesAtrial fibrillation2 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesHeart rate irregular0 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesSinus bradycardia1 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesHypotension8 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesWeight decreased1 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesSinus arrhythmia1 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesHypertension3 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesWeight increased1 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesPalpitations0 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesArrhythmia2 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesDyspnoea8 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesBlood pressure increased1 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesExtrasystoles0 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesCarbon dioxide decreased0 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesPyrexia11 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesBradycardia2 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesElectrocardiogram abnormal1 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesTachycardia2 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesDyspnoea exertional1 Participants
MEDI-551 4 mg/kg + ICE/DHAPNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs and ECG AbnormalitiesElectrocardiogram QT prolonged2 Participants
Secondary

Overall Survival (OS)

Overall survival is defined as the time from randomization until death due to any cause according to the International Working Group criteria. OS (months) = (Date of death or censoring - Date of randomization + 1) / (365.25/12).

Time frame: From treatment administration (Day 1) to 90 days after the end of study treatment (up to approximately 36 months from the randomization of last participant)

Population: Intent-To-Treat population included all participants who were randomized into the study.

ArmMeasureValue (MEDIAN)
Rituximab+ ICE/DHAPOverall Survival (OS)NA months
MEDI-551 2 mg/kg + ICE/DHAPOverall Survival (OS)NA months
MEDI-551 4 mg/kg + ICE/DHAPOverall Survival (OS)23.0 months
p-value: 0.9996Log Rank
Secondary

Progression-Free Survival (PFS)

Progression-free survival (PFS) is defined as the time from randomization until the first documentation of progressive disease (PD) or death due to any cause, whichever occurs first according to the International Working Group criteria. PD is defined as appearance of any new lesions or \>= 50% increase in SPD of more than one node or \>= 50% increase in longest diameter of a previously identified node or \>50% increase from nadir in the SPD of any previous lesions. PFS (months) = (Date of PD/death or censoring - Date of randomization + 1) / (365.25/12).

Time frame: From treatment administration (Day 1) to 90 days after the end of study treatment (up to approximately 36 months from the randomization of last participant)

Population: Intent-To-Treat population included all participants who were randomized into the study.

ArmMeasureValue (MEDIAN)
Rituximab+ ICE/DHAPProgression-Free Survival (PFS)6.1 months
MEDI-551 2 mg/kg + ICE/DHAPProgression-Free Survival (PFS)6.6 months
MEDI-551 4 mg/kg + ICE/DHAPProgression-Free Survival (PFS)7.7 months
p-value: 0.8567Log Rank
Secondary

Time to Progression (TTP)

Time to Progression (TTP) is defined as the time from randomization until the first documentation of PD according to the International Working Group criteria. PD is defined as appearance of any new lesions or \>= 50% increase in SPD of more than one node or \>= 50% increase in longest diameter of a previously identified node or \>50% increase from nadir in the SPD of any previous lesions. TTP (months) = (Date of PD or censoring - Date of randomization + 1) / (365.25/12).

Time frame: From treatment administration (Day 1) to 90 days after the end of study treatment (up to approximately 36 months from the randomization of last participant)

Population: Intent-To-Treat population included all participants who were randomized into the study.

ArmMeasureValue (MEDIAN)
Rituximab+ ICE/DHAPTime to Progression (TTP)4.9 months
MEDI-551 2 mg/kg + ICE/DHAPTime to Progression (TTP)4.2 months
MEDI-551 4 mg/kg + ICE/DHAPTime to Progression (TTP)5.9 months
p-value: 0.1686Log Rank
Secondary

Time to Response (TTR)

Time to response (TTR) is defined as the time from randomization until the first documentation of disease response according to the International Working Group criteria. Only participants who have achieved objective response (confirmed CR or confirmed PR) assessed by investigator were evaluated for TTR. CR is defined as disappearance of all evidence of disease. PR is defined as 50% decrease in the SPD of up to 6 largest dominant nodal masses and \>= 50% decrease in SPD of spleen/liver nodules. TTR (months) = (Date of first disease response - Date of randomization + 1) / (365.25/12).

Time frame: From treatment administration (Day 1) to 90 days after the end of study treatment (up to approximately 36 months from the randomization of last participant)

Population: ITT population included all participants who were randomized into the study. Here, N is number of participants analyzed for this outcome measure.

ArmMeasureValue (MEDIAN)
Rituximab+ ICE/DHAPTime to Response (TTR)1.7 months
MEDI-551 2 mg/kg + ICE/DHAPTime to Response (TTR)2.3 months
MEDI-551 4 mg/kg + ICE/DHAPTime to Response (TTR)2.3 months

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