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A Study Of PF-05280586 (Rituximab-Pfizer) Or MabThera® (Rituximab-EU) For The First-Line Treatment Of Patients With CD20-Positive, Low Tumor Burden, Follicular Lymphoma (REFLECTIONS B328-06)

A PHASE 3, RANDOMIZED, DOUBLE-BLIND STUDY OF PF-05280586 VERSUS RITUXIMAB FOR THE FIRST-LINE TREATMENT OF PATIENTS WITH CD20-POSITIVE, LOW TUMOR BURDEN, FOLLICULAR LYMPHOMA

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02213263
Enrollment
394
Registered
2014-08-11
Start date
2014-09-30
Completion date
2018-04-19
Last updated
2019-06-20

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

Conditions

Follicular Lymphoma

Keywords

rituximab, follicular lymphoma, Non-Hodgkin lymphoma, Non-Hodgkin's lymphoma

Brief summary

This study will compare the safety and effectiveness of PF-05280586 versus rituximab-EU in patients with CD20-positive, low tumor burden follicular lymphoma. The primary hypothesis to be tested in this study is that the effectiveness of PF-05280586, as measured by the Overall Response Rate, is similar to that of rituximab-EU.

Interventions

BIOLOGICALPF-05280586

PF-05280586 (rituximab-Pfizer) concentrate for solution for infusion 375mg/m2 administered via IV infusion on Days 1, 8, 15, and 22

BIOLOGICALMabThera®

MabThera® (rituximab-EU) concentrate for solution for infusion 375mg/m2 administered via IV infusion on Days 1, 8, 15, and 22

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

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

Inclusion criteria

* Confirmed diagnosis of low tumor burden, CD20-positive follicular lymphoma * Ann Arbor Stage II, III, or IV

Exclusion criteria

* Not a candidate for treatment with rituximab as a single-agent * Evidence of transformation to a high grade or diffuse large B-cell lymphoma * Any previous systemic therapy for B-cell NHL, including chemotherapy, immunotherapy, or steroids * Any prior treatment with rituximab * Active, uncontrolled infection

Design outcomes

Primary

MeasureTime frameDescription
Overall Response Rate (ORR): Percentage of Participants With Overall Response (OR) at Week 26Week 26ORR was defined as the percentage of participants who achieved complete response (CR) or partial response (PR) in accordance with the revised response criteria for malignant lymphoma (Cheson 2007). CR was defined as disappearance of all evidence of disease. PR was defined as regression of measureable disease and no new sites.

Secondary

MeasureTime frameDescription
Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)Baseline up to Week 52An AE was any untoward medical occurrence in participants who received study drug without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent were events after first dose of study drug that were absent before treatment or that worsened relative to pretreatment state. AEs included both serious and non-serious.
Number of Participants With Treatment Related Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)Baseline up to Week 52Treatment-related AE was any untoward medical occurrence attributed to study drug in a participant who received study drug. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent were events after first dose of study drug that were absent before treatment or that worsened relative to pretreatment state. Relatedness to treatment was assessed by investigator. AEs included both serious and non-serious AEs.
Number of Participants With Grade 3 or Higher Treatment-Emergent Adverse Events (AEs) as Graded by National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) Version 4.03Baseline up to Week 52An AE was any untoward medical occurrence in participant who received study drug without regard to possibility of causal relationship. Grade 1=Mild, asymptomatic or mild symptoms, Grade 2=Moderate; minimal, local or noninvasive intervention indicated, Grade 3 (Severe) events=unacceptable or intolerable events, significantly interrupting usual daily activity, require systemic drug therapy/other treatment. Grade 4 (Life threatening) events caused participant to be in imminent danger of death. Grade 5 = death. Treatment-emergent were events after first dose of study drug that were absent before treatment or that worsened relative to pretreatment state.
Number of Participants With Grade 3 or Higher Treatment-Related Treatment-Emergent Adverse Events (AEs) as Graded by National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) Version 4.03Baseline up to Week 52Treatment-related AE was any untoward medical occurrence attributed to study drug in a participant who received study drug. Grade 1=Mild, asymptomatic or mild symptoms, Grade 2=Moderate; minimal, local or noninvasive intervention indicated; Grade 3 (Severe) events=unacceptable or intolerable events, significantly interrupting usual daily activity, require systemic drug therapy/other treatment. Grade 4 (Life-threatening) events caused participant to be in imminent danger of death. Grade 5 = death. Treatment-emergent were events after first dose of study drug that were absent before treatment or that worsened relative to pretreatment state.
Number of Participants With Clinically Significant Laboratory AbnormalitiesBaseline up to Week 52Criteria for clinically significant laboratory abnormalities included total bilirubin (TB) less than (\<) 2\*upper limit of normal (ULN), alanine aminotransferase (ALT)\<3\*ULN; TB\<2\*ULN, ALT more than (\>) 3 equal to (=) \*ULN; TB\<2\*ULN, aspartate aminotransferase (AST)\<3\*ULN; TB\<2\*ULN, AST\>=3\*ULN. Data for only those categories are reported for which at least one participant had clinically significant laboratory abnormality.
Time to Treatment Failure (TTF)From randomization until disease progression, death or permanent discontinuation from treatment/study due to any reason, or up to Week 52TTF was defined as the time (in months) from date of randomization to first progression of disease based on central review, death due to any cause, or permanent discontinuation from treatment, or discontinuation from study for any reason, whichever came first. Progression was defined as any new lesion or increase by greater than or equal to (\>=) 50% of previously involved sites from nadir. TTF was calculated using Kaplan-Meier method.
Progression-Free Survival (PFS)From randomization until disease progression or death due to any cause or up to Week 52PFS was defined as the time (in months) from date of randomization to first progression of disease (PD) based on central review or death due to any cause in the absence of documented PD. PD was defined as any new lesion or increase by \>=50% of previously involved sites from nadir. PFS was calculated using Kaplan-Meier method.
Minimum Observed (Trough) Serum Concentration (Ctrough) of PF-05280586 and Rituximab-EUPredose (within 4 hours prior to the start of dosing) on Day 1, 8, 15, and 22
Duration of Response (DOR)From date of first documentation of overall response to first documentation of PD or to death due to any cause in absence of PD or up to Week 52DOR was defined as the time (in months) from date of the first documentation of overall response (CR or PR) to the first documentation of progressive disease (PD) based on central review or to death due to any cause in the absence of documented PD. CR was defined as disappearance of all evidence of disease. PR was defined as regression of measureable disease and no new sites. PD was defined as any new lesion or increase by \>=50% of previously involved sites from nadir. DOR was calculated using Kaplan-Meier method.
Overall SurvivalFrom randomization until death due to any cause or up to Week 52Overall survival was defined as the time (in months) from date of randomization to death due to any cause. For participants who were alive, overall survival was censored at the last contact. Overall survival was calculated using Kaplan-Meier method.
Maximum Observed Serum Concentration (Cmax) of PF-05280586 and Rituximab-EUPredose (within 4 hours prior to start of infusion) on Days 1, 8, 15 and 22; within 15 minutes prior to end of infusion on Days 1 and 22
Cluster of Differentiation (CD) 19-Positive B-Cell CountsBaseline, Week 2, 3, 4, 5, 13, 26, 39, 52
Number of Participants With Positive Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs)Baseline up to Week 52Human serum ADA samples were analyzed for the presence or absence of anti-rituximab antibodies or anti-PF-05280586 antibodies using the validated drug-specific assay with a tiered approach using screening, confirmation and titer/quantitation. Human NAb serum samples testing ADA positive were analyzed for the presence or absence of neutralizing anti-rituximab antibody and neutralizing anti-PF-05280586 antibody using the validated drug-specific assay with a tiered approach using screening, confirmation and titer/quantitation. Participants with their ADA titer \>= 1.88 were considered to be ADA positive. Only participants with a positive ADA result were further tested for NAb.
Number of Participants Reporting Immune-Based Adverse EffectsBaseline up to Week 52Immune-based adverse effects included infusion related reaction (IRR), adverse events which fulfill Sampson's criteria, and adverse events which belong to the Standardized Medical Dictionary for Regulatory Activities (MedDRA) Queries (SMQs) anaphylaxis or hypersensitivity reactions. Potential allergic and anaphylactic reactions were identified programmatically based on the criteria of Sampson et al, (2006).
Percentage of Participants With Complete Remission (CR) at Week 26Week 26Complete Remission (CR) was defined as disappearance of all evidence of disease. CR was assessed by central review based on scans done at Week 26.

Countries

Austria, Belarus, Belgium, Brazil, Croatia, France, Georgia, Germany, Greece, India, Italy, Japan, Lebanon, Mexico, Peru, Philippines, Poland, Portugal, Puerto Rico, Romania, Russia, South Africa, South Korea, Spain, Switzerland, Thailand, Turkey (Türkiye), Ukraine, United Kingdom, United States

Participant flow

Pre-assignment details

A total of 394 participants were enrolled and randomized in 1:1 ratio to 1 of the 2 study treatment arms: PF-05280586 (Rituximab-Pfizer) and Rituximab-EU (MabThera®).

Participants by arm

ArmCount
Rituximab-EU
Participants received Rituximab-EU intravenous (IV) infusion at a dose of 375 milligrams per meter square (mg/m\^2) on Day 1, 8, 15, and 22. The maximum dose that could be infused in 1 day was 1125 mg.
198
PF-05280586
Participants received PF-05280586 IV infusion at a dose of 375 mg/m\^2 on Day 1, 8, 15, and 22. The maximum dose that could be infused in 1 day was 1125 mg.
196
Total394

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event13
Overall StudyInsufficient clinical response43
Overall StudyLost to Follow-up01
Overall StudyNo longer willing to participate34
Overall StudyProgressive disease2014
Overall StudyProtocol Violation01

Baseline characteristics

CharacteristicPF-05280586TotalRituximab-EU
Age, Continuous58.7 years
STANDARD_DEVIATION 12.1
58.5 years
STANDARD_DEVIATION 12.4
58.3 years
STANDARD_DEVIATION 12.8
Ethnicity (NIH/OMB)
Hispanic or Latino
31 Participants57 Participants26 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
165 Participants337 Participants172 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
30 Participants74 Participants44 Participants
Race (NIH/OMB)
Black or African American
1 Participants1 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
7 Participants15 Participants8 Participants
Race (NIH/OMB)
White
158 Participants304 Participants146 Participants
Sex: Female, Male
Female
110 Participants216 Participants106 Participants
Sex: Female, Male
Male
86 Participants178 Participants92 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
1 / 1971 / 196
other
Total, other adverse events
143 / 197153 / 196
serious
Total, serious adverse events
15 / 19717 / 196

Outcome results

Primary

Overall Response Rate (ORR): Percentage of Participants With Overall Response (OR) at Week 26

ORR was defined as the percentage of participants who achieved complete response (CR) or partial response (PR) in accordance with the revised response criteria for malignant lymphoma (Cheson 2007). CR was defined as disappearance of all evidence of disease. PR was defined as regression of measureable disease and no new sites.

Time frame: Week 26

Population: ITT population included all participants who were randomized.

ArmMeasureValue (NUMBER)
Rituximab-EUOverall Response Rate (ORR): Percentage of Participants With Overall Response (OR) at Week 2670.7 percentage of participants
PF-05280586Overall Response Rate (ORR): Percentage of Participants With Overall Response (OR) at Week 2675.5 percentage of participants
Comparison: Difference in ORR between PF-05280586 and rituximab-EU was computed using the stratified Mantel-Haenszel method. The 95% confidence interval for the difference was calculated using the asymptotic stratified method proposed by Miettinen and Nurminen.95% CI: [-4.16, 13.47]
Secondary

Cluster of Differentiation (CD) 19-Positive B-Cell Counts

Time frame: Baseline, Week 2, 3, 4, 5, 13, 26, 39, 52

Population: The modified ITT (mITT) Population included all participants who were randomized and received at least 1 dose of any study drug. Here 'Number analyzed' signifies number of participants evaluable for this outcome measure at specified time points.

ArmMeasureGroupValue (MEDIAN)
Rituximab-EUCluster of Differentiation (CD) 19-Positive B-Cell CountsBaseline114.2 Cells per microliter
Rituximab-EUCluster of Differentiation (CD) 19-Positive B-Cell CountsWeek 130.5 Cells per microliter
Rituximab-EUCluster of Differentiation (CD) 19-Positive B-Cell CountsWeek 30.6 Cells per microliter
Rituximab-EUCluster of Differentiation (CD) 19-Positive B-Cell CountsWeek 261.2 Cells per microliter
Rituximab-EUCluster of Differentiation (CD) 19-Positive B-Cell CountsWeek 21.0 Cells per microliter
Rituximab-EUCluster of Differentiation (CD) 19-Positive B-Cell CountsWeek 3921.7 Cells per microliter
Rituximab-EUCluster of Differentiation (CD) 19-Positive B-Cell CountsWeek 40.5 Cells per microliter
Rituximab-EUCluster of Differentiation (CD) 19-Positive B-Cell CountsWeek 5260.8 Cells per microliter
Rituximab-EUCluster of Differentiation (CD) 19-Positive B-Cell CountsWeek 50.5 Cells per microliter
PF-05280586Cluster of Differentiation (CD) 19-Positive B-Cell CountsWeek 5251.6 Cells per microliter
PF-05280586Cluster of Differentiation (CD) 19-Positive B-Cell CountsBaseline119.9 Cells per microliter
PF-05280586Cluster of Differentiation (CD) 19-Positive B-Cell CountsWeek 20.8 Cells per microliter
PF-05280586Cluster of Differentiation (CD) 19-Positive B-Cell CountsWeek 30.6 Cells per microliter
PF-05280586Cluster of Differentiation (CD) 19-Positive B-Cell CountsWeek 50.4 Cells per microliter
PF-05280586Cluster of Differentiation (CD) 19-Positive B-Cell CountsWeek 130.5 Cells per microliter
PF-05280586Cluster of Differentiation (CD) 19-Positive B-Cell CountsWeek 260.9 Cells per microliter
PF-05280586Cluster of Differentiation (CD) 19-Positive B-Cell CountsWeek 3910.7 Cells per microliter
PF-05280586Cluster of Differentiation (CD) 19-Positive B-Cell CountsWeek 40.4 Cells per microliter
Secondary

Duration of Response (DOR)

DOR was defined as the time (in months) from date of the first documentation of overall response (CR or PR) to the first documentation of progressive disease (PD) based on central review or to death due to any cause in the absence of documented PD. CR was defined as disappearance of all evidence of disease. PR was defined as regression of measureable disease and no new sites. PD was defined as any new lesion or increase by \>=50% of previously involved sites from nadir. DOR was calculated using Kaplan-Meier method.

Time frame: From date of first documentation of overall response to first documentation of PD or to death due to any cause in absence of PD or up to Week 52

Population: The response-evaluable population was defined as all randomized participants who received at least 1 dose of study drug, had adequate disease assessment at baseline, and at least 1 post baseline response assessment. Here. 'Overall number of participants analyzed' signifies number of participants evaluable for this outcome measure.

ArmMeasureValue (MEDIAN)
Rituximab-EUDuration of Response (DOR)15.4 months
PF-05280586Duration of Response (DOR)NA months
p-value: 0.18595% CI: [0.823, 2.704]Log Rank
Secondary

Maximum Observed Serum Concentration (Cmax) of PF-05280586 and Rituximab-EU

Time frame: Predose (within 4 hours prior to start of infusion) on Days 1, 8, 15 and 22; within 15 minutes prior to end of infusion on Days 1 and 22

Population: The pharmacokinetic analysis set (PKAS) included participants who received at least 1 dose of any study drug and who provided at least one post-dose pharmacokinetic concentration. Here, 'Overall number of participants analyzed' signifies number of participants evaluable for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Rituximab-EUMaximum Observed Serum Concentration (Cmax) of PF-05280586 and Rituximab-EU334848.88 nanograms per milliliter (ng/mL)Geometric Coefficient of Variation 33
PF-05280586Maximum Observed Serum Concentration (Cmax) of PF-05280586 and Rituximab-EU337708.05 nanograms per milliliter (ng/mL)Geometric Coefficient of Variation 36
Secondary

Minimum Observed (Trough) Serum Concentration (Ctrough) of PF-05280586 and Rituximab-EU

Time frame: Predose (within 4 hours prior to the start of dosing) on Day 1, 8, 15, and 22

Population: The pharmacokinetic analysis set (PKAS) included participants who received at least 1 dose of any study drug and who provided at least one post-dose pharmacokinetic concentration. Here 'Number analyzed' signifies number of participants evaluable for this outcome measure at specified time points.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Rituximab-EUMinimum Observed (Trough) Serum Concentration (Ctrough) of PF-05280586 and Rituximab-EUDay 10.01 ng/mLGeometric Coefficient of Variation 577
Rituximab-EUMinimum Observed (Trough) Serum Concentration (Ctrough) of PF-05280586 and Rituximab-EUDay 862311.74 ng/mLGeometric Coefficient of Variation 47
Rituximab-EUMinimum Observed (Trough) Serum Concentration (Ctrough) of PF-05280586 and Rituximab-EUDay 15109619.73 ng/mLGeometric Coefficient of Variation 43
Rituximab-EUMinimum Observed (Trough) Serum Concentration (Ctrough) of PF-05280586 and Rituximab-EUDay 22144650.79 ng/mLGeometric Coefficient of Variation 68
PF-05280586Minimum Observed (Trough) Serum Concentration (Ctrough) of PF-05280586 and Rituximab-EUDay 22158294.91 ng/mLGeometric Coefficient of Variation 32
PF-05280586Minimum Observed (Trough) Serum Concentration (Ctrough) of PF-05280586 and Rituximab-EUDay 10.01 ng/mLGeometric Coefficient of Variation 1320
PF-05280586Minimum Observed (Trough) Serum Concentration (Ctrough) of PF-05280586 and Rituximab-EUDay 15119026.91 ng/mLGeometric Coefficient of Variation 29
PF-05280586Minimum Observed (Trough) Serum Concentration (Ctrough) of PF-05280586 and Rituximab-EUDay 866669.15 ng/mLGeometric Coefficient of Variation 45
Secondary

Number of Participants Reporting Immune-Based Adverse Effects

Immune-based adverse effects included infusion related reaction (IRR), adverse events which fulfill Sampson's criteria, and adverse events which belong to the Standardized Medical Dictionary for Regulatory Activities (MedDRA) Queries (SMQs) anaphylaxis or hypersensitivity reactions. Potential allergic and anaphylactic reactions were identified programmatically based on the criteria of Sampson et al, (2006).

Time frame: Baseline up to Week 52

Population: The Safety analysis population include all participants who received at least 1 dose of any study treatment.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Rituximab-EUNumber of Participants Reporting Immune-Based Adverse EffectsIRR reported59 Participants
Rituximab-EUNumber of Participants Reporting Immune-Based Adverse EffectsAE based on Sampson's criteria17 Participants
Rituximab-EUNumber of Participants Reporting Immune-Based Adverse EffectsAnaphylaxis/Hypersensitivity (SMQ)48 Participants
PF-05280586Number of Participants Reporting Immune-Based Adverse EffectsIRR reported49 Participants
PF-05280586Number of Participants Reporting Immune-Based Adverse EffectsAE based on Sampson's criteria17 Participants
PF-05280586Number of Participants Reporting Immune-Based Adverse EffectsAnaphylaxis/Hypersensitivity (SMQ)39 Participants
Secondary

Number of Participants With Clinically Significant Laboratory Abnormalities

Criteria for clinically significant laboratory abnormalities included total bilirubin (TB) less than (\<) 2\*upper limit of normal (ULN), alanine aminotransferase (ALT)\<3\*ULN; TB\<2\*ULN, ALT more than (\>) 3 equal to (=) \*ULN; TB\<2\*ULN, aspartate aminotransferase (AST)\<3\*ULN; TB\<2\*ULN, AST\>=3\*ULN. Data for only those categories are reported for which at least one participant had clinically significant laboratory abnormality.

Time frame: Baseline up to Week 52

Population: Safety population included all participants who received at least 1 dose of any study drug. Here, 'Overall number of participants analyzed' signifies number of participants evaluable for this outcome measure.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Rituximab-EUNumber of Participants With Clinically Significant Laboratory AbnormalitiesTB<2*ULN, ALT<3*ULN194 Participants
Rituximab-EUNumber of Participants With Clinically Significant Laboratory AbnormalitiesTB<2*ULN, ALT>=3*ULN3 Participants
Rituximab-EUNumber of Participants With Clinically Significant Laboratory AbnormalitiesTB<2*ULN, AST<3*ULN196 Participants
Rituximab-EUNumber of Participants With Clinically Significant Laboratory AbnormalitiesTB<2*ULN, AST>=3*ULN1 Participants
PF-05280586Number of Participants With Clinically Significant Laboratory AbnormalitiesTB<2*ULN, AST>=3*ULN0 Participants
PF-05280586Number of Participants With Clinically Significant Laboratory AbnormalitiesTB<2*ULN, ALT<3*ULN192 Participants
PF-05280586Number of Participants With Clinically Significant Laboratory AbnormalitiesTB<2*ULN, AST<3*ULN195 Participants
PF-05280586Number of Participants With Clinically Significant Laboratory AbnormalitiesTB<2*ULN, ALT>=3*ULN3 Participants
Secondary

Number of Participants With Grade 3 or Higher Treatment-Emergent Adverse Events (AEs) as Graded by National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) Version 4.03

An AE was any untoward medical occurrence in participant who received study drug without regard to possibility of causal relationship. Grade 1=Mild, asymptomatic or mild symptoms, Grade 2=Moderate; minimal, local or noninvasive intervention indicated, Grade 3 (Severe) events=unacceptable or intolerable events, significantly interrupting usual daily activity, require systemic drug therapy/other treatment. Grade 4 (Life threatening) events caused participant to be in imminent danger of death. Grade 5 = death. Treatment-emergent were events after first dose of study drug that were absent before treatment or that worsened relative to pretreatment state.

Time frame: Baseline up to Week 52

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

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Rituximab-EUNumber of Participants With Grade 3 or Higher Treatment-Emergent Adverse Events (AEs) as Graded by National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) Version 4.0326 Participants
PF-05280586Number of Participants With Grade 3 or Higher Treatment-Emergent Adverse Events (AEs) as Graded by National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) Version 4.0328 Participants
Secondary

Number of Participants With Grade 3 or Higher Treatment-Related Treatment-Emergent Adverse Events (AEs) as Graded by National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) Version 4.03

Treatment-related AE was any untoward medical occurrence attributed to study drug in a participant who received study drug. Grade 1=Mild, asymptomatic or mild symptoms, Grade 2=Moderate; minimal, local or noninvasive intervention indicated; Grade 3 (Severe) events=unacceptable or intolerable events, significantly interrupting usual daily activity, require systemic drug therapy/other treatment. Grade 4 (Life-threatening) events caused participant to be in imminent danger of death. Grade 5 = death. Treatment-emergent were events after first dose of study drug that were absent before treatment or that worsened relative to pretreatment state.

Time frame: Baseline up to Week 52

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

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Rituximab-EUNumber of Participants With Grade 3 or Higher Treatment-Related Treatment-Emergent Adverse Events (AEs) as Graded by National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) Version 4.038 Participants
PF-05280586Number of Participants With Grade 3 or Higher Treatment-Related Treatment-Emergent Adverse Events (AEs) as Graded by National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) Version 4.039 Participants
Secondary

Number of Participants With Positive Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs)

Human serum ADA samples were analyzed for the presence or absence of anti-rituximab antibodies or anti-PF-05280586 antibodies using the validated drug-specific assay with a tiered approach using screening, confirmation and titer/quantitation. Human NAb serum samples testing ADA positive were analyzed for the presence or absence of neutralizing anti-rituximab antibody and neutralizing anti-PF-05280586 antibody using the validated drug-specific assay with a tiered approach using screening, confirmation and titer/quantitation. Participants with their ADA titer \>= 1.88 were considered to be ADA positive. Only participants with a positive ADA result were further tested for NAb.

Time frame: Baseline up to Week 52

Population: Safety population included all participants who received at least 1 dose of any study drug. Here, 'Overall number of participants analyzed' signifies number of participants evaluable for this outcome measure.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Rituximab-EUNumber of Participants With Positive Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs)ADA Positive39 Participants
Rituximab-EUNumber of Participants With Positive Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs)NAB Positive0 Participants
PF-05280586Number of Participants With Positive Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs)ADA Positive43 Participants
PF-05280586Number of Participants With Positive Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs)NAB Positive0 Participants
Secondary

Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)

An AE was any untoward medical occurrence in participants who received study drug without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent were events after first dose of study drug that were absent before treatment or that worsened relative to pretreatment state. AEs included both serious and non-serious.

Time frame: Baseline up to Week 52

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

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Rituximab-EUNumber of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)AEs145 Participants
Rituximab-EUNumber of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)SAEs15 Participants
PF-05280586Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)AEs156 Participants
PF-05280586Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)SAEs17 Participants
Secondary

Number of Participants With Treatment Related Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)

Treatment-related AE was any untoward medical occurrence attributed to study drug in a participant who received study drug. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent were events after first dose of study drug that were absent before treatment or that worsened relative to pretreatment state. Relatedness to treatment was assessed by investigator. AEs included both serious and non-serious AEs.

Time frame: Baseline up to Week 52

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

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Rituximab-EUNumber of Participants With Treatment Related Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)AEs94 Participants
Rituximab-EUNumber of Participants With Treatment Related Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)SAEs2 Participants
PF-05280586Number of Participants With Treatment Related Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)AEs86 Participants
PF-05280586Number of Participants With Treatment Related Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)SAEs2 Participants
Secondary

Overall Survival

Overall survival was defined as the time (in months) from date of randomization to death due to any cause. For participants who were alive, overall survival was censored at the last contact. Overall survival was calculated using Kaplan-Meier method.

Time frame: From randomization until death due to any cause or up to Week 52

Population: ITT population included all participants who were randomized.

ArmMeasureValue (MEDIAN)
Rituximab-EUOverall Survival18.9 months
PF-05280586Overall SurvivalNA months
p-value: 0.319Log Rank
Secondary

Percentage of Participants With Complete Remission (CR) at Week 26

Complete Remission (CR) was defined as disappearance of all evidence of disease. CR was assessed by central review based on scans done at Week 26.

Time frame: Week 26

Population: ITT population included all participants who were randomized.

ArmMeasureValue (NUMBER)
Rituximab-EUPercentage of Participants With Complete Remission (CR) at Week 2628.3 percentage of participants
PF-05280586Percentage of Participants With Complete Remission (CR) at Week 2626.0 percentage of participants
Comparison: Difference in CR between PF-05280586 and rituximab-EU was computed using the stratified Mantel-Haenszel method. The 95% confidence interval for the difference was calculated using the asymptotic stratified method proposed by Miettinen and Nurminen.95% CI: [-11.09, 6.5]
Secondary

Progression-Free Survival (PFS)

PFS was defined as the time (in months) from date of randomization to first progression of disease (PD) based on central review or death due to any cause in the absence of documented PD. PD was defined as any new lesion or increase by \>=50% of previously involved sites from nadir. PFS was calculated using Kaplan-Meier method.

Time frame: From randomization until disease progression or death due to any cause or up to Week 52

Population: ITT population included all participants who were randomized. Here. 'Overall number of participants analyzed' signifies number of participants evaluable for this outcome measure.

ArmMeasureValue (MEDIAN)
Rituximab-EUProgression-Free Survival (PFS)18.9 months
PF-05280586Progression-Free Survival (PFS)NA months
p-value: 0.18995% CI: [0.847, 2.291]Log Rank
Secondary

Time to Treatment Failure (TTF)

TTF was defined as the time (in months) from date of randomization to first progression of disease based on central review, death due to any cause, or permanent discontinuation from treatment, or discontinuation from study for any reason, whichever came first. Progression was defined as any new lesion or increase by greater than or equal to (\>=) 50% of previously involved sites from nadir. TTF was calculated using Kaplan-Meier method.

Time frame: From randomization until disease progression, death or permanent discontinuation from treatment/study due to any reason, or up to Week 52

Population: ITT population included all participants who were randomized. Here. 'Overall number of participants analyzed' signifies number of participants evaluable for this outcome measure.

ArmMeasureValue (MEDIAN)
Rituximab-EUTime to Treatment Failure (TTF)18.9 months
PF-05280586Time to Treatment Failure (TTF)NA months
p-value: 0.4595% CI: [0.786, 1.72]Log Rank

Source: ClinicalTrials.gov · Data processed: Feb 27, 2026