Follicular Lymphoma
Conditions
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
PF-05280586 (rituximab-Pfizer) concentrate for solution for infusion 375mg/m2 administered via IV infusion on Days 1, 8, 15, and 22
MabThera® (rituximab-EU) concentrate for solution for infusion 375mg/m2 administered via IV infusion on Days 1, 8, 15, and 22
Sponsors
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| Overall Response Rate (ORR): Percentage of Participants With Overall Response (OR) at Week 26 | 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) | Baseline up to Week 52 | 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. |
| Number of Participants With Treatment Related Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) | Baseline up to Week 52 | 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. |
| 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 | Baseline up to Week 52 | 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. |
| 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 | Baseline up to Week 52 | 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. |
| Number of Participants With Clinically Significant Laboratory Abnormalities | Baseline up to Week 52 | 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 to Treatment Failure (TTF) | From randomization until disease progression, death or permanent discontinuation from treatment/study due to any reason, or up to Week 52 | 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. |
| Progression-Free Survival (PFS) | From randomization until disease progression or death due to any cause or up to Week 52 | 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. |
| Minimum Observed (Trough) Serum Concentration (Ctrough) of PF-05280586 and Rituximab-EU | Predose (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 52 | 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. |
| Overall Survival | From randomization until death due to any cause or up to Week 52 | 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. |
| Maximum Observed Serum Concentration (Cmax) of PF-05280586 and Rituximab-EU | 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 | — |
| Cluster of Differentiation (CD) 19-Positive B-Cell Counts | Baseline, 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 52 | 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. |
| Number of Participants Reporting Immune-Based Adverse Effects | Baseline up to Week 52 | 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). |
| Percentage of Participants With Complete Remission (CR) at Week 26 | 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. |
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
| Arm | Count |
|---|---|
| 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 |
| Total | 394 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Adverse Event | 1 | 3 |
| Overall Study | Insufficient clinical response | 4 | 3 |
| Overall Study | Lost to Follow-up | 0 | 1 |
| Overall Study | No longer willing to participate | 3 | 4 |
| Overall Study | Progressive disease | 20 | 14 |
| Overall Study | Protocol Violation | 0 | 1 |
Baseline characteristics
| Characteristic | PF-05280586 | Total | Rituximab-EU |
|---|---|---|---|
| Age, Continuous | 58.7 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 Participants | 57 Participants | 26 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 165 Participants | 337 Participants | 172 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 30 Participants | 74 Participants | 44 Participants |
| Race (NIH/OMB) Black or African American | 1 Participants | 1 Participants | 0 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 7 Participants | 15 Participants | 8 Participants |
| Race (NIH/OMB) White | 158 Participants | 304 Participants | 146 Participants |
| Sex: Female, Male Female | 110 Participants | 216 Participants | 106 Participants |
| Sex: Female, Male Male | 86 Participants | 178 Participants | 92 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 1 / 197 | 1 / 196 |
| other Total, other adverse events | 143 / 197 | 153 / 196 |
| serious Total, serious adverse events | 15 / 197 | 17 / 196 |
Outcome results
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Rituximab-EU | Overall Response Rate (ORR): Percentage of Participants With Overall Response (OR) at Week 26 | 70.7 percentage of participants |
| PF-05280586 | Overall Response Rate (ORR): Percentage of Participants With Overall Response (OR) at Week 26 | 75.5 percentage of participants |
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.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Rituximab-EU | Cluster of Differentiation (CD) 19-Positive B-Cell Counts | Baseline | 114.2 Cells per microliter |
| Rituximab-EU | Cluster of Differentiation (CD) 19-Positive B-Cell Counts | Week 13 | 0.5 Cells per microliter |
| Rituximab-EU | Cluster of Differentiation (CD) 19-Positive B-Cell Counts | Week 3 | 0.6 Cells per microliter |
| Rituximab-EU | Cluster of Differentiation (CD) 19-Positive B-Cell Counts | Week 26 | 1.2 Cells per microliter |
| Rituximab-EU | Cluster of Differentiation (CD) 19-Positive B-Cell Counts | Week 2 | 1.0 Cells per microliter |
| Rituximab-EU | Cluster of Differentiation (CD) 19-Positive B-Cell Counts | Week 39 | 21.7 Cells per microliter |
| Rituximab-EU | Cluster of Differentiation (CD) 19-Positive B-Cell Counts | Week 4 | 0.5 Cells per microliter |
| Rituximab-EU | Cluster of Differentiation (CD) 19-Positive B-Cell Counts | Week 52 | 60.8 Cells per microliter |
| Rituximab-EU | Cluster of Differentiation (CD) 19-Positive B-Cell Counts | Week 5 | 0.5 Cells per microliter |
| PF-05280586 | Cluster of Differentiation (CD) 19-Positive B-Cell Counts | Week 52 | 51.6 Cells per microliter |
| PF-05280586 | Cluster of Differentiation (CD) 19-Positive B-Cell Counts | Baseline | 119.9 Cells per microliter |
| PF-05280586 | Cluster of Differentiation (CD) 19-Positive B-Cell Counts | Week 2 | 0.8 Cells per microliter |
| PF-05280586 | Cluster of Differentiation (CD) 19-Positive B-Cell Counts | Week 3 | 0.6 Cells per microliter |
| PF-05280586 | Cluster of Differentiation (CD) 19-Positive B-Cell Counts | Week 5 | 0.4 Cells per microliter |
| PF-05280586 | Cluster of Differentiation (CD) 19-Positive B-Cell Counts | Week 13 | 0.5 Cells per microliter |
| PF-05280586 | Cluster of Differentiation (CD) 19-Positive B-Cell Counts | Week 26 | 0.9 Cells per microliter |
| PF-05280586 | Cluster of Differentiation (CD) 19-Positive B-Cell Counts | Week 39 | 10.7 Cells per microliter |
| PF-05280586 | Cluster of Differentiation (CD) 19-Positive B-Cell Counts | Week 4 | 0.4 Cells per microliter |
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.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Rituximab-EU | Duration of Response (DOR) | 15.4 months |
| PF-05280586 | Duration of Response (DOR) | NA months |
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.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Rituximab-EU | Maximum Observed Serum Concentration (Cmax) of PF-05280586 and Rituximab-EU | 334848.88 nanograms per milliliter (ng/mL) | Geometric Coefficient of Variation 33 |
| PF-05280586 | Maximum Observed Serum Concentration (Cmax) of PF-05280586 and Rituximab-EU | 337708.05 nanograms per milliliter (ng/mL) | Geometric Coefficient of Variation 36 |
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.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| Rituximab-EU | Minimum Observed (Trough) Serum Concentration (Ctrough) of PF-05280586 and Rituximab-EU | Day 1 | 0.01 ng/mL | Geometric Coefficient of Variation 577 |
| Rituximab-EU | Minimum Observed (Trough) Serum Concentration (Ctrough) of PF-05280586 and Rituximab-EU | Day 8 | 62311.74 ng/mL | Geometric Coefficient of Variation 47 |
| Rituximab-EU | Minimum Observed (Trough) Serum Concentration (Ctrough) of PF-05280586 and Rituximab-EU | Day 15 | 109619.73 ng/mL | Geometric Coefficient of Variation 43 |
| Rituximab-EU | Minimum Observed (Trough) Serum Concentration (Ctrough) of PF-05280586 and Rituximab-EU | Day 22 | 144650.79 ng/mL | Geometric Coefficient of Variation 68 |
| PF-05280586 | Minimum Observed (Trough) Serum Concentration (Ctrough) of PF-05280586 and Rituximab-EU | Day 22 | 158294.91 ng/mL | Geometric Coefficient of Variation 32 |
| PF-05280586 | Minimum Observed (Trough) Serum Concentration (Ctrough) of PF-05280586 and Rituximab-EU | Day 1 | 0.01 ng/mL | Geometric Coefficient of Variation 1320 |
| PF-05280586 | Minimum Observed (Trough) Serum Concentration (Ctrough) of PF-05280586 and Rituximab-EU | Day 15 | 119026.91 ng/mL | Geometric Coefficient of Variation 29 |
| PF-05280586 | Minimum Observed (Trough) Serum Concentration (Ctrough) of PF-05280586 and Rituximab-EU | Day 8 | 66669.15 ng/mL | Geometric Coefficient of Variation 45 |
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.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Rituximab-EU | Number of Participants Reporting Immune-Based Adverse Effects | IRR reported | 59 Participants |
| Rituximab-EU | Number of Participants Reporting Immune-Based Adverse Effects | AE based on Sampson's criteria | 17 Participants |
| Rituximab-EU | Number of Participants Reporting Immune-Based Adverse Effects | Anaphylaxis/Hypersensitivity (SMQ) | 48 Participants |
| PF-05280586 | Number of Participants Reporting Immune-Based Adverse Effects | IRR reported | 49 Participants |
| PF-05280586 | Number of Participants Reporting Immune-Based Adverse Effects | AE based on Sampson's criteria | 17 Participants |
| PF-05280586 | Number of Participants Reporting Immune-Based Adverse Effects | Anaphylaxis/Hypersensitivity (SMQ) | 39 Participants |
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.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Rituximab-EU | Number of Participants With Clinically Significant Laboratory Abnormalities | TB<2*ULN, ALT<3*ULN | 194 Participants |
| Rituximab-EU | Number of Participants With Clinically Significant Laboratory Abnormalities | TB<2*ULN, ALT>=3*ULN | 3 Participants |
| Rituximab-EU | Number of Participants With Clinically Significant Laboratory Abnormalities | TB<2*ULN, AST<3*ULN | 196 Participants |
| Rituximab-EU | Number of Participants With Clinically Significant Laboratory Abnormalities | TB<2*ULN, AST>=3*ULN | 1 Participants |
| PF-05280586 | Number of Participants With Clinically Significant Laboratory Abnormalities | TB<2*ULN, AST>=3*ULN | 0 Participants |
| PF-05280586 | Number of Participants With Clinically Significant Laboratory Abnormalities | TB<2*ULN, ALT<3*ULN | 192 Participants |
| PF-05280586 | Number of Participants With Clinically Significant Laboratory Abnormalities | TB<2*ULN, AST<3*ULN | 195 Participants |
| PF-05280586 | Number of Participants With Clinically Significant Laboratory Abnormalities | TB<2*ULN, ALT>=3*ULN | 3 Participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Rituximab-EU | 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 | 26 Participants |
| PF-05280586 | 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 | 28 Participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Rituximab-EU | 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 | 8 Participants |
| PF-05280586 | 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 | 9 Participants |
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.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Rituximab-EU | Number of Participants With Positive Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) | ADA Positive | 39 Participants |
| Rituximab-EU | Number of Participants With Positive Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) | NAB Positive | 0 Participants |
| PF-05280586 | Number of Participants With Positive Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) | ADA Positive | 43 Participants |
| PF-05280586 | Number of Participants With Positive Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) | NAB Positive | 0 Participants |
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.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Rituximab-EU | Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) | AEs | 145 Participants |
| Rituximab-EU | Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) | SAEs | 15 Participants |
| PF-05280586 | Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) | AEs | 156 Participants |
| PF-05280586 | Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) | SAEs | 17 Participants |
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.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Rituximab-EU | Number of Participants With Treatment Related Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) | AEs | 94 Participants |
| Rituximab-EU | Number of Participants With Treatment Related Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) | SAEs | 2 Participants |
| PF-05280586 | Number of Participants With Treatment Related Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) | AEs | 86 Participants |
| PF-05280586 | Number of Participants With Treatment Related Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) | SAEs | 2 Participants |
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.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Rituximab-EU | Overall Survival | 18.9 months |
| PF-05280586 | Overall Survival | NA months |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Rituximab-EU | Percentage of Participants With Complete Remission (CR) at Week 26 | 28.3 percentage of participants |
| PF-05280586 | Percentage of Participants With Complete Remission (CR) at Week 26 | 26.0 percentage of participants |
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.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Rituximab-EU | Progression-Free Survival (PFS) | 18.9 months |
| PF-05280586 | Progression-Free Survival (PFS) | NA months |
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.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Rituximab-EU | Time to Treatment Failure (TTF) | 18.9 months |
| PF-05280586 | Time to Treatment Failure (TTF) | NA months |