Trial Outcomes & Findings for Rituximab in Addition to Autologous Transplantation With BEAM for Patients With Lymphoid Malignancies (NCT NCT00472056)

NCT ID: NCT00472056

Last Updated: 2016-03-15

Results Overview

DFS defined as time from transplantation to disease relapse, disease progression, death during remission, or last follow-up. Evaluation at 3 months and 6 months after transplantation, then every 6 months for 3 years, and then once a year up to 5 years from the transplant date.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

93 participants

Primary outcome timeframe

Up to 5 years from transplant date.

Results posted on

2016-03-15

Participant Flow

Recruitment Period: March 03, 2005 to June 19, 2009. All recruitment done at UT MD Anderson Cancer Center.

Participant milestones

Participant milestones
Measure
Cohort 1 65 Years of Age or Less With Arm 2
Arm 2: BEAM Chemotherapy (Carmustine, Etoposide, Cytarabine, Melphalan) + High Dose Rituximab
Cohort 2 Patients Who Are Older Than 65 Years of Age Arm 1
Arm 1: BEAM Chemotherapy (Carmustine, Etoposide, Cytarabine, Melphalan) + Standard Dose Rituximab
Cohort 1 65 Years of Age or Less With Arm 1
Arm 1: BEAM Chemotherapy (Carmustine, Etoposide, Cytarabine, Melphalan) + Standard Dose Rituximab
Cohort 2 Patients Who Are Older Than 65 Years of Age Arm 2
Arm 2: BEAM Chemotherapy (Carmustine, Etoposide, Cytarabine, Melphalan) + High Dose Rituximab
Overall Study
STARTED
25
19
32
17
Overall Study
COMPLETED
25
19
32
17
Overall Study
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Rituximab in Addition to Autologous Transplantation With BEAM for Patients With Lymphoid Malignancies

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cohort 1 65 Years of Age or Less With Arm 2
n=25 Participants
Arm 2: BEAM Chemotherapy (Carmustine, Etoposide, Cytarabine, Melphalan) + High Dose Rituximab
Cohort 2 Patients Who Are Older Than 65 Years of Age Arm 1
n=19 Participants
Arm 1: BEAM Chemotherapy (Carmustine, Etoposide, Cytarabine, Melphalan) + Standard Dose Rituximab
Cohort 1 65 Years of Age or Less With Arm 1
n=32 Participants
Arm 1: BEAM Chemotherapy (Carmustine, Etoposide, Cytarabine, Melphalan) + Standard Dose Rituximab
Cohort 2 Patients Who Are Older Than 65 Years of Age Arm 2
n=17 Participants
Arm 2: BEAM Chemotherapy (Carmustine, Etoposide, Cytarabine, Melphalan) + High Dose Rituximab
Total
n=93 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
0 Participants
n=4 Participants
1 Participants
n=21 Participants
Age, Categorical
Between 18 and 65 years
25 Participants
n=5 Participants
0 Participants
n=7 Participants
31 Participants
n=5 Participants
0 Participants
n=4 Participants
56 Participants
n=21 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
19 Participants
n=7 Participants
0 Participants
n=5 Participants
17 Participants
n=4 Participants
36 Participants
n=21 Participants
Age, Continuous
56.6 years
STANDARD_DEVIATION 7.58288 • n=5 Participants
70.2 years
STANDARD_DEVIATION 3.50522 • n=7 Participants
53.3 years
STANDARD_DEVIATION 11.93155 • n=5 Participants
69.8 years
STANDARD_DEVIATION 3.43211 • n=4 Participants
61 years
STANDARD_DEVIATION 11.17466 • n=21 Participants
Sex: Female, Male
Female
10 Participants
n=5 Participants
2 Participants
n=7 Participants
11 Participants
n=5 Participants
4 Participants
n=4 Participants
27 Participants
n=21 Participants
Sex: Female, Male
Male
15 Participants
n=5 Participants
17 Participants
n=7 Participants
21 Participants
n=5 Participants
13 Participants
n=4 Participants
66 Participants
n=21 Participants
Region of Enrollment
United States
25 participants
n=5 Participants
19 participants
n=7 Participants
32 participants
n=5 Participants
17 participants
n=4 Participants
93 participants
n=21 Participants

PRIMARY outcome

Timeframe: Up to 5 years from transplant date.

Population: Analysis was per protocol.

DFS defined as time from transplantation to disease relapse, disease progression, death during remission, or last follow-up. Evaluation at 3 months and 6 months after transplantation, then every 6 months for 3 years, and then once a year up to 5 years from the transplant date.

Outcome measures

Outcome measures
Measure
Standard Dose Rituximab
n=51 Participants
Standard dose arm: Rituximab 375 mg/m\^2 intravenous on days +1 and +8 after stem cell infusion.
High Dose Rituximab
n=42 Participants
High dose arm: Rituximab 1000mg/m\^2 intravenous on days +1 and +8 after stem cell infusion
Disease-free Survival (DFS)
11.33 months
Interval 1.81 to 39.29
9.635 months
Interval 1.77 to 31.45

Adverse Events

Cohort 1 65 Years of Age or Less With Arm 2

Serious events: 14 serious events
Other events: 24 other events
Deaths: 0 deaths

Cohort 2 Patients Who Are Older Than 65 Years of Age Arm 1

Serious events: 9 serious events
Other events: 18 other events
Deaths: 0 deaths

Cohort 1 65 Years of Age or Less With Arm 1

Serious events: 9 serious events
Other events: 31 other events
Deaths: 0 deaths

Cohort 2 Patients Who Are Older Than 65 Years of Age Arm 2

Serious events: 8 serious events
Other events: 16 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Cohort 1 65 Years of Age or Less With Arm 2
n=25 participants at risk
Arm 2: BEAM Chemotherapy (Carmustine, Etoposide, Cytarabine, Melphalan) + High Dose Rituximab
Cohort 2 Patients Who Are Older Than 65 Years of Age Arm 1
n=19 participants at risk
Arm 1: BEAM Chemotherapy (Carmustine, Etoposide, Cytarabine, Melphalan) + Standard Dose Rituximab
Cohort 1 65 Years of Age or Less With Arm 1
n=32 participants at risk
Arm 1: BEAM Chemotherapy (Carmustine, Etoposide, Cytarabine, Melphalan) + Standard Dose Rituximab
Cohort 2 Patients Who Are Older Than 65 Years of Age Arm 2
n=17 participants at risk
Arm 2: BEAM Chemotherapy (Carmustine, Etoposide, Cytarabine, Melphalan) + High Dose Rituximab
Gastrointestinal disorders
Mucositis
4.0%
1/25 • Number of events 1 • 4 Years, 5 Months
0.00%
0/19 • 4 Years, 5 Months
0.00%
0/32 • 4 Years, 5 Months
0.00%
0/17 • 4 Years, 5 Months
Infections and infestations
Neutropenic fever
36.0%
9/25 • Number of events 9 • 4 Years, 5 Months
31.6%
6/19 • Number of events 7 • 4 Years, 5 Months
25.0%
8/32 • Number of events 8 • 4 Years, 5 Months
23.5%
4/17 • Number of events 4 • 4 Years, 5 Months
Gastrointestinal disorders
Diarrhea
4.0%
1/25 • Number of events 1 • 4 Years, 5 Months
15.8%
3/19 • Number of events 3 • 4 Years, 5 Months
0.00%
0/32 • 4 Years, 5 Months
5.9%
1/17 • Number of events 1 • 4 Years, 5 Months
Renal and urinary disorders
Renal Insufficiency
4.0%
1/25 • Number of events 1 • 4 Years, 5 Months
0.00%
0/19 • 4 Years, 5 Months
0.00%
0/32 • 4 Years, 5 Months
0.00%
0/17 • 4 Years, 5 Months
Infections and infestations
Infection
16.0%
4/25 • Number of events 6 • 4 Years, 5 Months
10.5%
2/19 • Number of events 2 • 4 Years, 5 Months
9.4%
3/32 • Number of events 6 • 4 Years, 5 Months
17.6%
3/17 • Number of events 5 • 4 Years, 5 Months
Hepatobiliary disorders
Hyperbilirubinemia
0.00%
0/25 • 4 Years, 5 Months
5.3%
1/19 • Number of events 1 • 4 Years, 5 Months
0.00%
0/32 • 4 Years, 5 Months
0.00%
0/17 • 4 Years, 5 Months
Hepatobiliary disorders
Transaminitis
0.00%
0/25 • 4 Years, 5 Months
10.5%
2/19 • Number of events 2 • 4 Years, 5 Months
0.00%
0/32 • 4 Years, 5 Months
0.00%
0/17 • 4 Years, 5 Months
Cardiac disorders
Atrial Fibrillation
4.0%
1/25 • Number of events 1 • 4 Years, 5 Months
0.00%
0/19 • 4 Years, 5 Months
0.00%
0/32 • 4 Years, 5 Months
0.00%
0/17 • 4 Years, 5 Months
Blood and lymphatic system disorders
Low Platelets
8.0%
2/25 • Number of events 2 • 4 Years, 5 Months
0.00%
0/19 • 4 Years, 5 Months
0.00%
0/32 • 4 Years, 5 Months
0.00%
0/17 • 4 Years, 5 Months
Musculoskeletal and connective tissue disorders
Failure to Thrive
0.00%
0/25 • 4 Years, 5 Months
5.3%
1/19 • Number of events 1 • 4 Years, 5 Months
0.00%
0/32 • 4 Years, 5 Months
0.00%
0/17 • 4 Years, 5 Months

Other adverse events

Other adverse events
Measure
Cohort 1 65 Years of Age or Less With Arm 2
n=25 participants at risk
Arm 2: BEAM Chemotherapy (Carmustine, Etoposide, Cytarabine, Melphalan) + High Dose Rituximab
Cohort 2 Patients Who Are Older Than 65 Years of Age Arm 1
n=19 participants at risk
Arm 1: BEAM Chemotherapy (Carmustine, Etoposide, Cytarabine, Melphalan) + Standard Dose Rituximab
Cohort 1 65 Years of Age or Less With Arm 1
n=32 participants at risk
Arm 1: BEAM Chemotherapy (Carmustine, Etoposide, Cytarabine, Melphalan) + Standard Dose Rituximab
Cohort 2 Patients Who Are Older Than 65 Years of Age Arm 2
n=17 participants at risk
Arm 2: BEAM Chemotherapy (Carmustine, Etoposide, Cytarabine, Melphalan) + High Dose Rituximab
Gastrointestinal disorders
Nausea
60.0%
15/25 • Number of events 15 • 4 Years, 5 Months
63.2%
12/19 • Number of events 12 • 4 Years, 5 Months
78.1%
25/32 • Number of events 25 • 4 Years, 5 Months
70.6%
12/17 • Number of events 12 • 4 Years, 5 Months
Gastrointestinal disorders
Diarrhea
72.0%
18/25 • Number of events 18 • 4 Years, 5 Months
42.1%
8/19 • Number of events 8 • 4 Years, 5 Months
65.6%
21/32 • Number of events 21 • 4 Years, 5 Months
52.9%
9/17 • Number of events 9 • 4 Years, 5 Months
Gastrointestinal disorders
Mucositis
76.0%
19/25 • Number of events 19 • 4 Years, 5 Months
31.6%
6/19 • Number of events 6 • 4 Years, 5 Months
87.5%
28/32 • Number of events 28 • 4 Years, 5 Months
64.7%
11/17 • Number of events 11 • 4 Years, 5 Months
Renal and urinary disorders
Renal Insufficiency
0.00%
0/25 • 4 Years, 5 Months
15.8%
3/19 • Number of events 3 • 4 Years, 5 Months
6.2%
2/32 • Number of events 2 • 4 Years, 5 Months
5.9%
1/17 • Number of events 1 • 4 Years, 5 Months
Hepatobiliary disorders
Transaminitis
4.0%
1/25 • Number of events 1 • 4 Years, 5 Months
10.5%
2/19 • Number of events 3 • 4 Years, 5 Months
15.6%
5/32 • Number of events 6 • 4 Years, 5 Months
5.9%
1/17 • Number of events 1 • 4 Years, 5 Months
Hepatobiliary disorders
Hyperbilirubinemia
4.0%
1/25 • Number of events 1 • 4 Years, 5 Months
21.1%
4/19 • Number of events 4 • 4 Years, 5 Months
18.8%
6/32 • Number of events 6 • 4 Years, 5 Months
41.2%
7/17 • Number of events 7 • 4 Years, 5 Months
Infections and infestations
Fever
8.0%
2/25 • Number of events 3 • 4 Years, 5 Months
0.00%
0/19 • 4 Years, 5 Months
3.1%
1/32 • Number of events 1 • 4 Years, 5 Months
5.9%
1/17 • Number of events 1 • 4 Years, 5 Months
Skin and subcutaneous tissue disorders
Rash
20.0%
5/25 • Number of events 5 • 4 Years, 5 Months
5.3%
1/19 • Number of events 1 • 4 Years, 5 Months
3.1%
1/32 • Number of events 1 • 4 Years, 5 Months
5.9%
1/17 • Number of events 1 • 4 Years, 5 Months

Additional Information

Chitra M. Hosing, MD / Associate Professor

UT MD Anderson Cancer Center

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place