GAUSS: A Study of Obinutuzumab (RO5072759) in Patients With Indolent Non-Hodgkin's Lymphoma

NCT ID: NCT00576758

Last Updated: 2014-08-19

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

175 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-01-31

Study Completion Date

2013-03-31

Brief Summary

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This study will investigate the efficacy of weekly intravenous obinutuzumab \[GA101 (RO5072759)\] monotherapy, in patients with relapsed CD20+ indolent Non-Hodgkin's Lymphoma. Patients will be randomized to receive either GA101 or rituximab, given as four weekly infusions. At the conclusion of the initial trial patients may be eligible to continue therapy up to 24 months. The anticipated time on study treatment is 3- 24 months, and the target sample size is 100-500 individuals.

Detailed Description

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Conditions

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Non-Hodgkin's Lymphoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Obinutuzumab

Participants received 1000 mg obinutuzumab intravenous (IV) infusion once a week on Days 1, 8, 15, and 22 in the Induction Period. 2 months following the last infusion, participants without disease progression, were eligible to receive a 1000 mg IV infusion every two months for 2 years in the Extension Period. All participants received oral acetaminophen/ paracetamol (1000 mg) and an antihistamine such as diphenhydramine (50-100 mg), 30-60 minutes prior to each infusion.

Group Type EXPERIMENTAL

obinutuzumab (RO5072759)

Intervention Type DRUG

1000 mg obinutuzumab intravenous (IV) infusion once a week for 4 weeks.

Rituximab

Participants received 375 mg/m\^2 rituximab IV infusion once a week on Days 1, 8, 15 and 22 in the Induction Period. 2 months following the last infusion, participants without disease progression were eligible to receive a 375 mg/m\^2 rituximab IV infusion once every two months for 2 years in the Extension Period. All participants received oral acetaminophen/ paracetamol (1000 mg) and an antihistamine such as diphenhydramine (50-100 mg), 30-60 minutes prior to each infusion.

Group Type ACTIVE_COMPARATOR

rituximab

Intervention Type DRUG

375 mg/m\^2 rituximab IV infusion once a week for 4 weeks.

Interventions

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obinutuzumab (RO5072759)

1000 mg obinutuzumab intravenous (IV) infusion once a week for 4 weeks.

Intervention Type DRUG

rituximab

375 mg/m\^2 rituximab IV infusion once a week for 4 weeks.

Intervention Type DRUG

Other Intervention Names

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RO5072759 GA101 GAZYVA®

Eligibility Criteria

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Inclusion Criteria

* adult patients, \>=18 years of age
* relapsed CD20+ indolent B-cell non-Hodgkin's lymphoma
* documented history of response of \>/= 6 months duration from last rituximab-containing regimen
* clinical indication for treatment as determined by the investigator
* Eastern Cooperative Oncology Group (ECOG) performance status 0-2

Exclusion Criteria

* prior use of any investigational monoclonal antibody within 6 months of study start
* prior use of any anti-cancer vaccine
* prior use of rituximab within 8 weeks of study entry
* radioimmunotherapy within 3 months prior to study entry
* Central Nervous System (CNS) lymphoma or evidence of transformation to high-grade or diffuse large B-cell lymphoma
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hoffmann-La Roche

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trials

Role: STUDY_DIRECTOR

Hoffmann-La Roche

Locations

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Los Angeles, California, United States

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Denver, Colorado, United States

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Gainesville, Florida, United States

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Tampa, Florida, United States

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Augusta, Georgia, United States

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Cumberland, Maryland, United States

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Hackensack, New Jersey, United States

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New York, New York, United States

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Rochester, New York, United States

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Concord, North Carolina, United States

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Columbus, Ohio, United States

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Houston, Texas, United States

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Seattle, Washington, United States

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Buenos Aires, , Argentina

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Buenos Aires, , Argentina

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Buenos Aires, , Argentina

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Innsbruck, , Austria

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Salzburg, , Austria

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Vienna, , Austria

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Brussels, , Belgium

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Ghent, , Belgium

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Mont-godinne, , Belgium

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Goiânia, Goiás, Brazil

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Porto Alegre, Rio Grande do Sul, Brazil

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Piracicaba, São Paulo, Brazil

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São Paulo, São Paulo, Brazil

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São Paulo, São Paulo, Brazil

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Calgary, Alberta, Canada

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Vancouver, British Columbia, Canada

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Kingston, Ontario, Canada

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Toronto, Ontario, Canada

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Toronto, Ontario, Canada

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Montreal, Quebec, Canada

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Montreal, Quebec, Canada

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Rijeka, , Croatia

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Zagreb, , Croatia

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Aarhus, , Denmark

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Copenhagen, , Denmark

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Vejle, , Denmark

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Athens, , Greece

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Thessaloniki, , Greece

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Bologna, , Italy

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Brescia, , Italy

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Milan, , Italy

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Milan, , Italy

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Novara, , Italy

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Pisa, , Italy

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Reggio Calabria, , Italy

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Rozzano, , Italy

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Amsterdam, , Netherlands

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Groningen, , Netherlands

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Rotterdam, , Netherlands

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Rotterdam, , Netherlands

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Warsaw, , Poland

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Warsaw, , Poland

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Palma de Mallorca, Balearic Islands, Spain

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Barcelona, Barcelona, Spain

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Barcelona, Barcelona, Spain

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A Coruña, La Coruña, Spain

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Madrid, Madrid, Spain

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Salamanca, Salamanca, Spain

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Seville, Sevilla, Spain

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Valencia, Valencia, Spain

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Zaragoza, Zaragoza, Spain

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Huddinge, , Sweden

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Malmo, , Sweden

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Sankt Gallen, , Switzerland

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Zurich, , Switzerland

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Istanbul, , Turkey (Türkiye)

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Izmir, , Turkey (Türkiye)

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London, , United Kingdom

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Countries

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United States Argentina Austria Belgium Brazil Canada Croatia Denmark Greece Italy Netherlands Poland Spain Sweden Switzerland Turkey (Türkiye) United Kingdom

References

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Gibiansky E, Gibiansky L, Buchheit V, Frey N, Brewster M, Fingerle-Rowson G, Jamois C. Pharmacokinetics, exposure, efficacy and safety of obinutuzumab in rituximab-refractory follicular lymphoma patients in the GADOLIN phase III study. Br J Clin Pharmacol. 2019 Sep;85(9):1935-1945. doi: 10.1111/bcp.13974. Epub 2019 Jul 12.

Reference Type DERIVED
PMID: 31050355 (View on PubMed)

Kostakoglu L, Goy A, Martinelli G, Caballero D, Crump M, Gaidano G, Baetz T, Buckstein R, Fine G, Fingerle-Rowson G, Berge C, Sahin D, Press O, Sehn L. FDG-PET is prognostic and predictive for progression-free survival in relapsed follicular lymphoma: exploratory analysis of the GAUSS study. Leuk Lymphoma. 2017 Feb;58(2):372-381. doi: 10.1080/10428194.2016.1196815. Epub 2016 Jun 24.

Reference Type DERIVED
PMID: 27339738 (View on PubMed)

Sehn LH, Goy A, Offner FC, Martinelli G, Caballero MD, Gadeberg O, Baetz T, Zelenetz AD, Gaidano G, Fayad LE, Buckstein R, Friedberg JW, Crump M, Jaksic B, Zinzani PL, Padmanabhan Iyer S, Sahin D, Chai A, Fingerle-Rowson G, Press OW. Randomized Phase II Trial Comparing Obinutuzumab (GA101) With Rituximab in Patients With Relapsed CD20+ Indolent B-Cell Non-Hodgkin Lymphoma: Final Analysis of the GAUSS Study. J Clin Oncol. 2015 Oct 20;33(30):3467-74. doi: 10.1200/JCO.2014.59.2139. Epub 2015 Aug 17.

Reference Type DERIVED
PMID: 26282650 (View on PubMed)

Sehn LH, Assouline SE, Stewart DA, Mangel J, Gascoyne RD, Fine G, Frances-Lasserre S, Carlile DJ, Crump M. A phase 1 study of obinutuzumab induction followed by 2 years of maintenance in patients with relapsed CD20-positive B-cell malignancies. Blood. 2012 May 31;119(22):5118-25. doi: 10.1182/blood-2012-02-408773. Epub 2012 Mar 20.

Reference Type DERIVED
PMID: 22438256 (View on PubMed)

Other Identifiers

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BO21003

Identifier Type: -

Identifier Source: org_study_id

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