Trial Outcomes & Findings for Study to Evaluate the Efficacy and Safety of Treatment With Bendamustine in Combination With Ofatumumab in Previously Untreated Patients With Indolent B-Cell Non-Hodgkin's Lymphoma (NHL) (NCT NCT01108341)

NCT ID: NCT01108341

Last Updated: 2012-08-28

Results Overview

The IWG criteria (Cheson et al 2007) for a CR is a complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present before therapy. A PR is at least a 50% decrease in sum of the product of the diameters (SPD) of up to 6 of the largest dominant nodes or nodal masses, no increase should be observed in the size of other nodes, liver or spleen, and no new sites of disease should be observed.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

50 participants

Primary outcome timeframe

up to Week 32

Results posted on

2012-08-28

Participant Flow

Participant milestones

Participant milestones
Measure
Bendamustine and Ofatumumab
There are 6 planned and 2 optional 28-day cycles in which participants are administered both bendamustine and ofatumumab in the following doses: Bendamustine administered at 90 mg/m\^2 intravenously (iv) on study days 1 and 2. Ofatumumab administered at 300 mg iv on day 1 and 1000 mg iv on day 8 of cycle 1. Ofatumumab administered at 1000 mg iv on day 1 of all additional cycles.
Overall Study
STARTED
50
Overall Study
Safety Set (Enrolled and Treated)
49
Overall Study
COMPLETED
45
Overall Study
NOT COMPLETED
5

Reasons for withdrawal

Reasons for withdrawal
Measure
Bendamustine and Ofatumumab
There are 6 planned and 2 optional 28-day cycles in which participants are administered both bendamustine and ofatumumab in the following doses: Bendamustine administered at 90 mg/m\^2 intravenously (iv) on study days 1 and 2. Ofatumumab administered at 300 mg iv on day 1 and 1000 mg iv on day 8 of cycle 1. Ofatumumab administered at 1000 mg iv on day 1 of all additional cycles.
Overall Study
Death
2
Overall Study
Withdrawal by Subject
1
Overall Study
Lost to Follow-up
1
Overall Study
Other
1

Baseline Characteristics

Study to Evaluate the Efficacy and Safety of Treatment With Bendamustine in Combination With Ofatumumab in Previously Untreated Patients With Indolent B-Cell Non-Hodgkin's Lymphoma (NHL)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Bendamustine and Ofatumumab
n=49 Participants
There are 6 planned and 2 optional 28-day cycles in which participants are administered both bendamustine and ofatumumab in the following doses: Bendamustine administered at 90 mg/m\^2 intravenously (iv) on study days 1 and 2. Ofatumumab administered at 300 mg iv on day 1 and 1000 mg iv on day 8 of cycle 1. Ofatumumab administered at 1000 mg iv on day 1 of all additional cycles.
Age Continuous
59.1 years
STANDARD_DEVIATION 10.77 • n=5 Participants
Age, Customized
<65 years
31 participants
n=5 Participants
Age, Customized
>=65 years
18 participants
n=5 Participants
Sex: Female, Male
Female
23 Participants
n=5 Participants
Sex: Female, Male
Male
26 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
45 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
1 participants
n=5 Participants
Race/Ethnicity, Customized
Asian
2 participants
n=5 Participants
Race/Ethnicity, Customized
Pacific Islander
0 participants
n=5 Participants
Race/Ethnicity, Customized
Black
2 participants
n=5 Participants
Race/Ethnicity, Customized
White
44 participants
n=5 Participants
Race/Ethnicity, Customized
Other
0 participants
n=5 Participants

PRIMARY outcome

Timeframe: up to Week 32

Population: Safety population of participants who were treated

The IWG criteria (Cheson et al 2007) for a CR is a complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present before therapy. A PR is at least a 50% decrease in sum of the product of the diameters (SPD) of up to 6 of the largest dominant nodes or nodal masses, no increase should be observed in the size of other nodes, liver or spleen, and no new sites of disease should be observed.

Outcome measures

Outcome measures
Measure
Bendamustine and Ofatumumab
n=49 Participants
There are 6 planned and 2 optional 28-day cycles in which participants are administered both bendamustine and ofatumumab in the following doses: Bendamustine administered at 90 mg/m\^2 intravenously (iv) on study days 1 and 2. Ofatumumab administered at 300 mg iv on day 1 and 1000 mg iv on day 8 of cycle 1. Ofatumumab administered at 1000 mg iv on day 1 of all additional cycles.
Percentage of Participants With a Best Overall Response of Complete Response (CR) or Partial Response (PR), as Determined by the International Working Group (IWG) Criteria As Assessed by Investigators
90 percentage of participants
Interval 77.8 to 96.6

SECONDARY outcome

Timeframe: up to Week 32

Population: Safety population of participants who were treated

The IWG criteria (Cheson et al 2007) for a CR is a complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present before therapy.

Outcome measures

Outcome measures
Measure
Bendamustine and Ofatumumab
n=49 Participants
There are 6 planned and 2 optional 28-day cycles in which participants are administered both bendamustine and ofatumumab in the following doses: Bendamustine administered at 90 mg/m\^2 intravenously (iv) on study days 1 and 2. Ofatumumab administered at 300 mg iv on day 1 and 1000 mg iv on day 8 of cycle 1. Ofatumumab administered at 1000 mg iv on day 1 of all additional cycles.
Percentage of Participants With a Best Overall Response of Complete Response (CR), as Determined by the International Working Group (IWG) Criteria As Assessed by Investigators
67 percentage of participants
Interval 52.6 to 80.1

Adverse Events

Bendamustine and Ofatumumab

Serious events: 14 serious events
Other events: 49 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Bendamustine and Ofatumumab
n=49 participants at risk
There are 6 planned and 2 optional 28-day cycles in which participants are administered both bendamustine and ofatumumab in the following doses: Bendamustine administered at 90 mg/m\^2 intravenously (iv) on study days 1 and 2. Ofatumumab administered at 300 mg iv on day 1 and 1000 mg iv on day 8 of cycle 1. Ofatumumab administered at 1000 mg iv on day 1 of all additional cycles.
Blood and lymphatic system disorders
Febrile neutropenia
4.1%
2/49 • up to 39 weeks
Eye disorders
Diplopia
2.0%
1/49 • up to 39 weeks
Gastrointestinal disorders
Ascites
2.0%
1/49 • up to 39 weeks
Gastrointestinal disorders
Colitis
2.0%
1/49 • up to 39 weeks
Gastrointestinal disorders
Diarrhoea
2.0%
1/49 • up to 39 weeks
Gastrointestinal disorders
Faeces discoloured
2.0%
1/49 • up to 39 weeks
Gastrointestinal disorders
Nausea
2.0%
1/49 • up to 39 weeks
General disorders
Infusion related reaction
4.1%
2/49 • up to 39 weeks
General disorders
Pyrexia
4.1%
2/49 • up to 39 weeks
General disorders
Asthenia
2.0%
1/49 • up to 39 weeks
General disorders
Device dislocation
2.0%
1/49 • up to 39 weeks
General disorders
Fatigue
2.0%
1/49 • up to 39 weeks
Hepatobiliary disorders
Portal vein thrombosis
2.0%
1/49 • up to 39 weeks
Infections and infestations
Bacterial sepsis
2.0%
1/49 • up to 39 weeks
Infections and infestations
Device related sepsis
2.0%
1/49 • up to 39 weeks
Infections and infestations
Gastroenteritis
2.0%
1/49 • up to 39 weeks
Infections and infestations
Pneumonia
2.0%
1/49 • up to 39 weeks
Infections and infestations
Sepsis
2.0%
1/49 • up to 39 weeks
Infections and infestations
Tooth abscess
2.0%
1/49 • up to 39 weeks
Investigations
Oxygen saturation decreased
2.0%
1/49 • up to 39 weeks
Metabolism and nutrition disorders
Dehydration
2.0%
1/49 • up to 39 weeks
Metabolism and nutrition disorders
Failure to thrive
2.0%
1/49 • up to 39 weeks
Metabolism and nutrition disorders
Hypercalcaemia
2.0%
1/49 • up to 39 weeks
Metabolism and nutrition disorders
Hyperkalaemia
2.0%
1/49 • up to 39 weeks
Metabolism and nutrition disorders
Hypophagia
2.0%
1/49 • up to 39 weeks
Musculoskeletal and connective tissue disorders
Muscular weakness
2.0%
1/49 • up to 39 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Non-small cell lung cancer
2.0%
1/49 • up to 39 weeks
Nervous system disorders
Depressed level of consciousness
2.0%
1/49 • up to 39 weeks
Renal and urinary disorders
Renal failure acute
2.0%
1/49 • up to 39 weeks
Respiratory, thoracic and mediastinal disorders
Bronchospasm
2.0%
1/49 • up to 39 weeks
Respiratory, thoracic and mediastinal disorders
Sinus congestion
2.0%
1/49 • up to 39 weeks
Skin and subcutaneous tissue disorders
Hyperhidrosis
2.0%
1/49 • up to 39 weeks
Skin and subcutaneous tissue disorders
Rash
2.0%
1/49 • up to 39 weeks
Vascular disorders
Hot flush
2.0%
1/49 • up to 39 weeks

Other adverse events

Other adverse events
Measure
Bendamustine and Ofatumumab
n=49 participants at risk
There are 6 planned and 2 optional 28-day cycles in which participants are administered both bendamustine and ofatumumab in the following doses: Bendamustine administered at 90 mg/m\^2 intravenously (iv) on study days 1 and 2. Ofatumumab administered at 300 mg iv on day 1 and 1000 mg iv on day 8 of cycle 1. Ofatumumab administered at 1000 mg iv on day 1 of all additional cycles.
Blood and lymphatic system disorders
Neutropenia
20.4%
10/49 • up to 39 weeks
Blood and lymphatic system disorders
Leukopenia
14.3%
7/49 • up to 39 weeks
Blood and lymphatic system disorders
Anaemia
10.2%
5/49 • up to 39 weeks
Blood and lymphatic system disorders
Thrombocytopenia
8.2%
4/49 • up to 39 weeks
Blood and lymphatic system disorders
Lymphopenia
6.1%
3/49 • up to 39 weeks
Cardiac disorders
Tachycardia
10.2%
5/49 • up to 39 weeks
Cardiac disorders
Palpitations
6.1%
3/49 • up to 39 weeks
Eye disorders
Eye irritation
8.2%
4/49 • up to 39 weeks
Gastrointestinal disorders
Nausea
59.2%
29/49 • up to 39 weeks
Gastrointestinal disorders
Constipation
34.7%
17/49 • up to 39 weeks
Gastrointestinal disorders
Diarrhoea
24.5%
12/49 • up to 39 weeks
Gastrointestinal disorders
Vomiting
24.5%
12/49 • up to 39 weeks
Gastrointestinal disorders
Abdominal pain
10.2%
5/49 • up to 39 weeks
Gastrointestinal disorders
Gastrooesophageal reflux disease
8.2%
4/49 • up to 39 weeks
Gastrointestinal disorders
Stomatitis
8.2%
4/49 • up to 39 weeks
Gastrointestinal disorders
Dyspepsia
6.1%
3/49 • up to 39 weeks
General disorders
Fatigue
53.1%
26/49 • up to 39 weeks
General disorders
Infusion related reaction
40.8%
20/49 • up to 39 weeks
General disorders
Oedema peripheral
20.4%
10/49 • up to 39 weeks
General disorders
Pyrexia
12.2%
6/49 • up to 39 weeks
General disorders
Chills
12.2%
6/49 • up to 39 weeks
General disorders
Asthenia
8.2%
4/49 • up to 39 weeks
Immune system disorders
Drug hypersensitivity
10.2%
5/49 • up to 39 weeks
Infections and infestations
Sinusitis
8.2%
4/49 • up to 39 weeks
Infections and infestations
Upper respiratory tract infection
8.2%
4/49 • up to 39 weeks
Investigations
White blood cell count decreased
26.5%
13/49 • up to 39 weeks
Investigations
Neutrophil count decreased
22.4%
11/49 • up to 39 weeks
Investigations
Platelet count decreased
14.3%
7/49 • up to 39 weeks
Investigations
Weight decreased
8.2%
4/49 • up to 39 weeks
Investigations
Haemoglobin decreased
6.1%
3/49 • up to 39 weeks
Metabolism and nutrition disorders
Decreased appetite
14.3%
7/49 • up to 39 weeks
Metabolism and nutrition disorders
Hypokalaemia
6.1%
3/49 • up to 39 weeks
Metabolism and nutrition disorders
Hypomagnesaemia
6.1%
3/49 • up to 39 weeks
Musculoskeletal and connective tissue disorders
Myalgia
14.3%
7/49 • up to 39 weeks
Musculoskeletal and connective tissue disorders
Back pain
12.2%
6/49 • up to 39 weeks
Musculoskeletal and connective tissue disorders
Pain in extremity
6.1%
3/49 • up to 39 weeks
Nervous system disorders
Headache
24.5%
12/49 • up to 39 weeks
Nervous system disorders
Dizziness
20.4%
10/49 • up to 39 weeks
Nervous system disorders
Dysgeusia
8.2%
4/49 • up to 39 weeks
Psychiatric disorders
Insomnia
14.3%
7/49 • up to 39 weeks
Psychiatric disorders
Anxiety
8.2%
4/49 • up to 39 weeks
Respiratory, thoracic and mediastinal disorders
Dyspnoea
26.5%
13/49 • up to 39 weeks
Respiratory, thoracic and mediastinal disorders
Cough
16.3%
8/49 • up to 39 weeks
Respiratory, thoracic and mediastinal disorders
Nasal congestion
8.2%
4/49 • up to 39 weeks
Respiratory, thoracic and mediastinal disorders
Rhinitis allergic
6.1%
3/49 • up to 39 weeks
Skin and subcutaneous tissue disorders
Rash
18.4%
9/49 • up to 39 weeks
Skin and subcutaneous tissue disorders
Pruritus
16.3%
8/49 • up to 39 weeks
Skin and subcutaneous tissue disorders
Urticaria
16.3%
8/49 • up to 39 weeks
Skin and subcutaneous tissue disorders
Periorbital oedema
6.1%
3/49 • up to 39 weeks
Vascular disorders
Hypertension
10.2%
5/49 • up to 39 weeks
Vascular disorders
Hypotension
6.1%
3/49 • up to 39 weeks

Additional Information

Director, Clinical Research

Teva Branded Pharmaceutical Products, R&D Inc.

Phone: 215-591-3000

Results disclosure agreements

  • Principal investigator is a sponsor employee Sponsor has the right 60 days before submission for publication to review/provide comments. If the Sponsor's review shows that potentially patentable subject matter would be disclosed, publication or public disclosure shall be delayed for up to 90 additional days in order for the Sponsor, or Sponsor's designees, to file the necessary patent applications. In multicenter trials, each PI will postpone single center publications until after disclosure or publication of multicenter data.
  • Publication restrictions are in place

Restriction type: OTHER