Trial Outcomes & Findings for Study of SyB L-0501 in Combination With Rituximab to Treat Relapsed/Refractory Diffuse Large B-Cell Lymphoma (NCT NCT01118845)

NCT ID: NCT01118845

Last Updated: 2013-07-04

Results Overview

CR: Disappearance of all evidence of disease. PR: Regression of measurable disease and no new sites. For the criteria for CR, See Outcome measure 2 description. The criteria for PR is as below. Nodal Masses: more than 50% decrease in sum of the product of the perpendicular diameters (SPD) of up to 6 largest dominant masses; no increase in size of other nodes 1. FDG-avid or PET positive prior to therapy; one or more PET positive at previously involved site 2. Variably FDG-avid or PET negative; regression on CT Spleen, Liver: more than 50% decrease in SPD of nodules (for single nodule in greatest transverse diameter); no increase in size of liver or spleen Bone Marrow: Irrelevant if positive prior to therapy; cell type should be specified

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

63 participants

Primary outcome timeframe

up to 30 weeks

Results posted on

2013-07-04

Participant Flow

Among the 63 subjects enrolled in the study, 59 subjects received study drug and four subjects were excluded before the first study drug administration. The reasons for exclusion were adverse events and major protocol deviation/violation for two subjects each.

Participant milestones

Participant milestones
Measure
SyB L-0501
SyB L-0501 was administered in combination with rituximab. SyB L-0501 was administered at 120 mg/m\^2/day by intravenous infusion on day 2 and 3 of each 21-day cycle with up to 6 cycles. Dose modifications are permitted from 2nd cycle according to dose reduction schedule. Rituximab was administered at 375 mg/m\^2/day by intravenous infusion on day 1 of each 21-day cycle with up to 6 cycles. Dose modifications are not permitted.
Overall Study
STARTED
59
Overall Study
COMPLETED
17
Overall Study
NOT COMPLETED
42

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Study of SyB L-0501 in Combination With Rituximab to Treat Relapsed/Refractory Diffuse Large B-Cell Lymphoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
SyB L-0501
n=59 Participants
SyB L-0501 was administered in combination with rituximab. SyB L-0501 was administered at 120 mg/m\^2/day by intravenous infusion on day 2 and 3 of each 21-day cycle with up to 6 cycles. Dose modifications are permitted from 2nd cycle according to dose reduction schedule. Rituximab was administered at 375 mg/m\^2/day by intravenous infusion on day 1 of each 21-day cycle with up to 6 cycles. Dose modifications are not permitted.
Age Continuous
64.2 Year
STANDARD_DEVIATION 9.2 • n=5 Participants
Age, Customized
20-29 years
0.0 Percentage of participants
n=5 Participants
Age, Customized
30-39 years
1.7 Percentage of participants
n=5 Participants
Age, Customized
40-49 years
8.5 Percentage of participants
n=5 Participants
Age, Customized
50-59 years
16.9 Percentage of participants
n=5 Participants
Age, Customized
60-69 years
39.0 Percentage of participants
n=5 Participants
Age, Customized
70-75 years
33.9 Percentage of participants
n=5 Participants
Age, Customized
<65 years
37.3 Percentage of participants
n=5 Participants
Age, Customized
≥65 years
62.7 Percentage of participants
n=5 Participants
Sex/Gender, Customized
Male
42.4 percentage of participants
n=5 Participants
Sex/Gender, Customized
Female
57.6 percentage of participants
n=5 Participants
Diagnosis of Relapsed/Refractory Diffuse Large B-Cell Lymphoma
100.0 percentage of participants
n=5 Participants
Clinical Stage (Ann Arbor staging)
Stage I
5.1 Percentage of participants
n=5 Participants
Clinical Stage (Ann Arbor staging)
Stage I-E
3.4 Percentage of participants
n=5 Participants
Clinical Stage (Ann Arbor staging)
Stage II
27.1 Percentage of participants
n=5 Participants
Clinical Stage (Ann Arbor staging)
Stage II-E
3.4 Percentage of participants
n=5 Participants
Clinical Stage (Ann Arbor staging)
Stage III
25.4 Percentage of participants
n=5 Participants
Clinical Stage (Ann Arbor staging)
Stage III-S
6.8 Percentage of participants
n=5 Participants
Clinical Stage (Ann Arbor staging)
Stage III-E
3.4 Percentage of participants
n=5 Participants
Clinical Stage (Ann Arbor staging)
Stage III-SE
0.0 Percentage of participants
n=5 Participants
Clinical Stage (Ann Arbor staging)
Stage IV
25.4 Percentage of participants
n=5 Participants
Clinical Stage (Ann Arbor staging)
Unknown
0.0 Percentage of participants
n=5 Participants
Systemic symptoms (B symptoms) (Ann Arbor staging)
Asymptomatic
86.4 Percentage of participants
n=5 Participants
Systemic symptoms (B symptoms) (Ann Arbor staging)
Symptomatic
13.6 Percentage of participants
n=5 Participants
Systemic symptoms (B symptoms) (Ann Arbor staging)
Unknown
0.0 Percentage of participants
n=5 Participants
Medical history of diffuse large B-cell lymphoma (DLBCL)
No
40.7 Percentage of participants
n=5 Participants
Medical history of diffuse large B-cell lymphoma (DLBCL)
Yes
59.3 Percentage of participants
n=5 Participants
Complications of DLBCL
No
6.8 Percentage of participants
n=5 Participants
Complications of DLBCL
Yes
93.2 Percentage of participants
n=5 Participants
Prior medication/therapy for DLBCL
No
8.5 Percentage of participants
n=5 Participants
Prior medication/therapy for DLBCL
Yes
91.5 Percentage of participants
n=5 Participants
Prior medication/therapy for DLBCL (Transplant)
No
86.4 Percentage of participants
n=5 Participants
Prior medication/therapy for DLBCL (Transplant)
Yes
13.6 Percentage of participants
n=5 Participants
Prior treatment for DLBCL
No
0.0 Percentage of participants
n=5 Participants
Prior treatment for DLBCL
Yes
100.0 Percentage of participants
n=5 Participants
Number of regimens
1
64.4 Percentage of participants
n=5 Participants
Number of regimens
2
22.0 Percentage of participants
n=5 Participants
Number of regimens
3
13.6 Percentage of participants
n=5 Participants
P.S.(performance status)[the Eastern Cooperative Oncology Group (ECOG) criteria]
0
66.1 Percentage of Participants
n=5 Participants
P.S.(performance status)[the Eastern Cooperative Oncology Group (ECOG) criteria]
1
33.9 Percentage of Participants
n=5 Participants
Tumor diameter
<5 cm
71.2 Percentage of Participants
n=5 Participants
Tumor diameter
≥5 cm
28.8 Percentage of Participants
n=5 Participants
Tumor diameter
<7 cm
86.4 Percentage of Participants
n=5 Participants
Tumor diameter
≥7 cm
13.6 Percentage of Participants
n=5 Participants
lactate dehydrogenase (LDH)
Within normal range
44.1 Percentage of Participants
n=5 Participants
lactate dehydrogenase (LDH)
Elevated
55.9 Percentage of Participants
n=5 Participants
LDH
<240 IU/L
39.0 Percentage of Participants
n=5 Participants
LDH
≥240 IU/L
61.0 Percentage of Participants
n=5 Participants
Site of disease
<4 nodular sites
47.5 Percentage of Participants
n=5 Participants
Site of disease
≥4 nodular sites
52.5 Percentage of Participants
n=5 Participants
Site of disease
<2 extranodular sites
93.2 Percentage of Participants
n=5 Participants
Site of disease
≥4 extranodular sites
6.8 Percentage of Participants
n=5 Participants
Bone marrow involvement
Positive
3.4 Percentage of Participants
n=5 Participants
Bone marrow involvement
Negative
94.9 Percentage of Participants
n=5 Participants
Bone marrow involvement
Indeterminate
0.0 Percentage of Participants
n=5 Participants
Bone marrow involvement
Unknown
1.7 Percentage of Participants
n=5 Participants
Response to prior treatment
Responder
100.0 Percentage of Participants
n=5 Participants
Response to prior treatment
Non-Responder
0.0 Percentage of Participants
n=5 Participants
Response to prior treatment
Unknown
0.0 Percentage of Participants
n=5 Participants
Time from prior treatment
<12 months
15.3 Percentage of Participants
n=5 Participants
Time from prior treatment
≥12 months
49.2 Percentage of Participants
n=5 Participants
Time from prior treatment
Unknown
0.0 Percentage of Participants
n=5 Participants
International Prognostic Index risk category
Low (score=0-1)
33.9 Percentage of Participants
n=5 Participants
International Prognostic Index risk category
Low-Intermediate (score=2)
35.6 Percentage of Participants
n=5 Participants
International Prognostic Index risk category
High-Intermediate (score=3)
23.6 Percentage of Participants
n=5 Participants
International Prognostic Index risk category
High(score=4-5)
6.8 Percentage of Participants
n=5 Participants
International Prognostic Index risk category
Unknown
0.0 Percentage of Participants
n=5 Participants
International Prognostic Index risk category
Low-Intermediate (score<3)
69.5 Percentage of Participants
n=5 Participants
International Prognostic Index risk category
High-Intermediate (score≥3)
30.5 Percentage of Participants
n=5 Participants
Height
158.25 cm
STANDARD_DEVIATION 8.59 • n=5 Participants
Weight
57.64 kg
STANDARD_DEVIATION 12.85 • n=5 Participants
Body Surface Area(BSA)
1.537 m^2
STANDARD_DEVIATION 0.184 • n=5 Participants

PRIMARY outcome

Timeframe: up to 30 weeks

CR: Disappearance of all evidence of disease. PR: Regression of measurable disease and no new sites. For the criteria for CR, See Outcome measure 2 description. The criteria for PR is as below. Nodal Masses: more than 50% decrease in sum of the product of the perpendicular diameters (SPD) of up to 6 largest dominant masses; no increase in size of other nodes 1. FDG-avid or PET positive prior to therapy; one or more PET positive at previously involved site 2. Variably FDG-avid or PET negative; regression on CT Spleen, Liver: more than 50% decrease in SPD of nodules (for single nodule in greatest transverse diameter); no increase in size of liver or spleen Bone Marrow: Irrelevant if positive prior to therapy; cell type should be specified

Outcome measures

Outcome measures
Measure
SyB L-0501
n=59 Participants
SyB L-0501 was administered in combination with rituximab. SyB L-0501 was administered at 120 mg/m\^2/day by intravenous infusion on day 2 and 3 of each 21-day cycle with up to 6 cycles. Dose modifications are permitted from 2nd cycle according to dose reduction schedule. Rituximab was administered at 375 mg/m\^2/day by intravenous infusion on day 1 of each 21-day cycle with up to 6 cycles. Dose modifications are not permitted.
The Overall Response Rate [Complete Response (CR) + Partial Response (PR)] Determined on the Basis of Revised Response Criteria for Malignant Lymphoma
62.7 Percentage of Participants
Interval 49.1 to 75.0

SECONDARY outcome

Timeframe: up to 30 weeks

The criteria for CR is as below Nodal Masses: 1. fluorodeoxy glucose (FDG)-avid or positron emission tomography (PET) positive prior to therapy; mass of any size permitted if PET negative 2. Variably FDG-avid or PET negative; regression to normal size on computed tomography (CT) Spleen, Liver: Not palpable, nodules disappeared Bone Marrow: Infiltrate cleared on repeat biopsy; if indeterminate by morphology, immunohistochemistry should be negative

Outcome measures

Outcome measures
Measure
SyB L-0501
n=59 Participants
SyB L-0501 was administered in combination with rituximab. SyB L-0501 was administered at 120 mg/m\^2/day by intravenous infusion on day 2 and 3 of each 21-day cycle with up to 6 cycles. Dose modifications are permitted from 2nd cycle according to dose reduction schedule. Rituximab was administered at 375 mg/m\^2/day by intravenous infusion on day 1 of each 21-day cycle with up to 6 cycles. Dose modifications are not permitted.
The Complete Response (CR) Rate Determined on the Basis of Revised Response Criteria for Malignant Lymphoma
37.3 Percentage of participants
Interval 25.0 to 50.9

SECONDARY outcome

Timeframe: up to 30 weeks

PFS = day of the first PFS event - day of start of study treatment + 1 The definitions of PFS event are as below. 1. PD according to overall response on the basis of Revised Response Criteria for Malignant Lymphoma PD: Any new lesion or increase by ≥50% of previously involved sites from nadir. Nodal masses; Appearance of a new lesion(s) \>1.5 cm in any axis, ≥50% increase in SPD of more than one node, or ≥50% increase in longest diameter of a previously identified node \>1 cm in short axis. Lesions PET positive if FDG-avid lymphoma or PET positive prior to therapy. Spleen, Liver; ≥50% increase from nadir in the SPD of any previous lesions. Bone marrow; New or recurrent involvement 2. Disease progression during treatment period 3. Disease progression during follow up period 4. Start of treatment of new lesion 5. Occurrence of other multiple malignant tumors 6. Death

Outcome measures

Outcome measures
Measure
SyB L-0501
n=59 Participants
SyB L-0501 was administered in combination with rituximab. SyB L-0501 was administered at 120 mg/m\^2/day by intravenous infusion on day 2 and 3 of each 21-day cycle with up to 6 cycles. Dose modifications are permitted from 2nd cycle according to dose reduction schedule. Rituximab was administered at 375 mg/m\^2/day by intravenous infusion on day 1 of each 21-day cycle with up to 6 cycles. Dose modifications are not permitted.
Progression Free Survival (PFS)
200.0 Days
Interval 109.0 to 410.0

SECONDARY outcome

Timeframe: up to 30 weeks

Outcome measures

Outcome measures
Measure
SyB L-0501
n=59 Participants
SyB L-0501 was administered in combination with rituximab. SyB L-0501 was administered at 120 mg/m\^2/day by intravenous infusion on day 2 and 3 of each 21-day cycle with up to 6 cycles. Dose modifications are permitted from 2nd cycle according to dose reduction schedule. Rituximab was administered at 375 mg/m\^2/day by intravenous infusion on day 1 of each 21-day cycle with up to 6 cycles. Dose modifications are not permitted.
Number of Subjects With Adverse Event
Subjects with adverse event
59 Participants
Number of Subjects With Adverse Event
Subjects with serious adverse event
14 Participants

SECONDARY outcome

Timeframe: up to 30 weeks

Outcome measures

Outcome measures
Measure
SyB L-0501
n=59 Participants
SyB L-0501 was administered in combination with rituximab. SyB L-0501 was administered at 120 mg/m\^2/day by intravenous infusion on day 2 and 3 of each 21-day cycle with up to 6 cycles. Dose modifications are permitted from 2nd cycle according to dose reduction schedule. Rituximab was administered at 375 mg/m\^2/day by intravenous infusion on day 1 of each 21-day cycle with up to 6 cycles. Dose modifications are not permitted.
Number of Adverse Events
Adverse events
1848 Events
Number of Adverse Events
Serious adverse events
23 Events

SECONDARY outcome

Timeframe: up to 30 weeks

Abnormalities in laboratory test values in overall study period were analyzed. Severity of abnormalities were evaluated using Common Terminology Criteria for Adverse Events (CTCAE). grade 1 : mild grade 2 : moderate grade 3 : severe grade 4 : life threatening or disabling grade 5 : death related to adverse event

Outcome measures

Outcome measures
Measure
SyB L-0501
n=59 Participants
SyB L-0501 was administered in combination with rituximab. SyB L-0501 was administered at 120 mg/m\^2/day by intravenous infusion on day 2 and 3 of each 21-day cycle with up to 6 cycles. Dose modifications are permitted from 2nd cycle according to dose reduction schedule. Rituximab was administered at 375 mg/m\^2/day by intravenous infusion on day 1 of each 21-day cycle with up to 6 cycles. Dose modifications are not permitted.
Number of Subjects With Abnormality (Grade ≥3) in Laboratory Test Values
Subjects with grade 3 abnormality
2 Participants
Number of Subjects With Abnormality (Grade ≥3) in Laboratory Test Values
Subjects with grade 4 abnormality
54 Participants

SECONDARY outcome

Timeframe: up to 30 weeks

Outcome measures

Outcome measures
Measure
SyB L-0501
n=59 Participants
SyB L-0501 was administered in combination with rituximab. SyB L-0501 was administered at 120 mg/m\^2/day by intravenous infusion on day 2 and 3 of each 21-day cycle with up to 6 cycles. Dose modifications are permitted from 2nd cycle according to dose reduction schedule. Rituximab was administered at 375 mg/m\^2/day by intravenous infusion on day 1 of each 21-day cycle with up to 6 cycles. Dose modifications are not permitted.
Number of Subjects With Grade ≥3 Physical Examination Finding
Subjects with grade 3 Physical Findings
1 Participants
Number of Subjects With Grade ≥3 Physical Examination Finding
Subjects with grade 4 Physical Findings
22 Participants

SECONDARY outcome

Timeframe: up to 30 weeks

Outcome measures

Outcome measures
Measure
SyB L-0501
n=59 Participants
SyB L-0501 was administered in combination with rituximab. SyB L-0501 was administered at 120 mg/m\^2/day by intravenous infusion on day 2 and 3 of each 21-day cycle with up to 6 cycles. Dose modifications are permitted from 2nd cycle according to dose reduction schedule. Rituximab was administered at 375 mg/m\^2/day by intravenous infusion on day 1 of each 21-day cycle with up to 6 cycles. Dose modifications are not permitted.
Concomitant Medication Usage
concomitant medications for adverse events
58 Participants
Concomitant Medication Usage
concomitant medications for complications
50 Participants
Concomitant Medication Usage
concomitant medications for supportive therapy
59 Participants
Concomitant Medication Usage
concomitant medications for other reasons
59 Participants

SECONDARY outcome

Timeframe: Prior to and 30 min after start of administration, and 0, 30, 60, 120 min after completion of administration on Day 2 of the 1st cycle

Outcome measures

Outcome measures
Measure
SyB L-0501
n=10 Participants
SyB L-0501 was administered in combination with rituximab. SyB L-0501 was administered at 120 mg/m\^2/day by intravenous infusion on day 2 and 3 of each 21-day cycle with up to 6 cycles. Dose modifications are permitted from 2nd cycle according to dose reduction schedule. Rituximab was administered at 375 mg/m\^2/day by intravenous infusion on day 1 of each 21-day cycle with up to 6 cycles. Dose modifications are not permitted.
The Maximum Concentration (Cmax) of Unchanged SyB L-0501 in Japan
8365.82 ng/mL
Standard Deviation 3522.73

SECONDARY outcome

Timeframe: Prior to and 30 min after start of administration, and 0, 30, 60, 120 min after completion of administration on Day 2 of the 1st cycle

Outcome measures

Outcome measures
Measure
SyB L-0501
n=10 Participants
SyB L-0501 was administered in combination with rituximab. SyB L-0501 was administered at 120 mg/m\^2/day by intravenous infusion on day 2 and 3 of each 21-day cycle with up to 6 cycles. Dose modifications are permitted from 2nd cycle according to dose reduction schedule. Rituximab was administered at 375 mg/m\^2/day by intravenous infusion on day 1 of each 21-day cycle with up to 6 cycles. Dose modifications are not permitted.
The Maximum Drug Concentration Time (Tmax) of Unchanged SyB L-0501 in Japan
1.0 hour
Standard Deviation 0.0

SECONDARY outcome

Timeframe: Prior to and 30 min after start of administration, and 0, 30, 60, 120 min after completion of administration on Day 2 of the 1st cycle

Outcome measures

Outcome measures
Measure
SyB L-0501
n=10 Participants
SyB L-0501 was administered in combination with rituximab. SyB L-0501 was administered at 120 mg/m\^2/day by intravenous infusion on day 2 and 3 of each 21-day cycle with up to 6 cycles. Dose modifications are permitted from 2nd cycle according to dose reduction schedule. Rituximab was administered at 375 mg/m\^2/day by intravenous infusion on day 1 of each 21-day cycle with up to 6 cycles. Dose modifications are not permitted.
The Area Under the Curve (AUC) for Unchanged SyB L-0501 in Japan
10394.39 ng・h/mL
Standard Deviation 5368.77

SECONDARY outcome

Timeframe: Prior to and 30 min after start of administration, and 0, 30, 60, 120 min after completion of administration on Day 2 of the 1st cycle

Outcome measures

Outcome measures
Measure
SyB L-0501
n=10 Participants
SyB L-0501 was administered in combination with rituximab. SyB L-0501 was administered at 120 mg/m\^2/day by intravenous infusion on day 2 and 3 of each 21-day cycle with up to 6 cycles. Dose modifications are permitted from 2nd cycle according to dose reduction schedule. Rituximab was administered at 375 mg/m\^2/day by intravenous infusion on day 1 of each 21-day cycle with up to 6 cycles. Dose modifications are not permitted.
The Half-life Period (t1/2) of Unchanged SyB L-0501 in Japan
0.39 hour
Standard Deviation 0.1

SECONDARY outcome

Timeframe: Prior to and 30 min after start of administration, and 0, 30, 60, 120 min after completion of administration on Day 2 of the 1st cycle

Outcome measures

Outcome measures
Measure
SyB L-0501
n=4 Participants
SyB L-0501 was administered in combination with rituximab. SyB L-0501 was administered at 120 mg/m\^2/day by intravenous infusion on day 2 and 3 of each 21-day cycle with up to 6 cycles. Dose modifications are permitted from 2nd cycle according to dose reduction schedule. Rituximab was administered at 375 mg/m\^2/day by intravenous infusion on day 1 of each 21-day cycle with up to 6 cycles. Dose modifications are not permitted.
The Maximum Concentration (Cmax) of Unchanged SyB L-0501 in Korea
8095.99 ng/mL
Standard Deviation 4339.74

SECONDARY outcome

Timeframe: Prior to and 30 min after start of administration, and 0, 30, 60, 120 min after completion of administration on Day 2 of the 1st cycle

Outcome measures

Outcome measures
Measure
SyB L-0501
n=4 Participants
SyB L-0501 was administered in combination with rituximab. SyB L-0501 was administered at 120 mg/m\^2/day by intravenous infusion on day 2 and 3 of each 21-day cycle with up to 6 cycles. Dose modifications are permitted from 2nd cycle according to dose reduction schedule. Rituximab was administered at 375 mg/m\^2/day by intravenous infusion on day 1 of each 21-day cycle with up to 6 cycles. Dose modifications are not permitted.
The Maximum Drug Concentration Time (Tmax) of Unchanged SyB L-0501 in Korea
0.9 hour
Standard Deviation 0.3

SECONDARY outcome

Timeframe: Prior to and 30 min after start of administration, and 0, 30, 60, 120 min after completion of administration on Day 2 of the 1st cycle

Outcome measures

Outcome measures
Measure
SyB L-0501
n=4 Participants
SyB L-0501 was administered in combination with rituximab. SyB L-0501 was administered at 120 mg/m\^2/day by intravenous infusion on day 2 and 3 of each 21-day cycle with up to 6 cycles. Dose modifications are permitted from 2nd cycle according to dose reduction schedule. Rituximab was administered at 375 mg/m\^2/day by intravenous infusion on day 1 of each 21-day cycle with up to 6 cycles. Dose modifications are not permitted.
The Area Under the Curve (AUC) for Unchanged SyB L-0501 in Korea
9218.56 ng・h/mL
Standard Deviation 6696.81

SECONDARY outcome

Timeframe: Prior to and 30 min after start of administration, and 0, 30, 60, 120 min after completion of administration on Day 2 of the 1st cycle

Outcome measures

Outcome measures
Measure
SyB L-0501
n=4 Participants
SyB L-0501 was administered in combination with rituximab. SyB L-0501 was administered at 120 mg/m\^2/day by intravenous infusion on day 2 and 3 of each 21-day cycle with up to 6 cycles. Dose modifications are permitted from 2nd cycle according to dose reduction schedule. Rituximab was administered at 375 mg/m\^2/day by intravenous infusion on day 1 of each 21-day cycle with up to 6 cycles. Dose modifications are not permitted.
The Half-life Period (t1/2) of Unchanged SyB L-0501 in Korea
0.48 hour
Standard Deviation 0.18

Adverse Events

SyB L-0501

Serious events: 14 serious events
Other events: 59 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
SyB L-0501
n=59 participants at risk
SyB L-0501 was administered in combination with rituximab. SyB L-0501 was administered at 120 mg/m\^2/day by intravenous infusion on day 2 and 3 of each 21-day cycle with up to 6 cycles. Dose modifications are permitted from 2nd cycle according to dose reduction schedule. Rituximab was administered at 375 mg/m\^2/day by intravenous infusion on day 1 of each 21-day cycle with up to 6 cycles. Dose modifications are not permitted.
Blood and lymphatic system disorders
Neutropenia
1.7%
1/59 • up to 30 weeks
Blood and lymphatic system disorders
Thrombocytopenia
1.7%
1/59 • up to 30 weeks
Gastrointestinal disorders
Constipation
3.4%
2/59 • up to 30 weeks
Gastrointestinal disorders
Diarrhoea
1.7%
1/59 • up to 30 weeks
General disorders
Asthenia
3.4%
2/59 • up to 30 weeks
General disorders
Death
1.7%
1/59 • up to 30 weeks
General disorders
Mucosal inflammation
1.7%
1/59 • up to 30 weeks
Infections and infestations
Cytomegalovirus infection
5.1%
3/59 • up to 30 weeks
Infections and infestations
Infection
1.7%
1/59 • up to 30 weeks
Infections and infestations
Pneumonia
5.1%
3/59 • up to 30 weeks
Infections and infestations
Pneumonia cytomegaloviral
1.7%
1/59 • up to 30 weeks
Infections and infestations
Gastric cancer
1.7%
1/59 • up to 30 weeks
Renal and urinary disorders
Urinary retention
1.7%
1/59 • up to 30 weeks
Respiratory, thoracic and mediastinal disorders
Cough
1.7%
1/59 • up to 30 weeks
Respiratory, thoracic and mediastinal disorders
Dyspnoea
1.7%
1/59 • up to 30 weeks
Respiratory, thoracic and mediastinal disorders
Respiratory failure
1.7%
1/59 • up to 30 weeks
Vascular disorders
Shock haemorrhagic
1.7%
1/59 • up to 30 weeks

Other adverse events

Other adverse events
Measure
SyB L-0501
n=59 participants at risk
SyB L-0501 was administered in combination with rituximab. SyB L-0501 was administered at 120 mg/m\^2/day by intravenous infusion on day 2 and 3 of each 21-day cycle with up to 6 cycles. Dose modifications are permitted from 2nd cycle according to dose reduction schedule. Rituximab was administered at 375 mg/m\^2/day by intravenous infusion on day 1 of each 21-day cycle with up to 6 cycles. Dose modifications are not permitted.
Blood and lymphatic system disorders
Anaemia
50.8%
30/59 • up to 30 weeks
Blood and lymphatic system disorders
Febrile neutropenia
6.8%
4/59 • up to 30 weeks
Blood and lymphatic system disorders
Leukocytosis
1.7%
1/59 • up to 30 weeks
Blood and lymphatic system disorders
Leukopenia
20.3%
12/59 • up to 30 weeks
Blood and lymphatic system disorders
Lymphopenia
23.7%
14/59 • up to 30 weeks
Blood and lymphatic system disorders
Neutropenia
30.5%
18/59 • up to 30 weeks
Blood and lymphatic system disorders
Thrombocytopenia
27.1%
16/59 • up to 30 weeks
Cardiac disorders
Arrhythmia supraventricular
1.7%
1/59 • up to 30 weeks
Cardiac disorders
Palpitations
1.7%
1/59 • up to 30 weeks
Cardiac disorders
Sinus tachycardia
1.7%
1/59 • up to 30 weeks
Cardiac disorders
Supraventricular extrasystoles
1.7%
1/59 • up to 30 weeks
Eye disorders
Conjunctival haemorrhage
1.7%
1/59 • up to 30 weeks
Eye disorders
Lacrimation increased
1.7%
1/59 • up to 30 weeks
Eye disorders
Vision blurred
1.7%
1/59 • up to 30 weeks
Eye disorders
Vitreous floaters
1.7%
1/59 • up to 30 weeks
Gastrointestinal disorders
Abdominal discomfort
8.5%
5/59 • up to 30 weeks
Gastrointestinal disorders
Abdominal pain
3.4%
2/59 • up to 30 weeks
Gastrointestinal disorders
Abdominal pain upper
1.7%
1/59 • up to 30 weeks
Gastrointestinal disorders
Anal ulcer
1.7%
1/59 • up to 30 weeks
Gastrointestinal disorders
Cheilitis
1.7%
1/59 • up to 30 weeks
Gastrointestinal disorders
Constipation
49.2%
29/59 • up to 30 weeks
Gastrointestinal disorders
Diarrhoea
13.6%
8/59 • up to 30 weeks
Gastrointestinal disorders
Dysphagia
1.7%
1/59 • up to 30 weeks
Gastrointestinal disorders
Enterocolitis
1.7%
1/59 • up to 30 weeks
Gastrointestinal disorders
Glossitis
1.7%
1/59 • up to 30 weeks
Gastrointestinal disorders
Nausea
33.9%
20/59 • up to 30 weeks
Gastrointestinal disorders
Oral discomfort
1.7%
1/59 • up to 30 weeks
Gastrointestinal disorders
Oral pain
1.7%
1/59 • up to 30 weeks
Gastrointestinal disorders
Periodontitis
1.7%
1/59 • up to 30 weeks
Gastrointestinal disorders
Stomatitis
20.3%
12/59 • up to 30 weeks
Gastrointestinal disorders
Vomiting
10.2%
6/59 • up to 30 weeks
Gastrointestinal disorders
Epigastric discomfort
1.7%
1/59 • up to 30 weeks
Gastrointestinal disorders
Oral mucosa erosion
1.7%
1/59 • up to 30 weeks
General disorders
Application site reaction
1.7%
1/59 • up to 30 weeks
General disorders
Asthenia
11.9%
7/59 • up to 30 weeks
General disorders
Chest discomfort
1.7%
1/59 • up to 30 weeks
General disorders
Chills
1.7%
1/59 • up to 30 weeks
General disorders
Face oedema
3.4%
2/59 • up to 30 weeks
General disorders
Fatigue
22.0%
13/59 • up to 30 weeks
General disorders
Feeling hot
5.1%
3/59 • up to 30 weeks
General disorders
Generalised oedema
1.7%
1/59 • up to 30 weeks
General disorders
Influenza like illness
1.7%
1/59 • up to 30 weeks
General disorders
Injection site erythema
1.7%
1/59 • up to 30 weeks
General disorders
Injection site pain
1.7%
1/59 • up to 30 weeks
General disorders
Injection site phlebitis
1.7%
1/59 • up to 30 weeks
General disorders
Injection site reaction
5.1%
3/59 • up to 30 weeks
General disorders
Malaise
23.7%
14/59 • up to 30 weeks
General disorders
Mucosal inflammation
6.8%
4/59 • up to 30 weeks
General disorders
Multi-organ failure
1.7%
1/59 • up to 30 weeks
General disorders
Oedema
6.8%
4/59 • up to 30 weeks
General disorders
Oedema peripheral
10.2%
6/59 • up to 30 weeks
General disorders
Pyrexia
25.4%
15/59 • up to 30 weeks
General disorders
Infusion site reaction
1.7%
1/59 • up to 30 weeks
General disorders
Inflammation
1.7%
1/59 • up to 30 weeks
Hepatobiliary disorders
Jaundice
1.7%
1/59 • up to 30 weeks
Hepatobiliary disorders
Liver disorder
1.7%
1/59 • up to 30 weeks
Hepatobiliary disorders
Liver injury
1.7%
1/59 • up to 30 weeks
Immune system disorders
Hypersensitivity
1.7%
1/59 • up to 30 weeks
Infections and infestations
Bronchitis
1.7%
1/59 • up to 30 weeks
Infections and infestations
Cystitis
1.7%
1/59 • up to 30 weeks
Infections and infestations
Cytomegalovirus infection
3.4%
2/59 • up to 30 weeks
Infections and infestations
Gastrointestinal infection
1.7%
1/59 • up to 30 weeks
Infections and infestations
Herpes zoster
6.8%
4/59 • up to 30 weeks
Infections and infestations
Infection
3.4%
2/59 • up to 30 weeks
Infections and infestations
Nasopharyngitis
6.8%
4/59 • up to 30 weeks
Infections and infestations
Oral candidiasis
5.1%
3/59 • up to 30 weeks
Infections and infestations
Sinusitis
1.7%
1/59 • up to 30 weeks
Infections and infestations
Upper respiratory tract infection
5.1%
3/59 • up to 30 weeks
Infections and infestations
Urinary tract infection
3.4%
2/59 • up to 30 weeks
Infections and infestations
Enterocolitis infectious
1.7%
1/59 • up to 30 weeks
Infections and infestations
Oral herpes
6.8%
4/59 • up to 30 weeks
Injury, poisoning and procedural complications
Fall
1.7%
1/59 • up to 30 weeks
Injury, poisoning and procedural complications
Tooth injury
1.7%
1/59 • up to 30 weeks
Injury, poisoning and procedural complications
Open wound
1.7%
1/59 • up to 30 weeks
Investigations
Alanine aminotransferase increased
32.2%
19/59 • up to 30 weeks
Investigations
Aspartate aminotransferase increased
37.3%
22/59 • up to 30 weeks
Investigations
Blood albumin decreased
1.7%
1/59 • up to 30 weeks
Investigations
Blood bilirubin increased
3.4%
2/59 • up to 30 weeks
Investigations
Blood chloride increased
1.7%
1/59 • up to 30 weeks
Investigations
Blood creatinine increased
13.6%
8/59 • up to 30 weeks
Investigations
Blood immunoglobulin A decreased
40.7%
24/59 • up to 30 weeks
Investigations
Blood immunoglobulin G decreased
44.1%
26/59 • up to 30 weeks
Investigations
Blood lactate dehydrogenase increased
33.9%
20/59 • up to 30 weeks
Investigations
Blood potassium increased
3.4%
2/59 • up to 30 weeks
Investigations
Blood urea decreased
6.8%
4/59 • up to 30 weeks
Investigations
Blood urea increased
10.2%
6/59 • up to 30 weeks
Investigations
Blood uric acid decreased
1.7%
1/59 • up to 30 weeks
Investigations
Blood uric acid increased
1.7%
1/59 • up to 30 weeks
Investigations
C-reactive protein increased
39.0%
23/59 • up to 30 weeks
Investigations
CD4 lymphocytes decreased
69.5%
41/59 • up to 30 weeks
Investigations
Eosinophil count increased
1.7%
1/59 • up to 30 weeks
Investigations
Gamma-glutamyltransferase increased
27.1%
16/59 • up to 30 weeks
Investigations
Glucose urine present
5.1%
3/59 • up to 30 weeks
Investigations
Glycosylated haemoglobin increased
1.7%
1/59 • up to 30 weeks
Investigations
Blood urine present
1.7%
1/59 • up to 30 weeks
Investigations
Haemoglobin decreased
3.4%
2/59 • up to 30 weeks
Investigations
Liver function test abnormal
3.4%
2/59 • up to 30 weeks
Investigations
Lymphocyte count decreased
55.9%
33/59 • up to 30 weeks
Investigations
Neutrophil count decreased
57.6%
34/59 • up to 30 weeks
Investigations
Platelet count decreased
44.1%
26/59 • up to 30 weeks
Investigations
Protein total decreased
27.1%
16/59 • up to 30 weeks
Investigations
Red blood cell count decreased
8.5%
5/59 • up to 30 weeks
Investigations
Weight decreased
18.6%
11/59 • up to 30 weeks
Investigations
Weight increased
6.8%
4/59 • up to 30 weeks
Investigations
White blood cell count decreased
62.7%
37/59 • up to 30 weeks
Investigations
White blood cell count increased
45.8%
27/59 • up to 30 weeks
Investigations
Blood bilirubin decreased
1.7%
1/59 • up to 30 weeks
Investigations
Platelet count increased
1.7%
1/59 • up to 30 weeks
Investigations
Basophil percentage increased
1.7%
1/59 • up to 30 weeks
Investigations
Eosinophil percentage decreased
1.7%
1/59 • up to 30 weeks
Investigations
Eosinophil percentage increased
5.1%
3/59 • up to 30 weeks
Investigations
Monocyte percentage decreased
3.4%
2/59 • up to 30 weeks
Investigations
Monocyte percentage increased
3.4%
2/59 • up to 30 weeks
Investigations
Blood alkaline phosphatase increased
18.6%
11/59 • up to 30 weeks
Investigations
Hepatitis B virus test positive
1.7%
1/59 • up to 30 weeks
Metabolism and nutrition disorders
Dehydration
1.7%
1/59 • up to 30 weeks
Metabolism and nutrition disorders
Hyperglycaemia
5.1%
3/59 • up to 30 weeks
Metabolism and nutrition disorders
Hyperkalaemia
13.6%
8/59 • up to 30 weeks
Metabolism and nutrition disorders
Hyperuricaemia
3.4%
2/59 • up to 30 weeks
Metabolism and nutrition disorders
Hypoalbuminaemia
22.0%
13/59 • up to 30 weeks
Metabolism and nutrition disorders
Hypocalcaemia
6.8%
4/59 • up to 30 weeks
Metabolism and nutrition disorders
Hypoglycaemia
3.4%
2/59 • up to 30 weeks
Metabolism and nutrition disorders
Hypokalaemia
6.8%
4/59 • up to 30 weeks
Metabolism and nutrition disorders
Hyponatraemia
11.9%
7/59 • up to 30 weeks
Metabolism and nutrition disorders
Hypoproteinaemia
1.7%
1/59 • up to 30 weeks
Metabolism and nutrition disorders
Hypouricaemia
3.4%
2/59 • up to 30 weeks
Metabolism and nutrition disorders
Decreased appetite
33.9%
20/59 • up to 30 weeks
Musculoskeletal and connective tissue disorders
Arthralgia
1.7%
1/59 • up to 30 weeks
Musculoskeletal and connective tissue disorders
Back pain
3.4%
2/59 • up to 30 weeks
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
3.4%
2/59 • up to 30 weeks
Musculoskeletal and connective tissue disorders
Pain in extremity
3.4%
2/59 • up to 30 weeks
Musculoskeletal and connective tissue disorders
Musculoskeletal stiffness
1.7%
1/59 • up to 30 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumour pain
1.7%
1/59 • up to 30 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumour haemorrhage
1.7%
1/59 • up to 30 weeks
Nervous system disorders
Burning sensation
1.7%
1/59 • up to 30 weeks
Nervous system disorders
Dizziness
6.8%
4/59 • up to 30 weeks
Nervous system disorders
Dysgeusia
10.2%
6/59 • up to 30 weeks
Nervous system disorders
Headache
16.9%
10/59 • up to 30 weeks
Nervous system disorders
Hypoaesthesia
1.7%
1/59 • up to 30 weeks
Nervous system disorders
Peripheral sensory neuropathy
1.7%
1/59 • up to 30 weeks
Nervous system disorders
Tremor
1.7%
1/59 • up to 30 weeks
Psychiatric disorders
Delirium
5.1%
3/59 • up to 30 weeks
Psychiatric disorders
Insomnia
23.7%
14/59 • up to 30 weeks
Psychiatric disorders
Major depression
1.7%
1/59 • up to 30 weeks
Renal and urinary disorders
Haematuria
3.4%
2/59 • up to 30 weeks
Renal and urinary disorders
Pollakiuria
3.4%
2/59 • up to 30 weeks
Renal and urinary disorders
Proteinuria
6.8%
4/59 • up to 30 weeks
Respiratory, thoracic and mediastinal disorders
Asthma
1.7%
1/59 • up to 30 weeks
Respiratory, thoracic and mediastinal disorders
Cough
8.5%
5/59 • up to 30 weeks
Respiratory, thoracic and mediastinal disorders
Dyspnoea
5.1%
3/59 • up to 30 weeks
Respiratory, thoracic and mediastinal disorders
Haemoptysis
1.7%
1/59 • up to 30 weeks
Respiratory, thoracic and mediastinal disorders
Hiccups
10.2%
6/59 • up to 30 weeks
Respiratory, thoracic and mediastinal disorders
Interstitial lung disease
1.7%
1/59 • up to 30 weeks
Respiratory, thoracic and mediastinal disorders
Productive cough
6.8%
4/59 • up to 30 weeks
Respiratory, thoracic and mediastinal disorders
Respiratory disorder
1.7%
1/59 • up to 30 weeks
Respiratory, thoracic and mediastinal disorders
Rhinorrhoea
5.1%
3/59 • up to 30 weeks
Respiratory, thoracic and mediastinal disorders
Oropharyngeal discomfort
1.7%
1/59 • up to 30 weeks
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
3.4%
2/59 • up to 30 weeks
Skin and subcutaneous tissue disorders
Alopecia
3.4%
2/59 • up to 30 weeks
Skin and subcutaneous tissue disorders
Dermatitis exfoliative
1.7%
1/59 • up to 30 weeks
Skin and subcutaneous tissue disorders
Drug eruption
1.7%
1/59 • up to 30 weeks
Skin and subcutaneous tissue disorders
Dry skin
3.4%
2/59 • up to 30 weeks
Skin and subcutaneous tissue disorders
Erythema
1.7%
1/59 • up to 30 weeks
Skin and subcutaneous tissue disorders
Hyperhidrosis
1.7%
1/59 • up to 30 weeks
Skin and subcutaneous tissue disorders
Nail discolouration
1.7%
1/59 • up to 30 weeks
Skin and subcutaneous tissue disorders
Pain of skin
1.7%
1/59 • up to 30 weeks
Skin and subcutaneous tissue disorders
Pruritus
6.8%
4/59 • up to 30 weeks
Skin and subcutaneous tissue disorders
Rash
16.9%
10/59 • up to 30 weeks
Skin and subcutaneous tissue disorders
Rash maculo-papular
8.5%
5/59 • up to 30 weeks
Skin and subcutaneous tissue disorders
Skin depigmentation
1.7%
1/59 • up to 30 weeks
Skin and subcutaneous tissue disorders
Skin erosion
1.7%
1/59 • up to 30 weeks
Skin and subcutaneous tissue disorders
Urticaria
3.4%
2/59 • up to 30 weeks
Skin and subcutaneous tissue disorders
Photodermatosis
1.7%
1/59 • up to 30 weeks
Vascular disorders
Flushing
1.7%
1/59 • up to 30 weeks
Vascular disorders
Hypertension
1.7%
1/59 • up to 30 weeks
Vascular disorders
Hypotension
6.8%
4/59 • up to 30 weeks
Vascular disorders
Phlebitis
1.7%
1/59 • up to 30 weeks
Vascular disorders
Vasculitis
3.4%
2/59 • up to 30 weeks
Vascular disorders
Haemorrhage
1.7%
1/59 • up to 30 weeks
Vascular disorders
Angiopathy
5.1%
3/59 • up to 30 weeks
Vascular disorders
Hot flush
8.5%
5/59 • up to 30 weeks
Gastrointestinal disorders
Thirst
1.7%
1/59 • up to 30 weeks
Investigations
Blood immunoglobulin M decreased
42.4%
25/59 • up to 30 weeks
Investigations
Neutrophil count increased
37.3%
22/59 • up to 30 weeks
Musculoskeletal and connective tissue disorders
Bone pain
5.1%
3/59 • up to 30 weeks

Additional Information

Toshihiko Nagase

Symbio Pharmaceuticals

Phone: 81-3-5472-1127

Results disclosure agreements

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