A Double-blind, Randomized Controlled Study in CD20-positive Diffuse B Cell Non-Hodgkin's Lymphoma Subjects

NCT ID: NCT01205737

Last Updated: 2013-10-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

186 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-09-30

Study Completion Date

2013-09-30

Brief Summary

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This is a prospective international, multi-center, randomized, double-blind controlled study designed to assess and compare the pharmacokinetics, pharmacodynamics and the safety of MabThera® and TL011, in combination with CHOP in previously untreated patients with diffuse large B cell lymphoma.

Detailed Description

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Conditions

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DLBCL

Keywords

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DLBCL pharmacokinetics pharmacodynamics

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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TL011

Group Type EXPERIMENTAL

TL011

Intervention Type BIOLOGICAL

375 mg/m2 iv every 3 weeks for 8 cycles

MabThera®

Group Type ACTIVE_COMPARATOR

Rituximab

Intervention Type BIOLOGICAL

375 mg/m2 iv every 3 weeks for 8 cycles

Interventions

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TL011

375 mg/m2 iv every 3 weeks for 8 cycles

Intervention Type BIOLOGICAL

Rituximab

375 mg/m2 iv every 3 weeks for 8 cycles

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Newly diagnosed subjects with a confirmed pathologic diagnosis of diffuse large B cell non-Hodgkin's lymphoma (DLBCL) based on the 2008 World Health Organization classification.

2.CD20+ lymphoma cells at screening
* 18-80 (inclusive) years of age at screening
* Ann Arbor Stages I-IV at screening
* Any IPI score at screening
* ECOG good performance status (0-2) at screening
* Willing and able to provide written informed consent prior to performing study procedures
* Women of childbearing potential must use effective contraceptive methods starting from screening and until 12 months following the last infusion..

Exclusion Criteria

1. Any lymphoma other than CD20+ DLBCL
2. History of indolent lymphoma
3. DLBCL with central nervous system or meningeal involvement
4. Primary gastrointestinal (MALT) lymphoma
5. Bulky disease\>10 cm diagnosed by imaging at screening
6. Bone marrow involvement \> 25% according to bone marrow biopsy at screening
7. Subjects previously treated with chemotherapy, radiotherapy, immunotherapy or experimental therapies for lymphoma or other malignancy
8. Hypersensitivity to active ingredients, excipients (sodium citrate, polysorbate 80, sodium chloride, sodium hydroxide, hydrochloric acid, water for injections) and murine proteins
9. Active uncontrolled infection (viral, bacterial or fungal infection) requiring systemic therapy at screening and/or at baseline visit.
10. A documented history of recurrent or chronic clinically significant infection (viral, bacterial or fungal infection)
11. Subjects with a history of tuberculosis or active tuberculosis at screening.
12. Immunodeficiency syndrome or Human immunodeficiency virus (HIV) seropositivity
13. Positive Hepatitis B surface antigen or antibodies to Hepatitis C
14. History of other cancer within the past 5 years except curatively treated non-melanoma skin cancer or in situ carcinoma of uterine cervix
15. Any major surgical procedure within 12 weeks prior to screening and between screening and baseline
16. Immunization with live viral vaccines less than 4 weeks prior to first study drug infusion, and/or planned live viral vaccination during study period.
17. Known allergic reactions against foreign proteins
18. Subjects for whom 8 cycles of CHOP might be problematic, and have the following findings/conditions, should not be enrolled:

* Cardiac contra-indication to doxorubicin: Left ventricular ejection fraction (LVEF) \< 50% according to multi-acquisition gated (MUGA) scan or 2D Echocardiogram at screening
* Neurologic contra-indication to vincristine: (e.g., peripheral neuropathy)
* Abnormal hepatic function at screening and/or baseline
* AST/ALT ≥ 3 x upper normal value (ULN) or ≥ 5 x ULN in the presence of DLBCL involvement of the liver
* Bilirubin ≥ 2 x ULN or ≥ 5 x ULN in the presence of DLBCL involvement of the liver
* Abnormal renal function at screening and/or baseline
* Serum creatinine ≥ 2 x ULN
* Abnormal bone marrow function at screening and/or baseline
* Platelets \< 100x109/L
* Neutrophils \< 1.5x109/L
* Hb \< 9g/dL
19. Any other serious active disease or co-morbid medical condition (according to the investigator's decision and information provided in the Investigator Brochure of TL011)
20. Subjects who, according to the investigator, are likely to be non-compliant or uncooperative during the study.
21. Pregnant or lactating women or women that intend to get pregnant during study or within 12 months following the last infusion.
22. Treatment with any investigational drug within 90 days before planned first cycle of chemotherapy.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Teva Branded Pharmaceutical Products R&D, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Mariano Provencio, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Hospital Universitario Puerta de Hierro

Locations

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Teva Investigational Site 59005

Pleven, , Bulgaria

Site Status

Teva Investigational Site 59003

Plovdiv, , Bulgaria

Site Status

Teva Investigational Site 59001

Sofia, , Bulgaria

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Teva Investigational Site 59002

Sofia, , Bulgaria

Site Status

Teva Investigational Site 59004

Varna, , Bulgaria

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Teva Investigational Site 55001

Tallinn, , Estonia

Site Status

Teva Investigational Site 55002

Tartu, , Estonia

Site Status

Teva Investigational Site 35066

Paris, , France

Site Status

Teva Investigational Site 51026

Debrecen, , Hungary

Site Status

Teva Investigational Site 30001

Florence, , Italy

Site Status

Teva Investigational Site 30002

Napoli, , Italy

Site Status

Teva Investigational Site 56002

Daugavpils, , Latvia

Site Status

Teva Investigational Site 56001

Riga, , Latvia

Site Status

Teva Investigational Site 56003

Riga, , Latvia

Site Status

Teva Investigational Site 53010

Warsaw, , Poland

Site Status

Teva Investigational Site 50011

Arkhangelsk, , Russia

Site Status

Teva Investigational Site 50001

Chelyabinsk, , Russia

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Teva Investigational Site 50006

Kazan', , Russia

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Teva Investigational Site 50014

Kursk, , Russia

Site Status

Teva Investigational Site 50005

Moscow, , Russia

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Teva Investigational Site 50009

Moscow, , Russia

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Teva Investigational Site 50010

Moscow, , Russia

Site Status

Teva Investigational Site 50003

Novosibirsk, , Russia

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Teva Investigational Site 50017

Pyatigorsk, , Russia

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Teva Investigational Site 50012

Saint Petersburg, , Russia

Site Status

Teva Investigational Site 50015

Tomsk, , Russia

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Teva Investigational Site 50004

Yekaterinburg, , Russia

Site Status

Teva Investigational Site 31005

Elche-Alicante, , Spain

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Teva Investigational Site 31006

Las Palmas de Gran Canaria, , Spain

Site Status

Teva Investigational Site 31002

Madrid, , Spain

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Teva Investigational Site 31001

Majadahonda-Madrid, , Spain

Site Status

Teva Investigational Site 31003

Valencia, , Spain

Site Status

Teva Investigational Site 31004

Valencia, , Spain

Site Status

Teva Investigational Site 58011

Cherkasy, , Ukraine

Site Status

Teva Investigational Site 58013

Dnipropetrovsk, , Ukraine

Site Status

Teva Investigational Site 58014

Donetsk, , Ukraine

Site Status

Teva Investigational Site 58017

Khmelnytskyi, , Ukraine

Site Status

Teva Investigational Site 58010

Kyiv, , Ukraine

Site Status

Teva Investigational Site 58012

Kyiv, , Ukraine

Site Status

Teva Investigational Site 58015

Kyiv, , Ukraine

Site Status

Teva Investigational Site 58016

Simferopol, , Ukraine

Site Status

Countries

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Belgium Bulgaria Estonia France Hungary Italy Latvia Poland Russia Spain Ukraine

Other Identifiers

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NHL-TL011-102

Identifier Type: -

Identifier Source: org_study_id