A Study of Obinutuzumab [RO5072759 (GA101)] in Combination With CHOP Chemotherapy in Patients With Previously Untreated Advanced Diffuse Large B-Cell Lymphoma (GATHER)

NCT ID: NCT01414855

Last Updated: 2018-04-25

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-08-31

Study Completion Date

2016-12-23

Brief Summary

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This open-label, multicenter study will evaluate the efficacy and safety of obinutuzumab \[RO5072759 (GA101)\] in combination with CHOP (Cyclophosphamide, Doxorubicin, Vincristine, Prednisone) chemotherapy in patients with advanced diffuse large B-cell lymphoma. Patients will receive 8 cycles of obinutuzumab (1000 mg intravenously on Day 1 of each 21-day cycle, during Cycle 1 obinutuzumab will also be infused on Days 8 and 15) in combination with CHOP chemotherapy on Day 1 of cycles 1 to 6. A substudy will investigate the drug-drug interaction of obinutuzumab with CHOP chemotherapy agents. For the substudy, an additional cohort of approximately 15 patients are planned to be enrolled at a subset of investigational sites.

Detailed Description

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Conditions

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Lymphoma, B-Cell

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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obinutuzumab + CHOP

Participants received 1000 mg obinutuzumab intravenously on Day 1 of each 21-day cycle for 8 cycles; during Cycle 1 administration also on Days 8 and 15. Participants also received standard CHOP therapy (cyclophosphamide, doxorubicin, vincristine and prednisone) for 6 cycles.

Group Type EXPERIMENTAL

obinutuzumab

Intervention Type DRUG

1000 mg intravenously on Day 1 of each 21-day cycle, 8 cycles; during Cycle 1 administration also on Days 8 and 15.

cyclophosphamide

Intervention Type DRUG

750 mg/m\^2 intravenous (IV), Day 1 of each 21-day cycle, 6 cycles.

doxorubicin

Intervention Type DRUG

50 mg/m\^2 IV, Day 1 of each 21-cycle, 6 cycles.

prednisone

Intervention Type DRUG

100 mg/day, Days 1 through 5 of each 21-day cycle, 6 cycles.

vincristine

Intervention Type DRUG

1.4 mg/m\^2 IV, Day 1 of each 21-day cycle, 6 cycles.

Interventions

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obinutuzumab

1000 mg intravenously on Day 1 of each 21-day cycle, 8 cycles; during Cycle 1 administration also on Days 8 and 15.

Intervention Type DRUG

cyclophosphamide

750 mg/m\^2 intravenous (IV), Day 1 of each 21-day cycle, 6 cycles.

Intervention Type DRUG

doxorubicin

50 mg/m\^2 IV, Day 1 of each 21-cycle, 6 cycles.

Intervention Type DRUG

prednisone

100 mg/day, Days 1 through 5 of each 21-day cycle, 6 cycles.

Intervention Type DRUG

vincristine

1.4 mg/m\^2 IV, Day 1 of each 21-day cycle, 6 cycles.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Adult patients, ≥18 years of age
* Previously untreated cluster of differentiation antigen 20 (CD20)-positive diffuse large B-cell lymphoma
* Ann Arbour Stage III/IV and bulky II (mass \>10 cm)
* At least one bi-dimensionally measurable lesion defined as \>1.5 cm in its largest dimension by CT scan
* Eastern Cooperative Oncology Group (ECOG) performance status 0, 1 or 2
* Left ventricular ejection fraction ≥50%
* Adequate hematologic function

Exclusion Criteria

* Transformed lymphoma (follicular IIIB) if previously treated with chemotherapy or immunotherapy
* Prior therapy for diffuse large B-cell lymphoma except for nodal biopsy or local irradiation
* Central nervous system (CNS) lymphoma, primary mediastinal large cell lymphoma, primary cutaneous lymphoma, primary effusion lymphoma
* Patients who received cytotoxic drugs or rituximab as part of their treatment for another condition (e.g. rheumatoid arthritis) or prior use of an anti-CD20 antibody
* Chemotherapy or other investigational therapy within 28 days prior to the start of Cycle 1
* Contraindication to any of the individual components of CHOP, including prior receipt of anthracyclines
* History of severe allergic or anaphylactic reactions to monoclonal antibody therapy
* History of other malignancy, except for curatively treated basal or squamous cell carcinoma or melanoma of the skin or in situ carcinoma of the cervix, or malignancy treated with or without curative intent and in remission without treatment for ≥2 years prior to enrolment
* Positive for hepatitis B, hepatitis C, human immunodeficiency virus (HIV) or human T-cell leukemia virus (HTLV-1) infection
* Pregnant or lactating women
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Genentech, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trials

Role: STUDY_DIRECTOR

Genentech, Inc.

Locations

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University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

cCare

Encinitas, California, United States

Site Status

University of Colorado Cancer Center Department of Hematology

Aurora, Colorado, United States

Site Status

Rocky Mountain Cancer Ctr - Denver (Williams)

Denver, Colorado, United States

Site Status

Norwalk Hospital

Norwalk, Connecticut, United States

Site Status

Florida Cancer Specialists; Department of Oncology

Fort Myers, Florida, United States

Site Status

Florida Cancer Specialists; Saint Petersburg

St. Petersburg, Florida, United States

Site Status

Northwest Georgia Oncology Centers PC - Marietta

Marietta, Georgia, United States

Site Status

Kootenai Medical Center

Coeur d'Alene, Idaho, United States

Site Status

Northwestern University; Robert H. Lurie Comp Can Ctr

Chicago, Illinois, United States

Site Status

Onc Hem Assoc of Central IL

Peoria, Illinois, United States

Site Status

McFarland Clinic

Ames, Iowa, United States

Site Status

Jewish Cancer Care

Louisville, Kentucky, United States

Site Status

University of Massachusetts Medical School

Worcester, Massachusetts, United States

Site Status

University of Michigan

Ann Arbor, Michigan, United States

Site Status

MT Cancer Inst Fndtn; MT Can Spec

Missoula, Montana, United States

Site Status

Comprehensive Cancer Centers of Nevada

Las Vegas, Nevada, United States

Site Status

MSKCC at Basking Ridge

Basking Ridge, New Jersey, United States

Site Status

Hackensack University Medical Center

Hackensack, New Jersey, United States

Site Status

San Juan Oncology Associates

Farmington, New Mexico, United States

Site Status

Memorial Sloan-Kettering; Cancer Center

Commack, New York, United States

Site Status

Memorial Sloan Kettering Cancer Center

New York, New York, United States

Site Status

MSKCC at Mercy Med Ctr

Rockville Centre, New York, United States

Site Status

MSKCC at Sleepy Hollow

Sleepy Hollow, New York, United States

Site Status

Emerywood Hematology and Onc

High Point, North Carolina, United States

Site Status

Willamette Valley Cancer Insitute and Research Center

Springfield, Oregon, United States

Site Status

Medical University of SC (MUSC)

Charleston, South Carolina, United States

Site Status

SCRI-Tennessee Oncology

Nashville, Tennessee, United States

Site Status

Onc & Hem Assoc; USO Cent Pharm

Fort Worth, Texas, United States

Site Status

MD Anderson Cancer Center Department of Lymphoma & Myeloma

Houston, Texas, United States

Site Status

Methodist Hospital Research Institute

Houston, Texas, United States

Site Status

Cancer Therapy & Research Center

San Antonio, Texas, United States

Site Status

USO - Tyler Cancer Ctr

Tyler, Texas, United States

Site Status

Blue Ridge Cancer Care - Roanoke

Roanoke, Virginia, United States

Site Status

Medical Oncology Associates

Spokane, Washington, United States

Site Status

Northwest Cancer Specialists - Vancouver

Vancouver, Washington, United States

Site Status

Yakima Valley Memorial Hospital/North Star Lodge

Yakima, Washington, United States

Site Status

Aurora Bay Care Medical Center

Green Bay, Wisconsin, United States

Site Status

Countries

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United States

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)

Sharman JP, Forero-Torres A, Costa LJ, Flinn IW, Inhorn L, Kelly K, Bessudo A, Fayad LE, Kaminski MS, Evens AM, Flowers CR, Sahin D, Mundt KE, Sandmann T, Fingerle-Rowson G, Vignal C, Mobasher M, Zelenetz AD. Obinutuzumab plus CHOP is effective and has a tolerable safety profile in previously untreated, advanced diffuse large B-cell lymphoma: the phase II GATHER study. Leuk Lymphoma. 2019 Apr;60(4):894-903. doi: 10.1080/10428194.2018.1515940. Epub 2018 Oct 2.

Reference Type DERIVED
PMID: 30277102 (View on PubMed)

Other Identifiers

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GAO4915g

Identifier Type: -

Identifier Source: org_study_id

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