Trial Outcomes & Findings for Pegfilgrastim and Rituximab in Treating Patients With Untreated, Relapsed, or Refractory Follicular Lymphoma, Small Lymphocytic Lymphoma, or Marginal Zone Lymphoma (NCT NCT01682044)

NCT ID: NCT01682044

Last Updated: 2017-10-09

Results Overview

Frequency of Adverse Events, Graded According to NCI CTCAE v3.0. Grade 1: Mild AE; Grade 2: Moderate AE; Grade 3: Severe AE; Grade 4: Life-threatening or disabling AE; Grade 5: Death related to AE

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

20 participants

Primary outcome timeframe

Up to 90 days after the last dose of study drugs

Results posted on

2017-10-09

Participant Flow

Participant milestones

Participant milestones
Measure
Treatment (Colony-stimulating Factor and Monoclonal Antibody)
Patients receive pegfilgrastim SC followed by rituximab IV 3 days later in weeks 1, 3, 5, 7, 15, 23, 31, and 39. Treatment continues in the absence of disease progression or unacceptable toxicity. pegfilgrastim: Given SC rituximab: Given IV flow cytometry: Correlative studies biopsy: Correlative studies immunohistochemistry staining method: Correlative studies western blotting: Correlative studies
Overall Study
STARTED
20
Overall Study
COMPLETED
16
Overall Study
NOT COMPLETED
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Treatment (Colony-stimulating Factor and Monoclonal Antibody)
Patients receive pegfilgrastim SC followed by rituximab IV 3 days later in weeks 1, 3, 5, 7, 15, 23, 31, and 39. Treatment continues in the absence of disease progression or unacceptable toxicity. pegfilgrastim: Given SC rituximab: Given IV flow cytometry: Correlative studies biopsy: Correlative studies immunohistochemistry staining method: Correlative studies western blotting: Correlative studies
Overall Study
Death
1
Overall Study
Progression
3

Baseline Characteristics

Pegfilgrastim and Rituximab in Treating Patients With Untreated, Relapsed, or Refractory Follicular Lymphoma, Small Lymphocytic Lymphoma, or Marginal Zone Lymphoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment (Colony-stimulating Factor and Monoclonal Antibody)
n=20 Participants
Patients receive pegfilgrastim SC followed by rituximab IV 3 days later in weeks 1, 3, 5, 7, 15, 23, 31, and 39. Treatment continues in the absence of disease progression or unacceptable toxicity. pegfilgrastim: Given SC rituximab: Given IV flow cytometry: Correlative studies biopsy: Correlative studies immunohistochemistry staining method: Correlative studies western blotting: Correlative studies
Age, Continuous
60.9 years
STANDARD_DEVIATION 13.1 • n=93 Participants
Sex: Female, Male
Female
6 Participants
n=93 Participants
Sex: Female, Male
Male
14 Participants
n=93 Participants

PRIMARY outcome

Timeframe: Up to 90 days after the last dose of study drugs

Population: All treated and eligible patients

Frequency of Adverse Events, Graded According to NCI CTCAE v3.0. Grade 1: Mild AE; Grade 2: Moderate AE; Grade 3: Severe AE; Grade 4: Life-threatening or disabling AE; Grade 5: Death related to AE

Outcome measures

Outcome measures
Measure
Treatment (Colony-stimulating Factor and Monoclonal Antibody)
n=20 Participants
Patients receive pegfilgrastim SC followed by rituximab IV 3 days later in weeks 1, 3, 5, 7, 15, 23, 31, and 39. Treatment continues in the absence of disease progression or unacceptable toxicity. pegfilgrastim: Given SC rituximab: Given IV flow cytometry: Correlative studies biopsy: Correlative studies immunohistochemistry staining method: Correlative studies western blotting: Correlative studies
Number of Participants With Adverse Events
Grade 1
3 Participants
Number of Participants With Adverse Events
Grade 2
9 Participants
Number of Participants With Adverse Events
Grade 5
1 Participants
Number of Participants With Adverse Events
Grade 3
6 Participants
Number of Participants With Adverse Events
Grade 4
1 Participants

SECONDARY outcome

Timeframe: Up to 43 weeks

Population: All treated and eligible patients

Overall Response is defined as Complete Response: During observation, no disease is apparent, including measurable and non-measurable disease, and no evidence of disease is observed for at least 28 days, as confirmed by a second assessment following the original observation of no disease; and Partial Response: A 50% or greater decrease from baseline in the sum of the products of the longest perpendicular diameters of all the measured lesions is noted for at least 28 days as confirmed by a second assessment following the observation of the 50% or greater decrease, and no appearance of new lesions is noted.

Outcome measures

Outcome measures
Measure
Treatment (Colony-stimulating Factor and Monoclonal Antibody)
n=20 Participants
Patients receive pegfilgrastim SC followed by rituximab IV 3 days later in weeks 1, 3, 5, 7, 15, 23, 31, and 39. Treatment continues in the absence of disease progression or unacceptable toxicity. pegfilgrastim: Given SC rituximab: Given IV flow cytometry: Correlative studies biopsy: Correlative studies immunohistochemistry staining method: Correlative studies western blotting: Correlative studies
Overall Response Rate
60 percentage of participants
Interval 38.7 to 78.1

SECONDARY outcome

Timeframe: Baseline and weeks 1, 3, 5, 7, 15, 23, 31, and 39

Population: All treated and eligible patients

Mean percent change in CD11b level from baseline at each visit

Outcome measures

Outcome measures
Measure
Treatment (Colony-stimulating Factor and Monoclonal Antibody)
n=20 Participants
Patients receive pegfilgrastim SC followed by rituximab IV 3 days later in weeks 1, 3, 5, 7, 15, 23, 31, and 39. Treatment continues in the absence of disease progression or unacceptable toxicity. pegfilgrastim: Given SC rituximab: Given IV flow cytometry: Correlative studies biopsy: Correlative studies immunohistochemistry staining method: Correlative studies western blotting: Correlative studies
Percent Change in Functional and Phenotypic Characteristics of Host Neutrophils From Baseline
week 1
-20.2 percent change
Standard Deviation 34.0
Percent Change in Functional and Phenotypic Characteristics of Host Neutrophils From Baseline
week 3
-35.5 percent change
Standard Deviation 28.3
Percent Change in Functional and Phenotypic Characteristics of Host Neutrophils From Baseline
week 5
-24.7 percent change
Standard Deviation 117.7
Percent Change in Functional and Phenotypic Characteristics of Host Neutrophils From Baseline
week 7
-56.8 percent change
Standard Deviation 27.4
Percent Change in Functional and Phenotypic Characteristics of Host Neutrophils From Baseline
week 15
-23.8 percent change
Standard Deviation 40.1
Percent Change in Functional and Phenotypic Characteristics of Host Neutrophils From Baseline
week 23
-19.7 percent change
Standard Deviation 35.7
Percent Change in Functional and Phenotypic Characteristics of Host Neutrophils From Baseline
week 31
-18.7 percent change
Standard Deviation 47.0
Percent Change in Functional and Phenotypic Characteristics of Host Neutrophils From Baseline
week 39
-10.1 percent change
Standard Deviation 42.7

SECONDARY outcome

Timeframe: At 4 years

Population: Samples tissues were not large enough to perform analysis. No participants were analyze.

Percent change in CD20 antigen expression and density of expression

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline and weeks 1, 3, 5, 7, 15, 23, 31, and 39

Population: All treated and eligible patients

Mean percent change in TNF level from baseline at each visit.

Outcome measures

Outcome measures
Measure
Treatment (Colony-stimulating Factor and Monoclonal Antibody)
n=20 Participants
Patients receive pegfilgrastim SC followed by rituximab IV 3 days later in weeks 1, 3, 5, 7, 15, 23, 31, and 39. Treatment continues in the absence of disease progression or unacceptable toxicity. pegfilgrastim: Given SC rituximab: Given IV flow cytometry: Correlative studies biopsy: Correlative studies immunohistochemistry staining method: Correlative studies western blotting: Correlative studies
Percent Change in Serum Levels of Tumor Necrosis Factor (TNF) From Baseline
week 1
51.5 percent change
Standard Deviation 65.1
Percent Change in Serum Levels of Tumor Necrosis Factor (TNF) From Baseline
week 3
14.5 percent change
Standard Deviation 47.7
Percent Change in Serum Levels of Tumor Necrosis Factor (TNF) From Baseline
week 5
11.2 percent change
Standard Deviation 50.1
Percent Change in Serum Levels of Tumor Necrosis Factor (TNF) From Baseline
week 7
8.3 percent change
Standard Deviation 34.2
Percent Change in Serum Levels of Tumor Necrosis Factor (TNF) From Baseline
week 15
42.7 percent change
Standard Deviation 76.4
Percent Change in Serum Levels of Tumor Necrosis Factor (TNF) From Baseline
week 23
27.2 percent change
Standard Deviation 80.6
Percent Change in Serum Levels of Tumor Necrosis Factor (TNF) From Baseline
week 31
45.6 percent change
Standard Deviation 100.5
Percent Change in Serum Levels of Tumor Necrosis Factor (TNF) From Baseline
week 39
50.2 percent change
Standard Deviation 110.6

SECONDARY outcome

Timeframe: Baseline and weeks 1, 3, 5, 7, 15, 23, 31, and 39

Population: All treated and eligible patients

Mean percent change in INF level from baseline.

Outcome measures

Outcome measures
Measure
Treatment (Colony-stimulating Factor and Monoclonal Antibody)
n=20 Participants
Patients receive pegfilgrastim SC followed by rituximab IV 3 days later in weeks 1, 3, 5, 7, 15, 23, 31, and 39. Treatment continues in the absence of disease progression or unacceptable toxicity. pegfilgrastim: Given SC rituximab: Given IV flow cytometry: Correlative studies biopsy: Correlative studies immunohistochemistry staining method: Correlative studies western blotting: Correlative studies
Percent Change in Serum Levels of Interferon Alpha (INF) From Baseline
week 1
-18.8 percent change
Standard Deviation 33.2
Percent Change in Serum Levels of Interferon Alpha (INF) From Baseline
week 3
-27.8 percent change
Standard Deviation 42.9
Percent Change in Serum Levels of Interferon Alpha (INF) From Baseline
week 5
48.1 percent change
Standard Deviation 124.6
Percent Change in Serum Levels of Interferon Alpha (INF) From Baseline
week 7
8.0 percent change
Standard Deviation 71.4
Percent Change in Serum Levels of Interferon Alpha (INF) From Baseline
week 15
1.5 percent change
Standard Deviation 78.6
Percent Change in Serum Levels of Interferon Alpha (INF) From Baseline
week 23
-14.1 percent change
Standard Deviation 43.9
Percent Change in Serum Levels of Interferon Alpha (INF) From Baseline
week 31
-33.0 percent change
Standard Deviation 49.5
Percent Change in Serum Levels of Interferon Alpha (INF) From Baseline
week 39
-7.5 percent change
Standard Deviation 45.1

SECONDARY outcome

Timeframe: Baseline and weeks 1, 3, 5, 7, 15, 23, 31, and 39

Population: All treated and eligible patients

Mean percent change in MFI level from baseline.

Outcome measures

Outcome measures
Measure
Treatment (Colony-stimulating Factor and Monoclonal Antibody)
n=20 Participants
Patients receive pegfilgrastim SC followed by rituximab IV 3 days later in weeks 1, 3, 5, 7, 15, 23, 31, and 39. Treatment continues in the absence of disease progression or unacceptable toxicity. pegfilgrastim: Given SC rituximab: Given IV flow cytometry: Correlative studies biopsy: Correlative studies immunohistochemistry staining method: Correlative studies western blotting: Correlative studies
Percent Change in Serum Levels of Free Radical Levels (MFI) From Baseline
week 39
16.0 percent change
Standard Deviation 285.6
Percent Change in Serum Levels of Free Radical Levels (MFI) From Baseline
week 1
-32.0 percent change
Standard Deviation 66.8
Percent Change in Serum Levels of Free Radical Levels (MFI) From Baseline
week 3
-22.4 percent change
Standard Deviation 71.0
Percent Change in Serum Levels of Free Radical Levels (MFI) From Baseline
week 5
-45.4 percent change
Standard Deviation 66.5
Percent Change in Serum Levels of Free Radical Levels (MFI) From Baseline
week 7
-20.4 percent change
Standard Deviation 89.9
Percent Change in Serum Levels of Free Radical Levels (MFI) From Baseline
week 15
-5.8 percent change
Standard Deviation 137.6
Percent Change in Serum Levels of Free Radical Levels (MFI) From Baseline
week 23
0.4 percent change
Standard Deviation 219.1
Percent Change in Serum Levels of Free Radical Levels (MFI) From Baseline
week 31
295.8 percent change
Standard Deviation 996.1

Adverse Events

Treatment (Colony-stimulating Factor and Monoclonal Antibody)

Serious events: 2 serious events
Other events: 20 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Treatment (Colony-stimulating Factor and Monoclonal Antibody)
n=20 participants at risk
Patients receive pegfilgrastim SC followed by rituximab IV 3 days later in weeks 1, 3, 5, 7, 15, 23, 31, and 39. Treatment continues in the absence of disease progression or unacceptable toxicity. pegfilgrastim: Given SC rituximab: Given IV flow cytometry: Correlative studies biopsy: Correlative studies immunohistochemistry staining method: Correlative studies western blotting: Correlative studies
Cardiac disorders
Coronary artery occlusion
5.0%
1/20 • Number of events 1
Cardiac disorders
Sinus tachycardia
5.0%
1/20 • Number of events 1
Cardiac disorders
Ventricular arrhythmia
5.0%
1/20 • Number of events 1
Ear and labyrinth disorders
Vertigo
5.0%
1/20 • Number of events 1
General disorders
Death
5.0%
1/20 • Number of events 1

Other adverse events

Other adverse events
Measure
Treatment (Colony-stimulating Factor and Monoclonal Antibody)
n=20 participants at risk
Patients receive pegfilgrastim SC followed by rituximab IV 3 days later in weeks 1, 3, 5, 7, 15, 23, 31, and 39. Treatment continues in the absence of disease progression or unacceptable toxicity. pegfilgrastim: Given SC rituximab: Given IV flow cytometry: Correlative studies biopsy: Correlative studies immunohistochemistry staining method: Correlative studies western blotting: Correlative studies
Blood and lymphatic system disorders
Anaemia
55.0%
11/20 • Number of events 15
Blood and lymphatic system disorders
Leukopenia
20.0%
4/20 • Number of events 11
Blood and lymphatic system disorders
Lymphopenia
40.0%
8/20 • Number of events 25
Blood and lymphatic system disorders
Neutropenia
10.0%
2/20 • Number of events 5
Blood and lymphatic system disorders
Thrombocytopenia
35.0%
7/20 • Number of events 14
Cardiac disorders
Supraventricular extrasystoles
5.0%
1/20 • Number of events 1
Cardiac disorders
Tachycardia
5.0%
1/20 • Number of events 1
Ear and labyrinth disorders
Ear discomfort
5.0%
1/20 • Number of events 1
Eye disorders
Diplopia
5.0%
1/20 • Number of events 1
Eye disorders
Lacrimation increased
5.0%
1/20 • Number of events 1
Eye disorders
Vitreous floaters
5.0%
1/20 • Number of events 1
Gastrointestinal disorders
Abdominal discomfort
5.0%
1/20 • Number of events 1
Gastrointestinal disorders
Abdominal pain
10.0%
2/20 • Number of events 2
Gastrointestinal disorders
Constipation
10.0%
2/20 • Number of events 2
Gastrointestinal disorders
Diarrhoea
10.0%
2/20 • Number of events 3
Gastrointestinal disorders
Gastrooesophageal reflux disease
5.0%
1/20 • Number of events 1
Gastrointestinal disorders
Hiatus hernia
5.0%
1/20 • Number of events 1
Gastrointestinal disorders
Intestinal mass
5.0%
1/20 • Number of events 1
Gastrointestinal disorders
Nausea
35.0%
7/20 • Number of events 10
Gastrointestinal disorders
Vomiting
20.0%
4/20 • Number of events 5
General disorders
Asthenia
10.0%
2/20 • Number of events 2
General disorders
Chills
30.0%
6/20 • Number of events 8
General disorders
Discomfort
5.0%
1/20 • Number of events 1
General disorders
Fatigue
20.0%
4/20 • Number of events 6
General disorders
Infusion site pain
5.0%
1/20 • Number of events 1
General disorders
Malaise
5.0%
1/20 • Number of events 1
General disorders
Oedema peripheral
5.0%
1/20 • Number of events 1
General disorders
Pain
20.0%
4/20 • Number of events 4
General disorders
Pyrexia
10.0%
2/20 • Number of events 2
General disorders
Sensation of foreign body
5.0%
1/20 • Number of events 1
Hepatobiliary disorders
Hyperbilirubinaemia
5.0%
1/20 • Number of events 1
Immune system disorders
Cytokine release syndrome
30.0%
6/20 • Number of events 6
Infections and infestations
Cellulitis
5.0%
1/20 • Number of events 1
Infections and infestations
Influenza
5.0%
1/20 • Number of events 1
Infections and infestations
Nasopharyngitis
5.0%
1/20 • Number of events 1
Infections and infestations
Respiratory tract infection
15.0%
3/20 • Number of events 3
Infections and infestations
Sinusitis
5.0%
1/20 • Number of events 1
Infections and infestations
Upper respiratory tract infection
5.0%
1/20 • Number of events 1
Injury, poisoning and procedural complications
Procedural pain
5.0%
1/20 • Number of events 1
Investigations
Alanine aminotransferase increased
5.0%
1/20 • Number of events 1
Investigations
Aspartate aminotransferase increased
15.0%
3/20 • Number of events 4
Investigations
Blood albumin
5.0%
1/20 • Number of events 1
Investigations
Blood alkaline phosphatase
75.0%
15/20 • Number of events 52
Investigations
Blood alkaline phosphatase increased
15.0%
3/20 • Number of events 5
Investigations
Blood creatine
5.0%
1/20 • Number of events 1
Investigations
Blood creatinine
10.0%
2/20 • Number of events 2
Investigations
Blood creatinine increased
5.0%
1/20 • Number of events 3
Investigations
Blood glucose
5.0%
1/20 • Number of events 1
Investigations
Blood glucose decreased
5.0%
1/20 • Number of events 2
Investigations
Blood potassium decreased
5.0%
1/20 • Number of events 2
Investigations
Blood sodium
10.0%
2/20 • Number of events 2
Investigations
Blood sodium decreased
5.0%
1/20 • Number of events 1
Investigations
Blood sodium increased
5.0%
1/20 • Number of events 1
Investigations
Blood uric acid increased
20.0%
4/20 • Number of events 10
Investigations
Body temperature increased
10.0%
2/20 • Number of events 2
Investigations
Haemoglobin decreased
5.0%
1/20 • Number of events 1
Investigations
Heart rate increased
10.0%
2/20 • Number of events 2
Investigations
Weight decreased
15.0%
3/20 • Number of events 3
Investigations
Weight increased
5.0%
1/20 • Number of events 1
Metabolism and nutrition disorders
Hyperalbuminaemia
5.0%
1/20 • Number of events 2
Metabolism and nutrition disorders
Hypercalcaemia
5.0%
1/20 • Number of events 3
Metabolism and nutrition disorders
Hyperglycaemia
25.0%
5/20 • Number of events 7
Metabolism and nutrition disorders
Hyperkalaemia
15.0%
3/20 • Number of events 4
Metabolism and nutrition disorders
Hypernatraemia
20.0%
4/20 • Number of events 4
Metabolism and nutrition disorders
Hyperphosphataemia
15.0%
3/20 • Number of events 4
Metabolism and nutrition disorders
Hyperuricaemia
30.0%
6/20 • Number of events 11
Metabolism and nutrition disorders
Hypoalbuminaemia
5.0%
1/20 • Number of events 1
Metabolism and nutrition disorders
Hypoglycaemia
5.0%
1/20 • Number of events 1
Metabolism and nutrition disorders
Hypokalaemia
5.0%
1/20 • Number of events 2
Metabolism and nutrition disorders
Hyponatraemia
15.0%
3/20 • Number of events 3
Metabolism and nutrition disorders
Hypophosphataemia
15.0%
3/20 • Number of events 8
Musculoskeletal and connective tissue disorders
Back pain
10.0%
2/20 • Number of events 5
Musculoskeletal and connective tissue disorders
Bone pain
55.0%
11/20 • Number of events 17
Musculoskeletal and connective tissue disorders
Flank pain
5.0%
1/20 • Number of events 1
Musculoskeletal and connective tissue disorders
Muscular weakness
5.0%
1/20 • Number of events 1
Musculoskeletal and connective tissue disorders
Musculoskeletal discomfort
5.0%
1/20 • Number of events 1
Musculoskeletal and connective tissue disorders
Pain in extremity
5.0%
1/20 • Number of events 1
Nervous system disorders
Burning sensation mucosal
5.0%
1/20 • Number of events 3
Nervous system disorders
Dizziness
10.0%
2/20 • Number of events 3
Nervous system disorders
Headache
20.0%
4/20 • Number of events 5
Psychiatric disorders
Anorexia nervosa
5.0%
1/20 • Number of events 1
Psychiatric disorders
Anxiety
5.0%
1/20 • Number of events 1
Psychiatric disorders
Nervousness
5.0%
1/20 • Number of events 1
Renal and urinary disorders
Bladder discomfort
5.0%
1/20 • Number of events 1
Renal and urinary disorders
Dysuria
5.0%
1/20 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Cough
25.0%
5/20 • Number of events 5
Respiratory, thoracic and mediastinal disorders
Dyspnoea
5.0%
1/20 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Dyspnoea exertional
15.0%
3/20 • Number of events 3
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
5.0%
1/20 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Rhinorrhoea
5.0%
1/20 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Sinus congestion
5.0%
1/20 • Number of events 1
Skin and subcutaneous tissue disorders
Acne
5.0%
1/20 • Number of events 1
Skin and subcutaneous tissue disorders
Cold sweat
5.0%
1/20 • Number of events 1
Skin and subcutaneous tissue disorders
Dry skin
5.0%
1/20 • Number of events 1
Skin and subcutaneous tissue disorders
Hyperhidrosis
10.0%
2/20 • Number of events 2
Skin and subcutaneous tissue disorders
Night sweats
10.0%
2/20 • Number of events 3
Skin and subcutaneous tissue disorders
Pruritus
5.0%
1/20 • Number of events 4
Vascular disorders
Flushing
5.0%
1/20 • Number of events 1
Vascular disorders
Hypertension
10.0%
2/20 • Number of events 2
Vascular disorders
Pallor
5.0%
1/20 • Number of events 1

Additional Information

Senior Administrator, Compliance - Clinical Research Services

Roswell Park Cancer Institute

Phone: 716-845-2300

Results disclosure agreements

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