Safety and Efficacy Study of BCD-020 in Therapy of Indolent Non-Hodgkin's Lymphoma

NCT ID: NCT01701232

Last Updated: 2017-11-06

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

PHASE3

Total Enrollment

174 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-09-30

Study Completion Date

2017-01-31

Brief Summary

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This international multi-center, randomized, controlled, open-label study investigated the pharmacokinetics, pharmacodynamics, efficacy and safety of BCD-020 (INN: rituximab, CJSC Biocad) versus MabThera® (INN: rituximab, F. Hoffmann La Roche, Ltd.) both administered as a monotherapy of patients with indolent non-Hodgkin's lymphoma.

Patients were randomized to receive 375 mg/m² BCD-020 as intravenous infusion once a week for 4 weeks or MabThera® at the same regimen.

Detailed Description

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Conditions

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Follicular Non-Hodgkin's Lymphoma Nodal Marginal Zone Lymphoma Splenic Marginal Zone Lymphoma

Keywords

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lymphoma, non-Hodgkin's

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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MabThera

Reference rituximab at a dose of 375 mg/m2 intravenously once a week for four weeks (on days 1, 8, 15 and 22)

Group Type ACTIVE_COMPARATOR

rituximab

Intervention Type BIOLOGICAL

Patients will receive rituximab at a dose of 375 mg/m2 intravenously once a week for 4 weeks (on day 1,8,15,22)

BCD-020

Proposed rituximab biosimilar at a dose of 375 mg/m2 intravenously once a week for four weeks (on days 1, 8, 15 and 22)

Group Type EXPERIMENTAL

rituximab

Intervention Type BIOLOGICAL

Patients will receive rituximab at a dose of 375 mg/m2 intravenously once a week for 4 weeks (on day 1,8,15,22)

Interventions

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rituximab

Patients will receive rituximab at a dose of 375 mg/m2 intravenously once a week for 4 weeks (on day 1,8,15,22)

Intervention Type BIOLOGICAL

Other Intervention Names

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Biological: BCD-020, MabThera

Eligibility Criteria

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Inclusion Criteria

* Having signed a written informed consent;
* Patients' age is 18 years or more;
* Diagnosis of CD20-positive indolent non-Hodgkin lymphoma of following morphological types:Follicular non-Hodgkin lymphoma stage II-IV according to Ann Arbor, grade I-II;Nodal marginal zone lymphoma stage II-IV according to Ann Arbor; Splenic marginal zone lymphoma.
* Life expectancy of not less than 3 months after the enrollment in the study;
* Morphological and immunohistochemical examination of the tumor (both lymph node biopsy and bone marrow biopsy) - within 3 months before the enrollment in the study ;
* Performance status ≤2 on the ECOG scale;
* Hemoglobin \> 80 g/l; leukocyte count ≥ 3.0×109/l but less than 25×109/l, absolute neutrophil count ≥1.5×109/l, platelet count ≥100×109/l;
* Presence of at least one measurable lesion;
* Patient's ability in the investigator's opinion to comply with the protocol procedures;
* Willingness of patients with preserved reproductive function to use reliable contraception methods (at least two contraception methods in women, e.g., spermicide and condom).

Exclusion Criteria

* Bulky disease - size of any single lesion more than 10 cm in the greatest diameter;
* Secondary transformation to high-grade lymphoma;
* Other types of non-Hodgkin lymphomas apart from follicular non-Hodgkin stage II-IV lymphoma according to Ann Arbor, grade 1,2; nodal marginal zone lymphoma stage II-IV according to Ann Arbor; splenic marginal zone lymphoma.
* Patients regularly taking corticosteroids during 1 month preceding the enrollment in the study;
* Occurrence of other (aside from NHL) diseases that can distort the assessment of the main disease symptoms expression; mask, enhance, modify the main disease symptoms or induce clinical and laboratory-instrumental symptoms similar to the non-Hodgkin lymphomas; Severe resistant hypertension; Decompensated forms of heart (NYHA class ХСН III, IV), liver and kidney disorders (creatinine level \>133 µmol/l, AST, ALT, and bilirubin level 3 times exceeding the norm) except for the cases where the symptom is caused by lymphoma; Decompensated respiratory failure; Tumor infiltration of the lungs; Decompensated diabetes mellitus; Active autoimmune diseases; Ongoing infections requiring antimicrobial therapy.
* Usage of the drugs:

At any time prior to the enrollment into the study - interferon-based drugs or monoclonal antibodies for the treatment of NHL; Chemotherapy or radiotherapy was completed less than 21 day prior to the enrollment into the study; Vaccination within 1 week prior to the enrollment into the study;

* Presence of any psychiatric disorders including major depressive conditions and/or suicidal thoughts in anamnesis that in opinion of the investigator may put a patient at an excessive risk or influence the ability of patients to fulfill the study protocol;
* Myocardial infarction less than 1 month before the enrollment into the study;
* Severe CNS or PNS dysfunctions;
* Drug and alcohol addiction;
* Known HIV, HBV, HCV infection, syphilis;
* Known primary or secondary immunodeficiency;
* Primary CNS lymphoma or metastasis in the CNS;
* Known intolerance or allergy to mouse proteins or any components of the study drugs, and also to the premedication drugs;
* Pregnancy or lactation;
* Prior or concomitant malignances except for adequately treated basal cell carcinoma and in situ cervical cancer;
* Any restraints or impossibility to administer the study drug via an intravenous infusion;
* Major surgery within 1 week prior to the enrollment into the study;
* Simultaneous participation in any other clinical study or any preceding participation in other studies within 3 months prior to enrollment in this study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

95 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Biocad

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Roman Ivanov, PhD,MD

Role: STUDY_DIRECTOR

CJSC Biocad

Locations

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Instituto Nacional de Cancerología

Bogotá, , Colombia

Site Status

Fundación Reina Isabel

Cali, , Colombia

Site Status

Hospital Pablo Tobon Uribe

Medellín, , Colombia

Site Status

HCG Multi Specialty Hospitals

Ahmedabad, , India

Site Status

Department of Medical Oncology, Navneet Memorial Hospital, "Sushrusha"

Ahmedabad, , India

Site Status

Sujan Surgicals

Amaravati, , India

Site Status

HCG Bangalore Institute of Oncology

Bangalore, , India

Site Status

Department of Medicine (Haemotology), St.John's Medical College Hospital

Bangalore, , India

Site Status

Narayana Hrudayalaya Hospitals

Bangalore, , India

Site Status

Srinivasam Cancer Care Hospital

Bangalore, , India

Site Status

All India Institute of medical Sciences (AIIMS)

Bhubaneswar, , India

Site Status

Acharya Tulasi Regional Cancer Treatment and Research Centre

Bikaner, , India

Site Status

G.Kuppuswamy Naidu Memorial Hospital

Coimbatore, , India

Site Status

Medical Oncology Department, The Karnatak Cancer Therapy and Research Institute

Hubli, , India

Site Status

BIBI General hospital & cancer center

Hyderabad, , India

Site Status

Department of Medical Oncology, Basavatarakam Indo-American Cancer Hospital and Research Institute

Hyderabad, , India

Site Status

Omega Hospitals

Hyderabad, , India

Site Status

Nilratan Siracar Medical College & Hospital

Kolkata, , India

Site Status

King George Medical University

Lucknow, , India

Site Status

Department of Radiation Oncology, Meenakshi Mission Hospital & Research Centre

Madurai, , India

Site Status

Manas Super Speciality Hospital

Nashik, , India

Site Status

City Cancer Center

Vijayawada, , India

Site Status

Arkhangelsk District Clinical Oncology Dispensary

Arkhangelsk, , Russia

Site Status

City Hospital N8

Barnaul, , Russia

Site Status

Public health facility "Irkutsk Regional Oncology Center"

Irkutsk, , Russia

Site Status

Ivanovo Regional Oncology Center

Ivanovo, , Russia

Site Status

State Health Care Institution "Republican Clinical Cancer Center," the Ministry of Health of the Udmurt Republic

Izhevsk, , Russia

Site Status

Public health facility "Kemerovo Regional Hospital"

Kemerovo, , Russia

Site Status

Clinical Oncology Dispensary N1

Krasnodar, , Russia

Site Status

Public health facility "Kursk Regional Cancer Center," Health Committee of Kursk region

Kursk, , Russia

Site Status

Public health facility "Lipetsk Regional Oncology Center"

Lipetsk, , Russia

Site Status

N.N. Burdenko General Military Clinical Hospital

Moscow, , Russia

Site Status

Russian Medical Academy of Post-Graduate Education, Ministry of Health and Social Development of the Russian Federation

Moscow, , Russia

Site Status

Research Center for Hematology MHSD RF

Moscow, , Russia

Site Status

Official body of the health of the city of Moscow "Moscow City Clinical Hospital named after S. P. Botkin"

Moscow, , Russia

Site Status

Medical Radiological Research Center, Ministry of Health and Social Development of the Russian Federation

Obninsk, , Russia

Site Status

Regional government health care "Oryol Regional Hospital"

Oryol, , Russia

Site Status

Perm Region Oncology Dispensary

Perm, , Russia

Site Status

V.A. Baranov Republican Hospital of Ministry of Health republic Karelia

Petrozavodsk, , Russia

Site Status

Pyatigorsk Oncology Center

Pyatigorsk, , Russia

Site Status

Russian Research Institute of Hematology and Transfusiology Federal State Institution of Federal Medical and Biological Agency

Saint Petersburg, , Russia

Site Status

St. Petersburg State Health Care Institution "Alexander City Hospital"

Saint Petersburg, , Russia

Site Status

Saint Petersburg City Clinical Oncology Center

Saint Petersburg, , Russia

Site Status

Saint Petersburg Pavlov State Medical University

Saint Petersburg, , Russia

Site Status

V.A. Almazov Federal Center for Heart, Blood and Endocrinology, Ministry of Health and Social Development of the Russian Federation

Saint Petersburg, , Russia

Site Status

N.N.Petrov Oncology Research Center

Saint Petersburg, , Russia

Site Status

Russian scientific center of radiology and surgery technologies

Saint Petersburg, , Russia

Site Status

The federal government military educational institution of higher education, "Military Medical Academy named after SM Kirov's' Ministry of Defense"

Saint Petersurg, , Russia

Site Status

Provincial health official body "Smolensk Regional Clinical Oncological Dispensary"

Smolensk, , Russia

Site Status

Oncology Dispensary 2

Sochi, , Russia

Site Status

Tambov Regional Oncology Center

Tambov, , Russia

Site Status

Municipal Health "Clinical Hospital № 5" Togliatti

Tolyatti, , Russia

Site Status

Tula Regional Hospital

Tula, , Russia

Site Status

Public health care setting of the Tyumen region "Regional Oncology Center"

Tyumen, , Russia

Site Status

State Health Care Institution Republican Clinical Hospital named after G. G. Kuvatova

Ufa, , Russia

Site Status

Republican Clinical Oncology Dispensary of Ministry of Health republic Bashkortostan

Ufa, , Russia

Site Status

Volgograd District Oncology Dispensary №1

Volgograd, , Russia

Site Status

Municipal Institution "Central City Hospital № 7"

Yekaterinburg, , Russia

Site Status

Medi-Clinic Vereeniging

Vereeniging, , South Africa

Site Status

Khmel'nyts'kyy Regional Hospital, Hematology Department

Khmelnytskyi, , Ukraine

Site Status

National Cancer Institute of Ukraine, Oncohematology Department

Kiev, , Ukraine

Site Status

State Institution "Institute of Blood Pathology and Transfusion Medicine AMS of Ukraine", Hematology Department

Lviv, , Ukraine

Site Status

Countries

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Belarus Brazil Colombia India Russia South Africa Ukraine

Other Identifiers

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BIORIX (BCD-020-3)

Identifier Type: -

Identifier Source: org_study_id