Trial Outcomes & Findings for Efficacy and Safety Study of SyB L-0501 in Combination With Rituximab in Patients With Untreated, Low-grade B Cell Non-Hodgkin's Lymphoma and Mantle Cell Lymphoma (NCT NCT01718691)

NCT ID: NCT01718691

Last Updated: 2016-04-27

Results Overview

The criteria for CR and CRu based on IWRC are shown below. CR: Fulfills all of the following * Disappearance of all detectable disease * LN\* \> 1.5 cm must decrease to ≤ 1.5 cm CRu: Fulfills all of the following * LN \>1.5 cm; SPD\*\* decrease \>75% * indeterminate bone marrow * LN: lymph nodes or nodal masses \*\* SPD: sum of the products of the greatest diameters

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

70 participants

Primary outcome timeframe

Up to 30 weeks

Results posted on

2016-04-27

Participant Flow

Participant milestones

Participant milestones
Measure
Low-grade B-cell Non-Hodgkin's Lymphoma
Subjects in the SyB L-0501+ rituximab arm with primary disease of Low-grade B-cell non-Hodgkin's lymphoma.
Mantle Cell Lymphoma
Subjects in the SyB L-0501+ rituximab arm with primary disease of Mantle cell lymphoma.
Overall Study
STARTED
60
10
Overall Study
COMPLETED
42
9
Overall Study
NOT COMPLETED
18
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Efficacy and Safety Study of SyB L-0501 in Combination With Rituximab in Patients With Untreated, Low-grade B Cell Non-Hodgkin's Lymphoma and Mantle Cell Lymphoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Low-grade B-cell Non-Hodgkin's Lymphoma
n=59 Participants
Subjects in the SyB L-0501+ rituximab arm with primary disease of Low-grade B-cell non-Hodgkin's lymphoma
Mantle Cell Lymphoma
n=10 Participants
Subjects in the SyB L-0501+ rituximab arm with primary disease of Mantle cell lymphoma
Total
n=69 Participants
Total of all reporting groups
Age, Customized
˂65 years
36 participants
n=5 Participants
0 participants
n=7 Participants
36 participants
n=5 Participants
Age, Customized
≥65 years
23 participants
n=5 Participants
10 participants
n=7 Participants
33 participants
n=5 Participants
Sex: Female, Male
Female
37 Participants
n=5 Participants
1 Participants
n=7 Participants
38 Participants
n=5 Participants
Sex: Female, Male
Male
22 Participants
n=5 Participants
9 Participants
n=7 Participants
31 Participants
n=5 Participants
Performance status (ECOG scale)
0
42 participants
n=5 Participants
7 participants
n=7 Participants
49 participants
n=5 Participants
Performance status (ECOG scale)
1
16 participants
n=5 Participants
3 participants
n=7 Participants
19 participants
n=5 Participants
Performance status (ECOG scale)
2
1 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
Diagnosis (WHO classification)
Small lymphocytic lymphoma
2 participants
n=5 Participants
0 participants
n=7 Participants
2 participants
n=5 Participants
Diagnosis (WHO classification)
Lymphoplasmacytic lymphoma
2 participants
n=5 Participants
0 participants
n=7 Participants
2 participants
n=5 Participants
Diagnosis (WHO classification)
Splenic marginal zone lymphoma
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
Diagnosis (WHO classification)
B-EMZL(MALT lymphoma)
4 participants
n=5 Participants
0 participants
n=7 Participants
4 participants
n=5 Participants
Diagnosis (WHO classification)
Nodal marginal zone B-cell lymphoma
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
Diagnosis (WHO classification)
Follicular lymphoma
51 participants
n=5 Participants
0 participants
n=7 Participants
51 participants
n=5 Participants
Diagnosis (WHO classification)
Mantle cell lymphoma
0 participants
n=5 Participants
10 participants
n=7 Participants
10 participants
n=5 Participants
Clinical stage (Ann Arbor staging classification)
I - II
15 participants
n=5 Participants
0 participants
n=7 Participants
15 participants
n=5 Participants
Clinical stage (Ann Arbor staging classification)
III
9 participants
n=5 Participants
0 participants
n=7 Participants
9 participants
n=5 Participants
Clinical stage (Ann Arbor staging classification)
IV
35 participants
n=5 Participants
10 participants
n=7 Participants
45 participants
n=5 Participants
Number of lymph node regions
0 region
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
Number of lymph node regions
1 region
12 participants
n=5 Participants
1 participants
n=7 Participants
13 participants
n=5 Participants
Number of lymph node regions
2 regions
6 participants
n=5 Participants
1 participants
n=7 Participants
7 participants
n=5 Participants
Number of lymph node regions
3 regions
4 participants
n=5 Participants
2 participants
n=7 Participants
6 participants
n=5 Participants
Number of lymph node regions
4 regions or more
37 participants
n=5 Participants
6 participants
n=7 Participants
43 participants
n=5 Participants
Number of extranodal lesions
0 - 1 lesion
50 participants
n=5 Participants
4 participants
n=7 Participants
54 participants
n=5 Participants
Number of extranodal lesions
2 or more lesions
9 participants
n=5 Participants
6 participants
n=7 Participants
15 participants
n=5 Participants
Tumor diameter (1)
≥5 cm
38 participants
n=5 Participants
4 participants
n=7 Participants
42 participants
n=5 Participants
Tumor diameter (1)
˂5 cm
21 participants
n=5 Participants
6 participants
n=7 Participants
27 participants
n=5 Participants
Tumor diameter (2)
≥7 cm
28 participants
n=5 Participants
1 participants
n=7 Participants
29 participants
n=5 Participants
Tumor diameter (2)
˂7 cm
31 participants
n=5 Participants
9 participants
n=7 Participants
40 participants
n=5 Participants
Lactate dehydrogenase (LDH)
≤ upper limit of normal range
45 participants
n=5 Participants
7 participants
n=7 Participants
52 participants
n=5 Participants
Lactate dehydrogenase (LDH)
High
14 participants
n=5 Participants
3 participants
n=7 Participants
17 participants
n=5 Participants
Beta 2 microglobulin
≤ upper limit of normal range
15 participants
n=5 Participants
3 participants
n=7 Participants
18 participants
n=5 Participants
Beta 2 microglobulin
High
44 participants
n=5 Participants
7 participants
n=7 Participants
51 participants
n=5 Participants
C-reactive protein (CRP)
≤ upper limit of normal range
39 participants
n=5 Participants
8 participants
n=7 Participants
47 participants
n=5 Participants
C-reactive protein (CRP)
High
20 participants
n=5 Participants
2 participants
n=7 Participants
22 participants
n=5 Participants
Hepatomegaly
Yes
3 participants
n=5 Participants
1 participants
n=7 Participants
4 participants
n=5 Participants
Hepatomegaly
No
56 participants
n=5 Participants
9 participants
n=7 Participants
65 participants
n=5 Participants
Splenomegaly
Yes
19 participants
n=5 Participants
0 participants
n=7 Participants
19 participants
n=5 Participants
Splenomegaly
No
40 participants
n=5 Participants
10 participants
n=7 Participants
50 participants
n=5 Participants
Enlarged kidney
Yes
1 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
Enlarged kidney
No
58 participants
n=5 Participants
10 participants
n=7 Participants
68 participants
n=5 Participants
B symptoms (fever)
Yes
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
B symptoms (fever)
No
59 participants
n=5 Participants
10 participants
n=7 Participants
69 participants
n=5 Participants
B symptoms (night sweats)
Yes
3 participants
n=5 Participants
0 participants
n=7 Participants
3 participants
n=5 Participants
B symptoms (night sweats)
No
56 participants
n=5 Participants
10 participants
n=7 Participants
66 participants
n=5 Participants
B symptoms (weight loss)
Yes
2 participants
n=5 Participants
0 participants
n=7 Participants
2 participants
n=5 Participants
B symptoms (weight loss)
No
57 participants
n=5 Participants
10 participants
n=7 Participants
67 participants
n=5 Participants
Symptomatic splenomegaly
Yes
5 participants
n=5 Participants
0 participants
n=7 Participants
5 participants
n=5 Participants
Symptomatic splenomegaly
No
54 participants
n=5 Participants
10 participants
n=7 Participants
64 participants
n=5 Participants
Pressure symptoms
Yes
14 participants
n=5 Participants
0 participants
n=7 Participants
14 participants
n=5 Participants
Pressure symptoms
No
45 participants
n=5 Participants
10 participants
n=7 Participants
55 participants
n=5 Participants
Pleural effusion/ascites retention
Yes
5 participants
n=5 Participants
0 participants
n=7 Participants
5 participants
n=5 Participants
Pleural effusion/ascites retention
No
54 participants
n=5 Participants
10 participants
n=7 Participants
64 participants
n=5 Participants
Bone marrow invasion
Positive
34 participants
n=5 Participants
8 participants
n=7 Participants
42 participants
n=5 Participants
Bone marrow invasion
Negative
24 participants
n=5 Participants
2 participants
n=7 Participants
26 participants
n=5 Participants
Bone marrow invasion
Undetermined
1 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
Chromosome abnormality
Yes
13 participants
n=5 Participants
4 participants
n=7 Participants
17 participants
n=5 Participants
Chromosome abnormality
No
43 participants
n=5 Participants
5 participants
n=7 Participants
48 participants
n=5 Participants
Chromosome abnormality
Unknown
3 participants
n=5 Participants
1 participants
n=7 Participants
4 participants
n=5 Participants
Previous medical history
Yes
31 participants
n=5 Participants
7 participants
n=7 Participants
38 participants
n=5 Participants
Previous medical history
No
28 participants
n=5 Participants
3 participants
n=7 Participants
31 participants
n=5 Participants
Concomitant disease
Yes
53 participants
n=5 Participants
10 participants
n=7 Participants
63 participants
n=5 Participants
Concomitant disease
No
6 participants
n=5 Participants
0 participants
n=7 Participants
6 participants
n=5 Participants
FLIPI risk category
Low
17 participants
n=5 Participants
NA participants
n=7 Participants
NA participants
n=5 Participants
FLIPI risk category
Intermediate
24 participants
n=5 Participants
NA participants
n=7 Participants
NA participants
n=5 Participants
FLIPI risk category
High
18 participants
n=5 Participants
NA participants
n=7 Participants
NA participants
n=5 Participants
IPI risk category
Low
27 participants
n=5 Participants
0 participants
n=7 Participants
27 participants
n=5 Participants
IPI risk category
Intermediate (Low)
21 participants
n=5 Participants
2 participants
n=7 Participants
23 participants
n=5 Participants
IPI risk category
Intermediate (High)
10 participants
n=5 Participants
7 participants
n=7 Participants
17 participants
n=5 Participants
IPI risk category
High
1 participants
n=5 Participants
1 participants
n=7 Participants
2 participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 30 weeks

The criteria for CR and CRu based on IWRC are shown below. CR: Fulfills all of the following * Disappearance of all detectable disease * LN\* \> 1.5 cm must decrease to ≤ 1.5 cm CRu: Fulfills all of the following * LN \>1.5 cm; SPD\*\* decrease \>75% * indeterminate bone marrow * LN: lymph nodes or nodal masses \*\* SPD: sum of the products of the greatest diameters

Outcome measures

Outcome measures
Measure
Low-grade B-cell Non-Hodgkin's Lymphoma
n=59 Participants
Subjects in the SyB L-0501+ rituximab arm with primary disease of Low-grade B-cell non-Hodgkin's lymphoma
Mantle Cell Lymphoma
n=10 Participants
Subjects in the SyB L-0501+ rituximab arm with primary disease of Mantle cell lymphoma
Total
n=69 Participants
All subjects in the SyB L-0501+ rituximab arm
Complete Response Rate (CR + CRu) Based on International Workshop to Standardize Response Criteria for Non-Hodgkin's Lymphomas (1999)(IWRC)
67.8 percentage of participants
70.0 percentage of participants
68.1 percentage of participants

SECONDARY outcome

Timeframe: Up to 30 weeks

The criteria for PR based on IWRC are shown below. PR: SPD regressed \> 50%

Outcome measures

Outcome measures
Measure
Low-grade B-cell Non-Hodgkin's Lymphoma
n=59 Participants
Subjects in the SyB L-0501+ rituximab arm with primary disease of Low-grade B-cell non-Hodgkin's lymphoma
Mantle Cell Lymphoma
n=10 Participants
Subjects in the SyB L-0501+ rituximab arm with primary disease of Mantle cell lymphoma
Total
n=69 Participants
All subjects in the SyB L-0501+ rituximab arm
Overall Response Rate (Antitumor Effect: PR or Better) Based on International Workshop to Standardize Response Criteria for Non-Hodgkin's Lymphomas (1999)(IWRC)
96.6 percentage of participants
90.0 percentage of participants
95.7 percentage of participants

SECONDARY outcome

Timeframe: Up to 30 weeks

The criteria for CR based on the Revised RC are shown below. Definition: Disappearance of all evidence of disease Nodal Masses: 1. \[18F\]fluorodeoxyglucose (FDG)-avid or 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 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
Low-grade B-cell Non-Hodgkin's Lymphoma
n=59 Participants
Subjects in the SyB L-0501+ rituximab arm with primary disease of Low-grade B-cell non-Hodgkin's lymphoma
Mantle Cell Lymphoma
n=10 Participants
Subjects in the SyB L-0501+ rituximab arm with primary disease of Mantle cell lymphoma
Total
n=69 Participants
All subjects in the SyB L-0501+ rituximab arm
Complete Response Rate (CR) Based on Revised Response Criteria for Malignant Lymphoma (2007)(Revised RC)
64.4 percentage of participants
80.0 percentage of participants
66.7 percentage of participants

SECONDARY outcome

Timeframe: Up to 30 weeks

The criteria for PR based on the Revised RC are shown below. Definition: Regression of measurable disease and no new sites Nodal Masses: 50% or more decrease in 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: 50% or more 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
Low-grade B-cell Non-Hodgkin's Lymphoma
n=59 Participants
Subjects in the SyB L-0501+ rituximab arm with primary disease of Low-grade B-cell non-Hodgkin's lymphoma
Mantle Cell Lymphoma
n=10 Participants
Subjects in the SyB L-0501+ rituximab arm with primary disease of Mantle cell lymphoma
Total
n=69 Participants
All subjects in the SyB L-0501+ rituximab arm
Overall Response Rate (PR or Better) Based on Revised Response Criteria for Malignant Lymphoma (2007)(Revised RC)
96.6 percentage of participants
90.0 percentage of participants
95.7 percentage of participants

SECONDARY outcome

Timeframe: Up to 30 weeks

The criteria for Complete response based on WHO Handbook for Reporting Results of Cancer Treatment (1979) are shown below. Measurable disease: The disappearance of all known disease, determined by 2 observations not less than 4 weeks apart. Unmeasurable disease: Complete disappearance of all known disease for at least 4 weeks. Bone metastases: Complete disappearance of all lesions on X-ray or scan for at least 4 weeks.

Outcome measures

Outcome measures
Measure
Low-grade B-cell Non-Hodgkin's Lymphoma
n=59 Participants
Subjects in the SyB L-0501+ rituximab arm with primary disease of Low-grade B-cell non-Hodgkin's lymphoma
Mantle Cell Lymphoma
n=10 Participants
Subjects in the SyB L-0501+ rituximab arm with primary disease of Mantle cell lymphoma
Total
n=69 Participants
All subjects in the SyB L-0501+ rituximab arm
Complete Response Rate Based on WHO Handbook for Reporting Results of Cancer Treatment (1979)
22.0 percentage of participants
40.0 percentage of participants
24.6 percentage of participants

SECONDARY outcome

Timeframe: Up to 30 weeks

The criteria for Overall response rate (PR or better) based on "WHO Handbook for Reporting Results of Cancer Treatment (1979)" are shown below. Definition of PR: Measurable disease: 50% or more decrease in total tumor size of the lesions which have been measured to determine the effect of therapy by 2 observations not less than 4 weeks apart. In addition there can be no appearance of new lesions or progression of any lesion. Unmeasurable disease: Estimated decrease in tumor size of 50% or more for at least 4 weeks. Bone metastases: Partial decrease in size of lytic lesions, recalcification of lytic lesions, or decreased density of blastic lesions for at least 4 weeks.

Outcome measures

Outcome measures
Measure
Low-grade B-cell Non-Hodgkin's Lymphoma
n=59 Participants
Subjects in the SyB L-0501+ rituximab arm with primary disease of Low-grade B-cell non-Hodgkin's lymphoma
Mantle Cell Lymphoma
n=10 Participants
Subjects in the SyB L-0501+ rituximab arm with primary disease of Mantle cell lymphoma
Total
n=69 Participants
All subjects in the SyB L-0501+ rituximab arm
Overall Response Rate (PR or Better) Based on "WHO Handbook for Reporting Results of Cancer Treatment (1979)"
86.4 percentage of participants
90.0 percentage of participants
87.0 percentage of participants

SECONDARY outcome

Timeframe: Up to 30 weeks

PFS is the period from registration date to the earliest onset date of any progression event calculated using the Kaplan-Meier estimator. The median and the 95% confidence interval (CI) were calculated using Greenwood's formula. Progression event was defined as progression (includes recurrence/relapse), initiation of post-study treatment, confirmation of other malignant tumor, or death due to any given cause. The date of progression was determined based on overall response assessed using IWRC, Revised RC, and WHO, and assessment by the primary physicians (excluding overall response).

Outcome measures

Outcome measures
Measure
Low-grade B-cell Non-Hodgkin's Lymphoma
n=59 Participants
Subjects in the SyB L-0501+ rituximab arm with primary disease of Low-grade B-cell non-Hodgkin's lymphoma
Mantle Cell Lymphoma
n=10 Participants
Subjects in the SyB L-0501+ rituximab arm with primary disease of Mantle cell lymphoma
Total
n=69 Participants
All subjects in the SyB L-0501+ rituximab arm
Progression-Free Survival (PFS)
NA days
Interval 654.0 to
The PFS rate during this observation period was 57.7%, which was higher than 50% and therefore, 50% PFS could not be calculated.
NA days
The PFS rate during this observation period was 57.7%, which was higher than 50% and therefore, 50% PFS could not be calculated.
NA days
Interval 654.0 to
The PFS rate during this observation period was 57.7%, which was higher than 50% and therefore, 50% PFS could not be calculated.

SECONDARY outcome

Timeframe: Up to 30 weeks

DOR is the period from the date of achieving CR, CRu or PR in the responders to the earliest onset date of any progression events calculated using the Kaplan-Meier estimator. The median and the 95% CI were calculated using Greenwood's formula. The date of achieving CR, CRu or PR was determined based on the overall response assessed using IWRC. The date of progression was determined based on overall response assessed using IWRC, Revised RC and WHO, and assessment by the primary physicians (excluding overall response). Progression event was defined as progression (includes recurrence/relapse), initiation of post-study treatment, confirmation of other malignant tumor, or death due to any given cause.

Outcome measures

Outcome measures
Measure
Low-grade B-cell Non-Hodgkin's Lymphoma
n=59 Participants
Subjects in the SyB L-0501+ rituximab arm with primary disease of Low-grade B-cell non-Hodgkin's lymphoma
Mantle Cell Lymphoma
n=10 Participants
Subjects in the SyB L-0501+ rituximab arm with primary disease of Mantle cell lymphoma
Total
n=69 Participants
All subjects in the SyB L-0501+ rituximab arm
Duration of Response (DOR)
NA days
Interval 541.0 to
Because response was maintained in most subjects (of 66 subjects assessed as PR or better in the overall response assessment, eleven experienced a progression event).
NA days
Because response was maintained in most subjects (of 66 subjects assessed as PR or better in the overall response assessment, eleven experienced a progression event).
NA days
Interval 541.0 to
Because response was maintained in most subjects (of 66 subjects assessed as PR or better in the overall response assessment, eleven experienced a progression event).

SECONDARY outcome

Timeframe: Up to 30 weeks

Death due to any given cause was defined as an event. OS was calculated using the Kaplan-Meier estimator. The median and the 95% CI were calculated using Greenwood's formula.

Outcome measures

Outcome measures
Measure
Low-grade B-cell Non-Hodgkin's Lymphoma
n=59 Participants
Subjects in the SyB L-0501+ rituximab arm with primary disease of Low-grade B-cell non-Hodgkin's lymphoma
Mantle Cell Lymphoma
n=10 Participants
Subjects in the SyB L-0501+ rituximab arm with primary disease of Mantle cell lymphoma
Total
n=69 Participants
All subjects in the SyB L-0501+ rituximab arm
Overall Survival (OS)
NA days
Because no event of death occurred.
NA days
Because no event of death occurred.
NA days
Because no event of death occurred.

SECONDARY outcome

Timeframe: up to 30 weeks

Adverse events were evaluated using Common Terminology Criteria for Adverse Events (CTCAE) v4.0, Japan Clinical Oncology Group/Japan Society of Clinical Oncology (JCOG/JSCO) version, and were encoded using Medical Dictionary for Regulatory Activities (MedDRA) Ver.16.1.

Outcome measures

Outcome measures
Measure
Low-grade B-cell Non-Hodgkin's Lymphoma
n=69 Participants
Subjects in the SyB L-0501+ rituximab arm with primary disease of Low-grade B-cell non-Hodgkin's lymphoma
Mantle Cell Lymphoma
Subjects in the SyB L-0501+ rituximab arm with primary disease of Mantle cell lymphoma
Total
All subjects in the SyB L-0501+ rituximab arm
Number of Subjects With Adverse Event, Related Adverse Event, Serious Adverse Event, and Discontinuation Due to Adverse Event
Any adverse event
69 participants
Number of Subjects With Adverse Event, Related Adverse Event, Serious Adverse Event, and Discontinuation Due to Adverse Event
Adverse drug reaction
69 participants
Number of Subjects With Adverse Event, Related Adverse Event, Serious Adverse Event, and Discontinuation Due to Adverse Event
SAE
9 participants
Number of Subjects With Adverse Event, Related Adverse Event, Serious Adverse Event, and Discontinuation Due to Adverse Event
Death
0 participants
Number of Subjects With Adverse Event, Related Adverse Event, Serious Adverse Event, and Discontinuation Due to Adverse Event
Discontinuation due to adverse events
0 participants

SECONDARY outcome

Timeframe: up to 30 weeks

Abnormalities in laboratory test values in overall study period were analyzed. Severity of abnormalities were evaluated using CTCAE. Grade 1 : mild Grade 2 : moderate Grade 3 : severe or medically significant but not immediately life-threatening Grade 4 : life threatening or disabling Grade 5 : death related to AE

Outcome measures

Outcome measures
Measure
Low-grade B-cell Non-Hodgkin's Lymphoma
n=69 Participants
Subjects in the SyB L-0501+ rituximab arm with primary disease of Low-grade B-cell non-Hodgkin's lymphoma
Mantle Cell Lymphoma
Subjects in the SyB L-0501+ rituximab arm with primary disease of Mantle cell lymphoma
Total
All subjects in the SyB L-0501+ rituximab arm
Laboratory Test Abnormalities (Biochemical Tests)
Grade 3 : AST(GOT)
3 participants
Laboratory Test Abnormalities (Biochemical Tests)
Grade 3 : ALT(GPT)
3 participants
Laboratory Test Abnormalities (Biochemical Tests)
Grade 3 : γ-GTP
1 participants
Laboratory Test Abnormalities (Biochemical Tests)
Grade 4 : Uric acid
1 participants
Laboratory Test Abnormalities (Biochemical Tests)
Grade 3 : Na decrease
1 participants
Laboratory Test Abnormalities (Biochemical Tests)
Grade 3 : K decrease
2 participants
Laboratory Test Abnormalities (Biochemical Tests)
Grade 3 : K increase
1 participants

SECONDARY outcome

Timeframe: up to 30 weeks

Abnormalities in laboratory test values in overall study period were analyzed. Severity of abnormalities were evaluated using CTCAE. Grade 1 : mild Grade 2 : moderate Grade 3 : severe or medically significant but not immediately life-threatening Grade 4 : life threatening or disabling Grade 5 : death related to AE

Outcome measures

Outcome measures
Measure
Low-grade B-cell Non-Hodgkin's Lymphoma
n=69 Participants
Subjects in the SyB L-0501+ rituximab arm with primary disease of Low-grade B-cell non-Hodgkin's lymphoma
Mantle Cell Lymphoma
Subjects in the SyB L-0501+ rituximab arm with primary disease of Mantle cell lymphoma
Total
All subjects in the SyB L-0501+ rituximab arm
Laboratory Test Abnormalities (Hematology Tests)
Grade 3 : White blood cell count decreased
45 participants
Laboratory Test Abnormalities (Hematology Tests)
Grade 4 : White blood cell count decreased
12 participants
Laboratory Test Abnormalities (Hematology Tests)
Grade 3 : Neutrophil count decreased
25 participants
Laboratory Test Abnormalities (Hematology Tests)
Grade 4 : Neutrophil count decreased
34 participants
Laboratory Test Abnormalities (Hematology Tests)
Grade 3 : Lymphocyte count decreased
6 participants
Laboratory Test Abnormalities (Hematology Tests)
Grade 4 : Lymphocyte count decreased
63 participants
Laboratory Test Abnormalities (Hematology Tests)
Grade 3 : Haemoglobin decreased
5 participants
Laboratory Test Abnormalities (Hematology Tests)
Grade 3 : Platelet count decreased
3 participants
Laboratory Test Abnormalities (Hematology Tests)
Grade 4 : Platelet count decreased
2 participants

Adverse Events

SyB L-0501+Rituximab

Serious events: 9 serious events
Other events: 69 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
SyB L-0501+Rituximab
n=69 participants at risk
Drug: SyB L-0501 A dose of 90 mg/m\^2/day of SyB L-0501 is administered on Day 1 and Day 2 as an IV drip infusion, followed by 26-day observation. This is 1 cycle (28 days), which will be repeated for a maximum of 6 times. Drug: rituximab A dose of 375 mg/m\^2 of rituximab is administered on Day 1 (Day 0 in Cycle 1 only) as an IV drip infusion, followed by 26-day observation. This is 1 cycle (28 days), which will be repeated for a maximum of 6 times. From Cycle 2, rituximab will be coadministered with SyB L-0501 on Day 1. However, if the investigator or sub-investigator judges that the coadministration is difficult, rituximab may be administered on Day 0.
Blood and lymphatic system disorders
Febrile neutropenia
4.3%
3/69
Metabolism and nutrition disorders
tumour lysis syndrome
1.4%
1/69
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer
1.4%
1/69
Infections and infestations
pneumonia cytomegaloviral
1.4%
1/69
Skin and subcutaneous tissue disorders
dermatitis allergic
1.4%
1/69
Congenital, familial and genetic disorders
cytogenetic abnormality
1.4%
1/69
Cardiac disorders
atrial tachycardia
1.4%
1/69
General disorders
pyrexia
1.4%
1/69

Other adverse events

Other adverse events
Measure
SyB L-0501+Rituximab
n=69 participants at risk
Drug: SyB L-0501 A dose of 90 mg/m\^2/day of SyB L-0501 is administered on Day 1 and Day 2 as an IV drip infusion, followed by 26-day observation. This is 1 cycle (28 days), which will be repeated for a maximum of 6 times. Drug: rituximab A dose of 375 mg/m\^2 of rituximab is administered on Day 1 (Day 0 in Cycle 1 only) as an IV drip infusion, followed by 26-day observation. This is 1 cycle (28 days), which will be repeated for a maximum of 6 times. From Cycle 2, rituximab will be coadministered with SyB L-0501 on Day 1. However, if the investigator or sub-investigator judges that the coadministration is difficult, rituximab may be administered on Day 0.
Infections and infestations
Bronchitis
1.4%
1/69
Infections and infestations
Cellulitis
1.4%
1/69
Infections and infestations
Chronic sinusitis
1.4%
1/69
Blood and lymphatic system disorders
Anaemia
34.8%
24/69
Blood and lymphatic system disorders
Febrile neutropenia
1.4%
1/69
Blood and lymphatic system disorders
Leukocytosis
4.3%
3/69
Blood and lymphatic system disorders
Lymphadenitis
1.4%
1/69
Cardiac disorders
Cardiac failure
1.4%
1/69
Cardiac disorders
Sinus bradycardia
4.3%
3/69
Cardiac disorders
Ventricular arrhythmia
2.9%
2/69
Ear and labyrinth disorders
Tinnitus
1.4%
1/69
Ear and labyrinth disorders
Vertigo
1.4%
1/69
Ear and labyrinth disorders
External ear inflammation
1.4%
1/69
Endocrine disorders
Steroid withdrawal syndrome
1.4%
1/69
Eye disorders
Asthenopia
1.4%
1/69
Eye disorders
Conjunctivitis
2.9%
2/69
Eye disorders
Dry eye
1.4%
1/69
Eye disorders
Erythema of eyelid
1.4%
1/69
Eye disorders
Scintillating scotoma
1.4%
1/69
Eye disorders
Trichiasis
1.4%
1/69
Gastrointestinal disorders
Abdominal discomfort
1.4%
1/69
Gastrointestinal disorders
Abdominal distension
1.4%
1/69
Gastrointestinal disorders
Anal fissure
1.4%
1/69
Gastrointestinal disorders
Cheilitis
5.8%
4/69
Gastrointestinal disorders
Colitis ischaemic
1.4%
1/69
Gastrointestinal disorders
Constipation
65.2%
45/69
Gastrointestinal disorders
Dental caries
1.4%
1/69
Gastrointestinal disorders
Diarrhoea
15.9%
11/69
Gastrointestinal disorders
Dyspepsia
2.9%
2/69
Gastrointestinal disorders
Gastritis
1.4%
1/69
Gastrointestinal disorders
Gastrooesophageal reflux disease
1.4%
1/69
Gastrointestinal disorders
Nausea
66.7%
46/69
Gastrointestinal disorders
Oesophageal pain
1.4%
1/69
Gastrointestinal disorders
Proctalgia
1.4%
1/69
Gastrointestinal disorders
Stomatitis
21.7%
15/69
Gastrointestinal disorders
Vomiting
18.8%
13/69
General disorders
Chest discomfort
1.4%
1/69
General disorders
Chest pain
8.7%
6/69
General disorders
Chills
1.4%
1/69
General disorders
Fatigue
8.7%
6/69
General disorders
Injection site bruising
1.4%
1/69
General disorders
Injection site induration
1.4%
1/69
General disorders
Injection site pain
11.6%
8/69
General disorders
Injection site phlebitis
1.4%
1/69
General disorders
Injection site reaction
11.6%
8/69
General disorders
Local swelling
1.4%
1/69
General disorders
Malaise
53.6%
37/69
General disorders
Oedema
4.3%
3/69
General disorders
Oedema peripheral
4.3%
3/69
General disorders
Pain
2.9%
2/69
General disorders
Pyrexia
24.6%
17/69
General disorders
Thirst
1.4%
1/69
General disorders
Injection site swelling
1.4%
1/69
General disorders
Non-cardiac chest pain
1.4%
1/69
General disorders
Infusion site extravasation
1.4%
1/69
General disorders
Injection site vasculitis
1.4%
1/69
Hepatobiliary disorders
Cholelithiasis
2.9%
2/69
Hepatobiliary disorders
Hepatic function abnormal
7.2%
5/69
Hepatobiliary disorders
Liver disorder
1.4%
1/69
Hepatobiliary disorders
Gallbladder polyp
1.4%
1/69
Hepatobiliary disorders
Drug-induced liver injury
2.9%
2/69
Immune system disorders
Drug hypersensitivity
1.4%
1/69
Immune system disorders
Hypersensitivity
4.3%
3/69
Immune system disorders
Hypogammaglobulinaemia
1.4%
1/69
Immune system disorders
Sarcoidosis
1.4%
1/69
Infections and infestations
Cystitis
2.9%
2/69
Infections and infestations
Cytomegalovirus infection
1.4%
1/69
Infections and infestations
Folliculitis
1.4%
1/69
Infections and infestations
Gastroenteritis
2.9%
2/69
Infections and infestations
Hepatitis viral
1.4%
1/69
Infections and infestations
Herpes simplex
1.4%
1/69
Infections and infestations
Herpes zoster
1.4%
1/69
Infections and infestations
Infection
1.4%
1/69
Infections and infestations
Laryngitis
1.4%
1/69
Infections and infestations
Nasopharyngitis
20.3%
14/69
Infections and infestations
Oral candidiasis
2.9%
2/69
Infections and infestations
Paronychia
1.4%
1/69
Infections and infestations
Pneumonia
1.4%
1/69
Infections and infestations
Rhinitis
1.4%
1/69
Infections and infestations
Sinusitis
1.4%
1/69
Infections and infestations
Skin infection
1.4%
1/69
Infections and infestations
Upper respiratory tract infection
7.2%
5/69
Infections and infestations
Urinary tract infection
1.4%
1/69
Infections and infestations
Viral infection
2.9%
2/69
Infections and infestations
Cytomegalovirus viraemia
1.4%
1/69
Infections and infestations
Bacterial infection
1.4%
1/69
Infections and infestations
Acarodermatitis
1.4%
1/69
Infections and infestations
Aspergillus infection
1.4%
1/69
Injury, poisoning and procedural complications
Arthropod sting
2.9%
2/69
Injury, poisoning and procedural complications
Infusion related reaction
40.6%
28/69
Injury, poisoning and procedural complications
Thermal burn
1.4%
1/69
Investigations
Alanine aminotransferase increased
26.1%
18/69
Investigations
Amylase increased
1.4%
1/69
Investigations
Aspartate aminotransferase increased
31.9%
22/69
Investigations
Beta 2 microglobulin increased
4.3%
3/69
Investigations
Blood albumin decreased
7.2%
5/69
Investigations
Blood bilirubin increased
4.3%
3/69
Investigations
Blood creatinine increased
7.2%
5/69
Investigations
Blood immunoglobulin A decreased
30.4%
21/69
Investigations
Blood immunoglobulin G decreased
30.4%
21/69
Investigations
Blood immunoglobulin M decreased
46.4%
32/69
Investigations
Blood lactate dehydrogenase increased
31.9%
22/69
Investigations
Blood potassium decreased
1.4%
1/69
Investigations
Blood urea increased
1.4%
1/69
Investigations
Blood uric acid increased
4.3%
3/69
Investigations
C-reactive protein increased
26.1%
18/69
Investigations
CD4 lymphocytes decreased
92.8%
64/69
Investigations
Electrocardiogram QT prolonged
2.9%
2/69
Investigations
Eosinophil count increased
15.9%
11/69
Investigations
Gamma-glutamyltransferase increased
21.7%
15/69
Investigations
Blood urine present
1.4%
1/69
Investigations
Haemoglobin decreased
10.1%
7/69
Investigations
Low density lipoprotein increased
1.4%
1/69
Investigations
Lymphocyte count decreased
97.1%
67/69
Investigations
Lymphocyte count increased
1.4%
1/69
Investigations
Monocyte count decreased
1.4%
1/69
Investigations
Neutrophil count decreased
94.2%
65/69
Investigations
Neutrophil count increased
13.0%
9/69
Investigations
Platelet count decreased
55.1%
38/69
Investigations
Protein total decreased
11.6%
8/69
Investigations
Protein urine
1.4%
1/69
Investigations
Red blood cell count decreased
13.0%
9/69
Investigations
Weight decreased
13.0%
9/69
Investigations
Weight increased
7.2%
5/69
Investigations
White blood cell count decreased
100.0%
69/69
Investigations
White blood cell count increased
8.7%
6/69
Investigations
Blood bilirubin decreased
1.4%
1/69
Investigations
Neutrophil percentage decreased
1.4%
1/69
Investigations
Neutrophil percentage increased
1.4%
1/69
Investigations
Electrocardiogram ST-T segment abnormal
1.4%
1/69
Investigations
Blood alkaline phosphatase increased
18.8%
13/69
Investigations
Occult blood
1.4%
1/69
Metabolism and nutrition disorders
Dehydration
1.4%
1/69
Metabolism and nutrition disorders
Diabetes mellitus
1.4%
1/69
Metabolism and nutrition disorders
Hyperglycaemia
1.4%
1/69
Metabolism and nutrition disorders
Hyperkalaemia
5.8%
4/69
Metabolism and nutrition disorders
Hypertriglyceridaemia
1.4%
1/69
Metabolism and nutrition disorders
Hyperuricaemia
4.3%
3/69
Metabolism and nutrition disorders
Hypoalbuminaemia
1.4%
1/69
Metabolism and nutrition disorders
Hypocalcaemia
1.4%
1/69
Metabolism and nutrition disorders
Hypoglycaemia
1.4%
1/69
Metabolism and nutrition disorders
Hyponatraemia
2.9%
2/69
Metabolism and nutrition disorders
Hypophosphataemia
1.4%
1/69
Metabolism and nutrition disorders
Tumour lysis syndrome
2.9%
2/69
Metabolism and nutrition disorders
Decreased appetite
43.5%
30/69
Musculoskeletal and connective tissue disorders
Arthralgia
7.2%
5/69
Musculoskeletal and connective tissue disorders
Back pain
7.2%
5/69
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
1.4%
1/69
Musculoskeletal and connective tissue disorders
Myalgia
2.9%
2/69
Musculoskeletal and connective tissue disorders
Neck pain
1.4%
1/69
Musculoskeletal and connective tissue disorders
Pain in extremity
1.4%
1/69
Musculoskeletal and connective tissue disorders
Periarthritis
1.4%
1/69
Musculoskeletal and connective tissue disorders
Tenosynovitis
1.4%
1/69
Musculoskeletal and connective tissue disorders
Musculoskeletal stiffness
4.3%
3/69
Nervous system disorders
Dizziness
4.3%
3/69
Nervous system disorders
Dizziness postural
1.4%
1/69
Nervous system disorders
Dysgeusia
18.8%
13/69
Nervous system disorders
Headache
17.4%
12/69
Nervous system disorders
Neuropathy peripheral
2.9%
2/69
Nervous system disorders
Paraesthesia
1.4%
1/69
Nervous system disorders
Peripheral sensory neuropathy
1.4%
1/69
Nervous system disorders
Sensory disturbance
1.4%
1/69
Nervous system disorders
Tremor
1.4%
1/69
Nervous system disorders
Lacunar infarction
1.4%
1/69
Psychiatric disorders
Insomnia
27.5%
19/69
Renal and urinary disorders
Haematuria
2.9%
2/69
Renal and urinary disorders
Nephrolithiasis
1.4%
1/69
Renal and urinary disorders
Pollakiuria
4.3%
3/69
Renal and urinary disorders
Urinary retention
1.4%
1/69
Reproductive system and breast disorders
Breast swelling
1.4%
1/69
Respiratory, thoracic and mediastinal disorders
Cough
4.3%
3/69
Respiratory, thoracic and mediastinal disorders
Dyspnoea
1.4%
1/69
Respiratory, thoracic and mediastinal disorders
Dyspnoea exertional
1.4%
1/69
Respiratory, thoracic and mediastinal disorders
Hiccups
5.8%
4/69
Respiratory, thoracic and mediastinal disorders
Pleural effusion
1.4%
1/69
Respiratory, thoracic and mediastinal disorders
Productive cough
1.4%
1/69
Respiratory, thoracic and mediastinal disorders
Rhinorrhoea
1.4%
1/69
Respiratory, thoracic and mediastinal disorders
Upper respiratory tract inflammation
8.7%
6/69
Respiratory, thoracic and mediastinal disorders
Oropharyngeal discomfort
5.8%
4/69
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
4.3%
3/69
Skin and subcutaneous tissue disorders
Acne
2.9%
2/69
Skin and subcutaneous tissue disorders
Alopecia
1.4%
1/69
Skin and subcutaneous tissue disorders
Dermatitis
1.4%
1/69
Skin and subcutaneous tissue disorders
Dermatitis exfoliative
2.9%
2/69
Skin and subcutaneous tissue disorders
Drug eruption
2.9%
2/69
Skin and subcutaneous tissue disorders
Dry skin
2.9%
2/69
Skin and subcutaneous tissue disorders
Eczema
1.4%
1/69
Skin and subcutaneous tissue disorders
Eczema asteatotic
1.4%
1/69
Skin and subcutaneous tissue disorders
Erythema
1.4%
1/69
Skin and subcutaneous tissue disorders
Erythema multiforme
1.4%
1/69
Skin and subcutaneous tissue disorders
Ingrowing nail
1.4%
1/69
Skin and subcutaneous tissue disorders
Miliaria
1.4%
1/69
Skin and subcutaneous tissue disorders
Night sweats
1.4%
1/69
Skin and subcutaneous tissue disorders
Palmar-plantar erythrodysaesthesia syndrome
1.4%
1/69
Skin and subcutaneous tissue disorders
Papule
1.4%
1/69
Skin and subcutaneous tissue disorders
Pruritus
18.8%
13/69
Skin and subcutaneous tissue disorders
Rash
42.0%
29/69
Skin and subcutaneous tissue disorders
Rash maculo-papular
10.1%
7/69
Skin and subcutaneous tissue disorders
Urticaria
2.9%
2/69
Skin and subcutaneous tissue disorders
Xeroderma
1.4%
1/69
Surgical and medical procedures
Tooth extraction
1.4%
1/69
Vascular disorders
Flushing
5.8%
4/69
Vascular disorders
Hypertension
1.4%
1/69
Vascular disorders
Hypotension
2.9%
2/69
Vascular disorders
Orthostatic hypotension
1.4%
1/69
Vascular disorders
Phlebitis
5.8%
4/69
Vascular disorders
Vascular pain
15.9%
11/69
Vascular disorders
Vasculitis
29.0%
20/69
Vascular disorders
Hot flush
1.4%
1/69

Additional Information

Toshihiko Nagase

SymBio Pharmaceuticals

Phone: +81-3-5472-1125

Results disclosure agreements

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