Comparison Study of Rituximab Plus Sargramostim to Rituximab Alone for Relapsed Follicular B-cell Lymphoma, a Form of Non-Hodgkin's Lymphoma (PREMIER)
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Purpose
The purpose of this study is to evaluate whether treatment with rituximab plus sargramostim will be more effective than rituximab alone.
| Condition | Intervention | Phase |
|---|---|---|
|
Lymphoma, Follicular |
Drug: Sargramostim (Leukine) Drug: Rituximab |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Randomized, Open Label, Phase II Trial Comparing Rituximab Plus Sargramostim to Rituximab Monotherapy for the Treatment of Relapsed Follicular B-cell Lymphoma |
- Number of Participants With a Complete Response or Unconfirmed Complete Response at Week 8 With Confirmation at Week 12 [ Time Frame: Week 8 (confirmed at Week 12) ] [ Designated as safety issue: No ]Count of number of participants who responded with a Complete Response (complete disappearance of all detectable clinical and radiological evidence of disease) at week 8 and again clinically and radiologically confirmed at week 12.
- Summary of Treatment-Emergent Adverse Events (TEAE) [ Time Frame: up to 12 weeks ] [ Designated as safety issue: Yes ]Count of the number of participants who experienced treatment emergent adverse events (TEAEs). TEAEs occurred during the time study intervention was being taken occurring on or after Day 1 and no longer than 30 days after the last dose of study medication.
- Participant Summary of Best Response Across All Visits [ Time Frame: up to 24 months ] [ Designated as safety issue: No ]
Count of participants' best response within categories defined by the International Working Group (IWG):
> Complete Response (complete disappearance of detectable clinical and radiological evidence of disease),
> Complete Response Unconfirmed (unconfirmed complete disappearance),
> Partial Response (>=50% decrease sum of the product of the greatest diameters in the six largest dominant nodes or nodal masses),
> Stable Disease (neither response nor disease progression),
> Progression (new lesion or increase by 50% of previously involved sites from nadir).
- Kaplan-Meier Estimates of Progression-Free Survival [ Time Frame: 24 months ] [ Designated as safety issue: No ]Time to event was measured from the date of randomization to the date of first progressive disease (PD) or death.
- Kaplan-Meier Estimates for Duration of Partial Response or Better to Treatment [ Time Frame: 24 months ] [ Designated as safety issue: No ]Count of days in which a participant experiences a Partial Response (>=50% decrease sum of the product of the greatest diameters in the six largest dominant nodes or nodal masses) or better. Time to event was measured from the date of response to the date of progressive disease (PD) or death.
- Summary of Cost Effectiveness [ Time Frame: 24 months ] [ Designated as safety issue: No ]A cost-effectiveness analysis from the payer perspective was to be performed. Only direct medical costs for each patient during the study period were to be included for analysis. Costs were to be calculated by multiplying each health care resource unit by the amount reimbursed by a payer. Health care resource utilization units are a way to normalize the quantity of health care provided to each participant so that costs can be compared.
| Enrollment: | 75 |
| Study Start Date: | May 2006 |
| Study Completion Date: | June 2009 |
| Primary Completion Date: | June 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Active Comparator: Rituximab |
Drug: Rituximab
Four doses of rituximab 375 mg/m2, administered intravenously (IV) once weekly for 4 weeks
|
| Experimental: Rituximab + Sargramostim |
Drug: Sargramostim (Leukine)
Sargramostim 250 μg, administered subcutaneously (SC) 3 times weekly for 8 weeks, beginning at least 1 hour before the first dose of rituximab
Other Names:
Drug: Rituximab
Four doses of rituximab 375 mg/m2, administered intravenously (IV) once weekly for 4 weeks
|
Detailed Description:
On 29 May 2009, Bayer began transitioning the sponsorship of this trial to Genzyme. As of 29 August 2009, Genzyme assumed responsibility for the close out of the study. NOTE: This study was originally posted by sponsor Berlex, Inc. Berlex, Inc. was renamed to Bayer HealthCare, Inc.
The study was terminated early due to low enrollment; significant changes to the protocol would have been required to keep pace with the changing therapeutic landscape of indolent lymphoma.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria (abbreviated list):
- Relapsed follicular B-cell lymphoma
- One or more previous therapies for non-Hodgkin's
- At least one measurable tumor by CT scan or MRI
- Additional criteria to be determined at screening visit
Exclusion Criteria (abbreviated list):
- Rituximab refractory (less than 6 months from last treatment with rituximab to relapse)
- Currently receiving treatment for another cancer
- Infection currently being treated
- Active Hepatitis B
- History of HIV infection
- Pregnant
- Additional criteria to be determined at screening visit
Contacts and Locations| United States, Alabama | |
| Birmingham, Alabama, United States, 35234 | |
| Huntsville, Alabama, United States, 35805 | |
| United States, California | |
| Los Angeles, California, United States, 90095 | |
| Montebello, California, United States, 90640 | |
| Pleasant Hill, California, United States, 94523 | |
| United States, Florida | |
| Gainesville, Florida, United States, 32610-0254 | |
| Jacksonville, Florida, United States, 32207 | |
| Ocala, Florida, United States, 34474 | |
| Tampa, Florida, United States, 33612 | |
| United States, Illinois | |
| Chicago, Illinois, United States, 60612 | |
| Elk Grove Village, Illinois, United States, 60007 | |
| Springfield, Illinois, United States, 62703 | |
| United States, Indiana | |
| Indianapolis, Indiana, United States, 46202 | |
| New Albany, Indiana, United States, 47150 | |
| United States, Minnesota | |
| Duluth, Minnesota, United States, 55805-1984 | |
| United States, New York | |
| Fresh Meadows, New York, United States, 11365 | |
| New York, New York, United States, 10019 | |
| United States, Ohio | |
| Columbus, Ohio, United States, 43235 | |
| United States, Pennsylvania | |
| Hershey, Pennsylvania, United States, 17033-0850 | |
| Philadelphia, Pennsylvania, United States, 19104 | |
| United States, Texas | |
| Houston, Texas, United States, 77030 | |
| Puerto Rico | |
| San Juan, Puerto Rico, 00919 | |
| Study Director: | Medical Monitor | Genzyme |
More Information
No publications provided
| Responsible Party: | Genzyme |
| ClinicalTrials.gov Identifier: | NCT00308087 History of Changes |
| Other Study ID Numbers: | 310421, 91499, PREMIER |
| Study First Received: | March 28, 2006 |
| Results First Received: | June 11, 2010 |
| Last Updated: | March 13, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Genzyme:
|
Sargramostim Leukine NHL |
Additional relevant MeSH terms:
|
Lymphoma Lymphoma, Follicular Lymphoma, Non-Hodgkin Lymphoma, B-Cell Neoplasms by Histologic Type Neoplasms Lymphoproliferative Disorders Lymphatic Diseases Immunoproliferative Disorders |
Immune System Diseases Rituximab Immunologic Factors Physiological Effects of Drugs Pharmacologic Actions Antirheumatic Agents Therapeutic Uses Antineoplastic Agents |
ClinicalTrials.gov processed this record on May 16, 2013