A Study of Obinutuzumab (RO5072759) Plus Chemotherapy in Comparison With MabThera/Rituxan (Rituximab) Plus Chemotherapy Followed by GA101 or MabThera/Rituxan Maintenance in Patients With Untreated Advanced Indolent Non-Hodgkin's Lymphoma (GALLIUM)

This study is currently recruiting participants.
Verified May 2013 by Hoffmann-La Roche
Sponsor:
Collaborators:
German Low Grade Lymphoma Study Group
Institute of Cancer Research, United Kingdom
Information provided by (Responsible Party):
Hoffmann-La Roche
ClinicalTrials.gov Identifier:
NCT01332968
First received: April 8, 2011
Last updated: May 13, 2013
Last verified: May 2013
  Purpose

This open-label, randomized study will assess the efficacy and safety of obinutuzumab (RO5072759) in combination with chemotherapy compared to MabThera/Rituxan (rituximab) with chemotherapy followed by obinutuzumab or MabThera/Rituxan maintenance in patients with untreated advanced indolent non-Hodgkin's lymphoma. After the end of the induction period, patients achieving response (CR or PR) will go on to a maintenance period thereby continuing on their randomized antibody treatment alone every 2 months until disease progression for a total of 2 years. Anticipated time on study treatment is up to approximately 2.5 years. After maintenance or observation patients will be followed for 5 years until progression. After progression, patients will be followed for new anti-lymphoma therapy and overall survival until the end of the study.


Condition Intervention Phase
Non-Hodgkin's Lymphoma
Drug: RO5072759
Drug: rituximab [MabThera/Rituxan]
Drug: chemotherapy
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Multicentre, Phase III, Open Label, Randomized Study in Previously Untreated Patients With Advanced Indolent Non-Hodgkin's Lymphoma Evaluating the Benefit of GA101 (RO5072759) + Chemotherapy Compared to Rituximab + Chemotherapy Followed by GA101 or Rituximab Maintenance Therapy in Responders.

Resource links provided by NLM:


Further study details as provided by Hoffmann-La Roche:

Primary Outcome Measures:
  • Progression-free survival in patients with follicular lymphoma, investigator-assessed according to the Revised Response Criteria for Malignant Lymphoma [ Time Frame: up to approximately 7.5 years ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Progression-free survival in the overall study population, investigator-assessed [ Time Frame: up to approximately 7.5 years ] [ Designated as safety issue: No ]
  • Progression-free survival, Independent Review Committee - assessed [ Time Frame: up to approximately 7.5 years ] [ Designated as safety issue: No ]
  • Response (overall response and complete response), investigator-assessed [ Time Frame: 168 days ] [ Designated as safety issue: No ]
  • Response (overall response and complete response), Independent Review Committee - assessed [ Time Frame: 168 days ] [ Designated as safety issue: No ]
  • Overall survival [ Time Frame: up to approximately 10.7 years ] [ Designated as safety issue: No ]
  • Event-free survival [ Time Frame: up to approximately 7.5 years ] [ Designated as safety issue: No ]
  • Disease-free survival [ Time Frame: up to approximately 7.5 years ] [ Designated as safety issue: No ]
  • Duration of response [ Time Frame: up to approximately 7.5 years ] [ Designated as safety issue: No ]
  • Time to next anti-lymphoma treatment [ Time Frame: up to approximately 10.7 years ] [ Designated as safety issue: No ]
  • Safety: Incidence of adverse events [ Time Frame: up to approximately 10.7 years ] [ Designated as safety issue: No ]
  • Patient-reported outcomes (Functional Assessment of Cancer Therapy for Lymphoma scale, EuroQol EQ-5D questionnaire) [ Time Frame: up to approximately 7.5 years ] [ Designated as safety issue: No ]
  • Medical resource utilization (hospitalizations, subsequent drug therapies, medical and surgical procedures) [ Time Frame: up to approximately 7.5 years ] [ Designated as safety issue: No ]

Estimated Enrollment: 1400
Study Start Date: July 2011
Estimated Study Completion Date: March 2022
Estimated Primary Completion Date: March 2022 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: A Drug: rituximab [MabThera/Rituxan]
375 mg/m2 iv on Day 1 of Cycles 1-8 (21-day cycles) or Cycles 1-6 (28-day cycles); followed by 375 mg/m2 iv every 2 months in responders until disease progression, for up to 2 years
Drug: chemotherapy
CHOP (6 cycles of 21 days), CVP (8 cycles of 21 days), Bendamustine (6 cycles of 28 days). Patients with follicular lymphoma are receiving either CHOP, CVP or Bendamustine as background chemotherapy as selected by each participating site at study start. Background chemotherapy for patients with non-follicular lymphoma will be chosen by the site individually for each patient.
Experimental: B Drug: RO5072759
1000 mg iv on Days 1, 8 and 15 of Cycle 1 and on Day 1 of Cycles 2-8 (21-day cycles) or Cycles 2-6 (28-day cycles); followed by 1000 mg iv every 2 months in responders until disease progression, for up to 2 years
Other Name: GA101
Drug: chemotherapy
CHOP (6 cycles of 21 days), CVP (8 cycles of 21 days), Bendamustine (6 cycles of 28 days). Patients with follicular lymphoma are receiving either CHOP, CVP or Bendamustine as background chemotherapy as selected by each participating site at study start. Background chemotherapy for patients with non-follicular lymphoma will be chosen by the site individually for each patient.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Adult patients, >/= 18 years of age
  • CD20-positive indolent B-cell non-Hodgkin's lymphoma (follicular lymphoma or splenic, nodal or extranodal marginal zone lymphoma)
  • Stage III or IV disease, or Stage II bulky disease (defined as tumour diameter >/= 7 cm), requiring treatment
  • For patients with follicular lymphoma: requirement for treatment according to GELF criteria
  • For patients with symptomatic marginal zone lymphoma: disease that is de novo or has relapsed following local therapy (i.e. surgery or radiotherapy) and requires therapy as assessed by the investigator
  • At least one bi-dimensionally measurable lesion (>2 cm in its largest dimension by CT scan or MRI)
  • Eastern Cooperative Oncology Group (ECOG) performance status 0, 1 or 2
  • Adequate hematologic function

Exclusion Criteria:

  • Central nervous system lymphoma, leptomeningeal lymphoma, or histological evidence of transformation to a high-grade or diffuse large B-cell lymphoma
  • Grade 3b follicular lymphoma, small lymphocytic lymphoma or Waldenström's macroglobulinaemia
  • Ann Arbor Stage I disease
  • History of severe allergic or anaphylactic reactions to monoclonal antibody therapy, known hypersensitivity to any of the study drugs or sensitivity to murine products, or history of sensitivity to mannitol
  • For patients with follicular lymphoma: prior treatment for non-Hodgkin's lymphoma with chemotherapy, immunotherapy, or radiotherapy
  • For patients with non-follicular lymphoma: prior treatment with chemotherapy or immunotherapy
  • Regular treatment with corticosteroids during the 4 weeks prior to the start of Cycle 1
  • Evidence of significant, uncontrolled concomitant diseases that could affect compliance with the protocol or interpretation of results
  • For patients who will be receiving CHOP: LVEF <50% by MUGA scan or echocardiogram
  • History of prior malignancy with the exception of curatively treated basal or squamous cell carcinoma of the skin and low-grade in situ carcinoma of the cervix
  • Known active infection, or major episode of infection within 4 week prior to the start of Cycle 1
  • Vaccination with a live vaccine within 28 days prior to randomization
  • Recent major surgery (within 4 weeks prior to start of Cycle 1), other than for diagnosis
  • Abnormal laboratory values as defined by protocol for creatinine, creatinine clearance, AST or ALT, total bilirubin, INR, PTT or aPPT, unless these abnormalities are due to underlying lymphoma
  • Positive as per protocol definition for HIV, HTLV1, hepatitis C or chronic hepatitis B
  • Pregnant or lactating women
  • Life expectancy < 12 months
  • Participation in another clinical trial with drug intervention within 28 days prior to start of Cycle 1 and during study
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01332968

Contacts
Contact: Please reference Study ID Number: BO21223 www.roche.com/about_roche/roche_worldwide.htm 888-662-6728 (U.S. Only) genentechclinicaltrials@druginfo.com

  Hide Study Locations
Locations
United States, Arkansas
Not yet recruiting
Fayetteville, Arkansas, United States, 72703
United States, California
Not yet recruiting
Orange, California, United States, 92868
United States, Idaho
Recruiting
Post Falls, Idaho, United States, 83854
United States, Illinois
Recruiting
Galesburg, Illinois, United States, 61401
Not yet recruiting
Maywood, Illinois, United States, 60153
United States, Iowa
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Sioux City, Iowa, United States, 51108
United States, Kansas
Active, not recruiting
Westwood, Kansas, United States, 66206
United States, Missouri
Active, not recruiting
Springfield, Missouri, United States, 65807
United States, Montana
Recruiting
Missoula, Montana, United States, 59802
United States, New Mexico
Active, not recruiting
Farmington, New Mexico, United States, 87401
United States, Oregon
Active, not recruiting
Portland, Oregon, United States, 97225
United States, Washington
Active, not recruiting
Tacoma, Washington, United States, 98405
Australia
Recruiting
East Melbourne, Australia, 3002
Recruiting
Fitzroy, Australia, 3065
Recruiting
Melbourne, Australia, 3168
Recruiting
Melbourne, Australia, 3084
Recruiting
Perth, Australia, 6000
Active, not recruiting
Sydney, Australia, 2139
Recruiting
Sydney, Australia, 2145
Recruiting
Woolloongabba, Australia, 4102
Belgium
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Gent, Belgium, 9000
Active, not recruiting
Kortrijk, Belgium, 8500
Active, not recruiting
Leuven, Belgium, 3000
Brazil
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Campinas, Brazil, 13083-970
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Florianopolis, Brazil, 88034-000
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Porto Alegre, Brazil, 90610-000
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Sao Paulo, Brazil, 08270-070
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Sao Paulo, Brazil, 01236-030
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São Paulo, Brazil, 04039-901
Canada, Alberta
Active, not recruiting
Calgary, Alberta, Canada, T2N 4N2
Active, not recruiting
Edmonton, Alberta, Canada, T6G 1Z2
Canada, New Brunswick
Recruiting
Moncton, New Brunswick, Canada, E1C 8X3
Canada, Ontario
Recruiting
East York, Ontario, Canada, M4C 3E7
Active, not recruiting
Ottawa, Ontario, Canada, K1H 1C4
Active, not recruiting
Toronto, Ontario, Canada, M9N 1N8
Active, not recruiting
Toronto, Ontario, Canada, M4P 2K9
Canada, Quebec
Recruiting
Greenfield Park, Quebec, Canada, J4V 2H1
China
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Beijing, China, 100142
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Beijing, China, 100034
Recruiting
Beijing, China, 100853
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Beijing, China, 100021
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Changchun, China, 130021
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Fuzhou, China, 350014
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Fuzhou, China, 350001
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Guangzhou, China, 510060
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Guangzhou, China, 510080
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Harbin, China, 150081
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Nanjing, China, 210009
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Nanjing, China, 210008
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Shanghai, China, 200025
Recruiting
Shanghai, China, 200032
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Shenyang, China, 110001
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Suzhou, China, 215006
Recruiting
Wuhan, China, 430023
Recruiting
Wuhan, China, 430022
Czech Republic
Active, not recruiting
Brno, Czech Republic, 639 00
Recruiting
Hradec Kralove, Czech Republic, 500 05
Active, not recruiting
Praha 2, Czech Republic, 128 08
Finland
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Helsinki, Finland, 00029
Not yet recruiting
Tampere, Finland, 36280
France
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Angers, France, 49933
Recruiting
Brest, France, 29609
Recruiting
Clermont-ferrand, France, 63003
Recruiting
Lemans, France, 72000
Recruiting
Marseille, France, 13005
Recruiting
Montpellier, France, 34295
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Perpignan, France, 66046
Germany
Terminated
Amberg, Germany, 92224
Active, not recruiting
Berlin, Germany, 14195
Not yet recruiting
Bremen, Germany, 28239
Active, not recruiting
Chemnitz, Germany, 09113
Active, not recruiting
Dessau, Germany, 06822
Recruiting
Dresden, Germany, 01307
Active, not recruiting
Dresden, Germany, 01307
Active, not recruiting
Erfurt, Germany, 99089
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Eschweiler, Germany, 52249
Recruiting
Frankfurt, Germany, 60596
Active, not recruiting
Freiburg, Germany, 79106
Active, not recruiting
Greifswald, Germany, 17475
Active, not recruiting
Göttingen, Germany, 37075
Active, not recruiting
Hagen, Germany, 58095
Active, not recruiting
Hannover, Germany, 30171
Active, not recruiting
Heidelberg, Germany, 69120
Recruiting
Heidelberg, Germany, 69115
Terminated
HOF, Germany, 95028
Active, not recruiting
Homburg/saar, Germany, 66424
Not yet recruiting
Idar-oberstein, Germany, 55743
Active, not recruiting
Jena, Germany, 07747
Active, not recruiting
Kiel, Germany, 24116
Not yet recruiting
Koblenz, Germany, 56068
Active, not recruiting
Köln, Germany, 50924
Recruiting
Landshut, Germany, 84028
Recruiting
Lebach, Germany, 66822
Recruiting
Leipzig, Germany, 04129
Recruiting
Ludwigshafen, Germany, 67063
Recruiting
Magdeburg, Germany, 39120
Terminated
Magdeburg, Germany, 39130
Not yet recruiting
Magedburg, Germany, 39104
Active, not recruiting
Mainz, Germany, 55101
Active, not recruiting
Mannheim, Germany, 68161
Recruiting
Mannheim, Germany, 68167
Recruiting
Muenchen, Germany, 81377
Not yet recruiting
Mutlangen, Germany, 73557
Active, not recruiting
Mönchengladbach, Germany, 41063
Active, not recruiting
München, Germany, 81675
Terminated
Münster, Germany, 48149
Active, not recruiting
Münster, Germany, 48149
Active, not recruiting
Neunkirchen/saar, Germany, 66538
Not yet recruiting
Northeim, Germany, 37154
Not yet recruiting
Oldenburg, Germany, 26121
Active, not recruiting
Paderborn, Germany, 33098
Active, not recruiting
Recklinghausen, Germany, 45659
Recruiting
Regensburg, Germany, 93049
Recruiting
Saarbruecken, Germany, 66113
Not yet recruiting
Stade, Germany, 21680
Terminated
Stuttgart, Germany, 70176
Not yet recruiting
Trier, Germany, 54292
Active, not recruiting
Tübingen, Germany, 72076
Active, not recruiting
ULM, Germany, 89081
Active, not recruiting
Wiesbaden, Germany, 65199
Active, not recruiting
Würzburg, Germany, 97070
Hungary
Active, not recruiting
Budapest, Hungary, 1083
Recruiting
Budapest, Hungary, 1122
Active, not recruiting
Debrecen, Hungary, 4004
Not yet recruiting
Gyor, Hungary, 9024
Not yet recruiting
Kaposvar, Hungary, 7400
Not yet recruiting
Pecs, Hungary, 7624
Recruiting
Szeged, Hungary, 6720
Israel
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Haifa, Israel, 31096
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Jerusalem, Israel, 91120
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Petach Tikva, Israel, 49100
Not yet recruiting
Ramat Gan, Israel, 52662
Italy
Active, not recruiting
Bergamo, Italy, 24127
Not yet recruiting
Milano, Italy, 20122
Active, not recruiting
Milano, Italy, 20162
Active, not recruiting
Modena, Italy, 41100
Recruiting
Padova, Italy, 35128
Active, not recruiting
Roma, Italy, 00152
Active, not recruiting
Rozzano, Italy, 20089
Japan
Active, not recruiting
Aichi, Japan, 466-8650
Active, not recruiting
Aichi, Japan, 464-8681
Recruiting
Aichi, Japan, 467-8602
Recruiting
Aomori, Japan, 030-8553
Recruiting
Chiba, Japan, 260-8717
Recruiting
Chiba, Japan, 277-8577
Active, not recruiting
Ehime, Japan, 791-0280
Active, not recruiting
Fukuoka, Japan, 811-1395
Recruiting
Gunma, Japan, 371-8511
Recruiting
Hiroshima, Japan, 734-8551
Recruiting
Hyogo, Japan, 673-8558
Active, not recruiting
Hyogo, Japan, 650-0047
Active, not recruiting
Kanagawa, Japan, 259-1193
Recruiting
Kumamoto, Japan, 860-8556
Active, not recruiting
Kyoto, Japan, 602-8566
Active, not recruiting
Miyagi, Japan, 980-8574
Recruiting
Nagano, Japan, 390-8621
Active, not recruiting
Niigata, Japan, 951-8566
Active, not recruiting
Osaka, Japan, 570-8540
Active, not recruiting
Tochigi, Japan, 329-0498
Recruiting
Tokyo, Japan, 105-8470
Active, not recruiting
Tokyo, Japan, 135-8550
Recruiting
Tokyo, Japan, 201-8601
Active, not recruiting
Tokyo, Japan, 104-0045
Russian Federation
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Moscow, Russian Federation, 115478
Recruiting
Nizhny Novgorod, Russian Federation, 603126
Recruiting
Petrozavodsk, Russian Federation, 185019
Spain
Active, not recruiting
Alcorcon, Spain, 28922
Active, not recruiting
Badalona, Spain, 08915
Active, not recruiting
Bilbao, Spain, 48013
Active, not recruiting
Madrid, Spain, 28046
Not yet recruiting
Madrid, Spain, 28007
Active, not recruiting
Madrid, Spain, 28041
Active, not recruiting
Sabadell, Spain, 08208
Sweden
Recruiting
Göteborg, Sweden, S-413 45
Terminated
Stockholm, Sweden, 11883
Taiwan
Recruiting
Taipei, Taiwan, 100
Not yet recruiting
Taipei, Taiwan, 112
Recruiting
Taoyuan, Taiwan, 333
United Kingdom
Recruiting
Aberdeen, United Kingdom, AB9 2ZB
Active, not recruiting
Birmingham, United Kingdom, B15 2TH
Active, not recruiting
Bournemouth, United Kingdom, BH7 7DW
Recruiting
Bristol, United Kingdom, BS2 8ED
Active, not recruiting
Cambridge, United Kingdom, CB2 2QQ
Active, not recruiting
Canterbury, United Kingdom, CT1 3NG
Active, not recruiting
Cardiff, United Kingdom, CF14 2TL
Recruiting
Cottingham, United Kingdom, HU16 5JG
Recruiting
Edinburgh, United Kingdom, EH4 2XU
Recruiting
Glasgow, United Kingdom, G12 0YN
Active, not recruiting
Great Yarmouth, United Kingdom, NR31 6LA
Recruiting
Harlow, United Kingdom, CM20 1QX
Recruiting
Leeds, United Kingdom, LS9 7TF
Recruiting
Leicester, United Kingdom, LE1 5WW
Active, not recruiting
London, United Kingdom, SW17 0QT
Recruiting
London, United Kingdom, W12 OHS
Recruiting
London, United Kingdom, SE5 9RS
Active, not recruiting
London, United Kingdom, EC1M 6BQ
Recruiting
London, United Kingdom, NW3 2QG
Active, not recruiting
Manchester, United Kingdom, M20 4BX
Recruiting
Norwich, United Kingdom, NR4 7UY
Active, not recruiting
Nottingham, United Kingdom, NG5 1PB
Active, not recruiting
Oxford, United Kingdom, OX3 7LJ
Active, not recruiting
Portsmouth, United Kingdom, PO6 3LY
Active, not recruiting
Southampton, United Kingdom, SO16 6YD
Active, not recruiting
Sutton, United Kingdom, SM2 5PT
Recruiting
Swansea, United Kingdom, SA2 8QA
Recruiting
Swindon, United Kingdom, SN3 6BB
Recruiting
Truro, United Kingdom, TR1 3LJ
Sponsors and Collaborators
Hoffmann-La Roche
German Low Grade Lymphoma Study Group
Institute of Cancer Research, United Kingdom
Investigators
Study Director: Clinical Trials Hoffmann-La Roche
  More Information

No publications provided

Responsible Party: Hoffmann-La Roche
ClinicalTrials.gov Identifier: NCT01332968     History of Changes
Other Study ID Numbers: BO21223
Study First Received: April 8, 2011
Last Updated: May 13, 2013
Health Authority: United States: Food and Drug Administration

Additional relevant MeSH terms:
Lymphoma
Lymphoma, Non-Hodgkin
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