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A Study Comparing Obinutuzumab and BGB-3111 Versus Obinutuzumab Alone in Treating R/R Follicular Lymphoma (ROSEWOOD)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details. Identifier: NCT03332017
Recruitment Status : Recruiting
First Posted : November 6, 2017
Last Update Posted : January 23, 2020
Information provided by (Responsible Party):

Brief Summary:
The purpose of the study is to evaluate the efficacy, safety and tolerability and of BGB-3111plus obinutuzumab versus obinutuzumab alone in participants with relapsed/refractory non-Hodgkin follicular lymphoma.

Condition or disease Intervention/treatment Phase
Relapsed/Refractory Follicular Non-Hodgkin Lymphoma Drug: BGB-3111 Drug: obinutuzumab Phase 2

Detailed Description:
This is an open-label, randomized active control study of BGB-3111 plus obinutuzumab versus obinutuzumab alone in participants with relapsed or refractory follicular lymphoma. Randomization is 2:1 and participants will be stratified by the number of prior lines of therapy (2 - 3 vs > 3),rituximab-refractory status and geographic region (China vs ex-China). The study will evaluate the efficacy, as measured by overall response rate by independent review, safety and tolerability. Pharmacokinetic profile of BGB-3111 and obinutuzumab combination therapy will also be evaluated

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 210 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: An International, Phase 2, Open-Label, Randomized Study of BGB-3111 Combined With Obinutuzumab Compared With Obinutuzumab Monotherapy in Relapsed/ Refractory Follicular Lymphoma
Actual Study Start Date : November 15, 2017
Estimated Primary Completion Date : July 2021
Estimated Study Completion Date : March 2023

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Lymphoma

Arm Intervention/treatment
Experimental: Arm A
Approximately 140 subjects to receive BGB-3111 and obinutuzumab
Drug: BGB-3111
BGB-3111 will be administered as two 80-mg capsules by mouth twice a day (160 mg twice a day)

Drug: obinutuzumab
Obinutuzumab will be administered 1,000 mg intravenously on days 1, 8, and 15 of cycle 1, then 1,000 mg on day 1 of cycles 2 to 6, then 1,000 mg every 8 weeks. 1 cycle = 28 days.
Other Name: Gazyva

Experimental: Arm B
Approximately 70 subjects to receive obinutuzumab
Drug: obinutuzumab
Obinutuzumab will be administered 1,000 mg intravenously on days 1, 8, and 15 of cycle 1, then 1,000 mg on day 1 of cycles 2 to 6, then 1,000 mg every 8 weeks. 1 cycle = 28 days.
Other Name: Gazyva

Primary Outcome Measures :
  1. Objective response rate (ORR) [ Time Frame: up to 3 years ]

Secondary Outcome Measures :
  1. Progression free survival (PFS) [ Time Frame: up to 3 years ]
  2. Duration of response (DOR) [ Time Frame: up to 3 years ]
  3. Time to response (TTR) [ Time Frame: up to 3 years ]
  4. Incidence, timing, severity of treatment-emergent adverse events (TEAEs) [ Time Frame: up to 3 years ]
    Safety and Tolerability

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

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Ages Eligible for Study:   18 Years to 99 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Key Inclusion Criteria: All participants

  1. Histologically confirmed diagnosis of B-cell follicular lymphoma based on the World Health Organization (WHO) 2008 classification of tumors of hematopoietic and lymphoid tissue.
  2. ≥2 prior systemic treatments for follicular lymphoma.
  3. Previously received an anti-CD20 antibody and an appropriate alkylator-based combination therapy.
  4. Disease progression within 12 months after completion of most recent therapy or refractory disease.
  5. Presence of measurable disease.
  6. Availability of archival tissue confirming diagnosis.
  7. Eastern Cooperative Oncology Group (ECOG) performance status of 0,1 or 2.
  8. Life expectancy ≥6 months.
  9. Adequate bone marrow function.
  10. Adequate renal and hepatic function.
  11. Females of childbearing potential and non-sterile males must agree to use highly effective methods of birth control throughout the course of study and at least up to 90 days after last dosing, or 18 months after the last dose of obinutuzumab, whichever is longer.
  12. Male participants are eligible if vasectomized or if they agree to the use of barrier contraception in combination with other methods during the study treatment period and for ≥ 90 days after the last dose of BGB-3111.
  13. Ability to provide the written informed consent and can understand and comply with the requirements of the study.

Key Exclusion Criteria: All participants

  1. Prior exposure to a Bruton's tyrosine kinase (BTK) inhibitor.
  2. Known central nervous system involvement by leukemia or lymphoma.
  3. No evidence of transformation from follicular lymphoma to other aggressive histology.
  4. No allogeneic hematopoietic stem cell transplantation within 12 months of enrollment
  5. Prior malignancy within the past 5 years, except for basal or squamous cell skin cancer, superficial bladder cancer, carcinoma in situ of the cervix of breast, or localized Gleason score 6 prostate
  6. Clinically significant cardiovascular disease.
  7. Major surgery or significant injury ≤ 4 weeks prior to start of study treatment.
  8. Active fungal, bacterial or viral infection requiring systemic treatment.
  9. History of severe bleeding disorder.
  10. History of stroke or intracranial hemorrhage within 6 months before first study drug.
  11. Severe or debilitating pulmonary disease.
  12. Known human immunodeficiency virus (HIV) or active hepatitis B or C.
  13. Unable to swallow capsules or significant gastrointestinal disease that would interfere with drug absorption.
  14. Requires ongoing treatment with a strong Cytochrome P4503A (CYP3A) inhibitor or inducer.
  15. Pregnant or nursing females.
  16. Vaccination with live vaccine within 35 days prior to first dose.
  17. Ongoing drug or alcohol addiction.
  18. Hypersensitivity to BGB-3111, known ingredients of BGB-3111 or obinutuzumab.
  19. Participation in another therapeutic trial.

NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT03332017

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Contact: BeiGene +1-877-828-5568

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Sponsors and Collaborators
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Study Director: William Reed, MD BeiGene

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Responsible Party: BeiGene Identifier: NCT03332017    
Other Study ID Numbers: BGB-3111-212
2017-001552-54 ( EudraCT Number )
First Posted: November 6, 2017    Key Record Dates
Last Update Posted: January 23, 2020
Last Verified: January 2020
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Yes

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Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by BeiGene:
Relapsed/Refractory Follicular non-Hodgkin Lymphoma
Additional relevant MeSH terms:
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Lymphoma, Follicular
Lymphoma, Non-Hodgkin
Neoplasms by Histologic Type
Lymphoproliferative Disorders
Lymphatic Diseases
Immunoproliferative Disorders
Immune System Diseases
Antineoplastic Agents, Immunological
Antineoplastic Agents
Protein Kinase Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action