Diffuse Large B-cell LymphomaPhase 3PILLAR2NCT00790036
Phase III Study of RAD001 Adjuvant Therapy in Poor Risk Patients With Diffuse Large B-Cell Lymphoma (DLBCL) of RAD001 Versus Matching Placebo After Patients Have Achieved Complete Response With First-line Rituximab-chemotherapy
A Phase 3 study testing Everolimus in people with Diffuse Large B-cell Lymphoma, run by Novartis Pharmaceuticals at 202 sites in 34 countries.
Trial summary
Phase III study of RAD001 adjuvant therapy in poor risk patients with Diffuse Large B-Cell Lymphoma (DLBCL) of RAD001 versus matching placebo after patients had achieved complete response with first-line rituximab-chemotherapy Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Diffuse Large B-cell Lymphoma
- What is being tested?
- Everolimus
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 742 participants
- Where
- 202 sitesin 34 countries
- Study dates
- 24 Jul 2009to 15 Jun 2016
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients with previous histologically confirmed Stage III-IV (or Stage II bulky disease, defined as any tumor mass more than 10 cm in longest diameter), at time of original diagnosis, diffuse large B cell lymphoma (pathology report based on original tumor tissue/lymph node is acceptable for meeting inclusion criteria, but tumor tissue (slides/block) must be available to be sent for central pathology to confirm diagnosis).
- Patients defined as poor risk with IPI of 3, 4, or 5 at time of original diagnosis.
- Patients age ≥ 18 years old.
- Patients must have achieved complete remission (CR) based on the revised IWRC (Cheson et al 2007) following first line R-chemotherapy treatment. Radiation therapy (RT) during or after R-chemotherapy is acceptable provided: 1) it ends 4 weeks prior to start of study drug and, 2) in case of consolidation RT targeted at initial bulky tumor mass, administered after R-chemotherapy, patient is already in CR before initiating RT. Complete remission from R-chemotherapy must be confirmed by clinical and radiologic evaluation along with bone marrow confirmation (if bone marrow was involved by lymphoma before the R-chemotherapy treatment). Local pathology report on the bone marrow biopsy is acceptable. If bone marrow was not involved by lymphoma before R-chemotherapy treatment, then bone marrow confirmation after R-chemotherapy is not required.
- Patients who received a minimum 5 cycles of R-chemotherapy treatment and maximum 8 cycles of R-chemotherapy treatment. Any variation of CHOP (R-CHOP-14, R-CHOP-21) is acceptable. Liposomal doxorubicin, epirubicin, or pirarubicin (also known as therarubicin) is acceptable. R-EPOCH is acceptable.
- Patients' last treatment with R-chemotherapy must be 6 to 14 weeks prior to start of study drug.
Show all 18Show fewer
- Patients with ECOG performance status (PS) 0, 1, or 2.
- Patients willing to provide a portion of his/her tumor tissue from original diagnosis or lymph node to confirm diagnosis.
- The following laboratory values obtained ≤ 21 days prior to start of study drug:
- Absolute neutrophil count ≥ 1000/mm3 (or 1.0 GI/L, SI units)
- Platelet count ≥ 100,000/mm3 (or 100 GI/L, SI units)
- Hemoglobin ≥ 9 g/dL (can be achieved by transfusion)
- Total bilirubin ≤ 2 x ULN (if >2 x ULN direct bilirubin is required and should be ≤1.5 x ULN)
- AST ≤ 3 x ULN
- Serum creatinine ≤ 2 x ULN
- Women of childbearing potential must have had a negative serum pregnancy test 14 days prior to the start of study drug plus a negative local urine pregnancy test on Day 1, Cycle 1 prior to treatment and must be willing to use adequate methods of contraception during the study and for 8 weeks after study drug administration.
- Patients who give a written informed consent obtained according to local guidelines.
- Patients capable of swallowing intact study medication tablets and following directions regarding taking study drug, or have a daily caregiver who will be responsible for administering study drug.
Who cannot join
- Patients with evidence of disease according to the revised IWRC (Cheson et al 2007) after completion of the first-line R-chemotherapy treatment, prior to study entry.
- Patients receiving ongoing radiation therapy or who received radiation therapy to the residual tumor masses < 4 weeks from start of study drug.
- Patients who have previously received systemic mTOR inhibitor (sirolimus, temsirolimus, everolimus, etc).
- Patients with evidence of current central nervous system (CNS) involvement with lymphoma. Patients who have only had prophylactic intrathecal chemotherapy against CNS disease are eligible.
- Patients with transformed follicular lymphoma.
- Patients who received ibritumomab tiuxetan (Zevalin®), in order to avoid potential delayed kidney toxicities.
Show all 22Show fewer
- Patients who had myelosuppressive chemotherapy or biologic therapy < 3 weeks from start of study drug.
- Patients receiving chronic systemic immunosuppressive agents. Inhaled and topical steroids are acceptable. Patients may be receiving stable (not increased within the last month) chronic doses of corticosteroids with a maximum dose of 20 mg of prednisone or ≤5 mg of dexamethasone per day, if they are being given for disorders other than lymphoma such as rheumatoid arthritis, polymyalgia rheumatica, adrenal insufficiency or asthma.
- Patients with active, bleeding diathesis.
- Patients with a known history of HIV seropositivity.
- Patients with known hypersensitivity to RAD001 (everolimus) or other rapamycins (sirolimus, temsirolimus) or to any of the excipients.
- Patients who have any severe and/or uncontrolled medical conditions or other conditions that could affect their participation in the study such as:
- unstable angina pectoris, symptomatic congestive heart failure (NYHA II, III, IV), myocardial infarction ≤ 6 months prior to first study drug, serious uncontrolled cardiac arrhythmia, cerebrovascular accidents ≤ 6 months before study drug start
- severely impaired lung function as defined as spirometry and DLCO that is ≤ 50% of the normal predicted value and/or O2 saturation that is 88% or less at rest on room air
- poorly controlled diabetes as defined by fasting serum glucose >2.0 x ULN
- any active (acute or chronic) or uncontrolled infection/disorders that impair the ability to evaluate the patient or for the patient to complete the study
- nonmalignant medical illnesses that are uncontrolled or whose control may be jeopardized by this study drug, such as severe hypertension that is not controlled with medical management and thyroid abnormalities whose thyroid function cannot be maintained in the normal range by medication
- liver disease such as cirrhosis or decompensated liver disease.
- Patients who have a history of another primary malignancy ≤ 3 years, with the exception of non-melanoma skin cancer and carcinoma in situ of uterine cervix.
- Female patients who are pregnant or breast feeding, or adults of reproductive potential who are not using effective birth control methods. If barrier contraceptives are being used, these must be continued throughout the trial by both sexes.
- Patients who are using other investigational agents or who had received investigational drugs ≤ 4 weeks prior to study drug start.
- Patients unwilling to or unable to comply with the protocol.
Trial locations and contacts
202 sites in 34 countries.
202 sites in 34 countries
United States34 sites
University Cancer & Blood Center, LLC
Athens, Georgia, 30607
University Cancer Institute
Boynton Beach, Florida, 33426
Lahey Clinic Dept of Lahey Clinic (3)
Burlington, Massachusetts, 01805
University of Vermont Office of Clinical Trials Res.
Burlington, Vermont, 05404
Ironwood Cancer and Research Centers SC
Chandler, Arizona, 85224
Medical University of South Carolina -Hollings Cancer Center MUSC/HCC (2)
Charleston, South Carolina, 29425
Levine Cancer Institute Oncology
Charlotte, North Carolina, 28203
University of Virginia Health Systems SC-2
Charlottesville, Virginia, 22908-0334
Rush University Medical Center Div. of Hematology & Oncology
Chicago, Illinois, 60612
University of Colorado Health
Colorado Springs, Colorado, 80909
Columbus Regional
Columbus, Georgia, 31904
Denver Health & Hospital Authority CACZ885M2301
Denver, Colorado, 80204-4507
Highlands Oncology Group Dept of Highlands Oncology Grp
Fayetteville, Arkansas, 72703
The Center for Cancer and Blood Disorders Dept. of The Ctr for C & BD
Fort Worth, Texas, 76104
Cancer Centers of the Carolinas Cancer Centers of Carolinas (3
Greenville, South Carolina, 29605
Rocky Mountain Cancer Centers RMCC
Greenwood Village, Colorado
University of Texas/MD Anderson Cancer Center Dept of MD Anderson (18)
Houston, Texas, 77030-4009
Baylor College of Medicine Dept.of Baylor College of Med.
Houston, Texas, 77030
Indiana University Hospital IU Cancer Center
Indianapolis, Indiana, 46202
University of California San Diego - Moores Cancer Center Dept of Moores Cancer Ctr (3)
La Jolla, California, 92093-0658
Dartmouth Hitchcock Medical Center Dartmouth
Lebanon, New Hampshire, 03756
USC/Kenneth Norris Comprehensive Cancer Center Dept.ofNorrisMedicalCenter(4)
Los Angeles, California, 90033
Dean Health System
Madison, Wisconsin, 53717
University of Tennessee Cancer Institute SC-2
Memphis, Tennessee, 38104
The West Clinic
Memphis, Tennessee, 38120
Tulane University Health Sciences Center Office of Clinical Research
New Orleans, Louisiana, 70112
University of Pittsburgh Medical Center SC-3
Pittsburgh, Pennsylvania, 15213
Blue Ridge Research Center at Roanoke Neurological Center SC
Roanoke, Virginia, 24018
Mayo Clinic - Rochester Dept. of MayoClinic-Rochester
Rochester, Minnesota, 55905
South Texas Oncology and Hematology, PA South Texas Oncology (2)
San Antonio, Texas, 78258
Washington University School of Medicine Div. of Medical Oncology
St Louis, Missouri, 63110
Texas A&M HealthSciencesCtr-Scott & White Memorial Hospital CenterForCancerPrevention&Care
Temple, Texas, 76508
Waukesha Memorial Hospital Cancer Center Dept.ofWaukeshaMemorialHosp.
Waukesha, Wisconsin, 53188
Wake Forest University Baptist Medical Center Dept. of WFUHS
Winston-Salem, North Carolina, 27157
Italy18 sites
Novartis Investigative Site
Brindisi, BR, 72100
Novartis Investigative Site
Catania, CT, 95124
Novartis Investigative Site
Florence, FI, 50134
Novartis Investigative Site
Genova, GE, 16132
Novartis Investigative Site
Lecce, LE, 73100
Novartis Investigative Site
Milan, MI, 20141
Novartis Investigative Site
Modena, MO, 41100
Novartis Investigative Site
Palermo, PA, 90146
Novartis Investigative Site
Pescara, PE, 65124
Novartis Investigative Site
Piacenza, PC, 29100
Novartis Investigative Site
Pisa, PI, 56126
Novartis Investigative Site
Potenza, PZ, 85100
Novartis Investigative Site
Reggio Calabria, RC, 89124
Novartis Investigative Site
Reggio Emilia, RE, 42123
Novartis Investigative Site
Rozzano, MI, 20089
Novartis Investigative Site
San Giovanni Rotondo, FG, 71013
Novartis Investigative Site
Siena, SI, 53100
Novartis Investigative Site
Venezia, VE, 30174
Japan14 sites
Novartis Investigative Site
Chuo-ku, Tokyo, 104-0045
Novartis Investigative Site
Fukuoka, 811-1395
Novartis Investigative Site
Kanazawa, Ishikawa-ken, 920-8641
Novartis Investigative Site
Kashiwa, Chiba, 277-8577
Novartis Investigative Site
Koto, Tokyo, 135-8550
Novartis Investigative Site
Kure, Hiroshima, 737-0023
Novartis Investigative Site
Kyoto, Kyoto, 602-8566
Novartis Investigative Site
Matsuyama, Ehime, 790-8524
Novartis Investigative Site
Nagoya, Aichi-ken, 466-8650
Novartis Investigative Site
Osaka, Osaka, 545-8586
Novartis Investigative Site
Sendai, Miyagi, 980-8574
Novartis Investigative Site
Shinjuku-ku, Japan, 160-0023
Novartis Investigative Site
Suita, Osaka, 565-0871
Novartis Investigative Site
Sunto-gun, Shizuoka, 411-8777
Spain14 sites
Novartis Investigative Site
Badalona, Catalonia, 08916
Novartis Investigative Site
Barcelona, Catalonia, 08003
Novartis Investigative Site
Barcelona, Catalonia, 08028
Novartis Investigative Site
Barcelona, Catalonia, 08035
Novartis Investigative Site
Cadiz, Andalusia, 11009
Novartis Investigative Site
Donostia / San Sebastian, Basque Country, 20080
Novartis Investigative Site
Madrid, 28006
Novartis Investigative Site
Majadahonda, Madrid, 28222
Novartis Investigative Site
Pamplona, Navarre, 31008
Novartis Investigative Site
Pozuelo de Alarcón, Madrid, 28223
Novartis Investigative Site
Sabadell, Barcelona, 08208
Novartis Investigative Site
Santander, Cantabria, 39008
Novartis Investigative Site
Seville, Andalusia, 41013
Novartis Investigative Site
Valencia, Valencia, 46010
Canada10 sites
Novartis Investigative Site
Brampton, Ontario, L6R 3J7
Novartis Investigative Site
Cambridge, Ontario, N1R 3G2
Novartis Investigative Site
Greenfield Park, Quebec, J4V 2H1
Novartis Investigative Site
Mississauga, Ontario, L5M 2V8
Novartis Investigative Site
Montreal, Quebec, H1T 2M4
Novartis Investigative Site
Montreal, Quebec, H4A 3J1
Novartis Investigative Site
Ottawa, Ontario, K1H 8L6
Novartis Investigative Site
Québec, Quebec, G1J 1Z4
Novartis Investigative Site
Toronto, Ontario, M4C 3E7
Novartis Investigative Site
Toronto, Ontario, M5G 2M9
Germany8 sites
Novartis Investigative Site
Aachen, 52074
Novartis Investigative Site
Bad Saarow, 15526
Novartis Investigative Site
Bamberg, 96049
Novartis Investigative Site
Cologne, 51067
Novartis Investigative Site
Dresden, 01307
Novartis Investigative Site
Freiburg im Breisgau, 79106
Novartis Investigative Site
Hamburg, 20095
Novartis Investigative Site
München, 81737
Russia8 sites
Novartis Investigative Site
Moscow, 115478
Novartis Investigative Site
Moscow, 125167
Novartis Investigative Site
Moscow, 129110
Novartis Investigative Site
Nizhny Novgorod, 603000
Novartis Investigative Site
Petrozavodsk, 185019
Novartis Investigative Site
Saint Petersburg, 191024
Novartis Investigative Site
Saint Petersburg, 197341
Novartis Investigative Site
Saint Petersburg, 197758
China6 sites
Novartis Investigative Site
Beijing, 100021
Novartis Investigative Site
Beijing, 100036
Novartis Investigative Site
Chengdu, Sichuan, 610041
Novartis Investigative Site
Guangzhou, 510060
Novartis Investigative Site
Hangzhou, Zhejiang, 310003
Novartis Investigative Site
Shanghai, 200025
France6 sites
Novartis Investigative Site
Amiens Cedex1, 80054
Novartis Investigative Site
Brest, 29200
Novartis Investigative Site
La Roche-sur-Yon, 85925
Novartis Investigative Site
Limoges, 87042
Novartis Investigative Site
Pessac, 33604
Novartis Investigative Site
Saint-Priest-en-Jarez, 42271
Austria5 sites
Novartis Investigative Site
Innsbruck, Tyrol, 6020
Novartis Investigative Site
Leoben, A-8700
Novartis Investigative Site
Linz, 4010
Novartis Investigative Site
Vienna, 1090
Novartis Investigative Site
Vienna, 1140
Brazil5 sites
Novartis Investigative Site
Campinas, São Paulo, 13083-970
Novartis Investigative Site
Curitiba, Paraná, 80060-900
Novartis Investigative Site
Porto Alegre, Rio Grande do Sul, 90610-000
Novartis Investigative Site
São Paulo, São Paulo, 01224-000
Novartis Investigative Site
São Paulo, São Paulo, 05403-000
Egypt5 sites
Novartis Investigative Site
Al Mansurah, 35516
Novartis Investigative Site
Alexandria
Novartis Investigative Site
Cairo, 11566
Novartis Investigative Site
Cairo, 12655
Novartis Investigative Site
Cairo
Hungary5 sites
Novartis Investigative Site
Budapest, 1122
Novartis Investigative Site
Győr, H-9023
Novartis Investigative Site
Kaposvár, 7400
Novartis Investigative Site
Pécs, 7624
Novartis Investigative Site
Szeged, H-6725
Israel5 sites
Novartis Investigative Site
Haifa, 3525408
Novartis Investigative Site
Jerusalem, 91120
Novartis Investigative Site
Petah Tikva, 49100
Novartis Investigative Site
Ramat Gan, 5266202
Novartis Investigative Site
Tel Aviv, 64239
Lebanon5 sites
Novartis Investigative Site
Beirut, 1107 2020
Novartis Investigative Site
Beirut, 166378
Novartis Investigative Site
Beirut, 166830
Novartis Investigative Site
Beirut, 6301
Novartis Investigative Site
Saida, 652
Turkey (Türkiye)5 sites
Novartis Investigative Site
Ankara, 06100
Novartis Investigative Site
Ankara, 06460
Novartis Investigative Site
Antalya, 07070
Novartis Investigative Site
Istanbul, 34093
Novartis Investigative Site
Talas / Kayseri, 38039
Australia4 sites
Novartis Investigative Site
Clayton, Victoria, 3168
Novartis Investigative Site
Douglas, Queensland, 4810
Novartis Investigative Site
Geelong, Victoria, 3220
Novartis Investigative Site
Greenslopes, Queensland, 4120
Czechia4 sites
Novartis Investigative Site
Brno-Bohunice, Czech Republic, 625 00
Novartis Investigative Site
Hradec Králové, CZE, 500 05
Novartis Investigative Site
Olomouc, CZE, 775 20
Novartis Investigative Site
Prague, 100 34
Greece4 sites
Novartis Investigative Site
Athens, GR, 115 27
Novartis Investigative Site
Athens, 11527
Novartis Investigative Site
Heraklion Crete, Greece, 711 10
Novartis Investigative Site
Ioannina, GR, 455 00
Poland4 sites
Novartis Investigative Site
Bydgoszcz, 85-796
Novartis Investigative Site
Lodz, 93-509
Novartis Investigative Site
Lublin, Lublin Voivodeship, 20-080
Novartis Investigative Site
Warsaw, 02-106
South Korea4 sites
Novartis Investigative Site
Gyeonggi-do, Korea, 10408
Novartis Investigative Site
Seoul, Korea, 03722
Novartis Investigative Site
Seoul, Korea, 05505
Novartis Investigative Site
Seoul, Korea, 06351
Thailand4 sites
Novartis Investigative Site
Bangkok, 10330
Novartis Investigative Site
Bangkok, 10400
Novartis Investigative Site
Bangkok, 10700
Novartis Investigative Site
Songkhla, 90110
Argentina3 sites
Novartis Investigative Site
Buenos Aires, C1114AAN
Novartis Investigative Site
Córdoba, X5016KEH
Novartis Investigative Site
La Plata, Buenos Aires, B1900AWT
Colombia3 sites
Novartis Investigative Site
Bogotá, Cundinamarca
Novartis Investigative Site
Bucaramanga
Novartis Investigative Site
Medellín
Saudi Arabia3 sites
Novartis Investigative Site
Dammam, 15215
Novartis Investigative Site
Jeddah, 21423
Novartis Investigative Site
Riyadh, 11426
Singapore3 sites
Novartis Investigative Site
Singapore, 119228
Novartis Investigative Site
Singapore, 169608
Novartis Investigative Site
Singapore, 169610
Mexico2 sites
Novartis Investigative Site
Mexico City, Mexico City, 01120
Novartis Investigative Site
Monterrey, Nuevo León, 64020
New Zealand2 sites
Novartis Investigative Site
Grafton, Auckland
Novartis Investigative Site
Wellington
Peru2 sites
Novartis Investigative Site
Jesus Maria, Lima region, 11
Novartis Investigative Site
San Isidro, Lima region, 27
Switzerland2 sites
Novartis Investigative Site
Bellinzona, 6500
Novartis Investigative Site
Zurich, CH, 8091
Venezuela2 sites
Novartis Investigative Site
Caracas, Distrito Federal, 1010
Novartis Investigative Site
Caracas, Distrito Federal, 1011
About this study
Official title: A Randomized, Double-blind, Placebo-controlled, Multi-center Phase III Study of RAD001 Adjuvant Therapy in Poor Risk Patients With Diffuse Large B-Cell Lymphoma (DLBCL) of RAD001 Versus Matching Placebo After Patients Have Achieved Complete Response With First-line Rituximab-chemotherapy
Phase III study of RAD001 adjuvant therapy in poor risk patients with Diffuse Large B-Cell Lymphoma (DLBCL) of RAD001 versus matching placebo after patients had achieved complete response with first-line rituximab-chemotherapy
- Conditions
- Diffuse Large B-cell Lymphoma
- Being tested
- Everolimus, Everolimus Placebo
- Keywords
- Diffuse large B cell lymphoma, DLBCL, poor risk, R-IPI 3-5, adjuvant therapy, after R-CHOP or R-EPOCH, after R-CHOP, B-cell lymphoma, lymphoma, b cells, blood cancer, lymph nodes, Hodgkin's, non-Hodgkin
- Medical subject headings
- Lymphoma, Large B-Cell, Diffuse, Lymphoma, B-Cell, Lymphoma, Hematologic Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
EverolimusDrug
Also called RAD001
Everolimus was formulated as tablets of 5 mg strength, blister-packed under aluminum foil in units of 10 tablets.
Everolimus PlaceboDrug
Everolimus placebo was formulated as tablets of 5 mg strength, blister-packed under aluminum foil in units of 10 tablets.
| Study group | Role | What they receive |
|---|---|---|
| Everolimus | Experimental | Participants who received Everolimus 10 mg (two 5 mg tablets), daily for 12 months Receives: Drug: Everolimus |
| Placebo | Placebo comparator | Participants who received Everolimus placebo 10 mg (two 5 mg tablets), daily for 12 months Receives: Drug: Everolimus Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Disease-free Survival (DFS)
DFS was defined as the time from date of randomization to the date of event defined as the first documented relapse of the disease or death due to any cause. Relapse was based on investigator assessment and was assigned only if: It was documented according to Cheson guidelines by an objective radiological assessment method; It was documented by a biopsy proven lymphoma including new or recurrent bone marrow involvement; A new anticancer therapy for lymphoma started with subsequent confirmation of the relapse within 4 weeks of the start of this anticancer therapy
Measured: From date of randomization to the date of event defined as the first documented recurrence of the disease, or death due to any cause and up to 6 years
Secondary outcomes (2)
Overall Survival (OS)
OS was defined as the time from date of randomization to date of death due to any cause. If the patient was not known to have died, survival was censored at the date of the last contact.
Measured: From date of randomization to date of death due to any cause up to around 7 years
Lymphoma-specific Survival (LSS)
LSS was defined as time from randomization to death as a result of lymphoma.
Measured: From randomization to death documented as a result of lymphoma up to 7 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Nov 2008 (estimated)
- Study start24 Jul 2009
- Primary completion15 Jun 2016
- Study completion15 Jun 2016
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Diffuse Large B-cell LymphomaStudies of the same condition, open and under way.
- More trials run by Novartis PharmaceuticalsThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 742 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novartis Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Novartis Pharmaceuticals, Study director, Novartis Pharmaceuticals
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00790036
- Sponsor's protocol ID
- CRAD001N2301
- Other IDs
- 2008-000498-40, 2008
- Acronym
- PILLAR2
- Status last verified
- Jun 2017
- First submitted
- 11 Nov 2008
- Last updated
- 12 Jul 2017
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Undecided: Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com
Publications
Witzig TE, Tobinai K, Rigacci L, Ikeda T, Vanazzi A, Hino M, Shi Y, Mayer J, Costa LJ, Bermudez Silva CD, Zhu J, Belada D, Bouabdallah K, Kattan JG, Kuruvilla J, Kim WS, Larouche JF, Ogura M, Ozcan M, Fayad L, Wu C, Fan J, Louveau AL, Voi M, Cavalli F. Adjuvant everolimus in high-risk diffuse large B-cell lymphoma: final results from the PILLAR-2 randomized phase III trial. Ann Oncol. 2018 Mar 1;29(3):707-714. doi: 10.1093/annonc/mdx764.
PubMed 29253068
Study at a glance
From the registry record, last updated by the sponsor on 12 Jul 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-blind, Placebo-controlled, Multi-center Phase III Study of RAD001 Adjuvant Therapy in Poor Risk Patients With Diffuse Large B-Cell Lymphoma (DLBCL) of RAD001 Versus Matching Placebo After Patients Have Achieved Complete Response With First-line Rituximab-chemotherapy
- ClinicalTrials.gov ID
- NCT00790036
- Acronym / sponsor ID
- PILLAR2 / CRAD001N2301
- Conditions
- Diffuse Large B-cell Lymphoma
- Keywords
- Diffuse large B cell lymphoma, DLBCL, poor risk, R-IPI 3-5, adjuvant therapy, after R-CHOP or R-EPOCH, after R-CHOP, B-cell lymphoma
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 742 participants (actual)
- Lead sponsor
- Novartis PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- 24 Jul 2009 (actual)
- Primary completion
- 15 Jun 2016 (actual)
- Study completion
- 15 Jun 2016 (actual)
- First posted
- 13 Nov 2008 (estimated)
- Results
- Posted 12 Jul 2017
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Phase III study of RAD001 adjuvant therapy in poor risk patients with Diffuse Large B-Cell Lymphoma (DLBCL) of RAD001 versus matching placebo after patients had achieved complete response with first-line rituximab-chemotherapy
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Everolimus | Experimental | Drug: EverolimusParticipants who received Everolimus 10 mg (two 5 mg tablets), daily for 12 months |
| Placebo | Placebo comparator | Drug: Everolimus PlaceboParticipants who received Everolimus placebo 10 mg (two 5 mg tablets), daily for 12 months |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (18 listed)
- Patients with previous histologically confirmed Stage III-IV (or Stage II bulky disease, defined as any tumor mass more than 10 cm in longest diameter), at time of original diagnosis, diffuse large B cell lymphoma (pathology report based on original tumor tissue/lymph node is acceptable for meeting inclusion criteria, but tumor tissue (slides/block) must be available to be sent for central pathology to confirm diagnosis).
- Patients defined as poor risk with IPI of 3, 4, or 5 at time of original diagnosis.
- Patients age ≥ 18 years old.
- Patients must have achieved complete remission (CR) based on the revised IWRC (Cheson et al 2007) following first line R-chemotherapy treatment. Radiation therapy (RT) during or after R-chemotherapy is acceptable provided: 1) it ends 4 weeks prior to start of study drug and, 2) in case of consolidation RT targeted at initial bulky tumor mass, administered after R-chemotherapy, patient is already in CR before initiating RT. Complete remission from R-chemotherapy must be confirmed by clinical and radiologic evaluation along with bone marrow confirmation (if bone marrow was involved by lymphoma before the R-chemotherapy treatment). Local pathology report on the bone marrow biopsy is acceptable. If bone marrow was not involved by lymphoma before R-chemotherapy treatment, then bone marrow confirmation after R-chemotherapy is not required.
- Patients who received a minimum 5 cycles of R-chemotherapy treatment and maximum 8 cycles of R-chemotherapy treatment. Any variation of CHOP (R-CHOP-14, R-CHOP-21) is acceptable. Liposomal doxorubicin, epirubicin, or pirarubicin (also known as therarubicin) is acceptable. R-EPOCH is acceptable.
Key exclusion criteria (22 listed)
- Patients with evidence of disease according to the revised IWRC (Cheson et al 2007) after completion of the first-line R-chemotherapy treatment, prior to study entry.
- Patients receiving ongoing radiation therapy or who received radiation therapy to the residual tumor masses < 4 weeks from start of study drug.
- Patients who have previously received systemic mTOR inhibitor (sirolimus, temsirolimus, everolimus, etc).
- Patients with evidence of current central nervous system (CNS) involvement with lymphoma. Patients who have only had prophylactic intrathecal chemotherapy against CNS disease are eligible.
- Patients with transformed follicular lymphoma.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| EverolimusAlso: RAD001Everolimus was formulated as tablets of 5 mg strength, blister-packed under aluminum foil in units of 10 tablets. | Drug | Everolimus |
| Everolimus PlaceboEverolimus placebo was formulated as tablets of 5 mg strength, blister-packed under aluminum foil in units of 10 tablets. | Drug | Placebo |
Primary outcome
Disease-free Survival (DFS)
Time frame: From date of randomization to the date of event defined as the first documented recurrence of the disease, or death due to any cause and up to 6 years
DFS was defined as the time from date of randomization to the date of event defined as the first documented relapse of the disease or death due to any cause. Relapse was based on investigator assessment and was assigned only if: It was documented according to Cheson guidelines by an objective radiological assessment method; It was documented by a biopsy proven lymphoma including new or recurrent bone marrow involvement; A new anticancer therapy for lymphoma started with subsequent confirmation of the relapse within 4 weeks of the start of this anticancer therapy
2 secondary outcomes
Overall Survival (OS)
Time frame: From date of randomization to date of death due to any cause up to around 7 years
Lymphoma-specific Survival (LSS)
Time frame: From randomization to death documented as a result of lymphoma up to 7 years
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Jul 2017.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 29253068Witzig TE, Tobinai K, Rigacci L, Ikeda T, Vanazzi A, Hino M, Shi Y, Mayer J, Costa LJ, Bermudez Silva CD, Zhu J, Belada D, Bouabdallah K, Kattan JG, Kuruvilla J, Kim WS, Larouche JF, Ogura M, Ozcan M, Fayad L, Wu C, Fan J, Louveau AL, Voi M, Cavalli F. Adjuvant everolimus in high-risk diffuse large B-cell lymphoma: final results from the PILLAR-2 randomized phase III trial. Ann Oncol. 2018 Mar 1;29(3):707-714. doi: 10.1093/annonc/mdx764.
- Visit NovartisClinicalTrials.com: Pre-qualify for a trial, and view a list of trials and participating study centers.Link provided by the sponsor.
- Individual participant dataSharing planned: Undecided. Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Novartis Pharmaceuticals study director
Novartis Pharmaceuticals
202 sites in 34 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Everolimus in people with Diffuse Large B-cell Lymphoma, run by Novartis Pharmaceuticals at 202 sites in 34 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 18 inclusion and 22 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 12 Jul 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 202 sites in United States, Italy, Japan, Spain, Canada and 29 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 12 Jul 2017). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Disease-free Survival (DFS) (time frame: From date of randomization to the date of event defined as the first documented recurrence of the disease, or death due to any cause and up to 6 years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00790036, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Jul 2017.