Lymphoma, Non-HodgkinPhase 3NCT01232556
A Study Of Inotuzumab Ozogamicin Plus Rituximab For Relapsed/Refractory Aggressive Non-Hodgkin Lymphoma Patients Who Are Not Candidates For Intensive High-Dose Chemotherapy
A Phase 3 study testing Inotuzumab ozogamicin, Rituximab and rituximab + gemcitabine in people with Lymphoma, Non-Hodgkin, run by Pfizer at 177 sites in 25 countries.
Trial summary
The purpose of this study is to evaluate the efficacy of inotuzumab ozogamicin plus rituximab in relapsed/refractory aggressive Non-Hodgkin lymphoma patients who are not candidates for intensive high-dose chemotherapy. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Lymphoma, Non-Hodgkin
- What is being tested?
- Inotuzumab ozogamicin, Rituximab and rituximab + gemcitabine
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 338 participants
- Where
- 177 sitesin 25 countries
- Study dates
- 4 Apr 2011to 28 Mar 2014
- 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
- -
Who cannot join
- -
Trial locations and contacts
177 sites in 25 countries.
177 sites in 25 countries
United States82 sites
Georgia Regents Medical Cancer Pharmacy
Augusta, Georgia, 30912
Georgia Regents University
Augusta, Georgia, 30912
Mount Sinai Comprehensive Cancer Center at Aventura
Aventura, Florida, 33180
University Cancer Institute
Boynton Beach, Florida, 33426
Disney Family Cancer Center at Providence St Joseph Medical Center
Burbank, California, 91505
Providence St Joseph Medical Center
Burbank, California, 91505
University Hospital
Cincinnati, Ohio, 45219
Barnes-Jewish St. Peters
City of Saint Peters, Missouri, 63376
Kootenai Cancer Center
Coeur d'Alene, Idaho, 83814
Good Samaritan Hospital Corvallis
Corvallis, Oregon, 97330
Good Samaritan Hospital, Corvallis
Corvallis, Oregon, 97330
Samaritan Ambulatory Infusion Services
Corvallis, Oregon, 97330
University Hospital - St. Paul
Dallas, Texas, 75235
University Hospital - Zale Lipshy
Dallas, Texas, 75235
Baylor University Medical Center
Dallas, Texas, 75246
Baylor: Charles A. Sammons Cancer Center
Dallas, Texas, 75246
Simmons Comprehensive Cancer Center
Dallas, Texas, 75390
Decatur Memorial Hospital (DMH)
Decatur, Illinois, 62526
Barbara Ann Karmanos Cancer Institute
Detroit, Michigan, 48201
Barbara Ann Karmanos Cancer Institute at farmington Hills
Farmington Hills, Michigan, 48334
21st Century Oncology of Jacksonville, LLC
Fernandina Beach, Florida, 32034
Hematology-Oncology Medical Group of Fresno Inc
Fresno, California, 93720
Davis Cancer Pavilion and Shands Medical Plaza
Gainesville, Florida, 32608
Shands Cancer Hospital at the University of Florida
Gainesville, Florida, 32608
UF Health Davis Cancer Pavillion and Shands Med Plaza
Gainesville, Florida, 32608
UF Health Shands Cancer Hospital
Gainesville, Florida, 32608
Shands Hospital at the University of Florida
Gainesville, Florida, 32610
UF Health Shands Hospital
Gainesville, Florida, 32610
Penn State Milton S. Hershey Medical Center
Hershey, Pennsylvania, 17033
The University of Texas MD Anderson Cancer Center
Houston, Texas, 77030
21st Century Oncology of Jacksonville, LLC
Jacksonville, Florida, 32205
21st Century Oncology of Jacksonville, LLC
Jacksonville, Florida, 32207
Baptist Cancer Institute
Jacksonville, Florida, 32207
Baptist Medical Center
Jacksonville, Florida, 32207
21st Century Oncology of Jacksonville, LLC
Jacksonville, Florida, 32256
21st Century Oncology of Jacksonville, Inc.
Jacksonville, Florida, 32258
University of Kansas Medical Center
Kansas City, Kansas, 66160
Thompson Oncology Group
Knoxville, Tennessee, 37916
Thompson Oncology Group
Knoxville, Tennessee, 37932
Medical Specialists Of The Palm Beaches
Lake Worth, Florida, 33467
University of Kentucky A.B. Chandler Medical Center
Lexington, Kentucky, 40536
University of Kentucky Markey Cancer Center
Lexington, Kentucky, 40536
Southeast Nebraska Hematology & Oncology Consultants, P.C. d/b/a Southeast Nebraska Cancer Center
Lincoln, Nebraska, 68510
Ronald Reagan UCLA Medical Center Drug Information Center Department of Pharmaceutical Services
Los Angeles, California, 90095-6981
Clinical Research Unit
Los Angeles, California, 90095
Peter Morton Medical Plaza
Los Angeles, California, 90095
Ronald Reagan UCLA Medical Center
Los Angeles, California, 90095
Thompson Oncology Group
Maryville, Tennessee, 37804
Advanced Medical Specialties
Miami, Florida, 33133
Mercy Hospital
Miami, Florida, 33133
Mercy Research Institute
Miami, Florida, 33133
Mount Sinai Comprehensive Cancer Center
Miami Beach, Florida, 33140
Mount Sinai Medical Center
Miami Beach, Florida, 33140
Floyd Memorial Cancer Center of Indiana
New Albany, Indiana, 47150
Tulane University Hospital and Clinic
New Orleans, Louisiana, 70112
Beth Israel Medical Center;
New York, New York, 10003
Beth Israel Comprehensive Cancer Center
New York, New York, 10011-5903
St Luke's- Roosevelt Hospital Center
New York, New York, 10019
Memorial Sloan Kettering Cancer Center
New York, New York, 10065
Samaritan Pacific Coast Hospital
Newport, Oregon, 97365
OU Medical Center Presbyterian Professional Building
Oklahoma City, Oklahoma, 73104
OU Medical Center Presbyterian Tower
Oklahoma City, Oklahoma, 73104
Peggy and Charles Stephenson Cancer Center (chemo & infusion)
Oklahoma City, Oklahoma, 73104
Peggy and Charles Stephenson Cancer Center (clinic location)
Oklahoma City, Oklahoma, 73104
21st Century Oncology of Jacksonville, LLC
Orange Park, Florida, 32073
Kootenai Cancer Center
Post Falls, Idaho, 083854
Park Nicollet Frauenshuh Cancer Center
Saint Louis Park, Minnesota, 55426
Sansum Clinic
Santa Barbara, California, 93105
UCLA Santa Monica Hematology Oncology
Santa Monica, California, 90404
Guthrie Clinic, Ltd.
Sayre, Pennsylvania, 18840
Robert Packer Hospital
Sayre, Pennsylvania, 18840
Thompson Oncology Group
Sevierville, Tennessee, 37862
Sansum Clinic
Solvang, California, 93463
Barnes-Jewish Hospital
St Louis, Missouri, 63110
Washington University in St Louis
St Louis, Missouri, 63110
Washington University School of Medicine
St Louis, Missouri, 63110
Washington University
St Louis, Missouri, 63110
Stony Brook University Medical Center, The Cancer Center
Stony Brook, New York, 11794
Stony Brook University Medical Center
Stony Brook, New York, 11794
Howard University Hospital
Washington D.C., District of Columbia, 20060
West Chester Hospital Medical Building
West Chester, Ohio, 45069
University of Kansas Cancer Center and Medical Pavilion
Westwood, Kansas, 66205
Japan13 sites
Akita University Hospital
Akita, 010-8543
National Cancer Center Hospital
Chuo-ku, Tokyo, 104-0045
National Kyushu Cancer Center
Fukuoka, 811-1395
Tokai University Hospital
Kanagawa, 259-1193
National Cancer Center Hospital East
Kashiwa, Chiba, 277-8577
Cancer Institute Hospital, Japanese Foundation For Cancer Research
Koto-Ku, Tokyo, 135-8550
University Hospital, Kyoto Prefectural University of Medicine
Kyoto, 602-8566
Gunma University Hospital
Maebashi, Gunma, 371-8511
Matsushita Memorial Hospital
Moriguchi, Osaka, 570-8540
Nagoya Daini Red Cross Hospital
Nagoya, Aichi-ken, 4668650
Tohoku University Hospital
Sendai, Miyagi, 980-8574
Shizuoka Cancer Center
Sunto-gun, Shizuoka, 411-8777
Ehime University Hospital
Toon-shi, Ehime, 791-0295
United Kingdom12 sites
Barts Cancer Centre Dept Haemato-oncology St. Bartholomew's Hospital Barts Health NHS Trust
London, EC1A 7BE
Chemotherapy Preparative Unit St. Bartholomew's Hospital
London, EC1A 7BE
Department of Medical Oncology St. Bartholomew's Hospital
London, EC1A 7BE
The Christie NHS Foundation Trust - Christie Hospital
Manchester, M20 4BX
Department of Clinical Pathology Newcastle upon Tyne Hospitals NHS Foundation Trust Royal Victoria I
Newcastle upon Tyne, NE1 4LP
Department of Clinical Biochemistry Newcastle upon Tyne Hospitals
Newcastle upon Tyne, NE7 7DN
Northern Centre for Cancer Care
Newcastle upon Tyne, NE7 7DN
Nottingham University Hospital
Nottingham, NG5 1PB
Pathology Department Nottingham University Hospital - City Hospital Campus
Nottingham, NG5 1PB
Pharmacy Nottingham University Hospital - City Hospital Campus
Nottingham, NG5 1PB
Local Laboratory Nottingham University Hospital - City Hospital Campus
Nottingham, NG51PB
New Cross Hospital
Wolverhampton, WV10 0QP
France8 sites
Hopital Andre Mignot
Le Chesnay, Yvelines, 78157
Hospital Universitaire Andre Mignot
Le Chesnay, Yvelines, 78157
Centre Leon Berard
Lyon, 69373
Département Pharmacie
Marseille, Bouches-du-rhône, Cedex 09 13273
Institut Paoli Calmettes
Marseille, Cedex 09, 13273
CHU Saint Eloi
Montpellier, 34295Cedex5
Hopital du haut Leveque
Pessac, 33600
Centre Henri Becquerel
Rouen, 76038
Germany7 sites
Universitaetsklinikum Aachen
Aachen, 52074
Sozialstiftung Bamberg
Bamberg, 96049
Charite Campus Benjamin Franklin
Berlin, 10117
Charite Campus Virchow-Klinikum
Berlin, 13353
Universitaetsklinikum Mainz
Mainz, 55101
TU Muenchen III. Medizinische Klinik
München, 81675
Universitaetsklinik Ulm
Ulm, 89081
Spain7 sites
Hospital Clinic de Barcelona
Barcelona, 08036
Hospital Clinic Universitari de Barcelona
Barcelona, 08036
Institut Catala d'Oncologia-L'Hospitalet
L'Hospitalet de Llobregat (bcn), 08907
Hospital Universitario de Canarias
La Laguna (Tenerife), 38320
Hospital de la Princesa
Madrid, 28006
Hospital Universitario De Salamanca
Salamanca, Castille and LION, 37007
Hospital Virgen Del Rocio
Seville, Andalusia, 41013
Belgium6 sites
Institut Jules Bordet
Brussels, 1000
Grand Hopital de Charleroi
Charleroi, 6000
Universitaire Ziekenhuizen Leuven
Leuven, Vlaams Brabant, 3000
H.-Hartziekenhuis Roeselare-Menen
Roeselare, 8800
St Augustinus Ziekenhuis
Wilrijk, 2610
Cliniques universitaires UCL de Mont-Godinne,
Yvoir, 5530
Canada4 sites
Tom Baker Cancer Centre
Calgary, Alberta, T2N 4N2
Cross Cancer Institute
Edmonton, Alberta, T6G 1Z2
Centre Hospitalier Universitaire de Sherbrooke (CHUS), Hopital Fleurimont
Sherbrooke, Quebec, J1H 5N4
Sunnybrook Health Sciences Centre
Toronto, Ontario, M4N 3 M5
India4 sites
Kodlikeri Memorial Hospital
Chhatrapati Sambhajinagar, Maharashtra, 431 005
Sahyadri Clinical Research and Development Center
Pune, Maharashtra, 411 004
OEC Record Management Company Pvt. Ltd.,
Pune, Maharashtra, 411004
Sahyadri Speciality Hospital
Pune, Maharashtra, 411004
Taiwan4 sites
Chang Gung Medical Foundation - Linkou Branch
Kuei-Shan Hsiang, Taoyuan County, 333
Taichung Veterans General Hospital
Taichung, 40705
National Taiwan University Hospital, Department of Internal Medicine
Taipei, 100
Taipei Veterans General Hospital
Taipei, 11217
Bulgaria3 sites
UMBAL Sveti Georgi, Klinika po hematologia
Plovdiv, 4002
SBAL na Hematologichnichni Zabolyavania,CTH Sofia
Sofia, 1756
Spetsializirana Bolnitsa za Aktivno Lechenie na Hematologichni Zabolyavania, CTH Sofia
Sofia, 1756
Hungary3 sites
Egyesitett Szent Istvan es Szent Laszlo Korhaz /
Budapest, 1097
DEOEC, Belgyogyaszati Intezet
Debrechen, 4032
Somongy Megyei Kaposi Mor Okato Korhaz/ Belgyogyaszati osztaly
Kaposvár, 7400
Russia3 sites
Federal State Budgetary Institution Hematology Scientific Centre of Ministry of
Moscow, 125167
Moscow State Healthcare Institution City clinical hospital S.P. Botkin
Moscow, 125284
Institute of Pediatric Hematology and Transplantology R.M.Gorbacheva
Saint Petersburg, 197022
Ukraine3 sites
Regional Treatment and Diagnostic Hematology Center Communal Establishment
Cherkasy, 18009
Department of Oncology and Medical Radiology of State Institution
Dnipropetrovsk, 49102
SI"Research Center for Radiation Medicine of NAMS of Ukraine"
Kyiv, 03115
Croatia2 sites
University Hospital Zagreb
Zagreb, 10000
University Hospital Dubrava Department of Internal Medicine Division of Hematology
Zagreb, 10010
Czechia2 sites
Fakultni nemocnice Brno
Brno, 62500
Fakultni nemocnice Kralovske Vinohrady
Prague, Czech Republic, 100 34
Poland2 sites
Niepubliczny Zaklad Opieki Zdrowotnej AVI Diagnostyka Obrazowa
Warsaw, 00-728
Klinika Nowotworow Ukladu Chlonnego
Warsaw, 02-781
Puerto Rico2 sites
Advanced Infusion Services
Catano, 00962
Hospital Espanol Auxilio Mutuo de Puerto Rico Inc
San Juan, 00918
Singapore2 sites
National University Hospital
Singapore, 119074
Singapore General Hospital
Singapore, 169608
Sweden2 sites
Universitetssjukhuset
Linköping, 58185
Skanes Universitetssjukhus i Lund
Lund, 221 85
Thailand2 sites
Hematology Division Department of Medicine Faculty of Medicine Siriraj Hospital Mahidol University
Bangkoknoi, Bangkok, 10700
Chiang Mai University
Chiang Mai, 50200
Lithuania1 site
Klaipeda Seamen's Hospital, Public Institution, department of Oncology
Klaipėda, 92288
Mexico1 site
Instituto Biomédico de Investigación A.C.
Aguascalientes, Aguascalientes. Mexico, 20127
About this study
Official title: AN OPEN-LABEL, RANDOMIZED, PHASE 3 STUDY OF INOTUZUMAB OZOGAMICIN ADMINISTERED IN COMBINATION WITH RITUXIMAB COMPARED TO DEFINED INVESTIGATOR'S CHOICE THERAPY IN SUBJECTS WITH RELAPSED OR REFRACTORY CD22-POSITIVE AGGRESSIVE NON-HODGKIN LYMPHOMA WHO ARE NOT CANDIDATES FOR INTENSIVE HIGH-DOSE CHEMOTHERAPY
The purpose of this study is to evaluate the efficacy of inotuzumab ozogamicin plus rituximab in relapsed/refractory aggressive Non-Hodgkin lymphoma patients who are not candidates for intensive high-dose chemotherapy. Specifically, the goal is to demonstrate the superiority of this combination compared with an active comparator arm (investigator's choice of rituximab+bendamustine or rituximab+gemcitabine) using the primary endpoint of overall survival.
- Conditions
- Lymphoma, Non-Hodgkin
- Being tested
- Inotuzumab ozogamicin, Rituximab, rituximab + gemcitabine, rituximab +bendamustine
- Keywords
- inotuzumab ozogamicin, aggressive Non-Hodgkin lymphoma, diffuse large b-cell lymphoma, relapsed/refractory lymphoma
- Medical subject headings
- Lymphoma, Non-Hodgkin, Lymphoma, Large B-Cell, Diffuse, Lymphoma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Inotuzumab ozogamicinDrug
Also called CMC-544
1.8 mg/m2 on day 2 every 28 days by IV infusion, 3 to 6 cycles
RituximabDrug
375 mg/m2 on day 1 every 28 days by IV infusion, 3 to 6 cycles
rituximab + gemcitabineDrug
rituximab 375 mg/m2 on days 1, 8, 15, and 22 of cycle 1, and day 1 of cycles 2 to 6, every 28 days by IV infusion, 3 to 6 cycles; gemcitabine 1000 mg/m2 on days 1, 8, and 15 every 28 days, 3 to 6 cycles
rituximab +bendamustineDrug
rituximab 375 mg/m2 on day 1 every 28 days by IV infusion, 3 to 6 cycles; bendamustine 120 mg/m2 on days 1 and 2 by IV infusion every 28 days, 3 to 6 cycles
| Study group | Role | What they receive |
|---|---|---|
| 1 | Experimental | Inotuzumab ozogamicin+rituximab Receives: Drug: Inotuzumab ozogamicin; Drug: Rituximab |
| 2 | Active comparator | Investigator's choice of (1) rituximab+gemcitabine, or (2) rituximab+bendamustine Receives: Drug: rituximab + gemcitabine; Drug: rituximab +bendamustine |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Survival
Overall Survival (OS) was defined as the time from randomization to death due to any cause, censoring at the date of last contact or the end of the study. The Kaplan-Meier method was used to determine OS. The hazard ratio and corresponding 95% 2-sided confidence interval were calculated using stratified Cox proportional hazard regression.
Measured: From randomization up to 5 years after last dose or up to final study visit, whichever occurs first.
Percentage of Participants With a Treatment Emergent Adverse Event (TEAE) (Safety Population)
Includes all TEAEs: Any event that occurred after the first dose of study drug and was not present prior to study drug administration or worsened in severity after study drug administration..
Measured: Up to 20 weeks after the first dose of study drug
Secondary outcomes (6)
Progression-Free Survival (PFS)
PFS is defined as time from date of randomization to date of progressive disease (PD, including investigator's claim of clinical progression), date of death from any cause, or initiation of a new treatment for the lymphoma due to persistent/refractory disease. The Kaplan-Meier method was used to determine PFS. The hazard ratio and corresponding 95% 2-sided confidence interval were calculated using stratified Cox proportional hazard regression.
PD requires the following:
- Appearance of any new lesion more than 1.5 cm in any axis during or at the end of treatment, even if other lesions are decreasing in size.
- At least a 50% increase from nadir in the sum of the product diameters of any previously involved nodes, or in a single involved node, or the size of other lesions.
- At least a 50% increase in the longest diameter of any single previously identified node more than 1 cm in its short axis.
Measured: From randomization up to 2 years or final study visit, whichever occurs first, including but not limited to planned assessments scheduled approximately every 12 weeks.
Percentage of Participants With A Best Overall Response of CR or Partial Response (PR) Per NCI International Response Criteria for NHL
CR is defined as disappearance of all detectable clinical evidence of disease (including cleared infiltrate on repeat bone marrow aspirate/biopsy if lymphoma involvement of bone marrow before treatment).
Partial Response (PR) requires the following:
- ≥50 % decrease in SPD of the six largest dominant nodes or nodal masses.
- No increase in the size of other nodes, liver, or spleen.
- Splenic and hepatic nodules must regress by ≥50% in the SPD, or for single nodules, in the greatest transverse diameter.
- With the exception of splenic and hepatic nodules, involvement of other organs is usually assessable and no measurable disease should be present.
- No new sites of disease. The 95% CI was determined using the exact method based on binomial distribution.
Measured: Up to 2 years from first study drug dose or up to final study visit, whichever occurs first, including but not limited to planned assessments scheduled approximately every 12 weeks.
Percentage of Participants With A Best Overall Response of CR, Unconfirmed CR (unCR), PR, or Unconfirmed PR (unPR) Per NCI International Response Criteria for NHL
CR is defined as disappearance of all detectable clinical evidence of disease (including cleared infiltrate on repeat bone marrow aspirate/biopsy if lymphoma involvement of bone marrow before treatment).
Partial Response (PR) requires the following:
- ≥50 % decrease in SPD of the six largest dominant nodes or nodal masses.
- No increase in the size of other nodes, liver, or spleen.
- Splenic and hepatic nodules must regress by ≥50% in the SPD, or for single nodules, in the greatest transverse diameter.
- With the exception of splenic and hepatic nodules, involvement of other organs is usually assessable and no measurable disease should be present.
- No new sites of disease. unCR and unPR means didn't have confirmatory assessment (including bone marrow assessment for CR).
The 95% CI was determined using the exact method based on binomial distribution.
Measured: Up to 2 years from first study drug dose or up to final study visit, whichever occurs first, including but not limited to planned assessments scheduled approximately every 12 weeks.
Duration of Response
The duration of overall response is measured from the first date of response until the first date that the progressive disease (PD) or death is objectively documented. The hazard ratio and corresponding 95% 2-sided confidence interval were calculated using stratified Cox proportional hazard regression.
Measured: Up to 2 years from first study drug dose or up to final study visit, whichever occurs first, including but not limited to planned assessments scheduled approximately every 12 weeks.
Health Status as Assessed by the European Quality of Life 5 Dimension (EQ-5D) Questionnaire
EQ-5D consists of a descriptive system and an EQ visual analogue scale. The descriptive system comprises the following 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 3 levels: no problems, some problems, extreme problems. The scale, the best state is marked 100 and the worst state is marked 0, is to help the participant to say how good or bad a health state is. EQ-5D index, which was reported, was derived based on US weight. The range of EQ-5D index is -0.109 to 1.00. Higher scores mean better outcomes. The average post-baseline scores for EQ-5D index were computed at approximately Week 12. The overall treatment comparisons were estimated at approximately Week 12.
Measured: Assessed at Day 1 of each cycle and 6-9 weeks after the last dose, Cycle 3 (Week 12) reported
Health Related Quality of Life as Assessed by the Functional Assessment of Cancer Therapy for Lymphoma (FACT-Lym) Questionnaire
FACT-Lym is a questionnaire that begins with 27 items covering four core Health-Related Quality of Life subscales: Physical Well-being (7 items), Social/Family Well-being (7), Emotional Well-being (6), and Functional Well-being (7). The FACT-Lym also includes an additional concerns subscale (15 items). It also asks participants about their concerns about lumps and swelling, fevers, infections, weight, appetite, emotional stability and treatment. The participants were requested to circle one number on a 0 to 4 points scale per line to indicate how true each statement has been for him/her during the past 7 days. FACT-Lym total score, which was reported, was derived based on FACT-Lym scoring guideline (Version 4). The range of FACT-Lym total score is 0 to 168. Higher scores mean better outcomes. The average post-baseline FACT-Lym total scores were computed at approximately Week 12. The overall treatment comparisons were estimated at approximately Week 12.
Measured: Assessed at Day 1 of each cycle and 6-9 weeks after the last dose, Cycle 3 (Week 12) reported
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Nov 2010 (estimated)
- Study start4 Apr 2011
- Primary completion28 Mar 2014
- Study completion28 Mar 2014
Why it stopped: The study was terminated prematurely on May 16, 2013, for futility. No new or unexpected safety issues were identified.
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.
- Other trials for Lymphoma, Non-HodgkinStudies of the same condition, open and under way.
- More trials run by PfizerThe 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
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 338 participants (actual)
Sponsor and investigators
- Lead sponsor
- Pfizer
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- UCB Pharma
- Responsible party
- Sponsor
- Investigators
- Pfizer CT.gov Call Center, Study director, Pfizer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01232556
- Sponsor's protocol ID
- B1931008
- Other IDs
- 3129K5-3303, 2010-020147-12
- Status last verified
- Dec 2018
- First submitted
- 27 Oct 2010
- Last updated
- 8 Jan 2019
- Results posted
- Yes, on ClinicalTrials.gov
- Individual data sharing
- Yes: Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.
Study at a glance
From the registry record, last updated by the sponsor on 8 Jan 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- AN OPEN-LABEL, RANDOMIZED, PHASE 3 STUDY OF INOTUZUMAB OZOGAMICIN ADMINISTERED IN COMBINATION WITH RITUXIMAB COMPARED TO DEFINED INVESTIGATOR'S CHOICE THERAPY IN SUBJECTS WITH RELAPSED OR REFRACTORY CD22-POSITIVE AGGRESSIVE NON-HODGKIN LYMPHOMA WHO ARE NOT CANDIDATES FOR INTENSIVE HIGH-DOSE CHEMOTHERAPY
- ClinicalTrials.gov ID
- NCT01232556
- Acronym / sponsor ID
- B1931008
- Conditions
- Lymphoma, Non-Hodgkin
- Keywords
- inotuzumab ozogamicin, aggressive Non-Hodgkin lymphoma, diffuse large b-cell lymphoma, relapsed/refractory lymphoma
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: The study was terminated prematurely on May 16, 2013, for futility. No new or unexpected safety issues were identified.
- Enrolment
- 338 participants (actual)
- Lead sponsor
- PfizerIndustry (pharma, biotech, devices)
- Collaborators
- UCB Pharma
- Study start
- 4 Apr 2011 (actual)
- Primary completion
- 28 Mar 2014 (actual)
- Study completion
- 28 Mar 2014 (actual)
- First posted
- 2 Nov 2010 (estimated)
- Results
- Posted 21 Aug 2018
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the efficacy of inotuzumab ozogamicin plus rituximab in relapsed/refractory aggressive Non-Hodgkin lymphoma patients who are not candidates for intensive high-dose chemotherapy. Specifically, the goal is to demonstrate the superiority of this combination compared with an active comparator arm (investigator's choice of rituximab+bendamustine or rituximab+gemcitabine) using the primary endpoint of overall survival.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| 1 | Experimental | Drug: Inotuzumab ozogamicin, Drug: RituximabInotuzumab ozogamicin+rituximab |
| 2 | Active comparator | Drug: rituximab + gemcitabine, Drug: rituximab +bendamustineInvestigator's choice of (1) rituximab+gemcitabine, or (2) rituximab+bendamustine |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- -
Key exclusion criteria (1 listed)
- -
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 |
|---|---|---|
| Inotuzumab ozogamicinAlso: CMC-5441.8 mg/m2 on day 2 every 28 days by IV infusion, 3 to 6 cycles | Drug | 1 |
| Rituximab375 mg/m2 on day 1 every 28 days by IV infusion, 3 to 6 cycles | Drug | 1 |
| rituximab + gemcitabinerituximab 375 mg/m2 on days 1, 8, 15, and 22 of cycle 1, and day 1 of cycles 2 to 6, every 28 days by IV infusion, 3 to 6 cycles; gemcitabine 1000 mg/m2 on days 1, 8, and 15 every 28 days, 3 to 6 cycles | Drug | 2 |
| rituximab +bendamustinerituximab 375 mg/m2 on day 1 every 28 days by IV infusion, 3 to 6 cycles; bendamustine 120 mg/m2 on days 1 and 2 by IV infusion every 28 days, 3 to 6 cycles | Drug | 2 |
Primary outcome
Overall Survival
Time frame: From randomization up to 5 years after last dose or up to final study visit, whichever occurs first.
Overall Survival (OS) was defined as the time from randomization to death due to any cause, censoring at the date of last contact or the end of the study. The Kaplan-Meier method was used to determine OS. The hazard ratio and corresponding 95% 2-sided confidence interval were calculated using stratified Cox proportional hazard regression.
Percentage of Participants With a Treatment Emergent Adverse Event (TEAE) (Safety Population)
Time frame: Up to 20 weeks after the first dose of study drug
Includes all TEAEs: Any event that occurred after the first dose of study drug and was not present prior to study drug administration or worsened in severity after study drug administration..
6 secondary outcomes
Progression-Free Survival (PFS)
Time frame: From randomization up to 2 years or final study visit, whichever occurs first, including but not limited to planned assessments scheduled approximately every 12 weeks.
Percentage of Participants With A Best Overall Response of CR or Partial Response (PR) Per NCI International Response Criteria for NHL
Time frame: Up to 2 years from first study drug dose or up to final study visit, whichever occurs first, including but not limited to planned assessments scheduled approximately every 12 weeks.
Percentage of Participants With A Best Overall Response of CR, Unconfirmed CR (unCR), PR, or Unconfirmed PR (unPR) Per NCI International Response Criteria for NHL
Time frame: Up to 2 years from first study drug dose or up to final study visit, whichever occurs first, including but not limited to planned assessments scheduled approximately every 12 weeks.
Duration of Response
Time frame: Up to 2 years from first study drug dose or up to final study visit, whichever occurs first, including but not limited to planned assessments scheduled approximately every 12 weeks.
Health Status as Assessed by the European Quality of Life 5 Dimension (EQ-5D) Questionnaire
Time frame: Assessed at Day 1 of each cycle and 6-9 weeks after the last dose, Cycle 3 (Week 12) reported
Health Related Quality of Life as Assessed by the Functional Assessment of Cancer Therapy for Lymphoma (FACT-Lym) Questionnaire
Time frame: Assessed at Day 1 of each cycle and 6-9 weeks after the last dose, Cycle 3 (Week 12) reported
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Jan 2019.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- To obtain contact information for a study center near you, click here.Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.
Related trials for Lymphoma, Non-Hodgkin
RecruitingPhase 2
Ibrutinib Combination Therapy in Transplant Ineligible Individuals With Newly Diagnosed Primary CNS Lymphoma
Non-hodgkin Lymphoma
RecruitingObservational study
Blood, Urine, and Tissue Collection for Cutaneous Lymphoma, Eczema, and Atopic Dermatitis Research
Cutaneous T-cell Lymphoma, Sezary Syndrome
Active, not recruitingPhase 2
Brentuximab Vedotin and Combination Chemotherapy in Treating Patients With CD30-Positive Peripheral T-cell Lymphoma
Adult T-Cell Leukemia/Lymphoma, Anaplastic Large Cell Lymphoma, ALK-Negative
Active, not recruitingPhase 1/2
Study of Oral MRT-2359 in Selected Cancer Patients
NSCLC, SCLC
Active, not recruitingObservational study
Multi-omics Profiling of Relapsed Extranodal Natural Killer (NK)/T-cell Lymphoma
Extranodal NK/T-cell Lymphoma, Nasal Type
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.
Pfizer CT.gov Call Center study director
Pfizer
177 sites in 25 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Inotuzumab ozogamicin, Rituximab and rituximab + gemcitabine in people with Lymphoma, Non-Hodgkin, run by Pfizer at 177 sites in 25 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 1 inclusion and 1 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: stopped early, as of the sponsor's last update on 8 Jan 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 177 sites in United States, Japan, United Kingdom, France, Germany and 20 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. 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 21 Aug 2018). 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?
Overall Survival (time frame: From randomization up to 5 years after last dose or up to final study visit, whichever occurs first.). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 8 Jan 2019.