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    Clinical Trial Results:
    Short CHemo RadioImmunotherapy in Follicular Trial of 90Y Ibritumomab tiuxetan (ZevalinTM) as therapy for first and second relapse in Follicular Lymphoma

    Summary
    EudraCT number
    2007-000222-51
    Trial protocol
    GB  
    Global end of trial date
    02 Aug 2010

    Results information
    Results version number
    v1(current)
    This version publication date
    12 Apr 2026
    First version publication date
    12 Apr 2026
    Other versions
    Summary report(s)
    Publication

    Trial information

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    Trial identification
    Sponsor protocol code
    06_DOG05_44
    Additional study identifiers
    ISRCTN number
    ISRCTN44808098
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Southampton University Hospitals NHS Trust
    Sponsor organisation address
    Tremona Road, SOUTHAMPTON, United Kingdom, SO16 6YD
    Public contact
    Professor Tim Illidge, Southampton University Hospitals NHS Trust, 44 2381205154, ctu@soton.ac.uk
    Scientific contact
    Professor Tim Illidge, Southampton University Hospitals NHS Trust, 44 2381205154, ctu@soton.ac.uk
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    06 Sep 2010
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    02 Aug 2010
    Global end of trial reached?
    Yes
    Global end of trial date
    02 Aug 2010
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The current standard approach is to use 6-8 cycles of Rituximab plus Chemotherapy regimens given every 3 weeks for 6-8 months. Abbreviated treatment regimens that deliver equally high or superior response rates and durations to this protracted "standard" would therefore be an attractive alternative for patients in the future. Therefore the primary research objective of this phase II study is to evaluate the response rate of 3 cycles of Rituximab plus chemotherapy (R-chemo) followed by 90Y ibritumomab tiuxetan (ZevalinTM) in first and second relapse of patients with follicular lymphoma.
    Protection of trial subjects
    All patients gave written informed consent, and the study was conducted in accordance with the Declaration of Helsinki
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    05 May 2008
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    United Kingdom: 52
    Worldwide total number of subjects
    52
    EEA total number of subjects
    52
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    31
    From 65 to 84 years
    20
    85 years and over
    1

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    Following entry criteria

    Period 1
    Period 1 title
    Overall trial (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Arm title
    ITT population
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    Zevalin
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for solution for infusion
    Routes of administration
    Intravenous drip use
    Dosage and administration details
    Patients received three cycles of rituximab-chemotherapy, followed by 90Y-IT consolidation at a dose of 14.8 MBq/kq (maximum 1184 MBq) if response evaluation with computerized tomography (CT) scan demonstrated at least a partial response (PR) or CR/unconfirmed CR (CRu) 2 weeks after chemotherapy.

    Number of subjects in period 1
    ITT population
    Started
    52
    Completed
    50
    Not completed
    2
         Lost to follow-up
    2

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Overall trial
    Reporting group description
    -

    Reporting group values
    Overall trial Total
    Number of subjects
    52 52
    Age categorical
    Units: Subjects
        In utero
    0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0
        Newborns (0-27 days)
    0 0
        Infants and toddlers (28 days-23 months)
    0 0
        Children (2-11 years)
    0 0
        Adolescents (12-17 years)
    0 0
        Adults (18-64 years)
    31 31
        From 65-84 years
    20 20
        85 years and over
    1 1
    Age continuous
    Units: years
        median (full range (min-max))
    62 (31 to 87) -
    Gender categorical
    Units: Subjects
        Female
    23 23
        Male
    29 29
    FLIPI
    Units: Subjects
        Low
    12 12
        Intermediate
    16 16
        High
    24 24
    Bone Marrow involvement
    Units: Subjects
        Not Present
    31 31
        <25%
    15 15
        >=25%
    4 4
        Unknown
    2 2
    Pre-treatment rituximab
    Units: Subjects
        Yes
    37 37
        No
    15 15
    Pre-treatment anthracycline
    Units: Subjects
        Yes
    15 15
        No
    37 37

    End points

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    End points reporting groups
    Reporting group title
    ITT population
    Reporting group description
    -

    Subject analysis set title
    Primary Analysis set
    Subject analysis set type
    Full analysis
    Subject analysis set description
    Set of subjects used in Priamry analysis. Created here as a dummy group as a workaround as suggested in EudraCT FAQ for reporting one arm studies

    Primary: Overall response rate

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    End point title
    Overall response rate
    End point description
    End point type
    Primary
    End point timeframe
    The primary end-point was overall response rate (ORR) including combined CR (CR/CRu) and PR after three cycles of rituximab-chemotherapy, and subsequently 2 months after 90Y-IT.
    End point values
    ITT population Primary Analysis set
    Number of subjects analysed
    52
    50
    Units: time
    52
    50
    Statistical analysis title
    Overall response rate after 3 cycles of R-Chemo
    Statistical analysis description
    The sample size was calculated to ensure sufficient precision in the primary end point estimate of ORR and CR using a width of confidence interval (CI) approach. Responses by baseline characteristics were assessed using Chi-square tests of association. P values <0.05 were considered statistically significant.
    Comparison groups
    ITT population v Primary Analysis set
    Number of subjects included in analysis
    102
    Analysis specification
    Pre-specified
    Analysis type
    other
    Method
    Parameter type
    Overall Response Rate estimate
    Point estimate
    94.2
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    84.1
         upper limit
    98.8

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Timeframe for AE
    Adverse event reporting additional description
    AE additional description
    Assessment type
    Non-systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    19.0
    Reporting groups
    Reporting group title
    All subjects
    Reporting group description
    -

    Serious adverse events
    All subjects
    Total subjects affected by serious adverse events
         subjects affected / exposed
    18 / 52 (34.62%)
         number of deaths (all causes)
    14
         number of deaths resulting from adverse events
    0
    Investigations
    NEUTROPHIL COUNT DECREASED
    Additional description: NEUTROPHIL COUNT DECREASED
         subjects affected / exposed
    4 / 52 (7.69%)
         occurrences causally related to treatment / all
    2 / 5
         deaths causally related to treatment / all
    0 / 0
    PLATELET COUNT DECREASED
    Additional description: PLATELET COUNT DECREASED
         subjects affected / exposed
    1 / 52 (1.92%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    MYELODYSPLASTIC SYNDROME
    Additional description: MYELODYSPLASTIC SYNDROME
         subjects affected / exposed
    1 / 52 (1.92%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Vascular disorders
    THROMBOEMBOLIC EVENT
    Additional description: THROMBOEMBOLIC EVENT
         subjects affected / exposed
    1 / 52 (1.92%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Cardiac disorders
    SINUS BRADYCARDIA
    Additional description: SINUS BRADYCARDIA
         subjects affected / exposed
    1 / 52 (1.92%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    CHEST PAIN - CARDIAC
    Additional description: CHEST PAIN - CARDIAC
         subjects affected / exposed
    1 / 52 (1.92%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Nervous system disorders
    DIZZINESS
    Additional description: DIZZINESS
         subjects affected / exposed
    1 / 52 (1.92%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    HEADACHE
    Additional description: HEADACHE
         subjects affected / exposed
    1 / 52 (1.92%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    SYNCOPE
    Additional description: SYNCOPE
         subjects affected / exposed
    1 / 52 (1.92%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Blood and lymphatic system disorders
    THROMBOCYTOPENIA
    Additional description: THROMBOCYTOPENIA
         subjects affected / exposed
    1 / 52 (1.92%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    BLOOD AND LYMPHATIC SYSTEM DISORDERS - OTHER, THROMBOCYTOPENIA
    Additional description: BLOOD AND LYMPHATIC SYSTEM DISORDERS - OTHER, THROMBOCYTOPENIA
         subjects affected / exposed
    1 / 52 (1.92%)
         occurrences causally related to treatment / all
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    FEBRILE NEUTROPENIA
    Additional description: FEBRILE NEUTROPENIA
         subjects affected / exposed
    1 / 52 (1.92%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    NEUTROPENIA
    Additional description: NEUTROPENIA
         subjects affected / exposed
    1 / 52 (1.92%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    General disorders and administration site conditions
    FEVER
    Additional description: FEVER
         subjects affected / exposed
    3 / 52 (5.77%)
         occurrences causally related to treatment / all
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    Gastrointestinal disorders
    DIARRHOEA
    Additional description: DIARRHOEA
         subjects affected / exposed
    1 / 52 (1.92%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Hepatobiliary disorders
    CHOLECYSTITIS
    Additional description: CHOLECYSTITIS
         subjects affected / exposed
    1 / 52 (1.92%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Musculoskeletal and connective tissue disorders
    BACK PAIN
    Additional description: BACK PAIN
         subjects affected / exposed
    1 / 52 (1.92%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Infections and infestations
    INFECTIONS AND INFESTATIONS, OTHER -INFECTION
    Additional description: INFECTIONS AND INFESTATIONS, OTHER -INFECTION
         subjects affected / exposed
    1 / 52 (1.92%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    INFECTIONS AND INFESTATIONS, OTHER -INFECTION WITH NORMAL ANC
    Additional description: INFECTIONS AND INFESTATIONS, OTHER -INFECTION WITH NORMAL ANC
         subjects affected / exposed
    1 / 52 (1.92%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    INFECTIONS AND INFESTATIONS , OTHER, INFECTION WITH NEUTROPENIA
    Additional description: INFECTIONS AND INFESTATIONS , OTHER, INFECTION WITH NEUTROPENIA
         subjects affected / exposed
    1 / 52 (1.92%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    LUNG INFECTION
    Additional description: LUNG INFECTION
         subjects affected / exposed
    2 / 52 (3.85%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    INFECTIONS AND INFESTATIONS, OTHER - LYME DISEASE
    Additional description: INFECTIONS AND INFESTATIONS, OTHER - LYME DISEASE
         subjects affected / exposed
    1 / 52 (1.92%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    SKIN INFECTION
    Additional description: SKIN INFECTION
         subjects affected / exposed
    1 / 52 (1.92%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 0%
    Non-serious adverse events
    All subjects
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    24 / 52 (46.15%)
    Investigations
    LYMPHOCYTE COUNT DECREASED
    Additional description: LYMPHOCYTE COUNT DECREASED
         subjects affected / exposed
    10 / 52 (19.23%)
         occurrences all number
    25
    WHITE BLOOD CELL DECREASED
    Additional description: WHITE BLOOD CELL DECREASED
         subjects affected / exposed
    8 / 52 (15.38%)
         occurrences all number
    15
    PLATELET COUNT DECREASED
    Additional description: PLATELET COUNT DECREASED
         subjects affected / exposed
    18 / 52 (34.62%)
         occurrences all number
    20
    Nervous system disorders
    SYNCOPE
    Additional description: SYNCOPE
         subjects affected / exposed
    2 / 52 (3.85%)
         occurrences all number
    2
    NERVOUS SYSTEM DISORDERS -OTHER, UPPER MOTOR NEURONE FACIAL PALSY
    Additional description: NERVOUS SYSTEM DISORDERS -OTHER, UPPER MOTOR NEURONE FACIAL PALSY
         subjects affected / exposed
    1 / 52 (1.92%)
         occurrences all number
    2
    Blood and lymphatic system disorders
    NEUTROPENIA
    Additional description: NEUTROPENIA
         subjects affected / exposed
    18 / 52 (34.62%)
         occurrences all number
    34
    ANEMIA
    Additional description: ANEMIA
         subjects affected / exposed
    2 / 52 (3.85%)
         occurrences all number
    3
    Gastrointestinal disorders
    MUCOSITIS ORAL
    Additional description: MUCOSITIS ORAL
         subjects affected / exposed
    1 / 52 (1.92%)
         occurrences all number
    1
    NAUSEA
    Additional description: NAUSEA
         subjects affected / exposed
    1 / 52 (1.92%)
         occurrences all number
    1
    VOMITING
    Additional description: VOMITING
         subjects affected / exposed
    1 / 52 (1.92%)
         occurrences all number
    1
    Respiratory, thoracic and mediastinal disorders
    HOARSENESS
    Additional description: HOARSENESS
         subjects affected / exposed
    1 / 52 (1.92%)
         occurrences all number
    1
    Musculoskeletal and connective tissue disorders
    BACK PAIN
    Additional description: BACK PAIN
         subjects affected / exposed
    1 / 52 (1.92%)
         occurrences all number
    1
    Infections and infestations
    LUNG INFECTION
    Additional description: LUNG INFECTION
         subjects affected / exposed
    1 / 52 (1.92%)
         occurrences all number
    1
    URINARY TRACT INFECTION
    Additional description: URINARY TRACT INFECTION
         subjects affected / exposed
    1 / 52 (1.92%)
         occurrences all number
    1
    Metabolism and nutrition disorders
    HYPONATREMIA
    Additional description: HYPONATREMIA
         subjects affected / exposed
    1 / 52 (1.92%)
         occurrences all number
    2

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    UK protocol amendments only

    Online references

    http://www.ncbi.nlm.nih.gov/pubmed/26849853
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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