Flag of the European Union EU Clinical Trials Register Help

Clinical trials

The European Union Clinical Trials Register   allows you to search for protocol and results information on:
  • interventional clinical trials that were approved in the European Union (EU)/European Economic Area (EEA) under the Clinical Trials Directive 2001/20/EC
  • clinical trials conducted outside the EU/EEA that are linked to European paediatric-medicine development

  • EU/EEA interventional clinical trials approved under or transitioned to the Clinical Trial Regulation 536/2014 are publicly accessible through the
    Clinical Trials Information System (CTIS).


    The EU Clinical Trials Register currently displays   43865   clinical trials with a EudraCT protocol, of which   7286   are clinical trials conducted with subjects less than 18 years old.   The register also displays information on   18700   older paediatric trials (in scope of Article 45 of the Paediatric Regulation (EC) No 1901/2006).

    Phase 1 trials conducted solely on adults and that are not part of an agreed paediatric investigation plan (PIP) are not publicly available (see Frequently Asked Questions ).  
     
    Examples: Cancer AND drug name. Pneumonia AND sponsor name.
    How to search [pdf]
    Search Tips: Under advanced search you can use filters for Country, Age Group, Gender, Trial Phase, Trial Status, Date Range, Rare Diseases and Orphan Designation. For these items you should use the filters and not add them to your search terms in the text field.
    Advanced Search: Search tools
     

    < Back to search results

    Download PDF

    Clinical Trial Results:
    An Open-label, Multicentre, Nonrandomized, Dose-escalating Phase I/II Study, With a Randomized Phase II Part, to Investigate the Safety and Tolerability of RO5072759 Given as Monotherapy in Patients With CD20+ Malignant Disease.

    Summary
    EudraCT number
    2007-001103-37
    Trial protocol
    DE  
    Global end of trial date
    25 Nov 2013

    Results information
    Results version number
    v2(current)
    This version publication date
    12 Jun 2016
    First version publication date
    12 Aug 2015
    Other versions
    v1 (removed from public view)
    Version creation reason

    Trial information

    Close Top of page
    Trial identification
    Sponsor protocol code
    BO20999
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT00517530
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    F. Hoffmann-La Roche AG
    Sponsor organisation address
    Grenzacherstrasse 124, Basel, Switzerland, CH-4070
    Public contact
    Roche Trial Information Hotline, F. Hoffmann-La Roche AG, +41 616878333, global.trial_information@roche.com
    Scientific contact
    Roche Trial Information Hotline, F. Hoffmann-La Roche AG, +41 616878333, global.trial_information@roche.com
    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
    19 May 2014
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    25 Nov 2013
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The primary objective for the phase I part of the study is to investigate the safety and tolerability of escalating intravenous (IV) doses of obinutuzumab given as monotherapy in patients with CD20+ (tumour infiltrating lymphocytic) Malignant Disease, including B-cell chronic lymphocytic leukemia (CLL) and NonHodgkin's Lymphoma (NHL). The primary objective for the phase II part of the study is to investigate the efficacy and safety of one dose of obinutuzumab in patients with relapsed/refractory CLL and NHL that is, in turn, either indolent (iNHL) or aggressive (aNHL). This is an open label dose escalating study in phase I and open label in phase II, but the two doses in iNHL & aNHL are randomised (to high or low dose of the same open label treatment). CLL was not randomised as only one dose level was used. Patients with a response who might gain additional benefit from being treated again in the opinion of the investigator may be enrolled in a Retreatment Period.
    Protection of trial subjects
    All study participants were required to read and sign an Informed Consent Form.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    18 Sep 2007
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    France: 131
    Country: Number of subjects enrolled
    Germany: 3
    Worldwide total number of subjects
    134
    EEA total number of subjects
    134
    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)
    70
    From 65 to 84 years
    64
    85 years and over
    0

    Subject disposition

    Close Top of page
    Recruitment
    Recruitment details
    Different patients were recruited into Phase I and Phase II. Some of those same patients were included in follow-up, even if they did not complete treatment.

    Pre-assignment
    Screening details
    Phase I of this study recruited patients with CD20+ (tumour infiltrating lymphocytic) Malignant Disease, including B-cell chronic lymphocytic leukemia (CLL) and NonHodgkin's Lymphoma (NHL). Phase II recruited patients with relapsed/refractory CLL and indolent (iNHL) or aggressive (aNHL).

    Period 1
    Period 1 title
    Treatment Period
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded
    Blinding implementation details
    This is an open label dose escalating study in phase I and open label in phase II, but the two doses in iNHL & aNHL are randomised (to high or low dose of the same open label treatment). CLL was not randomised as only one dose level was used.

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Phase I, CLL
    Arm description
    Obinutuzumab intravenous infusion
    Arm type
    Experimental

    Investigational medicinal product name
    Obinutuzumab
    Investigational medicinal product code
    Other name
    RO5072759
    Pharmaceutical forms
    Powder and solvent for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Obinutuzumab was provided in single-dose glass vials as a freeze-dried powder for solution for intravenous administration.

    Arm title
    Phase I, NHL
    Arm description
    Obinutuzumab intravenous infusion
    Arm type
    Experimental

    Investigational medicinal product name
    Obinutuzumab
    Investigational medicinal product code
    Other name
    RO5072759
    Pharmaceutical forms
    Powder and solvent for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Obinutuzumab was provided in single-dose glass vials as a freeze-dried powder for solution for intravenous administration.

    Arm title
    400/400 mg - Phase II, iNHL
    Arm description
    Obinutuzumab intravenous infusion
    Arm type
    Experimental

    Investigational medicinal product name
    Obinutuzumab
    Investigational medicinal product code
    Other name
    RO5072759
    Pharmaceutical forms
    Powder and solvent for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Obinutuzumab was provided in single-dose glass vials as a freeze-dried powder for solution for intravenous administration.

    Arm title
    1600/800 mg - Phase II, iNHL
    Arm description
    Obinutuzumab intravenous infusion
    Arm type
    Experimental

    Investigational medicinal product name
    Obinutuzumab
    Investigational medicinal product code
    Other name
    RO5072759
    Pharmaceutical forms
    Powder and solvent for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Obinutuzumab was provided in single-dose glass vials as a freeze-dried powder for solution for intravenous administration.

    Arm title
    400/400 mg - Phase II, aNHL
    Arm description
    Obinutuzumab intravenous infusion
    Arm type
    Experimental

    Investigational medicinal product name
    Obinutuzumab
    Investigational medicinal product code
    Other name
    RO5072759
    Pharmaceutical forms
    Powder and solvent for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Obinutuzumab was provided in single-dose glass vials as a freeze-dried powder for solution for intravenous administration.

    Arm title
    1600/800 mg - Phase II, aNHL
    Arm description
    Obinutuzumab intravenous infusion
    Arm type
    Experimental

    Investigational medicinal product name
    Obinutuzumab
    Investigational medicinal product code
    Other name
    RO5072759
    Pharmaceutical forms
    Powder and solvent for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Obinutuzumab was provided in single-dose glass vials as a freeze-dried powder for solution for intravenous administration.

    Arm title
    1000/1000 mg - Phase II, CLL
    Arm description
    Obinutuzumab intravenous infusion
    Arm type
    Experimental

    Investigational medicinal product name
    Obinutuzumab
    Investigational medicinal product code
    Other name
    RO5072759
    Pharmaceutical forms
    Powder and solvent for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Obinutuzumab was provided in single-dose glass vials as a freeze-dried powder for solution for intravenous administration.

    Number of subjects in period 1
    Phase I, CLL Phase I, NHL 400/400 mg - Phase II, iNHL 1600/800 mg - Phase II, iNHL 400/400 mg - Phase II, aNHL 1600/800 mg - Phase II, aNHL 1000/1000 mg - Phase II, CLL
    Started
    13
    21
    18
    22
    21
    19
    20
    Completed
    13
    11
    13
    18
    9
    9
    13
    Not completed
    0
    10
    5
    4
    12
    10
    7
         Adverse event, serious fatal
    -
    1
    -
    1
    2
    -
    3
         Consent withdrawn by subject
    -
    -
    -
    -
    -
    -
    1
         Administrative reasons
    -
    2
    -
    -
    -
    -
    -
         Lack of efficacy
    -
    7
    5
    3
    10
    10
    2
         Protocol deviation
    -
    -
    -
    -
    -
    -
    1
    Period 2
    Period 2 title
    Follow up Period
    Is this the baseline period?
    No
    Allocation method
    Not applicable
    Blinding used
    Not blinded
    Blinding implementation details
    This is an open-label dose-escalating study in phase I and open-label in phase II, but the iNHL & aNHL patients are randomised (to high or low dose of the same open label treatment). CLL was not randomised as only one dose level was used.

    Arms
    Are arms mutually exclusive
    No

    Arm title
    Phase I, NHL
    Arm description
    Obinutuzumab intravenous infusion
    Arm type
    Experimental

    Investigational medicinal product name
    Obinutuzumab
    Investigational medicinal product code
    Other name
    RO5072759
    Pharmaceutical forms
    Powder and solvent for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Obinutuzumab was provided in single-dose glass vials as a freeze-dried powder for solution for intravenous administration.

    Arm title
    Phase I, CLL
    Arm description
    Obinutuzumab intravenous infusion
    Arm type
    Experimental

    Investigational medicinal product name
    Obinutuzumab
    Investigational medicinal product code
    Other name
    RO5072759
    Pharmaceutical forms
    Powder and solvent for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Obinutuzumab was provided in single-dose glass vials as a freeze-dried powder for solution for intravenous administration.

    Arm title
    400/400 mg - Phase II, iNHL
    Arm description
    Obinutuzumab intravenous infusion
    Arm type
    Experimental

    Investigational medicinal product name
    Obinutuzumab
    Investigational medicinal product code
    Other name
    RO5072759
    Pharmaceutical forms
    Powder and solvent for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Obinutuzumab was provided in single-dose glass vials as a freeze-dried powder for solution for intravenous administration.

    Arm title
    1600/800 mg - Phase II, iNHL
    Arm description
    Obinutuzumab intravenous infusion
    Arm type
    Experimental

    Investigational medicinal product name
    Obinutuzumab
    Investigational medicinal product code
    Other name
    RO5072759
    Pharmaceutical forms
    Powder and solvent for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Obinutuzumab was provided in single-dose glass vials as a freeze-dried powder for solution for intravenous administration.

    Arm title
    400/400 mg - Phase II, aNHL
    Arm description
    Obinutuzumab intravenous infusion
    Arm type
    Experimental

    Investigational medicinal product name
    Obinutuzumab
    Investigational medicinal product code
    Other name
    RO5072759
    Pharmaceutical forms
    Powder and solvent for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Obinutuzumab was provided in single-dose glass vials as a freeze-dried powder for solution for intravenous administration.

    Arm title
    1600/800 mg - Phase II, aNHL
    Arm description
    Obinutuzumab intravenous infusion
    Arm type
    Experimental

    Investigational medicinal product name
    Obinutuzumab
    Investigational medicinal product code
    Other name
    RO5072759
    Pharmaceutical forms
    Powder and solvent for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Obinutuzumab was provided in single-dose glass vials as a freeze-dried powder for solution for intravenous administration.

    Arm title
    1000/1000 mg - Phase II, CLL
    Arm description
    Obinutuzumab intravenous infusion
    Arm type
    Experimental

    Investigational medicinal product name
    Obinutuzumab
    Investigational medicinal product code
    Other name
    RO5072759
    Pharmaceutical forms
    Powder and solvent for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Obinutuzumab was provided in single-dose glass vials as a freeze-dried powder for solution for intravenous administration.

    Number of subjects in period 2
    Phase I, NHL Phase I, CLL 400/400 mg - Phase II, iNHL 1600/800 mg - Phase II, iNHL 400/400 mg - Phase II, aNHL 1600/800 mg - Phase II, aNHL 1000/1000 mg - Phase II, CLL
    Started
    20
    13
    17
    21
    17
    16
    19
    Completed
    2
    0
    0
    1
    1
    0
    1
    Not completed
    18
    13
    17
    20
    16
    16
    18
         Consent withdrawn by subject
    -
    -
    1
    -
    -
    -
    1
         Adverse event, non-fatal
    1
    1
    -
    -
    -
    1
    2
         Administrative reasons
    2
    1
    3
    7
    2
    3
    3
         Lost to follow-up
    -
    -
    1
    -
    -
    -
    -
         Lack of efficacy
    15
    11
    12
    13
    14
    12
    11
         Did not cooperate
    -
    -
    -
    -
    -
    -
    1

    Baseline characteristics

    Close Top of page
    Baseline characteristics reporting groups
    Reporting group title
    Phase I, CLL
    Reporting group description
    Obinutuzumab intravenous infusion

    Reporting group title
    Phase I, NHL
    Reporting group description
    Obinutuzumab intravenous infusion

    Reporting group title
    400/400 mg - Phase II, iNHL
    Reporting group description
    Obinutuzumab intravenous infusion

    Reporting group title
    1600/800 mg - Phase II, iNHL
    Reporting group description
    Obinutuzumab intravenous infusion

    Reporting group title
    400/400 mg - Phase II, aNHL
    Reporting group description
    Obinutuzumab intravenous infusion

    Reporting group title
    1600/800 mg - Phase II, aNHL
    Reporting group description
    Obinutuzumab intravenous infusion

    Reporting group title
    1000/1000 mg - Phase II, CLL
    Reporting group description
    Obinutuzumab intravenous infusion

    Reporting group values
    Phase I, CLL Phase I, NHL 400/400 mg - Phase II, iNHL 1600/800 mg - Phase II, iNHL 400/400 mg - Phase II, aNHL 1600/800 mg - Phase II, aNHL 1000/1000 mg - Phase II, CLL Total
    Number of subjects
    13 21 18 22 21 19 20 134
    Age Categorical
    Units: participants
        <=18 years
    0 0 0 0 0 0 0 0
        Between 18 and 65 years
    7 11 14 14 6 7 11 70
        >=65 years
    6 10 4 8 15 12 9 64
    Age continuous
    Units: years
        median (full range (min-max))
    64 (39 to 83) 64 (46 to 81) 61.5 (44 to 76) 51 (42 to 79) 70 (43 to 80) 72 (22 to 85) 62.5 (36 to 81) -
    Gender, Male/Female
    Units: participants
        Female
    4 12 6 9 8 5 8 52
        Male
    9 9 12 13 13 14 12 82

    End points

    Close Top of page
    End points reporting groups
    Reporting group title
    Phase I, CLL
    Reporting group description
    Obinutuzumab intravenous infusion

    Reporting group title
    Phase I, NHL
    Reporting group description
    Obinutuzumab intravenous infusion

    Reporting group title
    400/400 mg - Phase II, iNHL
    Reporting group description
    Obinutuzumab intravenous infusion

    Reporting group title
    1600/800 mg - Phase II, iNHL
    Reporting group description
    Obinutuzumab intravenous infusion

    Reporting group title
    400/400 mg - Phase II, aNHL
    Reporting group description
    Obinutuzumab intravenous infusion

    Reporting group title
    1600/800 mg - Phase II, aNHL
    Reporting group description
    Obinutuzumab intravenous infusion

    Reporting group title
    1000/1000 mg - Phase II, CLL
    Reporting group description
    Obinutuzumab intravenous infusion
    Reporting group title
    Phase I, NHL
    Reporting group description
    Obinutuzumab intravenous infusion

    Reporting group title
    Phase I, CLL
    Reporting group description
    Obinutuzumab intravenous infusion

    Reporting group title
    400/400 mg - Phase II, iNHL
    Reporting group description
    Obinutuzumab intravenous infusion

    Reporting group title
    1600/800 mg - Phase II, iNHL
    Reporting group description
    Obinutuzumab intravenous infusion

    Reporting group title
    400/400 mg - Phase II, aNHL
    Reporting group description
    Obinutuzumab intravenous infusion

    Reporting group title
    1600/800 mg - Phase II, aNHL
    Reporting group description
    Obinutuzumab intravenous infusion

    Reporting group title
    1000/1000 mg - Phase II, CLL
    Reporting group description
    Obinutuzumab intravenous infusion

    Subject analysis set title
    PD 400/400 mg - Phase II, iNHL
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Pharmacodynamics: 400/400 mg - Phase II, iNHL patients with peripheral B-cell depletion at end of treatment.

    Subject analysis set title
    PD 1600/800 mg - Phase II, iNHL
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Pharmacodynamics 1600/800 mg - Phase II, iNHL patients with B-cell depletion at end of treatment.

    Subject analysis set title
    PD 400/400 mg - Phase II, aNHL
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Pharmacodynamics 400/400 mg - Phase II, aNHL with B-cell depletion at end of treatment.

    Subject analysis set title
    PD 1600/800 mg - Phase II, aNHL
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Pharmacodynamics 1600/800 mg - Phase II, aNHL with B-cell depletion at end of treatment.

    Subject analysis set title
    PD 1000/1000 mg - Phase II, CLL
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Pharmacodynamics 1000/1000 mg - Phase II, CLL patients with B-cell depletion at end of treatment.

    Subject analysis set title
    Retreated Patients
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Patients who might benefit from retreatment who were allowed to be treated again via intravenous infusion of obinutuzumab at the request of the investigator.

    Subject analysis set title
    PK 400 mg - Phase I, NHL
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Pharmacokinetics PK 400 mg - Phase I, NHL Safety population - All enrolled participants in Phase I, who had received at least 1 dose of obinutuzumab, but some participants were excluded from the analysis due to limited PK sampling or due to wrong tube selection at site. Data only reported for groups with data for n>= 3.

    Subject analysis set title
    PK 800 mg - Phase I, NHL
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Pharmacokinetics PK 800 mg - Phase I, NHL Safety population - All enrolled participants in Phase I, who had received at least 1 dose of obinutuzumab, but some participants were excluded from the analysis due to limited PK sampling or due to wrong tube selection at site. Data only reported for groups with data for n>= 3. Also, one subject in this group was inadvertently given an incorrect dose on Day 1, but continued throughout the rest of the trial at the 400 mg dose.

    Subject analysis set title
    PK 1200 mg - Phase I, NHL
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Pharmacokinetics (PK) 1200 mg - Phase I, NHL Safety population - All enrolled participants in Phase I, who had received at least 1 dose of obinutuzumab, but some participants were excluded from the analysis due to limited PK sampling or due to wrong tube selection at site. Data only reported for groups with data for n>= 3.

    Subject analysis set title
    PK 2000 mg - Phase I, NHL
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Pharmacokinetics (PK) 2000 mg - Phase I, NHL Safety population - All enrolled participants in Phase I, who had received at least 1 dose of obinutuzumab, but some participants were excluded from the analysis due to limited PK sampling or due to wrong tube selection at site. Data only reported for groups with data for n>= 3.

    Subject analysis set title
    PK 800 mg - Phase I, CLL
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Pharmacokinetics PK 800 mg - Phase I, CLL Safety population - All enrolled participants in Phase I, who had received at least 1 dose of obinutuzumab, but some participants were excluded from the analysis due to limited PK sampling or due to wrong tube selection at site. Data only reported for groups with data for n>= 3.

    Subject analysis set title
    PK 1000 mg - Phase I, CLL
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Pharmacokinetics PK 1000 mg - Phase I, CLL Safety population - All enrolled participants in Phase I, who had received at least 1 dose of obinutuzumab, but some participants were excluded from the analysis due to limited PK sampling or due to wrong tube selection at site. Data only reported for groups with data for n>= 3.

    Subject analysis set title
    PK 1200 mg - Phase I, CLL
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Pharmacokinetics PK 1200 mg - Phase I, CLL Safety population - All enrolled participants in Phase I, who had received at least 1 dose of obinutuzumab, but some participants were excluded from the analysis due to limited PK sampling or due to wrong tube selection at site. Data only reported for groups with data for n>= 3.

    Subject analysis set title
    PK 2000 mg - Phase I, CLL
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Pharmacokinetics PK 2000 mg - Phase I, CLL Safety population - All enrolled participants in Phase I, who had received at least 1 dose of obinutuzumab, but some participants were excluded from the analysis due to limited PK sampling or due to wrong tube selection at site. Data only reported for groups with data for n>= 3.

    Subject analysis set title
    PK 100 mg - Phase I, NHL
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Pharmacokinetics PK 100 mg - Phase I, CLL Safety population - All enrolled participants in Phase I, who had received at least 1 dose of obinutuzumab, but some participants were excluded from the analysis due to limited PK sampling or due to wrong tube selection at site. Data only reported for groups with data for n>= 3.

    Subject analysis set title
    Phase II - iNHL
    Subject analysis set type
    Full analysis
    Subject analysis set description
    All iNHL patients in Phase II

    Subject analysis set title
    Phase II - aNHL
    Subject analysis set type
    Full analysis
    Subject analysis set description
    All aNHL patients in Phase II

    Subject analysis set title
    Phase II - CLL
    Subject analysis set type
    Full analysis
    Subject analysis set description
    All CLL patients in Phase II

    Primary: Percentage of participants who experienced a dose-limiting toxicity in Phase I of the study

    Close Top of page
    End point title
    Percentage of participants who experienced a dose-limiting toxicity in Phase I of the study [1]
    End point description
    Dose-limiting toxicities were defined as obinutuzumab-related adverse events occurring within the first 28 days of each administration of obinutuzumab, with the exception of B-cell depletion and lymphopenia which are expected outcomes of treatment with obinutuzumab.
    End point type
    Primary
    End point timeframe
    Baseline to 28 days after the last infusion of obinutuzumab (up to 6 months)
    Notes
    [1] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: All baseline arms were not included in the analysis- only Phase I arms were included in this analysis.
    End point values
    Phase I, CLL Phase I, NHL
    Number of subjects analysed
    13
    21
    Units: percentage of participants
        number (not applicable)
    0
    0
    Statistical analysis title
    Analysis Not Possible
    Statistical analysis description
    Statistical analysis was not possible, as no subjects reached dose limiting toxicity.
    Comparison groups
    Phase I, NHL v Phase I, CLL
    Number of subjects included in analysis
    34
    Analysis specification
    Pre-specified
    Analysis type
    other [2]
    P-value
    = 9999
    Method
    No analysis was possible
    Confidence interval
    Notes
    [2] - No analysis was possible.

    Primary: Percentage of participants with Best Overall Response

    Close Top of page
    End point title
    Percentage of participants with Best Overall Response [3]
    End point description
    Best overall response (BOR) was defined as the percentage of participants with a complete response (CR) or partial response (PR)
    End point type
    Primary
    End point timeframe
    by Cutoff Date: 31MAR2012
    Notes
    [3] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: All baseline arms were not included in the analysis- only Phase II arms were included in this analysis.
    End point values
    400/400 mg - Phase II, iNHL 1600/800 mg - Phase II, iNHL 400/400 mg - Phase II, aNHL 1600/800 mg - Phase II, aNHL 1000/1000 mg - Phase II, CLL
    Number of subjects analysed
    18
    22
    21
    19
    20
    Units: percentage of participants
        number (not applicable)
    33.3
    63.6
    23.8
    36.8
    30
    Statistical analysis title
    Difference in Response Rates iNHL
    Comparison groups
    400/400 mg - Phase II, iNHL v 1600/800 mg - Phase II, iNHL
    Number of subjects included in analysis
    40
    Analysis specification
    Pre-specified
    Analysis type
    other
    Method
    Parameter type
    Mean difference (final values)
    Point estimate
    30.3
    Confidence interval
         level
    80%
         sides
    2-sided
         lower limit
    7.6
         upper limit
    53

    Secondary: Percentage of Participants with Complete Response (CR/CRu/CRi)

    Close Top of page
    End point title
    Percentage of Participants with Complete Response (CR/CRu/CRi) [4]
    End point description
    A complete response was defined as the disappearance of all evidence of disease (NHL) and symptoms; normalization of biochemical abnormalities (NHL); regression of lymph nodes and nodal masses to normal size; decrease of nodes in the sum of the products of the greatest diameters (SPD); regression in size of the spleen and/or liver, should not be palpable, and disappearance of nodules related to lymphoma (CLL). Complete/unconfirmed (CRu) response includes NHL patients with one or more of the following: 1) a residual lymph node mass greater than 1.5 cm in greatest transverse diameter that has regressed by more than 75% in the SPD; 2) Indeterminate bone marrow (increased number or size of aggregates without cytologic or architectural atypia). Complete Response with Incomplete Bone Marrow Recovery (CRi) was measured only in patients with CLL. Data not measured in a specific arm are identified with "9999".
    End point type
    Secondary
    End point timeframe
    by Cutoff Date: 31MAR2012
    Notes
    [4] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: All baseline arms were not included in the analysis- only Phase II arms were included in this analysis.
    End point values
    400/400 mg - Phase II, iNHL 1600/800 mg - Phase II, iNHL 400/400 mg - Phase II, aNHL 1600/800 mg - Phase II, aNHL 1000/1000 mg - Phase II, CLL
    Number of subjects analysed
    18
    22
    21
    19
    20
    Units: percentage of participants
    number (not applicable)
        CR
    5.6
    13.6
    9.5
    15.8
    5
        CRu
    5.6
    9.1
    4.8
    0
    9999
        CRi
    9999
    9999
    9999
    9999
    0
    No statistical analyses for this end point

    Secondary: Percentage of Participants with Partial Response (PR)

    Close Top of page
    End point title
    Percentage of Participants with Partial Response (PR) [5]
    End point description
    A PR was defined as a >=50% decrease in SPD of the 6 largest nodes or nodal masses; no increase in size of other nodes, liver, or spleen; regression of splenic and hepatic nodules by >=50% in their SPD or, for single nodules, in the long axis (CLL only); and no new disease sites.
    End point type
    Secondary
    End point timeframe
    by Cutoff Date: 31MAR2012
    Notes
    [5] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: All baseline arms were not included in the analysis- only Phase II arms were included in this analysis.
    End point values
    400/400 mg - Phase II, iNHL 1600/800 mg - Phase II, iNHL 400/400 mg - Phase II, aNHL 1600/800 mg - Phase II, aNHL 1000/1000 mg - Phase II, CLL
    Number of subjects analysed
    18
    22
    21
    19
    20
    Units: participants
        number (not applicable)
    22.2
    40.9
    9.5
    21.1
    25
    No statistical analyses for this end point

    Secondary: Progression-free survival (PFS) in Phase II of the study

    Close Top of page
    End point title
    Progression-free survival (PFS) in Phase II of the study [6]
    End point description
    PFS was defined as the time from start of treatment to disease progression (PD) or death due to any cause, whichever occurred first. For non-Hodgkin’s lymphoma participants, PD was defined as >= 50% increase from nadir in the sum of the products of the greatest diameters (SPD) of any previously identified abnormal node for participants with a partial response or non-responders or the appearance of any new lesion during or at the end of therapy. For chronic lymphocytic leukemia participants, PD was defined as: (1) A >= 50% increase from nadir in the SPD of any previously involved nodes, or in a single involved node, or the size of other lesions (eg, splenic or hepatic nodules); a lymph node with a short axis of < 1.0 cm must increase by >= 50% and to a size of 1.5×1.5 cm or > 1.5 cm in the longest axis. (2) Appearance of any new lesion > 1 cm in the short axis. (4) A new site that is PET-positive with histological confirmation.
    End point type
    Secondary
    End point timeframe
    Beginning of treatment to the end of follow-up in Phase II of the study (up to 2 years, 3 months)
    Notes
    [6] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: All baseline arms were not included in the analysis- only Phase II arms were included in this analysis.
    End point values
    400/400 mg - Phase II, iNHL 1600/800 mg - Phase II, iNHL 400/400 mg - Phase II, aNHL 1600/800 mg - Phase II, aNHL 1000/1000 mg - Phase II, CLL
    Number of subjects analysed
    18
    22
    21
    19
    20
    Units: days
        median (confidence interval 95%)
    182 (106 to 526)
    361 (343 to 678)
    78 (42 to 260)
    83 (43 to 339)
    324 (217 to 357)
    No statistical analyses for this end point

    Secondary: Duration of response in Phase II of the study

    Close Top of page
    End point title
    Duration of response in Phase II of the study
    End point description
    Duration of complete response was defined as the time from the first complete or partial response until disease progression (PD) or death, whichever occurred first. For non-Hodgkin’s lymphoma participants, PD was defined as >= 50% increase from nadir in the sum of the products of the greatest diameters (SPD) of any previously identified abnormal node for participants with a partial response or non-responders or the appearance of any new lesion during or at the end of therapy. For chronic lymphocytic leukemia participants, PD was defined as: (1) A >= 50% increase from nadir in the SPD of any previously involved nodes, or in a single involved node, or the size of other lesions (eg, splenic or hepatic nodules); a lymph node with a short axis of < 1.0 cm must increase by >= 50% and to a size of 1.5×1.5 cm or > 1.5 cm in the longest axis. (2) Appearance of any new lesion > 1 cm in the short axis. (4) A new site that is PET-positive with histological confirmation.
    End point type
    Secondary
    End point timeframe
    Beginning of treatment to the end of follow-up in Phase II of the study (up to 2 years, 3 months)
    End point values
    Phase II - iNHL Phase II - aNHL Phase II - CLL
    Number of subjects analysed
    20
    12
    6
    Units: days
        median (full range (min-max))
    523 (23 to 952)
    298 (95 to 929)
    272.5 (23 to 794)
    No statistical analyses for this end point

    Secondary: Participants with Event-Free Survival (EFS)

    Close Top of page
    End point title
    Participants with Event-Free Survival (EFS) [7]
    End point description
    EFS is defined as the time from start of treatment to disease progression/relapse, death or, in case of early withdrawal from the treatment period, the (end) date of last dose, whatever comes first.
    End point type
    Secondary
    End point timeframe
    by the end of the follow-up period
    Notes
    [7] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: All baseline arms were not included in the analysis- only Phase II arms were included in this analysis.
    End point values
    400/400 mg - Phase II, iNHL 1600/800 mg - Phase II, iNHL 400/400 mg - Phase II, aNHL 1600/800 mg - Phase II, aNHL 1000/1000 mg - Phase II, CLL
    Number of subjects analysed
    18
    22
    21
    19
    20
    Units: participants
        number (not applicable)
    5
    6
    2
    3
    4
    No statistical analyses for this end point

    Secondary: Maximum plasma concentration (Cmax) of obinutuzumab in NHL patients

    Close Top of page
    End point title
    Maximum plasma concentration (Cmax) of obinutuzumab in NHL patients
    End point description
    GA101 Serum PK Parameters in NHL Patients Following Ascending Doses of GA101.
    End point type
    Secondary
    End point timeframe
    at Cycle 1 Day 1, Cycle 1 Day 8 and Cycle 8
    End point values
    PK 400 mg - Phase I, NHL PK 800 mg - Phase I, NHL PK 1200 mg - Phase I, NHL PK 2000 mg - Phase I, NHL
    Number of subjects analysed
    4
    6
    6
    6
    Units: micrograms/mL
    geometric mean (geometric coefficient of variation)
        Cycle 1 Day 1 (n=4,6,6,0)
    134 ± 27.1
    234 ± 63.1
    307 ± 30.6
    0 ± 0
        Cycle 1 Day 8 (n=0,4,6,6)
    0 ± 0
    367 ± 24.2
    449 ± 26.4
    714 ± 28.6
        Cycle 8 (n=0,5,5,5)
    0 ± 0
    698 ± 65.4
    1070 ± 62.6
    1380 ± 66.1
    No statistical analyses for this end point

    Secondary: Area under the concentration-time curve of obinutuzumab administered on Day 1 of Cycle 1 in Phase I of the study

    Close Top of page
    End point title
    Area under the concentration-time curve of obinutuzumab administered on Day 1 of Cycle 1 in Phase I of the study
    End point description
    Blood samples were taken on Day 1 (pre-infusion, end of infusion, 3-6 hours post-infusion) of Cycle 1. Nonlinear mixed-effects modeling (with NONMEM software) was used to analyze the dose-concentration-time data of obinutuzumab.
    End point type
    Secondary
    End point timeframe
    Day 1 of Cycle 1
    End point values
    PK 400 mg - Phase I, NHL PK 800 mg - Phase I, NHL PK 1200 mg - Phase I, NHL PK 100 mg - Phase I, NHL
    Number of subjects analysed
    4
    6
    6
    3
    Units: microgram*day/mL
        geometric mean (geometric coefficient of variation)
    459 ± 64.7
    993 ± 30.5
    1057 ± 60.5
    146 ± 49.6
    No statistical analyses for this end point

    Secondary: Pharmacodynamics: Participants with peripheral B-cell recovery after having had depletion at end of treatment

    Close Top of page
    End point title
    Pharmacodynamics: Participants with peripheral B-cell recovery after having had depletion at end of treatment
    End point description
    Participants analyzed include those with B-cell depletion at the end of treatment (N), with assessments (n) at each time point.
    End point type
    Secondary
    End point timeframe
    within and after 24 months of follow-up
    End point values
    PD 400/400 mg - Phase II, iNHL PD 1600/800 mg - Phase II, iNHL PD 400/400 mg - Phase II, aNHL PD 1600/800 mg - Phase II, aNHL PD 1000/1000 mg - Phase II, CLL
    Number of subjects analysed
    16 [8]
    21 [9]
    21 [10]
    19 [11]
    16 [12]
    Units: participants
    number (not applicable)
        within 6 months (n=11,19,11,12,13)
    0
    0
    0
    0
    3
        within 9 months (n=8,17,6,5,10)
    0
    0
    0
    1
    0
        within 12 months (n=5,16,4,5,9)
    0
    2
    1
    0
    3
        within 18 months (n=4,13,3,3,8)
    0
    1
    0
    1
    2
        within 24 months (n=3,10,2,3,5)
    2
    2
    1
    0
    2
        after 24 months (n=3,4,1,2,0)
    1
    0
    0
    1
    0
    Notes
    [8] - n= # patients with depletion at end of treatment
    [9] - n= # patients with depletion at end of treatment
    [10] - n= # patients with depletion at end of treatment
    [11] - n= # patients with depletion at end of treatment
    [12] - n= # patients with depletion at end of treatment
    No statistical analyses for this end point

    Secondary: Percentage of Retreated Participants with Response

    Close Top of page
    End point title
    Percentage of Retreated Participants with Response
    End point description
    Patients who might benefit from retreatment were allowed to be treated again at the request of the investigator.
    End point type
    Secondary
    End point timeframe
    by Cutoff Date: 25NOV2013
    End point values
    Retreated Patients
    Number of subjects analysed
    13
    Units: percentage of participants
    number (not applicable)
        Best overall response
    62
        Complete response
    23
        Partial response
    38
    No statistical analyses for this end point

    Other pre-specified: Maximum plasma concentration (Cmax) of obinutuzumab in CLL patients

    Close Top of page
    End point title
    Maximum plasma concentration (Cmax) of obinutuzumab in CLL patients
    End point description
    End point type
    Other pre-specified
    End point timeframe
    at Cycle 1 Day 1, Cycle 1 Day 8 and Cycle 8
    End point values
    PK 800 mg - Phase I, CLL PK 1000 mg - Phase I, CLL PK 1200 mg - Phase I, CLL PK 2000 mg - Phase I, CLL
    Number of subjects analysed
    3
    4
    4
    4
    Units: micrograms/mL
    geometric mean (geometric coefficient of variation)
        Cycle 1 Day 1 (n=3,3,3,0)
    216 ± 34.1
    210 ± 74
    307 ± 21.4
    0 ± 0
        Cycle 1 Day 8 (n=0,0,3,3)
    0 ± 0
    0 ± 0
    437 ± 11.8
    735 ± 9.79
        Cycle 8 (n=3,3,3,4)
    485 ± 48.1
    573 ± 73.2
    741 ± 32.8
    1730 ± 32.6
    No statistical analyses for this end point

    Adverse events

    Close Top of page
    Adverse events information
    Timeframe for reporting adverse events
    Through final cut off in November 2013
    Adverse event reporting additional description
    For frequency counts by preferred term, multiple occurrences of the same AE in an individual are counted only once.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    17.0
    Reporting groups
    Reporting group title
    Safety Population
    Reporting group description
    Safety-Evaluable Participants Note that the total number of deaths resulting from adverse events (AEs) reflects those from treatment-related AEs.

    Serious adverse events
    Safety Population
    Total subjects affected by serious adverse events
         subjects affected / exposed
    46 / 134 (34.33%)
         number of deaths (all causes)
    4
         number of deaths resulting from adverse events
    1
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Chronic myeloid leukaemia
         subjects affected / exposed
    1 / 134 (0.75%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Rectal adenocarcinoma
         subjects affected / exposed
    1 / 134 (0.75%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Renal cancer
         subjects affected / exposed
    1 / 134 (0.75%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Lung neoplasm malignant
         subjects affected / exposed
    1 / 134 (0.75%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Squamous cell carcinoma
         subjects affected / exposed
    1 / 134 (0.75%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Renal cell carcinoma
         subjects affected / exposed
    1 / 134 (0.75%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Vascular disorders
    Hypertension
         subjects affected / exposed
    1 / 134 (0.75%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    General disorders and administration site conditions
    Multi-organ failure
         subjects affected / exposed
    1 / 134 (0.75%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Pyrexia
         subjects affected / exposed
    4 / 134 (2.99%)
         occurrences causally related to treatment / all
    3 / 4
         deaths causally related to treatment / all
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Dyspnoea
         subjects affected / exposed
    1 / 134 (0.75%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Pleural effusion
         subjects affected / exposed
    1 / 134 (0.75%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Interstitial lung disease
         subjects affected / exposed
    1 / 134 (0.75%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Pneumothorax
         subjects affected / exposed
    1 / 134 (0.75%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Psychiatric disorders
    Suicide attempt
         subjects affected / exposed
    1 / 134 (0.75%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Injury, poisoning and procedural complications
    Tooth avulsion
         subjects affected / exposed
    1 / 134 (0.75%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Infusion related reaction
         subjects affected / exposed
    8 / 134 (5.97%)
         occurrences causally related to treatment / all
    8 / 8
         deaths causally related to treatment / all
    0 / 0
    Cardiac disorders
    Cardiac failure
         subjects affected / exposed
    2 / 134 (1.49%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Bradycardia
         subjects affected / exposed
    1 / 134 (0.75%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Acute coronary syndrome
         subjects affected / exposed
    1 / 134 (0.75%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Cardiorespiratory arrest
         subjects affected / exposed
    1 / 134 (0.75%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Pericarditis
         subjects affected / exposed
    1 / 134 (0.75%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Nervous system disorders
    Cerebrovascular accident
         subjects affected / exposed
    1 / 134 (0.75%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Sciatica
         subjects affected / exposed
    1 / 134 (0.75%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Carotid artery stenosis
         subjects affected / exposed
    1 / 134 (0.75%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    2 / 134 (1.49%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Febrile neutropenia
         subjects affected / exposed
    5 / 134 (3.73%)
         occurrences causally related to treatment / all
    5 / 5
         deaths causally related to treatment / all
    0 / 0
    Neutropenia
         subjects affected / exposed
    1 / 134 (0.75%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Aplasia pure red cell
         subjects affected / exposed
    1 / 134 (0.75%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Pancytopenia
         subjects affected / exposed
    1 / 134 (0.75%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Thrombocytopenia
         subjects affected / exposed
    2 / 134 (1.49%)
         occurrences causally related to treatment / all
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    Ear and labyrinth disorders
    Hypoacusis
         subjects affected / exposed
    1 / 134 (0.75%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Gastrointestinal disorders
    Abdominal pain
         subjects affected / exposed
    2 / 134 (1.49%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Duodenal ulcer perforation
         subjects affected / exposed
    1 / 134 (0.75%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Gastric haemorrhage
         subjects affected / exposed
    1 / 134 (0.75%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Pancreatitis
         subjects affected / exposed
    1 / 134 (0.75%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Renal and urinary disorders
    Renal colic
         subjects affected / exposed
    1 / 134 (0.75%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Infections and infestations
    Bacteraemia
         subjects affected / exposed
    1 / 134 (0.75%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Bacterial infection
         subjects affected / exposed
    1 / 134 (0.75%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Bronchitis
         subjects affected / exposed
    1 / 134 (0.75%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Clostridium difficile infection
         subjects affected / exposed
    1 / 134 (0.75%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Colonic abscess
         subjects affected / exposed
    1 / 134 (0.75%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Gingivitis
         subjects affected / exposed
    1 / 134 (0.75%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Haemophilus infection
         subjects affected / exposed
    1 / 134 (0.75%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Herpes zoster
         subjects affected / exposed
    1 / 134 (0.75%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Pneumococcal sepsis
         subjects affected / exposed
    1 / 134 (0.75%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Lung infection
         subjects affected / exposed
    2 / 134 (1.49%)
         occurrences causally related to treatment / all
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    Pneumococcal infection
         subjects affected / exposed
    1 / 134 (0.75%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Streptococcal infection
         subjects affected / exposed
    1 / 134 (0.75%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Septic shock
         subjects affected / exposed
    1 / 134 (0.75%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    1 / 1
    Metabolism and nutrition disorders
    Hyperkalaemia
         subjects affected / exposed
    1 / 134 (0.75%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Tumour lysis sydrome
         subjects affected / exposed
    4 / 134 (2.99%)
         occurrences causally related to treatment / all
    4 / 4
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Safety Population
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    123 / 134 (91.79%)
    Investigations
    Weight decreased
         subjects affected / exposed
    10 / 134 (7.46%)
         occurrences all number
    10
    Injury, poisoning and procedural complications
    Infusion related reaction
         subjects affected / exposed
    107 / 134 (79.85%)
         occurrences all number
    107
    Nervous system disorders
    Headache
         subjects affected / exposed
    8 / 134 (5.97%)
         occurrences all number
    8
    Insomnia
         subjects affected / exposed
    10 / 134 (7.46%)
         occurrences all number
    10
    Blood and lymphatic system disorders
    Lymphopenia
         subjects affected / exposed
    19 / 134 (14.18%)
         occurrences all number
    19
    Thrombocytopenia
         subjects affected / exposed
    15 / 134 (11.19%)
         occurrences all number
    15
    Neutropenia
         subjects affected / exposed
    18 / 134 (13.43%)
         occurrences all number
    18
    Anaemia
         subjects affected / exposed
    18 / 134 (13.43%)
         occurrences all number
    18
    General disorders and administration site conditions
    Asthenia
         subjects affected / exposed
    35 / 134 (26.12%)
         occurrences all number
    35
    Oedema peripheral
         subjects affected / exposed
    12 / 134 (8.96%)
         occurrences all number
    12
    Fatigue
         subjects affected / exposed
    7 / 134 (5.22%)
         occurrences all number
    7
    Pyrexia
         subjects affected / exposed
    13 / 134 (9.70%)
         occurrences all number
    13
    Gastrointestinal disorders
    Constipation
         subjects affected / exposed
    11 / 134 (8.21%)
         occurrences all number
    11
    Diarrhoea
         subjects affected / exposed
    23 / 134 (17.16%)
         occurrences all number
    23
    Nausea
         subjects affected / exposed
    12 / 134 (8.96%)
         occurrences all number
    12
    Abdominal pain
         subjects affected / exposed
    9 / 134 (6.72%)
         occurrences all number
    9
    Respiratory, thoracic and mediastinal disorders
    Cough
         subjects affected / exposed
    19 / 134 (14.18%)
         occurrences all number
    19
    Dyspnoea
         subjects affected / exposed
    9 / 134 (6.72%)
         occurrences all number
    9
    Musculoskeletal and connective tissue disorders
    Back pain
         subjects affected / exposed
    8 / 134 (5.97%)
         occurrences all number
    8
    Muscle spasms
         subjects affected / exposed
    7 / 134 (5.22%)
         occurrences all number
    7
    Pain in extremity
         subjects affected / exposed
    8 / 134 (5.97%)
         occurrences all number
    8
    Infections and infestations
    Nasopharyngitis
         subjects affected / exposed
    15 / 134 (11.19%)
         occurrences all number
    15
    Bronchitis
         subjects affected / exposed
    15 / 134 (11.19%)
         occurrences all number
    15
    Metabolism and nutrition disorders
    Decreased appetite
         subjects affected / exposed
    8 / 134 (5.97%)
         occurrences all number
    8

    More information

    Close Top of page

    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    18 Sep 2007
    Amendment A, dated before first subject first visit Protocol amendment A was issued before first subject first visit, so changes were incorporated into the initial final protocol before first subject first visit (on September 18, 2007).
    01 Apr 2008
    Amendment B, dated April 1, 2008 Protocol amendment B was issued before the start of patient enrollment in Phase II, to provide clarity around the patient population, that the text refers to the adult B-CLL population.
    12 Sep 2008
    Amendment C, dated September 12, 2008 Protocol amendment C was issued before the start of patient enrollment in Phase II, based on the per protocol interim analysis scheduled to occur after the last patient enrolled in cohort 4 completed the cycle 4 response assessments. The objective of the interim analysis was to identify a single dose to take forward into the phase II NHL patient population. Re-treatment was also introduced at this time, with details provided as applicable for this sub-population. Following a thorough review of all available clinical, laboratory and pharmacokinetic data the participating investigators agreed (on July 10, 2008) that it was not possible to choose a single dose of the study drug to take into phase II. No dose limiting toxicities had been observed at doses up to 2000 mg. Preliminary efficacy data also indicated activity across all dose levels administered to date. The reviewers advised that it would be valuable for the drug’s development to open the phase II part of the study exploring two doses. The two doses selected for NHL patients in the phase II part of the study were: • 1600mg iv infusion on Cycle 1, days 1 and 8, and 800mg iv infusion for on day 1 of Cycles 2 to 8 • 400mg iv infusion on Cycle 1, days 1 and 8 and 400mg on day 1 of Cycles 2 to 8 The investigators also recommended that the two doses selected for the phase II part of the study should be tested in two relapsed/refractory CD20+ NHL populations: • Indolent NHL (40 patients [20 patients 1600/800mg and 20 patients 400mg]) • Aggressive NHL (40 patients [20 patients 1600/800mg and 20 pts 400mg])
    09 Apr 2009
    Amendment D, dated April 09, 2009 Protocol amendment D was issued after the start of patient enrollment in the study (April 09, 2009) and included a justification for the selected Phase II CLL dose. Updates were also made to the primary objective of this part of the study as well as the study design (addition of an extra infusion on Day 15 and agreement to proceed with a 1000 mg flat dose for Phase II CLL patients). This amendment also introduced opportunity for re-treatment if believed to be beneficial for a patient by investigator, and such a request was made.
    20 Dec 2011
    Amendment E, dated December 20, 2011 Protocol amendment E was issued on December 20, 2011. The main purpose of the amendment was to clarify the definition of end-of-study. The end-of-study was now defined as “2 years after the last patient has entered re-treatment unless all patients have left the study prior to this point,” rather than “2 years after the last patient has been enrolled into the study, unless all patients have discontinued the study prior to this time- point.” The schedule of assessments and other related text were adapted according to this clarification. Patients who were re-treated were considered to have withdrawn from follow-up. Follow-up data for re-treated patients was presented in a separate, but affiliated Clinical Study Report.
    21 Nov 2012
    AMENDMENT F, dated November 21, 2012 The protocol was further amended to address a request from France’s Agence Nationale de Sécurité Medicament (ANSM) on 17 October 2012 to provide guidance on the diagnosis, evaluation, and management of a potential case of progressive multifocal leukoencephalopathy (PML). This protocol version was the subject of a country-specific amendment and implemented only in France.

    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.
    Pharmacodynamic results were limited because number of participants was inversely proportional to length of follow-up. In other words, there were fewer participants still in the trial as the follow-up period became longer.
    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.

    European Medicines Agency © 1995-Fri Apr 26 19:37:35 CEST 2024 | Domenico Scarlattilaan 6, 1083 HS Amsterdam, The Netherlands
    EMA HMA