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    Clinical Trial Results:
    PHASE II STUDY OF MINI-CHOP PLUS OFATUMUMAB (O) IN NON PREVIOULSY TREATED PATIENTS AGED OVER 80 YEARS WITH CD 20+ DIFFUSE LARGE B-CELL LYMPHOMA

    Summary
    EudraCT number
    2009-017995-26
    Trial protocol
    FR   BE   PT  
    Global end of trial date
    15 Apr 2014

    Results information
    Results version number
    v1(current)
    This version publication date
    17 Mar 2018
    First version publication date
    17 Mar 2018
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    LNH09-7B
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT01195714
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    LYSARC
    Sponsor organisation address
    CHU Lyon Sud - Pav 6D, Pierre Bénite cedex, France, 69495
    Public contact
    Dr Fabrice Jardin, LYSARC, 33 232082223, fjjardin@rouen.fnclcc.fr
    Scientific contact
    Dr Frédéric Peyrade, LYSARC, 0033 492031047, fredereic.peyrade@cal.nice.fnclcc.fr
    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 Mar 2015
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    15 Apr 2014
    Global end of trial reached?
    Yes
    Global end of trial date
    15 Apr 2014
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To evaluate the efficacy of O-miniCHOP in patients aged over 80 years with not previously treated CD20+ diffuse large B-cell lymphoma as measured by the overall survival (OS).
    Protection of trial subjects
    Standard in oncology
    Background therapy
    mini-CHOP
    Evidence for comparator
    -
    Actual start date of recruitment
    02 Jun 2010
    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
    Belgium: 14
    Country: Number of subjects enrolled
    France: 106
    Worldwide total number of subjects
    120
    EEA total number of subjects
    120
    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)
    0
    From 65 to 84 years
    75
    85 years and over
    45

    Subject disposition

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    Recruitment
    Recruitment details
    First patient was included in June 2010. 106 patients were included in France, 14 in Belgium and no patient was inluded in Portugal. The last patient was included in November 2011.

    Pre-assignment
    Screening details
    Patients must have a Performance status 0, 1 or 2 and may receive vincristine and prednisone to improve it

    Pre-assignment period milestones
    Number of subjects started
    120
    Number of subjects completed
    120

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

    Arms
    Arm title
    Experimental
    Arm description
    2x3 cycles of O-miniCHOP21
    Arm type
    Experimental

    Investigational medicinal product name
    Ofatumumab
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Concentrate for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    1000 mg on D1 of each cycle

    Number of subjects in period 1
    Experimental
    Started
    120
    Induction
    115
    Consolidation
    98
    Completed
    89
    Not completed
    31
         Consent withdrawn by subject
    6
         Physician decision
    2
         Adverse event, non-fatal
    6
         Exclusion criterion
    2
         DEATH
    2
         comorbidities
    5
         Protocol deviation
    2
         Lack of efficacy
    6

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Treatment
    Reporting group description
    Patient with PS 0, 1 or 2

    Reporting group values
    Treatment Total
    Number of subjects
    120 120
    Age categorical
    Units: Subjects
        In utero
    0
        Preterm newborn infants (gestational age < 37 wks)
    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)
    0
        From 65-84 years
    0
        85 years and over
    0
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    83.9 ( 3.38 ) -
    Gender categorical
    Units: Subjects
        Female
    55 55
        Male
    65 65
    Subject analysis sets

    Subject analysis set title
    FAS
    Subject analysis set type
    Full analysis
    Subject analysis set description
    the Full Analysis Set (FAS) corresponds to patients enrolled in the study and having signed the informed consent, regardless of whether they have received study treatment or not

    Subject analysis set title
    PP
    Subject analysis set type
    Per protocol
    Subject analysis set description
    the PP set corresponds to patients enrolled in the study with no major protocol deviations

    Subject analysis set title
    Safety set
    Subject analysis set type
    Safety analysis
    Subject analysis set description
    the safety set corresponds to patients who have received at least one dose of treatment regimen, including prephase.

    Subject analysis sets values
    FAS PP Safety set
    Number of subjects
    120
    115
    120
    Age categorical
    Units: Subjects
        In utero
        Preterm newborn infants (gestational age < 37 wks)
        Newborns (0-27 days)
        Infants and toddlers (28 days-23 months)
        Children (2-11 years)
        Adolescents (12-17 years)
        Adults (18-64 years)
        From 65-84 years
        85 years and over
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    83.9 ( 3.38 )
    84.1 ( 3.34 )
    83.9 ( 3.38 )
    Gender categorical
    Units: Subjects
        Female
    55
    54
    55
        Male
    65
    61
    65

    End points

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    End points reporting groups
    Reporting group title
    Experimental
    Reporting group description
    2x3 cycles of O-miniCHOP21

    Subject analysis set title
    FAS
    Subject analysis set type
    Full analysis
    Subject analysis set description
    the Full Analysis Set (FAS) corresponds to patients enrolled in the study and having signed the informed consent, regardless of whether they have received study treatment or not

    Subject analysis set title
    PP
    Subject analysis set type
    Per protocol
    Subject analysis set description
    the PP set corresponds to patients enrolled in the study with no major protocol deviations

    Subject analysis set title
    Safety set
    Subject analysis set type
    Safety analysis
    Subject analysis set description
    the safety set corresponds to patients who have received at least one dose of treatment regimen, including prephase.

    Primary: Overall Survival (OS)

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    End point title
    Overall Survival (OS) [1]
    End point description
    measured from the date of inclusion to the date of death from any cause. Patients who have not died at the time of the analysis or who are lost to follow-up are censored at the date of last contact.
    End point type
    Primary
    End point timeframe
    2 YEARS
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Since there is only one treatment arm, it is not possible to indicate comparative statistical analysis as required by EudraCT system
    End point values
    FAS PP
    Number of subjects analysed
    120
    115
    Units: percent
        arithmetic mean (confidence interval 95%)
    64.7 (55.3 to 72.7)
    65.0 (55.3 to 73.0)
    No statistical analyses for this end point

    Secondary: Progression Free Survival (PFS)

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    End point title
    Progression Free Survival (PFS)
    End point description
    measured from the date of inclusion to the date of first documented disease progression, relapse or death from any cause, whichever occurs first. Patients alive and free of progression and patients who are lost to follow-up are censored at their last tumor assessment date.
    End point type
    Secondary
    End point timeframe
    2 YEARS
    End point values
    FAS
    Number of subjects analysed
    120
    Units: percent
        arithmetic mean (confidence interval 95%)
    57.2 (47.7 to 65.6)
    No statistical analyses for this end point

    Secondary: Event Free Survival (EFS)

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    End point title
    Event Free Survival (EFS)
    End point description
    measured from the date of randomization to the date of first documented disease progression, relapse, initiation of new anti-lymphoma therapy or death from any cause. Patients alive and free of event or who are lost to follow up are censored at their last tumor assessment date.
    End point type
    Secondary
    End point timeframe
    2 YEARS
    End point values
    FAS
    Number of subjects analysed
    120
    Units: percent
        arithmetic mean (confidence interval 95%)
    53.1 (43.7 to 61.6)
    No statistical analyses for this end point

    Secondary: Disease Free Survival (DFS)

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    End point title
    Disease Free Survival (DFS)
    End point description
    measured from the time of attainment of CR, CRu or PR to the date of first documented disease progression, relapse or death as a result of lymphoma or acute toxicity of treatment. Patients alive and free of progression are censored at their last follow-up date. Death from a secondary cancer or from unknown cause are considered as an event. Unrelated death is defined as death from a cause not related to the lymphoma, any examination done for the lymphoma, or any treatment of the lymphoma.
    End point type
    Secondary
    End point timeframe
    2 YEARS
    End point values
    FAS
    Number of subjects analysed
    120
    Units: percent
        arithmetic mean (confidence interval 95%)
    66.6 (54.0 to 76.5)
    No statistical analyses for this end point

    Secondary: Duration of Response (DoR)

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    End point title
    Duration of Response (DoR)
    End point description
    measured from the time of attainment of CR/CRu or PR to the date of first documented disease progression, relapse or death from any cause. Patients alive and free of progression are censored at their last follow-up date.
    End point type
    Secondary
    End point timeframe
    2 YEARS
    End point values
    FAS
    Number of subjects analysed
    120
    Units: percent
        arithmetic mean (confidence interval 95%)
    63.0 (52.1 to 72.1)
    No statistical analyses for this end point

    Secondary: Complete Response / Uncertain Complete Response (CR/CRu)

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    End point title
    Complete Response / Uncertain Complete Response (CR/CRu)
    End point description
    Patients without response assessment (due to whatever reason) are considered as non-responder.
    End point type
    Secondary
    End point timeframe
    END OF TREATMENT
    End point values
    FAS
    Number of subjects analysed
    120
    Units: percent
        arithmetic mean (confidence interval 95%)
    55.8 (46.5 to 64.9)
    No statistical analyses for this end point

    Secondary: Overall Response Rate (ORR)

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    End point title
    Overall Response Rate (ORR)
    End point description
    End point type
    Secondary
    End point timeframe
    END OF TREATMENT
    End point values
    FAS
    Number of subjects analysed
    120
    Units: percent
        arithmetic mean (confidence interval 95%)
    67.5 (58.3 to 75.8)
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    until 90 days after the last study drug administration
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    NK
    Reporting groups
    Reporting group title
    SAFETY SET
    Reporting group description
    -

    Serious adverse events
    SAFETY SET
    Total subjects affected by serious adverse events
         subjects affected / exposed
    43 / 120 (35.83%)
         number of deaths (all causes)
    18
         number of deaths resulting from adverse events
    6
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Basal cell carcinoma
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 1
    Benign bone neoplasm
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Vascular disorders
    Cerebrovascular accident
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Deep vein thrombosis
         subjects affected / exposed
    2 / 120 (1.67%)
         occurrences causally related to treatment / all
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    Haematoma
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Hypertension
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Thrombosis
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    General disorders and administration site conditions
    Chest pain
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Chills
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Device dislocation
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Pyrexia
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Immune system disorders
    Cytokine release syndrome
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Social circumstances
    Social stay hospitalisation
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Reproductive system and breast disorders
    Prostatitis
         subjects affected / exposed
    2 / 120 (1.67%)
         occurrences causally related to treatment / all
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Pulmonary embolism
         subjects affected / exposed
    2 / 120 (1.67%)
         occurrences causally related to treatment / all
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    Lung disorder
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Pneumonitis
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Respiratory distress
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Respiratory tract congestion
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Psychiatric disorders
    Confusional state
         subjects affected / exposed
    2 / 120 (1.67%)
         occurrences causally related to treatment / all
    1 / 2
         deaths causally related to treatment / all
    0 / 1
    Depression
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Injury, poisoning and procedural complications
    Fall
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Infusion related reaction
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Lower limb fracture
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Skull fractured base
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Cardiac disorders
    Cardiac failure
         subjects affected / exposed
    2 / 120 (1.67%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Acute coronary syndrome
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Aortic valve stenosis
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Atrial fibrillation
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Atrial flutter
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Intracardiac thrombus
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Left ventricular dysfunction
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Nervous system disorders
    Cerebral haemorrhage
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Ischaemic stroke
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 1
    Paraplegia
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Parkinson's disease
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Presyncope
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Transient ischaemic attack
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Blood and lymphatic system disorders
    Febrile neutropenia
         subjects affected / exposed
    5 / 120 (4.17%)
         occurrences causally related to treatment / all
    3 / 5
         deaths causally related to treatment / all
    0 / 0
    Anaemia
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Bone marrow failure
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Ear and labyrinth disorders
    Deafness bilateral
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Eye disorders
    Blindness
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Ulcerative keratitis
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Gastrointestinal disorders
    Rectal haemorrhage
         subjects affected / exposed
    2 / 120 (1.67%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Abdominal pain
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Abdominal strangulated hernia
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Ileus
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Pancreatitis
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Renal and urinary disorders
    Bladder obstruction
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Renal failure
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Urinary retention
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Endocrine disorders
    Inappropriate antidiuretic hormone secretion
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Musculoskeletal and connective tissue disorders
    Bone pain
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Infections and infestations
    Urinary tract infection
         subjects affected / exposed
    3 / 120 (2.50%)
         occurrences causally related to treatment / all
    1 / 3
         deaths causally related to treatment / all
    0 / 0
    Bacterial sepsis
         subjects affected / exposed
    2 / 120 (1.67%)
         occurrences causally related to treatment / all
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    Klebsiella infection
         subjects affected / exposed
    2 / 120 (1.67%)
         occurrences causally related to treatment / all
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    Lung infection
         subjects affected / exposed
    2 / 120 (1.67%)
         occurrences causally related to treatment / all
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    Sepsis
         subjects affected / exposed
    2 / 120 (1.67%)
         occurrences causally related to treatment / all
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    Infection
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Postoperative wound infection
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Prostatitis Escherichia coli
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Pyelonephritis
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Septic shock
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Metabolism and nutrition disorders
    Decreased appetite
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 0%
    Non-serious adverse events
    SAFETY SET
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    85 / 120 (70.83%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Noeplan benign, malignant and unspecified
         subjects affected / exposed
    2 / 120 (1.67%)
         occurrences all number
    2
    Vascular disorders
    Vascular Disorders
         subjects affected / exposed
    8 / 120 (6.67%)
         occurrences all number
    10
    General disorders and administration site conditions
    General DIsorders and Administration site conditions
         subjects affected / exposed
    13 / 120 (10.83%)
         occurrences all number
    13
    Immune system disorders
    Immune System Disorders
         subjects affected / exposed
    3 / 120 (2.50%)
         occurrences all number
    3
    Social circumstances
    Social circumstances
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences all number
    1
    Reproductive system and breast disorders
    Reproductive system disorders
         subjects affected / exposed
    2 / 120 (1.67%)
         occurrences all number
    2
    Respiratory, thoracic and mediastinal disorders
    Respiratory, Thoracic and Mediastinal Disorders
         subjects affected / exposed
    8 / 120 (6.67%)
         occurrences all number
    8
    Psychiatric disorders
    Psychiatric Disorders
         subjects affected / exposed
    5 / 120 (4.17%)
         occurrences all number
    5
    Investigations
    Investigations
         subjects affected / exposed
    12 / 120 (10.00%)
         occurrences all number
    24
    Injury, poisoning and procedural complications
    Injury , Poisoning and Procedural complications
         subjects affected / exposed
    17 / 120 (14.17%)
         occurrences all number
    19
    Cardiac disorders
    Cardiac Disorders
         subjects affected / exposed
    8 / 120 (6.67%)
         occurrences all number
    10
    Nervous system disorders
    Nervous System Disorders
         subjects affected / exposed
    13 / 120 (10.83%)
         occurrences all number
    13
    Blood and lymphatic system disorders
    Blood and lymphatic system disorders
         subjects affected / exposed
    37 / 120 (30.83%)
         occurrences all number
    110
    Ear and labyrinth disorders
    Ear and Labyrinth disorders
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences all number
    1
    Eye disorders
    Eye Disorders
         subjects affected / exposed
    2 / 120 (1.67%)
         occurrences all number
    3
    Gastrointestinal disorders
    Gastrointestinal disorders
         subjects affected / exposed
    9 / 120 (7.50%)
         occurrences all number
    11
    Skin and subcutaneous tissue disorders
    Skin and subcutaneous tissue disorders
         subjects affected / exposed
    9 / 120 (7.50%)
         occurrences all number
    9
    Renal and urinary disorders
    Renal and urinary Disorders
         subjects affected / exposed
    4 / 120 (3.33%)
         occurrences all number
    4
    Endocrine disorders
    Endocrine disorders
         subjects affected / exposed
    1 / 120 (0.83%)
         occurrences all number
    1
    Musculoskeletal and connective tissue disorders
    Muskuloskeletal and connective tissue disorders
         subjects affected / exposed
    2 / 120 (1.67%)
         occurrences all number
    2
    Infections and infestations
    Infections and Infestations
         subjects affected / exposed
    29 / 120 (24.17%)
         occurrences all number
    46
    Metabolism and nutrition disorders
    Metabolism and Nutrition Disorders
         subjects affected / exposed
    3 / 120 (2.50%)
         occurrences all number
    3

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    17 Nov 2010
    Addition of the Charlson score which is a comorbidity index to recover at the time the patient enters the trial
    30 May 2011
    IB modification : change in expected adverse events
    27 Feb 2013
    1. Addition of a neurological examination during clinical examinations 2. Indications on what to do in case of PML suspicion 3. Further information on expected toxicities 4. Investigator's Brochure update
    15 Apr 2013
    IB update : risk of toxic epidermal necrolysis in FL

    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.
    None reported

    Online references

    http://www.ncbi.nlm.nih.gov/pubmed/29473343
    http://www.ncbi.nlm.nih.gov/pubmed/28041583
    For support, Contact us.
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    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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