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    Clinical Trial Results:
    A Phase Ib/II study of OBINUTUZUMAB combined with LENALIDOMIDE for the treatment of relapsed/refractory follicular and Aggressive (DLBCL and MCL) B-cell Lymphoma.

    Summary
    EudraCT number
    2011-005150-62
    Trial protocol
    FR   BE  
    Global end of trial date
    20 May 2022

    Results information
    Results version number
    v1(current)
    This version publication date
    28 Oct 2023
    First version publication date
    28 Oct 2023
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    GALEN
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT01582776
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    LYSARC
    Sponsor organisation address
    Centre Hospitalier Lyon-Sud Bâtiment 2D, PIERRE-BÉNITE Cedex, France, 69495
    Public contact
    Project management, LYSARC, galen@lysarc.org
    Scientific contact
    Pr. Franck MORSCHHAUSER, LYSARC, Franck.MORSCHHAUSER@chu-lille.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
    13 Jan 2023
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    20 May 2022
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    Phase IB: to determine the recommended dose (RD) of lenalinomide (Revlimid) when administered in association with obinutuzumab by escalation approach (3+3 dosing). Phase II: to assess the efficacy of the association of the recommended dose of lenalidomide in combination with obinutuzumab, as measured by the overall response rate (ORR) at the end of 6 cycles (end of induction) in 3 different populations of patients with lymphoma disease: relapsed/refractory follicular lymphoma , relapsed/refractory aggressive lymphoma [aNHL] (Diffuse large B-cell and Mantle cell lymphoma) and untreated follicular lymphoma
    Protection of trial subjects
    No rescue treatment in this study
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    04 Jun 2012
    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: 47
    Country: Number of subjects enrolled
    France: 265
    Worldwide total number of subjects
    312
    EEA total number of subjects
    312
    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)
    151
    From 65 to 84 years
    159
    85 years and over
    2

    Subject disposition

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    Recruitment
    Recruitment details
    Subjects were recruited between october 2012 and January 2018

    Pre-assignment
    Screening details
    Phase Ib : 21 patients were screened and 20 were included Phase II : 310 patients were screened and 297 were included

    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
    Patients who received combination of lenalidomide plus obinutuzumab.
    Arm type
    Experimental

    Investigational medicinal product name
    Lenalidomide
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    Lenalidomide treatment in Phase I part: Cycle 1 D1 to D21 depending on dose level: 10 mg, 15mg, 20mg or 25mg For cycles 2 to 6, lenalidomide will be given on day 2 to day 22 Treatment in Phase II part: Induction: Oral lenalidomide will be given once daily at 20 mg on days 1-21 of a 28-day cycle for the first cycle and on days 2-22 of a 28-day cycle for cycles 2 to 6. Maintenance: If after cycle 6, the patient has achieved at least a PR, he will be eligible for maintenance treatment. First year of maintenance (12 cycles of 28 days), 10mg on days 2-22 of a 28-day cycle during a maximum of 12 cycles as tolerated, or until

    Investigational medicinal product name
    Obinutuzumab
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Injection
    Dosage and administration details
    Treatment in Phase I part: D8, D15, D22 (cycle 1) and D1 (cycles 2 to 6) : 1000mg Treatment in Phase II part: 1000mg on D8, D15, and D22 of the first cycle and at D1 of cycles 2 to 6 days (total of 8 infusions) During the first year of maintenance (12 cycles of 28 days), patient will received obinutuzumab (6 infusions of 1000mg every 2 cycles: C7, C9, C11, C13, C15 and C17) as tolerated, or until disease progression. During the second year of maintenance (6 cycles of 56 days), patient will received obinutuzumab (6 infusions of 1000mg every 56 days).

    Number of subjects in period 1
    Experimental
    Started
    312
    Completed
    166
    Not completed
    146
         Adverse event, serious fatal
    10
         Consent withdrawn by subject
    2
         Adverse event, non-fatal
    23
         Progression
    95
         Concurrent illness
    6
         other
    4
         Lack of efficacy
    4
         Protocol deviation
    2

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Experimental
    Reporting group description
    Patients who received combination of lenalidomide plus obinutuzumab.

    Reporting group values
    Experimental Total
    Number of subjects
    312 312
    Age categorical
    Units: Subjects
        Adults (18-64 years)
    151 151
        From 65-84 years
    159 159
        85 years and over
    2 2
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    63.3 ( 10.7 ) -
    Gender categorical
    Units: Subjects
        Female
    134 134
        Male
    178 178
    Subject analysis sets

    Subject analysis set title
    Cohort 1 : Relapsed/refractory aggressive patients
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Cohort 1 : Relapsed/refractory aggressive patients

    Subject analysis set title
    Cohort 2 : Relapsed/refractory follicular patients
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Cohort 2 : Relapsed/refractory follicular patients

    Subject analysis set title
    Cohort 3 : Untreated follicular lymphoma
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Cohort 3 : Untreated follicular lymphoma

    Subject analysis set title
    DLT set
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Phase Ib

    Subject analysis set title
    Cohorte 4
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Untreated follicular lymphoma

    Subject analysis sets values
    Cohort 1 : Relapsed/refractory aggressive patients Cohort 2 : Relapsed/refractory follicular patients Cohort 3 : Untreated follicular lymphoma DLT set Cohorte 4
    Number of subjects
    85
    86
    100
    19
    17
    Age categorical
    Units: Subjects
        Adults (18-64 years)
    20
    44
    61
    10
    12
        From 65-84 years
    65
    41
    38
    8
    5
        85 years and over
    0
    1
    1
    0
    0
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    68.26 ( 8.2 )
    63.29 ( 10.7 )
    60.30 ( 11.1 )
    62.11 ( 11.8 )
    60.9 ( 8.7 )
    Gender categorical
    Units: Subjects
        Female
    30
    32
    55
    9
    6
        Male
    55
    54
    45
    9
    11

    End points

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    End points reporting groups
    Reporting group title
    Experimental
    Reporting group description
    Patients who received combination of lenalidomide plus obinutuzumab.

    Subject analysis set title
    Cohort 1 : Relapsed/refractory aggressive patients
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Cohort 1 : Relapsed/refractory aggressive patients

    Subject analysis set title
    Cohort 2 : Relapsed/refractory follicular patients
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Cohort 2 : Relapsed/refractory follicular patients

    Subject analysis set title
    Cohort 3 : Untreated follicular lymphoma
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Cohort 3 : Untreated follicular lymphoma

    Subject analysis set title
    DLT set
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Phase Ib

    Subject analysis set title
    Cohorte 4
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Untreated follicular lymphoma

    Primary: DLT - recommended dose

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    End point title
    DLT - recommended dose [1]
    End point description
    Therefore, primary analysis will be based on safety parameters and particularly on incidence of DLTs as defined in section 8.3. Frequency of patients with DLT only during the first cycle of GALEN study will be reported by dose level. Safety data (adverse events, laboratory data, vital signs and ECOG performance status) will be summarized overall and at each cycle. Definition of DLTs : - DLT 1 : 10 mg - DLT 2 : 15 mg - DLT 3 : 20 mg - DLT 4 : 25 mg
    End point type
    Primary
    End point timeframe
    First six cycles of treatment
    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: GALEN is a phase-II study. There was no statistical tests because no comparison have been made with an another group.
    End point values
    DLT set
    Number of subjects analysed
    19 [2]
    Units: Patients
        DLT 1 : 10 mg
    2
        DLT 2 : 15 mg
    0
        DLT 3 : 20 mg
    5
        DLT 4 : 25 mg
    3
    Notes
    [2] - 10 patients with at least one DLT after cycle 1
    No statistical analyses for this end point

    Primary: Response rate

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    End point title
    Response rate [3]
    End point description
    End point type
    Primary
    End point timeframe
    At the end of induction (after 6 cycles)
    Notes
    [3] - 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: GALEN is a phase-II study. There was no statistical tests because no comparison have been made with an another group.
    End point values
    Cohort 1 : Relapsed/refractory aggressive patients Cohort 2 : Relapsed/refractory follicular patients Cohort 3 : Untreated follicular lymphoma Cohorte 4
    Number of subjects analysed
    85
    86
    100
    17
    Units: percent
        number (confidence interval 95%)
    36.5 (26.3 to 47.6)
    79.1 (68.9 to 87.1)
    92.0 (84.8 to 96.5)
    100 (80.5 to 100)
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    from the date of informed consent signature to end of treatment evaluation (28 days after last drug administration)
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    25
    Reporting groups
    Reporting group title
    Adverse event
    Reporting group description
    -

    Serious adverse events
    Adverse event
    Total subjects affected by serious adverse events
         subjects affected / exposed
    120 / 312 (38.46%)
         number of deaths (all causes)
    99
         number of deaths resulting from adverse events
    6
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Neoplasm
         subjects affected / exposed
    33 / 312 (10.58%)
         occurrences causally related to treatment / all
    22 / 48
         deaths causally related to treatment / all
    9 / 9
    Vascular disorders
    vascular disorder
         subjects affected / exposed
    3 / 312 (0.96%)
         occurrences causally related to treatment / all
    1 / 3
         deaths causally related to treatment / all
    0 / 0
    General disorders and administration site conditions
    GENERAL DISORDERS AND ADMINISTRATION SITE CONDITIONS
         subjects affected / exposed
    7 / 312 (2.24%)
         occurrences causally related to treatment / all
    0 / 7
         deaths causally related to treatment / all
    0 / 0
    Immune system disorders
    Immune system disorder
         subjects affected / exposed
    3 / 312 (0.96%)
         occurrences causally related to treatment / all
    2 / 3
         deaths causally related to treatment / all
    0 / 0
    Social circumstances
    social circumstances
         subjects affected / exposed
    1 / 312 (0.32%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Respiratory, thoracic and mediastinal disorders
         subjects affected / exposed
    15 / 312 (4.81%)
         occurrences causally related to treatment / all
    8 / 15
         deaths causally related to treatment / all
    0 / 0
    Injury, poisoning and procedural complications
    Injury, poisoning and procedural complications
         subjects affected / exposed
    20 / 312 (6.41%)
         occurrences causally related to treatment / all
    5 / 20
         deaths causally related to treatment / all
    1 / 1
    Cardiac disorders
    Cardiac disorder
         subjects affected / exposed
    7 / 312 (2.24%)
         occurrences causally related to treatment / all
    3 / 8
         deaths causally related to treatment / all
    1 / 1
    Nervous system disorders
    nervous system disorder
         subjects affected / exposed
    7 / 312 (2.24%)
         occurrences causally related to treatment / all
    4 / 9
         deaths causally related to treatment / all
    0 / 0
    Blood and lymphatic system disorders
    BLOOD AND LYMPHATIC SYSTEM DISORDERS
         subjects affected / exposed
    9 / 312 (2.88%)
         occurrences causally related to treatment / all
    7 / 9
         deaths causally related to treatment / all
    1 / 1
    Gastrointestinal disorders
    GASTROINTESTINAL DISORDERS
         subjects affected / exposed
    9 / 312 (2.88%)
         occurrences causally related to treatment / all
    2 / 14
         deaths causally related to treatment / all
    0 / 0
    Hepatobiliary disorders
    hepatobiliary disorder
         subjects affected / exposed
    3 / 312 (0.96%)
         occurrences causally related to treatment / all
    1 / 5
         deaths causally related to treatment / all
    0 / 0
    Skin and subcutaneous tissue disorders
    Skin and subcutaneous tissue disorders
         subjects affected / exposed
    4 / 312 (1.28%)
         occurrences causally related to treatment / all
    3 / 5
         deaths causally related to treatment / all
    0 / 0
    Renal and urinary disorders
    renal and urinary disorders
         subjects affected / exposed
    5 / 312 (1.60%)
         occurrences causally related to treatment / all
    2 / 5
         deaths causally related to treatment / all
    0 / 0
    Endocrine disorders
    Endocrine disorder
         subjects affected / exposed
    2 / 312 (0.64%)
         occurrences causally related to treatment / all
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    Musculoskeletal and connective tissue disorders
    MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS
         subjects affected / exposed
    4 / 312 (1.28%)
         occurrences causally related to treatment / all
    1 / 5
         deaths causally related to treatment / all
    0 / 0
    Infections and infestations
    INFECTIONS AND INFESTATIONS
         subjects affected / exposed
    41 / 312 (13.14%)
         occurrences causally related to treatment / all
    22 / 49
         deaths causally related to treatment / all
    2 / 5
    Metabolism and nutrition disorders
    metabolism and nutrition disorder
         subjects affected / exposed
    4 / 312 (1.28%)
         occurrences causally related to treatment / all
    0 / 4
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 0%
    Non-serious adverse events
    Adverse event
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    304 / 312 (97.44%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Neoplasm
         subjects affected / exposed
    18 / 312 (5.77%)
         occurrences all number
    18
    Vascular disorders
    Vascular disorder
         subjects affected / exposed
    39 / 312 (12.50%)
         occurrences all number
    46
    Surgical and medical procedures
    surgical and medical procedures
         subjects affected / exposed
    7 / 312 (2.24%)
         occurrences all number
    8
    General disorders and administration site conditions
    General disorders and administration site conditions
         subjects affected / exposed
    204 / 312 (65.38%)
         occurrences all number
    372
    Immune system disorders
    Immune system disorder
         subjects affected / exposed
    30 / 312 (9.62%)
         occurrences all number
    33
    Reproductive system and breast disorders
    reproductive system and breast disorders
         subjects affected / exposed
    16 / 312 (5.13%)
         occurrences all number
    18
    Respiratory, thoracic and mediastinal disorders
    respratory, thoracic and mediastinal disorders
         subjects affected / exposed
    151 / 312 (48.40%)
         occurrences all number
    274
    Psychiatric disorders
    psychiatric disorder
         subjects affected / exposed
    46 / 312 (14.74%)
         occurrences all number
    55
    Investigations
    Investigations
         subjects affected / exposed
    85 / 312 (27.24%)
         occurrences all number
    108
    Injury, poisoning and procedural complications
    injury, poisoning and procedural complications
         subjects affected / exposed
    65 / 312 (20.83%)
         occurrences all number
    75
    Congenital, familial and genetic disorders
    congenital, familial and genetic disorders
         subjects affected / exposed
    1 / 312 (0.32%)
         occurrences all number
    1
    Cardiac disorders
    Cardiac disorder
         subjects affected / exposed
    12 / 312 (3.85%)
         occurrences all number
    14
    Nervous system disorders
    Nervous system disorder
         subjects affected / exposed
    113 / 312 (36.22%)
         occurrences all number
    176
    Blood and lymphatic system disorders
    Blood and lymphatic system disorders
         subjects affected / exposed
    175 / 312 (56.09%)
         occurrences all number
    542
    Ear and labyrinth disorders
    ear and labyrinth disorders
         subjects affected / exposed
    20 / 312 (6.41%)
         occurrences all number
    22
    Eye disorders
    Eye disorder
         subjects affected / exposed
    25 / 312 (8.01%)
         occurrences all number
    39
    Gastrointestinal disorders
    Gastrointestinal disorder
         subjects affected / exposed
    231 / 312 (74.04%)
         occurrences all number
    337
    Hepatobiliary disorders
    Hepatobiliary disorders
         subjects affected / exposed
    11 / 312 (3.53%)
         occurrences all number
    11
    Skin and subcutaneous tissue disorders
    skin and subcutaneous tissue disorders
         subjects affected / exposed
    148 / 312 (47.44%)
         occurrences all number
    383
    Renal and urinary disorders
    Renal and urinary disorders
         subjects affected / exposed
    33 / 312 (10.58%)
         occurrences all number
    37
    Endocrine disorders
    endocrine disorders
         subjects affected / exposed
    3 / 312 (0.96%)
         occurrences all number
    3
    Musculoskeletal and connective tissue disorders
    musculoskeletal and connective tissue disorders
         subjects affected / exposed
    152 / 312 (48.72%)
         occurrences all number
    297
    Infections and infestations
    infestions and infestations
         subjects affected / exposed
    203 / 312 (65.06%)
         occurrences all number
    612
    Metabolism and nutrition disorders
    Metabolism and nutrition disorder
         subjects affected / exposed
    54 / 312 (17.31%)
         occurrences all number
    62

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    30 Oct 2012
    1. Addition of an exclusion criterion : Patients with a history of PML cannot be included in the study. The exclusion criterion "Prior history of Progressive Multifocal Leukoencephalopathy (PML) is added. - 2 Addition of a neurological examination during clinical examinations A neurological examination must be performed at every clinical examination, during the treatment and follow-up phases, in order to detect any neurological signs suggestive of neurological signs suggestive of potential PML. - 3 Indications on what to do if PML is suspected: symptoms, diagnosis, treatment with anti-CD20 drugs In the event of symptoms suggestive of PML, investigations should be carried out: consultation with a neurologist, brain MRI, testing for JC virus in cerebrospinal fluid, etc. cerebro-spinal fluid... Treatment with Rituximab or Obinutuzumab should be suspended during these investigations, and stopped permanently if the diagnosis of PML is confirmed.
    19 Apr 2013
    - For biological studies, the theoretical sampling time "C1J8 1h after end of infusion" has been changed to "C1J8 just after end of infusion". - Exclusion criterion 8 has been modified to include patients with a history of non-melanoma skin tumours (basal cell carcinoma or squamous cell carcinoma of the skin) or surgically removed carcinoma of any grade 0 (in situ) in phase I, which does not include maintenance treatment with lenalidomide. - Following recommendations made by the study's DSMC at the organizational meeting, an electrocardiogram was added to the list of tests to be performed during patient screening. - Certain clarifications have been made concerning the rules for reporting adverse events
    18 Mar 2014
    - The recommended lenalidomide dose of 20 mg for phase II has been added. - The doses of GA101 and lenalidomide for the two years of maintenance have been reformulated. - Corrections have been made to the abstract to reflect the content of the protocol (inclusion criteria, DLT definitions and prophylaxis). - AE and SAE deferrals have been added or clarified for each period. The NCI CTCAE version has been specified (version 4.03). - Following Roche's recommendations in a February DIL, prophylaxis treatments have been adapted. The dose of paracetamol is now 1000mg, and that of antihistamines such as diphenhydramine hydrochloride 100mg. Recommendations have been added for patients with pre-existing heart and lung disease. BSA calculation and B symptom collection were added to the baseline. It was specified that biological analyses could be performed. - During treatment, times for physical and neurological examinations and vital signs were clarified. Weight and BSA were collected only for assessments. CBC was maintained weekly for the 1st cycle, on the 1st day of each cycle for the induction period and at each visit for treatments during maintenance. All other CBCs were eliminated. Optional biological tests were added. - For assessments, appointment "windows" have been specified: for cycle 3 between I C3J21 and C3J28; for cycle 6 between C6J22 and C6J28. Assessments every 6 months during the maintenance period and in the event of premature discharge.- For assessments, only weight (without BSA) will be requested. PET scans are mandatory at the end of cycles 3 and 6 and at the end of treatment, but optional during maintenance. - During the maintenance period, it has been added that the PET scan is optional, bone marrow biopsy is compulsory every 6 months in the event of positive results at the previous assessment, response assessment must be carried out every 6 months as well as baseline assessments.- For biological studies, the theoretical sampling time "C1J8
    15 Oct 2014
    o study duration shortened due to earlier inclusion than initially estimated o contraception of women for 18 months after GA101 treatment o withdrawal of the planned 20-patient efficacy/safety analysis, since a DSMC is planned every 6 months. o updated GA101 data.
    19 Jan 2015
    The purpose of this amendment is to present GALEN's ancillary study: GALEN-IM.GALEN-IM is an exploratory, open-label, multicenter immunoPET ancillary study involving 30 GALEN patients with histologically confirmed CD20-positive follicular lymphoma.After signing specific information and consent documents, these patients will receive 0.6 MBq/kg (36-54 MBq) of 89Zr-obinutuzumab, in addition to the 1000 mg dose of obinutuzumab planned in the GALEN study, on Cycle 1 J8 and/or Cycle 2 J1.This administration will enable us to determine the tissue concentration of obinutuzumab in the tumor and in the main organs of interest, and to generate a PK model of obinutuzumab. Secondly, it will enable us to define patient radiation exposure, compare obinutuzumab concentration-time profiles in tumor and normal organs, correlate tissue and plasma PK with tumor burden, and evaluate the 89Zr-obinutuzumab uptake model.
    08 Jun 2015
    Addition of a cohort of 100 previously untreated follicular lymphoma patients. Addition of biological studies adapted to this new cohort of 100 patients with previously untreated follicular lymphoma. Addition of biological studies to search for correlations between transcriptomic profile (GCvs ABC) and response to treatment for patients with relapsed or refractory diffuse large relapsed or refractory diffuse large B-cell lymphoma (DLBCL) already included in the phase 2 aggressive lymphoma cohort. Update of the Pregnancy Prevention Plan linked to lenalidomide treatment.
    22 Nov 2016
    We would therefore like to complete the enrolment of cohort 3 without offering the GALEN-IM study to patients, to enable analysis of the 100 patients as planned in the protocol, and to add a cohort of 15 patients with 1st-line Follicular Lymphoma solely for the GALEN-IM study (cohort 4). These 15 patients will receive exactly the same treatment as the GALEN patients, with one or two additional doses of 89Zr-obinutuzumab. The data collected will meet the objectives of the GALEN-IM study alone, and will not be included in the analysis of the GALEN study.
    28 Aug 2017
    The changes mainly concern the ancillary immunoPET exploratory study. It was initially planned that each patient would receive 0.6 MBq/kg (36-54 MBq) of 89Zr-obinutuzumab, in addition to the GALEN dose. the 1000 mg dose of obinutuzumab planned in the GALEN study, on Cycle 1 D8 and/or Cycle Cycle 2 D1. The first 6 patients finally received a fixed dose of 37 MBq on Cycle 1 D8 and Cycle Cycle 2 J1; subsequent patients will receive the same dose. Analysis of the results obtained from the first six patients shows that immunoPET scans scans performed on Cycle 1 Day 8 appear to be more informative than those performed on Cycle 2 Day 1. The experts therefore decided, for the remaining 9 patients, to carry out a single injection of 89Zr-obinutuzumab at Cycle Cycle 1 Day 8.

    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/30291335
    http://www.ncbi.nlm.nih.gov/pubmed/30068505
    http://www.ncbi.nlm.nih.gov/pubmed/31296423
    http://www.ncbi.nlm.nih.gov/pubmed/34936697
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