Trial Outcomes & Findings for Epratuzumab and Rituximab in Treating Patients With Previously Untreated Follicular Non-Hodgkin Lymphoma (NCT NCT00553501)

NCT ID: NCT00553501

Last Updated: 2016-07-06

Results Overview

Overall response is defined as achievement of a complete response (CR) or partial response (PR) as defined by the Revised Response Criteria for Malignant Lymphoma. CR: complete disappearance of all detectable disease PR: \>=50% decrease in the sum of the product of diameters of indicator lesions

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

60 participants

Primary outcome timeframe

12 months

Results posted on

2016-07-06

Participant Flow

Between March 2008 and July 2009, 60 participants were recruited.

One participant was deemed ineligible and excluded from all analyses per study design.

Participant milestones

Participant milestones
Measure
Epratuzumab Plus Rituximab
Induction Therapy (Month 1): Epratuzumab 360 mg/m\^2 by IV days 1, 8, 15 \& 22; Rituximab 375 mg/m\^2 by IV day 3, 8, 15 \& 22 Extended Induction (Weeks 12, 20, 28 \& 36) Epratuzumab 360 mg/m\^2 by IV weeks 12, 20, 28 \& 36; Rituximab 375 mg/m\^2 by IV weeks 12, 20, 28 \& 36
Overall Study
STARTED
59
Overall Study
COMPLETED
55
Overall Study
NOT COMPLETED
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Epratuzumab Plus Rituximab
Induction Therapy (Month 1): Epratuzumab 360 mg/m\^2 by IV days 1, 8, 15 \& 22; Rituximab 375 mg/m\^2 by IV day 3, 8, 15 \& 22 Extended Induction (Weeks 12, 20, 28 \& 36) Epratuzumab 360 mg/m\^2 by IV weeks 12, 20, 28 \& 36; Rituximab 375 mg/m\^2 by IV weeks 12, 20, 28 \& 36
Overall Study
Adverse Event
2
Overall Study
Death
1
Overall Study
Progression
1

Baseline Characteristics

Epratuzumab and Rituximab in Treating Patients With Previously Untreated Follicular Non-Hodgkin Lymphoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Epratuzumab Plus Rituximab
n=59 Participants
Induction Therapy (Month 1): Epratuzumab 360 mg/m\^2 by IV days 1, 8, 15 \& 22; Rituximab 375 mg/m\^2 by IV day 3, 8, 15 \& 22 Extended Induction (Weeks 12, 20, 28 \& 36) Epratuzumab 360 mg/m\^2 by IV weeks 12, 20, 28 \& 36; Rituximab 375 mg/m\^2 by IV weeks 12, 20, 28 \& 36
Age, Continuous
54 years
n=99 Participants
Sex: Female, Male
Female
35 Participants
n=99 Participants
Sex: Female, Male
Male
24 Participants
n=99 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
Race (NIH/OMB)
Asian
1 Participants
n=99 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=99 Participants
Race (NIH/OMB)
White
54 Participants
n=99 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=99 Participants
Region of Enrollment
United States
59 participants
n=99 Participants

PRIMARY outcome

Timeframe: 12 months

Overall response is defined as achievement of a complete response (CR) or partial response (PR) as defined by the Revised Response Criteria for Malignant Lymphoma. CR: complete disappearance of all detectable disease PR: \>=50% decrease in the sum of the product of diameters of indicator lesions

Outcome measures

Outcome measures
Measure
Epratuzumab Plus Rituximab
n=59 Participants
Induction Therapy (Month 1): Epratuzumab 360 mg/m\^2 by IV days 1, 8, 15 \& 22; Rituximab 375 mg/m\^2 by IV day 3, 8, 15 \& 22 Extended Induction (Weeks 12, 20, 28 \& 36) Epratuzumab 360 mg/m\^2 by IV weeks 12, 20, 28 \& 36; Rituximab 375 mg/m\^2 by IV weeks 12, 20, 28 \& 36
Number of Participants With Overall Response
Complete Response
25 participants
Number of Participants With Overall Response
Partial Response
27 participants

SECONDARY outcome

Timeframe: Duration of study (up to 10 years)

Progression free survival (PFS) was defined as the time from registration to progression or death of any cause. Progression free and alive patients were censored at the date of last follow-up. The median PFS with 95% CI was estimated using the Kaplan Meier method.

Outcome measures

Outcome measures
Measure
Epratuzumab Plus Rituximab
n=59 Participants
Induction Therapy (Month 1): Epratuzumab 360 mg/m\^2 by IV days 1, 8, 15 \& 22; Rituximab 375 mg/m\^2 by IV day 3, 8, 15 \& 22 Extended Induction (Weeks 12, 20, 28 \& 36) Epratuzumab 360 mg/m\^2 by IV weeks 12, 20, 28 \& 36; Rituximab 375 mg/m\^2 by IV weeks 12, 20, 28 \& 36
Progression Free Survival
3.5 years
Interval 2.6 to 4.4

POST_HOC outcome

Timeframe: 3 years

Percentage of participants who were alive at 3 years. The 3 year survival, with 95% confidence interval, was estimated using the Kaplan Meier method.

Outcome measures

Outcome measures
Measure
Epratuzumab Plus Rituximab
n=59 Participants
Induction Therapy (Month 1): Epratuzumab 360 mg/m\^2 by IV days 1, 8, 15 \& 22; Rituximab 375 mg/m\^2 by IV day 3, 8, 15 \& 22 Extended Induction (Weeks 12, 20, 28 \& 36) Epratuzumab 360 mg/m\^2 by IV weeks 12, 20, 28 \& 36; Rituximab 375 mg/m\^2 by IV weeks 12, 20, 28 \& 36
3-Year Overall Survival
91 percentage of participants
Interval 80.0 to 96.0

Adverse Events

Epratuzumab Plus Rituximab

Serious events: 10 serious events
Other events: 58 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Epratuzumab Plus Rituximab
n=59 participants at risk
Induction Therapy (Month 1): Epratuzumab 360 mg/m\^2 by IV days 1, 8, 15 \& 22; Rituximab 375 mg/m\^2 by IV day 3, 8, 15 \& 22 Extended Induction (Weeks 12, 20, 28 \& 36) Epratuzumab 360 mg/m\^2 by IV weeks 12, 20, 28 \& 36; Rituximab 375 mg/m\^2 by IV weeks 12, 20, 28 \& 36
Blood and lymphatic system disorders
Hemoglobin decreased
10.2%
6/59 • Number of events 7
Cardiac disorders
Atrial fibrillation
1.7%
1/59 • Number of events 1
Cardiac disorders
Cardiac disorder
1.7%
1/59 • Number of events 1
Cardiac disorders
Left ventricular failure
1.7%
1/59 • Number of events 1
Cardiac disorders
Myocardial ischemia
3.4%
2/59 • Number of events 2
Gastrointestinal disorders
Abdominal pain
1.7%
1/59 • Number of events 2
Gastrointestinal disorders
Diarrhea
3.4%
2/59 • Number of events 3
Gastrointestinal disorders
Nausea
5.1%
3/59 • Number of events 4
Gastrointestinal disorders
Rectal hemorrhage
1.7%
1/59 • Number of events 1
Gastrointestinal disorders
Rectal pain
1.7%
1/59 • Number of events 1
Gastrointestinal disorders
Vomiting
1.7%
1/59 • Number of events 2
General disorders
Edema limbs
1.7%
1/59 • Number of events 1
General disorders
Fatigue
13.6%
8/59 • Number of events 9
General disorders
Fever
1.7%
1/59 • Number of events 1
General disorders
Localized edema
1.7%
1/59 • Number of events 1
General disorders
Pain
1.7%
1/59 • Number of events 1
General disorders
Visceral edema
1.7%
1/59 • Number of events 1
Immune system disorders
Cytokine release syndrome
1.7%
1/59 • Number of events 1
Immune system disorders
Hypersensitivity
1.7%
1/59 • Number of events 1
Infections and infestations
Catheter related infection
1.7%
1/59 • Number of events 1
Infections and infestations
Endocarditis infective
1.7%
1/59 • Number of events 1
Infections and infestations
Infection
1.7%
1/59 • Number of events 1
Infections and infestations
Peripheral nerve infection
1.7%
1/59 • Number of events 1
Infections and infestations
Pneumonia
1.7%
1/59 • Number of events 1
Infections and infestations
Sepsis
1.7%
1/59 • Number of events 1
Investigations
Alanine aminotransferase increased
3.4%
2/59 • Number of events 2
Investigations
Alkaline phosphatase increased
3.4%
2/59 • Number of events 2
Investigations
Aspartate aminotransferase increased
5.1%
3/59 • Number of events 3
Investigations
Blood bilirubin increased
3.4%
2/59 • Number of events 2
Investigations
Cardiac troponin I increased
3.4%
2/59 • Number of events 2
Investigations
Creatinine increased
3.4%
2/59 • Number of events 2
Investigations
Laboratory test abnormal
1.7%
1/59 • Number of events 1
Investigations
Lymphocyte count decreased
3.4%
2/59 • Number of events 2
Investigations
Platelet count decreased
5.1%
3/59 • Number of events 3
Metabolism and nutrition disorders
Anorexia
1.7%
1/59 • Number of events 1
Metabolism and nutrition disorders
Blood glucose increased
8.5%
5/59 • Number of events 6
Metabolism and nutrition disorders
Blood uric acid increased
3.4%
2/59 • Number of events 2
Metabolism and nutrition disorders
Dehydration
1.7%
1/59 • Number of events 2
Metabolism and nutrition disorders
Serum albumin decreased
3.4%
2/59 • Number of events 2
Metabolism and nutrition disorders
Serum calcium decreased
3.4%
2/59 • Number of events 3
Metabolism and nutrition disorders
Serum glucose decreased
1.7%
1/59 • Number of events 2
Metabolism and nutrition disorders
Serum potassium decreased
1.7%
1/59 • Number of events 1
Metabolism and nutrition disorders
Serum potassium increased
1.7%
1/59 • Number of events 1
Metabolism and nutrition disorders
Serum sodium decreased
1.7%
1/59 • Number of events 1
Musculoskeletal and connective tissue disorders
Arthralgia
3.4%
2/59 • Number of events 2
Musculoskeletal and connective tissue disorders
Muscle weakness
5.1%
3/59 • Number of events 4
Musculoskeletal and connective tissue disorders
Myalgia
1.7%
1/59 • Number of events 1
Nervous system disorders
Dizziness
1.7%
1/59 • Number of events 1
Nervous system disorders
Headache
3.4%
2/59 • Number of events 2
Nervous system disorders
Mini mental status examination abnormal
1.7%
1/59 • Number of events 1
Psychiatric disorders
Anxiety
1.7%
1/59 • Number of events 1
Renal and urinary disorders
Bladder hemorrhage
1.7%
1/59 • Number of events 1
Renal and urinary disorders
Renal failure
1.7%
1/59 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Cough
5.1%
3/59 • Number of events 3
Respiratory, thoracic and mediastinal disorders
Dyspnea
5.1%
3/59 • Number of events 3
Respiratory, thoracic and mediastinal disorders
Hypoxia
1.7%
1/59 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Respiratory disorder
1.7%
1/59 • Number of events 1
Skin and subcutaneous tissue disorders
Sweating
3.4%
2/59 • Number of events 2
Vascular disorders
Hot flashes
1.7%
1/59 • Number of events 1
Vascular disorders
Hypertension
1.7%
1/59 • Number of events 1
Vascular disorders
Hypotension
3.4%
2/59 • Number of events 2
Vascular disorders
Thrombosis
3.4%
2/59 • Number of events 2

Other adverse events

Other adverse events
Measure
Epratuzumab Plus Rituximab
n=59 participants at risk
Induction Therapy (Month 1): Epratuzumab 360 mg/m\^2 by IV days 1, 8, 15 \& 22; Rituximab 375 mg/m\^2 by IV day 3, 8, 15 \& 22 Extended Induction (Weeks 12, 20, 28 \& 36) Epratuzumab 360 mg/m\^2 by IV weeks 12, 20, 28 \& 36; Rituximab 375 mg/m\^2 by IV weeks 12, 20, 28 \& 36
Blood and lymphatic system disorders
Hemoglobin decreased
25.4%
15/59 • Number of events 37
Blood and lymphatic system disorders
Lymph node pain
11.9%
7/59 • Number of events 13
Cardiac disorders
Cardiac disorder
3.4%
2/59 • Number of events 2
Cardiac disorders
Palpitations
1.7%
1/59 • Number of events 2
Cardiac disorders
Sinus tachycardia
1.7%
1/59 • Number of events 1
Eye disorders
Dry eye syndrome
1.7%
1/59 • Number of events 3
Eye disorders
Eye disorder
1.7%
1/59 • Number of events 2
Eye disorders
Vision blurred
1.7%
1/59 • Number of events 1
Gastrointestinal disorders
Abdominal distension
5.1%
3/59 • Number of events 3
Gastrointestinal disorders
Abdominal pain
16.9%
10/59 • Number of events 14
Gastrointestinal disorders
Constipation
18.6%
11/59 • Number of events 21
Gastrointestinal disorders
Diarrhea
8.5%
5/59 • Number of events 10
Gastrointestinal disorders
Dry mouth
3.4%
2/59 • Number of events 4
Gastrointestinal disorders
Dyspepsia
8.5%
5/59 • Number of events 5
Gastrointestinal disorders
Dysphagia
1.7%
1/59 • Number of events 1
Gastrointestinal disorders
Ear, nose and throat examination abnormal
1.7%
1/59 • Number of events 1
Gastrointestinal disorders
Gastrointestinal disorder
5.1%
3/59 • Number of events 3
Gastrointestinal disorders
Gingival pain
1.7%
1/59 • Number of events 1
Gastrointestinal disorders
Nausea
35.6%
21/59 • Number of events 29
Gastrointestinal disorders
Stomach pain
1.7%
1/59 • Number of events 2
Gastrointestinal disorders
Vomiting
10.2%
6/59 • Number of events 8
General disorders
Chills
13.6%
8/59 • Number of events 8
General disorders
Edema limbs
10.2%
6/59 • Number of events 10
General disorders
Fatigue
59.3%
35/59 • Number of events 100
General disorders
Fever
18.6%
11/59 • Number of events 15
General disorders
Flu-like symptoms
1.7%
1/59 • Number of events 1
General disorders
General symptom
1.7%
1/59 • Number of events 1
General disorders
Pain
10.2%
6/59 • Number of events 9
Immune system disorders
Cytokine release syndrome
8.5%
5/59 • Number of events 9
Immune system disorders
Hypersensitivity
3.4%
2/59 • Number of events 4
Immune system disorders
Immune system disorder
1.7%
1/59 • Number of events 1
Infections and infestations
Bladder infection
1.7%
1/59 • Number of events 1
Infections and infestations
Bronchitis
3.4%
2/59 • Number of events 2
Infections and infestations
Catheter related infection
1.7%
1/59 • Number of events 1
Infections and infestations
Infection
1.7%
1/59 • Number of events 1
Infections and infestations
Otitis media
1.7%
1/59 • Number of events 1
Infections and infestations
Upper respiratory infection
10.2%
6/59 • Number of events 11
Infections and infestations
Urinary tract infection
5.1%
3/59 • Number of events 3
Infections and infestations
Vaginal infection
1.7%
1/59 • Number of events 1
Injury, poisoning and procedural complications
Fracture
1.7%
1/59 • Number of events 1
Injury, poisoning and procedural complications
Wound dehiscence
1.7%
1/59 • Number of events 1
Investigations
Alanine aminotransferase increased
11.9%
7/59 • Number of events 19
Investigations
Alkaline phosphatase increased
6.8%
4/59 • Number of events 12
Investigations
Aspartate aminotransferase increased
18.6%
11/59 • Number of events 22
Investigations
Blood bilirubin increased
22.0%
13/59 • Number of events 29
Investigations
Creatinine increased
6.8%
4/59 • Number of events 15
Investigations
Laboratory test abnormal
8.5%
5/59 • Number of events 12
Investigations
Leukocyte count decreased
20.3%
12/59 • Number of events 28
Investigations
Lymphocyte count decreased
16.9%
10/59 • Number of events 18
Investigations
Neutrophil count decreased
10.2%
6/59 • Number of events 13
Investigations
Platelet count decreased
20.3%
12/59 • Number of events 24
Investigations
Weight loss
1.7%
1/59 • Number of events 2
Metabolism and nutrition disorders
Anorexia
3.4%
2/59 • Number of events 2
Metabolism and nutrition disorders
Blood glucose increased
37.3%
22/59 • Number of events 60
Metabolism and nutrition disorders
Blood uric acid increased
6.8%
4/59 • Number of events 6
Metabolism and nutrition disorders
Dehydration
3.4%
2/59 • Number of events 3
Metabolism and nutrition disorders
Serum albumin decreased
11.9%
7/59 • Number of events 11
Metabolism and nutrition disorders
Serum calcium decreased
11.9%
7/59 • Number of events 13
Metabolism and nutrition disorders
Serum calcium increased
3.4%
2/59 • Number of events 2
Metabolism and nutrition disorders
Serum glucose decreased
11.9%
7/59 • Number of events 11
Metabolism and nutrition disorders
Serum phosphate decreased
8.5%
5/59 • Number of events 12
Metabolism and nutrition disorders
Serum potassium decreased
15.3%
9/59 • Number of events 11
Metabolism and nutrition disorders
Serum potassium increased
15.3%
9/59 • Number of events 14
Metabolism and nutrition disorders
Serum sodium decreased
22.0%
13/59 • Number of events 20
Musculoskeletal and connective tissue disorders
Arthralgia
11.9%
7/59 • Number of events 20
Musculoskeletal and connective tissue disorders
Back pain
18.6%
11/59 • Number of events 16
Musculoskeletal and connective tissue disorders
Bone pain
3.4%
2/59 • Number of events 4
Musculoskeletal and connective tissue disorders
Chest wall pain
1.7%
1/59 • Number of events 1
Musculoskeletal and connective tissue disorders
Muscle weakness
1.7%
1/59 • Number of events 1
Musculoskeletal and connective tissue disorders
Muscle weakness upper limb
1.7%
1/59 • Number of events 1
Musculoskeletal and connective tissue disorders
Myalgia
10.2%
6/59 • Number of events 8
Musculoskeletal and connective tissue disorders
Neck pain
5.1%
3/59 • Number of events 7
Musculoskeletal and connective tissue disorders
Pain in extremity
3.4%
2/59 • Number of events 2
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumor pain
1.7%
1/59 • Number of events 1
Nervous system disorders
Dizziness
8.5%
5/59 • Number of events 6
Nervous system disorders
Dysgeusia
3.4%
2/59 • Number of events 3
Nervous system disorders
Extrapyramidal disorder
1.7%
1/59 • Number of events 1
Nervous system disorders
Headache
15.3%
9/59 • Number of events 13
Nervous system disorders
Memory impairment
1.7%
1/59 • Number of events 2
Nervous system disorders
Neuralgia
1.7%
1/59 • Number of events 5
Nervous system disorders
Neurological disorder NOS
1.7%
1/59 • Number of events 1
Nervous system disorders
Peripheral sensory neuropathy
11.9%
7/59 • Number of events 11
Nervous system disorders
Tremor
1.7%
1/59 • Number of events 1
Psychiatric disorders
Agitation
1.7%
1/59 • Number of events 1
Psychiatric disorders
Anxiety
10.2%
6/59 • Number of events 8
Psychiatric disorders
Depression
3.4%
2/59 • Number of events 2
Psychiatric disorders
Insomnia
13.6%
8/59 • Number of events 17
Psychiatric disorders
Libido decreased
1.7%
1/59 • Number of events 2
Renal and urinary disorders
Glomerular filtration rate decreased
1.7%
1/59 • Number of events 1
Renal and urinary disorders
Urinary frequency
1.7%
1/59 • Number of events 2
Renal and urinary disorders
Urine discoloration
1.7%
1/59 • Number of events 1
Renal and urinary disorders
Urogenital disorder
6.8%
4/59 • Number of events 4
Reproductive system and breast disorders
Pelvic pain
1.7%
1/59 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Allergic rhinitis
10.2%
6/59 • Number of events 7
Respiratory, thoracic and mediastinal disorders
Cough
16.9%
10/59 • Number of events 12
Respiratory, thoracic and mediastinal disorders
Dyspnea
10.2%
6/59 • Number of events 9
Respiratory, thoracic and mediastinal disorders
Epistaxis
1.7%
1/59 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Pharyngolaryngeal pain
1.7%
1/59 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Respiratory disorder
5.1%
3/59 • Number of events 3
Skin and subcutaneous tissue disorders
Alopecia
1.7%
1/59 • Number of events 1
Skin and subcutaneous tissue disorders
Dry skin
3.4%
2/59 • Number of events 2
Skin and subcutaneous tissue disorders
Hand-and-foot syndrome
1.7%
1/59 • Number of events 3
Skin and subcutaneous tissue disorders
Pruritus
18.6%
11/59 • Number of events 11
Skin and subcutaneous tissue disorders
Rash desquamating
10.2%
6/59 • Number of events 7
Skin and subcutaneous tissue disorders
Skin disorder
8.5%
5/59 • Number of events 6
Skin and subcutaneous tissue disorders
Sweating
8.5%
5/59 • Number of events 8
Vascular disorders
Flushing
3.4%
2/59 • Number of events 3
Vascular disorders
Hot flashes
8.5%
5/59 • Number of events 10
Vascular disorders
Hypertension
6.8%
4/59 • Number of events 8
Vascular disorders
Hypotension
3.4%
2/59 • Number of events 2

Additional Information

Barbara Grant, MD

University of Vermont, Vermont Cancer Center

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60