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CompletedNCT00394836Updated Jan 29, 2014Results posted

HuMax-CD20 i(Ofatumumab) n Follicular Lymphoma (FL) Patients Refractory to Rituximab

A Phase 2 interventional study of Ofatumumab and Ofatumumab in Lymphoma, Follicular, sponsored by GlaxoSmithKline. Completed at 1 site in United Kingdom. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2014-01-29.

Sponsored by GlaxoSmithKline · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
116
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

A Single-Arm, International, Multi-Center Trial of HuMax-CD20 (Ofatumumab), a Fully Human Monoclonal Anti-CD20 Antibody, in Patients With Follicular Lymphoma Who Are Refractory to Rituximab as Monotherapy or in Combination With Chemotherapy

Read the detailed description

Patients in the study will be randomized into two dose groups. Patients in each dose group will receive one infusion of 300 mg of HuMax-CD20 followed by 7 weekly infusions of either 500 or 1000 mg of HuMax-CD20. Disease status will be assessed every 3 months until month 24.

02

Conditions studied

  • Lymphoma, Follicular

Keywords

  • ofatumumab
  • rituximab
  • NHL
  • CD20
  • refractory
03

In context

Lymphoma

5,578 studies on the registry are indexed under Lymphoma; 825 are open to participants now.

This study's enrollment of 116 is above the median of 40 across 4,508 interventional studies indexed under Lymphoma.

Browse Lymphoma studies →

Lead sponsor

GlaxoSmithKline is the lead sponsor of 3,562 studies on the registry; 117 are open to participants now.

Of its 258 completed or terminated interventional studies of FDA-regulated products, 232 (90%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patient with follicular lymphoma grade 1 - 2
  • Refractory to rituximab given as monotherapy or in combination with any chemotherapy or to rituximab given as maintenance treatment following R-chemo, defined as:
  • failure to achieve at least PR to rituximab given as monotherapy or in combination with any chemotherapy; or,
  • disease progression while on rituximab (either given as monotherapy or in combination with any chemotherapy or during rituximab maintenance treatment following R-chemo); or,
  • disease progression in responders within 6 months of the last dose of rituximab (either given as monotherapy or in combination with any chemotherapy or after rituximab maintenance treatment schedule following R-chemo)
  • Tumor verified to be CD20+ positive from excisional lymph node biopsy
  • CT scan in screening phase (based on local evaluation) showing:
  • 2 or more clearly demarcated lesions with a largest diameter ≥ 1.5 cm, or
  • 1 clearly demarcated lesion with a largest diameter ≥ 2,0 cm
  • ECOG Performance Status of 0, 1, or 2
  • Age ≥ 18 years
  • Following receipt of verbal and written information about the study, the patient must provide signed informed consent before any study related activity is carried out

Exclusion criteria

Exclusion Criteria

  • Previous autologous stem cell transplantation within 6 months
  • Previous allogeneic stem cell transplantation
  • More than 1 previous radio immunotherapy regimen
  • Received radio immunotherapy within 3 months
  • Received any Anti-cancer treatment within 4 weeks
  • Received monoclonal antibodies, other than rituximab within 3 months
  • Patients previously treated with anti-CD20 monoclonal antibodies, other than rituximab
  • Life expectancy less than 6 months
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
Single (Outcomes assessor)
Enrollment
116 participants (actual)

Interventions

  • DrugOfatumumab

    Eight weekly infusions of ofatumumab. The first infusion of 300mg ofatumunab

  • DrugOfatumumab

    followed by 7 weekly infusions of 1000mg ofatumumab

06

What researchers measure

Primary outcomes

  1. Number of Participants With Objective Response (OR)

    OR was assessed by an Independent endpoints Review Committee (IRC) according to the standardized response criteria for Non-Hodgkin's lymphoma. Participants with Complete Response (CR; complete disappearance of all detectable disease), Complete Response unconfirmed (CRu; any residual lymph node/nodal mass \>1.5 centimeters \[cm\] in its longest transverse diameter that regressed \>75% compared to baseline), or Partial Response (PR; \>=50% decrease in the sum of the product of diameters of indicator lesions) were defined as responders for OR.

    Time frame: Start of treatment (Day 1 of Week 0) until 3 months after start of last infusion (up to Week 32)

  2. Number of Participants Classified as Responders and Non-responders for Objective Response (OR)

    Based on OR over a 6-month period from start of treatment, participants were classified as responders/non-responders as follows: participants with CR, CRu, or PR were classified as responders, whereas participants with Stable Disease (SD; achieving less than PR but not consistent with PD), Progressive Disease (PD; 50% increase from nadir in the products of the greatest perpendicular diameters of any previously identified node or appearance of any new node \>1 cm), or Not Evaluable (NE) participants were classified as non-responders.

    Time frame: 6-month period from the start of treatment. There was a median time of response at Month 5.5 (participants were followed for up to 24 months).

Secondary outcomes

  1. Duration of Response

    The duration of response is defined as the time from the initial response (the first visit at which response was observed) to progression or death. For participants who were lost to follow-up, duration of response was censored at the date of the last attended visit at which the endpoint was assessed. The Kaplan-Meier method was used to estimate duration of response.

    Time frame: From start of treatment (Week 0) until Month 24

  2. Progression-Free Survival

    Progression-free survival (PFS) is defined as the time from randomization until the first radiologically or clinically documented evidence of progression or death due to any cause, if sooner. For participants who were lost to follow-up, PFS was censored at the date of the last attended visit at which the endpoint was assessed. The Kaplan-Meier method was used to estimate PFS.

    Time frame: From start of treatment (Week 0) until Month 24

  3. Time to Next Follicular Lymphoma (FL) Therapy

    Time to next FL (anti-lymphoma) therapy is defined as the time from randomization until the time of first administration of the next anti-lymphoma therapy other than ofatumumab. For participants who were lost to follow-up, the time was censored at the date of the last attended visit at which the endpoint was assessed.

    Time frame: From start of treatment (Week 0) until Month 24

  4. Overall Survival

    Overall survival is defined as the time from randomization until death. For participants who are lost to follow-up, overall survival will be censored at the date of the last attended visit at which the endpoint was assessed.

    Time frame: First dose (Week 0) until 5 years

  5. Percent Change From Screening (Visit 1) in Tumor Size as Assessed by Radiologist 1 (R1) and Radiologist 2 (R2) at Months 3, 6, 9, 12, 18, and 24

    Tumor size was measured by computed tomography (CT) scan and was computed as the sum of product of diameters (SPD) for the indicator lesions. CT scans with contrast of the neck, thorax, abdomen, and pelvis were performed at Screening and during the follow-up period (Month 3, 6, 9, 12, 18, and 24). The change in tumor size from Screening (Visit 1) was presented per Radiologist 1 (R1) and Radiologist 2 (R2). Percent change from Screening (Visit 1, Week -2) = (value at Visits 11, 12, 13, 14, 16, and 18 minus the value at Visit 1 divided by the value at Visit 1) \* 100.

    Time frame: Visits 1 (Week -2), 11 (Month 3), 12 (Month 6), 13 (Month 9), 14 (Month 12), 16 (Month 18), and 18 (Month 24)

  6. Percent Change From Baseline (Visit 2) in CD19+ and CD20+ Cells in Peripheral Blood at Visits 11 and 12

    CD19 and CD20 are proteins found on the cell surface of B cells, and they can be detected in peripheral blood by flow cytometry. Flow cytometry of peripheral blood was performed for immediate analysis of cells with cluster of differentiation 19 (CD19+) and CD20+. The analysis will be done until a value is reached that is in the normal range. Percent change from Baseline (Visit 2) = (value at Visits 11 and 12 minus the value at Visit 2 divided by the value at Visit 2) \* 100.

    Time frame: Visits 2 (Baseline), 11 (Month 3), and 12 (Month 6)

  7. Number of Participants With Conversion and no Conversion of BCL2 Positive to BCL2 Negative in Peripheral Blood

    B-cell lymphoma 2 (BCL2) is the second member of a range of proteins initially described in chromosomal translocations involving chromosomes 14 and 18 in follicular lymphomas. BCL2 mitochondrial ribonucleic acid (mRNA) was measured by polymerase chain reaction (PCR) from peripheral blood. Participants who had no post-screening data were categorized as "Missing."

    Time frame: Screening (Visit 1) until Month 24 (Visit 18)

  8. Number of Participants Who Experienced Any Adverse Event From First Treatment (Visit 2) to Visit 18 (Month 24)

    An adverse event (AE) is defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which did not necessarily have a causal relationship with this treatment. A list of AEs experienced in the study at a frequency threshold of 5% can be found in the AE section.

    Time frame: From first treatment (Visit 2) until Visit 18 (Month 24)

  9. Number of Participants With Positive Human Anti-human Antibodies (HAHA) at Visits 1, 12, 13, and 14

    HAHA are indicators of immunogenicity to ofatumumab. Blood samples were withdrawn from participants at Visits 1, 12, 13, and 18 for analysis of HAHA. Analysis of HAHA was done in batches.

    Time frame: Visits 1 (Screening), 12 (Month 6), 13 (Month 9), and 18 (Month 24)

  10. Complement (CH50) Levels at Visit 1 and at the End of Infusion at Visit 2

    Blood samples were drawn from participants at Visits 1 and 2 for analysis of complement (CH50) levels. Analysis of CH50 was done in batches, and CH50 levels were measured two hours after the end of study medication infusion. Percent change from Screening (Visit 1, Week -2) = (value at Visit 2 minus the value at Visit 1 divided by the value at Visit 1) \* 100.

    Time frame: Visits 1 (Week -2) and 2 (Week 0)

  11. Number of Participants Classified as Responders for Fragment C Receptor (FcR) Polymorphism (Poly.)

    FcR poly. affect the affinity with which FcRs interact with immunoglobulin molecules and are prognostic factors that are indicative of altered responsiveness to treatment and/or survival. A blood sample was drawn at Visit 1 for analysis (done in batches of several samples) of FcR poly. (Fcgamma RIIIa Valine/Phenylalanine genotypes \[TT=thymidine/thymidine, TG=thymidine/guanine, GG=guanine/guanine\] and Fcgamma RIIa Arginine/Histidine genotypes \[AA=adenine/adenine, AG=adenine/guanine, GG=guanine/guanine\]). Responders must have met the criteria for CR, CRu, or PR at either Month 3 or Month 6. Fc receptor polymorphisms and C1qA-276 results are not included in this results summary.

    Time frame: From first treatment (Visit 2) until Visit 12 (Month 6)

  12. Ctrough and Cmax at the Eighth Infusion (Visit 9, Week 7)

    Cmax is defined as the maximum concentration of drug in plasma samples. Ctrough is defined as the trough plasma concentration (measured concentration at the end of a dosing interval \[taken directly before the start of the next infusion\]).

    Time frame: Visit 9 (Week 7; up to 10 months after dose)

  13. AUC(0-inf) and AUC(0-168) After the Eighth Infusion (Visit 9, Week 7)

    AUC is defined as the area under the ofatumumab concentration-time curve as a measure of drug exposure. AUC(0-168) is AUC from the start of infusion to 168 hours after the start of the infusion; AUC(0-inf) is AUC from the start of infusion extrapolated to infinity.

    Time frame: Visit 9 (Week 7; up to 10 months after dose)

  14. t1/2 After the Eighth Infusion (Visit 9, Week 7)

    t1/2 is defined as terminal half-life, which is the time required for the amount of the drug in the body to decrease by half.

    Time frame: Visit 9 (Week 7; up to 10 months after dose)

  15. CL After the Eighth Infusion (Visit 9, Week 7)

    CL is the clearance of drug from plasma, which is defined as the volume of plasma from which drug is removed per unit time.

    Time frame: Visit 9 (Week 7; up to 10 months after dose)

  16. Vss After the Eighth Infusion (Visit 9, Week 7)

    Vss is the volume of distribution at steady state of ofatumumab.

    Time frame: Visit 9 (Week 7; to up 10 months after dose)

07

Results

Posted Dec 8, 2011

Participant flow

Teatment or Follow-up Phase
Participant flow — Teatment or Follow-up Phase
MilestoneOfatumumab 500 mgOfatumumab 1000 mg
Started3086
Early follow-up entry48
Completed28
Not completed2878
Withdrew: Adverse event02
Withdrew: Protocol violation02
Withdrew: Disease progression2760
Withdrew: Patient refusal12
Withdrew: Death01
Withdrew: Patient refuses to continue with ct scan01
Withdrew: Started alternative treatment06
Withdrew: Suspicion of cholangiocarcinoma01
Withdrew: Physician decision01
Withdrew: Patient progressed, return to pakistan01
Withdrew: Non compliance01
Extended Follow-up Phase (2-5 Years)
Participant flow — Extended Follow-up Phase (2-5 Years)
MilestoneOfatumumab 500 mgOfatumumab 1000 mg
Started2058
Completed05
Not completed2053
Withdrew: Lost to follow-up01
Withdrew: Death01
Withdrew: Alternative treatment1341
Withdrew: Medical reasons710

Outcome measures

PrimaryNumber of Participants With Objective Response (OR)

OR was assessed by an Independent endpoints Review Committee (IRC) according to the standardized response criteria for Non-Hodgkin's lymphoma. Participants with Complete Response (CR; complete disappearance of all detectable disease), Complete Response unconfirmed (CRu; any residual lymph node/nodal mass \>1.5 centimeters \[cm\] in its longest transverse diameter that regressed \>75% compared to baseline), or Partial Response (PR; \>=50% decrease in the sum of the product of diameters of indicator lesions) were defined as responders for OR.

Time frame:
Start of treatment (Day 1 of Week 0) until 3 months after start of last infusion (up to Week 32)
Reported as:
Number · participants
Number of Participants With Objective Response (OR)
participantsOfatumumab 500 mgOfatumumab 1000 mg
CR01
CRu20
PR28
Statistical analysis
  • Ofatumumab 500 mg · Percentage of responders: 13 · 95% CI 4 to 31Response rate is calculated as the number of responses divided by the number of participants treated \* 100.
  • Ofatumumab 1000 mg · Percentage of responders: 10 · 95% CI 5 to 19
PrimaryNumber of Participants Classified as Responders and Non-responders for Objective Response (OR)

Based on OR over a 6-month period from start of treatment, participants were classified as responders/non-responders as follows: participants with CR, CRu, or PR were classified as responders, whereas participants with Stable Disease (SD; achieving less than PR but not consistent with PD), Progressive Disease (PD; 50% increase from nadir in the products of the greatest perpendicular diameters of any previously identified node or appearance of any new node \>1 cm), or Not Evaluable (NE) participants were classified as non-responders.

Time frame:
6-month period from the start of treatment. There was a median time of response at Month 5.5 (participants were followed for up to 24 months).
Reported as:
Number · participants
Number of Participants Classified as Responders and Non-responders for Objective Response (OR)
participantsOfatumumab 500 mgOfatumumab 1000 mg
Responders with CR01
Responders with CRu20
Responders with PR28
Non-responders with SD943
Non-responders with PD1426
Non-responders with NE38
SecondaryDuration of Response

The duration of response is defined as the time from the initial response (the first visit at which response was observed) to progression or death. For participants who were lost to follow-up, duration of response was censored at the date of the last attended visit at which the endpoint was assessed. The Kaplan-Meier method was used to estimate duration of response.

Time frame:
From start of treatment (Week 0) until Month 24
Reported as:
Median · months
Duration of Response
monthsOfatumumab 500 mgOfatumumab 1000 mg
Duration of Response6.0 (2.9 to 6.2)6.0 (2.8 to 12.3)
SecondaryProgression-Free Survival

Progression-free survival (PFS) is defined as the time from randomization until the first radiologically or clinically documented evidence of progression or death due to any cause, if sooner. For participants who were lost to follow-up, PFS was censored at the date of the last attended visit at which the endpoint was assessed. The Kaplan-Meier method was used to estimate PFS.

Time frame:
From start of treatment (Week 0) until Month 24
Reported as:
Median · Months
Progression-Free Survival
MonthsOfatumumab 500 mgOfatumumab 1000 mg
Progression-Free Survival3.2 (2.9 to 9.2)6.0 (4.4 to 9.0)
SecondaryTime to Next Follicular Lymphoma (FL) Therapy

Time to next FL (anti-lymphoma) therapy is defined as the time from randomization until the time of first administration of the next anti-lymphoma therapy other than ofatumumab. For participants who were lost to follow-up, the time was censored at the date of the last attended visit at which the endpoint was assessed.

Time frame:
From start of treatment (Week 0) until Month 24
Reported as:
Median · Months
Time to Next Follicular Lymphoma (FL) Therapy
MonthsOfatumumab 500 mgOfatumumab 1000 mg
Time to Next Follicular Lymphoma (FL) Therapy4.2 (3.8 to 8.6)7.0 (5.5 to 9.9)
SecondaryOverall Survival

Overall survival is defined as the time from randomization until death. For participants who are lost to follow-up, overall survival will be censored at the date of the last attended visit at which the endpoint was assessed.

Time frame:
First dose (Week 0) until 5 years
Reported as:
Median · Months
Overall Survival
MonthsOfatumumab 500 mgOfatumumab 1000 mg
Overall SurvivalNA (NA to NA)NA (NA to NA)
SecondaryPercent Change From Screening (Visit 1) in Tumor Size as Assessed by Radiologist 1 (R1) and Radiologist 2 (R2) at Months 3, 6, 9, 12, 18, and 24

Tumor size was measured by computed tomography (CT) scan and was computed as the sum of product of diameters (SPD) for the indicator lesions. CT scans with contrast of the neck, thorax, abdomen, and pelvis were performed at Screening and during the follow-up period (Month 3, 6, 9, 12, 18, and 24). The change in tumor size from Screening (Visit 1) was presented per Radiologist 1 (R1) and Radiologist 2 (R2). Percent change from Screening (Visit 1, Week -2) = (value at Visits 11, 12, 13, 14, 16, and 18 minus the value at Visit 1 divided by the value at Visit 1) \* 100.

Time frame:
Visits 1 (Week -2), 11 (Month 3), 12 (Month 6), 13 (Month 9), 14 (Month 12), 16 (Month 18), and 18 (Month 24)
Reported as:
Median · percent change in tumor size
Percent Change From Screening (Visit 1) in Tumor Size as Assessed by Radiologist 1 (R1) and Radiologist 2 (R2) at Months 3, 6, 9, 12, 18, and 24
percent change in tumor sizeOfatumumab 500 mgOfatumumab 1000 mg
Visit 11 (Month 3), R1, n=14, 475.50 (-85.00 to 52.00)-7.20 (-66.00 to 69.00)
Visit 11 (Month 3), R2, n=15, 47-2.10 (-84.00 to 27.00)-8.10 (-82.00 to 56.00)
Visit 12 (Month 6), R1, n=7, 34-20.30 (-90.00 to 13.00)-16.10 (-91.00 to 123.00)
Visit 12 (Month 6), R2, n=7, 33-39.90 (-86.00 to 29.00)-29.80 (-83.00 to 61.00)
Visit 13 (Month 9), R1, n=6, 25-28.90 (-85.00 to 30.00)-22.60 (-88.00 to 138.00)
Visit 13 (Month 9), R2, n=6, 26-48.30 (-84.00 to 34.00)-39.80 (-85.00 to 91.00)
Visit 14 (Month 12), R1, n=4, 175.50 (-69.00 to 74.00)-16.00 (-73.00 to 42.00)
Visit 14 (Month 12), R2, n=4, 18-14.70 (-83.00 to 63.00)-44.60 (-91.00 to 62.00)
Visit 16 (Month 18), R1, n=3, 1231.10 (-81.00 to 202.00)-18.30 (-49.00 to 45.00)
Visit 16 (Month 18), R2, n=3, 1222.90 (-87.00 to 52.00)-28.70 (-91.00 to 50.00)
Visit 18 (Month 24), R1, n=2, 8-4.80 (-85.00 to 75.00)-20.10 (-64.00 to 4.00)
Visit 18 (Month 24), R2, n=2, 8-14.40 (-88.00 to 59.00)-36.50 (-92.00 to 35.00)
SecondaryPercent Change From Baseline (Visit 2) in CD19+ and CD20+ Cells in Peripheral Blood at Visits 11 and 12

CD19 and CD20 are proteins found on the cell surface of B cells, and they can be detected in peripheral blood by flow cytometry. Flow cytometry of peripheral blood was performed for immediate analysis of cells with cluster of differentiation 19 (CD19+) and CD20+. The analysis will be done until a value is reached that is in the normal range. Percent change from Baseline (Visit 2) = (value at Visits 11 and 12 minus the value at Visit 2 divided by the value at Visit 2) \* 100.

Time frame:
Visits 2 (Baseline), 11 (Month 3), and 12 (Month 6)
Reported as:
Median · percent change in cells
Percent Change From Baseline (Visit 2) in CD19+ and CD20+ Cells in Peripheral Blood at Visits 11 and 12
percent change in cellsOfatumumab 500 mgOfatumumab 1000 mg
Visit 11 (Month 3), CD19+, n=15, 42-100.00 (-100.00 to 0.00)-80.1 (-100.00 to 566.00)
Visit 11 (Month 3), CD20+, n=15, 45-100.00 (-100.00 to 0.00)-100.00 (-100.00 to 43.00)
Visit 12 (Month 6), CD19+, n=8, 32-48.80 (-100.00 to 129.00)-19.00 (-100.00 to 838.00)
Visit 12 (Month 6), CD20+, n=8, 34-48.20 (-100.00 to 129.00)-19.00 (-100.00 to 18.00)
SecondaryNumber of Participants With Conversion and no Conversion of BCL2 Positive to BCL2 Negative in Peripheral Blood

B-cell lymphoma 2 (BCL2) is the second member of a range of proteins initially described in chromosomal translocations involving chromosomes 14 and 18 in follicular lymphomas. BCL2 mitochondrial ribonucleic acid (mRNA) was measured by polymerase chain reaction (PCR) from peripheral blood. Participants who had no post-screening data were categorized as "Missing."

Time frame:
Screening (Visit 1) until Month 24 (Visit 18)
Reported as:
Number · participants
Number of Participants With Conversion and no Conversion of BCL2 Positive to BCL2 Negative in Peripheral Blood
participantsOfatumumab 500 mgOfatumumab 1000 mg
Participants converted from positive to negative26
Participants not converted615
Missing310
SecondaryNumber of Participants Who Experienced Any Adverse Event From First Treatment (Visit 2) to Visit 18 (Month 24)

An adverse event (AE) is defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which did not necessarily have a causal relationship with this treatment. A list of AEs experienced in the study at a frequency threshold of 5% can be found in the AE section.

Time frame:
From first treatment (Visit 2) until Visit 18 (Month 24)
Reported as:
Number · participants
Number of Participants Who Experienced Any Adverse Event From First Treatment (Visit 2) to Visit 18 (Month 24)
participantsOfatumumab 500 mgOfatumumab 1000 mg
Number of Participants Who Experienced Any Adverse Event From First Treatment (Visit 2) to Visit 18 (Month 24)3079
SecondaryNumber of Participants With Positive Human Anti-human Antibodies (HAHA) at Visits 1, 12, 13, and 14

HAHA are indicators of immunogenicity to ofatumumab. Blood samples were withdrawn from participants at Visits 1, 12, 13, and 18 for analysis of HAHA. Analysis of HAHA was done in batches.

Time frame:
Visits 1 (Screening), 12 (Month 6), 13 (Month 9), and 18 (Month 24)
Reported as:
Number · participants
Number of Participants With Positive Human Anti-human Antibodies (HAHA) at Visits 1, 12, 13, and 14
participantsOfatumumab 500 mgOfatumumab 1000 mg
Visit 1 (Week -2), n=30, 8500
Visit 12 (Month 6), n=8, 3300
Visit 13 (Month 9), n=7, 2400
Visit 14 (Month 12), n=3, 1100
SecondaryComplement (CH50) Levels at Visit 1 and at the End of Infusion at Visit 2

Blood samples were drawn from participants at Visits 1 and 2 for analysis of complement (CH50) levels. Analysis of CH50 was done in batches, and CH50 levels were measured two hours after the end of study medication infusion. Percent change from Screening (Visit 1, Week -2) = (value at Visit 2 minus the value at Visit 1 divided by the value at Visit 1) \* 100.

Time frame:
Visits 1 (Week -2) and 2 (Week 0)
Reported as:
Median · Units per milliliter (U/mL)
Complement (CH50) Levels at Visit 1 and at the End of Infusion at Visit 2
Units per milliliter (U/mL)Ofatumumab 500 mgOfatumumab 1000 mg
Visit 1 (Week -2), n=30, 8557.00 (10.00 to 79.00)54.00 (10.00 to 99.00)
Visit 2 (Week 0), n=30, 8449.00 (10.00 to 76.00)49.50 (10.00 to 92.00)
SecondaryNumber of Participants Classified as Responders for Fragment C Receptor (FcR) Polymorphism (Poly.)

FcR poly. affect the affinity with which FcRs interact with immunoglobulin molecules and are prognostic factors that are indicative of altered responsiveness to treatment and/or survival. A blood sample was drawn at Visit 1 for analysis (done in batches of several samples) of FcR poly. (Fcgamma RIIIa Valine/Phenylalanine genotypes \[TT=thymidine/thymidine, TG=thymidine/guanine, GG=guanine/guanine\] and Fcgamma RIIa Arginine/Histidine genotypes \[AA=adenine/adenine, AG=adenine/guanine, GG=guanine/guanine\]). Responders must have met the criteria for CR, CRu, or PR at either Month 3 or Month 6. Fc receptor polymorphisms and C1qA-276 results are not included in this results summary.

Time frame:
From first treatment (Visit 2) until Visit 12 (Month 6)
Reported as:
Number · participants
Number of Participants Classified as Responders for Fragment C Receptor (FcR) Polymorphism (Poly.)
participantsOfatumumab 500 mgOfatumumab 1000 mg
Fc Gamma IIa Genotype = AA, n=4, 9NANA
Fc Gamma IIa Genotype = AG, n=11, 37NANA
Fc Gamma IIa Genotype = GG, n=3, 12NANA
Fc Gamma IIIa Genotype = TT, n=5, 31NANA
Fc Gamma IIIa Genotype = TG, n=11, 23NANA
Fc Gamma IIIa Genotype = GG, n=2, 4NANA
SecondaryCtrough and Cmax at the Eighth Infusion (Visit 9, Week 7)

Cmax is defined as the maximum concentration of drug in plasma samples. Ctrough is defined as the trough plasma concentration (measured concentration at the end of a dosing interval \[taken directly before the start of the next infusion\]).

Time frame:
Visit 9 (Week 7; up to 10 months after dose)
Reported as:
Geometric mean · Milligrams per liter (mg/L)
Ctrough and Cmax at the Eighth Infusion (Visit 9, Week 7)
Milligrams per liter (mg/L)Ofatumumab 500 mgOfatumumab 1000 mg
Ctrough, n=24, 78183 ± 3.40447 ± 1.31
Cmax, n=23, 78479 ± 0.40879 ± 0.45
SecondaryAUC(0-inf) and AUC(0-168) After the Eighth Infusion (Visit 9, Week 7)

AUC is defined as the area under the ofatumumab concentration-time curve as a measure of drug exposure. AUC(0-168) is AUC from the start of infusion to 168 hours after the start of the infusion; AUC(0-inf) is AUC from the start of infusion extrapolated to infinity.

Time frame:
Visit 9 (Week 7; up to 10 months after dose)
Reported as:
Geometric mean · Milligrams * hour per liter (mg.h/L)
AUC(0-inf) and AUC(0-168) After the Eighth Infusion (Visit 9, Week 7)
Milligrams * hour per liter (mg.h/L)Ofatumumab 500 mgOfatumumab 1000 mg
AUC(0-inf), n=12, 55327715 ± 1.03566717 ± 1.07
AUC(0-168), n=19, 7571513 ± 0.40113622 ± 0.65
Secondaryt1/2 After the Eighth Infusion (Visit 9, Week 7)

t1/2 is defined as terminal half-life, which is the time required for the amount of the drug in the body to decrease by half.

Time frame:
Visit 9 (Week 7; up to 10 months after dose)
Reported as:
Geometric mean · hours
t1/2 After the Eighth Infusion (Visit 9, Week 7)
hoursOfatumumab 500 mgOfatumumab 1000 mg
t1/2 After the Eighth Infusion (Visit 9, Week 7)444 ± 0.76443 ± 0.64
SecondaryCL After the Eighth Infusion (Visit 9, Week 7)

CL is the clearance of drug from plasma, which is defined as the volume of plasma from which drug is removed per unit time.

Time frame:
Visit 9 (Week 7; up to 10 months after dose)
Reported as:
Geometric mean · Milliliters per hour (mL/h)
CL After the Eighth Infusion (Visit 9, Week 7)
Milliliters per hour (mL/h)Ofatumumab 500 mgOfatumumab 1000 mg
CL After the Eighth Infusion (Visit 9, Week 7)7.0 ± 0.418.8 ± 0.65
SecondaryVss After the Eighth Infusion (Visit 9, Week 7)

Vss is the volume of distribution at steady state of ofatumumab.

Time frame:
Visit 9 (Week 7; to up 10 months after dose)
Reported as:
Geometric mean · mL
Vss After the Eighth Infusion (Visit 9, Week 7)
mLOfatumumab 500 mgOfatumumab 1000 mg
Vss After the Eighth Infusion (Visit 9, Week 7)4414 ± 0.485408 ± 0.34

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Ofatumumab 500 mg—6/30 (20%)30/30 (100%)
Ofatumumab 1000 mg—25/86 (29.1%)79/86 (91.9%)
Ofatumumab 500 mg: Extended Follow-up Phase—2/30 (6.7%)0/30 (0%)
Ofatumumab 1000 mg: Extended Follow-up Phase—6/86 (7%)0/86 (0%)
Most frequent serious events
Showing 10 of 31
Most frequent serious events
EventOfatumumab 500 mgOfatumumab 1000 mgOfatumumab 500 mg: Extended Follow-up PhaseOfatumumab 1000 mg: Extended Follow-up Phase
Disease progressionGeneral disorders2/304/861/303/86
NeutropeniaBlood and lymphatic system disorders1/305/860/300/86
HypothermiaGeneral disorders1/300/860/300/86
PyrexiaGeneral disorders1/300/860/300/86
Neutrophil count decreasedInvestigations1/302/860/300/86
SepsisInfections and infestations0/301/861/301/86
CystitisInfections and infestations1/300/860/300/86
Neutropenic infectionInfections and infestations1/300/860/300/86
Drug toxicityInjury, poisoning and procedural complications1/300/860/300/86
Bone marrow failureBlood and lymphatic system disorders1/300/860/300/86
Most frequent other events
Showing 10 of 33
Most frequent other events
EventOfatumumab 500 mgOfatumumab 1000 mgOfatumumab 500 mg: Extended Follow-up PhaseOfatumumab 1000 mg: Extended Follow-up Phase
Oedema peripheralGeneral disorders6/307/860/300/86
NauseaGastrointestinal disorders6/308/860/300/86
PruritusSkin and subcutaneous tissue disorders5/3010/860/300/86
RhinitisInfections and infestations5/304/860/300/86
NasopharyngitisInfections and infestations5/302/860/300/86
RashSkin and subcutaneous tissue disorders4/3014/860/300/86
FatigueGeneral disorders4/3013/860/300/86
UrticariaSkin and subcutaneous tissue disorders4/3012/860/300/86
HeadacheNervous system disorders4/307/860/300/86
DizzinessNervous system disorders4/301/860/300/86

Baseline characteristics

Age, Continuous
Age, Continuous(Years)Ofatumumab 500 mgOfatumumab 1000 mgTotal
Mean60.4 ± 10.159.7 ± 11.159.9 ± 10.8
Sex: Female, Male
Sex: Female, Male(Participants)Ofatumumab 500 mgOfatumumab 1000 mgTotal
Female114354
Male194362
Race/Ethnicity, Customized
Race/Ethnicity, Customized(participants)Ofatumumab 500 mgOfatumumab 1000 mgTotal
Asian145
Black or African American011
Hispanic or Latino033
White2878106
Reunion Island Native101
08

Study locations

1 site
  • GSK Investigational Site
    Southampton, SO16 6YD, United Kingdom
09

References and documents

Publications

  • Czuczman MS, Fayad L, Delwail V, Cartron G, Jacobsen E, Kuliczkowski K, Link BK, Pinter-Brown L, Radford J, Hellmann A, Gallop-Evans E, DiRienzo CG, Goldstein N, Gupta I, Jewell RC, Lin TS, Lisby S, Schultz M, Russell CA, Hagenbeek A; 405 Study Investigators. Ofatumumab monotherapy in rituximab-refractory follicular lymphoma: results from a multicenter study. Blood. 2012 Apr 19;119(16):3698-704. doi: 10.1182/blood-2011-09-378323. Epub 2012 Mar 2. PubMed 22389254 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 29, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00394836
Lead sponsor
GlaxoSmithKline
Responsible party
Sponsor
First posted
Nov 1, 2006
Start date
May 2007
Primary completion
Apr 2009
Completion
Sep 2013
Results posted
Dec 8, 2011
Last update
Jan 29, 2014

Study contacts

GSK Clinical Trials
study director · GlaxoSmithKline

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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