CClinicalTrials.gg
CompletedNCT02486952Updated Feb 22, 2016Results posted

MabThera (Rituximab) in Combination With CHOP (or CHOP-like) Chemotherapy in Patients With Aggressive B-Cell Lymphoma

An observational study in Lymphoma, Lymphoma, Large B-Cell, Diffuse, Non-Hodgkin's Lymphoma, Lymphoma, Non Hodgkin, Relapsed or Refractory Diffuse Large B-Cell Lymphoma, sponsored by Hoffmann-La Roche. Completed at 5 sites in Serbia. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2016-02-22.

Sponsored by Hoffmann-La Roche · Observational

Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
154
Ages
18 Years and older
Sex
All
01

Study summary

Evaluation of efficacy, safety profile and tolerability of rituximab (MabThera) in combination with chemotherapy in the treatment of Diffuse Large B-Cell Lymphoma (DLBCL). Participants, who were not treated previously for DLBCL, will receive MabThera in combination with Cyclophosphamide, Hydroxydaunorubicin, Oncovin, Prednisone (CHOP) or CHOP-like chemotherapy according to registered indication. Patients will be followed up for safety and efficacy evaluation in accordance with routine practice. The study will be non-interventional and by its design purely observational. All treatments prescribed during the observation period will be at the treating physician's discretion and will be prescribed according to package labeling, within approved indication and local approval status of respective drugs.

02

Conditions studied

  • Lymphoma, Lymphoma, Large B-Cell, Diffuse, Non-Hodgkin's Lymphoma, Lymphoma, Non Hodgkin, Relapsed or Refractory Diffuse Large B-Cell Lymphoma
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In context

Lymphoma

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

This study's enrollment of 154 is above the median of 136 across 625 observational studies indexed under Lymphoma.

Browse Lymphoma studies →

Lead sponsor

Hoffmann-La Roche is the lead sponsor of 2,061 studies on the registry; 85 are open to participants now.

Of its 319 completed or terminated interventional studies of FDA-regulated products, 239 (75%) 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
Sampling method
Non-probability sample

Study population

Participants with aggressive B-cell lymphoma (Diffuse Large B-Cell Lymphoma [DLBCL])

Inclusion criteria

  • Histologically confirmed cluster of differentiation antigen 20 (CD20) positive Diffuse Large B-Cell Lymphoma according to the World Health Organization/Revised European-American Classification of Lymphoid Neoplasms (WHO/REAL) classification
  • Age > or =18 years
  • Performance status \< or = 2 on the Eastern Cooperative Oncology Group (ECOG) scale
  • Women of child-bearing potential must agree to use effective contraception for the entire treatment period and during the 12 months thereafter

Exclusion criteria

Exclusion Criteria:

  • Transformed lymphoma (secondary to "low-grade" follicular lymphoma)
  • Grade 1, 2 or 3a follicular lymphoma
  • Primary or secondary central nervous system (CNS) involvement
  • Patients with prior or concomitant malignancies except non-melanoma skin cancer or adequately treated in situ cervical cancer
  • Major surgery (excluding lymph node biopsy) within 28 days prior to registration.
  • Poor renal function: Serum creatinine > 2.0 mg/dl (177 micromol/L)
  • Pregnancy
  • Poor hepatic function: total bilirubin > 2.0 mg/dl (34 micromol/L), aspartate transaminase (AST) (serum glutamic oxaloacetic transaminase [SGOT]) or alanine transaminase (ALT) (serum glutamic pyruvic transaminase [SGPT]) or alkaline phosphatase (AP) > 3 x the upper limit of normal unless these abnormalities are related to lymphoma.
  • Known human immunodeficiency virus (HIV) infection or active viral hepatitis, specifically hepatitis B virus (HBV) or hepatitis C virus (HCV) infection.
  • Serious underlying medical conditions, which could impair the ability of the patient to participate in the trial
  • Life expectancy \< 6 months
  • Known sensitivity or allergy to murine products
  • Treatment within a clinical trial within 30 days prior to trial entry
05

Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
154 participants (actual)

Groups and cohorts

  • Diffuse Large B-Cell Lymphoma (DLBCL)

    Participants, who were not treated previously for DLBCL, will receive rituximab (MabThera) in combination with Cyclophosphamide, Hydroxydaunorubicin, Oncovin, Prednisone (CHOP) or CHOP-like chemotherapy at the treating physician's discretion and according to package labeling, within approved indication and local approval status of respective drugs. Participants will be followed up for safety and efficacy in accordance with routine practice until progression of disease, unacceptable toxicity, withdrawal of consent or death from any reason.

    Drug: Cyclophosphamide · Drug: Hydroxydaunorubicin · Drug: Oncovin · Drug: Prednisone · Drug: Rituximab

Interventions

  • DrugCyclophosphamide

    Administered at the treating physician's discretion and according to package labeling, within approved indication and local approval status of the drug.

  • DrugHydroxydaunorubicin

    Administered at the treating physician's discretion and according to package labeling, within approved indication and local approval status of the drug.

  • DrugOncovin

    Administered at the treating physician's discretion and according to package labeling, within approved indication and local approval status of the drug.

  • DrugPrednisone

    Administered at the treating physician's discretion and according to package labeling, within approved indication and local approval status of the drug.

  • DrugRituximab

    Administered at the treating physician's discretion and according to package labeling, within approved indication and local approval status of the drug.

    Also known as: MabThera

06

What researchers measure

Primary outcomes

  1. Probability of Event Free Survival (EFS)

    EFS was calculated as the time from randomization to the date of first reported event. Events were defined as disease progression or relapse, institution of a new anticancer treatment, or death from any cause without progression.

    Time frame: Up to 41 months

Secondary outcomes

  1. Percentage of Participants Who Were Alive

    Percentage of participants with survival was calculated 41 months after the first dose of study treatment.

    Time frame: Up to 41 months

07

Results

Posted Feb 22, 2016

Participant flow

Participant flow — Overall Study
MilestoneDiffuse Large B-Cell Lymphoma
Started154
Started induction therapy151
Completed104
Not completed50
Withdrew: Not started induction therapy3
Withdrew: Adverse event1
Withdrew: Death15
Withdrew: Lack of efficacy3
Withdrew: Lost to follow-up26
Withdrew: Other2

Outcome measures

PrimaryProbability of Event Free Survival (EFS)

EFS was calculated as the time from randomization to the date of first reported event. Events were defined as disease progression or relapse, institution of a new anticancer treatment, or death from any cause without progression.

Time frame:
Up to 41 months
Reported as:
Number · probability of EFS
Probability of Event Free Survival (EFS)
probability of EFSDiffuse Large B-Cell Lymphoma
Probability of Event Free Survival (EFS)0.695 (0.607 to 0.796)
SecondaryPercentage of Participants Who Were Alive

Percentage of participants with survival was calculated 41 months after the first dose of study treatment.

Time frame:
Up to 41 months
Reported as:
Number · percentage of participants
Percentage of Participants Who Were Alive
percentage of participantsDiffuse Large B-Cell Lymphoma
Percentage of Participants Who Were Alive74.4

Adverse events

Collected over 41 Months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Diffuse Large B-Cell Lymphoma—25/151 (16.6%)14/151 (9.3%)
Most frequent serious events
Showing 10 of 18
Most frequent serious events
EventDiffuse Large B-Cell Lymphoma
Disease progressionGeneral disorders11/151
Disease recurrenceGeneral disorders3/151
Febrile neutropeniaBlood and lymphatic system disorders2/151
Herpes zosterInfections and infestations1/151
PeritonitisInfections and infestations1/151
PneumoniaInfections and infestations1/151
AnaemiaBlood and lymphatic system disorders1/151
HaematotoxicityBlood and lymphatic system disorders1/151
LeukopeniaBlood and lymphatic system disorders1/151
NeutropeniaBlood and lymphatic system disorders1/151
Most frequent other events
Showing 10 of 12
Most frequent other events
EventDiffuse Large B-Cell Lymphoma
NauseaGastrointestinal disorders5/151
NeutropeniaBlood and lymphatic system disorders2/151
VomitingGastrointestinal disorders2/151
Infusion related reactionInjury, poisoning and procedural complications2/151
HeadacheNervous system disorders1/151
Eye swellingEye disorders1/151
ArrhythmiaCardiac disorders1/151
DiarrhoeaGastrointestinal disorders1/151
ProctalgiaGastrointestinal disorders1/151
ChillsGeneral disorders1/151

Baseline characteristics

Full analysis population included all participants enrolled in the study and who started induction therapy.

Age, Continuous
Age, Continuous(years)Diffuse Large B-Cell Lymphoma
Median58 (19 to 83)
Sex: Female, Male
Sex: Female, Male(Participants)Diffuse Large B-Cell Lymphoma
Female61
Male90
08

Study locations

5 sites
  • Belgrade, 11000, Serbia
  • Belgrade, 11070, Serbia
  • Kragujevac, 34000, Serbia
  • NIS, 18000, Serbia
  • Sremska Kamenica, 21204, Serbia
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 22, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02486952
Lead sponsor
Hoffmann-La Roche
Collaborators
Serbian Lymphoma Group
Responsible party
Sponsor
First posted
Jul 1, 2015
Start date
Aug 2005
Primary completion
Jan 2011
Completion
Jan 2011
Results posted
Feb 22, 2016
Last update
Feb 22, 2016

Study contacts

Clinical Trials
study director · Hoffmann-La Roche
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jan 2016. You cannot join it, but the record below documents what was studied.

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