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Een studie van Obinutuzumab [RO5072759 (GA101)] in combinatie met CHOP-chemotherapie bij patiënten met niet eerder behandeld geavanceerd diffuus grootcellig B-cellymfoom (GATHER)

24 september 2026 bijgewerkt door: Genentech, Inc.

Een open-label, multicenter fase II-onderzoek naar werkzaamheid, veiligheid en biomarkers bij patiënten met niet eerder behandeld geavanceerd diffuus grootcellig B-cellymfoom behandeld met GA101 (RO5072759) in combinatie met CHOP-chemotherapie

This open-label, multicenter study will evaluate the efficacy and safety of obinutuzumab [RO5072759 (GA101)] in combination with CHOP (Cyclophosphamide, Doxorubicin, Vincristine, Prednisone) chemotherapy in patients with advanced diffuse large B-cell lymphoma. Patients will receive 8 cycles of obinutuzumab (1000 mg intravenously on Day 1 of each 21-day cycle, during Cycle 1 obinutuzumab will also be infused on Days 8 and 15) in combination with CHOP chemotherapy on Day 1 of cycles 1 to 6. A substudy will investigate the drug-drug interaction of obinutuzumab with CHOP chemotherapy agents. For the substudy, an additional cohort of approximately 15 patients are planned to be enrolled at a subset of investigational sites.

Studie Overzicht

Toestand

Voltooid

Conditie

Interventie / Behandeling

Studietype

Ingrijpend

Inschrijving (Werkelijk)

100

Fase

  • Fase 2

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studie Locaties

    • Alabama
      • Birmingham, Alabama, Verenigde Staten, 35294-3300
        • University of Alabama at Birmingham
    • California
      • Encinitas, California, Verenigde Staten, 92024
        • cCare
    • Colorado
      • Aurora, Colorado, Verenigde Staten, 80045
        • University of Colorado Cancer Center Department of Hematology
      • Denver, Colorado, Verenigde Staten, 80218
        • Rocky Mountain Cancer Ctr - Denver (Williams)
    • Connecticut
      • Norwalk, Connecticut, Verenigde Staten, 06856
        • Norwalk Hospital
    • Florida
      • Fort Myers, Florida, Verenigde Staten, 33901-8101
        • Florida Cancer Specialists; Department of Oncology
      • St. Petersburg, Florida, Verenigde Staten, 33719
        • Florida Cancer Specialists; Saint Petersburg
    • Georgia
      • Marietta, Georgia, Verenigde Staten, 30060
        • Northwest Georgia Oncology Centers PC - Marietta
    • Idaho
      • Coeur d'Alene, Idaho, Verenigde Staten, 83814
        • Kootenai Medical Center
    • Illinois
      • Chicago, Illinois, Verenigde Staten, 60611
        • Northwestern University; Robert H. Lurie Comp Can Ctr
      • Peoria, Illinois, Verenigde Staten, 61615-7828
        • Onc Hem Assoc of Central IL
    • Iowa
      • Ames, Iowa, Verenigde Staten, 50010
        • McFarland Clinic
    • Kentucky
      • Louisville, Kentucky, Verenigde Staten, 40245
        • Jewish Cancer Care
    • Massachusetts
      • Worcester, Massachusetts, Verenigde Staten, 01655
        • University of Massachusetts Medical School
    • Michigan
      • Ann Arbor, Michigan, Verenigde Staten, 48109-0934
        • University of Michigan
    • Montana
      • Missoula, Montana, Verenigde Staten, 59802
        • MT Cancer Inst Fndtn; MT Can Spec
    • Nevada
      • Las Vegas, Nevada, Verenigde Staten, 89128
        • Comprehensive Cancer Centers of Nevada
    • New Jersey
      • Basking Ridge, New Jersey, Verenigde Staten, 07920
        • MSKCC at Basking Ridge
      • Hackensack, New Jersey, Verenigde Staten, 07601
        • Hackensack University Medical Center
    • New Mexico
      • Farmington, New Mexico, Verenigde Staten, 87401
        • San Juan Oncology Associates
    • New York
      • Commack, New York, Verenigde Staten, 11725
        • Memorial Sloan-Kettering; Cancer Center
      • New York, New York, Verenigde Staten, 10065
        • Memorial Sloan Kettering Cancer Center
      • Rockville Centre, New York, Verenigde Staten, 11570
        • MSKCC at Mercy Med Ctr
      • Sleepy Hollow, New York, Verenigde Staten, 10591
        • MSKCC at Sleepy Hollow
    • North Carolina
      • High Point, North Carolina, Verenigde Staten, 27262
        • Emerywood Hematology and Onc
    • Oregon
      • Springfield, Oregon, Verenigde Staten, 97477
        • Willamette Valley Cancer Insitute and Research Center
    • South Carolina
      • Charleston, South Carolina, Verenigde Staten, 29425
        • Medical University of SC (MUSC)
    • Tennessee
      • Nashville, Tennessee, Verenigde Staten, 37203
        • SCRI-Tennessee Oncology
    • Texas
      • Fort Worth, Texas, Verenigde Staten, 76177
        • Onc & Hem Assoc; USO Cent Pharm
      • Houston, Texas, Verenigde Staten, 77030
        • Methodist Hospital Research Institute
      • Houston, Texas, Verenigde Staten, 77030
        • MD Anderson Cancer Center Department of Lymphoma & Myeloma
      • San Antonio, Texas, Verenigde Staten, 78229
        • Cancer Therapy & Research Center
      • Tyler, Texas, Verenigde Staten, 75702
        • USO - Tyler Cancer Ctr
    • Virginia
      • Roanoke, Virginia, Verenigde Staten, 24014
        • Blue Ridge Cancer Care - Roanoke
    • Washington
      • Spokane, Washington, Verenigde Staten, 99208
        • Medical Oncology Associates
      • Vancouver, Washington, Verenigde Staten, 98684
        • Northwest Cancer Specialists - Vancouver
      • Yakima, Washington, Verenigde Staten, 98902
        • Yakima Valley Memorial Hospital/North Star Lodge
    • Wisconsin
      • Green Bay, Wisconsin, Verenigde Staten, 54311
        • Aurora Bay Care Medical Center

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

18 jaar en ouder (Volwassen, Oudere volwassene)

Accepteert gezonde vrijwilligers

Nee

Geslachten die in aanmerking komen voor studie

Allemaal

Beschrijving

Inclusion Criteria:

  • Adult patients, ≥18 years of age
  • Previously untreated cluster of differentiation antigen 20 (CD20)-positive diffuse large B-cell lymphoma
  • Ann Arbour Stage III/IV and bulky II (mass >10 cm)
  • At least one bi-dimensionally measurable lesion defined as >1.5 cm in its largest dimension by CT scan
  • Eastern Cooperative Oncology Group (ECOG) performance status 0, 1 or 2
  • Left ventricular ejection fraction ≥50%
  • Adequate hematologic function

Exclusion Criteria:

  • Transformed lymphoma (follicular IIIB) if previously treated with chemotherapy or immunotherapy
  • Prior therapy for diffuse large B-cell lymphoma except for nodal biopsy or local irradiation
  • Central nervous system (CNS) lymphoma, primary mediastinal large cell lymphoma, primary cutaneous lymphoma, primary effusion lymphoma
  • Patients who received cytotoxic drugs or rituximab as part of their treatment for another condition (e.g. rheumatoid arthritis) or prior use of an anti-CD20 antibody
  • Chemotherapy or other investigational therapy within 28 days prior to the start of Cycle 1
  • Contraindication to any of the individual components of CHOP, including prior receipt of anthracyclines
  • History of severe allergic or anaphylactic reactions to monoclonal antibody therapy
  • History of other malignancy, except for curatively treated basal or squamous cell carcinoma or melanoma of the skin or in situ carcinoma of the cervix, or malignancy treated with or without curative intent and in remission without treatment for ≥2 years prior to enrolment
  • Positive for hepatitis B, hepatitis C, human immunodeficiency virus (HIV) or human T-cell leukemia virus (HTLV-1) infection
  • Pregnant or lactating women

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Primair doel: Behandeling
  • Toewijzing: NVT
  • Interventioneel model: Opdracht voor een enkele groep
  • Masker: Geen (open label)

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Experimenteel: obinutuzumab + CHOP

Participants received 1000 mg obinutuzumab intravenously on Day 1 of each 21-day cycle for 8 cycles; during Cycle 1 administration also on Days 8 and 15. Participants also received standard CHOP therapy (cyclophosphamide, doxorubicin, vincristine and prednisone) for 6 cycles.

1000 mg intravenously on Day 1 of each 21-day cycle, 8 cycles; during Cycle 1 administration also on Days 8 and 15.

750 mg/m^2 intravenous (IV), Day 1 of each 21-day cycle, 6 cycles.

50 mg/m^2 IV, Day 1 of each 21-cycle, 6 cycles.

100 mg/day, Days 1 through 5 of each 21-day cycle, 6 cycles.

1.4 mg/m^2 IV, Day 1 of each 21-day cycle, 6 cycles.

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Complete Response (CR) Rate as Assessed by the Investigator at the End of Treatment
Tijdsspanne: From the first dose of study treatment to end of treatment response assessment (approximately 228 to 258 days)

Complete response rate is defined as the percentage of participants with Complete Response (CR) according to the Revised Response Criteria for Malignant Lymphoma (Cheson et al., 2007). Disease response was evaluated by the investigator using regular clinical and laboratory examinations, fluorodeoxyglucose-positron emission tomography (FDG-PET) and computed tomography (CT). CR is the disappearance of all evidence of disease.

From the first dose of study treatment to end of treatment response assessment (approximately 228 to 258 days)
Overall Response Rate (ORR) as Assessed by the Investigator at the End of Treatment
Tijdsspanne: From the first dose of study treatment to end of treatment response assessment (approximately 228 to 258 days)

Overall response rate was defined as the percentage of participants with Complete Response (CR) or Partial Response (PR) according to the Revised Response Criteria for Malignant Lymphoma (Cheson et al., 2007). Disease response was evaluated by the investigator using regular clinical and laboratory examinations, FDG-PET and computed tomography (CT). CR is the disappearance of all evidence of disease. PR is at least 50% regression of measurable disease compared to tumors measured by a baseline scan and no new sites.

From the first dose of study treatment to end of treatment response assessment (approximately 228 to 258 days)

Secundaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Complete Response (CR) Rate as Assessed by the Independent Review Facility (IRF) at the End of Treatment
Tijdsspanne: From the first dose of study treatment to end of treatment response assessment (approximately 228 to 258 days)

Complete response rate is defined as the percentage of participants with Complete Response (CR) according to the Revised Response Criteria for Malignant Lymphoma (Cheson et al., 2007). Disease response was evaluated by the IRF using CT scans, PET scans and pertinent clinical information. CR is the disappearance of all evidence of disease.

From the first dose of study treatment to end of treatment response assessment (approximately 228 to 258 days)
Overall Response Rate (ORR) as Assessed by the IRF at the End of Treatment
Tijdsspanne: From the first dose of study treatment to end of treatment response assessment (approximately 228 to 258 days)

Overall response rate was defined as the percentage of participants with Complete Response (CR) or Partial Response (PR) according to the Revised Response Criteria for Malignant Lymphoma (Cheson et al., 2007). Disease response was evaluated by the IRF using CT scans, PET scans and pertinent clinical information. CR is the disappearance of all evidence of disease. PR is at least 50% regression of measurable disease compared to tumors measured by a baseline scan and no new sites.

From the first dose of study treatment to end of treatment response assessment (approximately 228 to 258 days)
Progression-Free Survival (PFS) as Assessed by the Investigator
Tijdsspanne: From the first dose of study treatment to PFS assessment (up to 64 months)

PFS was defined as the time from the date of the first dose of study treatment until the date of disease progression, relapse, or death from any cause.

From the first dose of study treatment to PFS assessment (up to 64 months)
Duration of Response (DOR)
Tijdsspanne: From the response assessment to relapse, progression, or death (up to 64 months)

DOR is defined as first occurrence of documented response (CR or PR) until the first occurrence of relapse or progression or death of any cause. CR: disappearance of all evidence of disease. PR: at least 50% regression of measurable disease compared to tumors measured by a baseline scan and no new sites.

From the response assessment to relapse, progression, or death (up to 64 months)
Percentage of Participants With Adverse Events as a Measure of Safety
Tijdsspanne: From the first dose of study treatment to end of study (up to 5 years 4 months)

An adverse event was considered any unfavorable and unintended sign, symptom, or disease associated with the use of the study drug, whether or not considered related to the study drug or other protocol-imposed intervention. Preexisting conditions that worsened during the study were reported as adverse events.

From the first dose of study treatment to end of study (up to 5 years 4 months)
Number of Participants With Grade 3 to 4 Infusion-Related (IRR) Adverse Events (AE) in Participants Receiving Shorter Duration Infusion (SDI)
Tijdsspanne: From the first dose of study treatment to end of treatment response assessment (approximately 228 to 258 days)

SDI 120 is a shorter duration infusion of 120 minutes and SDI 90 is shorter duration infusion of 90 minutes. Grade 3 IRR AE: Prolonged (e.g., not rapidly responsive to symptomatic medication and/or brief interruption of infusion); recurrence of symptoms following initial improvement; hospitalization indicated for clinical sequelae. Grade 4 IRR AE: Life-threatening consequences; urgent intervention indicated.

From the first dose of study treatment to end of treatment response assessment (approximately 228 to 258 days)
Pharmacokinetics (PK): Maximum Concentration Observed (Cmax) for Obinutuzumab
Tijdsspanne: Cycle 1 Day 1 pre and post dose, Days 3,5, Day 8 pre and post-dose, Day 15 pre-dose. Cycle 8 Day 1 pre and post-dose, Days 5,8,12

Blood was collected for PK Parameters. Serum samples were sent to a central lab and were analyzed for obinutuzumab using a validated enzyme-linked immunosorbent assay (ELISA) measured in micrograms per milliliter (μg/mL).

Cycle 1 Day 1 pre and post dose, Days 3,5, Day 8 pre and post-dose, Day 15 pre-dose. Cycle 8 Day 1 pre and post-dose, Days 5,8,12
Pharmacokinetics: Terminal Half-Life (t1/2) for Obinutuzumab
Tijdsspanne: Cycle 1 Day 1 pre and post dose, Days 3,5, Day 8 pre and post-dose, Day 15 pre-dose. Cycle 8 Day 1 pre and post-dose, Days 5,8,12

T1/2 is the time required for the concentration of the drug to reach half of its original value. Blood was collected for PK Parameters. Serum samples were sent to a central lab and were analyzed for obinutuzumab using a validated enzyme-linked immunosorbent assay (ELISA) measured in days

Cycle 1 Day 1 pre and post dose, Days 3,5, Day 8 pre and post-dose, Day 15 pre-dose. Cycle 8 Day 1 pre and post-dose, Days 5,8,12
Pharmacokinetics: Clearance (Cl) for Obinutuzumab
Tijdsspanne: Cycle 1 Day 1 pre and post dose, Days 3,5, Day 8 pre and post-dose, Day 15 pre-dose. Cycle 8 Day 1 pre and post-dose, Days 5,8,12

Cl is the volume of serum cleared of the drug per unit of time. Serum samples were sent to a central lab and were analyzed for obinutuzumab using a validated enzyme-linked immunosorbent assay (ELISA) measured in milliliters/day (mL/day).

Cycle 1 Day 1 pre and post dose, Days 3,5, Day 8 pre and post-dose, Day 15 pre-dose. Cycle 8 Day 1 pre and post-dose, Days 5,8,12
Pharmacokinetics: Volume of Distribution (V) for Obinutuzumab
Tijdsspanne: Cycle 1 Day 1 pre and post dose, Days 3,5, Day 8 pre and post-dose, Day 15 pre-dose. Cycle 8 Day 1 pre and post-dose, Days 5,8,12

V is the apparent volume in which a drug is distributed in the body. Serum samples were sent to a central lab and were analyzed for obinutuzumab using a validated enzyme-linked immunosorbent assay (ELISA) measured in milliliters (mL).

Cycle 1 Day 1 pre and post dose, Days 3,5, Day 8 pre and post-dose, Day 15 pre-dose. Cycle 8 Day 1 pre and post-dose, Days 5,8,12
Pharmacokinetics: Area Under the Concentration-Time Curve 7 Day (AUC7day)
Tijdsspanne: Cycle 1 Day 1 pre and post dose, Days 3,5, Day 8 pre and post-dose, Day 15 pre-dose. Cycle 8 Day 1 pre and post-dose, Days 5,8,12

Blood was collected for PK parameters. Serum samples were sent to a central lab and were analyzed for obinutuzumab using a validated enzyme-linked immunosorbent assay (ELISA) measured in in day times micrograms per milliliter (day*μg/mL).

Cycle 1 Day 1 pre and post dose, Days 3,5, Day 8 pre and post-dose, Day 15 pre-dose. Cycle 8 Day 1 pre and post-dose, Days 5,8,12
Pharmacodynamics: Number of Participants With Peripheral Blood B-cell Depletion
Tijdsspanne: From end of study treatment up to approximately 30 months

B-cell depletion was defined as a CD19 result < 0.07 × 10^9/L after at least one dose of study drug had been administered. Participants were evaluated during a 30-month post-treatment follow-up period following the completion of active study treatment (Cycle 8 [each cycle = 21 days]). Total study duration across active treatment and follow-up was up to approximately 5 years.

From end of study treatment up to approximately 30 months
Pharmacodynamics: Number of Participants With Peripheral Blood B-cell Recovery
Tijdsspanne: Up to approximately 30 months

B-cell recovery was defined as a CD19 result >= 0.07 × 10^9/L, where CD19 was previously depleted. B-cell recovery was only considered possible following the last dose of study treatment. The number of participants with B-cell recovery from End of Treatment to 6 months of Follow-up is reported in two categories: Recovery with Progressive Disease (PD) [PD before B-cell recovery or PD within 45 days after recovery] or Recovery without PD. PD required one of the following: 50% increase in the absolute number of circulating lymphocytes, Appearance of new palpable lymph nodes, 50% increase in the longest diameter of any previous site of lymphadenopathy, 50% increase in the enlargement of the liver and/or spleen or Transformation to a more aggressive histology.

Up to approximately 30 months

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Sponsor

Onderzoekers

  • Studie directeur: Clinical Trials, Genentech, Inc.

Publicaties en nuttige links

De persoon die verantwoordelijk is voor het invoeren van informatie over het onderzoek stelt deze publicaties vrijwillig ter beschikking. Dit kan gaan over alles wat met het onderzoek te maken heeft.

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Werkelijk)

31 augustus 2011

Primaire voltooiing (Werkelijk)

31 december 2013

Studie voltooiing (Werkelijk)

23 december 2016

Studieregistratiedata

Eerst ingediend

10 augustus 2011

Eerst ingediend dat voldeed aan de QC-criteria

10 augustus 2011

Eerst geplaatst (Geschat)

11 augustus 2011

Updates van studierecords

Laatste update geplaatst (Werkelijk)

29 september 2026

Laatste update ingediend die voldeed aan QC-criteria

24 september 2026

Laatst geverifieerd

1 september 2026

Meer informatie

Deze informatie is zonder wijzigingen rechtstreeks van de website clinicaltrials.gov gehaald. Als u verzoeken heeft om uw onderzoeksgegevens te wijzigen, te verwijderen of bij te werken, neem dan contact op met register@clinicaltrials.gov. Zodra er een wijziging wordt doorgevoerd op clinicaltrials.gov, wordt deze ook automatisch bijgewerkt op onze website .