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Ofatumumab in Patients With Relapsed/Progressive Diffused Large B-Cell Lymphoma (DLBCL) Ineligible for or Relapse/Progression After Transplant

2 de julho de 2015 atualizado por: GlaxoSmithKline

An Open-label, Single-arm. Multi-center Phase 2 Trial With Ofatumumab in Patients With Relapsed/Progressive Diffuse Large B-Cell Lymphoma (DLBCL) Ineligible for Transplant or Relapse/Progression After Autologous Transplant

The purpose of this trial is to determine the effect of ofatumumab in patients with Diffused Large B-Cell Lymphoma (DLBCL) ineligible for transplant or relapsed after autologous transplant

Visão geral do estudo

Status

Concluído

Intervenção / Tratamento

Tipo de estudo

Intervencional

Inscrição (Real)

81

Estágio

  • Fase 2

Contactos e Locais

Esta seção fornece os detalhes de contato para aqueles que conduzem o estudo e informações sobre onde este estudo está sendo realizado.

Locais de estudo

      • London, Reino Unido, EC1M 6BQ
        • GSK Investigational Site

Critérios de participação

Os pesquisadores procuram pessoas que se encaixem em uma determinada descrição, chamada de critérios de elegibilidade. Alguns exemplos desses critérios são a condição geral de saúde de uma pessoa ou tratamentos anteriores.

Critérios de elegibilidade

Idades elegíveis para estudo

18 anos e mais velhos (Adulto, Adulto mais velho)

Aceita Voluntários Saudáveis

Não

Gêneros Elegíveis para o Estudo

Tudo

Descrição

Inclusion Criteria:

Patients with DLBCL

  • and relapse after complete remission or disease progression after partial remission who are ineligible for autologous stem cell transplantation
  • and relapse after complete remission or disease progression after partial remission following autologous stem cell transplantation.

Plano de estudo

Esta seção fornece detalhes do plano de estudo, incluindo como o estudo é projetado e o que o estudo está medindo.

Como o estudo é projetado?

Detalhes do projeto

  • Finalidade Principal: Tratamento
  • Alocação: Não randomizado
  • Modelo Intervencional: Atribuição de grupo único
  • Mascaramento: Nenhum (rótulo aberto)

Armas e Intervenções

Grupo de Participantes / Braço
Intervenção / Tratamento
Experimental: Ofatumumab
8 weekly intra-venous (I.V.) infusions, 1 x 300mg and 7 x 1000mg
8 weekly intra-venous (i.v.) infusions, 1 x 300mg and 7 x 1000mg

O que o estudo está medindo?

Medidas de resultados primários

Medida de resultado
Descrição da medida
Prazo
Number of Participants With Objective Response
Prazo: 6-month period from start of treatment (up to Week 24)
Objective response of ofatumumab treatment was assessed according to the "revised response criteria for malignant lymphoma." Participants with objective response were defined as responders with complete remission (CR) or partial remission (PR) of disease. CR is defined as the disappearance of all evidence of disease, and PR is defined as the regression of measurable disease with no new sites of disease.
6-month period from start of treatment (up to Week 24)
Number of Participants Classified as Responders and Non-responders for Objective Response
Prazo: 6-month period from start of treatment (up to Week 24)
According to the "revised response criteria for malignant lymphoma," responders included participants with CR and PR, and non-responders included participants with stable disease (SD) and progressive disease (PD). Participants not evaluable (NE) were also considered to be non-responders. PD is defined as any new lesion or an increase by more than or equal to 50% of previously involved sites from baseline. SD is defined as failure to attain CR, PR, or PD.
6-month period from start of treatment (up to Week 24)

Medidas de resultados secundários

Medida de resultado
Descrição da medida
Prazo
Duration of Response
Prazo: From date of start of treatment to 2 years or withdrawal
The duration of response was defined as the time from the initial response (CR or PR) to the time of relapse, progression, or death. If the participant was lost to follow-up, the endpoint was censored, and the censoring date was the date of the last attended visit at which the endpoint was assessed.
From date of start of treatment to 2 years or withdrawal
Progression-free Survival (PFS)
Prazo: From date of start of treatment to 2 years or withdrawal
PFS was defined as the time from treatment start until progression or death.
From date of start of treatment to 2 years or withdrawal
Time to Next Diffuse Large B-Cell Lymphoma (DLBCL) Therapy
Prazo: From date of start of treatment to 5 years or withdrawal
Time to next DLBCL therapy was defined as the time from the first infusion date to the time of the first administration of the next DLBCL treatment other than ofatumumab. If the participants were lost to follow-up, the endpoint was censored, and the censoring date was the date of the last attended visit at which the endpoint was assessed.
From date of start of treatment to 5 years or withdrawal
Overall Survival (OS)
Prazo: From date of start of treatment to 5 years or withdrawal
Overall survival is defined as the time from first infusion to death. Overall survival was a secondary endpoint in the study. However, since many participants withdrew from the study after developing disease progression overall survival could not be reliably estimated.
From date of start of treatment to 5 years or withdrawal
Number of Participants With Positive Human Anti-human Antibodies (HAHA) at Screening and at Visits 12, 13, 14, and 18
Prazo: Screening visit (=<14 days before treatment start), Visit 12 (Month 6), Visit 13 (Month 9), Visit 14 (Month 12), and Visit 18 (Month 24)
HAHA are indicators of immune response to ofatumumab. Blood samples were collected from participants at Visits 1, 12, 13, 14, and 18 and analyzed in batches. The number of participants with positive results at each visit is reported.
Screening visit (=<14 days before treatment start), Visit 12 (Month 6), Visit 13 (Month 9), Visit 14 (Month 12), and Visit 18 (Month 24)
Median Percent Change From Baseline in CD45+CD19+ and CD45+CD20+ Cells in the Peripheral Blood at the Indicated Visits
Prazo: Baseline and Visit 10 (Week 8), Visit 11 (Week 11), Visit 12 (Month 6), Visit 13 (Month 9), Visit 14 (Month 12), Visit 15 (Month 15), Visit 16 (Month 18), Visit 17 (Month 21), Visit 18 (Month 24), Visit 19 (Month 30), Visit 20 (Month 36)
B cells (CD45+CD19+ and CD45+CD20+) were measured in peripheral blood samples by flow cytometry. Percent change from Baseline = (value at the indicated visits minus the value at Baseline divided by the value at Baseline) * 100.
Baseline and Visit 10 (Week 8), Visit 11 (Week 11), Visit 12 (Month 6), Visit 13 (Month 9), Visit 14 (Month 12), Visit 15 (Month 15), Visit 16 (Month 18), Visit 17 (Month 21), Visit 18 (Month 24), Visit 19 (Month 30), Visit 20 (Month 36)
Number of Participants Who Experienced at Least One Adverse Event (AE)
Prazo: Time frame is from date of start of treatment to 2 years or withdrawal
An AE is defined as any untoward medical occurrence in a participant administered a pharmaceutical product that does not necessarily have a causal relationship with this treatment. The protocol-defined AE reporting period was from the first infusion (Visit 2/Week 0) to Visit 18 (Month 24 of follow-up) or time of withdrawal (treatment and follow-up).
Time frame is from date of start of treatment to 2 years or withdrawal
Percent Change From Screening in Complement (CH50) Levels
Prazo: Screening and post-baseline visits (last visit was to occur 24 months post first dose)
CH50 was mistakenly registered as an outcome measure with the protocol record. Samples were not collected, and no analysis will take place. Thus, no data will be reported for this outcome measure.
Screening and post-baseline visits (last visit was to occur 24 months post first dose)
AUC(0-inf) and AUC(0-168) for Ofatumumab at the Eighth Infusion
Prazo: Visit 9 (Week 7; up to 11 months after last dose)
AUC is defined as the area under the ofatumumab concentration-time curve as a measure of drug exposure. AUC(0-168) is the AUC from the start of infusion to 168 hours after the start of the infusion; AUC(0-inf) is the AUC from the start of infusion extrapolated to infinity.
Visit 9 (Week 7; up to 11 months after last dose)
Cmax and Ctrough for Ofatumumab at the First and Eighth Infusions
Prazo: Visit 2 (Week 0) and Visit 9 (Week 7)
Cmax is defined as the maximum concentration of drug in serum samples. Ctrough is defined as the minimum observed concentration prior to the start of the next dose. No drug is present prior to the first infusion; therefore, there are no Ctrough results for the first dose.
Visit 2 (Week 0) and Visit 9 (Week 7)
Half-life (T1/2) for Ofatumumab at the Eighth Infusion
Prazo: Visit 9 (Week 7; up to 11 months after last dose)
t1/2 is defined as terminal half-life and is the time required for the amount of drug in the body to decrease by half.
Visit 9 (Week 7; up to 11 months after last dose)
Clearance (CL) of Ofatumumab at the Eighth Infusion
Prazo: Visit 9 (Week 7; up to 11 months after last dose)
CL is the clearance of drug from serum, which is defined as the volume of serum from which the drug is cleared per unit time.
Visit 9 (Week 7; up to 11 months after last dose)
Volume of Distribution at Steady State (Vss) of Ofatumumab at the Eighth Infusion
Prazo: Visit 9 (Week 7; up to 11 months after the last dose)
Vss is the volume of distribution at steady state of ofatumumab.
Visit 9 (Week 7; up to 11 months after the last dose)

Colaboradores e Investigadores

É aqui que você encontrará pessoas e organizações envolvidas com este estudo.

Patrocinador

Publicações e links úteis

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Datas de registro do estudo

Essas datas acompanham o progresso do registro do estudo e os envios de resumo dos resultados para ClinicalTrials.gov. Os registros do estudo e os resultados relatados são revisados ​​pela National Library of Medicine (NLM) para garantir que atendam aos padrões específicos de controle de qualidade antes de serem publicados no site público.

Datas Principais do Estudo

Início do estudo

1 de dezembro de 2007

Conclusão Primária (Real)

1 de maio de 2010

Conclusão do estudo (Real)

1 de agosto de 2014

Datas de inscrição no estudo

Enviado pela primeira vez

13 de fevereiro de 2008

Enviado pela primeira vez que atendeu aos critérios de CQ

13 de fevereiro de 2008

Primeira postagem (Estimativa)

25 de fevereiro de 2008

Atualizações de registro de estudo

Última Atualização Postada (Estimativa)

24 de julho de 2015

Última atualização enviada que atendeu aos critérios de controle de qualidade

2 de julho de 2015

Última verificação

1 de janeiro de 2015

Mais Informações

Essas informações foram obtidas diretamente do site clinicaltrials.gov sem nenhuma alteração. Se você tiver alguma solicitação para alterar, remover ou atualizar os detalhes do seu estudo, entre em contato com register@clinicaltrials.gov. Assim que uma alteração for implementada em clinicaltrials.gov, ela também será atualizada automaticamente em nosso site .

Ensaios clínicos em Ofatumumab

3
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