UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000002974
Receipt number R000003607
Scientific Title Post-marketing clinical study of rituximab monotherapy at eight weekly infusions in relapsed or refractory patients with indolent B-cell non-Hodgkin's lymphoma
Date of disclosure of the study information 2010/01/05
Last modified on 2010/01/05 11:01:57

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Basic information

Public title

Post-marketing clinical study of rituximab monotherapy at eight weekly infusions in relapsed or refractory patients with indolent B-cell non-Hodgkin's lymphoma

Acronym

Post-marketing clinical study of rituximab monotherapy at eight weekly infusions in relapsed or refractory patients with indolent B-cell non-Hodgkin's lymphoma

Scientific Title

Post-marketing clinical study of rituximab monotherapy at eight weekly infusions in relapsed or refractory patients with indolent B-cell non-Hodgkin's lymphoma

Scientific Title:Acronym

Post-marketing clinical study of rituximab monotherapy at eight weekly infusions in relapsed or refractory patients with indolent B-cell non-Hodgkin's lymphoma

Region

Japan


Condition

Condition

Indolent non Hodgkin's lymphomas

Classification by specialty

Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the efficacy and safety of rituximab monotherapy at 375 mg/m2 with weekly eight infusions in relapsed or refractory indolent B-cell lymphomas.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Explanatory

Developmental phase

Phase II


Assessment

Primary outcomes

Overall response rate (ORR) for eligible patients

Key secondary outcomes

1."Progression free survival" for eligible patients and "Time to progression" for responder patients
2.frequency and severity of adverse events for all treated patients
3.pharmacokinetic parameters


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

The dosage and schedule of rituximab in this study is 375 mg/m2 x eight weekly infusions.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

79 years-old >=

Gender

Male and Female

Key inclusion criteria

1.CD20 positive B-cell lymphoma confirmed by histopathological diagnosis. The expression of CD20 antigen on lymphoma cells to be confirmed by either immunohistochemistry or flow cytometry.
2.NHLs diagnosed as follows according to WHO classification by biopsy.
1)Small lymphocytic lymphoma
2)Lymphoplasmacytic lymphoma
3)Splenic marginal zone B-cell lymphoma
4)Extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue type
5)Nodal marginal zone B-cell lymphoma
6)Follicular lymphoma
3.Target lesion(s) for evaluation
Patients with measurable lesion(s) meeting the following criteria defined by the Lymphoma Study Group of Japan Clinical Oncology Group according to the International Workshop Criteria.
1)Enlarged lympho node and/or mass, or extra nodal mass diagnosed as malignant lymphoma.
2)Presence of bi-dimensionally measurable disease lesion(s) confirmed on CT film.
3)The greatest diameter of the lesion longer than 1.5cm.
4.Patients who failed to respond to the prior chemotherapy or who relapsed after achieving clinically complete or partial response to the prior chemotherapy.
5.The last chemotherapy should have been completed at least four weeks prior to the entry
6.HBs antigen and HCV antibody must be negative serologically within four weeks prior to the entry.
7.Life expectancy > 2 months after the initial infusion.
8.Performance status < 2 on the Eastern Cooperative Oncology Group scale.
9.Ann Arbor clinical stage I-IV at the entry.
10.Age must be between 20 and 79 years old
11.Patients should have adequate organ function as follows:
1)Bone marrow function absolute neutrophil count>=1,200/uL
platelet count>=75,000/uL
2)Hepatic function
AST<4.0xNu
ALT<4xNu
TB<2.0xNu
3)Renal function
serum creatinine<1.5xNu
4)Cardiopulmonary function
PaO2>=65 mmHg
12.All patients are required to stay in hospital for at least two days after the first infusion of rituximab.
13.All patients who signed an informed consent form by him/herself for participating in this study.

Key exclusion criteria

1. Prior treatment history
1)Patients who received rituximab within the past one year.
2)Previous treatment with a murine, chimeric or humanized MoAb other than rituximab
3)Patients with positive human anti-chimeric antibody (HACA)
4)Treatment with investigational new drugs under development at least six months prior to the entry into the study.
5)Previous treatment with hematopoietic growth factors such as granulocyte-colony stimulating factor (G-CSF) within one week prior to the entry.
2. Patients whose lymphoma cells in peripheral blood (PB) exceed 5,000/uL.
3. Concomitant and /or previous diseases
1)Seropositive for human immunodeficiency virus (HIV) antibody.
2)Patients with active hepatitis, ongoing infection and serious illness.
3)Patients with active concomitant malignancies.
4)Presence or history of CNS involvement, or patients with suspicion of CNS involvement.
5)Patients with serious mental disorder.
4. Pregnant or lactating women, women with positive of pregnancy test, or women of child bearing potential.
5. Patients who entered the other clinical studies.

Target sample size

52


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Kensei Tobinai, MD, PhD

Organization

National Cancer Center Hospital

Division name

Hematology Division

Zip code


Address

5-1-1 Tsukiji, Chuo-ku, Tokyo 104-0045, Japan

TEL

+81-3-3542-2511

Email



Public contact

Name of contact person

1st name
Middle name
Last name Izumi Okugaito

Organization

Zenyaku Kogyo Co., Ltd.

Division name

Clinical development promotion section

Zip code


Address

6-15, Otsuka 5-chome, Bunkyo-ku, Tokyo 112-8650 Japan

TEL

+81-3-3946-1113

Homepage URL


Email



Sponsor or person

Institute

Zenyaku Kogyo Co., Ltd.

Institute

Department

Personal name



Funding Source

Organization

Zenyaku Kogyo Co., Ltd.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2010 Year 01 Month 05 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2004 Year 05 Month 28 Day

Date of IRB


Anticipated trial start date

2004 Year 11 Month 01 Day

Last follow-up date

2008 Year 07 Month 01 Day

Date of closure to data entry

2009 Year 12 Month 01 Day

Date trial data considered complete

2009 Year 12 Month 01 Day

Date analysis concluded

2009 Year 12 Month 01 Day


Other

Other related information



Management information

Registered date

2010 Year 01 Month 05 Day

Last modified on

2010 Year 01 Month 05 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000003607


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name