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A Study Comparing Obinutuzumab and BGB-3111 Versus Obinutuzumab Alone in Treating R/R Follicular Lymphoma

Phase 2
Completed
Conditions
Relapsed/Refractory Follicular Non-Hodgkin Lymphoma
Interventions
Registration Number
NCT03332017
Lead Sponsor
BeiGene
Brief Summary

he purpose of the study is to evaluate the efficacy, safety, and tolerability BGB-3111 plus obinutuzumab versus obinutuzumab alone in participants with relapsed/refractory non-Hodgkin follicular lymphoma.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
217
Inclusion Criteria
  1. Histologically confirmed diagnosis of B-cell follicular lymphoma
  2. ≥2 prior systemic treatments for follicular lymphoma.
  3. Previously received an anti-CD20 antibody and an appropriate alkylator-based combination therapy.
  4. Disease progression after completion of most recent therapy or refractory disease.
  5. Presence of measurable disease.
  6. Availability of archival tissue confirming diagnosis.
  7. Eastern Cooperative Oncology Group (ECOG) performance status of 0,1 or 2.
  8. Adequate renal and hepatic function.

Key

Exclusion Criteria
  1. Prior exposure to a Bruton's tyrosine kinase (BTK) inhibitor.
  2. Known central nervous system involvement by leukemia or lymphoma.
  3. Evidence of transformation from follicular lymphoma to other aggressive histology.
  4. Allogeneic hematopoietic stem cell transplantation within 12 months of enrollment
  5. Prior malignancy within the past 2 years, except for curatively treated basal or squamous cell skin cancer, superficial bladder cancer, carcinoma in situ of the cervix of breast, or localized Gleason score 6 prostate cancer.
  6. Clinically significant cardiovascular disease.
  7. Major surgery ≤ 4 weeks prior to start of study treatment.
  8. Active fungal, bacterial or viral infection requiring systemic treatment.
  9. History of severe bleeding disorder.

NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
ObinutuzumabObinutuzumabObinutuzumab 1000 milligrams (mg) intravenously on Days 1, 8, and 15 of Cycle 1; Day 1 of Cycles 2 to 6; and then every 8 weeks until unacceptable toxicity, withdrawal of consent, loss of clinical benefit, or disease progression; each cycle is 28 days
Zanubrutinib + ObinutuzumabZanubrutinibZanubrutinib 160 mg twice a day orally with or without food; Obinutuzumab 1000 mg intravenously on Days 1, 8, and 15 of Cycle 1; Day 1 of Cycles 2 to 6; and then every 8 weeks until unacceptable toxicity, withdrawal of consent, loss of clinical benefit, or disease progression; each cycle is 28 days
Zanubrutinib + ObinutuzumabObinutuzumabZanubrutinib 160 mg twice a day orally with or without food; Obinutuzumab 1000 mg intravenously on Days 1, 8, and 15 of Cycle 1; Day 1 of Cycles 2 to 6; and then every 8 weeks until unacceptable toxicity, withdrawal of consent, loss of clinical benefit, or disease progression; each cycle is 28 days
Primary Outcome Measures
NameTimeMethod
Overall Response Rate (ORR) by Independent Review Committee (IRC) AssessmentThrough primary analysis data cut-off date of 08OCT2021 (up to approximately 3 years and 11 months)

ORR is defined as the percentage of participants who achieve either complete response (CR) or partial response (PR) as best overall response, as assessed by the IRC using Lugano Classification for Non-Hodgkin Lymphoma

Secondary Outcome Measures
NameTimeMethod
Duration of Response (DOR)Up to approximately 7 years
Overall Survival (OS)Up to approximately 7 years
Overall Response Rate (ORR) as Assessed by the InvestigatorUp to approximately 7 years
Complete Response RateUp to approximately 7 years
Complete Metabolic Response RateUp to approximately 7 years
Progression Free Survival (PFS)Up to approximately 7 years
Time to Response (TTR)Up to approximately 7 years
Occurrence and Severity of Treatment-emergent Adverse Events (TEAEs)Up to approximately 7 years

Safety and Tolerability

Apparent Clearance (CL/F) of ZanubrutinibDay 1 Cycle 1 and Day 2 Cycle 2: Predose
Health-Related Quality of Life (HRQOL) as Assessed by The European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30)Up to approximately 7 years
Health-Related Quality of Life (HRQOL) as Assessed by The 5-level EQ-5D Version (EQ-5D-5L)Up to approximately 7 years
Area Under the Curve From 0 to 12 Hours Post Dose (AUC0-12)Day 1 Cycle 1 and Day 2 Cycle 2: Pre-dose

Trial Locations

Locations (89)

University Multiprofile Hospital For Active Treatment Dr Georgi Stranski

🇧🇬

Pleven, Bulgaria

Acibadem City Clinic Mhat Tokuda Ead

🇧🇬

Sofia, Bulgaria

University Multiprofile Hospital For Active Treatment Saint Ivan Rilski

🇧🇬

Sofia, Bulgaria

University Multiprofile Hospital For Active Treatment Alexandrovska

🇧🇬

Sofia, Bulgaria

The Ottawa Hospital

🇨🇦

Ottawa, Ontario, Canada

Jewish General Hospital

🇨🇦

Montreal, Quebec, Canada

Peking University Third Hospital

🇨🇳

Beijing, Beijing, China

Wielospecjalistyczne Centrum Onkologii I Traumatologii Im M Kopernika W Lodzi

🇵🇱

Lodz, Poland

Centrum Onkologii Ziemi Lubelskiej

🇵🇱

Lublin, Poland

Szpital Wojewodzki W Opolu

🇵🇱

Opole, Poland

Vitebsk Regional Clinical Oncology Dispensary

🇧🇾

Vitebsk, Belarus

Emory University Winship Cancer Institute

🇺🇸

Atlanta, Georgia, United States

University of Illinois At Chicago

🇺🇸

Chicago, Illinois, United States

Comprehensive Cancer Centers of Nevada

🇺🇸

Las Vegas, Nevada, United States

Duke University

🇺🇸

Durham, North Carolina, United States

Canberra Hospital

🇦🇺

Garran, Australian Capital Territory, Australia

Concord Repatriation General Hospital

🇦🇺

Concord, New South Wales, Australia

Saint Vincents Hospital Sydney

🇦🇺

Darlinghurst, New South Wales, Australia

Calvary Mater Newcastle

🇦🇺

Waratah, New South Wales, Australia

Westmead Hospital

🇦🇺

Westmead, New South Wales, Australia

Icon Cancer Centre Wesley

🇦🇺

Auchenflower, Queensland, Australia

Icon Cancer Foundation

🇦🇺

South Brisbane, Queensland, Australia

Royal Adelaide Hospital

🇦🇺

Adelaide, South Australia, Australia

Monash Health

🇦🇺

Clayton, Victoria, Australia

St Vincents Hospital Melbourne

🇦🇺

Fitzroy, Victoria, Australia

Peninsula Private Hospital

🇦🇺

Frankston, Victoria, Australia

Royal Perth Hospital

🇦🇺

Perth, Western Australia, Australia

Minsk City Clinical Oncological Dispensary

🇧🇾

Minsk, Belarus

Nn Alexandrov National Cancer Centre of Belarus

🇧🇾

Minsk, Belarus

Peking University Peoples Hospital

🇨🇳

Beijing, Beijing, China

Beijing Cancer Hospital

🇨🇳

Beijing, Beijing, China

Guangdong Provincial Peoples Hospital

🇨🇳

Guangzhou, Guangdong, China

Harbin Medical University Cancer Hospital

🇨🇳

Harbin, Heilongjiang, China

Henan Cancer Hospital

🇨🇳

Zhengzhou, Henan, China

Tongji Hospital of Tongji Medical College Huazhong University of Science and Technology

🇨🇳

Wuhan, Hubei, China

Jiangsu Province Hospital

🇨🇳

Nanjing, Jiangsu, China

Fudan University Shanghai Cancer Center

🇨🇳

Shanghai, Shanghai, China

West China Hospital, Sichuan University

🇨🇳

Chengdu, Sichuan, China

Tianjin Medical University Cancer Institute and Hospital

🇨🇳

Tianjin, Tianjin, China

Zhejiang Cancer Hospital

🇨🇳

Hangzhou, Zhejiang, China

Fakultni Nemocnice Brno

🇨🇿

Brno, Czechia

Fakultni Nemocnice Hradec Kralove

🇨🇿

Hradec Kralove, Czechia

Slezska Nemocnice V Opave

🇨🇿

Opava, Czechia

Vseobecna Fakultni Nemocnice V Praze

🇨🇿

Praha, Czechia

Centre Hospitalier Universitaire Damiens Hopital Sud

🇫🇷

Amiens Cedex, France

Centre de Lutte Contre Le Cancer Institut Bergonie

🇫🇷

Bordeaux, France

Centre Hospitalier de Dunkerque

🇫🇷

Dunkerque, France

Clinique Louis Pasteur

🇫🇷

Esseylesnancy, France

Necker University Hospital

🇫🇷

Paris, France

Chu Bordeaux Hopital Haut Leveque

🇫🇷

Pessac, France

Chu Hopital Lyon Sud

🇫🇷

PierreBenite, France

Centre Hospitalier Universitaire de Poitier Hopital de La Miletrie Hopital Jean Bernard

🇫🇷

Poitiers, France

Centre Henri Becquerel

🇫🇷

Rouen Cedex, France

Klinikum Augsburg, Ii Medizinische Klinik

🇩🇪

Augsburg, Germany

Azienda Ospedaliera Policlinico Di Bari

🇮🇹

Bari, Italy

Policlinico Sorsola Malpighi, Aou Di Bologna

🇮🇹

Bologna, Italy

Ospedale San Raffaele

🇮🇹

Milano, Italy

Istituto Europeo Di Oncologia

🇮🇹

Milano, Italy

Azienda Ospedaliero Universitaria Di Parma

🇮🇹

Parma, Italy

Unita Di Ematologia, Dipartimento Di Ematologia Ed Oncologia

🇮🇹

Ravenna, Italy

Ospedale Di Circolo E Fondazione Macchi

🇮🇹

Varese, Italy

Kyungpook National University Hospital

🇰🇷

Daegu, Daegu Gwang'yeogsi, Korea, Republic of

Seoul National University Bundang Hospital

🇰🇷

Seongnamsi, Gyeonggi-do, Korea, Republic of

Samsung Medical Center

🇰🇷

Seoul, Seoul Teugbyeolsi, Korea, Republic of

The Catholic University of Korea, Seoul St Marys Hospital

🇰🇷

Seoul, Seoul Teugbyeolsi, Korea, Republic of

Auckland City Hospital

🇳🇿

Auckland, New Zealand

Aotearoa Clinical Trials

🇳🇿

Auckland, New Zealand

Christchurch Hospital

🇳🇿

Christchurch, New Zealand

Malopolskie Centrum Medyczne Sc

🇵🇱

Krakow, Poland

State Healthcare Institution Oncologic Dispensary No Health Department of Krasnodar Region

🇷🇺

Sochi, Krasnodarskiy Kray, Russian Federation

N N Blokhin Russian Cancer Research Center Konstantin Laktionov

🇷🇺

Moscow, Moskva, Russian Federation

Central City Hospital

🇷🇺

Yekaterinburg, Sverdlovskaya Oblast', Russian Federation

Tula Area Clinical Hospital

🇷🇺

Tula, Tul'skaya Oblast', Russian Federation

Institut Catala Doncologia

🇪🇸

Barcelona, Spain

Hospital Universitario Puerta Del Mar

🇪🇸

Cadiz, Spain

Md Anderson Cancer Center Madrid Spain

🇪🇸

Madrid, Spain

Hospital Universitario Ramon Y Cajal

🇪🇸

Madrid, Spain

Hospital Universitario de Octubre

🇪🇸

Madrid, Spain

Hospital Universitario Puerta de Hierro Majadahonda

🇪🇸

Majadahonda, Spain

Hospital Universitario Quironsalud Madrid

🇪🇸

Pozuelo de Alarcon, Spain

Hospital Universitario de Salamanca

🇪🇸

Salamanca, Spain

Kaohsiung Medical University Chung Ho Memorial Hospital

🇨🇳

Kaohsiung, Taiwan

Taipei Medical University Shuang Ho Hospital

🇨🇳

New Taipei City, Taiwan

National Cheng Kung University Hospital

🇨🇳

Tainan, Taiwan

National Taiwan University Hospital West Campus

🇨🇳

Taipei, Taiwan

The Royal Bournemouth and Christchurch Hospitals Nhs Foundation

🇬🇧

Bournemouth, United Kingdom

The Leeds Teaching Hospitals Nhs Trust

🇬🇧

Leeds, United Kingdom

Barts Health Nhs Trust

🇬🇧

London, United Kingdom

Norfolk and Norwich University Hospitals Nhs Foundation Trust

🇬🇧

Norwich, United Kingdom

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