A Study of Rituximab (MabThera) Subcutaneous (SC) Versus Rituximab (MabThera) Intravenous in Participannts With Follicular Non-Hodgkin's Lymphoma
- Conditions
- Non-Hodgkin's Lymphoma
- Interventions
- Drug: Prednisone/Prednisolone
- Registration Number
- NCT01200758
- Lead Sponsor
- Hoffmann-La Roche
- Brief Summary
This two-stage, multi-center, randomized, controlled, open-label study will investigate the pharmacokinetics, efficacy and safety of rituximab SC versus rituximab IV in participants with previously untreated follicular non-Hodgkin's lymphoma. Participants will be randomized to receive 375 milligrams per meter square (mg/m\^2) rituximab as IV infusion or 1400 milligrams (mg) rituximab SC. In addition, participants will receive standard chemotherapy. Participants who achieved a complete or partial response (PR) after 8 treatment cycles, will receive maintenance treatment for a further maximum number of 12 cycles. Maintenance treatment cycles will be repeated every 8 weeks. This is a two-stage study. Stage 1 was designed to confirm the chosen rituximab SC dose resulting in comparable rituximab serum Ctrough levels compared with rituximab IV, when given as part of induction treatment every 3 weeks. Enrollment for Stage 2 started after the rituximab SC dose was established in Stage 1. Stage 2 aimed to further investigate the efficacy and safety of rituximab SC compared with rituximab IV. The anticipated time on study treatment is 96 weeks.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 410
- Cluster of differentiation 20 (CD20)-positive, follicular Non-Hodgkin's lymphoma grade 1, 2, 3a. A tumor biopsy must have been performed within 6 months before study entry with material available for central review
- No prior treatment
- Eastern Cooperative Oncology Group (ECOG) performance status 0-2
- Grade 3b follicular lymphoma
- Transformation to high-grade lymphoma secondary to follicular lymphoma
- Types of Non-Hodgkin's lymphoma other than follicular lymphoma
- Presence or history of central nervous system (CNS) disease
- Corticoid therapy during the last 4 weeks, except prednisone treatment less than (<) 20 milligrams per day (mg per day)
- Known active bacterial, viral, fungal, or mycobacterial, or any major episode of infections requiring hospitalization or treatment with IV antibiotics within 4 weeks of start of study medication, or oral antibiotics within 2 weeks prior to start of study medication
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Stage I and II: Rituximab IV + Chemotherapy (CHOP/CVP) Rituximab IV Eight cycles of rituximab IV infusion (375 mg/m\^2; rituximab induction) in combination with up to 8 cycles of cyclophosphamide, doxorubicin, vincristine, prednisolone (CHOP) or cyclophosphamide, vincristine, prednisolone (CVP) chemotherapy (as per institutional practice) administered every 3 weeks. Participants achieving at least PR during induction, entered rituximab IV maintenance therapy (375 mg/m\^2) once every 8 weeks for 24 months. Stage I and II: Rituximab SC + Chemotherapy (CHOP/CVP) Rituximab SC First cycle of rituximab IV infusion (375 mg/m\^2) + 7 cycles of rituximab SC (1400 mg; rituximab induction) in combination with up to 8 cycles of CHOP or CVP chemotherapy (as per institutional practice) administered every 3 weeks. Participants achieving at least PR entered rituximab SC (1400 mg) maintenance therapy once every 8 weeks for 24 months. Stage I and II: Rituximab SC + Chemotherapy (CHOP/CVP) Prednisone/Prednisolone First cycle of rituximab IV infusion (375 mg/m\^2) + 7 cycles of rituximab SC (1400 mg; rituximab induction) in combination with up to 8 cycles of CHOP or CVP chemotherapy (as per institutional practice) administered every 3 weeks. Participants achieving at least PR entered rituximab SC (1400 mg) maintenance therapy once every 8 weeks for 24 months. Stage I and II: Rituximab IV + Chemotherapy (CHOP/CVP) Prednisone/Prednisolone Eight cycles of rituximab IV infusion (375 mg/m\^2; rituximab induction) in combination with up to 8 cycles of cyclophosphamide, doxorubicin, vincristine, prednisolone (CHOP) or cyclophosphamide, vincristine, prednisolone (CVP) chemotherapy (as per institutional practice) administered every 3 weeks. Participants achieving at least PR during induction, entered rituximab IV maintenance therapy (375 mg/m\^2) once every 8 weeks for 24 months. Stage I and II: Rituximab IV + Chemotherapy (CHOP/CVP) Cyclophosphamide Eight cycles of rituximab IV infusion (375 mg/m\^2; rituximab induction) in combination with up to 8 cycles of cyclophosphamide, doxorubicin, vincristine, prednisolone (CHOP) or cyclophosphamide, vincristine, prednisolone (CVP) chemotherapy (as per institutional practice) administered every 3 weeks. Participants achieving at least PR during induction, entered rituximab IV maintenance therapy (375 mg/m\^2) once every 8 weeks for 24 months. Stage I and II: Rituximab IV + Chemotherapy (CHOP/CVP) Vincristine Eight cycles of rituximab IV infusion (375 mg/m\^2; rituximab induction) in combination with up to 8 cycles of cyclophosphamide, doxorubicin, vincristine, prednisolone (CHOP) or cyclophosphamide, vincristine, prednisolone (CVP) chemotherapy (as per institutional practice) administered every 3 weeks. Participants achieving at least PR during induction, entered rituximab IV maintenance therapy (375 mg/m\^2) once every 8 weeks for 24 months. Stage I and II: Rituximab IV + Chemotherapy (CHOP/CVP) Doxorubicin Eight cycles of rituximab IV infusion (375 mg/m\^2; rituximab induction) in combination with up to 8 cycles of cyclophosphamide, doxorubicin, vincristine, prednisolone (CHOP) or cyclophosphamide, vincristine, prednisolone (CVP) chemotherapy (as per institutional practice) administered every 3 weeks. Participants achieving at least PR during induction, entered rituximab IV maintenance therapy (375 mg/m\^2) once every 8 weeks for 24 months. Stage I and II: Rituximab SC + Chemotherapy (CHOP/CVP) Cyclophosphamide First cycle of rituximab IV infusion (375 mg/m\^2) + 7 cycles of rituximab SC (1400 mg; rituximab induction) in combination with up to 8 cycles of CHOP or CVP chemotherapy (as per institutional practice) administered every 3 weeks. Participants achieving at least PR entered rituximab SC (1400 mg) maintenance therapy once every 8 weeks for 24 months. Stage I and II: Rituximab SC + Chemotherapy (CHOP/CVP) Doxorubicin First cycle of rituximab IV infusion (375 mg/m\^2) + 7 cycles of rituximab SC (1400 mg; rituximab induction) in combination with up to 8 cycles of CHOP or CVP chemotherapy (as per institutional practice) administered every 3 weeks. Participants achieving at least PR entered rituximab SC (1400 mg) maintenance therapy once every 8 weeks for 24 months. Stage I and II: Rituximab SC + Chemotherapy (CHOP/CVP) Vincristine First cycle of rituximab IV infusion (375 mg/m\^2) + 7 cycles of rituximab SC (1400 mg; rituximab induction) in combination with up to 8 cycles of CHOP or CVP chemotherapy (as per institutional practice) administered every 3 weeks. Participants achieving at least PR entered rituximab SC (1400 mg) maintenance therapy once every 8 weeks for 24 months.
- Primary Outcome Measures
Name Time Method Stage I: Trough Serum Concentrations (Ctrough) of IV and SC Rituximab Stage I: Cycle (Cy) 7 Day (D) 21 (within 2 hours predose on Cy8) of induction treatment (1 Cy=3 weeks) Stage II: Percentage of Participants With Overall Response at the End of Induction Treatment Assessed Using International Working Group Response Criteria for Non-Hodgkin Lymphoma (NHL) Stage II: Baseline up to end of induction treatment Cy8 (24 weeks) (1 Cy=3 weeks) Overall Response comprised complete response (CR), CR unconfirmed (CRu), or PR. A participant was defined as a responder if they sustained a CR, CRu or PR at the end of induction treatment. Response assessment was based on clinical examination and computed tomography (CT) scans. Assessment of tumor response was performed according to the International Working Group response criteria for NHL. CR: complete disappearance of all detectable clinical and radiographic evidence of disease and disappearance of all disease-related symptoms if present before therapy; CRu: CR along with regression in lymph node mass by more than (\>) 75% in the sum of the products of greatest diameters (SPD); PR: Greater than or equal to (≥) 50% decrease in SPD of 6 largest dominant nodes or nodal masses. The 95% CI was estimated for one sample binomial using Pearson-Clopper.
- Secondary Outcome Measures
Name Time Method Stage I: Maximum Serum Concentrations (Cmax) of IV and SC Rituximab Stage I (Induction): Predose (within 2hr) up to data cutoff of 11 Apr 2012 [up to 26 months]) (See detailed timeframe in Outcome Measure description) Predose (within 2 hr) and 24 hrs postdose on Cy7 (D1,3,7,15), predose (0 hr) on Cy8 D1 (1 Cy=3 weeks); additionally within 15 minutes after end of infusion (infusion duration=30 minutes) on Cy7 D1 for rituximab IV (up to data cutoff of 11 Apr 2012 \[up to 26 months\])
Stage I: Percentage of Participants With Overall Response at the End of Induction Treatment Assessed Using International Working Group Response Criteria for NHL Stage I: Baseline up to end of induction treatment Cy8 (24 weeks) (1 Cy=3 weeks) Overall Response comprised CR, CRu, or PR. A participant was defined as a responder if they sustained a CR, CRu or PR at the end of induction treatment. Response assessment was based on clinical examination and CT scans. Assessment of tumor response was performed according to the International Working Group response criteria for NHL. CR: complete disappearance of all detectable clinical and radiographic evidence of disease and disappearance of all disease-related symptoms if present before therapy; CRu: CR along with regression in lymph node mass by \>75% in the SPD; PR: ≥50% decrease in SPD of 6 largest dominant nodes or nodal masses. The 95% CI was estimated for one sample binomial using Pearson-Clopper.
Stage I and II (Pooled): Percentage of Participants With Overall Response at the End of Induction Treatment Assessed Using International Working Group Response Criteria for NHL Stage I and II: Baseline up to end of induction treatment Cy8 (24 weeks) (1 Cy=3 weeks) Overall Response comprised of CR, CRu, or PR. A participant was defined as a responder if they sustained a CR, CRu or PR at the end of induction treatment. Response assessment was based on clinical examination and CT scans. Assessment of tumour response was performed according to the International Working Group response criteria for NHL. CR: complete disappearance of all detectable clinical and radiographic evidence of disease and disappearance of all disease-related symptoms if present before therapy; CRu: CR along with regression in lymph node mass by \>75% in SPD; PR: ≥50% decrease in SPD of 6 largest dominant nodes or nodal masses. The 95% CI for the response rates was estimated for one sample binomial using Pearson-Clopper.
Stage I: Percentage of Participants With Complete Response at the End of Induction Treatment Assessed Using International Working Group Response Criteria for NHL Stage I: Baseline up to end of induction treatment Cy8 (24 weeks) (1 Cy=3 weeks) Complete Response was comprised CR and CRu. A participant was defined as a responder if they sustained a CR or CRu at the end of induction treatment. Response assessment was based on clinical examination and CT scans. Assessment of tumor response was performed according to the International Working Group response criteria for NHL. CR: complete disappearance of all detectable clinical and radiographic evidence of disease and disappearance of all disease-related symptoms if present before therapy; CRu: CR along with regression in lymph node mass by \>75% in SPD. The 95% CI for the response rates was estimated for one sample binomial using Pearson-Clopper.
Stage II: Percentage of Participants With Complete Response at the End of Induction Treatment Assessed Using International Working Group Response Criteria for NHL Stage II: Baseline up to end of induction treatment Cy8 (24 weeks) (1 Cy=3 weeks) Complete Response comprised of CR and CRu. A participant was defined as a responder if they sustained a CR or CRu at the end of induction treatment. Response assessment was based on clinical examination and CT scans. Assessment of tumor response was performed according to the International Working Group response criteria for NHL. CR: complete disappearance of all detectable clinical and radiographic evidence of disease and disappearance of all disease-related symptoms if present before therapy; CRu: CR along with regression in lymph node mass by \>75% in SPD. The 95% CI for the response rates was estimated for one sample binomial using Pearson-Clopper.
Stage I and II (Pooled): Percentage of Participants With Complete Response at the End of Induction Treatment Assessed Using International Working Group Response Criteria for NHL Stage I and II: Baseline up to end of induction treatment Cy8 (24 weeks) (1 Cy=3 weeks) Complete Response comprised of CR and CRu. A participant was defined as a responder if they sustained a CR or CRu at the end of induction treatment. Response assessment was based on clinical examination and CT scans. Assessment of tumor response was performed according to the International Working Group response criteria for NHL. CR: complete disappearance of all detectable clinical and radiographic evidence of disease and disappearance of all disease-related symptoms if present before therapy; CRu: CR along with regression in lymph node mass by \>75% in SPD. The 95% CI for the response rates was estimated for one sample binomial using Pearson-Clopper.
Stage I and II (Pooled): Percentage of Participants With Complete Response at the End of Maintenance Treatment Assessed Using International Working Group Response Criteria for NHL Stage I and II: Baseline up to 57 days after last maintenance dose (last maintenance dose: maintenance Cy12/Study Cy20 [30 months]) (up to data cutoff of 31 Oct 2017 [up to 6 years]) (1 Cy=8 weeks) Complete Response comprised of CR and CRu. A participant was defined as a responder if they sustained a CR or CRu at the end of induction treatment. Response assessment was based on clinical examination and CT scans. Assessment of tumor response was performed according to the International Working Group response criteria for NHL. CR: complete disappearance of all detectable clinical and radiographic evidence of disease and disappearance of all disease-related symptoms if present before therapy; CRu: CR along with regression in lymph node mass by \>75% in SPD. The 95% CI for the response rates was estimated for one sample binomial using Pearson-Clopper.
Stage I and II (Pooled): Percentage of Participants With Overall Response at the End of Maintenance Treatment Assessed Using International Working Group Response Criteria for NHL Stage I and II: Baseline up to 57 days after last maintenance dose (last maintenance dose: maintenance Cy12/Study Cy20 [30 months]) (up to data cutoff of 31 Oct 2017 [up to 6 years]) (1 Cy=8 weeks) Overall Response comprised of CR, CRu, or PR . A participant was defined as a responder if they sustained a CR, CRu or PR at the end of induction treatment. Response assessment was based on clinical examination and CT scans. Assessment of tumor response was performed according to the International Working Group response criteria for NHL. CR: complete disappearance of all detectable clinical and radiographic evidence of disease and disappearance of all disease-related symptoms if present before therapy; CRu: CR along with regression in lymph node mass by \>75% in SPD. The 95% CI for the response rates was estimated for one sample binomial using Pearson-Clopper.
Stage I and II (Pooled): Percentage of Participants With Disease Progression/Relapse, New Anti-Lymphoma Treatment or Death Assessed Using International Working Group Response Criteria for NHL Baseline up to disease progression or death up to data cutoff of 31 Oct 2017 (up to 6 years) (See detailed timeframe in Outcome Measure description) Disease progression: ≥50% increase from nadir in the SPD of any previously identified abnormal node or appearance of any new lesion during or at the end of therapy or ≥50% increase in the greatest diameter of any previously identified node \>1 cm in its short axis or in the SPD of more than one node. Baseline, D1 of all cycles (Cy 1-20) (1 Cy=3 weeks for Cy1-8 \& 8 weeks for Cy9-20), at early withdrawal, at follow-up, every 12 weeks for 96 weeks or until documented disease progression/relapse or death (up to a median of 27 months; up to data cutoff of 31 Oct 2017 \[up to 6 years\])
Stage I and II (Pooled): Event-Free Survival Assessed Using International Working Group Response Criteria for NHL Baseline up to disease progression or death up to data cutoff of 31 Oct 2017 (up to 6 years) (See detailed timeframe in Outcome Measure description) Event-free survival was defined as the time from randomization to disease progression/relapse, death or initiation of new NHL therapy. If the specified event (progression/relapse, death or new anti-lymphoma treatment) did not occur, event-free survival was censored at the last tumor assessment date either during treatment or follow up. Event-free survival analysis was performed using Kaplan-Meier curves. Baseline, D1 of all cycles (Cy 1-20) (1 Cy=3 weeks for Cy1-8 \& 8 weeks for Cy9-20), at early withdrawal, at follow-up, every 12 weeks for 96 weeks or until documented disease progression/relapse or death (up to a median of 27 months; up to data cutoff of 31 Oct 2017 \[up to 6 years\])
Percentage of Participants Who Died Baseline up to death (up to data cutoff of 31 Oct 2017 [up to 6 years]) Overall Survival (OS) Baseline up to death (up to data cutoff of 31 Oct 2017 [up to 6 years]) OS was defined as the time from randomization to death due to any cause. Participants without event were censored at the time of last follow-up information for survival, ie, at the last time known to be alive.
Stage I: Observed Area Under the Serum Concentration-Time Curve (AUC) of Rituximab Stage I (Induction): Predose (within 2 hour [hr]) up to data cutoff of 11 Apr 2012 [up to 26 months]) (See detailed timeframe in Outcome Measure description) AUC is a measure of the serum concentration of the drug over time. It is used to characterize drug absorption. Predose (within 2 hr) and 24 hrs postdose on Cy 7 (D1,3,7,15), predose (0 hr) on Cy 8 D1 (1 Cy=3 weeks); additionally within 15 minutes after end of infusion (infusion duration=30 minutes) on Cy 7 D1 for rituximab IV (up to data cutoff of 11 Apr 2012 \[up to 26 months\])
Stage I and II (Pooled): Percentage of Participants With Disease Progression/Relapse or Death Baseline up to disease progression or death up to data cutoff of 31 Oct 2017 (up to 6 years) (See detailed timeframe in Outcome Measure description) Disease progression: ≥50% increase from nadir in the SPD of any previously identified abnormal node or appearance of any new lesion during or at the end of therapy or ≥50% increase in the greatest diameter of any previously identified node \>1 cm in its short axis or in the SPD of more than one node. Baseline, D1 of all cycles (Cy 1-20) (1 Cy=3 weeks for Cy1-8 \& 8 weeks for Cy9-20), at early withdrawal, at follow-up, every 12 weeks for 96 weeks or until documented disease progression/relapse or death (up to median of 27 months; up to data cutoff of 31 Oct 2017 \[up to 6 years\])
Stage I and II (Pooled): Progression-Free Survival (PFS) Assessed Using International Working Group Response Criteria for NHL Baseline up to disease progression or death up to data cutoff of 31 Oct 2017 (up to 6 years) (See detailed timeframe in Outcome Measure description) PFS was defined as the time from randomization to disease progression/relapse or death due to any cause. If the specified event (disease progression/relapse, death) did not occur, PFS was censored at the last tumor assessment date showing no disease progression, either during treatment or follow-up. Disease progression: ≥50% increase from nadir in the SPD of any previously identified abnormal node or appearance of any new lesion during or at the end of therapy or ≥50% increase in the greatest diameter of any previously identified node \>1 cm in its short axis or in the SPD of more than one node. PFS analysis was performed using Kaplan - Meier curves. Baseline, D1 of all cycles (Cy 1-20) (1 Cy=3 weeks for Cy1-8 \& 8 weeks for Cy9-20), at early withdrawal, at follow-up, every 12 weeks for 96 weeks or until documented disease progression/relapse or death (up to median of 27 months; up to data cutoff of 31 Oct 2017 \[up to 6 years\])
Stage I and II (Pooled): Ctrough of Rituximab at Each Induction Treatment Cycle Stage I and II (Pooled): Predose (within 2hr) up to data cutoff of 31 Oct 2013 [up to 32 months]) (See detailed timeframe in Outcome Measure description) Stage I and II (Induction): Rituximab IV: Predose (within 2 hr) on D1 of Cy1-8 (1 Cy=3 weeks \& 4 weeks for Cy8); Rituximab SC: Predose (within 2 hr) on D1 of Cy1 \& Cy3-8 (1 Cy=3 weeks and 4 weeks for Cy8), predose (within 2 hr) on D0 of Cy2 (up to data cutoff of 31 Oct 2013 \[up to 32 months\])
Stage I and II (Pooled): Ctrough of Rituximab at Each Maintenance Treatment Cycle Stage I and II (maintenance): Predose (within 2hr) up to data cutoff of 11 Jan 2016 [up to 6 years]) (See detailed timeframe in Outcome Measure description) Stage I and II (maintenance): D29 of Cy8 (induction; 1 Cy=4 weeks), predose (within 2 hr) on D1 of Cy9 to 19 (maintenance Cy1 to 12 \[1 Cy=8 weeks\]; up to data cutoff of 11 Jan 2016 \[up to 6 years\])
Stage I and II (Pooled): Rituximab Levels 12 Weeks, 24 Weeks, and 36 Weeks After the Last Rituximab Administration 12 weeks, 24 weeks, and 36 weeks after the last rituximab administration (up to data cutoff of 11 Jan 2016 [up to 6 years]) Percentage of Participants With B-Cell Depletion by Cycle for Induction Phase Stage I and II (induction): for rituximab IV - D1 of Cy 1 to 8 (1 Cy=3 weeks); for rituximab SC - D1 of Cy 1 and Cy 3 to 8, D0 of Cy 2 Depletion is defined as a cluster of differentiation (CD) 19 value \<80 cells per cubic millimeter (cells/mm\^3).
Percentage of Participants With B-Cell Depletion by Cycle for Maintenance Phase Stage I and II (maintenance): D1 of Cy 9 to 20 (1 Cy=8 weeks) (up to data cutoff of 11 Jan 2016 [up to 6 years]) Depletion is defined as a CD19 value \<80 cells/mm\^3.
Stage I and II (Pooled): Percentage of Participants Positive for Human Anti-Chimeric Antibodies (HACAs) to Rituximab Stage I and II: Baseline, post-baseline (See detailed timeframe in Outcome Measure description) Levels of HACA in serum were detected at Day 1 of each cycle up to Cycle 8 and at follow-up visit. Stage I and II: Baseline: pre-dose (72 hours prior) D1 of Cy1, Cy 3-20, D0 of Cy2 (1 Cy=3 weeks for Cy1-8 \& 8 weeks for Cy9-20), post-baseline: every 12 weeks after last rituximab administration until 96 weeks (a median of 27 months; up to data cutoff of 11 Jan 2016 \[up to 6 years\])
Stage I and II (Pooled): Percentage of Participants Positive for Human Anti-Human Antibodies (HAHAs) to Rituximab Stage I and II: Baseline, post-baseline (See detailed timeframe in Outcome Measure description) Levels of HAHA in serum were detected at Day 1 of each cycle up to Cycle 8 and at follow-up visit. Stage I and II: Baseline: pre-dose (72 hours prior) D1 of Cy1, Cy 3-20, D0 of Cy2 (1 Cy=3 weeks for Cy1-8 \& 8 weeks for Cy9-20), post-baseline: every 12 weeks after last rituximab administration until 96 weeks (a median of 27 months; up to data cutoff of 11 Jan 2016 \[up to 6 years\])
Stage I and II (Pooled): Percentage of Responses Showing Time Saved of Staff as Per Physician/Nurse Opinions With Each Administration of Rituximab SC as Compared to Rituximab IV at the End of Cy 8, 15 and 20 After Cycle 8 of induction treatment (24 weeks) and during the maintenance part of the study after 12 months (i.e., Cycle 15), and after the end of the maintenance treatment, (i.e., Cycle 20) (1 Cycle=4 weeks for Cycle 8 and 8 weeks for Cycles 15 and 20) All investigator physicians and nurses involved in this study were asked to provide the staff time that could be saved with each administration of rituximab SC as compared with rituximab IV to participants in routine practice afetr Cy 8, 15, 20 and categorized as less than (\<) 1 hr, at least 1 hr but \<2 hrs, at least 2 hrs but \<3 hrs, at least 3 hrs but \<4 hrs, \>/=4 hrs. Staff were asked not to consider the time needed for the first IV administration. Analysis was done in all participants to show a comparison on the time saved by staffs when administered via SC and IV.
Percentage of Responses Who Showed Rituximab SC Formulation Convenient as Compared to Rituximab IV Formulation as Assessed by Physician/Nurse Opinion After Cycle 8 of induction treatment (24 weeks) and during the maintenance part of the study after 12 months (i.e., Cycle 15), and after the end of the maintenance treatment, (i.e., Cycle 20) (1 Cycle=4 weeks for Cycle 8 and 8 weeks for Cycles 15 and 20) All investigator physicians and nurses involved in this study were asked to complete question i.e. "Which formulation of rituximab (SC or IV) do you think is more convenient?" based on their experience with the rituximab SC and IV formulations across all participants and presented as rituximab SC is much more convenient; rituximab SC is a little more convenient; both formulations are equally convenient; rituximab IV is a little more convenient; and rituximab IV is much more convenient.
Trial Locations
- Locations (152)
Fundacion Cardioinfantil
🇨🇴Bogota, Colombia
Centro Estatal De Cancerologia De Chihuahua; Servicio De Hematologia Banco De Sangre
🇲🇽Chihuahua, Mexico
Centro Medico Imbanaco
🇨🇴Cali, Colombia
Queen Elizabeth II Health Sciences Centre; Oncology
🇨🇦Halifax, Nova Scotia, Canada
Hospital Pablo Tobon Uribe
🇨🇴Medellin-Antioquia, Colombia
Helsinki University Central Hospital; Dept of Oncology
🇫🇮Helsinki, Finland
Institute of Hematology and Transfusiology
🇬🇪Tbilisi, Georgia
Ospedale Ca Foncello; Ematologia
🇮🇹Treviso, Veneto, Italy
Chemotherapy and Immunotherapy Clinic Medulla
🇬🇪Tbilisi, Georgia
Penza Regional Oncology Dispensary
🇷🇺Penza, Russian Federation
Ampang Hospital; Department of Haematology
🇲🇾Ampang, Malaysia
Hospital Maria Auxiliadora
🇵🇪Lima, Peru
Ospedale Di Vicenza; Nefrologia, Ematologia
🇮🇹Vicenza, Veneto, Italy
N.N.Blokhin Russian Cancer Research Center; Dept. of Chemotherapy & Hemoblastosis
🇷🇺Moscow, Russian Federation
Sarawak General Hospital; Department of Radiotherapy, Oncology and Palliative care
🇲🇾Sarawak, Malaysia
Hospital General De Culiacan; Servicio De Hematologia
🇲🇽Culiacan, Mexico
St. Petersburg State Medical University n.a. I.P. Pavlov; Hematology, transfusiology and transplanta
🇷🇺Saint-Petersburg, Russian Federation
Hospital Universitario Dr. Jose E. Gonzalez; Haematology
🇲🇽Monterrey, Mexico
Centro de Estudios Clinicos de Queretaro (CECLIQ)
🇲🇽Queretaro, Mexico
Russian Scientific Center of Radiology and Surgical Technologies; Dept of Radiology
🇷🇺St.Petersburg, Pesochny, Russian Federation
Srinagarind Hospital, Khon Kaen Uni ; Dept of Medicine
🇹🇭Khon Kaen, Thailand
Ege Uni Medical School; Hematology
🇹🇷Izmir, Turkey
Gold Coast Hospital; Haematology Department
🇦🇺Southport, Queensland, Australia
Queen Elizabeth Hospital; Haematology
🇦🇺Woodville South, South Australia, Australia
Gosford Hospital; Cancer Care Services
🇦🇺Gosford, New South Wales, Australia
University Clinical Center Sarajevo, Clinic for Hematology
🇧🇦Sarajevo, Bosnia and Herzegovina
University Clinical Centre Tuzla, Clinic for Oncology, Hematology and Radiotherapy
🇧🇦Tuzla, Bosnia and Herzegovina
Cite de La Sante de Laval; Hemato-Oncologie
🇨🇦Laval, Quebec, Canada
UMHAT Dr Georgi Stranski; Hematology
🇧🇬Pleven, Bulgaria
CHU de Quebec - Hopital de l'Enfant-Jesus; Unite de Recherche en Hematologie et Oncologie
🇨🇦Quebec, Canada
Hopital Saint Louis ; Service d Oncologie Medicale Fougere 6 (Pr Misset)
🇫🇷Paris, France
Hopital Saint Eloi; Hematologie Oncologie Medicale
🇫🇷Montpellier, France
Hopital De La Miletrie; Hematologie Et Oncologie Medicale
🇫🇷Poitiers, France
PIOH PD Dr. R. Schnell - Dr. H. Schulz - Dr. M. Hellmann
🇩🇪Frechen, Germany
St. Vincentius Kliniken Ag; Medizinische Klinik Abt. 2
🇩🇪Karlsruhe, Germany
Medizinische Hochschule; Zentrum Innere Medizin; Abt. Hämatologie u. Onkologie
🇩🇪Hannover, Germany
Gemeinschaftspraxis PD Dr. med. Marcel Reiser und Dr. med. Ildiko Kátay
🇩🇪Koeln, Germany
University Malaya Medical Center; Hematology Unit of Department of Internal Medicine
🇲🇾Kuala Lumpur, FED. Territory OF Kuala Lumpur, Malaysia
Oncosalud Sac; Oncología
🇵🇪Lima, Peru
Spitalul Clinic Judetean de Urgenta Targu-Mures; compartiment Hematologie
🇷🇴Targu-mures, Romania
Spitalul Clinic municipal de Urgenta Timisoara; Clinica de Hematologie
🇷🇴Timisoara, Romania
Clinical Oncology Dispensary of Ministry of Health of Tatarstan
🇷🇺Kazan, Russian Federation
Research Inst. of Hematology & Blood Transfusion ; Hematology
🇷🇺St Petersburg, Russian Federation
Singapore General Hospital; Department of Haematology
🇸🇬Singapore, Singapore
National Hospital; Oncotherapy Dept
🇿🇦Bloemfontein, South Africa
Hospital Clinico Universitario de Salamanca;Servicio de Hematologia
🇪🇸Salamanca, Spain
Istanbul University Cerrahpasa Medical Faculty; Hematology Department
🇹🇷Istanbul, Turkey
Derriford Hospital; Department of Haematology
🇬🇧Plymouth, United Kingdom
AUSL - IRCCS Santa Maria Nuova; U.O. Day Hospital di Oncologia
🇮🇹Reggio Emilia, Emilia-Romagna, Italy
Ch Lyon Sud; Hemato Secteur Jules Courmont
🇫🇷Pierre Benite, France
Hopital Bretonneau; Hematologie Therapie Cellulaire
🇫🇷Tours, France
Onkologische Gemeinschaftspraxis
🇩🇪Magdeburg, Germany
Gemeinschaftspraxis Fr. Dr. med. Balser & Hr. Dr. med. Weidenbach
🇩🇪Marburg, Germany
CHU Sart-Tilman
🇧🇪Liège, Belgium
Sint Augustinus Wilrijk
🇧🇪Wilrijk, Belgium
Royal Brisbane and Women's Hospital
🇦🇺Herston, Queensland, Australia
UZ Antwerpen
🇧🇪Edegem, Belgium
Umhat S. George; Hematology
🇧🇬Plovdiv, Bulgaria
Centre de sante et de services sociaux Rimouski Neigette
🇨🇦Rimouski, Quebec, Canada
Wollongong Hospital; Cancer Services
🇦🇺Wollongong, New South Wales, Australia
University Clinical Center of the Republic of Srpska, Clinic for Internal Disease, Hematology Dept
🇧🇦Banja Luka, Bosnia and Herzegovina
Herlev Uni Hospital; Hæmatologisk Afdeling L 121
🇩🇰Herlev, Denmark
Odense Universitetshospital; Hæmatologisk Afdeling
🇩🇰Odense C, Denmark
Sygehus Syd Roskilde; Onkologisk/haematologisk ambulatorium
🇩🇰Roskilde, Denmark
Hospital das Clinicas - UFRGS
🇧🇷Porto Alegre, RS, Brazil
Hospital Sao Lucas - PUCRS
🇧🇷Porto Alegre, RS, Brazil
Oncólogos de Occidente
🇨🇴Pereira, Colombia
Santa Casa de Misericordia de Sao Paulo; Hematologia e Hemoterapia
🇧🇷Sao Paulo, SP, Brazil
Centre Hospitalier Universitaire de Sherbrooke
🇨🇦Sherbrooke, Quebec, Canada
Specialised Hospital For Treatment Of Hematological Diseases; Hematology
🇧🇬Sofia, Bulgaria
University Hospital Center Zagreb; Haematology Department
🇭🇷Zagreb, Croatia
Aarhus Universitetshospital, Hæmatologisk Afdeling R
🇩🇰Århus, Denmark
Chu Site Du Bocage;Hematologie Clinique
🇫🇷Dijon, France
Hopital Hotel Dieu Et Hme;Hopital De Jour
🇫🇷Nantes, France
Centre hospitalier regional de Trois-Rivieres
🇨🇦Trois-Rivieres, Quebec, Canada
Hospital das Clinicas - FMUSP
🇧🇷Sao Paulo, SP, Brazil
Mhat Sveta Marina; Dept. of Haematology
🇧🇬Varna, Bulgaria
Gemeinschaftspraxis Dr. med. J. Mohm und Dr. med. G. Prange-Krex; Fachaerzte fuer Innere Medizin
🇩🇪Dresden, Germany
Rigshospitalet; Hæmatologisk Klinik
🇩🇰København Ø, Denmark
Polyclinique Bordeaux Nord Aquitaine; Chimiotherapie Radiotherapie
🇫🇷Bordeaux, France
Institut J Paolii Calmettes; Onco Hematologie 1
🇫🇷Marseille, France
UHC Rijeka
🇭🇷Rijeka, Croatia
Vejle Hospital; Dept of Medicine, Division of Hematology
🇩🇰Vejle, Denmark
Hopital Henri Mondor; Hematologie Clinique
🇫🇷Creteil, France
Clinique Victor Hugo; Chimiotherapie
🇫🇷Le Mans, France
Hopital De Haut Leveque; Hematologie Clinique
🇫🇷Pessac, France
M.Zodelava's Hematology Center
🇬🇪Tbilisi, Georgia
Mediclub
🇬🇪Tbilisi, Georgia
Universitätsklinikum Gießen und Marburg GmbH Standort Gießen Medizinische Klinik I
🇩🇪Giessen, Germany
Onkologische Schwerpunktpraxis Kurfürstendamm
🇩🇪Berlin, Germany
Klinikum Darmstadt GmbH; Med. Klinik V; Onkologie & Hämatologie
🇩🇪Darmstadt, Germany
Universitätsklinikum Greifswald Klinik für Innere Medizin C und Poliklinik
🇩🇪Greifswald, Germany
Medizinisches Versorgungszentrum MOP
🇩🇪München, Germany
UKSH Klinik für Innere Medizin II, Hämatologie und Internistische Onkologie
🇩🇪Kiel, Germany
Internistisch-Onkologische Gemeinschaftspraxis; Dres. Rohrberg, Hurtz, Schma usw.
🇩🇪Halle, Germany
Praxis Dr.med. Jens Uhlig
🇩🇪Naunhof, Germany
Prosper-Hospital, Medizinische Klinik I
🇩🇪Recklinghausen, Germany
Caritas Kilinik St. Theresia; Abt. Innere Medizin
🇩🇪Saarbruecken, Germany
Praxis Dr. Fenchel
🇩🇪Saalfeld, Germany
Laiko General Hospital of Athens; A Propedeutical Clinic of Internal Medicine
🇬🇷Athens, Greece
Ospedale S. Eugenio; Divisione Di Ematologia
🇮🇹Roma, Lazio, Italy
Instituto;Oncologico Miraflores
🇵🇪Lima, Peru
Spitalul Clinic Judetean de Urgenta Brasov,Clinica de Hematologie
🇷🇴Brasov, Romania
Hospital Universitario la Fe; Servicio de Oncologia
🇪🇸Valencia, Spain
University of Witwatersrand/Johannesburg Hospital; Dept. of ocnology
🇿🇦Johannesburg, South Africa
Hospital Universitario Puerta del Mar; Servicio de Hematologia
🇪🇸Cádiz, Cadiz, Spain
King Edward VIII; Department of Haematology
🇿🇦Congella, South Africa
Canterbury Health Laboratories; Haematology
🇳🇿Christchurch, New Zealand
Palmerston North Hospital; Regional Cancer Treatment Service
🇳🇿Palmerston North, New Zealand
Uni Degli Studi Di Genova; 1A Divisione Di Ematologia
🇮🇹Genova, Liguria, Italy
Praxis für Hämatologie & Onkologie
🇩🇪Saarbruecken, Germany
Attiko Hospital; Haematology Clinic
🇬🇷Athens, Greece
Azienda Ospedaliera Ospedale S.Carlo; Ematologia
🇮🇹Potenza, Basilicata, Italy
Irccs Istituto Europeo Di Oncologia (IEO); Emato-Oncologia
🇮🇹Milano, Lombardia, Italy
University Clinic for Hematology; HSCT Department
🇲🇰Skopje, Macedonia, The Former Yugoslav Republic of
A.O. Spedali Civili Di Brescia-P.O. Spedali Civili;U.O. Ematologia
🇮🇹Brescia, Lombardia, Italy
IRCCS Ospedale Casa Sollievo Della Sofferenza; Ematologia E Trapianto Di Midollo Osseo
🇮🇹San Giovanni Rotondo, Puglia, Italy
A.O. Universitaria Federico II Di Napoli; Oncologia Ed Endocrinologia Clinica
🇮🇹Napoli, Campania, Italy
Fundeni Clinical Inst. ; Hematology Dept
🇷🇴Bucharest, Romania
Haematology Research Center; Haematology
🇷🇺Moscow, Russian Federation
University Clinic of Hematology Skopje, Hospital Care Department
🇲🇰Skopje, Macedonia, The Former Yugoslav Republic of
Spitalul Clinic Judetean de Urgenta Sf. Spiridon Iasi, Clinica de Hematologie
🇷🇴Iasi, Romania
Institutul Regional de Oncologie Iasi; Clinica de Hematologie
🇷🇴Iasi, Romania
Institute of Hematology
🇷🇸Belgrade, Serbia
National University Hospital; National University Cancer Institute, Singapore (NCIS)
🇸🇬Singapore, Singapore
Siriraj Hospital; Division of Hematology, Department of Medicine
🇹🇭Bangkok, Thailand
Maidstone & Tonbridge Wells Hospital; Kent Oncology Center
🇬🇧Maidstone, United Kingdom
Durban Oncology Center
🇿🇦Durban, South Africa
Hospital Universitario Virgen del Rocio; Servicio de Hematologia
🇪🇸Sevilla, Spain
Hospital Universitario de la Princesa; Servicio de Hematologia
🇪🇸Madrid, Spain
Hospital Ramon y Cajal; Servicio de Hematologia
🇪🇸Madrid, Spain
Hospital Clínic i Provincial; Servicio de Hematología y Oncología
🇪🇸Barcelona, Spain
Clinical Center Vojvodine; Clinic for Hematology
🇷🇸Novi Sad, Serbia
National Cancer Inst. ; Dept. of Chemotherapy
🇸🇰Bratislava, Slovakia
Hospital del Mar; Servicio de Hematologia
🇪🇸Barcelona, Spain
Hospital Universitari Vall d'Hebron; Servicio de Hematologia
🇪🇸Barcelona, Spain
National Cancer Centre; Medical Oncology
🇸🇬Singapore, Singapore
National Cancer Inst.
🇹🇭Bangkok, Thailand
Hospital Universitario Virgen de Arrixaca; Servicio de Hematologia
🇪🇸Murcia, Spain
Southampton General Hospital
🇬🇧Southampton, United Kingdom
St. Elisabeths Cancer Center
🇸🇰Bratislava, Slovakia
Cancercare
🇿🇦Kraaifontein, South Africa
Adana Baskent University Hospital; Medical Oncology
🇹🇷Adana, Turkey
Bilim University School of Medicine; Hematology
🇹🇷Istanbul, Turkey
Queen's Hospital; Oncology
🇬🇧Romford, United Kingdom
Ninewells Hospital & Medical School; Ward 34
🇬🇧Dundee, United Kingdom
Dokuz Eylul Uni ; Hematology
🇹🇷Izmir, Turkey
Pinderfields General Hospital; Dept of Haematology
🇬🇧Wakefield, United Kingdom
New Cross Hospital; Dept. Of Haematology
🇬🇧Wolverhampton, United Kingdom
Nucleo de Hematologia e Transplante de Medula Ossea de Minas Gerais
🇧🇷Belo Horizonte, MG, Brazil
Praxis Dr. Clemens Müller-Naendrup (Onkologische Schwerpunktpraxis im MVZ 2 GmbH)
🇩🇪Olpe, Germany
Hospital Duran i Reynals; Servicio de Hematologia
🇪🇸Barcelona, Spain