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Trial · NCT01461928

A Study Comparing Maintenance Subcutaneous Rituximab With Observation Only in Participants With Relapsed or Refractory Indolent Non-Hodgkin's Lymphoma Who Had Responded to Rituximab-based Immunochemotherapy Induction and 2-year Maintenance With Subcutaneous Rituximab

NCT01461928, Phase 3, Completed, Hoffmann-La Roche; results first posted 2019-08-06

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ConductScience Library. A Study Comparing Maintenance Subcutaneous Rituximab With Observation Only in Participants With Relapsed or Refractory Indolent Non-Hodgkin's Lymphoma Who Had Responded to Rituximab-based Immunochemotherapy Induction and 2-year Maintenance With Subcutaneous Rituximab. Trials, record NCT01461928. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT01461928

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Study Comparing Maintenance Subcutaneous Rituximab With Observation Only in Participants With Relapsed or Refractory Indolent Non-Hodgkin's Lymphoma Who Had Responded to Rituximab-based Immunochemotherapy Induction and 2-year Maintenance With Subcutaneous Rituximab
NCT number
NCT01461928
Status
Completed
Phases
Phase 3
Enrollment
692 participants, actual
Lead sponsor
Hoffmann-La Roche
Conditions
Non-Hodgkin's Lymphoma
Interventions
Chemotherapy (Induction Period), Rituximab
First posted
2011-10-28
Last updated
2019-08-06
Other registries' IDs
eudract:2010-023407-95
Results first posted
2019-08-06

Source ClinicalTrials.gov

Registered outcomes9

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryMaintenance II: Progression-free Survival (PFS) Using 1999 International Working Group (Cheson) Response Criteria for Lymphoma or by the Recommendations for Waldenström's MacroglobulinemiaFrom randomization (Maintenance II) up to disease progression or death, whichever occurs first (up to approximately 24 months)
Progression free survival from randomization (PFSrand) is defined as the time from date of randomization to the date of first documented disease progression or death, whichever occurs first. One participant died in Induction before randomization and one participant died in Maintenance II Observation arm due to an SAE and were not considered in the analysis as no death page was completed. The Observation arm did not include one participant with AE outcome of death reported retrospectively 2 months after discontinuation from study (censored as having no event on Day 456 post-randomization).
SecondaryNumber of Participants With Adverse Events (AEs), Serious AEs, and Infusion/Administration-related Reactions (IRRs/ARRs)From day of first rituximab induction dose up to day of disease progression, or discontinuation of treatment for any reason (up to approximately 87 months)
An adverse event is any untoward medical occurrence in a subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as adverse events. Not all AEs were followed up for the randomized Observation arm. Only Serious AEs and AE grade 3-5 (obtained retrospectively) were collected for this arm. Therefore arms are not comparable overall.
SecondaryEvent-free Survival (Time to Treatment Failure) Using 1999 International Working Group (Cheson) Response Criteria for Lymphoma or by the Recommendations for Waldenström's MacroglobulinemiaFrom day of first rituximab induction dose up to day of any treatment failure, including disease progression, or discontinuation of treatment for any reason (up to approximately 87 months)
Event-Free Survival was measured from the day of first rituximab Induction dose through Maintenance I and Maintenance II rituximab arm until the date of any treatment failure, including disease progression, or discontinuation of treatment for any reason (e.g. disease progression, toxicity, patient preference, initiation of new anti-lymphoma treatment, or death). Treatment discontinuation was considered as an event and was not applicable to the randomized observation arm.
SecondaryTime to Next Lymphoma Treatment (TNLT)From day of first rituximab induction dose up to any new lymphoma treatment (up to approximately 87 months)
Time to next lymphoma treatment (TNLT) is defined as the time from date of first rituximab induction dose to the date date of first documented intake of any new antilymphoma treatment (chemotherapy, radiotherapy, immunotherapy, etc.).
SecondaryOverall SurvivalFrom day of first rituximab induction dose up to death (up to approximately 87 months)
Overall survival from first induction treatment (OSRegist) is defined as the time from date of first rituximab induction dose to the date of death, irrespective of cause. One participant died in Induction before randomization and one participant died in Maintenance II Observation arm due to an SAE and were not considered in the analysis as no death page was completed.
SecondaryMaintenance II: Overall SurvivalFrom randomization (Maintenance II) up to death (up to approximately 24 months)Overall survival from randomization (OSrand) is defined as the time from date of randomization to the date of death, irrespective of cause.
Secondary
Percentage of Participants With Partial or Complete Tumor Response (PR/CR) Assessment at End of Induction Using 1999 International Working Group Response Criteria for Lymphoma or by the Recommendations for Waldenström's Macroglobulinemia
From day of first rituximab induction dose up to end of induction period (up to approximately 8 months)
Overall response rate is defined as the proportion of responders at the end of the Induction period. A responder is defined as a participant experiencing either CR or PR tumor response according to the Cheson response criteria for indolent lymphoma or the recommendations for Waldenström's macroglobulinemia.
Secondary
Maintenance I: Percentage of Participants With Conversion of PR to CR Using 1999 International Working Group (Cheson) Response Criteria for Lymphoma or by the Recommendations for Waldenström's Macroglobulinemia
From day of first rituximab induction dose up to end of Maintenance I period (up to approximately 32 months)
SecondaryProgression-free Survival (PFS) Using 1999 International Working Group (Cheson) Response Criteria for Lymphoma or by the Recommendations for Waldenström's MacroglobulinemiaFrom day of first rituximab induction dose up to disease progression or death, whichever occurs first (up to approximately 87 months)
Progression free survival from first induction treatment (PFSregist) is defined as the time from date of first rituximab induction dose to the date of first documented disease progression or death by any cause, whichever occurs first.

Outcomes9

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYMaintenance II: Progression-free Survival (PFS) Using 1999 International Working Group (Cheson) Response Criteria for Lymphoma or by the Recommendations for Waldenström's MacroglobulinemiaFrom randomization (Maintenance II) up to disease progression or death, whichever occurs first (up to approximately 24 months)
The primary efficacy analysis population was the ITT population (ITTrand), which included only randomised participants (Maintenance II only) and was used for the analysis of the primary efficacy endpoint of PFS and the secondary analysis endpoint overall survival (OS). The PFS end point was not reached.
MonthsMEDIAN
SECONDARYNumber of Participants With Adverse Events (AEs), Serious AEs, and Infusion/Administration-related Reactions (IRRs/ARRs)From day of first rituximab induction dose up to day of disease progression, or discontinuation of treatment for any reason (up to approximately 87 months)The safety population included all participants who received at least one dose of study drug and had a safety assessment performed post randomization.ParticipantsNUMBER
SECONDARYEvent-free Survival (Time to Treatment Failure) Using 1999 International Working Group (Cheson) Response Criteria for Lymphoma or by the Recommendations for Waldenström's MacroglobulinemiaFrom day of first rituximab induction dose up to day of any treatment failure, including disease progression, or discontinuation of treatment for any reason (up to approximately 87 months)
All participants who were enrolled into the given study period and had received at least one dose of study treatment at any time were included in the ITT population for each period of the study; Induction, Maintenance I and Maintenance I
MonthsMEDIAN
SECONDARYTime to Next Lymphoma Treatment (TNLT)From day of first rituximab induction dose up to any new lymphoma treatment (up to approximately 87 months)
The analysis population was the randomised ITT population (ITTrand), which included only randomised participants (Maintenance II only) as well as the ITT population, that included all participants who had completed a Baseline visit and at least one on-treatment assessment (Induction, Maintenance I and Maintenance II).
MonthsMEDIAN
SECONDARYOverall SurvivalFrom day of first rituximab induction dose up to death (up to approximately 87 months)
The ITT population included all participants who had completed a Baseline visit and at least one on-treatment assessment and were enrolled into each period of the study; Induction, Maintenance I and Maintenance II.
MonthsMEDIAN
SECONDARYMaintenance II: Overall SurvivalFrom randomization (Maintenance II) up to death (up to approximately 24 months)
The analysis population was the randomised ITT population (ITTrand), which included only randomised participants (Maintenance II only) and was used for the analysis of the primary efficacy endpoint of PFS and the secondary analysis endpoint overall survival (OS).
MonthsMEDIAN
SECONDARY
Percentage of Participants With Partial or Complete Tumor Response (PR/CR) Assessment at End of Induction Using 1999 International Working Group Response Criteria for Lymphoma or by the Recommendations for Waldenström's Macroglobulinemia
From day of first rituximab induction dose up to end of induction period (up to approximately 8 months)
The ITT population included all participants who had completed a Baseline visit and at least one on-treatment assessment and were enrolled into each period of the study; Induction, Maintenance I and Maintenance II.
Percentage of ParticipantsNUMBER
SECONDARY
Maintenance I: Percentage of Participants With Conversion of PR to CR Using 1999 International Working Group (Cheson) Response Criteria for Lymphoma or by the Recommendations for Waldenström's Macroglobulinemia
From day of first rituximab induction dose up to end of Maintenance I period (up to approximately 32 months)
The Maintenance I participant analysis group consisted of a subgroup of responding participants who completed Induction and successfully enrolled into Maintenance I. Participants who had partial response (PR) at the end of Induction were included in this analysis.
PercentageNUMBER
SECONDARYProgression-free Survival (PFS) Using 1999 International Working Group (Cheson) Response Criteria for Lymphoma or by the Recommendations for Waldenström's MacroglobulinemiaFrom day of first rituximab induction dose up to disease progression or death, whichever occurs first (up to approximately 87 months)
The ITT population included all participants who had completed a Baseline visit and at least one on-treatment assessment and were enrolled into each period of the study; Induction, Maintenance I and Maintenance II.
MonthsMEDIAN

Results by group16

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Maintenance II: Progression-free Survival (PFS) Using 1999 International Working Group (Cheson) Response Criteria for Lymphoma or by the Recommendations for Waldenström's MacroglobulinemiaMaintenance II - Arm A (Rituximab)NA95% Confidence Interval NA to NAMonths
Maintenance II: Progression-free Survival (PFS) Using 1999 International Working Group (Cheson) Response Criteria for Lymphoma or by the Recommendations for Waldenström's MacroglobulinemiaMaintenance II - Arm B (Observation Only)NA95% Confidence Interval 39.75 to NAMonths
Number of Participants With Adverse Events (AEs), Serious AEs, and Infusion/Administration-related Reactions (IRRs/ARRs)All ParticipantsNumber of Participants with Adverse Events643Participants
Number of Participants With Adverse Events (AEs), Serious AEs, and Infusion/Administration-related Reactions (IRRs/ARRs)All ParticipantsNumber of Participants with Serious Adverse Events339Participants
Number of Participants With Adverse Events (AEs), Serious AEs, and Infusion/Administration-related Reactions (IRRs/ARRs)All ParticipantsNumber of Participants with IRRs/ARRs330Participants
Event-free Survival (Time to Treatment Failure) Using 1999 International Working Group (Cheson) Response Criteria for Lymphoma or by the Recommendations for Waldenström's MacroglobulinemiaMaintenance II - Arm A (Rituximab)65.3895% Confidence Interval 60.98 to NAMonths
Event-free Survival (Time to Treatment Failure) Using 1999 International Working Group (Cheson) Response Criteria for Lymphoma or by the Recommendations for Waldenström's MacroglobulinemiaAll Participants24.9995% Confidence Interval 20.73 to 27.99Months
Time to Next Lymphoma Treatment (TNLT)Maintenance II - Arm A (Rituximab)NA95% Confidence Interval NA to NAMonths
Time to Next Lymphoma Treatment (TNLT)Maintenance II - Arm B (Observation Only)NA95% Confidence Interval NA to NAMonths
Time to Next Lymphoma Treatment (TNLT)All ParticipantsNA95% Confidence Interval NA to NAMonths

Participant flow27

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Induction (up to 8 Months)STARTEDAll Participants692
Induction (up to 8 Months)STARTEDMaintenance II - Arm A (Rituximab)0
Induction (up to 8 Months)STARTEDMaintenance II - Arm B (Observation Only)0
Induction (up to 8 Months)COMPLETEDAll Participants494
Induction (up to 8 Months)COMPLETEDMaintenance II - Arm A (Rituximab)0
Induction (up to 8 Months)COMPLETEDMaintenance II - Arm B (Observation Only)0
Induction (up to 8 Months)NOT COMPLETEDAll Participants198
Induction (up to 8 Months)NOT COMPLETEDMaintenance II - Arm A (Rituximab)0
Induction (up to 8 Months)NOT COMPLETEDMaintenance II - Arm B (Observation Only)0
Maintenance I (24 Months)STARTEDAll Participants494

Adverse events3,540

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherVenous thrombosis limbVascular disordersArm A11381
otherVenous thrombosis limbVascular disordersArm B (Observation Only)01380
otherVenous thrombosis limbVascular disordersAll Participants16921
otherVenous thrombosisVascular disordersArm A01380
otherVenous thrombosisVascular disordersArm B (Observation Only)01380
otherVenous thrombosisVascular disordersAll Participants16921
otherVaricose veinVascular disordersArm A11381
otherVaricose veinVascular disordersArm B (Observation Only)11381
otherVaricose veinVascular disordersAll Participants46924
otherVaricose ulcerationVascular disordersArm A01380

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityArm A10138
Total, all-cause mortalityArm B (Observation Only)8138
Total, all-cause mortalityAll Participants161692
Total, other adverse eventsArm A133138
Total, other adverse eventsArm B (Observation Only)133138
Total, other adverse eventsAll Participants643692
Total, serious adverse eventsArm A59138
Total, serious adverse eventsArm B (Observation Only)58138
Total, serious adverse eventsAll Participants339692

Papers3

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
24720836DERIVEDPubMed
27695295DERIVEDPubMed
34134469DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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