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Trial · NCT03976102

Compare Efficacy, Safety, and Immunogenicity of Proposed Rituximab Biosimilar (DRL_RI) With MabThera® in LTB Follicular Lymphoma

NCT03976102, Phase 3, Completed, Dr. Reddy's Laboratories Limited, India; results first posted 2024-01-22

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Compare Efficacy, Safety, and Immunogenicity of Proposed Rituximab Biosimilar (DRL_RI) With MabThera® in LTB Follicular Lymphoma. Trials, record NCT03976102. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03976102

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Trial

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

Title
Compare Efficacy, Safety, and Immunogenicity of Proposed Rituximab Biosimilar (DRL_RI) With MabThera® in LTB Follicular Lymphoma
NCT number
NCT03976102
Status
Completed
Phases
Phase 3
Enrollment
317 participants, actual
Lead sponsor
Dr. Reddy's Laboratories Limited, India
Conditions
Follicular Lymphoma
Interventions
DRL_RI (Proposed rituximab biosimilar), MabThera®
First posted
2019-06-05
Last updated
2024-01-22
Results first posted
2024-01-22

Source ClinicalTrials.gov

Registered outcomes9

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

ListOutcomeTime frameDescription
PrimaryBest Overall Response Rate (BORR) for Low Tumor Burden Follicular LymphomaMonth 7 (Week 28)
Best Overall Response Rate (BORR) is defined as the proportion of participants in each treatment group that achieved a best overall response of either Complete response (CR), unconfirmed Complete response (CRu) or Partial response (PR), up to Month 7 (Week 28) based on central radiology review in accordance with the Cheson, 1999 response criteria for Non-Hodgkin's Lymphomas. As per Cheson 1999, response criteria for target lesions and assessed by radiology: Complete response (CR): All lesions with a longest diameter should be regressed to normal size (≤ 15 mm) or short axis regressed to ≤ 10 mm with confirmed Bone marrow normalization; unconfirmed Complete response (CRu): All lesions with a longest diameter should be regressed to normal size (≤ 15 mm) or short axis regressed to ≤ 10 mm with non-confirmed Bone marrow normalization; Partial Response (PR): ≥ 50 % decrease of sum of products of diameter(SPD) of all the target lesions; Overall Response (OR)=CR+CRu+PR.
SecondaryOverall Response Rate (ORR)Week 12, Week 28
The overall response rate (ORR) is defined as proportion of participants in each treatment group achieved a complete response or partial response at week 12 and week 28 based on central radiology review in accordance with published response criteria for malignant lymphoma. As per Cheson 1999, response criteria for target lesions and assessed by radiology: Complete response (CR): All lesions with a longest diameter should be regressed to normal size (≤ 15 mm) or short axis regressed to ≤ 10 mm with confirmed Bone marrow normalization; unconfirmed Complete response (uCR): All lesions with a longest diameter should be regressed to normal size (≤ 15 mm) or short axis regressed to ≤ 10 mm with non-confirmed Bone marrow normalization; Partial Response (PR): ≥ 50 % decrease of sum of products of diameter(SPD) of all the target lesions; Overall Response (OR)=CR+uCR+PR.
SecondaryComplete Response RateWeek 28
Complete Response rate is defined as the proportion of participants in each treatment group who achieved complete response up to particular visit based on investigator assessment in accordance with the response criteria for malignant lymphoma. As per Cheson 1999, response criteria for target lesions and assessed by radiology: Complete response (CR): All lesions with a longest diameter should be regressed to normal size (≤ 15 mm) or short axis regressed to ≤ 10 mm with confirmed Bone marrow normalization.
SecondaryComplete Response Rate as a Best ResponseWeek 28
Complete Response Rate as a Best Response is defined as the proportion of participants in each treatment group that achieved the best complete response up to Week 28 based on central radiology review in accordance with the Cheson 1999, response criteria for malignant lymphoma. As per Cheson 1999, response criteria for target lesions and assessed by radiology: Complete response (CR): All lesions with a longest diameter should be regressed to normal size (≤ 15 mm) or short axis regressed to ≤ 10 mm with confirmed Bone marrow normalization.
SecondaryDuration of Response (DOR)Week 52
Duration of response (DOR) defined as the time from date of the first documentation of tumor response (Complete Response, unconfirmed complete response or partial response) to the date of first documentation of progressive disease (PD) or to death due to any cause up to 52 weeks/ End of study (EOS). Progression is defined as per Cheson 1999, response criteria is: Target Nodal SPD Progression: at least one node must be abnormal, and the SPD of all nodes must increase by ≥ 50% from its nadir SPD. Target Extranodal SPD Progression: at least one extranodal lesion must be present and the SPD of all extranodal lesions must increase by ≥ 50% from its nadir SPD. Also, if a patient had any unequivocal progression in non-target lesions; and detection of any new nodal lesion (longest diameter \[LDi\] 15mm with an absolute increase of 5mm) his/her response was considered as Progressive disease.
SecondaryProgression-free Survival (PFS)Week 52
Progression-free survival (PFS) is defined as the time from date of randomization to the date of documented progressive disease or death due to any cause. Progression is defined as per Cheson 1999, response criteria is: Target Nodal SPD Progression: at least one node must be abnormal, and the SPD of all nodes must increase by ≥ 50% from its nadir SPD. Target Extranodal SPD Progression: at least one extranodal lesion must be present and the SPD of all extranodal lesions must increase by ≥ 50% from its nadir SPD. Also, if a patient had any unequivocal progression in non-target lesions; and detection of any new nodal lesion (LDi 15mm with an absolute increase of 5mm) his/her response was considered as Progressive disease.
SecondaryOverall Survival (OS)Week 52The Overall survival (OS) defined as the time from date of randomization to the date of death from any cause up to 52 weeks or EOS.
SecondaryNumber of Participants With Adverse EventsFrom Screening (Day -28 to -1) up to 52 weeksThe safety and tolerability of DRL\_RI and MabThera® in participants with CD20-positive, LTB-FL was evaluated.
SecondaryNumber of Participants With Positive Anti-drug Antibody (ADA)On Day 1, Week 2, Week 3, Week 4, Week 12 post doseThe immunogenicity of the Proposed Rituximab Biosimilar (DRL\_RI) with MabThera® among trial participants was compared.

Outcomes9

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYBest Overall Response Rate (BORR) for Low Tumor Burden Follicular LymphomaMonth 7 (Week 28)The ITT Analysis Set included all randomized participants.percentage of participantsNUMBER
SECONDARYOverall Response Rate (ORR)Week 12, Week 28The ITT Analysis Set included all randomized participants.percentage of particpantsNUMBER
SECONDARYComplete Response RateWeek 28The ITT Analysis Set included all randomized participants.percentage of participantsNUMBER
SECONDARYComplete Response Rate as a Best ResponseWeek 28The ITT Analysis Set included all randomized participants.percentage of participantsNUMBER
SECONDARYDuration of Response (DOR)Week 52The ITT Analysis Set included all randomized participants. The number analyzed are the participants with complete response, unconfirmed complete response or partial response.WeeksMEDIAN
SECONDARYProgression-free Survival (PFS)Week 52The ITT Analysis Set included all randomized participants.WeeksMEDIAN
SECONDARYOverall Survival (OS)Week 52The ITT Analysis Set included all randomized participants.WeeksMEDIAN
SECONDARYNumber of Participants With Adverse EventsFrom Screening (Day -28 to -1) up to 52 weeksThe Safety Analysis Set (SAF) will include all the participants who have received at least one dose of study drug. The SAF will be used for safety analysis.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Positive Anti-drug Antibody (ADA)On Day 1, Week 2, Week 3, Week 4, Week 12 post doseThe ITT Analysis Set included all randomized participants.ParticipantsCOUNT_OF_PARTICIPANTS

Results by group40

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

OutcomeGroupCategoryValueSpreadUnits
Best Overall Response Rate (BORR) for Low Tumor Burden Follicular LymphomaArm A: DRL_RI80.295% Confidence Interval 73.3 to 86.1percentage of participants
Best Overall Response Rate (BORR) for Low Tumor Burden Follicular LymphomaArm B: MabThera®79.495% Confidence Interval 72.1 to 85.4percentage of participants
Overall Response Rate (ORR)Arm A: DRL_RIWeek 1262.395% Confidence Interval 54.4 to 69.8percentage of particpants
Overall Response Rate (ORR)Arm B: MabThera®Week 1263.995% Confidence Interval 55.8 to 71.4percentage of particpants
Overall Response Rate (ORR)Arm A: DRL_RIWeek 2875.395% Confidence Interval 67.9 to 81.7percentage of particpants
Overall Response Rate (ORR)Arm B: MabThera®Week 2873.595% Confidence Interval 65.9 to 80.3percentage of particpants
Complete Response RateArm A: DRL_RI32.795% Confidence Interval 25.6 to 40.5percentage of participants
Complete Response RateArm B: MabThera®34.295% Confidence Interval 26.8 to 42.2percentage of participants
Complete Response Rate as a Best ResponseArm A: DRL_RI34.095% Confidence Interval 26.7 to 41.8percentage of participants
Complete Response Rate as a Best ResponseArm B: MabThera®35.595% Confidence Interval 28.0 to 43.6percentage of participants

Participant flow6

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDArm A: DRL_RI162
Overall StudySTARTEDArm B: MabThera®155
Overall StudyCOMPLETEDArm A: DRL_RI143
Overall StudyCOMPLETEDArm B: MabThera®129
Overall StudyNOT COMPLETEDArm A: DRL_RI19
Overall StudyNOT COMPLETEDArm B: MabThera®26

Adverse events68

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherNeutropeniaBlood and lymphatic system disordersArm A: DRL_RI1316214
otherNeutropeniaBlood and lymphatic system disordersArm B: MabThera®21533
otherNauseaGastrointestinal disordersArm A: DRL_RI61628
otherNauseaGastrointestinal disordersArm B: MabThera®1015311
otherAbdominal painGastrointestinal disordersArm A: DRL_RI31624
otherAbdominal painGastrointestinal disordersArm B: MabThera®815310
otherPyrexiaGeneral disordersArm A: DRL_RI11621
otherPyrexiaGeneral disordersArm B: MabThera®1015310
otherCOVID-19Infections and infestationsArm A: DRL_RI1916220
otherCOVID-19Infections and infestationsArm B: MabThera®1715319

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityArm A: DRL_RI3162
Total, all-cause mortalityArm B: MabThera®2153
Total, other adverse eventsArm A: DRL_RI47162
Total, other adverse eventsArm B: MabThera®49153
Total, serious adverse eventsArm A: DRL_RI22162
Total, serious adverse eventsArm B: MabThera®21153

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
40421128DERIVED

Source PubMed

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 comparisons2

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

ComparisonSource
Arm A: DRL_RI vs Arm B: MabThera®: deaths from any causeTrial comparisons
Arm A: DRL_RI vs Arm B: MabThera®: serious adverse eventsTrial comparisons

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.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03976102

GET https://conductscience.org/api/trials/v1/NCT03976102/results?page=2