A Study of Obinutuzumab in Combination With CHOP Chemotherapy Versus Rituximab With CHOP in Participants With CD20-Positive Diffuse Large B-Cell Lymphoma (GOYA)
Diffuse Large B-Cell Lymphoma
About this trial
This is an interventional treatment trial for Diffuse Large B-Cell Lymphoma
Eligibility Criteria
Inclusion Criteria:
- Previously untreated CD20-positive DLBCL
- At least 1 bi-dimensionally measurable lesion (greater than [>]1.5 centimeters [cm] in its largest dimension on the computed tomography [CT] scan)
- Eastern Cooperative Oncology Group (ECOG) performance status 0, 1 or 2
- Adequate hematological function
- Low-intermediate, high-intermediate or high-risk International Prognostic Index (IPI) score (low-risk IPI score: IPI 1 irrespective of bulky disease or IPI 0 with bulky disease, defined as one lesion greater than equal to (>/=) 7.5 cm)
- Left ventricular ejection fraction (LVEF) >/=50 percent (%) on cardiac multiple-gated acquisition (MUGA) scan or cardiac echocardiogram
Exclusion Criteria:
- History of severe allergic or anaphylactic reactions to humanized or murine monoclonal antibodies or known sensitivity or allergy to murine products or to any component of CHOP or obinutuzumab
- Contraindication to any of the individual components of CHOP, including prior receipt of anthracyclines
- Participants with transformed lymphoma and participants with follicular lymphoma IIIB
- Prior therapy for DLBCL, with the exception of nodal biopsy or local irradiation
- Prior treatment with cytotoxic drugs or rituximab for another condition (for example, rheumatoid arthritis) or prior use of an anti-CD20 antibody
- Prior use of any monoclonal antibody within 3 months of the start of Cycle 1
- Corticosteroid use of >30 milligrams per day (mg/day) of prednisone or equivalent, for purposes other than lymphoma symptom control
- Primary central nervous system (CNS) lymphoma and secondary CNS involvement by lymphoma, mantle-cell lymphoma (MCL), or histologic evidence of transformation to a Burkitt lymphoma, primary mediastinal DLBCL, primary effusion lymphoma, plasmablastic lymphoma, and primary cutaneous DLBCL
Sites / Locations
- University of Alabama at Birmingham
- Ironwood Cancer TX & Rsch Ctrs
- Arizona Oncology
- California Cancer Associates for Research & Excellence, Inc.
- cCare
- UCLA - School of Medicine; Division of Hematology/Oncology
- Rocky Mountain Cancer Center - Aurora
- Florida Cancer Specialists; Department of Oncology
- Florida Cancer Specialists; Saint Petersburg
- Central Georgia Cancer Care PC
- Illinois Cancer Care, P.C. - Galesburg
- Joliet Oncology-Hematology; Associates, Ltd.
- Cancer Care & Hematology; Specialists of Chicagoland
- Carle Cancer Center
- Mercy Oncology / Hematology Center; Oncology
- Park Nicollet Clin-Cancer Ctr
- Minnesota Oncology Hematology Woodbury
- New York Oncology Hematology, P.C.
- Mecklenburg Medical Group Charlotte
- Forsyth Regional Cancer Center; Piedmont Hematology/Oncology Associates
- Signal Point Clinical; Research Center, LLC
- Cleveland CL N Coast Cancer Cr
- Willamette Valley Cancer Insitute and Research Center
- Medical University of SC (MUSC)
- South Carolina Oncology Associates - SCRI
- Chattanooga Oncology and Hematology Associates, PC
- Tennessee Onc., PLLC - SCRI
- Texas Oncology, Pa - Amarillo
- Texas Oncology-Fort Worth 12th Ave
- MD Anderson Cancer Center Department of Lymphoma & Myeloma
- Cancer Care Centers of South Texas-HOAST - San Antonio
- Virginia Cancer Institute
- Blue Ridge Cancer Care
- Virginia Cancer Specialists - Winchester
- Northwest Medical Specialties
- Wenatchee Valley Hospital & Clinics
- Instituto Damic
- Sanatorio Britanico: Hematologia
- Sanatorio Parque de Rosario
- Cairns Base Hospital; Cancer Care Centre
- Frankston Hospital; Oncology/Haematology
- Monash Medical Centre; Haematology
- Fiona Stanley Hospital
- Tiroler Landeskrankenanstalten Ges.M.B.H.; Innere Medizin Abt. Für Hämatologie & Onkologie
- Lkh Salzburg - Univ. Klinikum Salzburg; Iii. Medizinische Abt.
- Medizinische Universität Wien; Univ.Klinik für Innere Medizin I - Hämatologie & Hämostaseologie
- Hospital Mae de Deus
- Hospital Sao Lucas - PUCRS
- Centro de Pesquisas Oncologicas - CEPON
- Instituto de Ensino e Pesquisa Sao Lucas - IEP
- Hospital Santa Marcelina;Oncologia
- Tom Baker Cancer Centre; Dept of Medicine
- Cross Cancer Institute
- BCCA-Vancouver Cancer Centre
- Queen Elizabeth II Health Sciences Centre; Oncology
- Ottawa General Hospital
- North York General Hospital
- Humber River Hospital
- University Health Network; Princess Margaret Hospital; Medical Oncology Dept
- Hopital Maisonneuve- Rosemont; Oncology
- Chum Hopital Notre Dame; Centre D'Oncologie
- Mcgill University - Royal Victoria Hospital; Oncology
- McGill University; Sir Mortimer B Davis Jewish General Hospital; Oncology
- Hopital de L'Enfant-Jesus; Hematology
- Centre de sante et de services sociaux Rimouski Neigette
- Saskatoon Cancer Centre; Uni of Saskatoon Campus
- Cancer Hospital Chinese Academy of Medical Sciences.
- Peking University First Hospital
- The Affiliated Hospital of Military Medical Sciences(The 307th Hospital of Chinese PLA)
- Beijing Cancer Hospital
- Beijing Hospital of Ministry of Health; Hematology
- General Hospital of Chinese PLA; Department of Hematology
- the First Hospital of Jilin University
- Hu Nan Provincial Cancer Hospital
- Fujian Medical University Union Hospital
- Fujian Cancer Hospital
- Sun Yet-sen University Cancer Center
- Guangdong General Hospital
- The First Affiliated Hospital of College of Medicine, Zhejiang University
- Harbin Medical University Cancer Hospital
- The Second Affiliated Hospital to Nanchang University
- Jiangsu Cancer Hospital
- Jiangsu Province Hospital
- The First Affiliate Hospital of Guangxi Medical University
- Ruijin Hospital, Shanghai Jiao Tong University School of Medicine
- Fudan University Shanghai Cancer Center
- Changhai Hospital of Shanghai
- First Hospital of China Medical University
- The Second Affiliated Hospital of Soochow University
- First Affiliated Hospital of Soochow University
- Tianjin Cancer Hospital
- Xiehe Hospital, Tongji Medical College Huazhong University of Science & Technology
- Union Hospital of Tongji Medical College, Dept. of Cancer Center; Cancer Center
- The Second Affiliated Hospital of The Fourth Military Medical University (Tangdu Hospital)
- Fundacion Cardioinfantil
- Organizacion Sanitas Internacional
- FOSCAL
- Fakultni nemocnice Brno; Interni hematologicka a onkologicka klinika
- Fn Hr. Kralove; IV. Interni Hematologicka Klinika
- Vseobecna Fakultni Nemocnice v Praze, I. Interni Klinika - Klinika Hematoonkologie VFN a 1. LF UK
- Rigshospitalet; Hæmatologisk Klinik
- Sygehus Syd Roskilde; Onkologisk/haematologisk ambulatorium
- Aarhus Universitetshospital, Hæmatologisk Afdeling R
- Uniklinik RWTH Aachen; Klinik IV; Klinik Hämatologie, Onkologie, Hämostaseologie und Stammz
- Onkologische Schwerpunktpraxis Kurfürstendamm
- Universitätsklinikum "Carl Gustav Carus"; Medizinische Klinik und Poliklinik I
- Friedrich-Alexander-Universität Erlangen-Nürnberg; Medizinische Klinik V
- Klinik der Justus-Liebig-Universität; Innere Medizin
- Uniklinik Heidelberg, Medizinische Klinik & Poliklinik V
- Universitätsklinikum Würzburg; Medizinische Klinik und Poliklinik II; Hämatologie / Onkologie
- Pamela Youde Nethersole Eastern Hospital; Department of Medicine
- Queen Mary Hospital; Dept of Medicine
- Semmelweis University, First Dept of Medicine
- National Institute of Oncology, A Dept of Internal Medicine
- University of Debrecen Medical and Health Science Center, Institute of Internal medicine Building B
- Petz Aladar Megyei Korhaz; Hematologia
- Kaposi Mor Teaching Hospital, Dept of Internal Medicine/Hematology
- University of Pecs, I st Dept of Internal Medicine
- University of Szeged, II Dept of Internal Medicine
- Ospedale Riuniti; Divisione Di Ematologia
- Istituto Nazionale Tumori Irccs Fondazione g. Pascale;s.c. Ematologia Oncologica
- Nuovo Policlinico, Ii Facolta; Divisione Di Ematologia
- Ospedale "A.Tortora" - Ematologia; Dipartimento Di Ematologia
- A.O. Universitaria Policlinico S.Orsola-Malpighi Di Bologna
- AUSL - IRCCS Santa Maria Nuova; U.O. Day Hospital di Oncologia
- A.O. Universitaria S. Maria Della Misericordia Di Udine; Oncologia; Clinica Ematologica
- Universita' Degli Studi La Sapienza-Ist.Di Ematologia; Dip Biot Cel e Ematol
- A.O. Universitaria S. Martino Di Genova; Ematologia 1
- A.O. Spedali Civili Di Brescia-P.O. Spedali Civili;U.O. Ematologia
- Hospital San Raffaele
- Ist. Nazionale Per Lo Studio E Cura Dei Tumori; Div. Ematologia Trapianto Midollo Osseo Allogenico
- Irccs Istituto Europeo Di Oncologia (IEO); Emato-Oncologia
- Irccs Policlinico San Matteo; Divisione Di Ematologia
- Ospedale Civile SS. Antonio E Biagio DI Alessandria; Ematologia
- Ospedali Riuniti del Canavese
- Univ. Piemonte Est Amedeo Avogadro; Div.Ematologia- Dip.Clinica Med.Sperim.& Ircad
- Az. Osp. S. Luigi Gonzaga; S.C.D.U. Medicina Interna Ii
- A.O. Universitaria S. Giovanni Battista-Molinette Di Torino; Ematologia 1
- A.O.U. Citta' Della Salute E Della Scienza-P.O. Molinette;S.C. Ematologia
- Uni Degli Studi Di Bari, Policlinico; Cattedra Di Ematologia,Dipart. Di Medicina Interna E Publica
- IRCCS Ospedale Casa Sollievo Della Sofferenza; Ematologia E Trapianto Di Midollo Osseo
- Az. Osp. C. Panico; Rep. Ematologia E Trapianto
- Azienda Ospedaliero Univ
- Az. Osp. Papardo; Struttura Complessa Di Ematologia
- Azienda Ospedaliera Univ
- Ospedale Santa Chiara; Unita Operativa Di Ematologia
- Az. Osp. S. Maria; Dept. Di Oncologia Medica
- Ospedale Ca Foncello; Ematologia
- Uni Di Verona Policlinico G.B. Rossi; Divisione E Cattedra Di Ematologia
- Ospedale Di Vicenza; Nefrologia, Ematologia
- Nagoya Daini Red Cross Hospital; Hematology & Oncology
- Chiba University Hospital; Hematology
- Kyushu University Hospital; Hematology, Oncology & Cardiovascular medicine
- Kurume University Hospital; Hematology and Oncology
- Gifu University Hospital; First Department of Internal Medicine
- Hokkaido University Hospital; Hematology
- Kobe City Medical Center General Hospital; Hematology
- Iwate Medical University Hospital;Hematology and Oncology
- Yokohama City University Hospital; Hematology, Rheumatology, Infectious Disease
- Kyoto University Hospital; Department of Hematology/Oncology
- Niigata Cancer Center Hospital; Internal Medicine
- Kurashiki Central Hospital; Hematology
- Osaka City University Hospital; Hematology
- Osaka University Hospital; Hematology and Oncology
- Kindai University Hospital; Hematology and Rheumatology
- Shimane University Hospital;Hematology
- Jichi Medical University Hospital; Hematology
- National Cancer Center Hospital; Hematology
- Toranomon Hospital; Hematology
- Nippon Medical School Hospital; Hematology
- The Cancer Institute Hospital of JFCR; Hematology Oncology
- National Cancer Center
- Chonnam National University Hwasun Hospital
- Seoul National University Hospital
- Asan Medical Center - Oncology
- Yonsei University Severance Hospital; Medical Oncology
- St. Mary'S Hospital, the Catholic University School of Medicine; Internal Medicine
- Samsung Medical Center
- Centro Estatal De Cancerologia De Chihuahua; Servicio De Hematologia Banco De Sangre
- Hospital Universitario Dr. Jose E. Gonzalez; Haematology
- Oaxaca Site Management Organization
- Centro de Estudios Clinicos de Queretaro, SC
- Centro Hemato Oncologico Panama
- Instituto Nacional de Enfermedades Neoplasicas
- Instituto;Oncologico Miraflores
- Clinica de Especialidades Medicas
- Szpital Specjalistyczny Podkarpacki Ośrodek Onkologiczny
- Uniwersyteckie Centrum Kliniczne; Klinika Hematologii i Transplantologii
- Medical University of Lodz; Hematology
- Katedra i Klinika Hematoonkologii i Transplantacji Szpiku; Uniwersytetu Medycznego w Lublinie
- Centrum Onkologii Instytut im. M. Sklodowskiej-Curie, Klinika Nowotworow Ukladu Chlonnego
- Medical Uni of Wroclaw; Hematology
- Clinical Oncology Dispensary of Ministry of Health of Tatarstan
- Blokhin Cancer Research Center; Clinical Oncology
- Regional Clinical Hospital N.A. Semashko; Hematology
- Penza Regional Oncology Dispensary
- Republican Clinical Hospital n.a. Baranov; Haematology
- Research Inst. of Hematology & Blood Transfusion ; Hematology
- Institute of Hematology
- Clinical Center Vojvodine; Clinic for Hematology
- National Oncology Inst. ; Dept. of Haematology
- Constantiaberg Medical Clinic; Dept. of Haematology & Bone Marrow Translant
- Mary Potter Oncology Centre
- Medical Oncology Centre of Rosebank; Oncology
- Wits Donald Gordon Clinical Trial Centre; Medical Oncology
- Drs Thomson, Brittain an Partners Inc
- Hospital de Navarra, Servicio de Hematología
- Hospital Universitari Sant Joan de Reus; Servicio de Oncologia
- Hospital del Mar; Servicio de Hematologia
- Hospital Universitari Vall d'Hebron; Servicio de Hematologia
- Hospital Clínic i Provincial; Servicio de Hematología y Oncología
- Hospital Duran i Reynals; Servicio de Hematologia
- Hospital Ramon y Cajal; Servicio de Hematologia
- Complejo Hospitalario de Pontevedra; Servicio de Oncologia
- Hospital Universitario Virgen Macarena; Servicio de Oncologia
- Complejo Hospitalario de Toledo- H. Virgen de la Salud; Servicio de Oncologia
- Kantonsspital Aarau; Zentrum Für Onkologie, Hämatologie & Transfusionsmedizin
- Ospedale San Giovanni; Oncologia
- Kantonsspital Graubünden;Onkologie und Hämatologie
- UniversitätsSpital Zürich; Zentrum für Hämatologie und Onkologie, Klinik für Onkologie
- Veterans General Hospital; Division of Oncology
- National Taiwan Universtiy Hospital; Division of Hematology
- Koo Foundation Sun Yat-Sen Cancer Center; Hemato-Oncology
- Chang Gung Medical Foundation - Linkou; Division of Hematology- Oncology
- King Chulalongkorn Memorial Hospital; Division of Hematology, Department of Medicine
- National Cancer Inst.
- Rajavithi Hospital; Medicine
- Ramathibodi Hospital; Division of Hematology, Department of Medicine
- Siriraj Hospital; Division of Hematology, Department of Medicine
- Srinagarind Hospital, Khon Kaen Uni ; Dept of Medicine
- Aberdeen Royal Infirmary; Haematology - Ward 16
- Birmingham Heartlands Hospital; Department of Haematology
- Addenbrookes Hospital; Haematology
- The HOPE Clinical Trials Unit
- New Cross Hospital; Dept. Of Haematology
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
Rituximab+Chemotherapy
Obinutuzumab+Chemotherapy
Participants received eight 21-day cycles of rituximab, combined with six or eight cycles of standard cyclophosphamide, doxorubicin, vincristine, and prednisone/prednisolone (CHOP) chemotherapy (21-day cycles). Prior to study start, study centers chose whether they planned to administer 6 or 8 cycles of CHOP chemotherapy.
Participants received eight 21-day cycles of obinutuzumab, combined with six or eight cycles of standard cyclophosphamide, doxorubicin, vincristine, and prednisone/prednisolone (CHOP) chemotherapy (21-day cycles). Participants received an additional two doses of obinutuzumab on Days 8 and 15 of Cycle 1. Prior to study start, study centers chose whether they planned to administer 6 or 8 cycles of CHOP chemotherapy.