MabRella Study: A Study to Evaluate the Safety of Switching From Intravenous to Subcutaneous Administration of Rituximab During First-Line Treatment for Lymphoma
Lymphoma, Non Hodgkin
About this trial
This is an interventional treatment trial for Lymphoma, Non Hodgkin
Eligibility Criteria
Inclusion Criteria:
- Age ≥ 18 and ≤ 80 years at time of enrolment.
- Life expectancy ≥ 6 months.
- Eastern Cooperative Oncology Group (ECOG) performance status ≤ 3.
- Fertile men or women of childbearing potential must use effective contraception until at least 12 months after the last dose; women must not be pregnant.
- Histologically confirmed CD20+ diffuse large B-cell lymphoma (DLBCL) or CD20+ follicular Non-Hodgkin Lymphoma (FL) grade 1, 2 or 3a according to the World Health Organisation Classification system.
Induction only:
- Participants with Follicular Lymphoma should meet Groupe D'Etude des Lymphomes Folliculaires (GELF) criteria to initiate treatment.
- At least tumor >/= 1.5 cm as measured by computed tomography (CT) scan.
FL treatment-related criteria
- Currently being treated with rituximab IV during first-line therapy and has received at least one full dose of rituximab IV.
Exclusion Criteria:
- Transformed lymphoma.
- Primary central nervous system lymphoma, primary effusion lymphoma, primary mediastinal DLBCL, DLBCL of the testis, primary cutaneous DLBCL or histologic evidence of transformation to a Burkitt lymphoma.
- History of other cancer, including one that has been treated but not with curative intent, unless the cancer has been in remission without treatment for >/= 5 years prior to dosing. Note: Participants with a history of cured skin cancer or in situ carcinoma of the cervix are eligible for the study.
- Ongoing corticosteroid use > 30 mg/day of prednisone or equivalent. Note: Participants receiving corticosteroid treatment with </= 30 mg/day of prednisone or equivalent must be on a stable regimen for at least 4 weeks prior to start of dosing.
- Inadequate renal, hematologic, or hepatic function.
- History of severe allergic or anaphylactic reactions to humanized or murine monoclonal antibodies or known sensitivity or allergy to murine products.
- For participants with DLBCL: Contraindication to any of the individual components of CHOP (cyclophosphamide, vincristine, doxorubicin and prednisone), including prior anthracycline treatment.
- For participants with FL: contraindication to standard chemotherapy.
- Other serious underlying medical conditions.
- Recent major surgery (within 4 weeks prior to dosing), other than for diagnosis.
- Active and/or severe infections (excluding nail fungal infections) or any infection requiring treatment with IV antibiotics or hospitalization within 4 weeks prior to dosing.
- Active Hepatitis B virus (HBV) or Hepatitis C virus (HCV) infection. Note: Participants testing positive for Hepatitis B or C virus antibodies but with an undetectable viral load may be included.
- History of Human Immunodeficiency Virus (HIV) positive status.
Sites / Locations
- Hospital De Txagorritxu; Servicio de Hematologia
- Hospital General de Elda; Servicio de Hematologia
- Hospital de Granollers, Servicio de Hematología
- Hospital Mutua de Terrassa; Servicio de Hematologia
- Hospital Son Llatzer; Servicio de Hematologia
- Complejo Hospitalario Universitario A Coruña (CHUAC); Servicio de Hematologia
- Complejo Hospitalario Universitario de Santiago (CHUS) ; Servicio de Hematologia
- Complejo Hospitalario San Millan - San Pedro; Servicio Hematologia
- Complejo Asistencial de León, Servicio de Hematología
- Hospital Universitario de Fuenlabrada; Servicio de Hematologia
- Hospital Severo Ochoa; Servicio de Hematologia
- Hosital Universitario de Mostoles;Servicio de Hematologia
- Clinica Universitaria de Navarra; Servicio de Hematologia
- Hospital de Navarra, Servicio de Hematología
- Complejo Hospitalario Universitario de Vigo; Servicio de Hematologia
- Complejo Hospitalario Nuestra Señora de la Candelaria; Servicio de Oncologia
- Hospital de Basurto; Servicio de Hematologia
- Hospital de Galdakano; Servicio de Hematologia
- Complejo Hospitalario Torrecardenas; Servicio de Hematologia
- Hospital Universitario de Burgos, Servicio de Hematología
- Hospital General de Castellon; Servicio de Hematologia
- Hospital Universitario Reina Sofia; Servicio de Hematologia
- Hospital Universitario Virgen de las Nieves; Servicio de Hematologia
- Hospital Universitario de Gaudalajara; Hematología
- Hospital Universitari Arnau de Vilanova de Lleida; Servicio de Hematologia
- Hospital Infanta Leonor; Servicio de Hematologia
- Fundacion Jimenez Diaz; Servicio de Hematologia
- Hospital Universitario Clínico San Carlos; Servicio de Hematología
- HOSPITAL DE MADRID NORTE SANCHINARRO- CENTRO INTEGRAL ONCOLOGICO CLARA CAMPAL; Servicio Hematologia
- Hospital Universitario Puerta de Hierro; Servicio de Hematologia
- Hospital Universitario Principe de Asturias; Servicio de Hematología
- Hospital Univ. Virgen de la Victoria
- Hospital General Universitario J.M Morales Meseguer; Servicio de Hematología
- Hospital Universitario Virgen de Arrixaca; Servicio de Hematologia
- Complejo Hospitalario de Pontevedra; Servicio de Hematologia
- Complejo Asistencial de Segovia
- Hospital Universitario Virgen Macarena; Servicio de Hematologia
- Hospital Univ. Nuestra Señora de Valme; Servicio de Hematologia
- Hospital de Rio Hortega; Servicio de Hematologia
Arms of the Study
Arm 1
Experimental
Subcutaneous Rituximab
Participants with CD20+ non-Hodgkin's follicular lymphoma (FL) or diffuse large B-cell lymphoma (DLBCL), who had already received at least one full dose of intravenous (IV) rituximab will be treated with subcutaneous (SC) rituximab. Participants with FL will be administered 1400 mg rituximab during induction therapy (once monthly for 4-7 cycles) and maintenance therapy (once every 2 months for 6-12 cycles). Participants with DLBCL will be administered 1400 mg SC of rituximab once monthly for 4-7 cycles. Treatment duration is expected to last up to 7 months for participants with DLBCL and up to 32 months for participants with FL.