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 (MabCute)
Non-Hodgkin's Lymphoma
About this trial
This is an interventional treatment trial for Non-Hodgkin's Lymphoma
Eligibility Criteria
Inclusion Criteria:
- Histologically confirmed Cluster of Differentiation 20-positive (CD20+) follicular NHL Grade 1, 2 or 3a, or other CD20+ indolent NHL (Waldenström's macroglobulinemia or lymphoplasmacytic lymphoma, marginal zone lymphoma) according to World Health Organization (WHO) classification system
- Participants must have received and must have relapsed or been refractory to, one or more lines of adequate therapy prior to enrollment, including at least one line consisting of immunotherapy and/or chemotherapy and/or radiotherapy
- Eastern Cooperative Oncology Group (ECOG) performance status less than or equal to (<=) 2
Exclusion Criteria:
- Transformation to high-grade lymphoma
- Aggressive lymphoma (for example, mantle cell lymphoma [MCL])
- Presence or history of central nervous system (CNS) lymphomatous disease
- Other malignancy within 5 years prior to enrollment, except for curatively treated carcinoma in situ of the cervix, squamous cell carcinoma of the skin or basal cell skin cancer, or cervical carcinoma Stage 1B or less, breast cancer in situ or localized prostate cancer Stage T1c if treated with curative intent and relapse- and metastasis-free for at least 2 years prior to enrollment
- Inadequate hematological, hepatic or renal function
- Known human immunodeficiency virus (HIV) infection
- Active and/or severe infection (e.g. tuberculosis, sepsis and opportunistic infections, active hepatitis B or C)
- Pregnant or breastfeeding women
Sites / Locations
- University "Mother Theresa" Hospital Center; Oncology Department
- CEMIC Saavedra
- Instituto Damic
- Hospital Privado de Comunidad; Oncology
- Lkh-Univ. Klinikum Graz; Klin. Abt. Für Hämatologie
- Tiroler Landeskrankenanstalten Ges.M.B.H.; Innere Medizin Abt. Für Hämatologie & Onkologie
- Kepler Universitätskliniken GmbH - Med Campus III; III. Medizinische Abteilung
- Landeskrankenhaus Rankweil; Interne E
- Medizinische Universität Wien; Univ.Klinik für Innere Medizin I - Hämatologie & Hämostaseologie
- Centro de Tratamento Oncologico - CETRON
- Hospital da Cidade de Passo Fundo; Centro de Pesquisa em Oncologia
- Hospital das Clinicas - UFRGS
- Centro de Pesquisas Oncologicas - CEPON
- Hospital de Cancer de Barretos
- Instituto de Ensino e Pesquisa Sao Lucas - IEP
- Hospital das Clinicas - FMUSP; Hematologia
- Hospital Santa Marcelina;Oncologia
- UMHAT Dr Georgi Stranski; Hematology
- Tokuda Hospital Sofia; Hematology department
- UMHAT Alexandrovska EAD; Hematology
- Centro Javeriano de Oncología
- Fundacion Santa Fe de Bogotá
- Instituto Nacional de Cancerologia; Hematology
- Hospital Abel Gilbert Ponton; Oncology
- Teodoro Maldonado Carbo Hospital; Oncology Service
- Hospital Solca Portoviejo; Oncologia
- Hospital Solca Quito; Oncologia
- Kasr Eieny Uni Hospital; Oncology (Nemrock)
- Centre Hospitalier Uni Ire; Service Des Maladies Du Sang
- CH Henri Mondor; Med Interne Neuro Endocrinologie
- Centre Hospitalier de La Cote Basque; Hematologie
- Hopital Jean Minjoz; Hematologie
- Hopital Augustin Morvan; Hematologie
- Institut d'Hématologie de Basse Normandie
- CH Metropole de Savoie
- Chu Estaing; Hematologie Clinique Adultes
- Ch Sud Francilien; Hematologie Oncologie
- Hopital Henri Mondor
- Chu Site Du Bocage;Hematologie Clinique
- Centre Hospitalier Departemental Les Oudairies
- Hôpital Albert Michallon; Hematologie Clinique
- Hopital Andre Mignot; Hematologie - Oncologie
- Ch Du Mans; Medecine Hematologie Oncologie
- Hopital Claude Huriez; Hematologie
- Hopital Uni Ire Dupuytren; Hematologie
- Hopital Nord; Laboratoire D'Hematologie
- Hôpital Lapeyronie; Hématologie Oncologie Médicale
- Hopital Emile Muller; Hematologie
- Hopital Hotel Dieu Et Hme; Clinique Dermatologique
- Centre Antoine Lacassagne;B4 Hematologie Cancerologie
- Hopital Pitie Salpetriere; Hematologie Clinique
- Hopital De Haut Leveque; Hematologie Clinique
- Centre Henri Becquerel; Hematologie
- Hopital Purpan; Hematologie Clinique
- Gemeinschaftspraxis Dr. Bueckner und Dr. Nueckel
- Klinikum Darmstadt GmbH; Med. Klinik V; Onkologie & Hämatologie
- St. Johannes Hospital; Abt. für Hämatologie und Onkologie
- BAG Freiberg-Richter, Jacobasch, Illmer, Wolf; Gemeinschaftspraxis Hämatologie-Onkologie
- Gemeinschaftspraxis Dr. med. J. Mohm und Dr. med. G. Prange-Krex; Fachaerzte fuer Innere Medizin
- Universitätsklinikum Greifswald Klinik für Innere Medizin C und Poliklinik
- Internistisch-Onkologische Gemeinschaftspraxis; Dres. Rohrberg, Hurtz, Schma usw.
- OncoResearch Lerchenfeld GmbH
- Onkologische Schwerpunktpraxis (Eps-Gmbh)
- Dres. Richard Hansen Susanne Pfitzner-Dempfle und Manfred Reeb
- Dres. Barbara Tschechne Stefanie Luft und Wolf-Oliver Jordan
- Onkologische Schwerpunktpraxis Lübeck
- Onkologische Gemeinschaftspraxis
- Gemeinschaftspraxis Fr. Dr. med. Balser & Hr. Dr. med. Weidenbach
- Dres. Michael Maasberg Marion Schmitz und Maria Theresia Keller
- Klinikum Grosshadern der LMU
- Staedtisches Krankenhaus Muenchen-Schwabing, Haematologie & Onkolgie
- Hamatol Onkol Praxisgemeinschaft Dres H H-D Schick/D Schick
- Klinikum rechts der Isar der TU München; III. Medizinischen Klinik (Hämatologie/Onkologie)
- Praxis Dr.med. Jens Uhlig
- Oncologianova GmbH
- Klinik der Uni Regensburg; Hämatologie/Onkologie, Studienzentrale
- Dres. Andreas Hübner, Andreas Lück und Petra Bruhn
- Dres. Ulrich Banhardt und Thomas Fietz
- Dres. Emil Höring Matthias Respondek und Ulrike Schwinger
- General Hospital of Athens Evangelismos; Hematology
- Laiko General Hospital of Athens; A Propedeutical Clinic of Internal Medicine
- University Hospital of Ioannina; Hematology
- University Hospital of Larissa; Hematology Dept.
- University Hospital Of Patras; Dept. Of Internal Medicine-Hematology Division
- Semmelweis University, First Dept of Medicine
- St Laszlo Hospital, Pharmacy
- National Institute of Oncology, A Dept of Internal Medicine
- Uni of Debrecen; 2Nd Clinic of Internal Medicine
- University of Pecs, I st Dept of Internal Medicine
- A.O. Universitaria Federico II Di Napoli; Oncologia Ed Endocrinologia Clinica
- Istituto Nazionale Tumori Irccs Fondazione g. Pascale;s.c. Ematologia Oncologica
- Ospedale Cardarelli; Divisione Di Ematologia
- A.O. Universitaria Policlinico S.Orsola-Malpighi Di Bologna
- A.O.U. Policlinico di Modena-Dipartimento di Medicina Diagnostica, Clinica e di Sanità pubblica
- 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
- Ospedale Maggiore Di Milano; U.O. Ematologia I - Padiglione Marcora
- Asst Grande Ospedale Metropolitano Niguarda; Dipartimento Di Ematologia Ed Oncologia
- A.O. Universitaria S. Giovanni Battista-Molinette Di Torino; Ematologia 1
- Uni Degli Studi Di Bari, Policlinico; Cattedra Di Ematologia,Dipart. Di Medicina Interna E Publica
- Ospedale Ferrarotto; Divisione Di Ematologia
- Az. Osp. Di Careggi; Divisione Di Ematologia
- Ospedale Santa Chiara; Unita Operativa Di Ematologia
- A.O. Universitaria Senese; Ematologia
- Azienda Sanitaria Di Bolzano; Ematologia E Centro Trapianto Mid.Osseo
- Uni Degli Studi; Dip.Med.Clinica E Sperim. Ematologia
- Ospedale Ca Foncello; Ematologia
- Uni Di Verona Policlinico G.B. Rossi; Divisione E Cattedra Di Ematologia
- Seamen' Hospital' Dept. of haematology
- Haukeland Universitetssykehus
- Oslo Universitetssykehus HF; Radiumhospitalet
- Helse Stavanger HF, Stavanger Universitetssjukehus; Klinikk for Blod og kreftsykdommer
- St. Olavs Hospital HF, Kreftavdelingen, Gastrosentret
- Policlinica de Diagnostic Rapid
- County Clinical Emergency Hospital Brasov
- Institutul Clinic Fundeni; Hematologie
- Spitalul Clinic Coltea; Clinica de Hematologie
- Spitalul Clinic Judetean de Urgenta Targu-Mures; compartiment Hematologie
- Spitalul Clinic municipal de Urgenta Timisoara; Clinica de Hematologie
- Regional Oncology Center
- N.N.Blokhin Russian Cancer Research Center; Dept. of Chemotherapy & Hemoblastosis
- Rus Med Academy for Postgraduate Education; Oncology Department
- City Clin Hosp n.a. S.P.Botkin
- Regional Clinical Hospital N.A. Semashko; Hematology
- Leningrad Regional Clinical Hospital
- Petrov Research Inst. of Oncology
- SRI of Hematology and Transfusiology
- National Oncology Inst. ; Dept. of Haematology
- Uni Hospital ; Dept. of Haematol. & Transfusion Medicine
- Institute of Oncology Ljubljana
- Hospital General Universitario de Elche; Servicio de Oncologia
- Hospital Univ. Central de Asturias; servicio de Hematologia
- Hospital Universitari Germans Trias i Pujol; Servicio de Hematologia
- Hospital de Jerez de la Frontera; Servicio de Hematologia
- Hospital Universitario Son Espases
- Hospital Quiron de Madrid; Servicio de Hematologia
- Hospital Universitario de Canarias;servicio de Hematologia
- Hospital Universitario de Canarias;servicio de Oncologia
- Hospital de la Santa Creu i Sant Pau; Servicio de Hematologia
- Hospital Universitari Vall d'Hebron; Servicio de Hematologia
- Hospital Duran i Reynals; Servicio de Hematologia
- Hospital San Pedro De Alcantara; Servicio de Hematologia
- Hospital Universitario San Cecilio; Servicio de Oncologia
- Complejo Hospitalario de Jaen- Hospital Universitario Medico Quirurgico; Servicio de Hematologia
- HOSPITAL DE MADRID NORTE SANCHINARRO- CENTRO INTEGRAL ONCOLOGICO CLARA CAMPAL; Servicio Hematologia
- Hospital Clinico Universitario Virgen de la Victoria; Servicio de Hematologia
- Complejo Hospitalario Universitario de Ourense, Servicio de Hematologia
- Hospital Arnau de Vilanova (Valencia) Servicio de Hematologia
- Complejo Hospitalario Zamora- H. Virgen de la Concha; Servicio de Hematología
- Hospital Royo Villanova; Servicio de Hematologia
- Laenssjukhuset; Medicinkliniken/Hematologsektionen
- Sunderby Sjukhus; Medicinkliniken
- Capio, S:T Gorans Hospital; Dept of Medicine
- Södersjukhuset, Medicinkliniken/Sektionen för Hematologi
- Uddevalla Sjukhus; Medicinkliniken
- Västmanlands sjukhus Västerås, Onkologmottagningen
- Ospedale San Giovanni; Oncologia
- UniversitätsSpital Zürich; Zentrum für Hämatologie und Onkologie, Klinik für Onkologie
- GATA (Gulhane Military Medical School)
- Hacettepe Uni Medical Faculty; Hematology
- Gazi Uni Medical School; Hematology
- Istanbul Uni Capa Medical Faculty; Inst. of Oncology
- Marmara University Pendik Training and Research Hospital, Hematology Department
- Erciyes Uni ; Hematology
- Birmingham Heartlands Hospital; Department of Haematology
- Royal Bournemouth General Hospital; Haematology
- Addenbrookes Hospital; Haematology
- Kent & Canterbury Hospital; Clinical Haematology
- Uni Hospital of Wales; Dept of Haematology
- Leicester Royal Infirmary; Dept of Haematology
- Royal Liverpool Uni Hospital; Haematology
- University College London, Department of Haematology
- The Royal Marsden Hospital; Dept of Medicine
- Freeman Hospital
- Norfolk & Norwich Hospital; Dept of Haematology
- Nottingham City Hospital; Dept of Haematology
- Churchill Hospital; Oxford Cancer and Haematology Centre
- Derriford Hospital; Haematology
- Royal Marsden Hospital; Dept. of Medicine
Arms of the Study
Arm 1
Arm 2
Other
Experimental
Maintenance II Period Observation Only
Maintenance II Period Rituximab
Participants will receive standard chemotherapy regimen in combination with 375 mg/m^2 rituximab IV in Cycle 1 (3-4 week-cycles), followed by 1400 mg rituximab SC every 3-4 weeks for 8 cycles (induction period); 1400 mg rituximab SC every 8 weeks for 24 months (Maintenance I period); no treatment in Maintenance II period until disease progression or end of study, whichever occurs first.
Participants will receive standard chemotherapy regimen in combination with 375 mg/m^2 rituximab IV in Cycle 1 (3-4 week-cycles), followed by 1400 mg rituximab SC every 3-4 weeks for 8 cycles (induction period); 1400 mg rituximab SC every 8 weeks for 24 months (Maintenance I period); 1400 mg rituximab SC every 8 weeks until disease progression or end of study, whichever occurs first (Maintenance II period).