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Brief Title: Study of RTXM83 Plus CHOP Chemotherapy Versus a Rituximab Plus CHOP Therapy in Patients With Non Hodgkin's Lymphoma
Official Title: A Randomized, Double-blind, Phase III Study Comparing Biosimilar Rituximab (RTXM83) Plus CHOP Chemotherapy Versus a Reference Rituximab Plus CHOP (R-CHOP) in Patients With Diffuse Large B-cell Lymphoma (DLBCL) Given as First Line
Study ID: NCT02268045
Brief Summary: This is a multicenter, double-blind, randomized study comparing the efficacy, pharmacokinetics (PK)/pharmacodynamics (PD), safety and immunogenicity profile of RTXM83 (rituximab biosimilar) vs reference rituximab (MabThera®), both with CHOP, as first-line treatment of Diffuse-Large-B-Cell-Lymphoma (DLBCL). Rituximab biosimilar and MabThera® were both administered intravenously on Day 1 of each 3-week cycle with CHOP chemotherapy for six cycles. Two additional cycles of treatment were permitted at the Investigator's discretion. Patients were followed up for 9 months after last study dose.
Detailed Description: The primary endpoint of the investigation is to determine if the response rate obtained with RTXM83 combined with CHOP is non inferior to the response rate obtained with reference rituximab combined with CHOP. The present study is a non inferiority trial and the study hypothesis is the following: H0: pc ≥ pe + δ vs. H1: pc \< pe + δ where, pe: proportion of successes in the experimental group (RTXM83+CHOP) pc: proportion of successes in the control group (Reference Rituximab+CHOP) Type I error: the difference pc-pe is less than δ when in fact the difference is greater than or equal to δ ie, the investigators choose the experimental treatment when the control treatment is actually substantially better. Type II error: the difference -pe is greater than or equal to δ when it is actually lest than δ ie, the investigators choose the control treatment when the experimental treatment is essentially just as good.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Hosp. Interzonal "R" Carrillo, Ciudadela, Bariloche, Argentina
Clinica Radiologica del Sur, Cipolletti, Río Negro, Argentina
Clinica Viedma, Viedma, Río Negro, Argentina
Hospital Britanico, Buenos Aires, , Argentina
Hospital Gral. de Agudos Donación Francisco Santojanni, Buenos Aires, , Argentina
Instituto Roffo, Buenos Aires, , Argentina
Centro Oncologico Riojano Integral (CORI), Cordoba, , Argentina
Hospital Nacional de Clinicas, Cordoba, , Argentina
Hospital Privado de Cordoba, Cordoba, , Argentina
Sanatorio Allende, Cordoba, , Argentina
Ctr. Oncologico de Rosario, Rosario, , Argentina
Inst. Cardiovascular Rosario, Rosario, , Argentina
Instituto de Hematología y Medicina Clínica Dr. Rubén Dávoli, Rosario, , Argentina
Sanatorio Parque, Rosario, , Argentina
Fundación ARS Médica, San Salvador de Jujuy, , Argentina
Hospital J. B. Iturraspe, Santa Fe, , Argentina
Hospital Angel Padilla, Tucumán, , Argentina
Hospital Clinicas Porto Alegre, Pôrto Alegre, Rio Grande Do Sul, Brazil
Hospital de Caridade de Ijuí, Ijuí, RS, Brazil
Hospital da Cidade de Passo Fundo, Passo Fundo, RS, Brazil
Hospital São Lucas da PUCRS, Porto Alegre, RS, Brazil
Hospital Santa Marcelina, Itaquera, Sao Paulo, Brazil
Hospital Amaral Carvalho Jaú, Jaú, SP, Brazil
Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo-HCFMRP, Ribeirão Preto, SP, Brazil
CEPHO - Centro de Estudos e Pesquisas de Hematologia e Oncologia / Faculdade de Medicina do ABC, Santo André, SP, Brazil
Fundação Antônio Prudente - AC Camargo Câncer Center, Sao Paulo, SP, Brazil
Hospital das Clinicas-UFMG, Belo Horizonte, , Brazil
UNICAMP-Univ Zeferino Vaz, Campinas, , Brazil
Hospital Uniao Oeste Paranaense de Estudos e Comabte ao Cancer (UOPECCAN), Cascavel, , Brazil
Hospital Erasto Gaertner CEPEP, Curitiba, , Brazil
Hospital das Clínicas da Universidade Federal de Goiás, Goiânia, , Brazil
Santa Casa de Porto Alegre, Porto Alegre, , Brazil
Hospital Universitário Clemente Fraga Filho - UFRJ, Rio de Janeiro, , Brazil
Instituto COI de Educação e Pesquisa, Rio de Janeiro, , Brazil
Instituto Est. de Hematologia Arthur de Siqueira Cavalcanti, Rio de Janeiro, , Brazil
Monte Tabor - Hospital São Rafael, Salvador, , Brazil
Centro de Pesquisa do Instituto Brasileiro de Controle do Câncer - IBCC, Sao Paulo, , Brazil
Hospital Clinica Faculdade Medicina USP, Sao Paulo, , Brazil
Hospital de Base de São José, São José do Rio Prêto, , Brazil
Inst. Nacional de Cancerologia, Bogotá, , Colombia
Fundación Valle de Lili, Cali, , Colombia
Hospital Pablo Tobon Uribe, Medellin, , Colombia
Srinivasam Cancer Care Hospital, Bangalore, , India
Cancer Institute, Chennai, , India
Rajiv Gandhi Cancer Institute and Research Centre, Delhi, , India
Bibi General Hospital&Canc Ct, Hyderabad, , India
Birla Cancer Center - SMS Hospital, Jaipur, , India
Health Point Multi-specialty Hospital, Kolkata, , India
Institute of Hematology and Transfusion Medicine, Kolkata, , India
Netaji Subhash Chandra Bose Cancer Research Institute, Kolkata, , India
Acharya Tulsi Regional Cancer Treatment and Research Institute, Madurai, , India
Guru Hospital, Madurai, , India
Meenakshi Mission Hospital, Madurai, , India
Kailash Cancer Hospital and Research Centre, Vadodara, , India
Dr. Hasan Sadikin Hospital, Bandung, , Indonesia
Dharmais N. C. Center, Jakarta, , Indonesia
Imam Khomeini Complex Hospital - Cancer Institute, Tehrān, , Iran, Islamic Republic of
Hospital Sultanah Aminah, Johor Bahru, , Malaysia
University Malaya Medical Centre - UMMC, Kuala Lumpur, , Malaysia
Mount Miriam Cancer Hospital, Pulau Pinang, , Malaysia
Hospital Pulau Pinang, Pulau Pinang, , Malaysia
Insituto Nacional de Cancerología, Mexico City, , Mexico
Instituto Privado de Hematologia e Investigaciona Clinica, Asunción, , Paraguay
Cebu Doctors University Hospital, Cebu, , Philippines
Perpetual Succour Hospital, Cebu, , Philippines
Davao Doctors Hospital, Davao, , Philippines
National Kidney and Transplant Institute, Quezon City, , Philippines
Veterans Memorial Medical Center, Quezon City, , Philippines
Arkhangelsk Clinical Oncology Dispensary, Arkhangelsk, , Russian Federation
Kursk regional clinical oncology dispensary, Kursk, , Russian Federation
N.N. Blokhin Russian Cancer Research Cente, Moscow, , Russian Federation
National Medical Surgical Center n.a. N.I. Pirogov, Moscow, , Russian Federation
Murmansk regional oncology dispensary, Murmansk, , Russian Federation
State Budgetary Healthcare Institution of Stavropol region "Pyatigorsk oncology center", Pyatigorsk, , Russian Federation
Rostov Scientific Research Oncology Institute, Rostov-na-Donu, , Russian Federation
Russian Research Center for Radiology and Surgical Technologies, Saint-Petersburg, , Russian Federation
Saint-Petersburg State Budgetary Institution "City Clinical Oncology Dispensary", Saint-Petersburg, , Russian Federation
Scientific Research Institute of Oncology n.a. N.N. Petrov, Saint-Petersburg, , Russian Federation
Oncology Center # 2, Sochi, , Russian Federation
Komi Republican Oncology Dispensary, Syktyvkar, , Russian Federation
State Healthcare Institution of Tula region "Tula regional clinical hospital", Tula, , Russian Federation
Republican Clinical Oncology Dispensary, Ufa, , Russian Federation
Volgograd Regional Clinical Oncology Center, Volgograd, , Russian Federation
Rainbow Oncology Centre, Amanzimtoti, , South Africa
Tygerberg Academic Hosp, Cape Town, , South Africa
GVI Oncology, Port Elizabeth, , South Africa
Chris Hani Baragwanath Hospital, Soweto, , South Africa
Name: Susana Millán, Phd
Affiliation: mAbxience Research S.L.
Role: STUDY_DIRECTOR