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This is a prospective international, multi-center, randomized, double-blind controlled study designed to assess and compare the pharmacokinetics, pharmacodynamics and the safety of MabThera® and TL011, in combination with CHOP in previously untreated patients with diffuse large B cell lymphoma.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TL011 | Experimental |
| |
| MabThera® | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TL011 | Biological | 375 mg/m2 iv every 3 weeks for 8 cycles |
| |
| Measure | Description | Time Frame |
|---|---|---|
| AUC during a dosing interval for Rituximab | 21 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| PK and PD parameters | Throughout study |
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Inclusion Criteria:
Newly diagnosed subjects with a confirmed pathologic diagnosis of diffuse large B cell non-Hodgkin's lymphoma (DLBCL) based on the 2008 World Health Organization classification.
2.CD20+ lymphoma cells at screening
18-80 (inclusive) years of age at screening
Ann Arbor Stages I-IV at screening
Any IPI score at screening
ECOG good performance status (0-2) at screening
Willing and able to provide written informed consent prior to performing study procedures
Women of childbearing potential must use effective contraceptive methods starting from screening and until 12 months following the last infusion..
Exclusion Criteria:
Any lymphoma other than CD20+ DLBCL
History of indolent lymphoma
DLBCL with central nervous system or meningeal involvement
Primary gastrointestinal (MALT) lymphoma
Bulky disease>10 cm diagnosed by imaging at screening
Bone marrow involvement > 25% according to bone marrow biopsy at screening
Subjects previously treated with chemotherapy, radiotherapy, immunotherapy or experimental therapies for lymphoma or other malignancy
Hypersensitivity to active ingredients, excipients (sodium citrate, polysorbate 80, sodium chloride, sodium hydroxide, hydrochloric acid, water for injections) and murine proteins
Active uncontrolled infection (viral, bacterial or fungal infection) requiring systemic therapy at screening and/or at baseline visit.
A documented history of recurrent or chronic clinically significant infection (viral, bacterial or fungal infection)
Subjects with a history of tuberculosis or active tuberculosis at screening.
Immunodeficiency syndrome or Human immunodeficiency virus (HIV) seropositivity
Positive Hepatitis B surface antigen or antibodies to Hepatitis C
History of other cancer within the past 5 years except curatively treated non-melanoma skin cancer or in situ carcinoma of uterine cervix
Any major surgical procedure within 12 weeks prior to screening and between screening and baseline
Immunization with live viral vaccines less than 4 weeks prior to first study drug infusion, and/or planned live viral vaccination during study period.
Known allergic reactions against foreign proteins
Subjects for whom 8 cycles of CHOP might be problematic, and have the following findings/conditions, should not be enrolled:
Any other serious active disease or co-morbid medical condition (according to the investigator's decision and information provided in the Investigator Brochure of TL011)
Subjects who, according to the investigator, are likely to be non-compliant or uncooperative during the study.
Pregnant or lactating women or women that intend to get pregnant during study or within 12 months following the last infusion.
Treatment with any investigational drug within 90 days before planned first cycle of chemotherapy.
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| Name | Affiliation | Role |
|---|---|---|
| Mariano Provencio, MD, PhD | Hospital Universitario Puerta de Hierro | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Teva Investigational Site 59005 | Pleven | Bulgaria | ||||
| Teva Investigational Site 59003 |
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| Rituximab |
| Biological |
375 mg/m2 iv every 3 weeks for 8 cycles |
|
| Plovdiv |
| Bulgaria |
| Teva Investigational Site 59001 | Sofia | Bulgaria |
| Teva Investigational Site 59002 | Sofia | Bulgaria |
| Teva Investigational Site 59004 | Varna | Bulgaria |
| Teva Investigational Site 55001 | Tallinn | Estonia |
| Teva Investigational Site 55002 | Tartu | Estonia |
| Teva Investigational Site 35066 | Paris | France |
| Teva Investigational Site 51026 | Debrecen | Hungary |
| Teva Investigational Site 30001 | Florence | Italy |
| Teva Investigational Site 30002 | Naples | Italy |
| Teva Investigational Site 56002 | Daugavpils | Latvia |
| Teva Investigational Site 56001 | Riga | Latvia |
| Teva Investigational Site 56003 | Riga | Latvia |
| Teva Investigational Site 53010 | Warsaw | Poland |
| Teva Investigational Site 50011 | Arkhangelsk | Russia |
| Teva Investigational Site 50001 | Chelyabinsk | Russia |
| Teva Investigational Site 50006 | Kazan' | Russia |
| Teva Investigational Site 50014 | Kursk | Russia |
| Teva Investigational Site 50005 | Moscow | Russia |
| Teva Investigational Site 50009 | Moscow | Russia |
| Teva Investigational Site 50010 | Moscow | Russia |
| Teva Investigational Site 50003 | Novosibirsk | Russia |
| Teva Investigational Site 50017 | Pyatigorsk | Russia |
| Teva Investigational Site 50012 | Saint Petersburg | Russia |
| Teva Investigational Site 50015 | Tomsk | Russia |
| Teva Investigational Site 50004 | Yekaterinburg | Russia |
| Teva Investigational Site 31005 | Elche-Alicante | Spain |
| Teva Investigational Site 31006 | Las Palmas de Gran Canaria | Spain |
| Teva Investigational Site 31002 | Madrid | Spain |
| Teva Investigational Site 31001 | Majadahonda-Madrid | Spain |
| Teva Investigational Site 31003 | Valencia | Spain |
| Teva Investigational Site 31004 | Valencia | Spain |
| Teva Investigational Site 58011 | Cherkasy | Ukraine |
| Teva Investigational Site 58013 | Dnipropetrovsk | Ukraine |
| Teva Investigational Site 58014 | Donetsk | Ukraine |
| Teva Investigational Site 58017 | Khmelnytskyi | Ukraine |
| Teva Investigational Site 58010 | Kyiv | Ukraine |
| Teva Investigational Site 58012 | Kyiv | Ukraine |
| Teva Investigational Site 58015 | Kyiv | Ukraine |
| Teva Investigational Site 58016 | Simferopol | Ukraine |
| ID | Term |
|---|---|
| D000069283 | Rituximab |
| ID | Term |
|---|---|
| D058846 | Antibodies, Monoclonal, Murine-Derived |
| D000911 | Antibodies, Monoclonal |
| D000906 | Antibodies |
| D007136 | Immunoglobulins |
| D007162 | Immunoproteins |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D012712 | Serum Globulins |
| D005916 | Globulins |
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