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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/ct2/show/NCT01287741




Registration number
NCT01287741
Ethics application status
Date submitted
31/01/2011
Date registered
1/02/2011
Date last updated
12/04/2019

Titles & IDs
Public title
A Study of Obinutuzumab in Combination With CHOP Chemotherapy Versus Rituximab With CHOP in Participants With CD20-Positive Diffuse Large B-Cell Lymphoma (GOYA)
Scientific title
A Phase III, Multicenter, Open-Label Randomized Trial Comparing the Efficacy of GA101 (RO5072759) in Combination With CHOP (G-CHOP) Versus Rituximab and CHOP (R-CHOP) in Previously Untreated Patients With CD20-Positive Diffuse Large B-Cell Lymphoma (DLBCL)
Secondary ID [1] 0 0
2010-024194-39
Secondary ID [2] 0 0
BO21005
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Diffuse Large B-Cell Lymphoma 0 0
Condition category
Condition code
Cancer 0 0 0 0
Lymphoma (non Hodgkin's lymphoma) - High grade lymphoma
Cancer 0 0 0 0
Lymphoma (non Hodgkin's lymphoma) - Low grade lymphoma

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - Rituximab
Treatment: Drugs - Obinutuzumab
Treatment: Drugs - Cyclophosphamide
Treatment: Drugs - Doxorubicin
Treatment: Drugs - Vincristine
Treatment: Drugs - Prednisone

Active Comparator: Rituximab+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.

Experimental: Obinutuzumab+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.


Treatment: Drugs: Rituximab
Rituximab at a dose of 375 mg/m^2, administered by intravenous (IV) infusion on Day 1 of each 21-day cycle for 8 cycles.

Treatment: Drugs: Obinutuzumab
Obinutuzumab 1000 mg IV infusion, administered on Day 1 of each 21-day cycle for 8 cycles. During Cycle 1, obinutuzumab was also infused on Days 8 and 15.

Treatment: Drugs: Cyclophosphamide
Cyclophosphamide 750 milligrams per square metre (mg/m^2), administered intravenously (IV) on Day 1 of each 21-day cycle.

Treatment: Drugs: Doxorubicin
Doxorubicin 50 mg/m^2 IV, administered on Day 1 of each 21-day cycle.

Treatment: Drugs: Vincristine
Vincristine 1.4 mg/m^2 (maximum 2 mg) IV, administered on Day 1 of each 21-day cycle.

Treatment: Drugs: Prednisone
Prednisone 100 mg (or equivalent prednisolone or methylprednisolone), administered orally on Days 1-5 of each 21-day cycle.

Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Median Time to Progression-Free Survival (PFS), Investigator-Assessed
Timepoint [1] 0 0
Baseline up to approximately 6.5 years (up to 31 January 2018)
Secondary outcome [1] 0 0
Median Time to Progression-Free Survival (PFS), Independent Review Committee (IRC)-Assessed
Timepoint [1] 0 0
Baseline up to approximately 4 years and 9 months (up to 29 April 2016)
Secondary outcome [2] 0 0
Median Time to Overall Survival (OS)
Timepoint [2] 0 0
Baseline up to approximately 6.5 years (up to 31 January 2018)
Secondary outcome [3] 0 0
Overall Response Rate (ORR), Investigator-Assessed
Timepoint [3] 0 0
Baseline up to approximately 6.5 years (up to 31 January 2018)
Secondary outcome [4] 0 0
Overall Response Rate (ORR), IRC-Assessed
Timepoint [4] 0 0
Baseline up to approximately 4 years and 9 months (up to 29 April 2016)
Secondary outcome [5] 0 0
Complete Response (CR) at the End of Treatment, Investigator-Assessed
Timepoint [5] 0 0
Baseline up to approximately 6.5 years (up to 31 January 2018)
Secondary outcome [6] 0 0
Complete Response (CR) at the End of Treatment, IRC-Assessed
Timepoint [6] 0 0
Baseline up to approximately 4 years and 9 months (up to 29 April 2016)
Secondary outcome [7] 0 0
Median Time to Event-Free Survival (EFS), Investigator-Assessed
Timepoint [7] 0 0
Baseline up to death or disease progression, or initiation of new anti-lymphoma treatment (NALT), whichever occurred first, approximately 6.5 years (up to 31 January 2018)
Secondary outcome [8] 0 0
Median Time to Disease-Free Survival (DFS), Investigator-Assessed
Timepoint [8] 0 0
Baseline up to death or disease progression, whichever occurred first, approximately 6.5 years (up to 31 January 2018)
Secondary outcome [9] 0 0
Duration of Response (DOR), Investigator-Assessed
Timepoint [9] 0 0
Baseline up to death or disease progression, whichever occurred first, approximately 6.5 years (up to 31 January 2018)
Secondary outcome [10] 0 0
Time to Next Anti-Lymphoma Treatment (TTNALT)
Timepoint [10] 0 0
Baseline up to start of next anti-lymphoma treatment or death due to any cause, whichever occurred first, approximately 6.5 years (31 January 2018)
Secondary outcome [11] 0 0
Percentage of Participants With Adverse Events (AEs)
Timepoint [11] 0 0
Baseline up to approximately 6.5 years (up to 31 January 2018)
Secondary outcome [12] 0 0
Percentage of Participants With Human Anti-Human Antibodies (HAHAs) to Obinutuzumab
Timepoint [12] 0 0
Pre-dose (Hour 0) on Cycle (C) 4 Day (D) 1, at end of treatment/early termination (up to Month 6), every 6 months thereafter for 30 months (cycle length = 21 days)
Secondary outcome [13] 0 0
Change From Baseline in Functional Assessment of Cancer Therapy-Lymphoma (FACT-Lym) Subscale Score
Timepoint [13] 0 0
Baseline (pre-dose [Hour 0] on C1D1), C3D1, end of treatment (up to Month 6), every 12 months thereafter up to approximately 6.5 years, (cycle length = 21 days)
Secondary outcome [14] 0 0
Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Core 30 (EORTC QLQ-C30) Domain Scores
Timepoint [14] 0 0
Baseline (pre-dose [Hour 0] on C1D1), C3D1, end of treatment (up to Month 6), every 12 months thereafter up to data cut-off, up to approximately 6.5 years, (cycle length = 21 days)
Secondary outcome [15] 0 0
Serum Concentrations of Obinutuzumab in Japanese Participants With Diffuse Large B-Cell Lymphoma (DLBCL)
Timepoint [15] 0 0
C1: D1 post-infusion and 20-28 and 66-80 hours after end of infusion, D8 and D15 pre-and post-infusion; C2: D1 pre- and post-infusion; C4: D1 pre- and post-infusion; C6: D1 pre- and post-infusion; C8: D1 pre- and post-infusion (cycle length = 21 days)

Eligibility
Key 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
Minimum age
18 Years
Maximum age
No limit
Sex
Both males and females
Can healthy volunteers participate?
No
Key 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

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Open (masking not used)
Who is / are masked / blinded?



Intervention assignment
Parallel
Other design features
Phase
Phase 3
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Terminated
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
QLD,VIC,WA
Recruitment hospital [1] 0 0
Cairns Base Hospital; Cancer Care Centre - Cairns
Recruitment hospital [2] 0 0
Frankston Hospital; Oncology/Haematology - Frankston
Recruitment hospital [3] 0 0
Monash Medical Centre; Haematology - Melbourne
Recruitment hospital [4] 0 0
Fiona Stanley Hospital - Murdoch
Recruitment postcode(s) [1] 0 0
4870 - Cairns
Recruitment postcode(s) [2] 0 0
3199 - Frankston
Recruitment postcode(s) [3] 0 0
3168 - Melbourne
Recruitment postcode(s) [4] 0 0
6150 - Murdoch
Recruitment outside Australia
Country [1] 0 0
United States of America
State/province [1] 0 0
Alabama
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United States of America
State/province [2] 0 0
Arizona
Country [3] 0 0
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State/province [3] 0 0
California
Country [4] 0 0
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Colorado
Country [5] 0 0
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State/province [5] 0 0
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Georgia
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Illinois
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United States of America
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Maine
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Minnesota
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New York
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North Carolina
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Oregon
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South Carolina
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Tennessee
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Texas
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United States of America
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Virginia
Country [18] 0 0
United States of America
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Washington
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Argentina
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Cordoba
Country [20] 0 0
Argentina
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Rosario
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Austria
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Innsbruck
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Austria
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Salzburg
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Austria
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Wien
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Brazil
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RS
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Brazil
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SC
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Brazil
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SP
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Nova Scotia
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Ontario
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Saskatchewan
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Changsha
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Fujian
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Fuzhou
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Czechia
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Brno
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København Ø
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Roskilde
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Germany
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Erlangen
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Germany
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Gyor
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Friuli-Venezia Giulia
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Lazio
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Liguria
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Italy
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Lombardia
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Italy
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Piemonte
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Italy
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Puglia
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Sicilia
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Italy
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Toscana
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Umbria
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Aichi
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Chiba
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Fukuoka
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Japan
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Gifu
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Hokkaido
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Japan
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Hyogo
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Japan
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Iwate
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Kanagawa
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Kyoto
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Niigata
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Japan
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Okayama
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Osaka
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Japan
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Shimane
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Tochigi
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Tokyo
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Korea, Republic of
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Gyeonggi-do
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Korea, Republic of
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Jeollanam-do
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Korea, Republic of
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Seoul
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Mexico
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Chihuahua
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Oaxaca
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Mexico
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Queretaro
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Panama
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Panama
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Peru
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Lima
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Poland
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Brzozów
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Gdansk
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Lodz
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Lublin
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Warszawa
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Wroclaw
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Russian Federation
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Kazan
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Russian Federation
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Moscow
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Russian Federation
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Nizhny Novgorod
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Russian Federation
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Penza
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Russian Federation
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Petrozavodsk
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Russian Federation
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St Petersburg
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Serbia
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Belgrade
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Serbia
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Novi Sad
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Slovakia
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Bratislava
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South Africa
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Cape Town
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South Africa
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Groenkloof
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South Africa
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Johannesburg
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South Africa
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Parktown, Johannesburg
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South Africa
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Pretoria
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Spain
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Navarra
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Spain
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Tarragona
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Spain
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Barcelona
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Spain
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Madrid
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Spain
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Pontevedra
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Spain
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Sevilla
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Spain
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Toledo
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Switzerland
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Aarau
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Switzerland
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Bellinzona
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Switzerland
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Chur
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Switzerland
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Zürich
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Taiwan
State/province [140] 0 0
Taipei
Country [141] 0 0
Taiwan
State/province [141] 0 0
Taoyuan
Country [142] 0 0
Thailand
State/province [142] 0 0
Bangkok
Country [143] 0 0
Thailand
State/province [143] 0 0
Khon Kaen
Country [144] 0 0
United Kingdom
State/province [144] 0 0
Aberdeen
Country [145] 0 0
United Kingdom
State/province [145] 0 0
Birmingham
Country [146] 0 0
United Kingdom
State/province [146] 0 0
Cambridge
Country [147] 0 0
United Kingdom
State/province [147] 0 0
Leicester
Country [148] 0 0
United Kingdom
State/province [148] 0 0
Wolverhampton

Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
Name
Hoffmann-La Roche
Address
Country
Other collaborator category [1] 0 0
Other
Name [1] 0 0
Fondazione Italiana Linfomi - ETS
Address [1] 0 0
Country [1] 0 0

Ethics approval
Ethics application status

Summary
Brief summary
This open-label, randomized, parallel group study will evaluate the efficacy and safety of
obinutuzumab in combination with cyclophosphamide, doxorubicin, vincristine, and prednisolone
or prednisone (CHOP) chemotherapy versus rituximab (MabThera/Rituxan) with CHOP in previously
untreated participants with cluster of differentiation 20 (CD20)-positive diffuse large
B-cell lymphoma (DLBCL). Participants will be randomized to receive either obinutuzumab 1000
milligrams (mg) intravenously (IV) every 21 days or rituximab 375 milligrams per square meter
(mg/m^2) IV every 21 days for 8 cycles, in addition to 6-8 cycles of CHOP chemotherapy IV
every 21 days. Participants randomized to the obinutuzumab arm will receive an additional two
doses on Days 8 and 15 of Cycle 1. Anticipated time on study treatment is 24 weeks.
Trial website
https://clinicaltrials.gov/ct2/show/NCT01287741
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Clinical Trials
Address 0 0
Hoffmann-La Roche
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries



Summary Results

For IPD and results data, please see https://clinicaltrials.gov/ct2/show/NCT01287741