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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00112931
Registration number
NCT00112931
Ethics application status
Date submitted
2/06/2005
Date registered
3/06/2005
Titles & IDs
Public title
Rituximab in Treating Patients With Newly Diagnosed Stage II, Stage III, or Stage IV Follicular Non-Hodgkin's Lymphoma
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Scientific title
An Intergroup Randomised Trial of Rituximab Versus a Watch and Wait Strategy in Patients With Advanced Stage, Asymptomatic, Non-Bulky Follicular Lymphoma
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Secondary ID [1]
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CRUK-2004-001621-16
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Secondary ID [2]
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CDR0000427312
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Lymphoma
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Condition category
Condition code
Cancer
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Lymphoma (non Hodgkin's lymphoma) - High grade lymphoma
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Cancer
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Lymphoma (non Hodgkin's lymphoma) - Low grade lymphoma
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Active comparator: Watch and Wait - Watch and Wait - no treatment
Experimental: Arm C Rituximab 4 and Rixuximab Maintenance - 4 infusions - 375mg/m2 every 2 months. A single dose of rituximab (375mg/m2 will then be given at 12, 20, 28, 36, 44, 52, 60, 68, 76, 84, 92 and 100 weeks
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Time until initiation of therapy (chemotherapy or radiotherapy)
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Assessment method [1]
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Timepoint [1]
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Time from randomisation until the first day systemic chemotherapy or radiotherapy is given. If rituximab is given to patients in the watch and wait arm this will be considered as initiation of chemotherapy.
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Secondary outcome [1]
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Frequency of clinical spontaneous remission
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Assessment method [1]
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Timepoint [1]
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From randomisation until the initiation of chemotherapy in the watch and wait arm
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Secondary outcome [2]
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Cause specific survival
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Assessment method [2]
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Timepoint [2]
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Time from randomisation to death from lymphoma or immediate therapy related toxicity
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Secondary outcome [3]
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Overall survival
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Assessment method [3]
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Timepoint [3]
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Time from randomisation to death from any cause.
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Secondary outcome [4]
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Response rate at 25 months
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Assessment method [4]
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Timepoint [4]
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Response at 25 months
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Eligibility
Key inclusion criteria
DISEASE CHARACTERISTICS:
* Histologically confirmed follicular non-Hodgkin's lymphoma
* Diagnosed within the past 3 months
* Grade 1, 2, or 3a disease
* Stage II-IV disease
* No evidence of histological transformation
* Bidimensionally measurable disease by clinical examination or radiography
* Asymptomatic disease without B symptoms or severe pruritus
* Low tumor burden, defined by all of the following criteria:
* Lactic dehydrogenase normal
* Largest nodal or extranodal mass < 7 cm
* No more than 3 nodal sites with a diameter > 3 cm
* No clinically detectable significant serous effusion by chest x-ray
* Clinically non-evident small effusion on CT scan is not considered significant
* Spleen enlargement = 16 cm by CT scan
* Circulating tumor cells < 5,000/mm^3
* No organ compression (i.e., ureteric obstruction)
PATIENT CHARACTERISTICS:
Age
* 18 and over
Performance status
* ECOG 0-1
Life expectancy
* Not specified
Hematopoietic
* Absolute neutrophil count > 1,500/mm^3
* Platelet count > 100,000/mm^3
* Hemoglobin > 10 g/dL
Hepatic
* AST and ALT normal
* Alkaline phosphatase normal
* Bilirubin normal
Renal
* Creatinine < 2 times upper limit of normal (unless due to lymphoma)
Other
* Not pregnant or nursing
* Fertile patients must use effective contraception during and for 12 months after completion of rituximab
* No known HIV positivity
* No other malignancy within the past 2 years except curatively treated basal cell or squamous cell skin cancer or carcinoma in situ of the cervix
* No critical organ failure
* No other immediate life-threatening disease
PRIOR CONCURRENT THERAPY:
Biologic therapy
* Not specified
Chemotherapy
* Not specified
Endocrine therapy
* Not specified
Radiotherapy
* Not specified
Surgery
* Not specified
Other
* No prior therapy for lymphoma
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Minimum age
18
Years
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Maximum age
120
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/09/2004
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
14/09/2023
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Sample size
Target
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Accrual to date
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Final
462
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Queen Elizabeth Hospital - Adelaide
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Recruitment hospital [2]
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Royal Adelaide Hospital - Adelaide
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Recruitment hospital [3]
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Ashford Cancer Centre - Black Forest
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Recruitment hospital [4]
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Boxhill Hospital - Box Hill
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Recruitment hospital [5]
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Royal Brisbane and Women's Hospital - Brisbane
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Recruitment hospital [6]
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Canberra Hospital - Canberra
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Recruitment hospital [7]
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Concord Repatriation General Hospital - Concord
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Recruitment hospital [8]
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Frankston Hospital - Frankston
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Recruitment hospital [9]
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Fremantle Hospital - Fremantle
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Recruitment hospital [10]
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Gosford Hospital - Gosford
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Recruitment hospital [11]
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Royal Hobart Hospital - Hobart
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Recruitment hospital [12]
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Nepean Hospital - Kingswood
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Recruitment hospital [13]
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Lismore Base Hospital - Lismore
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Recruitment hospital [14]
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Liverpool Hospital - Liverpool
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Recruitment hospital [15]
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Alfred Hospital - Melbourne
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Recruitment hospital [16]
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Austin Health - Melbourne
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Recruitment hospital [17]
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Peter MacCallum Cancer Centre - Melbourne
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Recruitment hospital [18]
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St Vincent's Hospital - Melbourne
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Recruitment hospital [19]
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Mater Misericordiae Hospital - Newcastle
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Recruitment hospital [20]
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Royal Perth Hospital - Perth
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Recruitment hospital [21]
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Royal North Shore Hospital - St Leonards
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Recruitment hospital [22]
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St Vincent's Hospital - Sydney
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Recruitment hospital [23]
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Westmead Hospital - Westmead
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Recruitment hospital [24]
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Murray Valley Private Hospital - Wodonga
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Recruitment hospital [25]
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Wollongong Hospital - Wollongong
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Recruitment hospital [26]
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Princess Alexandra Hospital - Woolloongabba
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Recruitment postcode(s) [1]
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- Adelaide
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Recruitment postcode(s) [2]
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- Black Forest
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Recruitment postcode(s) [3]
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- Box Hill
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Recruitment postcode(s) [4]
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- Brisbane
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Recruitment postcode(s) [5]
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- Canberra
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Recruitment postcode(s) [6]
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- Concord
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Recruitment postcode(s) [7]
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- Frankston
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Recruitment postcode(s) [8]
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- Fremantle
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Recruitment postcode(s) [9]
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- Gosford
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Recruitment postcode(s) [10]
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- Hobart
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Recruitment postcode(s) [11]
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- Kingswood
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Recruitment postcode(s) [12]
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- Lismore
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Recruitment postcode(s) [13]
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- Liverpool
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Recruitment postcode(s) [14]
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- Melbourne
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Recruitment postcode(s) [15]
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- Newcastle
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Recruitment postcode(s) [16]
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- Perth
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Recruitment postcode(s) [17]
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- St Leonards
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Recruitment postcode(s) [18]
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- Sydney
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Recruitment postcode(s) [19]
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- Westmead
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Recruitment postcode(s) [20]
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- Wodonga
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Recruitment postcode(s) [21]
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- Wollongong
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Recruitment postcode(s) [22]
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- Woolloongabba
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Auckland
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Country [2]
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New Zealand
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State/province [2]
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Christchurch
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Country [3]
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New Zealand
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State/province [3]
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Westlake
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Country [4]
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United Kingdom
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State/province [4]
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England
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Country [5]
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United Kingdom
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State/province [5]
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Scotland
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Country [6]
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United Kingdom
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State/province [6]
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Wales
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Funding & Sponsors
Primary sponsor type
Other
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Name
University College, London
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Address
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Other collaborator category [1]
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Other
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Name [1]
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Cancer Research UK
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Address [1]
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Country [1]
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Other collaborator category [2]
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Commercial sector/industry
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Name [2]
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Roche Pharma AG
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Address [2]
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Country [2]
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Ethics approval
Ethics application status
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Summary
Brief summary
RATIONALE: Monoclonal antibodies, such as rituximab, can block cancer growth in different ways. Some block the ability of cancer cells to grow and spread. Others find cancer cells and help kill them or carry cancer-killing substances to them. It is not yet known whether rituximab is more effective than observation in treating non-Hodgkin's lymphoma. PURPOSE: This randomized phase III trial is studying rituximab to see how well it works compared to observation in treating patients with newly diagnosed stage II, stage III, or stage IV follicular non-Hodgkin's lymphoma with no symptoms.
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Trial website
https://clinicaltrials.gov/study/NCT00112931
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Trial related presentations / publications
Ardeshna KM, Qian W, Smith P, Braganca N, Lowry L, Patrick P, Warden J, Stevens L, Pocock CF, Miall F, Cunningham D, Davies J, Jack A, Stephens R, Walewski J, Ferhanoglu B, Bradstock K, Linch DC. Rituximab versus a watch-and-wait approach in patients with advanced-stage, asymptomatic, non-bulky follicular lymphoma: an open-label randomised phase 3 trial. Lancet Oncol. 2014 Apr;15(4):424-35. doi: 10.1016/S1470-2045(14)70027-0. Epub 2014 Mar 4.
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Public notes
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Contacts
Principal investigator
Name
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Kirit Ardeshna
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Address
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Mount Vernon Cancer Centre at Mount Vernon Hospital
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Undecided
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT00112931