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Sponsor: Hoffmann-La Roche
Conditions: Diffuse Large B-Cell Lymphoma
Interventions: Rituximab, Obinutuzumab, Cyclophosphamide, Doxorubicin, Vincristine
Countries: United States, Argentina, Australia, Austria, Brazil, Canada, China, Colombia
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.
Sex: ALL
Age: 18 Years to —
Healthy volunteers: No
Study type: INTERVENTIONAL
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 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
- Birmingham, Alabama, United States
- Chandler, Arizona, United States
- Tucson, Arizona, United States
- Encinitas, California, United States
- Encinitas, California, United States
- Los Angeles, California, United States
- Aurora, Colorado, United States
- Fort Myers, Florida, United States
- St. Petersburg, Florida, United States
- Macon, Georgia, United States
- Galesburg, Illinois, United States
- Joliet, Illinois, United States
- Niles, Illinois, United States
- Urbana, Illinois, United States
- Portland, Maine, United States
- Saint Louis Park, Minnesota, United States
- Woodbury, Minnesota, United States
- Albany, New York, United States
- Charlotte, North Carolina, United States
- Winston-Salem, North Carolina, United States
- Middletown, Ohio, United States
- Sandusky, Ohio, United States
- Springfield, Oregon, United States
- Charleston, South Carolina, United States
- Columbia, South Carolina, United States
- Chattanooga, Tennessee, United States
- Nashville, Tennessee, United States
- Amarillo, Texas, United States
- Fort Worth, Texas, United States
- Houston, Texas, United States
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