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NCT00075946 · OUTCOME

Time to Rituximab Failure (TTRF)

Rituximab in Treating Patients With Low Tumor Burden Indolent Non-Hodgkin's Lymphoma · Source last updated 2024-02-01

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
MEDIAN
Unit
years
Interval / dispersion
95% Confidence Interval
Time frame
Assessed (by restaging CT scans) 26 weeks ± 2 weeks from each rituximab treatment (including induction), counting the first rituximab dose as Day 1, until rituximab failure observed or July 17, 2013, whichever occurred first.

What was measured

TTRF is defined as the time from randomization until any one of the following criteria are met, and censored at last disease assessment for cases who have not experienced failure (with the cut-off date for final analysis of 11/1/2011): 1. No response (partial response (PR) or complete response (CR)) to rituximab retreatment (Arm A treatment). 2. Time to progression \< 26 weeks from day 1 of most recent rituximab treatment. 3. Initiation of alternative therapy. 4. Inability to complete protocol therapy (due to adverse events, patient preference, or any other reason, including death).

Analysis population: Eligible patients who were randomized to one of the two arms for maintenance therapy.

Groups in this outcome

Rituximab Retreatment: Follicular Patients

Following induction rituximab, patients who were randomized to this arm received rituximab IV once a week for 4 weeks upon disease progression provided time to progression is more than 6 months. Follicular and non-follicular patients were analyzed separately per protocol.

Rituximab Scheduled: Follicular Patients

Following induction rituximab, patients who were randomized to this arm received a single dose of rituximab IV once every 13 weeks until disease progression and in the absence of unacceptable toxicity. Follicular and non-follicular patients were analyzed separately per protocol.

Rituximab Retreatment: Non-Follicular Patients

Following induction rituximab, patients who were randomized to this arm received rituximab IV once a week for 4 weeks upon disease progression provided time to progression is more than 6 months. Follicular and non-follicular patients were analyzed separately per protocol.

Rituximab Scheduled: Non-Follicular Patients

Following induction rituximab, patients who were randomized to this arm received a single dose of rituximab IV once every 13 weeks until disease progression and in the absence of unacceptable toxicity. Follicular and non-follicular patients were analyzed separately per protocol.

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
Rituximab Retreatment: Follicular Patients143
Rituximab Scheduled: Follicular Patients146
Rituximab Retreatment: Non-Follicular Patients23
Rituximab Scheduled: Non-Follicular Patients29

Reported measurements

Source class 1
Values in years · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Rituximab Retreatment: Follicular Patients3.92Not reported3.094.93Not reported
Rituximab Scheduled: Follicular Patients4.32Not reported3.534.98Not reported
Rituximab Retreatment: Non-Follicular Patients1.39Not reported1.07NAUpper boundary has not been reached
Rituximab Scheduled: Non-Follicular Patients4.83Not reported2.46NAUpper boundary has not been reached

Source statistical analyses

Group order, estimate direction, methods and comments are retained. No treatment ranking is inferred.

  1. ci Lower Limit
    0.90
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.88
    estimate Comment
    Hazard ratio is for Rituximab Retreatment Arm/Rituximab Scheduled Arm in follicular patients.
    group Description
    The primary analysis is to compare the time to rituximab failure (TTRF) between the retreatment arm and the scheduled arm in follicular patients.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER_LEGACY
    p Value
    0.33
    param Type
    Hazard Ratio (HR)
    param Value
    1.3
    statistical Method
    Log Rank
  2. ci Lower Limit
    1.22
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    6.19
    estimate Comment
    Hazard ratio is for Rituximab Retreatment Arm/Rituximab Scheduled Arm in non-follicular patients.
    group Ids
    1. OG002
    2. OG003
    non Inferiority Type
    SUPERIORITY_OR_OTHER_LEGACY
    p Value
    0.012
    param Type
    Hazard Ratio (HR)
    param Value
    2.75
    statistical Method
    Log Rank
Complete source fields
analyses
  1. ci Lower Limit
    0.90
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.88
    estimate Comment
    Hazard ratio is for Rituximab Retreatment Arm/Rituximab Scheduled Arm in follicular patients.
    group Description
    The primary analysis is to compare the time to rituximab failure (TTRF) between the retreatment arm and the scheduled arm in follicular patients.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER_LEGACY
    p Value
    0.33
    param Type
    Hazard Ratio (HR)
    param Value
    1.3
    statistical Method
    Log Rank
  2. ci Lower Limit
    1.22
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    6.19
    estimate Comment
    Hazard ratio is for Rituximab Retreatment Arm/Rituximab Scheduled Arm in non-follicular patients.
    group Ids
    1. OG002
    2. OG003
    non Inferiority Type
    SUPERIORITY_OR_OTHER_LEGACY
    p Value
    0.012
    param Type
    Hazard Ratio (HR)
    param Value
    2.75
    statistical Method
    Log Rank
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        3.09
        upper Limit
        4.93
        value
        3.92
      2. group Id
        OG001
        lower Limit
        3.53
        upper Limit
        4.98
        value
        4.32
      3. comment
        Upper boundary has not been reached
        group Id
        OG002
        lower Limit
        1.07
        upper Limit
        NA
        value
        1.39
      4. comment
        Upper boundary has not been reached
        group Id
        OG003
        lower Limit
        2.46
        upper Limit
        NA
        value
        4.83
denoms
  1. counts
    1. group Id
      OG000
      value
      143
    2. group Id
      OG001
      value
      146
    3. group Id
      OG002
      value
      23
    4. group Id
      OG003
      value
      29
    units
    Participants
description
TTRF is defined as the time from randomization until any one of the following criteria are met, and censored at last disease assessment for cases who have not experienced failure (with the cut-off date for final analysis of 11/1/2011): 1. No response (partial response (PR) or complete response (CR)) to rituximab retreatment (Arm A treatment). 2. Time to progression \< 26 weeks from day 1 of most recent rituximab treatment. 3. Initiation of alternative therapy. 4. Inability to complete protocol therapy (due to adverse events, patient preference, or any other reason, including death).
dispersion Type
95% Confidence Interval
groups
  1. description
    Following induction rituximab, patients who were randomized to this arm received rituximab IV once a week for 4 weeks upon disease progression provided time to progression is more than 6 months. Follicular and non-follicular patients were analyzed separately per protocol.
    id
    OG000
    title
    Rituximab Retreatment: Follicular Patients
  2. description
    Following induction rituximab, patients who were randomized to this arm received a single dose of rituximab IV once every 13 weeks until disease progression and in the absence of unacceptable toxicity. Follicular and non-follicular patients were analyzed separately per protocol.
    id
    OG001
    title
    Rituximab Scheduled: Follicular Patients
  3. description
    Following induction rituximab, patients who were randomized to this arm received rituximab IV once a week for 4 weeks upon disease progression provided time to progression is more than 6 months. Follicular and non-follicular patients were analyzed separately per protocol.
    id
    OG002
    title
    Rituximab Retreatment: Non-Follicular Patients
  4. description
    Following induction rituximab, patients who were randomized to this arm received a single dose of rituximab IV once every 13 weeks until disease progression and in the absence of unacceptable toxicity. Follicular and non-follicular patients were analyzed separately per protocol.
    id
    OG003
    title
    Rituximab Scheduled: Non-Follicular Patients
param Type
MEDIAN
population Description
Eligible patients who were randomized to one of the two arms for maintenance therapy.
reporting Status
POSTED
time Frame
Assessed (by restaging CT scans) 26 weeks ± 2 weeks from each rituximab treatment (including induction), counting the first rituximab dose as Day 1, until rituximab failure observed or July 17, 2013, whichever occurred first.
title
Time to Rituximab Failure (TTRF)
type
PRIMARY
unit Of Measure
years

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Preserved source evidence · Independent clinical review pending · Not medical advice