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NCT01010061 · OUTCOME

Percentage of Participants With End of Treatment Response (EOTR)

CLL11: A Study of Obinutuzumab (RO5072759 [GA101]) With Chlorambucil in Patients With Previously Untreated Chronic Lymphocytic Leukemia (Stage 1a) · Source last updated 2018-09-14

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

Measure
NUMBER
Unit
Percentage of participants
Interval / dispersion
95% Confidence Interval
Time frame
Randomization to clinical cutoff date of 10 Oct 2017 (median observation 62.5 months from randomization)

What was measured

EOTR was the first response assessment 56 days from the last dose according to the International Workshop on Chronic Lymphocytic Leukaemia (IWCLL) guidelines. CR required: Peripheral blood lymphocytes below 4 x 10\^9/L, Absence of significant lymphadenopathy, No hepatomegaly, No splenomegaly, Absence of disease, Blood counts above the following values (Neutrophils \>1.5 x 10\^9/L, Platelets \>100 x 10\^9/L, Hemoglobin \>11g/dL) and Bone marrow at least normocellular for age. CRi was CR with incomplete bone marrow recovery. PR required the following for at least 2 months from end of treatment: ≥50% decrease in peripheral blood lymphocyte count from the pre-treatment value AND Either a ≥ 50% reduction in lymphadenopathy OR ≥50% reduction of liver enlargement OR ≥50% reduction of spleen enlargement PLUS at least one of the following: Neutrophils \>1.5 x 10\^9/ or ≥50% increase, Platelets \>100 x 10\^9/L or ≥50% increase, Hemoglobin 11 g/dL or ≥50% increase.

Analysis population: Participants from the Intent-to-treat population (all randomized participants) with data available for analysis. Participants who did not reach the 3 month Follow-up visit at the time of the clinical cutoff are excluded.

Groups in this outcome

Obinutuzumab + Chlorambucil (GClb)

Participants received 1000 mg obinutuzumab intravenous (IV) infusion, on Days 1 \[first infusion split 100 mg on Day 1 and 900 mg on Day 2 as per protocol amendment\], 8 and 15 in Cycle 1 and Day 1 in Cycles 2-6 (28-day cycles) plus chlorambucil 0.5 mg/kg orally on Day 1 and 15 of each 28-day cycle (6 Cycles).

Chlorambucil (Clb)

Participants received chlorambucil 0.5 mg/kg orally on Day 1 and 15 of each 28-day cycle (6 Cycles). Participants with Progressive Disease or within 6 months of follow-up were allowed to cross over to receive obinutuzumab + chlorambucil.

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

Analysis denominator · Participants

GroupSource count
Obinutuzumab + Chlorambucil (GClb)238
Chlorambucil (Clb)118

Reported measurements

Complete Response (CR)
Values in Percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Obinutuzumab + Chlorambucil (GClb)17.2Not reported12.722.6Not reported
Chlorambucil (Clb)0.0Not reported0.03.1Not reported
Complete Response incomplete (CRi)
Values in Percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Obinutuzumab + Chlorambucil (GClb)4.2Not reported27.6Not reported
Chlorambucil (Clb)0.0Not reported0.03.1Not reported
Partial Response (PR)
Values in Percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Obinutuzumab + Chlorambucil (GClb)48.3Not reported41.854.9Not reported
Chlorambucil (Clb)28.8Not reported20.837.9Not reported
Nodular Partial Response (nPR)
Values in Percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Obinutuzumab + Chlorambucil (GClb)7.6Not reported4.511.7Not reported
Chlorambucil (Clb)2.5Not reported0.57.3Not reported
Stable Disease
Values in Percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Obinutuzumab + Chlorambucil (GClb)5Not reported2.68.6Not reported
Chlorambucil (Clb)22.9Not reported15.731.5Not reported
Progressive Disease
Values in Percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Obinutuzumab + Chlorambucil (GClb)4.2Not reported2.07.6Not reported
Chlorambucil (Clb)28.8Not reported20.837.9Not reported
No Response Assessment
Values in Percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Obinutuzumab + Chlorambucil (GClb)13.4Not reportedNANA95% CI not estimated.
Chlorambucil (Clb)16.9Not reportedNANA95% CI not estimated.
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        12.7
        upper Limit
        22.6
        value
        17.2
      2. group Id
        OG001
        lower Limit
        0.0
        upper Limit
        3.1
        value
        0.0
    title
    Complete Response (CR)
  2. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        2
        upper Limit
        7.6
        value
        4.2
      2. group Id
        OG001
        lower Limit
        0.0
        upper Limit
        3.1
        value
        0.0
    title
    Complete Response incomplete (CRi)
  3. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        41.8
        upper Limit
        54.9
        value
        48.3
      2. group Id
        OG001
        lower Limit
        20.8
        upper Limit
        37.9
        value
        28.8
    title
    Partial Response (PR)
  4. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        4.5
        upper Limit
        11.7
        value
        7.6
      2. group Id
        OG001
        lower Limit
        0.5
        upper Limit
        7.3
        value
        2.5
    title
    Nodular Partial Response (nPR)
  5. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        2.6
        upper Limit
        8.6
        value
        5
      2. group Id
        OG001
        lower Limit
        15.7
        upper Limit
        31.5
        value
        22.9
    title
    Stable Disease
  6. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        2.0
        upper Limit
        7.6
        value
        4.2
      2. group Id
        OG001
        lower Limit
        20.8
        upper Limit
        37.9
        value
        28.8
    title
    Progressive Disease
  7. categories
    1. measurements
      1. comment
        95% CI not estimated.
        group Id
        OG000
        lower Limit
        NA
        upper Limit
        NA
        value
        13.4
      2. comment
        95% CI not estimated.
        group Id
        OG001
        lower Limit
        NA
        upper Limit
        NA
        value
        16.9
    title
    No Response Assessment
denoms
  1. counts
    1. group Id
      OG000
      value
      238
    2. group Id
      OG001
      value
      118
    units
    Participants
description
EOTR was the first response assessment 56 days from the last dose according to the International Workshop on Chronic Lymphocytic Leukaemia (IWCLL) guidelines. CR required: Peripheral blood lymphocytes below 4 x 10\^9/L, Absence of significant lymphadenopathy, No hepatomegaly, No splenomegaly, Absence of disease, Blood counts above the following values (Neutrophils \>1.5 x 10\^9/L, Platelets \>100 x 10\^9/L, Hemoglobin \>11g/dL) and Bone marrow at least normocellular for age. CRi was CR with incomplete bone marrow recovery. PR required the following for at least 2 months from end of treatment: ≥50% decrease in peripheral blood lymphocyte count from the pre-treatment value AND Either a ≥ 50% reduction in lymphadenopathy OR ≥50% reduction of liver enlargement OR ≥50% reduction of spleen enlargement PLUS at least one of the following: Neutrophils \>1.5 x 10\^9/ or ≥50% increase, Platelets \>100 x 10\^9/L or ≥50% increase, Hemoglobin 11 g/dL or ≥50% increase.
dispersion Type
95% Confidence Interval
groups
  1. description
    Participants received 1000 mg obinutuzumab intravenous (IV) infusion, on Days 1 \[first infusion split 100 mg on Day 1 and 900 mg on Day 2 as per protocol amendment\], 8 and 15 in Cycle 1 and Day 1 in Cycles 2-6 (28-day cycles) plus chlorambucil 0.5 mg/kg orally on Day 1 and 15 of each 28-day cycle (6 Cycles).
    id
    OG000
    title
    Obinutuzumab + Chlorambucil (GClb)
  2. description
    Participants received chlorambucil 0.5 mg/kg orally on Day 1 and 15 of each 28-day cycle (6 Cycles). Participants with Progressive Disease or within 6 months of follow-up were allowed to cross over to receive obinutuzumab + chlorambucil.
    id
    OG001
    title
    Chlorambucil (Clb)
param Type
NUMBER
population Description
Participants from the Intent-to-treat population (all randomized participants) with data available for analysis. Participants who did not reach the 3 month Follow-up visit at the time of the clinical cutoff are excluded.
reporting Status
POSTED
time Frame
Randomization to clinical cutoff date of 10 Oct 2017 (median observation 62.5 months from randomization)
title
Percentage of Participants With End of Treatment Response (EOTR)
type
SECONDARY
unit Of Measure
Percentage of participants

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