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NCT01292603 · OUTCOME

Part 2: Rituximab C Trough Levels at Cycle 5

A Study to Compare Subcutaneous Versus Intravenous MabThera (Rituximab) in Combination With Chemotherapy in Patients With Chronic Lymphocytic Leukemia · Source last updated 2018-12-19

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

Measure
GEOMETRIC_MEAN
Unit
μg/mL
Interval / dispersion
Geometric Coefficient of Variation
Time frame
+/- 25hours around the 28th day post the 5th Cycle of Rituximab administration

What was measured

Ctrough is defined as the trough or minimum serum concentration in a given cycle of treatment. The objective of Part 2 was to demonstrate the comparability of the observed Ctrough of rituximab SC 1600 mg and rituximab IV 500 mg/m2 at Cycle 5, as assessed by a non-inferiority test with a lower boundary of at least 0.8 for the 90% CI.

Analysis population: Only participants who entered Part 2 of the study and had pharmacokinetic (PK) data available were included in the analysis.

Groups in this outcome

Part 2 : Rituximab IV 500 mg/m^2

Participants received the following in 28-day cycles. Cycle 1: IV rituximab 375 mg/m\^2 on Day 0 Cycles 2-6: IV rituximab 500 mg/m\^2 on Day 1 Cycles 1-6: IV fludarabine 25 mg/m\^2 on Days 1-3 (or as an oral dose of 24 mg/m\^2 on Days 1-5 or 30-40 mg/m\^2 on Days 1-3), and IV cyclophosphamide 250 mg/m\^2 on Days 1-3 (or as an oral dose of 150 mg/m\^2 on Days 1-5 or 200-250 mg/m\^2 on Days 1-3).

Part 2: Rituximab SC 1600 mg

Participants received the following in 28-day cycles. Cycle 1: IV rituximab 375 mg/m\^2 on Day 0 Cycles 2-6: SC rituximab 1600 mg on Day 1 Cycles 1-6: IV fludarabine 25 mg/m\^2 on Days 1-3 (or as an oral dose of 24 mg/m\^2 on Days 1-5 or 30-40 mg/m\^2 on Days 1-3), and IV cyclophosphamide 250 mg/m\^2 on Days 1-3 (or as an oral dose of 150 mg/m\^2 on Days 1-5 or 200-250 mg/m\^2 on Days 1-3).

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

Analysis denominator · Participants

GroupSource count
Part 2 : Rituximab IV 500 mg/m^269
Part 2: Rituximab SC 1600 mg65

Reported measurements

Source class 1
Values in μg/mL · Interval/dispersion: Geometric Coefficient of Variation
GroupValueSpreadLowerUpperComment
Part 2 : Rituximab IV 500 mg/m^261.5089.54Not reportedNot reportedNot reported
Part 2: Rituximab SC 1600 mg97.5355.27Not reportedNot reportedNot reported

Source statistical analyses

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

  1. ci Lower Limit
    1.269
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    90
    ci Upper Limit
    1.852
    estimate Comment
    Ratio based on geometric scale and adjusted for the covariate tumor load at baseline.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Comment
    A standard non-inferiority margin of 0.8 for the ratio of Ctrough was used. The non-inferiority limit corresponds to a maximal 20 percent (%) loss in Ctrough which is considered acceptable given the high variability and range of Ctrough data, with an 80% power and a one-sided alpha of 0.05.
    non Inferiority Type
    NON_INFERIORITY_OR_EQUIVALENCE
    param Type
    Adjusted geometric mean ratio
    param Value
    1.533
Complete source fields
analyses
  1. ci Lower Limit
    1.269
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    90
    ci Upper Limit
    1.852
    estimate Comment
    Ratio based on geometric scale and adjusted for the covariate tumor load at baseline.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Comment
    A standard non-inferiority margin of 0.8 for the ratio of Ctrough was used. The non-inferiority limit corresponds to a maximal 20 percent (%) loss in Ctrough which is considered acceptable given the high variability and range of Ctrough data, with an 80% power and a one-sided alpha of 0.05.
    non Inferiority Type
    NON_INFERIORITY_OR_EQUIVALENCE
    param Type
    Adjusted geometric mean ratio
    param Value
    1.533
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        spread
        89.54
        value
        61.50
      2. group Id
        OG001
        spread
        55.27
        value
        97.53
denoms
  1. counts
    1. group Id
      OG000
      value
      69
    2. group Id
      OG001
      value
      65
    units
    Participants
description
Ctrough is defined as the trough or minimum serum concentration in a given cycle of treatment. The objective of Part 2 was to demonstrate the comparability of the observed Ctrough of rituximab SC 1600 mg and rituximab IV 500 mg/m2 at Cycle 5, as assessed by a non-inferiority test with a lower boundary of at least 0.8 for the 90% CI.
dispersion Type
Geometric Coefficient of Variation
groups
  1. description
    Participants received the following in 28-day cycles. Cycle 1: IV rituximab 375 mg/m\^2 on Day 0 Cycles 2-6: IV rituximab 500 mg/m\^2 on Day 1 Cycles 1-6: IV fludarabine 25 mg/m\^2 on Days 1-3 (or as an oral dose of 24 mg/m\^2 on Days 1-5 or 30-40 mg/m\^2 on Days 1-3), and IV cyclophosphamide 250 mg/m\^2 on Days 1-3 (or as an oral dose of 150 mg/m\^2 on Days 1-5 or 200-250 mg/m\^2 on Days 1-3).
    id
    OG000
    title
    Part 2 : Rituximab IV 500 mg/m^2
  2. description
    Participants received the following in 28-day cycles. Cycle 1: IV rituximab 375 mg/m\^2 on Day 0 Cycles 2-6: SC rituximab 1600 mg on Day 1 Cycles 1-6: IV fludarabine 25 mg/m\^2 on Days 1-3 (or as an oral dose of 24 mg/m\^2 on Days 1-5 or 30-40 mg/m\^2 on Days 1-3), and IV cyclophosphamide 250 mg/m\^2 on Days 1-3 (or as an oral dose of 150 mg/m\^2 on Days 1-5 or 200-250 mg/m\^2 on Days 1-3).
    id
    OG001
    title
    Part 2: Rituximab SC 1600 mg
param Type
GEOMETRIC_MEAN
population Description
Only participants who entered Part 2 of the study and had pharmacokinetic (PK) data available were included in the analysis.
reporting Status
POSTED
time Frame
+/- 25hours around the 28th day post the 5th Cycle of Rituximab administration
title
Part 2: Rituximab C Trough Levels at Cycle 5
type
PRIMARY
unit Of Measure
μg/mL

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Preserved source evidence · Not medical advice