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Rituximab

Phase 3

Diffuse Large-Cell Lymphoma | Monoclonal antibody | Oncology |Amgen Inc.|Last Updated: Mar 3, 2022

Target and mechanism

Molecular targetMS4A1
Target classBinding Agent
ModalityMonoclonal antibody

Also known as Rituximab (US)

Success Probability

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Market & Valuation

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Trial Design

RandomizedUNCONTROLLEDBiomarker
Total Trials1
Total Enrollment380

FDA Designations

No designations recorded

Clinical trial landscape

Rituximab · 3 trials · 3 indications

Phase 3 1Phase 2 2
NCT00140595ACVBP Plus Rituximab Versus CHOP Plus Rituximab in Patients With Diffuse Large B-cell Lymphoma and Age-adjusted IPI of 1Diffuse Large-Cell Lymphoma
COMPLETED380 Analytics
PHASE3COMPLETED
ACVBP Plus Rituximab Versus CHOP Plus Rituximab in Patients With Diffuse Large B-cell Lymphoma and Age-adjusted IPI of 1
Diffuse Large-Cell LymphomaUnlock trial analytics

Study Endpoints

Primary Endpoints

Event-free survival (EFS), events defined as death from any cause, relapse for complete responders (CR) and unconfirmed complete responders (CRu), progression during or after treatment, changes of therapy during allocated treatment.
Overall Response Rate (ORR), the Percentage of Patients Who Experience an Objective Benefit From Treatment
18 Months

Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI or CT: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.

To evaluate the optimal combined dose intensity of the drug regimen

Secondary Endpoints

Response rate at the end of the treatment, progression rate, relapse rate, disease-free survival for complete responders, overall survival, neuromeningeal relapse rate and additional toxicities with ACVBP+rituximab combination
Specific dose intensities, incidence of neutropenia and neutropenic fever, duration of severe neutropenia, complete response rate, event-free and overall survival
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Cyclophosphamide/Vincristine/Rituximab +/- MitoxantroneEXPERIMENTALAll patients receive three courses of combination chemotherapy/rituximab followed by pegfilgrastim, administered at 21-day intervals. Treatment administered is as follows: cyclophosphamide 500mg/m2 IV day 1; mitoxantrone 10mg/m2 IV day 1; vincristine 1.0mg/m2 (maximum 2mg) IV day 1; prednisone 80mg PO days 1 - 5; rituximab 375mg/m2 IV day 1.

Interventions

NameTypeDescription
rituximabDRUG -
doxorubicinDRUG -
cyclophosphamideDRUG -
MitoxantroneDRUGMitoxantrone
VincristineDRUGVincristine
PrednisoneDRUGPrednisone
Rituximab + ACVBP regimen plus PegfilgrastimDRUG -
Autologous stem cell transplantPROCEDURE -
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Eligibility Criteria

Age Range18 Years to 59 Years
SexALL
Healthy VolunteersNo
Study Sites10

Inclusion Criteria: Patient with histologically proven CD20+ diffuse large B-cell lymphoma (WHO classification) Aged from 18 to 59 years. Age-adjusted International Prognostic Index equal to 1 (elevated LDH level OR stage III-IV OR ECOG status 2-3-4). Patient not previously treated. With a minimum...

Countries:BelgiumFranceUnited States
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Frequently asked questions about Rituximab

What is Rituximab?

Rituximab is a monoclonal antibody used in oncology for B-cell blood cancers, including diffuse large B-cell lymphoma, non-Hodgkin's lymphoma, and untreated CD20-positive large B-cell lymphoma. It is studied in combination regimens such as ACVBP plus pegfilgrastim. Amgen Inc. (AMGN) is developing this asset, which is in Phase 3 development.

What is Rituximab used for in diffuse large B-cell lymphoma?

Rituximab is used in combination chemotherapy regimens for diffuse large B-cell lymphoma, including untreated CD20-positive large B-cell lymphoma and non-Hodgkin's lymphoma. It is given with agents such as ACVBP and pegfilgrastim support. The Phase 3 trial NCT00140595 compared ACVBP plus rituximab with CHOP plus rituximab in this indication.

What does Rituximab target?

Rituximab targets MS4A1, also known as CD20, a B-cell surface protein. As a monoclonal antibody binding agent, it binds this target on CD20-positive B cells. This mechanism underlies its use in B-cell lymphomas such as diffuse large B-cell lymphoma and non-Hodgkin's lymphoma.

Who makes Rituximab?

Amgen Inc. (ticker AMGN) is the developer of this rituximab asset. The company is advancing it in oncology for B-cell lymphoma indications, including diffuse large B-cell lymphoma and non-Hodgkin's lymphoma, through Phase 3 clinical development.

What phase is Rituximab in?

Rituximab is in Phase 3 development for diffuse large B-cell lymphoma and related B-cell lymphoma indications. It is investigational in this program and has completed clinical trials, including the Phase 3 study NCT00140595. It is not described as approved for these uses in this development program.

What clinical trials is Rituximab in?

Rituximab has been studied in completed trials including NCT00140595, a Phase 3 study of ACVBP plus rituximab versus CHOP plus rituximab in diffuse large B-cell lymphoma with 380 patients in Belgium and France. Other completed trials are NCT00193479 in non-Hodgkin's lymphoma and NCT00169143 in untreated CD20-positive large B-cell lymphoma.