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A Study of Obinutuzumab (RO5072759) Plus Chemotherapy in Comparison With Rituximab Plus Chemotherapy Followed by Obinutuzumab or Rituximab Maintenance in Patients With Untreated Advanced Indolent Non-Hodgkin's Lymphoma (GALLIUM)

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ClinicalTrials.gov Identifier: NCT01332968
Recruitment Status : Completed
First Posted : April 11, 2011
Results First Posted : June 7, 2017
Last Update Posted : August 11, 2022
Sponsor:
Collaborators:
German Low Grade Lymphoma Study Group
Institute of Cancer Research, United Kingdom
Information provided by (Responsible Party):
Hoffmann-La Roche

Study Type Interventional
Study Design Allocation: Randomized;   Intervention Model: Parallel Assignment;   Masking: None (Open Label);   Primary Purpose: Treatment
Condition Non-Hodgkin's Lymphoma
Interventions Drug: Obinutuzumab
Drug: Cyclophosphamide
Drug: Doxorubicin
Drug: Vincristine
Drug: Prednisone
Drug: Bendamustine
Drug: Rituximab
Enrollment 1401
Recruitment Details The study was conducted at 177 centers in 18 countries.
Pre-assignment Details Eleven participants withdrew from the study after randomization but prior to receiving study treatment.
Arm/Group Title Rituximab+Chemotherapy - Induction Period Obinutuzumab+Chemotherapy - Induction Period Rituximab+Chemotherapy - Maintenance Period Obinutuzumab+Chemotherapy - Maintenance Period Rituximab+Chemotherapy - Observation Period Obinutuzumab+Chemotherapy - Observation Period Rituximab+Chemotherapy - Follow-Up Period Obinutuzumab+Chemotherapy - Follow-Up Period
Hide Arm/Group Description Participants received either 8 cycles of rituximab along with 6 cycles of cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) (21-day cycle) or 8 cycles of rituximab along with 8 cycles of cyclophosphamide, vincristine, and prednisone (CVP) (21-day cycles) or 6 cycles of rituximab along with 6 cycles of bendamustine (28-day cycle) during induction period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant was chosen by the site prior to initiation of the study. Participants received either 8 cycles of obinutuzumab along with 6 cycles of CHOP (21-day cycle) or 8 cycles of obinutuzumab along with 8 cycles of CVP (21-day cycles) or 6 cycles of obinutuzumab along with 6 cycles of bendamustine (28-day cycle) during induction period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant was chosen by the site prior to initiation of the study. The induction period was followed by either a maintenance or observation period for responders or non-responders, respectively. Responders received rituximab monotherapy every 2 months for 2 years during the maintenance period. The induction period was followed by either a maintenance or observation period for responders or non-responders, respectively. Responders received obinutuzumab monotherapy every 2 months for 2 years during the maintenance period. Rituximab+Chemotherapy - Observation: The induction period was followed by either a maintenance or observation period for responders or non-responders, respectively. Non-responders received no protocol specified treatment during the 2-year observation period. Obinutuzumab+Chemotherapy - Observation: The induction period was followed by either a maintenance or observation period for responders or non-responders, respectively. Non-responders received no protocol specified treatment during the 2-year observation period. Finally, participants were followed during a 5-year follow-up period. Finally, participants were followed during a 5-year follow-up period.
Period Title: Induction Period
Started 699 702 0 0 0 0 0 0
Completed 641 646 0 0 0 0 0 0
Not Completed 58 56 0 0 0 0 0 0
Reason Not Completed
Adverse Event             23             26             0             0             0             0             0             0
Death             1             4             0             0             0             0             0             0
Non-compliance             1             0             0             0             0             0             0             0
Other             2             2             0             0             0             0             0             0
Physician Decision             6             1             0             0             0             0             0             0
Progressive Disease             15             7             0             0             0             0             0             0
Protocol Violation             3             4             0             0             0             0             0             0
Withdrawal by Subject             3             5             0             0             0             0             0             0
Randomised but not treated             4             7             0             0             0             0             0             0
Period Title: Maintenance/Observation Period
Started 0 0 612 624 12 11 0 0
Completed 0 0 451 475 12 10 0 0
Not Completed 0 0 161 149 0 1 0 0
Reason Not Completed
Adverse Event             0             0             53             66             0             0             0             0
Death             0             0             5             6             0             0             0             0
Lost to Follow-up             0             0             1             2             0             0             0             0
Non-compliance             0             0             4             3             0             0             0             0
Other             0             0             4             7             0             0             0             0
Physician Decision             0             0             14             19             0             1             0             0
Progressive Disease             0             0             72             40             0             0             0             0
Protocol Violation             0             0             1             1             0             0             0             0
Withdrawal by Subject             0             0             7             5             0             0             0             0
Period Title: Follow-Up Period
Started 0 0 0 0 0 0 554 602
Completed 0 0 0 0 0 0 324 367
Not Completed 0 0 0 0 0 0 230 235
Reason Not Completed
Adverse Event             0             0             0             0             0             0             0             4
Death             0             0             0             0             0             0             27             30
Lost to Follow-up             0             0             0             0             0             0             11             15
Non-compliance             0             0             0             0             0             0             4             9
Other             0             0             0             0             0             0             18             21
Physician Decision             0             0             0             0             0             0             12             15
Progressive Disease             0             0             0             0             0             0             126             106
Protocol Violation             0             0             0             0             0             0             1             0
Withdrawal by Subject             0             0             0             0             0             0             29             32
No reason provided             0             0             0             0             0             0             2             3
Arm/Group Title Rituximab+Chemotherapy - Induction Period Obinutuzumab+Chemotherapy - Induction Period Total
Hide Arm/Group Description Participants received either 8 cycles of rituximab along with 6 cycles of cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) (21-day cycle) or 8 cycles of rituximab along with 8 cycles of cyclophosphamide, vincristine, and prednisone (CVP) (21-day cycles) or 6 cycles of rituximab along with 6 cycles of bendamustine (28-day cycle) during induction period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant was chosen by the site prior to initiation of the study. Participants received either 8 cycles of obinutuzumab along with 6 cycles of CHOP (21-day cycle) or 8 cycles of obinutuzumab along with 8 cycles of CVP (21-day cycles) or 6 cycles of obinutuzumab along with 6 cycles of bendamustine (28-day cycle) during induction period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant was chosen by the site prior to initiation of the study. Total of all reporting groups
Overall Number of Baseline Participants 699 702 1401
Hide Baseline Analysis Population Description
The intent-to treat (ITT) population was defined as all randomized participants grouped according to their randomized treatment arm regardless of what treatments were actually received.
Age, Continuous  
Mean (Standard Deviation)
Unit of measure:  Years
Number Analyzed 699 participants 702 participants 1401 participants
58.1  (12.3) 58.9  (11.6) 58.5  (11.9)
Sex: Female, Male  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 699 participants 702 participants 1401 participants
Female
374
  53.5%
365
  52.0%
739
  52.7%
Male
325
  46.5%
337
  48.0%
662
  47.3%
Age Continuous in Follicular Lymphoma Sub-Population   [1] 
Mean (Standard Deviation)
Unit of measure:  Years
Number Analyzed 699 participants 702 participants 1401 participants
57.7  (12.2) 58.2  (11.5) 57.9  (11.9)
[1]
Measure Description: Age continuous for participants with follicular lymphoma (FL) in each arm, who encompassed the population for the primary outcome measure. The FL ITT included participants in the ITT population with follicular histology (n=601 in each arm).
Gender in Follicular Lymphoma Sub-Population   [1] [2] 
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 601 participants 601 participants 1202 participants
Female
321
  53.4%
318
  52.9%
639
  53.2%
Male
280
  46.6%
283
  47.1%
563
  46.8%
[1]
Measure Description: Gender of participants with follicular lymphoma, who encompassed the population for the primary outcome measure. The FL ITT included participants in the ITT population with follicular histology (n=601 for each arm).
[2]
Measure Analysis Population Description: As this is a sub-population, the numbers analyzed differ from the overall population numbers as not all are included here.
1.Primary Outcome
Title Progression-Free Survival in the Follicular Lymphoma Population, Investigator-Assessed
Hide Description Progression-free survival in participants with follicular lymphoma was defined as the time from randomization until the first documented day of disease progression or death from any cause, whichever occurred first, on the basis of investigator assessments according to the Revised Response Criteria for Malignant Lymphoma. Progression was defined as at least 50% increase in nodal lesions or >/=50% increase in any node > 1 centimeter (cm) or >/= 50% increase in other target measurable lesions (e.g., splenic or hepatic nodules) and/or appearance of any new bone marrow involvement and/or appearance of any new lesion > 1.5 cm or >/= 50% increase in any previously involved node with a diameter </= 1 cm such that it is now >1.5 cm. Tumor measurements were obtained by computed tomography (CT) or magnetic resonance imaging (MRI).
Time Frame Baseline up to data cut-off (up to approximately 4 years and 7 months)
Hide Outcome Measure Data
Hide Analysis Population Description
The intent-to-treat follicular lymphoma population (FL ITT), defined as all randomized participants with follicular histology, where participants were grouped according to their randomized treatment arm regardless of what treatments were actually received.
Arm/Group Title Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
Hide Arm/Group Description:
Participants will receive either 8 cycles of rituximab along with 6 cycles of cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) (21-day cycle) or 8 cycles of rituximab along with 8 cycles of cyclophosphamide, vincristine, and prednisone (CVP) (21-day cycles) or 6 cycles of rituximab along with 6 cycles of bendamustine (28-day cycle) during the induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive rituximab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Participants will receive either 8 cycles of obinutuzumab along with 6 cycles of CHOP (21-day cycle) or 8 cycles of obinutuzumab along with 8 cycles of CVP (21-day cycles) or 6 cycles of obinutuzumab along with 6 cycles of bendamustine (28-day cycle) during induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive obinutuzumab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Overall Number of Participants Analyzed 601 601
Measure Type: Number
Unit of Measure: percentage of participants with event
24.0 16.8
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Rituximab+Chemotherapy, Obinutuzumab+Chemotherapy
Comments [Not Specified]
Type of Statistical Test Superiority or Other (legacy)
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0012
Comments [Not Specified]
Method Log Rank
Comments Stratified by chemotherapy regimen and Follicular Lymphoma International Prognostic Index (FLIPI) risk group.
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.66
Confidence Interval (2-Sided) 95%
0.51 to 0.85
Estimation Comments [Not Specified]
2.Secondary Outcome
Title Progression-Free Survival in the Follicular Lymphoma Population, Investigator-Assessed
Hide Description Progression-free survival in participants with follicular lymphoma was defined as the time from randomization until the first documented day of disease progression or death from any cause, whichever occurred first, on the basis of investigator assessments according to the Revised Response Criteria for Malignant Lymphoma. Progression was defined as at least 50% increase in nodal lesions or >/=50% increase in any node > 1 centimeter (cm) or >/= 50% increase in other target measurable lesions (e.g., splenic or hepatic nodules) and/or appearance of any new bone marrow involvement and/or appearance of any new lesion > 1.5 cm or >/= 50% increase in any previously involved node with a diameter </= 1 cm such that it is now >1.5 cm. Tumor measurements were obtained by computed tomography (CT) or magnetic resonance imaging (MRI).
Time Frame Baseline up to final analysis (up to 10 years)
Hide Outcome Measure Data
Hide Analysis Population Description
The FL ITT population was defined as all randomized participants with follicular histology, where participants were grouped according to their randomized treatment arm regardless of what treatments were actually received.
Arm/Group Title Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
Hide Arm/Group Description:
Participants will receive either 8 cycles of rituximab along with 6 cycles of cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) (21-day cycle) or 8 cycles of rituximab along with 8 cycles of cyclophosphamide, vincristine, and prednisone (CVP) (21-day cycles) or 6 cycles of rituximab along with 6 cycles of bendamustine (28-day cycle) during the induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive rituximab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Participants will receive either 8 cycles of obinutuzumab along with 6 cycles of CHOP (21-day cycle) or 8 cycles of obinutuzumab along with 8 cycles of CVP (21-day cycles) or 6 cycles of obinutuzumab along with 6 cycles of bendamustine (28-day cycle) during induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive obinutuzumab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Overall Number of Participants Analyzed 601 601
Measure Type: Number
Unit of Measure: percentage of participants with event
40.6 34.3
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Rituximab+Chemotherapy, Obinutuzumab+Chemotherapy
Comments [Not Specified]
Type of Statistical Test Superiority or Other (legacy)
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0055
Comments [Not Specified]
Method Log Rank
Comments Stratified by chemotherapy regimen and Follicular Lymphoma International Prognostic Index (FLIPI) risk group.
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.77
Confidence Interval (2-Sided) 95%
0.64 to 0.93
Estimation Comments [Not Specified]
3.Secondary Outcome
Title Progression-Free Survival in the Overall Study Population, Investigator-Assessed
Hide Description Progression-free survival in the overall study population was defined as the time from randomization until the first documented day of disease progression or death from any cause, whichever occurred first, on the basis of investigator assessments according to the Revised Response Criteria for Malignant Lymphoma. Progression was defined as at least 50% increase in nodal lesions or >/=50% increase in any node > 1 centimeter (cm) or >/= 50% increase in other target measurable lesions (e.g., splenic or hepatic nodules) and/or appearance of any new bone marrow involvement and/or appearance of any new lesion > 1.5 cm or >/= 50% increase in any previously involved node with a diameter </= 1 cm such that it is now >1.5 cm. Tumor measurements were obtained by CT/MRI.
Time Frame Baseline up to data cut-off (up to approximately 5 years and 2 months)
Hide Outcome Measure Data
Hide Analysis Population Description
The ITT population defined as all randomized participants grouped according to their randomized treatment arm regardless of what treatments were actually received.
Arm/Group Title Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
Hide Arm/Group Description:
Participants will receive either 8 cycles of rituximab along with 6 cycles of cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) (21-day cycle) or 8 cycles of rituximab along with 8 cycles of cyclophosphamide, vincristine, and prednisone (CVP) (21-day cycles) or 6 cycles of rituximab along with 6 cycles of bendamustine (28-day cycle) during the induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive rituximab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Participants will receive either 8 cycles of obinutuzumab along with 6 cycles of CHOP (21-day cycle) or 8 cycles of obinutuzumab along with 8 cycles of CVP (21-day cycles) or 6 cycles of obinutuzumab along with 6 cycles of bendamustine (28-day cycle) during induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive obinutuzumab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Overall Number of Participants Analyzed 699 702
Measure Type: Number
Unit of Measure: percentage of participants with event
41.5 34.8
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Rituximab+Chemotherapy, Obinutuzumab+Chemotherapy
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0028
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.77
Confidence Interval (2-Sided) 95%
0.65 to 0.91
Estimation Comments [Not Specified]
4.Secondary Outcome
Title Progression-Free Survival (Follicular Lymphoma Population), IRC-Assessed
Hide Description Progression-free survival in the participants with follicular lymphoma was defined as the time from randomization until the first documented day of disease progression or death from any cause, whichever occurred first, on the basis of IRC assessments according to the Revised Response Criteria for Malignant Lymphoma. Progression was defined as at least 50% increase in nodal lesions or >/=50% increase in any node > 1 centimeter (cm) or >/= 50% increase in other target measurable lesions (e.g., splenic or hepatic nodules) and/or appearance of any new bone marrow involvement and/or appearance of any new lesion > 1.5 cm or >/= 50% increase in any previously involved node with a diameter </= 1 cm such that it is now >1.5 cm. Tumor measurements were obtained by CT/MRI. In the first 170 patients with follicular lymphoma, an FDG-PET was mandatory where a PET scanner was available.
Time Frame Baseline up to data cut-off (up to approximately 5 years and 2 months)
Hide Outcome Measure Data
Hide Analysis Population Description
The FL ITT population, defined as all randomized participants with follicular histology, where participants were grouped according to their randomized treatment arm regardless of what treatments were actually received.
Arm/Group Title Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
Hide Arm/Group Description:
Participants will receive either 8 cycles of rituximab along with 6 cycles of cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) (21-day cycle) or 8 cycles of rituximab along with 8 cycles of cyclophosphamide, vincristine, and prednisone (CVP) (21-day cycles) or 6 cycles of rituximab along with 6 cycles of bendamustine (28-day cycle) during the induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive rituximab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Participants will receive either 8 cycles of obinutuzumab along with 6 cycles of CHOP (21-day cycle) or 8 cycles of obinutuzumab along with 8 cycles of CVP (21-day cycles) or 6 cycles of obinutuzumab along with 6 cycles of bendamustine (28-day cycle) during induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive obinutuzumab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Overall Number of Participants Analyzed 601 601
Measure Type: Number
Unit of Measure: percentage of participants with event
23.5 18.0
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Rituximab+Chemotherapy, Obinutuzumab+Chemotherapy
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0118
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.72
Confidence Interval (2-Sided) 95%
0.56 to 0.93
Estimation Comments [Not Specified]
5.Secondary Outcome
Title Progression-Free Survival (Overall Study Population), Assessed by Independent Review Committee (IRC)
Hide Description Progression-free survival in the overall study population was defined as the time from randomization until the first documented day of disease progression or death from any cause, whichever occurred first, on the basis of IRC assessments according to the Revised Response Criteria for Malignant Lymphoma. Progression was defined as at least 50% increase in nodal lesions or >/=50% increase in any node > 1 centimeter (cm) or >/= 50% increase in other target measurable lesions (e.g., splenic or hepatic nodules) and/or appearance of any new bone marrow involvement and/or appearance of any new lesion > 1.5 cm or >/= 50% increase in any previously involved node with a diameter </= 1 cm such that it is now >1.5 cm. Tumor measurements were obtained by CT/MRI.
Time Frame Baseline up to data cut-off (up to approximately 5 years and 2 months)
Hide Outcome Measure Data
Hide Analysis Population Description
The ITT population defined as all randomized participants grouped according to their randomized treatment arm regardless of what treatments were actually received.
Arm/Group Title Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
Hide Arm/Group Description:
Participants will receive either 8 cycles of rituximab along with 6 cycles of cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) (21-day cycle) or 8 cycles of rituximab along with 8 cycles of cyclophosphamide, vincristine, and prednisone (CVP) (21-day cycles) or 6 cycles of rituximab along with 6 cycles of bendamustine (28-day cycle) during the induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive rituximab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Participants will receive either 8 cycles of obinutuzumab along with 6 cycles of CHOP (21-day cycle) or 8 cycles of obinutuzumab along with 8 cycles of CVP (21-day cycles) or 6 cycles of obinutuzumab along with 6 cycles of bendamustine (28-day cycle) during induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive obinutuzumab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Overall Number of Participants Analyzed 699 702
Measure Type: Number
Unit of Measure: percentage of participants with event
24.6 18.4
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Rituximab+Chemotherapy, Obinutuzumab+Chemotherapy
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0038
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.71
Confidence Interval 95%
0.57 to 0.90
Estimation Comments [Not Specified]
6.Secondary Outcome
Title Overall Response (Follicular Lymphoma Population), Investigator-Assessed
Hide Description Overall response in the follicular lymphoma population was defined as percentage of participants with PR or complete response CR determined on the basis of investigator assessments with the use of Revised Response Criteria for Malignant Lymphoma. Tumor assessments were performed with CT/MRI with and without PET. CR was defined as disappearance of all target lesions; PR was defined as >=50% decrease target lesions in up to six dominant lesions identified at baseline, no new lesions and no increase in the size of the liver, spleen, or other nodes. Splenic and hepatic nodules must have regressed by >/= 50%. Overall Response (OR) = CR + PR.
Time Frame Baseline up to end of induction period (up to approximately 7 months)
Hide Outcome Measure Data
Hide Analysis Population Description
The FL ITT population, defined as all randomized participants with follicular histology, where participants were grouped according to their randomized treatment arm regardless of what treatments were actually received.
Arm/Group Title Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
Hide Arm/Group Description:
Participants will receive either 8 cycles of rituximab along with 6 cycles of cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) (21-day cycle) or 8 cycles of rituximab along with 8 cycles of cyclophosphamide, vincristine, and prednisone (CVP) (21-day cycles) or 6 cycles of rituximab along with 6 cycles of bendamustine (28-day cycle) during the induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive rituximab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Participants will receive either 8 cycles of obinutuzumab along with 6 cycles of CHOP (21-day cycle) or 8 cycles of obinutuzumab along with 8 cycles of CVP (21-day cycles) or 6 cycles of obinutuzumab along with 6 cycles of bendamustine (28-day cycle) during induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive obinutuzumab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Overall Number of Participants Analyzed 601 601
Measure Type: Number
Unit of Measure: percentage of participants with event
Without PET Number Analyzed 519 participants 530 participants
86.4 88.2
With PET Number Analyzed 242 participants 254 participants
81.2 85.5
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Rituximab+Chemotherapy, Obinutuzumab+Chemotherapy
Comments Without PET
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.30
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Absolute difference in %
Estimated Value 1.8
Confidence Interval (2-Sided) 95%
-2.02 to 5.68
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Rituximab+Chemotherapy, Obinutuzumab+Chemotherapy
Comments With PET
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.17
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Absolute difference in %
Estimated Value 4.3
Confidence Interval (2-Sided) 95%
-1.8 to 10.5
Estimation Comments [Not Specified]
7.Secondary Outcome
Title Overall Response (Overall Study Population), Investigator-Assessed
Hide Description Overall response in the overall study population was defined as percentage of participants with partial response (PR) or complete response (CR) determined on the basis of investigator assessments with the use of Revised Response Criteria for Malignant Lymphoma. Tumor assessments were performed with CT/MRI with or without positron emission tomography (PET). CR was defined as disappearance of all target lesions; PR was defined as >=50% decrease target lesions in up to six dominant lesions identified at baseline, no new lesions and no increase in the size of the liver, spleen, or other nodes. Splenic and hepatic nodules must have regressed by >/= 50%; Overall Response (OR) = CR + PR.
Time Frame Baseline up to end of induction period (up to approximately 7 months)
Hide Outcome Measure Data
Hide Analysis Population Description
The ITT population defined as all randomized participants grouped according to their randomized treatment arm regardless of what treatments were actually received.
Arm/Group Title Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
Hide Arm/Group Description:
Participants will receive either 8 cycles of rituximab along with 6 cycles of cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) (21-day cycle) or 8 cycles of rituximab along with 8 cycles of cyclophosphamide, vincristine, and prednisone (CVP) (21-day cycles) or 6 cycles of rituximab along with 6 cycles of bendamustine (28-day cycle) during the induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive rituximab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Participants will receive either 8 cycles of obinutuzumab along with 6 cycles of CHOP (21-day cycle) or 8 cycles of obinutuzumab along with 8 cycles of CVP (21-day cycles) or 6 cycles of obinutuzumab along with 6 cycles of bendamustine (28-day cycle) during induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive obinutuzumab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Overall Number of Participants Analyzed 699 702
Measure Type: Number
Unit of Measure: percentage of participants with event
Without PET Number Analyzed 599 participants 613 participants
85.7 87.3
With PET Number Analyzed 270 participants 274 participants
81.8 85.4
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Rituximab+Chemotherapy, Obinutuzumab+Chemotherapy
Comments Without PET
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.33
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Absolute difference in %
Estimated Value 1.6
Confidence Interval (2-Sided) 95%
-2.0 to 5.3
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Rituximab+Chemotherapy, Obinutuzumab+Chemotherapy
Comments With PET
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.17
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Absolute difference in %
Estimated Value 3.5
Confidence Interval (2-Sided) 95%
-2.3 to 9.4
Estimation Comments [Not Specified]
8.Secondary Outcome
Title Complete Response (Follicular Lymphoma Population), Investigator-Assessed
Hide Description Percentage of participants with complete response in the follicular lymphoma population was determined on the basis of investigator assessments with the use of Revised Response Criteria for Malignant Lymphoma. Tumor assessments were performed with CT/MRI with or without PET. CR was defined as disappearance of all target lesions.
Time Frame Baseline up to end of induction period (up to approximately 7 months)
Hide Outcome Measure Data
Hide Analysis Population Description
The FL ITT population, defined as all randomized participants with follicular histology, where participants were grouped according to their randomized treatment arm regardless of what treatments were actually received.
Arm/Group Title Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
Hide Arm/Group Description:
Participants will receive either 8 cycles of rituximab along with 6 cycles of cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) (21-day cycle) or 8 cycles of rituximab along with 8 cycles of cyclophosphamide, vincristine, and prednisone (CVP) (21-day cycles) or 6 cycles of rituximab along with 6 cycles of bendamustine (28-day cycle) during the induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive rituximab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Participants will receive either 8 cycles of obinutuzumab along with 6 cycles of CHOP (21-day cycle) or 8 cycles of obinutuzumab along with 8 cycles of CVP (21-day cycles) or 6 cycles of obinutuzumab along with 6 cycles of bendamustine (28-day cycle) during induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive obinutuzumab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Overall Number of Participants Analyzed 601 601
Measure Type: Number
Unit of Measure: percentage of participants with event
Without PET Number Analyzed 145 participants 112 participants
24.1 18.6
With PET Number Analyzed 169 participants 184 participants
56.7 62.0
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Rituximab+Chemotherapy, Obinutuzumab+Chemotherapy
Comments Without PET
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.02
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Absolute difference in %
Estimated Value -5.5
Confidence Interval (2-Sided) 95%
-10.2 to -0.78
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Rituximab+Chemotherapy, Obinutuzumab+Chemotherapy
Comments With PET
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.32
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Absolute difference in %
Estimated Value 5.2
Confidence Interval (2-Sided) 95%
-2.8 to 13.3
Estimation Comments [Not Specified]
9.Secondary Outcome
Title Complete Response (Overall Study Population), Investigator-Assessed
Hide Description Percentage of participants with complete response in the overall study population was determined on the basis of investigator assessments with the use of Revised Response Criteria for Malignant Lymphoma. Tumor assessments were performed with CT/MRI with or without PET. CR was defined as disappearance of all target lesions.
Time Frame Baseline up to end of induction period (up to approximately 7 months)
Hide Outcome Measure Data
Hide Analysis Population Description
The ITT population defined as all randomized participants grouped according to their randomized treatment arm regardless of what treatments were actually received.
Arm/Group Title Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
Hide Arm/Group Description:
Participants will receive either 8 cycles of rituximab along with 6 cycles of cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) (21-day cycle) or 8 cycles of rituximab along with 8 cycles of cyclophosphamide, vincristine, and prednisone (CVP) (21-day cycles) or 6 cycles of rituximab along with 6 cycles of bendamustine (28-day cycle) during the induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive rituximab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Participants will receive either 8 cycles of obinutuzumab along with 6 cycles of CHOP (21-day cycle) or 8 cycles of obinutuzumab along with 8 cycles of CVP (21-day cycles) or 6 cycles of obinutuzumab along with 6 cycles of bendamustine (28-day cycle) during induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive obinutuzumab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Overall Number of Participants Analyzed 699 702
Measure Type: Number
Unit of Measure: percentage of participants with event
Without PET Number Analyzed 163 participants 129 participants
23.3 18.4
With PET Number Analyzed 188 participants 196 participants
57.0 61.1
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Rituximab+Chemotherapy, Obinutuzumab+Chemotherapy
Comments Without PET
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.02
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Absolute difference in %
Estimated Value -4.9
Confidence Interval 95%
-9.3 to 0.6
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Rituximab+Chemotherapy, Obinutuzumab+Chemotherapy
Comments With PET
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.33
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Absolute difference in %
Estimated Value 4.1
Confidence Interval 95%
-3.6 to 11.8
Estimation Comments [Not Specified]
10.Secondary Outcome
Title Overall Response (Follicular Lymphoma Population), IRC-Assessed
Hide Description Overall response in the follicular lymphoma population was defined as percentage of participants with PR or complete response CR determined on the basis of IRC assessments with the use of Revised Response Criteria for Malignant Lymphoma. Tumor assessments were performed with CT/MRI with or without PET. CR was defined as disappearance of all target lesions; PR was defined as >=50% decrease target lesions in up to six dominant lesions identified at baseline, no new lesions and no increase in the size of the liver, spleen, or other nodes. Splenic and hepatic nodules must have regressed by >/= 50%. Overall Response (OR) = CR + PR.
Time Frame Baseline up to end of induction period (up to approximately 7 months)
Hide Outcome Measure Data
Hide Analysis Population Description
The FL ITT population, defined as all randomized participants with follicular histology, where participants were grouped according to their randomized treatment arm regardless of what treatments were actually received.
Arm/Group Title Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
Hide Arm/Group Description:
Participants will receive either 8 cycles of rituximab along with 6 cycles of cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) (21-day cycle) or 8 cycles of rituximab along with 8 cycles of cyclophosphamide, vincristine, and prednisone (CVP) (21-day cycles) or 6 cycles of rituximab along with 6 cycles of bendamustine (28-day cycle) during the induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive rituximab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Participants will receive either 8 cycles of obinutuzumab along with 6 cycles of CHOP (21-day cycle) or 8 cycles of obinutuzumab along with 8 cycles of CVP (21-day cycles) or 6 cycles of obinutuzumab along with 6 cycles of bendamustine (28-day cycle) during induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive obinutuzumab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Overall Number of Participants Analyzed 601 601
Measure Type: Number
Unit of Measure: percentage of participants with event
Without PET Number Analyzed 529 participants 549 participants
88.0 91.3
With PET Number Analyzed 254 participants 263 participants
85.2 88.6
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Rituximab+Chemotherapy, Obinutuzumab+Chemotherapy
Comments Without PET
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.052
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Absolute difference in %
Estimated Value 3.3
Confidence Interval (2-Sided) 95%
-0.19 to 6.85
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Rituximab+Chemotherapy, Obinutuzumab+Chemotherapy
Comments With PET
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.30
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Absolute difference in %
Estimated Value 3.3
Confidence Interval (2-Sided) 95%
-2.3 to 8.9
Estimation Comments [Not Specified]
11.Secondary Outcome
Title Overall Response (Overall Study Population), IRC-Assessed
Hide Description Overall response in the overall study population was defined as percentage of participants with PR or CR determined on the basis of IRC assessments with the use of Revised Response Criteria for Malignant Lymphoma. Tumor assessments were performed with CT/MRI with or without PET. CR was defined as disappearance of all target lesions; PR was defined as >=50% decrease target lesions in up to six dominant lesions identified at baseline, no new lesions and no increase in the size of the liver, spleen, or other nodes. Splenic and hepatic nodules must have regressed by >/= 50%; Overall Response (OR) = CR + PR.
Time Frame Baseline up to end of induction period (up to approximately 7 months)
Hide Outcome Measure Data
Hide Analysis Population Description
The ITT population defined as all randomized participants grouped according to their randomized treatment arm regardless of what treatments were actually received.
Arm/Group Title Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
Hide Arm/Group Description:
Participants will receive either 8 cycles of rituximab along with 6 cycles of cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) (21-day cycle) or 8 cycles of rituximab along with 8 cycles of cyclophosphamide, vincristine, and prednisone (CVP) (21-day cycles) or 6 cycles of rituximab along with 6 cycles of bendamustine (28-day cycle) during the induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive rituximab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Participants will receive either 8 cycles of obinutuzumab along with 6 cycles of CHOP (21-day cycle) or 8 cycles of obinutuzumab along with 8 cycles of CVP (21-day cycles) or 6 cycles of obinutuzumab along with 6 cycles of bendamustine (28-day cycle) during induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive obinutuzumab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Overall Number of Participants Analyzed 699 702
Measure Type: Number
Unit of Measure: percentage of participants with event
Without PET Number Analyzed 606 participants 631 participants
86.7 89.9
With PET Number Analyzed 330 participants 321 participants
83.3 87.2
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Rituximab+Chemotherapy, Obinutuzumab+Chemotherapy
Comments Without PET
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.049
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Absolute difference in %
Estimated Value 3.2
Confidence Interval (2-Sided) 95%
-0.3 to 6.6
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Rituximab+Chemotherapy, Obinutuzumab+Chemotherapy
Comments With PET
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.22
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Absolute difference in %
Estimated Value 3.9
Confidence Interval (2-Sided) 95%
-1.7 to 9.5
Estimation Comments [Not Specified]
12.Secondary Outcome
Title Complete Response (Follicular Lymphoma Population), IRC-Assessed
Hide Description Percentage of participants with complete response in the follicular lymphoma population was determined on the basis of IRC assessments with the use of Revised Response Criteria for Malignant Lymphoma. Tumor assessments were performed with CT/MRI with or without PET. CR was defined as disappearance of all target lesions.
Time Frame Baseline up to end of induction period (up to approximately 7 months)
Hide Outcome Measure Data
Hide Analysis Population Description
The FL ITT population, defined as all randomized participants with follicular histology, where participants were grouped according to their randomized treatment arm regardless of what treatments were actually received.
Arm/Group Title Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
Hide Arm/Group Description:
Participants will receive either 8 cycles of rituximab along with 6 cycles of cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) (21-day cycle) or 8 cycles of rituximab along with 8 cycles of cyclophosphamide, vincristine, and prednisone (CVP) (21-day cycles) or 6 cycles of rituximab along with 6 cycles of bendamustine (28-day cycle) during the induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive rituximab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Participants will receive either 8 cycles of obinutuzumab along with 6 cycles of CHOP (21-day cycle) or 8 cycles of obinutuzumab along with 8 cycles of CVP (21-day cycles) or 6 cycles of obinutuzumab along with 6 cycles of bendamustine (28-day cycle) during induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive obinutuzumab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Overall Number of Participants Analyzed 601 601
Measure Type: Number
Unit of Measure: percentage of participants with event
Without PET Number Analyzed 161 participants 171 participants
26.8 28.5
With PET Number Analyzed 178 participants 212 participants
59.7 71.4
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Rituximab+Chemotherapy, Obinutuzumab+Chemotherapy
Comments Without PET
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.58
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Absolute difference in %
Estimated Value 1.7
Confidence Interval (2-Sided) 95%
-3.5 to 6.8
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Rituximab+Chemotherapy, Obinutuzumab+Chemotherapy
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.006
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Absolute difference in %
Estimated Value 11.7
Confidence Interval (2-Sided) 95%
3.9 to 19.4
Estimation Comments [Not Specified]
13.Secondary Outcome
Title Complete Response (Overall Study Population), IRC-Assessed
Hide Description Percentage of participants with complete response in the overall study population was determined on the basis of IRC assessments with the use of Revised Response Criteria for Malignant Lymphoma. Tumor assessments were performed with CT/MRI with or without PET. CR was defined as disappearance of all target lesions.
Time Frame Baseline up to end of induction period (up to approximately 7 months)]
Hide Outcome Measure Data
Hide Analysis Population Description
The ITT population defined as all randomized participants grouped according to their randomized treatment arm regardless of what treatments were actually received.
Arm/Group Title Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
Hide Arm/Group Description:
Participants will receive either 8 cycles of rituximab along with 6 cycles of cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) (21-day cycle) or 8 cycles of rituximab along with 8 cycles of cyclophosphamide, vincristine, and prednisone (CVP) (21-day cycles) or 6 cycles of rituximab along with 6 cycles of bendamustine (28-day cycle) during the induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive rituximab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Participants will receive either 8 cycles of obinutuzumab along with 6 cycles of CHOP (21-day cycle) or 8 cycles of obinutuzumab along with 8 cycles of CVP (21-day cycles) or 6 cycles of obinutuzumab along with 6 cycles of bendamustine (28-day cycle) during induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive obinutuzumab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Overall Number of Participants Analyzed 699 702
Measure Type: Number
Unit of Measure: percentage of participants with event
Without PET Number Analyzed 184 participants 190 participants
26.3 27.1
With PET Number Analyzed 196 participants 223 participants
59.4 69.5
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Rituximab+Chemotherapy, Obinutuzumab+Chemotherapy
Comments Without PET
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.80
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Absolute difference in %
Estimated Value 0.7
Confidence Interval (2-Sided) 95%
-4.0 to 5.5
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Rituximab+Chemotherapy, Obinutuzumab+Chemotherapy
Comments With PET
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.009
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Absolute difference in %
Estimated Value 10.1
Confidence Interval 95%
2.6 to 17.6
Estimation Comments [Not Specified]
14.Secondary Outcome
Title Overall Survival (Follicular Lymphoma Population)
Hide Description Overall survival in the follicular lymphoma population was defined as the time from the date of randomization to the date of death from any cause. Reported is the percentage of participants with event.
Time Frame Baseline up to 10 years
Hide Outcome Measure Data
Hide Analysis Population Description
The FL ITT population, defined as all randomized participants with follicular histology, where participants were grouped according to their randomized treatment arm regardless of what treatments were actually received.
Arm/Group Title Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
Hide Arm/Group Description:
Participants will receive either 8 cycles of rituximab along with 6 cycles of cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) (21-day cycle) or 8 cycles of rituximab along with 8 cycles of cyclophosphamide, vincristine, and prednisone (CVP) (21-day cycles) or 6 cycles of rituximab along with 6 cycles of bendamustine (28-day cycle) during the induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive rituximab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Participants will receive either 8 cycles of obinutuzumab along with 6 cycles of CHOP (21-day cycle) or 8 cycles of obinutuzumab along with 8 cycles of CVP (21-day cycles) or 6 cycles of obinutuzumab along with 6 cycles of bendamustine (28-day cycle) during induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive obinutuzumab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Overall Number of Participants Analyzed 601 601
Measure Type: Number
Unit of Measure: percentage of participants with event
14.3 12.6
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Rituximab+Chemotherapy, Obinutuzumab+Chemotherapy
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.3577
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.86
Confidence Interval 95%
0.63 to 1.18
Estimation Comments [Not Specified]
15.Secondary Outcome
Title Overall Survival (Overall Study Population)
Hide Description Overall survival in the overall study population was defined as the time from the date of randomization to the date of death from any cause. Reported is the percentage of participants with event.
Time Frame Baseline up to data cut-off (up to approximately 5 years and 2 months)
Hide Outcome Measure Data
Hide Analysis Population Description
The ITT population defined as all randomized participants grouped according to their randomized treatment arm regardless of what treatments were actually received.
Arm/Group Title Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
Hide Arm/Group Description:
Participants will receive either 8 cycles of rituximab along with 6 cycles of cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) (21-day cycle) or 8 cycles of rituximab along with 8 cycles of cyclophosphamide, vincristine, and prednisone (CVP) (21-day cycles) or 6 cycles of rituximab along with 6 cycles of bendamustine (28-day cycle) during the induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive rituximab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Participants will receive either 8 cycles of obinutuzumab along with 6 cycles of CHOP (21-day cycle) or 8 cycles of obinutuzumab along with 8 cycles of CVP (21-day cycles) or 6 cycles of obinutuzumab along with 6 cycles of bendamustine (28-day cycle) during induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive obinutuzumab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Overall Number of Participants Analyzed 699 702
Measure Type: Number
Unit of Measure: percentage of participants with event
10.2 8.4
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Rituximab+Chemotherapy, Obinutuzumab+Chemotherapy
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.25
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.82
Confidence Interval 95%
0.58 to 1.16
Estimation Comments [Not Specified]
16.Secondary Outcome
Title Event-Free Survival (Follicular Lymphoma Population)
Hide Description Event-free survival in the follicular lymphoma population was defined as the time from the date of randomization to the date to disease progression/relapse, death from any cause, or initiation of a new anti-lymphoma treatment (NALT) on the basis of investigator assessment assessments with the use of Revised Response Criteria for Malignant Lymphoma. Disease progression/relapse was defined as at least 50% increase in nodal lesions or >/=50% increase in any node > 1 centimeter (cm) or >/= 50% increase in other target measurable lesions (e.g., splenic or hepatic nodules) and/or appearance of any new bone marrow involvement and/or appearance of any new lesion > 1.5 cm or >/= 50% increase in any previously involved node with a diameter </= 1 cm such that it is now >1.5 cm. Tumor measurements were obtained by CT/MRI. Reported is the percentage of participants with an event.
Time Frame Baseline up to 10 years
Hide Outcome Measure Data
Hide Analysis Population Description
The FL ITT population, defined as all randomized participants with follicular histology, where participants were grouped according to their randomized treatment arm regardless of what treatments were actually received.
Arm/Group Title Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
Hide Arm/Group Description:
Participants will receive either 8 cycles of rituximab along with 6 cycles of cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) (21-day cycle) or 8 cycles of rituximab along with 8 cycles of cyclophosphamide, vincristine, and prednisone (CVP) (21-day cycles) or 6 cycles of rituximab along with 6 cycles of bendamustine (28-day cycle) during the induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive rituximab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Participants will receive either 8 cycles of obinutuzumab along with 6 cycles of CHOP (21-day cycle) or 8 cycles of obinutuzumab along with 8 cycles of CVP (21-day cycles) or 6 cycles of obinutuzumab along with 6 cycles of bendamustine (28-day cycle) during induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive obinutuzumab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Overall Number of Participants Analyzed 601 601
Measure Type: Number
Unit of Measure: percentage of participants with event
42.9 35.8
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Rituximab+Chemotherapy, Obinutuzumab+Chemotherapy
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0015
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.74
Confidence Interval (2-Sided) 95%
0.62 to 0.89
Estimation Comments [Not Specified]
17.Secondary Outcome
Title Event-Free Survival (Overall Study Population)
Hide Description Event-free survival in the overall study population was defined as the time from the date of randomization to the date to disease progression/relapse, death from any cause, or initiation of a new anti-lymphoma treatment (NALT) on the basis of investigator assessment assessments with the use of Revised Response Criteria for Malignant Lymphoma. Disease progression/relapse was defined as at least 50% increase in nodal lesions or >/=50% increase in any node > 1 centimeter (cm) or >/= 50% increase in other target measurable lesions (e.g., splenic or hepatic nodules) and/or appearance of any new bone marrow involvement and/or appearance of any new lesion > 1.5 cm or >/= 50% increase in any previously involved node with a diameter </= 1 cm such that it is now >1.5 cm. Tumor measurements were obtained by CT/MRI. Reported is the percentage of participants with event.
Time Frame Baseline up to data cut-off (up to approximately 5 years and 2 months)
Hide Outcome Measure Data
Hide Analysis Population Description
The ITT population defined as all randomized participants grouped according to their randomized treatment arm regardless of what treatments were actually received.
Arm/Group Title Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
Hide Arm/Group Description:
Participants will receive either 8 cycles of rituximab along with 6 cycles of cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) (21-day cycle) or 8 cycles of rituximab along with 8 cycles of cyclophosphamide, vincristine, and prednisone (CVP) (21-day cycles) or 6 cycles of rituximab along with 6 cycles of bendamustine (28-day cycle) during the induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive rituximab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Participants will receive either 8 cycles of obinutuzumab along with 6 cycles of CHOP (21-day cycle) or 8 cycles of obinutuzumab along with 8 cycles of CVP (21-day cycles) or 6 cycles of obinutuzumab along with 6 cycles of bendamustine (28-day cycle) during induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive obinutuzumab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Overall Number of Participants Analyzed 699 702
Measure Type: Number
Unit of Measure: percentage of participants with event
30.6 22.6
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Rituximab+Chemotherapy, Obinutuzumab+Chemotherapy
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0004
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.69
Confidence Interval 95%
0.56 to 0.85
Estimation Comments [Not Specified]
18.Secondary Outcome
Title Disease-Free Survival (Follicular Lymphoma Population)
Hide Description Disease-free survival in the follicular lymphoma population was defined as the time from the date of the first occurrence of a documented CR to the date of disease progression/ relapse, or death from any cause for the subgroup of participants with a response of CR at any time prior to NALT on the basis of investigator assessments with the use of Revised Response Criteria for Malignant Lymphoma (RRCML). Tumor assessments were performed with CT/MRI. CR was defined as disappearance of all target lesions. Progression/relapse was defined as at least 50% increase in nodal lesions or >/=50% increase in any node > 1 centimeter (cm) or >/= 50% increase in other target measurable lesions (e.g., splenic or hepatic nodules) and/or appearance of any new bone marrow involvement and/or appearance of any new lesion > 1.5 cm or >/= 50% increase in any previously involved node with a diameter </= 1 cm such that it is now >1.5 cm. Reported is the percentage of participants with event.
Time Frame From first occurrence of documented CR to data cut-off (up to approximately 5 years and 2 months)
Hide Outcome Measure Data
Hide Analysis Population Description
Participants with CR within the FL ITT population were included in the analysis.The FL ITT population, defined as all randomized participants with follicular histology, where participants were grouped according to their randomized treatment arm regardless of what treatments were actually received.
Arm/Group Title Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
Hide Arm/Group Description:
Participants will receive either 8 cycles of rituximab along with 6 cycles of cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) (21-day cycle) or 8 cycles of rituximab along with 8 cycles of cyclophosphamide, vincristine, and prednisone (CVP) (21-day cycles) or 6 cycles of rituximab along with 6 cycles of bendamustine (28-day cycle) during the induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive rituximab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Participants will receive either 8 cycles of obinutuzumab along with 6 cycles of CHOP (21-day cycle) or 8 cycles of obinutuzumab along with 8 cycles of CVP (21-day cycles) or 6 cycles of obinutuzumab along with 6 cycles of bendamustine (28-day cycle) during induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive obinutuzumab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Overall Number of Participants Analyzed 330 355
Measure Type: Number
Unit of Measure: percentage of participants with event
27.9 26.3
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Rituximab+Chemotherapy, Obinutuzumab+Chemotherapy
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.95
Confidence Interval (2-Sided) 95%
0.71 to 1.27
Estimation Comments [Not Specified]
19.Secondary Outcome
Title Disease-Free Survival (Overall Study Population)
Hide Description Disease-free survival in the overall study population was defined as the time from the date of the first occurrence of a documented CR to the date of disease progression/ relapse, or death from any cause for the subgroup of participants with a response of CR at any time prior to NALT on the basis of investigator assessments with the use of Revised Response Criteria for Malignant Lymphoma. Tumor assessments were performed with CT/MRI. CR was defined as disappearance of all target lesions. Progression/relapse was defined as at least 50% increase in nodal lesions or >/=50% increase in any node > 1 centimeter (cm) or >/= 50% increase in other target measurable lesions (e.g., splenic or hepatic nodules) and/or appearance of any new bone marrow involvement and/or appearance of any new lesion > 1.5 cm or >/= 50% increase in any previously involved node with a diameter </= 1 cm such that it is now >1.5 cm. Reported is the percentage of participants with event.
Time Frame From first occurrence of documented CR to data cut-off (up to approximately 5 years and 2 months)
Hide Outcome Measure Data
Hide Analysis Population Description
Participants with CR within the ITT population were included in the analysis.The ITT population was defined as all randomized participants grouped according to their randomized treatment arm regardless of what treatments were actually received.
Arm/Group Title Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
Hide Arm/Group Description:
Participants will receive either 8 cycles of rituximab along with 6 cycles of cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) (21-day cycle) or 8 cycles of rituximab along with 8 cycles of cyclophosphamide, vincristine, and prednisone (CVP) (21-day cycles) or 6 cycles of rituximab along with 6 cycles of bendamustine (28-day cycle) during the induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive rituximab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Participants will receive either 8 cycles of obinutuzumab along with 6 cycles of CHOP (21-day cycle) or 8 cycles of obinutuzumab along with 8 cycles of CVP (21-day cycles) or 6 cycles of obinutuzumab along with 6 cycles of bendamustine (28-day cycle) during induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive obinutuzumab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Overall Number of Participants Analyzed 320 343
Measure Type: Number
Unit of Measure: percentage of participants with event
14.9 11.2
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Rituximab+Chemotherapy, Obinutuzumab+Chemotherapy
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.78
Confidence Interval (2-Sided) 95%
0.50 to 1.19
Estimation Comments [Not Specified]
20.Secondary Outcome
Title Duration of Response (DOR) (Follicular Lymphoma Population), Investigator-Assessed
Hide Description DOR was defined as the time from first occurrence of a documented CR or PR to disease progression/relapse, or death from any cause for participants with a response of CR or PR any time prior to NALT based on RRCML. Tumor assessments were performed with CT/MRI. CR was defined as disappearance of all target lesions. PR was defined as >/=50% decrease target lesions in up to six dominant lesions identified at baseline, no new lesions and no increase in the size of the liver, spleen, or other nodes. Splenic and hepatic nodules must have regressed by >/= 50%. Progression/relapse was defined as at least 50% increase in nodal lesions or >/=50% increase in any node > 1 centimeter (cm) or >/= 50% increase in other target measurable lesions (e.g., splenic or hepatic nodules) and/or appearance of any new bone marrow involvement and/or appearance of any new lesion > 1.5 cm or >/= 50% increase in any previously involved node with a diameter </= 1 cm such that it is now >1.5 cm.
Time Frame From first occurrence of documented CR or PR to data cut-off (up to approximately 5 years and 2 months)
Hide Outcome Measure Data
Hide Analysis Population Description
Participants with CR or PR within the FL ITT population were included in the analysis.The FL ITT population, defined as all randomized participants with follicular histology, where participants were grouped according to their randomized treatment arm regardless of what treatments were actually received.
Arm/Group Title Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
Hide Arm/Group Description:
Participants will receive either 8 cycles of rituximab along with 6 cycles of cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) (21-day cycle) or 8 cycles of rituximab along with 8 cycles of cyclophosphamide, vincristine, and prednisone (CVP) (21-day cycles) or 6 cycles of rituximab along with 6 cycles of bendamustine (28-day cycle) during the induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive rituximab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Participants will receive either 8 cycles of obinutuzumab along with 6 cycles of CHOP (21-day cycle) or 8 cycles of obinutuzumab along with 8 cycles of CVP (21-day cycles) or 6 cycles of obinutuzumab along with 6 cycles of bendamustine (28-day cycle) during induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive obinutuzumab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Overall Number of Participants Analyzed 568 571
Measure Type: Number
Unit of Measure: percentage of participants with event
39.3 33.3
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Rituximab+Chemotherapy, Obinutuzumab+Chemotherapy
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.76
Confidence Interval (2-Sided) 95%
0.63 to 0.93
Estimation Comments [Not Specified]
21.Secondary Outcome
Title Duration of Response (DOR) (Overall Study Population), Investigator-Assessed
Hide Description DOR was defined as the time from first occurrence of a documented CR or PR to disease progression/relapse, or death from any cause for participants with a response of CR or PR any time prior to NALT based on RRCML. Tumor assessments were performed with CT/MRI. CR was defined as disappearance of all target lesions. PR was defined as >/=50% decrease target lesions in up to six dominant lesions identified at baseline, no new lesions and no increase in the size of the liver, spleen, or other nodes. Splenic and hepatic nodules must have regressed by >/= 50%. Progression/relapse was defined as at least 50% increase in nodal lesions or >/=50% increase in any node > 1 centimeter (cm) or >/= 50% increase in other target measurable lesions (e.g., splenic or hepatic nodules) and/or appearance of any new bone marrow involvement and/or appearance of any new lesion > 1.5 cm or >/= 50% increase in any previously involved node with a diameter </= 1 cm such that it is now >1.5 cm.
Time Frame From first occurrence of documented CR or PR to data cut-off (up to approximately 4 years and 7 months)
Hide Outcome Measure Data
Hide Analysis Population Description
Participants with CR or PR within the ITT population were included in the analysis. The ITT population defined as all randomized participants grouped according to their randomized treatment arm regardless of what treatments were actually received.
Arm/Group Title Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
Hide Arm/Group Description:
Participants will receive either 8 cycles of rituximab along with 6 cycles of cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) (21-day cycle) or 8 cycles of rituximab along with 8 cycles of cyclophosphamide, vincristine, and prednisone (CVP) (21-day cycles) or 6 cycles of rituximab along with 6 cycles of bendamustine (28-day cycle) during the induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive rituximab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Participants will receive either 8 cycles of obinutuzumab along with 6 cycles of CHOP (21-day cycle) or 8 cycles of obinutuzumab along with 8 cycles of CVP (21-day cycles) or 6 cycles of obinutuzumab along with 6 cycles of bendamustine (28-day cycle) during induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive obinutuzumab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Overall Number of Participants Analyzed 656 659
Measure Type: Number
Unit of Measure: percentage of participants with event
25.5 18.7
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Rituximab+Chemotherapy, Obinutuzumab+Chemotherapy
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.69
Confidence Interval 95%
0.55 to 0.88
Estimation Comments [Not Specified]
22.Secondary Outcome
Title Time to Next Anti-Lymphoma Treatment (Follicular Lymphoma Population)
Hide Description Time to next anti-lymphoma treatment was defined as the time from the date of randomization to the start date of the next anti-lymphoma treatment or death from any cause. Reported is the percentage of participants with event.
Time Frame Baseline up to 10 years
Hide Outcome Measure Data
Hide Analysis Population Description
The FL ITT population, defined as all randomized participants with follicular histology, where participants were grouped according to their randomized treatment arm regardless of what treatments were actually received.
Arm/Group Title Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
Hide Arm/Group Description:
Participants will receive either 8 cycles of rituximab along with 6 cycles of cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) (21-day cycle) or 8 cycles of rituximab along with 8 cycles of cyclophosphamide, vincristine, and prednisone (CVP) (21-day cycles) or 6 cycles of rituximab along with 6 cycles of bendamustine (28-day cycle) during the induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive rituximab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Participants will receive either 8 cycles of obinutuzumab along with 6 cycles of CHOP (21-day cycle) or 8 cycles of obinutuzumab along with 8 cycles of CVP (21-day cycles) or 6 cycles of obinutuzumab along with 6 cycles of bendamustine (28-day cycle) during induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive obinutuzumab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Overall Number of Participants Analyzed 601 601
Measure Type: Number
Unit of Measure: percentage of participants with event
34.8 26.6
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Rituximab+Chemotherapy, Obinutuzumab+Chemotherapy
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.001
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.71
Confidence Interval (2-Sided) 95%
0.58 to 0.87
Estimation Comments [Not Specified]
23.Secondary Outcome
Title Time to Next Anti-Lymphoma Treatment (Overall Study Population)
Hide Description Time to next anti-lymphoma treatment was defined as the time from the date of randomization to the start date of the next anti-lymphoma treatment or death from any cause. Reported is the percentage of participants with event.
Time Frame Baseline up to data cut-off (up to approximately 5 years and 2 months)
Hide Outcome Measure Data
Hide Analysis Population Description
The ITT population defined as all randomized participants grouped according to their randomized treatment arm regardless of what treatments were actually received.
Arm/Group Title Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
Hide Arm/Group Description:
Participants will receive either 8 cycles of rituximab along with 6 cycles of cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) (21-day cycle) or 8 cycles of rituximab along with 8 cycles of cyclophosphamide, vincristine, and prednisone (CVP) (21-day cycles) or 6 cycles of rituximab along with 6 cycles of bendamustine (28-day cycle) during the induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive rituximab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Participants will receive either 8 cycles of obinutuzumab along with 6 cycles of CHOP (21-day cycle) or 8 cycles of obinutuzumab along with 8 cycles of CVP (21-day cycles) or 6 cycles of obinutuzumab along with 6 cycles of bendamustine (28-day cycle) during induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive obinutuzumab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Overall Number of Participants Analyzed 699 702
Measure Type: Number
Unit of Measure: percentage of participants with event
21.6 15.7
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Rituximab+Chemotherapy, Obinutuzumab+Chemotherapy
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.004
Comments [Not Specified]
Method Log Rank
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.70
Confidence Interval 95%
0.54 to 0.89
Estimation Comments [Not Specified]
24.Secondary Outcome
Title Percentage of Participants With Adverse Events
Hide Description An adverse event is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as adverse events.
Time Frame Baseline up to 10 years
Hide Outcome Measure Data
Hide Analysis Population Description
The safety analysis population included all participants who received any amount of any study drug and participants were analyzed according to the treatment received.
Arm/Group Title Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
Hide Arm/Group Description:
Participants will receive either 8 cycles of rituximab along with 6 cycles of cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) (21-day cycle) or 8 cycles of rituximab along with 8 cycles of cyclophosphamide, vincristine, and prednisone (CVP) (21-day cycles) or 6 cycles of rituximab along with 6 cycles of bendamustine (28-day cycle) during the induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive rituximab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Participants will receive either 8 cycles of obinutuzumab along with 6 cycles of CHOP (21-day cycle) or 8 cycles of obinutuzumab along with 8 cycles of CVP (21-day cycles) or 6 cycles of obinutuzumab along with 6 cycles of bendamustine (28-day cycle) during induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive obinutuzumab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Overall Number of Participants Analyzed 692 698
Measure Type: Number
Unit of Measure: percentage of participants
99.6 99.9
25.Secondary Outcome
Title Change From Baseline in All Domains of FACT-G (Follicular Lymphoma Population)
Hide Description FACT-G consists of the following 4 FACT-Lym sub-questionnaires: Physical Well-being (range: 0-28), Social/Family Well-being (range: 0-28), Emotional Well-being (range: 0-24) and Functional Well-being (range: 0-28). Higher scores indicate better outcomes. A positive change from baseline indicates improvement. Maint = Maintenance period.
Time Frame Baseline (Induction Cycle 1, Day 1), data cut-off (up to approximately 5 years and 2 months)
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Hide Analysis Population Description
The FL ITT population was defined as all randomized participants with follicular histology grouped according to their randomized treatment arm regardless of what treatments were actually received.
Arm/Group Title Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
Hide Arm/Group Description:
Participants received either 8 cycles of rituximab along with 6 cycles of cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) (21-day cycle) or 8 cycles of rituximab along with 8 cycles of cyclophosphamide, vincristine, and prednisone (CVP) (21-day cycles) or 6 cycles of rituximab along with 6 cycles of bendamustine (28-day cycle) during the induction period. The induction period was followed by either a maintenance or observation period for responders or non-responders, respectively. Responders received rituximab monotherapy every 2 months for 2 years during the maintenance period. Non-responders received no protocol specified treatment during the 2-year observation period. Finally, participants were followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant was chosen by the site prior to initiation of the study.
Participants received either 8 cycles of obinutuzumab along with 6 cycles of CHOP (21-day cycle) or 8 cycles of obinutuzumab along with 8 cycles of CVP (21-day cycles) or 6 cycles of obinutuzumab along with 6 cycles of bendamustine (28-day cycle) during induction period. The induction period was followed by either a maintenance or observation period for responders or non-responders, respectively. Responders received obinutuzumab monotherapy every 2 months for 2 years during the maintenance period. Non-responders received no protocol specified treatment during the 2-year observation period. Finally, participants were followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant was chosen by the site prior to initiation of the study.
Overall Number of Participants Analyzed 557 566
Mean (Standard Deviation)
Unit of Measure: units on a scale
Physical Well-being (PW), Baseline Number Analyzed 557 participants 566 participants
23.36  (4.77) 23.14  (4.85)
PW Change, Cycle 3, Day 1 Number Analyzed 511 participants 496 participants
-0.91  (4.54) -0.21  (4.59)
PW Change, End Induction Number Analyzed 482 participants 480 participants
-0.06  (4.83) 0.56  (5.14)
PW Change, Maint Month 2 Number Analyzed 362 participants 398 participants
0.83  (4.76) 1.42  (5.09)
PW Change, Maint Month 12 Number Analyzed 362 participants 406 participants
1.14  (4.29) 1.34  (4.74)
PW Change, End Maint Number Analyzed 411 participants 437 participants
0.88  (4.54) 1.33  (5.00)
Social/Family Well-being , Baseline Number Analyzed 555 participants 563 participants
22.84  (4.92) 23.28  (4.77)
S/FW Change, Cycle 3 Day 1 Number Analyzed 506 participants 492 participants
-0.52  (4.03) -0.67  (3.92)
S/FW Change, End Induction Number Analyzed 482 participants 475 participants
-0.46  (4.77) -0.56  (5.00)
S/FW Change, Maint Month 2 Number Analyzed 359 participants 396 participants
-0.39  (4.72) -0.67  (4.68)
S/FW Change, Maint Month 12 Number Analyzed 359 participants 403 participants
-0.61  (5.56) -0.97  (5.34)
S/FW Change, End Maint Number Analyzed 410 participants 436 participants
-0.93  (5.67) -0.71  (5.54)
Emotional Well-being (EW), Baseline Number Analyzed 556 participants 563 participants
17.64  (4.19) 17.87  (4.13)
EW Change, Cycle 3 Day 1 Number Analyzed 503 participants 490 participants
1.49  (3.40) 1.35  (3.35)
EW Change, End Induction Number Analyzed 478 participants 476 participants
1.16  (3.90) 1.14  (3.87)
EW Change, Maint Month 2 Number Analyzed 359 participants 396 participants
1.77  (3.88) 1.49  (4.16)
EW Change, Maint Month 12 Number Analyzed 360 participants 402 participants
1.45  (3.92) 1.46  (3.88)
EW Change, End Maint Number Analyzed 405 participants 435 participants
1.43  (3.98) 1.49  (3.99)
Functional Well-being (FW), Baseline Number Analyzed 556 participants 563 participants
18.66  (6.19) 18.76  (5.98)
FW Change, Cycle 3 Day 1 Number Analyzed 504 participants 488 participants
-0.30  (5.30) -0.07  (5.24)
FW Change, End Induction Number Analyzed 480 participants 476 participants
0.44  (5.63) 0.93  (5.85)
FW Change, Maint Month 2 Number Analyzed 359 participants 396 participants
1.04  (5.31) 1.25  (6.02)
FW Change, Maint Month 12 Number Analyzed 360 participants 402 participants
1.84  (5.54) 1.65  (5.95)
FW Change, End Maint Number Analyzed 406 participants 436 participants
1.40  (6.12) 1.72  (6.16)
26.Secondary Outcome
Title Change From Baseline in FACT-Lym Total Outcome Index (TOI) Score (Follicular Lymphoma Population)
Hide Description The FACT-Lym TOI Score for the follicular lymphoma population was derived from the following 3 individual FACT-Lym questionnaire subscale scores: Physical Well-being (range: 0-28), Functional Well-being (range: 0-28) and Lymphoma (range: 0-60). The FACT-Lym TOI Score is the sum of the 3 individual subscales (range 0-116). Higher scores indicate better outcomes. A positive change from baseline indicates an improvement.
Time Frame Baseline (Induction Cycle 1, Day 1), data cut-off (up to approximately 5 years and 2 months)
Hide Outcome Measure Data
Hide Analysis Population Description
The FL ITT population was defined as all randomized participants with follicular histology grouped according to their randomized treatment arm regardless of what treatments were actually received.
Arm/Group Title Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
Hide Arm/Group Description:
Participants received either 8 cycles of rituximab along with 6 cycles of cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) (21-day cycle) or 8 cycles of rituximab along with 8 cycles of cyclophosphamide, vincristine, and prednisone (CVP) (21-day cycles) or 6 cycles of rituximab along with 6 cycles of bendamustine (28-day cycle) during the induction period. The induction period was followed by either a maintenance or observation period for responders or non-responders, respectively. Responders received rituximab monotherapy every 2 months for 2 years during the maintenance period. Non-responders received no protocol specified treatment during the 2-year observation period. Finally, participants were followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant was chosen by the site prior to initiation of the study.
Participants received either 8 cycles of obinutuzumab along with 6 cycles of CHOP (21-day cycle) or 8 cycles of obinutuzumab along with 8 cycles of CVP (21-day cycles) or 6 cycles of obinutuzumab along with 6 cycles of bendamustine (28-day cycle) during induction period. The induction period was followed by either a maintenance or observation period for responders or non-responders, respectively. Responders received obinutuzumab monotherapy every 2 months for 2 years during the maintenance period. Non-responders received no protocol specified treatment during the 2-year observation period. Finally, participants were followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant was chosen by the site prior to initiation of the study.
Overall Number of Participants Analyzed 559 567
Mean (Standard Deviation)
Unit of Measure: units on a scale
TOI Score, Baseline Number Analyzed 559 participants 567 participants
86.61  (18.16) 86.94  (18.05)
TOI Score Change, Cycle 3 Day 1 Number Analyzed 514 participants 497 participants
0.46  (15.03) 2.18  (15.95)
TOI Score Change, End Induction Number Analyzed 485 participants 481 participants
2.91  (17.00) 4.57  (16.71)
TOI Score Change, Maint M2 Number Analyzed 363 participants 400 participants
6.22  (16.16) 7.17  (16.57)
TOI Score Change, Maint M12 Number Analyzed 362 participants 408 participants
7.61  (15.62) 7.20  (16.75)
TOI Score Change, End Maint Number Analyzed 412 participants 440 participants
6.23  (17.06) 7.44  (16.96)
27.Secondary Outcome
Title Change From Baseline in FACT-Lym Individual Subscale Lymphoma Score (Follicular Population)
Hide Description The FACT-Lym Individual Subscale Lymphoma Score for the follicular lymphoma population was derived from the Lymphoma subscale questionnaire (range: 0-60). Higher scores indicate better outcomes. A positive change from baseline indicates an improvement.
Time Frame Baseline (Induction Cycle 1, Day 1), data cut-off (up to approximately 5 years and 2 months)
Hide Outcome Measure Data
Hide Analysis Population Description
The FL ITT population was defined as all randomized participants with follicular histology grouped according to their randomized treatment arm regardless of what treatments were actually received.
Arm/Group Title Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
Hide Arm/Group Description:
Participants received either 8 cycles of rituximab along with 6 cycles of cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) (21-day cycle) or 8 cycles of rituximab along with 8 cycles of cyclophosphamide, vincristine, and prednisone (CVP) (21-day cycles) or 6 cycles of rituximab along with 6 cycles of bendamustine (28-day cycle) during the induction period. The induction period was followed by either a maintenance or observation period for responders or non-responders, respectively. Responders received rituximab monotherapy every 2 months for 2 years during the maintenance period. Non-responders received no protocol specified treatment during the 2-year observation period. Finally, participants were followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant was chosen by the site prior to initiation of the study.
Participants received either 8 cycles of obinutuzumab along with 6 cycles of CHOP (21-day cycle) or 8 cycles of obinutuzumab along with 8 cycles of CVP (21-day cycles) or 6 cycles of obinutuzumab along with 6 cycles of bendamustine (28-day cycle) during induction period. The induction period was followed by either a maintenance or observation period for responders or non-responders, respectively. Responders received obinutuzumab monotherapy every 2 months for 2 years during the maintenance period. Non-responders received no protocol specified treatment during the 2-year observation period. Finally, participants were followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant was chosen by the site prior to initiation of the study.
Overall Number of Participants Analyzed 556 563
Mean (Standard Deviation)
Unit of Measure: units on a scale
Lymphoma, Baseline Number Analyzed 556 participants 563 participants
45.01  (9.37) 45.54  (9.29)
Lymphoma Change, Cycle 3 Day 1 Number Analyzed 509 participants 491 participants
2.04  (7.18) 2.71  (7.46)
Lymphoma Change, End Induction Number Analyzed 477 participants 478 participants
2.99  (8.63) 3.01  (8.36)
Lymphoma Change, Maint Month 2 Number Analyzed 360 participants 395 participants
4.80  (8.29) 4.52  (8.32)
Lymphoma Change, Maint Month 12 Number Analyzed 360 participants 404 participants
4.93  (8.34) 4.27  (8.31)
Lymphoma Change, End Maint Number Analyzed 407 participants 438 participants
4.31  (8.81) 4.57  (8.54)
28.Secondary Outcome
Title Change From Baseline in Functional Assessment of Cancer Therapy-Lymphoma (FACT-Lym) Total Score (Follicular Population)
Hide Description The FACT-Lym Total Score for the follicular lymphoma population was derived from the following 5 individual FACT-Lym questionnaire subscale scores: Physical Well-being (range: 0-28), Social/Family Well-being (range: 0-28), Emotional Well-being (range: 0-24),Functional Well-being (range: 0-28) and Lymphoma (range: 0-60). The FACT-Lym Total Score is the sum of all 5 individual subscales (range 0-168). Higher scores indicate better outcomes. A positive change from baseline indicates an improvement.
Time Frame Baseline (Induction Cycle 1, Day 1), data cut-off (up to approximately 5 years and 2 months)
Hide Outcome Measure Data
Hide Analysis Population Description
The FL ITT population was defined as all randomized participants with follicular histology grouped according to their randomized treatment arm regardless of what treatments were actually received.
Arm/Group Title Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
Hide Arm/Group Description:
Participants received either 8 cycles of rituximab along with 6 cycles of cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) (21-day cycle) or 8 cycles of rituximab along with 8 cycles of cyclophosphamide, vincristine, and prednisone (CVP) (21-day cycles) or 6 cycles of rituximab along with 6 cycles of bendamustine (28-day cycle) during the induction period. The induction period was followed by either a maintenance or observation period for responders or non-responders, respectively. Responders received rituximab monotherapy every 2 months for 2 years during the maintenance period. Non-responders received no protocol specified treatment during the 2-year observation period. Finally, participants were followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant was chosen by the site prior to initiation of the study.
Participants received either 8 cycles of obinutuzumab along with 6 cycles of CHOP (21-day cycle) or 8 cycles of obinutuzumab along with 8 cycles of CVP (21-day cycles) or 6 cycles of obinutuzumab along with 6 cycles of bendamustine (28-day cycle) during induction period. The induction period was followed by either a maintenance or observation period for responders or non-responders, respectively. Responders received obinutuzumab monotherapy every 2 months for 2 years during the maintenance period. Non-responders received no protocol specified treatment during the 2-year observation period. Finally, participants were followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant was chosen by the site prior to initiation of the study.
Overall Number of Participants Analyzed 552 559
Mean (Standard Deviation)
Unit of Measure: units on a scale
Total Score, Baseline Number Analyzed 552 participants 559 participants
127.40  (22.43) 128.42  (22.16)
Total Score Change, Cycle 3 Day 1 Number Analyzed 499 participants 484 participants
1.98  (17.01) 3.21  (17.12)
Total Score Change, End Induction Number Analyzed 471 participants 471 participants
4.18  (19.75) 5.10  (20.03)
Total Score Change, Maint Month 2 Number Analyzed 356 participants 392 participants
8.40  (19.16) 8.13  (19.80)
Total Score Change, Maint Month 12 Number Analyzed 358 participants 396 participants
8.87  (19.31) 7.90  (19.55)
Total Score Change, End Maint Number Analyzed 401 participants 433 participants
7.43  (19.88) 8.80  (20.57)
29.Secondary Outcome
Title Change From Baseline in Euro-Quality of Life-5 Dimensions (EQ-5D) Questionnaire Summary Score (Follicular Lymphoma Population) During Induction Phase
Hide Description The EQ-5D is a quality of life questionnaire with five questions, each with three categories (no problem, moderate problem, severe problems) and a visual analogue scale (VAS) from 0 (worst possible health state) to 100 (best possible health state. Summary score ranges from 0 to 1. Higher scores indicate better outcomes. A positive change from baseline indicates an improvement. Completion (Compl) includes completion visit and early termination visit. Maintenance/Observation is indicated as Maint/Obs.
Time Frame Induction: Cycle 1 Day 1 (Baseline), Cycle 3 Day 1, End of Induction (up to 7 months); Maintenance: 2, 12 months after Day 1 of last induction cycle, Follow-up: every year up to data cut-off (up to 5 years and 2 months)
Hide Outcome Measure Data
Hide Analysis Population Description
The FL ITT population, defined as all randomized participants with follicular histology, where participants were grouped according to their randomized treatment arm regardless of what treatments were actually received.
Arm/Group Title Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
Hide Arm/Group Description:
Participants will receive either 8 cycles of rituximab along with 6 cycles of cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) (21-day cycle) or 8 cycles of rituximab along with 8 cycles of cyclophosphamide, vincristine, and prednisone (CVP) (21-day cycles) or 6 cycles of rituximab along with 6 cycles of bendamustine (28-day cycle) during the induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive rituximab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Participants will receive either 8 cycles of obinutuzumab along with 6 cycles of CHOP (21-day cycle) or 8 cycles of obinutuzumab along with 8 cycles of CVP (21-day cycles) or 6 cycles of obinutuzumab along with 6 cycles of bendamustine (28-day cycle) during induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive obinutuzumab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Overall Number of Participants Analyzed 558 559
Mean (Standard Deviation)
Unit of Measure: units on a scale
Baseline Induction Number Analyzed 558 participants 559 participants
0.80  (0.24) 0.81  (0.21)
Change Baseline, Cycle 1 Day 1 Number Analyzed 0 participants 0 participants
Change Baseline, Cycle 3 Day 1 Number Analyzed 505 participants 487 participants
0.03  (0.21) 0.03  (0.20)
Change Baseline, Induction Compl Number Analyzed 468 participants 466 participants
0.04  (0.23) 0.03  (0.22)
Change Baseline, Maint/Obs Month 2 Number Analyzed 348 participants 377 participants
0.05  (0.23) 0.06  (0.22)
Change from Baseline, Maint/Obs Month 12 Number Analyzed 2 participants 1 participants
0.00  (0.00) -0.20 [1]   (NA)
Change Baseline, Maint/Obs Completion Number Analyzed 0 participants 1 participants
-0.10 [1]   (NA)
[1]
NA = NE = Not estimable based on 1 participant evaluated
30.Secondary Outcome
Title Change From Baseline in Euro-Quality of Life-5 Dimensions (EQ-5D) Questionnaire Summary Score (Follicular Lymphoma Population) During Maintenance/Observation Phase
Hide Description The EQ-5D is a quality of life questionnaire with five questions, each with three categories (no problem, moderate problem, severe problems) and a visual analogue scale (VAS) from 0 (worst possible health state) to 100 (best possible health state. Summary score ranges from 0 to 1 Higher scores indicate better outcomes. A positive change from baseline indicates an improvement. Maintenance/Observation is indicated as Maint/Obs. Completion includes completion visit and early termination visit.
Time Frame Induction: Cycle 1 Day 1 (Baseline), Cycle 3 Day 1, End of Induction (up to 7 months); Maintenance: 2, 12 months after Day 1 of last induction cycle, Follow-up: every year up to data cut-off (up to 5 years and 2 months)
Hide Outcome Measure Data
Hide Analysis Population Description
The FL ITT population, defined as all randomized participants with follicular histology, where participants were grouped according to their randomized treatment arm regardless of what treatments were actually received.
Arm/Group Title Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
Hide Arm/Group Description:
Participants will receive either 8 cycles of rituximab along with 6 cycles of cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) (21-day cycle) or 8 cycles of rituximab along with 8 cycles of cyclophosphamide, vincristine, and prednisone (CVP) (21-day cycles) or 6 cycles of rituximab along with 6 cycles of bendamustine (28-day cycle) during the induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive rituximab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Participants will receive either 8 cycles of obinutuzumab along with 6 cycles of CHOP (21-day cycle) or 8 cycles of obinutuzumab along with 8 cycles of CVP (21-day cycles) or 6 cycles of obinutuzumab along with 6 cycles of bendamustine (28-day cycle) during induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive obinutuzumab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Overall Number of Participants Analyzed 536 547
Mean (Standard Deviation)
Unit of Measure: units on a scale
Change Baseline, Maint/Obs Month 2 Number Analyzed 11 participants 14 participants
0.04  (0.34) 0.04  (0.14)
Change Baseline, Maint/Obs Month 12 Number Analyzed 536 participants 547 participants
0.06  (0.24) 0.06  (0.21)
Change Baseline, Maint/Obs Completion Number Analyzed 402 participants 421 participants
0.03  (0.23) 0.05  (0.23)
31.Secondary Outcome
Title Change From Baseline in Euro-Quality of Life-5 Dimensions (EQ-5D) Questionnaire Summary Score (Follicular Lymphoma Population) During Follow Up Phase
Hide Description The EQ-5D is a quality of life questionnaire with five questions, each with three categories (no problem, moderate problem, severe problems) and a visual analogue scale (VAS) from 0 (worst possible health state) to 100 (best possible health state. Summary score ranges from 0 to 1. Higher scores indicate better outcomes. A positive change from baseline indicates an improvement. Maintenance/Observation is indicated as Maint/Obs in data categories. Completion includes completion visit and early termination visit.
Time Frame Induction: Cycle 1 Day 1 (Baseline), Cycle 3 Day 1, End of Induction (up to 7 months); Maintenance: 2, 12 after Day 1 of last induction cycle, Follow-up: every year for up to data cut-off (up to 5 years and 2 months)
Hide Outcome Measure Data
Hide Analysis Population Description
The FL ITT population, defined as all randomized participants with follicular histology, where participants were grouped according to their randomized treatment arm regardless of what treatments were actually received.
Arm/Group Title Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
Hide Arm/Group Description:
Participants will receive either 8 cycles of rituximab along with 6 cycles of cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) (21-day cycle) or 8 cycles of rituximab along with 8 cycles of cyclophosphamide, vincristine, and prednisone (CVP) (21-day cycles) or 6 cycles of rituximab along with 6 cycles of bendamustine (28-day cycle) during the induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive rituximab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Participants will receive either 8 cycles of obinutuzumab along with 6 cycles of CHOP (21-day cycle) or 8 cycles of obinutuzumab along with 8 cycles of CVP (21-day cycles) or 6 cycles of obinutuzumab along with 6 cycles of bendamustine (28-day cycle) during induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive obinutuzumab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
Overall Number of Participants Analyzed 563 564
Mean (Standard Deviation)
Unit of Measure: units on a scale
Change Baseline, Follow-Up Month 36 Number Analyzed 238 participants 248 participants
0.05  (0.24) 0.06  (0.23)
Change Baseline, Follow-Up Month 48 Number Analyzed 73 participants 80 participants
0.05  (0.20) 0.06  (0.23)
Time Frame Baseline up to 10 years
Adverse Event Reporting Description The safety analysis population included all participants who received any amount of any study drug and participants were analyzed according to the treatment received.
 
Arm/Group Title Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
Hide Arm/Group Description Participants will receive either 8 cycles of rituximab along with 6 cycles of cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) (21-day cycle) or 8 cycles of rituximab along with 8 cycles of cyclophosphamide, vincristine, and prednisone (CVP) (21-day cycles) or 6 cycles of rituximab along with 6 cycles of bendamustine (28-day cycle) during the induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive rituximab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study. Participants will receive either 8 cycles of obinutuzumab along with 6 cycles of CHOP (21-day cycle) or 8 cycles of obinutuzumab along with 8 cycles of CVP (21-day cycles) or 6 cycles of obinutuzumab along with 6 cycles of bendamustine (28-day cycle) during induction period. The induction period will be followed by either a maintenance or observation period for responders or non-responders, respectively. Responders will receive obinutuzumab monotherapy every 2 months for 2 years during the maintenance period. Non-responders will receive no protocol specified treatment during the 2-year observation period. Finally, participants will be followed during a 5-year follow-up period. The chemotherapy regimen (CHOP or CVP or bendamustine) for individual participant will be chosen by the site prior to initiation of the study.
All-Cause Mortality
Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
Affected / at Risk (%) Affected / at Risk (%)
Total   111/692 (16.04%)      104/698 (14.90%)    
Hide Serious Adverse Events
Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total   309/692 (44.65%)      361/698 (51.72%)    
Blood and lymphatic system disorders     
ANAEMIA  1  1/692 (0.14%)  1 6/698 (0.86%)  7
AUTOIMMUNE HAEMOLYTIC ANAEMIA  1  1/692 (0.14%)  1 0/698 (0.00%)  0
DISSEMINATED INTRAVASCULAR COAGULATION  1  0/692 (0.00%)  0 1/698 (0.14%)  1
FEBRILE NEUTROPENIA  1  23/692 (3.32%)  31 36/698 (5.16%)  48
GRANULOCYTOPENIA  1  0/692 (0.00%)  0 1/698 (0.14%)  1
HAEMOLYSIS  1  1/692 (0.14%)  1 0/698 (0.00%)  0
HAEMOLYTIC ANAEMIA  1  1/692 (0.14%)  1 0/698 (0.00%)  0
IMMUNE THROMBOCYTOPENIA  1  0/692 (0.00%)  0 1/698 (0.14%)  1
LEUKOPENIA  1  6/692 (0.87%)  10 4/698 (0.57%)  4
MYELOSUPPRESSION  1  0/692 (0.00%)  0 3/698 (0.43%)  4
NEUTROPENIA  1  33/692 (4.77%)  46 28/698 (4.01%)  31
SPLENOMEGALY  1  1/692 (0.14%)  1 2/698 (0.29%)  2
THROMBOCYTOPENIA  1  3/692 (0.43%)  3 5/698 (0.72%)  12
Cardiac disorders     
ACUTE MYOCARDIAL INFARCTION  1  0/692 (0.00%)  0 4/698 (0.57%)  5
ANGINA PECTORIS  1  1/692 (0.14%)  1 1/698 (0.14%)  1
AORTIC VALVE STENOSIS  1  1/692 (0.14%)  1 0/698 (0.00%)  0
ARRHYTHMIA  1  0/692 (0.00%)  0 2/698 (0.29%)  2
ATRIAL FIBRILLATION  1  2/692 (0.29%)  2 9/698 (1.29%)  11
ATRIAL FLUTTER  1  0/692 (0.00%)  0 1/698 (0.14%)  1
BRADYCARDIA  1  0/692 (0.00%)  0 1/698 (0.14%)  1
CARDIAC ARREST  1  1/692 (0.14%)  1 1/698 (0.14%)  1
CARDIAC FAILURE  1  3/692 (0.43%)  3 2/698 (0.29%)  3
CARDIAC FAILURE CONGESTIVE  1  0/692 (0.00%)  0 2/698 (0.29%)  2
CARDIO-RESPIRATORY ARREST  1  0/692 (0.00%)  0 1/698 (0.14%)  1
CARDIOGENIC SHOCK  1  1/692 (0.14%)  1 2/698 (0.29%)  2
CORONARY ARTERY DISEASE  1  2/692 (0.29%)  2 1/698 (0.14%)  1
CORONARY ARTERY STENOSIS  1  1/692 (0.14%)  1 0/698 (0.00%)  0
MYOCARDIAL INFARCTION  1  1/692 (0.14%)  1 1/698 (0.14%)  1
MYOCARDIAL ISCHAEMIA  1  0/692 (0.00%)  0 1/698 (0.14%)  1
PALPITATIONS  1  1/692 (0.14%)  1 0/698 (0.00%)  0
RIGHT VENTRICULAR FAILURE  1  0/692 (0.00%)  0 1/698 (0.14%)  1
SINUS BRADYCARDIA  1  0/692 (0.00%)  0 5/698 (0.72%)  5
SINUS TACHYCARDIA  1  0/692 (0.00%)  0 3/698 (0.43%)  3
SUPRAVENTRICULAR TACHYCARDIA  1  1/692 (0.14%)  1 1/698 (0.14%)  1
TACHYCARDIA  1  0/692 (0.00%)  0 3/698 (0.43%)  3
VENTRICULAR TACHYCARDIA  1  0/692 (0.00%)  0 1/698 (0.14%)  1
Congenital, familial and genetic disorders     
HEREDITARY MOTOR AND SENSORY NEUROPATHY  1  1/692 (0.14%)  1 0/698 (0.00%)  0
Ear and labyrinth disorders     
DEAFNESS  1  0/692 (0.00%)  0 1/698 (0.14%)  1
EAR PAIN  1  1/692 (0.14%)  1 0/698 (0.00%)  0
VERTIGO  1  0/692 (0.00%)  0 1/698 (0.14%)  1
Eye disorders     
CORNEAL OPACITY  1  0/692 (0.00%)  0 1/698 (0.14%)  1
Gastrointestinal disorders     
ABDOMINAL PAIN  1  6/692 (0.87%)  6 10/698 (1.43%)  11
ABDOMINAL PAIN UPPER  1  2/692 (0.29%)  2 0/698 (0.00%)  0
ASCITES  1  2/692 (0.29%)  2 1/698 (0.14%)  2
COLITIS  1  2/692 (0.29%)  2 3/698 (0.43%)  3
CONSTIPATION  1  1/692 (0.14%)  1 3/698 (0.43%)  3
CROHN'S DISEASE  1  0/692 (0.00%)  0 1/698 (0.14%)  1
DIARRHOEA  1  7/692 (1.01%)  8 11/698 (1.58%)  12
DYSPEPSIA  1  0/692 (0.00%)  0 1/698 (0.14%)  1
ENTEROVESICAL FISTULA  1  0/692 (0.00%)  0 1/698 (0.14%)  1
FAECALOMA  1  0/692 (0.00%)  0 1/698 (0.14%)  1
GASTRIC HAEMORRHAGE  1  0/692 (0.00%)  0 1/698 (0.14%)  1
GASTRIC ULCER  1  0/692 (0.00%)  0 1/698 (0.14%)  1
GASTRITIS  1  0/692 (0.00%)  0 1/698 (0.14%)  1
GASTRITIS EROSIVE  1  1/692 (0.14%)  1 0/698 (0.00%)  0
GASTROENTERITIS EOSINOPHILIC  1  1/692 (0.14%)  1 0/698 (0.00%)  0
GASTROOESOPHAGEAL REFLUX DISEASE  1  1/692 (0.14%)  1 0/698 (0.00%)  0
HAEMATEMESIS  1  0/692 (0.00%)  0 1/698 (0.14%)  1
HAEMORRHOIDS  1  0/692 (0.00%)  0 1/698 (0.14%)  1
HIATUS HERNIA  1  1/692 (0.14%)  1 0/698 (0.00%)  0
ILEUS  1  0/692 (0.00%)  0 1/698 (0.14%)  1
INGUINAL HERNIA  1  1/692 (0.14%)  1 1/698 (0.14%)  1
INTESTINAL ISCHAEMIA  1  1/692 (0.14%)  1 1/698 (0.14%)  1
INTESTINAL OBSTRUCTION  1  0/692 (0.00%)  0 4/698 (0.57%)  5
INTESTINAL POLYP  1  0/692 (0.00%)  0 1/698 (0.14%)  1
INTESTINAL VILLI ATROPHY  1  1/692 (0.14%)  1 0/698 (0.00%)  0
LARGE INTESTINAL OBSTRUCTION  1  1/692 (0.14%)  1 0/698 (0.00%)  0
LARGE INTESTINE POLYP  1  0/692 (0.00%)  0 1/698 (0.14%)  1
MELAENA  1  0/692 (0.00%)  0 1/698 (0.14%)  1
MIKULICZ'S SYNDROME  1  1/692 (0.14%)  2 0/698 (0.00%)  0
MOUTH ULCERATION  1  1/692 (0.14%)  1 1/698 (0.14%)  1
NAUSEA  1  3/692 (0.43%)  3 5/698 (0.72%)  5
OBSTRUCTIVE PANCREATITIS  1  0/692 (0.00%)  0 1/698 (0.14%)  1
PANCREATITIS  1  1/692 (0.14%)  1 4/698 (0.57%)  5
PANCREATITIS ACUTE  1  1/692 (0.14%)  1 1/698 (0.14%)  1
RECTAL HAEMORRHAGE  1  0/692 (0.00%)  0 1/698 (0.14%)  1
SMALL INTESTINAL OBSTRUCTION  1  0/692 (0.00%)  0 2/698 (0.29%)  2
SUBACUTE PANCREATITIS  1  1/692 (0.14%)  1 0/698 (0.00%)  0
SWOLLEN TONGUE  1  0/692 (0.00%)  0 1/698 (0.14%)  1
UMBILICAL HERNIA  1  1/692 (0.14%)  1 0/698 (0.00%)  0
UPPER GASTROINTESTINAL HAEMORRHAGE  1  0/692 (0.00%)  0 1/698 (0.14%)  1
VOMITING  1  9/692 (1.30%)  13 5/698 (0.72%)  5
General disorders     
ADVERSE DRUG REACTION  1  1/692 (0.14%)  1 0/698 (0.00%)  0
CHEST DISCOMFORT  1  0/692 (0.00%)  0 2/698 (0.29%)  2
CHEST PAIN  1  4/692 (0.58%)  4 1/698 (0.14%)  1
CHILLS  1  3/692 (0.43%)  3 4/698 (0.57%)  4
CYST RUPTURE  1  0/692 (0.00%)  0 1/698 (0.14%)  1
DEATH  1  1/692 (0.14%)  1 1/698 (0.14%)  1
GENERAL PHYSICAL HEALTH DETERIORATION  1  2/692 (0.29%)  2 3/698 (0.43%)  3
HYPERPLASIA  1  0/692 (0.00%)  0 1/698 (0.14%)  1
HYPERTHERMIA  1  1/692 (0.14%)  1 0/698 (0.00%)  0
ILL-DEFINED DISORDER  1  0/692 (0.00%)  0 1/698 (0.14%)  1
INFLUENZA LIKE ILLNESS  1  0/692 (0.00%)  0 1/698 (0.14%)  1
INFUSION SITE EXTRAVASATION  1  0/692 (0.00%)  0 1/698 (0.14%)  1
MUCOSAL INFLAMMATION  1  1/692 (0.14%)  1 1/698 (0.14%)  1
MULTIPLE ORGAN DYSFUNCTION SYNDROME  1  3/692 (0.43%)  3 0/698 (0.00%)  0
NON-CARDIAC CHEST PAIN  1  0/692 (0.00%)  0 2/698 (0.29%)  2
OEDEMA PERIPHERAL  1  1/692 (0.14%)  1 0/698 (0.00%)  0
PAIN  1  2/692 (0.29%)  2 0/698 (0.00%)  0
PYREXIA  1  23/692 (3.32%)  24 37/698 (5.30%)  43
STENT-GRAFT ENDOLEAK  1  1/692 (0.14%)  1 0/698 (0.00%)  0
SWELLING FACE  1  1/692 (0.14%)  1 0/698 (0.00%)  0
Hepatobiliary disorders     
BILE DUCT STENOSIS  1  1/692 (0.14%)  1 0/698 (0.00%)  0
BILE DUCT STONE  1  0/692 (0.00%)  0 1/698 (0.14%)  2
BILIARY COLIC  1  1/692 (0.14%)  1 3/698 (0.43%)  3
CHOLANGITIS  1  1/692 (0.14%)  2 0/698 (0.00%)  0
CHOLECYSTITIS  1  6/692 (0.87%)  7 5/698 (0.72%)  6
CHOLECYSTITIS ACUTE  1  1/692 (0.14%)  1 0/698 (0.00%)  0
CHOLELITHIASIS  1  1/692 (0.14%)  1 1/698 (0.14%)  1
DRUG-INDUCED LIVER INJURY  1  0/692 (0.00%)  0 2/698 (0.29%)  2
HEPATIC CIRRHOSIS  1  0/692 (0.00%)  0 1/698 (0.14%)  1
HEPATIC FUNCTION ABNORMAL  1  1/692 (0.14%)  1 0/698 (0.00%)  0
HEPATITIS  1  0/692 (0.00%)  0 1/698 (0.14%)  1
HEPATITIS ACUTE  1  0/692 (0.00%)  0 1/698 (0.14%)  1
Immune system disorders     
ALLERGY TO ARTHROPOD BITE  1  0/692 (0.00%)  0 1/698 (0.14%)  1
ANAPHYLACTIC REACTION  1  0/692 (0.00%)  0 1/698 (0.14%)  1
ANAPHYLACTIC SHOCK  1  0/692 (0.00%)  0 1/698 (0.14%)  1
CYTOKINE RELEASE SYNDROME  1  0/692 (0.00%)  0 2/698 (0.29%)  2
DRUG HYPERSENSITIVITY  1  1/692 (0.14%)  1 0/698 (0.00%)  0
HAEMOPHAGOCYTIC LYMPHOHISTIOCYTOSIS  1  1/692 (0.14%)  1 0/698 (0.00%)  0
HYPERSENSITIVITY  1  3/692 (0.43%)  3 0/698 (0.00%)  0
HYPOGAMMAGLOBULINAEMIA  1  2/692 (0.29%)  2 0/698 (0.00%)  0
Infections and infestations     
ABDOMINAL SEPSIS  1  1/692 (0.14%)  1 0/698 (0.00%)  0
ABSCESS  1  1/692 (0.14%)  1 0/698 (0.00%)  0
ABSCESS INTESTINAL  1  0/692 (0.00%)  0 1/698 (0.14%)  1
APPENDICITIS  1  3/692 (0.43%)  3 1/698 (0.14%)  1
ARTHRITIS BACTERIAL  1  1/692 (0.14%)  1 0/698 (0.00%)  0
ARTHRITIS INFECTIVE  1  1/692 (0.14%)  1 0/698 (0.00%)  0
ATYPICAL PNEUMONIA  1  3/692 (0.43%)  3 1/698 (0.14%)  1
BACTERAEMIA  1  2/692 (0.29%)  2 1/698 (0.14%)  1
BACTERIAL TRACHEITIS  1  0/692 (0.00%)  0 1/698 (0.14%)  1
BK VIRUS INFECTION  1  0/692 (0.00%)  0 1/698 (0.14%)  1
BREAST ABSCESS  1  0/692 (0.00%)  0 1/698 (0.14%)  1
BRONCHITIS  1  3/692 (0.43%)  3 9/698 (1.29%)  9
CAMPYLOBACTER INFECTION  1  0/692 (0.00%)  0 2/698 (0.29%)  2
CATHETER SITE CELLULITIS  1  0/692 (0.00%)  0 1/698 (0.14%)  1
CELLULITIS  1  3/692 (0.43%)  3 4/698 (0.57%)  4
CHRONIC SINUSITIS  1  0/692 (0.00%)  0 1/698 (0.14%)  1
CLOSTRIDIUM DIFFICILE COLITIS  1  0/692 (0.00%)  0 1/698 (0.14%)  1
COMPLICATED APPENDICITIS  1  1/692 (0.14%)  1 0/698 (0.00%)  0
CYSTITIS  1  0/692 (0.00%)  0 1/698 (0.14%)  1
CYTOMEGALOVIRUS INFECTION  1  0/692 (0.00%)  0 2/698 (0.29%)  2
DEVICE RELATED INFECTION  1  2/692 (0.29%)  2 1/698 (0.14%)  1
DEVICE RELATED SEPSIS  1  0/692 (0.00%)  0 1/698 (0.14%)  1
DISSEMINATED VARICELLA ZOSTER VIRUS INFECTION  1  0/692 (0.00%)  0 1/698 (0.14%)  1
DIVERTICULITIS  1  2/692 (0.29%)  2 1/698 (0.14%)  2
ENCEPHALITIS ENTEROVIRAL  1  0/692 (0.00%)  0 1/698 (0.14%)  1
ENDOCARDITIS  1  1/692 (0.14%)  1 0/698 (0.00%)  0
ENTEROCOCCAL INFECTION  1  0/692 (0.00%)  0 1/698 (0.14%)  1
EPIGLOTTITIS  1  0/692 (0.00%)  0 1/698 (0.14%)  1
ESCHERICHIA INFECTION  1  0/692 (0.00%)  0 1/698 (0.14%)  1
ESCHERICHIA URINARY TRACT INFECTION  1  0/692 (0.00%)  0 1/698 (0.14%)  1
FEBRILE INFECTION  1  1/692 (0.14%)  1 0/698 (0.00%)  0
GASTROENTERITIS  1  1/692 (0.14%)  1 7/698 (1.00%)  7
GASTROENTERITIS ESCHERICHIA COLI  1  0/692 (0.00%)  0 1/698 (0.14%)  1
GASTROENTERITIS VIRAL  1  1/692 (0.14%)  1 0/698 (0.00%)  0
HERPES ZOSTER  1  9/692 (1.30%)  9 9/698 (1.29%)  9
HERPES ZOSTER INFECTION NEUROLOGICAL  1  1/692 (0.14%)  1 0/698 (0.00%)  0
HERPES ZOSTER OTICUS  1  0/692 (0.00%)  0 1/698 (0.14%)  1
INFECTED CYST  1  0/692 (0.00%)  0 1/698 (0.14%)  1
INFECTION  1  10/692 (1.45%)  11 6/698 (0.86%)  7
INFECTIVE EXACERBATION OF CHRONIC OBSTRUCTIVE AIRWAYS DISEASE  1  2/692 (0.29%)  2 3/698 (0.43%)  3
INFLUENZA  1  0/692 (0.00%)  0 4/698 (0.57%)  4
INTERVERTEBRAL DISCITIS  1  1/692 (0.14%)  1 0/698 (0.00%)  0
LOWER RESPIRATORY TRACT INFECTION  1  9/692 (1.30%)  9 13/698 (1.86%)  23
MASTOIDITIS  1  1/692 (0.14%)  1 0/698 (0.00%)  0
MENINGITIS ENTEROVIRAL  1  0/692 (0.00%)  0 1/698 (0.14%)  1
MUCOSAL INFECTION  1  0/692 (0.00%)  0 1/698 (0.14%)  1
NEUROBORRELIOSIS  1  1/692 (0.14%)  1 0/698 (0.00%)  0
NEUTROPENIC INFECTION  1  1/692 (0.14%)  1 1/698 (0.14%)  1
NEUTROPENIC SEPSIS  1  5/692 (0.72%)  8 6/698 (0.86%)  9
OESOPHAGEAL CANDIDIASIS  1  0/692 (0.00%)  0 1/698 (0.14%)  1
OESOPHAGEAL INFECTION  1  0/692 (0.00%)  0 1/698 (0.14%)  1
OOPHORITIS  1  0/692 (0.00%)  0 1/698 (0.14%)  1
ORAL HERPES  1  0/692 (0.00%)  0 1/698 (0.14%)  1
OTITIS MEDIA CHRONIC  1  0/692 (0.00%)  0 1/698 (0.14%)  1
OVARIAN BACTERIAL INFECTION  1  1/692 (0.14%)  1 0/698 (0.00%)  0
PARAPHARYNGEAL SPACE INFECTION  1  0/692 (0.00%)  0 1/698 (0.14%)  1
PELVIC ABSCESS  1  0/692 (0.00%)  0 2/698 (0.29%)  2
PERIODONTITIS  1  0/692 (0.00%)  0 1/698 (0.14%)  1
PERITONSILLAR ABSCESS  1  0/692 (0.00%)  0 1/698 (0.14%)  1
PNEUMOCYSTIS JIROVECII INFECTION  1  1/692 (0.14%)  1 0/698 (0.00%)  0
PNEUMOCYSTIS JIROVECII PNEUMONIA  1  0/692 (0.00%)  0 1/698 (0.14%)  1
PNEUMONIA  1  43/692 (6.21%)  51 51/698 (7.31%)  61
PNEUMONIA BACTERIAL  1  1/692 (0.14%)  1 1/698 (0.14%)  1
PNEUMONIA FUNGAL  1  0/692 (0.00%)  0 1/698 (0.14%)  1
PNEUMONIA PNEUMOCOCCAL  1  1/692 (0.14%)  1 0/698 (0.00%)  0
POST PROCEDURAL INFECTION  1  1/692 (0.14%)  1 0/698 (0.00%)  0
PULMONARY SEPSIS  1  0/692 (0.00%)  0 1/698 (0.14%)  1
PYELONEPHRITIS  1  0/692 (0.00%)  0 2/698 (0.29%)  2
Q FEVER  1  1/692 (0.14%)  1 0/698 (0.00%)  0
RESPIRATORY TRACT INFECTION  1  5/692 (0.72%)  11 6/698 (0.86%)  7
RHINITIS  1  0/692 (0.00%)  0 1/698 (0.14%)  1
RHINOVIRUS INFECTION  1  0/692 (0.00%)  0 1/698 (0.14%)  1
SCROTAL ABSCESS  1  1/692 (0.14%)  1 0/698 (0.00%)  0
SEPSIS  1  9/692 (1.30%)  9 14/698 (2.01%)  18
SEPTIC SHOCK  1  2/692 (0.29%)  2 0/698 (0.00%)  0
SINUSITIS  1  2/692 (0.29%)  2 1/698 (0.14%)  1
SINUSITIS BACTERIAL  1  0/692 (0.00%)  0 1/698 (0.14%)  1
SINUSITIS FUNGAL  1  0/692 (0.00%)  0 1/698 (0.14%)  1
SOFT TISSUE INFECTION  1  0/692 (0.00%)  0 1/698 (0.14%)  1
STAPHYLOCOCCAL BACTERAEMIA  1  0/692 (0.00%)  0 1/698 (0.14%)  1
STAPHYLOCOCCAL INFECTION  1  0/692 (0.00%)  0 1/698 (0.14%)  1
SUBCUTANEOUS ABSCESS  1  2/692 (0.29%)  2 0/698 (0.00%)  0
TUBERCULOSIS  1  0/692 (0.00%)  0 1/698 (0.14%)  1
TUBO-OVARIAN ABSCESS  1  0/692 (0.00%)  0 1/698 (0.14%)  1
UPPER RESPIRATORY TRACT INFECTION  1  3/692 (0.43%)  3 5/698 (0.72%)  7
URINARY TRACT INFECTION  1  7/692 (1.01%)  7 8/698 (1.15%)  8
UROSEPSIS  1  5/692 (0.72%)  6 4/698 (0.57%)  5
VARICELLA ZOSTER SEPSIS  1  0/692 (0.00%)  0 1/698 (0.14%)  1
VASCULAR DEVICE INFECTION  1  1/692 (0.14%)  1 1/698 (0.14%)  1
VIRAL INFECTION  1  4/692 (0.58%)  4 1/698 (0.14%)  1
VIRAL MYOSITIS  1  0/692 (0.00%)  0 1/698 (0.14%)  1
Injury, poisoning and procedural complications     
ACCIDENT  1  0/692 (0.00%)  0 1/698 (0.14%)  1
ALCOHOL POISONING  1  0/692 (0.00%)  0 1/698 (0.14%)  1
ANASTOMOTIC STENOSIS  1  0/692 (0.00%)  0 1/698 (0.14%)  1
ANKLE FRACTURE  1  2/692 (0.29%)  2 1/698 (0.14%)  1
BRAIN CONTUSION  1  0/692 (0.00%)  0 1/698 (0.14%)  1
CARTILAGE INJURY  1  0/692 (0.00%)  0 1/698 (0.14%)  1
COMPRESSION FRACTURE  1  1/692 (0.14%)  1 0/698 (0.00%)  0
FACIAL BONES FRACTURE  1  1/692 (0.14%)  1 0/698 (0.00%)  0
FALL  1  1/692 (0.14%)  1 3/698 (0.43%)  3
FEMUR FRACTURE  1  1/692 (0.14%)  1 2/698 (0.29%)  2
FOOT FRACTURE  1  0/692 (0.00%)  0 1/698 (0.14%)  1
HAND FRACTURE  1  0/692 (0.00%)  0 1/698 (0.14%)  1
HUMERUS FRACTURE  1  0/692 (0.00%)  0 1/698 (0.14%)  1
INFUSION RELATED REACTION  1  19/692 (2.75%)  21 36/698 (5.16%)  42
LIGAMENT SPRAIN  1  0/692 (0.00%)  0 1/698 (0.14%)  1
LUMBAR VERTEBRAL FRACTURE  1  1/692 (0.14%)  1 0/698 (0.00%)  0
MEDICATION ERROR  1  0/692 (0.00%)  0 1/698 (0.14%)  1
MENISCUS INJURY  1  0/692 (0.00%)  0 1/698 (0.14%)  1
MULTIPLE FRACTURES  1  1/692 (0.14%)  1 0/698 (0.00%)  0
PNEUMOTHORAX TRAUMATIC  1  0/692 (0.00%)  0 1/698 (0.14%)  1
POST PROCEDURAL HAEMORRHAGE  1  1/692 (0.14%)  1 1/698 (0.14%)  1
SEROMA  1  0/692 (0.00%)  0 1/698 (0.14%)  1
SPINAL COMPRESSION FRACTURE  1  1/692 (0.14%)  1 1/698 (0.14%)  1
THORACIC VERTEBRAL FRACTURE  1  1/692 (0.14%)  1 0/698 (0.00%)  0
UPPER LIMB FRACTURE  1  4/692 (0.58%)  4 1/698 (0.14%)  1
Investigations     
ALANINE AMINOTRANSFERASE INCREASED  1  1/692 (0.14%)  1 0/698 (0.00%)  0
ASPARTATE AMINOTRANSFERASE INCREASED  1  1/692 (0.14%)  1 0/698 (0.00%)  0
BLOOD CREATININE INCREASED  1  1/692 (0.14%)  1 1/698 (0.14%)  1
EASTERN COOPERATIVE ONCOLOGY GROUP PERFORMANCE STATUS WORSENED  1  0/692 (0.00%)  0 1/698 (0.14%)  1
HEPATIC ENZYME INCREASED  1  1/692 (0.14%)  1 0/698 (0.00%)  0
INTERNATIONAL NORMALISED RATIO INCREASED  1  0/692 (0.00%)  0 1/698 (0.14%)  1
RESPIROVIRUS TEST POSITIVE  1  1/692 (0.14%)  1 0/698 (0.00%)  0
WHITE BLOOD CELLS URINE POSITIVE  1  1/692 (0.14%)  1 0/698 (0.00%)  0
Metabolism and nutrition disorders     
DEHYDRATION  1  2/692 (0.29%)  2 4/698 (0.57%)  4
DIABETES MELLITUS  1  0/692 (0.00%)  0 2/698 (0.29%)  2
FLUID OVERLOAD  1  0/692 (0.00%)  0 1/698 (0.14%)  1
HYPERCALCAEMIA  1  2/692 (0.29%)  2 2/698 (0.29%)  2
HYPERGLYCAEMIA  1  0/692 (0.00%)  0 1/698 (0.14%)  1
HYPOKALAEMIA  1  1/692 (0.14%)  1 1/698 (0.14%)  1
HYPONATRAEMIA  1  1/692 (0.14%)  1 4/698 (0.57%)  4
TUMOUR LYSIS SYNDROME  1  1/692 (0.14%)  1 3/698 (0.43%)  3
Musculoskeletal and connective tissue disorders     
ARTHROPATHY  1  0/692 (0.00%)  0 1/698 (0.14%)  1
BACK PAIN  1  3/692 (0.43%)  4 2/698 (0.29%)  2
FLANK PAIN  1  1/692 (0.14%)  1 1/698 (0.14%)  1
HAEMARTHROSIS  1  1/692 (0.14%)  1 0/698 (0.00%)  0
INTERVERTEBRAL DISC PROTRUSION  1  1/692 (0.14%)  1 1/698 (0.14%)  1
MUSCULAR WEAKNESS  1  1/692 (0.14%)  1 0/698 (0.00%)  0
MYOPATHY  1  1/692 (0.14%)  1 1/698 (0.14%)  1
MYOSITIS  1  1/692 (0.14%)  1 1/698 (0.14%)  2
NECK PAIN  1  1/692 (0.14%)  1 1/698 (0.14%)  1
OSTEITIS DEFORMANS  1  1/692 (0.14%)  1 0/698 (0.00%)  0
OSTEOARTHRITIS  1  3/692 (0.43%)  3 2/698 (0.29%)  3
PAIN IN EXTREMITY  1  1/692 (0.14%)  1 0/698 (0.00%)  0
PATHOLOGICAL FRACTURE  1  0/692 (0.00%)  0 1/698 (0.14%)  1
ROTATOR CUFF SYNDROME  1  0/692 (0.00%)  0 1/698 (0.14%)  1
SERONEGATIVE ARTHRITIS  1  1/692 (0.14%)  2 0/698 (0.00%)  0
SPINAL PAIN  1  0/692 (0.00%)  0 1/698 (0.14%)  1
SPINAL STENOSIS  1  2/692 (0.29%)  2 0/698 (0.00%)  0
SYNOVITIS  1  1/692 (0.14%)  1 0/698 (0.00%)  0
TEMPOROMANDIBULAR JOINT SYNDROME  1  0/692 (0.00%)  0 1/698 (0.14%)  1
Neoplasms benign, malignant and unspecified (incl cysts and polyps)     
ACOUSTIC NEUROMA  1  0/692 (0.00%)  0 1/698 (0.14%)  1
ACUTE LYMPHOCYTIC LEUKAEMIA  1  0/692 (0.00%)  0 1/698 (0.14%)  1
ACUTE MYELOID LEUKAEMIA  1  1/692 (0.14%)  1 2/698 (0.29%)  4
ADENOCARCINOMA  1  1/692 (0.14%)  1 1/698 (0.14%)  1
ADENOCARCINOMA METASTATIC  1  1/692 (0.14%)  1 0/698 (0.00%)  0
ADENOCARCINOMA OF COLON  1  0/692 (0.00%)  0 2/698 (0.29%)  3
BASAL CELL CARCINOMA  1  3/692 (0.43%)  3 6/698 (0.86%)  7
BENIGN LARYNGEAL NEOPLASM  1  1/692 (0.14%)  1 0/698 (0.00%)  0
BLADDER TRANSITIONAL CELL CARCINOMA  1  1/692 (0.14%)  1 0/698 (0.00%)  0
BLADDER TRANSITIONAL CELL CARCINOMA METASTATIC  1  0/692 (0.00%)  0 1/698 (0.14%)  1
BOWEN'S DISEASE  1  1/692 (0.14%)  1 0/698 (0.00%)  0
BREAST CANCER  1  0/692 (0.00%)  0 6/698 (0.86%)  6
CANCER PAIN  1  0/692 (0.00%)  0 1/698 (0.14%)  1
CHOLANGIOCARCINOMA  1  2/692 (0.29%)  2 0/698 (0.00%)  0
COLON CANCER  1  3/692 (0.43%)  3 1/698 (0.14%)  1
COLORECTAL CANCER  1  1/692 (0.14%)  1 0/698 (0.00%)  0
DUCTAL ADENOCARCINOMA OF PANCREAS  1  1/692 (0.14%)  1 0/698 (0.00%)  0
GASTRIC ADENOMA  1  0/692 (0.00%)  0 1/698 (0.14%)  1
GASTRIC CANCER  1  1/692 (0.14%)  1 2/698 (0.29%)  2
GASTROINTESTINAL NEOPLASM  1  1/692 (0.14%)  1 0/698 (0.00%)  0
HEPATIC CANCER  1  0/692 (0.00%)  0 1/698 (0.14%)  1
HODGKIN'S DISEASE  1  0/692 (0.00%)  0 1/698 (0.14%)  1
HODGKIN'S DISEASE NODULAR SCLEROSIS  1  0/692 (0.00%)  0 1/698 (0.14%)  1
HODGKIN'S DISEASE STAGE II  1  0/692 (0.00%)  0 1/698 (0.14%)  1
HORMONE RECEPTOR POSITIVE BREAST CANCER  1  0/692 (0.00%)  0 1/698 (0.14%)  1
INTRADUCTAL PROLIFERATIVE BREAST LESION  1  1/692 (0.14%)  1 1/698 (0.14%)  1
INTRAOCULAR MELANOMA  1  1/692 (0.14%)  1 0/698 (0.00%)  0
INVASIVE DUCTAL BREAST CARCINOMA  1  1/692 (0.14%)  1 1/698 (0.14%)  1
KERATOACANTHOMA  1  1/692 (0.14%)  1 0/698 (0.00%)  0
LARYNGEAL SQUAMOUS CELL CARCINOMA  1  0/692 (0.00%)  0 1/698 (0.14%)  1
LENTIGO MALIGNA  1  0/692 (0.00%)  0 1/698 (0.14%)  1
LUNG ADENOCARCINOMA  1  1/692 (0.14%)  1 2/698 (0.29%)  2
LUNG NEOPLASM MALIGNANT  1  3/692 (0.43%)  3 0/698 (0.00%)  0
MALIGNANT MELANOMA  1  3/692 (0.43%)  4 1/698 (0.14%)  1
MENINGIOMA  1  0/692 (0.00%)  0 1/698 (0.14%)  1
MYELODYSPLASTIC SYNDROME  1  0/692 (0.00%)  0 4/698 (0.57%)  4
NEUROENDOCRINE CARCINOMA OF THE SKIN  1  1/692 (0.14%)  1 0/698 (0.00%)  0
NON-HODGKIN'S LYMPHOMA  1  1/692 (0.14%)  1 0/698 (0.00%)  0
NON-SMALL CELL LUNG CANCER  1  2/692 (0.29%)  2 2/698 (0.29%)  2
NON-SMALL CELL LUNG CANCER STAGE IV  1  0/692 (0.00%)  0 1/698 (0.14%)  1
OESOPHAGEAL CARCINOMA  1  0/692 (0.00%)  0 1/698 (0.14%)  1
PANCREATIC CARCINOMA  1  1/692 (0.14%)  1 0/698 (0.00%)  0
PAPILLARY THYROID CANCER  1  0/692 (0.00%)  0 2/698 (0.29%)  2
PITUITARY TUMOUR BENIGN  1  1/692 (0.14%)  1 0/698 (0.00%)  0
PROSTATE CANCER  1  4/692 (0.58%)  4 5/698 (0.72%)  5
RECTAL ADENOCARCINOMA  1  1/692 (0.14%)  1 1/698 (0.14%)  1
RENAL CANCER  1  0/692 (0.00%)  0 1/698 (0.14%)  1
RENAL CELL CARCINOMA  1  1/692 (0.14%)  1 0/698 (0.00%)  0
SCHWANNOMA  1  0/692 (0.00%)  0 1/698 (0.14%)  1
SQUAMOUS CELL BREAST CARCINOMA  1  1/692 (0.14%)  1 0/698 (0.00%)  0
SQUAMOUS CELL CARCINOMA  1  1/692 (0.14%)  1 2/698 (0.29%)  2
SQUAMOUS CELL CARCINOMA OF SKIN  1  2/692 (0.29%)  2 5/698 (0.72%)  5
THYROID ADENOMA  1  1/692 (0.14%)  1 0/698 (0.00%)  0
TONGUE NEOPLASM MALIGNANT STAGE UNSPECIFIED  1  1/692 (0.14%)  1 0/698 (0.00%)  0
TRANSITIONAL CELL CARCINOMA  1  0/692 (0.00%)  0 2/698 (0.29%)  4
TUMOUR FLARE  1  1/692 (0.14%)  1 0/698 (0.00%)  0
UTERINE CANCER  1  1/692 (0.14%)  1 0/698 (0.00%)  0
VULVOVAGINAL WARTS  1  1/692 (0.14%)  1 0/698 (0.00%)  0
Nervous system disorders     
AMYOTROPHIC LATERAL SCLEROSIS  1  1/692 (0.14%)  1 0/698 (0.00%)  0
ATAXIA  1  1/692 (0.14%)  1 0/698 (0.00%)  0
BRACHIAL PLEXOPATHY  1  1/692 (0.14%)  1 0/698 (0.00%)  0
CAROTID ARTERY STENOSIS  1  1/692 (0.14%)  1 0/698 (0.00%)  0
CEREBRAL DISORDER  1  0/692 (0.00%)  0 1/698 (0.14%)  1
CEREBRAL HAEMATOMA  1  1/692 (0.14%)  1 0/698 (0.00%)  0
CEREBRAL INFARCTION  1  0/692 (0.00%)  0 1/698 (0.14%)  1
CEREBRAL ISCHAEMIA  1  1/692 (0.14%)  1 0/698 (0.00%)  0
CEREBROVASCULAR ACCIDENT  1  2/692 (0.29%)  2 0/698 (0.00%)  0
DEMENTIA  1  0/692 (0.00%)  0 2/698 (0.29%)  2
DIZZINESS  1  3/692 (0.43%)  3 1/698 (0.14%)  1
DIZZINESS POSTURAL  1  0/692 (0.00%)  0 1/698 (0.14%)  1
DYSDIADOCHOKINESIS  1  1/692 (0.14%)  1 0/698 (0.00%)  0
ENCEPHALOPATHY  1  1/692 (0.14%)  1 0/698 (0.00%)  0
EPILEPSY  1  0/692 (0.00%)  0 1/698 (0.14%)  1
FACIAL PARALYSIS  1  0/692 (0.00%)  0 1/698 (0.14%)  1
HAEMORRHAGE INTRACRANIAL  1  1/692 (0.14%)  1 0/698 (0.00%)  0
HAEMORRHAGIC STROKE  1  1/692 (0.14%)  1 0/698 (0.00%)  0
HYPERAMMONAEMIC ENCEPHALOPATHY  1  1/692 (0.14%)  1 0/698 (0.00%)  0
HYPOTONIA  1  0/692 (0.00%)  0 1/698 (0.14%)  1
ISCHAEMIC STROKE  1  1/692 (0.14%)  1 1/698 (0.14%)  1
LETHARGY  1  0/692 (0.00%)  0 2/698 (0.29%)  2
LOSS OF CONSCIOUSNESS  1  0/692 (0.00%)  0 1/698 (0.14%)  1
MONOPARESIS  1  0/692 (0.00%)  0 1/698 (0.14%)  1
NERVOUS SYSTEM DISORDER  1  1/692 (0.14%)  1 0/698 (0.00%)  0
NEURALGIA  1  1/692 (0.14%)  1 1/698 (0.14%)  1
NEUROPATHY PERIPHERAL  1  1/692 (0.14%)  1 0/698 (0.00%)  0
ORTHOSTATIC INTOLERANCE  1  0/692 (0.00%)  0 1/698 (0.14%)  1
ORTHOSTATIC TREMOR  1  1/692 (0.14%)  1 0/698 (0.00%)  0
PARKINSON'S DISEASE  1  1/692 (0.14%)  1 0/698 (0.00%)  0
POLYNEUROPATHY  1  1/692 (0.14%)  2 0/698 (0.00%)  0
PRESYNCOPE  1  3/692 (0.43%)  3 0/698 (0.00%)  0
SEIZURE  1  1/692 (0.14%)  1 1/698 (0.14%)  2
SPINAL CORD COMPRESSION  1  0/692 (0.00%)  0 1/698 (0.14%)  1
SUBARACHNOID HAEMORRHAGE  1  1/692 (0.14%)  1 0/698 (0.00%)  0
SYNCOPE  1  3/692 (0.43%)  3 4/698 (0.57%)  4
TRANSIENT ISCHAEMIC ATTACK  1  1/692 (0.14%)  1 5/698 (0.72%)  5
TREMOR  1  1/692 (0.14%)  1 0/698 (0.00%)  0
Pregnancy, puerperium and perinatal conditions     
ABORTION  1  0/692 (0.00%)  0 1/698 (0.14%)  1
Product Issues     
DEVICE BREAKAGE  1  0/692 (0.00%)  0 1/698 (0.14%)  1
Psychiatric disorders     
ALCOHOL PROBLEM  1  0/692 (0.00%)  0 1/698 (0.14%)  1
ANXIETY  1  0/692 (0.00%)  0 1/698 (0.14%)  1
CONFUSIONAL STATE  1  1/692 (0.14%)  1 1/698 (0.14%)  1
DELIRIUM  1  0/692 (0.00%)  0 1/698 (0.14%)  1
DEPRESSION  1  2/692 (0.29%)  2 3/698 (0.43%)  5
EMOTIONAL DISORDER  1  1/692 (0.14%)  1 0/698 (0.00%)  0
MENTAL STATUS CHANGES  1  0/692 (0.00%)  0 2/698 (0.29%)  2
PSYCHOTIC DISORDER  1  0/692 (0.00%)  0 1/698 (0.14%)  1
SUBSTANCE-INDUCED PSYCHOTIC DISORDER  1  1/692 (0.14%)  1 0/698 (0.00%)  0
SUICIDE ATTEMPT  1  0/692 (0.00%)  0 1/698 (0.14%)  1
Renal and urinary disorders     
ACUTE KIDNEY INJURY  1  2/692 (0.29%)  2 4/698 (0.57%)  4
NEPHROLITHIASIS  1  0/692 (0.00%)  0 1/698 (0.14%)  1
RENAL COLIC  1  1/692 (0.14%)  2 0/698 (0.00%)  0
RENAL FAILURE  1  2/692 (0.29%)  2 1/698 (0.14%)  1
RENAL INFARCT  1  1/692 (0.14%)  1 0/698 (0.00%)  0
RENAL PAIN  1  1/692 (0.14%)  1 0/698 (0.00%)  0
RENAL PELVIS FISTULA  1  0/692 (0.00%)  0 1/698 (0.14%)  1
URETERIC OBSTRUCTION  1  1/692 (0.14%)  1 0/698 (0.00%)  0
Reproductive system and breast disorders     
OVARIAN CYST  1  1/692 (0.14%)  1 1/698 (0.14%)  1
OVARIAN MASS  1  0/692 (0.00%)  0 1/698 (0.14%)  1
PROSTATITIS  1  2/692 (0.29%)  2 1/698 (0.14%)  1
VAGINAL ULCERATION  1  1/692 (0.14%)  1 0/698 (0.00%)  0
VULVOVAGINAL PAIN  1  0/692 (0.00%)  0 1/698 (0.14%)  1
Respiratory, thoracic and mediastinal disorders     
ACUTE LUNG INJURY  1  0/692 (0.00%)  0 1/698 (0.14%)  1
ACUTE RESPIRATORY DISTRESS SYNDROME  1  0/692 (0.00%)  0 2/698 (0.29%)  2
ACUTE RESPIRATORY FAILURE  1  0/692 (0.00%)  0 1/698 (0.14%)  1
ASTHMA  1  2/692 (0.29%)  2 2/698 (0.29%)  2
BRONCHOSPASM  1  1/692 (0.14%)  1 1/698 (0.14%)  1
CHRONIC OBSTRUCTIVE PULMONARY DISEASE  1  3/692 (0.43%)  6 1/698 (0.14%)  1
COUGH  1  2/692 (0.29%)  2 0/698 (0.00%)  0
DYSPNOEA  1  8/692 (1.16%)  8 10/698 (1.43%)  12
DYSPNOEA EXERTIONAL  1  1/692 (0.14%)  1 0/698 (0.00%)  0
EMPHYSEMA  1  1/692 (0.14%)  2 1/698 (0.14%)  1
EPISTAXIS  1  2/692 (0.29%)  2 1/698 (0.14%)  1
HAEMOPTYSIS  1  1/692 (0.14%)  1 0/698 (0.00%)  0
HYPOXIA  1  0/692 (0.00%)  0 2/698 (0.29%)  2
INTERSTITIAL LUNG DISEASE  1  4/692 (0.58%)  4 2/698 (0.29%)  2
LUNG CONSOLIDATION  1  2/692 (0.29%)  2 0/698 (0.00%)  0
LUNG DISORDER  1  0/692 (0.00%)  0 1/698 (0.14%)  1
PARANASAL CYST  1  0/692 (0.00%)  0 1/698 (0.14%)  1
PHARYNGEAL INFLAMMATION  1  0/692 (0.00%)  0 1/698 (0.14%)  1
PHARYNGEAL PARAESTHESIA  1  0/692 (0.00%)  0 1/698 (0.14%)  1
PLEURAL EFFUSION  1  5/692 (0.72%)  5 5/698 (0.72%)  5
PLEURISY  1  0/692 (0.00%)  0 1/698 (0.14%)  1
PLEURITIC PAIN  1  2/692 (0.29%)  2 1/698 (0.14%)  1
PNEUMONIA ASPIRATION  1  0/692 (0.00%)  0 2/698 (0.29%)  2
PNEUMONITIS  1  1/692 (0.14%)  1 1/698 (0.14%)  1
PNEUMOTHORAX  1  0/692 (0.00%)  0 1/698 (0.14%)  1
PULMONARY ARTERIAL HYPERTENSION  1  0/692 (0.00%)  0 1/698 (0.14%)  1
PULMONARY CONGESTION  1  1/692 (0.14%)  1 0/698 (0.00%)  0
PULMONARY EMBOLISM  1  2/692 (0.29%)  2 8/698 (1.15%)  11
PULMONARY OEDEMA  1  0/692 (0.00%)  0 2/698 (0.29%)  2
RESPIRATORY ARREST  1  0/692 (0.00%)  0 1/698 (0.14%)  1
RESPIRATORY DISORDER  1  1/692 (0.14%)  1 0/698 (0.00%)  0
RESPIRATORY FAILURE  1  2/692 (0.29%)  2 3/698 (0.43%)  3
Skin and subcutaneous tissue disorders     
ACTINIC KERATOSIS  1  1/692 (0.14%)  1 0/698 (0.00%)  0
DERMATITIS CONTACT  1  0/692 (0.00%)  0 1/698 (0.14%)  1
DERMATITIS EXFOLIATIVE GENERALISED  1  0/692 (0.00%)  0 1/698 (0.14%)  1
DRUG ERUPTION  1  1/692 (0.14%)  1 0/698 (0.00%)  0
RASH  1  2/692 (0.29%)  2 5/698 (0.72%)  5
RASH MACULO-PAPULAR  1  1/692 (0.14%)  1 1/698 (0.14%)  1
URTICARIA  1  1/692 (0.14%)  1 1/698 (0.14%)  1
Vascular disorders     
AXILLARY VEIN THROMBOSIS  1  0/692 (0.00%)  0 1/698 (0.14%)  1
CIRCULATORY COLLAPSE  1  0/692 (0.00%)  0 1/698 (0.14%)  1
DEEP VEIN THROMBOSIS  1  2/692 (0.29%)  2 1/698 (0.14%)  1
EMBOLISM  1  3/692 (0.43%)  3 0/698 (0.00%)  0
HYPERTENSIVE CRISIS  1  0/692 (0.00%)  0 2/698 (0.29%)  3
HYPERTENSIVE URGENCY  1  1/692 (0.14%)  1 0/698 (0.00%)  0
HYPOTENSION  1  2/692 (0.29%)  2 7/698 (1.00%)  7
PELVIC VENOUS THROMBOSIS  1  1/692 (0.14%)  1 0/698 (0.00%)  0
PERIPHERAL ARTERY ANEURYSM  1  1/692 (0.14%)  1 0/698 (0.00%)  0
PERIPHERAL ISCHAEMIA  1  0/692 (0.00%)  0 1/698 (0.14%)  1
1
Term from vocabulary, MedDRA 24.0
Indicates events were collected by systematic assessment
Hide Other (Not Including Serious) Adverse Events
Frequency Threshold for Reporting Other Adverse Events 5%
Rituximab+Chemotherapy Obinutuzumab+Chemotherapy
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total   675/692 (97.54%)      690/698 (98.85%)    
Blood and lymphatic system disorders     
ANAEMIA  1  72/692 (10.40%)  95 75/698 (10.74%)  88
LEUKOPENIA  1  91/692 (13.15%)  267 87/698 (12.46%)  222
NEUTROPENIA  1  307/692 (44.36%)  777 348/698 (49.86%)  885
THROMBOCYTOPENIA  1  52/692 (7.51%)  79 90/698 (12.89%)  150
Gastrointestinal disorders     
ABDOMINAL PAIN  1  78/692 (11.27%)  95 69/698 (9.89%)  84
ABDOMINAL PAIN UPPER  1  53/692 (7.66%)  60 57/698 (8.17%)  64
CONSTIPATION  1  221/692 (31.94%)  301 249/698 (35.67%)  326
DIARRHOEA  1  168/692 (24.28%)  253 207/698 (29.66%)  318
DRY MOUTH  1  23/692 (3.32%)  25 36/698 (5.16%)  40
DYSPEPSIA  1  50/692 (7.23%)  56 65/698 (9.31%)  82
NAUSEA  1  338/692 (48.84%)  577 354/698 (50.72%)  594
STOMATITIS  1  55/692 (7.95%)  71 54/698 (7.74%)  72
VOMITING  1  151/692 (21.82%)  211 182/698 (26.07%)  242
General disorders     
ASTHENIA  1  44/692 (6.36%)  55 47/698 (6.73%)  56
CHEST DISCOMFORT  1  36/692 (5.20%)  43 43/698 (6.16%)  45
CHILLS  1  74/692 (10.69%)  99 126/698 (18.05%)  172
FATIGUE  1  277/692 (40.03%)  392 275/698 (39.40%)  390
INFLUENZA LIKE ILLNESS  1  35/692 (5.06%)  36 34/698 (4.87%)  38
MUCOSAL INFLAMMATION  1  44/692 (6.36%)  55 36/698 (5.16%)  41
OEDEMA PERIPHERAL  1  40/692 (5.78%)  47 46/698 (6.59%)  50
PAIN  1  35/692 (5.06%)  40 26/698 (3.72%)  28
PYREXIA  1  150/692 (21.68%)  231 200/698 (28.65%)  277
Infections and infestations     
BRONCHITIS  1  42/692 (6.07%)  53 47/698 (6.73%)  69
CONJUNCTIVITIS  1  26/692 (3.76%)  30 35/698 (5.01%)  42
HERPES ZOSTER  1  40/692 (5.78%)  46 70/698 (10.03%)  75
LOWER RESPIRATORY TRACT INFECTION  1  71/692 (10.26%)  105 59/698 (8.45%)  97
NASOPHARYNGITIS  1  143/692 (20.66%)  224 135/698 (19.34%)  200
ORAL HERPES  1  43/692 (6.21%)  48 46/698 (6.59%)  54
PNEUMONIA  1  46/692 (6.65%)  59 47/698 (6.73%)  63
RESPIRATORY TRACT INFECTION  1  35/692 (5.06%)  43 39/698 (5.59%)  67
RHINITIS  1  36/692 (5.20%)  49 59/698 (8.45%)  71
SINUSITIS  1  47/692 (6.79%)  58 68/698 (9.74%)  92
UPPER RESPIRATORY TRACT INFECTION  1  132/692 (19.08%)  189 153/698 (21.92%)  217
URINARY TRACT INFECTION  1  66/692 (9.54%)  100 75/698 (10.74%)  111
Injury, poisoning and procedural complications     
INFUSION RELATED REACTION  1  347/692 (50.14%)  569 416/698 (59.60%)  699
Investigations     
WEIGHT DECREASED  1  45/692 (6.50%)  49 35/698 (5.01%)  37
Metabolism and nutrition disorders     
DECREASED APPETITE  1  91/692 (13.15%)  103 98/698 (14.04%)  114
HYPOKALAEMIA  1  29/692 (4.19%)  43 48/698 (6.88%)  72
Musculoskeletal and connective tissue disorders     
ARTHRALGIA  1  127/692 (18.35%)  160 144/698 (20.63%)  180
BACK PAIN  1  115/692 (16.62%)  143 99/698 (14.18%)  127
BONE PAIN  1  44/692 (6.36%)  56 40/698 (5.73%)  46
MUSCLE SPASMS  1  42/692 (6.07%)  49 40/698 (5.73%)  46
MYALGIA  1  38/692 (5.49%)  43 53/698 (7.59%)  63
PAIN IN EXTREMITY  1  65/692 (9.39%)  79 66/698 (9.46%)  75
Nervous system disorders     
DIZZINESS  1  57/692 (8.24%)  69 75/698 (10.74%)  88
DYSGEUSIA  1  40/692 (5.78%)  44 38/698 (5.44%)  42
HEADACHE  1  123/692 (17.77%)  185 155/698 (22.21%)  229
NEUROPATHY PERIPHERAL  1  49/692 (7.08%)  52 51/698 (7.31%)  62
PARAESTHESIA  1  51/692 (7.37%)  68 62/698 (8.88%)  71
PERIPHERAL SENSORY NEUROPATHY  1  47/692 (6.79%)  50 59/698 (8.45%)  68
Psychiatric disorders     
ANXIETY  1  29/692 (4.19%)  31 44/698 (6.30%)  47
INSOMNIA  1  89/692 (12.86%)  98 113/698 (16.19%)  131
Respiratory, thoracic and mediastinal disorders     
COUGH  1  185/692 (26.73%)  248 221/698 (31.66%)  305
DYSPNOEA  1  88/692 (12.72%)  101 112/698 (16.05%)  131
OROPHARYNGEAL PAIN  1  73/692 (10.55%)  87 82/698 (11.75%)  98
PRODUCTIVE COUGH  1  35/692 (5.06%)  41 42/698 (6.02%)  53
THROAT IRRITATION  1  37/692 (5.35%)  40 27/698 (3.87%)  27
Skin and subcutaneous tissue disorders     
ALOPECIA  1  77/692 (11.13%)  78 90/698 (12.89%)  94
DRY SKIN  1  36/692 (5.20%)  39 40/698 (5.73%)  44
ERYTHEMA  1  37/692 (5.35%)  43 37/698 (5.30%)  40
NIGHT SWEATS  1  38/692 (5.49%)  46 32/698 (4.58%)  35
PRURITUS  1  94/692 (13.58%)  116 102/698 (14.61%)  124
RASH  1  131/692 (18.93%)  170 127/698 (18.19%)  162
Vascular disorders     
FLUSHING  1  40/692 (5.78%)  44 46/698 (6.59%)  56
HOT FLUSH  1  25/692 (3.61%)  28 38/698 (5.44%)  43
HYPERTENSION  1  50/692 (7.23%)  70 64/698 (9.17%)  100
HYPOTENSION  1  28/692 (4.05%)  32 44/698 (6.30%)  48
1
Term from vocabulary, MedDRA 24.0
Indicates events were collected by systematic assessment
Certain Agreements
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.
The Study being conducted under this Agreement is part of the Overall Study. Investigator is free to publish in reputable journals or to present at professional conferences the results of the Study, but only after the first publication or presentation that involves the Overall Study. The Sponsor may request that Confidential Information be deleted and/or the publication be postponed in order to protect the Sponsor's intellectual property rights.
Results Point of Contact
Layout table for Results Point of Contact information
Name/Title: Medical Communications
Organization: Hoffmann-La Roche
Phone: 800 821-8590
EMail: genentech@druginfo.com
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Layout table for additonal information
Responsible Party: Hoffmann-La Roche
ClinicalTrials.gov Identifier: NCT01332968    
Other Study ID Numbers: BO21223
2010-024132-41 ( EudraCT Number )
First Submitted: April 8, 2011
First Posted: April 11, 2011
Results First Submitted: February 3, 2017
Results First Posted: June 7, 2017
Last Update Posted: August 11, 2022