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Comparison Study of Rituximab Plus Sargramostim to Rituximab Alone for Relapsed Follicular B-cell Lymphoma, a Form of Non-Hodgkin's Lymphoma (PREMIER)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
ClinicalTrials.gov Identifier: NCT00308087
Recruitment Status : Terminated (Terminated by sponsor due to low enrollment; see details below)
First Posted : March 29, 2006
Results First Posted : August 30, 2010
Last Update Posted : December 27, 2013
Information provided by (Responsible Party):
Sanofi ( Genzyme, a Sanofi Company )

Brief Summary:
The purpose of this study is to evaluate whether treatment with rituximab plus sargramostim will be more effective than rituximab alone.

Condition or disease Intervention/treatment Phase
Lymphoma, Follicular Drug: Sargramostim (Leukine) Drug: Rituximab Phase 2

Detailed Description:

On 29 May 2009, Bayer began transitioning the sponsorship of this trial to Genzyme. As of 29 August 2009, Genzyme assumed responsibility for the close out of the study. NOTE: This study was originally posted by sponsor Berlex, Inc. Berlex, Inc. was renamed to Bayer HealthCare, Inc.

The study was terminated early due to low enrollment; significant changes to the protocol would have been required to keep pace with the changing therapeutic landscape of indolent lymphoma.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 75 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Randomized, Open Label, Phase II Trial Comparing Rituximab Plus Sargramostim to Rituximab Monotherapy for the Treatment of Relapsed Follicular B-cell Lymphoma
Study Start Date : May 2006
Primary Completion Date : June 2009
Study Completion Date : June 2009

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Lymphoma
U.S. FDA Resources

Arm Intervention/treatment
Active Comparator: Rituximab Drug: Rituximab
Four doses of rituximab 375 mg/m2, administered intravenously (IV) once weekly for 4 weeks
Experimental: Rituximab + Sargramostim Drug: Sargramostim (Leukine)
Sargramostim 250 μg, administered subcutaneously (SC) 3 times weekly for 8 weeks, beginning at least 1 hour before the first dose of rituximab
Other Names:
  • Sargramostim
  • Leukine
  • Bay86-5326
Drug: Rituximab
Four doses of rituximab 375 mg/m2, administered intravenously (IV) once weekly for 4 weeks

Primary Outcome Measures :
  1. Number of Participants With a Complete Response or Unconfirmed Complete Response at Week 8 With Confirmation at Week 12 [ Time Frame: Week 8 (confirmed at Week 12) ]
    Count of number of participants who responded with a Complete Response (complete disappearance of all detectable clinical and radiological evidence of disease) at week 8 and again clinically and radiologically confirmed at week 12.

Secondary Outcome Measures :
  1. Summary of Treatment-Emergent Adverse Events (TEAE) [ Time Frame: up to 12 weeks ]
    Count of the number of participants who experienced treatment emergent adverse events (TEAEs). TEAEs occurred during the time study intervention was being taken occurring on or after Day 1 and no longer than 30 days after the last dose of study medication.

  2. Participant Summary of Best Response Across All Visits [ Time Frame: up to 24 months ]

    Count of participants' best response within categories defined by the International Working Group (IWG):

    > Complete Response (complete disappearance of detectable clinical and radiological evidence of disease),

    > Complete Response Unconfirmed (unconfirmed complete disappearance),

    > Partial Response (>=50% decrease sum of the product of the greatest diameters in the six largest dominant nodes or nodal masses),

    > Stable Disease (neither response nor disease progression),

    > Progression (new lesion or increase by 50% of previously involved sites from nadir).

  3. Kaplan-Meier Estimates of Progression-Free Survival [ Time Frame: 24 months ]
    Time to event was measured from the date of randomization to the date of first progressive disease (PD) or death.

  4. Kaplan-Meier Estimates for Duration of Partial Response or Better to Treatment [ Time Frame: 24 months ]
    Count of days in which a participant experiences a Partial Response (>=50% decrease sum of the product of the greatest diameters in the six largest dominant nodes or nodal masses) or better. Time to event was measured from the date of response to the date of progressive disease (PD) or death.

  5. Summary of Cost Effectiveness [ Time Frame: 24 months ]
    A cost-effectiveness analysis from the payer perspective was to be performed. Only direct medical costs for each patient during the study period were to be included for analysis. Costs were to be calculated by multiplying each health care resource unit by the amount reimbursed by a payer. Health care resource utilization units are a way to normalize the quantity of health care provided to each participant so that costs can be compared.

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria (abbreviated list):

  • Relapsed follicular B-cell lymphoma
  • One or more previous therapies for non-Hodgkin's
  • At least one measurable tumor by CT scan or MRI
  • Additional criteria to be determined at screening visit

Exclusion Criteria (abbreviated list):

  • Rituximab refractory (less than 6 months from last treatment with rituximab to relapse)
  • Currently receiving treatment for another cancer
  • Infection currently being treated
  • Active Hepatitis B
  • History of HIV infection
  • Pregnant
  • Additional criteria to be determined at screening visit

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00308087

United States, Alabama
Birmingham, Alabama, United States, 35234
Huntsville, Alabama, United States, 35805
United States, California
Los Angeles, California, United States, 90095
Montebello, California, United States, 90640
Pleasant Hill, California, United States, 94523
United States, Florida
Gainesville, Florida, United States, 32610-0254
Jacksonville, Florida, United States, 32207
Ocala, Florida, United States, 34474
Tampa, Florida, United States, 33612
United States, Illinois
Chicago, Illinois, United States, 60612
Elk Grove Village, Illinois, United States, 60007
Springfield, Illinois, United States, 62703
United States, Indiana
Indianapolis, Indiana, United States, 46202
New Albany, Indiana, United States, 47150
United States, Minnesota
Duluth, Minnesota, United States, 55805-1984
United States, New York
Fresh Meadows, New York, United States, 11365
New York, New York, United States, 10019
United States, Ohio
Columbus, Ohio, United States, 43235
United States, Pennsylvania
Hershey, Pennsylvania, United States, 17033-0850
Philadelphia, Pennsylvania, United States, 19104
United States, Texas
Houston, Texas, United States, 77030
Puerto Rico
San Juan, Puerto Rico, 00919
Sponsors and Collaborators
Genzyme, a Sanofi Company
Study Director: Medical Monitor Genzyme, a Sanofi Company

Responsible Party: Genzyme, a Sanofi Company
ClinicalTrials.gov Identifier: NCT00308087     History of Changes
Other Study ID Numbers: 310421
91499 ( Other Identifier: Genzyme )
PREMIER ( Other Identifier: Genzyme )
First Posted: March 29, 2006    Key Record Dates
Results First Posted: August 30, 2010
Last Update Posted: December 27, 2013
Last Verified: December 2013

Keywords provided by Sanofi ( Genzyme, a Sanofi Company ):

Additional relevant MeSH terms:
Lymphoma, B-Cell
Lymphoma, Follicular
Neoplasms by Histologic Type
Lymphoproliferative Disorders
Lymphatic Diseases
Immunoproliferative Disorders
Immune System Diseases
Lymphoma, Non-Hodgkin
Antineoplastic Agents
Immunologic Factors
Physiological Effects of Drugs
Antirheumatic Agents