A Study of Obinutuzumab in Chinese Participants With CD20+ Malignant Disease

Sponsor
Hoffmann-La Roche (Industry)
Overall Status
Completed
CT.gov ID
NCT01680991
Collaborator
(none)
48
4
3
27
12
0.4

Study Details

Study Description

Brief Summary

This multi-center, open-label, single-arm study will evaluate the pharmacokinetics and safety of obinutuzumab in participants with cluster of differentiation (CD) 20 positive (+) malignant disease. Participants will receive multiple doses of obinutuzumab. The anticipated time on study treatment is 24 weeks.

Study Design

Study Type:
Interventional
Actual Enrollment :
48 participants
Allocation:
Non-Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Multi-Center, Open Label, Single Arm, Multiple Dose Study to Assess the Pharmacokinetics of RO5072759 in Chinese Patients With CD20+ Malignant Disease
Study Start Date :
Sep 1, 2012
Actual Primary Completion Date :
Dec 1, 2014
Actual Study Completion Date :
Dec 1, 2014

Arms and Interventions

Arm Intervention/Treatment
Experimental: CLL: 1000 mg Obinutuzumab

Participants with chronic lymphocytic leukemia (CLL) will receive 1000 milligrams (mg) obinutuzumab as an intravenous (IV) infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. The first infusion on Cycle 1 Day 1 will be given over two days: Day 1 and Day 2. Additional doses of obinutuzumab will be administered on Cycle 1 Day 8 and Day 15.

Drug: Obinutuzumab
Multiple doses of obinutuzumab.
Other Names:
  • RO5072759
  • GA101
  • Experimental: DLBCL: 1000 mg Obinutuzumab

    Participants with diffuse large B-cell lymphoma (DLBCL) will receive 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab will be administered on Cycle 1 Day 8 and Day 15.

    Drug: Obinutuzumab
    Multiple doses of obinutuzumab.
    Other Names:
  • RO5072759
  • GA101
  • Experimental: FL: 1000 mg Obinutuzumab

    Participants with follicular lymphoma (FL) will receive 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab will be administered on Cycle 1 Day 8 and Day 15.

    Drug: Obinutuzumab
    Multiple doses of obinutuzumab.
    Other Names:
  • RO5072759
  • GA101
  • Outcome Measures

    Primary Outcome Measures

    1. Area Under the Serum Concentration Time Curve From Zero to Day 7 (AUC0-7) of Obinutuzumab on Day 1, Cycle 1 [Cycle 1-NHL: within 2 hours (h) pre-dose (Pr-D), end of infusion (EoI), 4, 24, 72 and 120 h post-infusion (Po-I) on Day 1; CLL: within 2 h Pr-D, EoI on Days 1,2; 4, 24, 72 and 120 h Po-I on Day 2. NHL and CLL: within 2 h Pr-D on Day 8]

      DLBCL and FL are sub-types of Non-Hodgkin's Lymphoma (NHL) and time frame for these 2 groups was presented under NHL. For CLL, pharmacokinetic (PK) parameters were from Cycle 1 Day 1 and Day 2 dosing, due to split dosing.

    2. Maximum Observed Serum Concentration (Cmax) of Obinutuzumab on Day 1, Cycle 1 [Cycle 1-NHL: within 2 h Pr-D, EoI, 4, 24, 72 and 120 h Po-I on Day 1; CLL: within 2 h Pr-D, EoI on Days 1,2; 4, 24, 72 and 120 h Po-I on Day 2. NHL and CLL: within 2 h Pr-D on Day 8]

      DLBCL and FL are sub-types of NHL and time frame for these 2 groups was presented under NHL. For CLL, PK parameters were from Cycle 1 Day 1 and Day 2 dosing, due to split dosing.

    3. Area Under the Serum Concentration Versus Time Curve From 0 to Day 21 (AUC0-21) of Obinutuzumab at Cycle 8 [Cycle 8: within 2 h Pr-D, EoI, 4, 24, 72, 120, 168, 336 (Day 15), and 504 (Day 22) h Po-I on Day 1]

    4. Cmax of Obinutuzumab at Cycle 8 [Cycle 8: within 2 h Pr-D, EoI, 4, 24, 72, 120, 168, 336 (Day 15), and 504 (Day 22) h Po-I on Day 1]

    Secondary Outcome Measures

    1. Time to Maximum Observed Serum Concentration (Tmax) of Obinutuzumab at Cycle 8 [Cycle 8: within 2 h Pr-D, EoI, 4, 24, 72, 120, 168, 336 (Day 15), and 504 (Day 22) h Po-I on Day 1]

    2. Apparent Terminal Half-life (t1/2) [Cycle 8: within 2 h Pr-D, EoI, 4, 24, 72, 120, 168, 336 (Day 15), and 504 (Day 22) h Po-I on Day 1, 4-week follow-up (Day 29), 3 and 6 months after Cycle 8 dosing]

      Half-life is the time measured for the serum concentration of study drug to decrease (Dec) by one half.

    3. Volume of Distribution at Steady State (Vss) of Obinutuzumab at Cycle 8 [Cycle 8: within 2 h Pr-D, EoI, 4, 24, 72, 120, 168, 336 (Day 15), and 504 (Day 22) h Po-I on Day 1]

      Vss reflects the actual blood and tissue volume into which a drug is distributed and the relative binding of drug to protein in these spaces.

    4. Total Systemic Clearance at Steady State (CLss) of Obinutuzumab at Cycle 8 [Cycle 8: within 2 h Pr-D, EoI, 4, 24, 72, 120, 168, 336 (Day 15), and 504 (Day 22) h Po-I on Day 1]

      Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes.

    5. Minimum Observed Serum Concentration of Obinutuzumab [Within 2 hours Pr-D on Day 1 of Cycles 2-8 and on Days 8,15 of Cycle 1]

    6. Percentage of Participants With Complete Response (CR), CR Unconfirmed (CRu) at End of Treatment (1 Month After Cycle 8) in NHL Participants (DLBCL and FL Participants) Per Cheson 1999 Criteria [1 month after the last dose (received on Day 148) of study drug]

      CR: 1) Disappearance of clinical and radiographic evidence of disease, related symptoms and normalization of biochemical abnormalities definitely assignable to NHL, 2) Lymph nodes (LN) and nodal masses regressed to normal size after therapy (AT) (≤1.5 centimeters [cm] in their greatest transverse diameter [GTD] for LN greater than (>) 1.5 cm before therapy [BT]). LN that were 1.1 to 1.5 cm in their GTD BT decreased to ≤1 cm in GTD AT, or >75% in the sum of the products (SPD) of the GTD, 3) Enlarged spleen regressed in size and not palpable, 4) Absence of macroscopic nodules, 5) Enlarged organs decreased in size, and 6) If the bone marrow (BM) was involved, the infiltrate must be cleared on repeat BM aspirate and biopsy. CRu included those participants who met CR Criteria 1 and 3, but with 1 or more of the following features: a) A residual LN mass >1.5 cm in GTD that has regressed by more than 75% in their SPD, and b) Indeterminate BM (increased [Inc] number or size of aggregates).

    7. Percentage of Participants With Partial Response (PR), Stable Disease (SD), and Progressive Disease (PD) at End of Treatment (1 Month After Cycle 8) in NHL Participants (DLBCL and FL Participants) Per Cheson 1999 Criteria [1 month after the last dose (received on Day 148) of study drug]

      PR: 1) ≥50% decrease in SPD of the 6 largest dominant nodes/nodal masses. These nodes or masses selected according to the following features: a) clearly measurable in ≥2 perpendicular dimensions, b) from as disparate regions of the body as possible, and c) included mediastinal and retroperitoneal areas of disease. 2) No increase in size of other nodes (liver/spleen). 3) Splenic and hepatic nodules regressed by ≥50% in SPD. 4) With exception of splenic and hepatic nodules, involvement of other organs was considered assessable and not measurable disease. 5) BM assessment is irrelevant for determination of a PR because it was assessable and not measurable disease; however, if positive, the cell type was specified. 6) No new sites of disease. PD requires the following: 1) ≥50% increase from nadir in the SPD of any previously identified abnormal node for PRs or nonresponders. 2) Appearance of any new lesion during or at the end of therapy. SD is defined as less than a PR but not PD.

    8. Percentage of Participants With Best Overall Response (BOR) of CR, CRu at Anytime During Study in NHL Participants (DLBCL and FL Participants) Per Cheson 1999 Criteria [From screening to up to 1 month after the last dose (received on Day 148) of study drug]

      CR: 1) Disappearance of clinical and radiographic evidence of disease, related symptoms and normalization of biochemical abnormalities definitely assignable to NHL, 2) LN and nodal masses regressed to normal size AT (≤1.5 cm] in their GTD for LN >1.5 cm BT). LN that were 1.1 to 1.5 cm in their GTD BT decreased to ≤1 cm in GTD AT, or >75% in the SPD of the GTD, 3) Enlarged spleen regressed in size and not palpable, 4) Absence of macroscopic nodules in any organs, 5) Enlarged organs decreased in size, and 6) If the BM was involved, the infiltrate must be cleared on repeat BM aspirate and biopsy. CRu included those participants who met CR Criteria 1 and 3, but with 1 or more of the following features: a) A residual LN mass >1.5 cm in GTD that has regressed by more than 75% in their SPD, b) Indeterminate BM (increased number or size of aggregates).

    9. Percentage of Participants With BOR of PR, SD, and PD at Anytime During Study in NHL Participants (DLBCL and FL Participants) Per Cheson 1999 Criteria [From screening to up to 1 month after the last dose (received on Day 148) of study drug]

      PR: 1) ≥50% decrease in SPD of the 6 largest dominant nodes/nodal masses. These nodes or masses selected according to the following features: a) clearly measurable in ≥2 perpendicular dimensions, b) from as disparate regions of the body as possible, and c) included mediastinal and retroperitoneal areas of disease. 2) No increase in size of other nodes (liver/spleen). 3) Splenic and hepatic nodules regressed by ≥50% in SPD. 4) With exception of splenic and hepatic nodules, involvement of other organs was considered assessable and not measurable disease. 5) BM assessment is irrelevant for determination of a PR because it was assessable and not measurable disease; however, if positive, the cell type was specified. 6) No new sites of disease. PD requires the following: 1) ≥50% increase from nadir in the SPD of any previously identified abnormal node for PRs or nonresponders. 2) Appearance of any new lesion during or at the end of therapy. SD is defined as less than a PR but not PD.

    10. Percentage of Participants With Complete Remission (CRe), CRe With Incomplete BM Recovery (CRi) at End of Treatment (1 Month After Cycle 8) in CLL Participants According to International Workshop on Chronic Lymphocytic Leukemia (IWCLL) 2008 Guidelines [2 months after the last dose (received on Day 148) of study drug]

      CRe required the following criteria as assessed, at least 2 months from completing therapy: a) peripheral blood lymphocytes (PBL) less than (<) 4 x 10^9/L, b) Absence of significant lymphadenopathy (LD) by physical examination (PE), c) No hepatomegaly/splenomegaly (HM/SM) by PE, d) Absence of constitutional symptoms and e) Blood counts above the following values (i. Neutrophils [Neu] >1.5 x 10^9/L without the need for exogenous growth factors [EGF], ii. Platelets (Plt) >100 x 10^9/L without the need for EGF, and iii. Hemoglobin (Hb) >11.0 g/dL without blood transfusion or need for erythropoietin), and d) Once clinical and laboratory reports demonstrated CRe, a BM aspirate and biopsy was performed at least 2 months after the last treatment; to define a CRe, BM sample should be normocellular for age, <30% of the cells being PBL and lymphoid nodules absent. CRi: CRe but persistent anemia/thrombocytopenia/neutropenia unrelated to CLL, but related to drug toxicity.

    11. Percentage of Participants With PR, SD, and PD at End of Treatment (1 Month After Cycle 8) in CLL Participants According to IWCLL 2008 Guidelines [2 months after the last dose (received on Day 148) of study drug]

      Group A: a)Dec LN size by ≥50% either in SPD of 6 LN or largest diameter of enlarged LN (ELN) detected BT, b)Reduction (Red) in BT enlargement of liver, c)Red in BT enlargement of spleen, d)Dec in PBL by ≥50% from baseline, e)A 50% Red in BM infiltrate or B-lymphoid nodules in BM and f)No Inc in any LN and no new ELN. Group B: a)Plt count=100,000/µL or Inc of ≥50% over baseline, b)Hb >11 g/dL or ≥50% Inc over baseline, c)Neu > 1500/µL or > 50% Inc over baseline. PR is considered as achieved if 2 of Group A criteria and 1 of Group B criteria were met for ≥2 months. PD is defined as LD (appearance of new lesion [ELN], SM, HM or other organ infiltrates) or Inc by ≥50% in greatest determined diameter of any previous site or Inc in previously noted enlargement of liver/spleen by ≥50% or new appearance of HM/SM or an Inc in number of PBL ≥50% or transformation to a more aggressive histology or occurrence of cytopenia attributable to CLL. SD is defined as less than a PR but is not PD.

    12. Percentage of Participants With BOR of CRe, CRi at Anytime During the Study in CLL Participants According to IWCLL 2008 Guidelines [From screening to up to 2 months after the last dose (received on Day 148) of study drug]

      CRe required the following criteria as assessed, at least 2 months from completing therapy: a) PBL <4 x 10^9/L, b) Absence of significant LD by PE, c) No HM/SM by PE, d) Absence of constitutional symptoms and e) Blood counts above the following values (i. Neu >1.5 x 10^9/L without the need for EGF, ii. Plt >100 x 10^9/L without the need for EGF, and iii. Hb >11.0 g/dL without blood transfusion or need for EGF, and d) Once clinical and laboratory reports demonstrated CRe, a BM aspirate and biopsy was performed at least 2 months after the last treatment; to define a CRe, BM sample should be normocellular for age, <30% of the cells being PBL and lymphoid nodules absent. CRi: CRe but persistent anemia/thrombocytopenia/neutropenia unrelated to CLL, but related to drug toxicity.

    13. Percentage of Participants With BOR of PR, SD, and PD at Anytime During Study in CLL Participants According to IWCLL 2008 Guidelines [From screening to up to 2 months after the last dose (received on Day 148) of study drug]

      Group A: a)Dec LN size by ≥50% either in SPD of 6 LN or largest diameter of ELN detected BT, b)Red in BT enlargement of liver, c)Red in BT enlargement of spleen, d)Dec in PBL by ≥50% from baseline, e)A 50% Red in BM infiltrate or B-lymphoid nodules in BM and f)No Inc in any LN and no new ELN. Group B: a)Plt count=100,000/µL or Inc of ≥50% over baseline, b)Hb >11 g/dL or ≥50% Inc over baseline, c)Neu > 1500/µL or > 50% Inc over baseline. PR is considered as achieved if 2 of Group A criteria and 1 of Group B criteria were met for ≥2 months. PD is defined as LD (appearance of new lesion [ELN], SM, HM or other organ infiltrates) or Inc by ≥50% in greatest determined diameter of any previous site or Inc in previously noted enlargement of liver/spleen by ≥50% or new appearance of HM/SM or an Inc in number of PBL ≥50% or transformation to a more aggressive histology or occurrence of cytopenia attributable to CLL. SD is defined as less than a PR but is not PD.

    14. Number of Participants With Positive Human Anti-Human Antibodies (HAHA) [Cycle 1 (Day 1), Cycle 4 (Day 1), 4-week follow-up, 3 and 6 month follow-up]

      For the detection of HAHA, serum samples were initially analyzed using a validated enzyme linked immunosorbent assay (ELISA) method (screening assay, tier 1). The lower limit of quantification (LLOQ) in undiluted serum was 18.4 nanograms per milliliter (ng/mL). The precision ranged from 4.85 percent (%) to 16.0%. In serum samples found positive, the presence of specific anti-obinutuzumab antibodies was confirmed or excluded using the same ELISA method with an appropriate immunocompetition step (addition of excess obinutuzumab, confirmation assay, tier 2). Samples were confirmed as containing specific anti-obinutuzumab antibodies if there was a signal reduction ≥85.7% in the presence of obinutuzumab.

    15. Number of Participants With Positive Human Anti-Chimeric Antibodies (HACA) [Cycle 1, Day 1]

      Serum concentrations of HACA against rituximab were determined by ELISA. The LLOQ in undiluted serum was 5.00 relative units per milliliter (RU/mL). The precision and accuracy of the assay, as determined from the analysis of quality control samples, were satisfactory throughout the study; precision ranged from 6.4% to 13.6% and accuracy ranged from 88.2% to 94.8%.

    16. Number of Participants With B-cell Depletion or Recovery [Screening, Cycle 1 (Days 1,8), Cycle 2 (Day 1), Cycle 4 (Day 1), Cycle 6 (Day 1), Cycle 8 (Day 1), 4 weeks after last dose of study drug and every 3 months after last dose of study drug up to 1 year]

      Depletion is defined as cluster of differentiation (CD) 19+ B-cell count <0.07 x10^9/L.Recovery is defined as CD19+ B-cell equal to or greater than 0.07 x 10^9/L.

    17. Duration of Depletion of CD19+ B-cell [Screening, Cycle 1 (Days 1,8), Cycle 2 (Day 1), Cycle 4 (Day 1), Cycle 6 (Day 1), Cycle 8 (Day 1), 4 weeks after last dose of study drug and every 3 months after last dose of study drug up to 1 year]

      Depletion is defined as CD19+ B-cell count < 0.07 x 10^9/L. The duration of depletion is defined as the number of days between first assessment of B-cell depletion and the first assessment where CD19+ cell count returned to at least the depletion level from baseline and not followed by any further B-cell depletion. If participant did not return to above depletion level, then the cut off is at the time of last assessment.

    18. Time to Recovery of CD19+ B-cell [Screening, Cycle 1 (Days 1,8), Cycle 2 (Day 1), Cycle 4 (Day 1), Cycle 6 (Day 1), Cycle 8 (Day 1), 4 weeks after last dose of study drug and every 3 months after last dose of study drug up to 1 year]

      Recovery is defined as CD19+ B-cell equal to or greater than 0.07 x 10^9/L. Time to recovery is defined as time between the beginning of depletion and first value after end of treatment that is equal or above 0.07x10^9/L and not exclusively followed by depleted values only. If participant did not return to above recovery level then set to Null.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Diagnosis of CD20+ B-cell lymphoma or B-CLL

    • Refractory/relapsed CLL, FL, and DLBCL

    • At least 1 measurable lesion (greater than [>] 1.5 centimeters [cm] in its largest dimension) with the exception of CLL

    • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1

    • Life expectancy >6 months

    Exclusion Criteria:
    • Prior use of any investigational antibody therapy within 6 months of study start

    • Prior use of any anti-cancer vaccine

    • Prior administration of rituximab within 3 months of study start

    • Prior administration of radioimmunotherapy 3 months prior to study entry

    • Central nervous system lymphoma

    • History of other malignancy

    • Evidence of significant, uncontrolled concomitant disease

    • Abnormal laboratory values

    • Patients with progressive multifocalleukoencephalopathy (PML)

    • Infection with human immunodeficiency virus (HIV), hepatitis B or hepatitis C

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Beijing China 100021
    2 Beijing China 100142
    3 Guangzhou China
    4 Shanghai China 200025

    Sponsors and Collaborators

    • Hoffmann-La Roche

    Investigators

    • Study Director: Clinical Trials, Hoffmann-La Roche

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Hoffmann-La Roche
    ClinicalTrials.gov Identifier:
    NCT01680991
    Other Study ID Numbers:
    • YP25623
    First Posted:
    Sep 7, 2012
    Last Update Posted:
    Apr 25, 2016
    Last Verified:
    Mar 1, 2016

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail
    Arm/Group Title CLL: 1000 mg Obinutuzumab DLBCL: 1000 mg Obinutuzumab FL: 1000 mg Obinutuzumab
    Arm/Group Description Participants with chronic lymphocytic leukemia (CLL) received 1000 milligrams (mg) obinutuzumab as an intravenous (IV) infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15. The first infusion on Cycle 1 Day 1 was given over two days: Day 1- 100 mg and Day 2- 900 mg. Participants with diffuse large B-cell lymphoma (DLBCL) received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15. Participants with follicular lymphoma (FL) received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15.
    Period Title: Overall Study
    STARTED 12 23 13
    COMPLETED 4 4 9
    NOT COMPLETED 8 19 4

    Baseline Characteristics

    Arm/Group Title CLL: 1000 mg Obinutuzumab DLBCL: 1000 mg Obinutuzumab FL: 1000 mg Obinutuzumab Total
    Arm/Group Description Participants with CLL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15. The first infusion on Cycle 1 Day 1 was given over two days: Day 1- 100 mg and Day 2- 900 mg. Participants with DLBCL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15. Participants with FL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15. Total of all reporting groups
    Overall Participants 12 23 13 48
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    60.7
    (12.0)
    53.3
    (15.8)
    55.1
    (8.8)
    55.6
    (13.4)
    Sex: Female, Male (Count of Participants)
    Female
    5
    41.7%
    12
    52.2%
    5
    38.5%
    22
    45.8%
    Male
    7
    58.3%
    11
    47.8%
    8
    61.5%
    26
    54.2%

    Outcome Measures

    1. Primary Outcome
    Title Area Under the Serum Concentration Time Curve From Zero to Day 7 (AUC0-7) of Obinutuzumab on Day 1, Cycle 1
    Description DLBCL and FL are sub-types of Non-Hodgkin's Lymphoma (NHL) and time frame for these 2 groups was presented under NHL. For CLL, pharmacokinetic (PK) parameters were from Cycle 1 Day 1 and Day 2 dosing, due to split dosing.
    Time Frame Cycle 1-NHL: within 2 hours (h) pre-dose (Pr-D), end of infusion (EoI), 4, 24, 72 and 120 h post-infusion (Po-I) on Day 1; CLL: within 2 h Pr-D, EoI on Days 1,2; 4, 24, 72 and 120 h Po-I on Day 2. NHL and CLL: within 2 h Pr-D on Day 8

    Outcome Measure Data

    Analysis Population Description
    PK analysis population included all participants who received at least 1 dose of study drug and had serum concentrations available. Here, number of participants analyzed = participants who were evaluable for this outcome.
    Arm/Group Title CLL: 1000 mg Obinutuzumab DLBCL: 1000 mg Obinutuzumab FL: 1000 mg Obinutuzumab
    Arm/Group Description Participants with CLL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15. The first infusion on Cycle 1 Day 1 was given over two days: Day 1- 100 mg and Day 2- 900 mg. Participants with DLBCL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15. Participants with FL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15.
    Measure Participants 11 21 13
    Geometric Mean (Geometric Coefficient of Variation) [day*micrograms per milliliter]
    1458
    (34.8)
    1750
    (20.5)
    1647
    (20.7)
    2. Primary Outcome
    Title Maximum Observed Serum Concentration (Cmax) of Obinutuzumab on Day 1, Cycle 1
    Description DLBCL and FL are sub-types of NHL and time frame for these 2 groups was presented under NHL. For CLL, PK parameters were from Cycle 1 Day 1 and Day 2 dosing, due to split dosing.
    Time Frame Cycle 1-NHL: within 2 h Pr-D, EoI, 4, 24, 72 and 120 h Po-I on Day 1; CLL: within 2 h Pr-D, EoI on Days 1,2; 4, 24, 72 and 120 h Po-I on Day 2. NHL and CLL: within 2 h Pr-D on Day 8

    Outcome Measure Data

    Analysis Population Description
    PK analysis population. Here, number of participants analyzed = participants who were evaluable for this outcome.
    Arm/Group Title CLL: 1000 mg Obinutuzumab DLBCL: 1000 mg Obinutuzumab FL: 1000 mg Obinutuzumab
    Arm/Group Description Participants with CLL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15. The first infusion on Cycle 1 Day 1 was given over two days: Day 1- 100 mg and Day 2- 900 mg. Participants with DLBCL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15. Participants with FL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15.
    Measure Participants 11 21 13
    Geometric Mean (Geometric Coefficient of Variation) [micrograms per milliliter (mcg/mL)]
    369
    (31.8)
    442
    (21.1)
    437
    (16.7)
    3. Primary Outcome
    Title Area Under the Serum Concentration Versus Time Curve From 0 to Day 21 (AUC0-21) of Obinutuzumab at Cycle 8
    Description
    Time Frame Cycle 8: within 2 h Pr-D, EoI, 4, 24, 72, 120, 168, 336 (Day 15), and 504 (Day 22) h Po-I on Day 1

    Outcome Measure Data

    Analysis Population Description
    PK analysis population. Here, number of participants analyzed = participants who were evaluable for this outcome.
    Arm/Group Title CLL: 1000 mg Obinutuzumab DLBCL: 1000 mg Obinutuzumab FL: 1000 mg Obinutuzumab
    Arm/Group Description Participants with CLL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15. The first infusion on Cycle 1 Day 1 was given over two days: Day 1- 100 mg and Day 2- 900 mg. Participants with DLBCL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15. Participants with FL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15.
    Measure Participants 9 8 11
    Geometric Mean (Geometric Coefficient of Variation) [day*mcg/mL]
    12289
    (42.7)
    13000
    (37.3)
    11285
    (26.7)
    4. Primary Outcome
    Title Cmax of Obinutuzumab at Cycle 8
    Description
    Time Frame Cycle 8: within 2 h Pr-D, EoI, 4, 24, 72, 120, 168, 336 (Day 15), and 504 (Day 22) h Po-I on Day 1

    Outcome Measure Data

    Analysis Population Description
    PK analysis population. Here, number of participants analyzed = participants who were evaluable for this outcome.
    Arm/Group Title CLL: 1000 mg Obinutuzumab DLBCL: 1000 mg Obinutuzumab FL: 1000 mg Obinutuzumab
    Arm/Group Description Participants with CLL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15. The first infusion on Cycle 1 Day 1 was given over two days: Day 1- 100 mg and Day 2- 900 mg. Participants with DLBCL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15. Participants with FL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15.
    Measure Participants 9 8 11
    Geometric Mean (Geometric Coefficient of Variation) [mcg/mL]
    1050
    (32.6)
    966
    (28.3)
    867
    (19.6)
    5. Secondary Outcome
    Title Time to Maximum Observed Serum Concentration (Tmax) of Obinutuzumab at Cycle 8
    Description
    Time Frame Cycle 8: within 2 h Pr-D, EoI, 4, 24, 72, 120, 168, 336 (Day 15), and 504 (Day 22) h Po-I on Day 1

    Outcome Measure Data

    Analysis Population Description
    PK analysis population. Here, number of participants analyzed = participants who were evaluable for this outcome.
    Arm/Group Title CLL: 1000 mg Obinutuzumab DLBCL: 1000 mg Obinutuzumab FL: 1000 mg Obinutuzumab
    Arm/Group Description Participants with CLL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15. The first infusion on Cycle 1 Day 1 was given over two days: Day 1- 100 mg and Day 2- 900 mg. Participants with DLBCL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15. Participants with FL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15.
    Measure Participants 9 8 11
    Median (Full Range) [hours]
    3.5
    7.25
    4.0
    6. Secondary Outcome
    Title Apparent Terminal Half-life (t1/2)
    Description Half-life is the time measured for the serum concentration of study drug to decrease (Dec) by one half.
    Time Frame Cycle 8: within 2 h Pr-D, EoI, 4, 24, 72, 120, 168, 336 (Day 15), and 504 (Day 22) h Po-I on Day 1, 4-week follow-up (Day 29), 3 and 6 months after Cycle 8 dosing

    Outcome Measure Data

    Analysis Population Description
    PK analysis population. Here, number of participants analyzed = participants who were evaluable for this outcome.
    Arm/Group Title CLL: 1000 mg Obinutuzumab DLBCL: 1000 mg Obinutuzumab FL: 1000 mg Obinutuzumab
    Arm/Group Description Participants with CLL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15. The first infusion on Cycle 1 Day 1 was given over two days: Day 1- 100 mg and Day 2- 900 mg. Participants with DLBCL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15. Participants with FL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15.
    Measure Participants 9 6 11
    Geometric Mean (Geometric Coefficient of Variation) [day]
    21.5
    (71.8)
    33.3
    (68.6)
    26.7
    (49.6)
    7. Secondary Outcome
    Title Volume of Distribution at Steady State (Vss) of Obinutuzumab at Cycle 8
    Description Vss reflects the actual blood and tissue volume into which a drug is distributed and the relative binding of drug to protein in these spaces.
    Time Frame Cycle 8: within 2 h Pr-D, EoI, 4, 24, 72, 120, 168, 336 (Day 15), and 504 (Day 22) h Po-I on Day 1

    Outcome Measure Data

    Analysis Population Description
    PK analysis population. Here, number of participants analyzed = participants who were evaluable for this outcome.
    Arm/Group Title CLL: 1000 mg Obinutuzumab DLBCL: 1000 mg Obinutuzumab FL: 1000 mg Obinutuzumab
    Arm/Group Description Participants with CLL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15. The first infusion on Cycle 1 Day 1 was given over two days: Day 1- 100 mg and Day 2- 900 mg. Participants with DLBCL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15. Participants with FL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15.
    Measure Participants 9 6 11
    Geometric Mean (Geometric Coefficient of Variation) [Liter]
    3.32
    (27.9)
    4.49
    (38.2)
    4.03
    (21.5)
    8. Secondary Outcome
    Title Total Systemic Clearance at Steady State (CLss) of Obinutuzumab at Cycle 8
    Description Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes.
    Time Frame Cycle 8: within 2 h Pr-D, EoI, 4, 24, 72, 120, 168, 336 (Day 15), and 504 (Day 22) h Po-I on Day 1

    Outcome Measure Data

    Analysis Population Description
    PK analysis population. Here, number of participants analyzed = participants who were evaluable for this outcome.
    Arm/Group Title CLL: 1000 mg Obinutuzumab DLBCL: 1000 mg Obinutuzumab FL: 1000 mg Obinutuzumab
    Arm/Group Description Participants with CLL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15. The first infusion on Cycle 1 Day 1 was given over two days: Day 1- 100 mg and Day 2- 900 mg. Participants with DLBCL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15. Participants with FL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15.
    Measure Participants 9 8 11
    Geometric Mean (Geometric Coefficient of Variation) [mL/day]
    81.4
    (42.7)
    76.9
    (37.3)
    88.6
    (26.7)
    9. Secondary Outcome
    Title Minimum Observed Serum Concentration of Obinutuzumab
    Description
    Time Frame Within 2 hours Pr-D on Day 1 of Cycles 2-8 and on Days 8,15 of Cycle 1

    Outcome Measure Data

    Analysis Population Description
    PK population. Here, number of participants analyzed = participants who were evaluable for this outcome and "n" is the number of participants evaluable at the specified time point.
    Arm/Group Title CLL: 1000 mg Obinutuzumab DLBCL: 1000 mg Obinutuzumab FL: 1000 mg Obinutuzumab
    Arm/Group Description Participants with CLL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15. The first infusion on Cycle 1 Day 1 was given over two days: Day 1- 100 mg and Day 2- 900 mg. Participants with DLBCL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15. Participants with FL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15.
    Measure Participants 11 22 13
    Cycle 1-Day 8 (n=11,22,13)
    156
    (57.2)
    186
    (25.2)
    148
    (39.2)
    Cycle 1-Day 15 (n=11,22,13)
    282
    (69.4)
    350
    (23.7)
    284
    (26.5)
    Cycle 2 (n=11,21,13)
    389
    (71.2)
    458
    (26.3)
    433
    (31.2)
    Cycle 3 (n=10,18,13)
    260
    (246)
    367
    (49.6)
    346
    (31)
    Cycle 4 (n=10,14,13)
    232
    (279.7)
    370
    (49.2)
    346
    (31)
    Cycle 5 (n=9,11,11)
    299
    (91.2)
    412
    (42)
    396
    (44.8)
    Cycle 6 (n=9,10,11)
    317
    (93.5)
    425
    (38.2)
    361
    (40.6)
    Cycle 7 (n=9,10,11)
    358
    (80.6)
    367
    (40.3)
    375
    (41.3)
    Cycle 8 (n=9,8,11)
    403
    (85.3)
    455
    (45.4)
    352
    (38.4)
    10. Secondary Outcome
    Title Percentage of Participants With Complete Response (CR), CR Unconfirmed (CRu) at End of Treatment (1 Month After Cycle 8) in NHL Participants (DLBCL and FL Participants) Per Cheson 1999 Criteria
    Description CR: 1) Disappearance of clinical and radiographic evidence of disease, related symptoms and normalization of biochemical abnormalities definitely assignable to NHL, 2) Lymph nodes (LN) and nodal masses regressed to normal size after therapy (AT) (≤1.5 centimeters [cm] in their greatest transverse diameter [GTD] for LN greater than (>) 1.5 cm before therapy [BT]). LN that were 1.1 to 1.5 cm in their GTD BT decreased to ≤1 cm in GTD AT, or >75% in the sum of the products (SPD) of the GTD, 3) Enlarged spleen regressed in size and not palpable, 4) Absence of macroscopic nodules, 5) Enlarged organs decreased in size, and 6) If the bone marrow (BM) was involved, the infiltrate must be cleared on repeat BM aspirate and biopsy. CRu included those participants who met CR Criteria 1 and 3, but with 1 or more of the following features: a) A residual LN mass >1.5 cm in GTD that has regressed by more than 75% in their SPD, and b) Indeterminate BM (increased [Inc] number or size of aggregates).
    Time Frame 1 month after the last dose (received on Day 148) of study drug

    Outcome Measure Data

    Analysis Population Description
    Safety analysis population. Data reported only for DLBCL and FL arm groups.
    Arm/Group Title DLBCL: 1000 mg Obinutuzumab FL: 1000 mg Obinutuzumab
    Arm/Group Description Participants with DLBCL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15. Participants with FL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15.
    Measure Participants 23 13
    CR
    0
    0%
    0
    0%
    CRu
    4.3
    35.8%
    0
    0%
    11. Secondary Outcome
    Title Percentage of Participants With Partial Response (PR), Stable Disease (SD), and Progressive Disease (PD) at End of Treatment (1 Month After Cycle 8) in NHL Participants (DLBCL and FL Participants) Per Cheson 1999 Criteria
    Description PR: 1) ≥50% decrease in SPD of the 6 largest dominant nodes/nodal masses. These nodes or masses selected according to the following features: a) clearly measurable in ≥2 perpendicular dimensions, b) from as disparate regions of the body as possible, and c) included mediastinal and retroperitoneal areas of disease. 2) No increase in size of other nodes (liver/spleen). 3) Splenic and hepatic nodules regressed by ≥50% in SPD. 4) With exception of splenic and hepatic nodules, involvement of other organs was considered assessable and not measurable disease. 5) BM assessment is irrelevant for determination of a PR because it was assessable and not measurable disease; however, if positive, the cell type was specified. 6) No new sites of disease. PD requires the following: 1) ≥50% increase from nadir in the SPD of any previously identified abnormal node for PRs or nonresponders. 2) Appearance of any new lesion during or at the end of therapy. SD is defined as less than a PR but not PD.
    Time Frame 1 month after the last dose (received on Day 148) of study drug

    Outcome Measure Data

    Analysis Population Description
    Safety analysis population. Data reported only for DLBCL and FL arm groups.
    Arm/Group Title DLBCL: 1000 mg Obinutuzumab FL: 1000 mg Obinutuzumab
    Arm/Group Description Participants with DLBCL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15. Participants with FL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15.
    Measure Participants 23 13
    PR
    8.7
    72.5%
    46.2
    200.9%
    SD
    8.7
    72.5%
    30.8
    133.9%
    PD
    65.2
    543.3%
    23.1
    100.4%
    12. Secondary Outcome
    Title Percentage of Participants With Best Overall Response (BOR) of CR, CRu at Anytime During Study in NHL Participants (DLBCL and FL Participants) Per Cheson 1999 Criteria
    Description CR: 1) Disappearance of clinical and radiographic evidence of disease, related symptoms and normalization of biochemical abnormalities definitely assignable to NHL, 2) LN and nodal masses regressed to normal size AT (≤1.5 cm] in their GTD for LN >1.5 cm BT). LN that were 1.1 to 1.5 cm in their GTD BT decreased to ≤1 cm in GTD AT, or >75% in the SPD of the GTD, 3) Enlarged spleen regressed in size and not palpable, 4) Absence of macroscopic nodules in any organs, 5) Enlarged organs decreased in size, and 6) If the BM was involved, the infiltrate must be cleared on repeat BM aspirate and biopsy. CRu included those participants who met CR Criteria 1 and 3, but with 1 or more of the following features: a) A residual LN mass >1.5 cm in GTD that has regressed by more than 75% in their SPD, b) Indeterminate BM (increased number or size of aggregates).
    Time Frame From screening to up to 1 month after the last dose (received on Day 148) of study drug

    Outcome Measure Data

    Analysis Population Description
    Safety analysis population. Data reported only for DLBCL and FL arm groups.
    Arm/Group Title DLBCL: 1000 mg Obinutuzumab FL: 1000 mg Obinutuzumab
    Arm/Group Description Participants with DLBCL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15. Participants with FL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15.
    Measure Participants 23 13
    CR
    0
    0%
    0
    0%
    CRu
    4.3
    35.8%
    0
    0%
    13. Secondary Outcome
    Title Percentage of Participants With BOR of PR, SD, and PD at Anytime During Study in NHL Participants (DLBCL and FL Participants) Per Cheson 1999 Criteria
    Description PR: 1) ≥50% decrease in SPD of the 6 largest dominant nodes/nodal masses. These nodes or masses selected according to the following features: a) clearly measurable in ≥2 perpendicular dimensions, b) from as disparate regions of the body as possible, and c) included mediastinal and retroperitoneal areas of disease. 2) No increase in size of other nodes (liver/spleen). 3) Splenic and hepatic nodules regressed by ≥50% in SPD. 4) With exception of splenic and hepatic nodules, involvement of other organs was considered assessable and not measurable disease. 5) BM assessment is irrelevant for determination of a PR because it was assessable and not measurable disease; however, if positive, the cell type was specified. 6) No new sites of disease. PD requires the following: 1) ≥50% increase from nadir in the SPD of any previously identified abnormal node for PRs or nonresponders. 2) Appearance of any new lesion during or at the end of therapy. SD is defined as less than a PR but not PD.
    Time Frame From screening to up to 1 month after the last dose (received on Day 148) of study drug

    Outcome Measure Data

    Analysis Population Description
    Safety analysis population. Data reported only for DLBCL and FL arm groups.
    Arm/Group Title DLBCL: 1000 mg Obinutuzumab FL: 1000 mg Obinutuzumab
    Arm/Group Description Participants with DLBCL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15. Participants with FL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15.
    Measure Participants 23 13
    PR
    21.7
    180.8%
    61.5
    267.4%
    SD
    26.1
    217.5%
    30.8
    133.9%
    PD
    39.1
    325.8%
    7.7
    33.5%
    14. Secondary Outcome
    Title Percentage of Participants With Complete Remission (CRe), CRe With Incomplete BM Recovery (CRi) at End of Treatment (1 Month After Cycle 8) in CLL Participants According to International Workshop on Chronic Lymphocytic Leukemia (IWCLL) 2008 Guidelines
    Description CRe required the following criteria as assessed, at least 2 months from completing therapy: a) peripheral blood lymphocytes (PBL) less than (<) 4 x 10^9/L, b) Absence of significant lymphadenopathy (LD) by physical examination (PE), c) No hepatomegaly/splenomegaly (HM/SM) by PE, d) Absence of constitutional symptoms and e) Blood counts above the following values (i. Neutrophils [Neu] >1.5 x 10^9/L without the need for exogenous growth factors [EGF], ii. Platelets (Plt) >100 x 10^9/L without the need for EGF, and iii. Hemoglobin (Hb) >11.0 g/dL without blood transfusion or need for erythropoietin), and d) Once clinical and laboratory reports demonstrated CRe, a BM aspirate and biopsy was performed at least 2 months after the last treatment; to define a CRe, BM sample should be normocellular for age, <30% of the cells being PBL and lymphoid nodules absent. CRi: CRe but persistent anemia/thrombocytopenia/neutropenia unrelated to CLL, but related to drug toxicity.
    Time Frame 2 months after the last dose (received on Day 148) of study drug

    Outcome Measure Data

    Analysis Population Description
    Safety analysis population. Data reported only for CLL participants.
    Arm/Group Title CLL: 1000 mg Obinutuzumab
    Arm/Group Description Participants with CLL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15. The first infusion on Cycle 1 Day 1 was given over two days: Day 1- 100 mg and Day 2- 900 mg.
    Measure Participants 12
    CRe
    0
    0%
    CRi
    0
    0%
    15. Secondary Outcome
    Title Percentage of Participants With PR, SD, and PD at End of Treatment (1 Month After Cycle 8) in CLL Participants According to IWCLL 2008 Guidelines
    Description Group A: a)Dec LN size by ≥50% either in SPD of 6 LN or largest diameter of enlarged LN (ELN) detected BT, b)Reduction (Red) in BT enlargement of liver, c)Red in BT enlargement of spleen, d)Dec in PBL by ≥50% from baseline, e)A 50% Red in BM infiltrate or B-lymphoid nodules in BM and f)No Inc in any LN and no new ELN. Group B: a)Plt count=100,000/µL or Inc of ≥50% over baseline, b)Hb >11 g/dL or ≥50% Inc over baseline, c)Neu > 1500/µL or > 50% Inc over baseline. PR is considered as achieved if 2 of Group A criteria and 1 of Group B criteria were met for ≥2 months. PD is defined as LD (appearance of new lesion [ELN], SM, HM or other organ infiltrates) or Inc by ≥50% in greatest determined diameter of any previous site or Inc in previously noted enlargement of liver/spleen by ≥50% or new appearance of HM/SM or an Inc in number of PBL ≥50% or transformation to a more aggressive histology or occurrence of cytopenia attributable to CLL. SD is defined as less than a PR but is not PD.
    Time Frame 2 months after the last dose (received on Day 148) of study drug

    Outcome Measure Data

    Analysis Population Description
    Safety analysis population. Data reported only for CLL participants
    Arm/Group Title CLL: 1000 mg Obinutuzumab
    Arm/Group Description Participants with CLL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15. The first infusion on Cycle 1 Day 1 was given over two days: Day 1- 100 mg and Day 2- 900 mg.
    Measure Participants 12
    PR
    58.3
    485.8%
    SD
    8.3
    69.2%
    PD
    16.7
    139.2%
    16. Secondary Outcome
    Title Percentage of Participants With BOR of CRe, CRi at Anytime During the Study in CLL Participants According to IWCLL 2008 Guidelines
    Description CRe required the following criteria as assessed, at least 2 months from completing therapy: a) PBL <4 x 10^9/L, b) Absence of significant LD by PE, c) No HM/SM by PE, d) Absence of constitutional symptoms and e) Blood counts above the following values (i. Neu >1.5 x 10^9/L without the need for EGF, ii. Plt >100 x 10^9/L without the need for EGF, and iii. Hb >11.0 g/dL without blood transfusion or need for EGF, and d) Once clinical and laboratory reports demonstrated CRe, a BM aspirate and biopsy was performed at least 2 months after the last treatment; to define a CRe, BM sample should be normocellular for age, <30% of the cells being PBL and lymphoid nodules absent. CRi: CRe but persistent anemia/thrombocytopenia/neutropenia unrelated to CLL, but related to drug toxicity.
    Time Frame From screening to up to 2 months after the last dose (received on Day 148) of study drug

    Outcome Measure Data

    Analysis Population Description
    Safety analysis population. Data reported only for CLL participants.
    Arm/Group Title CLL: 1000 mg Obinutuzumab
    Arm/Group Description Participants with CLL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15. The first infusion on Cycle 1 Day 1 was given over two days: Day 1- 100 mg and Day 2- 900 mg.
    Measure Participants 12
    CRe
    0
    0%
    CRi
    0
    0%
    17. Secondary Outcome
    Title Percentage of Participants With BOR of PR, SD, and PD at Anytime During Study in CLL Participants According to IWCLL 2008 Guidelines
    Description Group A: a)Dec LN size by ≥50% either in SPD of 6 LN or largest diameter of ELN detected BT, b)Red in BT enlargement of liver, c)Red in BT enlargement of spleen, d)Dec in PBL by ≥50% from baseline, e)A 50% Red in BM infiltrate or B-lymphoid nodules in BM and f)No Inc in any LN and no new ELN. Group B: a)Plt count=100,000/µL or Inc of ≥50% over baseline, b)Hb >11 g/dL or ≥50% Inc over baseline, c)Neu > 1500/µL or > 50% Inc over baseline. PR is considered as achieved if 2 of Group A criteria and 1 of Group B criteria were met for ≥2 months. PD is defined as LD (appearance of new lesion [ELN], SM, HM or other organ infiltrates) or Inc by ≥50% in greatest determined diameter of any previous site or Inc in previously noted enlargement of liver/spleen by ≥50% or new appearance of HM/SM or an Inc in number of PBL ≥50% or transformation to a more aggressive histology or occurrence of cytopenia attributable to CLL. SD is defined as less than a PR but is not PD.
    Time Frame From screening to up to 2 months after the last dose (received on Day 148) of study drug

    Outcome Measure Data

    Analysis Population Description
    Safety analysis population. Data reported only for CLL participants.
    Arm/Group Title CLL: 1000 mg Obinutuzumab
    Arm/Group Description Participants with CLL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15. The first infusion on Cycle 1 Day 1 was given over two days: Day 1- 100 mg and Day 2- 900 mg.
    Measure Participants 12
    PR
    75.0
    625%
    SD
    8.3
    69.2%
    PD
    0
    0%
    18. Secondary Outcome
    Title Number of Participants With Positive Human Anti-Human Antibodies (HAHA)
    Description For the detection of HAHA, serum samples were initially analyzed using a validated enzyme linked immunosorbent assay (ELISA) method (screening assay, tier 1). The lower limit of quantification (LLOQ) in undiluted serum was 18.4 nanograms per milliliter (ng/mL). The precision ranged from 4.85 percent (%) to 16.0%. In serum samples found positive, the presence of specific anti-obinutuzumab antibodies was confirmed or excluded using the same ELISA method with an appropriate immunocompetition step (addition of excess obinutuzumab, confirmation assay, tier 2). Samples were confirmed as containing specific anti-obinutuzumab antibodies if there was a signal reduction ≥85.7% in the presence of obinutuzumab.
    Time Frame Cycle 1 (Day 1), Cycle 4 (Day 1), 4-week follow-up, 3 and 6 month follow-up

    Outcome Measure Data

    Analysis Population Description
    Safety analysis population. "n" represents the number of participants who were evaluable at the specified time point.
    Arm/Group Title CLL: 1000 mg Obinutuzumab DLBCL: 1000 mg Obinutuzumab FL: 1000 mg Obinutuzumab
    Arm/Group Description Participants with CLL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15. The first infusion on Cycle 1 Day 1 was given over two days: Day 1- 100 mg and Day 2- 900 mg. Participants with DLBCL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15. Participants with FL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15.
    Measure Participants 12 23 13
    Cycle 1, Day 1 (n=12,23,13)
    0
    0%
    0
    0%
    0
    0%
    Cycle 4, Day 1 (n=11,14,13)
    0
    0%
    0
    0%
    0
    0%
    4 week follow-up (n=10,10,11)
    0
    0%
    0
    0%
    0
    0%
    3 month follow-up (n=8,4,11)
    0
    0%
    0
    0%
    0
    0%
    6 month follow-up (n=7,4,11)
    0
    0%
    0
    0%
    1
    7.7%
    19. Secondary Outcome
    Title Number of Participants With Positive Human Anti-Chimeric Antibodies (HACA)
    Description Serum concentrations of HACA against rituximab were determined by ELISA. The LLOQ in undiluted serum was 5.00 relative units per milliliter (RU/mL). The precision and accuracy of the assay, as determined from the analysis of quality control samples, were satisfactory throughout the study; precision ranged from 6.4% to 13.6% and accuracy ranged from 88.2% to 94.8%.
    Time Frame Cycle 1, Day 1

    Outcome Measure Data

    Analysis Population Description
    Safety analysis population. Here, number of participants analyzed = participants who were evaluable for this outcome.
    Arm/Group Title CLL: 1000 mg Obinutuzumab DLBCL: 1000 mg Obinutuzumab FL: 1000 mg Obinutuzumab
    Arm/Group Description Participants with CLL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15. The first infusion on Cycle 1 Day 1 was given over two days: Day 1- 100 mg and Day 2- 900 mg. Participants with DLBCL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15. Participants with FL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15.
    Measure Participants 10 20 7
    Number [participants]
    2
    16.7%
    1
    4.3%
    0
    0%
    20. Secondary Outcome
    Title Number of Participants With B-cell Depletion or Recovery
    Description Depletion is defined as cluster of differentiation (CD) 19+ B-cell count <0.07 x10^9/L.Recovery is defined as CD19+ B-cell equal to or greater than 0.07 x 10^9/L.
    Time Frame Screening, Cycle 1 (Days 1,8), Cycle 2 (Day 1), Cycle 4 (Day 1), Cycle 6 (Day 1), Cycle 8 (Day 1), 4 weeks after last dose of study drug and every 3 months after last dose of study drug up to 1 year

    Outcome Measure Data

    Analysis Population Description
    Safety analysis population.
    Arm/Group Title CLL: 1000 mg Obinutuzumab DLBCL: 1000 mg Obinutuzumab FL: 1000 mg Obinutuzumab
    Arm/Group Description Participants with CLL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15. The first infusion on Cycle 1 Day 1 was given over two days: Day 1- 100 mg and Day 2- 900 mg. Participants with DLBCL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15. Participants with FL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15.
    Measure Participants 12 23 13
    B-cell Depletion
    9
    75%
    23
    100%
    13
    100%
    B-cell Recovery
    4
    33.3%
    1
    4.3%
    1
    7.7%
    21. Secondary Outcome
    Title Duration of Depletion of CD19+ B-cell
    Description Depletion is defined as CD19+ B-cell count < 0.07 x 10^9/L. The duration of depletion is defined as the number of days between first assessment of B-cell depletion and the first assessment where CD19+ cell count returned to at least the depletion level from baseline and not followed by any further B-cell depletion. If participant did not return to above depletion level, then the cut off is at the time of last assessment.
    Time Frame Screening, Cycle 1 (Days 1,8), Cycle 2 (Day 1), Cycle 4 (Day 1), Cycle 6 (Day 1), Cycle 8 (Day 1), 4 weeks after last dose of study drug and every 3 months after last dose of study drug up to 1 year

    Outcome Measure Data

    Analysis Population Description
    Safety analysis population. Here, number of participants analyzed = participants who were evaluable for this outcome.
    Arm/Group Title CLL: 1000 mg Obinutuzumab DLBCL: 1000 mg Obinutuzumab FL: 1000 mg Obinutuzumab
    Arm/Group Description Participants with CLL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15. The first infusion on Cycle 1 Day 1 was given over two days: Day 1- 100 mg and Day 2- 900 mg. Participants with DLBCL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15. Participants with FL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15.
    Measure Participants 9 23 12
    Mean (Standard Deviation) [days]
    238.7
    (182.5)
    141.0
    (167.5)
    386.0
    (176.0)
    22. Secondary Outcome
    Title Time to Recovery of CD19+ B-cell
    Description Recovery is defined as CD19+ B-cell equal to or greater than 0.07 x 10^9/L. Time to recovery is defined as time between the beginning of depletion and first value after end of treatment that is equal or above 0.07x10^9/L and not exclusively followed by depleted values only. If participant did not return to above recovery level then set to Null.
    Time Frame Screening, Cycle 1 (Days 1,8), Cycle 2 (Day 1), Cycle 4 (Day 1), Cycle 6 (Day 1), Cycle 8 (Day 1), 4 weeks after last dose of study drug and every 3 months after last dose of study drug up to 1 year

    Outcome Measure Data

    Analysis Population Description
    Safety analysis population. Here, number of participants analyzed = participants who were evaluable for this outcome and "n" represents the number of participants evaluable for the specified category.
    Arm/Group Title CLL: 1000 mg Obinutuzumab DLBCL: 1000 mg Obinutuzumab FL: 1000 mg Obinutuzumab
    Arm/Group Description Participants with CLL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15. The first infusion on Cycle 1 Day 1 was given over two days: Day 1- 100 mg and Day 2- 900 mg. Participants with DLBCL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15. Participants with FL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15.
    Measure Participants 4 1 1
    Time to recovery with PD (n=1,0,1)
    419
    (NA)
    NA
    (NA)
    331.0
    (NA)
    Time to recovery without PD (n=3,1,0)
    229.0
    (87.5)
    515.0
    (NA)
    NA
    (NA)

    Adverse Events

    Time Frame Until 3 months after last study drug (Up to approximately 9 months)
    Adverse Event Reporting Description Safety analysis population.
    Arm/Group Title CLL: 1000 mg Obinutuzumab DLBCL: 1000 mg Obinutuzumab FL: 1000 mg Obinutuzumab
    Arm/Group Description Participants with CLL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15. The first infusion on Cycle 1 Day 1 was given over two days: Day 1- 100 mg and Day 2- 900 mg. Participants with DLBCL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15. Participants with FL received 1000 mg obinutuzumab as an IV infusion, on Day 1 of each 21-day cycle for a maximum of 8 cycles. Additional doses of obinutuzumab were administered on Cycle 1 Day 8 and Day 15.
    All Cause Mortality
    CLL: 1000 mg Obinutuzumab DLBCL: 1000 mg Obinutuzumab FL: 1000 mg Obinutuzumab
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total / (NaN) / (NaN) / (NaN)
    Serious Adverse Events
    CLL: 1000 mg Obinutuzumab DLBCL: 1000 mg Obinutuzumab FL: 1000 mg Obinutuzumab
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 5/12 (41.7%) 3/23 (13%) 1/13 (7.7%)
    Blood and lymphatic system disorders
    Neutropenia 1/12 (8.3%) 0/23 (0%) 1/13 (7.7%)
    Thrombocytopenia 1/12 (8.3%) 0/23 (0%) 0/13 (0%)
    Gastrointestinal disorders
    Diarrhoea 1/12 (8.3%) 0/23 (0%) 0/13 (0%)
    General disorders
    Submandibular mass 0/12 (0%) 1/23 (4.3%) 0/13 (0%)
    Infections and infestations
    Pneumonia 2/12 (16.7%) 0/23 (0%) 1/13 (7.7%)
    Infected cyst 0/12 (0%) 1/23 (4.3%) 0/13 (0%)
    Urinary tract infection 1/12 (8.3%) 0/23 (0%) 0/13 (0%)
    Investigations
    Platelet count decreased 0/12 (0%) 1/23 (4.3%) 0/13 (0%)
    Respiratory, thoracic and mediastinal disorders
    Interstitial lung disease 1/12 (8.3%) 0/23 (0%) 0/13 (0%)
    Other (Not Including Serious) Adverse Events
    CLL: 1000 mg Obinutuzumab DLBCL: 1000 mg Obinutuzumab FL: 1000 mg Obinutuzumab
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 10/12 (83.3%) 17/23 (73.9%) 7/13 (53.8%)
    Blood and lymphatic system disorders
    Anaemia 2/12 (16.7%) 0/23 (0%) 1/13 (7.7%)
    Thrombocytopenia 2/12 (16.7%) 1/23 (4.3%) 0/13 (0%)
    Lymph node pain 1/12 (8.3%) 1/23 (4.3%) 0/13 (0%)
    Leukocytosis 1/12 (8.3%) 0/23 (0%) 0/13 (0%)
    Leukopenia 1/12 (8.3%) 0/23 (0%) 0/13 (0%)
    Neutropenia 0/12 (0%) 0/23 (0%) 1/13 (7.7%)
    Eye disorders
    Scleral haemorrhage 1/12 (8.3%) 0/23 (0%) 0/13 (0%)
    Gastrointestinal disorders
    Abdominal pain 0/12 (0%) 2/23 (8.7%) 0/13 (0%)
    Diarrhoea 1/12 (8.3%) 0/23 (0%) 1/13 (7.7%)
    Nausea 1/12 (8.3%) 1/23 (4.3%) 0/13 (0%)
    Vomiting 0/12 (0%) 1/23 (4.3%) 1/13 (7.7%)
    Dyspepsia 1/12 (8.3%) 0/23 (0%) 0/13 (0%)
    Toothache 1/12 (8.3%) 0/23 (0%) 0/13 (0%)
    General disorders
    Pyrexia 6/12 (50%) 3/23 (13%) 2/13 (15.4%)
    Chills 3/12 (25%) 1/23 (4.3%) 0/13 (0%)
    Chest discomfort 0/12 (0%) 0/23 (0%) 1/13 (7.7%)
    Local swelling 0/12 (0%) 0/23 (0%) 1/13 (7.7%)
    Infections and infestations
    Nasopharyngitis 0/12 (0%) 2/23 (8.7%) 0/13 (0%)
    Epididymitis 1/12 (8.3%) 0/23 (0%) 0/13 (0%)
    Gingivitis 0/12 (0%) 0/23 (0%) 1/13 (7.7%)
    Herpes zoster 0/12 (0%) 0/23 (0%) 1/13 (7.7%)
    Influenza 1/12 (8.3%) 0/23 (0%) 0/13 (0%)
    Urinary tract infection 0/12 (0%) 0/23 (0%) 1/13 (7.7%)
    Injury, poisoning and procedural complications
    Infusion related reaction 7/12 (58.3%) 5/23 (21.7%) 3/13 (23.1%)
    Scratch 1/12 (8.3%) 0/23 (0%) 0/13 (0%)
    Investigations
    Alanine aminotransferase increased 0/12 (0%) 3/23 (13%) 0/13 (0%)
    Aspartate aminotransferase increased 0/12 (0%) 3/23 (13%) 0/13 (0%)
    Blood creatinine increased 0/12 (0%) 0/23 (0%) 1/13 (7.7%)
    Blood pressure decreased 1/12 (8.3%) 0/23 (0%) 0/13 (0%)
    Blood uric acid increased 1/12 (8.3%) 0/23 (0%) 0/13 (0%)
    Heart rate decreased 1/12 (8.3%) 0/23 (0%) 0/13 (0%)
    Neutrophil count decreased 1/12 (8.3%) 0/23 (0%) 0/13 (0%)
    Platelet count decreased 1/12 (8.3%) 0/23 (0%) 0/13 (0%)
    White blood cell count decreased 1/12 (8.3%) 0/23 (0%) 0/13 (0%)
    Musculoskeletal and connective tissue disorders
    Pain in extremity 1/12 (8.3%) 1/23 (4.3%) 0/13 (0%)
    Muscular weakness 1/12 (8.3%) 0/23 (0%) 0/13 (0%)
    Nervous system disorders
    Tremor 1/12 (8.3%) 1/23 (4.3%) 0/13 (0%)
    Extrapyramidal disorder 0/12 (0%) 0/23 (0%) 1/13 (7.7%)
    Psychiatric disorders
    Insomnia 1/12 (8.3%) 1/23 (4.3%) 0/13 (0%)
    Renal and urinary disorders
    Urinary retention 1/12 (8.3%) 0/23 (0%) 0/13 (0%)
    Respiratory, thoracic and mediastinal disorders
    Cough 4/12 (33.3%) 1/23 (4.3%) 0/13 (0%)
    Skin and subcutaneous tissue disorders
    Pruritus 0/12 (0%) 1/23 (4.3%) 1/13 (7.7%)
    Rash 0/12 (0%) 0/23 (0%) 1/13 (7.7%)
    Vascular disorders
    Hypertension 2/12 (16.7%) 1/23 (4.3%) 0/13 (0%)
    Deep vein thrombosis 0/12 (0%) 0/23 (0%) 1/13 (7.7%)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    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

    Name/Title Medical Communications
    Organization Hoffmann-LaRoche
    Phone 800-821-8590
    Email genentech@druginfo.com
    Responsible Party:
    Hoffmann-La Roche
    ClinicalTrials.gov Identifier:
    NCT01680991
    Other Study ID Numbers:
    • YP25623
    First Posted:
    Sep 7, 2012
    Last Update Posted:
    Apr 25, 2016
    Last Verified:
    Mar 1, 2016