A Study of Idasanutlin in Combination With Obinutuzumab in Relapsed/Refractory (R/R) Follicular Lymphoma (FL) and in Combination With Rituximab in R/R Diffuse Large B-Cell Lymphoma (DLBCL) Participants
Study Details
Study Description
Brief Summary
This is a open-label, multicenter, non-randomized, study to evaluate the safety, efficacy, and pharmacokinetics of idasanutlin in combination with obinutuzumab in participants with R/R FL and rituximab in combination with idasanutlin in R/R DLBCL. The study will include an initial dose-escalation phase followed by an expansion phase. The dose-escalation phase is designed to determine the recommended phase 2 dose (RP2D) for idasanutlin in combination with obinutuzumab for FL and in combination with rituximab for DLBCL. The expansion phase is designed to further assess the safety and efficacy of obinutuzumab in combination with idasanutlin at the RP2D with the selected regimen in participants with R/R FL and of rituximab in combination with idasanutlin at the RP2D in participants with R/R DLBCL.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 1/Phase 2 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: DLBCL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg Participants with diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). |
Drug: Obinutuzumab
Participants received a fixed dose of obinutuzumab 1000 mg intravenous (IV) infusion to be given on Days 1, 8 and 15 of Cycle 1 and on Day 1 of Cycles 2 to 6 (1 cycle = 28 days). For eligible participants with FL, post-induction treatment was to be given at a dose of 1000 mg via IV infusion on Day 1 once every 2 months for a maximum of up to 24 months.
Other Names:
|
Experimental: DLBCL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg Participants with diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). |
Drug: Idasanutlin
Participants received idasanutlin film-coated tablets orally at a starting dose of 100 mg daily on Days 1 to 5 of each 28-day cycle. Escalation was to occur in at least 50-mg increments, and daily doses greater than or equal to (≥) 400 mg will be split into twice daily dosing.
Other Names:
Drug: Obinutuzumab
Participants received a fixed dose of obinutuzumab 1000 mg intravenous (IV) infusion to be given on Days 1, 8 and 15 of Cycle 1 and on Day 1 of Cycles 2 to 6 (1 cycle = 28 days). For eligible participants with FL, post-induction treatment was to be given at a dose of 1000 mg via IV infusion on Day 1 once every 2 months for a maximum of up to 24 months.
Other Names:
|
Experimental: DLBCL Non-Bridging: Idasanutlin 200 mg + Obinutuzumab 1000 mg Participants with diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 200 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). |
Drug: Idasanutlin
Participants received idasanutlin film-coated tablets orally at a starting dose of 100 mg daily on Days 1 to 5 of each 28-day cycle. Escalation was to occur in at least 50-mg increments, and daily doses greater than or equal to (≥) 400 mg will be split into twice daily dosing.
Other Names:
Drug: Obinutuzumab
Participants received a fixed dose of obinutuzumab 1000 mg intravenous (IV) infusion to be given on Days 1, 8 and 15 of Cycle 1 and on Day 1 of Cycles 2 to 6 (1 cycle = 28 days). For eligible participants with FL, post-induction treatment was to be given at a dose of 1000 mg via IV infusion on Day 1 once every 2 months for a maximum of up to 24 months.
Other Names:
|
Experimental: DLBCL Bridging: Idasanutlin 150 mg + Rituximab 375 mg/m^2 Participants with diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 150 mg orally in combination with rituximab 375 milligrams per square meter of body surface area (mg/m^2) IV for 6 cycles (1 cycle = 28 days). |
Drug: Idasanutlin
Participants received idasanutlin film-coated tablets orally at a starting dose of 100 mg daily on Days 1 to 5 of each 28-day cycle. Escalation was to occur in at least 50-mg increments, and daily doses greater than or equal to (≥) 400 mg will be split into twice daily dosing.
Other Names:
Drug: Rituximab
Participants received a fixed dose of rituximab, 375 mg/m^2 IV infusion on Day 1 of Cycles 1-6. Post-induction treatment for eligible participants was to be given at a dose of 375 mg/m^2 IV infusion on Day 1 of every other month for up to 6 months, until disease progression or unacceptable toxicity.
Other Names:
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Experimental: DLBCL Bridging: Idasanutlin 200 mg + Rituximab 375 mg/m^2 Participants with diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 200 mg orally in combination with rituximab 375 mg/m^2 IV for 6 cycles (1 cycle = 28 days). |
Drug: Idasanutlin
Participants received idasanutlin film-coated tablets orally at a starting dose of 100 mg daily on Days 1 to 5 of each 28-day cycle. Escalation was to occur in at least 50-mg increments, and daily doses greater than or equal to (≥) 400 mg will be split into twice daily dosing.
Other Names:
Drug: Rituximab
Participants received a fixed dose of rituximab, 375 mg/m^2 IV infusion on Day 1 of Cycles 1-6. Post-induction treatment for eligible participants was to be given at a dose of 375 mg/m^2 IV infusion on Day 1 of every other month for up to 6 months, until disease progression or unacceptable toxicity.
Other Names:
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Experimental: FL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg Participants with follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). |
Drug: Idasanutlin
Participants received idasanutlin film-coated tablets orally at a starting dose of 100 mg daily on Days 1 to 5 of each 28-day cycle. Escalation was to occur in at least 50-mg increments, and daily doses greater than or equal to (≥) 400 mg will be split into twice daily dosing.
Other Names:
Drug: Obinutuzumab
Participants received a fixed dose of obinutuzumab 1000 mg intravenous (IV) infusion to be given on Days 1, 8 and 15 of Cycle 1 and on Day 1 of Cycles 2 to 6 (1 cycle = 28 days). For eligible participants with FL, post-induction treatment was to be given at a dose of 1000 mg via IV infusion on Day 1 once every 2 months for a maximum of up to 24 months.
Other Names:
|
Experimental: FL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg Participants with follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). |
Drug: Idasanutlin
Participants received idasanutlin film-coated tablets orally at a starting dose of 100 mg daily on Days 1 to 5 of each 28-day cycle. Escalation was to occur in at least 50-mg increments, and daily doses greater than or equal to (≥) 400 mg will be split into twice daily dosing.
Other Names:
Drug: Obinutuzumab
Participants received a fixed dose of obinutuzumab 1000 mg intravenous (IV) infusion to be given on Days 1, 8 and 15 of Cycle 1 and on Day 1 of Cycles 2 to 6 (1 cycle = 28 days). For eligible participants with FL, post-induction treatment was to be given at a dose of 1000 mg via IV infusion on Day 1 once every 2 months for a maximum of up to 24 months.
Other Names:
|
Experimental: FL Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg Participants with follicular lymphoma (FL) in this bridging cohort received induction treatment with single-agent obinutuzumab 1000 mg IV for Cycle 1 and then idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for Cycles 2-6 (1 cycle = 28 days). |
Drug: Idasanutlin
Participants received idasanutlin film-coated tablets orally at a starting dose of 100 mg daily on Days 1 to 5 of each 28-day cycle. Escalation was to occur in at least 50-mg increments, and daily doses greater than or equal to (≥) 400 mg will be split into twice daily dosing.
Other Names:
Drug: Obinutuzumab
Participants received a fixed dose of obinutuzumab 1000 mg intravenous (IV) infusion to be given on Days 1, 8 and 15 of Cycle 1 and on Day 1 of Cycles 2 to 6 (1 cycle = 28 days). For eligible participants with FL, post-induction treatment was to be given at a dose of 1000 mg via IV infusion on Day 1 once every 2 months for a maximum of up to 24 months.
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Percentage of Participants With Complete Response at the End of Induction, Determined by an Independent Review Committee (IRC) on the Basis of Positron Emission Tomography and Computed Tomography (PET-CT) Scans Using Modified Lugano 2014 Criteria [Within 6 to 8 weeks after Day 1 of Cycle 6 (up to approximately 28 weeks; 1 cycle is 28 days)]
The plan was for the IRC to evaluate responses at the end of induction treatment in participants from the expansion phase using Lugano 2014 criteria for malignant lymphoma for a PET-CT-based complete response (CR), which required a complete metabolic response with a score of 1, 2, or 3 with or without a residual mass in lymph nodes and extralymphatic sites on the PET 5-point scale for 18-fluorodeoxyglucose (FDG) uptake (1 = no uptake above background; 2 = uptake less than or equal to [≤] mediastinum; 3 = uptake greater than [>] mediastinum and ≤ liver; 4 = uptake moderately > liver; 5 = uptake markedly > liver and/or new lesions). The CR criteria were slightly modified to require normal bone marrow by morphology (if indeterminate, immunohistochemistry negative). PET-CT scans were performed at end of induction only on participants who had received at least 2 cycles of induction treatment; those without a post-baseline tumor assessment were to be considered non-responders.
Secondary Outcome Measures
- Number of Participants With a Dose-Limiting Toxicity [Cycles 1, 2 (1 cycle is 28 days)]
A dose-limiting toxicity (DLT) was defined as at least one of the following events occurring during Cycle 1 (or first 2 cycles in the bridging FL cohort) of treatment and assessed by the investigator as not clearly related to the underlying disease: Any Grade 5 adverse event (AE; severity graded per NCI-CTCAE v4.0) unless due to the underlying malignancy or extraneous causes; AE of any grade that leads to a delay of more than (>)14 days in the start of the next treatment cycle; Grade 3 or 4 non-hematologic AEs (with exceptions); Lab results suggestive of potential drug-induced liver injury (according to Hy's law); Grade 3 or 4 neutropenia in the presence of sustained fever of >38 C (lasting >5 days) or a documented infection; Grade 4 neutropenia or thrombocytopenia lasting >7 days; Grade 3 or 4 thrombocytopenia if associated with Grade ≥3 bleeding; Other toxicities considered clinically relevant and related to study treatment as determined by the investigator and medical monitor.
- Percentage of Participants With Complete Response at the End of Induction, Determined by the Investigator on the Basis of PET-CT Scans Using Modified Lugano 2014 Criteria [Within 6 to 8 weeks after Day 1 of Cycle 6 (up to approximately 28 weeks; 1 cycle is 28 days)]
The investigator evaluated responses at the end of induction treatment using Lugano 2014 criteria for malignant lymphoma for a PET-CT-based complete response (CR), which required a complete metabolic response with a score of 1, 2, or 3 with or without a residual mass in lymph nodes and extralymphatic sites on the PET 5-point scale for 18-fluorodeoxyglucose (FDG) uptake (1 = no uptake above background; 2 = uptake less than or equal to [≤] mediastinum; 3 = uptake greater than [>] mediastinum and ≤ liver; 4 = uptake moderately > liver; 5 = uptake markedly > liver and/or new lesions). The CR criteria were slightly modified to require normal bone marrow by morphology (if indeterminate, immunohistochemistry negative). PET-CT scans were performed at end of induction only on participants who had received at least 2 cycles of induction treatment; those without a post-baseline tumor assessment were considered non-responders.
- Percentage of Participants With Complete Response at the End of Induction, Determined by the Investigator on the Basis of PET-CT Scans Using Lugano 2014 Criteria [Within 6 to 8 weeks after Day 1 of Cycle 6 (up to approximately 28 weeks; 1 cycle is 28 days)]
The investigator evaluated responses at the end of induction treatment using Lugano 2014 criteria for malignant lymphoma for a PET-CT-based complete response (CR), which required a complete metabolic response with a score of 1, 2, or 3 with or without a residual mass in lymph nodes and extralymphatic sites on the PET 5-point scale for 18-fluorodeoxyglucose (FDG) uptake (1 = no uptake above background; 2 = uptake less than or equal to [≤] mediastinum; 3 = uptake greater than [>] mediastinum and ≤ liver; 4 = uptake moderately > liver; 5 = uptake markedly > liver and/or new lesions; X = new areas of uptake unlikely to be related to lymphoma). The CR criteria for participants with bone marrow involvement at screening required no evidence of FDG-avid disease in the marrow. PET-CT scans were performed at end of induction only on participants who had received at least 2 cycles of induction treatment; those without a post-baseline tumor assessment were considered non-responders.
- Percentage of Participants With Complete Response at the End of Induction, Determined by the IRC on the Basis of CT Scans Alone Using Lugano 2014 Criteria [Within 6 to 8 weeks after Day 1 of Cycle 6 (up to approximately 28 weeks; 1 cycle is 28 days)]
The IRC was to evaluate responses at the end of induction treatment using the Lugano 2014 response criteria for malignant lymphoma for a computed tomography (CT)-based complete response (CR). The CR criteria required a complete radiologic response with all of the following: target nodes/nodal masses must regress to less than or equal to 1.5 centimetres in the longest transverse diameter of a lesion [LDi]; no extralymphatic sites of disease; no non-measured or new lesions; enlarged organs regressing to normal size; and bone marrow normal by morphology (if indeterminate, immunohistochemistry negative). CT scans were performed at end of induction only on participants who had received at least 2 cycles of induction treatment; those without a post-baseline tumor assessment were to be considered non-responders.
- Percentage of Participants With Complete Response at the End of Induction, Determined by the Investigator on the Basis of CT Scans Alone Using Lugano 2014 Criteria [Within 6 to 8 weeks after Day 1 of Cycle 6 (up to approximately 28 weeks; 1 cycle is 28 days)]
The investigator evaluated responses at the end of induction treatment using the Lugano 2014 response criteria for malignant lymphoma for a computed tomography (CT)-based complete response (CR). The CR criteria required a complete radiologic response with all of the following: target nodes/nodal masses must regress to less than or equal to 1.5 centimetres in the longest transverse diameter of a lesion [LDi]; no extralymphatic sites of disease; no non-measured or new lesions; enlarged organs regressing to normal size; and bone marrow normal by morphology (if indeterminate, immunohistochemistry negative). CT scans were performed at end of induction only on participants who had received at least 2 cycles of induction treatment; those without a post-baseline tumor assessment were to be considered non-responders.
- Percentage of Participants With Objective Response at the End of Induction, Determined by the IRC on the Basis of PET-CT Scans Using Lugano 2014 Criteria [Within 6 to 8 weeks after Day 1 of Cycle 6 (up to approximately 28 weeks; 1 cycle is 28 days)]
The IRC was to evaluate responses at the end of induction treatment using Lugano 2014 criteria for malignant lymphoma for a PET-CT-based objective response: either a complete (CR) or partial response (PR). A CR required a complete metabolic response with a score of 1, 2, or 3 on the PET 5-point scale (5PS) for 18-fluorodeoxyglucose (FDG) uptake (scores range from 1 [no uptake above background] to 5 [uptake markedly higher than liver and/or new lesions]), with or without a residual mass in lymph nodes and extralymphatic sites; and a PR required a partial metabolic response with a score of 4 or 5 on the 5PS with reduced 18-FDG uptake compared with baseline and residual mass(es) of any size. For bone marrow involvement, the CR criteria required no evidence of FDG-avid disease, and the PR criteria required residual uptake higher than in normal marrow but reduced compared with baseline. Participants without a post-baseline tumor assessment were to be considered non-responders.
- Percentage of Participants With Objective Response at the End of Induction, Determined by the Investigator on the Basis of PET-CT Scans Using Lugano 2014 Criteria [Within 6 to 8 weeks after Day 1 of Cycle 6 (up to approximately 28 weeks; 1 cycle is 28 days)]
The investigator was to evaluate responses at the end of induction treatment using Lugano 2014 criteria for malignant lymphoma for a PET-CT-based objective response: either a complete (CR) or partial response (PR). A CR required a complete metabolic response with a score of 1, 2, or 3 on the PET 5-point scale (5PS) for 18-fluorodeoxyglucose (FDG) uptake (scores range from 1 [no uptake above background] to 5 [uptake markedly higher than liver and/or new lesions]), with or without a residual mass in lymph nodes and extralymphatic sites; and a PR required a partial metabolic response with a score of 4 or 5 on the 5PS with reduced 18-FDG uptake compared with baseline and residual mass(es) of any size. For bone marrow involvement, the CR criteria required no evidence of FDG-avid disease, and the PR criteria required residual uptake higher than in normal marrow but reduced compared with baseline. Participants without a post-baseline tumor assessment were to be considered non-responders.
- Percentage of Participants With Objective Response at the End of Induction, Determined by an IRC on the Basis of CT Scans Alone Using Lugano 2014 Criteria [Within 6 to 8 weeks after Day 1 of Cycle 6 (up to approximately 28 weeks; 1 cycle is 28 days)]
The IRC was to evaluate responses at the end of induction treatment using the Lugano 2014 response criteria for malignant lymphoma for a CT-based objective response: either a complete (CR) or partial response (PR). The CR criteria required a complete radiologic response with all of the following: target nodes/nodal masses must regress to less than or equal to 1.5 cm in the LDi; no extralymphatic sites of disease; no non-measured or new lesions; enlarged organs regressing to normal size; and bone marrow normal by morphology (if indeterminate, immunohistochemistry negative). The PR criteria required all of the following: a ≥50% decrease in sum of the product of perpendicular diameters of up to 6 target measurable nodes and extranodal sites; no new lesions; non-measured lesion that is absent/normal, regressed, but no increase; and spleen must have regressed by >50% in length. Participants without a post-baseline tumor assessment were to be considered non-responders.
- Percentage of Participants With Objective Response at the End of Induction, Determined by the Investigator on the Basis of CT Scans Alone Using Lugano 2014 Criteria [Within 6 to 8 weeks after Day 1 of Cycle 6 (up to approximately 28 weeks; 1 cycle is 28 days)]
The investigator was to evaluate responses at the end of induction treatment using the Lugano 2014 response criteria for malignant lymphoma for a CT-based objective response: either a complete (CR) or partial response (PR). The CR criteria required a complete radiologic response with all of the following: target nodes/nodal masses must regress to less than or equal to 1.5 cm in the LDi; no extralymphatic sites of disease; no non-measured or new lesions; enlarged organs regressing to normal size; and bone marrow normal by morphology (if indeterminate, immunohistochemistry negative). The PR criteria required all of the following: a ≥50% decrease in sum of the product of perpendicular diameters of up to 6 target measurable nodes and extranodal sites; no new lesions; non-measured lesion that is absent/normal, regressed, but no increase; and spleen must have regressed by >50% in length. Participants without a post-baseline tumor assessment were to be considered non-responders.
- Percentage of Participants With Best Response of Complete Response or Partial Response During the Study, Determined by the Investigator on the Basis of CT Scans Alone Using Lugano 2014 Criteria [Baseline, Cycle 2, end of induction (up to 6 cycles; 1 cycle is 28 days), every 2 months (FL) until end of maintenance or at 4 months (DLBCL) of consolidation treatment, and then every 6 months during follow-up until disease progression (up to 3.5 years)]
The investigator was to evaluate responses throughout the study using the Lugano 2014 response criteria for malignant lymphoma for a CT-based best response of a complete (CR) or partial response (PR). The CR criteria required a complete radiologic response with all of the following: target nodes/nodal masses must regress to less than or equal to 1.5 cm in the LDi; no extralymphatic sites of disease; no non-measured or new lesions; enlarged organs regressing to normal size; and bone marrow normal by morphology (if indeterminate, immunohistochemistry negative). The PR criteria required all of the following: a ≥50% decrease in sum of the product of perpendicular diameters of up to 6 target measurable nodes and extranodal sites; no new lesions; non-measured lesion that is absent/normal, regressed, but no increase; and spleen must have regressed by >50% in length. Participants without a post-baseline tumor assessment were to be considered non-responders.
- Plasma Idasanutlin Concentrations in DLBCL and FL Participants at Nominal Sampling Timepoints Grouped by Idasanutlin Dose and Combination Partner (Obinutuzumab or Rituximab) [Predose (0 hours) and 6 hours postdose on Day 1 of Cycles 1, 2, and 4; Predose (0 hours) and 2, 4, 6, and 24 hours postdose on Day 5 of Cycles 1 and 2; Predose (0 hours) and 6 and 24 hours postdose on Cycle 4, Day 5 (1 cycle is 28 days)]
The concentration of idasanutlin was determined using a validated assay. The duplication of the predose timepoint (0 hours) on Day 5 as an additional 24-hour timepoint on Day 5 was done in order to conduct pharmacokinetics analysis via non-compartmental analysis, and to derive idasanutlin exposure estimates up to the 24-hour post Day 5 dosing.
- Serum Obinutuzumab Concentrations in DLBCL and FL Participants at Nominal Sampling Timepoints [Pre-infusion (0 hour) and 0.5 hours after end of obinutuzumab infusion on Day 1 of Cycles 1, 2, 4, and 6]
- Serum Rituximab Concentrations in DLBCL Participants at Nominal Sampling Timepoints [Pre-infusion (0 hours) at Cycle 1, Day 1 and Cycle 2, Day 1; Post-infusion 0.5 hours at Cycle 1, Day 1 (1 cycle is 28 days)]
- Safety Summary of the Number of Participants With at Least One Adverse Event by Type and Severity According to the National Cancer Institute Common Terminology Criteria for Adverse Events, Version 4.0 (NCI CTCAE v4.0) [From first dose until 90 days after the last dose of study drug treatment (up to 31 months)]
The adverse event (AE) severity grading scale for the NCI CTCAE v4.0 was used for assessing AE severity. Any AEs that were not specifically listed in the NCI CTCAE, v4.0 were graded per the following 5 grades: Grade 1 = mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; or intervention not indicated. Grade 2 = moderate; minimal, local, or non-invasive intervention indicated; or limiting age-appropriate instrumental activities of daily living. Grade 3 = severe or medically significant, but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; or limiting self-care activities of daily living. Grade 4 = life-threatening consequences or urgent intervention indicated. Grade 5 = death related to AE. The terms "severe" and "serious" are not synonymous and are independently assessed for each AE. Multiple occurrences of AEs were counted only once per participant at the highest (worst) grade.
- Baseline Value and Change From Baseline Values of Systolic Blood Pressure at Specified Timepoints [Baseline, Days 1, 8, and 15 of Cycle 1, Day 1 of Cycles 2-6 (up to 6 cycles; 1 cycle is 28 days), and then every 2 months (FL) or every month (DLBCL) until end of maintenance or consolidation treatment, respectively (up to 29 months)]
Vital signs were measured prior to the infusion while the participant was in a seated position. The baseline value at visit and the change from baseline value at each timepoint are reported. The change from baseline value was calculated by subtracting the post-baseline value from the baseline value. Maint. = maintenance
- Baseline Value and Change From Baseline Values of Diastolic Blood Pressure at Specified Timepoints [Baseline, Days 1, 8, and 15 of Cycle 1, Day 1 of Cycles 2-6 (up to 6 cycles; 1 cycle is 28 days), and then every 2 months (FL) or every month (DLBCL) until end of maintenance or consolidation treatment, respectively (up to 29 months)]
Vital signs were measured prior to the infusion while the participant was in a seated position. The baseline value at visit and the change from baseline value at each timepoint are reported. The change from baseline value was calculated by subtracting the post-baseline value from the baseline value. Maint. = maintenance
- Baseline Value and Change From Baseline Values of Pulse Rate at Specified Timepoints [Baseline, Days 1, 8, and 15 of Cycle 1, Day 1 of Cycles 2-6 (up to 6 cycles; 1 cycle is 28 days), and then every 2 months (FL) or every month (DLBCL) until end of maintenance or consolidation treatment, respectively (up to 29 months)]
Vital signs were measured prior to the infusion while the participant was in a seated position. The baseline value at visit and the change from baseline value at each timepoint are reported. The change from baseline value was calculated by subtracting the post-baseline value from the baseline value. Maint. = maintenance
- Baseline Value and Change From Baseline Values of Respiratory Rate at Specified Timepoints [Baseline, Days 1, 8, and 15 of Cycle 1, Day 1 of Cycles 2-6 (up to 6 cycles; 1 cycle is 28 days), and then every 2 months (FL) or every month (DLBCL) until end of maintenance or consolidation treatment, respectively (up to 29 months)]
Vital signs were measured prior to the infusion while the participant was in a seated position. The baseline value at visit and the change from baseline value at each timepoint are reported. The change from baseline value was calculated by subtracting the post-baseline value from the baseline value. Maint. = maintenance
- Baseline Value and Change From Baseline Values of Body Temperature at Specified Timepoints [Baseline, Days 1, 8, and 15 of Cycle 1, Day 1 of Cycles 2-6 (up to 6 cycles; 1 cycle is 28 days), and then every 2 months (FL) or every month (DLBCL) until end of maintenance or consolidation treatment, respectively (up to 29 months)]
Vital signs were measured prior to the infusion while the participant was in a seated position. The baseline value at visit and the change from baseline value at each timepoint are reported. The change from baseline value was calculated by subtracting the post-baseline value from the baseline value. Maint. = maintenance
- Number of Participants by Electrocardiogram (ECG) Results Assessment Shift From Baseline to Specified Post-Baseline Timepoints [Baseline, Induction Cycle 1 Day 1 and Cycle 4 Day 1, End of Induction (up to 6 cycles; 1 cycle is 28 days); Every 2 months during maintenance treatment from Months 1-23; End of Maintenance (up to 24 months); Unscheduled Visits (as clinically indicated)]
Single, resting, 12-lead ECG recordings were to be obtained after the participant had been resting in a supine position for at least 10 minutes. Any morphologic waveform changes or other ECG abnormalities were to be documented and clinical significance was determined based on the presence of symptoms, per the investigator's judgment. If the ECG assessment was missing at baseline then it was recorded as "Missing". The ECG results assessments are presented as the shift from baseline to post-baseline assessments at each timepoint. BL = baseline; Cyc1, D1 = Induction Cycle 1 Day 1; Cyc4, D1 = Induction Cycle 4 Day 1; CS = Clinically Significant; EOI = End of Induction Treatment - Completion/Discontinuation; EOM = End of Maintenance Treatment - Completion/Discontinuation; MM1 = Maintenance Month 1; Unsched = Unscheduled Visit
- Hematology Laboratory Test Results Shift Table: Number of Participants by Highest NCI-CTCAE v4.0 Grade at Baseline to Highest Grade Post-Baseline [From Baseline until 35 days after the last dose of study drug (up to 29 months)]
Clinical laboratory tests for hematology parameters were performed at local laboratories; any abnormal values (High or Low) were based on local laboratory normal ranges. Laboratory abnormalities are presented by the highest (worst) severity grade (according to NCI-CTCAE v4.0) at baseline to the highest grade post-baseline. Not every abnormal laboratory value qualified as an adverse event, only if it met any of the following criteria: clinically significant (per investigator); accompanied by clinical symptoms; resulted in a change in study treatment; or required a medical intervention or a change in concomitant therapy. For a patient with multiple post-baseline abnormalities, the highest (worst) grade for a given lab test is reported. Abs. = absolute count; BL = baseline; WBC = white blood cell count
- Blood Chemistry Laboratory Test Results Shift Table: Number of Participants by Highest NCI-CTCAE v4.0 Grade at Baseline to Highest Grade Post-Baseline [From Baseline until 35 days after the last dose of study drug (up to 29 months)]
Clinical laboratory tests for blood chemistry parameters were performed at local laboratories; any abnormal values (High or Low) were based on local laboratory normal ranges. Laboratory abnormalities are presented by the highest (worst) severity grade (according to NCI-CTCAE v4.0) at baseline to the highest grade post-baseline. Not every abnormal laboratory value qualified as an adverse event, only if it met any of the following criteria: clinically significant (per investigator); accompanied by clinical symptoms; resulted in a change in study treatment; or required a medical intervention or a change in concomitant therapy. For a patient with multiple post-baseline abnormalities, the highest (worst) grade for a given lab test is reported. BL = Baseline; Blood Gluc., Fast. = blood glucose, fasting; SGOT/AST = serum glutamic-oxaloacetic transaminase/aspartate transaminase; SGPT/ALT = serum glutamic-pyruvic transaminase/alanine transaminase; Triacylglyc. Lipase = triacylglycerol lipase
Eligibility Criteria
Criteria
Inclusion Criteria:
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Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2
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Histologically documented cluster of differentiation (CD) 20-positive B-cell lymphoma classified as relapsed or refractory FL or DLBCL after treatment with at least two prior chemoimmunotherapy regimens that included an anti-CD20 monoclonal antibody (mAb) and for which no other more appropriate treatment option exists
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At least one bidimensionally measurable lesion
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Agreement to remain abstinent or use adequate contraception, among women or men of childbearing potential
Exclusion Criteria:
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Known CD20-negative status at relapse or progression
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Prior allogeneic stem cell transplantation (SCT), or autologous SCT within 100 days prior to Day 1 of Cycle 1
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Current use of systemic corticosteroids greater than (>) 20 mg prednisone per day (or equivalent), or prior anti-cancer therapy to include: radioimmunoconjugate within 12 weeks; mAb or antibody-drug conjugate within 4 weeks; or radiotherapy/chemotherapy/hormone therapy/targeted small-molecule therapy within 2 weeks prior to Day 1 of Cycle 1
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Requirement for chronic anticoagulation
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Central nervous system (CNS) disease
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Active infection
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Positive for human immunodeficiency virus (HIV) or hepatitis B or C
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Receipt of a live virus vaccine within 28 days prior to Day 1 of Cycle 1
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Poor hematologic, renal, or hepatic function
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Pregnant or lactating women
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History of progressive multifocal leukoencephalopathy (PML)
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Mayo Clinic Arizona | Phoenix | Arizona | United States | 85259 |
2 | University of Colorado | Aurora | Colorado | United States | 80045 |
3 | Norton Medical Plaza II | Louisville | Kentucky | United States | 40207 |
4 | Swedish Cancer Institute | Cary | North Carolina | United States | 27513 |
5 | Western Pennsylvania Hospital | Pittsburgh | Pennsylvania | United States | 15224 |
6 | Guthrie Clinic | Sayre | Pennsylvania | United States | 18840 |
7 | Rhode Island Hospital | Providence | Rhode Island | United States | 02903 |
8 | Virginia Commonwealth University | Richmond | Virginia | United States | 23298 |
9 | Prince of Wales Hospital | Randwick | New South Wales | Australia | 2031 |
10 | Westmead Hospital | Westmead | New South Wales | Australia | 2145 |
11 | Linear Clinical Research Limited | Nedlands | Western Australia | Australia | 6009 |
12 | Zentralklinikum Augsburg | Augsburg | Germany | 86156 | |
13 | Charité Research Organisation GmbH Campus-Virchow-Klinikum | Berlin | Germany | 13353 | |
14 | SLK-Kliniken Heilbronn GmbH | Heilbronn | Germany | 74078 | |
15 | Universitätsklinikum Köln | Köln | Germany | 50937 | |
16 | Universitätsklinikum Wurzburg | Würzburg | Germany | 97080 | |
17 | Keimyung University Dongsan Medical Center | Daegu | Korea, Republic of | 41931 | |
18 | National Cancer Center | Gyeonggi-do | Korea, Republic of | 10408 | |
19 | Severance Hospital, Yonsei University Health System | Seoul | Korea, Republic of | 03722 | |
20 | Asan Medical Center | Seoul | Korea, Republic of | 05505 | |
21 | Samsung Medical Center | Seoul | Korea, Republic of | 06351 | |
22 | North Shore Hospital | Auckland | New Zealand | 0620 | |
23 | Christchurch Hospital | Christchurch | New Zealand | 8011 | |
24 | Auckland Clinical Studies Limited | Grafton | New Zealand | 1010 |
Sponsors and Collaborators
- Hoffmann-La Roche
Investigators
- Study Director: Clinical Trials, Hoffmann-La Roche
Study Documents (Full-Text)
More Information
Publications
None provided.- BH29812
- 2015-002100-83
Study Results
Participant Flow
Recruitment Details | |
---|---|
Pre-assignment Detail | A total of 45 patients were screened, twenty-five of whom were enrolled in the dose escalation phase. The sponsor decided to terminate the study early and the expansion phase was not opened. |
Arm/Group Title | DLBCL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 200 mg + Obinutuzumab 1000 mg | DLBCL Bridging: Idasanutlin 150 mg + Rituximab 375 mg/m^2 | DLBCL Bridging: Idasanutlin 200 mg + Rituximab 375 mg/m^2 | FL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | FL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | FL Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg |
---|---|---|---|---|---|---|---|---|
Arm/Group Description | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 200 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 150 mg orally in combination with rituximab 375 milligrams per square meter of body surface area (mg/m^2) IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 200 mg orally in combination with rituximab 375 mg/m^2 IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this bridging cohort received induction treatment with single-agent obinutuzumab 1000 mg IV for Cycle 1 and then idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for Cycles 2-6 (1 cycle = 28 days). |
Period Title: Overall Study | ||||||||
STARTED | 2 | 3 | 2 | 3 | 4 | 2 | 4 | 5 |
Received Any Study Treatment | 1 | 3 | 2 | 3 | 4 | 2 | 4 | 5 |
COMPLETED | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NOT COMPLETED | 2 | 3 | 2 | 3 | 4 | 2 | 4 | 5 |
Baseline Characteristics
Arm/Group Title | DLBCL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 200 mg + Obinutuzumab 1000 mg | DLBCL Bridging: Idasanutlin 150 mg + Rituximab 375 mg/m^2 | DLBCL Bridging: Idasanutlin 200 mg + Rituximab 375 mg/m^2 | FL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | FL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | FL Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | Total |
---|---|---|---|---|---|---|---|---|---|
Arm/Group Description | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 200 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 150 mg orally in combination with rituximab 375 milligrams per square meter of body surface area (mg/m^2) IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 200 mg orally in combination with rituximab 375 mg/m^2 IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this bridging cohort received induction treatment with single-agent obinutuzumab 1000 mg IV for Cycle 1 and then idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for Cycles 2-6 (1 cycle = 28 days). | Total of all reporting groups |
Overall Participants | 2 | 3 | 2 | 3 | 4 | 2 | 4 | 5 | 25 |
Age (Years) [Mean (Standard Deviation) ] | |||||||||
Mean (Standard Deviation) [Years] |
62.5
(6.4)
|
70.7
(15.2)
|
55.5
(10.6)
|
67.3
(8.4)
|
56.5
(12.9)
|
52.5
(6.4)
|
53.3
(6.7)
|
64.2
(9.8)
|
60.6
(10.8)
|
Sex: Female, Male (Count of Participants) | |||||||||
Female |
1
50%
|
1
33.3%
|
1
50%
|
1
33.3%
|
2
50%
|
0
0%
|
2
50%
|
4
80%
|
12
48%
|
Male |
1
50%
|
2
66.7%
|
1
50%
|
2
66.7%
|
2
50%
|
2
100%
|
2
50%
|
1
20%
|
13
52%
|
Ethnicity (NIH/OMB) (Count of Participants) | |||||||||
Hispanic or Latino |
0
0%
|
0
0%
|
0
0%
|
1
33.3%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
4%
|
Not Hispanic or Latino |
2
100%
|
3
100%
|
2
100%
|
2
66.7%
|
3
75%
|
2
100%
|
4
100%
|
5
100%
|
23
92%
|
Unknown or Not Reported |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
25%
|
0
0%
|
0
0%
|
0
0%
|
1
4%
|
Race (NIH/OMB) (Count of Participants) | |||||||||
American Indian or Alaska Native |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Asian |
0
0%
|
0
0%
|
2
100%
|
0
0%
|
1
25%
|
1
50%
|
2
50%
|
0
0%
|
6
24%
|
Native Hawaiian or Other Pacific Islander |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Black or African American |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
White |
2
100%
|
3
100%
|
0
0%
|
2
66.7%
|
3
75%
|
1
50%
|
1
25%
|
5
100%
|
17
68%
|
More than one race |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
25%
|
0
0%
|
1
4%
|
Unknown or Not Reported |
0
0%
|
0
0%
|
0
0%
|
1
33.3%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
4%
|
Outcome Measures
Title | Percentage of Participants With Complete Response at the End of Induction, Determined by an Independent Review Committee (IRC) on the Basis of Positron Emission Tomography and Computed Tomography (PET-CT) Scans Using Modified Lugano 2014 Criteria |
---|---|
Description | The plan was for the IRC to evaluate responses at the end of induction treatment in participants from the expansion phase using Lugano 2014 criteria for malignant lymphoma for a PET-CT-based complete response (CR), which required a complete metabolic response with a score of 1, 2, or 3 with or without a residual mass in lymph nodes and extralymphatic sites on the PET 5-point scale for 18-fluorodeoxyglucose (FDG) uptake (1 = no uptake above background; 2 = uptake less than or equal to [≤] mediastinum; 3 = uptake greater than [>] mediastinum and ≤ liver; 4 = uptake moderately > liver; 5 = uptake markedly > liver and/or new lesions). The CR criteria were slightly modified to require normal bone marrow by morphology (if indeterminate, immunohistochemistry negative). PET-CT scans were performed at end of induction only on participants who had received at least 2 cycles of induction treatment; those without a post-baseline tumor assessment were to be considered non-responders. |
Time Frame | Within 6 to 8 weeks after Day 1 of Cycle 6 (up to approximately 28 weeks; 1 cycle is 28 days) |
Outcome Measure Data
Analysis Population Description |
---|
The study plan was for the IRC to analyze the efficacy results in participants from the expansion phase (Phase 2), but the expansion phase was not opened (i.e., no enrollment) because the sponsor decided to terminate the study early due to the modest benefit achieved with the maximum tolerated dose during the dose escalation phase (Phase 1). |
Arm/Group Title | DLBCL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 200 mg + Obinutuzumab 1000 mg | DLBCL Bridging: Idasanutlin 150 mg + Rituximab 375 mg/m^2 | DLBCL Bridging: Idasanutlin 200 mg + Rituximab 375 mg/m^2 | FL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | FL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | FL Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg |
---|---|---|---|---|---|---|---|---|
Arm/Group Description | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 200 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 150 mg orally in combination with rituximab 375 milligrams per square meter of body surface area (mg/m^2) IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 200 mg orally in combination with rituximab 375 mg/m^2 IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this bridging cohort received induction treatment with single-agent obinutuzumab 1000 mg IV for Cycle 1 and then idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for Cycles 2-6 (1 cycle = 28 days). |
Measure Participants | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Title | Number of Participants With a Dose-Limiting Toxicity |
---|---|
Description | A dose-limiting toxicity (DLT) was defined as at least one of the following events occurring during Cycle 1 (or first 2 cycles in the bridging FL cohort) of treatment and assessed by the investigator as not clearly related to the underlying disease: Any Grade 5 adverse event (AE; severity graded per NCI-CTCAE v4.0) unless due to the underlying malignancy or extraneous causes; AE of any grade that leads to a delay of more than (>)14 days in the start of the next treatment cycle; Grade 3 or 4 non-hematologic AEs (with exceptions); Lab results suggestive of potential drug-induced liver injury (according to Hy's law); Grade 3 or 4 neutropenia in the presence of sustained fever of >38 C (lasting >5 days) or a documented infection; Grade 4 neutropenia or thrombocytopenia lasting >7 days; Grade 3 or 4 thrombocytopenia if associated with Grade ≥3 bleeding; Other toxicities considered clinically relevant and related to study treatment as determined by the investigator and medical monitor. |
Time Frame | Cycles 1, 2 (1 cycle is 28 days) |
Outcome Measure Data
Analysis Population Description |
---|
Safety Population: participants who received at least one dose of any study drug. |
Arm/Group Title | DLBCL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 200 mg + Obinutuzumab 1000 mg | DLBCL Bridging: Idasanutlin 150 mg + Rituximab 375 mg/m^2 | DLBCL Bridging: Idasanutlin 200 mg + Rituximab 375 mg/m^2 | FL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | FL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | FL Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg |
---|---|---|---|---|---|---|---|---|
Arm/Group Description | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 200 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 150 mg orally in combination with rituximab 375 milligrams per square meter of body surface area (mg/m^2) IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 200 mg orally in combination with rituximab 375 mg/m^2 IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this bridging cohort received induction treatment with single-agent obinutuzumab 1000 mg IV for Cycle 1 and then idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for Cycles 2-6 (1 cycle = 28 days). |
Measure Participants | 1 | 3 | 2 | 3 | 4 | 2 | 4 | 5 |
Any DLT |
0
0%
|
0
0%
|
2
100%
|
0
0%
|
1
25%
|
0
0%
|
1
25%
|
1
20%
|
Thrombocytopenia |
0
0%
|
0
0%
|
2
100%
|
0
0%
|
1
25%
|
0
0%
|
1
25%
|
1
20%
|
Title | Percentage of Participants With Complete Response at the End of Induction, Determined by the Investigator on the Basis of PET-CT Scans Using Modified Lugano 2014 Criteria |
---|---|
Description | The investigator evaluated responses at the end of induction treatment using Lugano 2014 criteria for malignant lymphoma for a PET-CT-based complete response (CR), which required a complete metabolic response with a score of 1, 2, or 3 with or without a residual mass in lymph nodes and extralymphatic sites on the PET 5-point scale for 18-fluorodeoxyglucose (FDG) uptake (1 = no uptake above background; 2 = uptake less than or equal to [≤] mediastinum; 3 = uptake greater than [>] mediastinum and ≤ liver; 4 = uptake moderately > liver; 5 = uptake markedly > liver and/or new lesions). The CR criteria were slightly modified to require normal bone marrow by morphology (if indeterminate, immunohistochemistry negative). PET-CT scans were performed at end of induction only on participants who had received at least 2 cycles of induction treatment; those without a post-baseline tumor assessment were considered non-responders. |
Time Frame | Within 6 to 8 weeks after Day 1 of Cycle 6 (up to approximately 28 weeks; 1 cycle is 28 days) |
Outcome Measure Data
Analysis Population Description |
---|
ITT Population: all enrolled participants; exploratory analysis of the dose escalation phase (Phase 1). The study plan was for efficacy analyses to be based on responses in participants enrolled during the expansion phase (Phase 2), but it was not opened (i.e., no enrollment) and the study was terminated early. |
Arm/Group Title | DLBCL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 200 mg + Obinutuzumab 1000 mg | DLBCL Bridging: Idasanutlin 150 mg + Rituximab 375 mg/m^2 | DLBCL Bridging: Idasanutlin 200 mg + Rituximab 375 mg/m^2 | FL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | FL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | FL Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg |
---|---|---|---|---|---|---|---|---|
Arm/Group Description | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 200 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 150 mg orally in combination with rituximab 375 milligrams per square meter of body surface area (mg/m^2) IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 200 mg orally in combination with rituximab 375 mg/m^2 IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this bridging cohort received induction treatment with single-agent obinutuzumab 1000 mg IV for Cycle 1 and then idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for Cycles 2-6 (1 cycle = 28 days). |
Measure Participants | 2 | 3 | 2 | 3 | 4 | 2 | 4 | 5 |
Number (90% Confidence Interval) [Percentage of participants] |
0
0%
|
33.3
1110%
|
0
0%
|
0
0%
|
0
0%
|
50.0
2500%
|
0
0%
|
40.0
800%
|
Title | Percentage of Participants With Complete Response at the End of Induction, Determined by the Investigator on the Basis of PET-CT Scans Using Lugano 2014 Criteria |
---|---|
Description | The investigator evaluated responses at the end of induction treatment using Lugano 2014 criteria for malignant lymphoma for a PET-CT-based complete response (CR), which required a complete metabolic response with a score of 1, 2, or 3 with or without a residual mass in lymph nodes and extralymphatic sites on the PET 5-point scale for 18-fluorodeoxyglucose (FDG) uptake (1 = no uptake above background; 2 = uptake less than or equal to [≤] mediastinum; 3 = uptake greater than [>] mediastinum and ≤ liver; 4 = uptake moderately > liver; 5 = uptake markedly > liver and/or new lesions; X = new areas of uptake unlikely to be related to lymphoma). The CR criteria for participants with bone marrow involvement at screening required no evidence of FDG-avid disease in the marrow. PET-CT scans were performed at end of induction only on participants who had received at least 2 cycles of induction treatment; those without a post-baseline tumor assessment were considered non-responders. |
Time Frame | Within 6 to 8 weeks after Day 1 of Cycle 6 (up to approximately 28 weeks; 1 cycle is 28 days) |
Outcome Measure Data
Analysis Population Description |
---|
ITT Population: all enrolled participants; exploratory analysis of the dose escalation phase (Phase 1). The study plan was for efficacy analyses to be based on responses in participants enrolled during the expansion phase (Phase 2), but it was not opened (i.e., no enrollment) and the study was terminated early. |
Arm/Group Title | DLBCL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 200 mg + Obinutuzumab 1000 mg | DLBCL Bridging: Idasanutlin 150 mg + Rituximab 375 mg/m^2 | DLBCL Bridging: Idasanutlin 200 mg + Rituximab 375 mg/m^2 | FL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | FL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | FL Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg |
---|---|---|---|---|---|---|---|---|
Arm/Group Description | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 200 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 150 mg orally in combination with rituximab 375 milligrams per square meter of body surface area (mg/m^2) IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 200 mg orally in combination with rituximab 375 mg/m^2 IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this bridging cohort received induction treatment with single-agent obinutuzumab 1000 mg IV for Cycle 1 and then idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for Cycles 2-6 (1 cycle = 28 days). |
Measure Participants | 2 | 3 | 2 | 3 | 4 | 2 | 4 | 5 |
Number (90% Confidence Interval) [Percentage of participants] |
0
0%
|
33.3
1110%
|
0
0%
|
0
0%
|
0
0%
|
50.0
2500%
|
0
0%
|
40.0
800%
|
Title | Percentage of Participants With Complete Response at the End of Induction, Determined by the IRC on the Basis of CT Scans Alone Using Lugano 2014 Criteria |
---|---|
Description | The IRC was to evaluate responses at the end of induction treatment using the Lugano 2014 response criteria for malignant lymphoma for a computed tomography (CT)-based complete response (CR). The CR criteria required a complete radiologic response with all of the following: target nodes/nodal masses must regress to less than or equal to 1.5 centimetres in the longest transverse diameter of a lesion [LDi]; no extralymphatic sites of disease; no non-measured or new lesions; enlarged organs regressing to normal size; and bone marrow normal by morphology (if indeterminate, immunohistochemistry negative). CT scans were performed at end of induction only on participants who had received at least 2 cycles of induction treatment; those without a post-baseline tumor assessment were to be considered non-responders. |
Time Frame | Within 6 to 8 weeks after Day 1 of Cycle 6 (up to approximately 28 weeks; 1 cycle is 28 days) |
Outcome Measure Data
Analysis Population Description |
---|
The study plan was for the IRC to analyze the efficacy results in participants from the expansion phase (Phase 2), but the expansion phase was not opened (i.e., no enrollment) because the sponsor decided to terminate the study early due to the modest benefit achieved with the maximum tolerated dose during the dose escalation phase (Phase 1). |
Arm/Group Title | DLBCL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 200 mg + Obinutuzumab 1000 mg | DLBCL Bridging: Idasanutlin 150 mg + Rituximab 375 mg/m^2 | DLBCL Bridging: Idasanutlin 200 mg + Rituximab 375 mg/m^2 | FL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | FL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | FL Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg |
---|---|---|---|---|---|---|---|---|
Arm/Group Description | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 200 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 150 mg orally in combination with rituximab 375 milligrams per square meter of body surface area (mg/m^2) IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 200 mg orally in combination with rituximab 375 mg/m^2 IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this bridging cohort received induction treatment with single-agent obinutuzumab 1000 mg IV for Cycle 1 and then idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for Cycles 2-6 (1 cycle = 28 days). |
Measure Participants | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Title | Percentage of Participants With Complete Response at the End of Induction, Determined by the Investigator on the Basis of CT Scans Alone Using Lugano 2014 Criteria |
---|---|
Description | The investigator evaluated responses at the end of induction treatment using the Lugano 2014 response criteria for malignant lymphoma for a computed tomography (CT)-based complete response (CR). The CR criteria required a complete radiologic response with all of the following: target nodes/nodal masses must regress to less than or equal to 1.5 centimetres in the longest transverse diameter of a lesion [LDi]; no extralymphatic sites of disease; no non-measured or new lesions; enlarged organs regressing to normal size; and bone marrow normal by morphology (if indeterminate, immunohistochemistry negative). CT scans were performed at end of induction only on participants who had received at least 2 cycles of induction treatment; those without a post-baseline tumor assessment were to be considered non-responders. |
Time Frame | Within 6 to 8 weeks after Day 1 of Cycle 6 (up to approximately 28 weeks; 1 cycle is 28 days) |
Outcome Measure Data
Analysis Population Description |
---|
ITT Population: all enrolled participants; exploratory analysis of the dose escalation phase (Phase 1). The study plan was for efficacy analyses to be based on responses in participants enrolled during the expansion phase (Phase 2), but it was not opened (i.e., no enrollment) and the study was terminated early. |
Arm/Group Title | DLBCL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 200 mg + Obinutuzumab 1000 mg | DLBCL Bridging: Idasanutlin 150 mg + Rituximab 375 mg/m^2 | DLBCL Bridging: Idasanutlin 200 mg + Rituximab 375 mg/m^2 | FL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | FL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | FL Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg |
---|---|---|---|---|---|---|---|---|
Arm/Group Description | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 200 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 150 mg orally in combination with rituximab 375 milligrams per square meter of body surface area (mg/m^2) IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 200 mg orally in combination with rituximab 375 mg/m^2 IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this bridging cohort received induction treatment with single-agent obinutuzumab 1000 mg IV for Cycle 1 and then idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for Cycles 2-6 (1 cycle = 28 days). |
Measure Participants | 2 | 3 | 2 | 3 | 4 | 2 | 4 | 5 |
Number (90% Confidence Interval) [Percentage of participants] |
0
0%
|
33.3
1110%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
20.0
400%
|
Title | Percentage of Participants With Objective Response at the End of Induction, Determined by the IRC on the Basis of PET-CT Scans Using Lugano 2014 Criteria |
---|---|
Description | The IRC was to evaluate responses at the end of induction treatment using Lugano 2014 criteria for malignant lymphoma for a PET-CT-based objective response: either a complete (CR) or partial response (PR). A CR required a complete metabolic response with a score of 1, 2, or 3 on the PET 5-point scale (5PS) for 18-fluorodeoxyglucose (FDG) uptake (scores range from 1 [no uptake above background] to 5 [uptake markedly higher than liver and/or new lesions]), with or without a residual mass in lymph nodes and extralymphatic sites; and a PR required a partial metabolic response with a score of 4 or 5 on the 5PS with reduced 18-FDG uptake compared with baseline and residual mass(es) of any size. For bone marrow involvement, the CR criteria required no evidence of FDG-avid disease, and the PR criteria required residual uptake higher than in normal marrow but reduced compared with baseline. Participants without a post-baseline tumor assessment were to be considered non-responders. |
Time Frame | Within 6 to 8 weeks after Day 1 of Cycle 6 (up to approximately 28 weeks; 1 cycle is 28 days) |
Outcome Measure Data
Analysis Population Description |
---|
The study plan was for the IRC to analyze the efficacy results in participants from the expansion phase (Phase 2), but the expansion phase was not opened (i.e., no enrollment) because the sponsor decided to terminate the study early due to the modest benefit achieved with the maximum tolerated dose during the dose escalation phase (Phase 1). |
Arm/Group Title | DLBCL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 200 mg + Obinutuzumab 1000 mg | DLBCL Bridging: Idasanutlin 150 mg + Rituximab 375 mg/m^2 | DLBCL Bridging: Idasanutlin 200 mg + Rituximab 375 mg/m^2 | FL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | FL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | FL Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg |
---|---|---|---|---|---|---|---|---|
Arm/Group Description | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 200 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 150 mg orally in combination with rituximab 375 milligrams per square meter of body surface area (mg/m^2) IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 200 mg orally in combination with rituximab 375 mg/m^2 IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this bridging cohort received induction treatment with single-agent obinutuzumab 1000 mg IV for Cycle 1 and then idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for Cycles 2-6 (1 cycle = 28 days). |
Measure Participants | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Title | Percentage of Participants With Objective Response at the End of Induction, Determined by the Investigator on the Basis of PET-CT Scans Using Lugano 2014 Criteria |
---|---|
Description | The investigator was to evaluate responses at the end of induction treatment using Lugano 2014 criteria for malignant lymphoma for a PET-CT-based objective response: either a complete (CR) or partial response (PR). A CR required a complete metabolic response with a score of 1, 2, or 3 on the PET 5-point scale (5PS) for 18-fluorodeoxyglucose (FDG) uptake (scores range from 1 [no uptake above background] to 5 [uptake markedly higher than liver and/or new lesions]), with or without a residual mass in lymph nodes and extralymphatic sites; and a PR required a partial metabolic response with a score of 4 or 5 on the 5PS with reduced 18-FDG uptake compared with baseline and residual mass(es) of any size. For bone marrow involvement, the CR criteria required no evidence of FDG-avid disease, and the PR criteria required residual uptake higher than in normal marrow but reduced compared with baseline. Participants without a post-baseline tumor assessment were to be considered non-responders. |
Time Frame | Within 6 to 8 weeks after Day 1 of Cycle 6 (up to approximately 28 weeks; 1 cycle is 28 days) |
Outcome Measure Data
Analysis Population Description |
---|
The study plan was for this efficacy analysis to be based on responses in participants enrolled during the expansion phase (Phase 2), but it was not opened (i.e., no enrollment) because the sponsor decided to terminate the study early due to the modest benefit achieved with the maximum tolerated dose during the dose escalation phase (Phase 1). |
Arm/Group Title | DLBCL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 200 mg + Obinutuzumab 1000 mg | DLBCL Bridging: Idasanutlin 150 mg + Rituximab 375 mg/m^2 | DLBCL Bridging: Idasanutlin 200 mg + Rituximab 375 mg/m^2 | FL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | FL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | FL Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg |
---|---|---|---|---|---|---|---|---|
Arm/Group Description | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 200 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 150 mg orally in combination with rituximab 375 milligrams per square meter of body surface area (mg/m^2) IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 200 mg orally in combination with rituximab 375 mg/m^2 IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this bridging cohort received induction treatment with single-agent obinutuzumab 1000 mg IV for Cycle 1 and then idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for Cycles 2-6 (1 cycle = 28 days). |
Measure Participants | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Title | Percentage of Participants With Objective Response at the End of Induction, Determined by an IRC on the Basis of CT Scans Alone Using Lugano 2014 Criteria |
---|---|
Description | The IRC was to evaluate responses at the end of induction treatment using the Lugano 2014 response criteria for malignant lymphoma for a CT-based objective response: either a complete (CR) or partial response (PR). The CR criteria required a complete radiologic response with all of the following: target nodes/nodal masses must regress to less than or equal to 1.5 cm in the LDi; no extralymphatic sites of disease; no non-measured or new lesions; enlarged organs regressing to normal size; and bone marrow normal by morphology (if indeterminate, immunohistochemistry negative). The PR criteria required all of the following: a ≥50% decrease in sum of the product of perpendicular diameters of up to 6 target measurable nodes and extranodal sites; no new lesions; non-measured lesion that is absent/normal, regressed, but no increase; and spleen must have regressed by >50% in length. Participants without a post-baseline tumor assessment were to be considered non-responders. |
Time Frame | Within 6 to 8 weeks after Day 1 of Cycle 6 (up to approximately 28 weeks; 1 cycle is 28 days) |
Outcome Measure Data
Analysis Population Description |
---|
The study plan was for the IRC to analyze the efficacy results in participants from the expansion phase (Phase 2), but the expansion phase was not opened (i.e., no enrollment) because the sponsor decided to terminate the study early due to the modest benefit achieved with the maximum tolerated dose during the dose escalation phase (Phase 1). |
Arm/Group Title | DLBCL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 200 mg + Obinutuzumab 1000 mg | DLBCL Bridging: Idasanutlin 150 mg + Rituximab 375 mg/m^2 | DLBCL Bridging: Idasanutlin 200 mg + Rituximab 375 mg/m^2 | FL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | FL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | FL Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg |
---|---|---|---|---|---|---|---|---|
Arm/Group Description | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 200 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 150 mg orally in combination with rituximab 375 milligrams per square meter of body surface area (mg/m^2) IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 200 mg orally in combination with rituximab 375 mg/m^2 IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this bridging cohort received induction treatment with single-agent obinutuzumab 1000 mg IV for Cycle 1 and then idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for Cycles 2-6 (1 cycle = 28 days). |
Measure Participants | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Title | Percentage of Participants With Objective Response at the End of Induction, Determined by the Investigator on the Basis of CT Scans Alone Using Lugano 2014 Criteria |
---|---|
Description | The investigator was to evaluate responses at the end of induction treatment using the Lugano 2014 response criteria for malignant lymphoma for a CT-based objective response: either a complete (CR) or partial response (PR). The CR criteria required a complete radiologic response with all of the following: target nodes/nodal masses must regress to less than or equal to 1.5 cm in the LDi; no extralymphatic sites of disease; no non-measured or new lesions; enlarged organs regressing to normal size; and bone marrow normal by morphology (if indeterminate, immunohistochemistry negative). The PR criteria required all of the following: a ≥50% decrease in sum of the product of perpendicular diameters of up to 6 target measurable nodes and extranodal sites; no new lesions; non-measured lesion that is absent/normal, regressed, but no increase; and spleen must have regressed by >50% in length. Participants without a post-baseline tumor assessment were to be considered non-responders. |
Time Frame | Within 6 to 8 weeks after Day 1 of Cycle 6 (up to approximately 28 weeks; 1 cycle is 28 days) |
Outcome Measure Data
Analysis Population Description |
---|
The study plan was for this efficacy analysis to be based on responses in participants enrolled during the expansion phase (Phase 2), but it was not opened (i.e., no enrollment) because the sponsor decided to terminate the study early due to the modest benefit achieved with the maximum tolerated dose during the dose escalation phase (Phase 1). |
Arm/Group Title | DLBCL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 200 mg + Obinutuzumab 1000 mg | DLBCL Bridging: Idasanutlin 150 mg + Rituximab 375 mg/m^2 | DLBCL Bridging: Idasanutlin 200 mg + Rituximab 375 mg/m^2 | FL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | FL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | FL Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg |
---|---|---|---|---|---|---|---|---|
Arm/Group Description | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 200 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 150 mg orally in combination with rituximab 375 milligrams per square meter of body surface area (mg/m^2) IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 200 mg orally in combination with rituximab 375 mg/m^2 IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this bridging cohort received induction treatment with single-agent obinutuzumab 1000 mg IV for Cycle 1 and then idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for Cycles 2-6 (1 cycle = 28 days). |
Measure Participants | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Title | Percentage of Participants With Best Response of Complete Response or Partial Response During the Study, Determined by the Investigator on the Basis of CT Scans Alone Using Lugano 2014 Criteria |
---|---|
Description | The investigator was to evaluate responses throughout the study using the Lugano 2014 response criteria for malignant lymphoma for a CT-based best response of a complete (CR) or partial response (PR). The CR criteria required a complete radiologic response with all of the following: target nodes/nodal masses must regress to less than or equal to 1.5 cm in the LDi; no extralymphatic sites of disease; no non-measured or new lesions; enlarged organs regressing to normal size; and bone marrow normal by morphology (if indeterminate, immunohistochemistry negative). The PR criteria required all of the following: a ≥50% decrease in sum of the product of perpendicular diameters of up to 6 target measurable nodes and extranodal sites; no new lesions; non-measured lesion that is absent/normal, regressed, but no increase; and spleen must have regressed by >50% in length. Participants without a post-baseline tumor assessment were to be considered non-responders. |
Time Frame | Baseline, Cycle 2, end of induction (up to 6 cycles; 1 cycle is 28 days), every 2 months (FL) until end of maintenance or at 4 months (DLBCL) of consolidation treatment, and then every 6 months during follow-up until disease progression (up to 3.5 years) |
Outcome Measure Data
Analysis Population Description |
---|
The study plan was for this efficacy analysis to be based on responses in participants enrolled during the expansion phase (Phase 2), but it was not opened (i.e., no enrollment) because the sponsor decided to terminate the study early due to the modest benefit achieved with the maximum tolerated dose during the dose escalation phase (Phase 1). |
Arm/Group Title | DLBCL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 200 mg + Obinutuzumab 1000 mg | DLBCL Bridging: Idasanutlin 150 mg + Rituximab 375 mg/m^2 | DLBCL Bridging: Idasanutlin 200 mg + Rituximab 375 mg/m^2 | FL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | FL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | FL Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg |
---|---|---|---|---|---|---|---|---|
Arm/Group Description | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 200 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 150 mg orally in combination with rituximab 375 milligrams per square meter of body surface area (mg/m^2) IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 200 mg orally in combination with rituximab 375 mg/m^2 IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this bridging cohort received induction treatment with single-agent obinutuzumab 1000 mg IV for Cycle 1 and then idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for Cycles 2-6 (1 cycle = 28 days). |
Measure Participants | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Title | Plasma Idasanutlin Concentrations in DLBCL and FL Participants at Nominal Sampling Timepoints Grouped by Idasanutlin Dose and Combination Partner (Obinutuzumab or Rituximab) |
---|---|
Description | The concentration of idasanutlin was determined using a validated assay. The duplication of the predose timepoint (0 hours) on Day 5 as an additional 24-hour timepoint on Day 5 was done in order to conduct pharmacokinetics analysis via non-compartmental analysis, and to derive idasanutlin exposure estimates up to the 24-hour post Day 5 dosing. |
Time Frame | Predose (0 hours) and 6 hours postdose on Day 1 of Cycles 1, 2, and 4; Predose (0 hours) and 2, 4, 6, and 24 hours postdose on Day 5 of Cycles 1 and 2; Predose (0 hours) and 6 and 24 hours postdose on Cycle 4, Day 5 (1 cycle is 28 days) |
Outcome Measure Data
Analysis Population Description |
---|
Pharmacokinetics Evaluable Population: all participants who received at least one dose of study drug. For this analysis, FL and DLBCL participants are grouped by idasanutlin dose and combination drug (obinutuzumab or rituximab). The number analyzed includes participants who were evaluable at each timepoint. |
Arm/Group Title | DLBCL/FL Combined: Idasanutlin 100 mg + Obinutuzumab 1000 mg | DLBCL/FL Combined: Idasanutlin 150 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 200 mg + Obinutuzumab 1000 mg | DLBCL Bridging: Idasanutlin 150 mg + Rituximab 375 mg/m^2 | DLBCL Bridging: Idasanutlin 200 mg + Rituximab 375 mg/m^2 |
---|---|---|---|---|---|
Arm/Group Description | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) or follicular lymphoma (FL) received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) or follicular lymphoma (FL) received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 200 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 150 mg orally in combination with rituximab 375 milligrams per square meter of body surface area (mg/m^2) IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 200 mg orally in combination with rituximab 375 mg/m^2 IV for 6 cycles (1 cycle = 28 days). |
Measure Participants | 3 | 12 | 2 | 3 | 4 |
Cycle 1, Day 1: 0 hours |
0
(0)
|
0
(0)
|
0
(0)
|
0
(0)
|
0
(0)
|
Cycle 1, Day 1: 6 hours |
1540
(21.6)
|
2210
(42.4)
|
5540
(21.5)
|
2130
(91.3)
|
2980
(49.9)
|
Cycle 1, Day 5: 0 hours |
1150
(19.9)
|
2150
(46.4)
|
4120
(27.3)
|
1660
(77.9)
|
2920
(56.8)
|
Cycle 1, Day 5: 2 hours |
1230
(20.8)
|
3570
(68.4)
|
7850
(23)
|
2970
(53.2)
|
4970
(45.7)
|
Cycle 1, Day 5: 4 hours |
1670
(17.5)
|
4360
(67.6)
|
7930
(15.5)
|
2910
(73.2)
|
5910
(54.6)
|
Cycle 1, Day 5: 6 hours |
1730
(15.5)
|
4220
(94.8)
|
7310
(13.6)
|
2820
(68.7)
|
5200
(49.8)
|
Cycle 1, Day 5: 24 hours |
1150
(19.9)
|
2150
(46.4)
|
4120
(27.3)
|
1660
(77.9)
|
2920
(56.8)
|
Cycle 2, Day 1: 0 hours |
0
(0)
|
0
(0)
|
0
(0)
|
||
Cycle 2, Day 1: 6 hours |
1660
(33.1)
|
2480
(51.5)
|
1260
(49.8)
|
||
Cycle 2, Day 5: 0 hours |
2380
(27.2)
|
2400
(67)
|
|||
Cycle 2, Day 5: 2 hours |
4050
(54.9)
|
||||
Cycle 2, Day 5: 4 hours |
4200
(38.2)
|
||||
Cycle 2, Day 5: 6 hours |
4010
(31.6)
|
||||
Cycle 2, Day 5: 24 hours |
2380
(27.2)
|
||||
Cycle 4, Day 1: 0 hours |
0
(0)
|
||||
Cycle 4, Day 1: 6 hours |
2730
(9.9)
|
||||
Cycle 4, Day 5: 0 hours |
2600
(25.6)
|
||||
Cycle 4, Day 5: 6 hours |
5210
(19.5)
|
||||
Cycle 4, Day 5: 24 hours |
2600
(25.6)
|
Title | Serum Obinutuzumab Concentrations in DLBCL and FL Participants at Nominal Sampling Timepoints |
---|---|
Description | |
Time Frame | Pre-infusion (0 hour) and 0.5 hours after end of obinutuzumab infusion on Day 1 of Cycles 1, 2, 4, and 6 |
Outcome Measure Data
Analysis Population Description |
---|
Pharmacokinetics Evaluable Population: all participants who received at least one dose of study drug. This analysis only includes FL and DLBCL participants who received obinutuzumab. The number analyzed includes participants who were evaluable at each timepoint. |
Arm/Group Title | DLBCL/FL: Idasanutlin 100/150/200 mg + Obinutuzumab 1000 mg |
---|---|
Arm/Group Description | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) or follicular lymphoma received induction treatment with idasanutlin 100 milligrams (mg), 150 mg, or 200 mg orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). |
Measure Participants | 17 |
Cycle 1, Day 1: 0 hours |
0
(0)
|
Cycle 1, Day 1: 0.5 hours |
397
(32.9)
|
Cycle 2, Day 1: 0 hours |
325
(59.8)
|
Cycle 2, Day 1: 0.5 hours |
703
(40.2)
|
Cycle 4, Day 1: 0 hours |
346
(46.1)
|
Cycle 4, Day 1: 0.5 hours |
685
(38.5)
|
Cycle 6, Day 1: 0 hours |
303
(49.5)
|
Cycle 6, Day 1: 0.5 hours |
639
(34.2)
|
Title | Serum Rituximab Concentrations in DLBCL Participants at Nominal Sampling Timepoints |
---|---|
Description | |
Time Frame | Pre-infusion (0 hours) at Cycle 1, Day 1 and Cycle 2, Day 1; Post-infusion 0.5 hours at Cycle 1, Day 1 (1 cycle is 28 days) |
Outcome Measure Data
Analysis Population Description |
---|
Pharmacokinetics Evaluable Population: all participants who received at least one dose of study drug. This analysis only includes DLBCL participants who received rituximab. The number analyzed includes participants who were evaluable at each timepoint. |
Arm/Group Title | DLBCL Combined: Idasanutlin 150/200 mg + Rituximab 375 mg/m^2 |
---|---|
Arm/Group Description | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) received induction treatment with idasanutlin 150 mg or 200 mg orally in combination with rituximab 375 milligrams per square meter of body surface area (mg/m^2) IV for 6 cycles (1 cycle = 28 days). |
Measure Participants | 7 |
Cycle 1, Day 1: 0 hours |
0
(0)
|
Cycle 1, Day 1: 0.5 hours |
197
(14.1)
|
Cycle 2, Day 1: 0 hours |
37.9
(58.1)
|
Title | Safety Summary of the Number of Participants With at Least One Adverse Event by Type and Severity According to the National Cancer Institute Common Terminology Criteria for Adverse Events, Version 4.0 (NCI CTCAE v4.0) |
---|---|
Description | The adverse event (AE) severity grading scale for the NCI CTCAE v4.0 was used for assessing AE severity. Any AEs that were not specifically listed in the NCI CTCAE, v4.0 were graded per the following 5 grades: Grade 1 = mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; or intervention not indicated. Grade 2 = moderate; minimal, local, or non-invasive intervention indicated; or limiting age-appropriate instrumental activities of daily living. Grade 3 = severe or medically significant, but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; or limiting self-care activities of daily living. Grade 4 = life-threatening consequences or urgent intervention indicated. Grade 5 = death related to AE. The terms "severe" and "serious" are not synonymous and are independently assessed for each AE. Multiple occurrences of AEs were counted only once per participant at the highest (worst) grade. |
Time Frame | From first dose until 90 days after the last dose of study drug treatment (up to 31 months) |
Outcome Measure Data
Analysis Population Description |
---|
Safety Population: participants who received at least one dose of any component of the combination treatment. |
Arm/Group Title | DLBCL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 200 mg + Obinutuzumab 1000 mg | DLBCL Bridging: Idasanutlin 150 mg + Rituximab 375 mg/m^2 | DLBCL Bridging: Idasanutlin 200 mg + Rituximab 375 mg/m^2 | FL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | FL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | FL Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg |
---|---|---|---|---|---|---|---|---|
Arm/Group Description | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 200 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 150 mg orally in combination with rituximab 375 milligrams per square meter of body surface area (mg/m^2) IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 200 mg orally in combination with rituximab 375 mg/m^2 IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this bridging cohort received induction treatment with single-agent obinutuzumab 1000 mg IV for Cycle 1 and then idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for Cycles 2-6 (1 cycle = 28 days). |
Measure Participants | 1 | 3 | 2 | 3 | 4 | 2 | 4 | 5 |
Any Adverse Event (AE) |
1
50%
|
3
100%
|
2
100%
|
3
100%
|
4
100%
|
2
100%
|
4
100%
|
5
100%
|
Grade 5 AE |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Grade 3-5 AE |
1
50%
|
3
100%
|
2
100%
|
2
66.7%
|
3
75%
|
1
50%
|
3
75%
|
4
80%
|
Serious AE |
1
50%
|
1
33.3%
|
1
50%
|
0
0%
|
2
50%
|
1
50%
|
1
25%
|
2
40%
|
AE Leading to any Study Treatment Discontinuation |
0
0%
|
1
33.3%
|
2
100%
|
1
33.3%
|
1
25%
|
0
0%
|
2
50%
|
2
40%
|
AE Leading to Dose Reductions |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
AE Leading to Dose Interruptions |
1
50%
|
0
0%
|
0
0%
|
0
0%
|
1
25%
|
0
0%
|
3
75%
|
1
20%
|
AE Leading to Study Discontinuation |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Related to Idasanutlin - Any AE |
1
50%
|
2
66.7%
|
2
100%
|
2
66.7%
|
4
100%
|
1
50%
|
4
100%
|
5
100%
|
Related to Idasanutlin - Grade 3-5 AE |
1
50%
|
2
66.7%
|
2
100%
|
1
33.3%
|
2
50%
|
1
50%
|
3
75%
|
4
80%
|
Related to Idasanutlin - Serious AE |
1
50%
|
0
0%
|
1
50%
|
0
0%
|
1
25%
|
0
0%
|
0
0%
|
2
40%
|
Related to Obinutuzumab - Any AE |
1
50%
|
2
66.7%
|
2
100%
|
0
0%
|
1
25%
|
0
0%
|
3
75%
|
5
100%
|
Related to Obinutuzumab - Grade 3-5 AE |
1
50%
|
1
33.3%
|
2
100%
|
0
0%
|
0
0%
|
0
0%
|
2
50%
|
3
60%
|
Related to Obinutuzumab - Serious AE |
0
0%
|
0
0%
|
1
50%
|
0
0%
|
0
0%
|
0
0%
|
1
25%
|
1
20%
|
Related to Rituximab - Any AE |
0
0%
|
0
0%
|
0
0%
|
2
66.7%
|
2
50%
|
0
0%
|
0
0%
|
0
0%
|
Related to Rituximab - Grade 3-5 AE |
0
0%
|
0
0%
|
0
0%
|
1
33.3%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Related to Rituximab - Serious AE |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Related AE Leading to Treatment Discontinuation |
0
0%
|
0
0%
|
2
100%
|
1
33.3%
|
1
25%
|
0
0%
|
2
50%
|
1
20%
|
Title | Baseline Value and Change From Baseline Values of Systolic Blood Pressure at Specified Timepoints |
---|---|
Description | Vital signs were measured prior to the infusion while the participant was in a seated position. The baseline value at visit and the change from baseline value at each timepoint are reported. The change from baseline value was calculated by subtracting the post-baseline value from the baseline value. Maint. = maintenance |
Time Frame | Baseline, Days 1, 8, and 15 of Cycle 1, Day 1 of Cycles 2-6 (up to 6 cycles; 1 cycle is 28 days), and then every 2 months (FL) or every month (DLBCL) until end of maintenance or consolidation treatment, respectively (up to 29 months) |
Outcome Measure Data
Analysis Population Description |
---|
Safety Population: participants who received at least one dose of any component of the combination treatment. The number analyzed includes participants who were evaluable at each timepoint. |
Arm/Group Title | DLBCL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 200 mg + Obinutuzumab 1000 mg | DLBCL Bridging: Idasanutlin 150 mg + Rituximab 375 mg/m^2 | DLBCL Bridging: Idasanutlin 200 mg + Rituximab 375 mg/m^2 | FL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | FL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | FL Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg |
---|---|---|---|---|---|---|---|---|
Arm/Group Description | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 200 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 150 mg orally in combination with rituximab 375 milligrams per square meter of body surface area (mg/m^2) IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 200 mg orally in combination with rituximab 375 mg/m^2 IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this bridging cohort received induction treatment with single-agent obinutuzumab 1000 mg IV for Cycle 1 and then idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for Cycles 2-6 (1 cycle = 28 days). |
Measure Participants | 1 | 3 | 2 | 3 | 4 | 2 | 4 | 5 |
Baseline (BL) - Value at Visit |
176.0
(NA)
|
124.0
(7.9)
|
107.5
(2.1)
|
125.7
(39.4)
|
119.0
(16.8)
|
120.5
(17.7)
|
109.3
(9.1)
|
116.4
(10.5)
|
Change from BL at Cycle 1 Day 1 |
-34.0
(NA)
|
-2.0
(10.5)
|
-5.0
(4.2)
|
-2.7
(14.6)
|
-0.8
(10.6)
|
-3.5
(10.6)
|
3.5
(9.4)
|
4.8
(14.8)
|
Change from BL at Cycle 1 Day 8 |
-4.0
(NA)
|
-5.0
(8.5)
|
-7.0
(8.5)
|
-6.5
(6.4)
|
-2.3
(15.2)
|
6.4
(10.3)
|
||
Change from BL at Cycle 1 Day 15 |
24.0
(NA)
|
-5.3
(14.6)
|
-3.5
(7.8)
|
9.7
(13.4)
|
8.0
(12.9)
|
|||
Change from BL at Cycle 2 Day 1 |
-17.0
(NA)
|
-3.5
(19.1)
|
0.0
(39.6)
|
-14.0
(NA)
|
4.5
(4.9)
|
8.6
(10.4)
|
||
Change from BL at Cycle 3 Day 1 |
-1.0
(NA)
|
11.0
(NA)
|
-13.5
(3.5)
|
10.5
(2.1)
|
7.0
(8.9)
|
|||
Change from BL at Cycle 4 Day 1 |
-22.0
(NA)
|
12.5
(27.6)
|
2.0
(1.4)
|
-10.0
(NA)
|
||||
Change from BL at Cycle 5 Day 1 |
-21.0
(NA)
|
0.5
(4.9)
|
12.5
(9.2)
|
8.5
(9.2)
|
||||
Change from BL at Cycle 6 Day 1 |
-2.0
(NA)
|
20.0
(NA)
|
0.5
(0.7)
|
|||||
Change from BL at Maint. Month 1 |
-14.0
(NA)
|
14.0
(9.9)
|
||||||
Change from BL at Maint. Month 3 |
9.0
(NA)
|
7.5
(10.6)
|
||||||
Change from BL at Maint. Month 5 |
-12.0
(NA)
|
9.0
(NA)
|
||||||
Change from BL at Maint. Month 7 |
-5.0
(NA)
|
0.0
(NA)
|
||||||
Change from BL at Maint. Month 9 |
-3.0
(NA)
|
7.0
(NA)
|
||||||
Change from BL at Maint. Month 11 |
-5.0
(NA)
|
|||||||
Change from BL at Maint. Month 13 |
-5.0
(NA)
|
|||||||
Change from BL at Maint. Month 15 |
-9.0
(NA)
|
|||||||
Change from BL at Maint. Month 17 |
-35.0
(NA)
|
|||||||
Change from BL at Maint. Month 19 |
2.0
(NA)
|
|||||||
Change from BL at Maint. Month 21 |
-21.0
(NA)
|
|||||||
Change from BL at Follow-Up |
-32.0
(NA)
|
-3.5
(9.2)
|
-25.0
(55.2)
|
-3.5
(0.7)
|
9.5
(3.5)
|
20.0
(15.5)
|
-1.3
(9.0)
|
Title | Baseline Value and Change From Baseline Values of Diastolic Blood Pressure at Specified Timepoints |
---|---|
Description | Vital signs were measured prior to the infusion while the participant was in a seated position. The baseline value at visit and the change from baseline value at each timepoint are reported. The change from baseline value was calculated by subtracting the post-baseline value from the baseline value. Maint. = maintenance |
Time Frame | Baseline, Days 1, 8, and 15 of Cycle 1, Day 1 of Cycles 2-6 (up to 6 cycles; 1 cycle is 28 days), and then every 2 months (FL) or every month (DLBCL) until end of maintenance or consolidation treatment, respectively (up to 29 months) |
Outcome Measure Data
Analysis Population Description |
---|
Safety Population: participants who received at least one dose of any component of the combination treatment. The number analyzed includes participants who were evaluable at each timepoint. |
Arm/Group Title | DLBCL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 200 mg + Obinutuzumab 1000 mg | DLBCL Bridging: Idasanutlin 150 mg + Rituximab 375 mg/m^2 | DLBCL Bridging: Idasanutlin 200 mg + Rituximab 375 mg/m^2 | FL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | FL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | FL Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg |
---|---|---|---|---|---|---|---|---|
Arm/Group Description | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 200 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 150 mg orally in combination with rituximab 375 milligrams per square meter of body surface area (mg/m^2) IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 200 mg orally in combination with rituximab 375 mg/m^2 IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this bridging cohort received induction treatment with single-agent obinutuzumab 1000 mg IV for Cycle 1 and then idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for Cycles 2-6 (1 cycle = 28 days). |
Measure Participants | 1 | 3 | 2 | 3 | 4 | 2 | 4 | 5 |
Baseline (BL) - Value at Visit |
100.0
(NA)
|
67.3
(12.1)
|
72.0
(9.9)
|
72.3
(12.3)
|
70.3
(7.6)
|
71.5
(9.2)
|
76.3
(12.7)
|
65.8
(6.9)
|
Change from BL at Cycle 1 Day 1 |
-17.0
(NA)
|
-2.0
(19.5)
|
-2.5
(2.1)
|
7.3
(23.1)
|
-2.3
(7.4)
|
-2.0
(4.2)
|
3.0
(4.9)
|
6.4
(2.1)
|
Change from BL at Cycle 1 Day 8 |
-1.0
(NA)
|
1.3
(15.0)
|
-2.5
(6.4)
|
-2.0
(0.0)
|
-6.5
(1.3)
|
9.2
(8.5)
|
||
Change from BL at Cycle 1 Day 15 |
-1.0
(NA)
|
3.0
(16.4)
|
6.0
(4.2)
|
0.0
(6.6)
|
2.4
(8.3)
|
|||
Change from BL at Cycle 2 Day 1 |
7.0
(NA)
|
0.0
(17.0)
|
3.5
(13.4)
|
0.0
(NA)
|
-8.0
(2.8)
|
12.0
(5.1)
|
||
Change from BL at Cycle 3 Day 1 |
3.0
(NA)
|
3.0
(NA)
|
-5.5
(6.4)
|
-1.0
(4.2)
|
5.3
(5.0)
|
|||
Change from BL at Cycle 4 Day 1 |
-4.0
(NA)
|
3.0
(8.5)
|
-8.0
(7.1)
|
7.0
(NA)
|
||||
Change from BL at Cycle 5 Day 1 |
-2.0
(NA)
|
3.5
(0.7)
|
-2.0
(7.1)
|
2.5
(4.9)
|
||||
Change from BL at Cycle 6 Day 1 |
10.0
(NA)
|
9.0
(NA)
|
2.5
(3.5)
|
|||||
Change from BL at Maint. Month 1 |
0.0
(NA)
|
2.0
(0.0)
|
||||||
Change from BL at Maint. Month 3 |
14.0
(NA)
|
5.0
(8.5)
|
||||||
Change from BL at Maint. Month 5 |
-7.0
(NA)
|
-5.0
(NA)
|
||||||
Change from BL at Maint. Month 7 |
7.0
(NA)
|
-1.0
(NA)
|
||||||
Change from BL at Maint. Month 9 |
6.0
(NA)
|
3.0
(NA)
|
||||||
Change from BL at Maint. Month 11 |
-13.0
(NA)
|
|||||||
Change from BL at Maint. Month 13 |
1.0
(NA)
|
|||||||
Change from BL at Maint. Month 15 |
9.0
(NA)
|
|||||||
Change from BL at Maint. Month 17 |
-4.0
(NA)
|
|||||||
Change from BL at Maint. Month 19 |
7.0
(NA)
|
|||||||
Change from BL at Maint. Month 21 |
0.0
(NA)
|
|||||||
Change from BL at Follow-Up |
-16.0
(NA)
|
-9.0
(21.2)
|
-15.5
(20.5)
|
4.0
(4.2)
|
10.5
(2.1)
|
7.5
(20.2)
|
9.3
(3.3)
|
Title | Baseline Value and Change From Baseline Values of Pulse Rate at Specified Timepoints |
---|---|
Description | Vital signs were measured prior to the infusion while the participant was in a seated position. The baseline value at visit and the change from baseline value at each timepoint are reported. The change from baseline value was calculated by subtracting the post-baseline value from the baseline value. Maint. = maintenance |
Time Frame | Baseline, Days 1, 8, and 15 of Cycle 1, Day 1 of Cycles 2-6 (up to 6 cycles; 1 cycle is 28 days), and then every 2 months (FL) or every month (DLBCL) until end of maintenance or consolidation treatment, respectively (up to 29 months) |
Outcome Measure Data
Analysis Population Description |
---|
Safety Population: participants who received at least one dose of any component of the combination treatment. The number analyzed includes participants who were evaluable at each timepoint. |
Arm/Group Title | DLBCL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 200 mg + Obinutuzumab 1000 mg | DLBCL Bridging: Idasanutlin 150 mg + Rituximab 375 mg/m^2 | DLBCL Bridging: Idasanutlin 200 mg + Rituximab 375 mg/m^2 | FL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | FL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | FL Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg |
---|---|---|---|---|---|---|---|---|
Arm/Group Description | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 200 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 150 mg orally in combination with rituximab 375 milligrams per square meter of body surface area (mg/m^2) IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 200 mg orally in combination with rituximab 375 mg/m^2 IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this bridging cohort received induction treatment with single-agent obinutuzumab 1000 mg IV for Cycle 1 and then idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for Cycles 2-6 (1 cycle = 28 days). |
Measure Participants | 1 | 3 | 2 | 3 | 4 | 2 | 4 | 5 |
Baseline (BL) - Value at Visit |
73.0
(NA)
|
65.7
(1.2)
|
100.5
(17.7)
|
81.7
(3.1)
|
76.0
(10.6)
|
77.5
(12.0)
|
79.5
(18.6)
|
80.2
(9.9)
|
Change from BL at Cycle 1 Day 1 |
10.0
(NA)
|
15.7
(21.5)
|
-9.0
(8.5)
|
0.0
(9.8)
|
8.8
(12.0)
|
2.5
(14.8)
|
2.3
(6.4)
|
9.0
(11.1)
|
Change from BL at Cycle 1 Day 8 |
-2.0
(NA)
|
11.0
(2.0)
|
-2.0
(1.4)
|
-0.5
(20.5)
|
2.3
(6.4)
|
9.0
(11.1)
|
||
Change from BL at Cycle 1 Day 15 |
-11.0
(NA)
|
12.7
(13.4)
|
-3.5
(16.3)
|
-1.7
(13.1)
|
3.2
(14.5)
|
|||
Change from BL at Cycle 2 Day 1 |
4.0
(NA)
|
17.5
(17.7)
|
7.0
(1.4)
|
-17.0
(NA)
|
-2.5
(4.9)
|
6.4
(9.7)
|
||
Change from BL at Cycle 3 Day 1 |
-1.0
(NA)
|
19.0
(NA)
|
-1.5
(16.3)
|
-4.5
(20.5)
|
-3.5
(10.6)
|
|||
Change from BL at Cycle 4 Day 1 |
1.0
(NA)
|
-7.0
(12.7)
|
-5.0
(5.7)
|
4.0
(NA)
|
||||
Change from BL at Cycle 5 Day 1 |
15.0
(NA)
|
-6.5
(10.6)
|
3.0
(28.3)
|
6.5
(4.9)
|
||||
Change from BL at Cycle 6 Day 1 |
-1.0
(NA)
|
31.0
(NA)
|
15.0
(2.8)
|
|||||
Change from BL at Maint. Month 1 |
6.0
(NA)
|
10.0
(5.7)
|
||||||
Change from BL at Maint. Month 3 |
0.0
(NA)
|
2.0
(9.9)
|
||||||
Change from BL at Maint. Month 5 |
-5.0
(NA)
|
11.0
(NA)
|
||||||
Change from BL at Maint. Month 7 |
1.0
(NA)
|
2.0
(NA)
|
||||||
Change from BL at Maint. Month 9 |
6.0
(NA)
|
11.0
(NA)
|
||||||
Change from BL at Maint. Month 11 |
18.0
(NA)
|
|||||||
Change from BL at Maint. Month 13 |
11.0
(NA)
|
|||||||
Change from BL at Maint. Month 15 |
2.0
(NA)
|
|||||||
Change from BL at Maint. Month 17 |
-2.0
(NA)
|
|||||||
Change from BL at Maint. Month 19 |
1.0
(NA)
|
|||||||
Change from BL at Maint. Month 21 |
13.0
(NA)
|
|||||||
Change from BL at Follow-Up |
15.0
(NA)
|
-20.0
(18.4)
|
11.5
(10.6)
|
23.5
(20.5)
|
15.0
(8.5)
|
5.8
(14.8)
|
10.3
(9.2)
|
Title | Baseline Value and Change From Baseline Values of Respiratory Rate at Specified Timepoints |
---|---|
Description | Vital signs were measured prior to the infusion while the participant was in a seated position. The baseline value at visit and the change from baseline value at each timepoint are reported. The change from baseline value was calculated by subtracting the post-baseline value from the baseline value. Maint. = maintenance |
Time Frame | Baseline, Days 1, 8, and 15 of Cycle 1, Day 1 of Cycles 2-6 (up to 6 cycles; 1 cycle is 28 days), and then every 2 months (FL) or every month (DLBCL) until end of maintenance or consolidation treatment, respectively (up to 29 months) |
Outcome Measure Data
Analysis Population Description |
---|
Safety Population: participants who received at least one dose of any component of the combination treatment. The number analyzed includes participants who were evaluable at each timepoint. |
Arm/Group Title | DLBCL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 200 mg + Obinutuzumab 1000 mg | DLBCL Bridging: Idasanutlin 150 mg + Rituximab 375 mg/m^2 | DLBCL Bridging: Idasanutlin 200 mg + Rituximab 375 mg/m^2 | FL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | FL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | FL Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg |
---|---|---|---|---|---|---|---|---|
Arm/Group Description | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 200 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 150 mg orally in combination with rituximab 375 milligrams per square meter of body surface area (mg/m^2) IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 200 mg orally in combination with rituximab 375 mg/m^2 IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this bridging cohort received induction treatment with single-agent obinutuzumab 1000 mg IV for Cycle 1 and then idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for Cycles 2-6 (1 cycle = 28 days). |
Measure Participants | 1 | 3 | 2 | 3 | 4 | 2 | 4 | 5 |
Baseline (BL) - Value at Visit |
18.0
(NA)
|
17.0
(2.6)
|
19.0
(1.4)
|
17.0
(1.7)
|
17.0
(2.0)
|
16.0
(0.0)
|
16.0
(3.3)
|
16.8
(3.0)
|
Change from BL at Cycle 1 Day 1 |
0.0
(NA)
|
0.7
(1.2)
|
-1.0
(1.4)
|
-0.7
(1.2)
|
0.3
(1.3)
|
1.0
(1.4)
|
2.3
(0.5)
|
0.0
(0.0)
|
Change from BL at Cycle 1 Day 8 |
0.0
(NA)
|
-1.7
(2.1)
|
-1.0
(1.4)
|
0.0
(0.0)
|
2.0
(4.0)
|
0.0
(2.4)
|
||
Change from BL at Cycle 1 Day 15 |
0.0
(NA)
|
-3.5
(2.1)
|
1.0
(1.4)
|
1.7
(1.5)
|
-0.2
(2.7)
|
|||
Change from BL at Cycle 2 Day 1 |
0.0
(NA)
|
-2.5
(3.5)
|
0.5
(0.7)
|
0.0
(NA)
|
4.0
(5.7)
|
0.0
(4.6)
|
||
Change from BL at Cycle 3 Day 1 |
2.0
(NA)
|
-4.0
(NA)
|
0.0
(0.0)
|
4.0
(5.7)
|
-1.0
(4.2)
|
|||
Change from BL at Cycle 4 Day 1 |
-2.0
(NA)
|
0.0
(0.0)
|
2.0
(2.8)
|
4.0
(NA)
|
||||
Change from BL at Cycle 5 Day 1 |
0.0
(NA)
|
0.0
(0.0)
|
1.0
(1.4)
|
0.0
(5.7)
|
||||
Change from BL at Cycle 6 Day 1 |
-4.0
(NA)
|
5.0
(NA)
|
-2.0
(2.8)
|
|||||
Change from BL at Maint. Month 1 |
-4.0
(NA)
|
-1.0
(4.2)
|
||||||
Change from BL at Maint. Month 3 |
0.0
(NA)
|
-2.0
(2.8)
|
||||||
Change from BL at Maint. Month 5 |
0.0
(NA)
|
-4.0
(NA)
|
||||||
Change from BL at Maint. Month 7 |
0.0
(NA)
|
-4.0
(NA)
|
||||||
Change from BL at Maint. Month 9 |
2.0
(NA)
|
-4.0
(NA)
|
||||||
Change from BL at Maint. Month 11 |
0.0
(NA)
|
|||||||
Change from BL at Maint. Month 13 |
0.0
(NA)
|
|||||||
Change from BL at Maint. Month 15 |
0.0
(NA)
|
|||||||
Change from BL at Maint. Month 17 |
2.0
(NA)
|
|||||||
Change from BL at Maint. Month 19 |
0.0
(NA)
|
|||||||
Change from BL at Maint. Month 21 |
2.0
(NA)
|
|||||||
Change from BL at Follow-Up |
-2.0
(NA)
|
-2.0
(2.8)
|
-4.0
(NA)
|
0.0
(2.8)
|
1.0
(1.4)
|
3.3
(3.2)
|
-0.7
(3.1)
|
Title | Baseline Value and Change From Baseline Values of Body Temperature at Specified Timepoints |
---|---|
Description | Vital signs were measured prior to the infusion while the participant was in a seated position. The baseline value at visit and the change from baseline value at each timepoint are reported. The change from baseline value was calculated by subtracting the post-baseline value from the baseline value. Maint. = maintenance |
Time Frame | Baseline, Days 1, 8, and 15 of Cycle 1, Day 1 of Cycles 2-6 (up to 6 cycles; 1 cycle is 28 days), and then every 2 months (FL) or every month (DLBCL) until end of maintenance or consolidation treatment, respectively (up to 29 months) |
Outcome Measure Data
Analysis Population Description |
---|
Safety Population: participants who received at least one dose of any component of the combination treatment. The number analyzed includes participants who were evaluable at each timepoint. |
Arm/Group Title | DLBCL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 200 mg + Obinutuzumab 1000 mg | DLBCL Bridging: Idasanutlin 150 mg + Rituximab 375 mg/m^2 | DLBCL Bridging: Idasanutlin 200 mg + Rituximab 375 mg/m^2 | FL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | FL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | FL Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg |
---|---|---|---|---|---|---|---|---|
Arm/Group Description | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 200 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 150 mg orally in combination with rituximab 375 milligrams per square meter of body surface area (mg/m^2) IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 200 mg orally in combination with rituximab 375 mg/m^2 IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this bridging cohort received induction treatment with single-agent obinutuzumab 1000 mg IV for Cycle 1 and then idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for Cycles 2-6 (1 cycle = 28 days). |
Measure Participants | 1 | 3 | 2 | 3 | 4 | 2 | 4 | 5 |
Baseline (BL) - Value at Visit |
36.60
(NA)
|
36.47
(0.45)
|
36.35
(0.21)
|
36.83
(0.15)
|
36.58
(0.34)
|
36.55
(0.21)
|
36.50
(0.18)
|
36.70
(3.3)
|
Change from BL at Cycle 1 Day 1 |
0.00
(NA)
|
0.00
(0.92)
|
-0.15
(0.21)
|
-0.07
(0.15)
|
0.18
(0.33)
|
0.05
(0.49)
|
0.30
(0.22)
|
-0.18
(0.30)
|
Change from BL at Cycle 1 Day 8 |
0.10
(NA)
|
0.37
(0.50)
|
0.95
(0.85)
|
0.30
(0.28)
|
-0.13
(0.22)
|
0.10
(0.45)
|
||
Change from BL at Cycle 1 Day 15 |
0.10
(NA)
|
0.20
(0.82)
|
0.20
(0.28)
|
-0.23
(0.45)
|
-0.18
(0.26)
|
|||
Change from BL at Cycle 2 Day 1 |
0.00
(NA)
|
0.10
(0.14)
|
-0.30
(0.14)
|
-0.50
(NA)
|
-0.25
(0.49)
|
-0.04
(0.09)
|
||
Change from BL at Cycle 3 Day 1 |
-0.20
(NA)
|
-0.10
(NA)
|
-0.10
(0.42)
|
-0.50
(0.28)
|
-0.17
(0.21)
|
|||
Change from BL at Cycle 4 Day 1 |
0.00
(NA)
|
0.05
(0.64)
|
0.05
(0.21)
|
-0.10
(NA)
|
||||
Change from BL at Cycle 5 Day 1 |
0.20
(NA)
|
0.35
(0.64)
|
-0.35
(0.49)
|
-0.20
(0.14)
|
||||
Change from BL at Cycle 6 Day 1 |
0.20
(NA)
|
0.20
(NA)
|
-0.05
(0.21)
|
|||||
Change from BL at Maint. Month 1 |
0.60
(NA)
|
-0.20
(0.14)
|
||||||
Change from BL at Maint. Month 3 |
0.40
(NA)
|
-0.20
(0.57)
|
||||||
Change from BL at Maint. Month 5 |
0.20
(NA)
|
-0.20
(NA)
|
||||||
Change from BL at Maint. Month 7 |
0.60
(NA)
|
-0.10
(NA)
|
||||||
Change from BL at Maint. Month 9 |
0.30
(NA)
|
0.20
(NA)
|
||||||
Change from BL at Maint. Month 11 |
0.70
(NA)
|
|||||||
Change from BL at Maint. Month 13 |
0.40
(NA)
|
|||||||
Change from BL at Maint. Month 15 |
0.70
(NA)
|
|||||||
Change from BL at Maint. Month 17 |
0.40
(NA)
|
|||||||
Change from BL at Maint. Month 19 |
0.80
(NA)
|
|||||||
Change from BL at Maint. Month 21 |
0.50
(NA)
|
|||||||
Change from BL at Follow-Up |
0.10
(NA)
|
0.00
(0.14)
|
-0.40
(0.14)
|
0.53
(0.71)
|
0.30
(0.57)
|
-0.15
(0.47)
|
-0.10
(0.24)
|
Title | Number of Participants by Electrocardiogram (ECG) Results Assessment Shift From Baseline to Specified Post-Baseline Timepoints |
---|---|
Description | Single, resting, 12-lead ECG recordings were to be obtained after the participant had been resting in a supine position for at least 10 minutes. Any morphologic waveform changes or other ECG abnormalities were to be documented and clinical significance was determined based on the presence of symptoms, per the investigator's judgment. If the ECG assessment was missing at baseline then it was recorded as "Missing". The ECG results assessments are presented as the shift from baseline to post-baseline assessments at each timepoint. BL = baseline; Cyc1, D1 = Induction Cycle 1 Day 1; Cyc4, D1 = Induction Cycle 4 Day 1; CS = Clinically Significant; EOI = End of Induction Treatment - Completion/Discontinuation; EOM = End of Maintenance Treatment - Completion/Discontinuation; MM1 = Maintenance Month 1; Unsched = Unscheduled Visit |
Time Frame | Baseline, Induction Cycle 1 Day 1 and Cycle 4 Day 1, End of Induction (up to 6 cycles; 1 cycle is 28 days); Every 2 months during maintenance treatment from Months 1-23; End of Maintenance (up to 24 months); Unscheduled Visits (as clinically indicated) |
Outcome Measure Data
Analysis Population Description |
---|
Safety Population: participants who received at least one dose of any component of the combination treatment. The number analyzed includes participants who were evaluable at each timepoint. |
Arm/Group Title | DLBCL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 200 mg + Obinutuzumab 1000 mg | DLBCL Bridging: Idasanutlin 150 mg + Rituximab 375 mg/m^2 | DLBCL Bridging: Idasanutlin 200 mg + Rituximab 375 mg/m^2 | FL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | FL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | FL Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg |
---|---|---|---|---|---|---|---|---|
Arm/Group Description | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 200 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 150 mg orally in combination with rituximab 375 milligrams per square meter of body surface area (mg/m^2) IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 200 mg orally in combination with rituximab 375 mg/m^2 IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this bridging cohort received induction treatment with single-agent obinutuzumab 1000 mg IV for Cycle 1 and then idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for Cycles 2-6 (1 cycle = 28 days). |
Measure Participants | 1 | 3 | 2 | 3 | 4 | 2 | 4 | 5 |
Cyc1, D1: Normal (BL) to Normal |
1
50%
|
1
33.3%
|
0
0%
|
2
66.7%
|
0
0%
|
4
200%
|
2
50%
|
|
Cyc1, D1: Normal (BL) to Abnormal, not CS |
1
50%
|
0
0%
|
1
50%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
|
Cyc1, D1: Abnormal, not CS (BL) to Normal |
0
0%
|
0
0%
|
1
50%
|
0
0%
|
0
0%
|
0
0%
|
1
25%
|
|
Cyc1,D1: Abnormal, not CS (BL) to Abnormal, not CS |
1
50%
|
1
33.3%
|
1
50%
|
2
66.7%
|
1
25%
|
0
0%
|
2
50%
|
|
Cyc4, D1: Normal (BL) to Normal |
0
0%
|
0
0%
|
2
100%
|
1
33.3%
|
||||
Cyc4, D1: Normal (BL) to Abnormal, not CS |
1
50%
|
0
0%
|
0
0%
|
0
0%
|
||||
Cyc4, D1: Abnormal, not CS (BL) to Normal |
0
0%
|
0
0%
|
0
0%
|
1
33.3%
|
||||
Cyc4,D1: Abnormal, not CS (BL) to Abnormal, not CS |
0
0%
|
1
33.3%
|
0
0%
|
0
0%
|
||||
Cyc4, D1: Missing (BL) to Normal |
0
0%
|
1
33.3%
|
0
0%
|
0
0%
|
||||
EOI: Normal (BL) to Normal |
0
0%
|
0
0%
|
1
50%
|
0
0%
|
2
50%
|
0
0%
|
3
75%
|
2
40%
|
EOI: Normal (BL) to Abnormal, not CS |
1
50%
|
1
33.3%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
EOI: Abnormal, not CS (BL) to Abnormal, not CS |
0
0%
|
1
33.3%
|
1
50%
|
1
33.3%
|
1
25%
|
1
50%
|
0
0%
|
1
20%
|
EOI: Missing (BL) to Normal |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
50%
|
0
0%
|
0
0%
|
MM1: Normal (BL) to Normal |
1
50%
|
|||||||
MM1: Abnormal, not CS (BL) to Abnormal, not CS |
1
50%
|
|||||||
MM3: Abnormal, not CS (BL) to Normal |
1
50%
|
|||||||
MM5: Abnormal, not CS (BL) to Normal |
1
50%
|
|||||||
MM7: Missing (BL) to Abnormal, not CS |
1
50%
|
|||||||
MM9: Missing (BL) to Abnormal, not CS |
1
50%
|
|||||||
MM11: Missing (BL) to Abnormal, not CS |
1
50%
|
|||||||
MM13: Missing (BL) to Abnormal, not CS |
1
50%
|
|||||||
MM15: Missing (BL) to Abnormal, not CS |
1
50%
|
|||||||
MM17: Missing (BL) to Abnormal, not CS |
1
50%
|
|||||||
MM19: Missing (BL) to Abnormal, not CS |
1
50%
|
|||||||
MM21: Missing (BL) to Abnormal, not CS |
1
50%
|
|||||||
MM23: Missing (BL) to Abnormal, not CS |
1
50%
|
|||||||
EOM: Normal (BL) to Normal |
0
0%
|
1
33.3%
|
||||||
EOM: Missing (BL) to Abnormal, not CS |
1
50%
|
0
0%
|
||||||
Unsched: Normal (BL) to Normal |
1
50%
|
0
0%
|
1
50%
|
0
0%
|
||||
Unsched: Normal (BL) to Abnormal, not CS |
0
0%
|
0
0%
|
1
50%
|
0
0%
|
||||
Unsched: Abnormal, not CS (BL) to Normal |
0
0%
|
0
0%
|
0
0%
|
1
33.3%
|
||||
Unsched: Abnormal, not CS (BL) to Abnormal, not CS |
0
0%
|
1
33.3%
|
0
0%
|
0
0%
|
||||
Unsched: Abnormal, not CS (BL) to Abnormal, CS |
0
0%
|
0
0%
|
0
0%
|
1
33.3%
|
Title | Hematology Laboratory Test Results Shift Table: Number of Participants by Highest NCI-CTCAE v4.0 Grade at Baseline to Highest Grade Post-Baseline |
---|---|
Description | Clinical laboratory tests for hematology parameters were performed at local laboratories; any abnormal values (High or Low) were based on local laboratory normal ranges. Laboratory abnormalities are presented by the highest (worst) severity grade (according to NCI-CTCAE v4.0) at baseline to the highest grade post-baseline. Not every abnormal laboratory value qualified as an adverse event, only if it met any of the following criteria: clinically significant (per investigator); accompanied by clinical symptoms; resulted in a change in study treatment; or required a medical intervention or a change in concomitant therapy. For a patient with multiple post-baseline abnormalities, the highest (worst) grade for a given lab test is reported. Abs. = absolute count; BL = baseline; WBC = white blood cell count |
Time Frame | From Baseline until 35 days after the last dose of study drug (up to 29 months) |
Outcome Measure Data
Analysis Population Description |
---|
Safety Population: participants who received at least one dose of any component of the combination treatment. |
Arm/Group Title | DLBCL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 200 mg + Obinutuzumab 1000 mg | DLBCL Bridging: Idasanutlin 150 mg + Rituximab 375 mg/m^2 | DLBCL Bridging: Idasanutlin 200 mg + Rituximab 375 mg/m^2 | FL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | FL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | FL Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg |
---|---|---|---|---|---|---|---|---|
Arm/Group Description | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 200 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 150 mg orally in combination with rituximab 375 milligrams per square meter of body surface area (mg/m^2) IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 200 mg orally in combination with rituximab 375 mg/m^2 IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this bridging cohort received induction treatment with single-agent obinutuzumab 1000 mg IV for Cycle 1 and then idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for Cycles 2-6 (1 cycle = 28 days). |
Measure Participants | 1 | 3 | 2 | 3 | 4 | 2 | 4 | 5 |
Hemoglobin (g/L), High: Grade (Gr.) 0 (BL) to 0 |
1
50%
|
3
100%
|
2
100%
|
3
100%
|
4
100%
|
2
100%
|
4
100%
|
5
100%
|
Hemoglobin (g/L), Low: Gr. 0 (BL) to 0 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
50%
|
0
0%
|
1
20%
|
Hemoglobin (g/L), Low: Gr. 0 (BL) to 2 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
50%
|
2
50%
|
0
0%
|
Hemoglobin (g/L), Low: Gr. 0 (BL) to 3 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
25%
|
0
0%
|
Hemoglobin (g/L), Low: Gr. 1 (BL) to 1 |
0
0%
|
2
66.7%
|
0
0%
|
2
66.7%
|
3
75%
|
0
0%
|
1
25%
|
1
20%
|
Hemoglobin (g/L), Low: Gr. 1 (BL) to 2 |
0
0%
|
1
33.3%
|
1
50%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
2
40%
|
Hemoglobin (g/L), Low: Gr. 1 (BL) to 3 |
0
0%
|
0
0%
|
1
50%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Hemoglobin (g/L), Low: Gr. 2 (BL) to 2 |
1
50%
|
0
0%
|
0
0%
|
0
0%
|
1
25%
|
0
0%
|
0
0%
|
0
0%
|
Hemoglobin (g/L), Low: Gr. 2 (BL) to 3 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
20%
|
Hemoglobin (g/L), Low: Gr. 3 (BL) to 3 |
0
0%
|
0
0%
|
0
0%
|
1
33.3%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Lymphocytes Abs. (10^9/L), High: Gr. 0 (BL) to 0 |
1
50%
|
3
100%
|
2
100%
|
3
100%
|
4
100%
|
2
100%
|
4
100%
|
5
100%
|
Lymphocytes Abs. (10^9/L), Low: Gr. 0 (BL) to 0 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
25%
|
0
0%
|
1
25%
|
1
20%
|
Lymphocytes Abs. (10^9/L), Low: Gr. 0 (BL) to 1 |
0
0%
|
0
0%
|
0
0%
|
1
33.3%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Lymphocytes Abs. (10^9/L), Low: Gr. 0 (BL) to 2 |
1
50%
|
0
0%
|
0
0%
|
1
33.3%
|
2
50%
|
0
0%
|
1
25%
|
0
0%
|
Lymphocytes Abs. (10^9/L), Low: Gr. 0 (BL) to 3 |
0
0%
|
0
0%
|
1
50%
|
0
0%
|
0
0%
|
0
0%
|
2
50%
|
0
0%
|
Lymphocytes Abs. (10^9/L), Low: Gr. 0 (BL) to 4 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
50%
|
0
0%
|
0
0%
|
Lymphocytes Abs. (10^9/L), Low: Gr. 1 (BL) to 0 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
20%
|
Lymphocytes Abs. (10^9/L), Low: Gr. 1 (BL) to 1 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Lymphocytes Abs. (10^9/L), Low: Gr. 1 (BL) to 3 |
0
0%
|
0
0%
|
1
50%
|
0
0%
|
1
25%
|
0
0%
|
0
0%
|
0
0%
|
Lymphocytes Abs. (10^9/L), Low: Gr. 2 (BL) to 2 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
50%
|
0
0%
|
0
0%
|
Lymphocytes Abs. (10^9/L), Low: Gr. 2 (BL) to 4 |
0
0%
|
1
33.3%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
20%
|
Lymphocytes Abs. (10^9/L), Low: Gr. 3 (BL) to 2 |
0
0%
|
1
33.3%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Lymphocytes Abs. (10^9/L), Low: Gr. 3 (BL) to 3 |
0
0%
|
0
0%
|
0
0%
|
1
33.3%
|
0
0%
|
0
0%
|
0
0%
|
1
20%
|
Lymphocytes Abs. (10^9/L), Low: Gr. 3 (BL) to 4 |
0
0%
|
1
33.3%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Lymphocytes Abs. (10^9/L), Low: Gr. 4 (BL) to 4 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
20%
|
Neutrophils,Total Abs (10^9/L),Low: Gr. 0(BL) to 0 |
0
0%
|
2
66.7%
|
0
0%
|
2
66.7%
|
2
50%
|
0
0%
|
1
25%
|
2
40%
|
Neutrophils,Total Abs (10^9/L),Low: Gr. 0(BL) to 1 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
25%
|
0
0%
|
0
0%
|
0
0%
|
Neutrophils,Total Abs (10^9/L),Low: Gr. 0(BL) to 2 |
0
0%
|
1
33.3%
|
0
0%
|
0
0%
|
0
0%
|
1
50%
|
0
0%
|
1
20%
|
Neutrophils,Total Abs (10^9/L),Low: Gr. 0(BL) to 3 |
1
50%
|
0
0%
|
0
0%
|
1
33.3%
|
1
25%
|
0
0%
|
0
0%
|
1
20%
|
Neutrophils,Total Abs (10^9/L),Low: Gr. 0(BL) to 4 |
0
0%
|
0
0%
|
2
100%
|
0
0%
|
0
0%
|
1
50%
|
2
50%
|
1
20%
|
Neutrophils,Total Abs (10^9/L),Low: Gr. 2(BL) to 4 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
25%
|
0
0%
|
Platelets (10^9/L), Low: Gr. 0 (BL) to 0 |
0
0%
|
0
0%
|
0
0%
|
1
33.3%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Platelets (10^9/L), Low: Gr. 0 (BL) to 1 |
0
0%
|
1
33.3%
|
0
0%
|
1
33.3%
|
1
25%
|
1
50%
|
1
25%
|
1
20%
|
Platelets (10^9/L), Low: Gr. 0 (BL) to 2 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
25%
|
0
0%
|
0
0%
|
0
0%
|
Platelets (10^9/L), Low: Gr. 0 (BL) to 3 |
1
50%
|
1
33.3%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Platelets (10^9/L), Low: Gr. 0 (BL) to 4 |
0
0%
|
0
0%
|
2
100%
|
1
33.3%
|
2
50%
|
1
50%
|
2
50%
|
1
20%
|
Platelets (10^9/L), Low: Gr. 1 (BL) to 1 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
20%
|
Platelets (10^9/L), Low: Gr. 1 (BL) to 3 |
0
0%
|
1
33.3%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
20%
|
Platelets (10^9/L), Low: Gr. 1 (BL) to 4 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
25%
|
1
20%
|
WBC (10^9/L), High: Gr. 0 (BL) to 0 |
1
50%
|
3
100%
|
2
100%
|
3
100%
|
4
100%
|
2
100%
|
4
100%
|
5
100%
|
WBC (10^9/L), Low: Gr. 0 (BL) to 0 |
0
0%
|
0
0%
|
0
0%
|
2
66.7%
|
2
50%
|
0
0%
|
0
0%
|
1
20%
|
WBC (10^9/L), Low: Gr. 0 (BL) to 1 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
25%
|
2
40%
|
WBC (10^9/L), Low: Gr. 0 (BL) to 2 |
1
50%
|
2
66.7%
|
0
0%
|
1
33.3%
|
0
0%
|
1
50%
|
1
25%
|
0
0%
|
WBC (10^9/L), Low: Gr. 0 (BL) to 3 |
0
0%
|
0
0%
|
2
100%
|
0
0%
|
1
25%
|
0
0%
|
1
25%
|
0
0%
|
WBC (10^9/L), Low: Gr. 0 (BL) to 4 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
50%
|
0
0%
|
1
20%
|
WBC (10^9/L), Low: Gr. 1 (BL) to 0 |
0
0%
|
1
33.3%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
WBC (10^9/L), Low: Gr. 1 (BL) to 1 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
25%
|
0
0%
|
0
0%
|
0
0%
|
WBC (10^9/L), Low: Gr. 1 (BL) to 2 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
20%
|
WBC (10^9/L), Low: Gr. 1 (BL) to 3 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
25%
|
0
0%
|
Title | Blood Chemistry Laboratory Test Results Shift Table: Number of Participants by Highest NCI-CTCAE v4.0 Grade at Baseline to Highest Grade Post-Baseline |
---|---|
Description | Clinical laboratory tests for blood chemistry parameters were performed at local laboratories; any abnormal values (High or Low) were based on local laboratory normal ranges. Laboratory abnormalities are presented by the highest (worst) severity grade (according to NCI-CTCAE v4.0) at baseline to the highest grade post-baseline. Not every abnormal laboratory value qualified as an adverse event, only if it met any of the following criteria: clinically significant (per investigator); accompanied by clinical symptoms; resulted in a change in study treatment; or required a medical intervention or a change in concomitant therapy. For a patient with multiple post-baseline abnormalities, the highest (worst) grade for a given lab test is reported. BL = Baseline; Blood Gluc., Fast. = blood glucose, fasting; SGOT/AST = serum glutamic-oxaloacetic transaminase/aspartate transaminase; SGPT/ALT = serum glutamic-pyruvic transaminase/alanine transaminase; Triacylglyc. Lipase = triacylglycerol lipase |
Time Frame | From Baseline until 35 days after the last dose of study drug (up to 29 months) |
Outcome Measure Data
Analysis Population Description |
---|
Safety Population: participants who received at least one dose of any component of the combination treatment. |
Arm/Group Title | DLBCL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 200 mg + Obinutuzumab 1000 mg | DLBCL Bridging: Idasanutlin 150 mg + Rituximab 375 mg/m^2 | DLBCL Bridging: Idasanutlin 200 mg + Rituximab 375 mg/m^2 | FL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | FL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | FL Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg |
---|---|---|---|---|---|---|---|---|
Arm/Group Description | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 200 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 150 mg orally in combination with rituximab 375 milligrams per square meter of body surface area (mg/m^2) IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 200 mg orally in combination with rituximab 375 mg/m^2 IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this bridging cohort received induction treatment with single-agent obinutuzumab 1000 mg IV for Cycle 1 and then idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for Cycles 2-6 (1 cycle = 28 days). |
Measure Participants | 1 | 3 | 2 | 3 | 4 | 2 | 4 | 5 |
Albumin (g/L), Low: Grade (Gr.) 0 (BL) to 0 |
1
50%
|
3
100%
|
2
100%
|
1
33.3%
|
2
50%
|
2
100%
|
4
100%
|
3
60%
|
Albumin (g/L), Low: Grade (Gr.) 0 (BL) to 1 |
0
0%
|
0
0%
|
0
0%
|
1
33.3%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Albumin (g/L), Low: Grade (Gr.) 0 (BL) to 2 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
25%
|
0
0%
|
0
0%
|
1
20%
|
Albumin (g/L), Low: Grade (Gr.) 1 (BL) to 1 |
0
0%
|
0
0%
|
0
0%
|
1
33.3%
|
1
25%
|
0
0%
|
0
0%
|
1
20%
|
Alkaline Phosphatase (U/L), High: Gr. 0 (BL) to 0 |
0
0%
|
3
100%
|
2
100%
|
2
66.7%
|
3
75%
|
1
50%
|
4
100%
|
3
60%
|
Alkaline Phosphatase (U/L), High: Gr. 0 (BL) to 1 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
25%
|
1
50%
|
0
0%
|
1
20%
|
Alkaline Phosphatase (U/L), High: Gr. 1 (BL) to 1 |
1
50%
|
0
0%
|
0
0%
|
1
33.3%
|
0
0%
|
0
0%
|
0
0%
|
1
20%
|
Amylase (U/L), High: Gr. 0 (BL) to 0 |
1
50%
|
3
100%
|
2
100%
|
3
100%
|
1
25%
|
2
100%
|
3
75%
|
5
100%
|
Amylase (U/L), High: Missing (BL) to Gr. 0 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
2
50%
|
0
0%
|
1
25%
|
0
0%
|
Amylase (U/L), High: Gr. 1 (BL) to 1 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
25%
|
0
0%
|
0
0%
|
0
0%
|
Bilirubin (umol/L), High: Gr. 0 (BL) to 0 |
1
50%
|
3
100%
|
2
100%
|
3
100%
|
4
100%
|
2
100%
|
3
75%
|
5
100%
|
Bilirubin (umol/L), High: Gr. 0 (BL) to 1 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
25%
|
0
0%
|
Blood Gluc,Fast(mmol/L), High: Missing(BL) to Gr 0 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
50%
|
1
25%
|
1
20%
|
Blood Gluc,Fast(mmol/L), High: Gr. 0(BL) to 1 |
0
0%
|
0
0%
|
1
50%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Blood Gluc,Fast(mmol/L), High: Gr. 1 (BL) to 1 |
0
0%
|
0
0%
|
1
50%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Blood Gluc,Fast(mmol/L), High: Missing(BL) to Gr 2 |
1
50%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Blood Gluc.,Fast.(mmol/L), High: Missing (All) |
0
0%
|
3
100%
|
0
0%
|
3
100%
|
4
100%
|
1
50%
|
3
75%
|
4
80%
|
Blood Gluc,Fast(mmol/L), Low: Gr. 0 (BL) to 0 |
0
0%
|
0
0%
|
2
100%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Blood Gluc,Fast(mmol/L), Low: Missing(BL) to Gr 0 |
1
50%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
50%
|
1
25%
|
1
20%
|
Blood Gluc.,Fast.(mmol/L), Low: Missing (All) |
0
0%
|
3
100%
|
0
0%
|
3
100%
|
4
100%
|
1
50%
|
3
75%
|
4
80%
|
Calcium (mmol/L), High: Gr. 0 (BL) to 0 |
1
50%
|
3
100%
|
2
100%
|
3
100%
|
3
75%
|
2
100%
|
4
100%
|
5
100%
|
Calcium (mmol/L), High: Gr. 1 (BL) to 0 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
25%
|
0
0%
|
0
0%
|
0
0%
|
Calcium (mmol/L), Low: Gr. 0 (BL) to 0 |
1
50%
|
2
66.7%
|
2
100%
|
2
66.7%
|
3
75%
|
2
100%
|
3
75%
|
4
80%
|
Calcium (mmol/L), Low: Gr. 0 (BL) to 1 |
0
0%
|
1
33.3%
|
0
0%
|
0
0%
|
1
25%
|
0
0%
|
1
25%
|
0
0%
|
Calcium (mmol/L), Low: Gr. 0 (BL) to 2 |
0
0%
|
0
0%
|
0
0%
|
1
33.3%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Calcium (mmol/L), Low: Gr. 1 (BL) to 1 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
20%
|
Creatinine (umol/L), High: Gr. 0 (BL) to 0 |
0
0%
|
2
66.7%
|
0
0%
|
1
33.3%
|
0
0%
|
0
0%
|
2
50%
|
3
60%
|
Creatinine (umol/L), High: Gr. 0 (BL) to 1 |
0
0%
|
1
33.3%
|
2
100%
|
2
66.7%
|
2
50%
|
2
100%
|
1
25%
|
1
20%
|
Creatinine (umol/L), High: Gr. 0 (BL) to 3 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
20%
|
Creatinine (umol/L), High: Gr. 1 (BL) to 0 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
25%
|
0
0%
|
0
0%
|
0
0%
|
Creatinine (umol/L), High: Gr. 1 (BL) to 1 |
1
50%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
25%
|
0
0%
|
Creatinine (umol/L), High: Gr. 1 (BL) to 2 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
25%
|
0
0%
|
0
0%
|
0
0%
|
Glucose (mmol/L), High: Gr. 0 (BL) to 0 |
0
0%
|
3
100%
|
0
0%
|
3
100%
|
4
100%
|
2
100%
|
4
100%
|
5
100%
|
Glucose (mmol/L), High: Missing (BL) to Gr. 0 |
0
0%
|
0
0%
|
1
50%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Glucose (mmol/L), High: Gr. 0 (BL) to 3 |
1
50%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Glucose (mmol/L), High: Missing (All) |
0
0%
|
0
0%
|
1
50%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Glucose (mmol/L), Low: Gr. 0 (BL) to 0 |
1
50%
|
2
66.7%
|
0
0%
|
2
66.7%
|
4
100%
|
2
100%
|
4
100%
|
4
80%
|
Glucose (mmol/L), Low: Missing (BL) to Gr. 0 |
0
0%
|
0
0%
|
1
50%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Glucose (mmol/L), Low: Gr. 0 (BL) to 1 |
0
0%
|
1
33.3%
|
0
0%
|
1
33.3%
|
0
0%
|
0
0%
|
0
0%
|
1
20%
|
Glucose (mmol/L), Low: Missing (All) |
0
0%
|
0
0%
|
1
50%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Phosphorus (mmol/L), Low: Gr. 0 (BL) to 0 |
0
0%
|
2
66.7%
|
2
100%
|
1
33.3%
|
2
50%
|
0
0%
|
0
0%
|
2
40%
|
Phosphorus (mmol/L), Low: Missing (BL) to Gr. 0 |
1
50%
|
1
33.3%
|
0
0%
|
1
33.3%
|
0
0%
|
0
0%
|
2
50%
|
1
20%
|
Phosphorus (mmol/L), Low: Missing (BL) to Gr. 2 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
25%
|
0
0%
|
0
0%
|
0
0%
|
Phosphorus (mmol/L), Low: Missing (All) |
0
0%
|
0
0%
|
0
0%
|
1
33.3%
|
1
25%
|
1
50%
|
2
50%
|
2
40%
|
Potassium (mmol/L), High: Gr. 0 (BL) to 0 |
0
0%
|
3
100%
|
2
100%
|
2
66.7%
|
4
100%
|
2
100%
|
4
100%
|
5
100%
|
Potassium (mmol/L), High: Gr. 0 (BL) to 1 |
1
50%
|
0
0%
|
0
0%
|
1
33.3%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Potassium (mmol/L), Low: Gr. 0 (BL) to 0 |
1
50%
|
2
66.7%
|
2
100%
|
3
100%
|
3
75%
|
2
100%
|
4
100%
|
3
60%
|
Potassium (mmol/L), Low: Gr. 0 (BL) to 2 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
25%
|
0
0%
|
0
0%
|
0
0%
|
Potassium (mmol/L), Low: Gr. 2 (BL) to 0 |
0
0%
|
1
33.3%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Potassium (mmol/L), Low: Gr. 2 (BL) to 2 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
2
40%
|
SGOT/AST (U/L), High: Gr. 0 (BL) to 0 |
1
50%
|
2
66.7%
|
2
100%
|
2
66.7%
|
4
100%
|
2
100%
|
4
100%
|
5
100%
|
SGOT/AST (U/L), High: Gr. 1 (BL) to 0 |
0
0%
|
1
33.3%
|
0
0%
|
1
33.3%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
SGPT/ALT (U/L), High: Gr. 0 (BL) to 0 |
1
50%
|
2
66.7%
|
1
50%
|
3
100%
|
2
50%
|
2
100%
|
4
100%
|
5
100%
|
SGPT/ALT (U/L), High: Gr. 1 (BL) to 0 |
0
0%
|
1
33.3%
|
1
50%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
SGPT/ALT (U/L), High: Gr. 1 (BL) to 1 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
2
50%
|
0
0%
|
0
0%
|
0
0%
|
Sodium (mmol/L), High: Gr. 0 (BL) to 0 |
1
50%
|
3
100%
|
2
100%
|
3
100%
|
3
75%
|
2
100%
|
4
100%
|
4
80%
|
Sodium (mmol/L), High: Gr. 0 (BL) to 1 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
20%
|
Sodium (mmol/L), High: Gr. 1 (BL) to 0 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
25%
|
0
0%
|
0
0%
|
0
0%
|
Sodium (mmol/L), Low: Gr. 0 (BL) to 0 |
1
50%
|
3
100%
|
2
100%
|
2
66.7%
|
4
100%
|
2
100%
|
4
100%
|
3
60%
|
Sodium (mmol/L), Low: Gr. 0 (BL) to 1 |
0
0%
|
0
0%
|
0
0%
|
1
33.3%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Sodium (mmol/L), Low: Gr. 0 (BL) to 3 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
20%
|
Sodium (mmol/L), Low: Gr. 1 (BL) to 0 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
20%
|
Triacylglyc. Lipase (U/L), High: Gr. 0 (BL) to 0 |
0
0%
|
3
100%
|
2
100%
|
3
100%
|
2
50%
|
1
50%
|
3
75%
|
4
80%
|
Triacylglyc. Lipase (U/L), High: Gr. 0 (BL) to 1 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
50%
|
0
0%
|
0
0%
|
Triacylglyc. Lipase (U/L), High: Gr. 0 (BL) to 3 |
1
50%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Triacylglyc Lipase (U/L),High: Missing(BL) to Gr 0 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
25%
|
1
20%
|
Triacylglyc Lipase (U/L),High: Missing(BL) to Gr 2 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
2
50%
|
0
0%
|
0
0%
|
0
0%
|
Uric Acid (umol/L), High: Gr. 0 (BL) to 0 |
1
50%
|
3
100%
|
2
100%
|
3
100%
|
2
50%
|
2
100%
|
3
75%
|
4
80%
|
Uric Acid (umol/L), High: Missing(BL) to Gr. 0 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
25%
|
0
0%
|
0
0%
|
0
0%
|
Uric Acid (umol/L), High: Gr. 0 (BL) to 3 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
20%
|
Uric Acid (umol/L), High: Gr. 3 (BL) to 3 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
25%
|
0
0%
|
Uric Acid (umol/L), High: Gr. 4 (BL) to 3 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
25%
|
0
0%
|
0
0%
|
0
0%
|
Adverse Events
Time Frame | From first dose until 90 days after the last dose of study drug treatment (up to 31 months), except for serious AEs related to treatment | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Adverse Event Reporting Description | Investigators seek information on adverse events (AEs) at each patient contact. All AEs were recorded, regardless of who reported them. After informed consent but prior to initiation of study drug, only serious AEs caused by protocol-mandated intervention were to be reported. After initiation of study drug, all AEs were to be reported until 90 days after the last dose of study drug. After this period, only serious AEs believed to be related to prior study drug treatment were to be reported. | |||||||||||||||
Arm/Group Title | DLBCL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 200 mg + Obinutuzumab 1000 mg | DLBCL Bridging: Idasanutlin 150 mg + Rituximab 375 mg/m^2 | DLBCL Bridging: Idasanutlin 200 mg + Rituximab 375 mg/m^2 | FL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | FL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | FL Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | ||||||||
Arm/Group Description | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 200 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 150 mg orally in combination with rituximab 375 milligrams per square meter of body surface area (mg/m^2) IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) in this bridging cohort received induction treatment with idasanutlin 200 mg orally in combination with rituximab 375 mg/m^2 IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 100 milligrams (mg) orally in combination with a fixed dose of obinutuzumab 1000 mg intravenously (IV) for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this non-bridging dose-escalation cohort received induction treatment with idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for 6 cycles (1 cycle = 28 days). | Participants with relapsed/refractory follicular lymphoma (FL) in this bridging cohort received induction treatment with single-agent obinutuzumab 1000 mg IV for Cycle 1 and then idasanutlin 150 mg orally in combination with a fixed dose of obinutuzumab 1000 mg IV for Cycles 2-6 (1 cycle = 28 days). | ||||||||
All Cause Mortality |
||||||||||||||||
DLBCL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 200 mg + Obinutuzumab 1000 mg | DLBCL Bridging: Idasanutlin 150 mg + Rituximab 375 mg/m^2 | DLBCL Bridging: Idasanutlin 200 mg + Rituximab 375 mg/m^2 | FL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | FL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | FL Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | |||||||||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 0/1 (0%) | 1/3 (33.3%) | 2/2 (100%) | 2/3 (66.7%) | 2/4 (50%) | 0/2 (0%) | 0/4 (0%) | 1/5 (20%) | ||||||||
Serious Adverse Events |
||||||||||||||||
DLBCL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 200 mg + Obinutuzumab 1000 mg | DLBCL Bridging: Idasanutlin 150 mg + Rituximab 375 mg/m^2 | DLBCL Bridging: Idasanutlin 200 mg + Rituximab 375 mg/m^2 | FL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | FL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | FL Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | |||||||||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 1/1 (100%) | 1/3 (33.3%) | 1/2 (50%) | 0/3 (0%) | 2/4 (50%) | 1/2 (50%) | 1/4 (25%) | 2/5 (40%) | ||||||||
Blood and lymphatic system disorders | ||||||||||||||||
Febrile neutropenia | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 1/4 (25%) | 1 | 1/2 (50%) | 1 | 0/4 (0%) | 0 | 0/5 (0%) | 0 |
Pancytopenia | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 1/2 (50%) | 1 | 0/3 (0%) | 0 | 0/4 (0%) | 0 | 0/2 (0%) | 0 | 0/4 (0%) | 0 | 0/5 (0%) | 0 |
Cardiac disorders | ||||||||||||||||
Acute myocardial infarction | 0/1 (0%) | 0 | 1/3 (33.3%) | 1 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 0/4 (0%) | 0 | 0/2 (0%) | 0 | 0/4 (0%) | 0 | 0/5 (0%) | 0 |
Gastrointestinal disorders | ||||||||||||||||
Ascites | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 1/4 (25%) | 1 | 0/2 (0%) | 0 | 0/4 (0%) | 0 | 0/5 (0%) | 0 |
Diarrhoea | 1/1 (100%) | 1 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 0/4 (0%) | 0 | 0/2 (0%) | 0 | 0/4 (0%) | 0 | 1/5 (20%) | 1 |
General disorders | ||||||||||||||||
Peripheral swelling | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 0/4 (0%) | 0 | 0/2 (0%) | 0 | 0/4 (0%) | 0 | 1/5 (20%) | 1 |
Infections and infestations | ||||||||||||||||
Gastroenteritis | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 1/4 (25%) | 1 | 0/2 (0%) | 0 | 0/4 (0%) | 0 | 0/5 (0%) | 0 |
Pneumonia | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 0/4 (0%) | 0 | 0/2 (0%) | 0 | 0/4 (0%) | 0 | 1/5 (20%) | 1 |
Injury, poisoning and procedural complications | ||||||||||||||||
Infusion related reaction | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 0/4 (0%) | 0 | 0/2 (0%) | 0 | 1/4 (25%) | 1 | 0/5 (0%) | 0 |
Renal and urinary disorders | ||||||||||||||||
Acute kidney injury | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 0/4 (0%) | 0 | 0/2 (0%) | 0 | 0/4 (0%) | 0 | 1/5 (20%) | 1 |
Other (Not Including Serious) Adverse Events |
||||||||||||||||
DLBCL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | DLBCL Non-Bridging: Idasanutlin 200 mg + Obinutuzumab 1000 mg | DLBCL Bridging: Idasanutlin 150 mg + Rituximab 375 mg/m^2 | DLBCL Bridging: Idasanutlin 200 mg + Rituximab 375 mg/m^2 | FL Non-Bridging: Idasanutlin 100 mg + Obinutuzumab 1000 mg | FL Non-Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | FL Bridging: Idasanutlin 150 mg + Obinutuzumab 1000 mg | |||||||||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 1/1 (100%) | 3/3 (100%) | 2/2 (100%) | 3/3 (100%) | 4/4 (100%) | 2/2 (100%) | 4/4 (100%) | 5/5 (100%) | ||||||||
Blood and lymphatic system disorders | ||||||||||||||||
Anaemia | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 2/2 (100%) | 2 | 1/3 (33.3%) | 1 | 0/4 (0%) | 0 | 1/2 (50%) | 2 | 3/4 (75%) | 3 | 2/5 (40%) | 3 |
Leukopenia | 0/1 (0%) | 0 | 2/3 (66.7%) | 3 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 1/4 (25%) | 1 | 0/2 (0%) | 0 | 1/4 (25%) | 2 | 1/5 (20%) | 1 |
Lymphopenia | 0/1 (0%) | 0 | 1/3 (33.3%) | 1 | 0/2 (0%) | 0 | 1/3 (33.3%) | 2 | 0/4 (0%) | 0 | 0/2 (0%) | 0 | 1/4 (25%) | 1 | 1/5 (20%) | 1 |
Neutropenia | 1/1 (100%) | 1 | 0/3 (0%) | 0 | 2/2 (100%) | 3 | 1/3 (33.3%) | 2 | 4/4 (100%) | 4 | 1/2 (50%) | 2 | 3/4 (75%) | 10 | 3/5 (60%) | 4 |
Thrombocytopenia | 1/1 (100%) | 1 | 2/3 (66.7%) | 2 | 2/2 (100%) | 2 | 1/3 (33.3%) | 2 | 2/4 (50%) | 2 | 2/2 (100%) | 2 | 4/4 (100%) | 7 | 4/5 (80%) | 6 |
Cardiac disorders | ||||||||||||||||
Atrial fibrillation | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 0/4 (0%) | 0 | 0/2 (0%) | 0 | 0/4 (0%) | 0 | 1/5 (20%) | 1 |
Tachycardia | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 1/4 (25%) | 3 | 0/2 (0%) | 0 | 0/4 (0%) | 0 | 0/5 (0%) | 0 |
Gastrointestinal disorders | ||||||||||||||||
Diarrhoea | 0/1 (0%) | 0 | 1/3 (33.3%) | 1 | 1/2 (50%) | 2 | 2/3 (66.7%) | 3 | 0/4 (0%) | 0 | 1/2 (50%) | 4 | 3/4 (75%) | 8 | 3/5 (60%) | 5 |
Nausea | 1/1 (100%) | 2 | 1/3 (33.3%) | 1 | 1/2 (50%) | 1 | 2/3 (66.7%) | 2 | 0/4 (0%) | 0 | 2/2 (100%) | 6 | 3/4 (75%) | 8 | 5/5 (100%) | 11 |
Constipation | 0/1 (0%) | 0 | 1/3 (33.3%) | 1 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 1/4 (25%) | 1 | 1/2 (50%) | 1 | 0/4 (0%) | 0 | 2/5 (40%) | 3 |
Gastrointestinal pain | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 0/4 (0%) | 0 | 0/2 (0%) | 0 | 2/4 (50%) | 3 | 0/5 (0%) | 0 |
Abdominal pain | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 0/4 (0%) | 0 | 1/2 (50%) | 1 | 0/4 (0%) | 0 | 0/5 (0%) | 0 |
Anal inflammation | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 0/4 (0%) | 0 | 1/2 (50%) | 1 | 0/4 (0%) | 0 | 0/5 (0%) | 0 |
Dry mouth | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 0/4 (0%) | 0 | 0/2 (0%) | 0 | 0/4 (0%) | 0 | 1/5 (20%) | 1 |
Dyspepsia | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 1/4 (25%) | 1 | 1/2 (50%) | 1 | 0/4 (0%) | 0 | 0/5 (0%) | 0 |
Flatulence | 1/1 (100%) | 1 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 0/4 (0%) | 0 | 0/2 (0%) | 0 | 0/4 (0%) | 0 | 0/5 (0%) | 0 |
Stomatitis | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 0/4 (0%) | 0 | 1/2 (50%) | 1 | 0/4 (0%) | 0 | 0/5 (0%) | 0 |
Vomiting | 0/1 (0%) | 0 | 1/3 (33.3%) | 1 | 1/2 (50%) | 1 | 1/3 (33.3%) | 1 | 0/4 (0%) | 0 | 0/2 (0%) | 0 | 0/4 (0%) | 0 | 3/5 (60%) | 4 |
General disorders | ||||||||||||||||
Chest pain | 0/1 (0%) | 0 | 1/3 (33.3%) | 1 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 1/4 (25%) | 1 | 0/2 (0%) | 0 | 0/4 (0%) | 0 | 0/5 (0%) | 0 |
Fatigue | 1/1 (100%) | 1 | 1/3 (33.3%) | 1 | 1/2 (50%) | 1 | 1/3 (33.3%) | 1 | 0/4 (0%) | 0 | 1/2 (50%) | 1 | 3/4 (75%) | 8 | 1/5 (20%) | 1 |
Oedema | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 1/4 (25%) | 1 | 0/2 (0%) | 0 | 0/4 (0%) | 0 | 0/5 (0%) | 0 |
Oedema peripheral | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 1/4 (25%) | 1 | 0/2 (0%) | 0 | 0/4 (0%) | 0 | 0/5 (0%) | 0 |
Pain | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 0/4 (0%) | 0 | 0/2 (0%) | 0 | 0/4 (0%) | 0 | 1/5 (20%) | 1 |
Pyrexia | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 1/3 (33.3%) | 1 | 2/4 (50%) | 3 | 0/2 (0%) | 0 | 0/4 (0%) | 0 | 0/5 (0%) | 0 |
Infections and infestations | ||||||||||||||||
Clostridium difficile infection | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 1/3 (33.3%) | 2 | 0/4 (0%) | 0 | 0/2 (0%) | 0 | 0/4 (0%) | 0 | 0/5 (0%) | 0 |
Upper respiratory tract infection | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 0/4 (0%) | 0 | 1/2 (50%) | 1 | 1/4 (25%) | 1 | 0/5 (0%) | 0 |
Herpes zoster | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 0/4 (0%) | 0 | 0/2 (0%) | 0 | 1/4 (25%) | 1 | 0/5 (0%) | 0 |
Skin infection | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 0/4 (0%) | 0 | 1/2 (50%) | 1 | 0/4 (0%) | 0 | 0/5 (0%) | 0 |
Chronic sinusitis | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 0/4 (0%) | 0 | 1/2 (50%) | 1 | 0/4 (0%) | 0 | 0/5 (0%) | 0 |
Nasopharyngitis | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 0/4 (0%) | 0 | 0/2 (0%) | 0 | 2/4 (50%) | 2 | 0/5 (0%) | 0 |
Sinusitis | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 0/4 (0%) | 0 | 0/2 (0%) | 0 | 1/4 (25%) | 1 | 1/5 (20%) | 1 |
Injury, poisoning and procedural complications | ||||||||||||||||
Infusion related reaction | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 1/4 (25%) | 1 | 0/2 (0%) | 0 | 1/4 (25%) | 1 | 1/5 (20%) | 1 |
Investigations | ||||||||||||||||
Blood albumin decreased | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 1/4 (25%) | 1 | 0/2 (0%) | 0 | 0/4 (0%) | 0 | 0/5 (0%) | 0 |
Blood bilirubin increased | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 0/4 (0%) | 0 | 0/2 (0%) | 0 | 1/4 (25%) | 1 | 0/5 (0%) | 0 |
Blood lactate dehydrogenase increased | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 1/4 (25%) | 1 | 0/2 (0%) | 0 | 0/4 (0%) | 0 | 0/5 (0%) | 0 |
Haemophilus test positive | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 0/4 (0%) | 0 | 1/2 (50%) | 1 | 0/4 (0%) | 0 | 0/5 (0%) | 0 |
Lipase increased | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 0/4 (0%) | 0 | 1/2 (50%) | 1 | 0/4 (0%) | 0 | 0/5 (0%) | 0 |
Metabolism and nutrition disorders | ||||||||||||||||
Decreased appetite | 0/1 (0%) | 0 | 1/3 (33.3%) | 1 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 1/4 (25%) | 1 | 0/2 (0%) | 0 | 1/4 (25%) | 1 | 1/5 (20%) | 1 |
Dehydration | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 1/3 (33.3%) | 1 | 0/4 (0%) | 0 | 0/2 (0%) | 0 | 0/4 (0%) | 0 | 1/5 (20%) | 1 |
Hypokalaemia | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 1/3 (33.3%) | 1 | 1/4 (25%) | 1 | 1/2 (50%) | 1 | 0/4 (0%) | 0 | 0/5 (0%) | 0 |
Hypomagnesaemia | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 1/3 (33.3%) | 1 | 0/4 (0%) | 0 | 0/2 (0%) | 0 | 0/4 (0%) | 0 | 0/5 (0%) | 0 |
Hypophosphataemia | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 1/4 (25%) | 1 | 0/2 (0%) | 0 | 0/4 (0%) | 0 | 0/5 (0%) | 0 |
Musculoskeletal and connective tissue disorders | ||||||||||||||||
Muscle spasms | 1/1 (100%) | 1 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 0/4 (0%) | 0 | 0/2 (0%) | 0 | 0/4 (0%) | 0 | 0/5 (0%) | 0 |
Musculoskeletal chest pain | 1/1 (100%) | 1 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 0/4 (0%) | 0 | 0/2 (0%) | 0 | 0/4 (0%) | 0 | 0/5 (0%) | 0 |
Arthritis | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 0/4 (0%) | 0 | 0/2 (0%) | 0 | 0/4 (0%) | 0 | 1/5 (20%) | 1 |
Groin pain | 0/1 (0%) | 0 | 1/3 (33.3%) | 1 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 0/4 (0%) | 0 | 0/2 (0%) | 0 | 0/4 (0%) | 0 | 0/5 (0%) | 0 |
Myalgia | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 1/2 (50%) | 1 | 1/3 (33.3%) | 1 | 0/4 (0%) | 0 | 0/2 (0%) | 0 | 0/4 (0%) | 0 | 0/5 (0%) | 0 |
Pain in extremity | 1/1 (100%) | 1 | 1/3 (33.3%) | 1 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 0/4 (0%) | 0 | 0/2 (0%) | 0 | 0/4 (0%) | 0 | 0/5 (0%) | 0 |
Nervous system disorders | ||||||||||||||||
Dizziness | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 2/3 (66.7%) | 2 | 0/4 (0%) | 0 | 0/2 (0%) | 0 | 0/4 (0%) | 0 | 1/5 (20%) | 1 |
Dysgeusia | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 1/3 (33.3%) | 1 | 0/4 (0%) | 0 | 0/2 (0%) | 0 | 0/4 (0%) | 0 | 1/5 (20%) | 1 |
Headache | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 1/3 (33.3%) | 1 | 1/4 (25%) | 1 | 0/2 (0%) | 0 | 0/4 (0%) | 0 | 1/5 (20%) | 1 |
Memory impairment | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 0/4 (0%) | 0 | 1/2 (50%) | 1 | 0/4 (0%) | 0 | 0/5 (0%) | 0 |
Taste disorder | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 0/4 (0%) | 0 | 0/2 (0%) | 0 | 1/4 (25%) | 1 | 0/5 (0%) | 0 |
Trigeminal neuralgia | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 1/4 (25%) | 1 | 0/2 (0%) | 0 | 0/4 (0%) | 0 | 0/5 (0%) | 0 |
Psychiatric disorders | ||||||||||||||||
Depression | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 1/3 (33.3%) | 1 | 0/4 (0%) | 0 | 0/2 (0%) | 0 | 0/4 (0%) | 0 | 0/5 (0%) | 0 |
Respiratory, thoracic and mediastinal disorders | ||||||||||||||||
Cough | 1/1 (100%) | 1 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 0/4 (0%) | 0 | 0/2 (0%) | 0 | 0/4 (0%) | 0 | 2/5 (40%) | 2 |
Dyspnoea exertional | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 0/4 (0%) | 0 | 1/2 (50%) | 1 | 0/4 (0%) | 0 | 0/5 (0%) | 0 |
Nasal congestion | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 0/4 (0%) | 0 | 1/2 (50%) | 1 | 0/4 (0%) | 0 | 1/5 (20%) | 1 |
Rhinitis allergic | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 0/4 (0%) | 0 | 1/2 (50%) | 1 | 0/4 (0%) | 0 | 0/5 (0%) | 0 |
Skin and subcutaneous tissue disorders | ||||||||||||||||
Eczema | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 0/4 (0%) | 0 | 1/2 (50%) | 1 | 0/4 (0%) | 0 | 0/5 (0%) | 0 |
Night sweats | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 1/3 (33.3%) | 1 | 0/4 (0%) | 0 | 0/2 (0%) | 0 | 0/4 (0%) | 0 | 0/5 (0%) | 0 |
Skin ulcer | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 1/4 (25%) | 1 | 0/2 (0%) | 0 | 0/4 (0%) | 0 | 0/5 (0%) | 0 |
Vascular disorders | ||||||||||||||||
Deep vein thrombosis | 0/1 (0%) | 0 | 1/3 (33.3%) | 1 | 0/2 (0%) | 0 | 1/3 (33.3%) | 1 | 0/4 (0%) | 0 | 0/2 (0%) | 0 | 0/4 (0%) | 0 | 0/5 (0%) | 0 |
Hot flush | 0/1 (0%) | 0 | 1/3 (33.3%) | 1 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 0/4 (0%) | 0 | 0/2 (0%) | 0 | 0/4 (0%) | 0 | 0/5 (0%) | 0 |
Hypotension | 0/1 (0%) | 0 | 0/3 (0%) | 0 | 0/2 (0%) | 0 | 0/3 (0%) | 0 | 1/4 (25%) | 1 | 0/2 (0%) | 0 | 0/4 (0%) | 0 | 1/5 (20%) | 1 |
Limitations/Caveats
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-La Roche |
Phone | 800-821-8590 |
genentech@druginfo.com |
- BH29812
- 2015-002100-83