Journal article
Rituximab Anti-CD20 Monoclonal Antibody Therapy in Non-Hodgkin’s Lymphoma: Safety and Efficacy of Re-Treatment
Journal of clinical oncology, Vol.18(17), pp.3135-3143
09/17/2000
DOI: 10.1200/JCO.2000.18.17.3135
PMID: 10963642
Abstract
PURPOSE: This phase II trial investigated the safety and efficacy of re-treatment with rituximab, a chimeric anti-CD20 monoclonal antibody, in patients with low-grade or follicular non-Hodgkin’s lymphoma who relapsed after a response to rituximab therapy. PATIENTS AND METHODS: Fifty-eight patients were enrolled onto this study, and two were re-treated within the study. Patients received an intravenous infusion of 375 mg/m2 of rituximab weekly for 4 weeks. All patients had at least two prior therapies and had received at least one prior course of rituximab, with a median interval of 14.5 months between rituximab courses. RESULTS: Most adverse experiences (AEs) were transient grade 1 or 2 events occurring during the treatment period. Clinically significant myelosuppression was not observed; hematologic toxicity was generally mild and reversible. No patient developed human antichimeric antibodies after treatment. The type, frequency, and severity of AEs in this study were not apparently different from those reported in the phase III trial of rituximab. The overall response rate in 57 assessable patients was 40% (11% complete response and 30% partial responses). Median time to progression (TTP) in responders and median duration of response (DR) have not been reached, but Kaplan-Meier estimated medians are 17.8 months (range, 5.4+ to 26.6 months) and 16.3 months (range, 3.7+ to 25.1 months), respectively. These estimated medians are longer than the medians achieved in the patients’ prior course of rituximab (TTP and DR of 12.4 and 9.8 months, respectively, P > .1) and in a previously reported phase III trial (TTP in responders and DR of 13.2 and 11.6 months, respectively). Responses are ongoing in seven of 23 responders. CONCLUSION: In this re-treatment population, safety and efficacy were not apparently different from those after initial rituximab exposure.
Details
- Title: Subtitle
- Rituximab Anti-CD20 Monoclonal Antibody Therapy in Non-Hodgkin’s Lymphoma: Safety and Efficacy of Re-Treatment
- Creators
- Thomas A Davis - From the Stanford University, Stanford; IDEC Pharmaceuticals Corp, San Diego, CA; University of Texas M.D. Anderson Cancer Center, Houston, TX; Roswell Park Cancer Center, Buffalo, NY; University of Iowa, Iowa City, IA; and Fred Hutchinson Cancer Research Center, Seattle, WAAntonio J Grillo-López - From the Stanford University, Stanford; IDEC Pharmaceuticals Corp, San Diego, CA; University of Texas M.D. Anderson Cancer Center, Houston, TX; Roswell Park Cancer Center, Buffalo, NY; University of Iowa, Iowa City, IA; and Fred Hutchinson Cancer Research Center, Seattle, WAChristine A White - From the Stanford University, Stanford; IDEC Pharmaceuticals Corp, San Diego, CA; University of Texas M.D. Anderson Cancer Center, Houston, TX; Roswell Park Cancer Center, Buffalo, NY; University of Iowa, Iowa City, IA; and Fred Hutchinson Cancer Research Center, Seattle, WAPeter McLaughlin - From the Stanford University, Stanford; IDEC Pharmaceuticals Corp, San Diego, CA; University of Texas M.D. Anderson Cancer Center, Houston, TX; Roswell Park Cancer Center, Buffalo, NY; University of Iowa, Iowa City, IA; and Fred Hutchinson Cancer Research Center, Seattle, WAMyron S Czuczman - From the Stanford University, Stanford; IDEC Pharmaceuticals Corp, San Diego, CA; University of Texas M.D. Anderson Cancer Center, Houston, TX; Roswell Park Cancer Center, Buffalo, NY; University of Iowa, Iowa City, IA; and Fred Hutchinson Cancer Research Center, Seattle, WABrian K Link - From the Stanford University, Stanford; IDEC Pharmaceuticals Corp, San Diego, CA; University of Texas M.D. Anderson Cancer Center, Houston, TX; Roswell Park Cancer Center, Buffalo, NY; University of Iowa, Iowa City, IA; and Fred Hutchinson Cancer Research Center, Seattle, WADavid G Maloney - From the Stanford University, Stanford; IDEC Pharmaceuticals Corp, San Diego, CA; University of Texas M.D. Anderson Cancer Center, Houston, TX; Roswell Park Cancer Center, Buffalo, NY; University of Iowa, Iowa City, IA; and Fred Hutchinson Cancer Research Center, Seattle, WARobin L Weaver - From the Stanford University, Stanford; IDEC Pharmaceuticals Corp, San Diego, CA; University of Texas M.D. Anderson Cancer Center, Houston, TX; Roswell Park Cancer Center, Buffalo, NY; University of Iowa, Iowa City, IA; and Fred Hutchinson Cancer Research Center, Seattle, WAJay Rosenberg - From the Stanford University, Stanford; IDEC Pharmaceuticals Corp, San Diego, CA; University of Texas M.D. Anderson Cancer Center, Houston, TX; Roswell Park Cancer Center, Buffalo, NY; University of Iowa, Iowa City, IA; and Fred Hutchinson Cancer Research Center, Seattle, WARonald Levy - From the Stanford University, Stanford; IDEC Pharmaceuticals Corp, San Diego, CA; University of Texas M.D. Anderson Cancer Center, Houston, TX; Roswell Park Cancer Center, Buffalo, NY; University of Iowa, Iowa City, IA; and Fred Hutchinson Cancer Research Center, Seattle, WA
- Resource Type
- Journal article
- Publication Details
- Journal of clinical oncology, Vol.18(17), pp.3135-3143
- DOI
- 10.1200/JCO.2000.18.17.3135
- PMID
- 10963642
- ISSN
- 0732-183X
- eISSN
- 1527-7755
- Language
- English
- Date published
- 09/17/2000
- Academic Unit
- Hematology, Oncology, and Blood & Marrow Transplantation; Internal Medicine
- Record Identifier
- 9984094618502771
Metrics
12 Record Views