Sarah Cannon Research Institute, Nashville, TN
Ian Flinn , Richard H. C. Van Der Jagt , Brad S. Kahl , Peter Wood , Tim E. Hawkins , David MacDonald , Mark Hertzberg , Yiu-Lam Kwan , David Simpson , Michael Craig , Kathryn S. Kolibaba , Samar Issa , Regina Clementi , Doreen M. Hallman , Mihaela C. Munteanu , Ling Chen , John M. Burke
Background: BR was previously reported to be statistically noninferior to R-CVP/R-CHOP for complete response rate in the treatment of patients with indolent NHL or MCL. Evaluation of time-to-event outcomes is immature. This subanalysis reports response by histology. Methods: Indolent NHL or MCL was histologically confirmed <6 months before study enrollment in patients who were therapy-naïve. Patients were stratified according to predetermined standard treatment (R-CHOP or RECVP) and lymphoma type, then assigned to receive BR (28-day cycles: bendamustine 90 mg/m2 on days 1 and 2, rituximab 375 mg/m2on day 1) or standard treatment (21-day cycles at standard doses) for 6-8 cycles. Responses were assessed by a blinded independent review committee. The primary efficacy measure was noninferiority of BR complete response (CR) rate for evaluable patients with ≥1 postbaseline efficacy assessment. If the noninferiority threshold was met, superiority was assessed. Secondary measures included tolerability. Results: Of 447 patients enrolled in the study, 213 receiving BR and 206 receiving R-CHOP/R-CVP were evaluable with postbaseline data (Table). BR achieved a statistically noninferior CR rate compared with R-CHOP/R-CVP in patients with indolent NHL and MCL. Conclusions: In patients with treatment-naïve indolent NHL and MCL, BR achieved the primary endpoint of noninferior CR rate. Most CR rates were numerically, but not significantly, higher with BR. Small subgroup results should be interpreted with caution. Support: Teva BPP R&D, Inc. Clinical trial information: NCT00877006.
n/N (%) | CR |
CR + partial response |
|||
---|---|---|---|---|---|
BR | R-CHOP/R-CVP | CR ratio [95% CI] | BR | R-CHOP/R-CVP | |
Indolent NHL | 49/178 (28) | 43/174 (25) | 1.11 [0.78, 1.59] | 173/178 (97) | 160/174 (92) |
Follicular | 45/148 (30) | 37/149 (25) | 1.23 [0.85, 1.78] | 147/148 (>99) | 140/149 (94) |
Lymphoplasmacytic | 0/5 | 1/6 (17) | 0.39 [0.02, 7.88] | 3/5 (60) | 6/6 (100) |
Marginal zone | 5/25 (20) | 4/17 (24) | 0.84 [0.26, 2.66] | 23/25 (92) | 12/17 (71) |
MCL | 17/34 (50) | 9/33 (27)* | 1.76 [0.91, 3.42] | 32/34 (94) | 28/33 (85)* |
* R-CHOP, n = 22.
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Abstract Disclosures
2017 ASCO Annual Meeting
First Author: Ian Flinn
2013 ASCO Annual Meeting
First Author: David MacDonald
2024 ASCO Gastrointestinal Cancers Symposium
First Author: Richard S. Finn
2023 ASCO Annual Meeting
First Author: Laurie Helen Sehn