Public Area
[Participating Groups]  [List of Hospitals]  [Protocol Outline]  [Flow-Chart]  [Randomisation]  [History] 

MabThera International Trial - MInT

Protocol Outline

SPONSOR: Hoffmann-La Roche AG, Basel
PROJECT PHASE: IIIb
INDICATION: Untreated diffuse large B-cell non-Hodgkin's lymphoma
OBJECTIVES: To determine the safety and the efficacy of Rituximab antibody in patients with diffuse large B-cell non-Hodkin's lymphoma in combination with a standard CHOP-like chemotherapy regimen
STUDY DESIGN: Phase-III, multicentre (intergroup)open-label, randomised trial
PLANNED SAMPLE SIZE: 820 patients
NUMBER OF CENTERS: Participating centres of the national cooperative groups which have been registered according to local government rules and have had the CRO initiation visit
PATIENT SELECTION

CRITERIA:

Male or female adult patients aged 18 to 60 years with untreated CD20-positive diffuse large B-cell non-Hodgkin´s lymphoma
STUDY MEDICATION: Rituximab vials of 500 mg and 100 mg. The antibody will be given at a dosage of 375 mg/m2 i.v. every three weeks immediately preceding the CHOP-like chemotherapy regimen.
COMPARATOR: CHOP-like chemotherapy without rituximab
MAIN PARAMETERS OF EFFICACY: TTTF (time to treatment failure): primary end point; secondary end points: complete remission rate, survival, tumour control, disease-free survival, progression rate.
MAIN PARAMETERS OF SAFETY: Adverse events, serious adverse events.
STUDY PROCEDURE: Patients are randomly assigned to receive CHOP-like chemotherapy with or without the anti-CD20 antibody Rituximab. Patients with primary bulky disease or extranodal involvement are eligible to receive additional involved-field radiotherapy with 30-40  Gy to these areas .
STATISTICAL ANALYSIS: The two treatment arms will be compared  for time to treatment failure (TTTF) by log-rank test. 
DURATION OF THE STUDY The trial will start in March 2000. Based on an expected recruitment of 400 patients per year, 820 patients will be randomised within a period of approx. two years. The minimum follow-up time after the end of the recruitment period will be 3 years, with a total study period of 5 years.