dc.contributor.author | Townsend, W | |
dc.contributor.author | Hiddemann, W | |
dc.contributor.author | Buske, C | |
dc.contributor.author | Cartron, G | |
dc.contributor.author | Cunningham, D | |
dc.contributor.author | Dyer, MJS | |
dc.contributor.author | Gribben, JG | |
dc.contributor.author | Phillips, EH | |
dc.contributor.author | Dreyling, M | |
dc.contributor.author | Seymour, JF | |
dc.contributor.author | Grigg, A | |
dc.contributor.author | Trotman, J | |
dc.contributor.author | Lin, T-Y | |
dc.contributor.author | Hong, X-N | |
dc.contributor.author | Kingbiel, D | |
dc.contributor.author | Nielsen, TG | |
dc.contributor.author | Knapp, A | |
dc.contributor.author | Herold, M | |
dc.contributor.author | Marcus, R | |
dc.coverage.spatial | United States | |
dc.date.accessioned | 2023-09-26T09:23:30Z | |
dc.date.available | 2023-09-26T09:23:30Z | |
dc.date.issued | 2023-07-01 | |
dc.identifier | ARTN e919 | |
dc.identifier.citation | HemaSphere, 2023, 7 (7), pp. e919 - | en_US |
dc.identifier.issn | 2572-9241 | |
dc.identifier.uri | https://repository.icr.ac.uk/handle/internal/5986 | |
dc.identifier.eissn | 2572-9241 | |
dc.identifier.eissn | 2572-9241 | |
dc.identifier.doi | 10.1097/HS9.0000000000000919 | |
dc.description.abstract | The phase III GALLIUM trial assessed the safety and efficacy of obinutuzumab-based versus rituximab-based immunochemotherapy in patients with previously untreated follicular lymphoma (FL) or marginal zone lymphoma (MZL). At the primary analysis, the trial met its primary end point, demonstrating improvement in investigator-assessed progression-free survival (PFS) with obinutuzumab-based versus rituximab-based immunochemotherapy in patients with FL. We report the results of the final analysis in the FL population, with an additional exploratory analysis in the MZL subgroup. Overall, 1202 patients with FL were randomized 1:1 to obinutuzumab- or rituximab-based immunochemotherapy followed by maintenance with the same antibody for up to 2 years. After a median 7.9 (range, 0.0-9.8) years of follow-up, PFS remained improved with obinutuzumab- versus rituximab-based immunochemotherapy, with 7-year PFS rates of 63.4% versus 55.7% (P = 0.006). Time-to-next antilymphoma treatment was also improved (74.1% versus 65.4% of patients had not started their next antilymphoma treatment at 7 y; P = 0.001). Overall survival was similar between the arms (88.5% versus 87.2%; P = 0.36). Irrespective of the treatment received, PFS and OS were higher in patients with a complete molecular response (CMR) versus those with no CMR (P < 0.001). Serious adverse events were reported in 48.9% and 43.4% of patients in the obinutuzumab and rituximab arms, respectively; there was no difference in the rate of fatal adverse events (4.4% and 4.5%, respectively). No new safety signals were reported. These data demonstrate the long-term benefit of obinutuzumab-based immunochemotherapy and confirm its role as a standard-of-care for the first-line treatment of advanced-stage FL, taking into account patient characteristics and safety considerations. | |
dc.format | Electronic-eCollection | |
dc.format.extent | e919 - | |
dc.language | eng | |
dc.language.iso | eng | en_US |
dc.publisher | LIPPINCOTT WILLIAMS & WILKINS | en_US |
dc.relation.ispartof | HemaSphere | |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | en_US |
dc.subject | Science & Technology | |
dc.subject | Life Sciences & Biomedicine | |
dc.subject | Hematology | |
dc.subject | FOLLICULAR LYMPHOMA | |
dc.subject | RESPONSE ASSESSMENT | |
dc.subject | RISK-FACTORS | |
dc.subject | R-CVP | |
dc.subject | CYCLOPHOSPHAMIDE | |
dc.subject | VINCRISTINE | |
dc.subject | PREDNISONE | |
dc.subject | SURVIVAL | |
dc.subject | OUTCOMES | |
dc.subject | TRANSFORMATION | |
dc.title | Obinutuzumab Versus Rituximab Immunochemotherapy in Previously Untreated iNHL: Final Results From the GALLIUM Study. | en_US |
dc.type | Journal Article | |
dcterms.dateAccepted | 2023-05-19 | |
dc.date.updated | 2023-09-26T09:22:58Z | |
rioxxterms.version | VoR | en_US |
rioxxterms.versionofrecord | 10.1097/HS9.0000000000000919 | en_US |
rioxxterms.licenseref.startdate | 2023-07-01 | |
rioxxterms.type | Journal Article/Review | en_US |
pubs.author-url | https://www.ncbi.nlm.nih.gov/pubmed/37404773 | |
pubs.issue | 7 | |
pubs.organisational-group | ICR | |
pubs.organisational-group | ICR/Primary Group | |
pubs.organisational-group | ICR/Primary Group/ICR Divisions | |
pubs.organisational-group | ICR/Primary Group/ICR Divisions/Clinical Studies | |
pubs.organisational-group | ICR/Primary Group/ICR Divisions/Clinical Studies/Medicine (RMH Smith Cunningham) | |
pubs.organisational-group | ICR/Primary Group/Royal Marsden Clinical Units | |
pubs.organisational-group | ICR/Primary Group/ICR Divisions/Clinical Studies/Medicine (RMH Smith Cunningham)/Medicine (RMH Smith Cunningham) (hon.) | |
pubs.publication-status | Published online | |
pubs.publisher-url | http://dx.doi.org/10.1097/hs9.0000000000000919 | |
pubs.volume | 7 | |
icr.researchteam | Medicine (RMH) | en_US |
dc.contributor.icrauthor | Cunningham, David | |
icr.provenance | Deposited by Mr Arek Surman on 2023-09-26. Deposit type is initial. No. of files: 1. Files: Obinutuzumab Versus Rituximab Immunochemotherapy in Previously Untreated iNHL Final Results From the GALLIUM Study.pdf | |