Clinical trial · Interventional
Compare Efficacy, Safety, and Immunogenicity of Proposed Rituximab Biosimilar (DRL_RI) With MabThera® in LTB Follicular Lymphoma
A Double-blind, Parallel-group, Phase III Study to Compare the Efficacy, Safety, and Immunogenicity of Proposed Rituximab Biosimilar (DRL_RI) With MabThera® in Subjects With Previously Untreated (CD)20-Positive LTB Follicular Lymphoma
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
The primary objective of the current study is to demonstrate the equivalent efficacy of rituximab (DRL\_RI) and MabThera® in subjects with Low Tumor Burden Follicular Lymphoma (LTB-FL). Also evaluated by Pharmacokinetic, safety, and immunogenicity assessment between a proposed biosimilar (DRL\_RI) and the RMP, as an component of clinical study program, and collectively providing the evidence of biosimilarity. The study will compare the safety and efficacy of DRL\_RI vs MabThera in patients with Low Tumor Burden Follicular Lymphoma (LTB-FL). The primary objective is to establish comparative efficacy as measured by ORR up to week 28
Conditions
Conditions (1)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Follicular Lymphoma | Follicular Lymphoma | ONTOLOGY_EXACT | 0.98 |
Interventions
Interventions (2)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| DRL_RI (Proposed rituximab biosimilar) | Biological | — | UNRESOLVED |
| MabThera® | Other | — | UNRESOLVED |
Design
Arms and outcomes
Arms (2)
- type
- EXPERIMENTAL
- label
- Arm A: DRL_RI
- description
- DRL\_RI (rituximab-Dr. Reddy's Lab) for infusion 375 mg/m2 administered via IV infusion on Days 1, 8, 15, 22 and Weeks 12, 20, 28 and 36
- interventionNames
- Biological: DRL_RI (Proposed rituximab biosimilar)
- type
- ACTIVE_COMPARATOR
- label
- Arm B: MabThera®
- description
- MabThera® for infusion 375 mg/m2 administered via IV infusion on Days 1, 8, 15, 22 and Week 12, 20, 28 and 36.
- interventionNames
- Other: MabThera®
Primary outcomes (1)
- measure
- Best Overall Response Rate (BORR) for Low Tumor Burden Follicular Lymphoma
- timeFrame
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion Criteria: 1. Subject is Male or female subjects aged ≥18 years of age. 2. Subject is histologically confirmed, Grade 1-3a, previous ly untreated, CD20-pos itive. 3. Subject has Ann Arbor Stage II to IV and ECOG status of 0 to 1. 4. Subject has Low tumor burden follicular lymphoma as per Groupe d'Etude des Lymphomes Folliculaires (GELF) Criteria 5. Subject has at least 1 measurable tumor mass in 2 dimensions, and the mass must be: 1. Nodal lesion \>15 mm in the longest dimension; or 2. Noda l lesion \>10 mm to he longest dimension; dimens ion and \>10 mm in the shortest dimension; or 3. Extra-nodal lesion with both long and short dimensions ≥10 mm. 6. Subject has Life expectancy ≥3 months. 7. If female subject, then subject should be non-pregnant, non-lactating. Exclusion Criteria: 1. Subject with prior use of rituximab or any CD20 monoclonal antibody for any reason. 2. Subjects with known hypersensitivity to rituximab or its excipients, or to proteins of murine or other foreign origin. 3. Any prior therapy for follicular lymphoma (including but not limited to chemotherapy, radiotherapy) or subjects on chronic supra-substitutive doses of systemic gluco-corticosteriods. 4. Subjects who, in the opinion of the Investigator, require additional concomitant treatment for lymphoma. 5. Evidence of histologic transformation to high grade lymphoma or diffuse large B-cell lymphoma. 6. Subjects with known sero-positivity for or history of active viral infection with human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg) will be excluded. And if positive for hepatitis B core antibody or hepatitis C virus (HCV) antibody can only be enrolled if HBV - DNA level \<20 IU/mL (or 112 copies/mL) and HCV - RNA is negative respectively by PCR test.. 7. Subjects who have received a live vaccine within last 3 months of the first administration of study drug. 8. Subjects with history or presence of a medical condition or disease that in the Investigator's opinion would place the subject at an unacceptable risk for study participation. 9. Participation in any clinical study or having taken any investigational therapy (within 2-months of the first dose of study drug. 10. Women of childbearing potential who do not consent to use highly effective methods of birth control.
References
Publications (1)
- DERIVEDMaharaj N, Uppada DR, Eswaraiah A, Kakkattu R, Reddy P, Kalenik VA, Belada D, Ramos AO, Kim JS, Baranau YV. Efficacy and safety of rituximab biosimilar (DRL_RI) versus MabThera(R) in low-tumor-burden follicular lymphoma: the FLINTER study. Ther Adv Med Oncol. 2025 May 24;17:17588359251339925. doi: 10.1177/17588359251339925. eCollection 2025. PMID 40421128