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CTRI Number  CTRI/2012/11/003129 [Registered on: 21/11/2012] Trial Registered Prospectively
Last Modified On: 31/10/2017
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug
Biological 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A clinical trial to study the effects of two Anti-CD20 monoclonal antibodies in combination with CHOP in patients with diffuse large B-cell Lymphoma. 
Scientific Title of Study   A Randomised, Multi-centre, Double-blind, Parallel Group Study to Compare the Pharmacokinetics, Pharmacodynamics, Safety and Efficacy of Two Anti-CD20 Monoclonal Antibodies in Combination with CHOP in Patients with CD20-Positive Diffuse Large B-cell Lymphoma 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
RI-01-002 (Version: 2, 16-Nov-2011)  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Alok Srivastava MD FRACP FRCPA FRCP 
Designation  Head Department of Hematology 
Affiliation  Christian Medical College 
Address  Christian Medical College, IdaScudder Road,

Vellore
TAMIL NADU
632 004
India 
Phone  0416-2282352  
Fax  0416-2226449  
Email  aloks@cmcvellore.ac.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr RashnaCama MD 
Designation  Associate Medical Director 
Affiliation  Quintiles Research (India) Pvt. Ltd. 
Address  Medical Sciences, Drug Development Asia, 301-A-1, Leela Business Park M.V.Road, Andheri (East) Mumbai

Mumbai
MAHARASHTRA
400 059
India 
Phone  022-66774287  
Fax  022-66774343  
Email  Rashna.Cama@quintiles.com  
 
Details of Contact Person
Public Query
 
Name  Devas Seth 
Designation  Project Lead 
Affiliation  Dr. Reddy’s Laboratories Ltd. 
Address  Clinical Development Department, Biologics Development Center, Survey No.47, Bachupally Village, Qutbullapur, R.R. District, A.P.

Rangareddi
ANDHRA PRADESH
500090
India 
Phone  040-44644000  
Fax  040-23041418  
Email  devasseth@drreddys.com  
 
Source of Monetary or Material Support  
Dr. Reddy’s Laboratories Ltd. Biologics Development Center, Survey No.47, Bachupally Village, Qutbullapur, R.R. District, A.P. 500090, India Tel: +91 40 44644000  
 
Primary Sponsor  
Name  Dr Reddys Laboratories Ltd 
Address  Biologics Development Center, Survey No.47, Bachupally Village, Qutbullapur, R.R. District, A.P. 500090, India Tel: +91 40 44644000  
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
Quintiles  Quintiles Technologies (India) Private Limited, 1st Floor, Brigade South Parade, 10 M.G.Road, Bangalore-560001, India Office: + 91 80 6670 9211 Fax: + 91 80 6670 9197  
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 38  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Dipti Rani Samanta  Acharya Harihar Regional Cancer Centre  Acharya Harihar Regional Cancer Centre, Medical Road, Mangalabag, Cuttack-753007, Odisha, India
Cuttack
ORISSA 
0671-2305533
671-2304444
ahrccdirector@gmail.com 
Dr Pavithran Keechilat  Amrita Institute of Medical Sciences and Research Center  Amrita Institute of Medical Sciences and Research Center, Ponekkara P.O., Kochi - 682041, Kerala, India
Ernakulam
KERALA 
04842801234
914842802177
pavithrank@aims.amrita.edu 
Dr Mukul Goyal  Apex Hospital Pvt. Ltd.  Apex Hospital Pvt. Ltd., SP-4 & 6, Malviya Industrial Area, Malviya Nagar, Jaipur -302017, Rajasthan, India
Jaipur
RAJASTHAN 
91-9530370043
91-141-4101244
drmukulgoyal@yahoo.in 
Dr SVSS Prasad  Apollo Hospitals  Apollo Health City, Jubilee Hills, Hyderabad- 500096, Andhra Pradesh, India
Hyderabad
ANDHRA PRADESH 
09848018804

svss.prasad@yahoo.co.in 
Dr Shekar Gowda Patil  Bangalore Institute of Oncology  HCG Towers, #8, P. Kalinga Rao Road, Sampangi Ram Nagar, Bangalore- 560027, Karnataka, India
Bangalore
KARNATAKA 
09341245961

spassociates6@gmail.com 
Dr M V T Krishna Mohan  Basavatarakam Indo American Cancer Hospital and Research Institute  Road No. 14, Banjara Hills, Hyderabad - 500034
Hyderabad
ANDHRA PRADESH 
04023551235

krishna.mvt@gmail.com 
Dr Tanveer M Maksud  Bharat Cancer Hospital & Research Institute  Medical Oncology, Bharat Cancer Hospital & Research Institute, Nirali Memorial Radiation Centre, Managed by Shri Bharatimaya Memorial Foundation, Manav Daya Trust Complex, Surat Bardoli Road, Saroli - 395010, Surat
Surat
GUJARAT 
91-9909918887
91-0261-2641004
tanveermaksud@yahoo.com 
Dr Prashant Ganeshan  Cancer Institute (WIA)  Cancer Institute (WIA),  Dr.  Krishnamurthi Campus, No.38, Sardar Patel Road, Chennai- 600036, India
Chennai
TAMIL NADU 
09444216310

pg1980@gmail.com 
Dr Anu Korula  CMC, Vellore  Department of Hematology, Christian Medical College, IDA Scudder Road, Vellore - 63204, India
Vellore
TAMIL NADU 
0-416-2282352

anukorula@cmcvellore.ac.in 
Dr Neelesh Reddy  Columbia Asia Referral Hospital   Yeshwanthpur,26/1, Brigade gateway, Beside Metro, Malleshwaram West,Bangalore- 560055,Karnataka,India
Bangalore
KARNATAKA 
09620168603

drneelesh@rediffmail.com 
Dr Rajnish Nagarkar  Curie Manavata Cancer Centre  Opp. Mahamarg Bus Stand, Mumbai Naka, Nashik - 422004, India
Nashik
MAHARASHTRA 
09823061929

drraj@manavatacancercentre.com 
Dr Chetan Deshmukh  Deenanath Mangeshkar Hospital & Research Centre  Erandawane, Pune – 411004, Maharashtra, India
Pune
MAHARASHTRA 
09850811449

drchetandeshmukh@gmail.com 
Dr Rajesh Kumar Grover  Delhi State Cancer Institute  Delhi State Cancer Institute, Gate No. 8, GTB Hospital, Dilshad Garden, Delhi – 110095
East
DELHI 
01122110303

dsci.delhi@yahoo.co.in 
Dr Krishnan Srinivasan  Dr. Rai Memorial Centre  No. 562, Century Plaza, Teynampet, Chennai - 600018
Chennai
TAMIL NADU 
04424349594

krishnan_dr@yahoo.com 
Dr Randeep Singh  HCG- SMH- Curie Cancer Centre  #2, Institutional Area, Vikas Marg Extn, Karkardooma, Delhi- 110092, India
East
DELHI 
09582449448

drrandeep@yahoo.co.in 
Dr Sandip Shah  Hemato Oncology Clinic   Vedanta Institute of Medical Sciences, Stadium commerce college Road, Navarangpura
Ahmadabad
GUJARAT 
9824041170

sandeep60@yahoo.com 
Dr Sandip Shah  Hemato Oncology Clinic   Vedanta Institute of Medical Sciences, Stadium commerce college Road, Navarangpura
Ahmadabad
GUJARAT 
9824041170

sandeep60@yahoo.com 
Dr Vijay Ramanan  Jehangir Clinical Development Centre Pvt. Ltd   Jehangir Hospital, 32 Sassoon Road, Pune-411001, Maharashtra, India
Pune
MAHARASHTRA 
09325215471

mvijayr@gmail.com 
Dr Minish Jain  K.E.M. Hospital Research Centre  K.E.M. Hospital Research Centre, Sardar Moodliar Road, Rasta Peth, Pune-411011, Maharashtra, India
Pune
MAHARASHTRA 
09823133390
91-020-26125603
drminishjain@yahoo.co.in 
Dr Nirajkumar Bhatt  Kailash Cancer Hospital & Research Centre  Kailash Cancer Hospital & Research Centre, Muni Seva Ashram, Goraj, Vaghodia, Vadodara – 391760, Gujarat, India
Vadodara
GUJARAT 
91-9925581480
91-2668-268048
medonc12@gmail.com 
Dr V P Gangadharan  Lakeshore Hospital & Research Centre ltd  NH-47 Bypass Maradu, Nettoor P.O, Kochi, Kerala-682040, India
Ernakulam
KERALA 
09847064668

drvpg2003@gmail.com 
Dr A A Ranade   M. M. F. Joshi Hospitals  M. M. F. Joshi Hospitals, Opposite Kamala Nehru Park, Shivajinagar, Pune-411004, India
Pune
MAHARASHTRA 
91-9822036993
91-256-51602
draaranade@yahoo.com 
Dr Nalini Kilara  M.S. Ramaiah Memorial Hospital  New B E L Road, MSRIT Post, Bangalore- 560054, Karnataka, India
Bangalore
KARNATAKA 
09845089482

drnalini.msr@gmail.com 
Dr Poonam Patil  Manipal Hospital  98, HAL Airport Road, Bangalore- 560017, Karnataka, India
Bangalore
KARNATAKA 
09945687185

poonam.patil@manipalhospitals.com 
Dr Shibashish Bhattacharyya  Medical College and Hospitals  Medical College and Hospitals, 88, College Street, Kolkata – 700073, West Bengal, India
Kolkata
WEST BENGAL 
91-9051837235
91-332255-1665
shibashishbhattacharya@gmail.com 
Dr Kasi Viswanathan T  Meenakshi Mission Hospital & Research centre  Meenakshi Mission Hospital & Research centre Lake Area, Melur road, Madurai-625107, Tamilnadu, India
Madurai
TAMIL NADU 
09965606712

kasi.nair@gmail.com 
Dr Sudha Sinha  MNJ Institute of Oncology and Regional Cancer Center  MNJ Institute of Oncology and Regional Cancer Center, Red Hills, Lakadikapul, Hyderabad - 560076
Hyderabad
ANDHRA PRADESH 
08978000874
9140-23391962
dirmnjiorcc@yahoo.com 
Dr Sharat Damodar  Narayana Hrudayalaya Hospitals  #258/A, Bommasandra Industrial Area, Anekal Taluk, Bangalore - 560099
Bangalore
KARNATAKA 
08027835000

drsharat.damodar@gmail.com 
Dr Asis Mukhopadhyay  Netaji Subhash Chandra Bose Cancer Research Institute  16A, Park Lane, Kolkata- 700016, India
Kolkata
WEST BENGAL 
09874210008

asismukhopadhyay65@gmail.com 
Dr Jitender Kumar Singh  S. S. Hospital and Research Centre  S. S. Hospital and Research Centre, Doctor’s Colony (Malahi Pakri Chowk), Kankarbagh, Patna- 800020, Bihar, India
Patna
BIHAR 
0612-3203669
91-612-2353097
drjksingh147@hotmail.com 
Dr Shashikant Apte  Sahyadri Speciality Hospital  Sahyadri Speciality Hospital, 30 C, Erandawane, Karve Road, Pune - 411004, Maharashtra, India
Pune
MAHARASHTRA 
91-9822404983
91-20-25459315
shashikant.apte@gmail.com 
Dr Shailesh Bondarde  Shatabdi Super Speciality Hospital  Suyojit City Centre, Opp. Mahamarg Bus Stand, Mumbai Naka, Nashik – 422005
Nashik
MAHARASHTRA 
09822012427

shaileshbondarde1971@gmail.com 
Dr Suresh Sudalaiandi  Sri Ramachandra Medical Centre  Medical Oncology, Ramachandra Innovis, A Division of Ramachandra Medical Centre, Sri Ramachandra University Campus, No. 1 Ramachandra Nagar Porur, Chennai - 600116
Chennai
TAMIL NADU 
09841217666

drsureshonco@gmail.com 
Dr Rajendersingh Arora  Sujan Surgical Cancer Hospital & Amravati Cancer Foundation  Sujan Surgical Cancer Hospital & Amravati Cancer Foundation, 52/B, Shankar Nagar Main Road, Amravati 444606, Maharashtra, India
Amravati
MAHARASHTRA 
91-9823097573
91-721-2578568
rsaroradr@gmail.com 
Dr Reena Nair  Tata Medical Centre  Tata Medical Centre Room No. A1 29, First Floor Kolkata, West Bengal 700156 India"
Kolkata
WEST BENGAL 
03366057212

reenanair@gmail.com 
Dr Bhausaheb Bagal  Tata Memorial Hospital  Tata Memorial Hospital, Dr. ernest Borges Marg, Parel, Mumbai-400012
Mumbai
MAHARASHTRA 
022-24177000
91-22-27405153
bagalbp@gmail.com 
Dr Hari Menon  Tata Memorial Hospital  Tata Memorial Hospital Dr. E. Borges Marg Mumbai, Maharashtra 400012 India
Mumbai
MAHARASHTRA 
02224177210

vadakepat68@yahoo.co.in 
Dr Subramanian Sundaram  V. S. Hospital  #13,East Spurtank Road, Chetpet, Chennai – 600031 Tamil Nadu, India
Chennai
TAMIL NADU 
09444076494

clinicalresearch.vsh@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 27  
Name of Committee  Approval Status 
Central Ethics Committee of HCG group of Hospitals  Approved 
Central Ethics Committee of HCG group of Hospitals  Approved 
Delhi State Cancer Institute Institutional Ethics Committee, Delhi State Cancer Institute  Approved 
Ethical Review Board  Approved 
Ethics Committee  Approved 
Ethics Committee  Approved 
Ethics Committee  Approved 
Ethics Committee  Approved 
Ethics Committee of Manipal Hospitals  Approved 
Ethics Committee on Clinical Trials, Indraprashtha Apollo Hospitals  Approved 
Human Research Ethics Committee  Approved 
Institutional Ethical Review Board  Approved 
Institutional Ethics Committee  Submittted/Under Review 
Institutional Ethics Committee  Submittted/Under Review 
Institutional Ethics Committee  Approved 
Institutional Ethics Committee  Approved 
Institutional Ethics Committee  Approved 
Institutional Ethics Committee (Dr. RMMC-IEC)  Approved 
Institutional Ethics Committee, Basavatarakam Indo-American Cancer Hospital & Research Institute  Approved 
Institutional Ethics Committee, CMC Ludhiana  Approved 
Institutional Review board, Christian Medical college,   Approved 
Jehangir Clinical Development Centre Institutional Review Board  Approved 
Lakeshore Ethics Committee  Approved 
Manavata Clinical Research Institute  Approved 
Narayana Hrudayalaya Medical Ethics Committee  Approved 
Nightingale Ethics Committee  Approved 
Shatabdi Hospital Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Diffuse LargeB-cellLymphoma ,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  DRL-rituximab (Redituxâ„¢)(500 mg and 100 mg)   Dose: 375 mg/m2, Frequency duration: 6 cycles with CHOP (each cycle of 21 days duration), Route of Administration: Intravenous infusion 
Comparator Agent  MabThera®(500 mg and 100 mg)  Dose: 375 mg/m2, Frequency duration: 6 cycles with CHOP (each cycle of 21 days duration), Route of Administration: Intravenous infusion 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1. Adult male or female patients 18 to 60 years of age (both inclusive), with histologically confirmed CD20+ diffuse large B-cell lymphoma.
2. Eastern Cooperative Oncology Group (ECOG, also referred to as Zubrod) performance status of 0, 1, or 2
3. Stage II, III, or IV by the Ann Arborclassification (Cotswold modification)
4. Adequate liver and renal function
5. Ability to comply with all study requirements
6. Signed and dated informed consent
 
 
ExclusionCriteria 
Details  1. Diffuse large B-cell lymphoma that is primary CNS, effusional, or intravascular according to the WHO, 2008 classification
2. Diffuse lymphoma for which CHOP is not adequate therapy
3. Bulky Disease
4. Any CNS involvement by lymphoma
5. Severe active infection
6. Pregnant or lactating women or women trying to become pregnant during the study
 
 
Method of Generating Random Sequence   Stratified randomization 
Method of Concealment   Centralized 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
To evaluate the PK equivalence of two anti CD-20 antibodies [DRL-rituximab(Redituxâ„¢)and MabThera®]  3 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
To assess the objective response rate (ORR) at 6 cycles as defined by Revised Response Criteria for Malignant Lymphoma (Cheson, 2007)  18 weeks 
 
Target Sample Size   Total Sample Size="190"
Sample Size from India="190" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="0" 
Phase of Trial   N/A 
Date of First Enrollment (India)   21/11/2012 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="3"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   None yet 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary   This study is a multi-centre, double-blind, parallel group, randomised comparative study of the pharmacokinetics,pharmacodynamics, safety and efficacy  ofDRL-rituximab (Redituxâ„¢)and MabThera®.  All study patients will also be administered cyclical combination chemotherapy (cyclophosphamide, doxorubicin, vincristine and prednisolone [CHOP]) which represents the standard of care for the disease condition.  The disease condition will be monitored at standard intervals and patients requiring alternative therapy for any reason will be promptly removed from the study. 
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