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1125 Long-Term Efficacy and Safety (27 months) of the Biosimilar CT-P10 in Patients with Low Tumor Burden Follicular Lymphoma

Program: Oral and Poster Abstracts
Session: 623. Mantle Cell, Follicular, and Other Indolent B-Cell Lymphoma—Clinical Studies: Poster I
Hematology Disease Topics & Pathways:
Follicular Lymphoma, Diseases, Non-Hodgkin Lymphoma, Lymphoid Malignancies
Saturday, December 5, 2020, 7:00 AM-3:30 PM

Larry W. Kwak, MD, PhD1, Juan Manuel Sancho, MD, PhD2*, Seok-Goo Cho, M.D., Ph.D.3,4*, Hideyuki Nakazawa, MD, PhD5*, Junji Suzumiya, MD, PhD6, Gayane Tumyan7*, Jin Seok Kim, MD, PhD8*, Tobias F Menne, MD, PhD, FRCPath9*, Jose Mario Mariz10, Nikolai Ilyin, DMSc, MD, PhD11*, Wojciech Jurczak, MD, PhD12, Aurelio Lopez Martínez, MD13*, Olga Samoilova, MD14*, Edvard Zhavrid, MD, PhD15*, Eduardo Yanez Ruiz, MD16*, Marek Trneny, MD, prof17, Leslie L. Popplewell, MD, FRCPA18, Michinori Ogura, MD, PhD19, Won Seog Kim, MD, PhD20*, Sang Joon Lee, PhD21*, Sung Hyun Kim, PhD22*, Keum Young Ahn, PhD22* and Christian Buske, MD23

1Deputy Director, City of Hope Comprehensive Cancer Center, Duarte, CA
2Hematology Department, Hospital Germans Trias i Pujol / ICO-IJC, Pamplona, Spain
3Department of Hematology, Catholic Blood and Marrow Transplantation Center, Seoul St. Mary’s Hospital, The Catholic University of Korea, Seoul, Korea, Republic of (South)
4Department of Haematology, Catholic Blood and Marrow Transplantation Center, Seoul St. Mary’s Hospital, The Catholic University of Korea, Seoul, Korea, Republic of (South)
5Department of Hematology, Shinshu University School of Medicine, Matsumoto, Japan
6Department of Oncology and Hematology, Shimane University Hospital, Izumo, Japan
7N.N.Blokhin Russian Cancer Research Center, Moscow, Russian Federation
8Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea, Republic of (South)
9Northern Institute for Cancer Care, Newcastle University, Newcastle-upon-Tyne, United Kingdom
10Department of Onco-Hematology, Portuguese Institute of Oncology, Porto, Portugal
11Russian Research Center for Radiology and Surgical Technologies, Ministry of Health of the Russian Federation, St. Petersburg, Russian Federation
12Department of Hematology, Maria Sklodowska-Curie National Institute of Oncology, Krakow, Poland
13Department of Hematology, Hospital Arnau de Vilanova, Valencia, Spain
14Department of Hematology, Nizhniy Novgorod Region Clinical Hospital, Nizhniy Novgorod, Russian Federation
15N N Alexandrov Republican Scientific and Practical Centre of Oncology and Medical Radiology, Minsk, Belarus
16Universidad de la Frontera, Temuco, Chile
17First Dept. of Medicine- Hematology, Charles University General Hospital and First Faculty of Medicine, Praha 2, Czech Republic
18City of Hope Medical Center, Duarte, CA
19Department of Hematology and Oncology, Kasugai Municipal Hospital, Konan, Japan
20Hematology and Oncology, Department of Medicine, Samsung Medical Center, Seoul, Korea, Republic of (South)
21Celltrion, Inc., Incheon, Korea, Republic of (South)
22Clinical Planning Department, Celltrion, Inc., Incheon, Korea, Republic of (South)
23Comprehensive Cancer Center Ulm, Ulm, Germany

We assessed long-term safety and efficacy of CT-P10 and rituximab in patients with newly diagnosed low-tumour-burden follicular lymphoma (LTBFL), and following a single transition from rituximab to CT-P10.

This double-blind, parallel-group, active-controlled phase 3 trial randomized patients with CD20+ LTBFL to receive CT-P10 or US-sourced rituximab (375 mg/m2 intravenous). Induction therapy (weekly for 4 cycles) was followed by a 2-year maintenance period for patients achieving disease control (CR, CRu, PR and SD). During the maintenance, CT-P10 or rituximab were administered every 8 weeks (6 cycles) in the first year and additional CT-P10 was administered every 8 weeks (6 cycles) in the second year. Secondary endpoints (reported here) were overall response rate during the study period, progression-free survival, time-to-progression, and overall survival. Safety and immunogenicity were also evaluated over the study period.

Between Nov 9, 2015 and Jan 4, 2018, 258 patients were randomised (130 CT-P10; 128 rituximab). Over the study period, 115 (88%; CT-P10) and 111 (87%; rituximab) patients achieved overall response. At a median follow-up of 29·2 months (IQR: 26·1–33·7), median progression-free survival, time-to-progression, and overall survival were not estimable. The KM estimates (95% CI) for OS at 36 months were 98% (93–99) and 97% (89–99) in the CT-P10 and rituximab groups, respectively. Corresponding values for PFS were 80% (70–87) and 68% (54–79), while results for TTP were 82% (72–88) and 68% (54–79) in the CT-P10 and rituximab groups, respectively. (Figure A. OS; Figure B. PFS and Figure C. TTP)

Over the study period, 114 (88%) and 104 (81%) patients in the CT-P10 and rituximab groups, respectively, experienced at least one treatment-emergent adverse event (TEAE) and 14 (11%) patients in each group experienced TE-serious adverse events (TESAEs). There were no unexpected safety findings observed during the second year of the maintenance period after single transition from rituximab to CT-P10.

Disclosures: Kwak: Theratest: Current equity holder in private company; Celltrion Healthcare: Membership on an entity's Board of Directors or advisory committees; Celltrion, Inc.: Consultancy; Pepromene Bio: Consultancy, Current equity holder in private company, Membership on an entity's Board of Directors or advisory committees; Antigenics: Other: equity; InnoLifes, Inc: Consultancy, Current equity holder in private company, Membership on an entity's Board of Directors or advisory committees; Enzychem Life Sciences: Membership on an entity's Board of Directors or advisory committees; Sellas Life Sciences Grp: Consultancy; CJ Healthcare: Consultancy. Sancho: Novartis: Honoraria, Membership on an entity's Board of Directors or advisory committees; Gilead: Honoraria, Membership on an entity's Board of Directors or advisory committees; Takeda: Honoraria; Gelgene: Honoraria, Membership on an entity's Board of Directors or advisory committees; Janssen: Honoraria, Membership on an entity's Board of Directors or advisory committees; Roche: Honoraria, Membership on an entity's Board of Directors or advisory committees. Kim: Alexion Pharmaceuticals Inc.: Honoraria, Research Funding. Menne: Amgen: Honoraria, Membership on an entity's Board of Directors or advisory committees; Kite/Gilead: Honoraria, Speakers Bureau; Novartis: Honoraria, Other: Travel costs, Speakers Bureau; Pfizer: Honoraria, Other: Travel costs, Speakers Bureau; Celgene: Honoraria, Other: Travel grants; Roche: Speakers Bureau; Janssen: Honoraria, Research Funding, Speakers Bureau; Astra Zeneca: Research Funding; Takeda: Honoraria, Speakers Bureau. Jurczak: Maria Sklodowska-Curie National Research Institute of Oncology, Krakow, Poland: Current Employment; Jagiellonian University, Krakow, Poland: Ended employment in the past 24 months; Acerta: Research Funding; Bayer: Research Funding; Janssen: Research Funding; MeiPharma: Research Funding; Pharmacyclics: Research Funding; Roche: Research Funding; Takeda: Research Funding; TG Therapeutics: Research Funding. Trneny: Gilead: Consultancy, Honoraria, Other: Travel Expenses; Janssen: Consultancy, Honoraria, Other: Travel Expenses; Roche: Consultancy, Honoraria, Other: Travel Expenses; MorphoSys: Consultancy, Honoraria; Celgene: Consultancy; Incyte: Consultancy, Honoraria; Takeda: Consultancy, Honoraria, Other: Travel Expenses; Bristol-Myers Squibb Company: Consultancy, Honoraria, Other: Travel Expenses; Amgen: Honoraria; Abbvie: Consultancy, Honoraria, Other: Travel Expenses. Ogura: Cellgene: Honoraria; Chugai: Honoraria; Denovo Biopharma: Membership on an entity's Board of Directors or advisory committees; MejiSeika Pharma: Membership on an entity's Board of Directors or advisory committees; Mundi Pharma: Membership on an entity's Board of Directors or advisory committees; SymBio: Membership on an entity's Board of Directors or advisory committees; TevaTakeda: Membership on an entity's Board of Directors or advisory committees; Verastem: Membership on an entity's Board of Directors or advisory committees; Daiichi Sankyo: Membership on an entity's Board of Directors or advisory committees; Celltrion, Inc.: Honoraria, Membership on an entity's Board of Directors or advisory committees; Eisai: Membership on an entity's Board of Directors or advisory committees. Kim: Pfizer: Research Funding; Donga: Research Funding; Mundipharma: Research Funding; F. Hoffmann-La Roche: Research Funding; Kyowa Kirn: Research Funding; Celltrion: Research Funding; JJ: Research Funding. Lee: Celltrion, Inc.: Current Employment. Kim: Celltrion, Inc.: Current Employment. Ahn: Celltrion, Inc.: Current Employment. Buske: Roche, Janssen, Bayer, MSD: Research Funding; Morphosys: Membership on an entity's Board of Directors or advisory committees; Roche, Janssen, AbbVie, Pfizer, Celltrion: Honoraria, Speakers Bureau.

OffLabel Disclosure: Rituximab monotherapy to LTBFL patients

*signifies non-member of ASH