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Randomized phase 3 study of rituximab, cyclophosphamide, doxorubicin, and prednisone plus vincristine (R-CHOP) or bortezomib (VR-CAP) in newly diagnosed mantle cell lymphoma (MCL) patients ineligible for bone marrow transplantation Presented By Franco Cavalli at 2014 ASCO Annual Meeting
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Randomized phase 3 study of rituximab, cyclophosphamide, doxorubicin, and prednisone plus vincristine (R-CHOP) or bortezomib (VR-CAP) in newly diagnosed.

Dec 15, 2015

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Page 1: Randomized phase 3 study of rituximab, cyclophosphamide, doxorubicin, and prednisone plus vincristine (R-CHOP) or bortezomib (VR-CAP) in newly diagnosed.

Randomized phase 3 study of rituximab, cyclophosphamide, doxorubicin, and prednisone plus vincristine (R-CHOP) or bortezomib (VR-CAP) in newly diagnosed mantle cell lymphoma (MCL) patients ineligible for bone marrow transplantation

Presented By Franco Cavalli at 2014 ASCO Annual Meeting

Page 2: Randomized phase 3 study of rituximab, cyclophosphamide, doxorubicin, and prednisone plus vincristine (R-CHOP) or bortezomib (VR-CAP) in newly diagnosed.

Background

Presented By Franco Cavalli at 2014 ASCO Annual Meeting

Page 3: Randomized phase 3 study of rituximab, cyclophosphamide, doxorubicin, and prednisone plus vincristine (R-CHOP) or bortezomib (VR-CAP) in newly diagnosed.

Study Aim

Presented By Franco Cavalli at 2014 ASCO Annual Meeting

Page 4: Randomized phase 3 study of rituximab, cyclophosphamide, doxorubicin, and prednisone plus vincristine (R-CHOP) or bortezomib (VR-CAP) in newly diagnosed.

LYM-3002 Study Design

Presented By Franco Cavalli at 2014 ASCO Annual Meeting

Page 5: Randomized phase 3 study of rituximab, cyclophosphamide, doxorubicin, and prednisone plus vincristine (R-CHOP) or bortezomib (VR-CAP) in newly diagnosed.

Endpoints

Presented By Franco Cavalli at 2014 ASCO Annual Meeting

Page 6: Randomized phase 3 study of rituximab, cyclophosphamide, doxorubicin, and prednisone plus vincristine (R-CHOP) or bortezomib (VR-CAP) in newly diagnosed.

Statistical Assumptions

Presented By Franco Cavalli at 2014 ASCO Annual Meeting

Page 7: Randomized phase 3 study of rituximab, cyclophosphamide, doxorubicin, and prednisone plus vincristine (R-CHOP) or bortezomib (VR-CAP) in newly diagnosed.

Demographics and Baseline Characteristics

Presented By Franco Cavalli at 2014 ASCO Annual Meeting

Page 8: Randomized phase 3 study of rituximab, cyclophosphamide, doxorubicin, and prednisone plus vincristine (R-CHOP) or bortezomib (VR-CAP) in newly diagnosed.

Treatment Exposure

Presented By Franco Cavalli at 2014 ASCO Annual Meeting

Page 9: Randomized phase 3 study of rituximab, cyclophosphamide, doxorubicin, and prednisone plus vincristine (R-CHOP) or bortezomib (VR-CAP) in newly diagnosed.

Superior PFS by IRC with VR-CAP vs R-CHOP: 59% improvement

Presented By Franco Cavalli at 2014 ASCO Annual Meeting

Page 10: Randomized phase 3 study of rituximab, cyclophosphamide, doxorubicin, and prednisone plus vincristine (R-CHOP) or bortezomib (VR-CAP) in newly diagnosed.

Depth and duration of response by IRC improved with VR-CAP

Presented By Franco Cavalli at 2014 ASCO Annual Meeting

Page 11: Randomized phase 3 study of rituximab, cyclophosphamide, doxorubicin, and prednisone plus vincristine (R-CHOP) or bortezomib (VR-CAP) in newly diagnosed.

Secondary outcomes:<br />TTP, TTNT, TFI, OS

Presented By Franco Cavalli at 2014 ASCO Annual Meeting

Page 12: Randomized phase 3 study of rituximab, cyclophosphamide, doxorubicin, and prednisone plus vincristine (R-CHOP) or bortezomib (VR-CAP) in newly diagnosed.

Secondary Outcome: OS

Presented By Franco Cavalli at 2014 ASCO Annual Meeting

Page 13: Randomized phase 3 study of rituximab, cyclophosphamide, doxorubicin, and prednisone plus vincristine (R-CHOP) or bortezomib (VR-CAP) in newly diagnosed.

Overall Safety Profile

Presented By Franco Cavalli at 2014 ASCO Annual Meeting

Page 14: Randomized phase 3 study of rituximab, cyclophosphamide, doxorubicin, and prednisone plus vincristine (R-CHOP) or bortezomib (VR-CAP) in newly diagnosed.

Grade ≥3 AEs and Serious AEs

Presented By Franco Cavalli at 2014 ASCO Annual Meeting

Page 15: Randomized phase 3 study of rituximab, cyclophosphamide, doxorubicin, and prednisone plus vincristine (R-CHOP) or bortezomib (VR-CAP) in newly diagnosed.

Hematologic AEs and Clinical Significance

Presented By Franco Cavalli at 2014 ASCO Annual Meeting

Page 16: Randomized phase 3 study of rituximab, cyclophosphamide, doxorubicin, and prednisone plus vincristine (R-CHOP) or bortezomib (VR-CAP) in newly diagnosed.

Peripheral Neuropathy

Presented By Franco Cavalli at 2014 ASCO Annual Meeting

Page 17: Randomized phase 3 study of rituximab, cyclophosphamide, doxorubicin, and prednisone plus vincristine (R-CHOP) or bortezomib (VR-CAP) in newly diagnosed.

Conclusions – Efficacy

Presented By Franco Cavalli at 2014 ASCO Annual Meeting

Page 18: Randomized phase 3 study of rituximab, cyclophosphamide, doxorubicin, and prednisone plus vincristine (R-CHOP) or bortezomib (VR-CAP) in newly diagnosed.

Conclusions – Safety

Presented By Franco Cavalli at 2014 ASCO Annual Meeting

Page 19: Randomized phase 3 study of rituximab, cyclophosphamide, doxorubicin, and prednisone plus vincristine (R-CHOP) or bortezomib (VR-CAP) in newly diagnosed.

Final Conclusion

Presented By Franco Cavalli at 2014 ASCO Annual Meeting

Page 20: Randomized phase 3 study of rituximab, cyclophosphamide, doxorubicin, and prednisone plus vincristine (R-CHOP) or bortezomib (VR-CAP) in newly diagnosed.

Acknowledgments

Presented By Franco Cavalli at 2014 ASCO Annual Meeting

Page 21: Randomized phase 3 study of rituximab, cyclophosphamide, doxorubicin, and prednisone plus vincristine (R-CHOP) or bortezomib (VR-CAP) in newly diagnosed.

Slide 21

Presented By Franco Cavalli at 2014 ASCO Annual Meeting

Page 22: Randomized phase 3 study of rituximab, cyclophosphamide, doxorubicin, and prednisone plus vincristine (R-CHOP) or bortezomib (VR-CAP) in newly diagnosed.

PFS by Investigator

Presented By Franco Cavalli at 2014 ASCO Annual Meeting

Page 23: Randomized phase 3 study of rituximab, cyclophosphamide, doxorubicin, and prednisone plus vincristine (R-CHOP) or bortezomib (VR-CAP) in newly diagnosed.

PFS by IRC – Subgroup Analyses

Presented By Franco Cavalli at 2014 ASCO Annual Meeting

Page 24: Randomized phase 3 study of rituximab, cyclophosphamide, doxorubicin, and prednisone plus vincristine (R-CHOP) or bortezomib (VR-CAP) in newly diagnosed.

PFS by Stratification Factors

Presented By Franco Cavalli at 2014 ASCO Annual Meeting

Page 25: Randomized phase 3 study of rituximab, cyclophosphamide, doxorubicin, and prednisone plus vincristine (R-CHOP) or bortezomib (VR-CAP) in newly diagnosed.

PFS by Geographic Region

Presented By Franco Cavalli at 2014 ASCO Annual Meeting

Page 26: Randomized phase 3 study of rituximab, cyclophosphamide, doxorubicin, and prednisone plus vincristine (R-CHOP) or bortezomib (VR-CAP) in newly diagnosed.

Efficacy in Patients Without Medical Reasons for Transplant Ineligibility

Presented By Franco Cavalli at 2014 ASCO Annual Meeting

Page 27: Randomized phase 3 study of rituximab, cyclophosphamide, doxorubicin, and prednisone plus vincristine (R-CHOP) or bortezomib (VR-CAP) in newly diagnosed.

Baseline MIPIb distribution and PFS by MIPIb

Presented By Franco Cavalli at 2014 ASCO Annual Meeting

Page 28: Randomized phase 3 study of rituximab, cyclophosphamide, doxorubicin, and prednisone plus vincristine (R-CHOP) or bortezomib (VR-CAP) in newly diagnosed.

Efficacy by Ki-67 expression (N=327)

Presented By Franco Cavalli at 2014 ASCO Annual Meeting

Page 29: Randomized phase 3 study of rituximab, cyclophosphamide, doxorubicin, and prednisone plus vincristine (R-CHOP) or bortezomib (VR-CAP) in newly diagnosed.

Responses by investigator

Presented By Franco Cavalli at 2014 ASCO Annual Meeting

Page 30: Randomized phase 3 study of rituximab, cyclophosphamide, doxorubicin, and prednisone plus vincristine (R-CHOP) or bortezomib (VR-CAP) in newly diagnosed.

All-Grade AEs (≥20%, either arm)

Presented By Franco Cavalli at 2014 ASCO Annual Meeting

Page 31: Randomized phase 3 study of rituximab, cyclophosphamide, doxorubicin, and prednisone plus vincristine (R-CHOP) or bortezomib (VR-CAP) in newly diagnosed.

Deaths

Presented By Franco Cavalli at 2014 ASCO Annual Meeting