PMID- 33243049 OWN - NLM STAT- MEDLINE DCOM- 20210430 LR - 20210430 IS - 1029-2403 (Electronic) IS - 1026-8022 (Linking) VI - 62 IP - 4 DP - 2021 Apr TI - Phase 2, multicenter GIBB study of obinutuzumab plus bendamustine in previously untreated patients with chronic lymphocytic leukemia. PG - 791-800 LID - 10.1080/10428194.2020.1850719 [doi] AB - The single-arm, multicenter, phase 2 GIBB study (NCT02320487) investigated bendamustine plus obinutuzumab (BG) in previously untreated CLL. Patients (N = 102) received six cycles of intravenous obinutuzumab (cycle [C] 1: 100 mg day 1/900 mg day 2, and 1000 mg days 8/15; C2-6 1000 mg day 1) plus bendamustine (C1 90 mg/m(2) days 2/3; C2-6 days 1/2). Complete response (CR), the primary endpoint, was 50%, overall response 89%. Estimated 2-year progression-free survival (PFS) and overall survival (OS) were 86% and 97%, respectively. Following initial minimal residual disease (MRD) negativity, median MRD negativity duration was 28.9 months. Undetectable MRD (<10(-4)) was observed in up to 83% of evaluable patients in peripheral blood (any time) and 59% in bone marrow at response evaluation. Most common grade 3/4 adverse events (AEs) were neutropenia (25%; 5% febrile) and infusion-related reactions (9%). BG proved clinically active in CLL with high response, MRD negativity, and survival rates, consistent with other first-line studies of anti-CD20 antibody/bendamustine combinations. FAU - Sharman, Jeff P AU - Sharman JP AD - Willamette Valley Cancer Institute and Research Center, US Oncology Research, Eugene, OR, USA. FAU - Burke, John M AU - Burke JM AD - Rocky Mountain Cancer Centers, US Oncology Research, Aurora, CO, USA. FAU - Yimer, Habte A AU - Yimer HA AD - Texas Oncology, US Oncology Research, Tyler, TX, USA. FAU - Boxer, Michael A AU - Boxer MA AD - Arizona Oncology, US Oncology Research, Tucson, AZ, USA. FAU - Babu, Sunil AU - Babu S AD - Fort Wayne Medical Oncology, Fort Wayne, IN, USA. FAU - Li, Jia AU - Li J AD - Genentech Inc, South San Francisco, CA, USA. FAU - Mun, Yong AU - Mun Y AD - Genentech Inc, South San Francisco, CA, USA. FAU - Danilov, Alexey V AU - Danilov AV AD - Oregon Health and Science University, Portland, OR, USA. AD - City of Hope National Medical Center, Duarte, CA, USA. CN - GIBB study investigators LA - eng SI - ClinicalTrials.gov/NCT02320487 PT - Clinical Trial, Phase II PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20201126 PL - United States TA - Leuk Lymphoma JT - Leukemia & lymphoma JID - 9007422 RN - 0 (Antibodies, Monoclonal, Humanized) RN - 4F4X42SYQ6 (Rituximab) RN - 981Y8SX18M (Bendamustine Hydrochloride) RN - O43472U9X8 (obinutuzumab) SB - IM MH - Antibodies, Monoclonal, Humanized/therapeutic use MH - Antineoplastic Combined Chemotherapy Protocols/adverse effects MH - Bendamustine Hydrochloride/therapeutic use MH - Humans MH - *Leukemia, Lymphocytic, Chronic, B-Cell/drug therapy MH - Rituximab/therapeutic use OTO - NOTNLM OT - Bendamustine OT - chronic lymphocytic leukemia OT - minimal residual disease OT - obinutuzumab OT - survival EDAT- 2020/11/28 06:00 MHDA- 2021/05/01 06:00 CRDT- 2020/11/27 05:28 PHST- 2020/11/28 06:00 [pubmed] PHST- 2021/05/01 06:00 [medline] PHST- 2020/11/27 05:28 [entrez] AID - 10.1080/10428194.2020.1850719 [doi] PST - ppublish SO - Leuk Lymphoma. 2021 Apr;62(4):791-800. doi: 10.1080/10428194.2020.1850719. Epub 2020 Nov 26.