18 and older, any sex, with Leukaemia. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Progression-free Survival (PFS) as Assessed by Independent Review Committee (IRC)Primary· From the randomization date up to 60 months post the randomization date.
PFS is the interval of time between the date of first randomization to the date of disease progression (PD) or death due to any reason, whichever occurred first. The date of PD was defined as the first occurrence of any criteria of progression. PD criteria requires at least one of the following: progression of lymphadenopathy, \>=50% increase in liver or spleen size, \>=50% increase in number of lymphocytes per microliter, more aggressive histology, occurence of cytopenia after treatment attributable to CLL. Disease progression was determined according to the 2008 International Workshop for Ch
Group
Value
95% CI
Any Ofatumumab (OFA)
5.36
4.30 – 6.97
Physician's Choice (PC)
3.61
1.87 – 6.74
Ofatumumab Extended (OFA Ext)
10.05
7.23 – 13.80
Ofatumumab Observation (OFA Observ.)
7.16
5.36 – 9.49
Progression-free Survival (PFS) as Assessed by InvestigatorSecondary· From the randomization date up to 60 months post the randomization date.
PFS is the interval of time between the date of first randomization to the date of disease progression (PD) or death due to any reason, whichever occurred first. The date of PD was defined as the first occurrence of any criteria of progression. PD criteria requires at least one of the following: progression of lymphadenopathy, \>=50% increase in liver or spleen size, \>=50% increase in number of lymphocytes per microliter, more aggressive histology, occurence of cytopenia after treatment attributable to CLL. Disease progression was determined according to the 2008 International Workshop for Ch
Group
Value
95% CI
Any Ofatumumab (OFA)
7.00
5.42 – 8.25
Physician's Choice (PC)
4.50
1.97 – 5.62
Ofatumumab Extended (OFA Ext)
12.68
10.09 – 14.29
Ofatumumab Observation (OFA Observ.)
9.49
7.00 – 12.12
Overall Response Rate (ORR) as Assessed by the IRCSecondary· From the randomization date up to 60 months post the randomization date.
ORR is defined as the number of participants achieving either complete response (CR) or partial response (PR). ORR was measured using the IWCLL updated NCI-WG guidelines 2008. CR requires all of the following criteria: no lymphadenopathy(Ly)/ hepatomegaly, splenomegaly, constitutional symptoms; neutrophils \>1500 per microliter(µL), platelets(PL) \>100,000/µL, hemoglobin(Hb) \>11 grams/deciliter(g/dL), lymphocytes(LC) \<4000/µL, bone marrow(BM) sample must be normocellular for age, \<30% LC and no lymphoid nodules. PR requires the following criteria for at least 2 months: \>=50% decrease in LC
CR
Group
Value
95% CI
Any Ofatumumab (OFA)
0
Physician's Choice (PC)
0
Ofatumumab Extended (OFA Ext)
0
Ofatumumab Observation (OFA Observ.)
0
PR
Group
Value
95% CI
Any Ofatumumab (OFA)
30
Physician's Choice (PC)
7
Ofatumumab Extended (OFA Ext)
18
Ofatumumab Observation (OFA Observ.)
8
nPR
Group
Value
95% CI
Any Ofatumumab (OFA)
0
Physician's Choice (PC)
0
Ofatumumab Extended (OFA Ext)
0
Ofatumumab Observation (OFA Observ.)
0
Stable Disease
Group
Value
95% CI
Any Ofatumumab (OFA)
36
Physician's Choice (PC)
22
Ofatumumab Extended (OFA Ext)
5
Ofatumumab Observation (OFA Observ.)
5
Progressive Disease
Group
Value
95% CI
Any Ofatumumab (OFA)
9
Physician's Choice (PC)
8
Ofatumumab Extended (OFA Ext)
1
Ofatumumab Observation (OFA Observ.)
0
Not Evaluable
Group
Value
95% CI
Any Ofatumumab (OFA)
4
Physician's Choice (PC)
6
Ofatumumab Extended (OFA Ext)
0
Ofatumumab Observation (OFA Observ.)
0
Missing
Group
Value
95% CI
Any Ofatumumab (OFA)
0
Physician's Choice (PC)
0
Ofatumumab Extended (OFA Ext)
0
Ofatumumab Observation (OFA Observ.)
0
Overall Response Rate (ORR) as Assessed by the InvestigatorSecondary· From the randomization date up to 60 months post the randomization date.
ORR is defined as the number of participants achieving either complete response (CR) or partial response (PR). Overall response was measured using the IWCLL updated NCI-WG guidelines 2008. CR requires all of the following criteria: no lymphadenopathy(Ly)/ hepatomegaly, splenomegaly, constitutional symptoms; neutrophils \>1500 per microliter(µL), platelets(PL) \>100,000/µL, hemoglobin(Hb) \>11 grams/deciliter(g/dL), lymphocytes(LC) \<4000/µL, bone marrow(BM) sample must be normocellular for age, \<30% LC and no lymphoid nodules. PR requires the following criteria for at least 2 months: \>=50% d
CR
Group
Value
95% CI
Any Ofatumumab (OFA)
2
Physician's Choice (PC)
2
Ofatumumab Extended (OFA Ext)
1
Ofatumumab Observation (OFA Observ.)
1
OFA First Randomization Only (OFA FRO)
0
PR
Group
Value
95% CI
Any Ofatumumab (OFA)
36
Physician's Choice (PC)
12
Ofatumumab Extended (OFA Ext)
17
Ofatumumab Observation (OFA Observ.)
7
OFA First Randomization Only (OFA FRO)
12
nPR
Group
Value
95% CI
Any Ofatumumab (OFA)
1
Physician's Choice (PC)
2
Ofatumumab Extended (OFA Ext)
0
Ofatumumab Observation (OFA Observ.)
1
OFA First Randomization Only (OFA FRO)
0
Stable Disease
Group
Value
95% CI
Any Ofatumumab (OFA)
34
Physician's Choice (PC)
14
Ofatumumab Extended (OFA Ext)
6
Ofatumumab Observation (OFA Observ.)
4
OFA First Randomization Only (OFA FRO)
24
Progressive Disease
Group
Value
95% CI
Any Ofatumumab (OFA)
2
Physician's Choice (PC)
10
Ofatumumab Extended (OFA Ext)
0
Ofatumumab Observation (OFA Observ.)
0
OFA First Randomization Only (OFA FRO)
2
Not Evaluable
Group
Value
95% CI
Any Ofatumumab (OFA)
0
Physician's Choice (PC)
0
Ofatumumab Extended (OFA Ext)
0
Ofatumumab Observation (OFA Observ.)
0
OFA First Randomization Only (OFA FRO)
0
Missing
Group
Value
95% CI
Any Ofatumumab (OFA)
4
Physician's Choice (PC)
3
Ofatumumab Extended (OFA Ext)
0
Ofatumumab Observation (OFA Observ.)
0
OFA First Randomization Only (OFA FRO)
4
Overall SurvivalSecondary· From the randomization date up to 60 months post the randomization date.
Overall survival (OS) is defined as the time from randomization to death due to any cause. Kaplan-Meier plots were used to estimate the reported median OS time.
Group
Value
95% CI
Any Ofatumumab (OFA)
19.19
12.19 – 29.11
Physician's Choice (PC)
14.52
8.94 – 24.97
Ofatumumab Extended (OFA Ext)
31.54
19.19 – 51.25
Ofatumumab Observation (OFA Observ.)
45.50
14.69 – NA
OFA First Randomization Only (OFA FRO)
8.57
4.93 – 16.76
Time to Progression as Assessed by IRCSecondary· From the randomization date up to 60 months post the randomization date.
Time to progression is defined as the time from the date of randomization to disease progression (PD). PD requires at least one of the following: lymphadenopathy, appearance of any new lesion such as enlarged lymph nodes (\>1.5 cm) spleen or liver or other infiltrates or an increase by 50% or more in the greatest diameter of any previous site; an increase by 50% or more in the previously noted enlargement of the liver or spleen, an increase by 50% or more in the numbers of blood lymphocytes with at least 5000 lymphocytes per microliter, transformation to a more aggressive histology, or occurre
Group
Value
95% CI
Any Ofatumumab (OFA)
6.31
4.83 – 7.33
Physician's Choice (PC)
5.32
2.14 – 8.08
Ofatumumab Extended (OFA Ext)
10.05
7.23 – 13.80
Ofatumumab Observation (OFA Observ.)
7.16
5.36 – 9.49
Time to Next Anti-cancer Therapy by InvestigatorSecondary· From the randomization date up to 60 months post the randomization date.
Time to next therapy is defined as the time from randomization until the start of the next line of treatment.
Group
Value
95% CI
Any Ofatumumab (OFA)
11.50
8.51 – 13.80
Physician's Choice (PC)
6.54
2.66 – 8.08
Ofatumumab Extended (OFA Ext)
15.47
11.86 – NA
Ofatumumab Observation (OFA Observ.)
9.00
8.08 – 14.16
Time to Response as Assessed by the IRCSecondary· From the randomization date up to 60 months post the randomization date.
Time to response is defined as the time from randomization to the first response (Complete Remission\[CR\], Complete Remission with incomplete bone marrow recovery\[CRi\], partial response\[PR\], or nodular PR\[nPR\]). CR(all the criteria at least 2 months after last treatment): no lymphadenopathy(Ly) \> 1.5 cm/ hepatomegaly/ splenomegaly/ constitutional symptoms; neutrophils \>1500 per microliter(µL), platelets(PL) \>100,000/µL, hemoglobin(Hb) \>11 grams/deciliter(g/dL), lymphocytes(LC) \<4000/µL, bone marrow(BM) sample must be normocellular for age, \<30% LC, no lymphoid nodule. CRi: CR crit
Group
Value
95% CI
Any Ofatumumab (OFA)
1.17
1.02 – 1.91
Physician's Choice (PC)
2.56
0.76 – 3.48
Ofatumumab Extended (OFA Ext)
1.86
1.05 – 1.94
Ofatumumab Observation (OFA Observ.)
1.15
0.92 – 1.94
Duration of Response as Assessed by the IRCSecondary· From the randomization date up to 60 months post the randomization date.
DOR is defined as the time from the initial response (CR, CRi, nPR, or PR) to the first documented sign of PD or death due to any cause. PD requires at least one of the following: lymphadenopathy, appearance of any new lesion such as enlarged lymph nodes (\>1.5 cm) spleen or liver or other infiltrates or an increase by 50% or more in the greatest diameter of any previous site; an increase by 50% or more in the previously noted enlargement of the liver or spleen, an increase by 50% or more in the numbers of blood lymphocytes with at least 5000 lymphocytes per microliter, transformation to a mor
Group
Value
95% CI
Any Ofatumumab (OFA)
6.24
5.32 – 12.22
Physician's Choice (PC)
6.95
4.47 – NA
Number of Participants With Any Adverse Event (AE), Any Serious Adverse Event (SAE), Any Fatal Serious Adverse Event (FSAE), or DeathsSecondary· From the first dose of study medication to 60 days after the last dose of study medication and until follow-up for SAEs unless initiation of subsequent anti-CLL therapy
An AE is defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product. A SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability or incapacity, is a congenital anomaly or birth defect.
Any AE
Group
Value
95% CI
Any Ofatumumab (OFA)
71
Physician's Choice (PC)
37
Ofatumumab Extended (OFA Ext)
22
Ofatumumab Observation (OFA Observ.)
10
OFA First Randomization Only (OFA FRO)
39
OFA Salvage
20
Any SAE
Group
Value
95% CI
Any Ofatumumab (OFA)
43
Physician's Choice (PC)
23
Ofatumumab Extended (OFA Ext)
12
Ofatumumab Observation (OFA Observ.)
5
OFA First Randomization Only (OFA FRO)
26
OFA Salvage
10
Any FSAE
Group
Value
95% CI
Any Ofatumumab (OFA)
14
Physician's Choice (PC)
6
Ofatumumab Extended (OFA Ext)
2
Ofatumumab Observation (OFA Observ.)
3
OFA First Randomization Only (OFA FRO)
9
OFA Salvage
5
Deaths
Group
Value
95% CI
Any Ofatumumab (OFA)
1
Physician's Choice (PC)
0
Ofatumumab Extended (OFA Ext)
0
Ofatumumab Observation (OFA Observ.)
0
OFA First Randomization Only (OFA FRO)
1
OFA Salvage
0
Number of Participants With Any Adverse Event (AE) of Special InterestSecondary· From the first dose of study medication to 60 days after the last dose of study medication and until follow-up for SAEs unless initiation of subsequent anti-CLL therapy
AEs of special interest included cytopenias (neutropenia \[decreased neutrophil count\], anaemia \[decreased hemoglobin\], and thrombocytopenia \[decreased platelet count\]), autoimmune haematologic complications (autoimmune haemolytic anaemia and haemolytic anaemia), infusion reactions, infections, mucocutaneous reactions, Tumour Lysis Syndrome (TLS), cardiovascular events, and small bowel obstruction.
Any AE of decreased neutrophil count
Group
Value
95% CI
Any Ofatumumab (OFA)
23
Physician's Choice (PC)
15
Ofatumumab Extended (OFA Ext)
11
Ofatumumab Observation (OFA Observ.)
2
Any AE of decreased hemoglobin
Group
Value
95% CI
Any Ofatumumab (OFA)
9
Physician's Choice (PC)
9
Ofatumumab Extended (OFA Ext)
3
Ofatumumab Observation (OFA Observ.)
2
Any AE of decreased platelet count
Group
Value
95% CI
Any Ofatumumab (OFA)
10
Physician's Choice (PC)
5
Ofatumumab Extended (OFA Ext)
3
Ofatumumab Observation (OFA Observ.)
1
Any AE of autoimmune haemolytic anaemia
Group
Value
95% CI
Any Ofatumumab (OFA)
0
Physician's Choice (PC)
2
Ofatumumab Extended (OFA Ext)
0
Ofatumumab Observation (OFA Observ.)
0
Any AE of haemolytic anaemia
Group
Value
95% CI
Any Ofatumumab (OFA)
1
Physician's Choice (PC)
0
Ofatumumab Extended (OFA Ext)
1
Ofatumumab Observation (OFA Observ.)
0
Any infusion related AE
Group
Value
95% CI
Any Ofatumumab (OFA)
33
Physician's Choice (PC)
11
Ofatumumab Extended (OFA Ext)
8
Ofatumumab Observation (OFA Observ.)
4
Any AE of Infection
Group
Value
95% CI
Any Ofatumumab (OFA)
46
Physician's Choice (PC)
24
Ofatumumab Extended (OFA Ext)
16
Ofatumumab Observation (OFA Observ.)
8
Any AE of mucocutaneous reaction
Group
Value
95% CI
Any Ofatumumab (OFA)
20
Physician's Choice (PC)
4
Ofatumumab Extended (OFA Ext)
6
Ofatumumab Observation (OFA Observ.)
3
Mean Immunoglobulin (Ig) Antibodies IgA, IgG, and IgM Over TimeSecondary· Screening and every 3 months during treatment, every 6 months after last treatment until PD or until 42 Month Follow-up Visit
Immunoglobulins or antibodies are large proteins used by the immune system to identify and neutralize foreign particles such as bacteria and viruses. Their normal blood levels indicate proper immune status. Low levels indicate immuno-suppression. IgA, IgG, and IgM were measured in the blood samples of the participants. Immunoglobulin testing was performed at Screening (SCR), Cycle 3 Week 4 (C3W4), Cycle 7 Week 4 (C3W4) ,Cycle 9 Week 4 (C3W4), 6 Month Follow-up Visit (6M FU), 9 Month Follow-up (9M FU), 12 Month Follow-up (12M FU), 18 Month Follow-up (18M FU), 24 Month Follow-up (24M FU), 30 Mon
IgA, SCR
Group
Value
95% CI
Any Ofatumumab (OFA)
0.793
± 0.6680
Physician's Choice (PC)
0.685
± 0.5518
Ofatumumab Extended (OFA Ext)
0.807
± 0.7426
Ofatumumab Observation (OFA Observ.)
1.095
± 0.7535
OFA First Randomization Only (OFA FRO)
0.688
± 0.5749
IgG, SCR
Group
Value
95% CI
Any Ofatumumab (OFA)
6.909
± 4.6836
Physician's Choice (PC)
8.615
± 12.1625
Ofatumumab Extended (OFA Ext)
6.270
± 3.8573
Ofatumumab Observation (OFA Observ.)
8.128
± 4.7569
OFA First Randomization Only (OFA FRO)
6.898
± 5.1142
IgM, SCR
Group
Value
95% CI
Any Ofatumumab (OFA)
0.800
± 1.3154
Physician's Choice (PC)
0.601
± 0.7061
Ofatumumab Extended (OFA Ext)
0.800
± 1.6649
Ofatumumab Observation (OFA Observ.)
0.468
± 0.3801
OFA First Randomization Only (OFA FRO)
0.907
± 1.2822
IgA, C3W4
Group
Value
95% CI
Any Ofatumumab (OFA)
0.721
± 0.6355
Physician's Choice (PC)
0.675
± 0.4819
Ofatumumab Extended (OFA Ext)
0.808
± 0.7931
Ofatumumab Observation (OFA Observ.)
0.977
± 0.6458
OFA First Randomization Only (OFA FRO)
0.514
± 0.3621
OFA Salvage
0.486
± 0.3868
IgG, C3W4
Group
Value
95% CI
Any Ofatumumab (OFA)
5.925
± 3.5059
Physician's Choice (PC)
5.481
± 2.1226
Ofatumumab Extended (OFA Ext)
5.949
± 3.4089
Ofatumumab Observation (OFA Observ.)
7.232
± 4.0103
OFA First Randomization Only (OFA FRO)
5.276
± 3.3056
OFA Salvage
5.974
± 2.7992
IgM, C3W4
Group
Value
95% CI
Any Ofatumumab (OFA)
0.692
± 1.3420
Physician's Choice (PC)
0.485
± 0.4929
Ofatumumab Extended (OFA Ext)
0.882
± 1.9833
Ofatumumab Observation (OFA Observ.)
0.429
± 0.3497
OFA First Randomization Only (OFA FRO)
0.636
± 0.7764
OFA Salvage
0.488
± 0.4816
IgA, C7W4
Group
Value
95% CI
Any Ofatumumab (OFA)
0.793
± 0.6608
Ofatumumab Extended (OFA Ext)
0.723
± 0.6730
Ofatumumab Observation (OFA Observ.)
0.945
± 0.6724
OFA First Randomization Only (OFA FRO)
0.725
± 0.6011
OFA Salvage
0.537
± 0.4356
IgG, C7W4
Group
Value
95% CI
Any Ofatumumab (OFA)
6.250
± 3.5225
Ofatumumab Extended (OFA Ext)
5.817
± 3.4944
Ofatumumab Observation (OFA Observ.)
7.254
± 3.7588
OFA First Randomization Only (OFA FRO)
5.420
± 2.2062
OFA Salvage
5.135
± 2.6309
Adverse events — posted to ClinicalTrials.gov
Time frame: SAEs & AEs were collected from first dose of study medication to 60 days after last dose of study medication & until end of the follow-up period (60 months post the randomization date) for SAEs unless initiation of subsequent anti-CLL therapy. AEs reported in this record are from date of First Patient First Treatment until Last Patient Last Visit.
Reporting threshold: 5%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
The purpose of this study was to confirm the clinical benefit observed in the pivotal registration study, Hx-CD20-406. The Committee for Medicinal Products for Human Use (CHMP) required that a randomized study be conducted in CLL patients with bulky fludarabine-refractory disease as a specific obligation for grant of conditional approval for ARZERRA™ in the European Union (EU). This study compared ofatumumab with the physicians' choice of therapy.
Publications & conference data
3 peer-reviewed publications reference this trial (live from Europe PMC):
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Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Novartis Pharmaceuticals
Last refreshed: 8 November 2018
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01313689.