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This study is a multicenter phase II trial which primary objective is to assess the anti-lymphoma activity of atezolizumab associated with a BCL-2 inhibitor (GDC-199, venetoclax) and an anti-CD20 monoclonal antibody (obinutuzumab) in three separate cohorts:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental | Experimental | Combination of venetoclax, atezolizumab and obinutuzumab |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Atezolizumab | Drug | 1200 mg on day 2 of each 21-day cycle during 18 months (24 cycles) |
|
| Measure | Description | Time Frame |
|---|---|---|
| FL and DLBCL cohorts : Overall Metabolic Response Rate (OMRR) at the end of induction | Assessment of disease response according to Lugano 2014 | 8 months (8 cycles) |
| for iNHL cohort : Overall Response Rate (ORR) at the end of induction | Assessment of disease response according to Lugano 2014 | 8 months (8 cycles) |
| Measure | Description | Time Frame |
|---|---|---|
| Progression Free Survival (PFS) | time from inclusion to the first observation of progression | 4 years |
| Overall Survival (OS) | time from inclusion to death |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Guillaume CARTRON, PhD | Lymphoma Study Association | Principal Investigator |
| Charles HERBAUX, MD | Lymphoma Study Association | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU d'Angers | Angers | 49933 | France | |||
| CHU de Caen |
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This study is a multicentric open-label phase II trial in 3 cohorts of patients
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| Obinutuzumab | Drug | 1000 mg on day 1, day 8 and day 15 of cycle 1 and each day 1 from cycle 2 to cycle 8 |
|
|
| Venetoclax | Drug | 800 mg/d from day 8 of cycle 1, every day during 18 months. For MZL patients wiht lymphocytes>5 g/l : 50 mg/day: week 1 100mg/day: week 2 200mg/day: week 3 400mg/day: week 4 800mg/day: from week 5 |
|
|
| 4 years |
| Duration of Response (DR) | from a confirmed Complete Metabolic Response / Complete Radiologic Response (CMR/CRR) or Partial Metabolic Response / Partial Radiologic Response (PMR/PRR) the first observation of progression | 4 years |
| for FL and DLBCL cohorts : OMRR | According to Lugano 2014 | 4 months, 18 months |
| for iNHL cohort : ORR | According to Lugano 2014 | 4 months, 18 months |
| Best response | Percentage of each response type according to Lugano 2014 | 18 months |
| Caen |
| 14000 |
| France |
| CHU de Clermont Ferrand - Estaing | Clermont-Ferrand | 63000 | France |
| Hopital Henri Mondor | Créteil | 94010 | France |
| CHU de Dijon | Dijon | 21000 | France |
| CH Annecy Gennevois | Épagny | 74370 | France |
| CHD de Vendée | La Roche-sur-Yon | 85925 | France |
| CHU de Grenoble | La Tronche | 38700 | France |
| CHRU de Lille | Lille | 59037 | France |
| Centre Léon Bérard | Lyon | 69373 | France |
| Institut Paoli Calmettes | Marseille | 13273 | France |
| CHU de Montpellier | Montpellier | 34295 | France |
| CHU de Nancy - Brabois | Nancy | 54511 | France |
| CHU de Nantes | Nantes | 44093 | France |
| CHU de Nice | Nice | 62000 | France |
| Hôpital Saint Louis | Paris | 75010 | France |
| Hôpital Necker | Paris | 75015 | France |
| CHU Lyon Sud | Pierre-Bénite | 69495 | France |
| CHU de Poitiers | Poitiers | 86021 | France |
| CHU de Rennes - Hôpital de Pontchaillou | Rennes | 35003 | France |
| Centre Henri Becquerel | Rouen | 76038 | France |
| Institut Curie - Hôpital René Huguenin | Saint-Cloud | 92210 | France |
| CHRU de Strasbourg | Strasbourg | 67100 | France |
| Institut Universitaire du Cancer de Toulouse - Oncopole | Toulouse | 31100 | France |
| CHRU de Tours | Tours | 37044 | France |
| ID | Term |
|---|---|
| D008224 | Lymphoma, Follicular |
| D016403 | Lymphoma, Large B-Cell, Diffuse |
| D018442 | Lymphoma, B-Cell, Marginal Zone |
| D008223 | Lymphoma |
| ID | Term |
|---|---|
| D008228 | Lymphoma, Non-Hodgkin |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
| D016393 | Lymphoma, B-Cell |
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| ID | Term |
|---|---|
| C000594389 | atezolizumab |
| C543332 | obinutuzumab |
| C579720 | venetoclax |
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