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| ID | Type | Description | Link |
|---|---|---|---|
| 2018-001141-13 | EudraCT Number |
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This study will evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, and efficacy of intravenous (IV) or subcutaneous (SC) mosunetuzumab in combination with polatuzumab vedotin in participants with diffuse large B-cell lymphoma (DLBCL), follicular lymphoma (FL), and mantle cell lymphoma (MCL). It will consist of a dose finding portion followed by an expansion phase for second line or later (2L+) participants with relapsed or refractory (R/R) DLBCL and 2L+ R/R FL. In addition, subcutaneous mosunetuzumab in combination with polatuzumab vedotin will be evaluated in participants with at least 2 prior lines of systemic therapy (3L+) for the treatment of R/R mantle cell lymphoma (MCL) and in participants with 2L+ R/R DLBCL.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dose Finding | Experimental | Participants will receive mosunetuzumab in combination with polatuzumab vedotin. Dose finding will be guided by the observed incidence of dose-limiting toxicities (DLTs) at each dose level. |
|
| Mosunetuzumab + Polatuzumab Vedotin 2L+ R/R FL | Experimental | Participants with at least one line of prior therapy (2L+) and that have relapsed or refractory (R/R) follicular lymphoma (FL) will receive mosunetuzumab + polatuzumab vedotin. |
|
| Mosunetuzumab + Polatuzumab Vedotin 2L+R/R DLBCL | Experimental | 2L+ participants with R/R diffuse large B-cell lymphoma will receive mosunetuzumab + polatuzumab vedotin. |
|
| Mosunetuzumab SC + Polatuzumab Vedotin 3L+R/R MCL | Experimental | Participants with at least 2 lines of prior therapy (3L+) will receive subcutaneous (SC) mosunetuzumab + polatuzumab vedotin. |
|
| Mosunetuzumab SC + Polatuzumab Vedotin 2L+R/R DLBCL |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mosunetuzumab (IV) | Drug | Participants will receive intravenous (IV) mosunetuzumab. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Maximum Tolerated Dose (MTD) of Mosunetuzumab in Combination with Polatuzumab Vedotin | Cycle 1 to Cycle 2 (cycle length = 21 days) | |
| Recommended Phase II Dose of Mosunetuzumab in Combination with Polatuzumab Vedotin | Cycle 1 to Cycle 2 (cycle length = 21 days) | |
| Percentage of Participants with Adverse Events (AE) | Baseline through approximately 90 days after last study treatment | |
| Best Objective Response Rate (ORR), Defined as CR or Partial Response (PR) at any Time, Based on PET-CT and/or CT Scan, as Determined by the Independent Review Committee (IRC) using Standard Criteria for NHL | Baseline up to approximately 60 months (assessed at screening and then every 3 months for the first year, then every 6 months until disease progression, start of new anti-cancer therapy, or withdrawal) |
| Measure | Description | Time Frame |
|---|---|---|
| Best ORR (CR or PR at any Time) Based on PET-CT and/or CT Scan, as Determined by the Investigator Using Standard Criteria for NHL | Baseline up to approximately 60 months (assessed at screening and then every 3 months for the first year, then every 6 months until disease progression, start of new anti-cancer therapy, or withdrawal) | |
| Best CR Rate on Study Based on PET-CT, and/or CT Scan, as Determined by the Investigator and IRC Using Standard Criteria for NHL |
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Key Inclusion Criteria:
Key Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Clinical Trials | Hoffmann-La Roche | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Alabama at Birmingham School of Medicine | Birmingham | Alabama | 35249 | United States | ||
| City of Hope |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 42283231 | Derived | Chavez JC, Bastos-Oreiro M, Diefenbach C, Lossos IS, Shah N, Assouline S, Olszewski AJ, Naik S, Ghosh N, Pham S, Wei MC, Batlevi C, To I, Ead W, Makadia S, Penuel E, Jing J, Budde LE. A Randomized Phase II Study of Subcutaneous Mosunetuzumab in Combination With Polatuzumab Vedotin Compared With Rituximab Plus Polatuzumab Vedotin in Patients With Relapsed or Refractory Large B-Cell Lymphoma. Am J Hematol. 2026 Jun 12. doi: 10.1002/ajh.70403. Online ahead of print. | |
| 42013019 |
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For eligible studies, qualified researchers may request access to individual patient level clinical data. See Roche's commitment to transparency of clinical study information here: https://go.roche.com/data\_sharing
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| Experimental |
2L+ participants with R/R DLBCL will receive SC mosunetuzumab and polatuzumab vedotin. |
|
|
| Mosunetuzumab (SC) | Drug | Participants will receive subcutaneous (SC) mosunetuzumab. |
|
| Polatuzumab vedotin | Drug | Participants will receive IV polatuzumab vedotin. |
|
| Tocilizumab | Drug | Participants will receive IV tocilizumab as needed. |
|
| Rituximab | Drug | Participants will receive IV rituximab. |
|
| Baseline up to approximately 60 months (assessed at screening and then every 3 months for the first year, then every 6 months until disease progression, start of new anti-cancer therapy, or withdrawal) |
| CR Rate at the Time of Primary Response Assessment (PRA) Based on PET-CT, as Determined by the Investigator and IRC Using Standard Criteria for NHL | Cycle 8 completion (participants receiving mosunetuzumab), or 5-7 weeks after Cycle 6 (polatuzumab+bendamustine+rituximab participants) (Cycle = 21 days) |
| ORR, Defined as CR or PR, at PRA Based on PET-CT as Determined by the Investigator and IRC Using Standard Criteria for NHL | Cycle 8 completion (participants receiving mosunetuzumab), or 5-7 weeks after Cycle 6 (polatuzumab+bendamustine+rituximab participants) (Cycle = 21 days) |
| Duration of Response (DOR) as Determined by the Investigator and IRC Using Standard Criteria for NHL | From the first occurrence of a documented response to disease progression, relapse, or death from any cause, whichever occurs first (up to approximately 60 months) |
| Progression-Free Survival (PFS) as Determined by the Investigator and IRC Using Standard Criteria for NHL | From time of first study treatment to the first occurrence of disease progression, relapse, or death from any cause, whichever occurs first (up to approximately 60 months) |
| Event-Free Survival (EFS) as Determined by the Investigator and IRC Using Standard Criteria for NHL | From time of first study treatment to the first occurrence of disease progression, relapse, initiation of new anti-lymphoma treatment (NALT), or death from any cause, whichever occurs first (up to approximately 60 months) |
| Overall Survival (OS) | From time of first study treatment to death from any cause (up to approximately 60 months) |
| Anti-Drug Antibodies (ADAs) to Mosunetuzumab | At pre-defined intervals from C1D1 through approximately 90 days after the last study treatment |
| ADAs to Polatuzumab Vedotin | At pre-defined intervals from C1D1 through approximately 90 days after the last study treatment |
| Mosunetuzumab Serum Concentration | At pre-defined intervals from C1D1 through approximately 90 days after the last study treatment |
| Duarte |
| California |
| 91010 |
| United States |
| University of Colorado Hospital - Anschutz Cancer Pavilion | Aurora | Colorado | 80045 | United States |
| University of Miami Miller School of Medicine | Miami | Florida | 33136 | United States |
| Moffitt Cancer Center | Tampa | Florida | 33612 | United States |
| University of Michigan Hospital | Ann Arbor | Michigan | 48109 | United States |
| Karmanos Cancer Institute | Detroit | Michigan | 48201 | United States |
| New York University Langone Medical Center | New York | New York | 10016 | United States |
| Levine Cancer Institute | Charlotte | North Carolina | 28204 | United States |
| Penn State Milton S. Hershey Medical Center | Hershey | Pennsylvania | 17033 | United States |
| Fox Chase Cancer Center | Philadelphia | Pennsylvania | 19111 | United States |
| University of Pittsburgh - Hillman Cancer Center | Pittsburgh | Pennsylvania | 15232-1301 | United States |
| Lifespan Cancer Institute | Providence | Rhode Island | 02905 | United States |
| University of Texas M.D. Anderson Cancer Center | Houston | Texas | 77030 | United States |
| Fred Hutchinson Cancer Research Center | Seattle | Washington | 98109 | United States |
| Medical College of Wisconsin, Froedtert Hospital;Nephrology Section | Milwaukee | Wisconsin | 53226 | United States |
| UZ Brussel | Brussels | 1090 | Belgium |
| CH Jolimont - Lobbes (Jolimont) | Haine-Saint-Paul | 7100 | Belgium |
| Clinique St Pierre asbl | Ottignies | 1340 | Belgium |
| Hamilton Health Sciences - Juravinski Cancer Centre | Hamilton | Ontario | L8V 5C2 | Canada |
| Jewish General Hospital | Montreal | Quebec | H3T 1E2 | Canada |
| Saskatchewan Cancer Agency (SCA) - Saskatoon Cancer Centre (SCC) | Saskatoon | Saskatchewan | S7N 4H4 | Canada |
| Institut Catala d Oncologia Hospital Duran i Reynals | Barcelona | 08908 | Spain |
| Hospital de San Pedro de Alcantara | Cáceres | 10003 | Spain |
| Hospital General Universitario Gregorio Marañon | Madrid | 28007 | Spain |
| Hospital Infanta Leonor; Servicio de Hematologia | Madrid | 28031 | Spain |
| Hospital Universitario Virgen Macarena; Servicio de Oncologia | Seville | 41009 | Spain |
| Cambridge University Hospitals NHS Foundation Trust | Cambridge | CB2 0QQ | United Kingdom |
| Plymouth Hospitals NHS Trust; Pharmacy Dept | Plymouth | PL6 8DH | United Kingdom |
| Derived |
| Budde LE, Kamdar M, Assouline SE, Chavez JC, Ghosh N, Ollila TA, Hodson DJ, Modi D, Bastos-Oreiro M, Naik SG, Nakhoda SK, Batlevi CL MD, PhD, Wang J, Makadia S, Kwan A, Penuel E, Jing J, Wu H, Ead W, Pham S, To I, Wei MC, Wang M. Mosunetuzumab plus polatuzumab vedotin in relapsed/refractory MCL after BTK inhibitor therapy: a phase 2 study. Blood. 2026 Apr 21:blood.2025032422. doi: 10.1182/blood.2025032422. Online ahead of print. |
| 38072960 | Derived | Budde LE, Olszewski AJ, Assouline S, Lossos IS, Diefenbach C, Kamdar M, Ghosh N, Modi D, Sabry W, Naik S, Mehta A, Nakhoda SK, Smith SD, Dorritie K, Jia T, Pham S, Huw LY, Jing J, Wu H, Ead WS, To I, Batlevi CL, Wei MC, Chavez JC. Mosunetuzumab with polatuzumab vedotin in relapsed or refractory aggressive large B cell lymphoma: a phase 1b/2 trial. Nat Med. 2024 Jan;30(1):229-239. doi: 10.1038/s41591-023-02726-5. Epub 2023 Dec 10. |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Jan 28, 2025 | Feb 18, 2025 | 71 | ||
| Mar 13, 2025 | Mar 31, 2025 | 72 |
| ID | Term |
|---|---|
| D016393 | Lymphoma, B-Cell |
| ID | Term |
|---|---|
| D008228 | Lymphoma, Non-Hodgkin |
| D008223 | Lymphoma |
| 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 |
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| ID | Term |
|---|---|
| C000600736 | polatuzumab vedotin |
| C502936 | tocilizumab |
| D000069283 | Rituximab |
| ID | Term |
|---|---|
| D058846 | Antibodies, Monoclonal, Murine-Derived |
| D000911 | Antibodies, Monoclonal |
| D000906 | Antibodies |
| D007136 | Immunoglobulins |
| D007162 | Immunoproteins |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D012712 | Serum Globulins |
| D005916 | Globulins |
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