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This study will evaluate the safety, pharmacokinetics, and preliminary efficacy of mosunetuzumab following first-line diffuse large B-cell lymphoma (DLBCL) immunochemotherapy in participants with a best response of stable disease or partial response, or in elderly/unfit participants with previously untreated DLBCL, or subcutaneous mosunetuzumab in combination with polatuzumab vedotin IV in elderly/unfit participants with previously untreated DLBCL.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Consolidation Therapy (Cohort A) | Experimental | Participants with a partial response to first-line chemotherapy will receive mosunetuzumab up to the recommended consolidation dose (RCD). |
|
| Elderly/Unfit Previously Untreated Monotherapy (Cohort B) | Experimental | Elderly/unfit participants with previously untreated DLBCL will receive mosunetuzumab at the previously determined recommended phase II dose (RP2D). |
|
| Elderly/Unfit Previously Untreated Combination Therapy (Cohort C) | Experimental | Elderly/unfit participants with previously untreated DLBCL will receive mosunetuzumab in combination with polatuzumab vedotin. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mosunetuzumab Intravenous (IV) | Drug | Participants in cohorts A and B will receive IV mosunetuzumab. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants with Adverse Events | Baseline through approximately 90 days after last study treatment | |
| Positron Emission Tomography-Computed Tomography (PET-CT) Complete Response (CR) Rate at Time of Primary Response Assessment (PRA) According to Lugano 2014 Response Criteria (Cohort A) | 6-8 weeks after Cycle 8 Day 1 or the final dose of study treatment (cycle = 21 days) | |
| PET-CT Objective Response Rate (ORR) at PRA According to Lugano 2014 Response Criteria as Determined by the Investigator (Cohort B) | 6-8 weeks after Cycle 8 Day 1 or the final dose of study treatment (cycle = 21 days) | |
| PET-CT ORR at PRA According to the Lugano 2014 Criteria as Determined by an Independent Review Committee (IRC) (Cohort C) | 6-8 weeks after Cycle 8 Day 1 or the final dose of study treatment (cycle = 21 days) |
| Measure | Description | Time Frame |
|---|---|---|
| Maximum Serum Concentration (Cmax) of Mosunetuzumab IV | At pre-defined intervals from Cycle 1 Day 1 through approximately 90 days after the last study treatment (cycle = 21 days) | |
| Minimum Serum Concentration (Cmin) of Mosunetuzumab IV | At pre-defined intervals from Cycle 1 Day 1 through approximately 90 days after the last study treatment (cycle = 21 days) |
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Inclusion Criteria for All Cohorts
Inclusion Criteria Specific to Cohort A
Participants in Cohort A must also meet the following criteria for study entry:
Inclusion Criteria Specific to Cohorts B and C
Participants in Cohorts B and C must also meet the following criteria for study entry:
Exclusion Criteria for All Cohorts
Participants who meet any of the following criteria will be excluded from study entry:
Exclusion Criteria Specific to Cohort A
Participants in Cohort A who meet the following criteria will be excluded from study entry:
- Prior anti-lymphoma treatment with chemotherapy, immunotherapy, or biologic therapy 4 weeks prior to C1D1
Exclusion Criterion Specific to Cohorts B and C
Participants in Cohorts B and C who meet the following criterion will be excluded from study entry:
- Prior treatment for DLBCL with chemotherapy, immunotherapy, and biologic therapy
Exclusion Criteria Specific to Cohort C
Participants in Cohort C who meet the following criteria will be excluded from study entry:
- Current Grade >1 peripheral neuropathy by clinical examination or demyelinating form of Charcot-Marie-Tooth disease
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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 | 352331912 | United States | ||
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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| Mosunetuzumab Subcutaneous (SC) | Drug | Participants in Cohort C will receive SC mosunetuzumab. |
|
| Polatuzumab Vedotin | Drug | Participants in Cohort C will receive IV polatuzumab vedotin. |
|
| Tocilizumab | Drug | Participants will receive tocilizumab via IV as needed to manage severe cytokine release syndrome (CRS). |
|
| Area Under the Curve (AUC) of Mosunetuzumab IV | At pre-defined intervals from Cycle 1 Day 1 through approximately 90 days after the last study treatment (cycle = 21 days) |
| Clearance (CL) of Mosunetuzumab IV | At pre-defined intervals from Cycle 1 Day 1 through approximately 90 days after the last study treatment (cycle = 21 days) |
| Volume of Distribution at Steady State (Vss) of Mosunetuzumab IV | At pre-defined intervals from Cycle 1 Day 1 through approximately 90 days after the last study treatment (cycle = 21 days) |
| Maximum Serum Concentration (Cmax) of Mosunetuzumab SC | At pre-defined intervals from Cycle 1 Day 1 through approximately 90 days after the last study treatment (cycle = 21 days) |
| Time to Maximum Serum Concentration (Tmax) of Mosunetuzumab SC | At pre-defined intervals from Cycle 1 Day 1 through approximately 90 days after the last study treatment (cycle = 21 days) |
| Minimum Serum Concentration (Cmin) of Mosunetuzumab SC | At pre-defined intervals from Cycle 1 Day 1 through approximately 90 days after the last study treatment (cycle = 21 days) |
| Area Under the Curve (AUC) of Mosunetuzumab SC | At pre-defined intervals from Cycle 1 Day 1 through approximately 90 days after the last study treatment (cycle = 21 days) |
| Clearance (CL) of Mosunetuzumab SC | At pre-defined intervals from Cycle 1 Day 1 through approximately 90 days after the last study treatment (cycle = 21 days) |
| Volume of Distribution at Steady State (Vss) of Mosunetuzumab SC | At pre-defined intervals from Cycle 1 Day 1 through approximately 90 days after the last study treatment (cycle = 21 days) |
| Maximum Serum Concentration (Cmax) of Polatuzumab Vedotin IV | At pre-defined intervals from Cycle 1 Day 1 through approximately 90 days after the last study treatment (cycle = 21 days) |
| Minimum Serum Concentration (Cmin) of Polatuzumab Vedotin IV | At pre-defined intervals from Cycle 1 Day 1 through approximately 90 days after the last study treatment (cycle = 21 days) |
| Area Under the Curve (AUC) of Polatuzumab Vedotin IV | At pre-defined intervals from Cycle 1 Day 1 through approximately 90 days after the last study treatment (cycle = 21 days) |
| Clearance (CL) of Polatuzumab Vedotin IV | At pre-defined intervals from Cycle 1 Day 1 through approximately 90 days after the last study treatment (cycle = 21 days) |
| Volume of Distribution at Steady State (Vss) of Polatuzumab Vedotin IV | At pre-defined intervals from Cycle 1 Day 1 through approximately 90 days after the last study treatment (cycle = 21 days) |
| End of Infusion Concentration (Ceoi) of Polatuzumab Vedotin IV | At pre-defined intervals from Cycle 1 Day 1 through approximately 90 days after the last study treatment (cycle = 21 days) |
| Trough Concentration (Ctrough) of Polatuzumab Vedotin IV | At pre-defined intervals from Cycle 1 Day 1 through approximately 90 days after the last study treatment (cycle = 21 days) |
| PET-CT Rate According to the Lugano 2014 Criteria at PRA as Determined by the Investigator (Cohorts B and C) and IRC (Cohort C) | 6-8 weeks after Cycle 8 Day 1 or the final dose of study treatment (cycle = 21 days) |
| Objective Response Rate (ORR), Defined as the Proportion of Participants with a Complete Response (CR) or Partial Response (PR) at PRA as Determined by the Investigator (Cohorts A and C) | Baseline through 2 years after PRA (up to a total of approximately 2.5 years) |
| Best ORR (CR or PR at any time) During the Study Based on PET-CT and/or CT Scans as Determined by the Investigator (All Cohorts) and by IRC (Cohort C) | Baseline through 2 years after PRA (up to a total of approximately 2.5 years) |
| Duration of Response (DOR) as Determined by the Investigator (All Cohorts) and by IRC (Cohort C) | From the first occurrence of a documented objective response to disease progression, relapse, or death, whichever occurs first (up to approximately 2.5 years) |
| Duration of Confirmed Response (DOCR) as Determined by the Investigator (All Cohorts) and by IRC (Cohort C) | From the first occurrence of a documented CR to disease progression or relapse, or death from any cause, whichever occurs first (up to approximately 2.5 years) |
| Progression-Free Survival (PFS) as Determined by the Investigator (All Cohorts) and by IRC (Cohort C) | From the first study treatment to the first occurrence of disease progression, relapse, or death, whichever occurs first (up to approximately 2.5 years) |
| Overall Survival (OS) | From the first study treatment to death from any cause |
| Time to Deterioration in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) Physical Functioning and Fatigue (Cohorts B and C) | From the first study treatment to the first occurrence of disease progression, relapse, initiation of new anti-lymphoma treatment, or death from any cause, whichever occurs first (up to approximately 2.5 years) |
| Time to Deterioration in European Organization for Research and Treatment of Cancer Item Library (EORTC-IL17) Physical Functioning (Cohorts B and C) | From the first study treatment to the first occurrence of disease progression, relapse, initiation of new anti-lymphoma treatment, or death from any cause, whichever occurs first (up to approximately 2.5 years) |
| Time to Deterioration in the Functional Assessment of Cancer Therapy - Lymphoma (FACT-Lym) Subscale (Cohorts B and C) | From the first study treatment to the first occurrence of disease progression, relapse, initiation of new anti-lymphoma treatment, or death from any cause, whichever occurs first (up to approximately 2.5 years) |
| Proportion of Participants Achieving a Clinically Meaningful Improvement in Physical Functioning as Measured by EORTC QLQ-C30 (Cohorts B and C) | From the first study treatment to the first occurrence of disease progression, relapse, initiation of new anti-lymphoma treatment, or death from any cause, whichever occurs first (up to approximately 2.5 years) |
| Proportion of Participants Achieving a Clinically Meaningful Improvement in Physical Functioning as Measured by EORTC IL17 (Cohorts B and C) | From the first study treatment to the first occurrence of disease progression, relapse, initiation of new anti-lymphoma treatment, or death from any cause, whichever occurs first (up to approximately 2.5 years) |
| Anti-Drug Antibodies (ADAs) to Mosunetuzumab | At pre-defined intervals from Cycle 1 Day 1 through approximately 90 days after the last study treatment (cycle = 21 days) |
| Anti-Drug Antibodies (ADAs) to Polatuzumab Vedotin (Cohort C) | At pre-defined intervals from Cycle 1 Day 1 through approximately 90 days after the last study treatment (cycle = 21 days) |
| University of California, Los Angeles (UCLA) - Hematology/Oncology Santa Monica |
| Santa Monica |
| California |
| 90404-2023 |
| United States |
| Fort Wayne Medical Institute | Fort Wayne | Indiana | 46805 | United States |
| University of Maryland Medical Center | Baltimore | Maryland | 21201 | United States |
| Duke University | Durham | North Carolina | 27708-9963 | United States |
| Fox Chase Cancer Center | Philadelphia | Pennsylvania | 19111 | United States |
| Rhode Island Hospital | Providence | Rhode Island | 02903 | United States |
| Texas Oncology - Baylor Charles A. Sammons Cancer Center | Dallas | Texas | 75246 | United States |
| Soroka Medical Center | Beersheba | 8410101 | Israel |
| Rambam Medical Center | Haifa | 31096 | Israel |
| Carmel medical center | Haifa | 3436212 | Israel |
| Shaare Zedek Medical Center | Jerusalem | 9103102 | Israel |
| Hadassah Ein-Karem | Jerusalem | 91120 | Israel |
| Meir Medical Center | Kfar Saba | 4428164 | Israel |
| Sheba Medical Center | Ramat Gan | 5262100 | Israel |
| Uniwersyteckie Centrum Kliniczne | Gdansk | 80-214 | Poland |
| PRATIA MCM Kraków | Krakow | 30-727 | Poland |
| Centrum Onkologii Ziemi Lubelskiej im. ?w. Jana z Dukli | Lublin | 20-090 | Poland |
| Szpital Wojewodzki w Opolu | Opole | 45-372 | Poland |
| Pusan National University Hospital | Busan | 49241 | South Korea |
| Keimyung University Dongsan Hospital | Daegu | 41931 | South Korea |
| Samsung Medical Center | Seoul | (0)6351 | South Korea |
| The Catholic University of Korea Yeouido St. Mary's Hospital | Seoul | (0)7345 | South Korea |
| Seoul National University Hospital | Seoul | 03080 | South Korea |
| Severance Hospital, Yonsei University | Seoul | 03722 | South Korea |
| Hospital Universitario Virgen Macarena | Seville | Sevilla | 41071 | Spain |
| Hospital Universitario Vall d Hebron | Barcelona | 08035 | Spain |
| Institut Catala d Oncologia Hospitalet | Barcelona | 08908 | Spain |
| Hospital San Pedro de Alcantara | Cáceres | 10003 | Spain |
| Hospital General Universitario Gregorio Marañon | Madrid | 28007 | Spain |
| Hospital Universitario 12 de Octubre | Madrid | 28041 | Spain |
| National Taiwan University Hospital | Taipei | 10002 | Taiwan |
| ID | Term |
|---|---|
| D016403 | Lymphoma, Large B-Cell, Diffuse |
| ID | Term |
|---|---|
| D016393 | Lymphoma, B-Cell |
| 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 |
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