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JOURNAL ONKOLOGIE – STUDIE
Celestimo

A Study Evaluating the Efficacy and Safety of Mosunetuzumab in Combination With Lenalidomide in Comparison to Rituximab in Combination With Lenalidomide With a US Extension of Mosunetuzumab in Combination With Lenalidomide in Participants With Follicular Lymphoma

Rekrutierend

NCT-Nummer:
NCT04712097

Studienbeginn:
Oktober 2021

Letztes Update:
07.05.2024

Wirkstoff:
Mosunetuzumab, Lenalidomide, Rituximab, Tociluzumab

Indikation (Clinical Trials):
Lymphoma, Lymphoma, Follicular

Geschlecht:
Alle

Altersgruppe:
Erwachsene (18+)

Phase:
Phase 3

Sponsor:
Hoffmann-La Roche

Collaborator:
-

Studienleiter

Clinical Trials
Study Director
Hoffmann-La Roche

Kontakt

Reference Study ID: GO42909 https://forpatients.roche.com/
Kontakt:
Phone: 888-662-6728
E-Mail: global-roche-genentech-trials@gene.com
» Kontaktdaten anzeigen

Studienlocations
(3 von 148)

Universitätsklinikum Augsburg; II. Med. Klinik
86156 Augsburg
(Bayern)
GermanyZurückgezogen» Google-Maps
Sozialstiftung Bamberg - Klinikum am Bruderwald, Med. Klinik V; Hämatologie und intern. Onkologie
96049 Bamberg
(Bayern)
GermanyZurückgezogen» Google-Maps
Vivantes Klinikum Am Urban Klinik für Innere Medizin Hämatologie und Onkologie
10967 Berlin
(Berlin)
GermanyAktiv, nicht rekrutierend» Google-Maps
CAMPUS BENJAMIN FRANKLIN CharitéCentrum 14 Med.Klinik f.Hämatologie u.Onkologie
12200 Berlin
(Berlin)
GermanyAktiv, nicht rekrutierend» Google-Maps
Klinikum Chemnitz gGmbH, Klinik für Innere Medizin III, Hämatologie und Onkologie
09113 Chemnitz
(Sachsen)
GermanyZurückgezogen» Google-Maps
BAG Freiberg-Richter, Jacobasch, Illmer, Wolf; Gemeinschaftspraxis Hämatologie-Onkologie
01307 Dresden
(Sachsen)
GermanyAktiv, nicht rekrutierend» Google-Maps
Marien-Hospital Klinik f.Hämatologie Onkologie u.Palliativmedizin
40479 Düsseldorf
(Nordrhein-Westfalen)
GermanyZurückgezogen» Google-Maps
Medizinische Klinik IV, Hämatologie Universitätsklinikum Gießen
35392 Giessen
(Hessen)
GermanyZurückgezogen» Google-Maps
Universitätsklinikum Halle; Klinik für Innere Medizin IV; Hämatologie und Onkologie
06120 Halle (Saale)
(Sachsen-Anhalt)
GermanyAktiv, nicht rekrutierend» Google-Maps
Uniklinik Heidelberg, Medizinische Klinik & Poliklinik V
69120 Heidelberg
(Baden-Württemberg)
GermanyAktiv, nicht rekrutierend» Google-Maps
Universitaetsklinikum des Saarlandes; medizinische Klinik und Poliklinik; Innere Medizin I
64421 Homburg/Saar
(Saarland)
GermanyZurückgezogen» Google-Maps
Westpfalz-Klinikum GmbH; Innere Medizin 1, Hämatologie und internistischen Onkologie
67655 Kaiserslautern
(Rheinland-Pfalz)
GermanyZurückgezogen» Google-Maps
Uni-Klinikum-Schleswig-Holstein; Klinik für Innere Medizin II; Hämatologie und Onkologie
24105 Kiel
(Schleswig-Holstein)
GermanyZurückgezogen» Google-Maps
Universitaetsklinikum Schleswig Holstein - Campus Luebeck; Haematologie, Onkologie
23538 Luebeck
(Schleswig-Holstein)
GermanyZurückgezogen» Google-Maps
Klinikum der Universität München, Campus Großhadern; Medizinische Klinik und Poliklinik III
81377 München
(Bayern)
GermanyZurückgezogen» Google-Maps
Klinik und Poliklinik f. Innere Medizin III des Universitätsklinikums Regensburg
93053 Regensburg
(Bayern)
GermanyAktiv, nicht rekrutierend» Google-Maps
Universitätsklinik Rostock; Klinik für Innere Med. III, Abteilung Hämatologie/Onkologie
18057 Rostock
(Mecklenburg-Vorpommern)
GermanyRekrutierend» Google-Maps
Universtitätsklinikum Ulm; Klinik für Innere Medizin III
89081 Ulm
(Baden-Württemberg)
GermanyAbgeschlossen» Google-Maps
City of Hope Comprehensive Cancer Center
91010 Duarte
United StatesRekrutierend» Google-Maps
Winship Cancer Institute
30322 Atlanta
United StatesRekrutierend» Google-Maps
Fort Wayne Medical Oncology and Hematology, Inc
46804 Fort Wayne
United StatesRekrutierend» Google-Maps
Investigative Clinical Research of Indiana, LLC
46062 Noblesville
United StatesRekrutierend» Google-Maps
Johns Hopkins Uni ; Sidney Kimmel Comprehensive Care Center
21231 Baltimore
United StatesAktiv, nicht rekrutierend» Google-Maps
University of Michigan Health System; UMH Internal Medicine/Hematology-Oncology
48109 Ann Arbor
United StatesAktiv, nicht rekrutierend» Google-Maps
Cancer & Hematology Center of West Michigan
49546 Grand Rapids
United StatesRekrutierend» Google-Maps
Washington University; Wash Uni. Sch. Of Med
63110 Saint Louis
United StatesRekrutierend» Google-Maps
MD Anderson Cancer Center at Cooper
08103 Camden
United StatesRekrutierend» Google-Maps
NYU Long Island Hospital
11501 Mineola
United StatesRekrutierend» Google-Maps
NYU Langone Ambulatory Care Center
10016 New York
United StatesRekrutierend» Google-Maps
Duke University Medical Center
27705 Durham
United StatesRekrutierend» Google-Maps
Wake Forest Univ Health Svcs; Section on Hem and Onc
27157 Winston-Salem
United StatesRekrutierend» Google-Maps
Baylor University Medical Center; Baylor Sammons Cancer Center
75246 Dallas
United StatesRekrutierend» Google-Maps
MD Anderson Cancer Center
77030 Houston
United StatesRekrutierend» Google-Maps
Kadlec Clinic Hematology and Oncology
99336-7774 Kennewick
United StatesRekrutierend» Google-Maps
Calvary Mater Newcastle
2298 Waratah
AustraliaAktiv, nicht rekrutierend» Google-Maps
Princess Alexandra Hospital Woolloongabba; Clinical Hematology and Medical Oncology
4102 Woolloongabba
AustraliaAktiv, nicht rekrutierend» Google-Maps
Royal Adelaide Hospital; Haematology Clinical Trials
5000 Adelaide
AustraliaAktiv, nicht rekrutierend» Google-Maps
Geelong Hospital; Andrew Love Cancer Centre
3220 Geelong
AustraliaAktiv, nicht rekrutierend» Google-Maps
ICTR Curitiba
80510-130 Curitiba
BrazilAktiv, nicht rekrutierend» Google-Maps
Hospital das Clinicas - UFRGS
90035-903 Porto Alegre
BrazilAktiv, nicht rekrutierend» Google-Maps
Hospital Mae de Deus
90110-000 Porto Alegre
BrazilAktiv, nicht rekrutierend» Google-Maps
Hospital Alemao Oswaldo Cruz
01323-903 Sao Paulo
BrazilAktiv, nicht rekrutierend» Google-Maps
Peking University First Hospital
100034 Beijing City
ChinaRekrutierend» Google-Maps
Peking University Third Hospital
100191 Beijing
ChinaAktiv, nicht rekrutierend» Google-Maps
The First Hospital of Jilin University
130021 Changchun City
ChinaAktiv, nicht rekrutierend» Google-Maps
Cancer Center, Sun Yat-sen University of Medical Sciences; Department of Medical Oncology
510060 Guangzhou City
ChinaRekrutierend» Google-Maps
Harbin Medical University Cancer Hospital
150081 Harbin
ChinaRekrutierend» Google-Maps
The 1st Affiliated Hospital of Nanchang Unversity
330019 Nanchang
ChinaRekrutierend» Google-Maps
Jiangsu Province Hospital
210008 Nanjing
ChinaAktiv, nicht rekrutierend» Google-Maps
Fudan University Shanghai Cancer Center; Medical Oncology
201315 Shanghai City
ChinaRekrutierend» Google-Maps
Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine
200092 Shanghai
ChinaRekrutierend» Google-Maps
Institute of Hematology and Blood Diseases Hospital Chinese Academy of Medical Sciences
300020 Tianjin City
ChinaRekrutierend» Google-Maps
Tianjin Cancer Hospital
300060 Tianjin
ChinaAktiv, nicht rekrutierend» Google-Maps
Union Hospital Tongji Medical College Huazhong University of Science and Technology
430023 Wuhan City
ChinaAktiv, nicht rekrutierend» Google-Maps
Tongji Hospital Tongji Medical College Huazhong University of Science and Technology
430030 Wuhan City
ChinaRekrutierend» Google-Maps
The First Affiliated Hospital of Xiamen University
361003 Xiamen
ChinaAktiv, nicht rekrutierend» Google-Maps
The First Affiliated Hospital of Zhengzhou University
450052 Zhengzhou
ChinaRekrutierend» Google-Maps
Centre Hospitalier de La Cote Basque; Hematologie
64109 Bayonne
FranceAktiv, nicht rekrutierend» Google-Maps
Ch De Chambery; Hematologie Oncologie
73011 Chambery
FranceAktiv, nicht rekrutierend» Google-Maps
Hopital Henri Mondor; Hematologie Clinique
94010 Creteil
FranceAktiv, nicht rekrutierend» Google-Maps
Hopital Claude Huriez; Hematologie
59037 Lille
FranceAktiv, nicht rekrutierend» Google-Maps
Institut Paoli Calmettes
13009 Marseille
FranceAktiv, nicht rekrutierend» Google-Maps
CHU Saint Eloi; Service d'Hématologie Clinique
34295 Montpellier
FranceAktiv, nicht rekrutierend» Google-Maps
CHU NANTES - Hôtel Dieu; Service d'Hematologie Clinique
44093 Nantes
FranceAktiv, nicht rekrutierend» Google-Maps
Centre Antoine Lacassagne;B4 Hematologie Cancerologie
06189 Nice
FranceAktiv, nicht rekrutierend» Google-Maps
CHU de Nîmes - Hôpital Carémeau
30029 Nimes
FranceAktiv, nicht rekrutierend» Google-Maps
Hôpital Saint-Louis; Service d'Hématologie
75475 Paris
FranceAktiv, nicht rekrutierend» Google-Maps
Hopital Saint Antoine; Hematologie Clinique
75571 Paris
FranceAktiv, nicht rekrutierend» Google-Maps
Hopital De Haut Leveque; Hematologie Clinique
33604 Pessac
FranceAktiv, nicht rekrutierend» Google-Maps
Ch Lyon Sud; Hemato Secteur Jules Courmont
69495 Pierre Benite
FranceAktiv, nicht rekrutierend» Google-Maps
Hopital De La Miletrie; Hematologie Et Oncologie Medicale
86021 Poitiers
FranceAktiv, nicht rekrutierend» Google-Maps
Centre Henri Becquerel; Service Hématologie
76038 Rouen
FranceAktiv, nicht rekrutierend» Google-Maps
ICLN;Hopital De Jour Rdc
42271 St Priest En Jarez
FranceZurückgezogen» Google-Maps
A.O. Universitaria Policlinico S.Orsola-Malpighi Di Bologna
40138 Bologna
ItalyAktiv, nicht rekrutierend» Google-Maps
U.O. Ematologia AUSL Ravenna
48121 Ravenna
ItalyAktiv, nicht rekrutierend» Google-Maps
Ospedale Maggiore Di Milano; U.O. Ematologia I - Padiglione Marcora
20122 Milano
ItalyAbgeschlossen» Google-Maps
Ospedale Di Circolo E Fondazione Macchi; Ematologia
21100 Varese
ItalyZurückgezogen» Google-Maps
Ospedali Riuniti Umberto I; Clinica di Ematologia
60100 Ancona
ItalyAktiv, nicht rekrutierend» Google-Maps
Giovanni Paolo II/I.R.C.C.S. Istituto Tumori
70124 Bari
ItalyZurückgezogen» Google-Maps
Ospedale V. Cervello; U.O. Ematologia E Trapianti
90146 Palermo
ItalyAktiv, nicht rekrutierend» Google-Maps
Azienda Ospedaliera Universitaria Careggi
50134 Florence
ItalyAktiv, nicht rekrutierend» Google-Maps
Ematologia/immunologia Clinica Azienda Ospedaliera Policlinico di Padova
35128 Padova
ItalyAktiv, nicht rekrutierend» Google-Maps
Aichi Cancer Center
464-8681 Aichi
JapanAktiv, nicht rekrutierend» Google-Maps
National Cancer Center Hospital East
277-8577 Chiba
JapanAktiv, nicht rekrutierend» Google-Maps
Hokkaido University Hospital
060-8648 Hokkaido
JapanZurückgezogen» Google-Maps
Kumamoto University Hospital
860-8556 Kumamoto
JapanZurückgezogen» Google-Maps
University Hospital Kyoto Prefectural University of Medicine
602-8566 Kyoto
JapanAktiv, nicht rekrutierend» Google-Maps
Mie University Hospital
514-8507 Mie
JapanAktiv, nicht rekrutierend» Google-Maps
Tohoku University Hospital
980-8574 Miyagi
JapanAktiv, nicht rekrutierend» Google-Maps
Okayama University Hospital
700-8558 Okayama
JapanAktiv, nicht rekrutierend» Google-Maps
Osaka Metropolitan University Hospital
545-8586 Osaka
JapanZurückgezogen» Google-Maps
National Cancer Center Hospital
104-0045 Tokyo
JapanAktiv, nicht rekrutierend» Google-Maps
The Cancer Institute Hospital of JFCR
135-8550 Tokyo
JapanAktiv, nicht rekrutierend» Google-Maps
Pusan National University Hospital
602-739 Busan
Korea, Republic ofAktiv, nicht rekrutierend» Google-Maps
Seoul National University Bundang Hospital
463-707 Seongnam-si
Korea, Republic ofAktiv, nicht rekrutierend» Google-Maps
Seoul National University Hospital
03080 Seoul
Korea, Republic ofAbgeschlossen» Google-Maps
Severance Hospital, Yonsei University Health System
03722 Seoul
Korea, Republic ofAktiv, nicht rekrutierend» Google-Maps
Asan Medical Center
05505 Seoul
Korea, Republic ofAktiv, nicht rekrutierend» Google-Maps
Samsung Medical Center
06351 Seoul
Korea, Republic ofAktiv, nicht rekrutierend» Google-Maps
Seoul St Mary's Hospital
06591 Seoul
Korea, Republic ofAktiv, nicht rekrutierend» Google-Maps
Uniwersyteckie Centrum Kliniczne
Gdansk
PolandAktiv, nicht rekrutierend» Google-Maps
Szpitale Pomorskie Sp. z o. o.; Oddzia? Hematologii i Transplantologii Szpiku
81-519 Gdynia
PolandAktiv, nicht rekrutierend» Google-Maps
Pratia Onkologia Katowice
40-519 Katowice
PolandAktiv, nicht rekrutierend» Google-Maps
Oddzial Kliniczny Hematologii SPZOZ MSWiA z Warminsko-Mazurskim Centrum Onkologii w Olsztynie
10-228 Olsztyn
PolandAbgeschlossen» Google-Maps
Uniwersytecki Szpital Kliniczny w Poznaniu; Oddzial Hematologii i Transplantacji Szpiku
60-569 Pozna?
PolandAktiv, nicht rekrutierend» Google-Maps
Instytut Hematologii i Transfuzjologii; Klinika Hematologii
02-776 Warszawa
PolandAktiv, nicht rekrutierend» Google-Maps
Uniwersytecki Szpital Kliniczny; Klinika Hematologii, Nowotworów Krwi i Transplantacji Szpiku
50-367 Wroc?aw
PolandAktiv, nicht rekrutierend» Google-Maps
FSBI "National Medical Research Center of Oncology N.N. Blokhin?
115478 Moscow
Russian FederationZurückgezogen» Google-Maps
City Clinical Botkin's Hospital; City Hematological Center
125284 Moscow
Russian FederationAktiv, nicht rekrutierend» Google-Maps
Regional Clinical Hospital N.A. Semashko; Hematology
603126 Nizhny Novgorod
Russian FederationZurückgezogen» Google-Maps
Penza Regional Oncology Dispensary
440071 Penza
Russian FederationAktiv, nicht rekrutierend» Google-Maps
Hospital de Donostia; Servicio de Oncologia
20014 Guipuzcoa
SpainAktiv, nicht rekrutierend» Google-Maps
Hospital Universitario la Paz; Servicio de Hematologia
28046 Madrid
SpainAktiv, nicht rekrutierend» Google-Maps
Hospital General Universitario J.M Morales Meseguer; Servicio de Hematología
30008 Murcia
SpainAktiv, nicht rekrutierend» Google-Maps
Hospital Universitario Virgen del Rocio; Servicio de Hematologia
41013 Sevilla
SpainAktiv, nicht rekrutierend» Google-Maps
Hospital Clinico Universitario de Valencia; Servicio de Onco-hematologia
46010 Valencia
SpainAktiv, nicht rekrutierend» Google-Maps
Chang Gung Medical Foundation - Kaohsiung; Oncology; Division of Hematology-Oncology
833 Kaoisung
TaiwanAktiv, nicht rekrutierend» Google-Maps
Taipei Veterans General Hospital
112 Taipei City
TaiwanAktiv, nicht rekrutierend» Google-Maps
National Taiwan Universtiy Hospital; Division of Hematology
100 Taipei
TaiwanAktiv, nicht rekrutierend» Google-Maps
Chang Gung Medical Foundation - Linkou; Division of Hematology- Oncology
333 Taoyuan
TaiwanAktiv, nicht rekrutierend» Google-Maps
Sanko University Faculty of Medicine
27090 ?eh?tkam?l
TurkeyZurückgezogen» Google-Maps
Gulhane Training and Research Hospital
06010 Ankara
TurkeyRekrutierend» Google-Maps
Hacettepe Uni Medical Faculty; Hematology
06100 Ankara
TurkeyAktiv, nicht rekrutierend» Google-Maps
Atakent Acibadem Private Hosptial Halkali Merkez Mh.,
34303 Istanbul
TurkeyAktiv, nicht rekrutierend» Google-Maps
Marmara Ün?Vers?Tes? ?Stanbul Pend?K E??T?M Ve Ara?Tirma Hastanes?
Istanbul
TurkeyAbgeschlossen» Google-Maps
Koc Universitesi (KU) Tip Fakultesi (Koc University School of Medicine)
34450 Sariyer
TurkeyAktiv, nicht rekrutierend» Google-Maps
Karadeniz Technical Uni School of Medicine; Hematology
61800 Trabzon
TurkeyAbgeschlossen» Google-Maps
Municipal Noncommercial Institution Regional Center of Oncology
61070 Kharkiv
UkraineZurückgezogen» Google-Maps
Municipal Institution Zaporizhzhia Regional Clinical Hospital of Zaporizhzhia Regional Council
69600 Zaporizhzhia
UkraineZurückgezogen» Google-Maps
Medical Center named after academician Yuri Prokopovich Spizhenko; Oncochemotherpy Department
08111 Kapitanivka
UkraineZurückgezogen» Google-Maps
Mykolayiv Regional Hospital
54058 Mykolaiv
UkraineZurückgezogen» Google-Maps
SIResearch Centre for Radiation Medicine of AMS of Ukraine; Department of Radiation Oncohematology
03115 Kiev
UkraineZurückgezogen» Google-Maps
Royal Cornwall Hospitals NHS Trust
TR1 3LJ Cornwall
United KingdomAbgeschlossen» Google-Maps
Gloucestershire Royal Hospital; Haematology Department
GL1 3NN Gloucester
United KingdomAktiv, nicht rekrutierend» Google-Maps
Royal Marsden Hospital - Fulham
SW3 6JJ London
United KingdomAktiv, nicht rekrutierend» Google-Maps
Hammersmith Hospital; Dept of Oncology
W12 0HS London
United KingdomAktiv, nicht rekrutierend» Google-Maps
Nottingham City Hospital; Dept of Haematology
NG5 1PB Nottingham
United KingdomAktiv, nicht rekrutierend» Google-Maps
Royal Marsden Hospital; Dept of Medical Oncology
SM2 5PT Sutton
United KingdomZurückgezogen» Google-Maps
Torbay Hospital; Oncology
TQ2 7AA Torquay
United KingdomAktiv, nicht rekrutierend» Google-Maps
Alle anzeigen

Studien-Informationen

Brief Summary:

This study will evaluate the efficacy and safety of mosunetuzumab in combination with

lenalidomide (M + Len) compared to rituximab in combination with lenalidomide (R + Len) in

participants with relapsed or refractory (R/R) follicular lymphoma (FL) who have received at

least one line of prior systemic therapy.

Ein-/Ausschlusskriterien

Inclusion Criteria:

- Eastern Cooperative Oncology Group (ECOG) Performance Status of 0, 1, or 2

- Histologically documented CD20+ FL (Grades 1-3a)

- Requiring systemic therapy assessed by investigator based on tumor size and/or Groupe

d'Etude des Lymphomes Folliculaires criteria

- Received at least one prior systemic lymphoma therapy, which included prior

immunotherapy or chemoimmunotherapy

- Availability of a representative tumor specimen and the corresponding pathology report

at the time of relapse/persistence for confirmation of the diagnosis of FL.

Pretreatment sample of at least 1 core-needle, excisional or incisional tumor biopsy

is required. Cytological or fine-needle aspiration samples are not acceptable. Fresh

pretreatment biopsy is preferred. Patients who are unable to undergo biopsy procedures

may be eligible for study enrollment if an archival tumor tissue sample (preferably

from the most recent relapse/persistence) as paraffin blocks or at least 15 unstained

slides, or in accordance with local regulatory requirements, can be sent to the

Sponsor.

- Adequate hematologic function (unless due to underlying lymphoma, per the

investigator)

- Agreement to comply with all local requirements of the lenalidomide risk minimization

plan, which includes the global pregnancy prevention program.

- For women of childbearing potential: Agreement to remain abstinent (refrain from

heterosexual intercourse) or use 2 adequate methods of contraception, including at

least 1 method with a failure rate of < 1% per year, for at least 28 days prior to Day

1 of Cycle 1, during the treatment period (including periods of treatment

interruption), and for at least 28 days after the last dose of lenalidomide, 3 months

after the final dose of tocilizumab (if applicable), mosunetuzumab, and 12 months

after final dose of rituximab. Women must refrain from donating eggs during this same

period.

- For men: Agreement to remain abstinent (refrain from heterosexual intercourse) or use

contraceptive measures and agreement to refrain from donating sperm, as defined: With

female partners of childbearing potential or pregnant female partners, men must remain

abstinent or use a condom during the treatment period and for at least 28 days after

last dose of lenalidomide, 3 months after the final dose of tocilizumab (if

applicable), mosunetuzumab and 12 months after the final dose of rituximab. Men must

refrain from donating sperm during this same period.

Exclusion Criteria:

- Grade 3b FL

- History of transformation of indolent disease to diffuse-large B cell lymphoma

- Documented refractoriness to lenalidomide, defined as no response (partial response or

complete response) or relapse within 6 months of therapy

- Active or history of CNS lymphoma or leptomeningeal infiltration

- Prior standard or investigational anti-cancer therapy as specified: Lenalidomide

exposure within 12 months prior to Day 1 of Cycle 1; Chimeric antigen receptor T cell

therapy within 30 days prior to Day 1 of Cycle 1; Radioimmunoconjugate within 12 weeks

prior to Day 1 of Cycle 1; Monoclonal antibody or antibody-drug conjugate within 4

weeks prior to Cycle 1 Day 1; Treatment with any anti-cancer agent (investigational or

otherwise) within 4 weeks or 5 half-lives of the drug, whichever is shorter, prior to

first dose of study treatment

- Clinically significant toxicity (other than alopecia) from prior treatment that has

not resolved to Grade </= 1 (per National Cancer Institute Common Terminology Criteria

for Adverse Events, Version 5.0) prior to Day 1 of Cycle 1

- Treatment with systemic immunosuppressive medications, including, but not limited to

prednisone (> 20 mg), azathioprine, methotrexate, thalidomide, and anti-tumor necrosis

factor agents within 2 weeks prior to Day 1 of Cycle 1

- History of solid organ transplantation

- History of severe allergic or anaphylactic reaction to humanized, chimeric or murine

monoclonal antibodies

- Known sensitivity or allergy to murine products

- Known hypersensitivity to biopharmaceuticals produced in Chinese hamster ovary (CHO)

cells or any component of the mosunetuzumab, rituximab, tocilizumab, lenalidomide, or

thalidomide formulation, including mannitol

- History of erythema multiforme, Grade >/= 3 rash, or blistering following prior

treatment with immunomodulatory derivatives

- History of interstitial lung disease, drug-induced pneumonitis, and autoimmune

pneumonitis

- Known active bacterial, viral, fungal, or other infection, or any major episode of

infection requiring treatment with IV antibiotics within 4 weeks of Day 1 of Cycle 1

- Known or suspected chronic active Epstein-Barr virus (EBV) infection

- Known or suspected history of hemophagocytic lymphohistiocytosis

- Clinically significant history of liver disease, including viral or other hepatitis,

or cirrhosis

- Active Hepatitis B infection

- Active Hepatitis C infection

- Known history of HIV positive status

- History of progressive multifocal leukoencephalopathy (PML)

- Administration of a live, attenuated vaccine within 4 weeks before first dose of study

treatment or anticipation that such a live attenuated vaccine will be required during

the study

- Other malignancy that could affect compliance with the protocol or interpretation of

results

- Active autoimmune disease requiring treatment

- History of autoimmune disease, including, but not limited to: myocarditis,

pneumonitis, myasthenia gravis, myositis, autoimmune hepatitis, systemic lupus

erythematosus, rheumatoid arthritis, inflammatory bowel disease, vascular thrombosis

associated with antiphospholipid syndrome, Wegener's granulomatosis, Sjögren's

syndrome, Guillain-Barré syndrome, multiple sclerosis, vasculitis, or

glomerulonephritis

- Prior allogeneic stem cell transplantation

- Contraindication to treatment for thromboembolism prophylaxis

- Evidence of any significant, uncontrolled concomitant disease that could affect

compliance with the protocol or interpretation of results, including, but not limited

to, significant cardiovascular disease (e.g., New York Heart Association Class III or

IV cardiac disease, myocardial infarction within the previous 6 months, unstable

arrhythmia, or unstable angina) or significant pulmonary disease (such as obstructive

pulmonary disease or history of bronchospasm)

- Major surgical procedure other than for diagnosis within 28 days prior to Day 1 of

Cycle 1 Day 1 or anticipation of a major surgical procedure during the course of the

study

- Pregnant or lactating or intending to become pregnant during the study

- Any serious medical condition or abnormality in clinical laboratory tests that, in the

investigator's judgment, precludes the patient's safe participation in and completion

of the study, or which could affect compliance with the protocol or interpretation of

results

Studien-Rationale

Primary outcome:

1. Progression Free Survival (PFS) according to 2014 Lugano Response Criteria (Time Frame - From randomization to the first occurrence of disease progression as determined by an independent review committee (IRC) or death from any cause (up to approximately 8 years))



Secondary outcome:

1. PFS as Determined by the Investigator (Time Frame - From randomization to the first occurrence of disease progression or death from any cause (up to approximately 8 years))

2. Complete Response Rate (Time Frame - Up to approximately 8 years)

3. Objective Response Rate (ORR) (Time Frame - Up to approximately 8 years)

4. Overall Survival (OS) (Time Frame - From randomization to death from any cause (up to approximately 8 years))

5. Duration of Objective Response (DOR) (Time Frame - From the first occurrence of a documented objective response (complete response or partial response) to disease progression or death from any cause, whichever occurs first (up to approximately 8 years))

6. Duration of Complete Reponse (DOCR) (Time Frame - From the first occurrence of a documented CR to disease progression or death from any cause, whichever occurs first (up to approximately 8 years))

7. Time to Deterioration in Physical Functioning and Fatigue, as Measured by the European Organisation for Research and Treatment of Cancer Quality of Life-Core 30 Questionnaire (EORTC QLQ-C30) (Time Frame - Up to approximately 8 years)

8. Time to Deterioration in Lymphoma Symptoms, as Measured by the Functional Assessment of Cancer Therapy-Lymphoma Subscale (FACT-LymS) (Time Frame - Up to approximately 8 years)

9. Percentage of Participants with Adverse Events (AEs) (Time Frame - Up to approximately 8 years)

10. Serum Concentration of M + Len (Time Frame - Up to approximately 8 years)

11. Area Under the Curve (AUC) of M + Len (Time Frame - Up to approximately 8 years)

12. Percentage of Participants with Anti-Drug Antibodies (ADAs) (Time Frame - Up to approximately 8 years)

13. Time to Next Anti-Lymphoma Treatment (TTNALT) (Time Frame - From randomization to the first documented administration of a new anti-lymphoma treatment (up to approximately 8 years))

Studien-Arme

  • Experimental: M + Len (Arm A)
    Participants will receive mosunetuzumab for 12 cycles, plus lenalidomide from cycles 2-12 (Cycle length = 21 days for Cycle 1; cycle length = 28 days for Cycles 2-12)
  • Experimental: R + Len (Arm B)
    Participants will receive weekly rituximab in Cycle 1, then on Day 1 of Cycles 3, 5, 7, 9, and 11. Participants will also receive lenalidomide in Cycles 1-12. (Cycle length = 28 days for Cycles 1-12)
  • Experimental: M + Len (US Extension Arm C)
    Participants will receive mosunetuzumab for 12 cycles, plus lenalidomide from cycles 2-12 (Cycle length = 21 days for Cycle 1; cycle length = 28 days for Cycles 2-12)

Geprüfte Regime

  • Mosunetuzumab:
    Participants will receive intravenous (IV) mosunetuzumab in a step-up dosing schedule on Days 1, 8, and 15 of Cycle 1, and on Day 1 of Cycles 2-12
  • Lenalidomide:
    Participants will receive oral lenalidomide once daily on Days 1-21 of Cycles 2-12 (M + Len) or Cycles 1-12 (R + Len)
  • Rituximab:
    Participants will receive IV rituximab on Days 1, 8, 15, and 22 of Cycle 1, then on Day 1 of Cycles 3, 5, 7, 9, and 11
  • Tociluzumab:
    Tocilizumab will be administered as needed to manage cytokine release syndrome (CRS) events

Quelle: ClinicalTrials.gov


Sie können folgenden Inhalt einem Kollegen empfehlen:

"A Study Evaluating the Efficacy and Safety of Mosunetuzumab in Combination With Lenalidomide in Comparison to Rituximab in Combination With Lenalidomide With a US Extension of Mosunetuzumab in Combination With Lenalidomide in Participants With Follicular Lymphoma"

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