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Clinical Trials List

Protocol NumberGO40554
NCT Number(ClinicalTrials.gov Identfier)NCT03677154
Completed

2021-06-01 - 2026-02-01

Phase I/II

Recruiting6

A Phase I/II Trial of Mosunetuzumab (BTCT4465A) as Consolidation Therapy in Patients With Diffuse Large B-Cell Lymphoma Following First-Line Immunotherapy and as Monotherapy or in Combination With Polatuzumab Vedotin in Elderly/Unfit Patients With Previously Untreated Diffuse Large B-Cell Lymphoma

  • Sponsor

  • Trial scale

  • Update

    2026/02/01

Investigators and Locations

Principal Investigator

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator 高婉真

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator Tai-Chung Huang

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator 張義芳

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator Tsai-Yun Chen

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Condition/Disease

Diffuse Large B-cell Lymphoma

Objectives

This trial aims to evaluate the efficacy of mosunetuzumab, an experimental drug, alone, or in combination with another drug, polatuzumab vedotin, in the treatment of DLBCL.

Test Drug

injection
injection
Injection

Active Ingredient

Mosunetuzumab
Mosunetuzumab
Mosunetuzumab
Tocilizumab
Polatuzumab Vedotin

Dosage Form

injection
injection
Injection

Dosage

1ml/vial
30 ml/vial
1 ml/vial
10 ml/vial
Vial

Endpoints

Primary Efficacy Goals

Trial Group A:

• To preliminarily evaluate the antitumor activity of mosunetuzumab IV in patients with a best response (PR) after first-line therapy for DLBCL.

Trial Group B:

• To preliminarily evaluate the antitumor activity of mosunetuzumab IV in older/unsuitable patients with previously untreated DLBCL.

Trial Group C: To evaluate the antitumor activity of mosunetuzumab SC versus polatuzumab vedotin IV in older/unsuitable patients with previously untreated DLBCL.

Inclution Criteria

Inclusion Criteria for All Cohorts

At least one bi-dimensionally measurable nodal lesion, defined as > 1.5 cm in its longest dimension, or one bi-dimensionally measurable extranodal lesion, defined as > 1.0 cm in its longest diameter
Adequate hematologic function
Eastern Cooperative Oncology Group (ECOG) Performance Status of 0, 1, or 2; with the exception of South Korea, where participants 80 years or older with ECOG >/= 2 will not be eligible
Inclusion Criteria Specific to Cohort A

Participants in Cohort A must also meet the following criteria for study entry:

Histologically confirmed DLBCL according to World Health Organization (WHO) 2016 expected to express the cluster of differentiation-20 (CD20) antigen
One prior therapy with any systemic anthracycline-based chemoimmunotherapy containing regimen for previously untreated DLBCL
Best response of SD or PR to prior systemic chemoimmunotherapy at the end of induction treatment in accordance with the Lugano 2014 criteria
Inclusion Criteria Specific to Cohorts B and C

Participants in Cohorts B and C must also meet the following criteria for study entry:

Previously untreated, histologically confirmed, DLBCL according to WHO 2016 classification
Age >/= 80 years, or
Age 65-79 years and considered ineligible for chemoimmuotherapy (R-CHOP) with at least one of the following: Impairment in at least two activity of daily living (ADL) components as defined in the protocol; impairment in at least two instrumental ADL components as defined in the protocol; cumulative illness rating scale - geriactic (CIRS-G) score of at least one cormorbidity with a severity score of 3-4 (not including lymphoma and hematologic deficiencies due to lymphoma) or a score of 2 in >/= 8 comorbidities; impairment in cardiac function, renal function, liver function, or other comorbidities such that the participant is unfit for full-dose immunochemotherapy, such as rituximab plus cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP)
Participants with an initial ECOG performance status of 3 may be considered during screening if the performance status is DLBCL-related and if pre-phase treatment during the screening phase (not more than 100 mg/day up to 7 days prior to Cycle 1 Day 1) results in an improvement of ECOG performance status to

Exclusion Criteria

Exclusion Criteria for All Cohorts

Participants who meet any of the following criteria will be excluded from study entry:

Transformed lymphoma
CNS lymphoma
Prior treatment with mosunetuzumab
Prior stem cell transplant (autologous and allogeneic)
History of confirmed progressive multifocal leukoencephalopathy (PML)
Known or suspected chronic active Epstein Barr virus (CAEBV), hepatitis B, hepatitis C (HCV), or Human Immunodeficiency Virus (HIV)
Known or suspected history of hemophagocytic lymphohistiocytosis (HLH)
Positive SARS-CoV-2 antigen or PCR test within 30 days prior to Cycle 1 Day 1
Prior solid organ transplantation
Current or past history of central nervous system (CNS) disease, such as stroke, epilepsy, CNS vasculitis, or neurodegenerative disease
Clinically significant history of liver disease
Prior treatment with radiotherapy within 2 weeks prior to Cycle 1, Day 1 (C1D1)
Significant cardiovascular disease

The Estimated Number of Participants

  • Taiwan

    16 participants

  • Global

    189 participants