An Open-Label, Multicenter Study Evaluating the Safety, Efficacy, and Pharmacokinetics of Mosunetuzumab in Combination With Tiragolumab With or Without Atezolizumab in Participants With B-Cell Non-Hodgkin Lymphoma

NCT ID: NCT05315713

Last Updated: 2024-10-04

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

8 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-05-10

Study Completion Date

2023-07-19

Brief Summary

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This study will evaluate the safety, efficacy, and pharmacokinetics of mosunetuzumab in combination with tiragolumab, with or without atezolizumab, in participants with relapsed or refractory (R/R) diffuse large B-cell lymphoma (DLBCL) or follicular lymphoma (FL) who have received at least two previous lines of systemic therapy.

Detailed Description

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Conditions

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Non-Hodgkin Lymphoma, Follicular Lymphoma

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Subcutaneous (SC) Mosunetuzumab in Combination with Intravenous (IV) Tiragolumab

Participants will receive at least 8 and up to 17 cycles of treatment (cycle length = 21 days)

Group Type EXPERIMENTAL

Mosunetuzumab SC

Intervention Type DRUG

Participants will receive SC mosunetuzumab for up to 17 treatment cycles (cycle length = 21 days)

Tiragolumab

Intervention Type DRUG

Participants will receive IV tiragolumab every 3 weeks (Q3W) for up to 17 treatment cycles (cycle length = 21 days)

Tocilizumab

Intervention Type OTHER

Participants will receive IV tocilizumab as needed to manage cytokine release syndrome (CRS) events

Mosunetuzumab SC in Combination with Tiragolumab IV and Atezolizumab IV

Participants will receive at least 8 and up to 17 cycles of treatment (cycle length = 21 days)

Note: This arm did not enroll any participants.

Group Type EXPERIMENTAL

Mosunetuzumab SC

Intervention Type DRUG

Participants will receive SC mosunetuzumab for up to 17 treatment cycles (cycle length = 21 days)

Tiragolumab

Intervention Type DRUG

Participants will receive IV tiragolumab every 3 weeks (Q3W) for up to 17 treatment cycles (cycle length = 21 days)

Atezolizumab

Intervention Type DRUG

Participants will receive IV atezolizumab Q3W for up to 17 treatment cycles (cycle length = 21 days)

Tocilizumab

Intervention Type OTHER

Participants will receive IV tocilizumab as needed to manage cytokine release syndrome (CRS) events

Interventions

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Mosunetuzumab SC

Participants will receive SC mosunetuzumab for up to 17 treatment cycles (cycle length = 21 days)

Intervention Type DRUG

Tiragolumab

Participants will receive IV tiragolumab every 3 weeks (Q3W) for up to 17 treatment cycles (cycle length = 21 days)

Intervention Type DRUG

Atezolizumab

Participants will receive IV atezolizumab Q3W for up to 17 treatment cycles (cycle length = 21 days)

Intervention Type DRUG

Tocilizumab

Participants will receive IV tocilizumab as needed to manage cytokine release syndrome (CRS) events

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Aged \>/= 18 years
* Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2
* Life expectancy of at least 12 weeks
* Histologically documented FL or DLBCL that has relapsed or failed to respond to at least two prior systemic treatment regimens and for which no suitable therapy of curative intent or higher priority exists (e.g., standard chemotherapy, ASCT, CAR T cells)
* At least one bi-dimensionally measurable (\> 1.5 cm) nodal lesion, or at least one bi-dimensionally measurable (\> 1.0 cm) extranodal lesion
* Participants with FL (including trFL) for whom a bone marrow biopsy and aspirate can be collected
* Adequate hematologic and organ function

Exclusion Criteria

* Received any of the following treatments prior to study entry: mosunetuzumab or other CD20/CD3-directed bispecific antibodies; tiragolumab or other anti-TIGIT agent; allogenic SCT; solid organ transplantation
* Currently eligible for autologous SCT
* Current or past history of CNS lymphoma or leptomeningeal infiltration
* History of severe allergic or anaphylactic reactions to humanized or murine monoclonal antibody therapy (or recombinant antibody-related fusion proteins)
* Contraindication to atezolizumab (if applicable) or tocilizumab
* Clinically significant toxicities from prior treatment have not resolved to Grade \</= 1 (per NCI CTCAE v5.0) prior to the first study drug administration with exceptions defined by the protocol
* Treatment-emergent immune-mediated adverse events associated with prior immunotherapeutic agents as defined by the protocol
* Evidence of any significant, concomitant disease as defined by the protocol
* Major surgery within 4 weeks prior to first study treatment administration, with the exception of protocol-mandated procedures (e.g., tumor biopsies and bone marrow biopsies)
* Significant cardiac, pulmonary, CNS, or liver disease, or known active infections
* History of other malignancy that could affect compliance with the protocol or interpretation of results
* History of autoimmune disease with exceptions as defined in the protocol
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hoffmann-La Roche

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trials

Role: STUDY_DIRECTOR

Hoffmann-La Roche

Locations

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USC Norris Comprehensive Cancer Center

Los Angeles, California, United States

Site Status

University of Michigan

Ann Arbor, Michigan, United States

Site Status

Lifespan Cancer Institute

Providence, Rhode Island, United States

Site Status

St Vincent's Hospital Sydney

Darlinghurst, New South Wales, Australia

Site Status

Eastern Health

Box Hill, Victoria, Australia

Site Status

St Vincent's Hospital Melbourne

Fitzroy, Victoria, Australia

Site Status

AZ Sint Jan Brugge Oostende AV

Bruges, , Belgium

Site Status

Institut Jules Bordet

Brussels, , Belgium

Site Status

AZ Groeninge

Kortrijk, , Belgium

Site Status

CHU UCL Namur - Mont-Godinne

Yvoir, , Belgium

Site Status

Tom Baker Cancer Centre-Calgary

Calgary, Alberta, Canada

Site Status

Princess Margaret Cancer Centre

Toronto, Ontario, Canada

Site Status

Universitaet Duisburg-Essen

Essen, , Germany

Site Status

Beatson West of Scotland Cancer Centre

Glasgow, , United Kingdom

Site Status

Royal Marsden Hospital - Institute of Cancer Research - Chelsea

London, , United Kingdom

Site Status

Plymouth Hospitals NHS Trust - Derriford Hospital

Plymouth, , United Kingdom

Site Status

Royal Marsden Hospital - Institute of Cancer Research - Sutton

Sutton, , United Kingdom

Site Status

Countries

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United States Australia Belgium Canada Germany United Kingdom

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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CO43116

Identifier Type: -

Identifier Source: org_study_id

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