This study will evaluate the safety, pharmacokinetics, and preliminary efficacy of mosunetuzumab in combination with cyclophosphamide, doxorubicin, vincristine, and prednisone (M-CHOP) and, subsequently, in combination with cyclophosphamide, doxorubicin, and prednisone (CHP) plus polatuzumab vedotin (CHP-pola) in participants with relapsed or refractory (R/R) B-cell non-Hodgkin lymphoma (NHL), and in previously untreated participants with diffuse large B-cell lymphoma (DLBCL).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
117
Participants will receive intravenous (IV) mosunetuzumab.
Participants will receive polatuzumab vedotin via IV.
Participants will receive rituxumab via IV.
Participants will receive cyclophosphamide via IV.
Participants will receive doxorubicin via IV.
Participants will receive vincristine via IV.
Participants will receive oral prednisone.
Participants will receive tocilizumab via IV.
University of Alabama Birmingham
Birmingham, Alabama, United States
Banner MD Anderson Cancer Center
Gilbert, Arizona, United States
University of California; Moores Cancer Center
La Jolla, California, United States
University of California, Los Angeles (UCLA) - Hematology/Oncology Santa Monica
Santa Monica, California, United States
Georgetown University Medical Center
Washington D.C., District of Columbia, United States
Complete Response (CR) Rate at the Time of Primary Response Assessment (PRA) Based on Positron Emission Tomography - Computed Tomography (PET-CT) as Determined by Independent Review Committee (IRC)
The CR rate was defined as the percentage of participants with CR. Assessments were made according to the Lugano 2014 Response Criteria.
Time frame: 6-8 weeks after either C6D1 or last dose of study treatment
CR Rate at PRA Based on CT Only as Determined by the Investigator (Phase II)
Time frame: 6-8 weeks after C6D1 or last dose of study treatment
Overall Response Rate (ORR) at PRA Based on PET-CT as Determined by the Investigator (Phase II)
ORR is defined as a CR or PR at the time of primary assessment based on PET-CT, as determined by the investigator.
Time frame: 6-8 weeks after C6D1 or last dose of study treatment
ORR at PRA Based on CT Only as Determined by the Investigator (Phase II)
ORR is defined as a CR or PR at the time of primary assessment based on CT only, as determined by the investigator.
Time frame: 6-8 weeks after C6D1 or last dose of study treatment
Best ORR Based on PET-CT and/or CT Scan as Determined by the Investigator (Phase II)
Best ORR was defined as CR or PR at any time on study and based on PET-CT or CT only as determined by the investigator.
Time frame: Up to approximately 50 months
Duration of Response (DOR) as Determined by the Investigator (Phase II)
DOR is defined as the time from the first occurrence of a documented objective response to disease progression or relapse as determined by the investigator, or death from any cause, whichever occurs first. The range values (min-max) are based on censored observations (if a participant did not experience disease progression or death prior to the end of the trial DOR was censored on the date of the last tumor assessment).
Time frame: Up to approximately 50 months
Progression-free Survival (PFS) as Determined by the Investigator (Phase II)
PFS is defined as the time from randomization to the first occurrence of disease progression or relapse as determined by the investigator, or death from any cause, whichever occurs first. The earliest contributing event to PFS is reported. The range (min-max) values are based on censored observations (participants without a baseline-evaluable tumor assessment were censored at the date of randomization or first study treatment, plus 1 day).
Time frame: Up to approximately 50 months
PFS at 1 Year as Determined by the Investigator (Phase II)
PFS at 1 year is defined as the proportion of participants with disease progression or relapse as determined by the investigator, or death from any cause within 1 year of randomization.
Time frame: 1 year
Event-free Survival (EFS) as Determined by the Investigator (Phase II)
EFS is defined as the time from randomization to the first occurrence of disease progression or relapse, as determined by the investigator, initiation of new anti-lymphoma therapy (NALT), or death from any cause, whichever occurs first. The range values (min-max) are based on censored observations (if a participant did not experience disease progression or death prior to the end of the trial DOR was censored on the date of the last tumor assessment).
Time frame: Up to 50 months
Time to Deterioration in Lymphoma Symptoms as Measured by the Functional Assessment of Cancer Therapy - Lymphoma (FACT-Lym) Subscale
Time frame: C1D1 through follow-up period (to begin 2 years after PRA or at the time of study drug discontinuation)
Time to Deterioration in Physical Functioning and Fatigue as Measured by the European Organization for Research and Treatment of Cancer Quality of Life - Core 30 Questionnaire (EORTC QLQ-C30)
Time frame: C1D1 through follow-up period (to begin 2 years after PRA or at the time of study drug discontinuation)
Polatuzumab Vedotin Serum Concentrations
Time frame: C2D1, C6D1
Polatuzumab Vedotin Antibody-conjugated Monomethyl Auristatin E (acMMAE) Serum Concentrations
Time frame: C1D1-C6D1
Polatuzumab Vedotin Unconjugated Mono-methyl Auristatin E (MMAE) Serum Concentrations
Time frame: C1D1-C6D1
Mosunetuzumab Serum Concentrations
Time frame: C1D1-C5D1
Baseline Prevalence and Incidence of Treatment Emergent Anti-drug Antibodies (ADA) to Mosunetuzumab
Participants are considered to have treatment-induced ADA responses if they are ADA negative or missing data at baseline and then develop an ADA response following study drug administration. Participants are considered to have treatment-enhanced ADA responses if they are ADA positive at baseline and the titer of one or more post baseline samples is at least 4-fold greater than the titer of the baseline sample. Patients are considered to be negative for ADAs if they are ADA negative at all timepoints or if they are ADA positive at baseline but do not have any post-baseline samples with a titer that is at least 4-fold greater than the titer of the baseline sample (treatment unaffected).
Time frame: Cycles 1, 2, 6, 16, and at early discontinuation visit or at PRA (6-8 weeks after either C6D1 or last dose of study treatment)
Baseline Prevalence and Incidence of Treatment Emergent ADA to Polatuzumab Vedotin
Participants are considered to have treatment-induced ADA responses if they are ADA negative or missing data at baseline and then develop an ADA response following study drug administration. Participants are considered to have treatment-enhanced ADA responses if they are ADA positive at baseline and the titer of one or more post baseline samples is at least 4-fold greater than the titer of the baseline sample. Patients are considered to be negative for ADAs if they are ADA negative at all timepoints or if they are ADA positive at baseline but do not have any post-baseline samples with a titer that is at least 4-fold greater than the titer of the baseline sample (treatment unaffected).
Time frame: Cycles 1, 2, 6, and at early discontinuation visit or at PRA (6-8 weeks after either C6D1 or last dose of study treatment)
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
University of Miami Miller School of Medicine
Miami, Florida, United States
University of Kansas Cancer Center
Westwood, Kansas, United States
Dana-Farber Cancer Institute
Boston, Massachusetts, United States
University of Michigan
Ann Arbor, Michigan, United States
Mayo Clinic Cancer Center
Rochester, Minnesota, United States
...and 31 more locations