A Study Evaluating the Safety, Pharmacokinetics, and Efficacy of Mosunetuzumab or Glofitamab in Combination With CC-220 and/or CC-99282 in Participants With B-Cell Non-Hodgkin Lymphoma

Last updated: May 2, 2025
Sponsor: Hoffmann-La Roche
Overall Status: Active - Recruiting

Phase

1

Condition

Lymphoma

Platelet Disorders

Non-hodgkin's Lymphoma

Treatment

CC-99282

SC Mosunetuzumab

Obinutuzumab

Clinical Study ID

NCT05169515
CO43805
  • Ages > 18
  • All Genders

Study Summary

This study will evaluate the safety, efficacy, and pharmacokinetics of mosunetuzumab or glofitamab in combination with CELMoDs (CC-220 and/or CC-99282) in participants with B-cell NHL.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Age >/= 18 years

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

  • History of one of the following histologically documented hematologic malignanciesthat are expected to express the CD20 antigen: In the Dose Escalation phase,participants must have relapsed after or failed to respond to at least two priorlines of systemic therapy. In the Dose Expansion phase, participants with FL Grades 1-3a must have relapsed after or failed to respond to at least one prior line ofsystemic therapy and must require systemic therapy. Participants withDLBCL/transformed FL must have relapsed after or failed to respond to at least oneprior systemic treatment regimen.

  • Participants with DLBCL/transformed FL who have received only one prior line oftherapy must: Not be considered a candidate for autologous stem cell transplantation (ASCT) due to age, performance status, comorbidities and/or insufficient response toprior treatment, or have refused ASCT; or be ineligible for or unable to receivechimeric antigen receptor T-cell (CAR-T) therapy due to reasons defined by theprotocol

  • Fluorodeoxyglucose-avid lymphoma (i.e. PET-positive lymphoma)

  • At least one bi-dimensionally measurable nodal lesion (> 1.5 cm in its largestdimension by diagnostic quality CT or PET/CT scan), or at least one bi-dimensionallymeasurable extranodal lesion (> 1.0 cm in its largest dimension by diagnosticquality CT or PET/CT scan)

  • Availability of a representative tumor specimen and the corresponding pathologyreport for confirmation of the diagnosis of NHL

  • A fresh pretreatment biopsy during screening period, excisional or incisional, ispreferred

  • Adequate hematologic function without growth factors or blood product transfusionwithin 14 days of first dose of study drug administration

  • Normal laboratory values

  • All participants and health care providers will be trained and counseled onpregnancy prevention. For female participants of childbearing potential: agreementto remain abstinent (refrain from heterosexual intercourse) or use contraceptionduring the treatment period and for 3 months after the final dose of mosunetuzumab,at least 18 months after pre-treatment with obinutuzumab or 2 months after the lastdose of glofitamab, 28 days after the last dose of CC-220, 28 days after the lastdose of CC-99282, 3 months after the last dose of tocilizumab (if applicable),whichever is longer

  • For male participants: agreement to remain abstinent (refrain from heterosexualintercourse) or use a condom, and agree to refrain from donating sperm during thetreatment period and for at least 3 months after pre-treatment with obinutuzumab or 2 months after the last dose of glofitamab, 28 days after the last dose of CC-220, 28 days after the last dose of CC- 99282, 2 months after the final dose oftocilizumab (if applicable), whichever is longer

Exclusion

Exclusion Criteria:

  • Pregnancy or breastfeeding, or intention of becoming pregnant during the study (female participants of childbearing potential must have a negative serum pregancytest result within 14 days prior to initiation of the study treatment) or within 3months after the final dose of mosunetuzumab, at least 3 months after pre-treatmentwith obinutuzumab or 2 months after the last dose of glofitamab, whichever islonger, 28 days after the last dose of CC-220, 28 days after the last dose ofCC-9282, 3 months after the final dose of tocilizumab, whichever is longer

  • Participant has received prior therapy with cereblon (CRBN)-modulating drug (e.g.,lenalidomide, avadomide/CC-122, pomalidomide) </= 4 weeks prior to starting CC-220and/or CC-99282

  • Inability to swallow pills, or persistent diarrhea or malabsorption >= Grade 2National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE), despite medical management

  • QTc interval of > 470 ms

  • The following treatments prior to study entry: mosunetuzumab, glofitamab, or otherCD20/CD3-directed bispecific antibodies; allogenic stem cell therapy (SCT); solidorgan transplantation

  • Treatments (investigational or approved) within the following time periods prior toinitiation/first dose of study treatment: radiotherapy within 2 weeks; autologousSCT within 100 days; chimeric antigen receptor (CAR) T-cell therapy within 30 days;prior anti-lymphoma treatment with monoclonal antibodies or antibody-drug conjugateswithin 4 weeks; use of radioimmunoconjugates within 12 weeks; systemicimmunosuppressive medications within 2 weeks; any other anti-cancer therapy, whetherinvestigational or approved, including but not limited to chemotherapy, within 4weeks or 5 half-lives of the drug, whichever is shorter

  • Live, attenuated vaccine within 4 weeks before first dose of study treatment, or inwhom it is anticipated that such a live attenuated vaccine will be required duringthe study period or within 5 months after the final dose of study treatment

  • Current or past history of central nervous system (CNS) lymphoma or leptomeningealinfiltration

  • History of severe allergic or anaphylactic reactions to humanized or murinemonoclonal antibody therapy (or recombinant antibody-related fusion proteins)

  • History of autoimmune disease, including but not limited to myocarditis,pneumonitis, myasthenia gravis, myositis, autoimmune hepatitis, systemic lupuserythematosus, rheumatoid arthritis, inflammatory bowel disease, vascular thrombosisassociated with antiphospholipid syndrome, granulomatosis with polyangiitis,Sjögren's syndrome, Guillain-Barré syndrome, multiple sclerosis, vasculitis, orglomerulonephritis

  • Major surgery or significant traumatic injury < 28 days prior to enrollment (excluding biopsies) or anticipation of the need for major surgery during studytreatment

  • Clinically significant toxicities from prior treatment have not resolved to Grade </= 1 (per US national cancer institute (NCI) common terminology criteria foradverse events (CTCAE) v5.0) prior to the first study drug administration withexceptions defined by the protocol

  • Evidence of any significant, concomitant disease (e.g. cardiovascular, pulmonary,liver, CVA or stroke, ILD, PML, infection, HLH etc) that could affect compliancewith the protocol or interpretation of results

  • For participants enrolled into glofitamab cohort: documented refractoriness to anobinutuzumab monotherapy-containing regimen (defined as disease that did not achieveresponse (PR or CR) or progressed within 6 months of the last dose of anobinutuzumab-containing regimen)

Study Design

Total Participants: 121
Treatment Group(s): 8
Primary Treatment: CC-99282
Phase: 1
Study Start date:
October 26, 2022
Estimated Completion Date:
March 07, 2029

Connect with a study center

  • Soroka

    Be'er Sheva, 0084101
    Israel

    Active - Recruiting

  • Rambam Health Care Campus

    Haifa, 3109600
    Israel

    Active - Recruiting

  • Hadassah Medical Center

    Jerusalem, 9112001
    Israel

    Active - Recruiting

  • Hadassah Medical Center; Pulmonary Institute

    Jerusalem, 9112001
    Israel

    Active - Recruiting

  • Center Hospital

    Ramat Gan, 5262199
    Israel

    Active - Recruiting

  • Sourasky Medical Center

    Tel-Aviv, 6423900
    Israel

    Active - Recruiting

  • Sourasky Medical Center; Oncology Department

    Tel-Aviv, 6423900
    Israel

    Active - Recruiting

  • IRCCS Azienda Ospedaliero Universitaria di Bologna

    Bologna, Emilia-Romagna 40138
    Italy

    Active - Recruiting

  • IRCCS Istituto Romagnolo per lo studio dei tumori "Dino Amadori"

    Meldola, Emilia-Romagna 47014
    Italy

    Active - Recruiting

  • ASST Spedali Civili di Brescia

    Brescia, Lombardia 25123
    Italy

    Active - Recruiting

  • Irccs Ospedale San Raffaele

    Milano, Lombardia 20132
    Italy

    Active - Recruiting

  • Irccs Ospedale San Raffaele;U.O. Oculistica

    Milano, Lombardia 20132
    Italy

    Active - Recruiting

  • Azienda Ospedaliero Universitaria Pisana-Ospedale Santa Chia

    Pisa, Piemonte 56126
    Italy

    Active - Recruiting

  • ICO L'Hospitalet

    L'Hospitalet de Llobregat, Barcelona 08908
    Spain

    Active - Recruiting

  • ICO L'Hospitalet; Servicio de Farmacia

    L'Hospitalet de Llobregat, Barcelona 08908
    Spain

    Active - Recruiting

  • Hospital Universitario La Fe

    València, Valencia 46026
    Spain

    Active - Recruiting

  • Hospital Universitario La Fe; Hospital La Fe

    València, Valencia 46026
    Spain

    Active - Recruiting

  • Hospital Universitari Vall d Hebron

    Barcelona, 08035
    Spain

    Active - Recruiting

  • Clinica Universidad de Navarra-Madrid

    Madrid, 28027
    Spain

    Active - Recruiting

  • Hospital General Universitario Gregorio Maranon

    Madrid, 28040
    Spain

    Active - Recruiting

  • Hosp Universitario Salamanca

    Salamanca, 37007
    Spain

    Active - Recruiting

  • Western General Hospital; Edinburgh Cancer Center

    Edinburgh, EH4 2XU
    United Kingdom

    Site Not Available

  • NHS Greater Glasgow and Clyde

    Glasgow, G12 0YN
    United Kingdom

    Active - Recruiting

  • NHS Greater Glasgow and Clyde; Beatson West of Scotland Cancer Centre

    Glasgow, G12 0YN
    United Kingdom

    Active - Recruiting

  • University College London Hospitals

    London, W1T 7HA
    United Kingdom

    Active - Recruiting

  • Nottingham University Hospitals City Campus

    Nottingham, NG5 1PB
    United Kingdom

    Active - Recruiting

  • Nottingham University Hospitals City Campus; Nottingham Cancer Clinical Trials Team

    Nottingham, NG5 1PB
    United Kingdom

    Active - Recruiting

  • Oxford University Hospitals NHS Trust; Churchill Hospital; Clinical Trials Pharmacy Department

    Oxford, OX3 7LE
    United Kingdom

    Active - Recruiting

  • Oxford University Hospitals NHS Trust;Churchill Hospital

    Oxford, OX3 7LE
    United Kingdom

    Active - Recruiting

  • UCSF/Hematology, Blood & Marrow Transplant, And Cellular Therapy (HBC) Program

    San Francisco, California 94143
    United States

    Active - Recruiting

  • University of Colorado

    Aurora, Colorado 80045
    United States

    Active - Recruiting

  • Moffitt Cancer Center

    Tampa, Florida 33612
    United States

    Active - Recruiting

  • The University of Chicago

    Chicago, Illinois 60637
    United States

    Active - Recruiting

  • Levine Cancer Institute

    Charlotte, North Carolina 28204
    United States

    Active - Recruiting

  • UT MD Anderson Cancer Center

    Houston, Texas 77030
    United States

    Active - Recruiting

  • UT MD Anderson Cancer Center; Investigational Pharmacy

    Houston, Texas 77030
    United States

    Active - Recruiting

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