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NCT02600897

A Study of Obinutuzumab, Polatuzumab Vedotin, and Lenalidomide in Relapsed or Refractory Follicular Lymphoma (FL) and Rituximab in Combination With Polatuzumab Vedotin and Lenalidomide in Relapsed or Refractory Diffuse Large B-Cell Lymphoma (DLBCL)

Completed Phase 1, PHASE2 Results posted Last updated 26 December 2023
What this trial tests

Phase 1, PHASE2 trial testing Lenalidomide in Relapsed or Refractory Follicular Lymphoma, Relapsed or Refractory Diffuse Large B-Cell Lymphoma in 114 participants. Completed in 15 December 2021.

Timeline
24 March 2016
Primary endpoint
15 December 2021
15 December 2021

Quick facts

Lead sponsorHoffmann-La Roche
PhasePhase 1, PHASE2
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment114
Start date24 March 2016
Primary completion15 December 2021
Estimated completion15 December 2021
Sites28 locations across United Kingdom, United States, Spain

Drugs / interventions tested

Conditions studied

Sponsor

Hoffmann-La Roche — full company profile →

Who can join

18 and older, any sex, with Relapsed or Refractory Follicular Lymphoma, Relapsed or Refractory Diffuse Large B-Cell Lymphoma. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Percentage of Participants With Dose-Limiting Toxicities (DLTs) Primary · Day 1 of Cycle 1 to Day 1 of Cycle 2 (1 cycle = 28 days) in dose-escalation phase

A DLT was defined as any one of the following toxicities occurring during the first cycle of treatment and assessed by the investigator as related to study treatment: Any adverse event of any grade that lead to a delay of \> 14 days in the start of the next treatment cycle, Grade 3 or 4 non-hematologic adverse events with few exceptions; increase in hepatic transaminase \> 3 x baseline and an increase in direct bilirubin \> 2 x upper limits of normal (ULN), without any findings of cholestasis or jaundice, or signs of hepatic dysfunction, and in the absence of other contributory factors; hemato

GroupValue95% CI
Dose-escalation Phase: 1.4 mg Pola + 10 mg L + 1000 mg G in FL0.0
Dose-escalation Phase: 1.8 mg Pola + 10 mg L + 1000 mg G in FL50.0
Dose-escalation Phase: 1.4 mg Pola + 15 mg L + 1000 mg G in FL0.0
Dose-escalation Phase: 1.4 mg Pola + 20 mg L + 1000 mg G in FL0.0
Dose-escalation Phase: 1.8 mg Pola + 10 mg L + 375 mg R in DLBCL0.0
Dose-escalation Phase: 1.8 mg Pola + 15 mg L + 375 mg R in DLBCL0.0
Dose-escalation Phase: 1.8 mg Pola + 20 mg L + 375 mg R in DLBCL0.0
Percentage of Participants With Adverse Events (AEs) Primary · From study start up to end of study (Up to a maximum of 69 months)

An AE is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as adverse events. Percentages have been rounded off to the first decimal point.

GroupValue95% CI
Dose-escalation Phase: 1.4 mg Pola + 10 mg L + 1000 mg G in FL100.0
Dose-escalation Phase: 1.8 mg Pola + 10 mg L + 1000 mg G in FL100.0
Dose-escalation Phase: 1.4 mg Pola + 15 mg L + 1000 mg G in FL100.0
Dose-escalation Phase: 1.4 mg Pola + 20 mg L + 1000 mg G in FL100.0
Dose-escalation Phase: 1.8 mg Pola + 10 mg L + 375 mg R in DLBCL100.0
Dose-escalation Phase: 1.8 mg Pola + 15 mg L + 375 mg R in DLBCL100.0
Dose-escalation Phase: 1.8 mg Pola + 20 mg L + 375 mg R in DLBCL100.0
Expansion Phase: 1.4 mg Pola + 20 mg L + 1000 mg G in FL100.0
Expansion Phase: 1.8 mg Pola + 20 mg L + 375 mg R in DLBCL97.4
Percentage of Participants With Complete Response (CR) at End of Induction (EOI), Determined by an Independent Review Committee (IRC) on the Basis of Positron Emission Tomography (PET) and Computed Tomography (CT) Scans Primary · 6 to 8 weeks after Day 1 of Cycle 6 (up to approximately 28 weeks)

CR at EOI was assessed by IRC according to Modified Lugano Response Criteria (MLRC). Per MLRC, CR based on PET-CT was defined as complete metabolic response (MR) in lymph nodes and extralymphatic sites (ELS) with a score of 1, 2, or 3 with or without residual mass, on 5-point scale (5PS) where 1=no uptake above background; 2=uptake ≤ mediastinum; 3=uptake \> mediastinum but ≤ liver; 4=uptake moderately \> liver; 5=uptake markedly higher than liver and/or new lesions no evidence of fluorodeoxyglucose (FDG)-avid disease in bone marrow. Bone marrow is normal by morphology; if indeterminate, immun

GroupValue95% CI
Dose-escalation Phase: 1.4 mg Pola + 20 mg L + 1000 mg G in FL66.727.13 – 93.72
Dose-escalation Phase: 1.8 mg Pola + 20 mg L + 375 mg R in DLBCL0.00.0 – 25.89
Expansion Phase: 1.4 mg Pola + 20 mg L + 1000 mg G in FL60.045.78 – 73.06
Expansion Phase: 1.8 mg Pola + 20 mg L + 375 mg R in DLBCL38.525.41 – 52.89
Percentage of Participants With CR at EOI, Determined by the Investigator on the Basis of PET-CT Scans Secondary · 6 to 8 weeks after Day 1 of Cycle 6 (up to approximately 28 weeks)

CR at EOI was assessed by Investigator according to MLRC. Per MLRC, CR based on PET-CT was defined as complete MR in lymph nodes and ELS with a score of 1, 2, or 3 with or without residual mass, on 5PS where 1=no uptake above background; 2=uptake ≤ mediastinum; 3=uptake \> mediastinum but ≤ liver; 4=uptake moderately \> liver; 5=uptake markedly higher than liver and/or new lesions no evidence of FDG-avid disease in bone marrow. Bone marrow is normal by morphology; if indeterminate, IHC negative. Analysis was done 6-8 weeks after Cycle 6, Day 1 (cycle=28 days). Percentages have been rounded off

GroupValue95% CI
Dose-escalation Phase: 1.4 mg Pola + 20 mg L + 1000 mg G in FL66.727.13 – 93.72
Dose-escalation Phase: 1.8 mg Pola + 20 mg L + 375 mg R in DLBCL0.00.0 – 25.89
Expansion Phase: 1.4 mg Pola + 20 mg L + 1000 mg G in FL60.045.78 – 73.06
Expansion Phase: 1.8 mg Pola + 20 mg L + 375 mg R in DLBCL33.320.97 – 47.69
Percentage of Participants With CR at EOI, Determined by the IRC on the Basis of CT Scans Alone Secondary · 6 to 8 weeks after Day 1 of Cycle 6 (up to approximately 28 weeks)

CR at EOI was determined by IRC according to the MLRC. Per MLRC, CR based on CT was defined as complete radiologic response in lymph nodes and ELS with target nodes/nodal masses regressing to ≤ 1.5 cm in longest transverse diameter (LDi) and no ELS of disease organ enlargement regressing to normal; no new lesions; normal bone marrow by morphology, if indeterminate, IHC negative. Analysis was done 6-8 weeks after Cycle 6, Day 1 (cycle=28 days). Percentages have been rounded off to the first decimal point.

GroupValue95% CI
Dose-escalation Phase: 1.4 mg Pola + 20 mg L + 1000 mg G in FL16.70.85 – 58.18
Dose-escalation Phase: 1.8 mg Pola + 20 mg L + 375 mg R in DLBCL0.00.0 – 31.23
Expansion Phase: 1.4 mg Pola + 20 mg L + 1000 mg G in FL31.418.73 – 46.61
Expansion Phase: 1.8 mg Pola + 20 mg L + 375 mg R in DLBCL12.54.38 – 26.36
Percentage of Participants With CR at EOI, Determined by Investigator on the Basis of CT Scans Alone Secondary · 6 to 8 weeks after Day 1 of Cycle 6 (up to approximately 28 weeks)

CR at EOI was determined by Investigator according to the MLRC. Per MLRC, CR based on CT was defined as complete radiologic response in lymph nodes and ELS with target nodes/nodal masses regressing to ≤ 1.5 cm in LDi and no ELS of disease organ enlargement regressing to normal; no new lesions; normal bone marrow by morphology, if indeterminate, IHC negative. Analysis was done 6-8 weeks after Cycle 6, Day 1 (cycle=28 days). Percentages have been rounded off to the first decimal point.

GroupValue95% CI
Dose-escalation Phase: 1.4 mg Pola + 20 mg L + 1000 mg G in FL16.70.85 – 58.18
Dose-escalation Phase: 1.8 mg Pola + 20 mg L + 375 mg R in DLBCL0.00.0 – 28.31
Expansion Phase: 1.4 mg Pola + 20 mg L + 1000 mg G in FL29.717.65 – 44.38
Expansion Phase: 1.8 mg Pola + 20 mg L + 375 mg R in DLBCL28.115.53 – 43.94
Percentage of Participants With Objective Response (OR) at EOI, Determined by the IRC on the Basis of PET-CT Scans Secondary · 6 to 8 weeks after Day 1 of Cycle 6 (cycle=28 days) (up to approximately 28 weeks)

OR was defined as percentage of participants with CR or PR as assessed by the IRC according to MLRC. Per MLRC CR based on PET-CT is complete MR in lymph nodes \& ELS with score of 1, 2, or 3 with or without residual mass on 5PS, where 1=no uptake above background; 2=uptake ≤ mediastinum; 3=uptake\> mediastinum but ≤ liver; 4=uptake moderately \> liver; 5=uptake markedly higher than liver and/or new lesions;no new lesions \& no evidence of FDG-avid disease in bone marrow.Bone marrow is normal by morphology; if indeterminate, IHC negative. Partial response (PR) based on PET-CT was defined as par

GroupValue95% CI
Dose-escalation Phase: 1.4 mg Pola + 20 mg L + 1000 mg G in FL100.060.70 – 100.0
Dose-escalation Phase: 1.8 mg Pola + 20 mg L + 375 mg R in DLBCL10.00.51 – 39.42
Expansion Phase: 1.4 mg Pola + 20 mg L + 1000 mg G in FL72.5058.61 – 83.75
Expansion Phase: 1.8 mg Pola + 20 mg L + 375 mg R in DLBCL46.2032.35 – 60.42
Percentage of Participants With Objective Response at EOI, Determined by Investigator on the Basis of PET-CT Scans Secondary · 6 to 8 weeks after Day 1 of Cycle 6 (up to approximately 28 weeks)

OR was defined percentage of participants with CR or PR assessed by the investigator according to MLRC. Per MLRC CR based on PET-CT is complete MR in lymph nodes \& ELS with score of 1, 2, 3 with or without residual mass on 5PS, where 1=no uptake above background 2=uptake ≤ mediastinum 3=uptake\> mediastinum but ≤ liver 4=uptake moderately \> liver 5=uptake markedly higher than liver and/or new lesions;no new lesions \& no evidence of FDG-avid disease in bone marrow.Bone marrow is normal by morphology; if indeterminate, IHC negative. PR based on PET-CT was defined as partial MR in lymph nodes

GroupValue95% CI
Dose-escalation Phase: 1.4 mg Pola + 20 mg L + 1000 mg G in FL100.060.70 – 100.0
Dose-escalation Phase: 1.8 mg Pola + 20 mg L + 375 mg R in DLBCL10.00.51 – 39.42
Expansion Phase: 1.4 mg Pola + 20 mg L + 1000 mg G in FL80.066.80 – 89.64
Expansion Phase: 1.8 mg Pola + 20 mg L + 375 mg R in DLBCL46.2032.35 – 60.42
Percentage of Participants With Objective Response at EOI, Determined by the IRC on the Basis of CT Scans Alone Secondary · 6 to 8 weeks after Day 1 of Cycle 6 (up to approximately 28 weeks)

OR was defined as the percentage of participants with CR or PR, as assessed by the IRC based on MLRC. Per MLRC, CR based on CT was defined as complete radiologic response in lymph nodes and ELS with target nodes/nodal masses regressing to ≤ 1.5 cm in LDi and no ELS of disease organ enlargement regressing to normal; no new lesions; bone marrow normal by morphology, if indeterminate, IHC negative. PR per CT only was defined as partial remission in lymph nodes and ELS with ≥50% decrease in the sum of the products of greatest diameters (SPD) of up to 6 target measurable lymph nodes and extranodal

GroupValue95% CI
Dose-escalation Phase: 1.4 mg Pola + 20 mg L + 1000 mg G in FL100.060.70 – 100.0
Dose-escalation Phase: 1.8 mg Pola + 20 mg L + 375 mg R in DLBCL12.50.64 – 47.07
Expansion Phase: 1.4 mg Pola + 20 mg L + 1000 mg G in FL91.479.31 – 97.62
Expansion Phase: 1.8 mg Pola + 20 mg L + 375 mg R in DLBCL53.137.34 – 68.46
Percentage of Participants With Objective Response, Determined by the Investigator on the Basis of CT Scans Alone Secondary · 6 to 8 weeks after Day 1 of Cycle 6 (up to approximately 28 weeks)

OR was defined as the percentage of participants with CR or PR, as assessed by the investigator based on MLRC. Per MLRC, CR based on CT was defined as complete radiologic response in lymph nodes and ELS with target nodes/nodal masses regressing to ≤ 1.5 cm in LDi and no ELS of disease organ enlargement regressing to normal; no new lesions; bone marrow normal by morphology, if indeterminate, IHC negative. PR per CT only was defined as partial remission in lymph nodes and ELS with ≥50% decrease in the sum of the products of greatest diameters (SPD) of up to 6 target measurable lymph nodes and ex

GroupValue95% CI
Dose-escalation Phase: 1.4 mg Pola + 20 mg L + 1000 mg G in FL100.060.70 – 100.0
Dose-escalation Phase: 1.8 mg Pola + 20 mg L + 375 mg R in DLBCL11.10.57 – 42.91
Expansion Phase: 1.4 mg Pola + 20 mg L + 1000 mg G in FL89.276.95 – 96.22
Expansion Phase: 1.8 mg Pola + 20 mg L + 375 mg R in DLBCL59.443.35 – 74.03
Percentage of Participants With Best Response of CR or PR, Determined by the Investigator on the Basis of CT Scans Alone Secondary · Up to every 6 months until disease progression, unacceptable toxicity or study completion (up to approximately 69 months)

BOR=CR/PR per CT per MLRC. Per MLRC, CR based on CT was defined as a complete radiologic response in lymph nodes and ELS with target nodes/nodal masses regressing to ≤ 1.5 cm in LDi and no ELS of disease organ enlargement regressing to normal; no new lesions; bone marrow normal by morphology, if indeterminate, IHC negative. PR per CT only was defined as partial remission in lymph nodes and ELS with ≥50% decrease in SPD of up to 6 target measurable lymph nodes and extranodal sites, absent/normal/regressed but with no increase in non-measured lesions, spleen regressing by ≥50% in length beyond n

GroupValue95% CI
Dose-escalation Phase: 1.4 mg Pola + 20 mg L + 1000 mg G in FL100.060.70 – 100.0
Dose-escalation Phase: 1.8 mg Pola + 20 mg L + 375 mg R in DLBCL50.022.24 – 77.76
Expansion Phase: 1.4 mg Pola + 20 mg L + 1000 mg G in FL90.078.56 – 96.51
Expansion Phase: 1.8 mg Pola + 20 mg L + 375 mg R in DLBCL79.566.02 – 89.36
Observed Serum Obinutuzumab Concentration Secondary · Day 1 of Cycles 1, 2, 4 & 6: predose & 30 mins postdose; EOI: predose; Day 1 of Maintenance Months 1,7, 13, 19;Day 120 post last dose; one year post last dose; study drug discontinuation; unscheduled visit: predose (up to approximately 69 months)

1 cycle = 28 days

Induction Cycle 1 Day 1 / Predose
GroupValue95% CI
Dose-escalation Phase: 1.4 mg Pola + 10 mg L + 1000 mg G in FLNA± NA
Dose-escalation Phase: 1.8 mg Pola + 10 mg L + 1000 mg G in FLNA± NA
Dose-escalation Phase: 1.4 mg Pola + 15 mg L + 1000 mg G in FLNA± NA
Dose-escalation Phase: 1.4 mg Pola + 20 mg L + 1000 mg G in FLNA± NA
Expansion Phase: 1.4 mg Pola + 20 mg L + 1000 mg G in FLNA± NA
Induction Cycle 1 Day 1 / 30 mins
GroupValue95% CI
Dose-escalation Phase: 1.4 mg Pola + 10 mg L + 1000 mg G in FL394± 22.1
Dose-escalation Phase: 1.8 mg Pola + 10 mg L + 1000 mg G in FL358± 20.5
Dose-escalation Phase: 1.4 mg Pola + 15 mg L + 1000 mg G in FL351± 15.2
Dose-escalation Phase: 1.4 mg Pola + 20 mg L + 1000 mg G in FL333± 70.0
Expansion Phase: 1.4 mg Pola + 20 mg L + 1000 mg G in FL182± 206.7
Induction Cycle 2 Day 1 / Predose
GroupValue95% CI
Dose-escalation Phase: 1.4 mg Pola + 10 mg L + 1000 mg G in FL451± 23.5
Dose-escalation Phase: 1.8 mg Pola + 10 mg L + 1000 mg G in FL372± 37.0
Dose-escalation Phase: 1.4 mg Pola + 15 mg L + 1000 mg G in FL386± 4.6
Dose-escalation Phase: 1.4 mg Pola + 20 mg L + 1000 mg G in FL481± 23.1
Expansion Phase: 1.4 mg Pola + 20 mg L + 1000 mg G in FL312± 40.8
Induction Cycle 2 Day 1 / 30 mins
GroupValue95% CI
Dose-escalation Phase: 1.4 mg Pola + 10 mg L + 1000 mg G in FL830± 38.3
Dose-escalation Phase: 1.8 mg Pola + 10 mg L + 1000 mg G in FL749± 17.2
Dose-escalation Phase: 1.4 mg Pola + 15 mg L + 1000 mg G in FL695± 14.3
Dose-escalation Phase: 1.4 mg Pola + 20 mg L + 1000 mg G in FL667± 77.5
Expansion Phase: 1.4 mg Pola + 20 mg L + 1000 mg G in FL588± 41.4
Induction Cycle 4 Day 1 / Predose
GroupValue95% CI
Dose-escalation Phase: 1.4 mg Pola + 10 mg L + 1000 mg G in FL354± 15.0
Dose-escalation Phase: 1.8 mg Pola + 10 mg L + 1000 mg G in FL321± 43.6
Dose-escalation Phase: 1.4 mg Pola + 15 mg L + 1000 mg G in FL344± 13.4
Dose-escalation Phase: 1.4 mg Pola + 20 mg L + 1000 mg G in FL405± 24.9
Expansion Phase: 1.4 mg Pola + 20 mg L + 1000 mg G in FL270± 41.8
Induction Cycle 4 Day 1 / 30 mins
GroupValue95% CI
Dose-escalation Phase: 1.4 mg Pola + 10 mg L + 1000 mg G in FL103± NA
Dose-escalation Phase: 1.8 mg Pola + 10 mg L + 1000 mg G in FL644± 42.8
Dose-escalation Phase: 1.4 mg Pola + 15 mg L + 1000 mg G in FL653± 20.6
Dose-escalation Phase: 1.4 mg Pola + 20 mg L + 1000 mg G in FL742± 27.8
Expansion Phase: 1.4 mg Pola + 20 mg L + 1000 mg G in FL547± 37.1
Induction Cycle 6 Day 1 / Predose
GroupValue95% CI
Dose-escalation Phase: 1.4 mg Pola + 10 mg L + 1000 mg G in FL255± 36.6
Dose-escalation Phase: 1.8 mg Pola + 10 mg L + 1000 mg G in FL504± NA
Dose-escalation Phase: 1.4 mg Pola + 15 mg L + 1000 mg G in FL327± 5.8
Dose-escalation Phase: 1.4 mg Pola + 20 mg L + 1000 mg G in FL384± 52.2
Expansion Phase: 1.4 mg Pola + 20 mg L + 1000 mg G in FL255± 49.0
Induction Cycle 6 Day 1 / 30 mins
GroupValue95% CI
Dose-escalation Phase: 1.4 mg Pola + 10 mg L + 1000 mg G in FL730± 15.5
Dose-escalation Phase: 1.8 mg Pola + 10 mg L + 1000 mg G in FL804± NA
Dose-escalation Phase: 1.4 mg Pola + 15 mg L + 1000 mg G in FL1.18± NA
Dose-escalation Phase: 1.4 mg Pola + 20 mg L + 1000 mg G in FL751± 35.3
Expansion Phase: 1.4 mg Pola + 20 mg L + 1000 mg G in FL543± 36.2

Adverse events — posted to ClinicalTrials.gov

Time frame: From Baseline up to study completion/discontinuation (maximum of 69 months). Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Dose-escalation Phase: 1.4 mg Pola + 10 mg L + 1000 mg G in FL
Serious: 3/3 (100%)
Deaths: 1/3
Dose-escalation Phase: 1.8 mg Pola + 10 mg L + 1000 mg G in FL
Serious: 2/4 (50%)
Deaths: 2/4
Dose-escalation Phase: 1.4 mg Pola + 15 mg L + 1000 mg G in FL
Serious: 2/3 (67%)
Deaths: 1/3
Dose-escalation Phase: 1.4 mg Pola + 20 mg L + 1000 mg G in FL
Serious: 3/6 (50%)
Deaths: 2/6
Dose-escalation Phase: 1.8 mg Pola + 10 mg L + 375 mg R in DLBCL
Serious: 0/3 (0%)
Deaths: 3/3
Dose-escalation Phase: 1.8 mg Pola + 15 mg L + 375 mg R in DLBCL
Serious: 0/5 (0%)
Deaths: 2/5
Dose-escalation Phase: 1.8 mg Pola + 20 mg L + 375 mg R in DLBCL
Serious: 4/10 (40%)
Deaths: 10/10
Expansion Phase: 1.4 mg Pola + 20 mg L + 1000 mg G in FL
Serious: 26/40 (65%)
Deaths: 7/40
Expansion Phase: 1.8 mg Pola + 20 mg L + 375 mg R in DLBCL
Serious: 19/39 (49%)
Deaths: 20/39

Serious adverse events (62 terms)

ReactionSystemDose-escalation Phase: 1.4…Dose-escalation Phase: 1.8…Dose-escalation Phase: 1.4…Dose-escalation Phase: 1.4…Dose-escalation Phase: 1.8…Dose-escalation Phase: 1.8…Dose-escalation Phase: 1.8…Expansion Phase: 1.4 mg Po…Expansion Phase: 1.8 mg Po…
FEBRILE NEUTROPENIABlood and lymphatic system disorders
PNEUMONIAInfections and infestations
PYREXIAGeneral disorders
COVID-19Infections and infestations
LOWER RESPIRATORY TRACT INFECTIONInfections and infestations
NEUTROPENIC SEPSISInfections and infestations
RESPIRATORY TRACT INFECTIONInfections and infestations
TUMOUR LYSIS SYNDROMEMetabolism and nutrition disorders
NEUTROPENIABlood and lymphatic system disorders
THROMBOCYTOPENIABlood and lymphatic system disorders
ACUTE CORONARY SYNDROMECardiac disorders
ACUTE MYOCARDIAL INFARCTIONCardiac disorders
CARDIAC FAILURECardiac disorders
PERICARDITISCardiac disorders
HYPOTHYROIDISMEndocrine disorders
VISION BLURREDEye disorders
COLITISGastrointestinal disorders
DIARRHOEAGastrointestinal disorders
GASTRIC HAEMORRHAGEGastrointestinal disorders
LIP SWELLINGGastrointestinal disorders
BRONCHIOLITISInfections and infestations
CELLULITISInfections and infestations
COVID-19 PNEUMONIAInfections and infestations
EPIDIDYMITISInfections and infestations
INJECTION SITE INFECTIONInfections and infestations
Other adverse events (163 terms — click to expand)

ReactionSystemDose-escalation Phase: 1.4…Dose-escalation Phase: 1.8…Dose-escalation Phase: 1.4…Dose-escalation Phase: 1.4…Dose-escalation Phase: 1.8…Dose-escalation Phase: 1.8…Dose-escalation Phase: 1.8…Expansion Phase: 1.4 mg Po…Expansion Phase: 1.8 mg Po…
NEUTROPENIABlood and lymphatic system disorders
THROMBOCYTOPENIABlood and lymphatic system disorders
ANAEMIABlood and lymphatic system disorders
DIARRHOEAGastrointestinal disorders
INFUSION RELATED REACTIONInjury, poisoning and procedural complications
PYREXIAGeneral disorders
FATIGUEGeneral disorders
COUGHRespiratory, thoracic and mediastinal disorders
CONSTIPATIONGastrointestinal disorders
NAUSEAGastrointestinal disorders
NASOPHARYNGITISInfections and infestations
ALANINE AMINOTRANSFERASE INCREASEDInvestigations
DECREASED APPETITEMetabolism and nutrition disorders
ASTHENIAGeneral disorders
RESPIRATORY TRACT INFECTIONInfections and infestations
ARTHRALGIAMusculoskeletal and connective tissue disorders
RASHSkin and subcutaneous tissue disorders
ABDOMINAL PAINGastrointestinal disorders
UPPER RESPIRATORY TRACT INFECTIONInfections and infestations
BACK PAINMusculoskeletal and connective tissue disorders
VOMITINGGastrointestinal disorders
ASPARTATE AMINOTRANSFERASE INCREASEDInvestigations
BLOOD CREATININE INCREASEDInvestigations
GAMMA-GLUTAMYLTRANSFERASE INCREASEDInvestigations
HYPOMAGNESAEMIAMetabolism and nutrition disorders
MUSCLE SPASMSMusculoskeletal and connective tissue disorders
DIZZINESSNervous system disorders
DYSPNOEARespiratory, thoracic and mediastinal disorders
ABDOMINAL PAIN UPPERGastrointestinal disorders
INFLUENZA LIKE ILLNESSGeneral disorders
OEDEMA PERIPHERALGeneral disorders
PNEUMONIAInfections and infestations
URINARY TRACT INFECTIONInfections and infestations
BLOOD ALKALINE PHOSPHATASE INCREASEDInvestigations
BLOOD LACTATE DEHYDROGENASE INCREASEDInvestigations
HYPERGLYCAEMIAMetabolism and nutrition disorders
HYPOCALCAEMIAMetabolism and nutrition disorders
HYPOKALAEMIAMetabolism and nutrition disorders
PARAESTHESIANervous system disorders
OROPHARYNGEAL PAINRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: FEBRILE NEUTROPENIA, PNEUMONIA, PYREXIA, COVID-19, LOWER RESPIRATORY TRACT INFECTION, NEUTROPENIC SEPSIS, RESPIRATORY TRACT INFECTION, TUMOUR LYSIS SYNDROME.

Data from ClinicalTrials.gov NCT02600897 adverse events section.

Sponsor's own description

This study will evaluate the safety, efficacy, and pharmacokinetics of induction treatment with obinutuzumab, polatuzumab vedotin, and lenalidomide in participants with relapsed or refractory (R/R) follicular lymphoma (FL) and rituximab in combination with polatuzumab vedotin and lenalidomide in participants with R/R diffuse large B-cell lymphoma (DLBCL), followed by post-induction treatment with obinutuzumab in combination with lenalidomide in participants with FL who achieve a complete response (CR), partial response (PR), or stable disease (SD) at end of induction (EOI) and post-induction treatment with rituximab plus lenalidomide in participants with DLBCL who achieve a CR or PR at EOI.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. 2021 Update on Diffuse large B cell lymphoma: A review of current data and potential applications on risk stratification and management.
    Susanibar-Adaniya S, Barta SK. · · 2021 · cited 250× · PMID 33661537 · DOI 10.1002/ajh.26151
  2. Polatuzumab Vedotin: First Global Approval.
    Deeks ED. · · 2019 · cited 151× · PMID 31352604 · DOI 10.1007/s40265-019-01175-0
  3. A Review of Obinutuzumab (GA101), a Novel Type II Anti-CD20 Monoclonal Antibody, for the Treatment of Patients with B-Cell Malignancies.
    Tobinai K, Klein C, Oya N, Fingerle-Rowson G. · · 2017 · cited 128× · PMID 28004361 · DOI 10.1007/s12325-016-0451-1
  4. Polatuzumab vedotin as a salvage and bridging treatment in relapsed or refractory large B-cell lymphomas.
    Liebers N, Duell J, Fitzgerald D, Kerkhoff A, et al · · 2021 · cited 71× · PMID 34196677 · DOI 10.1182/bloodadvances.2020004155
  5. Antibody-drug conjugates for the treatment of lymphoma: clinical advances and latest progress.
    Chu Y, Zhou X, Wang X. · · 2021 · cited 48× · PMID 34090506 · DOI 10.1186/s13045-021-01097-z
  6. Current Status of Marine-Derived Compounds as Warheads in Anti-Tumor Drug Candidates.
    Newman DJ, Cragg GM. · · 2017 · cited 43× · PMID 28353637 · DOI 10.3390/md15040099
  7. Relapsed/Refractory Diffuse Large B-Cell Lymphoma: A Look at the Approved and Emerging Therapies.
    Sawalha Y. · · 2021 · cited 25× · PMID 34945817 · DOI 10.3390/jpm11121345
  8. Antibody-drug conjugates for lymphoma patients: preclinical and clinical evidences.
    Barreca M, Lang N, Tarantelli C, Spriano F, et al · · 2022 · cited 23× · PMID 36654819 · DOI 10.37349/etat.2022.00112

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02600897.

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