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NCT05315713

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

Terminated Phase 1, PHASE2 Results posted Last updated 4 October 2024
What this trial tests

Phase 1, PHASE2 trial testing Mosunetuzumab SC in Non-Hodgkin Lymphoma, Follicular Lymphoma in 8 participants. Terminated before completion.

Timeline
10 May 2022
Primary endpoint
19 July 2023
19 July 2023

Quick facts

Lead sponsorHoffmann-La Roche
PhasePhase 1, PHASE2
StatusTerminated
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment8
Start date10 May 2022
Primary completion19 July 2023
Estimated completion19 July 2023
Sites17 locations across Belgium, United Kingdom, Germany, Canada, Australia, United States

Drugs / interventions tested

Conditions studied

Sponsor

Hoffmann-La Roche — full company profile →

Who can join

18 and older, any sex, with Non-Hodgkin Lymphoma, Follicular 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 Adverse Events - Phase 1b Primary · From the start of treatment until 90 days after the final dose of study treatment (up to 36 weeks)
GroupValue95% CI
Subcutaneous (SC) Mosunetuzumab in Combination With Intravenous (IV) Tiragolumab100
Best ORR as Determined by the Investigator Using Lugano 2014 Criteria - Phase 1b Secondary · Assessed at screening and then every 3-6 months until disease progression, start of new anti-cancer therapy, or withdrawal (through Cycle 8; cycle length = 21 days)

Best ORR is defined as the fraction of participants with complete response (CR) or partial response (PR) at any time as determined by the investigator using Lugano 2014 criteria.

GroupValue95% CI
Subcutaneous (SC) Mosunetuzumab in Combination With Intravenous (IV) Tiragolumab62.5
Serum Concentration of Mosunetuzumab - Phase 1b Secondary · Cycle 1 Day 1 - Cycle 8 Day 1 (cycle length = 21 days)
C1D1 pre-dose
GroupValue95% CI
Subcutaneous (SC) Mosunetuzumab in Combination With Intravenous (IV) TiragolumabNA± NA
C1D1 3 hrs post-dose
GroupValue95% CI
Subcutaneous (SC) Mosunetuzumab in Combination With Intravenous (IV) Tiragolumab0.00983± NA
C1D2 24 hrs post-dose
GroupValue95% CI
Subcutaneous (SC) Mosunetuzumab in Combination With Intravenous (IV) Tiragolumab0.0556± 109.6
C1D4 72 hrs post-dose
GroupValue95% CI
Subcutaneous (SC) Mosunetuzumab in Combination With Intravenous (IV) Tiragolumab0.164± 90.5
C1D8 pre-dose
GroupValue95% CI
Subcutaneous (SC) Mosunetuzumab in Combination With Intravenous (IV) Tiragolumab0.166± 83.2
C1D15 pre-dose
GroupValue95% CI
Subcutaneous (SC) Mosunetuzumab in Combination With Intravenous (IV) Tiragolumab2.18± 48.8
C2D1 pre-dose
GroupValue95% CI
Subcutaneous (SC) Mosunetuzumab in Combination With Intravenous (IV) Tiragolumab4.02± 86.3
C3D1 pre-dose
GroupValue95% CI
Subcutaneous (SC) Mosunetuzumab in Combination With Intravenous (IV) Tiragolumab2.90± 81.8
Best Complete Response (CR) Rate as Determined by the Investigator Using Lugano 2014 Criteria - Phase 1b Secondary · Assessed at screening and then every 3-6 months until disease progression, start of new anti-cancer therapy, or withdrawal (through Cycle 8; cycle length = 21 days)
GroupValue95% CI
Subcutaneous (SC) Mosunetuzumab in Combination With Intravenous (IV) Tiragolumab37.5
Duration of Response (DOR) as Determined by the Investigator Using Lugano 2014 Criteria - Phase 1b and Phase 2 Secondary · From the first occurrence of a documented response (CR or partial response (PR)) to disease progression or relapse, or death from any cause, whichever occurs first (up to approximately 4 years)
GroupValue95% CI
Subcutaneous (SC) Mosunetuzumab in Combination With Intravenous (IV) TiragolumabNA

Adverse events — posted to ClinicalTrials.gov

Time frame: From the start of treatment until 90 days after the final dose of study treatment (up to 36 weeks). Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Subcutaneous (SC) Mosunetuzumab in Combination With Intravenous (IV) Tiragolumab
Serious: 2/8 (25%)
Deaths: 5/8

Serious adverse events (7 terms)

ReactionSystemSubcutaneous (SC) Mosunetu…
Abdominal painGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
COVID-19Infections and infestations
Pneumonia aspirationInfections and infestations
Septic shockInfections and infestations
FallInjury, poisoning and procedural complications
Cerebellar haematomaNervous system disorders
Other adverse events (49 terms — click to expand)

ReactionSystemSubcutaneous (SC) Mosunetu…
AnaemiaBlood and lymphatic system disorders
Injection site reactionGeneral disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
NeutropeniaBlood and lymphatic system disorders
ConstipationGastrointestinal disorders
NauseaGastrointestinal disorders
AstheniaGeneral disorders
Oedema peripheralGeneral disorders
HypokalaemiaMetabolism and nutrition disorders
HypophosphataemiaMetabolism and nutrition disorders
Back painMusculoskeletal and connective tissue disorders
OsteoporosisMusculoskeletal and connective tissue disorders
ThrombocytopeniaBlood and lymphatic system disorders
Ear congestionEar and labyrinth disorders
Retinal detachmentEye disorders
Abdominal distensionGastrointestinal disorders
DyspepsiaGastrointestinal disorders
Malignant dysphagiaGastrointestinal disorders
Oral painGastrointestinal disorders
ChillsGeneral disorders
FatigueGeneral disorders
MalaiseGeneral disorders
PyrexiaGeneral disorders
Cytokine release syndromeImmune system disorders
COVID-19Infections and infestations
Cytomegalovirus infection reactivationInfections and infestations
PneumoniaInfections and infestations
Rhinovirus infectionInfections and infestations
Fractured sacrumInjury, poisoning and procedural complications
Blood creatinine increasedInvestigations
Gamma-glutamyltransferase increasedInvestigations
CachexiaMetabolism and nutrition disorders
Decreased appetiteMetabolism and nutrition disorders
HypomagnesaemiaMetabolism and nutrition disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Bone painMusculoskeletal and connective tissue disorders
MyalgiaMusculoskeletal and connective tissue disorders
Basal cell carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
HeadacheNervous system disorders
ParaesthesiaNervous system disorders

Most-reported serious reactions: Abdominal pain, Diarrhoea, COVID-19, Pneumonia aspiration, Septic shock, Fall, Cerebellar haematoma.

Data from ClinicalTrials.gov NCT05315713 adverse events section.

Sponsor's own description

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.

Publications & conference data

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

  1. Targeting LAG-3, TIM-3, and TIGIT for cancer immunotherapy.
    Cai L, Li Y, Tan J, Xu L, et al · · 2023 · cited 232× · PMID 37670328 · DOI 10.1186/s13045-023-01499-1
  2. Co-inhibition of TIGIT and PD-1/PD-L1 in Cancer Immunotherapy: Mechanisms and Clinical Trials.
    Chu X, Tian W, Wang Z, Zhang J, et al · · 2023 · cited 147× · PMID 37291608 · DOI 10.1186/s12943-023-01800-3
  3. Targeting TIGIT for cancer immunotherapy: recent advances and future directions.
    Zhang P, Liu X, Gu Z, Jiang Z, et al · · 2024 · cited 69× · PMID 38229100 · DOI 10.1186/s40364-023-00543-z
  4. Tiragolumab (Anti-TIGIT) in SCLC: Skyscraper-02, a Towering Inferno.
    Brazel D, Ou SI, Nagasaka M. · · 2023 · cited 22× · PMID 36636263 · DOI 10.2147/lctt.s379389
  5. TIGIT: A promising target to overcome the barrier of immunotherapy in hematological malignancies.
    Jin S, Zhang Y, Zhou F, Chen X, et al · · 2022 · cited 19× · PMID 36605439 · DOI 10.3389/fonc.2022.1091782
  6. Checkpoint inhibition in hematologic malignancies.
    Tsumura A, Levis D, Tuscano JM. · · 2023 · cited 14× · PMID 37920162 · DOI 10.3389/fonc.2023.1288172
  7. Targeting natural killer cells: from basic biology to clinical application in hematologic malignancies.
    Shang J, Hu S, Wang X. · · 2024 · cited 13× · PMID 38396050 · DOI 10.1186/s40164-024-00481-y
  8. Targeted Treatment of Relapsed or Refractory Follicular Lymphoma: Focus on the Therapeutic Potential of Mosunetuzumab.
    Lopedote P, Shadman M. · · 2023 · cited 7× · PMID 36941881 · DOI 10.2147/cmar.s381493

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