- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05091424
A Study Evaluating the Safety, Efficacy, and Pharmacokinetics of Mosunetuzumab and a Combined Regimen of Mosunetuzumab and Venetoclax in Participants With Relapsed or Refractory Chronic Lymphocytic Leukemia
April 5, 2024 updated by: Hoffmann-La Roche
A Phase IB Open-Label, Multicenter Study Evaluating the Safety, Efficacy, and Pharmacokinetics of Mosunetuzumab and a Combined Regimen of Mosunetuzumab and Venetoclax in Patients With Relapsed or Refractory Chronic Lymphocytic Leukemia
This study will assess the safety, tolerability, pharmaokinetics, and preliminary efficacy of mosunetuzumab (Lunsumio) monotherapy in participants with relapsed or refractory (R/R) chronic lymphocytic leukemia (CLL).
This study will also allow participants who are currently progressing on a Bruton tyrosine kinase inhibitor (BTKi) and requiring salvage therapy as assessed by the treating physician to continue their BTKi throughout the screening period and for the first two cycles of mosunetuzumab.
An additional arm has been added to assess the safety, tolerability, pharmacokinetics, and preliminary efficacy of mosunetuzumab in combination with venetoclax, a B-cell lymphoma 2 (BCL2) inhibitor.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Estimated)
137
Phase
- Phase 1
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Reference Study ID Number: BO43243 https://forpatients.roche.com/
- Phone Number: 888-662-6728
- Email: global-roche-genentech-trials@gene.com
Study Locations
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Queensland
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Woolloongabba, Queensland, Australia, 4102
- Recruiting
- Princess Alexandra Hospital Woolloongabba; Clinical Hematology and Medical Oncology
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Victoria
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Melbourne, Victoria, Australia, 3168
- Recruiting
- Monash Medical Centre; Haematology
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North Melbourne, Victoria, Australia, 3051
- Recruiting
- Peter Maccallum Cancer Center
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Clermont-Ferrand, France, 63003
- Suspended
- CHU DE CLERMONT FERRAND; Service de Thérapie Cellulaire et d'Hématologie clinique adultes
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Toulouse, France, 31059
- Recruiting
- IUCT Oncopole; Hematologie
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Augsburg, Germany, 86156
- Recruiting
- Universitätsklinikum Augsburg; II. Med. Klinik
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Köln, Germany, 50937
- Recruiting
- Uniklinik Koln; Klinik I fur Innere Medizin
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Ulm, Germany, 89081
- Recruiting
- Universitätsklinikum Ulm; Medizinische Uni-Klinik III Abt. Innere Medizin III Hämatologie u. Onkolo.
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Lombardia
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Brescia, Lombardia, Italy, 25123
- Recruiting
- A.O. Spedali Civili Di Brescia-P.O. Spedali Civili;U.O. Ematologia
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Milano, Lombardia, Italy, 20132
- Recruiting
- Osp. San Raffaele; Dip. Di Oncoematologia
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Milano, Lombardia, Italy, 20162
- Completed
- ASST GRANDE OSPEDALE METROPOLITANO NIGUARDA; Struttura Complessa di Ematologia
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Umbria
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Sant'Andrea Delle Fratte (PG), Umbria, Italy, 06132
- Recruiting
- Azienda Ospedaliera Di Perugia Ospedale s. Maria Della Misericordia; Oncologia Medica
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Barcelona, Spain, 08035
- Recruiting
- Hospital Universitari Vall d'Hebron; Servicio de Hematologia
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Barcelona, Spain, 08025
- Recruiting
- Hospital de la Santa Creu i Sant Pau; Servicio de Hematologia
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Oxford, United Kingdom, OX3 7LE
- Recruiting
- Churchill Hospital; Department of Oncology
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Minnesota
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Rochester, Minnesota, United States, 55902
- Recruiting
- Mayo Clinic Rochester
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New York
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New York, New York, United States, 10065
- Recruiting
- Memorial Sloan-Kettering Cancer Center; Hematology/Oncology
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Texas
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Houston, Texas, United States, 77030
- Recruiting
- Uni of Texas - Md Anderson Cancer Center; Dept of Leukemia
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Have a diagnosis of CLL requiring treatment according to the International Workshop on CLL (iwCLL) criteria (Hallek et al 2018)
- Eastern Cooperative Oncology Group (ECOG) performance score (PS) of ≤ 2
- Adequate bone marrow (BM) function independent of growth factor or transfusion support, within 2 weeks of screening, at screening as defined by the protocol unless cytopenia is clearly due to marrow involvement of CLL
- Adequate liver function unless directly attributable to the participant's CLL
- Life expectancy > 6 months
- For women of childbearing potential: agreement to remain abstinent (refrain from heterosexual intercourse) or use contraceptive methods that result in a failure rate of < 1% per year, and agreement to refrain from donating eggs during the treatment period and for at least 3 months after the last dose of mosunetuzumab and 3 months after the last dose of tocilizumab (if applicable)
- For men: agreement to remain abstinent (refrain from heterosexual intercourse) or use a condom, and agreement to refrain from donating sperm as defined by the protocol
Inclusion Criteria Specific to Arm B:
- Participants must have been taking a BTKi for at least 12 months, have demonstrated evidence of progressive disease while receiving the BTKi and require additional salvage therapy as assessed by their treating physician. Participants should be able to continue their previously prescribed BTKi at a stable dose throughout the study screening period and for the first two cycles of mosunetuzumab administration
Exclusion Criteria:
- Pregnant or breastfeeding, or intending to become pregnant during the study or within 3 months after the final dose of mosunetuzumab and tocilizumab or within 30 days after the final dose of venetoclax (if applicable)
- Participants who have received any of the following treatments prior to study entry: treatment with mosunetuzumab or other CD20/CD3-directed bispecific antibodies; allogenic stem cell transplant
- Participants who have received any of the following treatments, whether investigational or approved, within the respective time periods prior to initiation of study treatment: radiotherapy within 2 weeks prior to the first dose of study treatment; autologous stem cell transplant within 100 days prior to first study treatment; CAR T-cell therapy within 30 days before first study treatment; prior use of any monoclonal antibodies, radioimmunoconjugates, or antibody-drug conjugates for anti-CLL treatment within 4 weeks before first dose of study treatment; systemic immunosuppressive medications (including but not limited to cyclophosphamide, azathioprine, methotrexate, thalidomide, and anti-tumor necrosis factor agents) within 2 weeks prior to the first dose of study treatment; any other anti-cancer therapy, whether investigational or approved, including but not limited to chemotherapy within 4 weeks prior to initiation of study treatment (except for participants enrolled in Arm B, where overlapping therapy is permitted; other prior cancer immunotherapy not explicitly defined by the protocol is to be discussed with the medical monitor to determine eligibility
- Received a live, attenuated vaccine within 4 weeks before the first dose of study treatment, or in whom it is anticipated that such a vaccine will be required during the study period or within 5 months after the final dose of study treatment
- Transformation of CLL to aggressive non-Hodgkin's lymphoma (NHL)
- History of severe allergic or anaphylactic reactions to humanized or murine monoclonal antibody therapy (or recombinant antibody-related fusion proteins)
- Contraindication to tocilizumab
- History of prior malignancy except for conditions defined by the protocol
- Participants with infections requiring intravenous (IV) treatment with antibiotics or hospitalization within the last 4 weeks prior to enrollment or known active bacterial, viral (including SARS-CoV-2), fungal, mycobacterial, parasitic, or other infection (excluding fungal infections of nail beds) at study enrollment
- Evidence of any significant concomitant disease that could affect compliance with the protocol or interpretation of results
- Recent 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)
- Positive SARS-CoV-2 test within 7 days prior to enrollment
Exclusion Criteria Specific to Arm C:
- Have received venetoclax therapy within 12 months prior to first study treatment administration
- Participants with known infection with HIV or human T-cell leukemia virus 1 (HTLV1)
- HIV testing will be performed in countries where mandatory testing by health authorities is required
- HTLV testing is required in participants from endemic countries
- Participants with uncontrolled autoimmune hemolytic anemia or immune thrombocytopenia
- Participants who have received the following: strong and moderate CYP3A inhibitors within 7 days prior to the initiation of study treatment; strong and moderate CYP3A inducers within 7 days prior to the initiation of study treatment; steroid therapy for anti-neoplastic intent with the exception of inhaled steroids for asthma, topical steroids, or replacement/stress corticosteroids within 7 days prior to the first dose of study drug administration
- Have consumed grapefruit, grapefruit products, Seville oranges (including marmalade containing Seville oranges), or star fruit within 3 days prior to the first dose of study drug and throughout venetoclax administration
- Inability to swallow a large number of tablets
- Malabsorption syndrome or other condition that precludes enteral route of administration
- Known allergy to both xanthine oxidase inhibitors and rasburicase
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Arm A
Participants with R/R CLL who have failed two prior lines of therapy and who have had prior exposure to BTKi and/or venetoclax will receive mosunetuzumab subcutaneous (SC) monotherapy
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Participants will receive intravenous (IV) tocilizumab as needed for cytokine release syndrome (CRS) events.
Participants will receive subcutaneous (SC) mosunetuzumab
Other Names:
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Experimental: Arm B
Participants with R/R CLL who have failed two prior lines of therapy, who are currently progressing on BTKi therapy, and who require salvage therapy as assessed by their treating physician will receive mosunetuzumab SC with BTKi overlap therapy for the first two cycles of mosunetuzumab SC
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Participants will receive intravenous (IV) tocilizumab as needed for cytokine release syndrome (CRS) events.
Participants will receive subcutaneous (SC) mosunetuzumab
Other Names:
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Experimental: Arm C
Participants with R/R CLL who have failed two prior lines of therapy and who have had prior exposure to BTKi and/or venetoclax will receive mosunetuzumab SC with venetoclax
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Participants will receive intravenous (IV) tocilizumab as needed for cytokine release syndrome (CRS) events.
Participants will receive subcutaneous (SC) mosunetuzumab
Other Names:
Participants will receive daily oral venetoclax
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Rate of Dose-Limiting Toxicities (DLTs)
Time Frame: Up to approximately 12 months (Arms A and B) or 24 months (Arm C)
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Up to approximately 12 months (Arms A and B) or 24 months (Arm C)
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Objective Response Rate (ORR)
Time Frame: Up to 8-12 weeks after the last dose of study drug
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Up to 8-12 weeks after the last dose of study drug
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Minimal Residual Disease (MRD) Response Rate
Time Frame: Up to 8-12 weeks after the last dose of study drug
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Up to 8-12 weeks after the last dose of study drug
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Complete Response (CR) Rate
Time Frame: Up to 8-12 weeks after the last dose of study drug
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Up to 8-12 weeks after the last dose of study drug
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Progression-Free Survival (PFS)
Time Frame: From the first study treatment to the first occurrence of disease progression or death from any cause, whichever occurs first (up to approximately 12 months (Arms A and B) or 24 months (Arm C))
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From the first study treatment to the first occurrence of disease progression or death from any cause, whichever occurs first (up to approximately 12 months (Arms A and B) or 24 months (Arm C))
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Overall Survival (OS)
Time Frame: From the first dose of study drug to death from any cause (up to approximately 12 months (Arms A and B) or 24 months (Arm C))
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From the first dose of study drug to death from any cause (up to approximately 12 months (Arms A and B) or 24 months (Arm C))
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Event-Free Survival (EFS)
Time Frame: Between the date of the first study treatment to the date of disease progression/relapse, death, or start of new anti-leukemic therapy, whichever occurs first (up to approximately 12 months (Arms A and B) or 24 months (Arm C))
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Between the date of the first study treatment to the date of disease progression/relapse, death, or start of new anti-leukemic therapy, whichever occurs first (up to approximately 12 months (Arms A and B) or 24 months (Arm C))
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Duration of Response (DOR)
Time Frame: From the first occurrence of a documented objective response to disease progression by iwCLL 2018 criteria or death from any cause (up to approximately 12 months (Arms A and B) or 24 months (Arm C))
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From the first occurrence of a documented objective response to disease progression by iwCLL 2018 criteria or death from any cause (up to approximately 12 months (Arms A and B) or 24 months (Arm C))
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Percentage of Participants with Adverse Events (AEs)
Time Frame: Up to approximately 12 months (Arms A and B) or 24 months (Arm C)
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Up to approximately 12 months (Arms A and B) or 24 months (Arm C)
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Maximum Serum Concentration (Cmax) of Mosunetuzumab SC
Time Frame: Up to approximately 12 months (Arms A and B) or 24 months (Arm C)
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Up to approximately 12 months (Arms A and B) or 24 months (Arm C)
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Minimum Serum Concentration (Cmin) of Mosunetuzumab SC
Time Frame: Up to approximately 12 months (Arms A and B) or 24 months (Arm C)
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Up to approximately 12 months (Arms A and B) or 24 months (Arm C)
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Time to Maximum Concentration (Tmax) of Mosunetuzumab SC
Time Frame: Up to approximately 12 months (Arms A and B) or 24 months (Arm C)
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Up to approximately 12 months (Arms A and B) or 24 months (Arm C)
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Incidence of Anti-Drug Antibodies (ADAs)
Time Frame: Baseline through end of study (up to approximately 12 months for Arms A and B, or 24 months for Arm C)
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Baseline through end of study (up to approximately 12 months for Arms A and B, or 24 months for Arm C)
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Study Director: Clinical Trials, Hoffmann-La Roche
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
March 7, 2022
Primary Completion (Estimated)
May 27, 2027
Study Completion (Estimated)
October 8, 2029
Study Registration Dates
First Submitted
October 12, 2021
First Submitted That Met QC Criteria
October 12, 2021
First Posted (Actual)
October 25, 2021
Study Record Updates
Last Update Posted (Actual)
April 8, 2024
Last Update Submitted That Met QC Criteria
April 5, 2024
Last Verified
April 1, 2024
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Immune System Diseases
- Neoplasms by Histologic Type
- Neoplasms
- Lymphoproliferative Disorders
- Lymphatic Diseases
- Immunoproliferative Disorders
- Disease Attributes
- Hematologic Diseases
- Leukemia, B-Cell
- Chronic Disease
- Leukemia
- Leukemia, Lymphocytic, Chronic, B-Cell
- Leukemia, Lymphoid
- Antineoplastic Agents
- Venetoclax
Other Study ID Numbers
- BO43243
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
YES
IPD Plan Description
Qualified researchers may request access to individual patient level data through the clinical study data request platform (www.vivli.org).
Further details on Roche's criteria for eligible studies are available here (https://vivli.org/ourmember/roche/).
For further details on Roche's Global Policy on the Sharing of Clinical Information and how to request access to related clinical study documents, see here (https://www.roche.com/research_and_development/who_we_are_how_we_work/clinical_trials/our_commitment_to_data_sharing.htm).
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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