E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
B-cell non-Hodgkin lymphoma (NHL) |
linfoma no hodgkiniano de linfocitos B |
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E.1.1.1 | Medical condition in easily understood language |
B-cell NHL, including diffuse large B-cell lymphoma (DLBCL), follicular lymphoma (FL) & mantle cell lymphoma (MCL) as subtypes, is a type of cancer that forms in B-cells (a type of immune system cell) |
El LNH de células B, incluido el L difuso de cél B grandes (DLBCL), el L folicular (FL) y el L de cél del manto (MCL) como subtipos, es un tipo de cáncer q se forma en las células B(cél sist inmuno) |
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E.1.1.2 | Therapeutic area | Diseases [C] - Blood and lymphatic diseases [C15] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 24.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10067070 |
E.1.2 | Term | Follicular B-cell non-Hodgkin's lymphoma |
E.1.2 | System Organ Class | 100000004864 |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | HLGT |
E.1.2 | Classification code | 10025320 |
E.1.2 | Term | Lymphomas non-Hodgkin's B-cell |
E.1.2 | System Organ Class | 10005329 - Blood and lymphatic system disorders |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10012820 |
E.1.2 | Term | Diffuse large B-cell lymphoma NOS |
E.1.2 | System Organ Class | 100000004864 |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10012856 |
E.1.2 | Term | Diffuse large cell lymphoma (Diffuse large B-cell lymphoma) (Working Formulation) recurrent |
E.1.2 | System Organ Class | 100000004864 |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10023768 |
E.1.2 | Term | Large cell immunoblastic lymphoma (Diffuse large B-cell lymphoma) (Working Formulation) recurrent |
E.1.2 | System Organ Class | 100000004864 |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10012857 |
E.1.2 | Term | Diffuse large cell lymphoma (Diffuse large B-cell lymphoma) (Working Formulation) refractory |
E.1.2 | System Organ Class | 100000004864 |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10023769 |
E.1.2 | Term | Large cell immunoblastic lymphoma (Diffuse large B-cell lymphoma) (Working Formulation) refractory |
E.1.2 | System Organ Class | 100000004864 |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
Phase Ib • To evaluate the safety and tolerability of mosunetuzumab (Mosun) + polatuzumab vedotin (Pola) in patients with relapsed or refractory (R/R) DLBCL or follicular lymphoma (FL), including estimation of maximum tolerated dose, determination of recommended Phase II dose (RP2D), characterization of dose-limiting toxicity (DLT) • To make a preliminary assessment of the anti-tumor activity of Mosun + Pola Phase II: • To evaluate the efficacy of Mosun (IV) plus Pola in patients with R/R FL and R/R DLBCL, based on best objective response rate (ORR) in the study, as determined by the Independent Review Committee (IRC) • To evaluate the efficacy of Mosun (SC) plus Pola in patients with R/R DLBCL and R/R MCL based on best ORR in the study, as determined by the Independent Review Committee (IRC) |
Fase Ib •Evaluar la seguridad y la tolerabilidad de mosunetuzumab (Mosun) más polatuzumab vedotin (Pola) en pacientes con LF o LDLBG R/R, lo que abarca la estimación de la DMT, la determinación de la DRF2 y la caracterización de las TLD •Realizar una evaluación preliminar de la actividad antineoplásica de Mosun + Pola Fase II: •Evaluar la eficacia de Mosun i.v. más Pola en pacientes con LF R/R y LDLBG R/R basado en Mejor Tasa de Respuesta Objetiva (TRO) en el estudio, determinada por el Comité de Revisión Independiente (CRI) •Evaluar la eficacia de Mosunetuzumab s.c. más Pola en en pacientes con LCM R/R y LDLBG R/R basado en TRO en el estudio, determinada por el Comité de Revisión Independiente (CRI) |
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E.2.2 | Secondary objectives of the trial |
Phase Ib and II • To characterize the pharmacokinetics of Mosun (SC and IV) as a single agent and when administered in combination with Pola • To assess the incidence of anti-drug antibodies (ADAs) to Mosun and Pola Phase II • To evaluate the efficacy of Mosun + Pola in R/R DLBCL (Mosun SC and IV), R/R FL (Mosun IV), and R/R MCL (Mosun SC), based on best ORR as determined by the investigator; best complete response (CR) rate; CR rate by at primary response assessment (PRA); ORR at PRA; duration of response (DOR); progression-free survival (PFS); event-free survival (EFS) and overall survival (OS) • To evaluate the safety of Mosun + Pola in R/R DLBCL (Mosun SC and IV), R/R FL (Mosun IV), and R/R MCL (Mosun SC) |
Fase Ib y II •Caracterizar la farmacocinética de Mosun (s.c. e i.v.) como agente simple o cuando se administra en combinación con Pola •Evaluar la incidencia de anticuerpo antifármaco (AAF) para Mosu y Pola Fase II •Evaluar la eficacia de Mosun + pola en LDLBG R/R (Mosu s.c. e i.v.), LF R/R (Mosun i.v.) y LCM R/R /(Mosun s.c), basado en mejor TRO determinada por el investigador, Mejor Tasa de respuesta completa (RC), mejor Tasa de RC en evaluación de la respuesta primaria (ERP), TRO en ERP, Duración de respuesta (DdR), supervivencia sin progresión (SSP), supervivencia sin complicaciones (SSC) y supervivencia Global (SG) •Evaluar la seguridad de Mosun + Pola en LDLBG R/R (Mosu s.c. e i.v.), LF R/R (Mosun i.v.) y LCM R/R /(Mosun s.c) |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
- Age >= 18 years - Able to comply with the study protocol and procedures in the investigator’s judgment - Eastern Cooperative Oncology Group Performance Status of 0, 1, or 2 - Life expectancy of at least 12 weeks 
 - Patients must have histologically confirmed FL or DLBCL or MCL - For DLBCL or FL, must have received at least one prior systemic treatment regimen containing an anti- cluster of differentiation 20 (CD20) - directed therapy - For MCL, must have received at least two prior systemic treatment regimens which include agents from all three classes below: anti-CD20-directed therapy, a Bruton’s tyrosine kinase (BTK) inhibitor, and an anthracycline or bendamustine - Adequate hepatic, hematologic and renal function |
-Edad ≥ 18 años -Capacidad para cumplir el protocolo y los procedimientos del estudio a juicio del investigador -EF ECOG de 0, 1 o 2 -Esperanza de vida de al menos 12 semanas - Los pacientes deben presentar LF, LDLBG o LCM confirmados histológicamente -Para LDLBG o LF: Debe haber recibido al menos una pauta de tratamiento sistémica anterior que contenga un tratamiento anti-CD20 dirigido. -Para LCM: Debe haber recibido al menos dos tratamientos sistémicos previos, que incluyan fármacos de las tres clases siguientes: Tratamiento anti-CD20 dirigido, Inhibidor de la BTK o Antraciclina o bendamustina - Adecuada función hepática, hematológica y renal |
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E.4 | Principal exclusion criteria |
- Inability to comply with protocol-mandated hospitalization and activity restrictions - Pregnant or lactating women - Prior treatment with Mosun or other CD20-directed bispecific antibodies or with Pola - Current > Grade 1 peripheral neuropathy - Prior use of any monoclonal antibody, radioimmunoconjugate or antibody-drug conjugate chemotherapy, or other investigational anti-cancer agent within 4 weeks before first dose of study treatment - Treatment with radiotherapy within 2 weeks prior to the first dose of study treatment - Autologous stem-cell transplantation (SCT) within 100 days prior to first study treatment administration, or any prior allogeneic SCT or solid organ transplantation - Prior treatment with chimeric antigen receptor -T therapy within 30 days before first study treatment administration - Current or past history of central nervous system (CNS) lymphoma and of CNS disease - Significant cardiovascular disease or pulmonary disease - Recent major surgery within 4 weeks prior to first study treatment administration - Hepatitis B or C or human immunodeficiency virus (HIV) - Administration of a live, attenuated vaccine within 4 weeks before first dose of study treatment administration or anticipation that such a live, attenuated vaccine will be required during the study - History of autoimmune disease (stable autoimmune diseases may be eligible) - Systemic immunosuppressive medication within 2 weeks prior to study drug |
- Incapacidad para cumplir la hospitalización y las restricciones de las actividades estipuladas en el protocolo -Mujeres embarazadas o en período de lactancia - Tratamiento previo con Mosun u otros anticuerpos biespecíficos dirigidos contra CD20 o con Pola -Neuropatía periférica en curso de grado > 1 -Uso anterior de cualquier anticuerpo monoclonal, radioinmunoconjugado , CAF o cualquier quimioterapéutico u otro antineoplásicoen las 4 semanas anteriores a la primera dosis del tratamiento del estudio - Tratamiento con radioterapia en las 2 semanas anteriores a la administración de la primera dosis del tratamiento del estudio - ACM autólogo en los 100 días anteriores a la administración del primer tratamiento del estudio o cualquier transplante de células madres TCM alogénico o transplante de órgano sólido - Tratamiento previo con terapia CAR-T en los 30 días anteriores a la administración del primer tratamiento del estudio - Linfoma del SNC actual o antecedentes de dicha afección, Enfermedad del SNC actual o antecedentes de ella - Cardiovasculopatía significativa o enfermedad pulmonar - Cirugía mayor reciente en las 4 semanas anteriores a la administración de la primera dosis del tratamiento del estudio -Hepatitis B o C o virus de inmunodeficiencia humana (VIH) - Administración de una vacuna elaborada con microbios vivos atenuados en las 4 semanas previas a la administración de la primera dosis del tratamiento del estudio o previsión de que se requiera dicha vacuna durante el estudio -Antecedentes de enfermedad autoinmunitaria (enfermedades autoinmunitaria estable pueden ser elegibles). -Administración de inmunodepresores sistémico en las 2 semanas anteriores a la administración de la primera dosis del tratamiento del estudio |
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E.5 End points |
E.5.1 | Primary end point(s) |
1. Occurrence and severity of adverse events, including DLTs (Phase Ib) 2. Change from baseline in targeted vital signs (Phase Ib), 3. Change from baseline in targeted clinical laboratory test results (Phase Ib) 4. CR rate at the time of PRA as determined by the investigator (Phase Ib) 5. Best ORR as determined by the investigator (Phase Ib) 6. DOR as determined by the investigator (Phase Ib) 7. Best ORR, as determined by the IRC (Phase II) |
1. Aparición y gravedad de acontecimientos adversos, entre estos, TLD (Fase Ib) 2. Variación con respecto al momento basal en las constantes vitales seleccionadas (Fase Ib) 3. Variación con respecto al momento basal en los resultados de análisis clínicos específicos (Fase Ib) 4. Tasa de RC en el momento de la ERP basada en la TEP-TAC, determinada por el investigador (Fase Ib) 5. Mejor TRO determinada por el investigador conforme (Fase Ib) 6. DdR determinada por el investigador conforme (Fase Ib) 7. Mejor TRO determinada por el CRI |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
1. From Cycle 1 Day 1 until 90 days after the last dose of study drug administration 2-3. From baseline until 90 days after the last dose of study drug administration 4. At the completion of 8 cycles of Mosun 5-7. From baseline up to approximately 80 months (until disease progression, start of new anti-cancer therapy, or withdrawal) |
1. Desde el día 1 del ciclo 1 hasta 90 días después de la última dosis de la administración del fármaco del estudio 2-3. Desde el momento basal hasta 90 días después de la última dosis de administración del fármaco del estudio. 4. Al completar 8 ciclos de Mosun 5-7. Desde el momento basal hasta aproximadamente 80 meses (hasta la progresión de la enfermedad, el inicio de una nueva terapia contra el cáncer o el retiro) |
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E.5.2 | Secondary end point(s) |
1. Best ORR as determined by the investigator (Phase II) 2. Best CR rate as determined by the investigator and IRC (Phase II) 3. CR rate at the time of PRA as determined by the investigator and IRC (Phase II) 4. ORR at the time of PRA as determined by the investigator and IRC (Phase II) 5. DOR as determined by the investigator and IRC (Phase II) 6. PFS as determined by the investigator and IRC (Phase II) 7. EFS as determined by the investigator and IRC (Phase II) 8. OS (Phase II) 9. Occurrence and severity of adverse events (Phase II) 10. Change from baseline in targeted vital signs (Phase II) 11. Change from baseline in targeted clinical laboratory test results (Phase II) 12. Maximum serum concentration (Cmax) for Mosun (Phase Ib and II) 13. Minimum serum concentration (Cmin) for Mosun (Phase Ib and II) 14. Total exposure area under the concentrationï€time curve (AUC) for Mosun (Phase Ib and II) 15. Clearance for Mosun (Phase Ib and II) 16. Volume of distribution for Mosun (Phase Ib and II) 17. Relationship between ADA status and efficacy, safety, pharmacokinetics, and biomarkers (Phase Ib and II) |
1. Mejor TRO determinada por el investigador (Fase II) 2. Mejor tasa de RC determinada por el investigador y el CRI (Fase II) 3. Tasa de RC en el momento de la ERP determinada por el investigador y el CRI (Fase II) 4. TRO en el momento de la ERP determinada por el investigador y el CRI (Fase II) 5. DdR determinado por el investigador y el CRI (Fase II) 6. SSP determinada por el investigador y el CRI (Fase II) 7. SSC determinada por el investigador y el CRI (Fase II) 8. SG (Fase II) 9. Aparición y gravedad de acontecimientos adversos (Fase II) 10. Variación con respecto al momento basal en las constantes vitales seleccionadas (Fase II) 11. Variación con respecto al momento basal en los resultados de análisis clínicos específicos (Fase II) 12. Concentración sérica máxima (Cmax) de Mosun (Fase Ib y Fase II) 13. Concentración sérica mínima (Cmin) de Mosun (Fase Ib y Fase II) 14. Exposición total área bajo la curva de concentración-tiempo (ABC) de Mosun (Fase Ib y Fase II) 15. Aclaramiento de Mosun (Fase Ib y Fase II) 16. Volumen de distribución de Mosun (Fase Ib y Fase II) 17. Relación entre el estado de los AAF y los criterios de valoración de la eficacia, la seguridad, la farmacocinética y los biomarcadores (Fase Ib y Fase II) |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
1-2. From baseline up to approximately 80 months (until disease progression, start of new anti-cancer therapy, or withdrawal) 3-4. At the completion of 8 cycles of Mosun 5-7. From baseline up to approximately 80 months (until disease progression, start of new anti-cancer therapy, or withdrawal) 8. From baseline until death from any cause (up to approximately 80 months) 9. From Cycle 1 Day 1 until 90 days after the last dose of study drug administration 10-11. From baseline until 90 days after the last dose of study drug administration 12-17. At predose and postdose during treatment, at treatment completion/discontinuation and during follow-up, up to 15 months |
1-2. Desde el momento basal hasta aprox 80 meses (hasta la progresión de la enfermedad, el inicio de una nueva terapia contra el cáncer o el retiro) 3-4 .Al completar 8 ciclos de Mosun 5-7. Desde el momento basal hasta aprox 80 meses (hasta la progresión de la enfermedad, el inicio de una nueva terapia contra el cáncer o el retiro) 8. Desde el momento basal hasta la muerte por cualquier causa (hasta aprox 80 meses) 9. Desde el día 1 del ciclo 1 hasta 90 días después de la última dosis de la administración del fármaco del estudio 10-11. Desde el momento basal hasta 90 días después de la última dosis de admin del fármaco del estudio 12-17. Antes y después de la dosis durante el tratamiento, al finalizar / suspender el tto y durante el seguimiento, hasta 15 meses |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | Yes |
E.6.13.1 | Other scope of the trial description |
Tolerability, immunogenicity, biomarkers |
Tolerabilidad, Inmunogenicidad y biomarcadores |
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E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | Yes |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | Yes |
E.7.1.3.1 | Other trial type description |
Phase Ib dose-finding and randomized phase II for R/R DLBCL |
Fase Ib búsqueda de dosis y fase II aleatorizada para (LDLBG) R/R |
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E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | Information not present in EudraCT |
E.8.1.6 | Cross over | Information not present in EudraCT |
E.8.1.7 | Other | Yes |
E.8.1.7.1 | Other trial design description |
Fase II aleatorizada para (LDLBG) R/R: Mosun SC + Polivy (brazo L) vs MabThera +Polivy (brazo M) |
Randomized Ph II for R/R DLBCL: Mosunetuzumab SC + Polivy (Arm L) vs MabThera +Polivy (Arm M) |
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E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 5 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 9 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Canada |
United States |
Belgium |
Spain |
United Kingdom |
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E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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The end of this study is defined as the date when the last patient, last visit occurs, or the date at which the last data point required for statistical analysis or safety follow-up is received from the last patient, whichever occurs later. |
El final de este estudio se define como la fecha en la que se produzca la última visita del último paciente o la fecha en la que se reciban los últimos datos del último paciente necesarios para el análisis estadístico o el seguimiento de seguridad, lo que ocurra después |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 2 |
E.8.9.1 | In the Member State concerned months | 0 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 5 |
E.8.9.2 | In all countries concerned by the trial months | 0 |
E.8.9.2 | In all countries concerned by the trial days | 0 |