BrUOG 401: A Phase 2 Study of Mosunetuzumab With Lenalidomide Augmentation as First-line Therapy for Follicular and Marginal Zone Lymphoma
Brown University
Summary
BrUOG-401 is a prospective, single-arm, phase 2 trial of first-line therapy in adult patients with previously untreated FL or MZL. All patients will be assigned the same initial treatment plan, modified by interim response assessment (IRA) after Cycle 4. All patients will start treatment with four 21-day cycles (C1-4) of mosunetuzumab alone (using step-up dosing during C1), followed by IRA. Patients who achieve CR at IRA will continue with additional 4 cycles (C5-8) of mosunetuzumab. Patients who achieve PR at IRA will receive mosunetuzumab with lenalidomide augmentation during C5-8. Primary response assessment (PRA) will occur after C8. Patients who remain in PR at PRA will continue for additional 4 cycles (extended augmentation).
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: 1. Ability to understand and the willingness to sign a written informed consent document and to comply with the study protocol procedures. 2. Age ≥18 years at the time of signing informed consent. Because no dosing or adverse event data are currently available on the use of mosunetuzumab in patients \<18 years of age, they are excluded from this study. 3. Histologically confirmed diagnosis of: * follicular lymphoma (grade 1, 2, 3a, or not otherwise specified) or * marginal zone lymphoma (nodal, extranodal, or splenic), according to 2016 WHO classification and confir…
Interventions
- DrugMosunetuzumab
Administered subcutaneously by injection beginning with 5 mg and increasing to 45 mg.
- DrugLenalidomide
Patients in the augmentation cohort will be dosed continuously, 10 mg orally once daily, with or without food.
Locations (3)
- Yale Cancer CenterNew Haven, Connecticut
- Rutgers Cancer Institute of New JerseyNew Brunswick, New Jersey
- Lifespan Cancer InsituteProvidence, Rhode Island