RecruitingPhase 2NCT04792502

Mosunetuzumab With Lenalidomide Augmentation as First-line Therapy for Follicular and Marginal Zone Lymphoma

BrUOG 401: A Phase 2 Study of Mosunetuzumab With Lenalidomide Augmentation as First-line Therapy for Follicular and Marginal Zone Lymphoma


Sponsor

Brown University

Enrollment

52 participants

Start Date

Jul 14, 2022

Study Type

INTERVENTIONAL

Conditions

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

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This trial is testing a combination of mosunetuzumab (a bispecific antibody that directs the immune system to attack lymphoma cells) and lenalidomide (an immune-modulating drug) as a first-line treatment for follicular lymphoma and marginal zone lymphoma — two common types of slow-growing non-Hodgkin's lymphoma. **You may be eligible if...** - You are 18 or older - You have a confirmed diagnosis of follicular lymphoma (grade 1, 2, 3a, or unspecified) or marginal zone lymphoma - You have not yet received treatment for this lymphoma - You are fit enough to participate and willing to follow the study protocol **You may NOT be eligible if...** - You are under 18 - You have a different type of lymphoma - You have already received treatment for follicular or marginal zone lymphoma - You have health conditions that would make this combination treatment unsafe Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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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 Center

New Haven, Connecticut, United States

Rutgers Cancer Institute of New Jersey

New Brunswick, New Jersey, United States

Lifespan Cancer Insitute

Providence, Rhode Island, United States

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NCT04792502


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