Mosunetuzumab and Zeprumetostat in Treating Patients With Follicular Lymphoma

Summary

The purpose of this prospective, multicenter, Phase 2 study is to evaluate the efficacy and safety of Mosunetuzumab in combination with the EZH2 inhibitor Zeprumetostat (SHR2554) in patients with follicular lymphoma (FL). The study plans to enroll approximately 80 patients, who will be assigned to three distinct cohorts: previously untreated high-risk FL (Cohort 1), previously untreated low-tumor-burden FL (Cohort 2), and relapsed or refractory FL (Cohort 3). The study consists of a safety run-in phase, which will be initially conducted in Cohort 1 to assess the tolerability of the combination therapy, followed by an expansion phase across all three cohorts to further evaluate the clinical outcomes.

Eligibility

Inclusion Criteria:

* Age ≥ 18 years
* Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2
* Adequate hematologic and organ function
* Female subjects of childbearing potential must have a negative serum pregnancy test and agree to use highly effective contraception; male subjects must agree to use effective contraception.
* Voluntary written informed consent
* Cohort 1- Previously Untreated High-Risk FL：

  1. Histologically confirmed Grade 1-3a follicular lymphoma (FL), CD20-positive, with no evidence of histologic transformation
  2. Ann Arbor Stage III/IV
  3. No prior systemic therapy for FL
  4. Meeting at least one of the GELF criteria for indicating treatment
  5. FLIPI-1 or FLIPI-2 score of 3 to 5 (High risk)
* Cohort 2- Previously Untreated Low-Tumor-Burden FL：

  1. Histologically confirmed Grade 1-3a, CD20-positive, Stage III/IV FL with no prior systemic therapy.
  2. Absence of B symptoms or severe pruritus
  3. Low tumor burden (LTB) not meeting GELF criteria for treatment
  4. Must have at least one measurable lesion (longest diameter \>1.5 cm)
  5. Patients who are suffering from the disease or prefer active management over a watch-and-wait approach
* Cohort 3-Relapsed or Refractory FL：

  1. Histologically confirmed Grade 1-3a, CD20-positive, Stage III/IV FL with no evidence of histologic transformation.、
  2. Relapsed or refractory disease, having received at least 1 prior systemic therapy regimen containing an anti-CD20 antibody
  3. No prior treatment with a CD20/CD3 bispecific antibody or an EZH2 inhibitor
  4. Presence of at least one measurable or evaluable lesion at relapse

Exclusion Criteria:

* Central nervous system (CNS) lymphoma, primary mediastinal lymphoma, or evidence of histologic transformation.
* Uncontrolled cardiovascular, cerebrovascular, coagulopathy, connective tissue, or severe infectious diseases.
* Pregnant or lactating women.
* Known history of human immunodeficiency virus (HIV) or active hepatitis C virus (HCV) infection (RNA PCR positive).
* Concurrent other malignancies or history of malignancies, or anti-cancer therapy (including major surgery) within the last 4 weeks.
* Allergic reaction to the study drugs.
* Concurrent use of strong CYP3A4 inhibitors or strong CYP3A4 inducers that cannot be avoided
* Other medical or psychiatric conditions or laboratory abnormalities that, in the opinion of the investigator, may increase the risk associated with study participation or study drug administration, or may interfere with the interpretation of study results.

Conditions2

Interventions2

Related trials

• A Study to Evaluate Mosunetuzumab in Participants With Systemic Lupus Erythematosus With or Without Active Lupus Nephritis — Hoffmann-La Roche
• Mosunetuzumab for Early Relapse of Follicular Lymphoma in the Nordic Countries — Oslo University Hospital
• Study of Mosunetuzumab Plus Lenalidomide Compared to Anti-CD20 Anti-body + Chemotherapy in Follicular Lymphoma FLIPI2-5 — The Lymphoma Academic Research Organisation
• Study to Evaluate the Response to Treatment With Mosunetuzumab in Relapsed/Refractory Follicular Lymphoma (FL) After at Least Two Lines of Therapy, Within the Compassionate Use Program (CUP). — Andrés José Maria Ferreri
• Comparing Rituximab and Mosunetuzumab Drug Treatments for People With Low Tumor Burden Follicular Lymphoma — National Cancer Institute (NCI)
• A Study to Assess BMS-986458 Alone and in Combination With Anti-lymphoma Agents in Relapsed/Refractory Non-Hodgkin Lymphomas — Bristol-Myers Squibb
• A Study to Investigate Safety and Effectiveness of BGB-16673 in Combination With Other Agents in Participants With Relapsed or Refractory B-Cell Malignancies — BeOne Medicines
• Testing Drug Treatments After CAR T-cell Therapy in Patients With Relapsed/Refractory Diffuse Large B-cell Lymphoma — SWOG Cancer Research Network

Browse More Trials