Study of Mosunetuzumab Plus Lenalidomide Compared to Anti-CD20 Anti-body + Chemotherapy in Follicular Lymphoma FLIPI2-5
MorningLyte
A Phase III Randomized, Open-label, International, Multicenter Study Evaluating the Efficacy and Safety of Mosunetuzumab Plus Lenalidomide in Comparison to Anti-CD20 Monoclonal Antibody Plus Chemotherapy in Subjects With Previously Untreated FLIPI 2-5 Follicular Lymphoma
1 other identifier
interventional
790
7 countries
116
Brief Summary
This study is a phase III, randomized, open-label, international, multicenter, interventional trial, designed to compare the efficacy and safety of mosunetuzumab in combination with lenalidomide versus anti-CD20 monoclonal antibody (mAb) plus chemotherapy in patients with previously untreated FLIPI 2-5 follicular lymphoma.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3
Started Jun 2024
Longer than P75 for phase_3
116 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
February 14, 2024
CompletedFirst Posted
Study publicly available on registry
February 28, 2024
CompletedStudy Start
First participant enrolled
June 7, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2028
ExpectedStudy Completion
Last participant's last visit for all outcomes
April 1, 2034
June 5, 2026
June 1, 2026
4.4 years
February 14, 2024
June 3, 2026
Conditions
Outcome Measures
Primary Outcomes (2)
Progression Free Survival (PFS)
time from randomization to the date of first documented disease progression/relapse or death from any cause, by Lugano 2014
130 PFS events assessed by an Independent Review Committee (IRC) (4.6 years)
Progression Free Survival (PFS)
time from randomization to the date of first documented disease progression/relapse or death from any cause, by Lugano 2014
173 PFS events assessed by IRC (5.8 y)
Secondary Outcomes (35)
Overall Response (OR)
6 months
Complete Metabolic Rate (CMR)
6 months
Overall Response (OR)
12 months
Complete Metabolic Rate (CMR)
12 months
Overall Response (OR) and Complete Response (CR) rate at EOT
4.6 years
- +30 more secondary outcomes
Study Arms (5)
Mosun-Len
EXPERIMENTALMosunetuzumab + lenalidomide
R-CHOP
ACTIVE COMPARATORRituximab-CHOP
G-CHOP
ACTIVE COMPARATORObinutuzumab-CHOP
R-Benda
ACTIVE COMPARATORRituximab-Bendamustin
G-Benda
ACTIVE COMPARATORObinutuzumab-Bendamustin
Interventions
5 mg (step-up dosing) Day 1 of C1 45 mg Day 8 and Day 15 of C1, 45 mg Day 1 from C2 to C12, 45 mg Day 1 from C13 to C21
Lenalidomide starting dose is based on patient's creatinine clearance. Day 1 to Day 21 from C2 to C12
when associated to CHOP IV 375mg/m² SC 1400 mg allowed from C2 Day 1 of C1 Day 1 from C2 to C6 Day 1 from C7 to C20
when associated to CHOP 1000 mg Day 1, Day 8, Day 15 of C1 Day 1 from C2 to C8 Day 1 from C9 to C18
Eligibility Criteria
You may qualify if:
- \. Patient with histologically proven previously untreated CD20+ follicular lymphoma grade 1, 2, or 3a (including patient watched during up to 10 years after initial diagnosis) as assessed by the investigators according to the WHO 2016 classification12, or classical follicular lymphoma according to the WHO 2022 classification13. Diagnostic tissue must be available for central pathology review, exploratory endpoints and secondary data use.
- FLIPI 2-5.
- All Ann Arbor stages (including stage I if FLIPI ≥ 2).
- Must need treatment as evidenced by at least one of the following criteria:
- Bulky disease defined as one of the following: 4.1.1. a nodal or extranodal mass/lesion \> 70 mm in its largest diameter or, 4.1.2. involvement of at least 3 different nodal or extranodal sites (each with a diameter greater than \> 30 mm) 4.2. Presence of at least one of the following B symptoms within the prior 6 months: 4.2.1. fever (\> 38°C) of unclear etiology 4.2.2. night sweats 4.2.3. weight loss greater than 10% 4.3. Symptomatic splenomegaly 4.4. Symptomatic lesion: 4.4.1. painful lesion and/or 4.4.2. any compressive syndrome (for example, but not restricted to- ureteral, orbital, gastrointestinal) 4.5. Any one of the following cytopenias due to lymphoma: 4.5.1. hemoglobin \< 10g/dL (6.25 mmol/L) 4.5.2. platelets \<100 x 109/L, or 4.5.3. absolute neutrophil count (ANC) \< 1.5 x 109/L 4.6. Pleural or peritoneal serous effusion (irrespective of cell content) 4.7. Abnormal biological prognostic parameters: (item not applicable for Germany) 4.7.1. β2microglobulin \> ULN or 4.7.2. LDH \> ULN
- At least one bi-dimensionally measurable nodal lesion, defined as \> 15 mm in its longest dimension, or at least one bi-dimensionally measurable extra nodal lesion, defined as \> 10 mm in its longest dimension (and FDG-avid lesion).
- Participant who understood and voluntarily signed and dated an informed consent prior to any study-specific assessments/procedures.
- Must be ≥ 18 years old at the time of signing the informed consent form (ICF).
- ECOG performance status 0 to 2.
- Estimated minimum life expectancy of 3 months.
- Adequate hematological function within 28 days prior to randomization, including:
- Absolute neutrophil count (ANC) ≥ 1 x 109/L 10.2. Platelet count ≥ 75 x 109/L, or ≥ 30 x 109/L if bone marrow infiltration or splenomegaly 10.3. Hemoglobin ≥ 8.0 g/dL (5 mmol/L) unless related to bone marrow infiltration or splenomegaly. Transfusion is allowed before starting treatment (no required window)
- Normal laboratory values:
- Measured or estimated creatinine clearance ≥ 40mL/min calculated by institutional standard method (MDRD or Cockcroft-Gault 11.2. AST or ALT ≤ 2.5 x the upper limit of normal (ULN), except in patients with documented liver or pancreatic involvement by lymphoma ≤ 5 x ULN 11.3. Serum total bilirubin ≤ 1.5 x ULN (or ≤ 3 x ULN for patients with Gilbert syndrome), except in patients with documented liver or pancreatic involvement by lymphoma ≤ 3 x ULN
- LVEF within normal range (i.e. \> 50% as evaluated by Transthoracic Echocardiography or \> 45% as evaluated by isotopic method (MUGA scan).
- +12 more criteria
You may not qualify if:
- Grade 3b follicular lymphoma according to the WHO 2016 classification12, or follicular large B-cell lymphoma according to the WHO 2022 classification13
- Suspicion or clinical evidence of transformed lymphoma at enrollment by investigator assessment.
- Examples: patients with high or intermediate high SUV (\>20) in any nodal or extranodal site particularly in the bones (vertebrae etc) unless biopsy proven to be genuine FL grade 1,2, 3A ; and/or discordant (e.g. SUV doubled) with SUV of other sites including the biopsy site.; and/or LDH \> 2.5 x ULN in a context of rapidly progressive disease, etc. Please contact the Coordinating Investigator / Sponsor to discuss such cases or if there is any doubt before considering enrolment.
- Prior localized radiotherapy for the FL.
- Prior history of another lymphoma.
- Uncontrolled symptomatic pleural or serous effusion requiring urgent treatment (within one week of finding). Participants may only be enrolled after Coordinating investigator / sponsor approval once confirmed participant is durably asymptomatic after adequate pleural/serous drainage or only if an efficient drainage device (e.g.pleurX™) is in place before randomization.
- Uncontrolled symptomatic ureterohydronephrosis resulting in renal failure. Participants with adequate management i.e. ureteral catheter or double J stent allowing renal failure control are eligible only if urinary catheter is in place before randomization.
- Presence or history of symptomatic or threatening lymphomatous epidural/nerve root lesion, even such participants whose disease is controlled by short course of steroids are NOT eligible.
- Use of any standard or experimental anti-cancer drug therapy within 45 days of the start (Day 1) of study treatment.
- Any contraindication to any drug contained in the study treatment control arms or in the Auxiliary Medicinal Products (AxMPs)
- Systemic immunosuppressive medications (including, but not limited to, cyclophosphamide, azathioprine, methotrexate, thalidomide, and anti-tumor necrosis factor agents) and corticosteroids on the long run with the following exceptions: inhaled steroids for asthma, topical steroids, or replacement or stress corticosteroids during the study at any time. Participants who require lymphoma symptom control during screening may receive corticosteroid \< or = 1mg/kg/day prednisone or equivalent for a maximum of 10 days prior to first dose of study treatment
- Received a live, attenuated vaccine within 4 weeks before the first dose of study treatment, or in whom it is anticipated that such a live attenuated vaccine will be required during the study period or within 6 months after the final dose of study treatment.
- Major surgery (excluding surgical documentation of FL) within 28 days prior to signing informed consent.
- Seropositive for or active viral infection with hepatitis B virus (HBV):
- HBsAg positive
- +32 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- The Lymphoma Academic Research Organisationlead
- Lymphoma Study Associationcollaborator
- Swiss Cancer Institutecollaborator
- Grupo Español de Linfomas y Transplante Autólogo de Médula Óseacollaborator
Study Sites (116)
Krankenhaus der Barmherzigen Brüder Graz - Abteilung Für Innere Medizin I
Graz, 8020, Austria
Krems University Hospital - Abteilung Für Innere Medizin 2
Krems, 3500, Austria
LKH HOCHSTEIERMARK - Department für Hämato-Onkologie
Leoben, 8700, Austria
Kepler Universitaetsklinikum - Univ.-Klinik für Hämatologie und Internistische Onkologie
Linz, 4021, Austria
Paracelsus Medical University - 3rd Medical Department
Salzburg, 5020, Austria
Univ. Klinikum ST.PÖLTEN - Klinische Abteilung Für Innere Medizin 1
Sankt Pölten, 3100, Austria
Medical University of Vienna - Department of Hematology and Hemostaseology
Vienna, 1090, Austria
Klinikum Wels-Grieskirchen GMBH - IVth Internal Department
Wels, 4600, Austria
Universitätsklinikum Wiener Neustadt - Klinische Abteilung für Innere Medizin III
Wiener Neustadt, 2700, Austria
AZ SINT-JAN BRUGGE - OOSTENDE AV - Service Hématologie
Bruges, 8000, Belgium
INSTITUT JULES BORDET - Service Hématologie
Brussels, 1070, Belgium
UNIVERSITE CATHOLIQUE DE LOUVAIN SAINT-LUC - Service Hématologie
Brussels, 1200, Belgium
GRAND HOPITAL DE CHARLEROI - Service Hématologie
Charleroi, 6000, Belgium
UNIVERSITAIR ZIEKENHUIS GENT - Service Hématologie
Ghent, 9000, Belgium
HELORA - Hôpital de La Louvière - Site Jolimont - Service Hématologie Clinique
La Louvière, 7100, Belgium
CHU DE LIEGE - Service Hématologie
Liège, 4000, Belgium
CHU UCL NAMUR - SITE GODINNE - Service Hématologie
Yvoir, 5530, Belgium
CH d'AVIGNON - HOPITAL HENRI DUFFAUT - Service d'Onco-Hématologie
Avignon, 84000, France
CH DE LA COTE BASQUE - Service Hématologie
Bayonne, 64100, France
CHU JEAN MINJOZ - Service Hématologie
Besançon, 25030, France
INSTITUT BERGONIE - Service d'Oncologie Médicale
Bordeaux, 33076, France
CENTRE HOSPITALIER JEAN ROUGIER - Service d'Oncologie - Hématologie
Cahors, 46005, France
CH METROPOLE SAVOIE - SITE CHAMBERY - Service Hématologie
Chambéry, 73011, France
CHU ESTAING - Service Thérapie Cellulaire et Hématologie Clinique
Clermont-Ferrand, 63003, France
HOPITAL HENRI MONDOR - Unité Hémopathies Lymphoïdes
Créteil, 94010, France
CHU DIJON BOURGOGNE - Service Hématologie Clinique
Dijon, 21000, France
CHD DE VENDEE - Service Hématologie
La Roche-sur-Yon, 85925, France
CHU DE GRENOBLE - Service Hématologie
La Tronche, 38700, France
HOPITAL SAINT VINCENT-DE-PAUL - Service Hématologie
Lille, 59020, France
CHRU DE LILLE - HOPITAL CLAUDE HURIEZ - Service Hématologie
Lille, 59037, France
CHU DE LIMOGES - HOPITAL DUPUYTREN - Service Hématologie Clinique et Thérapie Cellulaire
Limoges, 87042, France
INSTITUT PAOLI CALMETTES - Service Hématologie
Marseille, 13273, France
CHU DE MONTPELLIER - Département d'Hématologie Clinique
Montpellier, 34090, France
GH REGION MULHOUSE ET SUD ALSACE - HOPITAL EMILE MULLER - Service Hématologie
Mulhouse, 68100, France
CHU DE NANTES - Service Hématologie
Nantes, 44093, France
CENTRE HOSPITALIER DE NIORT - Médecine interne
Niort, 79021, France
HOPITAL SAINT-LOUIS - Service Hématologie
Paris, 75475, France
CHU DE BORDEAUX - HOPITAL HAUT-LEVEQUE - CENTRE FRANCOIS MAGENDIE - Service d'Hématologie et Thérapie Cellulaire
Pessac, 33604, France
CHU LYON-SUD - Hématologie
Pierre-Bénite, 69495, France
CHI POISSY SAINT-GERMAIN-EN-LAYE - Service Hématologie
Poissy, 78303, France
CHU DE POITIERS - HOPITAL DE LA MILETRIE - Service d'Oncologie Hématologique et Thérapie Cellulaire
Poitiers, 86021, France
CH ANNECY GENEVOIS - SITE D'ANNECY - Service Hématologie
Pringy, 74374, France
CHU DE REIMS - HOPITAL ROBERT DEBRE - Service Hématologie
Reims, 57092, France
CHU PONTCHAILLOU - Hématologie Clinique
Rennes, 35033, France
CENTRE HENRI BECQUEREL - Service Hématologie
Rouen, 76038, France
INSTITUT CURIE - SITE SAINT-CLOUD - Service Hématologie
Saint-Cloud, 92210, France
Institut de Cancérologie et d'Hématologie Universitaire de Saint-Étienne - Service Hématologie
Saint-Priest-en-Jarez, 42270, France
INSTITUT DE CANCEROLOGIE STRASBOURG EUROPE - Unité de Recherche Clinique
Strasbourg, 67033, France
IUCT ONCOPOLE - Service Hématologie
Toulouse, 31059, France
CHU BRETONNEAU - Service Cancérologie - Hématologie et Thérapie Cellulaire
Tours, 37044, France
CH DE VALENCIENNES - HOPITAL JEAN BERNARD - Service Hématologie
Valenciennes, 59322, France
CHU BRABOIS - Service Hématologie
Vandœuvre-lès-Nancy, 54511, France
CH DE BRETAGNE ATLANTIQUE - HOPITAL CHUBERT - Service Hématologie
Vannes, 56017, France
GUSTAVE ROUSSY CANCER CAMPUS GRAND PARIS - Département Médecine Oncologique
Villejuif, 94085, France
GESUNDHEITSZENTRUM ST. MARIEN GMBH - Hämatologie/Onkologie
Amberg, 92224, Germany
SOZIALSTIFTUNG BAMBERG - KLINIKUM AM BRUDERWALD - Hämatologie und internistische Onkologie
Bamberg, 96049, Germany
VIVANTES KLINIKUM AM URBAN - Hämatologie und Onkologie
Berlin, 10967, Germany
Helios Klinikum Berlin-Buch - Klinik für Hämatologie und Stammzelltransplantation
Berlin, 13125, Germany
CHARITE UNIVERSITATSMEDIZIN BERLIN - Med. Klinik m. S. Hämatologie, Onkologie, Tumorimmunologie
Berlin, 13353, Germany
KLINIKUM BREMEN-MITTE - Gesundheit Nord gGmbH - Hämatologisch-Onkologische Tagesklinik
Bremen, 28205, Germany
KLINIKUM CHEMNITZ GGMBH - Klinik f. Innere Medizin III
Chemnitz, 9116, Germany
UNIVERSITÄTSKLINIK DÜSSELDORF-Klinik für Hämatologie, Onkologie und Klinische Immunologie
Düsseldorf, 40225, Germany
UNIVERSITAETSKLINIKUM ESSEN - Klinik f. Hämatologie
Essen, 45147, Germany
GOETHE UNIVERSITÄT FRANKFURT - Medizinische Klinik II Onkologie
Frankfurt, Germany
MEDICAL CENTER - UNIVERSITY OF FREIBURG - Klinik für Innere Medizin I Hämatologie, Onkologie und Stammzelltransplantation
Freiburg im Breisgau, 79106, Germany
GEORG-AUGUST-UNIV, GOETTINGEN - Klinik fur Haematologie und Medizinisched Onkologie
Göttingen, 37075, Germany
UNIVERSITATSKLINIKUM HALLE (SAALE) - Klinik für Innere Medizin IV
Halle, 6097, Germany
ONKOLOGIE LERCHENFELD - OncoResearch Lerchenfeld GmbH
Hamburg, 22081, Germany
KLINIKUM REGION HANNOVER GMBH KLINIK FÜR HÄMATOLOGIE-Onkologie und immunologie
Hanover, 30459, Germany
UNIVERSITÄTSKLINIKUM HEIDELBERG - Innere Medizin V
Heidelberg, 69120, Germany
Universitätsklinikum des Saarlandes - Klinik für Innere Medizin I - Onkologie, Hämatol. Immun. & Rheumatololgie
Homburg, 66421, Germany
UNIVERSITÄTSKLINIKUM JENA-Klinik für Innere Medizin II
Jena, 07747, Germany
WESTPFALZ KLINIKUM - Klinik für Innere Medizin I
Kaiserslautern, 67655, Germany
UKSH UNIVERSITAETSKLINIKUM SCHLESWIG-HOLSTEIN - Med. Klinik II - Hämatologie und Onkologie
Kiel, 24105, Germany
GEMEINSCHAFTSKLINIKUM MITTELRHEIN GGMBH - Innere Medizin - Hämatologie/Onkologie
Koblenz, 56073, Germany
LAKUMED KLINIKUM - Onkologisches und palliativmedizinisches Netzwerk Landshut
Landshut, 84036, Germany
UNIVERSITATSKLINIKUM LUBECK - Klinik für Hämatologie und Onkologie
Lübeck, 23538, Germany
KLINIKEN MARIA HILF GMBH KRANKENHAUS ST. FRANZISK - Hämatologie, Onkologie & Gastroenterologie
Mönchengladbach, 41063, Germany
KLINIKUM GROSSHADERN DER LMU MUNCHEN - Hämatologie und Onkologie allgemein
München, 81377, Germany
KLINIKUM RECHTS DER ISAR, III MED KLINIK DER TU - Hämatologie und Onkologie
München, 81675, Germany
Gemeinschaftspraxis Fur Hamatologie Und Onkologie
Münster, 48149, Germany
Universtatsklinikum Munster
Münster, 48149, Germany
BRUEDERKRANKENHAUS ST. JOSEF PADERBORN - Klinik für Hämatologie und Onkologie
Paderborn, 33098, Germany
MVZ FÜR HÄMATOLOGIE UND ONKOLOGIE RAVENSBURG GMBH - Hematology
Ravensburg, 86212, Germany
UNIVERSITATSKLINIKUM REGENSBURG - Klinik für Innere Medizin III
Regensburg, 93053, Germany
KLINIKUM AM STEINENBERG REUTLINGEN GMBH - Medizinische Klinik I
Reutlingen, 72764, Germany
UNIVERSITÄT ROSTOCK - Hämatologie/Onkologie
Rostock, 18057, Germany
AGAPLESION DIAKONIEKLINIKUM ROTENBURG - Klinik für Hämatologie, Onkologie und Nephrologie
Rotenburg (Wümme), 27356, Germany
UNIV KLINIKUM ULM - INNERE MEDIZIN III - Service Hématologie
Ulm, 89081, Germany
HELIOS UNIVERSITÄTSKLINIKUM WUPPERTAL - Hämatologie und Onkologie
Wuppertal, 42283, Germany
UNIVERSITY WURZBURG - Hämatologie
Würzburg, 97080, Germany
INSTITUTO PORTUGUES DE ONCOLOGIA DE LISBOA FRANCISCO GENTIL - Departamento Hematologia
Lisbon, 1099, Portugal
HOSPITAL UNIVERSITARIO DE ALBACETE-Servicio de Hematologia
Albacete, 02006, Spain
HOSPITAL DURAN I REYNALS - ICO Oncologia
Barcelona, 08908, Spain
HOSPITAL DE LA SANTA CREU I SANT PAU - Servicio de Hematología
Barcelona, 8025, Spain
HOSPITAL VALL D'HEBRON - Hematology Service
Barcelona, 8035, Spain
HOSPITAL CLINIC BARCELONA - Hematology department
Barcelona, 8036, Spain
HOSPITAL UNIVERSITARIO DR. NEGRIN-Servicio de Hematologia
Las Palmas de Gran Canaria, 35010, Spain
HOSPITAL UNIVERSITARIO ARNAU DE VILANOVA - Servicio Hematologia
Lleida, 25198, Spain
HOSPITAL UNIVERSITARIO DE LA PRINCESA - Hematología
Madrid, 28006, Spain
HOSPITAL GENERAL UNIVERSITARIO GREGORIO MARANON - Servicio de Hematología-UTMO
Madrid, 28007, Spain
HOSPITAL 12 DE OCTUBRE - Servicio de Hematología y Hemoterapia
Madrid, 28041, Spain
HOSPITAL PUERTA DEL HIERRO - Servicio Hematologia
Madrid, 28222, Spain
HOSPITAL UNIVERSITARIO FUNDACION ALCORCON - Consulta de Hematología Hospital de Día Médico
Madrid, 28922, Spain
HOSPITAL COSTA DEL SOL MARBELLA - Servicio de hematologia
Marbella, 29603, Spain
HOSPITAL CENTRAL ASTURIAS - Servicio de Hematología
Oviedo, 33011, Spain
HOSPITAL CLINICO SALAMANCA - Servicio de Hematologia
Salamanca, 37007, Spain
HOSPITAL CLINICO DE VALENCIA - Servicio de Hematologia
Valencia, 46010, Spain
Oncology Institute of Southern Switzerland (IOSI) - Department of Oncology
Bellinzona, 6500, Switzerland
Kantonsspital Graubunden - Departement Innere Medizin Medizinische Onkologie und Hämatologie
Chur, 7000, Switzerland
Hôpitaux Universitaires de Genève (HUG) - Hématologie
Geneva, 1205, Switzerland
Kantonsspital Baselland - Zentrum Onkologie & Hämatologie
Liestal, 4410, Switzerland
Kantonsspital Olten - Hämatologie
Olten, 4600, Switzerland
Spital STS AG - Onkologie und Hämatologiezentrum
Thun, 3600, Switzerland
HFR Fribourg - Hématologie
Villars-sur-Glâne, 1752, Switzerland
Stadtspital Zürich Triemli - Medizinische Onkologie und Hämatologie
Zurich, 8063, Switzerland
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Franck MORSCHHAUSER
Lymphoma Study Association
- PRINCIPAL INVESTIGATOR
Christian BUSKE
GLA
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 14, 2024
First Posted
February 28, 2024
Study Start
June 7, 2024
Primary Completion (Estimated)
November 1, 2028
Study Completion (Estimated)
April 1, 2034
Last Updated
June 5, 2026
Record last verified: 2026-06