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Non-Hodgkin LymphomaPhase 1NCT05169515

A Study Evaluating the Safety, Pharmacokinetics, and Efficacy of Mosunetuzumab or Glofitamab in Combination With CC-220 and/or CC-99282 in Participants With B-Cell Non-Hodgkin Lymphoma

A Phase 1 study testing SC Mosunetuzumab, IV Glofitamab and Iberdomide in people with Non-Hodgkin Lymphoma, run by Hoffmann-La Roche at 25 sites in 5 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
Search all trials

Trial summary

This study will evaluate the safety, efficacy, and pharmacokinetics of mosunetuzumab or glofitamab in combination with CELMoDs (CC-220 and/or CC-99282) in participants with B-cell NHL. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Non-Hodgkin Lymphoma
What is being tested?
SC Mosunetuzumab, IV Glofitamab and Iberdomide
Could I receive a placebo?
No, everyone receives an active treatment
How many people
121 participants
Where
25 sitesin 5 countries
Study dates
26 Oct 2022to 5 Aug 2029
Phase
Phase 1
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age >/= 18 years
  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0, 1, or 2
  • History of one of the following histologically documented hematologic malignancies that are expected to express the CD20 antigen: In the Dose Escalation phase, participants must have relapsed after or failed to respond to at least two prior lines of systemic therapy. In the Dose Expansion phase, participants with FL Grades 1-3a must have relapsed after or failed to respond to at least one prior line of systemic therapy and must require systemic therapy. Participants with DLBCL/transformed FL must have relapsed after or failed to respond to at least one prior systemic treatment regimen.
  • Participants with DLBCL/transformed FL who have received only one prior line of therapy must: Not be considered a candidate for autologous stem cell transplantation (ASCT) due to age, performance status, comorbidities and/or insufficient response to prior treatment, or have refused ASCT; or be ineligible for or unable to receive chimeric antigen receptor T-cell (CAR-T) therapy due to reasons defined by the protocol
  • Fluorodeoxyglucose-avid lymphoma (i.e. PET-positive lymphoma)
  • At least one bi-dimensionally measurable nodal lesion (> 1.5 cm in its largest dimension by diagnostic quality CT or PET/CT scan), or at least one bi-dimensionally measurable extranodal lesion (> 1.0 cm in its largest dimension by diagnostic quality CT or PET/CT scan)
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  • Availability of a representative tumor specimen and the corresponding pathology report for confirmation of the diagnosis of NHL
  • A fresh pretreatment biopsy during screening period, excisional or incisional, is preferred
  • Adequate hematologic function without growth factors or blood product transfusion within 14 days of first dose of study drug administration
  • Normal laboratory values
  • All participants and health care providers will be trained and counseled on pregnancy prevention. For female participants of childbearing potential: agreement to remain abstinent (refrain from heterosexual intercourse) or use contraception during the treatment period and for 3 months after the final dose of mosunetuzumab, at least 18 months after pre-treatment with obinutuzumab or 2 months after the last dose of glofitamab, 28 days after the last dose of CC-220, 28 days after the last dose of CC-99282, 3 months after the last dose of tocilizumab (if applicable), whichever is longer
  • For male participants: agreement to remain abstinent (refrain from heterosexual intercourse) or use a condom, and agree to refrain from donating sperm during the treatment period and for at least 3 months after pre-treatment with obinutuzumab or 2 months after the last dose of glofitamab, 28 days after the last dose of CC-220, 28 days after the last dose of CC- 99282, 2 months after the final dose of tocilizumab (if applicable), whichever is longer

Who cannot join

  • Pregnancy or breastfeeding, or intention of becoming pregnant during the study (female participants of childbearing potential must have a negative serum pregancy test result within 14 days prior to initiation of the study treatment) or within 3 months after the final dose of mosunetuzumab, at least 3 months after pre-treatment with obinutuzumab or 2 months after the last dose of glofitamab, whichever is longer, 28 days after the last dose of CC-220, 28 days after the last dose of CC-9282, 3 months after the final dose of tocilizumab, whichever is longer
  • Participant has received prior therapy with cereblon (CRBN)-modulating drug (e.g., lenalidomide, avadomide/CC-122, pomalidomide) </= 4 weeks prior to starting CC-220 and/or CC-99282
  • Inability to swallow pills, or persistent diarrhea or malabsorption >= Grade 2 National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE), despite medical management
  • QTc interval of > 470 ms
  • The following treatments prior to study entry: mosunetuzumab, glofitamab, or other CD20/CD3-directed bispecific antibodies; allogenic stem cell therapy (SCT); solid organ transplantation
  • Treatments (investigational or approved) within the following time periods prior to initiation/first dose of study treatment: radiotherapy within 2 weeks; autologous SCT within 100 days; chimeric antigen receptor (CAR) T-cell therapy within 30 days; prior anti-lymphoma treatment with monoclonal antibodies or antibody-drug conjugates within 4 weeks; use of radioimmunoconjugates within 12 weeks; systemic immunosuppressive medications within 2 weeks; any other anti-cancer therapy, whether investigational or approved, including but not limited to chemotherapy, within 4 weeks or 5 half-lives of the drug, whichever is shorter
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  • Live, attenuated vaccine within 4 weeks before 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 5 months after the final dose of study treatment
  • Current or past history of central nervous system (CNS) lymphoma or leptomeningeal infiltration
  • History of severe allergic or anaphylactic reactions to humanized or murine monoclonal antibody therapy (or recombinant antibody-related fusion proteins)
  • History of autoimmune disease, including but not limited to myocarditis, pneumonitis, myasthenia gravis, myositis, autoimmune hepatitis, systemic lupus erythematosus, rheumatoid arthritis, inflammatory bowel disease, vascular thrombosis associated with antiphospholipid syndrome, granulomatosis with polyangiitis, Sjögren's syndrome, Guillain-Barré syndrome, multiple sclerosis, vasculitis, or glomerulonephritis
  • Major surgery or significant traumatic injury < 28 days prior to enrollment (excluding biopsies) or anticipation of the need for major surgery during study treatment
  • Clinically significant toxicities from prior treatment have not resolved to Grade </= 1 (per US national cancer institute (NCI) common terminology criteria for adverse events (CTCAE) v5.0) prior to the first study drug administration with exceptions defined by the protocol
  • Evidence of any significant, concomitant disease (e.g. cardiovascular, pulmonary, liver, CVA or stroke, ILD, PML, infection, HLH etc) that could affect compliance with the protocol or interpretation of results
  • For participants enrolled into glofitamab cohort: documented refractoriness to an obinutuzumab monotherapy-containing regimen (defined as disease that did not achieve response (PR or CR) or progressed within 6 months of the last dose of an obinutuzumab-containing regimen)

Trial locations and contacts

25 sites in 5 countries.

25 sites in 5 countries

United States6 sites
  • University of Colorado

    Aurora, Colorado, 80045

  • Levine Cancer Institute

    Charlotte, North Carolina, 28204

  • The University of Chicago

    Chicago, Illinois, 60637

  • UT MD Anderson Cancer Center

    Houston, Texas, 77030

  • UCSF/Hematology, Blood & Marrow Transplant, And Cellular Therapy (HBC) Program

    San Francisco, California, 94143

  • Moffitt Cancer Center

    Tampa, Florida, 33612

Other trials in United States

Spain6 sites
  • Hospital Universitari Vall d Hebron

    Barcelona, 08035

  • ICO L'Hospitalet

    L'Hospitalet de Llobregat, Barcelona, 08908

  • Clinica Universidad de Navarra-Madrid

    Madrid, 28027

  • Hospital General Universitario Gregorio Maranon

    Madrid, 28040

  • Hosp Universitario Salamanca

    Salamanca, 37007

  • Hospital Universitario La Fe

    Valencia, Valencia, 46026

Other trials in Spain

Israel5 sites
  • Soroka

    Beersheba, 0084101

  • Rambam Health Care Campus

    Haifa, 3109600

  • Hadassah University Hospital - Ein Kerem

    Jerusalem, 9112001

  • Center Hospital

    Ramat Gan, 5262199

  • Sourasky Medical Center

    Tel Aviv, 6423900

Other trials in Israel

Italy4 sites
  • IRCCS Azienda Ospedaliero Universitaria di Bologna

    Bologna, Emilia-Romagna, 40138

  • IRCCS Istituto Romagnolo per lo studio dei tumori "Dino Amadori"

    Meldola, Emilia-Romagna, 47014

  • Irccs Ospedale San Raffaele

    Milan, Lombardy, 20132

  • Azienda Ospedaliero Universitaria Pisana-Ospedale Santa Chia

    Pisa, Piedmont, 56126

Other trials in Italy

United Kingdom4 sites
  • NHS Greater Glasgow and Clyde

    Glasgow, G12 0YN

  • University College London Hospitals

    London, W1T 7HA

  • Nottingham University Hospitals City Campus

    Nottingham, NG5 1PB

  • Oxford University Hospitals NHS Trust - Churchill Hospital

    Oxford, OX3 7LE

Other trials in United Kingdom

About this study

Official title: A Phase Ib, Open-Label, Multicenter Study Evaluating the Safety, Pharmacokinetics, and Efficacy of Mosunetuzumab or Glofitamab in Combination With CC-220 and/or CC-99282 in Patients With B-Cell Non-Hodgkin Lymphoma

This study will evaluate the safety, efficacy, and pharmacokinetics of mosunetuzumab or glofitamab in combination with CELMoDs (CC-220 and/or CC-99282) in participants with B-cell NHL.

Being tested
SC Mosunetuzumab, IV Glofitamab, Iberdomide, Golcadomide, Obinutuzumab
Medical subject headings
Lymphoma, Non-Hodgkin

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • SC MosunetuzumabDrug

    Also called RO7030816

    Participants will receive SC mosunetuzumab for 12 cycles (cycle length = 21 days or 28 days for Cycle 1 and 28 days for Cycles 2-12)

  • IV GlofitamabDrug

    Also called RO7082859

    Participants will receive IV glofitamab for 12 cycles (cycle length = 21 days)

  • IberdomideDrug

    Also called CC-220

    Arm 1: Participants will receive oral CC-220 from Day 1-21 of Cycle 2-12 (cycle length = 28 days for Cycles 2-12)

  • GolcadomideDrug

    Also called CC-99282

    Arm 1: Participants will receive oral golcadomide from Day 1-14 starting in either Cycle 1 or Cycle 2 through Cycle 12 (cycle length = 28 days for cycles when golcadomide is to be administered) Arm 2: Participants will receive oral golcadomide from Day 1-10 starting in either Cycle 1, Cycle 2 or Cycle 3 through Cycle 12 (cycle length = 21 days)

  • ObinutuzumabDrug

    Also called RO5072759

    Participants in Arm 2 will receive pre-treatment with IV obinutuzumab on Cycle 1 Day 1 (cycle length = 21 days)

  • TocilizumabDrug

    Also called RO4877533

    Participants will receive IV tocilizumab as needed to manage cytokine release syndrome (CRS)

Study groups in NCT05169515
Study groupRoleWhat they receive
Arm 1ExperimentalParticipants will receive subcutaneous (SC) mosunetuzumab + CC-220 (dose escalation only) or SC mosunetuzumab + CC-99282.
Receives: Drug: SC Mosunetuzumab; Drug: Iberdomide; Drug: Golcadomide; Drug: Tocilizumab
Arm 2ExperimentalParticipants will receive intravenous (IV) glofitamab + CC-99282.
Receives: Drug: IV Glofitamab; Drug: Golcadomide; Drug: Obinutuzumab; Drug: Tocilizumab

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of participants with dose-limiting toxicities (DLTs) [dose escalation]

    Measured: Until 90 days after the final dose of study treatment

  2. Percentage of participants with adverse events [all cohorts]

    Measured: Until 90 days after the final dose of study treatment

  3. Best overall response rate (ORR), defined as the proportion of participants whose best overall response is a partial response (PR) or a complete response (CR) during the study, as determined by the investigator using Lugano 2014 criteria [dose expansion]

    Measured: Up to 2 years after start of primary study treatment

  4. Tolerability, as assessed by the incidence of dose interruptions, dose reductions, dose intensity, and treatment discontinuation [dose escalation]

    Measured: Until 90 days after the final dose of study treatment

Secondary outcomes (11)
  1. Best CR rate, defined as the proportion of participants whose best overall response is a CR during the study, as determined by the investigator using Lugano 2014 criteria [all cohorts]

    Measured: Up to 1 year after primary study treatment

  2. Best ORR (CR or PR at any time) on study as determined by the investigator using Lugano 2014 criteria [dose escalation]

    Measured: Up to 2 years after primary study treatment

  3. Duration of response (DOR) as determined by the investigator using Lugano 2014 criteria [all cohorts]

    Measured: Up to 2 years after primary study treatment

  4. Progression-free survival (PFS) as determined by the investigator using Lugano 2014 criteria [dose expansion]

    Measured: Up to 2 years after primary study treatment

  5. Event-free survival (EFS) as determined by the investigator using Lugano 2014 criteria [dose expansion]

    Measured: Up to 2 years after primary study treatment

  6. Overall survival (OS) [dose expansion]

    Measured: Up to 2 years after primary study treatment

  7. Percentage of participants with adverse events [dose expansion]

    Measured: Until 90 days after the final dose of study treatment

  8. Serum concentration of subcutaneous (SC) mosunetuzumab [all cohorts]

    Measured: Up to 2 years after primary study treatment

  9. Serum concentration of intravenous (IV) glofitamab [all cohorts]

    Measured: Up to 2 years after primary study treatment

  10. Serum concentration of CC-220 and CC-99282 (CELMoDs) [all cohorts]

    Measured: Up to 12 cycles of study treatment (cycle length = 21 or 28 days for Arm 1 and 21 days for Arm 2)

  11. Tolerability, as assessed by the incidence of dose interruptions, dose reductions, dose intensity, and treatment discontinuation [dose expansion]

    Measured: Until 90 days after the final dose of study treatment

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Dec 2021
  2. Study start26 Oct 2022
  3. Primary completion5 Aug 2029 (estimated)
  4. Study completion5 Aug 2029 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
121 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05169515
Sponsor's protocol ID
CO43805
Status last verified
Aug 2026
First submitted
13 Dec 2021
Last updated
17 Aug 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing SC Mosunetuzumab, IV Glofitamab and Iberdomide in people with Non-Hodgkin Lymphoma, run by Hoffmann-La Roche at 25 sites in 5 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 12 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 17 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 25 sites in United States, Spain, Israel, Italy, United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of participants with dose-limiting toxicities (DLTs) [dose escalation] (time frame: Until 90 days after the final dose of study treatment). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Aug 2026.

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