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A Study Evaluating the Safety and Efficacy of Atezolizumab in Combination With Obinutuzumab Plus Lenalidomide in Patients With Relapsed or Refractory Follicular Lymphoma

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT02631577
Recruitment Status : Active, not recruiting
First Posted : December 16, 2015
Last Update Posted : July 10, 2019
Information provided by (Responsible Party):
Hoffmann-La Roche

Brief Summary:
This study will evaluate the safety, efficacy, pharmacokinetics and immunogenicity of induction treatment consisting of atezolizumab in combination with obinutuzumab plus lenalidomide in patients with relapsed or refractory follicular lymphoma (FL), followed by maintenance treatment with atezolizumab plus obinutzumab plus lenalidomide in patients who achieve a complete response (CR), a partial response (PR), or stable disease at end of induction.

Condition or disease Intervention/treatment Phase
Lymphoma, Follicular Drug: Atezolizumab (MPDL3280A) [TECENTRIQ] Drug: Lenalidomide Drug: Obinutuzumab Phase 1 Phase 2

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 38 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Actual Study Start Date : December 31, 2015
Actual Primary Completion Date : October 23, 2018
Estimated Study Completion Date : November 10, 2020

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Lymphoma

Arm Intervention/treatment
Experimental: Atezolizumab-G-lena
Dose escalation phase: Participants with relapsed or refractory FL will receive obinutuzumab (G) and lenalidomide (lena) during Cycle 1 (28-day cycle) and atezolizumab (MPDL3280A), obinutuzumab, and lenalidomide during Cycles 2-6, during induction treatment, followed by atezolizumab (MPDL3280A; monthly) and obinutuzumab (every other month [q2m]) for 24 months as well as lenalidomide for 12 months, during maintenance treatment. Expansion phase: Participants with previously untreated FL will receive same treatment regimen as described for dose escalation phase.
Drug: Atezolizumab (MPDL3280A) [TECENTRIQ]
Atezolizumab will be administered at a flat dose of 840 mg on Days 1 and 15 of Cycles 2 to 6, given in 28-day cycles as induction treatment and 840 mg on Days 1 and 2 of each month, given as maintenance treatment.

Drug: Lenalidomide
Lenalidomide will be administered orally once daily on Days 1 to 21 of Cycles 1 to 6 (28-day cycles) during induction treatment and on Days 1 to 21 of each month during maintenance treatment. Lenalidomide will be administered at a dose of 15 or 20 mg (dose may be de-escalated to 10 mg) during induction treatment and at 10 mg during maintenance treatment. During the expansion phase, lenalidomide will be administered at the RP2D during induction treatment and at 10 mg during maintenance treatment.

Drug: Obinutuzumab
Obinutuzumab will be administered by intravenous infusion at an absolute (flat) dose of 1000 mg on Days 1, 8, and 15 of the first cycle and on Day 1 of each subsequent cycle during induction treatment, and on Day 1 of every other month (i.e., every 2 months) during maintenance treatment.

Primary Outcome Measures :
  1. Incidence of dose-limiting toxicities (DLTs) during cycle 2 of study treatment [ Time Frame: Day 1- Day 28 of second cycle ]
  2. Percentage of Participants Achieving CR at EOI, as Determined by the Independent Review Committee (IRC) Using Lugano Criteria [ Time Frame: 6 months ]
  3. Percentage of Participants With Adverse Events and Serious Adverse Events [ Time Frame: 30 months ]

Secondary Outcome Measures :
  1. Percentage of Participants Achieving CR at EOI, as Determined by the Investigator Using Lugano Criteria [ Time Frame: 6 months ]
  2. Percentage of Participants Achieving CR at EOI, as Determined by the IRC and Investigator Using Modified Cheson Criteria [ Time Frame: 6 months ]
  3. Percentage of Participants With Objective Response (CR or PR) at EOI [ Time Frame: 6 months ]
  4. Percentage of Participants With Objective Response (CR or PR) During the Study [ Time Frame: 30 months ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0, 1, or 2
  • Relapsed or refractory FL after treatment with at least one prior chemoimmunotherapy regimen that included an anti-CD20 monoclonal antibody and for which no other more appropriate treatment option exists as determined by the investigator
  • Histologically documented CD20-positive lymphoma as determined by the local laboratory
  • Fluorodeoxyglucose-avid lymphoma (i.e., PET-positive lymphoma)
  • At least one bi-dimensionally measurable lesion (>1.5 cm in its largest dimension by CT scan or magnetic resonance imaging [MRI])
  • Availability of a representative tumor specimen and the corresponding pathology report for retrospective central confirmation of the diagnosis of FL
  • Agreement to comply with all local requirements of the lenalidomide risk minimization plan
  • For women of childbearing potential: agreement to remain abstinent (refrain from heterosexual intercourse) or use two adequate methods of contraception, including at least one method with a failure rate of <1% per year, for at least 28 days prior to Day 1 of Cycle 1, during the treatment period (including periods of treatment interruption), and for at least 18 months after the last dose of study treatment
  • For men: agreement to remain abstinent (refrain from heterosexual intercourse) or use contraceptive measures and agreement to refrain from donating sperm for at least 3 months after the last dose of study treatment

Exclusion Criteria:

  • Grade 3b follicular lymphoma
  • History of transformation of indolent disease to diffuse large B-cell lymphoma (DLBCL)
  • Known CD20-negative status at relapse or progression
  • Central nervous system lymphoma or leptomeningeal infiltration
  • Prior allogeneic stem-cell transplantation (SCT)
  • Completion of autologous SCT within 100 days prior to Day (D) 1 of Cycle (C) 1
  • Prior standard or investigational anti-cancer therapy as specified in protocol
  • History of resistance to lenalidomide or response duration of <1 year
  • Treatment with systemic immunosuppressive medications
  • History of solid organ transplantation
  • Clinically significant toxicity from prior therapy that has not resolved to Grade <=2 (according to the National Cancer Institute Common Terminology Criteria for Adverse Events [NCI CTCAE], v4.0) prior to Day 1 of Cycle 1
  • History of erythema multiforme, Grade >= 3 rash, or blistering following prior treatment with immunomodulatory derivatives such as thalidomide and lenalidomide
  • Active bacterial, viral, fungal, or other infection
  • Positive for hepatitis B surface antigen (HBsAg), total hepatitis B core antibody (HBcAb), or hepatitis C virus (HCV) antibody at screening
  • Known history of HIV positive status
  • History of progressive multifocal leukoencephalopathy
  • History of autoimmune disease
  • Contraindication to treatment for TE prophylaxis
  • Grade <= 2 neuropathy
  • History of other malignancy that could affect compliance with the protocol or interpretation of results
  • Evidence of any significant, uncontrolled concomitant disease
  • Inadequate hematologic function (unless due to underlying lymphoma)
  • Abnormal laboratory values (unless due to underlying lymphoma)
  • Pregnant or lactating or intending to become pregnant during the study

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT02631577

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United States, Alabama
University of Alabama at Birmingham
Birmingham, Alabama, United States, 35294-0017
United States, Florida
University Miami
Miami, Florida, United States, 33136
United States, Kentucky
Norton Medical Plaza II
Louisville, Kentucky, United States, 40207
United States, New York
Memorial Sloan-Kettering Cancer Center; Hematology/Oncology
New York, New York, United States, 10065
United States, North Carolina
Levine Cancer Institute
Charlotte, North Carolina, United States, 28204
Hopital Henri Mondor; 51 Av Mal Lattre De Tassigny
Creteil, France, 94010
Hopital du Bocage
Dijon, France, 21034
Centre Jean Bernard
Le Mans, France, 72015
Centre Hospitalier Le Mans
Le Mans, France, 72037
CHRU de Lille - Hopital Claude Huriez
Lille, France, 59037
CHU Montpellier - Saint ELOI
Montpellier, France, 34295
CHU - Hôtel Dieu hematolgie clinique
Nantes, France, 44093
Centre Hospitalier Lyon Sud; Hematolgie
Pierre Benite, France, 69495
CHU de Rennes - Hopital de Pontchaillo
Rennes, France, 35033
Centre Henri Becquerel
Rouen, France, 76038
Chu Toulouse
Toulouse, France, 31059
Sponsors and Collaborators
Hoffmann-La Roche
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Study Director: Clinical Trials Hoffmann-La Roche

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Responsible Party: Hoffmann-La Roche Identifier: NCT02631577     History of Changes
Other Study ID Numbers: BO29562
2015-002467-42 ( EudraCT Number )
First Posted: December 16, 2015    Key Record Dates
Last Update Posted: July 10, 2019
Last Verified: July 2019
Additional relevant MeSH terms:
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Lymphoma, Follicular
Neoplasms by Histologic Type
Lymphoproliferative Disorders
Lymphatic Diseases
Immunoproliferative Disorders
Immune System Diseases
Lymphoma, Non-Hodgkin
Antibodies, Monoclonal
Immunologic Factors
Physiological Effects of Drugs
Angiogenesis Inhibitors
Angiogenesis Modulating Agents
Growth Substances
Growth Inhibitors
Antineoplastic Agents
Antineoplastic Agents, Immunological