MedPath

Polatuzumab vedotin

Generic Name
Polatuzumab vedotin
Brand Names
Polivy
Drug Type
Biotech
CAS Number
1313206-42-6
Unique Ingredient Identifier
KG6VO684Z6
Background

Polatuzumab vedotin is a CD79b-directed antibody-drug conjugate that delivers monomethyl auristatin E (MMAE), an anti-mitotic agent, to cancer cells. The drug consists of three components - a humanized immunoglobulin G1 (IgG1) monoclonal antibody specific for human CD79b (polatuzumab), MMAE, and protease-cleavable linker called maleimidocaproyl-valine-citrulline-p-aminobenzyloxycarbonyl (mc-vc-PAB) that covalently attaches MMAE to polatuzumab.

Polatuzumab vedotin was granted accelerated FDA approval on June 10, 2019 and was approved by Health Canada on July 9, 2020.

Indication

Polatuzumab vedotin is used in combination with bendamustine and rituximab to treat adult patients with relapsed or refractory diffuse large B-cell lymphoma, not otherwise specified, after at least two prior therapies. In Canada, this indication is approved for patients who are not eligible for autologous stem cell transplant and have received at least one prior therapy.

Polatuzumab vedotin is also used in combination with rituximab, cyclophosphamide, doxorubicin, and prednisone (R-CHP) to treat adult patients with previously untreated large B-cell lymphoma (LBCL), including diffuse large B-cell lymphoma (DLBCL) not otherwise specified (NOS), high-grade B-cell lymphoma, Epstein-Barr virus-positive (EBV+) DLBCL NOS, and T-cell/histiocyte rich LBCL.

Associated Conditions
Diffuse Large B-Cell Lymphoma, Not Otherwise Specified, Epstein-Barr Virus-positive Diffuse Large B-cell Lymphoma, High-grade B Cell Lymphoma (HGBCL), Large B Cell Lymphoma, Refractory Diffuse Large B-Cell Lymphoma, Not Otherwise Specified, T-Cell/Histiocyte-Rich Large B-Cell Lymphoma, Relapsed Diffuse large B-cell lymphoma NOS

A Study Evaluating the Safety, Efficacy and Pharmacokinetics of Venetoclax in Combination With Polatuzumab Vedotin Plus Rituximab (R) and Cyclophosphamide, Doxorubicin, Prednisone (CHP) in Participants With Untreated BCL-2 Immunohistochemistry (IHC)-Positive Diffuse Large B-Cell Lymphoma (DLBCL)

First Posted Date
2021-03-10
Last Posted Date
2024-07-11
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
50
Registration Number
NCT04790903
Locations
🇫🇷

Centre Hospitalier Régional Universitaire de Lille (CHRU) - Hôpital Claude Huriez, Lille, France

🇫🇷

CHU Montpellier - Saint ELOI, Montpellier, France

🇺🇸

Memorial Sloan-Kettering Cancer Center, New York, New York, United States

and more 17 locations

Polatuzumab Vedotin in Combination With Chemotherapy in Subjects With Richter's Transformation

Phase 2
Recruiting
Conditions
Chronic Lymphocytic Leukemia
Richter Syndrome
Interventions
First Posted Date
2020-12-22
Last Posted Date
2024-10-31
Lead Sponsor
Weill Medical College of Cornell University
Target Recruit Count
20
Registration Number
NCT04679012
Locations
🇺🇸

Weill Cornell Medicine, New York, New York, United States

🇺🇸

Mount Sinai- Icahn School of Medicine, New York, New York, United States

🇺🇸

Columbia University Medical Center, New York, New York, United States

and more 1 locations

Polatuzumab Vedotin, Rituximab, Ifosfamide, Carboplatin, and Etoposide (PolaR-ICE) as Initial Salvage Therapy for the Treatment of Relapsed/Refractory Diffuse Large B-Cell Lymphoma

Phase 2
Active, not recruiting
Conditions
Diffuse Large B-Cell Lymphoma Unclassifiable
Recurrent Diffuse Large B-Cell Lymphoma
Refractory Primary Mediastinal (Thymic) Large B-Cell Cell Lymphoma
Recurrent Primary Mediastinal (Thymic) Large B-Cell Cell Lymphoma
Recurrent Transformed B-Cell Non-Hodgkin Lymphoma
Refractory Transformed B-Cell Non-Hodgkin Lymphoma
Refractory Diffuse Large B-Cell Lymphoma
Interventions
First Posted Date
2020-12-14
Last Posted Date
2025-02-17
Lead Sponsor
City of Hope Medical Center
Target Recruit Count
41
Registration Number
NCT04665765
Locations
🇺🇸

Emory University, Atlanta, Georgia, United States

🇺🇸

City of Hope Medical Center, Duarte, California, United States

Polatuzumab Vedotin, Venetoclax, and Rituximab and Hyaluronidase Human for the Treatment of Relapsed or Refractory Mantle Cell Lymphoma

Phase 2
Active, not recruiting
Conditions
Recurrent Grade 3a Follicular Lymphoma
Recurrent B-Cell Non-Hodgkin Lymphoma
Refractory B-Cell Non-Hodgkin Lymphoma
Recurrent Grade 2 Follicular Lymphoma
Recurrent Marginal Zone Lymphoma
Refractory Grade 1 Follicular Lymphoma
Refractory Mantle Cell Lymphoma
Recurrent Grade 1 Follicular Lymphoma
Refractory Small Lymphocytic Lymphoma
Recurrent Mantle Cell Lymphoma
Interventions
First Posted Date
2020-12-09
Last Posted Date
2024-01-08
Lead Sponsor
Academic and Community Cancer Research United
Target Recruit Count
63
Registration Number
NCT04659044
Locations
🇺🇸

Siouxland Regional Cancer Center, Sioux City, Iowa, United States

🇺🇸

Michigan Cancer Research Consortium NCORP, Ann Arbor, Michigan, United States

🇺🇸

Laura and Isaac Perlmutter Cancer Center at NYU Langone, New York, New York, United States

and more 2 locations

A Multicenter, Retrospective Observational Study to Evaluate the Effectiveness and Safety of Polatuzumab Vedotin

Conditions
Diffuse Large B-Cell Lymphoma (DLBCL)
Interventions
First Posted Date
2020-11-12
Last Posted Date
2020-11-12
Lead Sponsor
Jiangsu Cancer Institute & Hospital
Target Recruit Count
35
Registration Number
NCT04624893
Locations
🇨🇳

Jiangsu Cancer Hospital, Nanjing, Jiangsu, China

Study of Selinexor in Combination With Backbone Treatments or Novel Therapies In Participants With Relapsed or Refractory (RR) Diffuse Large B-Cell Lymphoma (DLBCL)

First Posted Date
2020-10-29
Last Posted Date
2023-01-25
Lead Sponsor
Karyopharm Therapeutics Inc
Target Recruit Count
350
Registration Number
NCT04607772
Locations
🇺🇸

UPMC Hillman Cancer Center, Pittsburgh, Pennsylvania, United States

🇺🇸

US Oncology - Oncology Associates of Oregon, Eugene, Oregon, United States

🇺🇸

University of Texas Southwestern, Dallas, Texas, United States

and more 15 locations

A Study of Polatuzumab Vedotin, Rituximab and Dose Attenuated CHP in Older Patients with DLBCL

First Posted Date
2020-10-20
Last Posted Date
2024-11-05
Lead Sponsor
University of Rochester
Target Recruit Count
39
Registration Number
NCT04594798
Locations
🇺🇸

University of Rochester, Rochester, New York, United States

POLA+BR for Relapsed or Refractory DLBCL

Phase 2
Withdrawn
Conditions
Diffuse Large B Cell Lymphoma
Interventions
First Posted Date
2020-09-01
Last Posted Date
2022-05-09
Lead Sponsor
University of Colorado, Denver
Registration Number
NCT04535102

Autologous Stem Cell Transplant Followed by Polatuzumab Vedotin in Patients With B-cell Non-Hodgkin and Hodgkin Lymphoma

Phase 1
Recruiting
Conditions
B-cell Lymphoma
Diffuse Large B Cell Lymphoma
Transformed Non-Hodgkin Lymphoma
Burkitt Lymphoma
Follicular Lymphoma
Mantle Cell Lymphoma
Marginal Zone Lymphoma
Richter Syndrome
Hodgkin Lymphoma
Interventions
First Posted Date
2020-07-29
Last Posted Date
2023-10-26
Lead Sponsor
New York Medical College
Target Recruit Count
20
Registration Number
NCT04491370
Locations
🇺🇸

New York Medical Center, Valhalla, New York, United States

Polatuzumab Vedotin and Combination Chemotherapy for the Treatment of Previously Untreated Lymphoma

Phase 2
Active, not recruiting
Conditions
Diffuse Large B-Cell Lymphoma
High Grade B-Cell Lymphoma w/MYC & BCL2 or BCL6 Rearrangements
High Grade B-Cell Lymphoma w/MYC, BCL2 & BCL6 Rearrangements
Double Expressor Lymphoma
High-grade B-cell Lymphoma
Interventions
First Posted Date
2020-07-21
Last Posted Date
2025-05-02
Lead Sponsor
Barbara Ann Karmanos Cancer Institute
Target Recruit Count
8
Registration Number
NCT04479267
Locations
🇺🇸

Karmanos Cancer Institute, Detroit, Michigan, United States

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