MedPath

Mosunetuzumab

Generic Name
Mosunetuzumab
Brand Names
Lunsumio
Drug Type
Biotech
CAS Number
1905409-39-3
Unique Ingredient Identifier
LDJ89SS0YG
Background

Mosunetuzumab is a humanized anti-CD20/CD3 bispecific antibody. It can recognize and bind two different targets simultaneously, CD20 on cancer B-cells and CD3 on T-cells, allowing it to redirect T-cell cytotoxic activity to cancer cells. The standard of care for patients with B-cell lymphoma includes an anti-CD20 monoclonal antibody, such as rituximab, in combination with chemotherapy. However, patients with certain types of B-cell lymphoma, such as follicular lymphoma (FL), chronic lymphocytic leukemia (CLL) or aggressive B-cell lymphoma, have a high probability of relapse or recurrence after treatment. Mosunetuzumab has the potential to circumvent resistance to rituximab in patients with follicular lymphoma, and unlike CAR-T therapies such as axicabtagene ciloleucel and tisagenlecleucel, it is an “off-the-shelf” alternative, readily available to patients. In June 2022, the European Medicines Agency approved mosunetuzumab for the treatment of adult patients with relapsed or refractory (R/R) FL who have received at least two prior systemic therapies. In January 2023, the use of mosunetuzumab was approved by the FDA under accelerated approval based on response rate.

Indication

Mosunetuzumab as monotherapy is indicated for the treatment of adult patients with relapsed or refractory follicular lymphoma (FL) who have received at least two prior systemic therapies.

Associated Conditions
Relapsed or Refractory Follicular Lymphoma

Comparing Rituximab and Mosunetuzumab Drug Treatments for People With Low Tumor Burden Follicular Lymphoma

Phase 3
Recruiting
Conditions
Classic Follicular Lymphoma
Follicular Lymphoma With Unusual Cytological Features
Interventions
Procedure: Biospecimen Collection
Procedure: Computed Tomography
Procedure: Positron Emission Tomography
First Posted Date
2024-03-29
Last Posted Date
2025-05-20
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
600
Registration Number
NCT06337318
Locations
🇺🇸

University of Alabama at Birmingham Cancer Center, Birmingham, Alabama, United States

🇺🇸

Mayo Clinic Hospital in Arizona, Phoenix, Arizona, United States

🇺🇸

University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States

and more 183 locations

Study of Mosunetuzumab Plus Lenalidomide Compared to Anti-CD20 Anti-body + Chemotherapy in Follicular Lymphoma FLIPI2-5

First Posted Date
2024-02-28
Last Posted Date
2024-10-11
Lead Sponsor
The Lymphoma Academic Research Organisation
Target Recruit Count
790
Registration Number
NCT06284122
Locations
🇫🇷

HOPITAL HENRI MONDOR - Unité Hémopathies Lymphoïdes, Créteil, France

🇫🇷

GUSTAVE ROUSSY CANCER CAMPUS GRAND PARIS - Département Médecine Oncologique, Villejuif, France

🇫🇷

CH ANNECY GENEVOIS - SITE D'ANNECY - Service Hématologie, Pringy, France

and more 46 locations

Mosunetuzumab With Chemotherapy for the Treatment of Patients With Untreated C-Myc Rearrangement Positive High Grade B Cell Lymphoma or Diffuse Large B Cell Lymphoma

Phase 1
Recruiting
Conditions
High Grade B-Cell Lymphoma
Diffuse Large B-Cell Lymphoma
Interventions
Procedure: Biopsy
Procedure: Biospecimen Collection
Procedure: Bone Marrow Aspiration and Biopsy
Procedure: Computed Tomography
Procedure: Echocardiography
Procedure: Magnetic Resonance Imaging
Procedure: Multigated Acquisition Scan
Procedure: Positron Emission Tomography
First Posted Date
2024-02-08
Last Posted Date
2025-03-24
Lead Sponsor
OHSU Knight Cancer Institute
Target Recruit Count
30
Registration Number
NCT06249191
Locations
🇺🇸

OHSU Knight Cancer Institute, Portland, Oregon, United States

Testing the Combination of Anti-cancer Drugs Mosunetuzumab, Polatuzumab Vedotin, and Lenalidomide for the Treatment of Relapsed/Refractory Diffuse Large B-Cell Lymphoma

Phase 1
Recruiting
Conditions
High Grade B-Cell Lymphoma
Diffuse Large B-Cell Lymphoma, Not Otherwise Specified
Transformed Indolent B-Cell Non-Hodgkin Lymphoma to Diffuse Large B-Cell Lymphoma
Interventions
Procedure: Biospecimen Collection
Procedure: Computed Tomography
Procedure: Positron Emission Tomography
First Posted Date
2023-08-29
Last Posted Date
2025-03-11
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
30
Registration Number
NCT06015880
Locations
🇺🇸

Wake Forest University Health Sciences, Winston-Salem, North Carolina, United States

🇺🇸

City of Hope Comprehensive Cancer Center LAO, Duarte, California, United States

🇺🇸

City of Hope Comprehensive Cancer Center, Duarte, California, United States

and more 5 locations

Mosunetuzumab-Lenalidomide Versus Investigator Choices in Patients With Relapsed or Refractory Marginal Zone Lymphoma

Phase 3
Recruiting
Conditions
Marginal Zone Lymphoma
Interventions
Drug: - Rituximab + Lenalidomide (28-days cycles
Drug: - Rituximab + Bendamustine (28-days cycles)
Drug: - Rituximab + CHOP (21-days cycles)
First Posted Date
2023-08-23
Last Posted Date
2025-01-27
Lead Sponsor
The Lymphoma Academic Research Organisation
Target Recruit Count
260
Registration Number
NCT06006117
Locations
🇧🇪

INSTITUT JULES BORDET - Service Hématologie, Anderlecht, Belgium

🇧🇪

UNIVERSITE CATHOLIQUE DE LOUVAIN SAINT-LUC - Service Hématologie, Brussels, Belgium

🇧🇪

UNIVERSITAIR ZIEKENHUIS GENT - Service Hématologie, Gent, Belgium

and more 25 locations

Tazemetostat and Mosunetuzumab in Untreated Follicular Lymphoma

Phase 2
Recruiting
Conditions
Follicular Lymphoma
Interventions
First Posted Date
2023-08-16
Last Posted Date
2025-04-09
Lead Sponsor
Weill Medical College of Cornell University
Target Recruit Count
50
Registration Number
NCT05994235
Locations
🇺🇸

Weill Cornell Medicine/NewYork-Presbyterian Hospital, New York, New York, United States

A Phase I Study of Mosunetuzumab for Relapsed or Refractory B-Cell Acute Lymphoblastic Leukemia

Phase 1
Withdrawn
Conditions
Refractory B-cell Acute Lymphoblastic Leukemia
Interventions
First Posted Date
2023-07-27
Last Posted Date
2023-10-10
Lead Sponsor
M.D. Anderson Cancer Center
Registration Number
NCT05961696
Locations
🇺🇸

M D Anderson Cancer Center, Houston, Texas, United States

Comparing the Effectiveness of the Immunotherapy Agents Rituximab or Mosunetuzumab in Patients With Nodular Lymphocyte-Predominant Hodgkin Lymphoma

Phase 2
Recruiting
Conditions
Nodular Lymphocyte Predominant B-Cell Lymphoma
Recurrent Nodular Lymphocyte Predominant B-Cell Lymphoma
Refractory Nodular Lymphocyte Predominant B-Cell Lymphoma
Interventions
Procedure: Biopsy Procedure
Procedure: Biospecimen Collection
Procedure: Bone Marrow Biopsy
Procedure: Computed Tomography
Other: Fludeoxyglucose F-18
Procedure: Positron Emission Tomography
First Posted Date
2023-06-02
Last Posted Date
2025-05-22
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
70
Registration Number
NCT05886036
Locations
🇺🇸

City of Hope Comprehensive Cancer Center, Duarte, California, United States

🇺🇸

UM Sylvester Comprehensive Cancer Center at Aventura, Aventura, Florida, United States

🇺🇸

UM Sylvester Comprehensive Cancer Center at Coral Gables, Coral Gables, Florida, United States

and more 31 locations

Mosunetuzumab for Early Relapse of Follicular Lymphoma in the Nordic Countries

Phase 2
Recruiting
Conditions
Lymphoma, Follicular
Interventions
First Posted Date
2023-05-09
Last Posted Date
2023-11-01
Lead Sponsor
Oslo University Hospital
Target Recruit Count
80
Registration Number
NCT05849857
Locations
🇳🇴

Oslo University Hospital, Oslo, Norway

🇫🇮

Helsinki University Hospital, Helsinki, Finland

🇳🇴

St. Olavs hospital, Trondheim, Norway

Loncastuximab Tesirine and Mosunetuzumab for the Treatment of Relapsed or Refractory Diffuse Large B-Cell Lymphoma

Phase 2
Recruiting
Conditions
Recurrent Diffuse Large B-Cell Lymphoma
Recurrent Grade 3b Follicular Lymphoma
Recurrent Transformed Indolent B-Cell Non-Hodgkin Lymphoma to Diffuse Large B-Cell Lymphoma
Recurrent High Grade B-Cell Lymphoma
Recurrent Primary Mediastinal (Thymic) Large B-Cell Lymphoma
Recurrent Transformed Chronic Lymphocytic Leukemia
Refractory Grade 3b Follicular Lymphoma
Refractory Diffuse Large B-Cell Lymphoma
Refractory Primary Mediastinal (Thymic) Large B-Cell Lymphoma
Refractory Transformed Indolent B-Cell Non-Hodgkin Lymphoma to Diffuse Large B-Cell Lymphoma
Interventions
Procedure: Biopsy
Procedure: Biospecimen Collection
Procedure: Computed Tomography
Procedure: Positron Emission Tomography
First Posted Date
2023-01-05
Last Posted Date
2025-02-06
Lead Sponsor
City of Hope Medical Center
Target Recruit Count
36
Registration Number
NCT05672251
Locations
🇺🇸

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

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