A Safety and Pharmacology Study of Atezolizumab (MPDL3280A) Administered With Obinutuzumab or Tazemetostat in Participants With Relapsed/Refractory Follicular Lymphoma and Diffuse Large B-cell Lymphoma



Status:Active, not recruiting
Conditions:Lymphoma
Therapuetic Areas:Oncology
Healthy:No
Age Range:18 - Any
Updated:1/17/2019
Start Date:December 18, 2014
End Date:May 1, 2019

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A Phase Ib Study of the Safety and Pharmacology of Atezolizumab Administered With Obinutuzumab in Patients With Relapsed/Refractory Follicular Lymphoma or Atezolizumab Administered With Obinutuzumab or Tazemetostat in Patients With Relapsed/Refractory Diffuse Large B-Cell Lymphoma

This open-label, multicenter, global study is designed to assess the safety, tolerability,
preliminary efficacy, and pharmacokinetics of intravenous atezolizumab (MPDL3280A) and
obinutuzumab in participants with refractory or relapsed follicular lymphoma (FL) or
atezolizumab and obinutuzumab or tazemetostat administered in participants with refractory or
relapsed diffuse large B-cell lymphoma (DLBCL). The anticipated duration of this study is
approximately 4.5 years.


Inclusion Criteria:

- Histologically documented, CD20-positive, relapsed or refractory (defined as having
relapsed within 6 months to the previous treatment) FL or DLBCL (including primary
mediastinal large B-cell lymphoma [PMLBCL])

- Bone marrow biopsy at screening (unless it was performed within 3 months prior to
screening)

- Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1 or 2

- Life expectancy greater than or equal to (>=) 12 weeks

- Has a QT interval corrected by Fridericia's formula (QTcF) less than or equal to (<=)
480 milliseconds (msec)

- At least one bi-dimensionally measurable nodal lesion >1.5 cm in its longest diameter
by computed tomography (CT) scan or MRI, as defined by the Lugano Classification

- Adequate hematologic and end-organ function

- Archival tumor tissue

- For women of childbearing potential: agreement to remain abstinent (refrain from
heterosexual intercourse) or use contraceptive methods that result in a failure rate
of < 1% per year during the treatment period and for at least 90 days after the last
dose of atezolizumab or 18 months after the last dose of obinutuzumab, whichever is
longer

- For men: agreement to remain abstinent (refrain from heterosexual intercourse) or use
contraceptive measures and agreement to refrain from donating sperm

Exclusion Criteria:

- Known central nervous system lymphoma, leptomeningeal lymphoma, or histologic evidence
of transformation from an indolent lymphoma to a high-grade or DLBCL

- Grade 3b FL, small lymphocytic lymphoma (SLL), or Waldenström's macroglobulinemia (WM)
or other lymphoma subtypes except as stated in the inclusion criteria

- Uncontrolled pleural effusion, pericardial effusion, or ascites requiring recurrent
drainage procedures (once monthly or more frequently); participants with indwelling
catheters are eligible

- Uncontrolled hypercalcemia or symptomatic hypercalcemia requiring continued use of
bisphosphonate therapy or denosumab

- History of severe allergic or anaphylactic reactions to monoclonal antibody therapy

- Has had prior exposure to tazemetostat or other inhibitor(s) of enhancer of zeste
homolog 2 (EZH2)

- Regular treatment with corticosteroids within the 2 or 4 weeks prior to the start of
Cycle 1, unless administered for indications other than non-Hodgkin's lymphoma at a
dose equivalent to < 30 mg/day prednisone/prednisolone

- Pregnant and lactating women

- History of autoimmune disease

- Participants with history of confirmed progressive multifocal leukoencephalopathy
(PML)

- Participants with prior allogeneic bone marrow transplantation or prior solid organ
transplantation

- History of idiopathic pulmonary fibrosis, organizing pneumonia (e.g., bronchiolitis
obliterans), drug-induced pneumonitis, idiopathic pneumonitis, or evidence of active
pneumonitis per chest CT scan at screening. History of radiation pneumonitis in the
radiation field (fibrosis) is allowed

- Positive test for Human Immunodeficiency Virus (HIV)

- History of chronic hepatitis B infection or positive test results for active or
chronic hepatitis B or hepatitis C

- Significant cardiovascular disease, such as cardiac disease (New York Heart
Association Class II or greater), myocardial infarction within the previous 3 months,
unstable arrhythmias, or unstable angina

- Hypersensitivity or prior treatment with obinutuzumab

- Fludarabine or Campath within 12 months prior to study entry

- Prior treatment with CD137 agonists or immune checkpoint blockade therapies, including
anti-CTLA4, anti-PD-1, and anti-PD-L1 therapeutic antibodies

- Treatment with systemic immunostimulatory agents (including but not limited to
interferon, interleukin-2) within 6 weeks or 5 half-lives of the drug, whichever is
shorter, prior to Cycle 1, Day 1

- Treatment with systemic immunosuppressive medications, including but not limited to
prednisone, cyclophosphamide, azathioprine, methotrexate, thalidomide, and anti-tumor
necrosis factor (anti-TNF) agents within 2 weeks prior to Cycle 1, Day 1; inhaled
corticosteroids and mineralocorticoids are allowed

- Participants with active tuberculosis (TB) will be excluded from the clinical trial
We found this trial at
9
sites
1802 6th Avenue South
Birmingham, Alabama 35294
(205) 934-4011
UAB Comprehensive Cancer Center One of the nation’s leading cancer research and treatment centers, the...
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Birmingham, AL
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Chapel Hill, North Carolina 27599
(919) 962-2211
University of North Carolina at Chapel Hill Carolina’s vibrant people and programs attest to the...
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Chapel Hill, NC
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1500 East Duarte Road
Duarte, California 91010
626-256-HOPE (4673)
City of Hope National Medical Center City of Hope is dedicated to making a difference...
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Duarte, CA
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Fort Wayne, Indiana 46805
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Fort Wayne, IN
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30 Prospect Ave
Hackensack, New Jersey 07601
(201) 996-2000
Hackensack University Medical Center Hackensack University Medical Center, part of the Hackensack University Health Network,...
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Hackensack, NJ
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Houston, Texas 77030
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Houston, TX
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Lille,
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New York, New York 10065
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New York, NY
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1100 Fairview Avenue North
Seattle, Washington 98109
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Seattle, WA
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