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OncoMatch/Clinical Trials/NCT04792502

Mosunetuzumab With Lenalidomide Augmentation as First-line Therapy for Follicular and Marginal Zone Lymphoma

Is NCT04792502 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments including Mosunetuzumab and Lenalidomide for follicular lymphoma.

Phase 2RecruitingBrown UniversityNCT04792502Data as of May 2026

Treatment: Mosunetuzumab · LenalidomideBrUOG-401 is a prospective, single-arm, phase 2 trial of first-line therapy in adult patients with previously untreated FL or MZL. All patients will be assigned the same initial treatment plan, modified by interim response assessment (IRA) after Cycle 4. All patients will start treatment with four 21-day cycles (C1-4) of mosunetuzumab alone (using step-up dosing during C1), followed by IRA. Patients who achieve CR at IRA will continue with additional 4 cycles (C5-8) of mosunetuzumab. Patients who achieve PR at IRA will receive mosunetuzumab with lenalidomide augmentation during C5-8. Primary response assessment (PRA) will occur after C8. Patients who remain in PR at PRA will continue for additional 4 cycles (extended augmentation).

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Extracted eligibility criteria

Cancer type

Non-Hodgkin Lymphoma

Biomarker criteria

Required: MS4A1 expression (confirmed to express the CD20 antigen by immunohistochemistry or flow cytometry)

confirmed to express the CD20 antigen by immunohistochemistry or flow cytometry

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Cannot have received: anti-cd20 antibody

Cannot have received: lenalidomide (lenalidomide)

Cannot have received: stem cell transplant

Cannot have received: solid organ transplant

Lab requirements

Blood counts

hemoglobin ≥9 g/dL, absolute neutrophil count ≥1.0 x 10^9/L, platelet count ≥75 x 10^9/L (unless due to underlying lymphoma as established by bone marrow involvement or splenomegaly)

Kidney function

Glomerular filtration rate (GFR) ≥40 mL/min/1.73m2 using the Mayo Quadratic Formula

Liver function

AST or ALT ≤3x ULN; total bilirubin ≤2x ULN (unless due to Gilbert syndrome with indirect hyperbilirubinemia only); INR ≤1.5x ULN without anticoagulation; PTT or APTT ≤1.5x ULN in the absence of lupus anticoagulant

Adequate hematologic function (unless due to underlying lymphoma as established by bone marrow involvement or splenomegaly): hemoglobin ≥9 g/dL, absolute neutrophil count ≥1.0 x 10^9/L, platelet count ≥75 x 10^9/L. ... Any of the following abnormal laboratory values within 14 days prior to first dose of mosunetuzumab: AST or ALT >3x ULN, total bilirubin >2 x ULN (unless due to Gilbert syndrome with indirect hyperbilirubinemia only), INR>1.5 x ULN without anticoagulation, PTT or APTT >1.5x ULN in the absence of lupus anticoagulant. Glomerular filtration rate (GFR) ≥40 mL/min/1.73m2 using the Mayo Quadratic Formula.

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • Yale Cancer Center · New Haven, Connecticut
  • Rutgers Cancer Institute of New Jersey · New Brunswick, New Jersey
  • Lifespan Cancer Insitute · Providence, Rhode Island

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