Evidence map›Paper›PMID 37067952›Full record

ArticleBlood advances2023

Mosunetuzumab monotherapy is active and tolerable in patients with relapsed/refractory diffuse large B-cell lymphoma.

Nancy L Bartlett, Sarit Assouline, Pratyush Giri, Stephen J Schuster, Chan Y Cheah, Matthew Matasar, Gareth P Gregory, Dok Hyun Yoon, Mazyar Shadman, Keith Fay and 14 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Blood advances, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02500407 (An Open-Label, Multicenter, Phase I/II Trial Evaluating the Safety, Efficacy, and Pharmacokinetics of Escalating Doses of Mosunetuzumab), which is not on this map. Cited by 68 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 4 pooled it
18.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02500407 phase1 / phase2completednot on this map

An Open-Label, Multicenter, Phase I/II Trial Evaluating the Safety, Efficacy, and Pharmacokinetics of Escalating Doses of Mosunetuzumab (BTCT4465A) as a Single Agent and Combined With Atezolizumab in Patients With Relapsed or Refractory B-Cell Non-Hodgkin's Lymphoma and Chronic Lymphocytic Leukemia

TypeinterventionalSponsorGenentech, Inc.Ran2015 to 2025Enrolled713ConditionsLymphocytic Leukemia, Chronic, Lymphoma, Non HodgkinArmsBTCT4465A (Mosunetuzumab) IV, Atezolizumab, BTCT4465A (Mosunetuzumab) SC
3 · Its place in the literature

Who cites it

68 citing papers in PubMed, 4 syntheses or guidelines pooled it, 81 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. SEOM-GOTEL clinical guidelines on diffuse large B-cell lymphoma (update 2025).Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Guideline
  4. Pooled it
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  11. Review
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  14. Heterogeneity in primary gastrointestinal DLBCL: from clinical management to molecular mechanisms and treatment strategies.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  15. Article
  16. A Comprehensive Meta-Analysis of the Cardiovascular Adverse Effects of Bispecific Antibody Therapy in Hematologic Malignancies.Pathophysiology : the official journal of the International Society for Pathophysiology · 2026
    Review
  17. Article
  18. Article
  19. Review
  20. Article

8 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

24 authors at 18 institutions in 5 countries.

Nancy L BartlettDivision of Oncology, Siteman Cancer Center, Washington University School of Medicine, St. Louis, MO.
Sarit AssoulineDivision of Haematology, Jewish General Hospital, Montreal, QC, Canada.
Pratyush GiriDepartment of Haematology, Royal Adelaide Hospital, Adelaide, SA, Australia.
Stephen J SchusterLymphoma Program, Abramson Cancer Center, University of Pennsylvania, Philadelphia, PA.ORCID 0000-0002-3376-8978
Chan Y CheahDepartment of Hematology, Linear Clinical Research, University of Western Australia and Sir Charles Gairdner Hospital, Perth, WA, Australia.ORCID 0000-0001-7988-1565
Matthew MatasarDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-4581-3721
Gareth P GregoryDepartment of Hematology, Monash Health and School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC, Australia.ORCID 0000-0002-4170-0682
Dok Hyun YoonDepartment of Oncology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Mazyar ShadmanClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA.ORCID 0000-0002-3365-6562
Keith FayDepartment of Haematology, St. Vincent's Hospital and Royal North Shore Hospital, Sydney, NSW, Australia.
Sung-Soo YoonDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.ORCID 0000-0003-2591-7459
Carlos PanizoDepartment of Hematology, Clínica Universidad de Navarra, Pamplona, Spain.
Ian FlinnLymphoma Research, Sarah Cannon Research Institute/Tennessee Oncology, Nashville, TN.ORCID 0000-0001-6724-290X
Anna JohnstonDepartment of Haematology, University of Tasmania and Royal Hobart Hospital, Hobart, TAS, Australia.ORCID 0000-0001-5959-5203
Francesc BoschDepartment of Hematology, University Hospital Vall d'Hebron, Barcelona, Spain.
Laurie H SehnDepartment of Medical Oncology, BC Cancer Centre for Lymphoid Cancer, Vancouver, BC, Canada.
Michael C WeiGenentech, Inc, South San Francisco, CA.
Shen YinGenentech, Inc, South San Francisco, CA.
Iris ToGenentech, Inc, South San Francisco, CA.
Chi-Chung LiGenentech, Inc, South San Francisco, CA.ORCID 0000-0002-9590-3450
Huang HuangHoffmann-La Roche Ltd, Mississauga, ON, Canada.
Antonia KwanGenentech, Inc, South San Francisco, CA.
Elicia PenuelGenentech, Inc, South San Francisco, CA.
Lihua E BuddeDeaprtment of Hematology and Hematopoietic Cell Transplantation, City of Hope National Medical Center, Duarte, CA.
City Of Hope National Medical Center · USClinica Universidad de Navarra · ESFred Hutch Cancer Center · USJewish General Hospital · CAMonash Health · AURoche (Canada) · CARoyal Adelaide Hospital · AURoyal North Shore Hospital · AURutgers, The State University of New Jersey · USSarah Cannon · USSeoul National University Hospital · KRThe University of Western Australia · AUUlsan College · KRUniversity of British Columbia · CAUniversity of Pennsylvania · USUniversity of Tasmania · AUVall d'Hebron Hospital Universitari · ESWashington University in St. Louis · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

As part of a phase 1 or 2 study, this single-arm expansion cohort established the efficacy and safety of mosunetuzumab monotherapy in patients with relapsed/refractory (R/R) diffuse large B-cell lymphoma (DLBCL) (received ≥2 previous lines of therapy). Intravenous mosunetuzumab was administered with cycle (C) 1 step-up dosing for cytokine release syndrome (CRS) mitigation: C1 day (D) 1: 1 mg; C1D8 2 mg; C1D15 and C2D1: 60 mg; C3 + D1: 30 mg. Hospitalization was not mandatory. Patients with complete response (CR) completed treatment after C8; those with partial response or stable disease continued treatment for a total of 17 cycles. The primary end point was CR rate (best response), assessed against a historical control CR rate (20%) by independent review facility. Eighty-eight patients (73.9% de novo DLBCL; 26.1% transformed follicular lymphoma) were enrolled; all had received previous anthracycline and anti-CD20 therapy. Overall response and CR rates were 42.0% (95% confidence interval [CI], 31.6-53.1) and 23.9% (95% CI, 15.4-34.1), respectively; CR rate did not reach statistical significance vs the historical control (P = .36). Median time to first response was 1.4 months. Median progression-free survival was 3.2 months (95% CI, 2.2-5.3). The CR rate in 26 patients who received previous chimeric antigen receptor T-cell (CAR-T) therapy was 12%. CRS was one of the most common adverse events (26.1% of patients); predominantly grade 1 to 2 and primarily in C1. Four patients (4.5%) discontinued mosunetuzumab owing to adverse events. Mosunetuzumab demonstrated notable efficacy and a manageable safety profile in patients with R/R DLBCL, including those previously treated with CAR-Ts. This trial was registered at www.clinicaltrials.gov as #NCT02500407.

Indexed as

Antineoplastic AgentsLymphoma, Large B-Cell, DiffuseLymphoma, Non-HodgkinHumansNeoplasm Recurrence, LocalTreatment OutcomeAntineoplastic Agents

Identifiers

PMID37067952
PMCPMC10463194
OpenAlexW4366083620

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.