Evidence map›Paper›PMID 41643182›Full record

Trial reportBlood advances2026

Mosunetuzumab monotherapy is active and tolerable in patients with relapsed/refractory Richter transformation.

Katharine L Lewis, Sarit E Assouline, Ross Baker, Nancy L Bartlett, Dima El-Sharkawi, Pratyush Giri, Matthew Ku, Matthew Matasar, Stephen Schuster, John Radford and 7 more

Registry-linked trialAbstract readClinical Trial, Phase IClinical Trial, Phase II
In one paragraph

Trial report in Blood advances, 2026. 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
  2. Article
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

17 authors.

Katharine L LewisDepartment of Haematology, Sir Charles Gairdner Hospital, Nedlands, Australia.ORCID 0000-0003-0549-5877
Sarit E AssoulineDivision of Hematology, Jewish General Hospital, Montreal, Canada.ORCID 0000-0002-7638-1589
Ross BakerPerth Blood Institute, Perth, Australia.ORCID 0000-0002-2728-6788
Nancy L BartlettDivision of Oncology, Washington University School of Medicine, St. Louis, MO.ORCID 0000-0001-8470-394X
Dima El-SharkawiDepartment of Haematology, The Royal Marsden Hospital, London, United Kingdom.ORCID 0000-0002-2752-5814
Pratyush GiriDepartment of Haematology, Royal Adelaide Hospital, Central Adelaide Local Health Network, Adelaide, Australia.
Matthew KuDepartment of Haematology, St Vincent's Hospital and The University of Melbourne, Melbourne, Australia.ORCID 0000-0002-9289-1335
Matthew MatasarDivision of Blood Disorders, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ.ORCID 0000-0002-4581-3721
Stephen SchusterLymphoma Program, Abramson Cancer Center, University of Pennsylvania, Philadelphia, PA.ORCID 0000-0002-3376-8978
John RadfordDepartment of Medical Oncology, University of Manchester and The Christie NHS Foundation Trust, Manchester, United Kingdom.ORCID 0000-0001-7898-2786
Michael C WeiGenentech Inc, San Francisco, CA.
Shen YinGenentech Inc, San Francisco, CA.
Antonia KwanGenentech Inc, San Francisco, CA.
Iris ToGenentech Inc, San Francisco, CA.
Vibha RaghavanGenentech Inc, San Francisco, CA.
Lihua E BuddeDivision of Lymphoma, Department of Hematology & Hematopoietic Cell Transplantation, City of Hope National Medical Center, Duarte, CA.ORCID 0000-0003-1464-5494
Chan Y CheahDepartment of Haematology, Sir Charles Gairdner Hospital, Nedlands, Australia.ORCID 0000-0001-7988-1565

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

abstractRichter transformation (RT) to diffuse large B-cell lymphoma is an aggressive lymphoma that arises from underlying chronic lymphocytic leukemia or small lymphocytic lymphoma. RT is often chemorefractory, resulting in poor clinical outcomes with standard chemoimmunotherapy. Mosunetuzumab, a bispecific CD20/CD3 T-cell-engaging antibody, was investigated in a cohort of 20 patients with relapsed/refractory RT. Cytokine release syndrome occurred in 65% of patients, almost exclusively grade 1 (20%) or grade 2 (40%), and occurring during the first treatment cycle. Other adverse events included infections, neutropenia, thrombocytopenia, tumor flare, and low-grade neurotoxicity, with no adverse events leading to treatment discontinuation. Mosunetuzumab resulted in an overall response rate of 40% and a complete response (CR) rate of 20%. CRs were durable, with 2 patients experiencing CR for >20 months without further therapy, and 2 were able to proceed to allogeneic stem cell transplant while in CR, with no subsequent relapse. Median progression-free survival and overall survival were 3.4 and 10.2 months, respectively. Given the favorable toxicity profile of mosunetuzumab and rapid and durable CRs observed in this cohort, further investigation of mosunetuzumab for the treatment of RT, as monotherapy and in combination with other novel agents or chemotherapy, is warranted. This trial was registered at www.ClinicalTrials.gov as NCT02500407.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalLeukemia, Lymphocytic, Chronic, B-CellLymphoma, Large B-Cell, DiffuseAdultAgedCell Transformation, NeoplasticFemaleHumansMaleMiddle AgedRecurrenceTreatment OutcomeAntibodies, Monoclonal, HumanizedAntineoplastic Agents, Immunological

Identifiers

PMID41643182
PMCPMC13141522

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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.