General Information of This Antibody-drug Conjugate (ADC)
ADC ID
DRG0QWZIT
ADC Name
Polatuzumab vedotin
Brand Name
Polivy
Synonyms
Polatuzumab vedotin-piic;DCDS4501A;DCDS4501S;FCU-2711;RG-7596;RO-5541077-000;RO5541077;1313206-42-6;anti-CD79b-VC-MMAE
   Click to Show/Hide
Organization
Genentech, Inc.; Chugai Pharmaceutical Co., Ltd.; F. Hoffmann-La Roche Ltd.; Roche Holding AG
Drug Status
Approved (FDA): Jun 10, 2018
Indication
In total 6 Indication(s)
Diffuse large B-cell lymphoma [ICD11:2A81]
Approved
B-cell lymphoma [ICD11:2A86]
Phase 2
Follicular lymphoma [ICD11:2A80]
Phase 2
Non Hodgkin lymphoma [ICD11:2B33]
Phase 2
Marginal zone B-cell lymphoma [ICD11:2A85]
Clinical candidate
B-cell lymphoma [ICD11:2A86]
Terminated in phase 1
Drug-to-Antibody Ratio
3.5
Structure
Antibody Name
Polatuzumab
 Antibody Info 
Antigen Name
B-cell antigen receptor complex-associated protein beta chain (CD79B)
 Antigen Info 
Payload Name
Monomethyl auristatin E
 Payload Info 
Therapeutic Target
Microtubule (MT)
 Target Info 
Linker Name
Mc-Val-Cit-PABC
 Linker Info 
Conjugate Type
Random conjugation through reduced inter-chain cysteines.
Combination Type
Vedotin
Absorption
For polatuzumab vedotin (1.8 mg/kg), mean Cmax was 803±233 (ng/mL) and mean AUC was 1,860±966 (ng x day/mL) following the first treatment cycle. For unconjugated MMAE, mean Cmax was 6.82±4.73 (ng/mL) and mean AUC was 52.3±18.0 (ng x day/mL) following the first treatment cycle.
Distribution
The estimated central volume of distribution of polatuzumab vedotin based on population PK analysis is 3.15 L. MMAE is 71% to 77% bound to plasma proteins. Its blood-to-plasma ratio is 0.79 to 0.98, in vitro.
Metabolism
Polatuzumab vedotin is expected to undergo catabolism into small peptides, amino acids, unconjugated MMAE, and unconjugated MMAE-related catabolites. MMAE is metabolized by CYP3A4/5. The terminal half-life of polatuzumab vedotin is approximately 12(8.1-19.5) days at Cycle 6. The terminal half-life of unconjugated MMAE is approximately four days after the first dose of polatuzumab vedotin.
Elimination
Polatuzumab vedotin is predominantly excreted in feces, as well as in urine to some extent. The predicted clearance of polatuzumab vedotin is 0.9 L/day.
Toxicity
POLIVY can cause peripheral neuropathy, including severe cases. Peripheral neuropathy occurs as early as the first cycle of treatment and is a cumulative effect. Data regarding overdoses and LD50 are not readily available.
Special Approval(s)
Accelerated approval(FDA); Breakthrough therapy(FDA); Orphan drug(FDA)
Puchem SID
472404625 , 223370409 , 242651783 , 295369351 , 347911301 , 252166614 , 473142034 , 473143214 , 472225581 , 481101805
Drugbank ID
DB12240
DrugMap ID
DMF6Y0L
TTD ID
D05QOL
INTEDE ID
DR1311
ChEBI ID
CHEMBL3301582
General Information of The Activity Data Related to This ADC
Identified from the Human Clinical Data
Click To Hide/Show 9 Activity Data Related to This Level
Standard Type NCT Number Clinical Status Clinical Trial Description
Objective Response Rate (ORR)  NCT01691898
Phase 2
A randomized, open-label, multicenter, phase 2 trial evaluating the safety and activity of pinatuzumab vedotin (DCDT2980S) in combination with rituximab or polatuzumab vedotin (DCDS4501A) in combination with rituximab and a non-randomized phase 1b/2 evaluation of polatuzumab vedotin in combination with obinutuzumab in patients with relapsed or refractory B-cell non-Hodgkin's lymphoma.

   Click to Show/Hide
Objective Response Rate (ORR)  NCT02257567
Phase 1b/2
A phase 1b/2 study evaluating the safety, tolerability and anti-tumor activity of polatuzumab vedotin in combination with rituximab (R) or obinutuzumab (G) plus bendamustine (B) in relapsed or refractory follicular or diffuse large B-cell lymphoma.

   Click to Show/Hide
Objective Response Rate (ORR)  NCT02600897
Phase 1b/2
A phase 1b/2 study evaluating the safety and efficacy of obinutuzumab in combination with polatuzumab vedotin and lenalidomide in patients with relapsed or refractory follicular lymphoma and rituximab in combination with polatuzumab vedotin and lenalidomide in patients with relapsed or refractory diffuse large B-cell lymphoma.

   Click to Show/Hide
Objective Response Rate (ORR)  NCT02729896
Phase 1b
A phase 1b/2 study evaluating the safety and efficacy of obinutuzumab in combination with atezolizumab plus polatuzumab vedotin in patients with relapsed or refractory follicular lymphoma and rituximab in combination with atezolizumab plus polatuzumab vedotin in patients with relapsed or refractory diffuse large B-cell lymphoma.

   Click to Show/Hide
Objective Response Rate (ORR)  NCT02257567
Phase 1
A phase 1b/2 study evaluating the safety, tolerability and anti-tumor activity of polatuzumab vedotin in combination with rituximab (R) or obinutuzumab (G) plus bendamustine (B) in relapsed or refractory follicular or diffuse large B-cell lymphoma.

   Click to Show/Hide
Complete Remission (CR)  NCT02611323
Phase 1
A phase 1b/2 study evaluating the safety and efficacy of obinutuzumab in combination with polatuzumab vedotin and venetoclax in patients with relapsed or refractory follicular lymphoma and rituximab in combination with polatuzumab vedotin and venetoclax in patients with relapsed or refractory diffuse large B-cell lymphoma.

   Click to Show/Hide
Complete Remission (CR)  NCT01287741
Phase Ib/II
A phase Ib/II, multicenter, open-label randomized trial comparing the efficacy of GA101 (RO5072759) in combination with CHOP (G-CHOP) versus rituximab and CHOP (R-CHOP) in previously untreated patients with CD20-positive diffuse large B-cell lymphoma (DLBCL).

   Click to Show/Hide
Undisclosed  NCT03274492
Phase 3
A phase 3, multicenter, randomized, double-blind, placebo-controlled trial comparing the efficacy and safety of polatuzumab vedotin in combination with rituximab and CHP (R-CHP) versus rituximab and CHOP (R-CHOP) in previously untreated patients with diffuse large B-cell lymphoma.

   Click to Show/Hide
Undisclosed  NCT01290549
Phase 1
An open-label, multicenter, phase 1 trial of the safety and pharmacokinetics of escalating doses of DCDS4501A in patients with relapsed or refractory B-cell non-Hodgkins lymphoma and chronic lymphocytic leukemia and DCDS4501A in combination with rituximab in patients with relapsed or refractory B-cell non-Hodgkins lymphoma.

   Click to Show/Hide
Discovered Using Cell Line-derived Xenograft Model
Click To Hide/Show 12 Activity Data Related to This Level
Standard Type Value Units Cell Line Disease Model
Tumor Growth Inhibition value (TGI) 
≈ 1.6
%
WSU-DLCL2 cells
Diffuse large B-cell lymphoma
Tumor Growth Inhibition value (TGI) 
≈ 5.4
%
WSU-DLCL2 cells
Diffuse large B-cell lymphoma
Tumor Growth Inhibition value (TGI) 
≈ 6.6
%
BJAB cells
Burkitt lymphoma
Tumor Growth Inhibition value (TGI) 
≈ 37.1
%
WSU-DLCL2 cells
Diffuse large B-cell lymphoma
Tumor Growth Inhibition value (TGI) 
≈ 61.2
%
BJAB cells
Burkitt lymphoma
Tumor Growth Inhibition value (TGI) 
≈ 82.9
%
WSU-DLCL2 cells
Diffuse large B-cell lymphoma
Tumor Growth Inhibition value (TGI) 
≈ 86.3
%
BJAB cells
Burkitt lymphoma
Tumor Growth Inhibition value (TGI) 
≈ 94.9
%
WSU-DLCL2 cells
Diffuse large B-cell lymphoma
Tumor Growth Inhibition value (TGI) 
≈ 97.1
%
BJAB cells
Burkitt lymphoma
Tumor Growth Inhibition value (TGI) 
≈ 97.9
%
WSU-DLCL2 cells
Diffuse large B-cell lymphoma
Tumor Growth Inhibition value (TGI) 
≈ 100
%
BJAB cells
Burkitt lymphoma
Tumor Growth Inhibition value (TGI) 
≈ 100
%
BJAB cells
Burkitt lymphoma
Full List of Activity Data of This Antibody-drug Conjugate
Identified from the Human Clinical Data
Click To Hide/Show 9 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [1]
Efficacy Data Objective Response Rate (ORR)
54.00%
Patients Enrolled
Relapsed or refractory diffuse large B-cell lymphoma or relapsed or refractory grade 13a follicular lymphoma.
Administration Dosage
Either rituximab (375 mg/m2) followed by pina (2.4 mg/kg) every 21 days, or rituximab (375 mg/m2) followed by pola (2.4 mg/kg) every 21 days until disease progression or unacceptable toxicity up to 1 year.
Related Clinical Trial
NCT Number NCT01691898  Clinical Status Phase 2
Clinical Description A randomized, open-label, multicenter, phase 2 trial evaluating the safety and activity of pinatuzumab vedotin (DCDT2980S) in combination with rituximab or polatuzumab vedotin (DCDS4501A) in combination with rituximab and a non-randomized phase 1b/2 evaluation of polatuzumab vedotin in combination with obinutuzumab in patients with relapsed or refractory B-cell non-Hodgkin's lymphoma.
Primary Endpoint
Among patients with refractory diffuse large B-cell lymphoma, complete responses and median overall survival compares favourably with immunochemotherapy regimens reported in the SCHOLAR-1 study, in which 7.00% of patients achieved a complete response and a median overall survival of 6.30 months was observed.
Experiment 2 Reporting the Activity Date of This ADC [2]
Efficacy Data Objective Response Rate (ORR)
41.50% (pola + BR)
Patients Enrolled
Patients aged 18 years were eligible if they had histologically confirmed R/R DLBCL (excluding transformed follicular lymphoma), received 1 prior line of therapy, had an Eastern Cooperative Oncology Group performance status of 0 to 2, and were considered transplant ineligible by the treating physician or experienced treatment failure with prior autologous SCT.

   Click to Show/Hide
Administration Dosage
Bendamustine 90 mg/m2 intravenously (IV) on days 2 and 3 of cycle 1, and days 1 and 2 of subsequent cycles, plus rituximab IV (375 mg/m2 on day 1 of each cycle); polatuzumab vedotin received 1.80 mg/kg IV on day 2 of cycle 1, and day 1 of subsequent cycles; up to six 21-day cycles.
Related Clinical Trial
NCT Number NCT02257567  Clinical Status Phase 1b/2
Clinical Description A phase 1b/2 study evaluating the safety, tolerability and anti-tumor activity of polatuzumab vedotin in combination with rituximab (R) or obinutuzumab (G) plus bendamustine (B) in relapsed or refractory follicular or diffuse large B-cell lymphoma.
Primary Endpoint
With an additional 27 months of follow-up in the randomized pola + BR arm was 62.50% vs 25.00%; best CR rate was 52.50% vs 22.50%.
Other Endpoint
The median IRC-assessed PFS (95% CI) was 9.20 months (6.00-13.90) with pola + BR vs 3.70 months (2.10-4.50) with BR (HR, 0.39; 95% CI, 0.23-0.66); median investigator-assessed PFS was 7.50 vs 2.00 months (HR, 0.33; 95% CI, 0.20-0.56) with pola + BR and BR, respectively. Median OS (95% CI) was 12.40 months (9.00-32.00) vs 4.70 months (3.70-8.30) with pola + BR vs BR (HR, 0.42; 95% CI, 0.24-0.72). The 24-month OS probability was 38% (95% CI, 22.50-53.90) with pola + BR vs 17.0% (3.60-30.40) with BR. The 24-month PFS probability was 28.40% (95% CI, 13.9-43.0) with pola + BR vs 9.10% (95% CI, 0.00-18.90) with BR.The median DOR was 9.50 months (95% CI, 7.90-12.10) by IRC assessment and 8.70 months (95% CI, 5.90-12.10) by investigator assessment. The median IRC-assessed PFS was 6.6 months (95% CI, 5.10-9.20). Median OS was 12.50 months (95% CI, 8.20-23.10); the 12-month OS probability was 50.20% (95% CI, 40.40-60.10).

   Click to Show/Hide
Experiment 3 Reporting the Activity Date of This ADC [3]
Efficacy Data Objective Response Rate (ORR)
76.09%
Patients Enrolled
CD20-positive relapsed or refractory follicular lymphoma (excluding grade 3b) and Eastern Cooperative Oncology Group performance status of 2 or less who had previously received anti-CD20-containing chemotherapy were eligible for inclusion.
Administration Dosage
Six 28-day cycles of induction treatment with intravenous obinutuzumab 1000 mg (all cohorts), and intravenous polatuzumab vedotin and oral lenalidomide (Celgene, Summit, NJ, USA) in the following doses: 14 mg/kg polatuzumab vedotin and 10 mg lenalidomide (cohort 1); 18 mg/kg polatuzumab vedotin and 10 mg lenalidomide (cohort 2); 14 mg/kg polatuzumab vedotin and 15 mg lenalidomide (cohort 3); 18 mg/kg polatuzumab vedotin and 15 mg lenalidomide (cohort 4); 14 mg/kg polatuzumab vedotin and 20 mg lenalidomide (cohort 5); and 18 mg/kg polatuzumab vedotin and 20 mg lenalidomide (cohort 6). Polatuzumab vedotin was administered on day 1, lenalidomide on days 1-21, and obinutuzumab on days 1, 8, and 15 of cycle one and day 1 of cycles two to six of each 28-day cycle.

   Click to Show/Hide
Related Clinical Trial
NCT Number NCT02600897  Clinical Status Phase 1b/2
Clinical Description A phase 1b/2 study evaluating the safety and efficacy of obinutuzumab in combination with polatuzumab vedotin and lenalidomide in patients with relapsed or refractory follicular lymphoma and rituximab in combination with polatuzumab vedotin and lenalidomide in patients with relapsed or refractory diffuse large B-cell lymphoma.
Primary Endpoint
According to the Independent Review Committeeassessment, 29 (63.04%) of 46 patients (90% CI 50.00-75.00) had acomplete response and 35 (76.09%) patients (90% CI 64.00-86.00) had an objective response, per Modified Lugano 2014 criteria. Independent Review Committee assessment showed that 33 (71.74%) patients (90% CI59.00-82.00) had a complete metabolic response at the end ofinduction per Modified Lugano 2014 criteria.

   Click to Show/Hide
Other Endpoint
At data cut-off (median follow-up 26.70 months [IQR 22.20-31.30]),median progression-free survival had not been reached. As determined by the investigator, theprogression-free survival was 86.00% (95% CI 75.00-96.00) at 12 months and 67.00% (95% CI 51.00-83.00) at 24 months, and 11 (23.91%) of 46 patients had an event reported at the time of this analysis.

   Click to Show/Hide
Experiment 4 Reporting the Activity Date of This ADC [4]
Efficacy Data Objective Response Rate (ORR)
33.00% (FL patients treated with G-atezo-pola at pola doses of 1.4 mg/kg)
57.00% (FL patients treated with G-atezo-pola at pola doses of 1.8 mg/kg)
25.00% (DLBCL patients who received R-atezo-pola)
Patients Enrolled
R/R follicular lymphoma (FL); R/R diffuse large B-cell lymphoma (DLBCL).
Administration Dosage
FL patients received up to six 21-day cycles of obinutuzumab (1000 mg intravenously [IV], Day [D]1, D8, D15 of Cycle [C]1, and D1 of C26) and atezolizumab (1200 mg IV, D1 of C26) plus pola (1.40 or 1.80 mg/kg IV, D1 of C16). Subsequently, patients entered an expansion phase and received obinutuzumab and atezolizumab (same doses) plus pola at the RP2D (1.8 mg/kg). Patients who achieved at least stable disease at the end of induction (EOI; 68 weeks after D1C6) proceeded to obinutuzumab maintenance (1000 mg every 2 months) and atezolizumab (840 mg, D1 and D2 every month) for up to 2 years, or until progressive disease (PD). Unlike the FL cohort, the first seven DLBCL patients entered a safety run-in; once safety criteria were met, the cohort was expanded. All DLBCL patients received up to six 21-day cycles of rituximab (375 mg/m2 IV, D1 of C16), atezolizumab (1200 mg, D1 of C26), and pola (1.80 mg/kg, D1 of C16). Patients with at least a partial response (PR) at EOI (68 weeks after D1 of C6) received rituximab consolidation (375 mg/m2, D1 every 2 months) and atezolizumab (840 mg, D1 and D2 every month) for up to 8 months, or until PD.

   Click to Show/Hide
Related Clinical Trial
NCT Number NCT02729896  Clinical Status Phase 1b
Clinical Description A phase 1b/2 study evaluating the safety and efficacy of obinutuzumab in combination with atezolizumab plus polatuzumab vedotin in patients with relapsed or refractory follicular lymphoma and rituximab in combination with atezolizumab plus polatuzumab vedotin in patients with relapsed or refractory diffuse large B-cell lymphoma.
Primary Endpoint
At EOI, CR rates in FL patients treated with G-atezo-pola at pola doses of 1.40 mg/kg (N=3) and 1.80 mg/kg (N=7) were 33.00% and 14.00% , respectively. In DLBCL patients who received R-atezo-pola, the CR rate at EOI was 13.00%.
Other Endpoint
At EOI, ORR rates in FL patients treated with G-atezo-pola at pola doses of 1.40 mg/kg (N=3) and 1.80 mg/kg (N=7) were 33.00% and 57.00% , respectively. In DLBCL patients who received R-atezo-pola, the ORR rate at EOI was 25.00%.
Experiment 5 Reporting the Activity Date of This ADC [5]
Efficacy Data Objective Response Rate (ORR)
42.86%
Patients Enrolled
Elapsed/refractory (R/R) diffuse large B-cell lymphoma (DLBCL) who received 1 prior line of therapy and were ineligible for autologous stem cell transplantation (ASCT) or experienced treatment failure with prior ASCT.
Administration Dosage
Pola 1.80 mg/kg intravenously (IV) on day 2 of cycle 1 and day 1 of subsequent cycles; bendamustine 90 mg/m2IV on days 2 and 3 of cycle 1 and then days 1 and 2 of subsequent cycles; rituximab 375 mg/m2IV on day 1 of each cycle. Three weeks of treatment was regarded as one cycle, and patients received up to six cycles of treatment.

   Click to Show/Hide
Related Clinical Trial
NCT Number NCT02257567  Clinical Status Phase 1
Clinical Description A phase 1b/2 study evaluating the safety, tolerability and anti-tumor activity of polatuzumab vedotin in combination with rituximab (R) or obinutuzumab (G) plus bendamustine (B) in relapsed or refractory follicular or diffuse large B-cell lymphoma.
Primary Endpoint
2 patients (34.30%, 95% CI 19.1-52.2) achieved CR.
Other Endpoint
Seven of 12 patients who achieved CR completed six cycles of treatment. Fifteen patients (42.86%, 95% CI 26.30-60.70) achieved an overall response (12 patients CR; 3 patients PR). At a median followup of 5.40 months, median DOR, PFS, and EFS were 6.60 months, 5.20 months, and 5.10 months, respectively. Twentythree patients (65.71%) were alive, and median OS was not reached (95% CI 8.40-not evaluable [NE]).

   Click to Show/Hide
Experiment 6 Reporting the Activity Date of This ADC [6]
Efficacy Data Complete Remission (CR)
57.60% (FL)
23.50% (DLBCL)
Patients Enrolled
R/R follicular lymphoma (FL) and R/R diffuse large B-cell lymphoma (DLBCL); the majority had an Eastern Cooperative Oncology Group performance score of 0 or 1.
Administration Dosage
Dose escalation FL cohorts (3 + 3 design); Dose escalation DLBCL cohorts (3 + 3 design); polatuzumab vedotin 1.80 mg/kg and venetoclax 800 mg.
Related Clinical Trial
NCT Number NCT02611323  Clinical Status Phase 1
Clinical Description A phase 1b/2 study evaluating the safety and efficacy of obinutuzumab in combination with polatuzumab vedotin and venetoclax in patients with relapsed or refractory follicular lymphoma and rituximab in combination with polatuzumab vedotin and venetoclax in patients with relapsed or refractory diffuse large B-cell lymphoma.
Primary Endpoint
The overall response rate (ORR) for patients with FL was 75.80%, with 57.60% of patients achieving a complete response (CR). All patients in FL cohort 6 treated at the identified RP2D dose combination achieved CR at EOI. The ORR observed for patients with DLBCL was 29.40%; 23.50% achieved CR. Similar trends were seen in the DLBCL cohorts, with higher response rates in patients treated at the RP2D (37.5% vs. 22.2%).

   Click to Show/Hide
Experiment 7 Reporting the Activity Date of This ADC [7]
Efficacy Data Complete Remission (CR)
50.00% (In the phase Ib pola-BR arm, EOT IRC-assessed)
40.00% (the randomly assigned cohort, IRC-assessed
pola-BR)
17.50% (the randomly assigned cohort, IRC-assessed
BR)
Patients Enrolled
Patients aged 18 years were eligible if they had biopsy-confirmed R/R DLBCL (excluding transformed lymphoma) after 1 prior line of therapy, an Eastern Cooperative Oncology Group (ECOG) performance status of 0-2, grade 1 peripheral neuropathy (PN), and were considered transplantation ineligible by the treating physician or experienced treatment failure with prior ASCT. Double- and triple-hit lymphomas were not excluded.

   Click to Show/Hide
Administration Dosage
1.80 mg/kg IV on day 2 of cycle 1 and day 1 of subsequent cycles. Patients were treated for up to six 21-day cycles.
Related Clinical Trial
NCT Number NCT01287741  Clinical Status Phase Ib/II
Clinical Description A phase Ib/II, multicenter, open-label randomized trial comparing the efficacy of GA101 (RO5072759) in combination with CHOP (G-CHOP) versus rituximab and CHOP (R-CHOP) in previously untreated patients with CD20-positive diffuse large B-cell lymphoma (DLBCL).
Primary Endpoint
In the phase Ib pola-BR arm, EOT IRC-assessed CR rate was 50.00% (3/6), with all 3 patients remaining in remission at a median follow-up of 37.60 months (DOR, > 28.90 to 38.20 months).
Other Endpoint
After a median follow-up of 22.3 months, PFS, OS, and DOR were significantly improved with pola-BR versus BR. Consistent benefit in risk reduction was seen for IRC- and INV-assessed PFS (IRC: HR, 0.36; 95% CI, 0.21-0.63; INV: HR, 0.34; 95% CI 0.20-0.57) and for DOR (IRC: HR, 0.47; 95% CI, 0.19-1.14; INV: HR,0.44, 95% CI 0.20-0.95).
Experiment 8 Reporting the Activity Date of This ADC [8]
Patients Enrolled
CD20-positive diffuse large B-cell lymphoma (DLBCL), had not received previous treatment for lymphoma, had an Eastern Cooperative Oncology Group performance status score of 0 to 2 (on a 5-point scale, with higher numbers indicating greater disability), had a baseline International Prognostic Index (IPI) score between 2 and 5 (on a 5-level prognostic scale, with higher numbers indicating a poorer prognosis), and had adequate hematologic, renal, hepatic, and cardiac function, regardless of the cell of origin or the presence of rearrangements in MYC, BCL2, BCL6, or a combination of these.

   Click to Show/Hide
Administration Dosage
Eight 21-day cycles of treatment were planned. During the first six cycles, patients received either pola-R-CHP or R-CHOP. On day 1 of each cycle, patients received either intravenous polatuzumab vedotin at a dose of 1.80 mg per kilogram of body weight and a placebo matching intravenous vincristine (pola-R-CHP group) or a placebo matching polatuzumab vedotin and intravenous vincristine at a dose of 1.40 mg per square meter of body-surface area (maximum of 2 mg) (R-CHOP group), plus intravenous doses of rituximab (375 mg per square meter), cyclophosphamide (750 mg per square meter), and doxorubicin (50 mg per square meter). All the patients also received oral prednisone at a dose of 100 mg once daily on days 1 through 5 of each of the first six cycles. During cycles 7 and 8, patients in both groups received rituximab monotherapy at a dose of 375 mg per square meter.

   Click to Show/Hide
Related Clinical Trial
NCT Number NCT03274492  Clinical Status Phase 3
Clinical Description A phase 3, multicenter, randomized, double-blind, placebo-controlled trial comparing the efficacy and safety of polatuzumab vedotin in combination with rituximab and CHP (R-CHP) versus rituximab and CHOP (R-CHOP) in previously untreated patients with diffuse large B-cell lymphoma.
Primary Endpoint
For the pola-R-CHP group, 2 years FPS=76.70% (95% CI, 72.70-80.80). For the R-CHOP group, 2 years FPS=70.20% (95% CI, 65.80-74.60).
Other Endpoint
The relative risk of events was lower in the pola-R-CHP group than in the R-CHOP group (2-year event-free survival, 75.60% [95% CI, 71.50 to 79.70] and 69.40% [95% CI, 65.00 to 73.80%], respectively.
Experiment 9 Reporting the Activity Date of This ADC [9]
Patients Enrolled
Non Hodgkin lymphoma (NHL) or chronic lymphocytic leukemia (CLL) expected to express CD79B (confirmation of CD79B expression was not required) and for whom no suitable therapy of curative intent or higher priority existed from 13 centres.
Administration Dosage
0.124 mg/kg every 21 days.
Related Clinical Trial
NCT Number NCT01290549  Clinical Status Phase 1
Clinical Description An open-label, multicenter, phase 1 trial of the safety and pharmacokinetics of escalating doses of DCDS4501A in patients with relapsed or refractory B-cell non-Hodgkins lymphoma and chronic lymphocytic leukemia and DCDS4501A in combination with rituximab in patients with relapsed or refractory B-cell non-Hodgkins lymphoma.
Primary Endpoint
Polatuzumab vedotin has an acceptable safety and tolerability profile in patients with NHL but not in those with CLL. Among 45 patients with NHL treated at the recommended phase 2 dose of single-agent polatuzumab vedotin, median progressionfree survival was 5.70 months (95% CI 3.00-7.90) and median duration of response was 6.2 months (95% CI 3.3-14.1). In patients with diffuse large B-cell lymphoma treated at the recommended phase 2 dose of single-agent polatuzumab, median progression-free survival was 5.00 months (95% CI 2.30-6.80) and median duration of response was 5.20 months (95% CI 2.40-13.10).

   Click to Show/Hide
Discovered Using Cell Line-derived Xenograft Model
Click To Hide/Show 12 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [10]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 1.60% (Day 28) High CD22 expression (CD22+++)
Method Description
Cells were inoculated subcutaneously into the flanks of female CB17 ICR severe combined immunodeficient (SCID) mice. When mean tumor size reached desired volume,the mice were divided into groups of 7 to 9 mice with the same mean tumor size and dosed intravenously via the tail vein with ADCs or antibodies. Rituximab was dosed at 30 mg/kg intraperitoneally (i.p.). Polatuzumab vedotin was administered as a single injection at 1 mg/kg.

   Click to Show/Hide
In Vivo Model B-cell lymphoma CDX model
In Vitro Model Diffuse large B-cell lymphoma WSU-DLCL2 cells CVCL_1902
Experiment 2 Reporting the Activity Date of This ADC [10]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 5.40% (Day 28) High CD22 expression (CD22+++)
Method Description
Cells were inoculated subcutaneously into the flanks of female CB17 ICR severe combined immunodeficient (SCID) mice. When mean tumor size reached desired volume,the mice were divided into groups of 7 to 9 mice with the same mean tumor size and dosed intravenously via the tail vein with ADCs or antibodies. Rituximab was dosed at 30 mg/kg intraperitoneally (i.p.). Polatuzumab vedotin was administered as a single injection at 2 mg/kg.

   Click to Show/Hide
In Vivo Model B-cell lymphoma CDX model
In Vitro Model Diffuse large B-cell lymphoma WSU-DLCL2 cells CVCL_1902
Experiment 3 Reporting the Activity Date of This ADC [10]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 6.60% (Day 14) Moderate CD22 expression (CD22++)
Method Description
Cells were inoculated subcutaneously into the flanks of female CB17 ICR severe combined immunodeficient (SCID) mice. When mean tumor size reached desired volume,the mice were divided into groups of 7 to 9 mice with the same mean tumor size and dosed intravenously via the tail vein with ADCs or antibodies. Rituximab was dosed at 30 mg/kg intraperitoneally (i.p.). Polatuzumab vedotin was administered as a single injection at 0.1 mg/kg.

   Click to Show/Hide
In Vivo Model B-cell lymphoma CDX model
In Vitro Model Burkitt lymphoma BJAB cells CVCL_5711
Experiment 4 Reporting the Activity Date of This ADC [10]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 37.10% (Day 28) High CD22 expression (CD22+++)
Method Description
Cells were inoculated subcutaneously into the flanks of female CB17 ICR severe combined immunodeficient (SCID) mice. When mean tumor size reached desired volume,the mice were divided into groups of 7 to 9 mice with the same mean tumor size and dosed intravenously via the tail vein with ADCs or antibodies. Rituximab was dosed at 30 mg/kg intraperitoneally (i.p.). Polatuzumab vedotin was administered as a single injection at 4 mg/kg.

   Click to Show/Hide
In Vivo Model B-cell lymphoma CDX model
In Vitro Model Diffuse large B-cell lymphoma WSU-DLCL2 cells CVCL_1902
Experiment 5 Reporting the Activity Date of This ADC [10]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 61.20% (Day 14) Moderate CD22 expression (CD22++)
Method Description
Cells were inoculated subcutaneously into the flanks of female CB17 ICR severe combined immunodeficient (SCID) mice. When mean tumor size reached desired volume,the mice were divided into groups of 7 to 9 mice with the same mean tumor size and dosed intravenously via the tail vein with ADCs or antibodies. Rituximab was dosed at 30 mg/kg intraperitoneally (i.p.). Polatuzumab vedotin was administered as a single injection at 0.5 mg/kg.

   Click to Show/Hide
In Vivo Model B-cell lymphoma CDX model
In Vitro Model Burkitt lymphoma BJAB cells CVCL_5711
Experiment 6 Reporting the Activity Date of This ADC [10]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 82.90% (Day 28) High CD22 expression (CD22+++)
Method Description
Cells were inoculated subcutaneously into the flanks of female CB17 ICR severe combined immunodeficient (SCID) mice. When mean tumor size reached desired volume,the mice were divided into groups of 7 to 9 mice with the same mean tumor size and dosed intravenously via the tail vein with ADCs or antibodies. Rituximab was dosed at 30 mg/kg intraperitoneally (i.p.). Polatuzumab vedotin was administered as a single injection at 8 mg/kg.

   Click to Show/Hide
In Vivo Model B-cell lymphoma CDX model
In Vitro Model Diffuse large B-cell lymphoma WSU-DLCL2 cells CVCL_1902
Experiment 7 Reporting the Activity Date of This ADC [10]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 86.30% (Day 14) Moderate CD22 expression (CD22++)
Method Description
Cells were inoculated subcutaneously into the flanks of female CB17 ICR severe combined immunodeficient (SCID) mice. When mean tumor size reached desired volume,the mice were divided into groups of 7 to 9 mice with the same mean tumor size and dosed intravenously via the tail vein with ADCs or antibodies. Rituximab was dosed at 30 mg/kg intraperitoneally (i.p.). Polatuzumab vedotin was administered as a single injection at 1 mg/kg.

   Click to Show/Hide
In Vivo Model B-cell lymphoma CDX model
In Vitro Model Burkitt lymphoma BJAB cells CVCL_5711
Experiment 8 Reporting the Activity Date of This ADC [10]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 94.90% (Day 28) High CD22 expression (CD22+++)
Method Description
Cells were inoculated subcutaneously into the flanks of female CB17 ICR severe combined immunodeficient (SCID) mice. When mean tumor size reached desired volume,the mice were divided into groups of 7 to 9 mice with the same mean tumor size and dosed intravenously via the tail vein with ADCs or antibodies. Rituximab was dosed at 30 mg/kg intraperitoneally (i.p.). Polatuzumab vedotin was administered as a single injection at 12 mg/kg.

   Click to Show/Hide
In Vivo Model B-cell lymphoma CDX model
In Vitro Model Diffuse large B-cell lymphoma WSU-DLCL2 cells CVCL_1902
Experiment 9 Reporting the Activity Date of This ADC [10]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 97.10% (Day 14) Moderate CD22 expression (CD22++)
Method Description
Cells were inoculated subcutaneously into the flanks of female CB17 ICR severe combined immunodeficient (SCID) mice. When mean tumor size reached desired volume,the mice were divided into groups of 7 to 9 mice with the same mean tumor size and dosed intravenously via the tail vein with ADCs or antibodies. Rituximab was dosed at 30 mg/kg intraperitoneally (i.p.). Polatuzumab vedotin was administered as a single injection at 1.5 mg/kg.

   Click to Show/Hide
In Vivo Model B-cell lymphoma CDX model
In Vitro Model Burkitt lymphoma BJAB cells CVCL_5711
Experiment 10 Reporting the Activity Date of This ADC [10]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 97.90% (Day 28) High CD22 expression (CD22+++)
Method Description
Cells were inoculated subcutaneously into the flanks of female CB17 ICR severe combined immunodeficient (SCID) mice. When mean tumor size reached desired volume,the mice were divided into groups of 7 to 9 mice with the same mean tumor size and dosed intravenously via the tail vein with ADCs or antibodies. Rituximab was dosed at 30 mg/kg intraperitoneally (i.p.). Polatuzumab vedotin was administered as a single injection at 16 mg/kg.

   Click to Show/Hide
In Vivo Model B-cell lymphoma CDX model
In Vitro Model Diffuse large B-cell lymphoma WSU-DLCL2 cells CVCL_1902
Experiment 11 Reporting the Activity Date of This ADC [10]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 100.00% (Day 14) Moderate CD22 expression (CD22++)
Method Description
Cells were inoculated subcutaneously into the flanks of female CB17 ICR severe combined immunodeficient (SCID) mice. When mean tumor size reached desired volume,the mice were divided into groups of 7 to 9 mice with the same mean tumor size and dosed intravenously via the tail vein with ADCs or antibodies. Rituximab was dosed at 30 mg/kg intraperitoneally (i.p.). Polatuzumab vedotin was administered as a single injection at 2 mg/kg.

   Click to Show/Hide
In Vivo Model B-cell lymphoma CDX model
In Vitro Model Burkitt lymphoma BJAB cells CVCL_5711
Experiment 12 Reporting the Activity Date of This ADC [10]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 100.00% (Day 14) Moderate CD22 expression (CD22++)
Method Description
Cells were inoculated subcutaneously into the flanks of female CB17 ICR severe combined immunodeficient (SCID) mice. When mean tumor size reached desired volume,the mice were divided into groups of 7 to 9 mice with the same mean tumor size and dosed intravenously via the tail vein with ADCs or antibodies. Rituximab was dosed at 30 mg/kg intraperitoneally (i.p.). Polatuzumab vedotin was administered as a single injection at 4 mg/kg.

   Click to Show/Hide
In Vivo Model B-cell lymphoma CDX model
In Vitro Model Burkitt lymphoma BJAB cells CVCL_5711
References
Ref 1 Polatuzumab vedotin or pinatuzumab vedotin plus rituximab in patients with relapsed or refractory non-Hodgkin lymphoma: final results from a phase 2 randomised study (ROMULUS). Lancet Haematol. 2019 May;6(5):e254-e265.
Ref 2 Polatuzumab vedotin plus bendamustine and rituximab in relapsed/refractory DLBCL: survival update and new extension cohort data. Blood Adv. 2022 Jan 25;6(2):533-543.
Ref 3 Polatuzumab vedotin plus obinutuzumab and lenalidomide in patients with relapsed or refractory follicular lymphoma: a cohort of a multicentre, single-arm, phase 1b/2 study. Lancet Haematol. 2021 Dec;8(12):e891-e901.
Ref 4 Anti-CD20-atezolizumab-polatuzumab vedotin in relapsed/refractory follicular and diffuse large B-cell lymphoma. J Cancer Res Clin Oncol. 2023 Feb;149(2):811-817.
Ref 5 A phase 2 study of polatuzumab vedotin + bendamustine + rituximab in relapsed/refractory diffuse large B-cell lymphoma. Cancer Sci. 2021 Jul;112(7):2845-2854.
Ref 6 Targeting MCL-1 and BCL-2 with polatuzumab vedotin and venetoclax overcomes treatment resistance in R/R non-Hodgkin lymphoma: Results from preclinical models and a Phase Ib study. Am J Hematol. 2023 Mar;98(3):449-463.
Ref 7 Polatuzumab Vedotin in Relapsed or Refractory Diffuse Large B-Cell Lymphoma. J Clin Oncol. 2020 Jan 10;38(2):155-165.
Ref 8 Polatuzumab Vedotin in Previously Untreated Diffuse Large B-Cell Lymphoma. N Engl J Med. 2022 Jan 27;386(4):351-363.
Ref 9 Safety and activity of the anti-CD79B antibody-drug conjugate polatuzumab vedotin in relapsed or refractory B-cell non-Hodgkin lymphoma and chronic lymphocytic leukaemia: a phase 1 study. Lancet Oncol. 2015 Jun;16(6):704-15.
Ref 10 DCDT2980S, an anti-CD22-monomethyl auristatin E antibody-drug conjugate, is a potential treatment for non-Hodgkin lymphoma. Mol Cancer Ther. 2013 Jul;12(7):1255-65.

If you find any error in data or bug in web service, please kindly report it to Dr. Shen et al.