New Protocol: Mosunetuzumab subQ with Polatuzumab Vedotin for Rel/Reg Large B-Cell Lymphoma

The SUNMO trial demonstrated that the combination of mosunetuzumab and polatuzumab vedotin improved overall response rate and progression-free survival compared to R-GemOx in transplant-ineligible large B-cell lymphoma patients.

  • Study

    Phase III, randomized, open-label study [SUNMO]
    Transplant-ineligible patients with refractory/relapsed large B-cell lymphoma (LBCL)
    Mosunetuzumab + Polatuzumab (n=138) vs R-GemOx (n=70)



  • Efficacy

    ORR: 70% vs 40% (M+P vs. R-GemOx)(p $lt;0.0001)
    CR: 51% vs 24%
    mPFS: 11.5 mos vs 3.8 mos (HR 0.41 [0.3-0.6])
    mOS: 18.7 mos vs 13.6 mos (HR 0.80 [0.5-1.2].



  • Safety

    Grade >=3 AE: Neutropenia (33% vs 31%), Thrombocytopenia (2.2% vs 36%), Anemia (5.9% vs 19%).
    CRS: 26% in Mosun-Pola (0.7% Grade 3).


  • J Clin Oncol. Published online October 2, 2025

    Budde LE, Zhang H, Kim WS New Protocol: Mosunetuzumab subQ with Polatuzumab Vedotin for Rel/Reg Large B-Cell Lymphoma

    http://doi.org/10.1200/JCO-25-01957

    Reviewed by Ulas D. Bayraktar, MD on Dec 8, 2025

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