Evaluating Glofitamab for Relapsed Mantle Cell Lymphoma
A Phase III, Open-Label, Multicenter Randomized Study Evaluating Glofitamab as a Single Agent Versus Investigator's Choice in Patients With Relapsed/Refractory Mantle Cell Lymphoma
PHASE3 · Hoffmann-La Roche · NCT06084936
This study is testing if a new treatment called glofitamab can work better than standard options for people with relapsed mantle cell lymphoma.
Quick facts
| Phase | PHASE3 |
|---|---|
| Study type | Interventional |
| Enrollment | 182 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Hoffmann-La Roche (industry) |
| Drugs / interventions | tocilizumab, glofitamab, obinutuzumab, rituximab, CAR-T |
| Locations | 76 sites (Berkeley, California and 75 other locations) |
| Trial ID | NCT06084936 on ClinicalTrials.gov |
What this trial studies
This study aims to assess the effectiveness of glofitamab as a standalone treatment compared to an investigator's choice of either rituximab plus bendamustine or lenalidomide with rituximab in patients with relapsed or refractory mantle cell lymphoma. Participants must have a confirmed diagnosis of mantle cell lymphoma and have undergone at least one prior treatment. The study will measure the response to treatment using imaging techniques to evaluate tumor size. It is a Phase 3 interventional trial, indicating a focus on confirming efficacy and safety in a larger patient population.
Who should consider this trial
Good fit: Ideal candidates include adults with histologically-confirmed mantle cell lymphoma who have experienced disease progression after previous therapies.
Not a fit: Patients who are pregnant, breastfeeding, or planning to become pregnant during the study may not benefit from this trial.
Why it matters
Potential benefit: If successful, this treatment could provide a new effective option for patients with relapsed or refractory mantle cell lymphoma.
How similar studies have performed: Other studies have shown promising results with similar monoclonal antibody therapies in treating mantle cell lymphoma, suggesting potential for success in this approach.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Life expectancy at least 12 weeks * Histologically-confirmed MCL, with documentation of either overexpression of cyclin D1 or the presence of t(11:14) within 12 months of study entry * Relapsed (disease progression after the last treatment regimen) or refractory (failure to achieve a partial or complete response from the last treatment regimen) disease * At least 1 line of prior systemic therapy including a BTK inhibitor and additional systemic therapy option * Confirmed availability of tumor tissue, unless deemed unsafe per investigator assessment * At least one bi-dimensionally measurable (defined as at least 1.5 cm) nodal lesion, or one bi-dimensionally measurable (at least 1 cm) extranodal lesion, as measured on CT scan * Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2 * Negative HIV test at screening * Adequate hematological function Exclusion Criteria: * Pregnancy or breastfeeding, or intention of becoming pregnant during the study or within 3 months after the final dose of tocilizumab, 2 months after the final dose of glofitamab, whichever is longer * Leukemic, non-nodal MCL * History of severe allergic or anaphylactic reactions to humanized or murine monoclonal antibodies (or recombinant antibody-related fusion proteins) or known sensitivity or allergy to murine products * Contraindication to obinutuzumab or rituximab, and either bendamustine or lenalidomide * Prior treatment with glofitamab or other bispecific antibodies targeting both CD20 and CD3 * Prior treatment with CAR-T cell therapy * Treatment with systemic therapy or BTK inhibitors, or any investigational agent for the purposes of treating cancer within 2 weeks or 5 half-lives (whichever is shorter) prior to first study treatment * Primary or secondary CNS lymphoma at the time of recruitment or history of CNS lymphoma * Current or history of CNS disease, such as stroke, epilepisy, CNS vasculitis, or neurodegenerative disease * History of other malignancy that could affect compliance with the protocol or interpretation of results * Significant or extensive cardiovascular disease * Known active bacterial, viral, fungal, mycobacterial, parasitic, or other infection at study enrollment or any major episode of infection within 4 weeks prior to the first study treatment * Suspected or latent tuberculosis * Positive test for hepatitis B virus (HBV) or hepatitis C virus (HCV) * Known or suspected chronic active Epstein-Barr viral infection (EBV) * Known or suspected history of hemophagocytic lymphohistiocytosis (HLH) * Known history of progressive multifocal leukoencephalopathy (PML) * Adverse events from prior anti-cancer therapy that have not resolved to Grade 1 or better * Administration of a live, attenuated vaccine within 4 weeks before first study treatment administration or anticipation that such a live, attenuated vaccine will be required during the study * Prior solid organ transplantation or allogenic stem cell transplant * Eligibility for stem cell transplantation (SCT) * Active autoimmune disease requiring treatment * Prior treatment with systemic immunosuppressive medications within 2 weeks or five half-lives (whichever is shorter) prior to the first dose of study treatment * Corticosteroid therapy within 2 weeks prior to first dose of study treatment * Recent major surgery (within 4 weeks before the first study treatment) other than for diagnosis * Clinically significant history of cirrhotic liver disease
Where this trial is running
Berkeley, California and 75 other locations
- Alta Bates Summit Medical Center — Berkeley, California, United States (WITHDRAWN)
- City of Hope Cancer Center — Duarte, California, United States (RECRUITING)
- University of California Los Angeles (UCLA) - Cancer Care - Santa Monica — Santa Monica, California, United States (RECRUITING)
- Yale Cancer Center — New Haven, Connecticut, United States (RECRUITING)
- Georgetown University — Washington D.C., District of Columbia, United States (RECRUITING)
- University of Miami — Coral Gables, Florida, United States (RECRUITING)
- Indiana University — Indianapolis, Indiana, United States (WITHDRAWN)
- University of Michigan Health System — Ann Arbor, Michigan, United States (RECRUITING)
- St. Luke's Hospital — Chesterfield, Missouri, United States (RECRUITING)
- Renown Regional Medical Center — Reno, Nevada, United States (RECRUITING)
- Rutgers Cancer Institute of New Jersey — New Brunswick, New Jersey, United States (RECRUITING)
- University of Rochester — Rochester, New York, United States (RECRUITING)
- Medical University of S. Carolina — Charleston, South Carolina, United States (WITHDRAWN)
- Avera Cancer Institute — Sioux Falls, South Dakota, United States (WITHDRAWN)
- Renovatio Clinical - El Paso — El Paso, Texas, United States (RECRUITING)
- Renovatio Clinical — The Woodlands, Texas, United States (RECRUITING)
- University of Virginia — Charlottesville, Virginia, United States (RECRUITING)
- West Virginia University — Morgantown, West Virginia, United States (RECRUITING)
- Calvary Mater Newcastle — Waratah, New South Wales, Australia (RECRUITING)
- Royal Adelaide Hospital — Adelaide, South Australia, Australia (RECRUITING)
- Epworth Hospital — Richmond, Victoria, Australia (RECRUITING)
- Hospital Sao Rafael - HSR — Salvador, Estado de Bahia, Brazil (WITHDRAWN)
- ICTR Curitiba — Curitiba, Paraná, Brazil (RECRUITING)
- Hospital Mae de Deus — Porto Alegre, Rio Grande do Sul, Brazil (RECRUITING)
- Hospital Paulistano — São Paulo, São Paulo, Brazil (RECRUITING)
- Hospital Alemao Oswaldo Cruz — São Paulo, São Paulo, Brazil (RECRUITING)
- Hospital A. C. Camargo — São Paulo, São Paulo, Brazil (RECRUITING)
- Instituto D'Or Pesquisa e Ensino — São Paulo, São Paulo, Brazil (RECRUITING)
- Americas Medical City — Rio de Janeiro, Brazil (RECRUITING)
- Beneficencia Portuguesa de Sao Paulo — São Paulo, Brazil (RECRUITING)
- Victoria Hospital - London Health Sciences Centre — London, Ontario, Canada (RECRUITING)
- The Ottawa Hospital - General Campus — Ottawa, Ontario, Canada (RECRUITING)
- Princess Margaret Cancer Center — Toronto, Ontario, Canada (RECRUITING)
- Beijing Tong Ren Hospital, Capital Medical University — Beijing, China (RECRUITING)
- The First Hospital of Jilin University — Changchun, China (RECRUITING)
- West China Hospital of Sichuan University — Chengdu, China (ACTIVE_NOT_RECRUITING)
- Chongqing Cancer Hospital — Chongqing, China (RECRUITING)
- Fujian Provincial Cancer Hospital — Fuzhou, China (RECRUITING)
- Sun yat-sen University Cancer Center — Guangzhou, China (ACTIVE_NOT_RECRUITING)
- Guangxi Cancer Hospital of Guangxi Medical University — Nanning, China (RECRUITING)
- Fudan University Shanghai Cancer Center — Shanghai, China (ACTIVE_NOT_RECRUITING)
- The First Affiliated Hospital of China Medical University — Shenyang, China (RECRUITING)
- The First Affiliated Hospital of Wenzhou Medical University — Wenzhou, China (COMPLETED)
- The First Affiliated Hospital of Zhengzhou University — Zhengzhou, China (RECRUITING)
- Henan Cancer Hospital — Zhengzhou, China (RECRUITING)
- Hopital Claude Huriez — Lille, France (RECRUITING)
- Hopital Saint Eloi — Montpellier, France (RECRUITING)
- CHU NANTES - Hôtel Dieu — Nantes, France (RECRUITING)
- INSTITUT CURIE_SITE PARIS - Service d'Oncologie Médicale. — Paris, France (RECRUITING)
- Hopital Necker — Paris, France (RECRUITING)
+26 more sites — see ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Reference Study ID Number: GO43878 https://forpatients.roche.com/
- Email: global-roche-genentech-trials@gene.com
- Phone: 888-662-6728
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions: Lymphoma