Et fase III-studie, der evaluerer glofitamab i kombination med gemcitabin + oxaliplatin vs rituximab i kombination med gemcitabin + oxaliplatin hos deltagere med recidiverende/refraktært diffust stort B-cellet lymfom
En fase III, open-label, multicenter, randomiseret undersøgelse, der evaluerer effektiviteten og sikkerheden af glofitamab i kombination med gemcitabin plus oxaliplatin versus rituximab i kombination med gemcitabin og oxaliplatin hos patienter med recidiverende/refraktært diffust stort B-cellet lymfom
This study will evaluate the efficacy and safety of glofitamab in combination with gemcitabine plus oxaliplatin (Glofit-GemOx) compared with rituximab in combination with gemcitabine plus oxaliplatin (R-GemOx) in patients with R/R DLBCL.
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 3
Kontakter og lokationer
Studiesteder
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New South Wales
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Randwick, New South Wales, Australien, 2031
- Prince of Wales Hospital
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South Australia
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Adelaide, South Australia, Australien, 5000
- Royal Adelaide Hospital
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Victoria
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Clayton, Victoria, Australien, 3168
- Monash Health Monash Medical Centre
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Fitzroy, Victoria, Australien, 3065
- St Vincent's Hospital Melbourne
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Melbourne, Victoria, Australien, 3000
- Peter Maccallum Cancer Centre
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Western Australia
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Nedlands, Western Australia, Australien, 6009
- Sir Charles Gairdner Hospital
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Leuven, Belgien, 3000
- UZ Leuven Gasthuisberg
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Liège, Belgien, 4000
- CHU de Liège (Sart Tilman)
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Aarhus N, Danmark, 8200
- Aarhus Universitetshospital Skejby
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København Ø, Danmark, 2100
- Rigshospitalet
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Glasgow, Det Forenede Kongerige, G12 OYN
- Beatson West of Scotland Cancer Centre
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Leeds, Det Forenede Kongerige, LS9 7TF
- St James's Institute of Oncology
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London, Det Forenede Kongerige, NW1 2PG
- UCLH - Clinical Trials Pharmacy B&D Centre
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Manchester, Det Forenede Kongerige, M20 4BX
- Christie Hospital
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Nottingham, Det Forenede Kongerige, NG5 1PB
- Nottingham City Hospital
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Alabama
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Birmingham, Alabama, Forenede Stater, 35294-3300
- University of Alabama at Birmingham
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California
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Fresno, California, Forenede Stater, 93720
- Community Cancer Institute (CCI)
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Florida
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Jacksonville, Florida, Forenede Stater, 32207
- Baptist - MD Anderson Cancer Center
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Maryland
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Baltimore, Maryland, Forenede Stater, 21231
- Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
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Baltimore, Maryland, Forenede Stater, 21201
- University of Maryland Medical Center
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Massachusetts
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Boston, Massachusetts, Forenede Stater, 02114
- Massachusetts General Hospital
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Mississippi
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Jackson, Mississippi, Forenede Stater, 39216
- University of Mississippi Medical Center
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New Jersey
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New Brunswick, New Jersey, Forenede Stater, 08901
- Rutgers Cancer Institute of New Jersey
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New York
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New York, New York, Forenede Stater, 10029
- Icahn School of Medicine at Mount Sinai
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North Carolina
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Durham, North Carolina, Forenede Stater, 27705
- Duke University Medical Center
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Bordeaux, Frankrig, 33076
- Institut Bergonie
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Créteil, Frankrig, 94010
- Hopital Henri Mondor
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Lille, Frankrig, 59037
- Hopital Claude Huriez
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Montpellier, Frankrig, 34295
- Chu de Montpellier-St Eloi
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Pierre-Bénite, Frankrig, 69495
- Centre Hospitalier Lyon Sud
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Rennes, Frankrig, 35003
- CHU Pontchaillou
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Beijing, Kina, 100083
- Peking University Third Hospital
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Guangzhou, Kina, 510060
- Sun Yet-sen University Cancer Center
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Harbin, Kina, 150081
- Harbin Medical University Cancer Hospital
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Shanghai, Kina, 200120
- Fudan University Shanghai Cancer Center
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Tianjin, Kina, 300060
- Tianjin Cancer Hospital
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Wuhan, Kina, 430022
- Wuhan Union Hospital Tongji Medical College, Huazhong University of Science and Technology
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Zhejiang, Kina, 310022
- Zhejiang Cancer Hospital
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Zhengzhou, Kina, 450008
- Henan Cancer Hospital
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Gdansk, Polen, 80-214
- Uniwersyteckie Centrum Kliniczne
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Lublin, Polen, 20-090
- Centrum Onkologii Ziemi Lubelskiej im. ?w. Jana z Dukli
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Olsztyn, Polen, 10-228
- Oddzial Kliniczny Hematologii SPZOZ MSWiA z Warminsko-Mazurskim Centrum Onkologii w Olsztynie
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Warsaw, Polen, 02-776
- Instytut Hematologii i Transfuzjologii
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Wroc?aw, Polen, 50-367
- Uniwersytecki Szpital Kliniczny im. Jana Mikulicza-Radeckiego we Wroclawiu
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Bern, Schweiz, 3010
- Inselspital Bern, Insel-Gruppe AG
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Zurich, Schweiz, 8091
- Universitätsspital Zürich
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Barcelona, Spanien, 08035
- Hospital Universitari Vall d'Hebron
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Barcelona, Spanien, 08036
- Hospital Clínic i Provincial
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Madrid, Spanien, 28046
- Hospital Universitario la Paz
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Seville, Spanien, 41013
- Hospital Universitario Virgen del Rocio
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Valencia, Spanien, 46010
- Hospital Clinico Universitario de Valencia
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Busan, Sydkorea, 49241
- Pusan National University Hospital
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Goyang-si, Sydkorea, 10408
- National Cancer Center
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Seongnam-si, Sydkorea, 13605
- Seoul National University Bundang Hospital
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Seoul, Sydkorea, 03080
- Seoul National University Hospital
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Seoul, Sydkorea, 05505
- Asan Medical Center
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Seoul, Sydkorea, 06351
- Samsung Medical Center
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Kaoisung, Taiwan, 833
- Chang Gung Medical Foundation - Kaohsiung;Oncology
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Taoyuan, Taiwan, 333
- Chang Gung Medical Foundation - Linkou
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Xitun Dist., Taiwan, 40705
- Taichung Veterans General Hospital
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Frankfurt, Tyskland, 60590
- Universitatsklinikum Frankfurt
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Giessen, Tyskland, 35392
- Universitätsklinikum Gießen und Marburg GmbH Standort Gießen Medizinische Klinik I
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Regensburg, Tyskland, 93053
- Universitaetsklinikum Regensburg
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria
- Histologically confirmed diffuse large B-cell lymphoma (DLBCL), not otherwise specified
- Relapsed/refractory (R/R) disease, defined as follows: Relapsed = disease that has recurred ≥6 months after completion of the last line of therapy; Refractory = disease that either progressed during the last line of therapy or progressed within 6 months (<6 months) of the last line of prior therapy
- At least one (≥1) line of prior systemic therapy
- Participants who have failed only one prior line of therapy must not be a candidate for high-dose chemotherapy followed by autologous stem cell transplant, as defined by the study protocol
- Confirmed availability of tumor tissue, unless unobtainable per investigator assessment. Freshly collected biopsy is preferred. Archival tissue is acceptable
- At least one bi-dimensionally measurable (≥1.5 cm) nodal lesion, or one bi-dimensionally measurable (≥1 cm) extranodal lesion, as measured on computed tomography (CT) scan
- Eastern Cooperative Oncology Group (ECOG) Performance Status of 0, 1, or 2
- Adequate hematologic function (unless attributable to the underlying disease, as established by extensive bone marrow involvement or associated with hypersplenism secondary to the involvement of the spleen by DLBCL per the investigator), as defined by the study protocol
- Negative SARS-CoV-2 antigen or PCR test within 7 days prior to enrollment
- Adequate renal function, defined as an estimated creatinine clearance ≥30 mL/min
Exclusion Criteria
- Patient has failed only one prior line of therapy and is a candidate for stem cell transplantation
- History of transformation of indolent disease to DLBCL
- High-grade B-cell lymphoma with MYC and BCL2 and/or BCL6 rearrangements, and high-grade B-cell lymphoma not otherwise specified, as defined by 2016 WHO guidelines
- Primary mediastinal B-cell lymphoma
- 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, rituximab, gemcitabine or oxaliplatin, or tocilizumab
- Prior treatment with glofitamab or other bispecific antibodies targeting both CD20 and CD3
- Peripheral neuropathy assessed to be Grade >1 according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v5.0 at enrollment
- Treatment with radiotherapy, chemotherapy, immunotherapy, immunosuppressive therapy, or any investigational agent for the purposes of treating cancer within 2 weeks prior to first study treatment
- Treatment with monoclonal antibodies for the purposes of treating cancer within 4 weeks prior to first study treatment
- Primary or secondary central nervous system (CNS) lymphoma at the time of recruitment or history of CNS lymphoma
- Current or history of CNS disease, such as stroke, epilepsy, CNS vasculitis, or neurodegenerative disease
- Known active bacterial, viral, fungal, mycobacterial, parasitic, or other infection (excluding fungal infections of nail beds) at study enrollment or any major episode of infection (as evaluated by the investigator) within 4 weeks prior to the first study treatment
- Positive SARS-CoV-2 infection within 30 days prior to the first study treatment, including asymptomatic SARS-CoV-2 infection
- Documented SARS-CoV-2 infection within 6 months of first study treatment
- Suspected or latent tuberculosis
- Positive for hepatitis B virus (HBV), hepatitis C virus (HCV), or human immunodeficiency virus (HIV)
- Known or suspected chronic active Epstein-Barr viral infection
- Known or suspected history of hemophagocytic lymphohistiocytosis (HLH)
- Known history of progressive multifocal leukoencephalopathy
- Adverse events from prior anti-cancer therapy not resolved to Grade 1 or better (with the exception of alopecia and anorexia)
- 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
- Prior allogeneic stem cell transplant
- Active autoimmune disease requiring treatment
- Prior treatment with systemic immunosuppressive medications (including, but not limited to, cyclophosphamide, azathioprine, methotrexate, thalidomide, and anti-tumor necrosis factor agents), within 4 weeks prior to first dose of study treatment
- Corticosteroid therapy within 2 weeks prior to first dose of study treatment (exceptions defined by study protocol)
- Recent major surgery (within 4 weeks before the first study treatment) other than for diagnosis
- Clinically significant history of cirrhotic liver disease
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: Glofit-GemOx
Participants will receive up to 8 cycles of glofitamab (Glofit) in combination with gemcitabine and oxaliplatin (GemOx), followed by up to 4 cycles of glofitamab monotherapy. A single dose of obinutuzumab will be administered 7 days prior to the first dose of glofitamab. Treatment is administered in 21-day cycles. |
Participants will receive a single dose of intravenous (IV) obinutuzumab pre-treatment 7 days prior to the first dose of glofitamab. Participants will receive IV glofitamab for up to 12 cycles. Participants will receive IV tocilizumab as needed for treatment of cytokine-release syndrome (CRS). Participants will receive IV gemcitabine prior to oxaliplatin administration for up to 8 cycles. Participants will receive IV oxaliplatin after gemcitabine administration for up to 8 cycles. |
|
Eksperimentel: R-GemOx
Participants will receive rituxumab (R) in combination with gemcitabine and oxaliplatin (GemOx) for up to 8 cycles. Treatment is administered in 21-day cycles. |
Participants will receive IV gemcitabine prior to oxaliplatin administration for up to 8 cycles. Participants will receive IV oxaliplatin after gemcitabine administration for up to 8 cycles. Participants will receive IV rituxumab on Day 1 of each cycle for up to 8 cycles. |
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
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Samlet overlevelse (OS), defineret som tiden fra randomisering til dato for død uanset årsag
Tidsramme: Op til 5 år
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Op til 5 år
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Progressionsfri overlevelse (PFS), defineret som tiden fra randomisering til den første forekomst af sygdomsprogression eller død af enhver årsag, alt efter hvad der indtræffer først, som bestemt af den uafhængige vurderingskomité (IRC)
Tidsramme: Op til 5 år
|
Op til 5 år
|
|
PFS, defineret som tiden fra randomisering til den første forekomst af sygdomsprogression eller død af enhver årsag, alt efter hvad der indtræffer først, som bestemt af investigator
Tidsramme: Op til 5 år
|
Op til 5 år
|
|
Fuldstændig respons (CR) rate, defineret som andelen af patienter, hvis bedste samlede respons er en CR på positronemissionstomografi/computertomografi (PET/CT) under undersøgelsen, som bestemt af IRC
Tidsramme: Op til 5 år
|
Op til 5 år
|
|
CR rate, defineret som andelen af patienter, hvis bedste overordnede respons er en CR på positronemissionstomografi/computertomografi (PET/CT) under undersøgelsen, som bestemt af investigator
Tidsramme: Op til 5 år
|
Op til 5 år
|
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Objektiv responsrate (ORR), defineret som andelen af patienter, hvis bedste samlede respons er en delvis respons (PR) eller en CR under undersøgelsen, som bestemt af IRC
Tidsramme: Op til 5 år
|
Op til 5 år
|
|
ORR, defineret som andelen af patienter, hvis bedste overordnede respons er en delvis respons (PR) eller en CR under undersøgelsen, som bestemt af investigator
Tidsramme: Op til 5 år
|
Op til 5 år
|
|
Varighed af objektiv respons (DOR), defineret som tiden fra den første forekomst af en dokumenteret objektiv respons (CR eller PR) til sygdomsprogression eller død af enhver årsag, alt efter hvad der indtræffer først
Tidsramme: Op til 5 år
|
Op til 5 år
|
|
Varighed af CR, defineret som tiden fra den første forekomst af en dokumenteret CR til sygdomsprogression eller død af enhver årsag, alt efter hvad der indtræffer først
Tidsramme: Op til 5 år
|
Op til 5 år
|
|
Tid til forringelse af fysisk funktion og træthed, som målt af European Organisation for Research and Treatment of Cancer Quality of Life-Core 30 Spørgeskema (EORTC QLQ-C30)
Tidsramme: Op til 5 år
|
Op til 5 år
|
|
Tid til forværring af lymfomsymptomer, målt ved funktionel vurdering af kræftterapi-lymfom-underskalaen (FACT-Lym LymS)
Tidsramme: Op til 5 år
|
Op til 5 år
|
|
Procentdel af deltagere med uønskede hændelser
Tidsramme: Op til 5 år
|
Op til 5 år
|
|
Tolerabilitet, vurderet ved dosisafbrydelser, dosisreduktioner og dosisintensitet, og seponering af undersøgelsesbehandling på grund af bivirkninger
Tidsramme: Op til 5 år
|
Op til 5 år
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Studieleder: Clinical Trials, Hoffmann-La Roche
Publikationer og nyttige links
Generelle publikationer
- Abramson JS, Ku M, Hertzberg M, Huang HQ, Fox CP, Zhang H, Yoon DH, Kim WS, Abdulhaq H, Townsend W, Herbaux C, Zaucha JM, Zhang QY, Chang H, Liu Y, Cheah CY, Ghesquieres H, Simko S, Orellana-Noia V, Ta R, Relf J, Dixon M, Kallemeijn M, Mulvihill E, Huang H, Lundberg L, Gregory GP. Glofitamab plus gemcitabine and oxaliplatin (GemOx) versus rituximab-GemOx for relapsed or refractory diffuse large B-cell lymphoma (STARGLO): a global phase 3, randomised, open-label trial. Lancet. 2024 Nov 16;404(10466):1940-1954. doi: 10.1016/S0140-6736(24)01774-4.
- Sam J, Leclercq-Cohen G, Gebhardt S, Surowka M, Herter S, Lechner K, Relf J, Briner S, Varol A, Appelt B, Domocos I, Nicolini V, Bez M, Bommer E, Jenni S, Schoenle A, Le Clech M, Colombetti S, Klein C, Umana P, Lundberg P, Korfi K, Bottos A, Bacac M. Preclinical advances in glofitamab combinations: a new frontier for non-Hodgkin lymphoma. Blood. 2025 Oct 9;146(15):1824-1836. doi: 10.1182/blood.2025028863.
- Abramson JS, Townsend W, Fox CP, Ku M, Hertzberg M, Huang HQ, Zhang H, Yoon DH, Kim WS, Abdulhaq H, Herbaux C, Zaucha JM, Zhang QY, Chang H, Liu Y, Cheah CY, Ghesquieres H, Mulvihill E, Kesavan M, Kallemeijn M, Ta R, Choeurng V, Belousov A, Relf J, Bottos A, Lundberg L, Gregory GP. Glofitamab plus gemcitabine and oxaliplatin for relapsed/refractory DLBCL: 3-year follow-up of STARGLO. Blood Adv. 2026 Aug 11;10(15):5367-5377. doi: 10.1182/bloodadvances.2026019764.
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Neoplasmer
- Sygdomme i immunsystemet
- Neoplasmer efter histologisk type
- Lymfesygdomme
- Lymfoproliferative lidelser
- Immunproliferative lidelser
- Lymfom, Non-Hodgkin
- Lymfom, B-celle
- Lymfom
- Hemiske og lymfatiske sygdomme
- Lymfom, stor B-celle, diffus
- Organiske kemikalier
- Heterocykliske forbindelser, 1-ring
- Heterocykliske forbindelser
- Koordinationskomplekser
- Deoxycytidin
- Cytidin
- Pyrimidin -nukleosider
- Pyrimidiner
- Oxaliplatin
- Gemcitabin
- tocilizumab
- Obinutuzumab
- Glofitamab
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- GO41944
- 2020-001021-31 (EudraCT nummer)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
For eligible studies, qualified researchers may request access to individual patient level clinical data. See Roche's commitment to transparency of clinical study information here: https://go.roche.com/data_sharing
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .