A Dose Escalation Study of Glofitamab (RO7082859) as a Single Agent and in Combination With Obinutuzumab, Administered After a Fixed, Single Pre-treatment Dose of Obinutuzumab in Participants With Relapsed/Refractory B-cell Non-hodgkin's Lymphoma

Last updated: May 6, 2025
Sponsor: Hoffmann-La Roche
Overall Status: Active - Recruiting

Phase

1/2

Condition

Lymphoma, B-cell

Non-hodgkin's Lymphoma

Lymphoproliferative Disorders

Treatment

Glofitamab

Obinutuzumab

Tocilizumab

Clinical Study ID

NCT03075696
NP30179
2016-001185-28
2023-505625-14-00
  • Ages > 18
  • All Genders

Study Summary

This is a Phase I/II, multicenter, open-label, dose-escalation study designed to evaluate the efficacy, safety, tolerability and pharmacokinetics (PK) of a novel T-Cell bispecific (TCB), glofitamab, administered by intravenous (IV) infusion as a single agent and in combination with obinutuzumab, following pre-treatment with a one-time, fixed dose of obinutuzumab. This entry-into-human (EIH) study is divided in 3 parts: dose escalation (Parts I and II) and dose expansion (Part III). Single-participant dose-escalation cohorts will be used in Part I, followed by conversion to multiple participant dose-escalation cohorts (Part II), in order to define a tentative maximum tolerated dose (MTD) or optimal biological dose (OBD). The expansion cohorts (Part III) will be initiated when the tentative MTD/OBD is defined, to further evaluate the safety, PK and therapeutic activity of glofitamab.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Depending upon study part, a history or status of: 1) a histologically-confirmedhematological malignancy that is expected to express cluster of differentiation (CD)20; 2) relapse after or failure to respond to at least one prior treatmentregimen; and 3) no available treatment options that are expected to prolong survival (e.g., standard chemotherapy or autologous stem cell transplant [ASCT])

  • Measurable disease, defined as at least one bi-dimensionally measurable nodallesion, defined as > 1.5 cm in its longest dimension, or at least onebi-dimensionally measurable extranodal lesion, defined as > 1.0 cm in its longestdimension

  • Able to provide a tumor tissue pretreatment biopsy at last relapse or duringscreening from a safely accessible site, per investigator determination, providingthe patient has more than one measurable target lesion

  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1

  • Life expectancy of >/=12 weeks

  • AEs from prior anti-cancer therapy must have resolved to Grade less than or equal to (

  • Adequate liver, hematological and renal function

  • Negative serologic or polymerase chain reaction (PCR) test results for acute orchronic Hepatitis B virus (HBV) infection

  • Negative test results for Hepatitis C virus (HCV) and human immunodeficiency virus (HIV)

  • Negative serum pregnancy test within 7 days prior to study treatment in women ofchildbearing potential. Women who are not of childbearing potential who areconsidered to be post-menopausal (at least 12 months of non-therapy amenorrhea) orsurgically sterile (absence of ovaries and/or uterus) are not required to have apregnancy test

Exclusion

Exclusion Criteria:

  • Inability to comply with protocol mandated hospitalizations and restrictions

  • Participants with chronic lymphocytic leukemia (CLL), Burkitt lymphoma andlymphoplasmacytic lymphoma

  • Participants with a known or suspected history of hemophagocytic lymphohistiocytosis (HLH)

  • Participants with acute bacterial, viral, or fungal infection at baseline, confirmedby a positive blood culture within 72 hours prior to obinutuzumab infusion or byclinical judgment in the absence of a positive blood culture

  • Participants with known active infection, or reactivation of a latent infection,whether bacterial, viral, fungal, mycobacterial, or other pathogens or any majorepisode of infection requiring hospitalization or treatment with IV antibioticswithin 4 weeks of dosing

  • Prior treatment with systemic immunotherapeutic agents, including, but not limitedto, radio-immunoconjugates, antibody-drug conjugates, immune/cytokines andmonoclonal antibodies (e.g., anti-cytotoxic T-lymphocyte-associated protein 4 [anti-CTLA4], anti-programmed death 1 [anti-PD1] and anti-programmed death ligand 1 [anti-PDL1]) within 4 weeks or five half-lives of the drug, whichever is shorter,before obinutuzumab infusion on Cycle 1 Day -7

  • History of treatment-emergent immune-related AEs associated with priorimmunotherapeutic agents

  • Documented refractoriness to an obinutuzumab-containing regimen

  • Treatment with standard radiotherapy, any chemotherapeutic agent, or treatment withany other investigational anti-cancer agent, including chimeric antigen receptortherapy (CAR-T) within 4 weeks prior to obinutuzumab infusion

  • Prior solid organ transplantation

  • Prior allogeneic stem cell transplantation (SCT)

  • Autologous SCT within 100 days prior to obinutuzumab infusion

  • Participant with history of confirmed progressive multifocal leukoencephalopathy (PML)

  • Current or past history of central nervous system (CNS) lymphoma

  • Current or past history of CNS disease, such as stroke, epilepsy, CNS vasculitis, orneurodegenerative disease. Participants with a past history of stroke that have notexperienced a stroke or transient ischemic attack in the past 2 years and have noresidual neurologic deficits are allowed

  • Evidence of significant, uncontrolled concomitant diseases that could affectcompliance with the protocol or interpretation of results, including diabetesmellitus, history of relevant pulmonary disorders and known autoimmune diseases

  • Participants with another invasive malignancy in the last 2 years (with theexception of basal cell carcinoma and tumors deemed by the Investigator to be of lowlikelihood for recurrence)

  • Significant or extensive history of cardiovascular disease such as New York HeartAssociation Class III or IV or Objective Class C or D cardiac disease, myocardialinfarction within the last 6 months, unstable arrhythmias, or unstable angina

  • Administration of a live, attenuated vaccine within 4 weeks before obinutuzumabinfusion or anticipation that such a live attenuated vaccine will be required duringthe study

  • Received systemic immunosuppressive medications (including but not limited tocyclophosphamide, azathioprine, methotrexate, thalidomide, and anti-tumor necrosisfactor agents) within two weeks prior to obinutuzumab infusion. Treatment withcorticosteroid

  • Any other diseases, metabolic dysfunction, physical examination finding, or clinicallaboratory finding giving reasonable suspicion of a disease or condition that wouldcontraindicate the use of an investigational drug

  • History of autoimmune disease, including but not limited to myocarditis,pneumonitis, myasthenia gravis, myositis, autoimmune hepatitis, systemic lupus,erythematosus, rheumatoid arthritis, inflammatory bowel disease, vascular thrombosisassociated with antiphospholipid syndrome, Wegener's granulomatosis, Sjögren'ssyndrome, Guillain-Barré syndrome, multiple sclerosis, vasculitis, orglomerulonephritis. Participants with a remote history of, or well controlledautoimmune disease, may be eligible to enroll after consultation with the MedicalMonitor

  • In Part III diffuse large B-cell lymphoma (DLBCL) dexamethasone cohort, participantswith a history of hypersensitivity to dexamethasone or systemic corticosteroids willbe excluded

Study Design

Total Participants: 920
Treatment Group(s): 3
Primary Treatment: Glofitamab
Phase: 1/2
Study Start date:
February 21, 2017
Estimated Completion Date:
August 28, 2027

Connect with a study center

  • Prince of Wales Hospital

    Randwick, New South Wales 2031
    Australia

    Site Not Available

  • Prince of Wales Hospital; Haematology

    Randwick, New South Wales 2031
    Australia

    Active - Recruiting

  • Peter Maccallum Cancer Centre

    Melbourne, Victoria 3000
    Australia

    Active - Recruiting

  • Cliniques Universitaires St-Luc

    Bruxelles, 1200
    Belgium

    Active - Recruiting

  • UZ Gent

    Gent, 9000
    Belgium

    Active - Recruiting

  • UZ Gent; Neurology

    Gent, 9000
    Belgium

    Site Not Available

  • Princess Margaret Cancer Center

    Toronto, Ontario M5G 1Z5
    Canada

    Site Not Available

  • Vseobecna Fakultni Nemocnice v Praze, I. Interni Klinika - Klinika Hematoonkologie VFN a 1. LF UK

    Praha 2, 128 08
    Czechia

    Site Not Available

  • Righospitalet, Haematologisk Klinik

    Kobenhavn, 2100
    Denmark

    Site Not Available

  • Rigshospitalet

    København Ø, 2100
    Denmark

    Active - Recruiting

  • Rigshospitalet; Hæmatologisk Klinik, Klinisk Afprøvnings Team KAT

    København Ø, 2100
    Denmark

    Active - Recruiting

  • Helsinki University Central Hospital

    Helsinki, 00029
    Finland

    Active - Recruiting

  • Helsinki University Central Hospital; Dept of Oncology

    Helsinki, 00029
    Finland

    Active - Recruiting

  • Hopital Henri Mondor

    Creteil, 94010
    France

    Active - Recruiting

  • Hopital Henri Mondor; Hematologie Clinique

    Creteil, 94010
    France

    Active - Recruiting

  • Hopital Claude Huriez

    Lille, 59037
    France

    Active - Recruiting

  • Hopital Claude Huriez; Hematologie

    Lille, 59037
    France

    Active - Recruiting

  • CHU Saint Eloi

    Montpellier, 34295
    France

    Active - Recruiting

  • CHU Saint Eloi; Service d'Hématologie Clinique

    Montpellier, 34295
    France

    Active - Recruiting

  • Ch Lyon Sud

    Pierre Benite, 69495
    France

    Active - Recruiting

  • Ch Lyon Sud; Hemato Secteur Jules Courmont

    Pierre Benite, 69495
    France

    Active - Recruiting

  • CHU DE RENNES - CHU Pontchaillou

    Rennes, 35033
    France

    Active - Recruiting

  • CHU DE RENNES - CHU Pontchaillou; Service d'Hématologie Clinique Adulte

    Rennes, 35033
    France

    Active - Recruiting

  • AUSL della Romagna

    Ravenna, Emilia-Romagna 48121
    Italy

    Active - Recruiting

  • AUSL della Romagna; Dipartimento Oncoematologico - U.O.C. Oncologia

    Ravenna, Emilia-Romagna 48121
    Italy

    Active - Recruiting

  • Fond. IRCCS Istituto Nazionale Tumori

    Milano, Lombardia 20133
    Italy

    Active - Recruiting

  • Fond. IRCCS Istituto Nazionale Tumori; S. C. Ematologia

    Milano, Lombardia 20133
    Italy

    Active - Recruiting

  • Istituto Clinico Humanitas

    Rozzano, Lombardia 20089
    Italy

    Site Not Available

  • Istituto Clinico Humanitas;U.O. Oncologia Medica Ed Ematologia

    Rozzano, Lombardia 20089
    Italy

    Site Not Available

  • A.O.U. Citta' Della Salute E Della Scienza-P.O. Molinette

    Torino, Piemonte 10126
    Italy

    Site Not Available

  • A.O.U. Citta' Della Salute E Della Scienza-P.O. Molinette;S.C. Ematologia

    Torino, Piemonte 10126
    Italy

    Site Not Available

  • Auckland Cancer Trial Centre

    Auckland, 1023
    New Zealand

    Site Not Available

  • Auckland Cancer Trial Centre; Ward 64, Auckland City Hospital,

    Auckland, 1023
    New Zealand

    Site Not Available

  • Uniwersyteckie Centrum Kliniczne

    Gda?sk, 80-214
    Poland

    Site Not Available

  • Uniwersyteckie Centrum Kliniczne; Osrodek Badan Wczesnych Faz

    Gda?sk, 80-214
    Poland

    Site Not Available

  • Uniwersyteckie Centrum Kliniczne; Klinika Hematologii i Transplantologii

    Gdansk, 80-952
    Poland

    Site Not Available

  • Uniwersyteckie Centrum Kliniczne; Osrodek Badan Wczesnych Faz

    Gdańsk, 80-214
    Poland

    Site Not Available

  • Uniwersytecki Szpital Kliniczny w Poznaniu

    Pozna?, 60-569
    Poland

    Active - Recruiting

  • Uniwersytecki Szpital Kliniczny w Poznaniu; Oddzial Hematologii i Transplantacji Szpiku

    Pozna?, 60-569
    Poland

    Active - Recruiting

  • Szpital Kliniczny im. Heliodora Święcickiego; Oddzial Hematologii i Transplantacji Szpiku

    Poznań, 60-569
    Poland

    Site Not Available

  • Centrum Onkologii-Instytut im. M. Sklodowskiej-Curie

    Warszawa, 02-781
    Poland

    Site Not Available

  • Centrum Onkologii-Instytut im. M. Sklodowskiej-Curie; Oddzial Badan Wczesnych Faz

    Warszawa, 02-781
    Poland

    Site Not Available

  • Uniwersytecki Szpital Kliniczny im. Jana Mikulicza-Radeckiego we Wroclawiu

    Wroc?aw, 50-367
    Poland

    Site Not Available

  • Uniwersytecki Szpital Kliniczny; Klinika Hematologii, Nowotworów Krwi i Transplantacji Szpiku

    Wroc?aw, 50-367
    Poland

    Site Not Available

  • Uniwersytecki Szpital Kliniczny; Klinika Hematologii, Terapii Komórkowych i Chorób Wewn?trznych

    Wroc?aw, 50-367
    Poland

    Completed

  • Uniwersytecki Szpital Kliniczny; Klinika Hematologii, Nowotworów Krwi i Transplantacji Szpiku

    Wrocław, 50-367
    Poland

    Site Not Available

  • Hospital Universitari Germans Trias i Pujol

    Badalona, Barcelona 08915
    Spain

    Site Not Available

  • Hospital Universitari Germans Trias i Pujol; Servicio de Hematologia

    Badalona, Barcelona 08915
    Spain

    Site Not Available

  • Hospital Duran i Reynals L'Hospitalet

    L'Hospitalet de Llobregat, Barcelona 08908
    Spain

    Site Not Available

  • Hospital Duran i Reynals L'Hospitalet; Hematology Department

    L'Hospitalet de Llobregat, Barcelona 08908
    Spain

    Site Not Available

  • Hospital Universitario Marques de Valdecilla

    Santander, Cantabria 39008
    Spain

    Site Not Available

  • Hospital Universitario Marques de Valdecilla; Servicio de Hematologia

    Santander, Cantabria 39008
    Spain

    Site Not Available

  • Hospital Universitari Vall d'Hebron

    Barcelona, 08035
    Spain

    Active - Recruiting

  • Hospital Universitari Vall d'Hebron; Servicio de Hematologia

    Barcelona, 08035
    Spain

    Active - Recruiting

  • Hospital del Mar

    Barcelona, 08003
    Spain

    Site Not Available

  • Hospital del Mar; Servicio de Hematologia

    Barcelona, 08003
    Spain

    Site Not Available

  • Hospital Univ. 12 de Octubre

    Madrid, 28041
    Spain

    Site Not Available

  • Hospital Univ. 12 de Octubre; Servicio de Hematologia

    Madrid, 28041
    Spain

    Site Not Available

  • China Medical University Hospital

    Taichung, 404
    Taiwan

    Active - Recruiting

  • China Medical University Hospital; Oncology and Hematology

    Taichung, 404
    Taiwan

    Active - Recruiting

  • National Taiwan Universtiy Hospital

    Taipei, 100
    Taiwan

    Site Not Available

  • National Taiwan Universtiy Hospital; Division of Hematology

    Taipei, 100
    Taiwan

    Site Not Available

  • Cedars Sinai Medical Center

    Los Angeles, California 90048
    United States

    Site Not Available

  • Ingalls Memorial Hospital

    Harvey, Illinois 60426
    United States

    Site Not Available

  • University of Kansas Medical Centre

    Kansas City, Kansas 66160
    United States

    Site Not Available

  • University of Michigan

    Ann Arbor, Michigan 48109-0934
    United States

    Site Not Available

  • Washington University

    Saint Louis, Missouri 63110
    United States

    Active - Recruiting

  • Washington University; Wash Uni. Sch. Of Med

    Saint Louis, Missouri 63110
    United States

    Active - Recruiting

  • MSKCC

    New York, New York 10065
    United States

    Completed

  • Mount Sinai Medical Center

    New York, New York 10029
    United States

    Site Not Available

  • Allegheny Health Network (Pittsburg PA)

    Pittsburgh, Pennsylvania 15212
    United States

    Site Not Available

  • Hunstman Cancer Institute

    Salt Lake City, Utah 84112
    United States

    Site Not Available

  • Virginia Commonwealth University Medical Center

    Richmond, Virginia 23230
    United States

    Site Not Available

  • Swedish Cancer Inst.

    Seattle, Washington 98104
    United States

    Site Not Available

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