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Glofit-GemOx vs R-GemOx for R/R DLBCL: Results from the STARGLO trial

By Dylan Barrett

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Jun 28, 2024

Learning objective: After reading this article, learners will be able to cite a new clinical development in diffuse large B-cell lymphoma.



Results from the phase III STARGLO trial (NCT04408638) of glofitamab plus gemcitabine and oxaliplatin (Glofit-GemOx) vs rituximab plus gemcitabine and oxaliplatin (R-GemOx) in patients with relapsed/refractory (R/R) diffuse large B-cell lymphoma (DLBCL) were presented at the European Hematology Association (EHA) 2024 Hybrid Congress by Abramson.1


Key learnings:

The primary endpoint of overall survival (OS) was met.

After a median follow-up of 20.7 months, median OS was 25.5 months vs 12.9 months in the Glofit-GemOx and R-GemOx arms, respectively (hazard ratio [HR], 0.62; p = 0.006).

Glofit-GemOx was associated with improved progression-free survival (PFS) and a higher complete response (CR) rate vs R-GemOx: median PFS was 13.8 months vs 3.6 months (HR, 0.40; p < 0.000001) and the CR rates were 58.5% vs 25.3% (p < 0.0001), respectively.

The safety profile of Glofit-GemOx was consistent with that of the individual agents.

Glofitamab is the first CD20xCD3 bispecific antibody to demonstrate a survival benefit in DLBCL in a randomized phase III trial.

The efficacy data from the phase III STARGLO trial and the tolerable safety profile of Glofit-GemOx supports the use of Glofit-GemOx in the treatment of patients with R/R DLBCL.

References

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