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2023-06-19T08:28:21.000Z

Glofitamab receives FDA approval for R/R DLBCL

Jun 19, 2023
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Learning objective: After reading this article, learners will be able to cite a new clinical development in lymphoma.

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On June 16, 2023, it was announced that the U.S. Food and Drug Administration (FDA) has granted approval to glofitamab, a T cell-engaging bispecific antibody, for the treatment of patients with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) post prior therapy, including chimeric antigen receptor (CAR) T-cell therapy.1

Glofitamab is the first CD20×CD3 T cell-engaging bispecific antibody approved for the treatment of patients with R/R DLBCL given for a fixed time period.1 The accelerated approval from the FDA was based on results from a phase I/II study (NCT03075696) investigating glofitamab as a fixed course in 132 patients for 8.5 months. The patients in this cohort had relapsed or were refractory from prior lines of therapy, including ~30% who had received CAR T-cell therapy. Patients achieved a durable remission after fixed-duration glofitamab treatment (Table 1).1

Table 1. Primary and secondary endpoints*

Endpoint

Patients treated with glofitamab

Overall response, % (95% CI)

56 (4765)

Complete response, % (95% CI)

43 (3552)

Median duration of response, years (95% CI)

1.5 (11.4NE)

               Continued to respond for ≥9 months, % (95% CI)

68.5 (56.780.3)

CI, confidence interval; NE, not estimable.
*Data from Business Wire.1

The safety profile was also manageable; the most common adverse event reported was cytokine release syndrome in 70% of patients (52% Grade 1 and 14% Grade 2), followed by musculoskeletal pain (21%), fatigue (20%) and rash (20%).1

  1. Business Wire. FDA approves Genentech’s Columvi, the first and only bispecific antibody with a fixed-duration treatment for people with relapsed or refractory diffuse large B-cell lymphoma. https://www.businesswire.com/news/home/20230613097002/en/FDA-Approves-Genentech%E2%80%99s-Columvi-the-First-and-Only-Bispecific-Antibody-With-a-Fixed-Duration-Treatment-for-People-With-Relapsed-or-Refractory-Diffuse-Large-B-cell-Lymphoma. Published Jun 15, 2023. Accessed Jun 16, 2023.

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