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AzTrials

LymphomaPhase 2NCT04980222

A Study to Evaluate the Safety and Efficacy of Glofitamab in Combination With Rituximab (R) Plus Cyclophosphamide, Doxorubicin, Vincristine, and Prednisone (CHOP) in Circulating Tumor (ct)DNA High-Risk Patients With Untreated Diffuse Large B-Cell Lymphoma

A Phase 2 study testing Glofitamab, Tocilizumab and Doxorubicin in people with Lymphoma, run by Hoffmann-La Roche at 20 sites in 6 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
Search all trials

Trial summary

This Phase II, open-label, multicenter study will evaluate the safety, efficacy, and pharmacokinetics of glofitamab in combination with rituximab in combination with cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP) in individuals with circulating tumor DNA (ctDNA) high-risk diffuse large B-cell… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Lymphoma
What is being tested?
Glofitamab, Tocilizumab and Doxorubicin
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
46 participants
Where
20 sitesin 6 countries
Study dates
22 Mar 2022to 15 Oct 2026
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Previously untreated patients with CD20-positive DLBCL, including one of the following diagnoses made according to the 2016 World Health Organization (WHO) classification of lymphoid neoplasms
  • DLBCL, not otherwise specified, including GCB and ABC/non-GCB types as well as double-expressor lymphoma (coexpression of MYC and BCL2)
  • High-grade B-cell lymphoma (HGBCL) with MYC and BCL2 and/or BCL6 translocations
  • Patients with de novo transformed follicular lymphoma (patients with discordant bone marrow involvement, i.e., evidence of low-grade histology in bone marrow) may be considered after discussion with the Medical Monitor
  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0-2
  • International Prognostic Index (IPI): 2-5
Show all 14Show fewer
  • Life expectancy of at least 6 months
  • Adequate biomarker blood samples prior to initiation of R-CHOP on Day 1 of Cycle 1 and on Day 1 of Cycle 2 submitted for screening for determination of ctDNA status
  • At least one bi-dimensionally fluorodeoxyglucose (FDG)-avid measurable lymphoma lesion on positron emission tomography/computed tomography (PET/CT) scan
  • Left ventricular ejection fraction (LVEF) >=50%, as determined on cardiac multiple-gated acquisition (MUGA) scan or cardiac echocardiogram (ECHO)
  • Adequate hematopoietic function
  • Contraception use
  • Additional Inclusion Criterion for ctDNA High-Risk Participants:
  • Plasma sample evaluated to be ctDNA high risk

Who cannot join

  • Current diagnosis of B-cell lymphoma, unclassifiable, with features intermediate between DLBCL and classic Hodgkin lymphoma (gray-zone lymphoma), primary mediastinal (thymic) large B-cell lymphoma, T-cell/histiocyte-rich large B-cell lymphoma, Burkitt lymphoma, central nervous system (CNS) lymphoma (primary or secondary involvement), primary effusion DLBCL, and primary cutaneous DLBCL
  • Contraindication to any of the individual components of R-CHOP, including prior receipt of anthracyclines, history of severe allergic or anaphylactic reactions to murine monoclonal antibodies, or known sensitivity or allergy to murine products
  • Prior treatment for indolent lymphoma
  • Prior solid organ or allogeneic stem cell transplant
  • Prior therapy for DLBCL and high-grade B-cell lymphoma (HGBCL) with the exception of palliative, short-term treatment with corticosteroids
  • Pregnant or breastfeeding, or intending to become pregnant during the study or within 12 months after the final dose of R-CHOP, 3 months after the final dose of tocilizumab (if applicable), or 2 months after the final dose of glofitamab

Trial locations and contacts

20 sites in 6 countries.

20 sites in 6 countries

United States10 sites
  • University of Michigan Health System

    Ann Arbor, Michigan, 48109

  • Baylor University Medical Center

    Dallas, Texas, 75204

  • City of Hope Comprehensive Cancer Center

    Duarte, California, 91010

  • Memorial Sloan Kettering Cancer Center at Westchester

    Harrison, New York, 10604

  • University of Iowa

    Iowa City, Iowa, 52242

  • Memorial Sloan Kettering Bergen

    Montvale, New Jersey, 07645

  • Memorial Sloan Kettering Cancer Center

    New York, New York, 10065

  • Washington University; Wash Uni. Sch. Of Med

    St Louis, Missouri, 63110

  • Stanford Cancer Center

    Stanford, California, 94305-5820

  • Stanford Cancer Institute Inpatient Investigational Pharmacy

    Stanford, California, 94305

Other trials in United States

Spain4 sites
  • Hospital Clinic i Provincial de Barcelona

    Barcelona, 08036

  • Hospital General Universitario Gregorio Marañon

    Madrid, 28007

  • Hospital Univ. 12 de Octubre; Servicio de Hematologia

    Madrid, 28041

  • Hospital Clinico Universitario de Salamanca

    Salamanca, 37007

Other trials in Spain

France2 sites
  • Hopital Henri Mondor

    Créteil, 94010

  • Centre Henri Becquerel

    Rouen, 76038

Other trials in France

Poland2 sites
  • Uniwersyteckie Centrum Kliniczne, Klinika Hematologii i Transplantologii

    Gdansk, 80-211

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

    Wroclaw, 50-367

Other trials in Poland

Denmark1 site
  • Aarhus Universitetshospital Skejby

    Aarhus N, 8200

Other trials in Denmark

Netherlands1 site
  • Universitair Medisch Centrum Groningen

    Groningen, 9713 GZ

Other trials in Netherlands

About this study

Official title: A Phase II Study Evaluating the Safety and Efficacy of Glofitamab in Combination With Rituximab (R) Plus Cyclophosphamide, Doxorubicin, Vincristine, and Prednisone (CHOP) in Circulating Tumor (ct)DNA High-Risk Patients With Untreated Diffuse Large B-Cell Lymphoma

This Phase II, open-label, multicenter study will evaluate the safety, efficacy, and pharmacokinetics of glofitamab in combination with rituximab in combination with cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP) in individuals with circulating tumor DNA (ctDNA) high-risk diffuse large B-cell lymphoma (DLBCL), as the first line of treatment.

Conditions
Lymphoma
Being tested
Glofitamab, Tocilizumab, Doxorubicin, Vincristine, Prednisone
Medical subject headings
Lymphoma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • GlofitamabDrug

    Participants will receive intravenous (IV) glofitamab as per schedule specified in the treatment arm.

  • TocilizumabDrug

    Participants will receive tocilizumab as needed to manage cytokine release syndrome (CRS).

  • DoxorubicinDrug

    Participants will receive 50 mg/m2 body surface area of doxorubicin IV as per schedule specified in the treatment arm.

  • VincristineDrug

    Participants will receive 1.4 mg/m2 body surface area of vincristine IV as per schedule specified in the treatment arm.

  • PrednisoneDrug

    Participants will receive 100 mg of prednisone or prednisolone as per schedule specified in the treatment arm.

  • RituximabDrug

    Participants will receive 375 mg/m2 body surface area of rituximab IV as per schedule specified in the treatment arm.

  • CyclophosphamideDrug

    Participants will receive 750 mg/m2 body surface area of cyclophosphamide IV as per schedule specified in the treatment arm.

Study groups in NCT04980222
Study groupRoleWhat they receive
Glofitamab + R-CHOP ImmunochemotherapyExperimentalParticipants will receive step-up doses of glofitamab, starting on Day 8 of Cycle 3 (2.5 mg), Day 15 of Cycle 3 (10 mg), then 30 mg glofitamab will be given every three weeks (Q3W) onwards, on Day 8 of Cycles 4-6 and on Day 1 of Cycles 7-10. (cycle length = 21 days) Participants will receive rituximab, cyclophosphamide, doxorubicin, and vincristine Q3W on Day 1 of Cycles 1-6. Prednisone or prednisolone will be administered daily (QD) on Days 1-5 of Cycles 1-6. (cycle length = 21 days)
Receives: Drug: Glofitamab; Drug: Tocilizumab; Drug: Doxorubicin; Drug: Vincristine; Drug: Prednisone; Drug: Rituximab; Drug: Cyclophosphamide

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. End of Treatment Complete Response (EOT CR) Rate

    Measured: Up to approximately 24 months

Secondary outcomes (7)
  1. Overall Response Rate (ORR) at the EOT

    Measured: Up to approximately 24 months

  2. Progression-free Survival (PFS)

    Measured: Up to approximately 24 months

  3. Overall Survival (OS)

    Measured: Up to approximately 24 months

  4. Percentage of Participants With Adverse Events (AEs)

    Measured: Up to 90 days after the final dose of study treatment

  5. Serum Concentration of Glofitamab

    Measured: At pre-defined intervals up to approximately 10 months

  6. Maximum Concentration (Cmax) of Glofitamab

    Measured: At pre-defined intervals up to approximately 10 months

  7. Total Exposure (AUC) of Glofitamab

    Measured: At pre-defined intervals up to approximately 10 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Jul 2021
  2. Study start22 Mar 2022
  3. Primary completion24 Oct 2024
  4. Study completion15 Oct 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
46 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04980222
Sponsor's protocol ID
GO43075
Other IDs
2023-504994-19-00, 2023
Status last verified
Sep 2026
First submitted
19 Jul 2021
Last updated
30 Sep 2026
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: 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

Publications

  • Camus V, Krzisch D, Bruscaggin A, Leveque E, Viennot M, Fornecker LM, Cheminant M, Bailly S, Morschhauser F, Feugier P, Choquet S, Durot E, Carras S, Delette C, Damaj GL, Waultier-Rascalou A, Lebreton P, Le Du K, Galtier J, Houot R, Morineau N, Laribi K, Lebras L, Oberic L, Amorim S, Bocchetta S, Viailly PJ, Rainville V, Ruminy P, Caillot M, Terzi di Bergamo L, Piffaretti D, Pirosa MC, Salehi M, Forestieri G, Drieux F, Veresezan EL, Traverse-Glehen A, Donzel M, Burel L, Bohers E, Lanic MD, Penther D, Becker S, Decazes P, Tonnelet D, Draye-Carbonnier S, Tilly H, Jardin F, Rossi D, Sesques P. Interim assessment by circulating tumor DNA in primary mediastinal large B-cell lymphoma: a multicenter LYSA study. Blood Adv. 2026 Jul 14;10(13):4455-4467. doi: 10.1182/bloodadvances.2025019108.

    PubMed 41979332

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Glofitamab, Tocilizumab and Doxorubicin in people with Lymphoma, run by Hoffmann-La Roche at 20 sites in 6 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 14 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 30 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 20 sites in United States, Spain, France, Poland, Denmark and 1 more country. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 18 Aug 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

End of Treatment Complete Response (EOT CR) Rate (time frame: Up to approximately 24 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04980222, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Sep 2026.

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