RecruitingPhase 1Phase 2NCT05533775

A Study to Evaluate Glofitamab Monotherapy and Glofitamab + Chemoimmunotherapy in Pediatric and Young Adult Participants With Relapsed/Refractory Mature B-Cell Non-Hodgkin Lymphoma

A Phase I/II, Open-Label, Single-Arm, Two-Part Trial to Evaluate Safety, Tolerability, Pharmacokinetics, and Anti-Tumor Activity of Glofitamab in Monotherapy and in Combination With Chemoimmunotherapy in Pediatric and Young Adult Participants With Relapsed/Refractory Mature B-Cell Non-Hodgkin Lymphoma


Sponsor

Hoffmann-La Roche

Enrollment

65 participants

Start Date

Nov 16, 2022

Study Type

INTERVENTIONAL

Conditions

Summary

The purpose of this study is to evaluate the safety and efficacy of glofitamab, as monotherapy and in combination with a standard chemoimmunotherapy regimen: rituximab, ifosfamide, carboplatin, and etoposide (R-ICE) in pediatric and young adult participants with relapsed and refractory (R/R) mature B-cell non-Hodgkin lymphoma (B-NHL).


Eligibility

Min Age: 6 MonthsMax Age: 30 Years

Plain Language Summary

Simplified for easier understanding

This study is testing glofitamab — a bispecific antibody that bridges immune T cells and cancer cells — alone and in combination with chemotherapy-immunotherapy, in children, teenagers, and young adults with aggressive B-cell non-Hodgkin lymphoma (NHL) that has come back or stopped responding to treatment. **You may be eligible if...** - You are 6 months to under 18 years old (or up to 30 for certain cohorts) - You have confirmed CD20-positive aggressive mature B-cell NHL (such as Burkitt lymphoma, DLBCL, or PMBCL) - Your lymphoma has relapsed or is refractory after prior standard treatment - You have measurable disease - Your performance status is adequate for your age (Lansky ≥50% for younger children, Karnofsky ≥50% for older patients) **You may NOT be eligible if...** - Your disease has not relapsed after first-line therapy (for the first cohort) - You do not have measurable disease - Your organ function is inadequate - You have conditions that would make the treatment too risky Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGObinutuzumab

Participants will receive intravenous (IV) obinutuzumab pretreatment on Days 1 and 2 of Cycle 1 (Cycle length = 21 days)

DRUGGlofitamab

Arm A: Participants will receive IV glofitamab on Days 8 and 15 of Cycle 1, then on Day 1 of Cycles 2 and 3 Arm B: Participants will receive IV glofitamab on Days 8 and 15 of Cycle 1, then on Day 1 of each cycle thereafter (Cycle length = 21 days)

DRUGRituximab

Participants will receive IV rituximab on Days 5, 6, 7, and 8 of Cycles 2 and 3 (Cycle length = 21 days)

DRUGIfosfamide

Participants will receive IV ifosfamide on Days 3, 4, and 5 of cycle 1 and on Days 5, 6, 7, and 8 of Cycles 2 and 3 (Cycle length = 21 days)

DRUGCarboplatin

Participants will receive IV carboplatin on Days 3, 4, and 5 of cycle 1 and on Days 5, 6, 7, and 8 of Cycles 2 and 3 (Cycle length = 21 days)

DRUGEtoposide

Participants will receive IV etoposide on Days 3, 4, and 5 of cycle 1 and on Days 5, 6, 7, and 8 of Cycles 2 and 3 (Cycle length = 21 days)

DRUGTocilizumab

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


Locations(29)

Children's Hospital of Alabama

Birmingham, Alabama, United States

UCSF Benioff Children's Hospital Oakland

Oakland, California, United States

Kaiser Permanente Oakland Medical Center

Oakland, California, United States

Kaiser Permanente - Roseville

Roseville, California, United States

Kaiser Permanente - Santa Clara

Santa Clara, California, United States

Johns Hopkins University

Baltimore, Maryland, United States

Dana-Farber Cancer Institute

Boston, Massachusetts, United States

Childrens Mercy Hosp & Clinics

Kansas City, Missouri, United States

MSKCC

New York, New York, United States

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio, United States

Queensland Children?s Hospital

South Brisbane, Queensland, Australia

Perth Children's Hospital

Nedlands, Western Australia, Australia

Hospital Erasto Gaertner

Curitiba, Paraná, Brazil

Graacc-Grupo de Apoio ao adolescente e a crianca com cancer

São Paulo, São Paulo, Brazil

Sun Yet-sen University Cancer Center

Guangzhou, China

Guangxi Cancer Hospital of Guangxi Medical University

Nanning, China

Fakultni nemocnice v Motole;Klinika detske hematologie a onkologie

Prague, Czechia

Rigshospitalet

København Ø, Denmark

Hôpital Pellegrin

Bordeaux, France

Gustave Roussy

Villejuif, France

Universitaetsklinikum Muenster

Münster, Germany

Semmelweis Egyetem II. sz. Gyermekgyogyaszati Klinika

Budapest, Hungary

IRCCS Ospedale Pediatrico Bambino Gesù

Rome, Lazio, Italy

Ospedaliera Ospedale Infantile Regina Margherita

Turin, Piedmont, Italy

Ponadregionalne Centrum Onkologii Dzieci?cej ,,Przyladek Nadziei?;Klinika Transplantacji Szpiku, Onkologii i Hematologii Dzieciecej we Wroclawiu

Wroclaw, Poland

Seoul National University Hospital- Pediatric Site

Seoul, South Korea

Asan Medical Center

Seoul, South Korea

Hospital Universitari Vall d'Hebron

Barcelona, Spain

Hospital Infantil Universitario Niño Jesus

Madrid, Spain

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NCT05533775


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