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Phase III: Glofitamab in Large B-Cell Lymphoma (SKYGLO)

Clinical Trial Overview

Clinical Trial Overview

Active, not recruiting

A Phase III, Multicenter, Randomized, Open-Label Study Comparing the Efficacy and Safety of Glofitamab (RO7082859) in Combination With Polatuzumab Vedotin Plus Rituximab, Cyclophosphamide, Doxorubicin, and Prednisone (Pola-R-CHP) Versus Pola-R-CHP in Previously Untreated Patients With Large B-Cell Lymphoma

Objective

The purpose of this study is to compare the efficacy and safety of glofitamab in combination with polatuzumab vedotin plus rituximab, cyclophosphamide, doxorubicin, and prednisone (Pola-R-CHP) vs Pola-R-CHP in participants with previously untreated CD20-positive large B-cell lymphoma (LBCL).

Trial Design

Pola-R-CHP= polatuzumab vedotin plus rituximab, cyclophosphamide, doxorubicin, and prednisone; LBCL= large B-cell lymphoma.

Primary Endpoints

  • Progression-free survival (PFS) as determined by Independent Review Facility (IRF)

Secondary Endpoints

  • PFS as determined by the investigator
  • PFS as determined by the investigator and IRF for participants with international prognostic index (IPI) 3-5
  • Event-free survival efficacy causes (EFSeff)
  • Complete response (CR) rate
  • Objective response rate (ORR)
  • Overall survival (OS)
  • Duration of response (DOR)
  • Duration of complete response (DOCR)
  • Disease-free survival (DFS)
  • Serum concentration of glofitamab
  • Incidence of anti-drug antibodies (ADAs)
  • Proportion of participants experiencing a clinically meaningful improvement in physical functioning and fatigue (EORTC QLQ-C30) and lymphoma symptoms (FACT-Lym LymS)
  • Time to deterioration in physical functioning and fatigue (EORTC QLQ-C30) and lymphoma symptoms (FACT-Lym LymS)
  • Percentage of Participants with Adverse Events (AEs)

Glofitamab

Other names: Not Applicable

Modality: CD20xCD3 T-cell engaging bispecific antibody

Disease/Condition: Large B-Cell Lymphoma


ADDITIONAL RESOURCES

Inclusion and Exclusion Criteria

Inclusion and Exclusion Criteria

Inclusion Criteria
  • Previously untreated participants with CD20-positive LBCL
  • Ability to provide tumor tissue
  • International prognostic index (IPI) score 2-5
  • Eastern cooperative oncology group (ECOG) performance status of 0, 1, or 2
  • At least one bi-dimensionally measurable lesion, defined as > 1.5 cm in its longest dimension as measured by CT or MRI
  • Left ventricular ejection fraction (LVEF) >/=50% on cardiac multiple-gated acquisition (MUGA) scan or cardiac echocardiogram (ECHO)
  • Adequate hematologic function
  • Negative HIV test at screening with exceptions as defined by the protocol
  • Negative SARS-CoV-2 antigen or PCR test
Exclusion Criteria
  • Contraindication to any of the individual components of Pola-R-CHP or glofitamab, including prior receipt of anthracyclines, or history of severe allergic or anaphylactic reactions to humanized or murine monoclonal antibodies, or known sensitivity or allergy to murine products
  • Prior solid organ transplantation
  • Participants receiving systemic immunosuppressive agent such as, but not limited to cyclosporin, azathioprine, methotrexate, thalidomide, and anti-tumor necrosis factor agents within 4 weeks prior to first dose of study treatment
  • Current Grade > 1 peripheral neuropathy by clinical examination or demyelinating form of Charcot-Marie-Tooth disease
  • History of indolent lymphoma (e.g., Follicular Lymphoma, Marginal Zone Lymphoma, Waldenstrom macroglobulinemia)
  • Current diagnosis of the following: Follicular lymphoma grade 3B; transformations of indolent B-cell lymphomas (e.g., de novo transformed follicular lymphoma); mediastinal grey zone lymphoma; primary mediastinal (thymic) large B-cell lymphoma; Burkitt lymphoma; primary large B-cell lymphoma of immune-privileged sites (encompassing primary diffuse large B-cell lymphoma of the CNS, primary large B-cell lymphoma of the vitreoretina and primary large B-cell lymphoma of the testis); primary effusion DLBCL; and primary cutaneous DLBCL, leg type
  • Primary or secondary CNS lymphoma at the time of recruitment or history of CNS lymphoma
  • Prior treatment with systemic immunotherapeutic agents
  • Prior use of any monoclonal antibody for the purposes of treating cancer within 3 months of the start of Cycle 1
  • Any investigational therapy for the purposes of treating cancer within 28 days prior to the start of Cycle 1
  • Prior radiotherapy to the mediastinal/pericardial region
  • Prior therapy for LBCL, with the exception of corticosteriods
  • Corticosteroid use > 30 mg/day of prednisone or equivalent, for purposes other than lymphoma symptom control
  • History of other malignant or non-malignant diseases that could affect compliance with the protocol or interpretation of results
  • Significant or extensive history of cardiovascular disease
  • Recent major surgery (within 4 weeks prior to the start of Cycle 1), other than for diagnosis
  • Current or past history of central nervous system (CNS) disease, such as stroke, epilepsy, CNS vasculitis, or neurodegenerative disease
  • Known or suspected chronic active Epstein-Barr viral infection
  • Known or suspected history of hemophagocytic lymphohistiocytosis (HLH)
  • Active autoimmune disease requiring treatment
  • Clinically significant liver disease
  • Live, attenuated vaccine within 4 weeks before study treatment infusion on Day 1 of Cycle 1 or anticipation that such a live, attenuated vaccine will be required during the study. Live vaccines during the study and until participants B cells recover are prohibited
  • Any active infection within 7 days prior to Cycle 1 Day 1 that would impact participant safety
  • Suspected active or latent tuberculosis
  • Positive test results for chronic hepatitis B infection, hepatitis C, or the human T-lymphotropic virus type 1 (HTLV-1)
  • History of progressive multifocal leukoencephalopathy
Study Site Locations

60 Results

    Enrollment and Resources

    Enrollment & Resources

    Enrollment

    For more information on eligibility criteria, view the study or reach out to our team.

    Call icon

    Phone

    1-888-662-6728
    (US and Canada)

    Resources

    ClinicalTrials.gov

    Learn more about this trial (NCT06047080) on ClinicalTrials.gov.

    Patient Resources

    Genentech offers a place for patients, relatives, and caregivers to learn more about clinical trials.

    Information is consistent with ClinicalTrials.gov as of June 02, 2026. Products under investigation have not been approved for use outside of the clinical trial setting. This information is presented only for the purposes of providing an overview of clinical trials and should not be construed as a recommendation for use of any product for unapproved purposes.

    Looking for more information?

    Reach out to a Genentech Medical Science Liaison near you, or connect with the contact center.

    Call the Trial Information Support Team: 1-888-662-6728 Hours: Monday-Friday, 5am-5pm PT

    • AD
      Alzheimer's disease

    • ABC
      advanced breast cancer

    • bADLs
      Basic activities of daily living

    • ISLT
      International Shopping List Test

    • MCI
      Mild cognitive impairment

    • CV
      coefficient of variation

    • HEX
      cell hexagonality

    • PDS
      Port Delivery System

    • Q24W
      once every 24 weeks

    • BMI
      Body mass index

    • HbA1c
      hemoglobin A1C

    • HOMA-IR
      Homeostasis Model Assessment of Insulin Resistance

    • NLM
      National Library of Medicine

    • QUICKI
      Quantitative Insulin Sensitivity Check Index

    • SC
      Subcutaneous

    • SGLT-2
      sodium-glucose cotransporter-2

    • SMBG
      Self-Monitored Blood Glucose

    • T1DM
      Type 1 Diabetes Mellitus

    • T2DM
      Type 2 diabetes mellitus

    • AE
      adverse events

    • AESI
      Adverse Events of Special Interest

    • MDD
      major depressive disorder

    • PHQ-9
      Patient Health Questionnaire-9

    • SAE
      serious adverse events

    • ABR
      Annualized Bleed Rate

    • CBR
      clinical benefit rate

    • CDK4/6i
      cyclin-dependent kinase 4 and 6 inhibitor

    • CNS
      central nervous system

    • CR
      complete response

    • DOR
      duration of response

    • ER
      estrogen receptor

    • HER2
      human epidermal growth factor receptor 2

    • HER2-
      human epidermal growth factor receptor 2-negative

    • HR
      hormone receptor

    • HR+
      hormone receptor-positive

    • mut
      mutated

    • NIS
      non-interventional study

    • ORR
      objective response rate

    • OS
      overall survival

    • PFS
      progression-free-survival

    • PIK3CA
      phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha

    • PIK3CAm
      PIK3CA-mutated

    • PK
      pharmacokinetics

    • PROs
      patient-reported outcomes

    • SD
      stable disease

    • SoC
      standard of care

    • VWD
      von Willebrand disease

    • WHO
      World Health Organization

    • T2D
      Type 2 diabetes

    • T1D
      Type 1 Diabetes

    • ADA
      anti-drug antibody

    • DXA
      Dual-energy X-ray Absorptiometry

    • ASCVD
      atherosclerotic cardiovascular disease

    • FGF21
      fibroblast growth factor 21

    • SHTG
      severe hypertriglyceridemia

    • TG
      triglycerides

    • MASH
      metabolic dysfunction-associated steatohepatitis

    • NAFLD
      non-alcoholic fatty liver disease

    • NAS
      NAFLD Activity Score

    • NASH
      nonalcoholic steatohepatitis

    • pmMS
      partial modified Mayo

    • CD
      Crohn's disease

    • CMV
      cytomegalovirus

    • HIV
      human immunodeficiency virus

    • HBV
      Hepatitis B

    • HCV
      Hepatitis C

    • TB
      tuberculosis

    • UC
      ulcerative colitis

    • TL1A
      tumor necrosis factor-like ligand 1A

    • mMS
      modified Mayo Score

    • APS
      average daily abdominal pain scores in the past week

    • CDAI
      Crohn’s Disease Activity Index

    • IBDQ
      Inflammatory Bowel Disease Questionnaire

    • SF
      stool frequency subscore

    • PBO
      Placebo

    • EASI
      Eczema Area and Severity Index

    • IGA
      Investigator Global Assessment

    • NRS
      Numerical Rating Scale

    • IM
      intramuscular

    • IL
      intralesional

    • PDE-4
      Phosphodiesterase-4

    • ACE
      angiotensin-converting enzyme

    • ARBs
      angiotensin II receptor blockers

    • ASO
      Antisense Oligonucleotide

    • CKD-EPI
      Chronic Kidney Disease Epidemiology Collaboration

    • eGFR
      Estimated Glomerular Filtration Rate

    • FACIT-F
      Functional Assessment of Chronic Illness Therapy-Fatigue subscale

    • g/day
      gram per day

    • g/g
      gram per gram

    • GIP
      Glucose-dependent Insulinotropic Polypeptide

    • GLP-1
      Glucagon-like Peptide-1

    • IgAN
      IgA nephropathy

    • mg/day
      milligrams per day

    • TEAEs
      Treatment-Emergent Adverse Events

    • UPCR
      Urine Protein-to-Creatinine Ratio

    • AEs
      Adverse events

    • ALT
      Alanine aminotransferase

    • AST
      Aspartate aminotransferase

    • C-SSRS
      Columbia-Suicide Severity Rating Scale

    • DMT
      Disease-modifying therapy

    • ECG
      Electrocardiogram

    • EDSS
      Expanded Disability Status Scale

    • Gd
      Gadolinium

    • IPMSSG
      International Pediatric Multiple Sclerosis Study Group

    • MRI
      Magnetic resonance imaging

    • MS
      Multiple sclerosis

    • PD
      Pharmacodynamic

    • PPMS
      Primary progressive multiple sclerosis

    • RMS
      Relapsing multiple sclerosis

    • SI
      Suicidal ideation

    • SPMS
      Secondary progressive multiple sclerosis

    • CYP3A4
      cytochrome-p450-3a4

    • ADAS-Cog-13
      Alzheimer's Disease Assessment Scale-Cognition 13

    • ADAs
      Anti-drug antibodies

    • ADCS-ADL
      Alzheimer's Disease Cooperative Study Activities of Daily Living Inventory

    • CDR-GS
      Clinical Dementia Rating, Global Score

    • CDR-SB
      Clinical Dementia Rating, Sum of Boxes

    • CSF
      Cerebrospinal fluid

    • GFAP
      Glial fibrillar acidic protein

    • iADRS
      Integrated Alzheimer's Disease Rating Scale

    • MMSE
      Mini-Mental State Examination

    • PET
      Positron emission tomography

    • RBANS DMI
      Repeatable Battery for the Assessment of Neuropsychological Status Delayed Memory Index

    • EORTC QLQ-C30
      European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire

    • PRO-CTCAE
      Patient-Reported Outcomes Common Terminology Criteria for Adverse Events

    • TTCD
      Time to Confirmed Deterioration

    • AJCC
      American Joint Committee on Cancer Staging System

    • ECOG
      Eastern Cooperative Oncology Group

    • FFPE
      formalin-fixed, paraffin-embedded

    • RECIST
      Response Evaluation Criteria in Solid Tumors

    • NSCLC
      non-small cell lung cancer

    • BICR
      blinded independent central review

    • CD137
      Cluster of Differentiation 137

    • EORTC QLQ-LC13
      European Organisation for Research and Treatment of Cancer Quality-of-Life Questionnaire-Supplemental Lung Cancer Module

    • KRAS G12C
      Kirsten rat sarcoma viral oncogene homolog G12C

    • PD-L1
      Programmed death-ligand 1

    • RAS
      RAt Sarcoma

    • RT
      Radiation therapy

    • DOCR
      duration of complete response

    • DFS
      disease-free survival

    • EFSeff
      event-free survival efficacy causes

    • FACT-Lym LymS
      lymphoma subscale within the functional assessment of cancer therapy-Lymphoma questionnaire

    • IPI
      international prognostic index

    • IRF
      Independent Review Facility

    • Pola-R-CHP
      polatuzumab vedotin plus rituximab, cyclophosphamide, doxorubicin, and prednisone

    • LBCL
      large B-cell lymphoma

    • PROMIS-29
      Patient-Reported Outcomes Measurement Information System-29

    • ESR1nmd
      ESR1 no-mutation-detected

    • IV
      intravenous

    • II
      2

    • ECD
      endothelial cell density

    • III
      3

    +