This is a single-center, phase 2, open-label clinical trial of a novel combination of polatuzumab vedotin, glofitamab, and tafasitamab (TPG) as first-line treatment of patients with diffuse large B cell lymphoma (DLBCL) or high-grade B cell lymphoma (HGBL).
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
30
Cytolytic monoclonal antibody targeting CD19.
CD79b-targeting antibody-drug conjugate
CD20xCD3 bispecific antibody
Rhode Island Hospital
Providence, Rhode Island, United States
Complete response rate
• Complete response (CR) rate after 4 cycles of TPG therapy, evaluated by PET-CT using Lugano criteria
Time frame: 3 months after starting therapy
Rate of toxicities
Occurrence and severity of adverse events will be examined throughout the treatment using the Common Terminology Criteria for Adverse Events (CTCAE) v6.0, except cytokine release syndrome (CRS) and immune cell-associated neurotoxicity syndrome (ICANS) will be assessed using the American Society of Transplantation and Cellular Therapy (ASTCT) criteria
Time frame: From the day when informed consent is obtained until 90 days following the last administration of study treatment.
Progression-free survival
PFS will be determined according to the guidance from the International Working Group
Time frame: PFS will be measured from the day of the registration on study until the end of follow up, for up to 5 years
Event-free survival
EFS will be determined using the following events: disease progression, disease recurrence, a switch from TPG to standard chemotherapy (or alternative therapy), initiation of any new therapy for lymphoma after attaining a CR, or death from any cause.
Time frame: EFS will be measured from the day of the registration on study until the end of follow up, for up to 5 years
Overall survival
OS will be determined using death from any cause and measured from registration until the end of follow up.
Time frame: OS will be measured from the day of the registration on study until the end of follow up, for up to 5 years
Duration of response
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Anti-CD20 monoclonal antibody
assessed only for patients who achieve an overall response
Time frame: Duration of response will be measured from the day of the first response recored on study until the end of follow up, for up to 5 years
Duration of complete response
assessed only for patients who achieve a complete response
Time frame: Duration of complete response will be measured from the first response assessment showing a complete response until the end of follow up, up to 5 years.
Health-related quality of life
HR-QOL will be measured using FACT-Lym instrument. FACT-Lym has a score range of 0 to 88 and the higher scores indicate worse HR-QOL
Time frame: At timepoints specified in the protocol: at baseline, after Cycle 4 (cycle length is 21 days), at the end of therapy visit (typically 9 months from the start).
Patient-centered measure of treatment burden
Measured using the PRIMIS-APSRA instrument. The instrument has a score range 8 to 40 and higher scores indicate better functional status.
Time frame: At timepoints specified in the protocol: at baseline, after Cycle 4 (cycle length is 21 days), at the end of therapy visit (typically 9 months from the start of therapy).
Minimal residual disease
using a ctDNA assay performed at protocol-specified timepoints
Time frame: At timepoints specified in the protocol: at baseline, after Cycle 4 (cycle length is 21 days), at the end of therapy (typically 9 months from the start), then every 6 months until 2 years of follow up.