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临床试验/NCT07472621
NCT07472621尚未招募不适用

Efficacy and Safety of Glofitamab in the Real-World Treatment of Patients With Primary Refractory and Early Relapsed Diffuse Large B-Cell Lymphoma

Henan Cancer Hospital1 个研究点 分布在 1 个国家目标入组 20 人开始时间: 2026年3月10日最近更新:

试验速览

阶段
不适用
状态
尚未招募
入组人数
20
试验地点
1
主要终点
Overall Response Rate (ORR)

研究概览

简要总结

This is a prospective, observational, non-interventional real-world study that will not alter participants' routine clinical care. Approximately 20 eligible patients with diffuse large B-cell lymphoma (DLBCL) will be enrolled. Treatment decisions will be made by the treating physician based on standard clinical practice and may include glofitamab monotherapy or glofitamab-based combination regimens, such as glofitamab plus gemcitabine and oxaliplatin (Glofit-GemOx) or glofitamab plus polatuzumab-based therapy (Glofit-Pola).

The study will collect baseline characteristics (including age, sex, medical history, and molecular subtype), treatment information, laboratory test results, adverse events, and survival follow-up data. Circulating tumor DNA (ctDNA) testing will be performed to assess minimal residual disease (MRD) in peripheral blood. When clinically indicated, cerebrospinal fluid samples may be collected to measure drug concentration.

All personal information will be kept strictly confidential. Identifiable information will be removed and replaced with coded study numbers. Medical records will be maintained at the study site and accessed only by authorized research personnel. Representatives from the sponsor, ethics committee, or regulatory authorities may review study records as required. Study results will be published in aggregated form without including any information that could identify individual participants. Study data and personal information will be used solely for research purposes.

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Prospective

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Participants must meet all of the following criteria:
  • Age ≥18 years at the time of treatment initiation.
  • Histologically or pathologically confirmed diffuse large B-cell lymphoma (DLBCL).
  • Patients with primary refractory disease or early relapse, defined as:
  • Failure to achieve complete response (CR) after at least 4 cycles of first-line induction therapy, or
  • Relapse confirmed by imaging within 12 months after achieving CR following first-line therapy.
  • Patients who plan to initiate a glofitamab-containing treatment regimen (either monotherapy or combination therapy) within 12 months after study initiation.
  • Willing and able to comply with study follow-up and data collection requirements.

排除标准

  • Participants meeting any of the following criteria will be excluded:
  • Currently participating in, or planning to participate in, any interventional clinical trial.
  • Any condition that, in the investigator's judgment, would make the patient unsuitable for participation in this study (e.g., inability to complete follow-up, safety concerns, or significant comorbidities).

研究组 & 干预措施

Glofitamab-Based Therapy Cohort

Patients with diffuse large B-cell lymphoma (DLBCL) receiving glofitamab-based therapy in routine clinical practice will be included in this cohort. Treatment regimens are determined by the treating physicians and may include glofitamab monotherapy or glofitamab in combination with chemotherapy or other agents (e.g., GemOx or polatuzumab-based regimens). Clinical data, treatment response, safety outcomes, and circulating tumor DNA (ctDNA) measurements will be prospectively collected and analyzed.

结局指标

主要结局

Overall Response Rate (ORR)

时间窗: Up to 6 months

Overall response rate (ORR) is defined as the proportion of patients achieving complete response (CR) or partial response (PR) according to the Lugano criteria for lymphoma. The primary analysis will evaluate ORR at the end of treatment (EOT).

次要结局

  • Complete Response Rate (CR Rate)(Up to 6 months after enrollment)
  • Time to Next Treatment (TTNT)(Up to 24 months)
  • Disease Control Rate (DCR)(Up to 6 months after enrollment)
  • DoR(Up to 24 months)
  • Progression-Free Survival (PFS)(Up to 24 months)
  • Overall Survival (OS)(Up to 24 months)
  • Incidence of Adverse Events(From treatment initiation to 3 months after the last dose)

研究者

申办方类型
Other Gov
责任方
Principal Investigator
主要研究者

KeshuZhou

Associate Director, Department of Hematology

Henan Cancer Hospital

研究点 (1)

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