ClinicalTrials.gg
RecruitingNCT06806033Updated Nov 10, 2026

Evaluate Optimization of CRS Profile for Glofit Monotherapy and Glofit+GemOx in R/R Aggressive B-NHL

A Phase 2 interventional study of Obinutuzumab and Glofitamab in Relapsed or Refractory Aggressive B-Cell Non-Hodgkins Lymphoma, sponsored by Hoffmann-La Roche. Recruiting at 53 sites in 7 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-10.

Primary conditionnone(registry's first term: Recurrence)No conditionIs this wrong?Recurrence describes something many studies share rather than a condition a study is about. The study names no condition we can place it under, so it is not compared with other studies by condition.

Sponsored by Hoffmann-La Roche · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Mar 2025; still recruiting 1 year 8 months later.
Updated Nov 10, 2026Site recruiting status changedPrimary completion moved+1 moreGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
130
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This Phase II trial evaluates the optimization of the cytokine release syndrome (CRS) profile for glofitamab in combination with gemcitabine and oxaliplatin (Glofit-GemOx) followed by glofitamab monotherapy treatment regimen (Cohort A), and for glofitamab monotherapy (Cohort B) in participants with relapsed or refractory aggressive B-cell Non-Hodgkin's lymphoma. The study utilizes an optimized steroid premedication regimen and monitoring schedule specifically designed to enable the administration of the treatment regimen in an outpatient setting.

02

Conditions studied

  • Relapsed or Refractory Aggressive B-Cell Non-Hodgkins Lymphoma

Keywords

  • Phase 2
  • Outpatient study
  • Open-label
  • Glofitamab
  • Gemcitabine
  • Oxaliplatin
  • Obinutuzumab
  • GemOx
  • Glofit-GemOx
  • Bispecific antibody
  • Aggressive B-cell Non-Hodgkin's lymphoma
  • Diffuse Large B-Cell Lymphoma (DLBCL)
  • DLBCL NOS (Not Otherwise Specified)
  • High-Grade B-Cell Lymphoma (HGBL)
  • HGBL NOS
  • Transformed follicular lymphoma
  • DLBCL/HGBL with MYC and BCL2 rearrangements
  • Double-hit lymphoma
  • Relapsed or Refractory (R/R)
  • Non-Hodgkin Lymphoma (NHL)
  • Cytokine Release Syndrome (CRS)
  • CRS optimization
  • Step-up dosing
03

In context

Lead sponsor

Hoffmann-La Roche is the lead sponsor of 2,101 studies on the registry; 87 are open to participants now.

Of its 330 completed or terminated interventional studies of FDA-regulated products, 248 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • >= 12 weeks.
  • For participants in the Glofit-GemOx combination therapy cohort (Cohort A) and the glofitamab monotherapy cohort (Cohort B), participant with confirmed diffuse large B-cell lymphoma, (de novo or transformed from a follicular lymphoma (FL); participants with transformed FL must be (R/R) to standard therapies of transformed FL) with one of the following diagnoses according to World Health Organization, fifth edition (Alaggio et al. 2022). A fresh at study entry is not mandated. The histology can be confirmed based on fresh biopsy, or pathology report from a previous biopsy or an assessment of archival tumor tissue.

    1. Diffuse Large B-Cell Lymphoma (DLBCL) not otherwise specified (NOS).
    2. High-Grade B-Cell Lymphoma (HGBL), NOS.
    3. DLBCL/HGBL with myelocytomatosis proto-oncogene (MYC) and B-cell lymphoma 2 (BCL2) rearrangements.
  • R/R disease, defined as: relapsed = disease that has recurred following a response that lasted >/= 6 months after completion of the last ; refractory = disease that did not respond to or that progressed \< 6 months after completion of the last line of therapy.
  • At least one line of prior systemic therapy.
  • Participants who have failed one prior line of therapy (eligible to Cohort A) must not be a candidate for high-dose chemotherapy followed by stem cell transplant.
  • At least one bi-dimensionally measurable (> 1.5 cm) nodal lesion, or one bi-dimensionally measurable (> 1 cm) extranodal lesion, as measured on CT scan.
  • (ECOG) status of 0, 1, or 2.
  • According to the investigator's judgment, participants should be able to receive the step-up dose regimen in an outpatient setting.

Exclusion criteria

Exclusion Criteria:

  • Prior enrollment in Studies GO41943 (NCT04313608), GO41944 (STARGLO; NCT04408638), or Study GO44900 (NCT06624085).
  • Participant has failed only one and is a candidate for stem cell transplantation.
  • Any history of Waldenstrom's macroglobulinemia.
  • Primary mediastinal B-cell lymphoma.
  • History of severe allergic or anaphylactic reactions to humanized or murine monoclonal antibodies (or recombinant antibody-related fusion proteins) or known sensitivity or allergy to murine products.
  • to obinutuzumab, gemcitabine or oxaliplatin, or tocilizumab. For participants in the monotherapy cohort (Cohort B), participants with contraindication to obinutuzumab or tocilizumab will be excluded.
  • Prior treatment with glofitamab or other bispecific antibodies targeting both CD20 and CD3.
  • For the Glofit-GemOx combination therapy cohort (Cohort A), prior treatment with gemcitabine or oxaliplatin.
  • For the Glofit-GemOx combination therapy cohort (Cohort A), peripheral neuropathy or paresthesia assessed to be Grade >= 2 according to National Cancer Institute (NCI CTCAE) v5.0 at enrolment.
  • Treatment with radiotherapy, chemotherapy, immunotherapy, therapy, or any agent for the purposes of treating cancer within 2 weeks prior to first study treatment.
  • Treatment with monoclonal antibodies for the purposes of treating cancer within 4 weeks prior to first study treatment.
  • Primary or secondary CNS lymphoma at the time of recruitment.
  • Prior CNS involvement that has been definitively treated and confirmed via magnetic resonance imaging (MRI) or cerebrospinal fluid analysis to be in complete remission is permissible.
  • Current or history of CNS disease, such as stroke, epilepsy, CNS vasculitis, or neurodegenerative disease.
  • History of other primary , with exceptions defined by the protocol.
  • Significant or extensive cardiovascular disease.
  • Significant pulmonary disease (including moderate or severe obstructive pulmonary disease).
  • Known active bacterial, viral, fungal, mycobacterial, parasitic, or other infection (excluding fungal infections of nail beds) at study enrollment or any major episode of infection (as evaluated by the investigator) within 4 weeks prior to the first study treatment.
  • Positive for: severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2); tuberculosis; virus (HBV); virus (HCV); chronic active Epstein-Barr viral infection.
  • Known or suspected history of hemophagocytic lymphohistiocytosis (HLH) or progressive multifocal leukoencephalopathy.
  • Adverse events from prior anti-cancer therapy that have not resolved to Grade 1 or better (with the exception of alopecia and anorexia).
  • Administration of a live, attenuated vaccine within 4 weeks before first study treatment administration or anticipation that such a live, attenuated vaccine will be required during the study.
  • Prior solid organ transplantation or prior allogenic stem cell transplant.
  • Active disease requiring treatment.
  • Prior treatment with systemic immunosuppressive medications (including, but not limited to, cyclophosphamide, azathioprine, methotrexate, thalidomide, and antitumor necrosis factor agents), within 4 weeks prior to first dose of study treatment.
  • Ongoing systemic use which, in the opinion of the investigator, puts the participant at increased risk of steroid-related iatrogenic adrenal insufficiency.
  • Recent major surgery (within 4 weeks before the first study treatment) other than for diagnosis.
  • history of cirrhotic liver disease.
  • Any other diseases, metabolic dysfunction, physical examination finding, or clinical laboratory finding giving reasonable suspicion of a disease or condition that contraindicates the use of an investigational drug or that may affect the interpretation of the results or renders the participant at high-risk from treatment complications.
  • Pregnancy or breastfeeding, or intention of becoming pregnant during the study or within 18 months after the final dose of study treatment.
Terms in these criteria, in plain language(17)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

CTCAE grade

The US National Cancer Institute’s scale of how severe an adverse event is — any unwanted medical event during a study, such as a symptom, an illness or an abnormal test result, whether or not a treatment caused it. Whether it did is judged separately.

1
Mild.
2
Moderate.
3
Severe.
4
Life-threatening.
5
Death due to the event.

“Side effects of earlier treatment resolved to grade 1 or less” means they have settled to mild or gone.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
130 participants (estimated)

Study arms

  • Experimental
    Cohort A: Glofit-GemOx Combination therapy

    Participants with R/R aggressive B-cell Non-Hodgkin's Lymphoma will receive obinutuzumab pre-treatment, followed by glofitamab + gemcitabine + oxaliplatin, followed by glofitamab monotherapy. NOTE: Cohort A has been closed for recruitment.

    Drug: Obinutuzumab · Drug: Glofitamab · Drug: Gemcitabine · Drug: Oxaliplatin

  • Experimental
    Cohort B: Glofitamab Monotherapy

    Participants with R/R aggressive B-cell Non-Hodgkin's Lymphoma will receive obinutuzumab pre-treatment, followed by glofitamab monotherapy.

    Drug: Obinutuzumab · Drug: Glofitamab

Interventions

  • Participants will receive intravenous (IV) obinutuzumab 7 days prior to the first dose of glofitamab.

    Also known as: RO5072759

  • Participants will receive IV glofitamab, both in combination with gemcitabine and oxaliplatin and as monotherapy, for up to 12 cycles (cycle length = 21 days).

    Also known as: RO7082859

  • Participants will receive IV gemcitabine in combination with glofitamab and oxaliplatin for up to 8 cycles (cycles length = 21 days).

  • Participants will receive IV oxaliplatin in combination with glofitamab and gemcitabine for up to 8 cycles (cycle length = 21 days).

06

What researchers measure

Primary outcomes

  1. Incidence of Cytokine Release Syndrome (CRS)

    Time frame: Up to approximately 5 years

Secondary outcomes

  1. Incidence of Serious Cytokine Release Syndrome (CRS) Events

    Time frame: Up to approximately 5 years

  2. CRS Frequency Relative to the Start of Glofitamab Infusions

    Time frame: Up to approximately 5 years

  3. Incidence and Severity of Adverse Events (AEs)

    Time frame: Up to approximately 5 years

  4. Complete Response (CR) Rate as Determined by Independent Review Facility (IRF) and the Investigator

    CR rate is defined as the proportion of participants whose best overall response is a CR based on PET/CT according to the 2014 Lugano Response Criteria during the study, as determined by the Independent Review Facility and the investigator.

    Time frame: Up to approximately 5 years

  5. Overall Response Rate (ORR) as Determined by IRF and the Investigator

    ORR is defined as the proportion of participants whose best overall response is a PR or a CR according to the 2014 Lugano Response Criteria during the study, as determined by the Independent Review Facility and the investigator.

    Time frame: Up to approximately 5 years

  6. Duration of Response (DOR)

    DOR is defined as the time from the first occurrence of a documented objective response (CR or PR) to disease progression, or death from any cause, whichever occurs first.

    Time frame: From the first occurrence of a documented objective response to disease progression or death from any cause, whichever occurs first (Up to approximately 5 years)

  7. Duration of Complete Response (DOCR)

    DOCR is defined as the time from the first occurrence of a documented CR to disease progression, or death from any cause, whichever occurs first.

    Time frame: From the first occurrence of a documented CR to disease progression or death from any cause, whichever occurs first (Up to approximately 5 years)

  8. Progression-Free Survival (PFS) as Determined by the IRF and the Investigator

    PFS is defined as the time from enrollment to the first occurrence of disease progression according to the 2014 Lugano Response Criteria or death from any cause, whichever occurs first, as determined by the Independent Review Facility and investigator.

    Time frame: From enrollment to the first occurrence of disease progression or death from any cause, whichever occurs first (Up to approximately 5 years)

  9. Overall Survival (OS)

    OS is defined as the time from enrollment to date of death from any cause.

    Time frame: From enrollment to date of death from any cause (Up to approximately 5 years)

07

Study locations

45 of 53 sites recruiting
08

References and documents

Individual participant data

Plan to share: 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

09

Timeline

2 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it moved

Started Mar 2025 (actual). Primary completion is estimated for Jul 2029, 52 months after the start.

Since we started tracking on Sep 25, 2026, the dates moved once, on Nov 10, 2026: primary completion Jan 2027 → Jul 2029 and completion Mar 2029 → Jul 2030.

Earlier changes are on the record history on ClinicalTrials.gov ↗

How these figures are worked out, and which studies are left out of them.

Registered
Jan 21, 2025
First posted
Feb 3, 2025
StartActual
Mar 5, 2025
Primary completionEst.
Jul 31, 2029was Jan 2027
CompletionEst.
Jul 31, 2030was Mar 2029
Last update
Nov 10, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Sites
8 sites changed recruiting status (6 now recruiting, 2 now withdrawn)
Show 8 sites
  • Epworth Hospital · East Melbourne, AustraliaActive, not recruiting→Recruiting
  • Los Angeles Cancer Network · Glendale, United StatesRecruiting→Withdrawn
  • North Florida/ South Georgia VA Medical Center · Gainesville, United StatesRecruiting→Withdrawn
  • Istituto Nazionale Tumori Irccs Fondazione g. Pascale · Naples, ItalyActive, not recruiting→Recruiting
  • IRCCS Istituto Romagnolo per lo studio dei tumori "Dino Amadori" · Meldola, ItalyActive, not recruiting→Recruiting
  • A.O. Spedali Civili Di Brescia-P.O. Spedali Civili · Brescia, ItalyActive, not recruiting→Recruiting
  • Irccs Istituto Europeo Di Oncologia (IEO) · Milan, ItalyActive, not recruiting→Recruiting
  • Istituto Clinico Humanitas · Rozzano, ItalyActive, not recruiting→Recruiting
across 2 updates, Oct 9, 2026 – Nov 10, 2026
Primary completion
Jan 31, 2027→Jul 31, 2029
Nov 10, 2026
Study completion
Mar 30, 2029→Jul 31, 2030
Nov 10, 2026
Show all 2 updates
  1. Nov 10, 2026
    7 sites changed recruiting status (5 now recruiting, 2 now withdrawn)
    Show 7 sites
    • Los Angeles Cancer Network · Glendale, United StatesRecruiting→Withdrawn
    • North Florida/ South Georgia VA Medical Center · Gainesville, United StatesRecruiting→Withdrawn
    • Istituto Nazionale Tumori Irccs Fondazione g. Pascale · Naples, ItalyActive, not recruiting→Recruiting
    • IRCCS Istituto Romagnolo per lo studio dei tumori "Dino Amadori" · Meldola, ItalyActive, not recruiting→Recruiting
    • A.O. Spedali Civili Di Brescia-P.O. Spedali Civili · Brescia, ItalyActive, not recruiting→Recruiting
    • Irccs Istituto Europeo Di Oncologia (IEO) · Milan, ItalyActive, not recruiting→Recruiting
    • Istituto Clinico Humanitas · Rozzano, ItalyActive, not recruiting→Recruiting
    Primary completion Jan 31, 2027→Jul 31, 2029
    Study completion Mar 30, 2029→Jul 31, 2030
    + 2 other changes: verification date and arm descriptions
  2. Oct 9, 2026
    Epworth Hospital is now Recruiting
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06806033
Lead sponsor
Hoffmann-La Roche
Responsible party
Sponsor
First posted
Feb 3, 2025
Start date
Mar 5, 2025
Primary completion
Jul 31, 2029 (estimated)
Completion
Jul 31, 2030 (estimated)
Last update
Nov 10, 2026

Study contacts

Reference Study ID Number: GO45434 https://forpatients.roche.com/ No attachments to email below.
Contact
global-roche-genentech-trials@gene.com
888-662-6728 (U.S. Only)
Fastest response: use the inquiry form. https://www.gene.com/contact-us/submit-medical-inquiry
Contact
Study Director
study director · Hoffmann-La Roche

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Glofitamab

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