ClinicalTrials.gg
Not yet recruitingNCT07502872TPGUpdated Sep 1, 2026

TPG: Tafasitamab, Polatuzumab Vedotin, and Glofitamab as First-line Therapy for Diffuse Large B-cell Lymphoma and High-grade B-cell Lymphoma

A Phase 2 interventional study of Tafasitamab and Polatuzumab vedotin in Diffuse Large B Cell Lymphoma, High-grade B-cell Lymphoma and Lymphoma, sponsored by Brown University. Not yet recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-01.

Sponsored by Brown University · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
30
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

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).

02

Conditions studied

  • Diffuse Large B Cell Lymphoma
  • High-grade B-cell Lymphoma
  • Lymphoma
  • Lymphoma, B-Cell

Keywords

  • glofitamab
  • polatuzumab vedotin
  • tafasitamab
  • immunotherapy
03

In context

Lymphoma, Large B-Cell, Diffuse

1,868 studies on the registry are indexed under Lymphoma, Large B-Cell, Diffuse; 355 are open to participants now.

This study's planned enrollment of 30 is below the median of 45 across 1,497 interventional studies indexed under Lymphoma, Large B-Cell, Diffuse.

Browse Lymphoma, Large B-Cell, Diffuse studies →

Lead sponsor

Brown University is the lead sponsor of 290 studies on the registry; 40 are open to participants now.

Of its 26 completed or terminated interventional studies of FDA-regulated products, 19 (73%) 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

  1. Ability to understand and the willingness to sign a written document and to comply with the study protocol procedures.
  2. Age ≥18 years.
  3. confirmed diagnosis of DLBCL, or HGBL, according to 5th edition WHO classification. Eligible WHO entities include:

    • Diffuse large B-cell lymphoma, not otherwise specified (NOS)
    • T-cell/histiocyte-rich large B-cell lymphoma
    • DLBCL/HGBL with MYC and BCL2 rearrangements
    • Large B-cell lymphoma with IRF4 rearrangement
    • HGBL with 11q aberration
    • EBV-positive diffuse large B-cell lymphoma
    • DLBCL associated with chronic inflammation
    • Primary large B-cell lymphoma of immune-privileged sites
    • Primary cutaneous DLBCL, leg type
    • Intravascular large B-cell lymphoma
    • Primary mediastinal large B-cell lymphoma
    • HGBL, NOS
    • Grade 3B follicular lymphoma.
  4. FDG-avid disease by PET-CT Lugano criteria.
  5. No prior systemic therapy for B-cell lymphoma, except for:

    • ;
    • a single cycle of chemotherapy administered prior to enrollment (to facilitate enrolling patients who require emergent initiation of therapy for rapidly progressive or symptomatic lymphoma);
    • prior local radiation therapy;
    • prior treatment for indolent lymphoma.
  6. Performance status 0, 1, or 2.
  7. Ability to receive one of the standard chemotherapy regimens for DLBCL/HGBL including attenuated versions, where clinically appropriate
  8. Required initial laboratory values: (unless due to underlying lymphoma):

    • ≥1.0 x 109/L,
    • count ≥75 x 109/L.
    • creatinine ≤ 1.5 mg/dL or (GFR) ≥40 mL/min/1.73m2 using the Mayo Quadratic Formula
    • total ≤ 1.5 × institution (ULN) unless attributable to Gilbert's disease
    • and ALT ≤ 3 × institution ULN.
    • Negative antigen or PCR test for SARS-CoV-2.
  9. Women of and men must agree to use adequate (hormonal or barrier method of birth control; abstinence) and refrain from donating eggs or sperm throughout the treatment and for 3 months after the last dose of trial therapy.

Exclusion criteria

Exclusion Criteria:

  1. Pregnancy, breast-feeding, or prisoner status.
  2. Central nervous system involvement by the lymphoma.
  3. Prior solid organ transplantation or stem cell transplantation.
  4. History of severe allergic or anaphylactic reactions to humanized or murine monoclonal antibodies or known sensitivity or allergy to murine products.
  5. Known class 3/4 congestive heart failure, (LVEF) \<30%, or active ischemic heart disease.
  6. (COPD) requiring continuous oral or chronic oxygen.
  7. Grade >1 peripheral neuropathy.
  8. Use of systemic medications (including, but not limited to, corticosteroids, cyclophosphamide, azathioprine, methotrexate, thalidomide, and anti-tumor necrosis factor agents), within 2 weeks prior to first dose of study treatment (except as allowed in the inclusion criteria for the management of lymphoma).
  9. Any of the following conditions:

    • active bacterial infection requiring antibiotics
    • chronic active Epstein Barr virus (CAEBV) infection
    • history of hemophagocytic lymphohistiocytosis (HLH)
    • history of Stevens-Johnson syndrome or toxic epidermal necrolysis
    • progressive multifocal leukoencephalopathy (PML)
    • known active EBV or CMV viremia
    • disease requiring systemic immunosuppressive therapy
    • active myasthenia gravis, myositis, autoimmune hepatitis, idiopathic pulmonary fibrosis, systemic lupus erythematosus, inflammatory bowel disease, granulomatosis with polyangiitis, Guillain-Barré syndrome, multiple sclerosis, vasculitis, or glomerulonephritis
    • active (HBV) or (HCV) infection. Patients with a positive total/IgG HBV core antibody (HBcAb) are eligible if (1) HBV DNA is documented at screening, (2) they agree to take entecavir or tenofovir, and (3) they agree to undergo periodic DNA testing. Patients with a positive HCV antibody are eligible if a negative polymerase chain reaction (PCR) for HCV is documented.
    • infection with a detectable viral load or a \<200 cells/mm3. Patients (1) with an undetectable viral load and CD4 count >200 cells/mm3 within 6 months prior to enrollment, and (2) on antiretroviral therapy are eligible.
  10. Administration of a live, attenuated vaccine within 4 weeks before first treatment or anticipation that such a live, attenuated vaccine will be required during the study.
  11. History of other that could affect compliance with the protocol or interpretation of the primary endpoint in the judgement of the investigator.
  12. Any major surgery within 4 weeks before the first dose of treatment.
  13. Evidence of other significant or uncontrolled medical or psychiatric conditions that could affect compliance with the protocol, in the judgement of the investigator.
Terms in these criteria, in plain language(23)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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.

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.

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.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

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.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

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.

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.

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.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

CD4 count

The number of CD4 cells, a type of white blood cell, in a given amount of blood. It is used to follow how well the immune system is doing in HIV.

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
30 participants (estimated)

Study arms

  • Experimental
    TPG therapy

    All enrolled patients will receive the same study therapy for the first four 21-day cycles, followed by the primary endpoint evaluation, and subsequent response-adapted therapy. After 4 cycles, the primary endpoint will be assessed by using positron emission tomography/computed tomography (PET-CT) based Lugano criteria. Subsequent therapy will be determined at that time, guided by the response assessment. Patients in complete response or with a partial metabolic response and a negative minimal residual disease (MRD) assay will continue with subsequent cycles of TPG immunotherapy. Patients who do not achieve these criteria will transition to standard immunochemotherapy, which will be delivered according to institutional standards.

    Drug: Tafasitamab · Drug: Polatuzumab vedotin · Drug: Glofitamab · Drug: Obinutuzumab

Interventions

  • Cytolytic monoclonal antibody targeting CD19.

    Also known as: Monjuvi

  • CD79b-targeting antibody-drug conjugate

    Also known as: Polivy

  • CD20xCD3 bispecific antibody

    Also known as: Columvi

  • Anti-CD20 monoclonal antibody

    Also known as: Gazyva

06

What researchers measure

Primary outcomes

  1. 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

  2. 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.

Secondary outcomes

  1. 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

  2. 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

  3. 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

  4. Duration of response

    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

  5. 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.

  6. 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).

  7. 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).

  8. 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.

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No — IPD are protected by applicable US laws. Summary data can be provided by the principal investigator to qualified researchers with adequate human subject protection committee approval and data use agreement.

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 1, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07502872
Lead sponsor
Brown University
Responsible party
Adam Olszewski (Associate Professor of Medicine, Brown University) — Principal investigator
First posted
Mar 31, 2026
Start date
Nov 1, 2026 (estimated)
Primary completion
Jan 1, 2030 (estimated)
Completion
Jan 1, 2030 (estimated)
Last update
Sep 1, 2026

Study contacts

Roxanne Wood
Contact
BrUOG@brown.edu
(401) 863-3000
Adam Olszewski
principal investigator · Brown University Health

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Studies of the drugs tested here: Tafasitamab · Polatuzumab vedotin · Glofitamab

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