Patologia: Linfomi, Neoplasie ematologiche
Osservazionale-Sperimentale: Sperimentale
Monocentrico-Multicentrico: Multicentrico
Randomizzato: No
Fase di studio: II
Linee di trattamento: Seconda linea, Terza/N linea
Criteri di inclusione:
- Life expectancy ≥ 12 weeks
- Histologically confirmed diffuse large B-cell lymphoma, not otherwise specified (NOS)
- Relapsed / refractory disease
- At least one prior line of systemic therapy - Participants may have undergone ASCT prior to recruitment - Local therapies (e.g., radiotherapy) will not be considered as lines of therapy
- Participants who have failed one prior line of therapy must not be a candidate for high-dose chemotherapy followed by autologous 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.
Criteri di esclusione:
- Participant has failed only one prior line of therapy and is a candidate for stem cell transplantation
- History of transformation of indolent disease to DLBCL
- High-grade B-cell lymphoma with MYC and BCL2 and/or BCL6 rearrangements, and high-grade B-cell lymphoma NOS, as defined by 2016 WHO guidelines
- Primary mediastinal B-cell lymphoma
- Contraindication to obinutuzumab, gemcitabine or oxaliplatin, or tocilizumab
- 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.
Trattamento sperimentale:
glofitamab+gemcitabina+oxaliplatino
Trattamento di controllo:
NA
ASST Spedali Civili di Brescia
Piazzale Spedali Civili 1 - 25123 Brescia - BS
U.O. Ematologia
Telefono: 0303995747
Email: ematologia@asst-spedalicivili.it
IRCCS - IRST Meldola Dino Amadori
Via P. Maroncelli 40 - 47014 Meldola - FC
SSD Ematologia e Trapianti CSE
Telefono: 0543739100
Istituto Europeo di Oncologia
Via Ripamonti 435 - 20141 Milano - MI
Oncoematologia
Telefono: 0257489538
Istituto Clinico Humanitas Rozzano
Via Manzoni 56 - 20089 Rozzano - MI
U.O. di Oncologia Medica ed Ematologia
Istituto Nazionale Tumori IRCCS Fondazione Pascale
Via Mariano Semmola - 80131 Napoli - NA
S.C. Ematologia oncologica
Email: ematologiaoncologica@istitutotumori.na.it
Numero di iscrizione a registro: 2024-516791-15-00
Data di inserimento: 07.07.2025
Hoffmann-La Roche
Riferimento: Dr. Info non applicabile
Telefono: 00000
Email: na@na.it
Localita: na