Evidence map›Paper›PMID 39661985›Full record

ArticleBlood advances2025

Safety and efficacy of glofitamab for relapsed/refractory large B-cell lymphoma in a multinational real-world study.

Evgenii Shumilov, Rebecca Wurm-Kuczera, Andrea Kerkhoff, Meng Wang, Thomas Melchardt, Udo Holtick, Ulrike Bacher, Philipp Staber, Paolo Mazzeo, Corinna Leng and 30 more

Abstract readMulticenter Study
In one paragraph

Article in Blood advances, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed.

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  3. Observational
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  18. Review
  19. Development and biomarkers of CD20/CD3 bispecific antibodies in diffuse large B-cell lymphoma.Journal of clinical and experimental hematopathology : JCEH · 2025
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

40 authors.

Evgenii ShumilovDepartment of Medicine A, Hematology, Oncology, and Pneumology, University Hospital Muenster, Münster, Germany.ORCID 0000-0003-0178-1729
Rebecca Wurm-KuczeraDepartment of Hematology, Oncology, and Cancer Immunology, Campus Benjamin Franklin, Charité-Universitätsmedizin Berlin, Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Andrea KerkhoffDepartment of Medicine A, Hematology, Oncology, and Pneumology, University Hospital Muenster, Münster, Germany.ORCID 0000-0001-6904-2821
Meng WangDepartment of Hematology, Oncology, and Cancer Immunology, Campus Benjamin Franklin, Charité-Universitätsmedizin Berlin, Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.ORCID 0009-0006-1426-4594
Thomas MelchardtSalzburg Cancer Research Institute, Center for Clinical Cancer and Immunology Trials, Salzburg, Austria.ORCID 0000-0002-0122-3631
Udo HoltickDepartment I of Internal Medicine, Medical Faculty and University Hospital of Cologne, University of Cologne, Cologne, Germany.ORCID 0000-0002-5543-0257
Ulrike BacherDepartment of Hematology, University Hospital Inselspital and University of Bern, Bern, Switzerland.ORCID 0000-0001-8771-947X
Philipp StaberDivision of Hematology and Hemostaseology, Department of Medicine I, Medical University of Vienna, Vienna, Austria.ORCID 0000-0001-6729-7708
Paolo MazzeoDepartment of Hematology and Medical Oncology, and INDIGHO Laboratory, University Medical Center Göttingen, Göttingen, Germany.ORCID 0000-0001-6317-0216
Corinna LengDepartment of Hematology, Oncology, and Cancer Immunology, Campus Benjamin Franklin, Charité-Universitätsmedizin Berlin, Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.ORCID 0009-0006-4007-9122
David BöckleDepartment of Hematology, Oncology, and Cancer Immunology, Campus Benjamin Franklin, Charité-Universitätsmedizin Berlin, Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.ORCID 0000-0002-1783-9641
Alexander HölscherDepartment of Hematolgy, Oncology and Immunology, University Hospital of Düsseldorf, Düsseldorf, Germany.ORCID 0009-0004-8994-1137
Joseph KauerDepartment of Hematology and Oncology, University Hospital Heidelberg, Heidelberg, Germany.ORCID 0000-0003-1632-0167
Natalia RotterInternal Medicine I: Medical Oncology and Hematology, Ordensklinikum Linz GmbH, Elisabethinen, Linz, Austria.ORCID 0009-0009-9813-5344
Vladan VucinicDepartment of Hematology, Cell Therapy, Hemostaseology and Infectious Diseases, University Hospital Leipzig, Leipzig, Germany.ORCID 0000-0002-8398-285X
Jakob RudzkiClinic for Hematology and Oncology, Comprehensive Cancer Center Innsbruck, Tyrolean Cancer Research Institute, Medical University Innsbruck, Innsbruck, Austria.ORCID 0000-0001-7963-3385
David NachbaurClinic for Hematology and Oncology, Comprehensive Cancer Center Innsbruck, Tyrolean Cancer Research Institute, Medical University Innsbruck, Innsbruck, Austria.ORCID 0009-0006-6243-915X
Veit BückleinDepartment of Medicine III, University Hospital, Ludwig-Maximilians-University Munich, Munich, Germany.ORCID 0000-0001-7391-7280
Ulf SchnetzkeHematology and Medical Oncology, University Hospital Jena, Jena, Germany.ORCID 0000-0001-7455-8988
Isabelle KrämerDepartment of Hematology and Oncology, University Hospital Heidelberg, Heidelberg, Germany.ORCID 0000-0003-1667-4109
Kai WilleUniversity Clinic for Haematology, Oncology, Hemostaseology and Palliative Care, Johannes Wesling Medical Center Minden, University Hospital of the University of Bochum, Minden, Germany.ORCID 0000-0002-7682-8563
Alexander HasseDepartment of Internal Medicine 1-Oncology, Hematology, Clinical Immunology, and Rheumatology, Saarland University Medical School, Homburg, Germany.
Bastian von TresckowDepartment of Hematology and Stem Cell Transplantation, West German Cancer Center, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.ORCID 0000-0003-1410-4487
Mathias HänelDepartment of Internal Medicine III, Klinikum Chemnitz, Chemnitz, Germany.ORCID 0000-0002-4767-3275
Christian KoeneckeDepartment of Hematology and Oncology, University Hospital Hannover, Hannover, Germany.ORCID 0000-0001-7025-1735
Giuliano Filippini VelazquezDepartment of Hematology, University Hospital Augsburg, Augsburg, Germany.ORCID 0000-0003-2884-3432
Andreas ViardotDepartment of Internal Medicine III, University Hospital of Ulm, Ulm, Germany.ORCID 0000-0001-9593-6327
Christoph SchmidDepartment of Hematology, University Hospital Augsburg, Augsburg, Germany.ORCID 0000-0001-7070-487X
Lorenz ThurnerDepartment of Internal Medicine 1-Oncology, Hematology, Clinical Immunology, and Rheumatology, Saarland University Medical School, Homburg, Germany.ORCID 0000-0002-8167-2989
Dominik WolfClinic for Hematology and Oncology, Comprehensive Cancer Center Innsbruck, Tyrolean Cancer Research Institute, Medical University Innsbruck, Innsbruck, Austria.ORCID 0000-0002-4761-075X
Marion SubkleweDepartment of Medicine III, University Hospital, Ludwig-Maximilians-University Munich, Munich, Germany.ORCID 0000-0001-9154-9469
Martin DreylingDepartment of Medicine III, University Hospital, Ludwig-Maximilians-University Munich, Munich, Germany.ORCID 0000-0002-0358-5249
Peter DregerDepartment of Hematology and Oncology, University Hospital Heidelberg, Heidelberg, Germany.ORCID 0000-0002-7429-8570
Sascha DietrichDepartment of Hematolgy, Oncology and Immunology, University Hospital of Düsseldorf, Düsseldorf, Germany.ORCID 0000-0002-0648-1832
Ulrich KellerDepartment of Hematology, Oncology, and Cancer Immunology, Campus Benjamin Franklin, Charité-Universitätsmedizin Berlin, Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.ORCID 0000-0002-8485-1958
Ulrich JägerDivision of Hematology and Hemostaseology, Department of Medicine I, Medical University of Vienna, Vienna, Austria.ORCID 0000-0001-9826-1062
Richard GreilSalzburg Cancer Research Institute, Center for Clinical Cancer and Immunology Trials, Salzburg, Austria.ORCID 0000-0002-4462-3694
Thomas PabstDepartment of Oncology, University Hospital Inselspital and University of Bern, Bern, Switzerland.ORCID 0000-0002-6055-5257
Georg LenzDepartment of Medicine A, Hematology, Oncology, and Pneumology, University Hospital Muenster, Münster, Germany.ORCID 0000-0002-4728-1693
Björn ChapuyDepartment of Hematology, Oncology, and Cancer Immunology, Campus Benjamin Franklin, Charité-Universitätsmedizin Berlin, Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.ORCID 0000-0002-6485-8773

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

abstractGlofitamab, a bispecific antibody targeting CD20 and CD3, is approved for relapsed/refractory diffuse large B-cell lymphoma (r/r DLBCL) after at least 2 prior treatment lines, but real-world data are scarce. In this retrospective, multicenter, multinational study, we evaluated the outcomes of 70 patients with r/r DLBCL treated with glofitamab as part of the compassionate use patient program in Germany, Austria, and Switzerland. The median number of prior treatment lines was 4, with 71% of patients refractory to their last treatment. Cytokine release syndrome was observed in 40% of patients (grade 3-4 in 2%), immune effector cell-associated neurotoxicity syndrome in 10% (grade 3 in 1%), and infections in 31% (grade 5 in 3%). The overall response rate was 46%, with 27% achieving complete responses (CR) and 19% partial responses. The median progression-free survival (PFS) was 3.6 months, whereas the median overall survival was 5.7 months. Notably, 13 patients (19%) were in CR 6 months after initiating glofitamab and exhibited durable responses. Elevated lactate dehydrogenase is the most robust predictor of inferior outcome. Patients pretreated with bendamustine within 6 months prior to glofitamab initiation exhibited significantly reduced PFS, suggesting that bendamustine may impair T-cell fitness and hence glofitamab efficacy. In summary, glofitamab demonstrates promising efficacy and a manageable safety profile in heavily pretreated patients with r/r DLBCL in a real-world scenario and the optimal sequence of treatments should use T-cell-depleting agents before glofitamab with caution.

Indexed as

Antibodies, BispecificAntineoplastic Agents, ImmunologicalLymphoma, Large B-Cell, DiffuseAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedRecurrenceRetrospective StudiesTreatment OutcomeAntibodies, BispecificAntineoplastic Agents, Immunological

Identifiers

PMID39661985
PMCPMC12332916

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