Columvi Accelerated Approval for Lymphoma
FDA has granted Genentech accelerated approval for its BLA for Columvi (glofitamab-gxbm) and its use in treating adult patients with relapsed or refractory (R/R) diffuse large B-cell lymphoma (DLBCL) not otherwise specified or large B-cell lymphoma arising from follicular lymphoma, after two or more lines of systemic therapy. DLBCL is an aggressive, hard-to-treat disease and is the most common form of non-Hodgkin’s lymphoma in the U.S., according to the company. “While many people with DLBCL are responsive to treatment, the majority of those who relapse or are refractory to subsequent treatments have poor outcomes.”
Approval was based on data from the Phase 1-2 NP30179 study of Columvi given as a fixed course for 8.5 months in 132 patients with DLBCL who had relapsed or were refractory to prior therapies, including about one-third (30%) who had received prior CAR T-cell therapy, Genentech says. Data showed that Columvi patients achieved durable remission, with 56% of patients achieving an overall response and 43% of patients achieving a complete response. “Over two-thirds of those who responded continued to respond for at least nine months,” it says.
On the safety side, the most common adverse events were cytokine release syndrome (70% of patients having reported), musculoskeletal pain (21%), fatigue (20%) and rash (20%).