Roche Priority Review BLA for B-cell Lymphoma
FDA has accepted a Roche BLA for priority review for glofitamab, an investigational CD20xCD3 T-cell engaging bispecific antibody for treating adult patients with relapsed or refractory large B-cell lymphoma after two or more lines of systemic therapy. FDA has set a user fee review action target date of 7/1. “If approved, glofitamab would be the first fixed-duration, off-the-shelf CD20xCD3 T-cell engaging bispecific antibody available to treat people with an aggressive lymphoma who have previously received multiple courses of treatment,” the company says.
The BLA is based on positive data from the pivotal Phase 1-2 NP30179 study, which showed that 40% of patients achieved a complete response (CR) and 51.6% achieved an objective response. “Among those who achieved a CR, 73.1% continued to experience a response at 12 months, while the median duration of CR was not reached,” the company says. “The median duration of response was 18.4 months.”
The most common adverse event was cytokine release syndrome (CRS), which was mostly low grade, Roche says. Most of the events were associated with glofitamab’s initial administration of glofitamab (in cycle 1), adding that only one patient discontinued therapy due to CRS.
Glofitamab is engineered to have one region that binds to CD3, a protein on T-cells, and two regions that bind to CD20, a protein on B-cells, according to the company. “This dual-targeting brings the T-cell in close proximity to the B-cell, activating the release of cancer cell-killing proteins from the T-cell,” it adds.