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OncoMatch/Clinical Trials/NCT06252675

Glofitamab With Pirtobrutinib for Relapsed or Refractory Mantle Cell Lymphoma

Is NCT06252675 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments including Obinutuzumab and Glofitamab for mantle cell lymphoma.

Phase 2RecruitingUniversity of California, San FranciscoNCT06252675Data as of May 2026

Treatment: Obinutuzumab · Glofitamab · Pirtobrutinib · ClonoSeq AssayThis phase II trial tests the safety and effectiveness of glofitamab given in combination with pirtobrutinib in treating patients with mantle cell lymphoma that has come back after a period of improvement (relapsed) or that has not responded to previous treatment (refractory). Glofitamab and obinutuzumab are monoclonal antibodies that may interfere with the ability of cancer cells to grow and spread. Obinutuzumab may also reduce the risk of immune-related conditions from treatment. Pirtobrutinib is in a class of medications called kinase inhibitors. It works by blocking the action of the protein that signals cancer cells to multiply. Giving glofitamab in combination with pirtobrutinib may be safe, tolerable and/or effective in treating patients with relapsed or refractory mantle cell lymphoma.

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Extracted eligibility criteria

Cancer type

Non-Hodgkin Lymphoma

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Min 1 prior line

Must have received: anti-CD20 monoclonal antibody

Relapsed after or failed to respond to at least one prior line of systemic therapy including anti-CD20 monoclonal antibody and alkylator-containing chemotherapy

Must have received: alkylating agent

Relapsed after or failed to respond to at least one prior line of systemic therapy including anti-CD20 monoclonal antibody and alkylator-containing chemotherapy

Cannot have received: BTK inhibitor

Exception: Participants who discontinued covalent BTK inhibitor therapy due to intolerance will not be excluded.

Participants who experienced a major bleeding event or grade ≥ 3 arrhythmia on prior treatment with a BTK inhibitor. Participants who discontinued a covalent BTK inhibitor due to disease progression or relapse.

Cannot have received: CD20/CD3-directed bispecific antibody

Any CD20/CD3-directed bispecific antibodies for treatment of lymphoma

Cannot have received: allogeneic stem cell transplant

Exception: Allowed if >6 months prior, off immunosuppression, and no active GVHD

Allogeneic stem cell transplant (SCT) within 6 months or on active immunosuppression or active graft versus host disease (GVHD)

Cannot have received: solid organ transplantation

Solid organ transplantation

Cannot have received: autologous stem cell transplant

Autologous SCT within 90 days prior to first study treatment

Cannot have received: CAR-T cell therapy

Exception: Allowed if >60 days prior and no ongoing toxicity ≥ grade 2

Chimeric antigen receptor (CAR) T-cell therapy within 60 days before first study treatment or if ongoing toxicity ≥ grade 2

Cannot have received: monoclonal antibody

Use of monoclonal antibodies or antibody-drug conjugates within 4 weeks prior to first study treatment

Cannot have received: antibody-drug conjugate

Use of monoclonal antibodies or antibody-drug conjugates within 4 weeks prior to first study treatment

Cannot have received: radioimmunoconjugate

Use of radioimmunoconjugates within 12 weeks prior to first study treatment

Cannot have received: systemic immunosuppressive medication (cyclophosphamide, azathioprine, methotrexate, thalidomide, anti-tumor necrosis factor agents)

Exception: Systemic corticosteroid treatment ≤10 mg/day prednisone or equivalent and inhaled corticosteroids are permitted. Acute, low-dose, systemic immunosuppressant medications (e.g., single dose of dexamethasone for nausea or B symptoms) is permitted. Mineralocorticoids for orthostatic hypotension and corticosteroids for adrenal insufficiency are permitted.

Systemic immunosuppressive medications (including, but not limited to, cyclophosphamide, azathioprine, methotrexate, thalidomide, and anti-tumor necrosis factor agents) within 2 weeks or five half-lives (whichever is shorter) prior to first dose of study treatment.

Cannot have received: live, attenuated vaccine

Live, attenuated vaccine within 4 weeks before first dose of study treatment, or in whom it is anticipated that such a live attenuated vaccine will be required during the study period or within 5 months after the final dose of study treatment

Cannot have received: radiation therapy

Exception: If received within 4 weeks, must have at least one measurable lesion outside of the radiation field

Radiotherapy within 2 weeks prior to the first dose of study treatment. If participants have received radiotherapy within 4 weeks prior to the first study treatment administration, participants must have at least one measurable lesion outside of the radiation field

Lab requirements

Blood counts

Hemoglobin ≥ 9 g/dL (independent of transfusions); ANC ≥ 1.0 x 10^9/L (independent of growth factor support); Platelets ≥ 75 x 10^9/L or ≥ 50 x 10^9/L if due to bone marrow involvement (independent of transfusions and growth factor support); no evidence of myelodysplasia or hypoplastic bone marrow if cytopenic

Kidney function

Creatinine clearance ≥ 50 mL/min (by Cockcroft-Gault formula)

Liver function

Total bilirubin ≤ 1.5 x ULN (or ≤ 3 x ULN for Gilbert syndrome or if due to underlying lymphoma); AST ≤ 2.5 x ULN; ALT ≤ 2.5 x ULN

Cardiac function

QTcF ≤ 470 msec; LVEF > 40% in the 12 months prior to start of study treatment

Hemoglobin ≥ 9 g/dL... Platelets ≥ 75 x 10^9/L or ≥ 50 x 10^9/L if due to bone marrow involvement... Total bilirubin ≤ 1.5 x ULN (or ≤ 3 x ULN for Gilbert syndrome, or ≤ 3 x ULN if due to underlying lymphoma)... AST ≤ 2.5 x ULN... ALT ≤ 2.5 x ULN... Creatinine clearance ≥ 50 mL/min... QTcF ≤ 470 msec... LVEF > 40% in the 12 months prior to start of study treatment

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • University of California, Davis · Davis, California
  • University of California, San Francisco · San Francisco, California

Showing up to 5 US sites. See all sites on ClinicalTrials.gov →

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