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.
Treatment: Obinutuzumab · Glofitamab · Pirtobrutinib · ClonoSeq Assay — This 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.
Check if I qualifyExtracted eligibility criteria
Cancer type
Non-Hodgkin Lymphoma
Performance status
ECOG 0–1(Restricted strenuous activity)
Prior therapy
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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