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OncoMatch/Clinical Trials/NCT06651853

Large Fraction Radiation Therapy Combined With Lenalidomide, and Glofitamab in Refractory Relapsed DLBCL

Is NCT06651853 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies Large fraction radiotherapy in combined with GM-CSF, Lenalidomide, and Glofitamab for diffuse large b-cell lymphoma.

Phase 2RecruitingThe First Affiliated Hospital of Xiamen UniversityNCT06651853Data as of May 2026

Treatment: Large fraction radiotherapy in combined with GM-CSF, Lenalidomide, and GlofitamabTo prospectively evaluate the efficacy and safety of large fraction radiation therapy combined with granulocyte-macrophage colony-stimulating factor, lenalidomide, and glofitamab monoclonal antibody in the treatment of refractory relapsed diffuse large B-cell lymphoma patients

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Extracted eligibility criteria

Cancer type

Diffuse Large B-Cell Lymphoma

Non-Hodgkin Lymphoma

Biomarker criteria

Excluded: MS4A1 loss of expression

Performance status

ECOG 0–3(Limited self-care)

Prior therapy

Min 1 prior line

Must have received: systemic therapy — first-line

Patients who have failed first-line standard treatment (patients with relapsed disease < 12 months or primary refractory disease, or relapsed disease > 12 months but are transplant-ineligible after 1 line of systemic therapy, or relapsed disease after 2+ lines of therapy)

Cannot have received: bispecific antibody

Participants must not have received bispecific antibody therapy in the past

Cannot have received: anti-hematologic malignancy treatment

Participants have received anti-hematologic malignancy treatment within 2 weeks before the start of treatment or within 5 half-lives of the drug, whichever is longer

Cannot have received: large fraction radiation therapy

Exception: allowed if >4 weeks before first treatment and no radiation-related toxic reactions, no need for glucocorticoids, excluding radiation pneumonia, hepatitis, enteritis, etc.

Large fraction radiation therapy received within 4 weeks prior to the first treatment. For patients who received radiation therapy more than 4 weeks before the first treatment, all the following conditions must be met to be included: there are currently no radiation-related toxic reactions, no need to take glucocorticoids, excluding radiation pneumonia, radiation hepatitis, radiation enteritis, etc.

Cannot have received: traditional Chinese medicine with anti-tumor indications

Traditional Chinese medicine with anti-tumor indications received within 2 weeks before the first administration

Cannot have received: other clinical trial treatment

Treatment in another clinical trial within 4 weeks before the first administration

Lab requirements

Blood counts

Platelet count ≥30 x 10^9/L; absolute neutrophil count ≥1.0 x 10^9/L; good coagulation function (INR or PT ≤1.5× ULN)

Kidney function

Blood creatinine ≤1.5× ULN and creatinine clearance rate ≥60 ml/min

Liver function

Total bilirubin ≤1.5× ULN; AST and ALT ≤2.5× ULN

laboratory criteria: (1) Total bilirubin ≤1.5× ULN; (2) AST and ALT ≤2.5× ULN; (3) Blood creatinine ≤1.5× ULN and creatinine clearance rate ≥60 ml/min; (4) Good coagulation function, defined as INR or PT ≤1.5× ULN. Bone marrow insufficiency defined by platelet count <30 x 10^9/L or ANC <1.0 x 10^9/L [excluded].

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

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