Drug intelligence / Profile preview

glofitamab + polatuzumab vedotin + rituximab + cyclophosphamide + doxorubicin + prednisone

Development stage
Phase 3
Lead developer
Roche
Modality
Cytotoxic ADCs → Antibody-Drug Conjugates (ADCs) → Antibody Conjugates → Antibody-Based Therapeutics, T-cell Engagers → Multispecific Antibodies → Engineered Antibody Formats → Antibody-Based Therapeutics, Bispecific Antibodies → Multispecific Antibodies → Engineered Antibody Formats → Antibody-Based Therapeutics, Monoclonal Antibodies → Antibody-Based Therapeutics, Small Molecules
Administration
Intravenous, Oral
01

Overview

This is a **six-drug combination regimen** designed primarily for the treatment of B-cell non-Hodgkin lymphoma, especially aggressive and relapsed/refractory forms. The combination includes two monoclonal antibodies (**glofitamab**—a CD20/CD3 bispecific antibody; **rituximab**—an anti-CD20 monoclonal antibody), an **antibody-drug conjugate** (**polatuzumab vedotin**—an anti-CD79b monoclonal antibody conjugated to the microtubule-disrupting agent monomethyl auristatin E), and the classic **CHOP chemotherapy backbone** (**cyclophosphamide**—an alkylating agent, **doxorubicin**—an anthracycline antitumor antibiotic, **prednisone**—a synthetic corticosteroid). Glofitamab acts by redirecting T cells to lymphoma B-cells (via CD3 and CD20), polatuzumab vedotin delivers cytotoxic payload to B-cells via CD79b targeting, rituximab depletes CD20+ B-cells via several immune mechanisms, cyclophosphamide crosslinks DNA, doxorubicin intercalates DNA and generates free radicals, and prednisone induces apoptosis and immune modulation. The combination is being explored to increase efficacy in treatment-resistant lymphomas, leveraging non-overlapping mechanisms of action of all agents.

Other names
Glofitamab + Polatuzumab-R-CHPGlofitamab + Pola-R-CHPGlofitamab plus Polatuzumab-R-CHP
02

Targets

CD20 (B-lymphocyte antigen CD20)CD3 (T-cell surface glycoprotein CD3)B-cell antigen receptor complex-associated protein beta chainDNAGR (Glucocorticoid receptor)

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