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ASCO 2025 | STARGLO 2-year follow-up: durability of responses in patients with DLBCL receiving Glofitamab-GemOx

Gareth Gregory, MBBS, PhD, FRACP, FRCPA, Fiona Stanley Hospital & Monash University, Perth, Australia, presents the two-year follow-up of the STARGLO trial (NCT04408638), a registrational trial assessing glofitamab in combination with gemcitabine and oxaliplatin (Glofitamab-GemOx) versus rituximab in combination with gemcitabine and oxaliplatin (R-GemOx) in transplant-ineligible patients with relapsed/refractory (R/R) diffuse large B-cell lymphoma (DLBCL). Dr Gregory notes the encouraging efficacy of Glofitamab-GemOx, highlighting that a high durability of responses has been observed. This suggests that Glofitamab-GemOx may offer a cure for a proportion of patients without the need for cellular therapy, addressing a significant unmet clinical need in this space. This interview took place at the 30th Congress of the European Hematology Association (EHA) in Milan, Italy.

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Transcript

The STARGLO trial was a registrational trial looking at Glofitamab-GemOx versus Rituximab with GemOx for transplant-ineligible patients with relapsed large cell lymphoma. At the ASCO meeting in 2025 as well as in the European meetings we’re now seeing the two-year follow-up on this trial. The initial primary endpoint was met last year, presented as a plenary abstract at EHA, demonstrating a statistically significant and clinically meaningful overall survival benefit for patients randomized to Glofitamab GemOx versus R-GemOx...

The STARGLO trial was a registrational trial looking at Glofitamab-GemOx versus Rituximab with GemOx for transplant-ineligible patients with relapsed large cell lymphoma. At the ASCO meeting in 2025 as well as in the European meetings we’re now seeing the two-year follow-up on this trial. The initial primary endpoint was met last year, presented as a plenary abstract at EHA, demonstrating a statistically significant and clinically meaningful overall survival benefit for patients randomized to Glofitamab GemOx versus R-GemOx. 

With two-year follow-up now, we’re seeing durability, particularly in the Glofitamab GemOx arm, where we’re seeing that with a median follow-up of 24 months, we’ve got a median overall survival not yet reached for the Glofitamab-GemOx arm. Very importantly, with a landmark analysis of patients performed, looking at patients who’d achieved remission on their end-of-treatment PET scan, we’re now seeing that 89% of them are still alive and quite remarkably 82% of them are free from progression. Historically we’ve always believed that patients in order to achieve a cure in the relapsed large cell lymphoma setting need to have a cellular therapy to get there but with the STARGLO data now out to two years we’re seeing durability of responses indicating that there are a proportion of these patients likely to have a durable remission and dare I say cure and addressing a major unmet clinical need.

 

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