C4971006: A Study to Learn About the Effects of 2 Study Medicines (Maplirpacept [PF-07901801] and Glofitamab) When Given Together in People With Relapsed or Refractory Diffuse Large B Cell Lymphoma

2022-502822-41-00 Protocol C4971006 Phase I and Phase II (Integrated) - Other Ended

End 9 Apr 2026 · Status Ended · 3 EU/EEA countries · 18 sites · Protocol C4971006

Overview

Sponsor-declared trial summary

Phase Phase I and Phase II (Integrated) - Other
Status Ended
Participants planned 90
Countries 3
Sites 18

Relapsed/Refractory Diffuse Large B Cell Lymphoma

Phase 1b: to assess dose limiting toxicities (DLTs), safety and tolerability of PF-07901801 and glofitamab, after a single dose of obinutuzumab in adult participants with R/R DLBCL in order to select up to 2 doses of PF-07901801 for further evaluation in Phase 2 of the study. Phase 2: to assess the clinical anti-tumor …

Key facts

Sponsor
Pfizer Inc.
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Hemic and Lymphatic Diseases [C15]
Trial duration
completed 9 Apr 2026
Decision date (initial)
2025-04-30
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2022-502822-41-00
ClinicalTrials.gov
NCT05896163

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Safety, Pharmacodynamic, Pharmacokinetic

Phase 1b: to assess dose limiting toxicities (DLTs), safety and tolerability of PF-07901801 and glofitamab, after a single dose of obinutuzumab in adult participants with R/R DLBCL in order to select up to 2 doses of PF-07901801 for further evaluation in Phase 2 of the study.
Phase 2: to assess the clinical anti-tumor activity of PF 07901801 in combination with glofitamab after a single dose of obinutuzumab in adult participants with R/R DLBCL.

Secondary objectives 8

  1. Phase 1b: To evaluate the overall safety profile of PF 07901801 and glofitamab after a single dose of obinutuzumab
  2. Phase 1b: To assess the efficacy outcomes of PF 07901801 in combination with glofitamab after a single dose of obinutuzumab
  3. Phase 1b: To evaluate the pharmacokinetics (PK) of PF 07901801
  4. Phase 1b: To evaluate immunogenicity of PF-07901801
  5. Phase 2: To assess additional efficacy outcomes of PF 07901801 in combination with glofitamab after a single dose of obinutuzumab
  6. Phase 2: To further evaluate the overall safety profile and tolerability of PF-07901801 in combination with glofitamab after a single dose of obinutuzumab
  7. Phase 2: To evaluate the PK of PF-07901801
  8. Phase 2: To evaluate immunogenicity of PF-07901801

Conditions and MedDRA coding

Relapsed/Refractory Diffuse Large B Cell Lymphoma

VersionLevelCodeTermSystem organ class
20.0 HLT 10012819 Diffuse large B-cell lymphomas 10029104

Study design 2 periods

#TitleAllocationBlindingRoles blindedArms
1 Phase 1b
A dose-escalation phase of multicenter, international, 2-component study of maplirpacept (PF-07901801) in combination with glofitamab after a single dose of obinutuzumab in participants with R/R DLBCL who have completed at least 2 lines of treatment (with at least 1 containing an anti-CD20 therapy) and who are not candidates for high dose therapy and subsequent ASCT. An escalation/de-escalation approach will be used to identify the safe doses of maplirpacept when administered in combination with glofitamab. Three dose levels of maplirpacept will be explored.
Not Applicable None
2 Phase 2
A dose optimization part with participants who have received 2 but not more than 4 prior lines of therapy, aimed to further characterize the safety and tolerability of the combination and evaluate the efficacy in terms of overall response per Lugano 2014 criteria for disease assessment.
Randomised Controlled None

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 6

  1. Adults with histologically confirmed DLBCL and relapsed or refractory disease
  2. Participant is not a candidate or unwilling to undergo high dose chemotherapy and subsequent autologous stem cell transplant or unable to receive approved chimeric antigen receptor T-cell therapy (CAR-T).
  3. Measurable disease: at least 1 site of measurable PET-avid disease per Lugano 2014 classification.
  4. Prior treatment must include at least 2 lines of systemic therapy (for Phase 2: at least 2 but no more than 4 prior lines of systemic therapy). Prior therapy must include an anti-CD20 containing regimen.
  5. Adequate hematologic, hepatic and renal function.
  6. Eastern Cooperative Oncology Group (ECOG) performance status ≤2.

Exclusion criteria 5

  1. High-grade B-Cell lymphoma NOS or High-grade B-Cell lymphoma with MYC and BCL2 rearrangements.
  2. Known or suspected primary or secondary CNS lymphoma or meningeal involvement; history of multifocal leukoencephalopathy; history of CNS disease.
  3. Significant cardiac/cardiovascular/thromboembolic disease.
  4. Known active bacterial, viral, fungal, mycobacterial, parasitic, or other infection (excluding fungal infections of nail beds) not resolved within 72 hours prior to study enrollment.
  5. Prior treatment with anti-CD47 and/or anti-SIRPα therapy and/or prior glofitamab or anti-CD20xCD3 containing regimen.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. Phase 1b: DLTs during the DLT observation period (21 days following Cycle 1 Day 1)
  2. Phase 2: OR per Lugano Response Classification Criteria 2014 as assessed by the investigator.

Secondary endpoints 8

  1. Phase 1b: AEs as characterized by type, frequency, severity (as graded by NCI CTCAE v5.0), timing, seriousness, and relationship to study treatment. Laboratory abnormalities as characterized by type, frequency, severity (as graded by NCI CTCAE v5.0), and timing. The severity of CRS and ICANS as assessed according to ASTCT criteria.
  2. Phase 1b: OR, DoR, CR, DoCR, and PFS per Lugano Response Classification Criteria 2014 as assessed by the investigator.
  3. Phase 1b: Pre- and post-dose concentrations of PF-07901801.
  4. Phase 1b: ADAs and NAbs against PF-07901801.
  5. Phase 2: DoR, CR, DoCR, and PFS by investigator in participants with measurable disease by investigator per Lugano Response Classification Criteria 2014.
  6. Phase 2: AEs as characterized by type, frequency, severity (as graded by NCI CTCAE V5.0), timing, seriousness, and relationship to study treatment. Laboratory abnormalities as characterized by type, frequency, severity (as graded by NCI CTCAE v5.0), and timing. The Severity of CRS and ICANS will be assessed according to ASTCT criteria.
  7. Phase 2: Pre- and post-dose concentrations of PF-07901801.
  8. Phase 2: ADAs and NAbs against PF-07901801.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 3

Gazyvaro 1,000 mg concentrate for solution for infusion.

PRD1753415 · Product

Active substance
Obinutuzumab
Substance synonyms
RO5072759, AFUTUZUMAB, RO-5072759, RG-7159, GA-101, RO 5072759
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
IV INFUSION
Authorisation status
Authorised
ATC code
L01XC15 — -
Marketing authorisation
EU/1/14/937/001
MA holder
ROCHE REGISTRATION GMBH
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Columvi 10 mg concentrate for solution for infusion

PRD10561235 · Product

Active substance
Glofitamab
Substance synonyms
ANTI-CD20/CD3 BISPECIFIC MONOCLONAL ANTIBODY RO7082859, RO-7082859, RG-6026, RO7082859
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
IV INFUSION
Authorisation status
Authorised
ATC code
NOTASSIGN — -
Marketing authorisation
EU/1/23/1742/002
MA holder
ROCHE REGISTRATION GMBH
MA country
EU
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/22/2595
Modified vs. Marketing Authorisation
No

Maplirpacept

PRD11250398 · Product

Active substance
Maplirpacept
Substance synonyms
SIRPa-IgG4-Fc, SIRPa CD47-binding domain fused to human immunoglobulin G4 Fc region, TTI-622
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
IV INFUSION
Authorisation status
Not Authorised
MA holder
PFIZER INC.
Paediatric formulation
No
Orphan designation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Pfizer Inc.

Sponsor organisation
Pfizer Inc.
Address
235 East 42nd Street
City
New York
Postcode
10017-5703
Country
United States

Scientific contact point

Organisation
Pfizer Inc.
Contact name
Clinical Medical Lead

Public contact point

Organisation
Pfizer Inc.
Contact name
Clinical Medical Lead

Third parties 10

OrganisationCity, countryDuties
Ppd Inc.
ORG-100018960
Wilmington, United States Laboratory analysis
Bioclinica Inc.
ORG-100033079
Princeton, United States Other
Labcorp Central Laboratory Services LP
ORG-100032236
Indianapolis, United States Laboratory analysis
Olink Proteomics AB
ORG-100045757
Uppsala, Sweden Other, Laboratory analysis
Personalis Inc.
ORG-100043141
Fremont, United States Laboratory analysis
Canopy Biosciences LLC
ORG-100048464
Saint Louis, United States Laboratory analysis
Fulgent Genetics Inc.
ORG-100047477
El Monte, United States Laboratory analysis
Altasciences Compagnie Inc.
ORG-100037610
Laval, Canada Laboratory analysis
Parexel International Corp.
ORG-100007310
Auburndale, United States On site monitoring, Code 5
Htg Molecular Diagnostics Inc.
ORG-100046509
Tucson, United States Laboratory analysis

Locations

3 EU/EEA countries · 18 investigational sites

By country

CountryMS statusPlanned subjectsSites
France Ended 15 8
Germany Ended 5 3
Spain Ended 14 7
Rest of world
Israel, Japan, Australia, Taiwan, United States
56

Investigational sites

France

8 sites · Ended
Hopitaux Universitaires Pitie Salpetriere
Clinical haematology, 47 To 83 Boulevard De L Hopital, 75013, Paris
Centre Hospitalier De La Cote Basque
Service Recherche Clinique, 13 Avenue Interne Jacques Loeb, 64100, Bayonne
Hopital Saint Louis
Hemato-oncology, 1 Avenue Claude Vellefaux, 75010, Paris
Centre Hospitalier Universitaire De Lille
Service des maladies du sang, Rue Michel Polonowski, 59000, Lille
Institut Paoli Calmettes
N/A, 232 Boulevard De Sainte Marguerite, Bp 156, Marseille
Institut Bergonie
Medical Oncology, 180 R De Saint Genes, 229 Cours De L Argonne, Bordeaux
Centre Hospitalier Universitaire De Caen Normandie
N/A, Avenue De La Cote De Nacre, Cs 30001, Caen Cedex 9
Centre Hospitalier Universitaire De Nantes
Service Hematologie Clinique, 1 Place Alexis Ricordeau, 44000, Nantes

Germany

3 sites · Ended
Universitaetsklinikum Halle (Saale) AöR
Innere Medizien IV, Hämatologie und Onkologie), Ernst-Grube-Strasse 40, Kroellwitz, Halle Saale
Vivantes MVZ GmbH
Klinik für Innere Medizin – Hämatologie und Onkologie und Palliativmedizin, Dieffenbachstrasse 1, Kreuzberg, Berlin
Klinikum der Stadt Ludwigshafen am Rhein gGmbH
Medizinische Klinik A, Bremserstrasse 79, Friesenheim, Ludwigshafen Am Rhein

Spain

7 sites · Ended
Institut Catala D'oncologia
Haematology, Avinguda De La Gran Via De L'hospitalet 199-203, 08908, L'hospitalet De Llobregat
Hospital De La Santa Creu I Sant Pau
Haematology, Carrer De San Quinti 89, 08041, Barcelona
Hospital Universitario Ramon Y Cajal
Haematology, Carretera Del Colmenar Viejo Km 9 100, Por El Pardo, Madrid
Hospital Universitario Marques De Valdecilla
Haematology, Avenida Valdecilla Sn, 39008, Santander
Hospital Clinic De Barcelona
Haematology, Calle Villarroel 170, 08036, Barcelona
Hospital Universitario Quironsalud Madrid
Haematology, Calle De Diego De Velazquez 1, 28223, Pozuelo De Alarcon
Hospital Universitari Vall D Hebron
Haematology, Passeig De La Vall D'Hebron 119-129, 08035, Barcelona

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 19 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol Administrative Change Letter_2022-502822-41-00_C4971006_EN_Public 1
Protocol (for publication) D1_Protocol Signature Page_2022-502822-41-00_C4971006_EN 3
Protocol (for publication) D1_Protocol_2022-502822-41-00_C4971006_EN_Public 3
Recruitment arrangements (for publication) K1 Recruitment Arrangements_C4971006_ES_EN_Public 1.0
Recruitment arrangements (for publication) K1_Recruitment Arrangements_C4971006_DE_EN_Public 1
Recruitment arrangements (for publication) K1_Recruitment Arrangements_C4971006_FR_FR_Public 3
Subject information and informed consent form (for publication) L1a ICD_Main_C4971006_FR_FR_Public 4
Subject information and informed consent form (for publication) L1a ICF_Main_C4971006_ES_ES_Public 2
Subject information and informed consent form (for publication) L2 ICD_Optional ICD Biopsies_EOT_Relapse_C4971006_DE_DE_Public 1
Subject information and informed consent form (for publication) L2 ICF_Optional Retained Research Sample_C4971006_ES_ES_Public 1
Subject information and informed consent form (for publication) L2a ICD_PPRIF_C4971006_FR_FR_Public 3
Subject information and informed consent form (for publication) L3a ICD_Child RIF_C4971006_GDPR_FR_FR_Public 2
Subject information and informed consent form (for publication) L3a ICF_Optional Tumour Tissue Collection_Biopsy_C4971006_ES_ES_Public 2
Subject information and informed consent form (for publication) L3b ICD_AKEK Optional Sample Collection ICD_C4971006_DE_DE_Public 2
Subject information and informed consent form (for publication) L4 PPRIF_C4971006_DE_DE_Public 1
Subject information and informed consent form (for publication) La ICD Main_C4971006_DE_DE_V1_1_Public 1.1
Summary of Product Characteristics (SmPC) (for publication) E2_SRSD_Obinutuzumab_Gazyvaro_EU SmPC_2022-502822_C4971006_EN 1
Synopsis of the protocol (for publication) D3_Protocol Synopsis_2022-502822-41-00_C4971006_es-ES_Public 3
Synopsis of the protocol (for publication) D3_Protocol Synopsis_2022-502822-41-00_C4971006_fr-FR_28Oct2024_Public 3

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-01-24 Germany Acceptable with conditions
2025-04-29
2025-04-30