Columvi (Glofitamab-gxbm)

Columvi (Glofitamab-gxbm)

Columvi

Glofitamab-gxbm

Injection: 2.5 mg/2.5 mL (1 mg/mL) and 10 mg/10 mL (1 mg/mL) in a single-dose vial

Genentech, Inc.

Medical Use

Columvi (glofitamab-gxbm) is a bispecific CD20-directed CD3 T-cell engager used to treat adults with certain types of diffuse large B-cell lymphoma (DLBCL) or large B-cell lymphoma (LBCL) that have relapsed or are refractory to previous treatments, and who have undergone at least two prior therapies.

Recommended Dosage: Columvi is administered as an intravenous (IV) infusion. Patients will receive 12 treatment cycles, each lasting 21 days. Treatment begins with a low dose, which is gradually increased to the full dose. The typical schedule is as follows:

-Cycle 1: This includes pre-treatment with obinutuzumab and two low doses of Columvi over 21 days:

  • -Day 1: Pre-treatment with 1,000 mg of obinutuzumab IV, 7 days before starting Columvi
  • -Day 8: Initial low dose of 2.5 mg of Columvi
  • -Day 15: Second low dose of 10 mg of Columvi

-Cycles 2 to 12: Patients receive one dose of Columvi every 21 days:

  • -Day 1: Full dose of 30 mg of Columvi

The first infusion is administered over four hours, with careful monitoring for 10 hours afterward to check for signs or symptoms of cytokine release syndrome (CRS).

Continue treatment for up to 12 cycles (including the step-up dosing in Cycle 1) or until disease progression or unacceptable toxicity occurs, whichever comes first.