OnCo
trialsTrialMixed

STARGLO

A bispecific plus chemotherapy improved survival in relapsed lymphoma, but the FDA rejected it because most patients were enrolled in Asia and the US-relevant subgroup did not clearly benefit.

OS median 25.5 vs 12.9 months (HR 0.62); PFS HR 0.40. EU approval 2025. FDA ODAC voted 8-1 that the data were not applicable to US patients (regional heterogeneity, small non-Asian subgroup); complete response letter July 2025. A landmark case on trial generalisability.

Setting
R/R DLBCL, transplant-ineligible, ≥1 prior line: glofitamab + GemOx vs rituximab + GemOx
Phase
Phase 3
Sponsor
Roche
Registry
Headline result
OS HR 0.62; FDA CRL 2025 over applicability.
Reported
2024
Enrolled
274
Replication
Not replicated; applicability to Western populations questioned by FDA ODAC (8-1 vote).

Outcomes

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In plain words
What these results mean for people, not percentages
274 people took part
Overall survival (median)primarysurvival endpoint
  • Median 25.5 vs 12.9 months with Glofit-GemOx compared with R-GemOx; about 12.6 months longer for half the group.
  • A median is a midpoint: half the people did better than this and half did worse, so it is not a prediction for any one person.
  • Put another way, the treated group had about 38 percent lower chance of the event at any given time (hazard ratio 0.62, likely range 0.43 to 0.88).
  • Overall survival counts deaths from any cause, so it is the most direct measure of whether a treatment helps people live longer.
  • These results apply to the people the trial enrolled: R/R DLBCL, transplant-ineligible, ≥1 prior line: glofitamab + GemOx vs rituximab + GemOx. People in a different situation may not see the same effect.

Numbers are from the trial as recorded here; see the source links in the table below. This is orientation, not medical advice: ask your team how closely the trial population matches you.

274 participants enrolled.

Overall survival (median)primary
HR 0.62 (0.43–0.88)
Glofit-GemOx
25.5 mo
R-GemOx
12.9 mo
Source
EndpointArmnValueHR (95% CI)pSource
Overall survival (median)primaryGlofit-GemOx18325.5 months0.62 (0.43–0.88)link
R-GemOx9112.9 months
Replication
Not replicated; applicability to Western populations questioned by FDA ODAC (8-1 vote).

Key papers

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Connected

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Pages like this

not linked directly; found by shared links