Abstract
Glofitamab is a bispecific CD20xCD3 antibody approved by the FDA and EMA for the treatment of relapsed/refractory diffuse large B-cell lymphoma (R/R DLBCL), demonstrating high complete response rates and prolonged survival. Its main adverse event is cytokine release syndrome, usually mild. As monotherapy, in patients with R/R DLBCL it achieves 40% complete response rate, while in combination with chemotherapy (Glofit-GemOx and Glofit-R-ICE), it significantly improves overall survival and response rates. In the first-line setting, its combination with R-CHOP has shown high efficacy in high-risk patients. An emerging challenge is the loss of CD20 after treatment, which may affect its efficacy. Although not yet approved by ANMAT, glofitamab represents a promising option for DLBCL patients in Argentina, especially in the absence of access to CAR-T therapy.
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