Bispecific antibody, antibody-drug conjugate combination promising in DLBCL

Bispecific antibody, antibody-drug conjugate combination promising in DLBCL


September 18, 2025

6 min watch

In this video, Joshua Brody, MD, discusses primary analysis results from LOTIS-7 and SUNMO trials, both of which are investigating combination therapies for diffuse large B-cell lymphoma.

“These two trials were practically a bit different,” Brody, director of the lymphoma immunotherapy program at The Tisch Cancer Institute at Mount Sinai, said. “But [they are] conceptually very similar, because they are both combining a CD20 x CD3 bispecific with an antibody-drug conjugate.”

The phase 1b LOTIS-7 trial is evaluating the combination of lucatumumab tesirine-lpyl (Zynlonta, ADC Therapeutics) plus glofitamab-gxbm (Columbic, Genentech) in patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who had received at least one systematic therapy.

Among 22 efficacy-evaluable patients, the complete remission rate was “extraordinarily high” at 90.9%, Brody said, noting the rate of cytokine release syndrome may have been lower with this drug combination compared with glofitamab alone.

In the phase 3 SUNMO trial, 208 patients with relapsed or refractory DLBCL were randomly assigned 2:1 to mosunetuzumab (Lunsumio, Genentech) plus polatuzumab vedotin (Polivy, Genentech), also known as M-Pola, or standard-of-care rituximab plus gemcitabine and oxaliplatin (R-GemOx).

The overall response rate was 70.3% in the M-Pola group compared with 40% in the R-GemOx group, and M-Pola was well tolerated overall, Brody said.

“This could lead to a label, an FDA approval, for M-Pola for relapsed/refractory DLBCL in the near future,” he added.

Results were presented at Society of Hematologic Oncology’s Annual Meeting.

References:

  • Alderuccio JP, et al. Abstract ABCL-777. Presented at: SOHO Annual Meeting; Sept. 3-6, 2025; Houston.
  • Westin J, et al. Abstract ABCL-1492. Presented at: SOHO Annual Meeting; Sept. 3-6, 2025; Houston.



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