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NCT Number: NCT07808827

A Randomized, Open-Label, Multicenter Phase III Clinical Study of JS203 Plus Chemotherapy Versus Rituximab Plus Chemotherapy in Patients With Relapsed/Refractory Diffuse Large B-Cell Lymphoma

This study will evaluate the efficacy and safety of glofitamab in combination with gemcitabine plus oxaliplatin (JS203-GemOx) compared with rituximab in combination with gemcitabine plus oxaliplatin (R-GemOx) in patients with R/R DLBCL.

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Beijing Cancer Hospital

Beijing, Beijing Municipality, 100142, China

About this study

A Randomized Open-Label Multicenter Phase III Clinical Trial Comparing JS203 Combined With gemcitabine plus oxaliplatin (JS203-GemOx) Versus rituximab in combination with gemcitabine plus oxaliplatin (R-GemOx) in Patients With Relapsed/Refractory Diffuse Large B-Cell Lymphoma

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patients must meet all of the following inclusion criteria to be enrolled:
  • Age range: 18 to 75 years old (inclusive), both male and female are acceptable
  • ECOG: 0-1;
  • One of the confirmed histologies below with CD20-positivity:

DLBCL, not otherwise specified (NOS), including de novo or histologically transformed from follicular lymphoma (FL)/Marginal Zone Lymphoma(MZL) "Double-hit" or "triple-hit" DLBCL , including de novo or histologically transformed from FL/MZL FL Grade 3B T-cell/histiocyte-rich large B-cell lymphoma

  • At least one measurable lesion meeting the criteria specified in the Lugano 2014 response assessment;
  • Acceptable organ function at screening;

Exclusion criteria

  • A history of severe allergy to monoclonal antibody therapy (or recombinant antibody-related fusion protein);
  • Previously received CD20-CD3 bispecific antibody treatment;
  • Previous allogeneic hematopoietic stem cell transplantation;
  • Previous solid organ transplantation
  • History of autoimmune diseases
  • Patients with a history of macrophage activation syndrome (MAS)/ hemophagocytic lymphohistiocytosis (HLH)
  • Patients with a history of progressive multifocal leukoencephalopathy (PML)
  • A known or suspected history of CNS lymphoma (including primary or secondary)
  • There is pleural effusion, peritoneal effusion or pericardial effusion that requires treatment (such as puncture or drainage)

Treatment and study plan

JS203 in combination with gemcitabine and oxaliplatin

Combination Product

gemcitabine and oxaliplatin 8 cycles (Q3W) and JS203 (21 days/cycle) Cycle 1 QW,Cycle 2 and therafter Q3W for up to 1 year

Rituximab in combination with gemcitabine and oxaliplatin

Combination Product

Rituximab and gemcitabine and oxaliplatin 8 cycles (Q3W)

Primary outcomes

  1. Overall survival (OS)

    Time frame: up to approximately 24 months

    Overall survival (OS) evaluated based on 2014 Lugano criteria

Secondary outcomes

  1. Objective response rate (ORR)

    Time frame: up to approximately 12 months

    Objective response rate (ORR) based on 2014 Lugano criteria

  2. complete response (CR)

    Time frame: up to approximately 12 months

    The complete response rate (CR) evaluated based on 2014 Lugano criteria

  3. Duration of response (DoR)

    Time frame: up to approximately 12 months

    Duration of response (DoR) evaluated based on 2014 Lugano criteria

  4. Duration of complete response (DoCR)

    Time frame: up to approximately 12 months

    Duration of complete response (DoCR) evaluated based on 2014 Lugano criteria

  5. Adverse events (AE)

    Time frame: up to approximately 15 months

    Incidence and severity of all adverse events (AE) that occurred during the clinical trial

  6. PK

    Time frame: up to approximately 15 months

    The serum drug concentration of JS203

  7. ADA

    Time frame: up to approximately 15 months

    The incidence and titer of the anti-drug antibody (ADA) of JS203

  8. NAb

    Time frame: up to approximately 15 months

    The incidence of neutralizing antibodies (NAb) of JS203 (if applicable)

Interested in participating?

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Trial opening soon.

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Sponsors and collaborators

Lead sponsor

Shanghai Junshi Bioscience Co., Ltd.

Other

Registry information

Important dates

Study start
2026
Primary completion
2028
Study completion
2030
First posted
Sep 9, 2026
Registry last updated
Sep 9, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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