Many patients are curious to know about Columvi treatment which is a type of immunotherapy (causes the body’s immune system to recognize the target and attack). Let’s break down the process of what exactly happens during Columvi therapy. Patients exploring advanced therapies often also look for options to Buy glofitamab online in India as part of informed treatment planning.
Indications of therapy
Columvi (glofitamab-gxbm) is indicated for the treatment of adult patients with relapsed or refractory diffuse large B-cell lymphoma, not otherwise specified (DLBCL, NOS) or large B-cell lymphoma (LBCL) arising from follicular lymphoma (blood cancer affecting B-cells), after two or more lines of systemic therapy.
This indication is approved under accelerated approval based on response rate and durability of response. Continued approval for this indication may be contingent upon verification and description of clinical benefit in a confirmatory trial(s). Understanding treatment pathways also helps patients evaluate the glofitamab price in India when planning long-term care.
What happens inside the body during administration of Columvi
Pretreatment
- Administer a single 1,000 mg dose of obinutuzumab (engineered monoclonal antibody) to reduce the B-cell load from the bloodstream and from lymph nodes, bone and bone marrow (lymphoid tissues) intravenously 7 days from before the initiation of Columvi treatment.
- Administer premedications as recommended to reduce the risk of Cytokine release syndrome and infusion related symptoms. Patients who later plan to Buy Glofitamab 2.5 mg & 10 mg in India benefit from this controlled and structured treatment preparation phase.
During treatment (Columvi infusion)
- The step-up dosing of Columvi starts after the pretreatment phase.
- Administer Columvi as an intravenous infusion only. This allows the medicine to enter the bloodstream directly and then to lymph nodes, bone marrow and tumor area.
- The Columvi has the key component in it called glofitamab-gxbm, a monoclonal antibody which remains intact in the blood circulation rather than being metabolized.
- Columvi has two arms. One arm binds to CD20 (protein on B cells) and the other arm attaches to CD3 which is found on T cells. So Columvi acts as a bridge to bring the immune cells and target cells closer together. This allows cell to cell communication. Some patients specifically search to Buy Glofitamab 2.5 mg in India based on dosing protocols advised by their oncologists.
Post-binding immune activation
- Activated T cells release signal proteins called cytotoxins which facilitate the recruitment of additional immune cells causing an increase in the body’s immune strength.
- Targeted killing process takes place by the activated T cells that makes the lysis of cancer cells. For advanced-stage therapy regimens, clinicians may also consider options to Buy Glofitamab 10 mg in India under appropriate medical supervision.
Side-effects
The common side-effects of glofitamab-gxbm include cytokine release syndrome, musculoskeletal pain, rash, and fatigue.
Warnings
- Monitor for neurological toxicity including Immune Effector Cell-Associated Neurotoxicity Syndrome (ICANS). Others include headache, peripheral neuropathy, dizziness or vertigo, confusional state, cognitive disorder, disorientation, somnolence, and delirium.
- Monitor for any fatal or serious infections like COVID-19 pneumonia, and sepsis.
- Monitor for tumor flare like localized pain and swelling at lymphoma lesions and/or dyspnea from new pleural effusions.
- Report to the healthcare team immediately if you find unusual or worsening symptoms.
Reach our experts via 24/7QualityMeds to understand more about Columvi (glofitamab-gxbm) and patient access pathways in India.
References: https://www.accessdata.fda.gov/drugsatfda_docs/label/2023/761309s000lbl.pdf





