Questions to ask your doctor

When evaluating treatment options, and before starting COLUMVI^™, ask your healthcare provider any questions you may have. It’s a good idea to write down a list of questions before your appointment.

Also, consider bringing a family member or friend with you who can help keep track of the answers.

Understanding my treatment options:

What should the goals of my treatment plan be, and why?
What are my treatment options and their risks and benefits?
How quickly do I need to make a treatment decision?
Is COLUMVI appropriate for me?
How is COLUMVI different from other treatments?
Is remission possible with COLUMVI?
What can I expect during/after treatment with COLUMVI?
How many COLUMVI treatment visits should I anticipate? How long will I stay on COLUMVI?
What side effects might I experience while on COLUMVI?

Preparing for my COLUMVI treatment:

How long will my treatment visit be? Where will it take place?
Do I need to take premedications at home prior to treatment?
What symptoms should I monitor myself for at home?
What can I do to improve my overall treatment experience and reduce side effects?
How will you monitor my response to treatment?
How can I tell if the treatment is working?
What resources exist if I cannot afford COLUMVI?

After treatment with COLUMVI:

What type of follow-up will I need after treatment, and when?
What can I expect after treatment completion?

Getting the right support:

Who can I call on my healthcare team to help me with the following topics?

Paying for treatment or access to financial support programs
Staying healthy (nutrition and movement)
Access to a mental health professional
Getting a ride to and from my treatment center
Finding a community/local support group
Other (e.g., about DLBCL, about COLUMVI, side effects)

NEXT: Financial assistance options

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Accessing financial assistance

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Getting support during treatment with COLUMVI

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What is COLUMVI?

COLUMVI (glofitamab-gxbm) is a prescription medicine to treat adults with certain types of diffuse large B-cell lymphoma (DLBCL) or large B-cell lymphoma (LBCL) that has come back (relapsed) or that did not respond to previous treatment (refractory), and who have received 2 or more prior treatments for their cancer.

It is not known if COLUMVI is safe and effective in children.

The conditional approval of COLUMVI is based on response rate and durability of response. There are ongoing studies to establish how well the drug works.

What is the most important information I should know about COLUMVI?

COLUMVI can cause Cytokine Release Syndrome (CRS), a serious side effect that is common during treatment with COLUMVI, and can also be serious and lead to death.

Call your healthcare provider or get emergency medical help right away if you develop any signs or symptoms of CRS, including:

fever of 100.4°F (38°C) or higher
chills or shaking
fast or irregular heartbeat
dizziness or light-headedness
trouble breathing
shortness of breath

Due to the risk of CRS, you will receive COLUMVI on a “step-up dosing schedule”.

A single dose of a medicine called obinutuzumab will be given to you on the first day of your first treatment cycle (Day 1 of Cycle 1).
You will start the COLUMVI step-up dosing schedule a week after the obinutuzumab dose. The step-up dosing schedule is when you receive smaller “step-up” doses of COLUMVI on Day 8 and Day 15 of Cycle 1. This is to help reduce your risk of CRS. You should be hospitalized during your infusion and for 24 hours after receiving the first step-up dose on Day 8. You should be hospitalized during your infusion and for 24 hours after receiving the second step-up dose on Day 15 if you experienced CRS during the first step-up dose.
You will receive your first full dose of COLUMVI a week after the second step-up dose (this will be Day 1 of Cycle 2).
If your dose of COLUMVI is delayed for any reason, you may need to repeat the “step-up dosing schedule”.
If you had more than mild CRS with your previous dose of COLUMVI, you should be hospitalized during and for 24 hours after receiving your next dose of COLUMVI.
Before each dose of COLUMVI, you will receive medicines to help reduce your risk of CRS and infusion-related reactions.

Your healthcare provider will monitor you for CRS during treatment with COLUMVI and may treat you in a hospital if you develop signs and symptoms of CRS. Your healthcare provider may temporarily stop or completely stop your treatment with COLUMVI if you have severe side effects.

Carry the COLUMVI Patient Wallet Card with you at all times and show it to all of your healthcare providers. The COLUMVI Patient Wallet Card lists the signs and symptoms of CRS you should get emergency medical help for right away.

What are the possible side effects of COLUMVI?

COLUMVI may cause serious side effects, including:

Cytokine Release Syndrome.
Neurologic problems. COLUMVI can cause serious neurologic problems that may lead to death. Your healthcare provider will monitor you for neurologic problems during treatment with COLUMVI. Your healthcare provider may also refer you to a healthcare provider who specializes in neurologic problems. Tell your healthcare provider right away if you develop any signs or symptoms of neurologic problems, including:
- headache
- confusion and disorientation
- difficulty paying attention or understanding things
- trouble speaking
- sleepiness
- memory problems
- numbness, tingling, or weakness of the hands or feet
- dizziness
- shaking (tremors)
Serious Infections. COLUMVI can cause serious infections that may lead to death. Your healthcare provider will monitor you for signs and symptoms of infection and treat you as needed. Tell your health care provider right away if you develop any signs of an infection, including: fever, chills, weakness, cough, shortness of breath, or sore throat.
Growth in your tumor or worsening of tumor related problems (tumor flare). Tell your healthcare provider if you get any of these signs or symptoms of tumor flare:
- tender or swollen lymph nodes
- pain or swelling at the site of the tumor
- chest pain
- cough
- trouble breathing

The most common side effects of COLUMVI include: CRS, muscle and bone pain, rash, and tiredness.

The most common severe abnormal lab test results with COLUMVI include: decreased white blood cells, decreased phosphate (an electrolyte), increased uric acid levels, and decreased fibrinogen (a protein that helps with blood clotting).

Your healthcare provider may temporarily stop or completely stop treatment with COLUMVI if you develop certain side effects.

Before receiving COLUMVI, tell your healthcare provider about all of your medical conditions, including if you:

have an infection
have kidney problems
are pregnant or plan to become pregnant. COLUMVI may harm your unborn baby

Females who are able to become pregnant:
- Your healthcare provider should do a pregnancy test before you start treatment with COLUMVI.
- You should use effective birth control (contraception) during treatment and for 1 month after your last dose of COLUMVI. Talk to your healthcare provider about what birth control method is right for you during this time.
- Tell your healthcare provider right away if you become pregnant or think you may be pregnant during treatment with COLUMVI.
are breastfeeding or plan to breastfeed. COLUMVI may pass into your breast milk. Do not breastfeed during treatment and for 1 month after your last dose of COLUMVI.

Tell your health care provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

What should I avoid while receiving COLUMVI?
Do not drive, operate heavy machinery, or do other dangerous activities if you develop dizziness, confusion, shaking (tremors), sleepiness, or any other symptoms that impair consciousness until your signs and symptoms go away. These may be signs and symptoms of neurologic problems.

These are not all the possible side effects of COLUMVI. Talk to your health care provider for more information about the benefits and risks of COLUMVI.

You may report side effects to the FDA at (800) FDA-1088 or www.fda.gov/medwatch. You may also report side effects to Genentech at (888) 835-2555.

Please see Important Safety Information, including Serious Side Effects, as well as the COLUMVI full Prescribing Information and Medication Guide.

B cell

A type of white blood cell that makes antibodies. B cells are part of the immune system and develop from stem cells in the bone marrow. DLBCL is a type of B-cell lymphoma.
Bispecific antibody

Bispecific antibodies are designed to target 2 different sites on different cells or the same cell. For example, a bispecific antibody binding to 2 different cells is thought to bring the cells together, such as an immune cell and cancer cell.
Complete remission

Also called complete response—the disappearance of all signs of cancer in response to treatment. This does not mean the cancer has been cured.
Continuous treatment

Designed for use until disease worsens or unacceptable side effects occur.
Cycle

A period of treatment followed by a period of rest (no treatment) that is repeated on a regular schedule.
Cytokine release syndrome (CRS)

A side effect when your immune system responds too strongly by rapidly releasing a large amount of substances known as cytokines. It may cause fever, nausea, or other symptoms.
Diffuse large B-cell lymphoma (DLBCL)

The most common type of B-cell non-Hodgkin lymphoma (NHL). DLBCL is marked by rapidly growing tumors in the lymph nodes, spleen, liver, bone marrow, or other tissues and organs.
Fixed-duration therapy

A treatment that is designed to be given for a pre-specified number of cycles.
Large B-cell lymphoma (LBCL)

The most common type of B-cell non-Hodgkin lymphoma (NHL). With NHL, abnormal lymphocytes build up in the lymph nodes, bone marrow, and spleen. DLBCL is a subtype of LBCL.
Non-Hodgkin lymphoma

A type of cancer that starts in white blood cells called lymphocytes, which are part of the body’s immune system. DLBCL is a type of non-Hodgkin lymphoma.
Overall response

A partial or complete remission.
Partial remission

Also called partial response—some measurable decrease in size of the cancer.
Phase 1/2 clinical trial

The first 2 phases of a clinical trial program that studies an investigational treatment.
- Phase 1 tests the safety, side effects, best dose, administration, timing of treatment, and effect of treatment on the body
- Phase 2 tests how well it works and monitors for potential side effects
Refractory

A term used to describe disease that has not responded to previous treatment.
Relapsed

A term used to describe disease that has returned after responding to previous treatment.
Remission

A term used to describe a response to treatment.
Step-up dose

A smaller dose of COLUMVI that you receive on Day 8 and Day 15 of your first cycle of treatment.
T cell

A type of white blood cell. T cells are part of the immune system, helping to protect the body from infection and may also help fight cancer. A subset, cytotoxic T cells, binds to and kills infected cells and cancer cells.
Complete response

Also called complete remission—the disappearance of all signs of cancer in response to treatment. This does not mean the cancer has been cured.
Partial response

A decrease in the size of a tumor or in the extent of cancer in the body in response to treatment. Also called partial remission.