Blinatumomab Consolidation Post Autologous Stem Cell Transplantation in Patients With Diffuse Large B-Cell Lymphoma (DLBCL)

Pre-ASCT Inclusion Criteria

- At least 18 years of age

- Histologically confirmed diagnosis of CD19 positive diffuse large B-cell lymphoma
(DLBCL) or transformed large cell lymphoma from low grade lymphoma.

- Chemo-sensitive (defined by complete remission (CR) or partial remission (PR) to most
recent chemo regimen) based on pre-transplant positron emission tomography (PET)
within 2 months of autologous transplant

- Patients with bulky disease are eligible for study provided that the patient not
undergo radiation therapy until 30 days after the end of blinatumomab administration.

- Available representative tissue (from fresh or formalin fixed paraffin embedded
tissue) from the most recent biopsy or archival tumor tissue for Clonotype evaluation
for minimal residual disease (MRD) testing.

Pre-ASCT Exclusion Criteria

- Chemo-resistant (defined by stable disease (SD) or progressive disease (PD) to most
recent chemo regimen)

- Pregnant or breastfeeding

- Active central nervous system (CNS) involvement of Non-Hodgkin's Lymphoma (NHL)

- Clinically relevant CNS pathology such as epilepsy, childhood or adult seizure,
paresis, aphasia, stroke, severe brain injuries, dementia, Parkinson's disease,
cerebellar disease, organic brain syndrome, or psychosis

- Prior stem cell transplant

- Concurrent hematologic or non-hematologic malignancy requiring treatment

- HIV seropositive, or active Hepatitis A, B, or C infection.

- Uncontrolled congestive heart failure (CHF) or other comorbid systemic illnesses or
severe concurrent disease which, in the judgment of the investigator, would make the
patient inappropriate for entry into this study or interfere significantly with the
proper assessment of safety and toxicity of the prescribed regimens.

Eligibility Criteria to Begin Consolidation Therapy

- A participant must meet all of the following criteria on Day +42 visit in order to
continue on the study to begin consolidation therapy with blinatumomab.

- Performance status of Eastern Cooperative Oncology Group (ECOG) ≤ 2 or Karnofsky ≥ 60
%

- Absence of clinically relevant CNS pathology such as epilepsy, paresis, aphasia,
stroke, sever brain injuries, dementia, or psychosis

- Required clinical laboratory values:

- Absolute neutrophil count (ANC) ≥ 1,000

- Platelets ≥ 75,000

- Hemoglobin ≥ 8 g/dL

- Total bilirubin ≤ 1.5 x upper limit of normal (ULN) (unless related to Gilbert's
or Meulengracht's syndrome)

- Alkaline phosphatase ≤ 5 x ULN

- ALT and AST ≤ 5 x ULN

- Calculated or measured creatinine clearance ≥ 50ml/min