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| ID | Type | Description | Link |
|---|---|---|---|
| 2017-001748-36 | EudraCT Number | ||
| NL64317.078.17 | Registry Identifier | CCMO | |
| 241053 | Other Identifier | IRAS ID; UK Research Summaries Database | |
| 2023-504802-12-00 | EU Trial (CTIS) Number |
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| Name | Class |
|---|---|
| AbbVie | INDUSTRY |
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The purpose of this trial is to measure the following in participants with relapsed and/or refractory B-cell lymphoma who receive epcoritamab, an antibody also known as EPKINLY™ and GEN3013 (DuoBody®-CD3xCD20):
The trial consists of 3 parts:
The trial time for each participant depends on which trial part the participant enters:
Participation in the study will require visits to the sites. During the first month, participants must visit every day or every few days, depending on which trial part the participant enters. After that, participants must visit weekly, every other week, once a month, and once every 2 months, as trial participation ends.
All participants will receive active drug, and no participants will be given placebo.
The purpose of the dose-escalation part of the trial is to determine the maximum tolerated dose (MTD) and the recommended Phase 2 dose (RP2D), as well as to establish the safety profile of epcoritamab in participants with relapsed or refractory B-cell lymphoma.
In the expansion part, additional participants will be treated with epcoritamab, at the RP2D and the purpose is to further explore and determine the safety and efficacy of epcoritamab.
The dose-OPT part will evaluate alternative priming and intermediate dose regimens of epcoritamab in participants with:
All participants will receive epcoritamab at the RP2D.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Epcoritamab | Experimental | Epcoritamab will be administered by subcutaneous injections in cycles of 28 days. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Epcoritamab | Biological | Administered as specified in the treatment arm. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Dose-Escalation: Dose Limiting Toxicity (DLT) | To determine the MTD and/or RP2D to be studied in the Expansion part. DLT will be graded according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0. | During the first cycle (28 days) |
| Dose-Escalation: Number of Participants with Adverse Events (AEs) | An AE is any untoward medical occurrence in a clinical trial participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product. | From first dose until the end of the safety follow-up period (Up to 1 year) |
| Expansion: Overall Response Rate (ORR) | ORR is defined as the percentage of participants achieving complete response (CR) or partial response (PR) based on Lugano criteria. | Up to 1.5 years |
| Dose-OPT DLBCL, FL and MCL: Percentage of Participants with =>Grade 2 Cytokine Release Syndrome (CRS) Events and All Grade CRS Events | CRS will be graded based on American Society for Transplantation and Cellular Therapy (ASTCT) criteria. | From first dose until 7 days after second full dose (Day 28 for DLBCL; Day 35 for FL; Day 28-35 for MCL) |
| Measure | Description | Time Frame |
|---|---|---|
| Dose-Escalation: Number of Participants with Anti-lymphoma Activity of Epcoritamab | Anti-lymphoma activity will be evaluated as number of participants with resolution of constitutional symptoms, reduction in tumor size, objective, and best response (ORR, CR and PR). | Up to 1 year |
| Dose-Escalation: Duration of Response (DOR) |
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Main Inclusion Criteria - Escalation Part (recruitment completed)
Documented CD20+ mature B-cell neoplasm
Relapsed and/or refractory disease following treatment with an anti-CD20 monoclonal antibody (e.g. rituximab) potentially in combination with chemotherapy and/or relapsed after autologous stem cell rescue.
Eastern Cooperative Oncology Group (ECOG) performance status 0,1 or 2.
Participants must have measurable disease by computed tomography (CT), magnetic resonance imaging (MRI) or Positron emission tomography-Computed tomography (PET-CT) scan
Acceptable renal function.
Acceptable liver function.
Main Inclusion Criteria - Expansion & Dose-OPT Parts
Main Exclusion Criteria - All Parts
NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
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| Name | Affiliation | Role |
|---|---|---|
| Study Official | Genmab | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Arizona Mayo Clinic | Phoenix | Arizona | 85054 | United States | ||
| University of California at San Francisco |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36548927 | Result | Thieblemont C, Phillips T, Ghesquieres H, Cheah CY, Clausen MR, Cunningham D, Do YR, Feldman T, Gasiorowski R, Jurczak W, Kim TM, Lewis DJ, van der Poel M, Poon ML, Cota Stirner M, Kilavuz N, Chiu C, Chen M, Sacchi M, Elliott B, Ahmadi T, Hutchings M, Lugtenburg PJ. Epcoritamab, a Novel, Subcutaneous CD3xCD20 Bispecific T-Cell-Engaging Antibody, in Relapsed or Refractory Large B-Cell Lymphoma: Dose Expansion in a Phase I/II Trial. J Clin Oncol. 2023 Apr 20;41(12):2238-2247. doi: 10.1200/JCO.22.01725. Epub 2022 Dec 22. | |
| 38889737 |
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DOR is defined as the time from the first documentation of response (CR or PR) to the date of progressive disease (PD) or death, whichever occurs earlier as assessed by the investigator. |
| Up to 1 year |
| Expansion: DOR | DOR is defined as the time from the first documentation of response (CR or PR) to the date of PD or death, whichever occurs earlier based on Lugano criteria. | Up to 1.5 years |
| Expansion Part: Changes in Lymphoma Symptoms as Measured by the Functional Assessment of Cancer Therapy - Lymphoma (FACT-Lym) | Change from baseline in health-related quality of life over time and in relation to treatment will be evaluated using FACT-Lym scale. | Up to 1.5 year |
| Dose-OPT DLBCL and FL: Percentage of Participants with >=Grade 2 CRS Events and All Grade CRS Events Following First Full Dose | CRS will be graded based on ASTCT criteria. | Up to 1.5 years |
| Dose-OPT DLBCL and FL: Percentage of Participants with >=Grade 2 CRS Events and All Grade CRS Events Overall | CRS will be graded based on ASTCT criteria. | Up to 1.5 years |
| Dose-OPT DLBCL and FL: ORR | ORR is defined as the percentage of participants achieving CR or PR assessed by investigator. | Up to 1.5 years |
| Dose-OPT DLBCL and FL: CR Rate | CR rate is defined as the percentage of participants with CR assessed by investigator. | Up to 1.5 years |
| Dose-OPT DLBCL and FL: Duration of CR (DoCR) | DoCR is defined as the time from the first documentation of CR to the date of PD or death, whichever occurs earlier assessed by investigator. | Up to 1.5 years |
| Dose-OPT DLBCL and FL: Progression-Free Survival (PFS) | PFS is defined as the time from Day 1 of Cycle 1 to first documented PD or death due to any cause, whichever occurs earlier assessed by investigator. | Up to 1.5 years |
| Dose-OPT DLBCL and FL: DLT | To determine the MTD and/or RP2D to be studied in the expansion part. DLT will be graded according to NCI-CTCAE version 5.0. | During the first cycle (28 days) in each Dose-OPT Part (DLBCL, FL and MCL) |
| Dose-OPT DLBCL, FL and MCL: DOR | DOR is defined as the time from the first documentation of response (CR or PR) to the date of PD or death, whichever occurs earlier based on Lugano criteria assessed by investigator. | Up to 1.5 years |
| Dose-Escalation and Dose-OPT DLBCL, FL and MCL: Pre-dose Values of Epcoritamab | Predose and postdose at multiple timepoints of each Cycle (Cycle length=28 days), up to approximately 1.5 years |
| Dose-Escalation, Expansion Part and Dose-OPT MCL: PFS | PFS is defined as the time from Day 1 of Cycle 1 to first documented PD or death due to any cause, whichever occurs earlier based on Lugano criteria. | Dose-Escalation: Up to 1 year; Expansion and Dose-OPT Part (MCL): 1.5 years |
| Expansion and Dose-OPT MCL: CR Rate | CR rate is defined as the percentage of participants with CR based on Lugano criteria. | Up to 1.5 years |
| Expansion and Dose-OPT MCL: DoCR | DoCR is defined as the time from the first documentation of CR to the date of PD or death, whichever occurs earlier based on Lugano criteria. | Up to 1.5 years |
| Expansion and Dose-OPT MCL: ORR | ORR is defined as the percentage of participants achieving CR or PR based on LYRIC. | Up to 1.5 years |
| Expansion: Time to Response (TTR) | TTR is defined as the time from Day 1 of Cycle 1 to first documentation of objective tumor response (PR or better) earlier based on Lugano criteria. | Up to 1.5 years |
| Expansion and Dose-OPT MCL: CR Rate | CR rate is defined as the percentage of participants with CR based on LYRIC. | Up to 1.5 years |
| Expansion and Dose-OPT MCL: PFS | PFS is defined as the time from Day 1 of Cycle 1 to first documented PD or death due to any cause, whichever occurs earlier based on LYRIC. | Up to 1.5 years |
| Expansion and Dose-OPT MCL: DOR | DOR is defined as the time from the first documentation of response (CR or PR) to the date of PD or death, whichever occurs earlier based on LYRIC. | Up to 1.5 years |
| Expansion and Dose-OPT MCL: DoCR | DoCR is defined as the time from the first documentation of CR to the date of PD or death, whichever occurs earlier based on LYRIC. | Up to 1.5 years |
| Expansion and Dose-OPT: TTR | TTR is defined as the time from Day 1 of Cycle 1 to first documentation of objective tumor response (PR or better) earlier based on LYRIC. | Up to 1.5 years |
| Expansion and Dose-OPT DLBCL, FL and MCL: Number of Participants with AEs | An AE is any untoward medical occurrence in a clinical trial participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product. | Up to 7 years and 6 months |
| Expansion and Dose-OPT DLBCL, FL and MCL: Rate of Minimal Residual Disease (MRD) Negativity | MRD is defined as percentage of participants with at least 1 MRD negative result. | Up to 1.5 years |
| All Parts: Number of Participants with CRS Events | CRS will be graded based on ASTCT criteria. | Up to Day 1 of Cycle 12 (Cycle length=28 days) |
| All Parts: Total Body Clearance of Epcoritamab from the Plasma (CL) | Predose and postdose at multiple timepoints of each cycle (Cycle length=28 days), Dose-Escalation: Up to 1 year; Expansion and Dose-OPT Part: Up to 1.5 years |
| All Parts: Area under Curve (AUC) of Epcoritamab | Predose and postdose at multiple timepoints of each cycle (Cycle length=28 days), Dose-Escalation: Up to 1 year; Expansion and Dose-OPT Part: Up to 1.5 years |
| All Parts: Maximum (peak) Plasma Concentration (Cmax) of Epcoritamab | Predose and postdose at multiple timepoints of each cycle (Cycle length=28 days), Dose-Escalation: Up to 1 year; Expansion and Dose-OPT Part: Up to 1.5 years |
| All Parts: Time to Reach Cmax of Epcoritamab | Predose and postdose at multiple timepoints of each cycle (Cycle length=28 days), Dose-Escalation: Up to 1 year; Expansion and Dose-OPT Part: Up to 1.5 years |
| All Parts: Half Life of Epcoritamab (t1/2) | Predose and postdose at multiple timepoints of each cycle (Cycle length=28 days), Dose-Escalation: Up to 1 year; Expansion and Dose-OPT Part: Up to 1.5 years |
| All Parts: Number of Participants with Anti-drug Antibody (ADA) | Plasma samples will be screened for antibodies binding to epcoritamab, and for confirmed positive samples, the titer against the two specific arms of epcoritamab will be reported. | Up to 7 years and 6 months |
| All Parts: Time to Next Anti-lymphoma Therapy (TTNT) | TTNT is defined as the time from Day 1 of Cycle 1 to first recorded administration of subsequent anti-lymphoma therapy or death due to any cause, whichever occurs earlier. | Dose-Escalation: Up to 1 year; Expansion and Dose-OPT Part (DLBCL, FL and MCL): Up to 1.5 years |
| All Parts: Overall survival (OS) | OS is defined as the time from Day 1 of Cycle 1 to death. | Dose-Escalation: Up to 1 year; Expansion and Dose-OPT Part DLBCL, FL and MCL: Up to 1.5 years |
| Expansion: Trough Concentration of Epcoritamab | Up to 1.5 years |
| San Francisco |
| California |
| 94117 |
| United States |
| Colorado Blood Cancer Institute | Denver | Colorado | 80218 | United States |
| H. Lee Moffitt Cancer Center and Research Institute | Tampa | Florida | 33612 | United States |
| University of Iowa Hospital and Clinics | Iowa City | Iowa | 52242 | United States |
| Ochsner Medical Center | New Orleans | Louisiana | 70121 | United States |
| University of Michigan | Ann Arbor | Michigan | 48109 | United States |
| Barbara Ann Karmanos Cancer Institute | Detroit | Michigan | 48334 | United States |
| University of Nebraska Medical Center | Omaha | Nebraska | 68198 | United States |
| Hackensack Meridian Health | Hackensack | New Jersey | 07601 | United States |
| The Cleveland Clinic Foundation | Cleveland | Ohio | 44195 | United States |
| OHSU Knight Cancer Institute | Portland | Oregon | 97210 | United States |
| Hillman Cancer Center | Pittsburgh | Pennsylvania | 15232 | United States |
| Rhode Island Hospital | Providence | Rhode Island | 02903 | United States |
| Medical University of South Carolina | Charleston | South Carolina | 29425 | United States |
| UT Southwestern | Dallas | Texas | 75390 | United States |
| MD Anderson Cancer Center | Houston | Texas | 77030 | United States |
| Monash Health | Clayton | Australia |
| Concord Hospital | Concord | Australia |
| St. Vincent Hospital | Fitzroy | Australia |
| Royal Brisbane and Women's Hospital | Herston | Australia |
| Royal Hobart Hospital RHH | Hobart | Australia |
| St. George Hospital | Kogarah | Australia |
| Cabrini Hospital | Malvern | Australia |
| Sir Charles Gairdner Hospital | Nedlands | Australia |
| Gold Coast Hospital | Southport | Australia |
| Westmead Hospital | Sydney | Australia |
| Tom Baker Cancer Care | Calgary | Canada |
| Toronto-Sunnybrook Regional Cancer Ctr | Toronto | Canada |
| Rigshospitalet | Copenhagen | Denmark |
| Odense University Hospital | Odense | 5000 C | Denmark |
| Vejle Hospital | Vejle | Denmark |
| Helsinki University Hospital | Helsinki | Finland |
| Kuopio University Hospital | Kuopio | Finland |
| Tampere University Hospital | Tampere | Finland |
| Hopital Henri Mondor | Créteil | France |
| CHU Montpellier | Montpellier | France |
| Hospital Saint-Louis | Paris | France |
| Hospices Civils de Lyon Centre Hospitalier Lyon Sud | Pierre-Bénite | France |
| Centre Henri Becquerel | Rouen | France |
| CHU de Tours-Hopital Bretonneau | Tours | France |
| Charite - Universitaetsmedizin Berlin | Berlin | Germany |
| Klinik fur Innere Medizin Hamatologie and Onkologie | Berlin | Germany |
| Universitaetsklinikum Koeln | Cologne | Germany |
| Universitaetsklinikum Essen | Essen | Germany |
| Johannes Gutenberg University | Mainz | Germany |
| Der Universität Munchen Medizinische Klinik III LMU | München | Germany |
| Ao Ss Antonio E Biagio Alessandria | Alessandria | Italy |
| Policlinico S. Orsola-Ematologia LA Seragnoli | Bologna | Italy |
| Istituto di Candiolo- Fondazione del Piemonte per l'Oncologia | Candiolo | Italy |
| Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori | Meldola | Italy |
| IRCCS Ospedale San Raffaele | Milan | Italy |
| VU University Medical Center | Amsterdam | Netherlands |
| Maastricht University Medical Center | Maastricht | 6229 HX | Netherlands |
| Erasmus MC Cancer Institute | Rotterdam | Netherlands |
| Universitair Medisch Centrum Utrecht | Utrecht | Netherlands |
| Szpital Uniwersytecki nr 2 im dr. Jana Biziela | Bydgoszcz | Poland |
| Uniwersyteckie Centrum Kliniczne | Gdansk | Poland |
| Pratia-McM | Krakow | Poland |
| Wojewodzki Szpital Specjalistyczny im. Janusza Korczaka | Słupsk | Poland |
| Maria Sklodowska-Curie Memorial Cancer Center and Institute | Warsaw | Poland |
| Uniwersytecki Szpital Kliniczny im. Jana Mikulicza-Radeckiego | Wroclaw | Poland |
| National University Hospital | Singapore | Singapore |
| Singapore General Hospital | Singapore | Singapore |
| Dong-A University Hospital | Busan | South Korea |
| Keimyung University Dongsan Medical Center | Daegu | South Korea |
| National Cancer Center | Goyang-si | South Korea |
| Chonbuk National University Hospital | Jeonju | South Korea |
| Seoul National University Bundang Hospital | Seongnam-si | South Korea |
| Asan Medical Center | Seoul | South Korea |
| Samsung Medical Center | Seoul | South Korea |
| Seoul National University Hospital | Seoul | South Korea |
| Severance Hospital, Yonsei University | Seoul | South Korea |
| Clinica Universidad de Navarra | Pamplona | Navarre | 31008 | Spain |
| Hospital Germans Trias i Pujol | Badalona | Spain |
| Hospital Universitario Vall dHebron | Barcelona | Spain |
| Institut Catala de Oncologia | Barcelona | Spain |
| Hospital Universitario Fundacin Jimnez Daz | Madrid | Spain |
| Skåne University Hospital | Lund | Sweden |
| Karolinska University Hospital Huddinge | Stockholm | Sweden |
| Akademiska sjukhuset Uppsala University Hospital | Uppsala | Sweden |
| The Christie NHS Foundation Trust | Manchester | United Kingdom |
| Plymouth University School of Medicine- Derriford Hospital | Plymouth | United Kingdom |
| University Hospital Southampton NHS Foundation Trust | Southampton | United Kingdom |
| Royal Marsden NHS Foundation Trust | Sutton | United Kingdom |
| Result |
| Linton KM, Vitolo U, Jurczak W, Lugtenburg PJ, Gyan E, Sureda A, Christensen JH, Hess B, Tilly H, Cordoba R, Lewis DJ, Okada C, Hutchings M, Clausen MR, Sancho JM, Cochrane T, Leppa S, Chamuleau MED, Gernhardt D, Altintas I, Liu Y, Ahmadi T, Dinh MH, Hoehn D, Favaro E, Elliott B, Thieblemont C, Vose JM. Epcoritamab monotherapy in patients with relapsed or refractory follicular lymphoma (EPCORE NHL-1): a phase 2 cohort of a single-arm, multicentre study. Lancet Haematol. 2024 Aug;11(8):e593-e605. doi: 10.1016/S2352-3026(24)00166-2. Epub 2024 Jun 15. |
| 40472301 | Derived | Danilov AV, Kambhampati Thiruvengadam S, Linton K, Cumings K, Chirikov V, Mutebi A, Bains Chawla S, Chhibber A, Rivas Navarro F, Marques Goncalves F, Wang A, Ding Z, Alshreef A, Favaro E, Hoehn D, Sureda A. Indirect comparison of epcoritamab vs chemoimmunotherapy, mosunetuzumab, or odronextamab in follicular lymphoma. Blood Adv. 2025 Aug 12;9(15):3754-3765. doi: 10.1182/bloodadvances.2024015274. |
| 39322711 | Derived | Thieblemont C, Karimi YH, Ghesquieres H, Cheah CY, Clausen MR, Cunningham D, Jurczak W, Do YR, Gasiorowski R, Lewis DJ, Kim TM, van der Poel M, Poon ML, Feldman T, Linton KM, Sureda A, Hutchings M, Dinh MH, Kilavuz N, Soong D, Mark T, Sacchi M, Phillips T, Lugtenburg PJ. Epcoritamab in relapsed/refractory large B-cell lymphoma: 2-year follow-up from the pivotal EPCORE NHL-1 trial. Leukemia. 2024 Dec;38(12):2653-2662. doi: 10.1038/s41375-024-02410-8. Epub 2024 Sep 25. |
| 38151388 | Derived | Phillips T, Lugtenburg P, Kalsekar A, Mutebi A, Wang A, Blaedel J, Kosa K, Martin S, Sacchi M, Kilavuz N, Thieblemont C. Improvements in Patient-Reported Outcomes in Relapsed or Refractory Large B-Cell Lymphoma Patients Treated With Epcoritamab. Clin Lymphoma Myeloma Leuk. 2024 Mar;24(3):e78-e87.e2. doi: 10.1016/j.clml.2023.11.005. Epub 2023 Nov 27. |
| 34508654 | Derived | Hutchings M, Mous R, Clausen MR, Johnson P, Linton KM, Chamuleau MED, Lewis DJ, Sureda Balari A, Cunningham D, Oliveri RS, Elliott B, DeMarco D, Azaryan A, Chiu C, Li T, Chen KM, Ahmadi T, Lugtenburg PJ. Dose escalation of subcutaneous epcoritamab in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: an open-label, phase 1/2 study. Lancet. 2021 Sep 25;398(10306):1157-1169. doi: 10.1016/S0140-6736(21)00889-8. Epub 2021 Sep 8. |
| ID | Term |
|---|---|
| D015451 | Leukemia, Lymphocytic, Chronic, B-Cell |
| D018442 | Lymphoma, B-Cell, Marginal Zone |
| ID | Term |
|---|---|
| D015448 | Leukemia, B-Cell |
| D007945 | Leukemia, Lymphoid |
| D007938 | Leukemia |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D016393 | Lymphoma, B-Cell |
| D008228 | Lymphoma, Non-Hodgkin |
| D008223 | Lymphoma |
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