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| ID | Type | Description | Link |
|---|---|---|---|
| 2023-504805-35-00 | EU Trial (CTIS) Number | ||
| 2020-000845-15 | EudraCT Number | ||
| NL74222.056.20 | Registry Identifier | CCMO | |
| 283235 | Other Identifier | IRAS ID; UK Research Summaries Database | |
| RECF4377 | Other Identifier | The French National Cancer Institute |
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| Name | Class |
|---|---|
| AbbVie | INDUSTRY |
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The purpose of this trial is to measure the safety and effectiveness of epcoritamab (EPKINLY™), either by itself or together with other therapies, when treating participants with B-cell non-Hodgkin Lymphoma (B-NHL). The aim of the first part of the trial is to identify the most appropriate dose of epcoritamab, and the aim of the second part of the trial is to assess the selected epcoritamab dose in a larger group of participants with B-NHL. All participants in this trial will receive either epcoritamab alone, or epcoritamab combined with another standard treatment regimen, with a total of 10 different treatment arms being studied.
Trial details include:
Participants who receive treatment with epcoritamab will have it injected right under the skin. Participants will receive a different regimen of epcoritamab depending upon which arm of treatment they are assigned.
Participants who receive standard treatments will have intravenous (IV) infusions and/or oral administration of those treatments. Participants will receive a different standard treatment regimen depending upon which arm of treatment they are assigned.
A Phase 1b/2, open-label, multinational, interventional trial to evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics/biomarkers, immunogenicity, and preliminary efficacy of epcoritamab in combination with other standard of care (SOC) agents in participants with B-NHL.
All participants in the trial will receive epcoritamab, as monotherapy or in combination. The following regimens will be investigated:
The trial consists of two parts: Part 1 ('Dose Escalation') and Part 2 ('Dose Expansion'). The primary objective of Part 1 is safety, and it includes Arm 1-5 and Arm 10. Part 2 includes all 10 arms (Arm 1-10) and the primary goal of all arms, except Arm 7, is preliminary efficacy. For Arm 7, the primary goal is safety. Participants in Arm 1-5 and Arm 10 can only participate in either Part 1 or Part 2. Dose Limiting Toxicities (DLTs) will be assessed in Part 1 and for a selected number of participants in Arm 8 during a 28-day period (safety run-in). The arms are conducted in parallel.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Arm 1 - Epcoritamab + R-CHOP | Experimental | In participants with previously untreated DLBCL. |
|
| Arm 2 - Epcoritamab + R2 | Experimental | In participants with R/R FL. |
|
| Arm 3 - Epcoritamab + BR | Experimental | In participants with previously untreated FL. |
|
| Arm 4 - Epcoritamab + R-DHAX/C | Experimental | In participants with R/R DLBCL eligible for ASCT. |
|
| Arm 5 - Epcoritamab + GemOx | Experimental | In participants with R/R DLBCL ineligible ASCT. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone | Drug | 6 cycles (21-day cycles) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Part 1: Number of Participants With Dose limiting Toxicities (DLTs) | DLT events are defined as clinically significant adverse events (AEs) or abnormal laboratory values assessed as unrelated to disease progression, underlying disease, intercurrent illness, or concomitant medications as assessed per Common Terminology Criteria for Adverse Events (NCI-CTCAE) criteria version 5.0. | During the first cycle (Cycle length= 28 days) in each cohort |
| Part 1 and Part 2 (Arms 1-5, 7 and 10): Number of Participants With Adverse Events (AEs) | An AE is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign. (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product. | From first dose of drug until either 60 days after last dose, date participant withdraws consent, date participant starts a new systemic anticancer therapy, or date participant dies, whichever occurs first (up to approximately 3 years) |
| Part 2 (Except Arm 7): 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 3 years |
| Measure | Description | Time Frame |
|---|---|---|
| Part 1 and 2: Clearance (CL) of Epcoritamab | Predose and postdose at multiple timepoints until treatment discontinuation (up to 3 years) | |
| Part 1 and 2: Area Under the Concentration-Time Curve (AUC) of Epcoritamab | Predose and postdose at multiple timepoints until treatment discontinuation (up to 3 years) |
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Key Inclusion Criteria
Arm 1:
Arm 2: R/R FL
Arm 3: Newly diagnosed, previously untreated FL grade 1-3A
Arm 4:
Arm 5:
Arm 6: Newly diagnosed, previously untreated FL grade 1-3A
Arm 7:
Arm 8:
Arm 9:
Arm 10:
Key Exclusion Criteria
NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Alabama at Birmingham | Birmingham | Alabama | 35294 | United States | ||
| Cedars-Sinai Medical Center |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40920572 | Derived | Falchi L, Sureda A, Leppa S, Vermaat JSP, Nijland M, Christensen JH, de Vos S, Holte H, Merryman RW, Lugtenburg PJ, Abrisqueta P, Linton KM, Sunkersett G, Hoehn D, Rana A, Abbas A, Marek J, Hao Y, Steele AJ, Morehouse C, Hutchings M, Belada D. Fixed-duration epcoritamab plus R2 drives favorable outcomes in relapsed or refractory follicular lymphoma. Blood. 2025 Nov 27;146(22):2629-2640. doi: 10.1182/blood.2025029909. | |
| 39792928 |
| Label | URL |
|---|---|
| Patient website: Recruiting clinical sites in Finland | View source |
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| Arm 6 - Epcoritamab + R2 |
| Experimental |
In participants with previously untreated FL. |
|
| Arm 7 - Epcoritamab maintenance | Experimental | In participants with FL who achieved a CR or PR after receiving SOC treatment in 1L or 2L. |
|
| Arm 8 - Epcoritamab + R mini-CHOP | Experimental | In participants with previously untreated DLBCL who are ineligible to receive full-dose anthracycline. |
|
| Arm 9 - Epcoritamab + Lenalidomide | Experimental | In participants with R/R FL who progressed within 24 months of initiation of first-line anti-CD20-containing immunochemotherapy. |
|
| Arm 10 - Epcoritamab + R-ICE | Experimental | In participants with R/R DLBCL eligible for ASCT. |
|
| rituximab and lenalidomide | Drug | rituximab 6 cycles and lenalidomide 12 cycles (28-day cycles) |
|
|
| rituximab and bendamustine | Drug | 6 cycles (28-day cycles) |
|
|
| rituximab, cytarabine, dexamethasone, and oxaliplatin/carboplatin | Drug | 3 cycles (21-day cycles) |
|
|
| gemcitabine and oxaliplatin | Drug | 4 cycles (28-day cycles) |
|
|
| Epcoritamab | Biological | Every week in cycle 1-4, every 3 weeks in cycle 5 and 6, followed by every 4 weeks in cycle 7 for a total of 1 year. |
|
|
| rituximab, cyclophosphamide, reduced dose of doxorubicin, vincristine, and prednisone | Drug | 6 cycles (21-day cycles) |
|
|
| Lenalidomide | Drug | 12 cycles (28-day cycles) |
|
| rituximab, ifosfamide, carboplatin, and etoposide phosphate | Drug | 3 cycles (21-day cycles) |
|
|
| Epcoritamab | Biological | Every week in cycle 1-3, every 2 weeks in cycle 4-9, followed by every 4 weeks for a total of 2 years. |
|
|
| Epcoritamab | Biological | Every week in cycle 1 and 2, followed by every 4 weeks for a total of 2 years. |
|
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| Epcoritamab | Biological | Every week in cycle 1 and then every 8 weeks for a total of 2 years. |
|
|
| Epcoritamab | Biological | Every week in cycles 1 and 2, then every 3 weeks in cycles 3 to 6 and then every 4 weeks for cycles 7 and 8. |
|
|
| Epcoritamab | Biological | Every week in cycle 1-3 and then every 4 weeks for a total of 2 years. |
|
|
| Epcoritamab | Biological | Every week in cycle 1-4, every 2 weeks in cycle 5-9 followed by every 4 weeks until ASCT or disease progression. |
|
|
| Epcoritamab | Biological | Eligible participants will receive subcutaneous (SC) epcoritamab in 28-day cycles. Fixed-treatment epcoritamab will be administered following a 2-Set Up Dosing regimen in Cycle 1. There will be 2 cohorts, 2a and 2b with different dosing schedules. Cohort 2a will be dosed weekly (QW) in Cycles 1-3, once every 2 weeks (Q2W) in Cycles 4-9, and once every 4 weeks (Q4W) in Cycle 10 and beyond for up to 2 years. In cohort 2b, an alternate dosing schedule for epcoritamab will be explored: epcoritamab administered QW for Cycles 1-2 only, then Q4W in Cycle 3 and beyond for up to 2 years. |
|
|
| Rituximab and Lenalidomide | Drug | Rituximab 375 milligrams per meter squared (mg/m^2) will be administered intravenously QW in Cycle 1 and Q4W in Cycles 2-5. Lenalidomide 20 mg will be administered orally daily for 21 days for 12 cycles. |
|
|
| Epcoritamab | Biological | Cycle 1-3 every week, every other week Cycle 4-9 and then Q4W until progression or unacceptable toxicity. |
|
|
| Part 1 and 2: Maximum (Peak) Plasma Concentration (Cmax) of Epcoritamab | Predose and postdose at multiple timepoints until treatment discontinuation (up to 3 years) |
| Part 1 and 2: Time to Reach Cmax (Tmax) of Epcoritamab | Predose and postdose at multiple timepoints until treatment discontinuation (up to 3 years) |
| Part 1 and 2: Terminal Elimination Half-Life (t 1/2) of Epcoritamab | Predose and postdose at multiple timepoints until treatment discontinuation (up to 3 years) |
| Part 1 and 2: Number of Immune Cell Populations | Immune cell populations in peripheral blood and tumor biopsies will be assessed. | Up to 2 years |
| Part 1 and 2: Percentage of Immune Cell Populations | Immune cell populations in peripheral blood and tumor biopsies will be assessed. | Up to 2 years |
| Part 1 and 2: Change From Baseline in Cytokine Levels up to Cycle 3 | Change in cytokine levels in peripheral blood samples will be assessed. | Up to Cycle 3 (cycle length = 21 days for Arms 1, 4, 8 and 10; cycle length = 28 days for Arms 2, 3, 5, 6 and 9; cycle length = 28 days (Cycle 1) and 56 days (Cycles 2, 3) for Arm 7) |
| Part 1 and 2: Change From Baseline in Circulating Tumor Deoxyribonucleic Acid (DNA) Level up to End of Treatment (up to 2 Years) | Change in circulating tumor DNA levels will be assessed. | Up to 2 years |
| Part 1 and 2: Number of Participants With Anti-Drug Antibodies (ADAs) to Epcoritamab | Up to 3 years |
| Part 1: ORR | ORR is defined as the percentage of participants achieving CR or PR based on Lugano criteria. | Up to 3 years |
| Part 1 and 2: Duration of Response (DOR) | DOR: the time from the first documentation of objective tumor response (CR or PR) to the date of first PD or death, whichever occurs earlier, based on Lugano criteria. | Up to 3 years |
| Part 1 and 2: Time to Response (TTR) | TTR is defined as the time from Day 1 of Cycle 1 to first documentation of objective tumor response (CR or PR). | Up to 3 years |
| Part 1 and 2: 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, based on Lugano criteria. | Up to 3 years |
| Part 1 and 2: Overall Survival (OS) | OS is defined as the time from the date of first dose, to the date of death due to any cause. | Up to 3 years |
| Part 1 and 2: Time to Next Anti-lymphoma Therapy (TTNT) | TTNT is defined as the time from Day 1 of Cycle 1 to first documented administration of subsequent anti-lymphoma therapy. | Up to 3 years |
| Part 1 and 2: Percentage of Participants With Minimal Residual Disease (MRD) Negativity | It is defined as the percentage of participants with at least 1 MRD negative result. | Up to 3 years |
| Part 1 and 2: Duration of minimal residual disease (MRD) negativity | Up to 3 years |
| Part 2 (Arm 7): Percentage of Participants Who Converted From MRD Positivity to MRD Negativity | Up to 3 years |
| Part 2 (Except Arm 7): Percentage of Participants with Complete Response (CR) in Arms 1 to 10 | Up to 3 years |
| Part 2 (Arm 7): Percentage of Participants With CR | It is defined as the percentage of participants who remain in complete remission or converting to complete remission after first trial drug administration. | Week 24, Week 48, and Week 96 |
| Part 1 and 2: Time to Complete Response (TTCR) | TTCR is defined as the time from first trial drug administration to the date of first documented complete response post-treatment. | Up to 3 years |
| Part 1 and 2: Duration of Complete Response (DoCR) | DoCR is defined as the time from the first documentation of CR to the date of PD or death, whichever occurs first based on Lugano criteria. | Up to 3 years |
| Part 2: Number of Participants with AEs (Except Arm 7) | An AE is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign. (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product. | From first dose of drug until either 60 days after last dose, date participant withdraws consent, date participant starts a new systemic anticancer therapy, or date participant dies, whichever occurs first (up to approximately 3 years) |
| Los Angeles |
| California |
| 90048 |
| United States |
| David Geffen School of Medicine at UCLA | Los Angeles | California | 90095 | United States |
| University of California San Francisco | San Francisco | California | 94143 | United States |
| Dana Farber Cancer Institute | Boston | Massachusetts | 02215 | United States |
| University of Michigan Comprehensive Cancer Center Michigan Medicine | Ann Arbor | Michigan | 48109 | United States |
| Hackensack University Medical Center | Hackensack | New Jersey | 07601 | United States |
| Mount Sinai | New York | New York | 10029 | United States |
| Memorial Sloan Kettering CC | New York | New York | 10065 | United States |
| Levine Cancer Center | Charlotte | North Carolina | 28204 | United States |
| Southwestern Medical Center | Dallas | Texas | 75390 | United States |
| Austin Health | Heidelberg | VIC 3084 | Australia |
| Linear Clinical Research Limited | Nedlands | 6009 | Australia |
| AZ Sint-Jan | Bruges | 8000 | Belgium |
| Universitair Ziekenhuis Gent | Ghent | 9000 | Belgium |
| CHU UCL Namur Site Godinne | Yvoir | 5530 | Belgium |
| Fakultni nemocnice Hradec Kralove | Hradec Králové | Czechia |
| Fakultni nemocnice Ostrava | Ostrava - Poruba | Czechia |
| Fakultni nemocnice v Motole | Prague | 15006 | Czechia |
| Vseobecna Fakultni Nemocnice | Prague | Czechia |
| Århus Hospital | Aarhus | Denmark |
| Rigshospitalet | Copenhagen | 2100 | Denmark |
| Odense University Hospital | Odense | Denmark |
| Vejle Sygehus | Vejle | Denmark |
| Kuopio University Hospital | Kuopio | 70210 | Finland |
| HUS Cancer Center | Lahti | 15850 | Finland |
| Hopital Claude Huriez - CHRU Lille | Lille | 59037 | France |
| Hôpital de la Timone | Marseille | 13005 | France |
| Hôpital Saint-Louis | Paris | 75475 | France |
| Centre Hospitalier Lyon Sud | Pierre-Bénite | 69495 | France |
| Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII (Presidio Papa Giovanni XXIII) | Bergamo | 24127 | Italy |
| Azienda Ospedaliera Universitaria Policlinico Sant'Orsola Malpighi IRCCS | Bologna | Italy |
| Fondazione del Piemonte per l Oncologia Istituto di Candiolo IRCCS | Candiolo | 10060 | Italy |
| IRCCS Istituto Scientifico Romagnolo Per Lo Studio Dei Tumori Dino Amadori IRST | Meldola | 47014 | Italy |
| Fondazione IRCCS CA' Granda Ospedale Maggiore Policlinico | Milan | 20122 | Italy |
| Fondazione IRCCS Policlinico San Matteo | Pavia | 27100 | Italy |
| Arcispedale S. Maria Nuova Azienda Ospedaliera di Reggio Emilia | Reggio Emilia | 42123 | Italy |
| Amsterdam UMC, Locatie VUMC | Amsterdam | 1105 AZ | Netherlands |
| Universitair Medisch Centrum Groningen (UMCG) | Groningen | 9713 | Netherlands |
| Leids Universitair Medisch Centrum | Leiden | 2333 ZA | Netherlands |
| Maastricht University Medical Center | Maastricht | 6229 HX | Netherlands |
| Erasmus Medisch Centrum | Rotterdam | Netherlands |
| UMC Utrecht | Utrecht | 3584 | Netherlands |
| Oslo Universitetssykehus HF, Radiumhospitalet | Oslo | 310 | Norway |
| ICO l Hospitalet | Barcelona | 08908 | Spain |
| Hospital Universitari Vall d'Hebron | Barcelona | 8035 | Spain |
| Hospital Universitario Fundacion Jimenez Diaz | Madrid | 28040 | Spain |
| Hospital Universitario La Paz | Madrid | 28046 | Spain |
| Hospital Universitario de Salamanca | Salamanca | 37007 | Spain |
| Södra Älvsborgs Sjukhus | Borås | Sweden |
| Sahlgrenska Sjukhuset | Gothenburg | 413 45 | Sweden |
| Skånes Universitetssjukhus | Lund | Sweden |
| Karolinska Universitetssjukhuset | Solna | Sweden |
| Akademiska Sjukhuset | Uppsala | Sweden |
| The Christie Hospital | Manchester | United Kingdom |
| Freeman Hospital | Newcastle upon Tyne | NE7 7D | United Kingdom |
| Derriford Hospital | Plymouth | PL6 8DH | United Kingdom |
| Derived |
| Brody JD, Jorgensen J, Belada D, Costello R, Trneny M, Vitolo U, Lewis DJ, Karimi YH, Sureda A, Andre M, Wahlin BE, Lugtenburg PJ, Jiang T, Karagoz K, Steele AJ, Abbas A, Wang L, Risum M, Cordoba R. Epcoritamab plus GemOx in transplant-ineligible relapsed/refractory DLBCL: results from the EPCORE NHL-2 trial. Blood. 2025 Apr 10;145(15):1621-1631. doi: 10.1182/blood.2024026830. |
| ID | Term |
|---|---|
| D016403 | Lymphoma, Large B-Cell, Diffuse |
| D008224 | Lymphoma, Follicular |
| ID | Term |
|---|---|
| D016393 | Lymphoma, B-Cell |
| D008228 | Lymphoma, Non-Hodgkin |
| D008223 | Lymphoma |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
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| ID | Term |
|---|---|
| D000069283 | Rituximab |
| D003520 | Cyclophosphamide |
| D004317 | Doxorubicin |
| D014750 | Vincristine |
| D011241 | Prednisone |
| C571759 | R-CHOP protocol |
| D000077269 | Lenalidomide |
| D000069461 | Bendamustine Hydrochloride |
| D003561 | Cytarabine |
| D003907 | Dexamethasone |
| D000077150 | Oxaliplatin |
| D016190 | Carboplatin |
| D000093542 | Gemcitabine |
| D007069 | Ifosfamide |
| C061400 | etoposide phosphate |
| ID | Term |
|---|---|
| D058846 | Antibodies, Monoclonal, Murine-Derived |
| D000911 | Antibodies, Monoclonal |
| D000906 | Antibodies |
| D007136 | Immunoglobulins |
| D007162 | Immunoproteins |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D012712 | Serum Globulins |
| D005916 | Globulins |
| D010752 | Phosphoramide Mustards |
| D009588 | Nitrogen Mustard Compounds |
| D009150 | Mustard Compounds |
| D006846 | Hydrocarbons, Halogenated |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D063088 | Phosphoramides |
| D009943 | Organophosphorus Compounds |
| D003630 | Daunorubicin |
| D018943 | Anthracyclines |
| D009279 | Naphthacenes |
| D011084 | Polycyclic Aromatic Hydrocarbons |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D011083 | Polycyclic Compounds |
| D000617 | Aminoglycosides |
| D006027 | Glycosides |
| D002241 | Carbohydrates |
| D014748 | Vinca Alkaloids |
| D046948 | Secologanin Tryptamine Alkaloids |
| D026121 | Indole Alkaloids |
| D000470 | Alkaloids |
| D006571 | Heterocyclic Compounds |
| D007211 | Indoles |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D054836 | Indolizidines |
| D007212 | Indolizines |
| D011244 | Pregnadienediols |
| D011245 | Pregnadienes |
| D011278 | Pregnanes |
| D013256 | Steroids |
| D000072473 | Fused-Ring Compounds |
| D010797 | Phthalimides |
| D010795 | Phthalic Acids |
| D000146 | Acids, Carbocyclic |
| D002264 | Carboxylic Acids |
| D010881 | Piperidones |
| D010880 | Piperidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D054833 | Isoindoles |
| D002087 | Butyrates |
| D000144 | Acids, Acyclic |
| D001562 | Benzimidazoles |
| D003562 | Cytidine |
| D011741 | Pyrimidine Nucleosides |
| D011743 | Pyrimidines |
| D001087 | Arabinonucleosides |
| D009705 | Nucleosides |
| D009706 | Nucleic Acids, Nucleotides, and Nucleosides |
| D011246 | Pregnadienetriols |
| D013259 | Steroids, Fluorinated |
| D056831 | Coordination Complexes |
| D003841 | Deoxycytidine |
| D010078 | Oxazines |
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