Safety and Efficacy Trial of Epcoritamab Combinations in Subjects With B-cell Non-Hodgkin Lymphoma (B-NHL)

Last updated: June 2, 2025
Sponsor: Genmab
Overall Status: Active - Not Recruiting

Phase

1/2

Condition

Lymphoproliferative Disorders

Follicular Lymphoma

Hematologic Cancer

Treatment

rituximab, cyclophosphamide, reduced dose of doxorubicin, vincristine, and prednisone

rituximab, ifosfamide, carboplatin, and etoposide phosphate

Rituximab and Lenalidomide

Clinical Study ID

NCT04663347
GCT3013-02
RECF4377
283235
NL74222.056.20
2020-000845-15
2023-504805-35-00
  • Ages > 18
  • All Genders

Study Summary

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:

  • The treatment duration for each participant depends upon which arm of treatment they are assigned to.

  • The visit frequency for each participant depends upon which arm of treatment they are assigned to, but will be weekly to start for all participants, then will decrease to either: every 2 weeks, or every 3 weeks, or every 4 weeks, or every 8 weeks.

  • All participants will receive active drug; no one will be given placebo.

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.

Eligibility Criteria

Inclusion

Key Inclusion Criteria

  1. Measurable disease defined as ≥1 measurable nodal lesion (long axis >1.5 cm and short axis >1.0 cm) or ≥1 measurable extra-nodal lesion (long axis >1.0 cm) on computed tomography (CT) or magnetic resonance imaging (MRI). Applies to all arms except arm 7.

  2. Eastern Cooperative Oncology Group (ECOG) PS score of 0, 1 or 2

  3. Acceptable organ function at screening

  4. CD20-positive non-Hodgkin lymphoma (NHL) at most recent representative tumor biopsy

  5. If of childbearing potential participant must practicing a highly effective method of birth control

  6. A man who is sexually active with a woman of childbearing potential must agree to use a barrier method of birth control

Arm 1:

  • Newly diagnosed DLBCL

  • DLBCL, not otherwise specified (NOS)

  • "Double-hit" or "triple-hit" DLBCL

  • FL Grade 3B

Arm 2: R/R FL

Arm 3: Newly diagnosed, previously untreated FL grade 1-3A

Arm 4:

  • Documented R/R DLBCL and eligible for HDT-ASCT

  • DLBCL, NOS

  • "Double-hit" or "triple-hit" DLBCL

  • FL Grade 3B

Arm 5:

  • Documented R/R DLBCL and ineligible for HDT-ASCT

  • DLBCL, NOS

  • "Double-hit" or "triple-hit" DLBCL

  • FL Grade 3B

Arm 6: Newly diagnosed, previously untreated FL grade 1-3A

Arm 7:

  • FL Grade 1-3A

  • If PR or CR per Lugano criteria following first-line or second-line treatment with SOC regimen, and last dose of SOC within 6 months prior to enrollment.

Arm 8:

  • Newly diagnosed DLBCL who are not fit to receive full-dose anthracycline

  • T-cell/histiocyte rich DLBCL

  • "Double-hit" or "triple-hit" DLBCL

  • FL Grade 3B

Arm 9:

  • R/R FL

  • Progressed within 24 months of initiating first-line treatment

Arm 10:

  • Documented R/R DLBCL and eligible for HDT-ASCT

  • DLBCL, NOS

  • "Double-hit" or "triple-hit" DLBCL

  • FL Grade 3B

Key Exclusion Criteria

  1. Chemotherapy, radiation therapy, or major surgery within 4 weeks prior to the first dose of epcoritamab

  2. Any prior treatment with a bispecific antibody targeting CD3 and CD20.

  3. Treatment with CAR-T therapy within 100 days prior to first dose of epcoritamab

  4. Clinically significant cardiovascular disease

  5. Evidence of significant, uncontrolled concomitant diseases that could affect compliance with the protocol or interpretation of results

  6. CNS lymphoma or known CNS involvement by lymphoma at screening as confirmed by MRI/CT scan of the brain and, if clinically indicated, by lumbar puncture

  7. Positive tests for hepatitis B virus or hepatitis C virus indicating acute or chronic infection

  8. Known history of seropositivity of human immunodeficiency virus (HIV)

  9. Active tuberculosis or history of completed treatment for active tuberculosis within the past 12 months

  10. Neuropathy > grade 1

  11. Receiving immunostimulatory agent

  12. Prior allogeneic HSCT

  13. Current seizure disorder requiring anti-epileptic therapy

NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Study Design

Total Participants: 543
Treatment Group(s): 10
Primary Treatment: rituximab, cyclophosphamide, reduced dose of doxorubicin, vincristine, and prednisone
Phase: 1/2
Study Start date:
November 03, 2020
Estimated Completion Date:
September 30, 2028

Study Description

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:

  • Arm 1: epcoritamab + rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP) in participants with previously untreated diffuse large B-cell lymphoma (DLBCL)

  • Arm 2: epcoritamab + rituximab and lenalidomide (R2) in participants with relapsed/refractory (R/R) follicular lymphoma (FL)

  • Arm 3: epcoritamab + rituximab and bendamustine (BR) in participants with previously untreated FL

  • Arm 4: epcoritamab + rituximab, cytarabine, dexamethasone, and oxaliplatin/ carboplatin (R-DHAX/C) in participants with R/R DLBCL eligible for autologous stem cell transplant (ASCT)

  • Arm 5: epcoritamab + gemcitabine and oxaliplatin (GemOx) in participants with R/R DLBCL ineligible for ASCT due to age, performance status (PS), or comorbidity

  • Arm 6: epcoritamab + R2 in participants with previously untreated FL

  • Arm 7: epcoritamab maintenance in participants with FL who achieve a complete response (CR) or a partial response (PR) following first or second line SOC treatment

  • Arm 8: epcoritamab + reduced dose of R-CHOP (R mini-CHOP) in participants with previously untreated DLBCL who are ineligible to receive full-dose anthracycline

  • Arm 9: epcoritamab + lenalidomide for second-line treatment in participants with R/R FL who progressed within 24 months of initiation of first-line anti-CD20-containing immunochemotherapy

  • Arm 10: epcoritamab + rituximab, ifosfamide, carboplatin, and etoposide phosphate (R-ICE) in participants with R/R DLBCL eligible for ASCT

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.

Connect with a study center

  • Monash Medical Centre

    Clayton, Victoria 3084
    Australia

    Site Not Available

  • Austin Health

    Heidelberg, VIC 3084
    Australia

    Site Not Available

  • Linear Clinical Research Limited

    Nedlands, 6009
    Australia

    Site Not Available

  • Linear Clinical Research Limited

    Perth,
    Australia

    Site Not Available

  • AZ Sint-Jan

    Brugge, 8000
    Belgium

    Site Not Available

  • Universitair Ziekenhuis Gent

    Gent, 9000
    Belgium

    Site Not Available

  • CHU UCL Namur Site Godinne

    Yvoir, 5530
    Belgium

    Site Not Available

  • Fakultni nemocnice Hradec Kralove

    Hradec Králové,
    Czechia

    Site Not Available

  • Fakultni nemocnice Ostrava

    Ostrava - Poruba,
    Czechia

    Site Not Available

  • Fakultni nemocnice v Motole

    Prague, 15006
    Czechia

    Site Not Available

  • Vseobecna Fakultni Nemocnice

    Praha 2,
    Czechia

    Site Not Available

  • Århus Hospital

    Arhus,
    Denmark

    Site Not Available

  • Rigshospitalet

    Copenhagen, 2100
    Denmark

    Site Not Available

  • Odense University Hospital

    Odense,
    Denmark

    Site Not Available

  • Vejle Sygehus

    Vejle,
    Denmark

    Site Not Available

  • Tampere University Hospital

    Helsinki, 33520
    Finland

    Site Not Available

  • Kuopio University Hospital

    Kuopio, 70210
    Finland

    Site Not Available

  • HUS Cancer Center

    Lahti, 15850
    Finland

    Site Not Available

  • Institut Bergonié

    Bordeaux, 33076
    France

    Site Not Available

  • CHU Dijon - Hopital du Bocage

    Dijon, 21000
    France

    Site Not Available

  • Institut Bergonié

    Gironde,
    France

    Site Not Available

  • Hopital Claude Huriez - CHRU Lille

    Lille, 59037
    France

    Site Not Available

  • Centre Hospitalier Lyon Sud

    Lyon,
    France

    Site Not Available

  • Hôpital de la Timone

    Marseille, 13005
    France

    Site Not Available

  • Hopital Claude Huriez - CHRU Lille

    Nordausques, 59037
    France

    Site Not Available

  • Hôpital Saint-Louis

    Paris, 75475
    France

    Site Not Available

  • Centre Hospitalier Lyon Sud

    Pierre-Bénite, 69495
    France

    Site Not Available

  • Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII (Presidio Papa Giovanni XXIII)

    Bergamo, 24127
    Italy

    Site Not Available

  • Azienda Ospedaliera Universitaria Policlinico Sant'Orsola Malpighi IRCCS

    Bologna,
    Italy

    Site Not Available

  • Fondazione del Piemonte per l Oncologia Istituto di Candiolo IRCCS

    Candiolo, 10060
    Italy

    Site Not Available

  • Istituto Scientifico Romagnolo Per Lo Studio e La Cura Dei Tumori

    Meldola, 47014
    Italy

    Site Not Available

  • Fondazione IRCCS CA' Granda Ospedale Maggiore Policlinico

    Milan, 20122
    Italy

    Site Not Available

  • Fondazione IRCCS Policlinico San Matteo

    Pavia, 27100
    Italy

    Site Not Available

  • Arcispedale S. Maria Nuova Azienda Ospedaliera di Reggio Emilia

    Reggio Emilia, 42123
    Italy

    Site Not Available

  • Amsterdam UMC, Locatie VUMC

    Amsterdam, 1105 AZ
    Netherlands

    Site Not Available

  • Universitair Medisch Centrum Groningen (UMCG)

    Groningen, 9713
    Netherlands

    Site Not Available

  • Leids Universitair Medisch Centrum

    Leiden, 2333 ZA
    Netherlands

    Site Not Available

  • Maastricht University Medical Center

    Maastricht, 6229 HX
    Netherlands

    Site Not Available

  • Erasmus Medisch Centrum

    Rotterdam,
    Netherlands

    Site Not Available

  • UMC Utrecht

    Utrecht, 3584
    Netherlands

    Site Not Available

  • Oslo Universitetssykehus HF, Radiumhospitalet

    Oslo, 310
    Norway

    Site Not Available

  • Hospital Universitari Vall d'Hebron

    Barcelona, 8035
    Spain

    Site Not Available

  • ICO l Hospitalet

    Barcelona, 08908
    Spain

    Site Not Available

  • Hospital Universitario Fundacion Jimenez Diaz

    Madrid, 28040
    Spain

    Site Not Available

  • Hospital Universitario La Paz

    Madrid, 28046
    Spain

    Site Not Available

  • Hospital Universitario de Salamanca

    Salamanca, 37007
    Spain

    Site Not Available

  • Södra Älvsborgs Sjukhus

    Borås,
    Sweden

    Site Not Available

  • Sahlgrenska Sjukhuset

    Göteborg, 413 45
    Sweden

    Site Not Available

  • Skånes Universitetssjukhus

    Lund,
    Sweden

    Site Not Available

  • Karolinska Universitetssjukhuset

    Solna,
    Sweden

    Site Not Available

  • Norrlands Universitetssjukhus

    Umeå,
    Sweden

    Site Not Available

  • Akademiska Sjukhuset

    Uppsala,
    Sweden

    Site Not Available

  • University College London Hospitals

    London, NW1 2PG
    United Kingdom

    Site Not Available

  • The Christie NHS Foundation Trust

    Manchester,
    United Kingdom

    Site Not Available

  • Freeman Hospital

    Newcastle Upon Tyne, NE7 7D
    United Kingdom

    Site Not Available

  • Derriford Hospital

    Plymouth, PL6 8DH
    United Kingdom

    Site Not Available

  • University of Alabama at Birmingham

    Birmingham, Alabama 35294
    United States

    Site Not Available

  • Cedars-Sinai Medical Center

    Los Angeles, California 90048
    United States

    Site Not Available

  • David Geffen School of Medicine at UCLA

    Los Angeles, California 90095
    United States

    Site Not Available

  • University of California San Francisco

    San Francisco, California 94143
    United States

    Site Not Available

  • Dana Farber Cancer Institute

    Boston, Massachusetts 02215
    United States

    Site Not Available

  • University of Michigan Comprehensive Cancer Center

    Ann Arbor, Michigan 84109
    United States

    Site Not Available

  • John Theurer Cancer Center at Hackensack UMC

    Hackensack, New Jersey 07601
    United States

    Site Not Available

  • Memorial Sloan Kettering CC

    New York, New York 10065
    United States

    Site Not Available

  • Mount Sinai

    New York, New York 10029
    United States

    Site Not Available

  • Levine Cancer Center

    Charlotte, North Carolina 28204
    United States

    Site Not Available

  • UMPC Hillman Cancer Center Cancer Pavillion

    Pittsburgh, Pennsylvania 15232
    United States

    Site Not Available

  • UT Southwestern Medical Center

    Dallas, Texas 75390
    United States

    Site Not Available

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