🇮🇪Ireland
16°C Partly Cloudy · Dublin
Live Updates
--:--:-- IST
Writer Login
Latest
Clinical Trials in the USA / NCT04628494
Active, not recruiting Phase 3

A Phase 3 Trial of Epcoritamab vs Investigator's Choice Chemotherapy in Relapsed/Refractory (R/R) Diffuse Large B-cell Lymphoma (DLBCL)

NCT04628494 · tracked via the Priya Life Science USA tracker
Sponsor
Genmab
Phase
Phase 3
Started
2021-01-13
Last updated
2026-05-22

Condition(s) studied

Diffuse Large B-cell Lymphoma

Investigational drug(s) / intervention(s)

Epcoritamab →Investigator's Choice Chemotherapy

Epcoritamab: Following mandatory pre-medication, participants will be administered epcoritamab as a subcutaneous injection.

Investigator's Choice Chemotherapy: Following mandatory pre-medication, participants will be administered intravenously either BR or R-GemOx.

Study summary

The purpose of this trial is to find out if epcoritamab, also known as EPKINLY™ and GEN3013, is safe and works well as treatment for participants with DLBCL that are not responding to treatment, have grown in size, or have come back following treatment with at least 1 prior systemic cancer therapy. All participants in this trial will be randomly assigned to receive either epcoritamab or a pre-specified investigator's choice (standard of care) chemotherapy (either rituximab + gemcitabine + oxaliplatin \[R-GemOx\], or bendamustine + rituximab \[BR\]). Participants must have failed or be ineligible to receive an autologous stem cell transplant (ASCT).

Epcoritamab will be injected under the skin. Investigator's choice chemotherapy will be given intravenously.

Trial details include:

* The trial duration will be up to 5 years after last participant is randomized.
* All trial participants have a 21-day screening period, a treatment period, and a follow-up period that continues until death.
* The estimated trial duration for an individual participant depends upon the treatment arm assigned:

* Participants who receive epcoritamab will have 28-day treatment cycles. Epcoritamab will be given once weekly for the first 3 months, then every other week for 6 months, then every 28 days until lymphoma progression or unacceptable adverse events.
* Participants who receive investigator's choice (standard of care) chemotherapy will receive treatments either:

* R-GemOx: On Day 1 (or Day 1 \& Day 2), and Day 15 (or Day 15 \& Day 16) every 28 days, for up to 4 months; or
* BR: On Day 1 and Day 2 every 3 weeks for up to 4.5 months.

Eligibility

Sex
ALL
Min age
18 Years
Max age
Healthy volunteers
No
Main Inclusion Criteria: 1. Relapsed or refractory disease and previously treated with at least 1 line of systemic antineoplastic therapy including anti-CD20 monoclonal antibody (mAb)-containing combination chemotherapy since lymphoma diagnosis 2. One of the confirmed histologies below with CD20-positivity: 1. DLBCL, not otherwise specified (NOS), including de novo or histologically transformed from follicular lymphoma (FL) 2. "Double-hit" or "triple-hit" DLBCL (technically classified in World Health Organization (WHO) 2016 as high-grade B-cell lymphoma (HGBCL), with MYC and BCL2 and/or BCL6 translocations), including de novo or histologically transformed from FL 3. FL Grade 3B 4. T-cell/histiocyte-rich large B-cell lymphoma 3. Eastern Cooperative Oncology Group Performance Status (ECOG PS) score of 0-2 4. Failed previous HDT-ASCT or not eligible for high-dose therapy autologous stem cell transplant (HDT-ASCT) at screening 5. Participants must have detectable disease by positron emission tomography (PET) scan and measurable by computed tomography (CT) scan or magnetic resonance imaging (MRI) 6. Acceptable renal and liver function 7. Life expectancy \>2 months on standard of care treatment Main Exclusion Criteria: 1. Primary Central Nervous System (CNS) tumor or known CNS involvement 2. Any prior therapy with a bispecific antibody targeting CD3 and CD20 3. Major surgery within 4 weeks prior to randomization 4. Chemotherapy and other non-investigational antineoplastic agents (except CD20 mAbs) within 4 weeks or 5 half-lives (whichever is shorter) prior to randomization 5. Any investigational drug within 4 weeks or 5 half-lives, whichever is longer, prior to randomization 6. Autologous stem cell transplant (ASCT) within 100 days of randomization 7. Treatment with chimeric antigen receptor T-cell (CAR-T) therapy within 100 days prior to randomization 8. Seizure disorder requiring anti-epileptic therapy 9. Clinically significant cardiac disease

Primary outcome measure(s)

Trial sites (186)

FacilityCityRegionStatus
Indiana Blood and Marrow Transplantation Indianapolis Indiana
Community Health Network Cancer Center North Indianapolis Indiana
University of Kentucky Markey Cancer Center Lexington Kentucky
Henry Ford Health System Jackson Michigan
MMCORC Attn Delaney Anderson Saint Louis Park Minnesota
MD Anderson Cancer Center at Cooper Camden New Jersey
Wake Forest Baptist Health Winston-Salem North Carolina
The Christ Hospital Cancer Center Cincinnati Ohio
TriHealth Cancer Institute- Good Samaritan Hospital Cincinnati Ohio
Brooke Army Medical Center Fort Sam Houston Texas
Community Cancer Trials of Utah Ogden Utah
LDS Hospital Salt Lake City Utah
Virginia Commonwealth University (VCU) Massey Cancer Center Richmond Virginia
North Star Lodge Cancer Center Yakima Washington
Waukesha Memorial Hospital Waukesha Wisconsin
Flinders Medical Centre Bedford Park Australia
Concord Repatriation General Hospital Concord Australia
Peninsula Private Hospital Clinical Trials Unit Frankston Australia
Icon Cancer Centre Corporate Office South Brisbane Australia
Calvary Mater Newcastle Waratah Australia
Westmead Hospital Westmead Australia
Ordensklinikum Linz Barmherzige Schwestern Linz Austria
Ordensklinikum Linz GmbH Elisabethinen Linz Austria
Uniklinikum Salzburg, Universitätsklinik für Innere Medizin III der PMU Salzburg Austria
ZNA Middelheim Antwerp Belgium
AZ Sint-Jan Bruges Belgium
Institut Jules Bordet Brussels Belgium
Universitair Ziekenhuis Gent Ghent Belgium
UZ Brussel Jette Belgium
Hôpital de Jolimont La Louvière Belgium
Universitair Ziekenhuis gasthuisberg Leuven Leuven Belgium
AZ Nikolaas- Verenigde Ziekenhuizen van Waas en Durme Sint-Niklaas Belgium
AZ Turnhout, Campus Sint-Elisabeth Turnhout Belgium
CHU de Quebec-Universite Laval Québec Canada
Aalborg Universitetshospital Aalborg Denmark
Aarhus University Hospital, Department of Hematology, Clinical Research Unit C116 Aarhus Denmark
Clinical Research Unit, Roskilde Sygehus Roskilde Denmark
Vejle Hospital Vejle Denmark
HUS Cancer Center/ Clinical Trial Unit Helsinki Finland
Oulu university hospital, Department of hematology Oulu Finland

+ 146 more sites — see the full list on the official registry below.

More Genmab trials in the USA

Other trials for the same condition

Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT04628494 on ClinicalTrials.gov ↗ ← All trials in the USA