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

Who is this study for? Adult patients with diffuse large B-cell lymphoma
What treatments are being studied? Epcoritamab
Status: Active_not_recruiting
Location: See all (208) locations...
Intervention Type: Drug, Biological
Study Type: Interventional
Study Phase: Phase 3
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
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• 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

• One of the confirmed histologies below with CD20-positivity:

‣ DLBCL, not otherwise specified (NOS), including de novo or histologically transformed from follicular lymphoma (FL)

⁃ 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

⁃ FL Grade 3B

⁃ T-cell/histiocyte-rich large B-cell lymphoma

• Eastern Cooperative Oncology Group Performance Status (ECOG PS) score of 0-2

• Failed previous HDT-ASCT or not eligible for high-dose therapy autologous stem cell transplant (HDT-ASCT) at screening

• Participants must have detectable disease by positron emission tomography (PET) scan and measurable by computed tomography (CT) scan or magnetic resonance imaging (MRI)

• Acceptable renal and liver function

• Life expectancy \>2 months on standard of care treatment

Locations
United States
Indiana
Community Health Network Cancer Center North
Indianapolis
Indiana Blood and Marrow Transplantation
Indianapolis
Kentucky
University of Kentucky Markey Cancer Center
Lexington
Michigan
Henry Ford Health System
Jackson
Minnesota
MMCORC Attn Delaney Anderson
Saint Louis Park
North Carolina
Wake Forest Baptist Health
Winston-salem
New Jersey
MD Anderson Cancer Center at Cooper
Camden
Ohio
The Christ Hospital Cancer Center
Cincinnati
TriHealth Cancer Institute- Good Samaritan Hospital
Cincinnati
Texas
Brooke Army Medical Center
Fort Sam Houston
Utah
Community Cancer Trials of Utah
Ogden
LDS Hospital
Salt Lake City
Virginia
Virginia Commonwealth University (VCU) Massey Cancer Center
Richmond
Washington
North Star Lodge Cancer Center
Yakima
Wisconsin
Waukesha Memorial Hospital
Waukesha
Other Locations
Australia
Flinders Medical Centre
Bedford Park
Concord Repatriation General Hospital
Concord
Peninsula Private Hospital Clinical Trials Unit
Frankston
Icon Cancer Centre Corporate Office
South Brisbane
Calvary Mater Newcastle
Waratah
Westmead Hospital
Westmead
Austria
Ordensklinikum Linz Barmherzige Schwestern
Linz
Ordensklinikum Linz GmbH Elisabethinen
Linz
Uniklinikum Salzburg, Universitätsklinik für Innere Medizin III der PMU
Salzburg
Belgium
ZNA Middelheim
Antwerp
AZ Sint-Jan
Bruges
Institut Jules Bordet
Brussels
Universitair Ziekenhuis Gent
Ghent
UZ Brussel
Jette
Hôpital de Jolimont
La Louvière
Universitair Ziekenhuis gasthuisberg Leuven
Leuven
AZ Nikolaas- Verenigde Ziekenhuizen van Waas en Durme
Sint-niklaas
AZ Turnhout, Campus Sint-Elisabeth
Turnhout
Canada
CHU de Quebec-Universite Laval
Québec
China
Affiliated Hospital of Hebei University
Baoding
Beijing Cancer Hospital
Beijing
Beijing Tongren Hospital, Capital Medical University
Beijing
The First Hospital of Jilin University
Changchun
West China Hospital, Sichuan University
Chengdu
The Second Hospital of Dalian Medical University
Dalian
Guangdong Provincial Peoples Hospital
Guangdong
Guangxi Medical University Affiliated Tumor Hospital
Guangxi
The First Affiliated Hospital, Zhejiang University School of Medicine
Hangzhou
Hubei Cancer Hospital
Hubei
Hunan Cancer Hospital
Hunan
The First Affiliated Hospital of Nanchang University
Nanchang
Qingdao Central Hospital
Qingdao
Shanxi Provincial Cancer Hospital
Shanxi
Shengjing Hospital of China Medical University
Shenyang
Shenzhen Peoples Hospital
Shenzhen
The First Affiliated Hospital of Soochow University
Suzhou
Tianjin Medical University Cancer Institute and Hospital
Tianjin
EC of Union Hospital Tongji Medical College Huazhong University of Science and Technology
Wuhan
Yantai Yuhuangding Hospital
Yantai
Henan Cancer Hospital
Zhengzhou
The Second Affiliated Hospital Zhejiang University School of Medicine
Zhenjiang
Denmark
Aalborg Universitetshospital
Aalborg
Aarhus University Hospital, Department of Hematology, Clinical Research Unit C116
Aarhus
Clinical Research Unit, Roskilde Sygehus
Roskilde
Vejle Hospital
Vejle
Finland
HUS Cancer Center/ Clinical Trial Unit
Helsinki
Oulu university hospital, Department of hematology
Oulu
France
Audrey ALEME
Amiens
Centre Hospitalier de la Côte Basque
Bayonne
CHRU de Brest - Hospital Morvan
Brest
CHU Caen - IHBN
Caen
Groupe Hospitalier de La Rochelle
La Rochelle
CHU de LIMOGES
Limoges
Centre Léon Bérard
Lyon
Hopital de la Conception APHM
Marseille
CHU de Nantes - Hôtel Dieu
Nantes
Centre Antoine Lacassagne
Nice
Clinique Victor Hugo
Paris
Hôpital Saint-Louis
Paris
CHU de Bordeaux Hôpital Haut-Lévêque
Pessac
Centre Hospitalier Lyon Sud
Pierre-bénite
CHU de Poitiers - Hôpital la Milétrie
Poitiers
Centre Hospitalier Rene Dubos
Pontoise
Ch Cornouaille
Quimper
Centre Henri Becquerel
Rouen
CHRU Tours Hôpital Bretonneau
Tours
Germany
Uniklinik Köln, Klinik I für Innere Medizin, CIO Gebäude 70, 5.094
Cologne
Universitaetsklinikum Essen
Essen
Universitätsklinikum Schleswig-Holstein Medizinische Klinik II Hämatologie und Onkologie
Kiel
Universitätsklinikum Würzburg
Würzburg
Hungary
National Institute of Oncology
Budapest
Semmelweis Egyetem Belgyógyászati és Onkológiai Klinika
Budapest
Debreceni Egyetem Klinikai Kozpont, Belgyogyaszati Klinika, Hematologia
Debrecen
Belgyógyászati osztály Markhot Ferenc Kórház
Eger
Petz Aladar Egyetemi Oktato Korhaz
Győr
Josa Andras Teaching Hospital, Hematology Dept
Nyíregyháza
University of Pecs 1st. Internal medicine Clinic Dept. Hematology
Pécs
Szegedi Tudományegyetem II. sz. Belgyogyaszat, Hematologia
Szeged
Fejer Megyei Szent Gyorgy Egyetemi Oktato Korhaz
Székesfehérvár
Israel
Bnai Zion Medical Center
Haifa
Rambam Health Care Center
Haifa
Hadassah University Hospital
Jerusalem
Shaare Zedek Medical Center
Jerusalem
Sourasky Medical Center
Tel Aviv
Italy
IRCCS Istituto Tumori Giovanni Paolo II Bari
Bari
Azienda Socio Sanitaria Territoriale Sette Laghi (Presidio Ospedale di Circolo e Fondazione Macchi)
Bergamo
Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia (Presidio Spedali Civili)
Brescia
Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (I.R.S.T.)
Meldola
Istituto Oncologico Europeo
Milan
San Raffaele Hospital
Milan
Azienda Ospedaliero - Universitaria Maggiore delle Carita SCDU Ematologia building C
Novara
Fondazione IRCCS Policlinico San matteo
Pavia
Ospedale Santa Maria delle Croci
Ravenna
Azienda Ospedaliera Universitaria Policlinico Umberto I Università di Roma La Sapienza, Dip Med Tra
Rome
IRCCS Ospedale Casa Sollievo della Sofferenza
San Giovanni Rotondo
Azienda Sanitaria Universitaria Giuliano Isontina (ASU GI) Ospedale Maggiore di Trieste
Trieste
SC di Ematologia - AON SS Antonio e Biagio e Cesare Arrigo
Venezia
Japan
Kyushu University Hospital
Fukuoka
Fukushima Medical University Hospital
Fukushima
Chugoku Central Hospital
Fukuyama
Hokkaido University Hospital
Hokkaido
National Cancer Center Hospital East
Kashiwa
Kyoto University Medical Hospital
Kyoto
Matsuyama Red Cross Hospital
Matsuyama
Mie University Hospital
Mie
Japanese Red Cross Nagoya Daini Hospital
Nagoya
NHO Nagoya Medical Center
Nagoya
Okayama University Hospital
Okayama
Kindai University Hospital
Ōsaka-sayama
Tohoku University Hospital
Sendai
Keio University Hospital
Tokyo
National Cancer Center Hospital
Tokyo
Tokai University Hospital
Tokyo
Fujita Health University Hospital
Toyoake
Yamagata University Hospital
Yamagata
Netherlands
Rijnstate Arnhem
Arnhem
Amphia Ziekenhuis, Interne Geneeskunde, Oncologie. Route 43
Breda
Albert Schweitzer Ziekenhuis
Dordrecht
Admiraal de Ruyter Ziekenhuis
Goes
Bravis Ziekenhuis
Roosendaal
Erasmus MC
Rotterdam
Franciscus Gasthuis And Vlietland
Rotterdam
Norway
Oslo University Hospital location Radium hospital
Oslo
St. Olavs Hospital HF
Trondheim
Poland
Uniwersyteckie Centrum Kliniczne, Klinika Hematologii i Transplantologii
Gdansk
Pratia Onkologia Katowice
Katowice
Pratia MCM Kraków
Krakow
Instytut Centrum Zdrowia Matki Polki
Lodz
Wojewódzkie Wielospecjalistyczne Centrum Onkologii i Traumatologii
Lodz
Centrum Medyczne Pratia Poznan
Skorzewo
Uniwersytecki Szpital Kliniczny im. Jana Mikulicza-Radeckiego we Wroclawiu
Wroclaw
Republic of Korea
Dong-A University Hospital
Busan
Pusan National University Hospital
Busan
Pusan National University Hosptial
Busan
Keimyung University Dongsan Hospital
Daegu
Chonbuk National University Hospital
Geumam
Asan Medical Center
Seoul
Samsung Medical Center
Seoul
Seoul National University Bundang Hospital
Seoul
Seoul National University Hospital
Seoul
Severance Hospital, Yonsei University Health System
Seoul
The Catholic University of Korea Seoul St. Marys Hospital
Seoul
Ulsan University Hospital
Ulsan
Russian Federation
State Autonomous Institution of Healthcare Republican Clinical Oncological Dispensary of the Ministr
Kazan'
Federal State Budgetary Institution
Moscow
Federal State Budgetary Institution of Science
Moscow
State Budgetary Institution of Healthcare of Nizhniy Novgorod region, 1st inpatient facility, 5th fl
Nizhny Novgorod
Federal State Budgetary Institution V.A. Almazov National Medical Research Center of the Ministry of
Saint Petersburg
State Budgetary Institution of Healthcare Leningrad Regional Clinical Hospital
Saint Petersburg
Singapore
National University Hospital
Kent Ridge
Clinical Trials and Research Centre
Singapore
National Cancer Centre Singapore
Singapore
Spain
ICO Badalona - Hospital Universitari Germans Trias i Pujol
Badalona
ICO l'Hospitalet - Hospital Duran i Reynals
Barcelona
Hospital San Pedro de Alcántara
Cáceres
Hospita Universitario Puerta Del Mar
Cadiz
Hospital Universitario Reina Sofía
Córdoba
Hospital Arnau de Vilanova
Lleida
Hospital Universitario 12 de Octubre
Madrid
Hospital Universitario Fundacion Jimenez Diaz
Madrid
Hospital Universitario Ramon y Cajal
Madrid
Md Anderson Cancer Center
Madrid
Hospital Universitario de Salamanca
Salamanca
Hospital Universitario Marqués de Valdecilla
Santander
Hospital Universitario Virgen De Valme
Seville
Hospital Universitario Virgen del Rocío
Seville
Hospital Universitario Virgen Macarena
Seville
Sweden
Karolinska university Hospital
Stockholm
Taiwan
Kaohsiung Medical University Chung-Ho Memorial Hospital
Kaohsiung City
National Cheng Kung University Hospital
Tainan City
National Taiwan University Hospital
Taipei
Taipei Veterans General Hospital
Taipei
Tri-Service General Hospital
Taipei
Turkey
Ankara University Medical Faculty
Ankara
Dr. Abdurrahman Yurtaslan Ankara Onkoloji Egitim ve Arastirma Hastanesi
Ankara
Gazi University Medical Faculty
Ankara
Amerikan Hospital
Istanbul
Iqvia Tibbi Istatistik
Istanbul
Istanbul University Cerrahpasa - Cerrahpasa Tip Fakultesi
Istanbul
Istanbul University Medical Faculty
Istanbul
Dokuz Eylul University Medical Faculty
Izmir
Ege University Medical Faculty
Izmir
Tekirdag Namik Kemal University
Tekirdağ
Karadeniz Technical University
Trabzon
United Kingdom
Haematology - University Hospitals Birmingham NHS Foundation Trust
Birmingham
Guys and St Thomas NHS Foundation Trust
London
Hammersmith Hospital
London
Norfolk and Norwich University Hospitals NHS Foundation Trust
Norwich
Nottingham University Hospitals NHS Trust
Nottingham
Derriford Hospital
Plymouth
University Hospital Southampton
Southampton
Royal Marsden NHS Foundation Trust (Sutton)
Sutton
Royal Cornwall Hospital
Truro
Time Frame
Start Date: 2021-01-13
Completion Date: 2028-04
Participants
Target number of participants: 552
Treatments
Experimental: Epcoritamab (GEN3013; DuoBody®CD3xCD20)
Epcoritamab will be administered in Cycles of 28 days until any of the discontinuation criteria is met
Active_comparator: Investigator's choice of chemotherapy
R-GemOx will be administrated in Cycles of 28 days until maximum cycles completion or any of the discontinuation criteria is met~BR will be administrated in Cycles of 21 days until maximum cycles completion or any of the discontinuation criteria is met
Sponsors
Collaborators: AbbVie
Leads: Genmab

This content was sourced from clinicaltrials.gov

Similar Clinical Trials