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NCT05451810

PHASE2

A Study to Evaluate Adverse Events of Subcutaneous (SC) Epcoritamab Administered in the Outpatient Setting in Adult Participants With Relapsed or Refractory Diffuse Large B-Cell Lymphoma and Classic Follicular Lymphoma

Sponsor: Genmab

View on ClinicalTrials.gov

Summary

B-cell Lymphoma is an aggressive and rare cancer of a type of immune cells (a white blood cell responsible for fighting infections). Classic Follicular Lymphoma is a slow-growing type of non-Hodgkin lymphoma. The purpose of this study is to assess the safety of epcoritamab in adult participants in relapsed or refractory (R/R) diffuse large b-cell lymphoma (DLBCL) who have received at least 1 prior line of systemic antilymphoma therapy including at least 1 anti-CD20 monoclonal antibody-containing therapy or R/R classic follicular lymphoma (cFL). Adverse events will be assessed. Epcoritamab is an investigational drug being developed for the treatment of R/R DLBCL and R/R cFL. Study doctors will assess participants in a monotherapy treatment arm of epcoritamab. Participants will receive escalating doses of epcoritamab, until full dose is achieved. Approximately 184 adult participants with R/R DLBCL and R/R cFL will be enrolled in the study in approximately 80 sites in the United States of America. Participants will receive escalating doses of subcutaneous epcoritamab, until full dose is achieved, in 28-day cycles. There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at an approved institution (hospital or clinic). The effect of the treatment will be frequently checked by medical assessments, blood tests, questionnaires and side effects.

Official title: A Phase 2, Open-Label Trial to Evaluate Safety of Epcoritamab Monotherapy in Subjects With Relapsed or Refractory Diffuse Large B-Cell Lymphoma and Classic Follicular Lymphoma (Previously Grade 1-3a) When Administered in the Outpatient Setting

Key Details

Gender

All

Age Range

18 Years - Any

Study Type

INTERVENTIONAL

Enrollment

184

Start Date

2022-08-17

Completion Date

2027-03

Last Updated

2025-01-24

Healthy Volunteers

Conditions

Diffuse Large B-Cell Lymphoma Classic Follicular Lymphoma

Interventions

DRUG

Epcoritamab

Subcutaneous Injection (SC)

Inclusion Criteria: * Life expectancy \>3 months on standard of care (SOC) treatment. * Meets the following disease activity criteria: \-- Relapsed or Refractory (R/R) Diffuse Large B-Cell Lymphoma (DLBCL): * Documented CD20+ mature B-cell neoplasm according to the the 5th edition of World Health Organization (WHO) classification of Haematolymphoid Tumours, based on most recent representative pathology report; * Diffuse large B-cell lymphoma, not otherwise specified (NOS) (de novo or transformed from follicular lymphoma (FL) or Marginal Zone Lymphoma \[MZL\]); * High-grade B-cell Lymphoma including "double-hit" or "triple-hit" DLBCL (technically classified in WHO 2022 or 2016 as high-grade B-cell lymphoma \[HGBCL\], with MYC and BCL2 and/or BCL6 translocations). * Follicular large B-cell lymphoma (FLBL, formerly FL grade 3B); * Relapsed or refractory disease and previously treated with at least 1 prior systemic antineoplastic therapies including at least 1 anti-CD20 monoclonal antibody-containing therapy; Note: Relapsed disease is defined as disease that previously responded to therapy but progressed \>= 6 months after completion of therapy. Refractory disease is defined as disease that either progressed during therapy, failed to achieve an objective response to prior therapy, or progressed within 6 months after completion of therapy (including maintenance therapy). * Either failed prior autologous hematopoietic stem cell transplantation (HSCT), or ineligible for autologous HSCT including but not limited to age, Eastern Cooperative Oncology Group (ECOG) performance status, participant decision, comorbidities and/or insufficient response to prior treatment. * R/R Follicular Lymphoma: * Documented CD20+ mature B-cell neoplasm according to the 5th edition of WHO classification of Haematolymphoid Tumours, based on representative pathology report; \--- Classic FL (cFL) (previously FL grade 1, 2, or 3a) without clinical or pathological evidence of transformation; * Relapsed or refractory disease and previously treated with at least 2 prior lines of systemic antineoplastic therapies including at least 1 anti-CD20 monoclonal antibody containing therapy; Note: Relapsed disease is defined as disease that previously responded to therapy but progressed \>= 6 months after completion of therapy. Refractory disease is defined as disease that either progressed during therapy, failed to achieve an objective response to prior therapy, or progressed within 6 months after completion of therapy (including maintenance therapy). * Previously treated with an alkylating agent or lenalidomide; * Relapsed or refractory to the last prior line therapy. Previous lymphoma therapy is defined as 1 of the following: At least 2 months of single-agent therapy, at least 2 consecutive cycles of combination therapy, autologous HSCT, immunomodulatory therapy, or radioimmunotherapy. * Has at least one target lesion defined as: * \>= 1 measurable nodal lesion (long axis \> 1.5 cm) and/or \>= 1 measurable extranodal lesion (long axis \> 1.0 cm) on CT (or MRI) AND * FDG PET scan demonstrating positive lesion(s) compatible with CT (or MRI) defined anatomical tumor sites. * Must have ECOG performance status 0 - 2. * Must have acceptable organ (renal, liver, and hematologic) function within the screening period prior to the first dose of study drug: * Absolute neutrophil count (ANC) \>= 1.0 × 10\^9/L (growth factor support allowed in case of bone marrow involvement, but participant must have not received growth factor within 14 days prior to screening lab collection); * Hemoglobin \>= 8.0 g/dL (RBC transfusions permitted, but participants must not have received blood transfusions within 7 days prior to Screening lab collection); * Platelet count \>= 75 × 10\^9/L, or \>= 50 × 10\^9/L in the presence of bone marrow involvement or splenomegaly (platelet transfusions are permitted, but participants must not have received blood transfusions within 7 days prior to Screening lab collection); * International normalized ratio (INR) (or Prothrombin Time \[PT\]) and aPTT \<= 1.5 × upper limit of normal (ULN), unless receiving anticoagulation * Serum aspartate aminotransferase (AST) and serum alanine aminotransferase (ALT) \<= 3.0 × upper limit of normal (ULN); unless due to hepatic involvement of disease or non-hepatic origin. For participants with hepatic involvement of disease, serum AST and serum ALT \<= 5.0 × ULN * Direct bilirubin \<= 2 × ULN; * Estimated creatine clearance (CrCl) as calculated by Cockcroft-Gault Formula \>= 45 mL/min, or estimated glomerular filtration rate (eGFR) as calculated by Modification of Diet in Renal Disease \[MDRD\] equation \>= 45 mL/min; * Lymphocyte count \< 5 × 10\^9/L. Exclusion Criteria: * Have a primary central nervous system (CNS) lymphoma or known CNS involvement by lymphoma including leptomeningeal disease, at screening as confirmed by magnetic resonance imaging (MRI)/computed tomography (CT) scan (brain) and, if clinically indicated, by lumbar puncture. * Uncontrolled Human Immunodeficiency Virus (HIV) infection. HIV viral load that is undetectable and controlled with medication for at least 1 year prior to enrollment is allowed. Note: If participant has no history of HIV infection, HIV testing does not need to be conducted at screening unless it is required per local guidelines or institutional standards.

Locations (72)

Infirmary Health - Infirmary Cancer Care at Mobile Infirmary /ID# 264630

Mobile, Alabama, United States

University of Arkansas for Medical Sciences /ID# 244562

Little Rock, Arkansas, United States

Highlands Oncology Group, PA /ID# 245002

Springdale, Arkansas, United States

Beverly Hills Cancer Center /ID# 255327

Beverly Hills, California, United States

Compassionate Cancer Care Research Group - Fountain Valley /ID# 246133

Fountain Valley, California, United States

UCSF Fresno /ID# 263286

Fresno, California, United States

University of California, Los Angeles /ID# 244573

Los Angeles, California, United States

Rocky Mountain Cancer Centers - Boulder /ID# 247653

Boulder, Colorado, United States

Bennett Cancer Center - Stamford Hospital /ID# 244530

Stamford, Connecticut, United States

MedStar Washington Hospital Center /ID# 246068

Washington D.C., District of Columbia, United States

Cancer Specialists of North Florida /ID# 261842

Jacksonville, Florida, United States

Florida Cancer Specialists /ID# 260854

Lake Mary, Florida, United States

Mount Sinai Medical Center-Miami Beach /ID# 249045

Miami Beach, Florida, United States

Memorial Hospital West /ID# 248432

Pembroke Pines, Florida, United States

BRCR Medical Center Inc /ID# 262527

Tamarac, Florida, United States

Cleveland Clinic Florida /ID# 244532

Weston, Florida, United States

Emory University, Winship Cancer Institute /ID# 246056

Atlanta, Georgia, United States

University of Illinois at Chicago /ID# 245038

Chicago, Illinois, United States

Illinois Cancer Specialists /ID# 247655

Niles, Illinois, United States

Parkview Comprehensive Cancer Center /ID# 244545

Fort Wayne, Indiana, United States

Indiana Blood & Marrow Transpl /ID# 244971

Indianapolis, Indiana, United States

University of Iowa Health Care /ID# 258227

Des Moines, Iowa, United States

Our Lady Of The Lake Regional Medical Center /ID# 255008

Baton Rouge, Louisiana, United States

American Oncology Partners of Maryland /ID# 244968

Bethesda, Maryland, United States

Maryland Oncology Hematology /ID# 254192

Columbia, Maryland, United States

Tufts Medical Center /ID# 246074

Boston, Massachusetts, United States

Massachusetts General Hospital /ID# 245239

Boston, Massachusetts, United States

Beth Israel Deaconess Medical Center /ID# 248651

Boston, Massachusetts, United States

Cancer & Hematology Centers of Western Michigan - East /ID# 244985

Grand Rapids, Michigan, United States

Trinity Health St. Joseph Mercy Ann Arbor /ID# 244547

Ypsilanti, Michigan, United States

Hattiesburg Clinic /ID# 244980

Hattiesburg, Mississippi, United States

St. Luke's Hospital - Chesterfield /ID# 247815

Chesterfield, Missouri, United States

NHO - Nebraska Hematology-Oncology /ID# 263164

Lincoln, Nebraska, United States

Dartmouth-Hitchcock Medical Center - 1 Medical Center Drive /ID# 245003

Lebanon, New Hampshire, United States

The John Theurer Cancer /ID# 262532

Hackensack, New Jersey, United States

Morristown Medical Center /ID# 244973

Morristown, New Jersey, United States

University of New Mexico /ID# 252434

Albuquerque, New Mexico, United States

New York Cancer & Blood Specialists - Lake Success Medical Oncology /ID# 264681

New Hyde Park, New York, United States

Stony Brook University Medical Center /ID# 244631

New York, New York, United States

New York Cancer and Blood Specialists - New York /ID# 264676

New York, New York, United States

Icahn School of Medicine at Mount Sinai /ID# 258610

New York, New York, United States

Memorial Sloan Kettering Cancer Center-Koch Center /ID# 244628

New York, New York, United States

New York Cancer and Blood Specialists /ID# 259016

Port Jefferson Station, New York, United States

New York Cancer and Blood Specialists - Bronx /ID# 264690

The Bronx, New York, United States

East Carolina University - Brody School of Medicine /ID# 248989

Greenville, North Carolina, United States

Wake Forest Univ HS /ID# 245005

Winston-Salem, North Carolina, United States

Oncology Hematology Care, Inc. /ID# 246182

Cincinnati, Ohio, United States

OhioHealth Arthur G.H. Bing, MD Cancer Center /ID# 260803

Columbus, Ohio, United States

Toledo Clinic Cancer Center - Main /ID# 246852

Toledo, Ohio, United States

University of Oklahoma, Stephenson Cancer Center /ID# 244568

Oklahoma City, Oklahoma, United States

Willamette Valley Cancer Institute and Research Center /ID# 246410

Eugene, Oregon, United States

Oregon Oncology Specialists in Salem /ID# 260570

Salem, Oregon, United States

Lehigh Valley Hospital-Cedar Crest /ID# 244984

Allentown, Pennsylvania, United States

Spoknwrd Clinical Trials /ID# 265232

Easton, Pennsylvania, United States

Penn State Milton S. Hershey Medical Center /ID# 244979

Hershey, Pennsylvania, United States

UPMC Hillman Cancer Ctr /ID# 244571

Pittsburgh, Pennsylvania, United States

Reading Hospital; McGlinn Cancer Institute /ID# 259181

West Reading, Pennsylvania, United States

Prisma Health /ID# 247654

Greenville, South Carolina, United States

The West Clinic /ID# 245004

Memphis, Tennessee, United States

Vanderbilt University Medical Center /ID# 260953

Nashville, Tennessee, United States

Texas Oncology - Austin Midtown /ID# 247656

Austin, Texas, United States

Texas Oncology-Presbyterian Cancer Center Dallas /ID# 262659

Dallas, Texas, United States

Texas Oncology - Dallas - Worth Street /ID# 262956

Dallas, Texas, United States

University of Texas Southwestern Medical Center /ID# 244552

Dallas, Texas, United States

Texas Oncology - San Antonio Medical Center /ID# 247658

San Antonio, Texas, United States

Texas Oncology - Northeast Texas /ID# 247657

Tyler, Texas, United States

Virginia Cancer Specialists - Gainesville /ID# 248760

Gainesville, Virginia, United States

Virginia Oncology Associates - Norfolk (Lake Wright) /ID# 265514

Norfolk, Virginia, United States

Blue Ridge Cancer Center /ID# 260597

Roanoke, Virginia, United States

Northwest Medical Specialties - Tacoma /ID# 245045

Tacoma, Washington, United States

Pan American Center for Oncology Trials, LLC /ID# 254952

Rio Piedras, Puerto Rico

Auxilio Mutuo Cancer Center /ID# 254953

San Juan, Puerto Rico

Clinical Research Directory

A Study to Evaluate Adverse Events of Subcutaneous (SC) Epcoritamab Administered in the Outpatient Setting in Adult Participants With Relapsed or Refractory Diffuse Large B-Cell Lymphoma and Classic Follicular Lymphoma

Summary

Key Details

Conditions

Interventions

Eligibility Criteria

Locations (72)