A Sub-study Trial of Epcoritamab vs Investigator's Choice Chemotherapy in Relapsed/Refractory Diffuse Large B-cell Lymphoma (R/R DLBCL) in China
A Randomized, Open-Label, Phase 3 Trial of Epcoritamab vs Investigator's Choice Chemotherapy in Relapsed/Refractory Diffuse Large B-cell Lymphoma
The purpose of this Chinese sub-study 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.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
This Chinese sub-study is an open label, multi-center, phase-3 randomized trial of epcoritamab. The goal of this randomized trial is to evaluate the efficacy of epcoritamab (GEN3013, DuoBody®-CD3xCD20) compared to investigator's choice of chemotherapy, in participants with relapsed, refractory DLBCL who have failed or are ineligible for high-dose chemotherapy and autologous stem cell transplant (HDT-ASCT). No change in chemotherapy is permitted for participants during the treatment phase of the trial.
This study is a sub-study of the master protocol GCT3013-05 (NCT04628494).
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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-
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Baoding, China
- Affiliated Hospital of Hebei University
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Beijing, China
- Peking University Third Hospital
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Beijing, China
- Beijing Cancer hospital
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Beijing, China
- Beijing Tongren Hospital, Capital Medical University
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Changchun, China
- The First Hospital of Jilin University
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Chengdu, China
- West China Hospital, Sichuan University
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Dalian, China
- The Second Hospital of Dalian Medical University
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Guandong, China
- Guangdong Provincial Peoples Hospital
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Guangxi, China
- Guangxi Medical University Affiliated Tumor Hospital
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Hangzhou, China
- The First Affiliated Hospital, Zhejiang University School of Medicine
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Hubei, China
- Hubei Cancer Hospital
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Hunan, China
- Hunan Cancer Hospital
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Nanchang, China
- The First Affiliated Hospital of Nanchang University
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Qingdao, China
- Qingdao Central Hospital
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Shanxi, China
- Shanxi Provincial Cancer Hospital
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Shenyang, China
- Shengjing Hospital Of China Medical University
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Shenzhen, China
- Shenzhen Peoples Hospital
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Suzhou, China
- the First Affiliated Hospital of Soochow University
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Tianjin, China
- Tianjin Medical University Cancer Institute and Hospital
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Wuhan, China
- EC of Union Hospital Tongji Medical College Huazhong University of Science and Technology
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Yantai, China
- Yantai Yuhuangding Hospital
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Zhengzhou, China
- Henan Cancer Hospital
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Zhenjiang, China
- The Second Affiliated Hospital Zhejiang University School of Medicine
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Main Inclusion Criteria:
- 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:
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:
- Primary Central Nervous System (CNS) tumor or known CNS involvement
- Any prior therapy with a bispecific antibody targeting CD3 and CD20
- Major surgery within 4 weeks prior to randomization
- Chemotherapy and other non-investigational antineoplastic agents (except CD20 mAbs) within 4 weeks or 5 half-lives (whichever is shorter) prior to randomization
- Any investigational drug within 4 weeks or 5 half-lives, whichever is longer, prior to randomization
- Autologous stem cell transplant (ASCT) within 100 days of randomization
- Treatment with chimeric antigen receptor T-cell (CAR-T) therapy within 100 days prior to randomization
- Seizure disorder requiring anti-epileptic therapy
- Clinically significant cardiac disease
Note: Other protocol-defined Inclusion and Exclusion criteria may apply.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
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 |
Following mandatory pre-medication, participants will be administered intravenously either BR or R-GemOx.
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Experimental: Epcoritamab (GEN3013; DuoBody®CD3xCD20)
Epcoritamab will be administered in Cycles of 28 days until any of the discontinuation criteria is met.
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Following mandatory pre-medication, participants will be administered epcoritamab as a subcutaneous injection.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Overall Survival (OS)
Time Frame: Up to approximately 5 years
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Up to approximately 5 years
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Overall Response Rate (ORR)
Time Frame: Up to approximately 5 years
|
Up to approximately 5 years
|
|
Time to Response (TTR)
Time Frame: Up to approximately 5 years
|
Up to approximately 5 years
|
|
Duration of Response (DOR)
Time Frame: Up to approximately 5 years
|
Up to approximately 5 years
|
|
Progression Free Survival (PFS)
Time Frame: Up to approximately 5 years
|
Up to approximately 5 years
|
|
Number of Participants with Adverse Events (AEs)
Time Frame: Up to approximately 5 years
|
Up to approximately 5 years
|
|
Complete Response (CR) Rate
Time Frame: Up to approximately 5 years
|
Up to approximately 5 years
|
|
Time to Next Anti-lymphoma Therapy (TTNT)
Time Frame: Up to approximately 5 years
|
Up to approximately 5 years
|
|
Number of Participants with Dose Interruptions and Delays
Time Frame: Up to approximately 5 years
|
Up to approximately 5 years
|
|
Number of Participants with an Anti-epcoritamab Antibody Response
Time Frame: Up to approximately 5 years
|
Up to approximately 5 years
|
|
Changes from Baseline in Lymphoma Symptoms as Measured by the Functional Assessment of Cancer Therapy - Lymphoma (FACT-Lym)
Time Frame: Baseline up to approximately 5 years
|
Baseline up to approximately 5 years
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Study Official, Genmab
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- GCT3013-05 Sub-study
- CTR20221558 (Registry Identifier: ChinaDrugTrials.org.cn)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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