- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04628494
- Original Trial
A Phase 3 Trial of Epcoritamab vs Investigator's Choice Chemotherapy in Relapsed/Refractory (R/R) Diffuse Large B-cell Lymphoma (DLBCL) (EPCORE DLBCL-1)
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)
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.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The trial is an open label, multi-center, global 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.
Overall Survival (OS) is the primary endpoint in USA and in China, with the analysis population including all randomized participants. OS/Progression Free Survival (PFS) are dual-primary endpoints for rest of the world (outside US and China), with the analysis population also including all participants randomized.
The China sub-study of GCT3013-05 is registered under NCT07226752.
Study Type
Enrollment (Actual)
Phase
- Phase 3
Expanded Access
Contacts and Locations
Study Locations
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Bedford Park, Australia
- Flinders Medical Centre
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Concord, Australia
- Concord Repatriation General Hospital
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Frankston, Australia
- Peninsula Private Hospital Clinical Trials Unit
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South Brisbane, Australia
- Icon Cancer Centre Corporate Office
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Waratah, Australia
- Calvary Mater Newcastle
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Westmead, Australia
- Westmead Hospital
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Linz, Austria
- Ordensklinikum Linz Barmherzige Schwestern
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Linz, Austria
- Ordensklinikum Linz Gmbh Elisabethinen
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Salzburg, Austria
- Uniklinikum Salzburg, Universitätsklinik für Innere Medizin III der PMU
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Antwerp, Belgium
- Zna Middelheim
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Bruges, Belgium
- AZ Sint-Jan
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Brussels, Belgium
- Institut Jules Bordet
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Ghent, Belgium
- Universitair Ziekenhuis Gent
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Jette, Belgium
- UZ Brussel
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La Louvière, Belgium
- Hopital de Jolimont
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Leuven, Belgium
- Universitair Ziekenhuis gasthuisberg Leuven
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Sint-Niklaas, Belgium
- AZ Nikolaas- Verenigde Ziekenhuizen van Waas en Durme
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Turnhout, Belgium
- AZ Turnhout, Campus Sint-Elisabeth
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Québec, Canada
- CHU de Quebec-Universite Laval
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Aalborg, Denmark
- Aalborg Universitetshospital
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Aarhus, Denmark
- Aarhus University Hospital, Department of Hematology, Clinical Research Unit C116
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Roskilde, Denmark
- Clinical Research Unit, Roskilde Sygehus
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Vejle, Denmark
- Vejle Hospital
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Helsinki, Finland
- HUS Cancer Center/ Clinical Trial Unit
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Oulu, Finland
- Oulu university hospital, Department of hematology
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Amiens, France
- Audrey ALEME
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Bayonne, France
- Centre Hospitalier de La Cote Basque
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Brest, France
- CHRU de Brest - Hospital Morvan
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Caen, France
- CHU Caen - IHBN
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La Rochelle, France
- Groupe Hospitalier de La Rochelle
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Limoges, France
- CHU de Limoges
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Lyon, France
- Centre Léon Bérard
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Marseille, France
- Hopital de la Conception APHM
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Nantes, France
- CHU de Nantes - Hotel Dieu
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Nice, France
- Centre Antoine Lacassagne
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Paris, France
- Hôpital Saint-Louis
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Paris, France
- Clinique Victor Hugo
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Pessac, France
- CHU de Bordeaux HOPITAL HAUT-LEVEQUE
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Pierre-Bénite, France
- Centre Hospitalier Lyon Sud
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Poitiers, France
- CHU de Poitiers - Hôpital la Milétrie
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Pontoise, France
- Centre Hospitalier Rene Dubos
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Quimper, France
- CH Cornouaille
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Rouen, France
- Centre Henri Becquerel
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Tours, France
- CHRU Tours Hôpital Bretonneau
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Cologne, Germany
- Uniklinik Köln, Klinik I für Innere Medizin, CIO Gebäude 70, 5.094
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Essen, Germany
- Universitaetsklinikum Essen
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Kiel, Germany
- Universitätsklinikum Schleswig-Holstein Medizinische Klinik II Hämatologie und Onkologie
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Würzburg, Germany
- Universitätsklinikum Würzburg
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Budapest, Hungary
- National Institute of Oncology
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Budapest, Hungary
- Semmelweis Egyetem Belgyógyászati és Onkológiai Klinika
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Debrecen, Hungary
- Debreceni Egyetem Klinikai Kozpont, Belgyogyaszati Klinika, Hematologia
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Eger, Hungary
- Belgyógyászati osztály Markhot Ferenc Kórház
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Győr, Hungary
- Petz Aladar Egyetemi Oktato Korhaz
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Nyíregyháza, Hungary
- Josa Andras Teaching Hospital, Hematology Dept
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Pécs, Hungary
- University of Pecs 1st. Internal medicine Clinic Dept. Hematology
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Szeged, Hungary
- Szegedi Tudományegyetem II. sz. Belgyogyaszat, Hematologia
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Székesfehérvár, Hungary
- Fejer Megyei Szent Gyorgy Egyetemi Oktato Korhaz
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Haifa, Israel
- Bnai Zion Medical Center
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Haifa, Israel
- Rambam Health Care Center
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Jerusalem, Israel
- Shaare Zedek Medical Center
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Jerusalem, Israel
- Hadassah University Hospital
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Tel Aviv, Israel
- Sourasky Medical Center
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Bari, Italy
- IRCCS Istituto Tumori Giovanni Paolo II Bari
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Bergamo, Italy
- Azienda Socio Sanitaria Territoriale Sette Laghi (Presidio Ospedale di Circolo e Fondazione Macchi)
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Brescia, Italy
- Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia (Presidio Spedali Civili)
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Meldola, Italy
- Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (I.R.S.T.)
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Milan, Italy
- San Raffaele Hospital
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Milan, Italy
- Istituto Oncologico Europeo
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Novara, Italy
- Azienda Ospedaliero - Universitaria Maggiore delle Carita SCDU Ematologia building C
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Pavia, Italy
- Fondazione IRCCS Policlinico San Matteo
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Ravenna, Italy
- Ospedale Santa Maria delle Croci
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Rome, Italy
- Azienda Ospedaliera Universitaria Policlinico Umberto I Università di Roma La Sapienza, Dip Med Tra
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San Giovanni Rotondo, Italy
- IRCCS Ospedale Casa Sollievo della Sofferenza
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Trieste, Italy
- Azienda Sanitaria Universitaria Giuliano Isontina (ASU GI) Ospedale Maggiore di Trieste
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Venezia, Italy
- SC di Ematologia - AON SS Antonio e Biagio e Cesare Arrigo
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Fukuoka, Japan
- Kyushu University Hospital
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Fukushima, Japan
- Fukushima Medical University Hospital
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Fukuyama, Japan
- Chugoku Central Hospital
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Hokkaido, Japan
- Hokkaido University Hospital
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Kashiwa, Japan
- National Cancer Center Hospital East
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Kyoto, Japan
- Kyoto University Medical Hospital
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Matsuyama, Japan
- Matsuyama Red Cross Hospital
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Mie, Japan
- Mie University Hospital
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Nagoya, Japan
- Japanese Red Cross Nagoya Daini Hospital
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Nagoya, Japan
- NHO Nagoya Medical Center
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Okayama, Japan
- Okayama University Hospital
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Sendai, Japan
- Tohoku University Hospital
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Tokyo, Japan
- Keio University Hospital
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Tokyo, Japan
- National Cancer Center Hospital
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Tokyo, Japan
- Tokai University Hospital
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Toyoake, Japan
- Fujita Health University Hospital
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Yamagata, Japan
- Yamagata University Hospital
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Ōsaka-sayama, Japan
- Kindai University Hospital
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Arnhem, Netherlands
- Rijnstate Arnhem
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Breda, Netherlands
- Amphia Ziekenhuis, Interne Geneeskunde, Oncologie. Route 43
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Dordrecht, Netherlands
- Albert Schweitzer Ziekenhuis
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Goes, Netherlands
- Admiraal de Ruyter Ziekenhuis
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Roosendaal, Netherlands
- Bravis Ziekenhuis
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Rotterdam, Netherlands
- Erasmus MC
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Rotterdam, Netherlands
- Franciscus Gasthuis and Vlietland
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Oslo, Norway
- Oslo University Hospital location Radium hospital
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Trondheim, Norway
- St. Olavs hospital HF
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Gdansk, Poland
- Uniwersyteckie Centrum Kliniczne, Klinika Hematologii i Transplantologii
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Katowice, Poland
- Pratia Onkologia Katowice
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Krakow, Poland
- Pratia MCM Krakow
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Lodz, Poland
- Instytut Centrum Zdrowia Matki Polki
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Lodz, Poland
- Wojewódzkie Wielospecjalistyczne Centrum Onkologii i Traumatologii
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Skorzewo, Poland
- Centrum Medyczne Pratia Poznan
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Wroclaw, Poland
- Uniwersytecki Szpital Kliniczny im. Jana Mikulicza-Radeckiego we Wroclawiu
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Kazan', Russia
- State Autonomous Institution of Healthcare Republican Clinical Oncological Dispensary of the Ministr
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Moscow, Russia
- Federal State Budgetary Institution of Science
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Moscow, Russia
- Federal State Budgetary Institution
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Nizhny Novgorod, Russia
- State Budgetary Institution of Healthcare of Nizhniy Novgorod region, 1st inpatient facility, 5th fl
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Saint Petersburg, Russia
- Federal State Budgetary Institution V.A. Almazov National Medical Research Center of the Ministry of
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Saint Petersburg, Russia
- State Budgetary Institution of Healthcare Leningrad Regional Clinical Hospital
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Kent Ridge, Singapore
- National University Hospital
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Singapore, Singapore
- National Cancer Centre Singapore
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Singapore, Singapore
- Clinical Trials and Research Centre
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Busan, South Korea
- Dong-A University Hospital
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Busan, South Korea
- Pusan National University Hospital
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Busan, South Korea
- Pusan National University Hosptial
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Daegu, South Korea
- Keimyung University Dongsan Hospital
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Geumam, South Korea
- Chonbuk National University Hospital
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Seoul, South Korea
- Asan Medical Center
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Seoul, South Korea
- Samsung Medical Center
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Seoul, South Korea
- Seoul National University Hospital
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Seoul, South Korea
- Severance Hospital, Yonsei University Health System
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Seoul, South Korea
- Seoul National University Bundang Hospital
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Seoul, South Korea
- The Catholic University of Korea Seoul St. Marys Hospital
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Ulsan, South Korea
- Ulsan University Hospital
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Badalona, Spain
- ICO Badalona - Hospital Universitari Germans Trias i Pujol
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Barcelona, Spain
- ICO L'Hospitalet - Hospital Duran i Reynals
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Cadiz, Spain
- Hospita Universitario Puerta Del Mar
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Cáceres, Spain
- Hospital San Pedro de Alcantara
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Córdoba, Spain
- Hospital Universitario Reina Sofía
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Lleida, Spain
- Hospital Arnau de Vilanova
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Madrid, Spain
- Hospital Universitario 12 de Octubre
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Madrid, Spain
- Hospital Universitario Ramón y Cajal
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Madrid, Spain
- Hospital Universitario Fundacion Jimenez Diaz
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Madrid, Spain
- MD Anderson Cancer Center
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Salamanca, Spain
- Hospital Universitario de Salamanca
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Santander, Spain
- Hospital Universitario Marqués de Valdecilla
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Seville, Spain
- Hospital Universitario Virgen Macarena
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Seville, Spain
- Hospital Universitario Virgen del Rocio
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Seville, Spain
- Hospital Universitario Virgen de Valme
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Stockholm, Sweden
- Karolinska University Hospital
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Kaohsiung City, Taiwan
- Kaohsiung Medical University Chung-Ho Memorial Hospital
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Tainan, Taiwan
- National Cheng Kung University Hospital
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Taipei, Taiwan
- Tri-Service General Hospital
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Taipei, Taiwan
- National Taiwan University Hospital
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Taipei, Taiwan
- Taipei Veterans General Hospital
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Ankara, Turkey (Türkiye)
- Ankara University Medical Faculty
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Ankara, Turkey (Türkiye)
- Dr. Abdurrahman Yurtaslan Ankara Onkoloji Egitim ve Arastirma Hastanesi
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Ankara, Turkey (Türkiye)
- Gazi University Medical Faculty
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Istanbul, Turkey (Türkiye)
- Amerikan Hospital
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Istanbul, Turkey (Türkiye)
- Iqvia Tibbi Istatistik
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Istanbul, Turkey (Türkiye)
- Istanbul University Cerrahpasa - Cerrahpasa Tip Fakultesi
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Istanbul, Turkey (Türkiye)
- Istanbul University Medical Faculty
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Izmir, Turkey (Türkiye)
- Dokuz Eylul University Medical Faculty
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Izmir, Turkey (Türkiye)
- Ege University Medical Faculty
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Tekirdağ, Turkey (Türkiye)
- Tekirdag Namik Kemal University
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Trabzon, Turkey (Türkiye)
- Karadeniz Technical University
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Birmingham, United Kingdom
- Haematology - University Hospitals Birmingham NHS Foundation Trust
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London, United Kingdom
- Hammersmith Hospital
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London, United Kingdom
- Guys and St Thomas NHS Foundation Trust
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Norwich, United Kingdom
- Norfolk and Norwich University Hospitals NHS Foundation Trust
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Nottingham, United Kingdom
- Nottingham University Hospitals NHS Trust
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Plymouth, United Kingdom
- Derriford Hospital
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Southampton, United Kingdom
- University Hospital Southampton
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Sutton, United Kingdom
- Royal Marsden NHS Foundation Trust (Sutton)
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Truro, United Kingdom
- Royal Cornwall Hospital
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Indiana
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Indianapolis, Indiana, United States, 46237
- Indiana Blood and Marrow Transplantation
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Indianapolis, Indiana, United States, 46250
- Community Health Network Cancer Center North
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Kentucky
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Lexington, Kentucky, United States, 40536
- University of Kentucky Markey Cancer Center
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Michigan
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Jackson, Michigan, United States, 49201
- Henry Ford Health System
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Minnesota
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Saint Louis Park, Minnesota, United States, 55416
- MMCORC Attn Delaney Anderson
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New Jersey
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Camden, New Jersey, United States, 08103
- MD Anderson Cancer Center at Cooper
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North Carolina
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Winston-Salem, North Carolina, United States, 27157
- Wake Forest Baptist Health
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Ohio
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Cincinnati, Ohio, United States, 45229
- The Christ Hospital Cancer Center
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Cincinnati, Ohio, United States, 45247
- TriHealth Cancer Institute- Good Samaritan Hospital
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Texas
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Fort Sam Houston, Texas, United States, 78234
- Brooke Army Medical Center
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Utah
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Ogden, Utah, United States, 84405
- Community Cancer Trials of Utah
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Salt Lake City, Utah, United States, 84143
- LDS Hospital
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Virginia
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Richmond, Virginia, United States, 23298
- Virginia Commonwealth University (Vcu) Massey Cancer Center
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Washington
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Yakima, Washington, United States, 98902
- North Star Lodge Cancer Center
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Wisconsin
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Waukesha, Wisconsin, United States, 53188
- Waukesha Memorial Hospital
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
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:
- 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
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
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
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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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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.
Other Names:
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What is the study measuring?
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
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Overall Response Rate (ORR)
Time Frame: Up to approximately 5 years
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Up to approximately 5 years
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Time to Response (TTR)
Time Frame: Up to approximately 5 years
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Up to approximately 5 years
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Duration of Response (DOR)
Time Frame: Up to approximately 5 years
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Up to approximately 5 years
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Progression Free Survival (PFS)
Time Frame: Up to approximately 5 years
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Up to approximately 5 years
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Number of Participants with Adverse Events (AEs)
Time Frame: Up to approximately 5 years
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Up to approximately 5 years
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Complete Response (CR) Rate
Time Frame: Up to approximately 5 years
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Up to approximately 5 years
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Duration of Minimal Residual Disease (MRD) Negative Status
Time Frame: Up to approximately 5 years
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Up to approximately 5 years
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Rate of MRD Negative Status
Time Frame: Up to approximately 5 years
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Up to approximately 5 years
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Time to Next Anti-lymphoma Therapy (TTNT)
Time Frame: Up to approximately 5 years
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Up to approximately 5 years
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Number of Participants with Dose Interruptions and Delays
Time Frame: Up to approximately 5 years
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Up to approximately 5 years
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Number of Participants with an Anti-epcoritamab Antibody Response
Time Frame: Up to approximately 5 years
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Up to approximately 5 years
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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
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Baseline up to approximately 5 years
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Collaborators and Investigators
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- GCT3013-05
- 2020-003016-27 (EudraCT Number)
- jRCT2021220017 (Registry Identifier: Japan Registry for Clinical Trials (jRCT))
- CTR20221558 (Registry Identifier: ChinaDrugTrials.org.cn)
- MOH_2021-01-18_009672 (Registry Identifier: Clinical Research Site - mytrial)
- 286972 (Other Identifier: IRAS ID; UK Research Summaries Database)
- 2023-504830-23-00 (Ctis: EU CTIS)
- NL75079.056.20 (Registry Identifier: CCMO (the Netherlands))
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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