- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04663347
- Original Trial
Safety and Efficacy Trial of Epcoritamab Combinations in Subjects With B-cell Non-Hodgkin Lymphoma (B-NHL) (EPCORE™ NHL-2)
A Phase 1b/2, Open-Label Trial to Assess the Safety and Preliminary Efficacy of Epcoritamab (GEN3013; DuoBody®-CD3xCD20) in Combination With Other Agents in Subjects With B-cell Non-Hodgkin Lymphoma (B-NHL)
The purpose of this trial is to measure the safety and effectiveness of epcoritamab (EPKINLY™), either by itself or together with other therapies, when treating participants with B-cell non-Hodgkin Lymphoma (B-NHL). The aim of the first part of the trial is to identify the most appropriate dose of epcoritamab, and the aim of the second part of the trial is to assess the selected epcoritamab dose in a larger group of participants with B-NHL. All participants in this trial will receive either epcoritamab alone, or epcoritamab combined with another standard treatment regimen, with a total of 10 different treatment arms being studied.
Trial details include:
- The treatment duration for each participant depends upon which arm of treatment they are assigned to.
- The visit frequency for each participant depends upon which arm of treatment they are assigned to, but will be weekly to start for all participants, then will decrease to either: every 2 weeks, or every 3 weeks, or every 4 weeks, or every 8 weeks.
- All participants will receive active drug; no one will be given placebo.
Participants who receive treatment with epcoritamab will have it injected right under the skin. Participants will receive a different regimen of epcoritamab depending upon which arm of treatment they are assigned.
Participants who receive standard treatments will have intravenous (IV) infusions and/or oral administration of those treatments. Participants will receive a different standard treatment regimen depending upon which arm of treatment they are assigned.
Study Overview
Status
Conditions
Intervention / Treatment
- Biological: Epcoritamab
- Biological: Epcoritamab
- Biological: Epcoritamab
- Biological: Epcoritamab
- Biological: Epcoritamab
- Biological: Epcoritamab
- Drug: rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone
- Biological: Epcoritamab
- Biological: Epcoritamab
- Biological: Epcoritamab
- Drug: Rituximab and Lenalidomide
- Drug: rituximab and bendamustine
- Drug: rituximab, cytarabine, dexamethasone, and oxaliplatin/carboplatin
- Drug: gemcitabine and oxaliplatin
- Drug: rituximab and lenalidomide
- Drug: rituximab, cyclophosphamide, reduced dose of doxorubicin, vincristine, and prednisone
- Drug: Lenalidomide
- Drug: rituximab, ifosfamide, carboplatin, and etoposide phosphate
Detailed Description
A Phase 1b/2, open-label, multinational, interventional trial to evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics/biomarkers, immunogenicity, and preliminary efficacy of epcoritamab in combination with other standard of care (SOC) agents in participants with B-NHL.
All participants in the trial will receive epcoritamab, as monotherapy or in combination. The following regimens will be investigated:
- Arm 1: epcoritamab + rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP) in participants with previously untreated diffuse large B-cell lymphoma (DLBCL)
- Arm 2: epcoritamab + rituximab and lenalidomide (R2) in participants with relapsed/refractory (R/R) follicular lymphoma (FL)
- Arm 3: epcoritamab + rituximab and bendamustine (BR) in participants with previously untreated FL
- Arm 4: epcoritamab + rituximab, cytarabine, dexamethasone, and oxaliplatin/ carboplatin (R-DHAX/C) in participants with R/R DLBCL eligible for autologous stem cell transplant (ASCT)
- Arm 5: epcoritamab + gemcitabine and oxaliplatin (GemOx) in participants with R/R DLBCL ineligible for ASCT due to age, performance status (PS), or comorbidity
- Arm 6: epcoritamab + R2 in participants with previously untreated FL
- Arm 7: epcoritamab maintenance in participants with FL who achieve a complete response (CR) or a partial response (PR) following first or second line SOC treatment
- Arm 8: epcoritamab + reduced dose of R-CHOP (R mini-CHOP) in participants with previously untreated DLBCL who are ineligible to receive full-dose anthracycline
- Arm 9: epcoritamab + lenalidomide for second-line treatment in participants with R/R FL who progressed within 24 months of initiation of first-line anti-CD20-containing immunochemotherapy
- Arm 10: epcoritamab + rituximab, ifosfamide, carboplatin, and etoposide phosphate (R-ICE) in participants with R/R DLBCL eligible for ASCT
The trial consists of two parts: Part 1 ('Dose Escalation') and Part 2 ('Dose Expansion'). The primary objective of Part 1 is safety, and it includes Arm 1-5 and Arm 10. Part 2 includes all 10 arms (Arm 1-10) and the primary goal of all arms, except Arm 7, is preliminary efficacy. For Arm 7, the primary goal is safety. Participants in Arm 1-5 and Arm 10 can only participate in either Part 1 or Part 2. Dose Limiting Toxicities (DLTs) will be assessed in Part 1 and for a selected number of participants in Arm 8 during a 28-day period (safety run-in). The arms are conducted in parallel.
Study Type
Enrollment (Actual)
Phase
- Phase 2
- Phase 1
Expanded Access
Contacts and Locations
Study Locations
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Heidelberg, Australia, VIC 3084
- Austin Health
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Nedlands, Australia, 6009
- Linear Clinical Research Limited
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Bruges, Belgium, 8000
- AZ Sint-Jan
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Ghent, Belgium, 9000
- Universitair Ziekenhuis Gent
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Yvoir, Belgium, 5530
- CHU UCL Namur Site Godinne
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Hradec Králové, Czechia
- Fakultni nemocnice Hradec Kralove
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Ostrava - Poruba, Czechia
- Fakultni Nemocnice Ostrava
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Prague, Czechia, 15006
- Fakultni nemocnice v Motole
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Prague, Czechia
- Vseobecna Fakultní Nemocnice
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Aarhus, Denmark
- Århus Hospital
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Copenhagen, Denmark, 2100
- Rigshospitalet
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Odense, Denmark
- Odense University Hospital
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Vejle, Denmark
- Vejle Sygehus
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Kuopio, Finland, 70210
- Kuopio University Hospital
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Lahti, Finland, 15850
- HUS Cancer Center
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Lille, France, 59037
- Hopital Claude Huriez - CHRU Lille
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Marseille, France, 13005
- Hopital de la Timone
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Paris, France, 75475
- Hôpital Saint-Louis
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Pierre-Bénite, France, 69495
- Centre Hospitalier Lyon Sud
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Bergamo, Italy, 24127
- Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII (Presidio Papa Giovanni XXIII)
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Bologna, Italy
- Azienda Ospedaliera Universitaria Policlinico Sant'Orsola Malpighi IRCCS
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Candiolo, Italy, 10060
- Fondazione del Piemonte per l Oncologia Istituto di Candiolo IRCCS
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Meldola, Italy, 47014
- IRCCS Istituto Scientifico Romagnolo Per Lo Studio Dei Tumori Dino Amadori IRST
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Milan, Italy, 20122
- Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
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Pavia, Italy, 27100
- Fondazione IRCCS Policlinico San Matteo
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Reggio Emilia, Italy, 42123
- Arcispedale S. Maria Nuova Azienda Ospedaliera di Reggio Emilia
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Amsterdam, Netherlands, 1105 AZ
- Amsterdam UMC, locatie VUmc
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Groningen, Netherlands, 9713
- Universitair Medisch Centrum Groningen (UMCG)
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Leiden, Netherlands, 2333 ZA
- Leids Universitair Medisch Centrum
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Maastricht, Netherlands, 6229 HX
- Maastricht University Medical Center
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Rotterdam, Netherlands
- Erasmus Medisch Centrum
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Utrecht, Netherlands, 3584
- UMC Utrecht
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Oslo, Norway, 310
- Oslo Universitetssykehus HF, Radiumhospitalet
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Barcelona, Spain, 8035
- Hospital Universitari Vall d'Hebron
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Barcelona, Spain, 08908
- ICO l Hospitalet
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Madrid, Spain, 28040
- Hospital Universitario Fundacion Jimenez Diaz
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Madrid, Spain, 28046
- Hospital Universitario La Paz
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Salamanca, Spain, 37007
- Hospital Universitario de Salamanca
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Borås, Sweden
- Södra Älvsborgs Sjukhus
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Gothenburg, Sweden, 413 45
- Sahlgrenska Sjukhuset
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Lund, Sweden
- Skanes universitetssjukhus
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Solna, Sweden
- Karolinska Universitetssjukhuset
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Uppsala, Sweden
- Akademiska Sjukhuset
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Manchester, United Kingdom
- The Christie Hospital
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Newcastle upon Tyne, United Kingdom, NE7 7D
- Freeman Hospital
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Plymouth, United Kingdom, PL6 8DH
- Derriford Hospital
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Alabama
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Birmingham, Alabama, United States, 35294
- University of Alabama at Birmingham
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California
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Los Angeles, California, United States, 90048
- Cedars-Sinai Medical Center
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Los Angeles, California, United States, 90095
- David Geffen School of Medicine at UCLA
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San Francisco, California, United States, 94143
- University of California San Francisco
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Massachusetts
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Boston, Massachusetts, United States, 02215
- Dana Farber Cancer Institute
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Michigan
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Ann Arbor, Michigan, United States, 48109
- University of Michigan Comprehensive Cancer Center Michigan Medicine
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New Jersey
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Hackensack, New Jersey, United States, 07601
- Hackensack University Medical Center
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New York
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New York, New York, United States, 10029
- Mount Sinai
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New York, New York, United States, 10065
- Memorial Sloan Kettering CC
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North Carolina
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Charlotte, North Carolina, United States, 28204
- Levine Cancer Center
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Texas
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Dallas, Texas, United States, 75390
- Southwestern Medical Center
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Key Inclusion Criteria
- Measurable disease defined as ≥1 measurable nodal lesion (long axis >1.5 cm and short axis >1.0 cm) or ≥1 measurable extra-nodal lesion (long axis >1.0 cm) on computed tomography (CT) or magnetic resonance imaging (MRI). Applies to all arms except arm 7.
- Eastern Cooperative Oncology Group (ECOG) PS score of 0, 1 or 2
- Acceptable organ function at screening
- CD20-positive non-Hodgkin lymphoma (NHL) at most recent representative tumor biopsy
- If of childbearing potential participant must practicing a highly effective method of birth control
- A man who is sexually active with a woman of childbearing potential must agree to use a barrier method of birth control
Arm 1:
- Newly diagnosed DLBCL
- DLBCL, not otherwise specified (NOS)
- "Double-hit" or "triple-hit" DLBCL
- FL Grade 3B
Arm 2: R/R FL
Arm 3: Newly diagnosed, previously untreated FL grade 1-3A
Arm 4:
- Documented R/R DLBCL and eligible for HDT-ASCT
- DLBCL, NOS
- "Double-hit" or "triple-hit" DLBCL
- FL Grade 3B
Arm 5:
- Documented R/R DLBCL and ineligible for HDT-ASCT
- DLBCL, NOS
- "Double-hit" or "triple-hit" DLBCL
- FL Grade 3B
Arm 6: Newly diagnosed, previously untreated FL grade 1-3A
Arm 7:
- FL Grade 1-3A
- If PR or CR per Lugano criteria following first-line or second-line treatment with SOC regimen, and last dose of SOC within 6 months prior to enrollment.
Arm 8:
- Newly diagnosed DLBCL who are not fit to receive full-dose anthracycline
- T-cell/histiocyte rich DLBCL
- "Double-hit" or "triple-hit" DLBCL
- FL Grade 3B
Arm 9:
- R/R FL
- Progressed within 24 months of initiating first-line treatment
Arm 10:
- Documented R/R DLBCL and eligible for HDT-ASCT
- DLBCL, NOS
- "Double-hit" or "triple-hit" DLBCL
- FL Grade 3B
Key Exclusion Criteria
- Chemotherapy, radiation therapy, or major surgery within 4 weeks prior to the first dose of epcoritamab
- Any prior treatment with a bispecific antibody targeting CD3 and CD20.
- Treatment with CAR-T therapy within 100 days prior to first dose of epcoritamab
- Clinically significant cardiovascular disease
- Evidence of significant, uncontrolled concomitant diseases that could affect compliance with the protocol or interpretation of results
- CNS lymphoma or known CNS involvement by lymphoma at screening as confirmed by MRI/CT scan of the brain and, if clinically indicated, by lumbar puncture
- Positive tests for hepatitis B virus or hepatitis C virus indicating acute or chronic infection
- Known history of seropositivity of human immunodeficiency virus (HIV)
- Active tuberculosis or history of completed treatment for active tuberculosis within the past 12 months
- Neuropathy > grade 1
- Receiving immunostimulatory agent
- Prior allogeneic HSCT
- Current seizure disorder requiring anti-epileptic therapy
NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
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Experimental: Arm 1 - Epcoritamab + R-CHOP
In participants with previously untreated DLBCL.
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Every week in cycle 1-4, every 3 weeks in cycle 5 and 6, followed by every 4 weeks in cycle 7 for a total of 1 year.
Other Names:
Every week in cycle 1-3, every 2 weeks in cycle 4-9, followed by every 4 weeks for a total of 2 years.
Other Names:
Every week in cycle 1 and 2, followed by every 4 weeks for a total of 2 years.
Other Names:
Every week in cycle 1 and then every 8 weeks for a total of 2 years.
Other Names:
Every week in cycles 1 and 2, then every 3 weeks in cycles 3 to 6 and then every 4 weeks for cycles 7 and 8.
Other Names:
Every week in cycle 1-3 and then every 4 weeks for a total of 2 years.
Other Names:
6 cycles (21-day cycles)
Other Names:
Every week in cycle 1-4, every 2 weeks in cycle 5-9 followed by every 4 weeks until ASCT or disease progression.
Other Names:
Eligible participants will receive subcutaneous (SC) epcoritamab in 28-day cycles. Fixed-treatment epcoritamab will be administered following a 2-Set Up Dosing regimen in Cycle 1. There will be 2 cohorts, 2a and 2b with different dosing schedules. Cohort 2a will be dosed weekly (QW) in Cycles 1-3, once every 2 weeks (Q2W) in Cycles 4-9, and once every 4 weeks (Q4W) in Cycle 10 and beyond for up to 2 years. In cohort 2b, an alternate dosing schedule for epcoritamab will be explored: epcoritamab administered QW for Cycles 1-2 only, then Q4W in Cycle 3 and beyond for up to 2 years.
Other Names:
Cycle 1-3 every week, every other week Cycle 4-9 and then Q4W until progression or unacceptable toxicity.
Other Names:
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Experimental: Arm 2 - Epcoritamab + R2
In participants with R/R FL.
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Every week in cycle 1-4, every 3 weeks in cycle 5 and 6, followed by every 4 weeks in cycle 7 for a total of 1 year.
Other Names:
Every week in cycle 1-3, every 2 weeks in cycle 4-9, followed by every 4 weeks for a total of 2 years.
Other Names:
Every week in cycle 1 and 2, followed by every 4 weeks for a total of 2 years.
Other Names:
Every week in cycle 1 and then every 8 weeks for a total of 2 years.
Other Names:
Every week in cycles 1 and 2, then every 3 weeks in cycles 3 to 6 and then every 4 weeks for cycles 7 and 8.
Other Names:
Every week in cycle 1-3 and then every 4 weeks for a total of 2 years.
Other Names:
Every week in cycle 1-4, every 2 weeks in cycle 5-9 followed by every 4 weeks until ASCT or disease progression.
Other Names:
Eligible participants will receive subcutaneous (SC) epcoritamab in 28-day cycles. Fixed-treatment epcoritamab will be administered following a 2-Set Up Dosing regimen in Cycle 1. There will be 2 cohorts, 2a and 2b with different dosing schedules. Cohort 2a will be dosed weekly (QW) in Cycles 1-3, once every 2 weeks (Q2W) in Cycles 4-9, and once every 4 weeks (Q4W) in Cycle 10 and beyond for up to 2 years. In cohort 2b, an alternate dosing schedule for epcoritamab will be explored: epcoritamab administered QW for Cycles 1-2 only, then Q4W in Cycle 3 and beyond for up to 2 years.
Other Names:
Cycle 1-3 every week, every other week Cycle 4-9 and then Q4W until progression or unacceptable toxicity.
Other Names:
Rituximab 375 milligrams per meter squared (mg/m^2) will be administered intravenously QW in Cycle 1 and Q4W in Cycles 2-5.
Lenalidomide 20 mg will be administered orally daily for 21 days for 12 cycles.
Other Names:
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Experimental: Arm 3 - Epcoritamab + BR
In participants with previously untreated FL.
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Every week in cycle 1-4, every 3 weeks in cycle 5 and 6, followed by every 4 weeks in cycle 7 for a total of 1 year.
Other Names:
Every week in cycle 1-3, every 2 weeks in cycle 4-9, followed by every 4 weeks for a total of 2 years.
Other Names:
Every week in cycle 1 and 2, followed by every 4 weeks for a total of 2 years.
Other Names:
Every week in cycle 1 and then every 8 weeks for a total of 2 years.
Other Names:
Every week in cycles 1 and 2, then every 3 weeks in cycles 3 to 6 and then every 4 weeks for cycles 7 and 8.
Other Names:
Every week in cycle 1-3 and then every 4 weeks for a total of 2 years.
Other Names:
Every week in cycle 1-4, every 2 weeks in cycle 5-9 followed by every 4 weeks until ASCT or disease progression.
Other Names:
Eligible participants will receive subcutaneous (SC) epcoritamab in 28-day cycles. Fixed-treatment epcoritamab will be administered following a 2-Set Up Dosing regimen in Cycle 1. There will be 2 cohorts, 2a and 2b with different dosing schedules. Cohort 2a will be dosed weekly (QW) in Cycles 1-3, once every 2 weeks (Q2W) in Cycles 4-9, and once every 4 weeks (Q4W) in Cycle 10 and beyond for up to 2 years. In cohort 2b, an alternate dosing schedule for epcoritamab will be explored: epcoritamab administered QW for Cycles 1-2 only, then Q4W in Cycle 3 and beyond for up to 2 years.
Other Names:
Cycle 1-3 every week, every other week Cycle 4-9 and then Q4W until progression or unacceptable toxicity.
Other Names:
6 cycles (28-day cycles)
Other Names:
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Experimental: Arm 4 - Epcoritamab + R-DHAX/C
In participants with R/R DLBCL eligible for ASCT.
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Every week in cycle 1-4, every 3 weeks in cycle 5 and 6, followed by every 4 weeks in cycle 7 for a total of 1 year.
Other Names:
Every week in cycle 1-3, every 2 weeks in cycle 4-9, followed by every 4 weeks for a total of 2 years.
Other Names:
Every week in cycle 1 and 2, followed by every 4 weeks for a total of 2 years.
Other Names:
Every week in cycle 1 and then every 8 weeks for a total of 2 years.
Other Names:
Every week in cycles 1 and 2, then every 3 weeks in cycles 3 to 6 and then every 4 weeks for cycles 7 and 8.
Other Names:
Every week in cycle 1-3 and then every 4 weeks for a total of 2 years.
Other Names:
Every week in cycle 1-4, every 2 weeks in cycle 5-9 followed by every 4 weeks until ASCT or disease progression.
Other Names:
Eligible participants will receive subcutaneous (SC) epcoritamab in 28-day cycles. Fixed-treatment epcoritamab will be administered following a 2-Set Up Dosing regimen in Cycle 1. There will be 2 cohorts, 2a and 2b with different dosing schedules. Cohort 2a will be dosed weekly (QW) in Cycles 1-3, once every 2 weeks (Q2W) in Cycles 4-9, and once every 4 weeks (Q4W) in Cycle 10 and beyond for up to 2 years. In cohort 2b, an alternate dosing schedule for epcoritamab will be explored: epcoritamab administered QW for Cycles 1-2 only, then Q4W in Cycle 3 and beyond for up to 2 years.
Other Names:
Cycle 1-3 every week, every other week Cycle 4-9 and then Q4W until progression or unacceptable toxicity.
Other Names:
3 cycles (21-day cycles)
Other Names:
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Experimental: Arm 5 - Epcoritamab + GemOx
In participants with R/R DLBCL ineligible ASCT.
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Every week in cycle 1-4, every 3 weeks in cycle 5 and 6, followed by every 4 weeks in cycle 7 for a total of 1 year.
Other Names:
Every week in cycle 1-3, every 2 weeks in cycle 4-9, followed by every 4 weeks for a total of 2 years.
Other Names:
Every week in cycle 1 and 2, followed by every 4 weeks for a total of 2 years.
Other Names:
Every week in cycle 1 and then every 8 weeks for a total of 2 years.
Other Names:
Every week in cycles 1 and 2, then every 3 weeks in cycles 3 to 6 and then every 4 weeks for cycles 7 and 8.
Other Names:
Every week in cycle 1-3 and then every 4 weeks for a total of 2 years.
Other Names:
Every week in cycle 1-4, every 2 weeks in cycle 5-9 followed by every 4 weeks until ASCT or disease progression.
Other Names:
Eligible participants will receive subcutaneous (SC) epcoritamab in 28-day cycles. Fixed-treatment epcoritamab will be administered following a 2-Set Up Dosing regimen in Cycle 1. There will be 2 cohorts, 2a and 2b with different dosing schedules. Cohort 2a will be dosed weekly (QW) in Cycles 1-3, once every 2 weeks (Q2W) in Cycles 4-9, and once every 4 weeks (Q4W) in Cycle 10 and beyond for up to 2 years. In cohort 2b, an alternate dosing schedule for epcoritamab will be explored: epcoritamab administered QW for Cycles 1-2 only, then Q4W in Cycle 3 and beyond for up to 2 years.
Other Names:
Cycle 1-3 every week, every other week Cycle 4-9 and then Q4W until progression or unacceptable toxicity.
Other Names:
4 cycles (28-day cycles)
Other Names:
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Experimental: Arm 6 - Epcoritamab + R2
In participants with previously untreated FL.
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Every week in cycle 1-4, every 3 weeks in cycle 5 and 6, followed by every 4 weeks in cycle 7 for a total of 1 year.
Other Names:
Every week in cycle 1-3, every 2 weeks in cycle 4-9, followed by every 4 weeks for a total of 2 years.
Other Names:
Every week in cycle 1 and 2, followed by every 4 weeks for a total of 2 years.
Other Names:
Every week in cycle 1 and then every 8 weeks for a total of 2 years.
Other Names:
Every week in cycles 1 and 2, then every 3 weeks in cycles 3 to 6 and then every 4 weeks for cycles 7 and 8.
Other Names:
Every week in cycle 1-3 and then every 4 weeks for a total of 2 years.
Other Names:
Every week in cycle 1-4, every 2 weeks in cycle 5-9 followed by every 4 weeks until ASCT or disease progression.
Other Names:
Eligible participants will receive subcutaneous (SC) epcoritamab in 28-day cycles. Fixed-treatment epcoritamab will be administered following a 2-Set Up Dosing regimen in Cycle 1. There will be 2 cohorts, 2a and 2b with different dosing schedules. Cohort 2a will be dosed weekly (QW) in Cycles 1-3, once every 2 weeks (Q2W) in Cycles 4-9, and once every 4 weeks (Q4W) in Cycle 10 and beyond for up to 2 years. In cohort 2b, an alternate dosing schedule for epcoritamab will be explored: epcoritamab administered QW for Cycles 1-2 only, then Q4W in Cycle 3 and beyond for up to 2 years.
Other Names:
Cycle 1-3 every week, every other week Cycle 4-9 and then Q4W until progression or unacceptable toxicity.
Other Names:
rituximab 6 cycles and lenalidomide 12 cycles (28-day cycles)
Other Names:
|
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Experimental: Arm 7 - Epcoritamab maintenance
In participants with FL who achieved a CR or PR after receiving SOC treatment in 1L or 2L.
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Every week in cycle 1-4, every 3 weeks in cycle 5 and 6, followed by every 4 weeks in cycle 7 for a total of 1 year.
Other Names:
Every week in cycle 1-3, every 2 weeks in cycle 4-9, followed by every 4 weeks for a total of 2 years.
Other Names:
Every week in cycle 1 and 2, followed by every 4 weeks for a total of 2 years.
Other Names:
Every week in cycle 1 and then every 8 weeks for a total of 2 years.
Other Names:
Every week in cycles 1 and 2, then every 3 weeks in cycles 3 to 6 and then every 4 weeks for cycles 7 and 8.
Other Names:
Every week in cycle 1-3 and then every 4 weeks for a total of 2 years.
Other Names:
Every week in cycle 1-4, every 2 weeks in cycle 5-9 followed by every 4 weeks until ASCT or disease progression.
Other Names:
Eligible participants will receive subcutaneous (SC) epcoritamab in 28-day cycles. Fixed-treatment epcoritamab will be administered following a 2-Set Up Dosing regimen in Cycle 1. There will be 2 cohorts, 2a and 2b with different dosing schedules. Cohort 2a will be dosed weekly (QW) in Cycles 1-3, once every 2 weeks (Q2W) in Cycles 4-9, and once every 4 weeks (Q4W) in Cycle 10 and beyond for up to 2 years. In cohort 2b, an alternate dosing schedule for epcoritamab will be explored: epcoritamab administered QW for Cycles 1-2 only, then Q4W in Cycle 3 and beyond for up to 2 years.
Other Names:
Cycle 1-3 every week, every other week Cycle 4-9 and then Q4W until progression or unacceptable toxicity.
Other Names:
|
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Experimental: Arm 8 - Epcoritamab + R mini-CHOP
In participants with previously untreated DLBCL who are ineligible to receive full-dose anthracycline.
|
Every week in cycle 1-4, every 3 weeks in cycle 5 and 6, followed by every 4 weeks in cycle 7 for a total of 1 year.
Other Names:
Every week in cycle 1-3, every 2 weeks in cycle 4-9, followed by every 4 weeks for a total of 2 years.
Other Names:
Every week in cycle 1 and 2, followed by every 4 weeks for a total of 2 years.
Other Names:
Every week in cycle 1 and then every 8 weeks for a total of 2 years.
Other Names:
Every week in cycles 1 and 2, then every 3 weeks in cycles 3 to 6 and then every 4 weeks for cycles 7 and 8.
Other Names:
Every week in cycle 1-3 and then every 4 weeks for a total of 2 years.
Other Names:
Every week in cycle 1-4, every 2 weeks in cycle 5-9 followed by every 4 weeks until ASCT or disease progression.
Other Names:
Eligible participants will receive subcutaneous (SC) epcoritamab in 28-day cycles. Fixed-treatment epcoritamab will be administered following a 2-Set Up Dosing regimen in Cycle 1. There will be 2 cohorts, 2a and 2b with different dosing schedules. Cohort 2a will be dosed weekly (QW) in Cycles 1-3, once every 2 weeks (Q2W) in Cycles 4-9, and once every 4 weeks (Q4W) in Cycle 10 and beyond for up to 2 years. In cohort 2b, an alternate dosing schedule for epcoritamab will be explored: epcoritamab administered QW for Cycles 1-2 only, then Q4W in Cycle 3 and beyond for up to 2 years.
Other Names:
Cycle 1-3 every week, every other week Cycle 4-9 and then Q4W until progression or unacceptable toxicity.
Other Names:
6 cycles (21-day cycles)
Other Names:
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Experimental: Arm 10 - Epcoritamab + R-ICE
In participants with R/R DLBCL eligible for ASCT.
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Every week in cycle 1-4, every 3 weeks in cycle 5 and 6, followed by every 4 weeks in cycle 7 for a total of 1 year.
Other Names:
Every week in cycle 1-3, every 2 weeks in cycle 4-9, followed by every 4 weeks for a total of 2 years.
Other Names:
Every week in cycle 1 and 2, followed by every 4 weeks for a total of 2 years.
Other Names:
Every week in cycle 1 and then every 8 weeks for a total of 2 years.
Other Names:
Every week in cycles 1 and 2, then every 3 weeks in cycles 3 to 6 and then every 4 weeks for cycles 7 and 8.
Other Names:
Every week in cycle 1-3 and then every 4 weeks for a total of 2 years.
Other Names:
Every week in cycle 1-4, every 2 weeks in cycle 5-9 followed by every 4 weeks until ASCT or disease progression.
Other Names:
Eligible participants will receive subcutaneous (SC) epcoritamab in 28-day cycles. Fixed-treatment epcoritamab will be administered following a 2-Set Up Dosing regimen in Cycle 1. There will be 2 cohorts, 2a and 2b with different dosing schedules. Cohort 2a will be dosed weekly (QW) in Cycles 1-3, once every 2 weeks (Q2W) in Cycles 4-9, and once every 4 weeks (Q4W) in Cycle 10 and beyond for up to 2 years. In cohort 2b, an alternate dosing schedule for epcoritamab will be explored: epcoritamab administered QW for Cycles 1-2 only, then Q4W in Cycle 3 and beyond for up to 2 years.
Other Names:
Cycle 1-3 every week, every other week Cycle 4-9 and then Q4W until progression or unacceptable toxicity.
Other Names:
3 cycles (21-day cycles)
Other Names:
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Experimental: Arm 9 - Epcoritamab + Lenalidomide
In participants with R/R FL who progressed within 24 months of initiation of first-line anti-CD20-containing immunochemotherapy.
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Every week in cycle 1-4, every 3 weeks in cycle 5 and 6, followed by every 4 weeks in cycle 7 for a total of 1 year.
Other Names:
Every week in cycle 1-3, every 2 weeks in cycle 4-9, followed by every 4 weeks for a total of 2 years.
Other Names:
Every week in cycle 1 and 2, followed by every 4 weeks for a total of 2 years.
Other Names:
Every week in cycle 1 and then every 8 weeks for a total of 2 years.
Other Names:
Every week in cycles 1 and 2, then every 3 weeks in cycles 3 to 6 and then every 4 weeks for cycles 7 and 8.
Other Names:
Every week in cycle 1-3 and then every 4 weeks for a total of 2 years.
Other Names:
Every week in cycle 1-4, every 2 weeks in cycle 5-9 followed by every 4 weeks until ASCT or disease progression.
Other Names:
Eligible participants will receive subcutaneous (SC) epcoritamab in 28-day cycles. Fixed-treatment epcoritamab will be administered following a 2-Set Up Dosing regimen in Cycle 1. There will be 2 cohorts, 2a and 2b with different dosing schedules. Cohort 2a will be dosed weekly (QW) in Cycles 1-3, once every 2 weeks (Q2W) in Cycles 4-9, and once every 4 weeks (Q4W) in Cycle 10 and beyond for up to 2 years. In cohort 2b, an alternate dosing schedule for epcoritamab will be explored: epcoritamab administered QW for Cycles 1-2 only, then Q4W in Cycle 3 and beyond for up to 2 years.
Other Names:
Cycle 1-3 every week, every other week Cycle 4-9 and then Q4W until progression or unacceptable toxicity.
Other Names:
12 cycles (28-day cycles)
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Part 1: Number of Participants With Dose limiting Toxicities (DLTs)
Time Frame: During the first cycle (Cycle length= 28 days) in each cohort
|
DLT events are defined as clinically significant adverse events (AEs) or abnormal laboratory values assessed as unrelated to disease progression, underlying disease, intercurrent illness, or concomitant medications as assessed per Common Terminology Criteria for Adverse Events (NCI-CTCAE) criteria version 5.0.
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During the first cycle (Cycle length= 28 days) in each cohort
|
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Part 2 (Except Arm 7): Overall Response Rate (ORR)
Time Frame: Up to 3 years
|
ORR is defined as the percentage of participants achieving complete response (CR) or partial response (PR) based on Lugano criteria.
|
Up to 3 years
|
|
Part 1 and Part 2 (Arms 1-5, 7 and 10): Number of Participants With Adverse Events (AEs)
Time Frame: From first dose of drug until either 60 days after last dose, date participant withdraws consent, date participant starts a new systemic anticancer therapy, or date participant dies, whichever occurs first (up to approximately 3 years)
|
An AE is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment.
An AE can therefore be any unfavorable and unintended sign.
(including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.
|
From first dose of drug until either 60 days after last dose, date participant withdraws consent, date participant starts a new systemic anticancer therapy, or date participant dies, whichever occurs first (up to approximately 3 years)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Part 1 and 2: Clearance (CL) of Epcoritamab
Time Frame: Predose and postdose at multiple timepoints until treatment discontinuation (up to 3 years)
|
Predose and postdose at multiple timepoints until treatment discontinuation (up to 3 years)
|
|
|
Part 1 and 2: Maximum (Peak) Plasma Concentration (Cmax) of Epcoritamab
Time Frame: Predose and postdose at multiple timepoints until treatment discontinuation (up to 3 years)
|
Predose and postdose at multiple timepoints until treatment discontinuation (up to 3 years)
|
|
|
Part 1 and 2: Time to Reach Cmax (Tmax) of Epcoritamab
Time Frame: Predose and postdose at multiple timepoints until treatment discontinuation (up to 3 years)
|
Predose and postdose at multiple timepoints until treatment discontinuation (up to 3 years)
|
|
|
Part 1 and 2: Terminal Elimination Half-Life (t 1/2) of Epcoritamab
Time Frame: Predose and postdose at multiple timepoints until treatment discontinuation (up to 3 years)
|
Predose and postdose at multiple timepoints until treatment discontinuation (up to 3 years)
|
|
|
Part 1 and 2: Number of Immune Cell Populations
Time Frame: Up to 2 years
|
Immune cell populations in peripheral blood and tumor biopsies will be assessed.
|
Up to 2 years
|
|
Part 1 and 2: Percentage of Immune Cell Populations
Time Frame: Up to 2 years
|
Immune cell populations in peripheral blood and tumor biopsies will be assessed.
|
Up to 2 years
|
|
Part 1 and 2: Change From Baseline in Cytokine Levels up to Cycle 3
Time Frame: Up to Cycle 3 (cycle length = 21 days for Arms 1, 4, 8 and 10; cycle length = 28 days for Arms 2, 3, 5, 6 and 9; cycle length = 28 days (Cycle 1) and 56 days (Cycles 2, 3) for Arm 7)
|
Change in cytokine levels in peripheral blood samples will be assessed.
|
Up to Cycle 3 (cycle length = 21 days for Arms 1, 4, 8 and 10; cycle length = 28 days for Arms 2, 3, 5, 6 and 9; cycle length = 28 days (Cycle 1) and 56 days (Cycles 2, 3) for Arm 7)
|
|
Part 1 and 2: Change From Baseline in Circulating Tumor Deoxyribonucleic Acid (DNA) Level up to End of Treatment (up to 2 Years)
Time Frame: Up to 2 years
|
Change in circulating tumor DNA levels will be assessed.
|
Up to 2 years
|
|
Part 1 and 2: Number of Participants With Anti-Drug Antibodies (ADAs) to Epcoritamab
Time Frame: Up to 3 years
|
Up to 3 years
|
|
|
Part 1: ORR
Time Frame: Up to 3 years
|
ORR is defined as the percentage of participants achieving CR or PR based on Lugano criteria.
|
Up to 3 years
|
|
Part 1 and 2: Time to Response (TTR)
Time Frame: Up to 3 years
|
TTR is defined as the time from Day 1 of Cycle 1 to first documentation of objective tumor response (CR or PR).
|
Up to 3 years
|
|
Part 1 and 2: Overall Survival (OS)
Time Frame: Up to 3 years
|
OS is defined as the time from the date of first dose, to the date of death due to any cause.
|
Up to 3 years
|
|
Part 1 and 2: Time to Next Anti-lymphoma Therapy (TTNT)
Time Frame: Up to 3 years
|
TTNT is defined as the time from Day 1 of Cycle 1 to first documented administration of subsequent anti-lymphoma therapy.
|
Up to 3 years
|
|
Part 1 and 2: Percentage of Participants With Minimal Residual Disease (MRD) Negativity
Time Frame: Up to 3 years
|
It is defined as the percentage of participants with at least 1 MRD negative result.
|
Up to 3 years
|
|
Part 1 and 2: Duration of minimal residual disease (MRD) negativity
Time Frame: Up to 3 years
|
Up to 3 years
|
|
|
Part 2 (Arm 7): Percentage of Participants Who Converted From MRD Positivity to MRD Negativity
Time Frame: Up to 3 years
|
Up to 3 years
|
|
|
Part 2 (Except Arm 7): Percentage of Participants with Complete Response (CR) in Arms 1 to 10
Time Frame: Up to 3 years
|
Up to 3 years
|
|
|
Part 2 (Arm 7): Percentage of Participants With CR
Time Frame: Week 24, Week 48, and Week 96
|
It is defined as the percentage of participants who remain in complete remission or converting to complete remission after first trial drug administration.
|
Week 24, Week 48, and Week 96
|
|
Part 1 and 2: Time to Complete Response (TTCR)
Time Frame: Up to 3 years
|
TTCR is defined as the time from first trial drug administration to the date of first documented complete response post-treatment.
|
Up to 3 years
|
|
Part 1 and 2: Duration of Complete Response (DoCR)
Time Frame: Up to 3 years
|
DoCR is defined as the time from the first documentation of CR to the date of PD or death, whichever occurs first based on Lugano criteria.
|
Up to 3 years
|
|
Part 1 and 2: Area Under the Concentration-Time Curve (AUC) of Epcoritamab
Time Frame: Predose and postdose at multiple timepoints until treatment discontinuation (up to 3 years)
|
Predose and postdose at multiple timepoints until treatment discontinuation (up to 3 years)
|
|
|
Part 1 and 2: Duration of Response (DOR)
Time Frame: Up to 3 years
|
DOR: the time from the first documentation of objective tumor response (CR or PR) to the date of first PD or death, whichever occurs earlier, based on Lugano criteria.
|
Up to 3 years
|
|
Part 1 and 2: Progression Free Survival (PFS)
Time Frame: Up to 3 years
|
PFS is defined as the time from Day 1 of Cycle 1 to first documented PD or death due to any cause, whichever occurs earlier, based on Lugano criteria.
|
Up to 3 years
|
|
Part 2: Number of Participants with AEs (Except Arm 7)
Time Frame: From first dose of drug until either 60 days after last dose, date participant withdraws consent, date participant starts a new systemic anticancer therapy, or date participant dies, whichever occurs first (up to approximately 3 years)
|
An AE is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment.
An AE can therefore be any unfavorable and unintended sign.
(including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.
|
From first dose of drug until either 60 days after last dose, date participant withdraws consent, date participant starts a new systemic anticancer therapy, or date participant dies, whichever occurs first (up to approximately 3 years)
|
Collaborators and Investigators
Publications and helpful links
General Publications
- Brody JD, Jorgensen J, Belada D, Costello R, Trneny M, Vitolo U, Lewis DJ, Karimi YH, Sureda A, Andre M, Wahlin BE, Lugtenburg PJ, Jiang T, Karagoz K, Steele AJ, Abbas A, Wang L, Risum M, Cordoba R. Epcoritamab plus GemOx in transplant-ineligible relapsed/refractory DLBCL: results from the EPCORE NHL-2 trial. Blood. 2025 Apr 10;145(15):1621-1631. doi: 10.1182/blood.2024026830.
- Falchi L, Sureda A, Leppa S, Vermaat JSP, Nijland M, Christensen JH, de Vos S, Holte H, Merryman RW, Lugtenburg PJ, Abrisqueta P, Linton KM, Sunkersett G, Hoehn D, Rana A, Abbas A, Marek J, Hao Y, Steele AJ, Morehouse C, Hutchings M, Belada D. Fixed-duration epcoritamab plus R2 drives favorable outcomes in relapsed or refractory follicular lymphoma. Blood. 2025 Nov 27;146(22):2629-2640. doi: 10.1182/blood.2025029909.
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
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
- Neoplasms
- Immune System Diseases
- Neoplasms by Histologic Type
- Lymphatic Diseases
- Lymphoproliferative Disorders
- Immunoproliferative Disorders
- Lymphoma, Non-Hodgkin
- Lymphoma, B-Cell
- Lymphoma
- Hemic and Lymphatic Diseases
- Lymphoma, Large B-Cell, Diffuse
- Lymphoma, Follicular
- Amino Acids, Peptides, and Proteins
- Proteins
- Organic Chemicals
- Heterocyclic Compounds, 1-Ring
- Heterocyclic Compounds
- Benzimidazoles
- Heterocyclic Compounds, 2-Ring
- Heterocyclic Compounds, Fused-Ring
- Nucleic Acids, Nucleotides, and Nucleosides
- Hydrocarbons
- Hydrocarbons, Cyclic
- Carbohydrates
- Acids, Acyclic
- Carboxylic Acids
- Alkaloids
- Polycyclic Aromatic Hydrocarbons
- Hydrocarbons, Aromatic
- Polycyclic Compounds
- Glycosides
- Piperidines
- Indoles
- Antibodies, Monoclonal
- Antibodies
- Immunoglobulins
- Immunoproteins
- Blood Proteins
- Serum Globulins
- Globulins
- Coordination Complexes
- Deoxycytidine
- Cytidine
- Pyrimidine Nucleosides
- Pyrimidines
- Pregnadienes
- Pregnanes
- Steroids
- Fused-Ring Compounds
- Steroids, Fluorinated
- Phosphoramide Mustards
- Nitrogen Mustard Compounds
- Mustard Compounds
- Hydrocarbons, Halogenated
- Phosphoramides
- Organophosphorus Compounds
- Nucleosides
- Pregnadienetriols
- Pregnadienediols
- Vinca Alkaloids
- Secologanin Tryptamine Alkaloids
- Indole Alkaloids
- Indolizidines
- Indolizines
- Arabinonucleosides
- Anthracyclines
- Naphthacenes
- Aminoglycosides
- Butyrates
- Antibodies, Monoclonal, Murine-Derived
- Daunorubicin
- Oxazines
- Phthalimides
- Phthalic Acids
- Acids, Carbocyclic
- Piperidones
- Isoindoles
- Lenalidomide
- Oxaliplatin
- Bendamustine Hydrochloride
- Rituximab
- Gemcitabine
- Dexamethasone
- Prednisone
- Cyclophosphamide
- Cytarabine
- Carboplatin
- Doxorubicin
- Vincristine
- Ifosfamide
- etoposide phosphate
- R-CHOP protocol
Other Study ID Numbers
- GCT3013-02
- 2020-000845-15 (EudraCT Number)
- NL74222.056.20 (Registry Identifier: CCMO)
- 283235 (Other Identifier: IRAS ID; UK Research Summaries Database)
- 2023-504805-35-00 (Ctis: EU CTIS)
- RECF4377 (Other Identifier: The French National Cancer Institute)
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.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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