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Badanie mające na celu ocenę zdarzeń niepożądanych i zmian w aktywności choroby po podaniu podskórnym epkoritamabu w monoterapii lub w połączeniu ze standardową terapią u dorosłych uczestników w Chinach z chłoniakiem nieziarniczym z komórek B

2 listopada 2026 zaktualizowane przez: Genmab

Otwarta próba fazy 1b/2 mająca na celu ocenę bezpieczeństwa i wstępnej skuteczności epkoritamabu w monoterapii lub w skojarzeniu z terapią standardową u chińskich pacjentów z chłoniakiem nieziarniczym z komórek B

B-cell Lymphoma is an aggressive and rare cancer of a type of immune cells (a white blood cell responsible for fighting infections). The purpose of this study is to assess the safety and toxicity of epcoritamab as a monotherapy and when combined with standard of care therapy [Rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP) or Rituximab and lenalidomide (R2)] in adult participants in China with B-Cell Non-Hodgkin Lymphoma. Adverse events and change in disease activity will be assessed.

Epcoritamab is an investigational drug being developed for the treatment of B-Cell Non-Hodgkin Lymphoma. Study doctors put the participants in groups called treatment arms. A monotherapy of epcoritamab and two different combination of epcoritamab with standard of care therapy (R-CHOP or R2) will be explored. Each treatment arm receives a different treatment combination depending on stage of the study and eligibility. Approximately 66 adult participants with B-Cell Non-Hodgkin Lymphoma will be enrolled in the study in approximately 21 sites in China.

In the monotherapy arm (Cohort 1), participants will receive subcutaneous epcoritamab in 28-day cycles. In the combination arms (Cohorts 2 and 3), participants in Cohort 2 will receive subcutaneous epcoritamab with standard of care therapy (R-CHOP) in 21-day cycles followed by 28-day cycles, participants in Cohort 3 will receive subcutaneous epcoritamab with standard of care therapy (R2) 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.

Przegląd badań

Status

Aktywny, nie rekrutujący

Warunki

Interwencja / Leczenie

Typ studiów

Interwencyjne

Zapisy (Rzeczywisty)

49

Faza

  • Faza 2
  • Faza 1

Kontakty i lokalizacje

Ta sekcja zawiera dane kontaktowe osób prowadzących badanie oraz informacje o tym, gdzie badanie jest przeprowadzane.

Lokalizacje studiów

  • Chiny
    • Beijing Municipality
      • Beijing, Beijing Municipality, Chiny, 100071
        • The Fifth Medical Center of PLA General Hospital /ID# 230520
      • Beijing, Beijing Municipality, Chiny, 100191
        • Peking University Third Hospital /ID# 228138
    • Fujian
      • Fuzhou, Fujian, Chiny, 350001
        • Fujian Medical University Union Hospital /ID# 231890
    • Guangdong
      • Guangzhou, Guangdong, Chiny, 510060
        • Sun Yat-Sen University Cancer Center /ID# 228033
      • Guangzhou, Guangdong, Chiny, 510080
        • Guangdong Provincial People's Hospital /ID# 228028
      • Guangzhou, Guangdong, Chiny, 510515
        • Nanfang Hospital of Southern Medical University /ID# 227916
    • Henan
      • Zhengzhou, Henan, Chiny, 450008
        • Henan Cancer Hospital /ID# 228772
    • Hubei
      • Wuhan, Hubei, Chiny, 430022
        • Union Hospital affiliated to Tongji Medical College of Huazhong University of Sc /ID# 231221
    • Hunan
      • Changsha, Hunan, Chiny, 410006
        • Hunan Cancer Hospital /ID# 231859
    • Jiangsu
      • Suzhou, Jiangsu, Chiny, 215006
        • The First Affiliated Hospital of Soochow University /ID# 228024
      • Xuzhou, Jiangsu, Chiny, 221006
        • The Affiliated Hospital of Xuzhou Medical College /ID# 228774
    • Jiangxi
      • Nanchang, Jiangxi, Chiny, 330006
        • The First Affiliated Hospital of Nanchang University /ID# 228771
      • Nanchang, Jiangxi, Chiny, 330029
        • Jiangxi Provincial Cancer Hospital /ID# 231944
    • Shanghai Municipality
      • Shanghai, Shanghai Municipality, Chiny, 200065
        • Ruijin Hospital, Shanghai Jiaotong University School of Medicine /ID# 227724
    • Sichuan
      • Chengdu, Sichuan, Chiny, 610041
        • West China Hospital, Sichuan University /ID# 231434
    • Tianjin Municipality
      • Tianjin, Tianjin Municipality, Chiny, 300000
        • Tianjin Cancer Hospital /ID# 228135
    • Zhejiang
      • Hangzhou, Zhejiang, Chiny, 310003
        • The First Affiliated Hospital, Zhejiang University School of Medicine /ID# 228154
      • Hangzhou, Zhejiang, Chiny, 310022
        • Zhejiang Cancer hospital /ID# 228776

Kryteria uczestnictwa

Badacze szukają osób, które pasują do określonego opisu, zwanego kryteriami kwalifikacyjnymi. Niektóre przykłady tych kryteriów to ogólny stan zdrowia danej osoby lub wcześniejsze leczenie.

Kryteria kwalifikacji

Wiek uprawniający do nauki

18 lat i starsze (Dorosły, Starszy dorosły)

Akceptuje zdrowych ochotników

Nie

Płeć kwalifikująca się do nauki

Wszystko

Opis

Inclusion Criteria:

All Cohorts:

  • Life expectancy of >= 3 months on standard of care (SOC).

  • Must have an Eastern Cooperative Oncology Group (ECOG) performance status score 0 - 2.

  • Has one or more measurable disease sites:

    • Fluorodeoxyglucose-positron emission tomography (FDGPET) scan demonstrating positive lesion compatible with computed tomography (CT) or magnetic resonance image (MRI)-defined anatomical tumor sites.
    • >= 1 measurable nodal lesion (long axis > 1.5 cm and short axis > 1.0 cm) or >= 1.0 measurable extra-nodal lesion (long axis >= 1 cm) on CT scan or MRI. Note: A previously irradiated lesion must have demonstrated progression or residual disease in the lesion after radiotherapy to be considered measurable.

Cohort 1 Part 1 (Monotherapy Safety Run-in) Specific Criteria:

  • Must have histologically confirmed CD20+ Diffuse large B-cell lymphoma (DLBCL), or High-grade B-cell lymphoma (HGCBL) with MYC and BCL2 and/or BCL6 translocations and DLBCL feature, and follicular Lymphoma (FL) at most recent (previous or current) representative tumor biopsy based on the pathology report, according to the World Health Organization (WHO) 2016 (or later) classification.
  • Must have at least one prior treatment with an anti-CD20 monoclonal antibody (e.g., rituximab) potentially in combination with chemotherapy and/or relapsed after autologous stem cell rescue.
  • Must have relapsed or refractory disease. Note: Relapsed disease is defined as disease that has recurred >= 6 months after completion of therapy. Refractory disease is defined as disease that either progressed or failed to achieve an objective response during therapy or progressed within 6 months (<6 months) of completion of therapy.

Cohort 1 Part 2 (Monotherapy Expansion) Specific Criteria:

  • Must have histologically confirmed CD20+ DLBCL at most recent (previous or current) representative tumor biopsy based on the pathology report, inclusive of the following according to the World Health Organization (WHO) 2016 (or later) classification.

    • DLBCL, not otherwise specified (NOS) including de novo or histologically transformed from an earlier diagnosis of indolent lymphoma such as FL and nodal marginal zone lymphoma with a subsequent development of DLBCL relapse or.
    • "Double-hit" or "triple-hit" with DLBCL morphology (technically classified in WHO 2016 as HGBCL, with MYC and BCL2 and/or BCL6 translocations). Note: Double- /triple-hit lymphomas without DLBCL morphology and those classified in WHO 2016 as HGBCL, NOS are not eligible.
    • FL Grade 3B.

  • Following safety run-in and up to the 12th participant (including the number of safety run-in participants) in Cohort 1, participants must have received at least 1 prior line of systemic therapies which must include an anti-CD20 monoclonal antibody containing combination therapy (e.g., rituximab). After safety run-in confirms tolerability of the full dose A of epcoritamab, participants must have received at least 2 prior lines of systemic therapies.

  • Must have either failed prior autologous HSCT, or be ineligible for autologous HSCT due to age, comorbidities, performance status, comorbidities, or insufficient response to prior treatment.

  • Must have relapsed or refractory disease. Note: Relapsed disease is defined as disease that has recurred >= 6 months after completion of therapy. Refractory disease is defined as disease that either progressed or failed to achieve an objective response during therapy or progressed within 6 months (< 6 months) of completion of therapy.

Cohort 2 Specific Criteria:

  • Must have newly diagnosed CD20+ DLBCL.

  • Must have one of the following histologically confirmed CD20+ DLBCL (de novo or histologically transformed from FL at most recent (previous or current) representative tumor biopsy based on the pathology report including one of the following diagnoses according to the WHO 2016 (or later) classification:

    • DLBCL, not otherwise specified (NOS);
    • "Double-hit" or "triple-hit" with DLBCL morphology (technically classified in WHO 2016 as HGBCL, with MYC and BCL2 and/or BCL6 translocations) Note: Double-/triple-hit lymphomas without DLBCL morphology and those classified in WHO 2016 as HGBCL, NOS are not eligible or;
    • FL Grade 3B

  • Eligible for standard R-CHOP for 6 cycles.

Cohort 3 Specific Criteria:

  • Must have histologically confirmed CD20+ Grade 1 - 3a Follicular Lymphoma stage II, III, or IV with no evidence of histologic transformation to an aggressive lymphoma at most recent (previous or current) representative tumor biopsy and based on the pathology report, according to the WHO 2016 (or later) classification.
  • Must have R/R disease to at least one prior systemic anti-lymphoma treatment which must include an anti CD20 monoclonal antibody (e.g., rituximab). Participant who received only prior anti-CD20 monoclonal antibody monotherapy is not eligible. 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 or progressed within 6 months (< 6 months) of completion of therapy.
  • Must be eligible for R2 per investigator determination.
  • Willing to take aspirin prophylaxis (participants with low or intermediate risk for thromboembolism) or prophylactic anticoagulant (if high risk for a thromboembolic event) (lenalidomide treated participants only).

Exclusion Criteria:

All Cohorts:

  • History of primary mediastinal lymphoma.
  • Autologous Stem Cell Transplantation within 100 days prior to enrollment.
  • Have received prior allogeneic hematopoietic stem cell transplantation at any time.
  • Have been treated with a bispecific antibody targeting CD3 and CD20.

Cohort 2 Specific Criteria:

- History of prior systemic anti-lymphoma therapy (including definitive radiotherapy) for Diffuse large B-cell lymphoma (DLBCL) other than corticosteroids.

Plan studiów

Ta sekcja zawiera szczegółowe informacje na temat planu badania, w tym sposób zaprojektowania badania i jego pomiary.

Jak projektuje się badanie?

Szczegóły projektu

  • Główny cel: Leczenie
  • Przydział: Nielosowe
  • Model interwencyjny: Zadanie sekwencyjne
  • Maskowanie: Brak (otwarta etykieta)

Broń i interwencje

Grupa uczestników / Arm
Interwencja / Leczenie
Eksperymentalny: Cohort 1 Part 1: Epcoritamab Monotherapy

Participants will receive subcutaneous (SC) epcoritamab in 28 day cycles.
Lek: Epcoritamab

Subcutaneous Injection (SC)

Inne nazwy:
  • ABBV-GMAB-3013
Eksperymentalny: Cohort 1 Part 2: Epcoritamab Expansion

Participants will receive SC epcoritamab in 28 day cycles.
Lek: Epcoritamab

Subcutaneous Injection (SC)

Inne nazwy:
  • ABBV-GMAB-3013
Eksperymentalny: Cohort 2: Epcoritamab + RCHOP

Participants will receive SC epcoritamab in combination with [intravenously (IV) infused rituximab, IV injected cyclophosphamide, IV infused doxorubicin, IV infused vincristine, and oral prednisone (R-CHOP)] in 21 day cycles followed by 28 day cycles.
Lek: Epcoritamab

Subcutaneous Injection (SC)

Inne nazwy:
  • ABBV-GMAB-3013
Lek: Cyclophosphamide

IV Injection

Lek: Rituximab

Intravenous (IV) Infusion

Lek: Doxorubicin

IV Infusion

Lek: Vincristine

IV Infusion

Lek: Prednisone

Oral; Tablet
Eksperymentalny: Cohort 3: Epcoritamab + R2

Participants will receive SC epcoritamab in combination with [intravenously (IV) infused rituximab, and oral lenalidomide (R2)] in 28 day cycles.
Lek: Epcoritamab

Subcutaneous Injection (SC)

Inne nazwy:
  • ABBV-GMAB-3013
Lek: Rituximab

Intravenous (IV) Infusion

Lek: Lenalidomide

Oral; Capsule

Co mierzy badanie?

Podstawowe miary wyniku

Miara wyniku
Opis środka
Ramy czasowe
Cohort 1 Part 2 [(3L+) R/R DLBCL]: Best Overall Response (BOR)
Ramy czasowe: Up to Approximately 5 Years

Best overall response (BOR) is defined as the percentage of participants in Cohort 1 Part 2 third line plus (3L) R/R DLBCL who achieved best overall response of complete response (CR) or partial response (PR) by Lugano 2014 criteria as assessed by independent review committee (IRC).
Up to Approximately 5 Years
Cohort 1 Part 1, Cohort 2, and Cohort 3: Number of Incidence of Dose-Limiting Toxicities (DLT)
Ramy czasowe: Up to Approximately 5 Years

DLT events are defined as clinically significant adverse events or abnormal laboratory values assessed as unrelated to disease progression, underlying disease, intercurrent illness, or concomitant medications.
Up to Approximately 5 Years

Miary wyników drugorzędnych

Miara wyniku
Opis środka
Ramy czasowe
Cohort 1 Part 2 [(3L+) R/R DLBCL]: Percentage of Participants with Complete Remission (CR)
Ramy czasowe: Up to Approximately 5 Years

CR is defined as the absence of lymphoma determined by Lugano 2014 criteria as assessed by IRC.
Up to Approximately 5 Years
Cohort 1 Part 2 [(3L+) R/R DLBCL]: Number of Participants with Progression-free survival (PFS)
Ramy czasowe: Up to Approximately 5 Years

PFS is defined as the time in months from the first dose of study drug to the earliest occurrence of radiographic progression determined by Lugano 2014 criteria as assessed by IRC, or death from any cause.
Up to Approximately 5 Years
Cohort 1 Part 2 [(3L+) R/R DLBCL]: Overall survival (OS)
Ramy czasowe: Up to Approximately 5 Years

OS is defined for Cohort 1 epcoritamab monotherapy participants, as the time in months from first dose of epcoritamab to death from any cause.
Up to Approximately 5 Years
Cohort 1 Part 2 [(3L+) R/R DLBCL]: Duration of response (DOR)
Ramy czasowe: Up to Approximately 5 Years

DOR is defined for participants who achieved best overall response of CR or PR ('responders'), as the time in months from initial CR/PR to the earliest occurrence of radiographic progression determined by Lugano 2014 criteria as assessed by IRC, or death from any cause.
Up to Approximately 5 Years
Cohort 1 Part 2 [(3L+) R/R DLBCL]: Time-to-response (TTR)
Ramy czasowe: Up to Approximately 5 Years

TTR is defined as the number of months from the date of first dose to the date of best overall response of CR or PR ('responders') determined by Lugano 2014 criteria as assessed by IRC.
Up to Approximately 5 Years

Współpracownicy i badacze

Tutaj znajdziesz osoby i organizacje zaangażowane w to badanie.

Sponsor

Genmab

Współpracownicy

AbbVie

Śledczy

  • Dyrektor Studium: ABBVIE INC., AbbVie

Daty zapisu na studia

Daty te śledzą postęp w przesyłaniu rekordów badań i podsumowań wyników do ClinicalTrials.gov. Zapisy badań i zgłoszone wyniki są przeglądane przez National Library of Medicine (NLM), aby upewnić się, że spełniają określone standardy kontroli jakości, zanim zostaną opublikowane na publicznej stronie internetowej.

Główne daty studiów

Rozpoczęcie studiów (Rzeczywisty)

10 marca 2022

Zakończenie podstawowe (Szacowany)

1 października 2027

Ukończenie studiów (Szacowany)

1 października 2027

Daty rejestracji na studia

Pierwszy przesłany

18 stycznia 2022

Pierwszy przesłany, który spełnia kryteria kontroli jakości

20 stycznia 2022

Pierwszy wysłany (Rzeczywisty)

21 stycznia 2022

Aktualizacje rekordów badań

Ostatnia wysłana aktualizacja (Rzeczywisty)

4 listopada 2026

Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości

2 listopada 2026

Ostatnia weryfikacja

1 września 2026

Więcej informacji

Terminy związane z tym badaniem

Słowa kluczowe

Dodatkowe istotne warunki MeSH

Inne numery identyfikacyjne badania

  • M21-103

Plan dla danych uczestnika indywidualnego (IPD)

Planujesz udostępniać dane poszczególnych uczestników (IPD)?

TAK

Opis planu IPD

AbbVie is committed to responsible clinical trial data sharing. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information (e.g., protocols, analyses plans, clinical study reports), as long as the trials are not part of an ongoing or planned regulatory submission. This includes requests for clinical trial data for unlicensed products and indications.

Ramy czasowe udostępniania IPD

For details on when studies are available for sharing visit https://vivli.org/ourmember/abbvie/

Kryteria dostępu do udostępniania IPD

To learn more about the process, or to submit a request, visit the following link https://www.abbvieclinicaltrials.com/hcp/data-sharing/

Typ informacji pomocniczych dotyczących udostępniania IPD

  • PROTOKÓŁ BADANIA
  • SOK ROŚLINNY
  • CSR

Informacje o lekach i urządzeniach, dokumenty badawcze

Bada produkt leczniczy regulowany przez amerykańską FDA

Nie

Bada produkt urządzenia regulowany przez amerykańską FDA

Nie

produkt wyprodukowany i wyeksportowany z USA

Nie

Te informacje zostały pobrane bezpośrednio ze strony internetowej clinicaltrials.gov bez żadnych zmian. Jeśli chcesz zmienić, usunąć lub zaktualizować dane swojego badania, skontaktuj się z register@clinicaltrials.gov. Gdy tylko zmiana zostanie wprowadzona na stronie clinicaltrials.gov, zostanie ona automatycznie zaktualizowana również na naszej stronie internetowej .

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