A Phase 3 Trial of Epcoritamab vs Investigator's Choice Chemotherapy in R/R DLBCL (EPCORE DLBCL-1)
Diffuse Large B-cell Lymphoma
About this trial
This is an interventional treatment trial for Diffuse Large B-cell Lymphoma focused on measuring double-hit DLBCL, triple-hit DLBCL, follicular grade 3B, transformed DLBCL, T-cell histiocytes-rich large B cell lymphoma
Eligibility Criteria
Main Inclusion Criteria:
- Relapsed or refractory disease and previously treated with at least 1 line of systemic antineoplastic therapy including anti-CD20 mAb-containing combination chemotherapy since lymphoma diagnosis
One of the confirmed histologies below with CD20-positivity:
- DLBCL, NOS, including de novo or histologically transformed from FL
- "Double-hit" or "triple-hit" DLBCL (technically classified in WHO 2016 as 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
- ECOG PS score of 0-2
- Failed previous HDT-ASCT or not eligible for HDT-ASCT at screening
- Patients must have detectable disease by PET scan and measurable by CT scan or MRI
- Acceptable renal and liver function
- Life expectancy >2 months on SOC 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
- ASCT within 100 days of randomization
- Treatment with CAR-T therapy within 100 days prior to randomization
- Seizure disorder requiring anti-epileptic therapy
- Clinically significant cardiac disease
Sites / Locations
- Indiana Blood and Marrow Transplantation
- Community Health Network Cancer Center North
- Henry Ford Health System
- Wake Forest Baptist Health
- TriHealth Cancer Institute- Good Samaritan Hospital
- LDS Hospital
- Flinders Medical Centre
- Concord Repatriation General Hospital
- Peninsula Private Hospital Clinical Trials Unit
- Icon Cancer Centre Corporate Office
- Calvary Mater Newcastle
- Westmead Hospital
- Ordensklinikum Linz Barmherzige Schwestern
- Uniklinikum Salzburg, Universitätsklinik für Innere Medizin III der PMU
- ZNA Middelheim
- AZ Sint-Jan
- Institut Jules Bordet
- Universitair Ziekenhuis Gent
- UZ Brussel
- Universitair Ziekenhuis gasthuisberg Leuven
- AZ Nikolaas- Verenigde Ziekenhuizen van Waas en Durme
- AZ Turnhout, Campus Sint-Elisabeth
- CHU de Quebec-Universite Laval
- Beijing Cancer Hospital
- Beijing Tongren Hospital, Capital Medical University
- The First Hospital of Jilin University
- West China Hospital, Sichuan University
- The Second Hospital of Dalian Medical University
- Guangdong Provincial Peoples Hospital
- Guangxi Medical University Affiliated Tumor Hospital
- The First Affiliated Hospital, Zhejiang University School of Medicine
- Hubei Cancer Hospital
- Hunan Cancer Hospital
- The First Affiliated Hospital of Nanchang University
- Qingdao Central Hospital
- Shanxi Provincial Cancer Hospital
- Shengjing Hospital of China Medical University
- Shenzhen Peoples Hospital
- The First Affiliated Hospital of Soochow University
- Tianjin Medical University Cancer Institute and Hospital
- EC of Union Hospital Tongji Medical College Huazhong University of Science and Technology
- Henan Cancer Hospital
- The Second Affiliated Hospital Zhejiang University School of Medicine
- Aalborg Universitetshospital
- Aarhus University Hospital, Department of Hematology, Clinical Research Unit C116
- Clinical Research Unit, Roskilde Sygehus
- Vejle Hospital
- HUS Cancer Center/ Clinical Trial Unit
- Oulu university hospital, Department of hematology
- Audrey ALEME
- Centre Hospitalier de la Côte Basque
- CHRU de Brest - Hospital Morvan
- CHU Caen - IHBN
- Groupe Hospitalier de La Rochelle
- CHU de LIMOGES
- Centre Léon Bérard
- Hopital de la Conception APHM
- CHU de Nantes - Hôtel Dieu
- Centre Antoine Lacassagne
- Clinique Victor Hugo
- Hôpital Saint-Louis
- CHU de Bordeaux Hôpital Haut-Lévêque
- Centre Hospitalier Lyon Sud
- CHU de Poitiers - Hôpital la Milétrie
- Ch Cornouaille
- Centre Henri Becquerel
- CHRU Tours Hôpital Bretonneau
- Uniklinik Köln, Klinik I für Innere Medizin, CIO Gebäude 70, 5.094
- Universitaetsklinikum Essen
- Universitätsklinikum Schleswig-Holstein Medizinische Klinik II Hämatologie und Onkologie
- Universitätsklinikum Würzburg
- National Institute of Oncology
- Semmelweis Egyetem Belgyógyászati és Onkológiai Klinika
- Debreceni Egyetem Klinikai Kozpont, Belgyogyaszati Klinika, Hematologia
- Belgyógyászati osztály Markhot Ferenc Kórház
- Petz Aladar Egyetemi Oktato Korhaz
- Josa Andras Teaching Hospital, Hematology Dept
- University of Pecs 1st. Internal medicine Clinic Dept. Hematology
- Szegedi Tudományegyetem II. sz. Belgyogyaszat, Hematologia
- Fejer Megyei Szent Gyorgy Egyetemi Oktato Korhaz
- Bnai Zion Medical Center
- Hadassah University Hospital
- Shaare Zedek Medical Center
- Sourasky Medical Center
- Azienda Socio Sanitaria Territoriale Sette Laghi (Presidio Ospedale di Circolo e Fondazione Macchi)
- Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia (Presidio Spedali Civili)
- Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (I.R.S.T.)
- Istituto Oncologico Europeo
- San Raffaele Hospital
- Azienda Ospedaliero - Universitaria Maggiore delle Carita SCDU Ematologia building C
- Ospedale Santa Maria delle Croci
- Azienda Ospedaliera Universitaria Policlinico Umberto I Università di Roma La Sapienza, Dip Med Tra
- IRCCS Ospedale Casa Sollievo della Sofferenza
- Azienda Sanitaria Universitaria Giuliano Isontina (ASU GI) Ospedale Maggiore di Trieste
- SC di Ematologia - AON SS Antonio e Biagio e Cesare Arrigo
- Kyushu University Hospital
- Fukushima Medical University Hospital
- Chugoku Central Hospital
- Hokkaido University Hospital
- National Cancer Center Hospital East
- Kyoto University Medical Hospital
- Matsuyama Red Cross Hospital
- Mie University Hospital
- Japanese Red Cross Nagoya Daini Hospital
- NHO Nagoya Medical Center
- Okayama University Hospital
- Tohoku University Hospital
- Keio University Hospital
- National Cancer Center Hospital
- Tokai University Hospital
- Fujita Health University Hospital
- Yamagata University Hospital
- Kindai University Hospital
- Dong-A University Hospital
- Pusan National University Hospital
- Pusan National University Hosptial
- Keimyung University Dongsan Hospital
- Chonbuk National University Hospital
- Asan Medical Center
- Samsung Medical Center
- Seoul National University Bundang Hospital
- Seoul National University Hospital
- Severance Hospital, Yonsei University Health System
- Ulsan University Hospital
- Rijnstate Arnhem
- Amphia Ziekenhuis, Interne Geneeskunde, Oncologie. Route 43
- Albert Schweitzer Ziekenhuis
- Admiraal de Ruyter Ziekenhuis
- Bravis Ziekenhuis
- Erasmus MC
- Franciscus Gasthuis And Vlietland
- Oslo University Hospital location Radium hospital
- St. Olavs Hospital HF
- Pratia Onkologia Katowice
- Pratia MCM Kraków
- Centrum Medyczne Pratia Poznan
- Uniwersytecki Szpital Kliniczny im. Jana Mikulicza-Radeckiego we Wroclawiu
- Instytut Centrum Zdrowia Matki Polki
- Wojewódzkie Wielospecjalistyczne Centrum Onkologii i Traumatologii
- State Autonomous Institution of Healthcare Republican Clinical Oncological Dispensary of the Ministr
- State Budgetary Institution of Healthcare Leningrad Regional Clinical Hospital
- Federal State Budgetary Institution of Science
- Federal State Budgetary Institution
- State Budgetary Institution of Healthcare of Nizhniy Novgorod region, 1st inpatient facility, 5th fl
- Federal State Budgetary Institution V.A. Almazov National Medical Research Center of the Ministry of
- Clinical Trials and Research Centre
- ICO Badalona - Hospital Universitari Germans Trias i Pujol
- ICO l'Hospitalet - Hospital Duran i Reynals
- Hospita Universitario Puerta Del Mar
- Hospital San Pedro de Alcántara
- Hospital San Pedro de Alcántara
- Hospital Universitario Reina Sofía
- Hospital Arnau de Vilanova
- Hospital Universitario 12 de Octubre
- Hospital Universitario Fundacion Jimenez Diaz
- Hospital Universitario Ramon y Cajal
- Md Anderson Cancer Center
- Hospital Universitario de Salamanca
- Hospital Universitario Marqués de Valdecilla
- Hospital Universitario Virgen De Valme
- Hospital Universitario Virgen del Rocío
- Hospital Universitario Virgen Macarena
- Karolinska university Hospital
- Kaohsiung Medical University Chung-Ho Memorial Hospital
- National Cheng Kung University Hospital
- National Taiwan University Hospital
- Taipei Veterans General Hospital
- Ankara University Medical Faculty
- Dr. Abdurrahman Yurtaslan Ankara Onkoloji Egitim ve Arastirma Hastanesi
- Gazi University Medical Faculty
- Amerikan Hospital
- Iqvia Tibbi Istatistik
- Istanbul University Cerrahpasa - Cerrahpasa Tip Fakultesi
- Istanbul University Medical Faculty
- Dokuz Eylul University Medical Faculty
- Ege University Medical Faculty
- Tekirdag Namik Kemal University
- Karadeniz Technical University
- Haematology - University Hospitals Birmingham NHS Foundation Trust
- Guys and St Thomas NHS Foundation Trust
- Hammersmith Hospital
- Norfolk and Norwich University Hospitals NHS Foundation Trust
- Nottingham University Hospitals NHS Trust
- Derriford Hospital
- University Hospital Southampton
- Royal Marsden NHS Foundation Trust (Sutton)
- Royal Cornwall Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Epcoritamab (GEN3013; DuoBody®CD3xCD20)
Investigator's choice of chemotherapy
Epcoritamab will be administered in Cycles of 28 days until any of the discontinuation criteria is met
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