A Study to Evaluate Adverse Events and Change in Disease Activity of Subcutaneous (SC) Epcoritamab in Combination With Oral and Intravenous Anti-Neoplastic Agents in Adult Participants With Non-Hodgkin Lymphoma
Non-Hodgkin Lymphoma
About this trial
This is an interventional treatment trial for Non-Hodgkin Lymphoma focused on measuring Non-Hodgkin Lymphoma, Epcoritamab, Lenalidomide, Ibrutinib, Polatuzumab Vedotin, Rituximab, Cyclophosphamide, Doxorubicin Hydrochloride (HCl], Prednisone (pola-R-CHP), ABBV-GMAB-3013, Cancer, Relapsed/Refractory (R/R) Diffuse Large B-Cell Lymphoma (DLBCL), Venetoclax,, Venclexta, ABT-199, GDC-0199, CC-99282, EPCORE
Eligibility Criteria
Inclusion Criteria:
Diagnosis of diffuse large B-cell lymphoma (DLBCL) (de novo or histologically transformed from follicular lymphoma or nodal marginal zone lymphoma) with histologically confirmed CD20+ disease, inclusive of the following according to World Health Organization (WHO) 2016 classification and documented in pathology report:
- DLBCL, not otherwise specified (NOS).
- High-grade B cell lymphoma with MYC and BCL-2 and/or BCL-6 translocations per WHO 2016 ("double-hit" or "triple-hit") Note: High-grade B-cell lymphomas NOS or other double- /triple-hit lymphomas (with histologies not consistent with DLBCL) are not eligible.
- Follicular lymphoma Grade 3B.
- Eastern Cooperative Oncology Group (ECOG) performance status 0 - 2.
Must have 1 or more measurable disease sites:
- A positron emission tomography (PET) /computed tomography (CT) scan demonstrating PET-positive lesion(s) AND
- At least 1 measurable nodal lesion (long axis >= 1.5cm and short axis > 1.0 cm) or >= 1 measurable extra-nodal lesion (long axis >= 1.0 cm) on CT scan or MRI.
Exclusion Criteria:
- Prior treatment with epcoritamab or any other bispecific antibody targeting CD3 and CD20.
- Unresolved toxicities from prior anticancer therapy, defined as having not resolved to Common Terminology Criteria for Adverse Events (CTCAE, v 5.0), Grade 2 or below, with the exception of alopecia.
Sites / Locations
- University of Arizona Cancer Center - North Campus /ID# 242219Recruiting
- Yale University /ID# 242089Recruiting
- Christiana Care Health Service /ID# 242301Recruiting
- Tampa General Hospital /ID# 246748Recruiting
- Emory University /ID# 242153Recruiting
- University of Maryland School of Medicine /ID# 242218Recruiting
- Alliance for Multispecialty Research (AMR) - Kansas City /ID# 242144Recruiting
- Northwell Health - Monter Cancer Center /ID# 245435Recruiting
- Novant Health Presbyterian Medical Center /ID# 242148Recruiting
- East Carolina University Brody School of Medicine /ID# 242506Recruiting
- Novant Health Forsyth Medical Center /ID# 242198Recruiting
- Fox Chase Cancer Center /ID# 242106Recruiting
- Thompson Cancer Survival Ctr /ID# 242150Recruiting
- Joe Arrington Cancer Research /ID# 242226Recruiting
- Swedish Cancer Institute- First Hill /ID# 242269Recruiting
- Multicare Institute for Research and Innovation /ID# 242127Recruiting
- Fakultni Nemocnice Brno /ID# 242683Recruiting
- Fakultni nemocnice Hradec Kralove /ID# 241722Recruiting
- Fakultni nemocnice Ostrava /ID# 242684Recruiting
- Vseobecna fakultni nemocnice v Praze /ID# 242685Recruiting
- Aarhus University Hospital /ID# 242670Recruiting
- CHU Clermont-Ferrand /ID# 242344Recruiting
- HCL - Hopital Lyon Sud /ID# 242349Recruiting
- CHU de Rennes - PONTCHAILLOU /ID# 242339Recruiting
- CHRU Lille - Hopital Claude Huriez /ID# 242335Recruiting
- Institut de Recherche Saint Louis - Hopital St Louis /ID# 242336Recruiting
- CHRU Nancy - Hopitaux de Brabois /ID# 242342Recruiting
- CHU de Nantes, Hotel Dieu -HME /ID# 242345Recruiting
- Hopital Henri Mondor /ID# 242337Recruiting
- Hopital Pitie Salpetriere /ID# 242343Recruiting
- IUCT Oncopole /ID# 242340Recruiting
- Debreceni Egyetem Klinikai Kozpont /ID# 242450Recruiting
- Somogy Varmegyei Kaposi Mor Oktato Korhaz /ID# 245935Recruiting
- Semmelweis Egyetem /ID# 242454Recruiting
- Orszagos Onkologiai Intezet /ID# 242458Recruiting
- The Chaim Sheba Medical Center /ID# 243010Recruiting
- Tel Aviv Sourasky Medical Center /ID# 243012Recruiting
- Hadassah Medical Center-Hebrew University /ID# 243013Recruiting
- Rabin Medical Center /ID# 243014Recruiting
- Hokkaido University Hospital /ID# 248999Recruiting
- National Cancer Center Hospital /ID# 248995Recruiting
- Seoul National University Bundang Hospital /ID# 242404Recruiting
- Seoul National University Hospital /ID# 242402Recruiting
- Asan Medical Center /ID# 242400Recruiting
- Samsung Medical Center /ID# 242401Recruiting
- The Catholic University of Korea, Seoul St. Mary's Hospital /ID# 242403Recruiting
- Erasmus Medisch Centrum /ID# 243315Recruiting
- Vrije Universiteit Medisch Centrum /ID# 243319Recruiting
- Universitair Medisch Centrum Groningen /ID# 243318Recruiting
- Leids Universitair Medisch Centrum /ID# 243316Recruiting
- Maastricht Universitair Medisch Centrum /ID# 243317Recruiting
- Instituto Catalan de Oncologia (ICO) Badalona /ID# 243265Recruiting
- Instituto Catalan de Oncologia (ICO) L'Hospitalet /ID# 243261Recruiting
- CLINICA UNIVERSIDAD DE NAVARRA-Pamplona /ID# 245031Recruiting
- Hospital Universitario Vall d'Hebron /ID# 243260Recruiting
- CLINICA UNIVERSIDAD DE NAVARRA-Madrid /ID# 243268Recruiting
- Hospital Universitario Fundacion Jimenez Diaz /ID# 243264Recruiting
- Hospital Universitario 12 de Octubre /ID# 243262Recruiting
- Hospital Universitario de Salamanca /ID# 243368Recruiting
- Hospital Universitario Virgen del Rocio /ID# 243267Recruiting
- Hospital Clinico Universitario de Valencia /ID# 243269Recruiting
- China Medical University Hospital /ID# 242893Recruiting
- National Cheng Kung University Hospital /ID# 242894Recruiting
- Taipei Veterans General Hosp /ID# 242892Recruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Arm 7
Arm 8
Arm 9
Arm 10
Arm 11
Arm 12
Arm 13
Arm 14
Arm 15
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Arm 1: Dose Escalation
Arm 2: Dose Escalation
Arm 3: Dose Escalation
Arm 4: Dose Escalation
Arm 5: Dose Escalation
Arm 6A: Dose Escalation
Arm 6B: Dose Escalation
Arm 7: Dose Escalation
Arm 1: Dose Expansion
Arm 2: Dose Expansion
Arm 3: Dose Expansion
Arm 4: Dose Expansion
Arm 5: Dose Expansion
Arm 6: Dose Expansion
Arm 7: Dose Expansion
Participants with relapsed/refractory (R/R) diffuse large B-cell lymphoma (DLBCL) will receive escalating doses of subcutaneous (SC) epcoritamab in combination with oral lenalidomide in 28 day cycles.
Participants with R/R DLBCL will receive escalating doses of SC epcoritamab in combination with oral ibrutinib and oral lenalidomide in 28 day cycles.
Participants with newly diagnosed treatment-naïve DLBCL will receive escalating doses of SC epcoritamab in combination with intravenous (IV) polatuzumab vedotin, IV rituximab, IV cyclophosphamide, IV doxorubicin hydrochloride (HCl), and oral prednisone (pola-R-CHP) in 21 day cycles.
Participants with R/R DLBCL will receive escalating doses of SC epcoritamab in combination with oral CC-99282 in 28 day cycles.
Participants with R/R follicular lymphoma (FL) will receive escalating doses of SC epcoritamab in combination with oral CC-99282 in 28 day cycles.
Participants with R/R mantle cell lymphoma (MCL) will receive escalating doses of SC epcoritamab in combination with oral ibrutinib in 28 day cycles.
Participants with R/R MCL will receive escalating doses of SC epcoritamab in combination with oral ibrutinib, and oral venetoclax in 28 day cycles.
Participants with newly diagnosed treatment-naïve MCL will receive escalating doses of SC epcoritamab in combination with oral ibrutinib, and oral venetoclax in 28 day cycles.
Participants with R/R DLBCL will receive the recommended dose of SC epcoritamab in combination with oral lenalidomide in 28 day cycles.
Participants with R/R DLBCL will receive the recommended dose of SC epcoritamab in combination with oral ibrutinib and oral lenalidomide in 28 day cycles.
Participants newly diagnosed treatment-naïve DLBCL will receive the recommended dose of SC epcoritamab in combination with intravenous (IV) polatuzumab vedotin, IV rituximab, IV cyclophosphamide, IV doxorubicin hydrochloride (HCl), and oral prednisone (pola-R-CHP) in 21 day cycles.
Participants with R/R DLBCL will receive the recommended dose of SC epcoritamab in combination with oral CC-99282 in 28 day cycles.
Participants with R/R FL will receive the recommended dose of SC epcoritamab in combination with oral CC-99282 in 28 day cycles.
Participants with R/R MCL will receive the recommended dose of SC epcoritamab in combination with oral ibrutinib in 28 day cycles.
Participants with newly diagnosed treatment-naïve MCL will receive the recommended dose of SC epcoritamab in combination with oral ibrutinib, and oral venetoclax in 28 day cycles.