A Study to Evaluate Change in Disease Activity of Subcutaneous (SC) Epcoritamab Combined With Intravenous and Oral Rituximab, Cyclophosphamide, Doxorubicin Hydrochloride, Vincristine, and Prednisone (R-CHOP) or R-CHOP in Adult Participants With Newly Diagnosed Diffuse Large B-Cell Lymphoma (DLBCL) (EPCORE DLBCL-2)
Diffuse Large B-Cell Lymphoma
About this trial
This is an interventional treatment trial for Diffuse Large B-Cell Lymphoma focused on measuring Relapsed or Refractory Diffuse Large B-Cell Lymphoma, Non-Hodgkins Lymphoma, Cancer, Epcoritamab, ABBV-GMAB-3013, R-CHOP, Rituximab, EPCORE
Eligibility Criteria
Inclusion Criteria:
- Planned to receive treatment with 6 cycles of standard rituximab, cyclophosphamide, doxorubicin hydrochloride, vincristine, and prednisone (R-CHOP) per investigator determination.
Must have newly diagnosed, histologically confirmed CD20+ diffuse large b-cell lymphoma [DLBCL] (de novo or histologically transformed from a diagnosis of follicular lymphoma) at most recent representative tumor biopsy based on the pathology report, with a World Health Organization (WHO) 2016 classification and including:
- DLBCL, Not Otherwise Specified (NOS).
- High grade B-cell lymphoma with MYC and BCL-2 and/or BCL-6 rearrangement with DLBCL morphology.
- T-cell/histiocyte-rich large B-cell lymphoma.
- Epstein Barr virus-positive DLBCL, NOS.
- Follicular lymphoma Grade 3b.
Note: The local pathology report must be available at Screening to support CD20+ DLBCL histology.
Composite/intermediate histology with any of the following components is not allowed: high grade B-cell lymphoma, NOS; Hodgkin's lymphoma; primary mediastinal (thymic) large B-cell lymphoma; Burkitt; plasmablastic lymphoma or any CD20- lymphoma, such as anaplastic lymphoma kinase-positive large B-cell lymphoma, human herpesvirus type 8-positive DLBCL, or primary effusion lymphoma.
- Availability of archival or freshly collected tumor tissue at Screening. Archival paraffin-embedded tissue must be obtained within 8 weeks prior to Cycle 1 Day 1.
- Must have an IPI score of 2-5. The number of participants with IPI 2 will be capped at 35% of the overall sample size.
- Must have an Eastern Cooperative Oncology Group (ECOG) performance status score of 0-2 prior to initiating R-CHOP treatment. Note that participant with an initial ECOG performance status >= 3 may be screened if pre-phase treatment is planned. Participant may be eligible if ECOG performance status were to improve to 0-2 during pre-phase treatment.
Has at least one target lesion defined as:
- >= 1 measurable nodal lesion (long axis > 1.5 cm ) or >= 1 measurable extra-nodal lesion (long axis > 1 cm) on computed tomography (CT) scan or MRI. AND
- Positron emission tomography (PET)-positive on PET-CT scan.
- Laboratory values meeting the criteria laid out in the protocol.
- Left ventricular ejection fraction must be >= 50% by multi-gated acquisition or transthoracic echocardiography at Screening.
Exclusion Criteria:
- History of prior systemic anti-lymphoma therapy for diagnosed diffuse large b-cell lymphoma (DLBCL) including any definitive radiotherapy with curative intent] other than corticosteroids with or without vincristine during prephase treatment, or non-curative intent palliative radiotherapy with the stipulation that radiated lesions cannot be selected as target lesion for response assessment.
- Clinically significant cardiovascular disease as per the protocol.
Sites / Locations
- Millennium Research & Clinical Development /ID# 228284Recruiting
- Liverpool Hospital /ID# 230072Recruiting
- Royal Adelaide Hospital /ID# 225683Recruiting
- Austin Health /ID# 225716Recruiting
- Alfred Health /ID# 225999Recruiting
- Monash Medical Centre /ID# 225680Recruiting
- Hollywood Private Hospital /ID# 251837Recruiting
- Perth Blood Institute Ltd /ID# 225679Recruiting
- Royal Perth Hospital /ID# 226583Recruiting
- Universitaetsklinikum St. Poelten /ID# 234016Recruiting
- Medizinische Universitaet Wien /ID# 252095Recruiting
- Klinik Ottakring /ID# 243941Recruiting
- Landeskrankenhaus Salzburg-Universitätsklinikum der PMU (LKH) /ID# 228360Recruiting
- CHU UCL Namur - site Godinne /ID# 225742Recruiting
- UZ Gent /ID# 250031Recruiting
- AZ-Delta /ID# 225736Recruiting
- Institut Jules Bordet /ID# 225954Recruiting
- Pôle Hospitalier Jolimont /ID# 225738Recruiting
- Centre Hospitalier Universitaire du Sart Tilman CHU de Liege /ID# 225952Recruiting
- Vitaz /Id# 226153Recruiting
- Hospital Amaral Carvalho - Fundacao Doutor Amaral Carvalho /ID# 226065Recruiting
- Fundacao Antonio Prudente - AC Camargo Cancer Center /ID# 226809Recruiting
- Real e Benemérita Associação Portuguesa de Beneficência /ID# 226023Recruiting
- Hospital Alemao Oswaldo Cruz /ID# 252833Recruiting
- Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo /ID# 226048Recruiting
- UMHAT Sveti Georgi /ID# 245780Recruiting
- Acibadem City Clinic Tokuda University Hospital EAD /ID# 244616Recruiting
- UMHAT Sveti Ivan Rilski /ID# 244615Recruiting
- SHAT Hematologic Diseases /ID# 250102Recruiting
- Beijing Cancer Hospital /ID# 229819Recruiting
- Peking University Third Hospital /ID# 230975Recruiting
- Union Hospital affiliated to Tongji Medical College of Huazhong University of Sc /ID# 234152Recruiting
- The First Affiliated Hospital of Nanchang University /ID# 230399Recruiting
- Shandong Cancer Hospital /ID# 233200Recruiting
- Clinical Hospital Dubrava /ID# 251809Recruiting
- Klinicka bolnica Merkur /ID# 252481Recruiting
- Klinicki bolnicki centar Zagreb /ID# 250709Recruiting
- Klinicki bolnicki centar Rijeka /ID# 251811Recruiting
- Klinicki bolnicki centar Split /ID# 250729
- Opca bolnica Dr. Josip Bencevic /ID# 251812Recruiting
- Fakultni Nemocnice Brno /ID# 225953Recruiting
- Fakultni nemocnice Hradec Kralove /ID# 225955Recruiting
- Fakultni nemocnice Ostrava /ID# 225957Recruiting
- Rigshospitalet /ID# 226576Recruiting
- Zealand University Hospital, Roskilde /ID# 226597Recruiting
- Odense University Hospital /ID# 226593Recruiting
- Sygehus Lillebalt, Vejle /ID# 226592Recruiting
- CHU de Nice - Hôpital Archet 1 /ID# 226127Recruiting
- HCL - Hopital Lyon Sud /ID# 227086Recruiting
- Institut Paoli-Calmettes /ID# 226557Recruiting
- CHU de Rennes - PONTCHAILLOU /ID# 228207Recruiting
- CHU Dijon /ID# 238345Recruiting
- CHU Limoges - Dupuytren 1 /ID# 234235Recruiting
- CHRU Lille - Hopital Claude Huriez /ID# 226101Recruiting
- CHU Montpellier - Hôpital Saint Eloi /ID# 228191Recruiting
- CHU de Nantes, Hotel Dieu -HME /ID# 226125Recruiting
- Centre Hospitalier de la Cote Basque /ID# 249143Recruiting
- CHU Amiens-Picardie Site Sud /ID# 238347Recruiting
- Chu Angers /Id# 245931Recruiting
- CHU de CAEN - Hopital de la Cote de Nacre /ID# 226582Recruiting
- Hopital Henri Mondor /ID# 226560Recruiting
- CHU Grenoble - Hopital Michallon /ID# 226128Recruiting
- AP-HP - Hopital Saint-Louis /ID# 226126Recruiting
- General Hospital of Athens Laiko /ID# 225399Recruiting
- Alexandra General Hospital /ID# 225402Recruiting
- University General Hospital Attikon /ID# 225401Recruiting
- General Hospital of Athens Evaggelismos and Ophthalmiatrio of Athens Polyclinic /ID# 225416Recruiting
- University General Hospital of Ioannina /ID# 225400Recruiting
- General University Hospital of Thessaloniki AXEPA /ID# 225398Recruiting
- Theageneio Anticancer Hospital /ID# 225516Recruiting
- Somogy Varmegyei Kaposi Mor Oktato Korhaz /ID# 245938Recruiting
- Markusovszky Egyetemi Oktatokorhaz /ID# 226846Recruiting
- Semmelweis Egyetem /ID# 227239Recruiting
- Orszagos Onkologiai Intezet /ID# 227294Recruiting
- Tolna Megyei Balassa Janos Korhaz /ID# 250063Recruiting
- Assuta Tel Aviv Medical Center /ID# 226066Recruiting
- The Chaim Sheba Medical Center /ID# 225600Recruiting
- Tel Aviv Sourasky Medical Center /ID# 225891Recruiting
- Hadassah /ID# 225614Recruiting
- Meir Medical Center /ID# 225612Recruiting
- Rabin Medical Center /ID# 225862Recruiting
- IEO -Istituto Europeo di Oncologia /ID# 225545Recruiting
- Istituto di Candiolo Fondazione del Piemonte per l'Oncologia IRCCS /ID# 225751Recruiting
- Azienda Ospedaliera Nazionale SS. Antonio e Biagio e Cesare Arrigo /ID# 225542Recruiting
- ASST Spedali civili di Brescia /ID# 225549Recruiting
- Azienda Ospedaliera Universitaria Federico II /ID# 225543Recruiting
- Azienda Ospedaliero Universitaria Maggiore della Carita di Novara /ID# 225773Recruiting
- A.O. Ospedali Riuniti Villa Sofia - Cervello /ID# 225541Recruiting
- Ospedale Santa Maria delle Croci /ID# 225571Recruiting
- NHO Nagoya Medical Center /ID# 230677Recruiting
- Aichi Cancer Center Hospital /ID# 226090Recruiting
- National Cancer Center Hospital East /ID# 250151Recruiting
- Matsuyama Red Cross Hospital /ID# 251068Recruiting
- National Hospital Organization Kyushu Cancer Center /ID# 251622Recruiting
- Kyushu University Hospital /ID# 226091Recruiting
- Fukushima Medical University Hospital /ID# 250869Recruiting
- Hokkaido University Hospital /ID# 250149Recruiting
- Kobe City Medical Center General Hospital /ID# 250597Recruiting
- University of Tsukuba Hospital /ID# 251282Recruiting
- Kanazawa University Hospital /ID# 251770Recruiting
- Kagoshima University Hospital /ID# 250163Recruiting
- Tokai University Hospital /ID# 251281Recruiting
- Tohoku University Hospital /ID# 250150Recruiting
- Okayama University Hospital /ID# 250161Recruiting
- Kindai University Hospital /ID# 250160Recruiting
- Osaka University Hospital /ID# 251283Recruiting
- National Cancer Center Hospital /ID# 226089Recruiting
- The Cancer Institute Hospital Of JFCR /ID# 230269Recruiting
- Yamagata University Hospital /ID# 230003Recruiting
- Seoul National University Bundang Hospital /ID# 225763Recruiting
- Inje University Busan Paik Hospital /ID# 232262Recruiting
- Dong-A University Hospital /ID# 228451Recruiting
- Keimyung University Dongsan Medical Center /ID# 232264Recruiting
- Jeonbuk National University Hospital /ID# 232263Recruiting
- Seoul National University Hospital /ID# 225760Recruiting
- Asan Medical Center /ID# 225758Recruiting
- Samsung Medical Center /ID# 225759Recruiting
- The Catholic University of Korea, Seoul St. Mary's Hospital /ID# 225761Recruiting
- Ulsan University Hospital /ID# 226971Recruiting
- Flevoziekenhuis /ID# 229606Recruiting
- Gelre Ziekenhuizen /ID# 229762Recruiting
- Tergooi /ID# 229772Recruiting
- Zaans Medisch Centrum /ID# 230614Recruiting
- Albert Schweitzer Ziekenhuis /ID# 229560Recruiting
- Noordwest Ziekenhuisgroep /ID# 230613Recruiting
- Meander Medisch Centrum /ID# 229608Recruiting
- Vrije Universiteit Medisch Centrum /ID# 225608Recruiting
- Onze Lieve Vrouwe Gasthuis /ID# 229761Recruiting
- Amphia Ziekenhuis /ID# 229550Recruiting
- Haaglanden Medisch Centrum /ID# 229686Recruiting
- Deventer Ziekenhuis /ID# 229937Recruiting
- Catharina Ziekenhuis /ID# 230465Recruiting
- Maxima Medisch Centrum /ID# 225603Recruiting
- Medisch Spectrum Twente /ID# 225610Recruiting
- Universitair Medisch Centrum Groningen /ID# 225602Recruiting
- Medisch Centrum Leeuwarden /ID# 225605Recruiting
- St. Antonius Ziekenhuis /ID# 229901Recruiting
- Canisius-Wilhelmina Ziekenhuis /ID# 231291Recruiting
- Jeroen Bosch Ziekenhuis /ID# 229765Recruiting
- Elisabeth Tweesteden Ziekenhuis /ID# 229773Recruiting
- Diakonessenhuis /ID# 251793Recruiting
- North Shore Hospital /ID# 250992Recruiting
- Christchurch Hospital /ID# 250993Recruiting
- Wojewodzki Szpital Specjalistyczny im. Janusza Korczaka /ID# 228723Recruiting
- Swietokrzyskie Centrum Onkologii Samodzielny Publiczny Zaklad Opieki Zdrowotnej /ID# 225986Recruiting
- SP ZOZ MSWiA z Warminsko-Mazurskim Centrum Onkologii /ID# 225985Recruiting
- ARS-MEDICAL Sp. z o.o. /ID# 225848Recruiting
- Centrum Medyczne Pratia Poznan /ID# 227236Recruiting
- CLINICA UNIVERSIDAD DE NAVARRA-Pamplona /ID# 225809Recruiting
- Hospital Parc de Salut del Mar /ID# 225810Recruiting
- Hospital Universitario Vall d'Hebron /ID# 225811Recruiting
- Hospital Clinic de Barcelona /ID# 226651Recruiting
- Hospital Santa Creu i Sant Pau /ID# 225813Recruiting
- Hospital Universitario Reina Sofia /ID# 225806Recruiting
- CLINICA UNIVERSIDAD DE NAVARRA-Madrid /ID# 228228Recruiting
- Hospital Universitario Infanta Leonor /ID# 225816Recruiting
- MD Anderson Madrid /ID# 225817Recruiting
- Hospital Universitario Ramon y Cajal /ID# 241750Recruiting
- Hospital Universitario Fundacion Jimenez Diaz /ID# 225804Recruiting
- Hospital Universitario 12 de Octubre /ID# 225815Recruiting
- Hospital Clinico Universitario de Valencia /ID# 225818Recruiting
- Sodra Alvsborgs sjukhus /ID# 228885Recruiting
- Linkoping University Hospital /ID# 233521Recruiting
- Kantonsspital Aarau AG /ID# 229112Recruiting
- Spital Thun /ID# 229499Recruiting
- Kaohsiung Chang Gung Memorial Hospital /ID# 226670Recruiting
- China Medical University Hospital /ID# 226188Recruiting
- Taichung Veterans General Hospital /ID# 226674Recruiting
- National Cheng Kung University Hospital /ID# 226671Recruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Epcoritamab and R-CHOP
R-CHOP and Rituximab
Participants will receive subcutaneous epcoritamab combined with intravenous and oral rituximab, cyclophosphamide, doxorubicin hydrochloride, vincristine, and prednisone (R-CHOP) followed by epcoritamab in 21-day cycles.
Participants will receive intravenous and oral R-CHOP followed by intravenous rituximab in 21-day cycles.