Diffuse Large B Cell LymphomaPhase 1/2EPCORE™ NHL-3NCT04542824
Trial of the Safety and Efficacy of Epcoritamab in Japanese Subjects With Relapsed or Refractory (R/R) B-Cell Non-Hodgkin Lymphoma (R/R B-NHL)
A Phase 1/2 study testing Epcoritamab (monotherapy), Epcoritamab and Rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone in people with Diffuse Large B Cell Lymphoma and High-grade B-cell Lymphoma, run by Genmab at 15 sites in Japan.
Trial summary
The trial is an open-label, multi-center safety and preliminary efficacy trial of epcoritamab (EPKINLY™) in Japanese participants with relapsed, progressive or refractory B-cell lymphomas and Japanese participants with B-cell lymphomas that have achieved partial response (PR) or complete response (CR) following prior… Read more about this study
- Who is it for?
- Ages 20 years and older
- Conditions the study is for
- Diffuse Large B Cell Lymphoma, High-grade B-cell Lymphoma, Primary Mediastinal Large B Cell Lymphoma
- What is being tested?
- Epcoritamab (monotherapy), Epcoritamab and Rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 78 participants
- Where
- 15 sitesJapan
- Study dates
- 20 Aug 2020to Sep 2027
- Phase
- Phase 1/2
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 20 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
None listed.
Who cannot join
- Arm 2:
- FL Grade 3b
- Histologic evidence of transformation to an aggressive lymphoma
- Contraindication to rituximab or lenalidomide
- Unwilling or unable to take aspirin prophylaxis or prophylactic anticoagulant as clinically indicated
- Arm 3:
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- Contraindication to any of the individual drugs of the R-CHOP regimen
- Arm 4:
- Contraindication to any of the individual drugs of the GemOx regimen
- Arm 5:
- FL Grade 3b
- Histologic evidence of transformation to an aggressive lymphoma
Trial locations and contacts
15 sites in 1 country.
15 sites in 1 country
Japan15 sites
Aichi Cancer Center Hospital
Aichi
NHO Nagoya Medical Center
Aichi
National Cancer Center Hospital East
Chiba
Matsuyama Red Cross Hospital
Ehime
National Hospital Organization Kyushu Cancer Center
Fukuoka
Fukushima Medical University Hospital
Fukushima
Kagoshima University Hospital
Kagoshima
Kyoto University Hospital
Kyoto
Kindai University Hospital
Osaka
Osaka University Hospital
Osaka
Tohoku University Hoaspital
Sendai, Miyagi, 980-8577
Cancer Institute Hospital of JFCR
Tokyo
National Cancer Center Hospital
Tokyo
Tokyo Medical University Hospital
Tokyo
Yamagata University Hospital
Yamagata
About this study
Official title: Safety and Preliminary Efficacy of Epcoritamab (GEN3013; DuoBody®-CD3×CD20) in Japanese Subjects With Relapsed or Refractory B-Cell Non-Hodgkin Lymphoma - A Phase 1/2, Open-Label, Dose-Escalation Trial With Expansion Cohorts
The trial is an open-label, multi-center safety and preliminary efficacy trial of epcoritamab (EPKINLY™) in Japanese participants with relapsed, progressive or refractory B-cell lymphomas and Japanese participants with B-cell lymphomas that have achieved partial response (PR) or complete response (CR) following prior standard of care (SOC). The trial consists of two parts: Part 1, dose escalation (phase 1), and Part 2, expansion (phase 2).
The purpose of the dose-escalation part of the trial is to determine the maximum tolerated dose (MTD) and the recommended Phase-2 dose (RP2D), as well as to establish the safety profile of epcoritamab in Japanese participants with relapsed, progressive or refractory B-cell lymphoma and Japanese participants with B-cell lymphomas that have achieved PR or CR.
Read more
In the expansion part, additional participants will be treated with epcoritamab, at the RP2D and the purpose is to further explore and determine the safety and efficacy of epcoritamab.
Part 2 of the trial will be initiated once the RP2D has been determined in Part 1. In Part 2, epcoritamab is investigated as a monotherapy and in combination with other SOC agents.
Read the detailed description
All participants in the trial will receive epcoritamab, as monotherapy or in combination with SOC. The following regimens will be investigated in Part 2:
Arm 1: epcoritamab monotherapy in relapsed/refractory (R/R) diffuse large B-cell lymphoma (DLBCL) and follicular lymphoma (FL)
Arm 2: epcoritamab + rituximab and lenalidomide (R2) in participants with R/R FL
Arm 3: epcoritamab + rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP) in participants with previously untreated DLBCL with high risk features
Arm 4: epcoritamab + gemcitabine and oxaliplatin (GemOx) in participants with R/R DLBCL who either failed prior autologous hematopoietic stem cell transplantation (ASCT), or are ineligible for autologous HSCT.
Arm 5: epcoritamab maintenance in participants with FL who achieve a CR or a PR following first line (1L)/second line (2L) SOC treatment
- Conditions
- Diffuse Large B Cell Lymphoma, High-grade B-cell Lymphoma, Primary Mediastinal Large B Cell Lymphoma, Follicular Lymphoma, Marginal Zone Lymphoma, Small Lymphocytic Lymphoma
- Being tested
- Epcoritamab (monotherapy), Epcoritamab, Rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone, Gemcitabine and oxaliplatin, Epcoritamab (maintenance)
- Medical subject headings
- Lymphoma, Large B-Cell, Diffuse, Lymphoma, Follicular, Lymphoma, B-Cell, Marginal Zone, Leukemia, Lymphocytic, Chronic, B-Cell
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Epcoritamab (monotherapy)Biological
Also called GEN3013, DuoBody®-CD3xCD20, EPKINLY™
Epcoritamab will be administered subcutaneously in cycles of 4 weeks (i.e. 28 days)
EpcoritamabBiological
Also called GEN3013, DuoBody®-CD3xCD20, EPKINLY™
Epcoritamab will be administered in combination with the respective SOC chemotherapy followed by epcoritamab monotherapy.
Rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisoneDrug
Also called R-CHOP
21-day cycles
Gemcitabine and oxaliplatinDrug
Also called GemOx
28-day cycles
Epcoritamab (maintenance)Biological
Also called GEN3013, DuoBody®-CD3xCD20, EPKINLY™
28-day cycle for Cycle 1 and then 56-day cycle from Cycle 2 through 13
Rituximab and lenalidomideDrug
Also called R2
28-day cycles.
| Study group | Role | What they receive |
|---|---|---|
| Arm 1: Epcoritamab | Experimental | In participants with DLBCL/FL. Receives: Biological: Epcoritamab (monotherapy) |
| Arm 2: Epcoritamab + Rituximab + Lenalidomide | Experimental | In participants with R/R FL Receives: Biological: Epcoritamab; Drug: Rituximab and lenalidomide |
| Arm 3: Epcoritamab + Rituximab + Cyclophosphamide+ Doxorubicin+ Vincristine + Prednisone | Experimental | In participants with previously untreated DLBCL Receives: Biological: Epcoritamab; Drug: Rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone |
| Arm 4: Epcoritamab + Gemcitabine + Oxaliplatin | Experimental | In participants with relapsed/refractory DLBCL Receives: Biological: Epcoritamab; Drug: Gemcitabine and oxaliplatin |
| Arm 5: Epcoritamab Maintenance | Experimental | In participants with FL in CR or in PR following 1L or 2L SOC treatment Receives: Biological: Epcoritamab (maintenance) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Part 1: Number of Participants with Treatment-emergent Adverse Events (TEAEs)
Measured: From first dose until the end of the safety follow-up period (60 days after last dose), up to approximately 5 years
Part 1: Number of Participants with Dose Limiting Toxicities (DLTs)
Measured: DLTs are assessed during the first cycle (28 days) in each cohort
Part 2, Arm 1: Objective Response Rate (ORR)
Measured: Up to 1.5 years
Part 2, Arms 2-4: Number of Participants with DLTs
Measured: DLTs are assessed during the first cycle (28 days) in arms 2-4
Part 2, Arms 2-5: Number of Participants with TEAEs
Measured: From first dose until the end of the safety follow-up period (60 days after last dose), up to approximately 5 years
Secondary outcomes (18)
Both parts: Area-under-the-concentration-time curve from Time 0 to Time of last dose (AUClast)
Measured: From first dose until treatment discontinuation, expected average of 1 year
Both parts: AUC from Time 0 to Infinity (AUCinf)
Measured: From first dose until treatment discontinuation, expected average of 1 year
Both parts: Maximum (Peak) Plasma Concentration (Cmax)
Measured: From first dose until treatment discontinuation, expected average of 1 year
Both parts: Time to Reach Cmax (Tmax)
Measured: From first dose until treatment discontinuation, expected average of 1 year
Both parts: Pre-dose (Trough) Concentrations (Cthrough)
Measured: From first dose until treatment discontinuation, expected average of 1 year
Both parts: Total Body Clearance of Drug from the Plasma (CL)
Measured: From first dose until treatment discontinuation, expected average of 1 year
Both parts: Volume of Distribution (Vd)
Measured: From first dose until treatment discontinuation, expected average of 1 year
Both parts: Elimination Half-life (t 1/2)
Measured: From first dose until treatment discontinuation, expected average of 1 year
Both parts: Number of Participants with Anti-Drug-Antibodies (ADAs)
Measured: From first dose until treatment discontinuation, expected average of 1 year
Part 2, Arm 1: Number of Participants with TEAEs
Measured: From first dose until the end of the safety follow-up period (60 days after last dose), up to approximately 5 years
Part 1 and Part 2, Arms 2-5: ORR
Measured: Up to 1.5 years
Both parts: CR Rate
Measured: Up to 1.5 years
Both parts: Duration of Response (DOR)
Measured: Up to 1.5 years
Both parts: Progression Free Survival (PFS)
Measured: Up to 1.5 years
Part 2: Duration of CR (DoCR)
Measured: Up to 1.5 years
Part 2: Time to Response (TTR)
Measured: Up to 1.5 years
Part 1 and Part 2 arm 1: Time to Next Anti-lymphoma Therapy (TTNT)
Measured: Up to 1.5 years
Both parts: Overall Survival (OS)
Measured: Up to 1.5 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Sep 2020
- Study start20 Aug 2020
- Primary completionSep 2027 (estimated)
- Study completionSep 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Diffuse Large B Cell LymphomaStudies of the same condition, open and under way.
- More trials run by GenmabThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1/2
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Model description
- Part 1: Sequential Assignment Part 2: Parallel Group Assignment
- Masking
- None (open label)
- Enrolment
- 78 participants (actual)
Sponsor and investigators
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04542824
- Sponsor's protocol ID
- GCT3013-04
- Other IDs
- JapicCTI-205408, jRCT2080225312
- Acronym
- EPCORE™ NHL-3
- Status last verified
- Oct 2026
- First submitted
- 25 Aug 2020
- Last updated
- 6 Oct 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Sinnollareddy M, Sanghavi K, Gibiansky L, Li T, Putnins M, Mohamed MF, Patah P, Favaro E, Gupta M, Parikh A, Xu S. Exposure-Response Analyses to Inform the Optimal Epcoritamab Monotherapy Dosing Regimen in Relapsed or Refractory Follicular Lymphoma. Clin Pharmacokinet. 2026 Aug 1. doi: 10.1007/s40262-026-01661-1. Online ahead of print.
PubMed 42541678Li T, Tredennick A, Polhamus D, Putnins M, Liu S, Sanghavi K, Thalhauser CJ, Parikh A, Noorani B, Mohamed MF, Le Gallo C, Elliott B, Gupta M, Xu S. Epcoritamab Step-Up Dosing Regimen Selection and Optimization Using Repeated Time-to-Event Modeling for Cytokine Release Syndrome Risk Mitigation. Clin Pharmacol Ther. 2026 Aug;120(2):542-551. doi: 10.1002/cpt.70362. Epub 2026 Jul 7.
PubMed 42411504Izutsu K, Akahane D, Toubai T, Saito T, Mishima Y, Fujisaki T, Nishikori M, Kumode T, Suehiro Y, Ishitsuka K, Conlon R, Takahashi A, D'Angelo Mansson B, Favaro E, Fukuhara N. Subcutaneous epcoritamab monotherapy in Japanese patients with relapsed or refractory follicular lymphoma: primary results of the EPCORE NHL-3 trial. Leuk Lymphoma. 2025 Oct;66(10):1913-1921. doi: 10.1080/10428194.2025.2525983. Epub 2025 Jul 9.
PubMed 40632620