Follicular Lymphoma (FL)Phase 3OLYMPIA-2NCT06097364
A Trial to Learn if Odronextamab Combined With Chemotherapy is Safe and Well-Tolerated and How Well it Works Compared to Rituximab Combined With Chemotherapy for Adult Participants With Follicular Lymphoma
A Phase 3 study testing Odronextamab, Rituximab and Cyclophosphamide in people with Follicular Lymphoma (FL), run by Regeneron Pharmaceuticals at 145 sites in 17 countries.
Trial summary
This study is researching an experimental drug called odronextamab, referred to as study drug. The study is focused on participants with previously untreated follicular lymphoma. Follicular lymphoma is a type of non-Hodgkin lymphoma or NHL. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Follicular Lymphoma (FL)
- What is being tested?
- Odronextamab, Rituximab and Cyclophosphamide
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 733 participants
- Where
- 145 sitesin 17 countries
- Study dates
- 14 Nov 2023to 29 Jul 2029
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
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 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Have diagnosis of cluster of differentiation 20 positive (CD20+) FL grade 1-3a, stage II bulky or stage III / IV
- For Part 1A: previously untreated participants who have Follicular Lymphoma International Prognostic Index (FLIPI)-1 score of 3 to 5, or R/R FL
- For Part 1B: previously untreated participants who have FLIPI-1 score of 3 to 5
- For Part 2: previously untreated participants who have FLIPI-1 score of 0 to 5
- Have measurable disease on cross sectional imaging documented by diagnostic computed tomography [CT], or magnetic resonance imaging [MRI] imaging, as described in the protocol
- Eastern Cooperative Oncology Group (ECOG) performance status of 0-2
- Adequate bone marrow and hepatic function.
Who cannot join
- Participants with central nervous system lymphoma or leptomeningeal lymphoma
- Participants with histological evidence of transformation to a high-grade or diffuse large B-cell lymphoma
- Participants with Waldenström macroglobulinemia (WM, lymphoplasmacytic lymphoma), grade 3b follicular lymphoma, chronic lymphocytic leukemia or small lymphocytic lymphoma
- Recent major surgery and history or organ transplantation
- A malignancy other than NHL unless the participant is adequately and definitively treated and any other significant active disease or medical condition that could interfere with the conduct of the study or put the participant at significant risk, as described in the protocol.
- Note: Other protocol-defined Inclusion/Exclusion criteria apply
Trial locations and contacts
145 sites in 17 countries.
145 sites in 17 countries
Brazil22 sites
Fundacao Pio XII Hospital de Amor
Barretos, São Paulo, 14784-400
Instituto Mario Pena de Ensino Pesquisa e Inovacao
Belo Horizonte, Minas Gerais, 30380-472
Instituto Tacchini de Pesquisa em Saude
Bento Gonçalves, Rio Grande do Sul, 95700-084
Hospital Sirio Libanes Brasilia
Brasília, Federal District, 70200-730
Instituto DOr de Pesquisa e Ensino Df Star
Brasília, Federal District, 70390-140
Hospital Erasto Gaertner
Curitiba, Paraná, 81520-060
Amaral Carvalho Hospital
Jaú, São Paulo, 17210-080
Centro de Hematologia e Oncologia
Joinville, Santa Catarina, 89201-260
Animi Unidade de Tratamento Oncologico Ltda
Lages, Santa Catarina, 88501-001
Liga Norte Riograndense Contra o Cancer
Natal, Rio Grande do Norte, 59062-000
Instituto do Cancer em Hospital Sao Vicente de Paulo
Passo Fundo, Rio Grande do Sul, 99010-080
Hospital de Clinicas de Porto Alegre
Porto Alegre, Rio Grande do Sul, 90035-903
Hospital das Clinicas da Faculdade de Medicina de Ribeirao Preto
Ribeirão Preto, São Paulo, 14048-900
Instituto Nacional de Cancer Jose Alencar Gomes da Silva
Rio de Janeiro, 20231050
Hospital Santa Izabel - Santa Casa de Misericordia da Bahia
Salvador, Estado de Bahia, 40050-410
Hospital Sao Rafael
Salvador, Estado de Bahia, 41253-900
Ensino e Terapia de Inovacao Clinica Amo (Etica)
Salvador, Estado de Bahia, 41950-640
Hospital Alemao Oswaldo Cruz
São Paulo, 01323-903
AC Camargo Cancer Center
São Paulo, 01509-010
Clinical Hospital of Medicine School at Sao Paulo University
São Paulo, 05403-000
Casa de Saude Santa Marcelina
São Paulo, 08270-070
Centro Oncologico do Triangulo (COT) - Uberlandia
Uberlândia, Minas Gerais, 38408-008
Spain21 sites
Hospital General Universitario Doctor Balmis Alicante
Alicante, Valencia, 03010
Cruces University Hospital (Hospital Universitario Cruces)
Barakaldo, Bizkaia, 48903
Hospital Universitario Lucus Augusti
Lugo, 27003
Clinica Universidad de Navarra - Madrid
Madrid, 28027
Hospital Universitario Infanta Leonor
Madrid, 28031
Hospital Universitario Ramon y Cajal
Madrid, 28034
Hospital Universitario Fundacion Jimenez Diaz
Madrid, 28040
Hospital Universitario 12 de Octubre
Madrid, 28041
Hospital Universitario Puerta de Hierro - Majadahonda
Majadahonda, Madrid, 28222
Complexo Hospitalario Universitario de Ourense
Ourense, 32005
Hospital Universitario Central de Asturias
Oviedo, Principality of Asturias, 33011
Hospital Universitario de Navarra
Pamplona, Navarre, 31008
Clinica Universidad de Navarra- Pamplona
Pamplona, 31008
Hospital Universitario Quiron Salud Madrid
Pozuelo de Alarcón, Madrid, 28223
Parc Tauli Sabadell Hospital Universitari
Sabadell, Barcelona, 08208
Hospital Universitario de Salamanca
Salamanca, 37007
Hospital Universitario Virgen del Rocio
Seville, Andalusia, 41013
Hospital Universitario Virgen Macarena
Seville, 41009
Hospital Universitari Mutua Terrassa
Terrassa, Barcelona, 08221
Instituto Valenciano de Oncologia
Valencia, 46009
Hospital Clinico Universitario de Valencia
Valencia, 46010
Italy15 sites
Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori
Meldola, Forli-Cesena, 47014
ASST Grande Ospedale Metropolitano Niguarda - Main Address
Milan, 20162
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
Milan, 20122
Istituto Europeo di Oncologia
Milan, 20141
A.O.U. di Modena
Modena, 41124
Federico II University
Naples, 80131
Azienda Ospedaliera Universitario Policlinico Palermo
Palermo, Sicily, 90127
Azienda Ospedaliera di Perugia
Perugia, 06132
University of Pisa, Section of Hematology
Pisa, 56126
Azienda Ospedaliera Regionale San Carlo
Potenza, 85100
UO Ematologia Ravenna
Ravenna, 48121
Azienda Unita Sanitaria Locale Irccs Arcispedale Santa Maria Nuova
Reggio Emilia, 42123
Azienda Osperdaliero-Universitaria Policlinico Umberto 1
Rome, 00161
Azienda Ospedaliera Ordine Mauriziano Torino, Presidio Umberto I of Turin
Turin, Piedmont, 10137
Azienda Sanitaria Universitaria del Friuli Centrale
Udine, 33100
France14 sites
Hopital Victor Dupouy Argenteuil
Argenteuil, Île-de-France Region, 95100
Cannes Hospital (Centre Hospitalier Cannes Simone Veil)
Cannes, Alpes Maritimes, 06400
The Novo Hospital North West Val Deoise
Cergy-Pontoise, Pontoise, 95300
Centre Hospitalier Universitaire de Grenoble
Grenoble, 38043
Centre Hospitalier Emile Roux
Le Puy-en-Velay, 43012
Centre Hospitalier de Lens (Centre Hospitalier Dr Schaffner dLens)
Lens, 62300
Centre Hospitalier de Mont-de-Marsan
Mont-de-Marsan, New Aquitaine, 40024
Nantes University Hospital
Nantes, Pays de la Loire Region, 44093
Institut de Cancerologie du Gard
Nîmes, Gard, 30029
Hopital Saint Louis
Paris, 75010
Centre Hospitalier Universitaire de Bordeaux - Groupe Hospitalier Sud - Hôpital Haut Lévêque
Pessac, 33600
CHU de Saint-Etienne
Saint-Etienne, 42055
Centre Hospitalier de Saint Nazaire
Saint-Nazaire, 44600
CHRU de Tours
Tours, Centre-Val de Loire, 37044
Turkey (Türkiye)12 sites
Gazi University
Ankara, Central Anatolia, 06100
Liv Hospital Ankara
Ankara, 06100
VKV American Hopital
Istanbul, 34365
Istanbul University
Istanbul, 34418
Erci̇yes Uni̇versi̇ty
Kayseri, 38039
Ankara University Faculty of Medicine
Mamak, Ankara, 06620
VM Medical Park Mersin Hospital
Mezitli, Mersin, 33200
Sakarya University
Sakarya, Serdivan, 54050
Ondokuz Mayıs University
Samsun, 55270
Tekirdag Namik Kemal University Hospital
Tekirdağ, Suleymanpasa, 59100
Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital
Yenimahalle, Ankara, 06200
Zonguldak Bulent Ecevit University
Zonguldak, 67100
United States9 sites
Henry Ford Health System
Detroit, Michigan, 48202
Cancer and Hematology Centers of Western Michigan
Grand Rapids, Michigan, 49503
Center for Oncology and Blood Disorders
Houston, Texas, 77030
University of Kentucky
Lexington, Kentucky, 40536
Investigative Clinical Research of Indiana
Noblesville, Indiana, 46062
Community Cancer Trials of Utah
Ogden, Utah, 84405
Boca Raton Clinical Research (BRCR) Global
Plantation, Florida, 33322
Prohealth Care Inc
Waukesha, Wisconsin, 53188
Cancer Center of Kansas
Wichita, Kansas, 67214
Poland9 sites
Szpital Uniwersytecki Nr2 Bydgoszcz
Bydgoszcz, 85-168
Uniwersyteckie Centrum Kliniczne, Building of the Non-Invasive Medicine Center
Gdansk, 80-952
Pratia Onkologia Katowice
Katowice, 40-519
Matopolskie Centrum Medyczne S.C.
Krakow, Lesser Poland Voivodeship, 30-510
Wojewodzkie Wielospecjalistyczne Centrum Onkologii i Traumatologii im. Mikolaja Kopernika w Lodzi (Copernicus Memorial Hospital)
Lodz, 93-513
Centrum Innowacyjnych Terapii Samodzielny Publiczny Szpital Kliniczny Nr 4 w Lublinie
Lublin, 20-954
Aidport
Skorzewo, Wielkopolska, 60185
Szpital Szpecjalistyczny w Walbrzychu
Wałbrzych, 58-300
Narodowy Instytut Onkologii im Marii Sklodowskiej Curie Panstwowy Instytut Badawczy Warszawa
Warsaw, 02781
Austria7 sites
Medical University of Graz
Graz, Styria, 8036
Innsbruck Medical University
Innsbruck, Tyrol, 6020
Landeskrankenhaus Hochsteiermark
Leoben, Styria, 8700
Kepler University Hospital
Linz, Upper Austria, 4020
Karl Landsteiner University Hospital St. Poelten
Sankt Pölten, Lower Austria, 3100
Universitatsklinik fur Kinder und Jungendheilkunde
Vienna, 1090
Klinikum Wels-Grieskirchen
Wels, 4600
Israel7 sites
Soroka University Medical Center
Beersheba, 84101
Rambam Health Care Campus
Haifa, 3109601
Shaare Zedek Medical Center
Jerusalem, Jerusalem, 9103102
Hadassah Medical Center
Jerusalem, 91200
Rabin Medical Center
Petah Tikva, 49100
The Tel Aviv Sourasky Medical Center
Tel Aviv, 64239
Assuta Medical Centers
Tel Aviv, 6971028
Belgium6 sites
Algemeen Ziekenhuis St Jan Brugge Oostende Av
Bruges, West-Vlaanderen, 8000
Institut Jules Bordet
Brussels, 1000
Universitair Ziekenhuis (UZ) Gent/ Ghent University Hospital
Ghent, Oost-Vlaanderen, 9000
AZ Groeninge
Kortrijk, West-Vlaanderen, 8500
Centre Hospitalier Regional de la Citadelle
Liège, 4000
Verenigde Ziekenhuizen van Waas en Durme
Sint-Niklaas, Oost-Vlaanderen, 9100
Taiwan6 sites
Kaohsiung Medical University Hospital
Kaohsiung City, 80756
Chang Gung Memorial Hospital Kaohsiung
Kaohsiung City, 83301
Taipei Medical University - Shuang Ho Hospital
New Taipei City, 23561
Taipei Veterans General Hospital
Taipei, 11217
Tri-Service General Hospital
Taipei, 11490
Taipei Medical University Multipal Wan Fang University
Taipei, 11696
Chile4 sites
Hospital Clinico Universidad de Los Andes
Santiago, Las Condes, 7620157
Pontificia Universidad Catolica de Chile
Santiago, Santiago Metropolitan, 7550000
Centro Oncologia de Precision Universidad Mayor
Santiago, Santiago Metropolitan, 7560907
Inmunocel
Santiago, Santiago Metropolitan, 7580206
United Kingdom4 sites
NHS Grampian: Aberdeen Royal Infirmary
Aberdeen, AB25 2ZN
University Hospitals Birmingham NHS Foundation Trust
Birmingham, West Midlands, B15 2SY
Royal Cornwall Hospital
Truro, Cornwall, TR1 3LJ
The Hillingdon Hospitals NHS Foundation Trust
Uxbridge, London, UB8 3NN
Australia3 sites
Pindara Private Hospital
Benowa, Queensland, 4217
Liverpool Hospital
Liverpool, New South Wales, 2170
Calvary Mater Newcastle
Waratah, New South Wales, 2298
Czechia2 sites
University Hospital Brno
Brno, South Moravian, 62500
University Hospital Hradec Kralove
Hradec Králové, North Central Czech Republic, 50005
Germany2 sites
Stadtisches Krankenhaus Kiel
Kiel, 24116
MVZ fuer Haematologie und Onkologie Rhein-Kreis GmbH
Neuss, 41462
Thailand2 sites
Chulalongkorn University
Bangkok, Krung Thep Maha Nakhon [Bangko], 10330
Khon Kaen University
Khon Kaen, 40002
About this study
Official title: A Phase 3, Open-Label, Randomized Study to Compare the Efficacy and Safety of Odronextamab (REGN1979), an Anti-CD20x Anti-CD3 Bispecific Antibody, Combined With Chemotherapy Versus Rituximab Combined With Chemotherapy in Previously Untreated Participants With Follicular Lymphoma (OLYMPIA-2)
This study is researching an experimental drug called odronextamab, referred to as study drug. The study is focused on participants with previously untreated follicular lymphoma. Follicular lymphoma is a type of non-Hodgkin lymphoma or NHL. Participants with follicular lymphoma that has come back after treatment (called "relapsed") or did not respond to treatment (called "refractory") are eligible to take part only in Part 1A of the study.
This study is made up of 3 parts: Part 1A (non-randomized), Part 1B and Part 2 (randomized - controlled).
Read more
The aim of Part 1A and Part 1B of the study is to see how safe and tolerable the study drug in combination with chemotherapy is and to determine the dose and schedule of the study drug to be combined with chemotherapy to be used in Part 2 of the study.
The aim of Part 2 of the study is to assess how effective the combination of the study drug with chemotherapy is in comparison with the combination of rituximab and chemotherapy (the current standard-of-care for NHL). Standard-of-care means the usual medication expected and used when receiving treatment for a condition.
The study is looking at several other research questions, including:
- What side effects may happen from taking the study drug
- How much study drug is in the blood at different times
- Whether the body makes antibodies against the study drug (which could make the study drug less effective or could lead to side effects)
- The impact from the study drug on quality-of-life and ability to complete routine daily activities
- Conditions
- Follicular Lymphoma (FL)
- Being tested
- Odronextamab, Rituximab, Cyclophosphamide, Doxorubicin, Vincristine
- Keywords
- Non-Hodgkin lymphomas (NHL), Relapsed or Refractory (R/R) FL, B-cells NHL (B-NHL), Untreated FL, Odronextamab
- Medical subject headings
- Lymphoma, Follicular, Recurrence
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
OdronextamabDrug
Also called REGN1979
Administered by intravenous (IV) infusion
RituximabDrug
Also called Rituxan
Administered by IV infusion, or subcutaneous (SC)
CyclophosphamideDrug
Also called Cytoxan
Administered by IV infusion
DoxorubicinDrug
Also called Adriamycin
Administered by IV infusion
VincristineDrug
Also called Oncovin
Administered by IV infusion
Prednisone/PrenisoloneDrug
Also called Deltasone/Omnipred
Administered orally (PO)
| Study group | Role | What they receive |
|---|---|---|
| Odronextamab + Chemotherapy | Experimental | Part 1 of the study includes ordonextamab dose escalation for participants with previously untreated FL and relapsed/refractory FL (Part 1A only) followed by a randomized exploration of 2 regimens of odronextamab (Odro) and cyclophosphamide, doxorubicin, vincristine, prednisone (CHOP) with the objective of dose optimization (Part 1B) in previously untreated patients with FL. Receives: Drug: Odronextamab; Drug: Cyclophosphamide; Drug: Doxorubicin; Drug: Prednisone/Prenisolone |
| Rituximab + Chemotherapy | Active comparator | In Part 2 only, participants will be randomized 1:1:1 to receive rituximab (R) with chemotherapy (CHOP), followed by rituximab monotherapy maintenance. Receives: Drug: Odronextamab; Drug: Rituximab; Drug: Cyclophosphamide; Drug: Doxorubicin; Drug: Vincristine; Drug: Prednisone/Prenisolone |
| Odronextamab + Chemotherapy + Maintenance | Experimental | In Part 2, participants will be randomized 1:1:1 to receive odronextamab with chemotherapy [CHOP, or cyclophosphamide, vincristine, and prednisone (CVP)], followed by odronextamab monotherapy maintenance. Receives: Drug: Odronextamab; Drug: Vincristine |
| Odronextamab + Chemotherapy + No maintenance | Experimental | In Part 2, participants will be randomized 1:1:1 to receive odronextamab with chemotherapy (CHOP, or CVP) without maintenance. Receives: Drug: Odronextamab; Drug: Vincristine |
What is being measured
The primary outcome is the main question the study is designed to answer.
Incidence of dose limiting toxicities (DLTs) for odronextamab in combination with chemotherapy
Part 1, DLT period
Measured: Up to 35 days
Incidence of treatment-emergent adverse events (TEAEs) of odronextamab in combination with chemotherapy
Part 1, Treatment period
Measured: Up to 2 years
Severity of TEAEs of odronextamab in combination with chemotherapy
Part 1, Treatment period
Measured: Up to 2 years
Complete Response rate at 30 months (CR30) assessed by independent central review (ICR)
Part 2
Measured: Up to 30 months
Secondary outcomes (30)
Odronextamab concentrations in serum when administered with chemotherapy
Part 1, Maintenance period and Part 2, Induction period
Measured: Up to 30 months
Odronextamab concentrations in serum when administered as monotherapy
Part 1 and Part 2, Maintenance period
Measured: Up to 30 months
Incidence of anti-odronextamab antibodies (ADAs)
Part 1 and Part 2
Measured: Up to 30 months
Titers of ADAs to odronextamab
Part 1 and Part 2
Measured: Up to 30 months
Incidence of neutralizing antibodies (NAb) to odronextamab
Part 1 and Part 2
Measured: Up to 30 months
Best overall response (BOR) as assessed by the investigator
Part 1, end of Induction period and end of Maintenance period
Measured: Up to 30 months
Progression free survival (PFS) as assessed by ICR
Part 2
Measured: Up to 5 years
CR30 as assessed by local investigator
Part 2
Measured: Up to 30 months
Change in patient reported physical functioning scale scores on the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Cancer-30 (EORTC-QLQ-C30)
Part 2 The EORTC QLQ-C30 includes 5 functional scales (physical, role, cognitive, emotional and social functioning), 3 symptom scales (fatigue, pain and nausea/vomiting), a global health status (GHS)/QoL scale, and six single items (constipation, diarrhea, insomnia, shortness of breath, appetite loss and financial difficulties). For the functioning scales and global health status / QoL, scores range from 1 = "very poor" to 7 = "excellent" with higher scores indicate better functioning; for the symptom scales, scores range from 1 = "not at all" to 4 = "very much" higher scores indicate higher symptom burden.
Measured: Up to 5 years
PFS as assessed by local investigator
Part 2
Measured: Up to 5 years
Event-free survival (EFS) as assessed by ICR
Part 2
Measured: Up to 5 years
EFS as assessed by local investigator
Part 2
Measured: Up to 5 years
Overall Survival (OS)
Part 2
Measured: Up to 5 years
BOR as assessed by local investigator
Part 2
Measured: Up to 30 months
BOR as assessed by ICR
Part 2
Measured: Up to 30 months
Duration of response (DOR) assessed by ICR
Part 2
Measured: Up to 5 years
DOR as assessed by local investigator
Part 2
Measured: Up to 5 years
Time to next anti-lymphoma treatment (TTNT)
Part 2
Measured: Up to 5 years
Incidence of TEAEs
Part 2
Measured: Up to 2 years
Severity of TEAEs
Part 2
Measured: Up to 2 years
Change in patient reported health related quality of life (HRQoL) as measured by EORTC-QLQ-C30
Part 2 The EORTC QLQ-C30 includes 5 functional scales (physical, role, cognitive, emotional and social functioning), 3 symptom scales (fatigue, pain and nausea/vomiting), a GHS/QoL scale, and six single items (constipation, diarrhea, insomnia, shortness of breath, appetite loss and financial difficulties). For the functioning scales and global health status / QoL, scores range from 1 = "very poor" to 7 = "excellent" with higher scores indicate better functioning; for the symptom scales, scores range from 1 = "not at all" to 4 = "very much" higher scores indicate higher symptom burden.
Measured: Up to 5 years
Change in cancer disease as measured by EORTC-QLQ-C30
Part 2 The EORTC QLQ-C30 includes 5 functional scales (physical, role, cognitive, emotional and social functioning), 3 symptom scales (fatigue, pain and nausea/vomiting), a GHS/QoL scale, and six single items (constipation, diarrhea, insomnia, shortness of breath, appetite loss and financial difficulties). For the functioning scales and global health status / QoL, scores range from 1 = "very poor" to 7 = "excellent" with higher scores indicate better functioning; for the symptom scales, scores range from 1 = "not at all" to 4 = "very much" higher scores indicate higher symptom burden.
Measured: Up to 5 years
Change in treatment related symptoms as measured by EORTC-QLQ-C30
Part 2 The EORTC QLQ-C30 includes 5 functional scales (physical, role, cognitive, emotional and social functioning), 3 symptom scales (fatigue, pain and nausea/vomiting), a GHS/QoL scale, and six single items (constipation, diarrhea, insomnia, shortness of breath, appetite loss and financial difficulties). For the functioning scales and global health status / QoL, scores range from 1 = "very poor" to 7 = "excellent" with higher scores indicate better functioning; for the symptom scales, scores range from 1 = "not at all" to 4 = "very much" higher scores indicate higher symptom burden.
Measured: Up to 5 years
Change in patient-reported lymphoma disease as measured by the Lymphoma Subscale of the Functional Assessment of Cancer Treatment-Lymphoma (FACT-LymS)
Part 2 The FACT-Lym lymphoma subscale (LymS) includes 15 items to assess NHL-related symptoms and concerns. All questions are answered on a 5-point scale ranging from "not at all" (0) to "very much" (4). Higher scores are associated with a worse quality of life.
Measured: Up to 5 years
Change in treatment-related symptoms as measured by the FACT-LymS
Part 2 The FACT-LymS includes 15 items to assess NHL-related symptoms and concerns. All questions are answered on a 5-point scale ranging from "not at all" (0) to "very much" (4). Higher scores are associated with a worse quality of life.
Measured: Up to 5 years
Change in patient-reported general health status per EuroQol-5 Dimensions-5 Levels (EQ-5D-5L)
Part 2 The EQ-5D-5L consists of the EQ-5D descriptive system and the EQ visual analogue scale (EQ VAS). The EQ-5D-5L descriptive system comprises the following 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: "no problems", "slight problems", "moderate problems", "severe problems" and "extreme problems". The EQ VAS records the participant's self-rated health on a vertical visual analogue scale where the endpoints are labeled "Best imaginable health state" and "Worst imaginable health state".
Measured: Up to 5 years
Change in patient-reported treatment side effects burden per Functional Assessment of Cancer Therapy-General Global Population Item 5 (FACT-G GP5)
Part 2 A single item GP5 of the validated FACT-G questionnaire will be used to assess from the participant perspective the overall impact of treatment side-effect. The question item is on a 5-point scale ranging from "not at all" (0) to "very much" (4).
Measured: Up to 5 years
Change in Patient Global Impression of Severity (PGIS)
Part 2 The PGIS includes a single-item to assess how a patient perceives the overall severity of cancer symptoms over the past 7 days. Patients will choose the response that best describes the severity of their overall cancer symptoms with options on a 5-point scale ranging from 1 (No symptoms) to 4 (Very Severe).
Measured: Up to 5 years
Change in Patient Global Impression of Change (PGIC)
Part 2 The PGIC item includes a single-item to assess how a patient perceives their overall change in health status since the start of study treatment. Patients will choose from response options on a 7-point scale ranging from 1 (Much Better) to 7 (Much worse); 1- Much Better, 2-Moderately Better, 3-A Little Better, 4-About the Same, 5-A Little Worse, 6-Moderately Worse, 7-Much Worse.
Measured: Up to 5 years
Change in score of the FACT-G GP5 item in the patient population
Part 2 A single item GP5 of the validated FACT-G questionnaire will be used to assess from the participant perspective the overall impact of treatment side-effect. The question item is on a 5-point scale ranging from "not at all" (0) to "very much" (4).
Measured: Up to 5 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Oct 2023
- Study start14 Nov 2023
- Primary completion29 Jul 2029 (estimated)
- Study completion29 Jul 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Follicular Lymphoma (FL)Studies of the same condition, open and under way.
- More trials run by Regeneron PharmaceuticalsThe 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 733 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Regeneron Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trial Management, Study director, Regeneron Pharmaceuticals
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06097364
- Sponsor's protocol ID
- R1979-ONC-2075
- Other IDs
- 2022-502113-28-00
- Acronym
- OLYMPIA-2
- Status last verified
- Sep 2025
- First submitted
- 18 Oct 2023
- Last updated
- 6 Feb 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: All Individual Patient Data (IPD) that underlie publicly available results will be considered for sharing
Study at a glance
From the registry record, last updated by the sponsor on 6 Feb 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Open-Label, Randomized Study to Compare the Efficacy and Safety of Odronextamab (REGN1979), an Anti-CD20x Anti-CD3 Bispecific Antibody, Combined With Chemotherapy Versus Rituximab Combined With Chemotherapy in Previously Untreated Participants With Follicular Lymphoma (OLYMPIA-2)
- ClinicalTrials.gov ID
- NCT06097364
- Acronym / sponsor ID
- OLYMPIA-2 / R1979-ONC-2075
- Conditions
- Follicular Lymphoma (FL)
- Keywords
- Non-Hodgkin lymphomas (NHL), Relapsed or Refractory (R/R) FL, B-cells NHL (B-NHL), Untreated FL, Odronextamab
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 733 participants (estimated)
- Lead sponsor
- Regeneron PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- 14 Nov 2023 (actual)
- Primary completion
- 29 Jul 2029 (estimated)
- Study completion
- 29 Jul 2029 (estimated)
- First posted
- 24 Oct 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is researching an experimental drug called odronextamab, referred to as study drug. The study is focused on participants with previously untreated follicular lymphoma. Follicular lymphoma is a type of non-Hodgkin lymphoma or NHL. Participants with follicular lymphoma that has come back after treatment (called "relapsed") or did not respond to treatment (called "refractory") are eligible to take part only in Part 1A of the study.
This study is made up of 3 parts: Part 1A (non-randomized), Part 1B and Part 2 (randomized - controlled).
The aim of Part 1A and Part 1B of the study is to see how safe and tolerable the study drug in combination with chemotherapy is and to determine the dose and schedule of the study drug to be combined with chemotherapy to be used in Part 2 of the study.
The aim of Part 2 of the study is to assess how effective the combination of the study drug with chemotherapy is in comparison with the combination of rituximab and chemotherapy (the current standard-of-care for NHL). Standard-of-care means the usual medication expected and used when receiving treatment for a condition.
The study is looking at several other research questions, including:
- What side effects may happen from taking the study drug
- How much study drug is in the blood at different times
- Whether the body makes antibodies against the study drug (which could make the study drug less effective or could lead to side effects)
- The impact from the study drug on quality-of-life and ability to complete routine daily activities
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Odronextamab + Chemotherapy | Experimental | Drug: Odronextamab, Drug: Cyclophosphamide, Drug: Doxorubicin, Drug: Prednisone/PrenisolonePart 1 of the study includes ordonextamab dose escalation for participants with previously untreated FL and relapsed/refractory FL (Part 1A only) followed by a randomized exploration of 2 regimens of odronextamab (Odro) and cyclophosphamide, doxorubicin, vincristine, prednisone (CHOP) with the objective of dose optimization (Part 1B) in previously untreated patients with FL. |
| Rituximab + Chemotherapy | Active comparator | Drug: Odronextamab, Drug: Rituximab, Drug: Cyclophosphamide, Drug: Doxorubicin, Drug: Vincristine, Drug: Prednisone/PrenisoloneIn Part 2 only, participants will be randomized 1:1:1 to receive rituximab (R) with chemotherapy (CHOP), followed by rituximab monotherapy maintenance. |
| Odronextamab + Chemotherapy + Maintenance | Experimental | Drug: Odronextamab, Drug: VincristineIn Part 2, participants will be randomized 1:1:1 to receive odronextamab with chemotherapy [CHOP, or cyclophosphamide, vincristine, and prednisone (CVP)], followed by odronextamab monotherapy maintenance. |
| Odronextamab + Chemotherapy + No maintenance | Experimental | Drug: Odronextamab, Drug: VincristineIn Part 2, participants will be randomized 1:1:1 to receive odronextamab with chemotherapy (CHOP, or CVP) without maintenance. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Have diagnosis of cluster of differentiation 20 positive (CD20+) FL grade 1-3a, stage II bulky or stage III / IV
- Have measurable disease on cross sectional imaging documented by diagnostic computed tomography [CT], or magnetic resonance imaging [MRI] imaging, as described in the protocol
- Eastern Cooperative Oncology Group (ECOG) performance status of 0-2
- Adequate bone marrow and hepatic function.
Key exclusion criteria (6 listed)
- Participants with central nervous system lymphoma or leptomeningeal lymphoma
- Participants with histological evidence of transformation to a high-grade or diffuse large B-cell lymphoma
- Participants with Waldenström macroglobulinemia (WM, lymphoplasmacytic lymphoma), grade 3b follicular lymphoma, chronic lymphocytic leukemia or small lymphocytic lymphoma
- Recent major surgery and history or organ transplantation
- A malignancy other than NHL unless the participant is adequately and definitively treated and any other significant active disease or medical condition that could interfere with the conduct of the study or put the participant at significant risk, as described in the protocol.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| OdronextamabAlso: REGN1979Administered by intravenous (IV) infusion | Drug | Odronextamab + Chemotherapy, Odronextamab + Chemotherapy + Maintenance, Odronextamab + Chemotherapy + No maintenance, Rituximab + Chemotherapy |
| RituximabAlso: RituxanAdministered by IV infusion, or subcutaneous (SC) | Drug | Rituximab + Chemotherapy |
| CyclophosphamideAlso: CytoxanAdministered by IV infusion | Drug | Odronextamab + Chemotherapy, Rituximab + Chemotherapy |
| DoxorubicinAlso: AdriamycinAdministered by IV infusion | Drug | Odronextamab + Chemotherapy, Rituximab + Chemotherapy |
| VincristineAlso: OncovinAdministered by IV infusion | Drug | Odronextamab + Chemotherapy + Maintenance, Odronextamab + Chemotherapy + No maintenance, Rituximab + Chemotherapy |
| Prednisone/PrenisoloneAlso: Deltasone/OmnipredAdministered orally (PO) | Drug | Odronextamab + Chemotherapy, Rituximab + Chemotherapy |
Primary outcome
Incidence of dose limiting toxicities (DLTs) for odronextamab in combination with chemotherapy
Time frame: Up to 35 days
Part 1, DLT period
Incidence of treatment-emergent adverse events (TEAEs) of odronextamab in combination with chemotherapy
Time frame: Up to 2 years
Part 1, Treatment period
Severity of TEAEs of odronextamab in combination with chemotherapy
Time frame: Up to 2 years
Part 1, Treatment period
Complete Response rate at 30 months (CR30) assessed by independent central review (ICR)
Time frame: Up to 30 months
Part 2
30 secondary outcomes
Odronextamab concentrations in serum when administered with chemotherapy
Time frame: Up to 30 months
Odronextamab concentrations in serum when administered as monotherapy
Time frame: Up to 30 months
Incidence of anti-odronextamab antibodies (ADAs)
Time frame: Up to 30 months
Titers of ADAs to odronextamab
Time frame: Up to 30 months
Incidence of neutralizing antibodies (NAb) to odronextamab
Time frame: Up to 30 months
Best overall response (BOR) as assessed by the investigator
Time frame: Up to 30 months
Progression free survival (PFS) as assessed by ICR
Time frame: Up to 5 years
CR30 as assessed by local investigator
Time frame: Up to 30 months
Change in patient reported physical functioning scale scores on the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Cancer-30 (EORTC-QLQ-C30)
Time frame: Up to 5 years
PFS as assessed by local investigator
Time frame: Up to 5 years
Event-free survival (EFS) as assessed by ICR
Time frame: Up to 5 years
EFS as assessed by local investigator
Time frame: Up to 5 years
Overall Survival (OS)
Time frame: Up to 5 years
BOR as assessed by local investigator
Time frame: Up to 30 months
BOR as assessed by ICR
Time frame: Up to 30 months
Duration of response (DOR) assessed by ICR
Time frame: Up to 5 years
DOR as assessed by local investigator
Time frame: Up to 5 years
Time to next anti-lymphoma treatment (TTNT)
Time frame: Up to 5 years
Incidence of TEAEs
Time frame: Up to 2 years
Severity of TEAEs
Time frame: Up to 2 years
Change in patient reported health related quality of life (HRQoL) as measured by EORTC-QLQ-C30
Time frame: Up to 5 years
Change in cancer disease as measured by EORTC-QLQ-C30
Time frame: Up to 5 years
Change in treatment related symptoms as measured by EORTC-QLQ-C30
Time frame: Up to 5 years
Change in patient-reported lymphoma disease as measured by the Lymphoma Subscale of the Functional Assessment of Cancer Treatment-Lymphoma (FACT-LymS)
Time frame: Up to 5 years
Change in treatment-related symptoms as measured by the FACT-LymS
Time frame: Up to 5 years
Change in patient-reported general health status per EuroQol-5 Dimensions-5 Levels (EQ-5D-5L)
Time frame: Up to 5 years
Change in patient-reported treatment side effects burden per Functional Assessment of Cancer Therapy-General Global Population Item 5 (FACT-G GP5)
Time frame: Up to 5 years
Change in Patient Global Impression of Severity (PGIS)
Time frame: Up to 5 years
Change in Patient Global Impression of Change (PGIC)
Time frame: Up to 5 years
Change in score of the FACT-G GP5 item in the patient population
Time frame: Up to 5 years
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Feb 2026.
- OLYMPIALink provided by the sponsor.
- Individual participant dataSharing planned: Yes. All Individual Patient Data (IPD) that underlie publicly available results will be considered for sharing
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Trial Management study director
Regeneron Pharmaceuticals
145 sites in 17 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Odronextamab, Rituximab and Cyclophosphamide in people with Follicular Lymphoma (FL), run by Regeneron Pharmaceuticals at 145 sites in 17 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 6 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 145 sites in Brazil, Spain, Italy, France, Turkey (Türkiye) and 12 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Incidence of dose limiting toxicities (DLTs) for odronextamab in combination with chemotherapy (time frame: Up to 35 days). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Feb 2026.