Diffuse Large B-Cell LymphomaPhase 3EPCORE DLBCL-4NCT06508658
A Study of Subcutaneously Injected Epcoritamab Plus Oral Lenalidomide Tablets Compared to Intravenously (IV) Infused Rituximab Plus IV Infused Gemcitabine and IV Infused Oxaliplatin in Adult Participants With Relapsed or Refractory Diffuse Large B-Cell Lymphoma
A Phase 3 study testing Epcoritamab, Rituximab and Lenalidomide in people with Diffuse Large B-Cell Lymphoma, run by Genmab at 176 sites in 28 countries.
Trial summary
B-cell Lymphoma is an aggressive and rare cancer of a type of immune cells (a white blood cell responsible for fighting infections). This study will assess how safe and effective epcoritamab plus lenalidomide (E-Len) is compared to rituximab plus gemcitabine and oxaliplatin (R-GemOx) )in treating adult participants… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Diffuse Large B-Cell Lymphoma
- What is being tested?
- Epcoritamab, Rituximab and Lenalidomide
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 379 participants
- Where
- 176 sitesin 28 countries
- Study dates
- 13 Aug 2024to Mar 2028
- 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
- Eastern Cooperative Oncology Group Performance status score of 0 to 2.
- Histologically confirmed CD20+ Diffuse Large B-Cell Lymphoma (DLBCL) and documented in the most recent and representative pathology report, inclusive of the following according to the World Health Organization (WHO) 2022 as per the protocol.
- Must have relapsed or refractory (R/R) disease and have been previously treated with at least 1 line of systemic antineoplastic therapy including anti-CD20 mAb-containing combination chemotherapy since DLBCL diagnosis.
- Participant must meet at least 1 of the following criteria:
- Failed prior autologous stem cell transplant (ASCT), defined as relapsed after ASCT or been refractory to high-dose therapy (HDT)-ASCT.
- Not be considered a candidate for ASCT due to age, performance status, comorbidities and/or insufficient response to prior treatment, or have refused ASCT.
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- Be ineligible for or unable to receive chimeric antigen receptor T-cell (CAR-T) meeting at least 1 of the following criteria:
- Unable to receive CAR-T therapy due to fitness and/or comorbidity.
- Lymphocyte apheresis failure.
- Unwilling to receive CAR-T therapy.
- Unable to receive CAR-T therapy due to financial, geographic, insurance, access, and/or manufacturing constraints.
- Relapsed/progressed after having achieved at least a Partial Response (PR) or Complete Response (CR) while on prior CAR-T therapy.
- Must have measurable disease.
- Life expectancy > 3 months on standard of care treatment at the time of enrolling in the study
Who cannot join
- Current evidence of primary central nervous system (CNS) lymphoma or known CNS involvement by lymphoma including leptomeningeal disease, at screening.
- History of prior treatment with a bispecific antibody targeting CD3 and CD20 or prior treatment with rituximab plus gemcitabine and oxaliplatin (R-GemOx) or gemcitabine and oxaliplatin (GemOx).
- Documented refractoriness to lenalidomide.
Trial locations and contacts
176 sites in 28 countries.
176 sites in 28 countries
China26 sites
Peking University Third Hospital /ID# 242941
Beijing, Beijing Municipality, 100191
The First Hospital of Jilin University /ID# 242940
Changchun, Jilin, 130021
Fujian Province Cancer Hospital /ID# 265075
Fuzhou, Fujian, 350014
Sun Yat-Sen University Cancer Center /ID# 242712
Guangzhou, Guangdong, 510060
Guangdong Provincial Peoples Hospital /ID# 242942
Guangzhou, Guangdong, 510080
The First Affiliated Hospital, Zhejiang University School of Medicine /ID# 242960
Hangzhou, Zhejiang, 310003
Zhejiang Cancer hospital /ID# 242711
Hangzhou, Zhejiang, 310022
Second Affiliated Hospital, Zhejiang University - Binjiang Campus /ID# 243137
Hangzhou, Zhejiang, 310052
Harbin Medical University Cancer Hospital /Id# 242961
Harbin, Heilongjiang, 150081
Shandong Cancer Hospital /ID# 264036
Jinan, Shandong, 250117
Yunnan Province Cancer Hospital /ID# 264057
Kunming, Yunnan, 650106
The First Affiliated Hospital of Nanchang University /ID# 242703
Nanchang, Jiangxi, 330006
Jiangxi Provincial Cancer Hospital /ID# 242968
Nanchang, Jiangxi, 330029
Jiangsu Peoples Hospital /ID# 271924
Nanjing, Jiangsu, 210029
Shanghai Tongji Hospital /ID# 263952
Shanghai, Shanghai Municipality, 200065
First Affiliated Hospital of China Medical University /ID# 242701
Shenyang, Liaoning, 110001
The Second Hospital of Hebei Medical University /ID# 242944
Shijiazhuang, Hebei, 050000
The First Affiliated Hospital of Soochow University /ID# 242939
Suzhou, Jiangsu, 215006
Tianjin Cancer Hospital /ID# 243940
Tianjin, Tianjin Municipality, 300000
Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sc /ID# 243139
Tianjin, Tianjin Municipality, 300020
The Affiliated Cancer Hospital of Xinjiang Medical University /ID# 242966
Ürümqi, Xinjiang, 830000
The First Affiliated Hospital of Wenzhou Medical University /ID# 263951
Wenzhou, Zhejiang, 325000
Union Hospital affiliated to Tongji Medical College of Huazhong University of Sc /ID# 242702
Wuhan, Hubei, 430048
Hubei Cancer Hospital /ID# 242963
Wuhan, Hubei, 430079
The First Affiliated Hospital of Xiamen /ID# 264305
Xiamen, Fujian, 361003
Henan Cancer Hospital /ID# 242700
Zhengzhou, Henan, 450008
United States19 sites
University of Maryland, Baltimore /ID# 242216
Baltimore, Maryland, 21201
Rush University Medical Center /ID# 242103
Chicago, Illinois, 60612
Henry Ford Hospital /ID# 266446
Detroit, Michigan, 48202
City of Hope National Medical Center /ID# 273338
Duarte, California, 91010
Northwest Cancer Center - Dyer Clinic /ID# 269787
Dyer, Indiana, 46311
Lutheran Medical Center- Cancer Centers of Colorado /ID# 265823
Golden, Colorado, 80401
East Carolina University - Brody School of Medicine /ID# 242227
Greenville, North Carolina, 27834
Gulfport Memorial Hospital /ID# 268104
Gulfport, Mississippi, 39501
Thompson Cancer Survival Ctr /ID# 242149
Knoxville, Tennessee, 37916
University of Kentucky Chandler Medical Center. /ID# 242087
Lexington, Kentucky, 40536
Valkyrie Clinical Trials /ID# 269935
Los Angeles, California, 90067
City Of Hope - Atlanta. /ID# 273092
Newnan, Georgia, 30265
Community Cancer Trials Of Utah /ID# 271715
Ogden, Utah, 84405
Desert Regional Medical Center /ID# 272437
Palm Springs, California, 92262
Utah Cancer Specialists - Salt Lake City /ID# 268603
Salt Lake City, Utah, 84106
Veterans Affairs Medical Center - Salt Lake City /ID# 265329
Salt Lake City, Utah, 84108
New York Medical College /ID# 265799
Valhalla, New York, 10595
Cancer Center of Kansas - Wichita /ID# 270117
Wichita, Kansas, 67214
City Of Hope - Chicago /ID# 274430
Zion, Illinois, 60099
Japan13 sites
Hyogo Prefectural Amagasaki General Medical Center /ID# 277258
Amagasaki, Hyōgo, 660-8550
University of Yamanashi Hospital /ID# 264671
Chuo-shi, Yamanashi, 409-3898
Kyushu University Hospital /ID# 267624
Fukuoka, Fukuoka, 812-8582
Fukushima Medical University Hospital /ID# 264667
Fukushima, Fukushima, 960-1295
Kansai Medical University Hospital /ID# 266018
Hirakata-shi, Osaka, 573-1191
Tokai University Hospital /ID# 265433
Isehara, Kanagawa, 259-1193
Kagoshima University Hospital /ID# 248259
Kagoshima, Kagoshima-ken, 890-8520
Shonankamakura General Hospital /ID# 277671
Kamakura, Kanagawa, 247-8533
Duplicate_Saitama Cancer Center /ID# 265277
Kitaadachi-gun, Saitama, 362-0806
National Hospital Organization Shikoku Cancer Center /ID# 265977
Matsuyama, Ehime, 791-0280
Kindai University Hospital /ID# 265474
Sakai-shi, Osaka, 590-0197
Sapporo Medical University Hospital /ID# 264928
Sapporo, Hokkaido, 060-8543
Fujita Health University Hospital /ID# 265968
Toyoake, Aichi-ken, 470-1192
South Korea11 sites
Inje University - Busan Paik Hospital /ID# 262842
Busan, Busan Gwang Yeogsi, 47392
Dong-A University Medical Center /ID# 262841
Busan, Busan Gwang Yeogsi, 49201
Keimyung University Dongsan Hospital /ID# 262840
Daegu, Gyeongsangbuk-do, 42601
Chonnam National University Hwasun Hospital /ID# 262843
Hwasun-gun, Jeonranamdo, 58128
Jeonbuk National University Hospital /ID# 242958
Jeonju, Jeonrabugdo, 54907
Seoul National University Bundang Hospital /ID# 242405
Seongnam-si, Gyeonggido, 13620
Seoul National University Hospital /ID# 242407
Seoul, Seoul Teugbyeolsi, 03080
Asan Medical Center /ID# 242409
Seoul, Seoul Teugbyeolsi, 05505
Samsung Medical Center /ID# 242408
Seoul, Seoul Teugbyeolsi, 06351
The Catholic University of Korea, Seoul St. Marys Hospital /ID# 242406
Seoul, Seoul Teugbyeolsi, 06591
Ulsan University Hospital /ID# 242956
Ulsan, Ulsan Gwang Yeogsi, 44033
Turkey (Türkiye)9 sites
Ankara Universitesi Fakultesi /ID# 242410
Ankara, 06620
Adnan Menderes University /ID# 242418
Aydin, 09100
Trakya University Medical Facu /ID# 242419
Edirne, Istanbul, 22030
Istanbul Universitesi-Cerrahpasa Cerrahpasa Tip Fakultesi /ID# 242414
Istanbul, 34098
Vehbi Koc vakfi Amerikan Hasta /ID# 242415
Istanbul, 34365
Ege University Medical Faculty /ID# 242417
Izmir, 35040
Ondokuz mayis University Facul /ID# 242412
Samsun, 55200
Istanbul Florence Nightingale Hospital /ID# 271544
Şişli, 34381
Karadeniz Technical University Farabi Hospital /ID# 264694
Trabzon, 61080
France7 sites
Centre Hospitalier D'Avignon /ID# 243072
Avignon, Provence-Alpes-Côte d'Azur Region, 84000
Centre Hospitalier de la Cote Basque /ID# 243065
Bayonne, Pyrenees-Atlantiques, 64100
CHU de CAEN - Hopital de la Cote de Nacre /ID# 243075
Caen, Calvados, 14033
Hopital Saint Vincent de Paul /ID# 243070
Lille, 59020
CHU Poitiers - La miletrie /ID# 243074
Poitiers, Vienne, 86000
Les Hôpitaux Universitaires de Strasbourg - Hôpital de Hautepierre /ID# 264068
Strasbourg, Alsace, 67200
CHRU Tours - Hopital Bretonneau /ID# 244580
Tours, Indre-et-Loire, 37044
Hungary7 sites
Semmelweis Egyetem /ID# 242455
Budapest, 1085
Del-pesti Centrumkorhaz Orszagos Hematologiai es Infektologiai Intezet /ID# 262923
Budapest, 1097
Orszagos Onkologiai Intezet /ID# 242457
Budapest, 1122
Debreceni Egyetem-Klinikai Kozpont /ID# 242451
Debrecen, Hajdú-Bihar, 4032
Gyor-Moson-Sopron Varmegyei Petz Aladar Egyetemi Oktato Korhaz /ID# 262901
Győr, Győr-Moson-Sopron, 9024
Szabolcs-Szatmar-Bereg Varmegyei Oktatokorhaz /ID# 242468
Nyíregyháza, Szabolcs-Szatmár-Bereg, 4400
Pecsi Tudomanyegyetem Klinikai Kozpont /ID# 262924
Pécs, Baranya, 7624
Serbia7 sites
Clinical Hospital Center Zvezdara /ID# 263059
Belgrade, Beograd, 11000
Institute for Oncology and Radiology of Serbia /ID# 263055
Belgrade, Beograd, 11000
University Clinical Center Serbia /ID# 263057
Belgrade, Beograd, 11000
Clinical Hospital Center - Bežanijska Kosa /ID# 263053
Belgrade, Beograd, 11080
Institute for Oncology of Vojvodina /ID# 263052
Kamenitz, Vojvodina, 21208
University Clinical Center Nis /ID# 263701
Niš, Nisavski Okrug, 18300
University Clinical Center Vojvodina /ID# 264138
Novi Sad, 21000
Australia6 sites
Monash Health - Monash Medical Centre /ID# 262783
Clayton, Victoria, 3168
Canberra Hospital /ID# 265312
Garran, Australian Capital Territory, 2605
Royal Perth Hospital /ID# 243790
Perth, Western Australia, 6000
Royal Prince Alfred Hospital /ID# 263242
Sydney, New South Wales, 2050
Toowoomba Hospital /ID# 263243
Toowoomba, Queensland, 4350
Wollongong Hospital /ID# 244646
Wollongong, New South Wales, 2500
Brazil6 sites
Hospital Erasto Gaertner /ID# 264049
Curitiba, Puerto Rico, 81520-060
Hospital das Clinicas da Faculdade de Medicina de Ribeirao Preto /ID# 264045
Ribeirão Preto, São Paulo, 14049-900
Hospital Sao Rafael /ID# 262949
Salvador, Estado de Bahia, 41253-190
Hospital Alemao Oswaldo Cruz /ID# 247418
São Paulo, 01323-020
Instituto D'Or de Pesquisa e Ensino - Regional Sao Paulo /ID# 263944
São Paulo, 01401-002
Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao /ID# 242425
São Paulo, 05403-000
Croatia6 sites
Klinicki bolnicki centar Osijek /ID# 262621
Osijek, County of Osijek-Baranja, 31000
Klinički Bolnički Centar Rijeka /ID# 266004
Rijeka, Primorje-Gorski Kotar County, 51000
Klinicki Bolnicki Centar (KBC) Split /ID# 262618
Split, Split-Dalmatia County, 21000
Klinicka bolnica Merkur /ID# 262619
Zagreb, City of Zagreb, 10000
Klinicki bolnicki centar Sestre milosrdnice /ID# 262620
Zagreb, City of Zagreb, 10000
Klinicki bolnicki centar Zagreb /ID# 262617
Zagreb, City of Zagreb, 10000
Belgium5 sites
Centre Hospitalier Epicura - Hornu /ID# 265148
Boussu, Hainaut, 7301
Universitair Ziekenhuis Brussel /ID# 242574
Jette, Brussels Capital, 1090
Universitair Ziekenhuis Leuven /ID# 246671
Leuven, Vlaams-Brabant, 3000
AZ-Delta. /ID# 264740
Roeselare, West-Vlaanderen, 8800
Universite Catholique de Louvain-Namur - Centre Hospitalier Universitaire Dinant /ID# 242565
Yvoir, Namur, 5530
Greece5 sites
General Hospital of Athens Laiko /ID# 262809
Athens, Attica, 11527
University General Hospital Attikon /ID# 242041
Athens, Attica, 12462
General Hospital of Athens Evaggelismos and Ophthalmiatrio of Athens Polyclinic /ID# 242039
Athens, 10676
General University Hospital of Thessaloniki AXEPA /ID# 242038
Thessaloniki, 54636
Theageneio Anticancer Hospital /ID# 242036
Thessaloniki, 54639
Netherlands5 sites
Jeroen Bosch Ziekenhuis, locatie 's-Hertogenbosch /ID# 265204
's-Hertogenbosch, North Brabant, 5223 GZ
OLVG - Locatie Oost /ID# 263355
Amsterdam, North Holland, 1091 AC
Albert Schweitzer Ziekenhuis, locatie Dordwijk /ID# 263361
Dordrecht, South Holland, 3318 AT
Medisch Centrum Leeuwarden /ID# 245501
Leeuwarden, Provincie Friesland, 8934 AD
St. Antonius Ziekenhuis /ID# 245197
Nieuwegein, Utrecht, 3435 CM
Bulgaria4 sites
UMHAT Sveti Georgi /ID# 242905
Plovdiv, 4002
UMHAT Sveti Ivan Rilski /ID# 242389
Sofia, 1431
SHAT Hematologic Diseases /ID# 242708
Sofia, 1797
UMHAT Multiprofile Hospital for Active Treatment Sveta Marina /ID# 262761
Varna, 9009
Poland4 sites
Swietokrzyskie Centrum Onkologii Samodzielny Publiczny Zaklad Opieki Zdrowotnej /ID# 242436
Kielce, Świętokrzyskie Voivodeship, 25-734
Pratia MCM Krakow /ID# 262882
Krakow, Lesser Poland Voivodeship, 30-727
Aidport sp z o.o. /ID# 262766
Poznan, Greater Poland Voivodeship, 60-175
Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie Panstwowy Instytut Bada /ID# 263314
Warsaw, Masovian Voivodeship, 02-781
Romania4 sites
Fundeni Clinical Institute /ID# 266734
Bucharest, Bucharest, 022328
Spitalul Clinic Coltea /ID# 243694
Bucharest, 030171
Institutul Oncologic Prof Dr. Ion Chiricuta Cluj Napoca /ID# 243753
Cluj-Napoca, Cluj, 400015
Institutul Regional de Oncologie /ID# 244367
Iași, Iaşi, 700483
South Africa4 sites
Constantiaberg Haematology /ID# 273041
Cape Town, Western Cape, 7800
Wits Clinical Research /ID# 264656
Johannesburg, Gauteng, 1864
Haemalife Inc. /ID# 262719
Kuils River, Western Cape, 7580
Alberts Cellular Therapy /ID# 262720
Pretoria, Gauteng, 0044
Taiwan4 sites
China Medical University Hospital /ID# 242931
Taichung, 40447
Taichung Veterans General Hospital /ID# 242937
Taichung, 40705
National Cheng Kung University Hospital /ID# 243301
Tainan, 704
National Taiwan University Hospital /ID# 243300
Taipei City, Taipei, 100
United Kingdom4 sites
NHS Lanarkshire /ID# 272332
Airdrie, North Lanarkshire, ML6 0JS
The Newcastle Upon Tyne Hospitals NHS Foundation Trust /ID# 242923
Newcastle upon Tyne, NE3 3HD
Nottingham City Hospital /ID# 265129
Nottingham, Nottinghamshire, NG5 1PB
Royal Cornwall Hospital /ID# 265130
Truro, Cornwall, TR1 3LQ
Argentina3 sites
Fundaleu /Id# 242789
Ciudad Autonoma de Buenos Aire, Buenos Aires F.D., 1114
Instituto Alexander Fleming /ID# 263804
Ciudad Autonoma de Buenos Aire, Buenos Aires F.D., 1426
Hospital Universitario Austral /ID# 242791
Pilar, Buenos Aires, 1629
Chile3 sites
Fundacion Arturo Lopez Perez /ID# 242421
Providencia, Santiago Metropolitan, 7500921
Bradford Hill /ID# 262795
Santiago, Santiago Metropolitan, 8420383
Clinica Alemana de Santiago /ID# 244139
Santiago, 7650568
Czechia3 sites
Fakultní nemocnice Hradec Králové - Sokolská /ID# 264071
Hradec Králové, Hradec Kralove, 500 05
Fakultni nemocnice Olomouc /ID# 262832
Olomouc, 779 00
Fakultni nemocnice Motol a Homolka /ID# 272378
Prague, Praha 5, 150 06
Portugal3 sites
Hospital da Luz /ID# 262965
Lisbon, Lisbon District, 1500-650
Instituto Portugues de Oncologia do Porto Francisco Gentil, EPE /ID# 262961
Porto, 4200-072
Unidade Local de Saude Sao Joao, EPE /ID# 262962
Porto, 4200-319
Singapore3 sites
National Cancer Centre Singapore /ID# 267015
Singapore, Central Singapore, 169611
Tan Tock Seng Hospital /ID# 266061
Singapore, Central Singapore, 308433
National University Hospital /ID# 264016
Singapore, 119074
Mexico2 sites
Centro de Quimioterapia E Investigacion Sas de Cv /Id# 263293
Jalisco, 45645
Centro De Investigación Clinica Chapultepec /ID# 243959
Mexico City, Mexico City, 04100
New Zealand2 sites
North Shore Hospital /ID# 266060
Auckland, 0622
Wellington Hospital /ID# 265966
Wellington, 6021
Canada1 site
CIUSSS de l'est de l'Ile-de-Montreal - Hopital Maisonneuve-Rosemont /ID# 262751
Montreal, Quebec, H1T 2M4
About this study
Official title: A Phase 3, Multicenter, Randomized, Open-Label Study of Epcoritamab Plus Lenalidomide Compared to Rituximab Plus Gemcitabine and Oxaliplatin in Participants With Relapsed or Refractory Diffuse Large B-Cell Lymphoma
B-cell Lymphoma is an aggressive and rare cancer of a type of immune cells (a white blood cell responsible for fighting infections). This study will assess how safe and effective epcoritamab plus lenalidomide (E-Len) is compared to rituximab plus gemcitabine and oxaliplatin (R-GemOx) )in treating adult participants with relapsed or refractory (R/R) Diffuse Large B-Cell Lymphoma (DLBCL). Adverse events and change in disease condition will be assessed.
Epcoritamab is an investigational drug being developed for the treatment of DLBCL. Study doctors put the participants in 1 of 3 groups, called treatment arms. Each group receives a different treatment. Around 360 adult participants with R/R DLBCL will be enrolled in approximately 165 sites across the world.
Read more
Participants in arm A will receive subcutaneous (SC) injections of epcoritamab plus oral lenalidomide capsules (E-Len) for up to 12 cycles (each cycle is 28 days). Participants in arm B will receive intravenously (IV) infused R-GemOx for up to 4 cycles (each cycle is 28 days). Participants in arm C will receive SC injections of epcoritamab for up to 12 cycles (each cycle is 28 days).
There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, checking for side effects and completing questionnaires.
- Conditions
- Diffuse Large B-Cell Lymphoma
- Being tested
- Epcoritamab, Rituximab, Lenalidomide, Oxaliplatin, Gemcitabine
- Keywords
- Epcoritamab, Lenalidomide, Rituximab, Gemcitabine, Oxaliplatin, Diffuse Large B-Cell Lymphoma, DLBCL, Epkinly, ABBV-GMAB-3013
- Medical subject headings
- Lymphoma, Large B-Cell, Diffuse
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
EpcoritamabDrug
Subcutaneous Injection
RituximabDrug
Intravenous (IV) Infusion
LenalidomideDrug
Oral Capsule
OxaliplatinDrug
IV Infusion
GemcitabineDrug
IV Infusion
| Study group | Role | What they receive |
|---|---|---|
| Arm A: Epcoritamab Plus Lenalidomide (E-Len) | Experimental | Participants will receive E-Len for up to 12 cycles (each cycle is 28 days). Receives: Drug: Epcoritamab; Drug: Lenalidomide |
| Arm B: Rituximab Plus Gemcitabine and Oxaliplatin (R-GemOx) | Experimental | Participants will receive R-GemOx for up to 4 cycles (each cycle is 28 days) Receives: Drug: Rituximab; Drug: Oxaliplatin; Drug: Gemcitabine |
| Arm C: Epcoritamab | Experimental | Participants will receive epcoritamab for up to 12 cycles (each cycle is 28 days). Receives: Drug: Epcoritamab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Arm A vs Arm B: Progression-Free Survival (PFS)
PFS is defined as the duration from the date of randomization to the date of disease progression determined per Lugano 2014 criteria as assessed by an independent review committee (IRC), or death, whichever occurs first.
Measured: Up to 4 Years
Secondary outcomes (3)
Arm A vs Arm B: Percentage of Participants Who Achieve Complete response (CR)
CR is defined as the percentage of participants who achieve CR determined by Lugano 2014 criteria, as assessed by an IRC that is blinded to treatment arm prior to the initiation of new anti-lymphoma therapy.
Measured: Up to 4 Years
Arm A vs Arm B: Overall Survival (OS)
OS is defined as the time from randomization to death from any cause.
Measured: Up to 4 Years
Arm A vs Arm B: Percentage of Participants Who Achieve Minimal Residual Disease (MRD) Negativity Rate
The MRD negativity rate is defined as the percentage of participants who achieve MRD negative status prior to the initiation of new anti-lymphoma therapy.
Measured: Up to 4 Years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Jul 2024
- Study start13 Aug 2024
- Primary completionMar 2028 (estimated)
- Study completionMar 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 379 participants (actual)
Sponsor and investigators
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06508658
- Sponsor's protocol ID
- M22-128
- Other IDs
- 2024-510965-41
- Acronym
- EPCORE DLBCL-4
- Status last verified
- Apr 2026
- First submitted
- 11 Jul 2024
- Last updated
- 8 Apr 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Genmab is committed to responsible data sharing regarding the clinical trials we sponsor. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information (e.g., protocols, analyses plans, clinical study reports), as long as the trials are not part of an ongoing or planned regulatory submission. This includes requests for clinical trial data for unlicensed products and indications.
Study at a glance
From the registry record, last updated by the sponsor on 8 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Multicenter, Randomized, Open-Label Study of Epcoritamab Plus Lenalidomide Compared to Rituximab Plus Gemcitabine and Oxaliplatin in Participants With Relapsed or Refractory Diffuse Large B-Cell Lymphoma
- ClinicalTrials.gov ID
- NCT06508658
- Acronym / sponsor ID
- EPCORE DLBCL-4 / M22-128
- Conditions
- Diffuse Large B-Cell Lymphoma
- Keywords
- Epcoritamab, Lenalidomide, Rituximab, Gemcitabine, Oxaliplatin, Diffuse Large B-Cell Lymphoma, DLBCL, Epkinly
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 379 participants (actual)
- Lead sponsor
- GenmabIndustry (pharma, biotech, devices)
- Collaborators
- AbbVie
- Study start
- 13 Aug 2024 (actual)
- Primary completion
- Mar 2028 (estimated)
- Study completion
- Mar 2028 (estimated)
- First posted
- 18 Jul 2024 (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.
B-cell Lymphoma is an aggressive and rare cancer of a type of immune cells (a white blood cell responsible for fighting infections). This study will assess how safe and effective epcoritamab plus lenalidomide (E-Len) is compared to rituximab plus gemcitabine and oxaliplatin (R-GemOx) )in treating adult participants with relapsed or refractory (R/R) Diffuse Large B-Cell Lymphoma (DLBCL). Adverse events and change in disease condition will be assessed.
Epcoritamab is an investigational drug being developed for the treatment of DLBCL. Study doctors put the participants in 1 of 3 groups, called treatment arms. Each group receives a different treatment. Around 360 adult participants with R/R DLBCL will be enrolled in approximately 165 sites across the world.
Participants in arm A will receive subcutaneous (SC) injections of epcoritamab plus oral lenalidomide capsules (E-Len) for up to 12 cycles (each cycle is 28 days). Participants in arm B will receive intravenously (IV) infused R-GemOx for up to 4 cycles (each cycle is 28 days). Participants in arm C will receive SC injections of epcoritamab for up to 12 cycles (each cycle is 28 days).
There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, checking for side effects and completing questionnaires.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Arm A: Epcoritamab Plus Lenalidomide (E-Len) | Experimental | Drug: Epcoritamab, Drug: LenalidomideParticipants will receive E-Len for up to 12 cycles (each cycle is 28 days). |
| Arm B: Rituximab Plus Gemcitabine and Oxaliplatin (R-GemOx) | Experimental | Drug: Rituximab, Drug: Oxaliplatin, Drug: GemcitabineParticipants will receive R-GemOx for up to 4 cycles (each cycle is 28 days) |
| Arm C: Epcoritamab | Experimental | Drug: EpcoritamabParticipants will receive epcoritamab for up to 12 cycles (each cycle is 28 days). |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (14 listed)
- Eastern Cooperative Oncology Group Performance status score of 0 to 2.
- Histologically confirmed CD20+ Diffuse Large B-Cell Lymphoma (DLBCL) and documented in the most recent and representative pathology report, inclusive of the following according to the World Health Organization (WHO) 2022 as per the protocol.
- Must have relapsed or refractory (R/R) disease and have been previously treated with at least 1 line of systemic antineoplastic therapy including anti-CD20 mAb-containing combination chemotherapy since DLBCL diagnosis.
- Participant must meet at least 1 of the following criteria:
- Must have measurable disease.
Key exclusion criteria (3 listed)
- Current evidence of primary central nervous system (CNS) lymphoma or known CNS involvement by lymphoma including leptomeningeal disease, at screening.
- History of prior treatment with a bispecific antibody targeting CD3 and CD20 or prior treatment with rituximab plus gemcitabine and oxaliplatin (R-GemOx) or gemcitabine and oxaliplatin (GemOx).
- Documented refractoriness to lenalidomide.
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 |
|---|---|---|
| EpcoritamabSubcutaneous Injection | Drug | Arm A: Epcoritamab Plus Lenalidomide (E-Len), Arm C: Epcoritamab |
| RituximabIntravenous (IV) Infusion | Drug | Arm B: Rituximab Plus Gemcitabine and Oxaliplatin (R-GemOx) |
| LenalidomideOral Capsule | Drug | Arm A: Epcoritamab Plus Lenalidomide (E-Len) |
| OxaliplatinIV Infusion | Drug | Arm B: Rituximab Plus Gemcitabine and Oxaliplatin (R-GemOx) |
| GemcitabineIV Infusion | Drug | Arm B: Rituximab Plus Gemcitabine and Oxaliplatin (R-GemOx) |
Primary outcome
Arm A vs Arm B: Progression-Free Survival (PFS)
Time frame: Up to 4 Years
PFS is defined as the duration from the date of randomization to the date of disease progression determined per Lugano 2014 criteria as assessed by an independent review committee (IRC), or death, whichever occurs first.
3 secondary outcomes
Arm A vs Arm B: Percentage of Participants Who Achieve Complete response (CR)
Time frame: Up to 4 Years
Arm A vs Arm B: Overall Survival (OS)
Time frame: Up to 4 Years
Arm A vs Arm B: Percentage of Participants Who Achieve Minimal Residual Disease (MRD) Negativity Rate
Time frame: Up to 4 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 8 Apr 2026.
- Individual participant dataSharing planned: Yes. Genmab is committed to responsible data sharing regarding the clinical trials we sponsor. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information (e.g., protocols, analyses plans, clinical study reports), as long as the trials are not part of an ongoing or planned regulatory submission. This includes requests for clinical trial data for unlicensed products and indications.
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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.
ABBVIE INC. study director
AbbVie
176 sites in 28 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Epcoritamab, Rituximab and Lenalidomide in people with Diffuse Large B-Cell Lymphoma, run by Genmab at 176 sites in 28 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 14 inclusion and 3 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 8 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 176 sites in China, United States, Japan, South Korea, Turkey (Türkiye) and 23 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?
Arm A vs Arm B: Progression-Free Survival (PFS) (time frame: Up to 4 Years). 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 8 Apr 2026.