Relapsed/Refractory Diffuse Large B Cell LymphomaPhase 2NCT07451652
Low Dose Epcoritamab Plus GemOx in R/R DLBCL
A Phase 2 study testing Epcoritamab, Gemcitabine (1000 mg/m2) and Oxaliplatin in people with Relapsed/Refractory Diffuse Large B Cell Lymphoma, run by Hospital Universitario Dr. Jose E. Gonzalez at 1 site in Mexico.
Trial summary
In this study, researchers are looking to determine whether Gemcitabine/Oxaliplatin plus a lower dose of Epcoritamab (12 mg) works to treat subjects with relapsed/refractory diffuse large B-cell lymphoma, who are candidates to autologous stem cell transplantation. Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Relapsed/Refractory Diffuse Large B Cell Lymphoma
- What is being tested?
- Epcoritamab, Gemcitabine (1000 mg/m2) and Oxaliplatin
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 10 participants
- Where
- 1 siteMexico
- Study dates
- 17 Mar 2026to Sep 2027
- Phase
- Phase 2
- 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 to 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Subjects with relapsed/refractory diffuse large B-cell lymphoma who have received at least 1 previous line of treatment and that are candidates to autologous stem cell transplant
- ECOG 0-2
- Women of reproductive age who agree on getting a contraceptive method
- Subjects who fulfill Lugano´s criteria for disease activity
- Subjects who voluntarily accept to participate in this study
Who cannot join
- Active bacterial, viral or fungal infection
- Subjects who have already received an autologous o allogeneic stem cell transplantation
- Subjects with other active neoplasias
- Subjects with end-stage failure
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Mexico1 site, 1 recruiting
- Recruiting
Hospital Universitario "Dr. José Eleuterio González"
Monterrey, Nuevo León, 64640
About this study
Official title: Low Dose Epcoritamab Plus Gemcitabine/Oxaliplatin in Treatment of Transplant Eligible Patients With Relapsed/Refractory Diffuse Large B-cell Lymphoma
In this study, researchers are looking to determine whether Gemcitabine/Oxaliplatin plus a lower dose of Epcoritamab (12 mg) works to treat subjects with relapsed/refractory diffuse large B-cell lymphoma, who are candidates to autologous stem cell transplantation.
- Being tested
- Epcoritamab, Gemcitabine (1000 mg/m2), Oxaliplatin
- Keywords
- relapsed/refractory diffuse large B cell lymphoma, epcoritamab, GemOx, gemcitabine, oxaliplatin, autologous stem cell transplant
- 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
Subjects will receive 2 step up doses of Epcoritamab (0.16 mg and 0.8 mg) followed by 12 mg weekly, for a total of three 21-day cycles (8 applications)
Gemcitabine (1000 mg/m2)Drug
Subjects will receive gemcitabine 1000 mg/m2 on days 1 and 15 of the three 21-day cycles.
OxaliplatinDrug
Subjects will receive oxaliplatin 100 mg/m2 on day 1 of three 21-day cycles.
| Study group | Role | What they receive |
|---|---|---|
| Epcoritamab + GemOx | Experimental | Subjects will receive Gemcitabine/Oxaliplatin at usual doses as well as Epcoritamab with 2 step up doses followed by 12 mg weekly for 3 cycles. Receives: Drug: Epcoritamab; Drug: Gemcitabine (1000 mg/m2); Drug: Oxaliplatin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Determine ORR and CR after GemOx plus low-dose Epcoritamab
Determine ORR and CR after 3 cycles of GemOx plus low-dose Epcoritamab based on PET-CT
Measured: From enrollment to the end of treatment at 14 weeks
Secondary outcomes (8)
Establish feasibility
Determine the number of subjects that complete the first cycle without need for hospitalization
Measured: From enrollment up to day 29
Describe cytokine release syndrome incidence
Describe the number of subjects who develop grade 2-4 cytokine release syndrome during the first cycle of treatment
Measured: From day 1 up to day 29
Describe immune effector cell- associated neurotoxicity syndrome incidence
Describe the number of subjects that develop immune effector cell-associated neurotoxicity syndrome
Measured: From day 1 up to week 10
Describe adverse events
Describe the number of subjects that develop any adverse events
Measured: From day 1 up to week 10
Determine number of patients that follow through with transplant
Determine the number of patients that go through with stem cell transplant after finishing 3 cycles of Epcoritamab + GemOx
Measured: From day one up through study completion, an average of 1 year
Duration of response
Determine the duration of response
Measured: From week 18 through study completion, an average of 1 year
Progression free survival
Report the subjects´ progression free survival
Measured: From week 18 up to six and twelve months
Overall survival
Report the overall survival
Measured: From day 1 to twelve months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Mar 2026
- Study start17 Mar 2026
- 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 (5)Papers the sponsor has linked to this study.
- Other trials for Relapsed/Refractory Diffuse Large B Cell LymphomaStudies of the same condition, open and under way.
- 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 2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 10 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Hospital Universitario Dr. Jose E. Gonzalez
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Perla Rocío Colunga Pedraza, Hospital Universitario Dr. Jose E. Gonzalez
- Investigators
- Perla R Colunga-Pedraza, MD, Principal investigator, Hospital Universitario "Dr. José Eleuterio González"
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07451652
- Sponsor's protocol ID
- HE26-00003
- Status last verified
- Mar 2026
- First submitted
- 13 Feb 2026
- Last updated
- 1 Apr 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Publications
Hutchings M, Mous R, Clausen MR, Johnson P, Linton KM, Chamuleau MED, Lewis DJ, Sureda Balari A, Cunningham D, Oliveri RS, Elliott B, DeMarco D, Azaryan A, Chiu C, Li T, Chen KM, Ahmadi T, Lugtenburg PJ. Dose escalation of subcutaneous epcoritamab in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: an open-label, phase 1/2 study. Lancet. 2021 Sep 25;398(10306):1157-1169. doi: 10.1016/S0140-6736(21)00889-8. Epub 2021 Sep 8.
PubMed 34508654Li T, Gibiansky L, Parikh A, Putnins M, Chiu CW, Sacchi M, Feng H, Ahmadi T, Gupta M, Xu S. Optimal Dosing Regimen for Epcoritamab, a Subcutaneous Bispecific Antibody, in Relapsed or Refractory Large B-Cell Lymphoma. Clin Pharmacol Ther. 2025 May;117(5):1437-1450. doi: 10.1002/cpt.3588. Epub 2025 Feb 11.
PubMed 39935086Thieblemont C, Karimi YH, Ghesquieres H, Cheah CY, Clausen MR, Cunningham D, Jurczak W, Do YR, Gasiorowski R, Lewis DJ, Kim TM, van der Poel M, Poon ML, Feldman T, Linton KM, Sureda A, Hutchings M, Dinh MH, Kilavuz N, Soong D, Mark T, Sacchi M, Phillips T, Lugtenburg PJ. Epcoritamab in relapsed/refractory large B-cell lymphoma: 2-year follow-up from the pivotal EPCORE NHL-1 trial. Leukemia. 2024 Dec;38(12):2653-2662. doi: 10.1038/s41375-024-02410-8. Epub 2024 Sep 25.
PubMed 39322711Izutsu K, Kumode T, Yuda J, Nagai H, Mishima Y, Suehiro Y, Yamamoto K, Fujisaki T, Ishitsuka K, Ishizawa K, Ikezoe T, Nishikori M, Akahane D, Fujita J, Dinh M, Soong D, Noguchi H, Buchbjerg JK, Favaro E, Fukuhara N. Subcutaneous epcoritamab monotherapy in Japanese adults with relapsed/refractory diffuse large B-cell lymphoma. Cancer Sci. 2023 Dec;114(12):4643-4653. doi: 10.1111/cas.15996. Epub 2023 Nov 3.
PubMed 37921363Brody JD, Jorgensen J, Belada D, Costello R, Trneny M, Vitolo U, Lewis DJ, Karimi YH, Sureda A, Andre M, Wahlin BE, Lugtenburg PJ, Jiang T, Karagoz K, Steele AJ, Abbas A, Wang L, Risum M, Cordoba R. Epcoritamab plus GemOx in transplant-ineligible relapsed/refractory DLBCL: results from the EPCORE NHL-2 trial. Blood. 2025 Apr 10;145(15):1621-1631. doi: 10.1182/blood.2024026830.
PubMed 39792928
Study at a glance
From the registry record, last updated by the sponsor on 1 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Low Dose Epcoritamab Plus Gemcitabine/Oxaliplatin in Treatment of Transplant Eligible Patients With Relapsed/Refractory Diffuse Large B-cell Lymphoma
- ClinicalTrials.gov ID
- NCT07451652
- Acronym / sponsor ID
- HE26-00003
- Keywords
- relapsed/refractory diffuse large B cell lymphoma, epcoritamab, GemOx, gemcitabine, oxaliplatin, autologous stem cell transplant
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 10 participants (estimated)
- Lead sponsor
- Hospital Universitario Dr. Jose E. GonzalezUniversity, hospital or other
- Study start
- 17 Mar 2026 (actual)
- Primary completion
- Sep 2027 (estimated)
- Study completion
- Sep 2027 (estimated)
- First posted
- 5 Mar 2026 (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.
In this study, researchers are looking to determine whether Gemcitabine/Oxaliplatin plus a lower dose of Epcoritamab (12 mg) works to treat subjects with relapsed/refractory diffuse large B-cell lymphoma, who are candidates to autologous stem cell transplantation.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Epcoritamab + GemOx | Experimental | Drug: Epcoritamab, Drug: Gemcitabine (1000 mg/m2), Drug: OxaliplatinSubjects will receive Gemcitabine/Oxaliplatin at usual doses as well as Epcoritamab with 2 step up doses followed by 12 mg weekly for 3 cycles. |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Subjects with relapsed/refractory diffuse large B-cell lymphoma who have received at least 1 previous line of treatment and that are candidates to autologous stem cell transplant
- ECOG 0-2
- Women of reproductive age who agree on getting a contraceptive method
- Subjects who fulfill Lugano´s criteria for disease activity
- Subjects who voluntarily accept to participate in this study
Key exclusion criteria (4 listed)
- Active bacterial, viral or fungal infection
- Subjects who have already received an autologous o allogeneic stem cell transplantation
- Subjects with other active neoplasias
- Subjects with end-stage failure
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 |
|---|---|---|
| EpcoritamabSubjects will receive 2 step up doses of Epcoritamab (0.16 mg and 0.8 mg) followed by 12 mg weekly, for a total of three 21-day cycles (8 applications) | Drug | Epcoritamab + GemOx |
| Gemcitabine (1000 mg/m2)Subjects will receive gemcitabine 1000 mg/m2 on days 1 and 15 of the three 21-day cycles. | Drug | Epcoritamab + GemOx |
| OxaliplatinSubjects will receive oxaliplatin 100 mg/m2 on day 1 of three 21-day cycles. | Drug | Epcoritamab + GemOx |
Primary outcome
Determine ORR and CR after GemOx plus low-dose Epcoritamab
Time frame: From enrollment to the end of treatment at 14 weeks
Determine ORR and CR after 3 cycles of GemOx plus low-dose Epcoritamab based on PET-CT
8 secondary outcomes
Establish feasibility
Time frame: From enrollment up to day 29
Describe cytokine release syndrome incidence
Time frame: From day 1 up to day 29
Describe immune effector cell- associated neurotoxicity syndrome incidence
Time frame: From day 1 up to week 10
Describe adverse events
Time frame: From day 1 up to week 10
Determine number of patients that follow through with transplant
Time frame: From day one up through study completion, an average of 1 year
Duration of response
Time frame: From week 18 through study completion, an average of 1 year
Progression free survival
Time frame: From week 18 up to six and twelve months
Overall survival
Time frame: From day 1 to twelve months
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 1 Apr 2026.
- Background: PubMed 34508654Hutchings M, Mous R, Clausen MR, Johnson P, Linton KM, Chamuleau MED, Lewis DJ, Sureda Balari A, Cunningham D, Oliveri RS, Elliott B, DeMarco D, Azaryan A, Chiu C, Li T, Chen KM, Ahmadi T, Lugtenburg PJ. Dose escalation of subcutaneous epcoritamab in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: an open-label, phase 1/2 study. Lancet. 2021 Sep 25;398(10306):1157-1169. doi: 10.1016/S0140-6736(21)00889-8. Epub 2021 Sep 8.
- Background: PubMed 39935086Li T, Gibiansky L, Parikh A, Putnins M, Chiu CW, Sacchi M, Feng H, Ahmadi T, Gupta M, Xu S. Optimal Dosing Regimen for Epcoritamab, a Subcutaneous Bispecific Antibody, in Relapsed or Refractory Large B-Cell Lymphoma. Clin Pharmacol Ther. 2025 May;117(5):1437-1450. doi: 10.1002/cpt.3588. Epub 2025 Feb 11.
- Background: PubMed 39322711Thieblemont C, Karimi YH, Ghesquieres H, Cheah CY, Clausen MR, Cunningham D, Jurczak W, Do YR, Gasiorowski R, Lewis DJ, Kim TM, van der Poel M, Poon ML, Feldman T, Linton KM, Sureda A, Hutchings M, Dinh MH, Kilavuz N, Soong D, Mark T, Sacchi M, Phillips T, Lugtenburg PJ. Epcoritamab in relapsed/refractory large B-cell lymphoma: 2-year follow-up from the pivotal EPCORE NHL-1 trial. Leukemia. 2024 Dec;38(12):2653-2662. doi: 10.1038/s41375-024-02410-8. Epub 2024 Sep 25.
- Background: PubMed 37921363Izutsu K, Kumode T, Yuda J, Nagai H, Mishima Y, Suehiro Y, Yamamoto K, Fujisaki T, Ishitsuka K, Ishizawa K, Ikezoe T, Nishikori M, Akahane D, Fujita J, Dinh M, Soong D, Noguchi H, Buchbjerg JK, Favaro E, Fukuhara N. Subcutaneous epcoritamab monotherapy in Japanese adults with relapsed/refractory diffuse large B-cell lymphoma. Cancer Sci. 2023 Dec;114(12):4643-4653. doi: 10.1111/cas.15996. Epub 2023 Nov 3.
- Background: PubMed 39792928Brody JD, Jorgensen J, Belada D, Costello R, Trneny M, Vitolo U, Lewis DJ, Karimi YH, Sureda A, Andre M, Wahlin BE, Lugtenburg PJ, Jiang T, Karagoz K, Steele AJ, Abbas A, Wang L, Risum M, Cordoba R. Epcoritamab plus GemOx in transplant-ineligible relapsed/refractory DLBCL: results from the EPCORE NHL-2 trial. Blood. 2025 Apr 10;145(15):1621-1631. doi: 10.1182/blood.2024026830.
- Individual participant dataSharing planned: Undecided
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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.
Perla R Colunga-Pedraza, MD principal investigator
Hospital Universitario "Dr. José Eleuterio González"
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Epcoritamab, Gemcitabine (1000 mg/m2) and Oxaliplatin in people with Relapsed/Refractory Diffuse Large B Cell Lymphoma, run by Hospital Universitario Dr. Jose E. Gonzalez at 1 site in Mexico.
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 5 inclusion and 4 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: looking for participants now, as of the sponsor's last update on 1 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 1 site in Mexico. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
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?
Contact Perla R Colunga-Pedraza, MD (+52 8110761973, alrep_rcp@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Determine ORR and CR after GemOx plus low-dose Epcoritamab (time frame: From enrollment to the end of treatment at 14 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07451652, which also lists 5 linked publications.
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 1 Apr 2026; AzTrials last refreshed its copy on 1 Nov 2026.