Skip to main content
OpenTrials
Active, Not Recruiting

NCT Number: NCT05409066

Study of Subcutaneous Epcoritamab in Combination With Intravenous Rituximab and Oral Lenalidomide (R2) to Assess Adverse Events and Change in Disease Activity in Adult Participants With Follicular Lymphoma

Follicular Lymphoma (FL) is the second most common B-cell cancer and the most common type of cancer of lymphocytes. Unfortunately, this disease is incurable with conventional treatment and the disease recurs in almost all patients. This study will assess how safe and effective epcoritamab is in combination with lenalidomide and rituximab (R2) in treating adult participants with relapsed or refractory (R/R) FL. Adverse events and change in disease condition will be assessed.

Epcoritamab is an investigational drug being developed for the treatment of FL. Study doctors put the participants in 1 of 3 groups, called treatment arms. Each group receives a different treatment. Enrollment to one of the groups is closed. Around 500 adult participants with R/R FL will be enrolled in approximately 300 sites across the world.

Participants will receive R2 (375 mg/m^2 intravenous infusion of rituximab up to 5 cycles and oral capsules of 20 mg lenalidomide for up to 12 cycles) alone or in combination with subcutaneous 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.

Active, Not Recruiting

This study is active but is not currently recruiting participants.

Notify Me

Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Duplicate_CEMIC /ID# 229697, Ciudad Autonoma de Buenos Aire, Buenos Aires F.D., Argentina

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Eastern Cooperative Oncology Group (ECOG) performance status score 0 to 2.
  • Participant has:
  • Fluorodeoxyglucose-positron emission tomography (FDG-PET) scan demonstrating positive lesion compatible with computed tomography (CT) or magnetic resonance image (MRI)-defined anatomical tumor sites AND
  • >= 1 measurable nodal lesion (long axis > 1.5 cm) or >= 1 measurable extra-nodal lesion (long axis > 1.0 cm) on CT scan or MRI.
  • Histologically confirmed classic follicular lymphoma (FL) [previously Grade 1 to 3a FL] stage II, III, or IV with no evidence of histologic transformation to an aggressive lymphoma and CD20+ disease on most recent representative tumor biopsy based on the pathology report.
  • Relapsed or refractory (R/R) disease to at least one prior systemic regimen that contained an anti-CD20 monoclonal antibody (mAb) in combination with chemotherapy. (Participant who received only prior anti-CD20 mAb monotherapy and/or radiation therapy is not eligible.)
  • Eligible to receive R2 per investigator determination.
  • Estimated Creatinine Clearance (CrCl) >= 50 mL/min.

Exclusion criteria

  • Documented refractoriness to lenalidomide.
  • Have lenalidomide exposure within 12 months prior to randomization.

Treatment and study plan

Epcoritamab

Drug

Subcutaneous Injection

Rituximab

Drug

Intravenous Infusion

Lenalidomide

Drug

Oral Capsules

Primary outcomes

  1. Percentage of Participants Achieving Best Overall Response (BOR)

    Time frame: Up to approximately 2 years and 3 months

    BOR is defined as Complete Response (CR) or Partial Response (PR), determined by Lugano criteria, as assessed by an IRC.

  2. Progression-Free Survival (PFS)

    Time frame: Up to approximately 2 years and 3 months

    PFS is defined as duration from the date of randomization to the date of disease progression determined by Lugano criteria by independent review committee (IRC) or death (whichever occurs first).

Secondary outcomes

  1. Percentage of Participants Achieving CR

    Time frame: Up to approximately 5 years

    Percentage of participants who achieve a CR determined per Lugano criteria, as assessed by the IRC prior to the initiation of subsequent anti-lymphoma therapy.

  2. Overall Survival (OS)

    Time frame: Up to approximately 8 years from randomization

    Overall survival is defined as the duration from the date of randomization to the date of the participant's death.

  3. Percentage of Participants Achieving Minimal Residual Disease (MRD) Negativity

    Time frame: Up to approximately 5 years

    MRD negativity rate is defined as the percentage of participants who achieve MRD negative status prior to the initiation of subsequent anti-lymphoma therapy.

  4. Change in Functional Assessment of Cancer Therapy - Lymphoma (FACT-Lym)

    Time frame: Up to approximately 8 years

    The objective of the FACT-Lym patient-reported outcome (PRO) is to address health-related quality of life issues for adult lymphoma patients. It utilizes a 5-point Like-type scale, with a higher score signifying a higher quality of life.

  5. PFS as Assessed by Investigator

    Time frame: Up to approximately 5 years

    PFS is defined as duration from the date of randomization to the date of disease progression determined by Lugano criteria by investigator or death (whichever occurs first).

  6. Percentage of Participants Achieving BOR as Assessed by Investigator

    Time frame: Up to approximately 5 years

    BOR is defined as CR PR, determined by Lugano criteria, as assessed by an investigator.

  7. Percentage of Participants Achieving CR as Assessed by Investigator

    Time frame: Up to approximately 5 years

    Percentage of participants who achieve a CR determined per Lugano criteria, as assessed by the investigator prior to the initiation of subsequent anti-lymphoma therapy.

  8. Duration of Response (DOR)

    Time frame: Up to approximately 8 years

    DOR is defined as the time from the first occurrence of response (CR or PR) to disease progression or death, whichever occurs first.

  9. Duration of Complete Response (DOCR)

    Time frame: Up to approximately 8 years

    DOR is defined as the time from the first occurrence of CR to disease progression or death, whichever occurs first.

  10. Time to Progression (TTP)

    Time frame: Up to approximately 8 years

    Time to progression is defined as the number of days from the date of study drug start to the date of the first documented disease progression or relapse.

  11. Time to Next Anti-Lymphoma Treatment (TTNLT)

    Time frame: Up to approximately 8 years

    Time to next anti-lymphoma treatment is defined as the number of days from the date of the first documented disease progression or relapse to the date of next anti-lymphoma treatment.

  12. Percentage of Participants Achieving CR at the End of Treatment

    Time frame: Up to approximately 5 years

    Percentage of participants who achieve a CR determined per Lugano criteria, as assessed by the IRC prior to the initiation of subsequent anti-lymphoma therapy.

  13. Time to Response (TTR)

    Time frame: Up to approximately 8 years

    Time to response is defined for participants achieving a CR/PR as the time from starting therapy to first a CR/PR.

  14. Time to Complete Response (TTCR)

    Time frame: Up to approximately 8 years

    Time to complete response is defined for participants achieving a CR/PR as the time from starting therapy to first a CR/PR.

  15. Event-Free Survival (EFS)

    Time frame: Up to approximately 8 years

    EFS is defined as the duration from randomization to disease progression determined by Lugano criteria as assessed by the investigator, initiation of any non-protocol-specified new anti-lymphoma therapy for any reason, or death (whichever occurs first).

  16. Time to next anti-lymphoma treatment (TTNLT)

    Time frame: Up to approximately 8 years

  17. Change in Patient's Global Impression of Severity (PGIS)

    Time frame: Up to approximately 8 years

    PGIS is a self-report measure PGIS reflects a participant's belief about their lymphoma symptoms over the past 7 days. The PGIS is a 5-point scale depicting a participant's rating of overall severity. Participants rate their lymphoma symptoms severity as none, mild, moderate, severe, or very severe.

  18. Change in Patient's Global Impression of Change (PGIC)

    Time frame: Up to approximately 8 years

    PGIS is a self-report measure PGIC reflects a participant's belief about the efficacy of treatment. The PGIC is a 7-point scale depicting a participant's rating of overall improvement since start of treatment. Participants rate their change as very much improved, much improved, minimally improved, no change, minimally worse, much worse, or very much worse.

  19. Change in EuroQol 5-Dimension Questionnaire, 5-level (EQ-5D-5L)

    Time frame: Up to approximately 8 years

    The EQ-5D-5L descriptive system measures health status and comprises 5 health aspects including mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each parameter has 5 response levels: no problems, slight problems, moderate problems, severe problems, unable to/extreme problems. This instrument will not be administered during the Survival Follow-Up.

Sponsors and collaborators

Lead sponsor

Genmab

Industry

Collaborators

  • AbbVie

Registry information

Official study title

A Phase 3, Open-Label Study to Evaluate Safety and Efficacy of Epcoritamab in Combination With Rituximab and Lenalidomide (R2) Compared to R2 in Subjects With Relapsed or Refractory Follicular Lymphoma (EPCORE FL-1)

Acronym: EPCORE FL-1

Important dates

Study start
2022
Primary completion
2029
Study completion
2029
First posted
Jun 8, 2022
Registry last updated
Jul 8, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.