B-cell Non-Hodgkin's lymphoma, diffuse large B-cell lymphoma MedDRA version: 21.0 Level: PT Classification code 10003903 Term: B-cell lymphoma refractory System Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) MedDRA version: 21.0 Level: PT Classification code 10012822 Term: Diffuse large B-cell lymphoma refractory System Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) MedDRA version: 20.0 Level: HLGT Class
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Adult male or female, at least 18 years old 2. Diagnosis of DLBCL (de novo or histologically transformed from follicular lymphoma or nodal marginal zone lymphoma) with histologically confirmed CD20+ disease, inclusive of the following according to WHO 2016 classification and documented in pathology report: • DLBCL, not otherwise specified (NOS) • High-grade B cell lymphoma with MYC and BCL-2 and/or BCL-6 translocations per WHO 2016 (“double-hit” or “triple-hit”) Note: High-grade B-cell lymphomas NOS or other double-/triple-hit lymphomas (with histologies not consistent with DLBCL) are not eligible • Follicular lymphoma Grade 3B 3. Subject must have Eastern Cooperative Oncology Group (ECOG) performance status 0 – 2 4. Subject must have 1 or more measurable disease sites: • A positron emission tomography/computed tomography (PET/CT) scan demonstrating PET-positive lesion(s) AND • At least 1 measurable nodal lesion (long axis = 1.5cm and short axis > 1.0 cm) or = 1 measurable extra-nodal lesion (long axis = 1.0 cm) on CT scan or MRI Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 48 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 84
Exclusion criteria
Exclusion criteria: 1.Diagnosis of High-grade B-cell lymphomas NOs or other double-/triple-hit lymphomas (with histologies not consistent with DLBCL) 2. Subjects who have had prior treatment with epcoritamab or any other bispecific antibody targeting CD3 and CD20
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The primary objectives of the study are to characterize the safety and toxicity profiles of epcoritamab when co-administered with anti-neoplastic agents in subjects with B-cell NHL and to determine the recommended dose for further investigation of epcoritamab when co-administered with anti-neoplastic agents in subjects with B-cell NHL;Secondary Objective: The secondary objective of the study is to evaluate the anti-NHL activity of epcoritamab when given in combination with anti-neoplastic agents in subjects with B-cell NHL and to characterize the pharmacokinetics of epcoritamab when given in combination with anti-neoplastic agents in subjects with B-cell NHL.;Primary end point(s): The primary endpoint is dose limiting toxicities (DLTs) of epcoritamab in combination with anti-neoplastic agents.;Timepoint(s) of evaluation of this end point: Dose limiting toxicities (DLTs) will be assessed during each dose-escalation cohort. For this study, the DLT evaluation period is defined as the first four weeks, i.e., 28 days after the first administration of epcoritamab. After all subjects on a dose level have completed the DLT evaluation period, all available data (including observations occurring beyond the DLT evaluation period) will be evaluated to make a recommendation for the next dose level. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): • Overall Response Rate (ORR) by Lugano 2014 criteria (Appendix E) as assessed by investigator for epcoritamab in combination with other anti-neoplastic agents. • Anti-lymphoma activity of epcoritamab in combination with other anti-neoplastic agents: -Duration of response (DOR) determined per Lugano 2014 criteria as assessed by investigator -Progression free survival (PFS) determined per Lugano 2014 criteria as assessed by investigator -Complete Response (CR) rate determined per Lugano 2014 criteria as assessed by investigator -Time to response (TTR) determined per Lugano 2014 criteria as assessed by investigator -Time to next anti-lymphoma therapy (TTNT) -Rate and duration of Minimal Residual Disease (MRD) negativity -Overall survival (OS);Timepoint(s) of evaluation of this end point: These will be assessed throughout the study. | — |
Countries
Canada, Czechia, Denmark, France, Germany, Hungary, Israel, Japan, Korea, Republic of, Netherlands, Spain, Taiwan, United Kingdom, United States
Contacts
AbbVie Ltd