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Phase 1b/2, Open Label Study to Evaluate Safety and Tolerability of Epcoritamab in Combination with Anti-Neoplastic Agents in Subjects with Non-Hodgkin Lymphoma

Phase 1b/2, Open Label Study to Evaluate Safety and Tolerability of Epcoritamab in Combination with Anti-Neoplastic Agents in Subjects with Non-Hodgkin Lymphoma - M22-132

Status
Recruiting
Phases
Phase 2
Study type
Interventional
Source
NL-OMON
Registry ID
NL-OMON53475
Enrollment
10
Registered
2022-04-13
Start date
2022-11-29
Completion date
Unknown
Last updated
2024-09-16

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

lymphatic disease Non-Hodgkin Lymphoma

Interventions

In both the dose escalation and dose expansion arms participants will receive subcutaneous (SC) epcoritamab in 28-day or 21 day cycles dependent on the arm in combination with the anti-neoplastic ag
2: Oral ibrutinib and oral lenalidomide in participants with with R/R DLBCL
3: Intravenous (IV) polatuzumab vedotin, IVrituximab, IV cyclophosphamide, IV doxorubicin hydrochloride (HCl), and oral prednisone (pola-R-CHP) inparticipants with newly diagnosed treatment-naïve DL
4: Oral CC-99282 in participants with R/R DLBCL
5: OralCC-99282 in participants with R/R follicular lymphoma (FL)
6A: Oral ibrutinib in participants with R/R mantle cell lymphoma (MCL)
6B: Oral ibrutinib, and oral venetoclax in participants with R/R MCL
7: Oral ibrutinib,and oral venetoclax in participants with newly diagnosed treatment-naïve MCL.

Sponsors

AbbVie B.V.
Lead Sponsor

Eligibility

Age
18 Years to 99 Years

Inclusion criteria

Inclusion criteria: 1. Adult male or female, at least 18 years old 2. Diagnosis of DLBCL 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

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

MeasureTime frame
The primary endpoint is dose limiting toxicities (DLTs) of epcoritamab in combination with anti-neoplastic agents.

Secondary

MeasureTime frame
• 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 of Minimal Residual Disease (MRD) negativity -Overall survival (OS)

Countries

Netherlands

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)