A Sub-study Trial of Epcoritamab vs Investigator's Choice Chemotherapy in Relapsed/Refractory Diffuse Large B-cell Lymphoma (R/R DLBCL) in China

NCT ID: NCT07226752

Last Updated: 2025-11-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

72 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-10-08

Study Completion Date

2028-06-14

Brief Summary

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The purpose of this Chinese sub-study trial is to find out if epcoritamab, also known as EPKINLY™ and GEN3013, is safe and works well as treatment for participants with DLBCL that are not responding to treatment, have grown in size, or have come back following treatment with at least 1 prior systemic cancer therapy. All participants in this trial will be randomly assigned to receive either epcoritamab or a pre-specified investigator's choice (standard of care) chemotherapy (either rituximab + gemcitabine + oxaliplatin \[R-GemOx\], or bendamustine + rituximab \[BR\]). Participants must have failed or be ineligible to receive an autologous stem cell transplant (ASCT).

Epcoritamab will be injected under the skin. Investigator's choice chemotherapy will be given intravenously.

Trial details include:

The trial duration will be up to 5 years after last participant is randomized. All trial participants have a 21-day screening period, a treatment period, and a follow-up period that continues until death.

The estimated trial duration for an individual participant depends upon the treatment arm assigned:

Participants who receive epcoritamab will have 28-day treatment cycles. Epcoritamab will be given once weekly for the first 3 months, then every other week for 6 months, then every 28 days until lymphoma progression or unacceptable adverse events.

Participants who receive investigator's choice (standard of care) chemotherapy will receive treatments either:

R-GemOx: On Day 1 (or Day 1 \& Day 2), and Day 15 (or Day 15 \& Day 16) every 28 days, for up to 4 months; or BR: On Day 1 and Day 2 every 3 weeks for up to 4.5 months.

Detailed Description

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This Chinese sub-study is an open label, multi-center, phase-3 randomized trial of epcoritamab. The goal of this randomized trial is to evaluate the efficacy of epcoritamab (GEN3013, DuoBody®-CD3xCD20) compared to investigator's choice of chemotherapy, in participants with relapsed, refractory DLBCL who have failed or are ineligible for high-dose chemotherapy and autologous stem cell transplant (HDT-ASCT). No change in chemotherapy is permitted for participants during the treatment phase of the trial.

This study is a sub-study of the master protocol GCT3013-05 (NCT04628494).

Conditions

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Diffuse Large B-Cell Lymphoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Epcoritamab (GEN3013; DuoBody®CD3xCD20)

Epcoritamab will be administered in Cycles of 28 days until any of the discontinuation criteria is met.

Group Type EXPERIMENTAL

Epcoritamab

Intervention Type BIOLOGICAL

Following mandatory pre-medication, participants will be administered epcoritamab as a subcutaneous injection.

Investigator's choice of chemotherapy

R-GemOx will be administrated in Cycles of 28 days until maximum cycles completion or any of the discontinuation criteria is met

BR will be administrated in Cycles of 21 days until maximum cycles completion or any of the discontinuation criteria is met

Group Type ACTIVE_COMPARATOR

Investigator's Choice Chemotherapy

Intervention Type DRUG

Following mandatory pre-medication, participants will be administered intravenously either BR or R-GemOx.

Interventions

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Epcoritamab

Following mandatory pre-medication, participants will be administered epcoritamab as a subcutaneous injection.

Intervention Type BIOLOGICAL

Investigator's Choice Chemotherapy

Following mandatory pre-medication, participants will be administered intravenously either BR or R-GemOx.

Intervention Type DRUG

Other Intervention Names

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GEN3013 DuoBody®-CD3xCD20 EPKINLY™

Eligibility Criteria

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Inclusion Criteria

1. Relapsed or refractory disease and previously treated with at least 1 line of systemic antineoplastic therapy including anti-CD20 monoclonal antibody (mAb)-containing combination chemotherapy since lymphoma diagnosis.
2. One of the confirmed histologies below with CD20-positivity:

1\. DLBCL, not otherwise specified (NOS), including de novo or histologically transformed from follicular lymphoma (FL) 2. "Double-hit" or "triple-hit" DLBCL (technically classified in World Health Organization (WHO) 2016 as high-grade B-cell lymphoma (HGBCL), with MYC and BCL2 and/or BCL6 translocations), including de novo or histologically transformed from FL 3. FL Grade 3B 4. T-cell/histiocyte-rich large B-cell lymphoma

3\. Eastern Cooperative Oncology Group Performance Status (ECOG PS) score of 0-2 4. Failed previous HDT-ASCT or not eligible for high-dose therapy autologous stem cell transplant (HDT-ASCT) at screening 5. Participants must have detectable disease by positron emission tomography (PET) scan and measurable by computed tomography (CT) scan or magnetic resonance imaging (MRI) 6. Acceptable renal and liver function 7. Life expectancy \>2 months on standard of care treatment

Exclusion Criteria

1. Primary Central Nervous System (CNS) tumor or known CNS involvement
2. Any prior therapy with a bispecific antibody targeting CD3 and CD20
3. Major surgery within 4 weeks prior to randomization
4. Chemotherapy and other non-investigational antineoplastic agents (except CD20 mAbs) within 4 weeks or 5 half-lives (whichever is shorter) prior to randomization
5. Any investigational drug within 4 weeks or 5 half-lives, whichever is longer, prior to randomization
6. Autologous stem cell transplant (ASCT) within 100 days of randomization
7. Treatment with chimeric antigen receptor T-cell (CAR-T) therapy within 100 days prior to randomization
8. Seizure disorder requiring anti-epileptic therapy
9. Clinically significant cardiac disease
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AbbVie

INDUSTRY

Sponsor Role collaborator

Genmab

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Study Official

Role: STUDY_DIRECTOR

Genmab

Locations

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Affiliated Hospital of Hebei University

Baoding, , China

Site Status

Beijing Cancer Hospital

Beijing, , China

Site Status

Beijing Tongren Hospital, Capital Medical University

Beijing, , China

Site Status

Peking University Third Hospital

Beijing, , China

Site Status

The First Hospital of Jilin University

Changchun, , China

Site Status

West China Hospital, Sichuan University

Chengdu, , China

Site Status

The Second Hospital of Dalian Medical University

Dalian, , China

Site Status

Guangdong Provincial Peoples Hospital

Guandong, , China

Site Status

Guangxi Medical University Affiliated Tumor Hospital

Guangxi, , China

Site Status

The First Affiliated Hospital, Zhejiang University School of Medicine

Hangzhou, , China

Site Status

Hubei Cancer Hospital

Hubei, , China

Site Status

Hunan Cancer Hospital

Hunan, , China

Site Status

The First Affiliated Hospital of Nanchang University

Nanchang, , China

Site Status

Qingdao Central Hospital

Qingdao, , China

Site Status

Shanxi Provincial Cancer Hospital

Shanxi, , China

Site Status

Shengjing Hospital of China Medical University

Shenyang, , China

Site Status

Shenzhen Peoples Hospital

Shenzhen, , China

Site Status

The First Affiliated Hospital of Soochow University

Suzhou, , China

Site Status

Tianjin Medical University Cancer Institute and Hospital

Tianjin, , China

Site Status

EC of Union Hospital Tongji Medical College Huazhong University of Science and Technology

Wuhan, , China

Site Status

Yantai Yuhuangding Hospital

Yantai, , China

Site Status

Henan Cancer Hospital

Zhengzhou, , China

Site Status

The Second Affiliated Hospital Zhejiang University School of Medicine

Zhenjiang, , China

Site Status

Countries

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China

Other Identifiers

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CTR20221558

Identifier Type: REGISTRY

Identifier Source: secondary_id

GCT3013-05 Sub-study

Identifier Type: -

Identifier Source: org_study_id