Chronic Lymphocytic Leukemia Clinical Trial
First-in-Human (FIH) Trial in Patients With Relapsed, Progressive or Refractory B-Cell Lymphoma
Summary
The trial is a global, multi-center safety trial of Epcoritamab, an antibody also known as GEN3013 (DuoBody®-CD3xCD20). The trial consists of three parts: a dose-escalation part (Phase 1, first-in-human (FIH)), an expansion part (Phase 2a) and a dose optimization part (Phase 2a)
Full Description
The purpose of the dose-escalation part of the trial is to determine the maximum tolerated dose (MTD) and the recommended Phase 2 dose (RP2D), as well as to establish the safety profile of epcoritamab in participants with relapsed or refractory B-cell lymphoma.
In the expansion part, additional participants will be treated with epcoritamab, at the RP2D and the purpose is to further explore and determine the safety and efficacy of epcoritamab.
The dose-OPT part will evaluate alternative priming and intermediate dose regimens of epcoritamab in participants with:
Diffuse large B-cell lymphoma (DLBCL)
Follicular lymphoma (FL)
Mantle cell lymphoma (MCL)
All participants will receive epcoritamab at the RP2D.
Eligibility Criteria
Main Inclusion Criteria - Escalation Part (recruitment completed)
Documented CD20+ mature B-cell neoplasm
DLBCL - de novo or transformed
HGBCL
PMBCL
FL
MCL
SLL
MZL (nodal, extranodal or mucosa associated)
Relapsed and/or refractory disease following treatment with an anti-CD20 monoclonal antibody (e.g. rituximab) potentially in combination with chemotherapy and/or relapsed after autologous stem cell rescue.
Eastern Cooperative Oncology Group (ECOG) performance status 0,1 or 2.
Participants must have measurable disease by CT, MRI or Positron emission tomography-Computed tomography (PET-CT) scan
Acceptable renal function.
Acceptable liver function.
Main Inclusion Criteria - Expansion & Dose-OPT Parts
Documented CD20 positive mature B cell neoplasm or CD20+ MCL.
DLBCL, de novo or transformed (including double hit or triple hit).
PMBCL
FL grade 3B
Histologic confirmed FL
MZL
SLL
MCL (prior BTKi or intolerant to BTKi)
At least 2 therapies including an anti-CD20 monoclonal antibody containing chemotherapy combination regimen.
Either failed prior autologous hematopoietic stem cell transplantation (HSCT) or ineligible for autologous stem cell transplantation due to age or comorbidities.
At least 1 measurable site of disease based on CT, MRI or PET-CT scan with involvement of 2 or more clearly demarcated lesions and or nodes.
Main Exclusion Criteria - All Parts
Primary central nervous system (CNS) lymphoma or CNS involvement by lymphoma at screening.
Known past or current malignancy other than inclusion diagnosis.
AST, and/or ALT >3 × upper limit of normal.
Total bilirubin >1.5 × upper limit of normal, unless bilirubin rise is due to Gilbert's syndrome or of non-hepatic origin.
Estimated Creatinine clearance (CrCl) <45 mL/min.
Known clinically significant cardiovascular disease.
Ongoing active bacterial, viral, fungal, mycobacterial, parasitic, or other infection requiring systemic treatment (excluding prophylactic treatment). Past COVID-19 infection may be a risk factor.
Confirmed history or current autoimmune disease or other diseases resulting in permanent immunosuppression or requiring permanent immunosuppressive therapy.
Seizure disorder requiring therapy (such as steroids or anti-epileptics).
Any prior therapy with an investigational bispecific antibody targeting CD3 and CD20.
Prior treatment with chimeric antigen receptor T-cell (CAR-T) therapy within 30 days prior to first epcoritamab administration.
Eligible for curative intensive salvage therapy followed by high dose chemotherapy with HSCT rescue.
Autologous HSCT within 100 days prior to first epcoritamab administration, or any prior allogeneic HSCT or solid organ transplantation.
Active hepatitis B (DNA PCR-positive) or hepatitis C (RNA PCR-positive infection). Participants with evidence of prior HBV but who are PCR-negative are permitted in
Known human immunodeficiency virus (HIV) infection.
Exposed to live or live attenuated vaccine within 4 weeks prior to signing Informed consent form (ICF).
Pregnancy or breast feeding.
Participant is known or suspected of not being able to comply with the study protocol or has any condition for which, participation would not be in the best interest of the participant.
Contraindication to all uric acid lowering agents.
NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
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There are 20 Locations for this study
Phoenix Arizona, 85054, United States
San Francisco California, 94117, United States
Denver Colorado, 80218, United States
Tampa Florida, 33612, United States
Iowa City Iowa, 52242, United States
New Orleans Louisiana, 70121, United States
Ann Arbor Michigan, 48109, United States
Detroit Michigan, 48334, United States
Omaha Nebraska, 68198, United States
Hackensack New Jersey, 07601, United States
Cleveland Ohio, 44195, United States
Portland Oregon, 97210, United States
Pittsburgh Pennsylvania, 15232, United States
Providence Rhode Island, 02903, United States
Charleston South Carolina, 29425, United States
Dallas Texas, 75390, United States
Houston Texas, 77030, United States
Clayton , , Australia
Concord , , Australia
Fitzroy , , Australia
Herston , , Australia
Hobart , , Australia
Kogarah , , Australia
Malvern , , Australia
Nedlands , , Australia
Southport , , Australia
Sydney , , Australia
Calgary , , Canada
Toronto , , Canada
Copenhagen , , Denmark
Odense , 5000 , Denmark
Vejle , , Denmark
Helsinki , , Finland
Kuopio , , Finland
Tampere , , Finland
Créteil , , France
Montpellier , , France
Paris , , France
Pierre-Bénite , , France
Rouen cedex , , France
Tours , , France
Berlin , , Germany
Berlin , , Germany
Cologne , , Germany
Essen , , Germany
Mainz , , Germany
München , , Germany
Alessandria , , Italy
Bologna , , Italy
Candiolo , , Italy
Meldola , , Italy
Milan , , Italy
Busan , , Korea, Republic of
Daegu , , Korea, Republic of
Goyang-si , , Korea, Republic of
Jeonju , , Korea, Republic of
Seongnam-si , , Korea, Republic of
Seoul , , Korea, Republic of
Seoul , , Korea, Republic of
Seoul , , Korea, Republic of
Seoul , , Korea, Republic of
Amsterdam , , Netherlands
Maastricht , 6229 , Netherlands
Rotterdam , , Netherlands
Utrecht , , Netherlands
Bydgoszcz , , Poland
Gdańsk , , Poland
Kraków , , Poland
Słupsk , , Poland
Warszawa , , Poland
Wrocław , , Poland
Singapore , , Singapore
Singapore , , Singapore
Pamplona Navarra, 31008, Spain
Badalona , , Spain
Barcelona , , Spain
Barcelona , , Spain
Madrid , , Spain
Lund , , Sweden
Stockholm , , Sweden
Uppsala , , Sweden
Manchester , , United Kingdom
Plymouth , , United Kingdom
Southampton , , United Kingdom
Sutton , , United Kingdom
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