Clinical trial • Phase III • Oncology

EPCORITAMAB for Diffuse large B-cell lymphoma

Phase III trial of EPCORITAMAB for Diffuse large B-cell lymphoma.

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Diffuse large B-cell lymphoma
Trial Stage
Phase III
Drug Modality
Bispecific antibody|Monoclonal antibody|Small molecule
Orphan Drug
Yes

Key dates

Initial CTIS Submission Date
29-02-2024
First CTIS Authorization Date
08-04-2024

Trial design

Randomised, open-label, r-chop: rituximab (truxima 100 mg / 500 mg listed; dose field lists 375 mg/m2), cyclophosphamide (cyclophosphamide injection 500 mg; max listed 750 mg/m2), doxorubicin (doxorubicinhydrochlorid; max listed 50 mg/m2), vincristine (vincristine sulfate 1 mg/ml; max listed 2 mg), and prednisone (prednisone 5 mg tablets; max listed 100 mg) — administered as standard r-chop for 6 cycles (per protocol) with subsequent 2 cycles of rituximab in the comparator arm.-controlled Phase III trial in Slovakia, Austria, Poland and others.

Randomised
Yes
Open Label
Yes
Comparator
R-CHOP: rituximab (Truxima 100 mg / 500 mg listed; dose field lists 375 mg/m2), cyclophosphamide (Cyclophosphamide Injection 500 mg; max listed 750 mg/m2), doxorubicin (Doxorubicinhydrochlorid; max listed 50 mg/m2), vincristine (Vincristine Sulfate 1 mg/ml; max listed 2 mg), and prednisone (Prednisone 5 mg tablets; max listed 100 mg) — administered as standard R-CHOP for 6 cycles (per protocol) with subsequent 2 cycles of rituximab in the comparator arm.
Target Sample Size
542

Eligibility

Recruits 542 No vulnerable populations selected; participants are adults (Age ≥ 18). Informed consent to be provided by the participant; no assent procedures or other special vulnerable-population consent procedures are described in the CTIS record..

Vulnerable Population
No vulnerable populations selected; participants are adults (Age ≥ 18). Informed consent to be provided by the participant; no assent procedures or other special vulnerable-population consent procedures are described in the CTIS record.

Inclusion criteria

  • {"criterion_text":"- Age ≥ 18 years old and < 80 years old, with a life expectancy of ≥ 12 months."}
  • {"criterion_text":"- Subject is planned to receive treatment with 6 cycles of standard R CHOP per investigator determination."}
  • {"criterion_text":"- Subject must have an IPI score of 2-5. The number of subjects with an IPI 2 of will not exceed approximately 30% of the overall sample size."}

Exclusion criteria

  • {"criterion_text":"- Subject with history of prior systemic anti-lymphoma therapy for DLBCL (including any definitive radiotherapy with curative intent) other than corticosteroids with or without vincristine during pre-phase treatment, or non-curative intent palliative radiotherapy with the stipulation that radiated lesions cannot be selected as target lesion for response assessment."}
  • {"criterion_text":"- Subject has clinically significant cardiovascular disease, including: • Myocardial infarction or stroke within 6 months prior to enrollment. OR • The following conditions within 3 months prior to enrollment: unstable or uncontrolled disease/condition related to or affecting cardiac function (e.g., unstable angina, congestive heart failure, New York Heart Association Class III IV), uncontrolled cardiac arrhythmia OR • Screening 12-lead electrocardiogram showing a baseline QT interval as corrected by Fridericia's formula > 470 msec (male) or > 480 msec (female) OR • Other clinically significant ECG abnormalities within 6 months prior to enrollment unless deemed stable and appropriately treated."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- The primary endpoint is PFS defined as the duration from the date of randomization to the date of any of the following (whichever occurs first). The primary analysis population is the subset of subjects with an IPI of 3-5","definition_or_measurement_approach":"PFS defined as duration from randomization to the date of any of the listed events (whichever occurs first); primary analysis population: subjects with IPI 3-5."}
  • {"endpoint_text":"- Death due to any causes.","definition_or_measurement_approach":"All-cause mortality measured from randomization."}
  • {"endpoint_text":"- Disease progression based on the independent review committee (IRC) assessment per Lugano criteria.","definition_or_measurement_approach":"Progression assessed by an Independent Review Committee (IRC) using the Lugano criteria."}

Secondary endpoints

  • {"endpoint_text":"- PFS in all randomized subjects.","definition_or_measurement_approach":"Progression-free survival measured in all randomized subjects."}
  • {"endpoint_text":"- CR on or after the EOT based on the IRC assessment per Lugano criteria, where EOT is defined as treatment completion or early treatment discontinuation.","definition_or_measurement_approach":"Complete response (CR) assessed by IRC per Lugano criteria at or after end of treatment (EOT), where EOT = treatment completion or early discontinuation."}
  • {"endpoint_text":"- OS, defined as time from randomization until death due to any causes.","definition_or_measurement_approach":"Overall survival measured from randomization until death from any cause."}
  • {"endpoint_text":"- MRD negativity.","definition_or_measurement_approach":"Minimal residual disease (MRD) negativity as specified in protocol (methodology not detailed in CTIS record)."}

Recruitment

Registry Or Advocacy Recruitment
Yes
Planned Sample Size
542
Recruitment Window Months
77
Consent Approach
Informed consent is provided by the adult participant (Age ≥ 18). Country-specific informed consent forms (ICFs) are available; ICF documents in the CTIS record include multiple national-language versions (examples in the document list: Slovak, German (Austria), Polish, Danish, Hungarian, Dutch, Czech, Greek, Portuguese, Bulgarian, English, Swedish, Spanish, French, Italian). No assent procedures for minors are described (trial enrols adults only).

Geography

Total Number Of Sites
149
Total Number Of Participants
435

Slovakia

Earliest CTIS Part Ii Submission Date
15-03-2024
Latest Decision Or Authorization Date
09-04-2024
Processing Time Days
25
Number Of Sites
2
Number Of Participants
21

Austria

Earliest CTIS Part Ii Submission Date
15-03-2024
Latest Decision Or Authorization Date
15-04-2024
Processing Time Days
31
Number Of Sites
4
Number Of Participants
27

Poland

Earliest CTIS Part Ii Submission Date
15-03-2024
Latest Decision Or Authorization Date
12-04-2024
Processing Time Days
28
Number Of Sites
7
Number Of Participants
16

Denmark

Earliest CTIS Part Ii Submission Date
15-03-2024
Latest Decision Or Authorization Date
09-04-2024
Processing Time Days
25
Number Of Sites
5
Number Of Participants
22

Hungary

Earliest CTIS Part Ii Submission Date
15-03-2024
Latest Decision Or Authorization Date
09-04-2024
Processing Time Days
25
Number Of Sites
9
Number Of Participants
24

Netherlands

Earliest CTIS Part Ii Submission Date
15-03-2024
Latest Decision Or Authorization Date
08-04-2024
Processing Time Days
24
Number Of Sites
26
Number Of Participants
53

Czechia

Earliest CTIS Part Ii Submission Date
15-03-2024
Latest Decision Or Authorization Date
10-04-2024
Processing Time Days
26
Number Of Sites
6
Number Of Participants
25

Greece

Earliest CTIS Part Ii Submission Date
15-03-2024
Latest Decision Or Authorization Date
20-05-2024
Processing Time Days
66
Number Of Sites
7
Number Of Participants
15

Sweden

Earliest CTIS Part Ii Submission Date
15-03-2024
Latest Decision Or Authorization Date
09-04-2024
Processing Time Days
25
Number Of Sites
5
Number Of Participants
3

Portugal

Earliest CTIS Part Ii Submission Date
15-03-2024
Latest Decision Or Authorization Date
09-04-2024
Processing Time Days
25
Number Of Sites
4
Number Of Participants
12

Bulgaria

Earliest CTIS Part Ii Submission Date
15-03-2024
Latest Decision Or Authorization Date
10-05-2024
Processing Time Days
56
Number Of Sites
2
Number Of Participants
8

Belgium

Earliest CTIS Part Ii Submission Date
15-03-2024
Latest Decision Or Authorization Date
07-05-2024
Processing Time Days
53
Number Of Sites
12
Number Of Participants
22

Italy

Earliest CTIS Part Ii Submission Date
15-03-2024
Latest Decision Or Authorization Date
30-04-2024
Processing Time Days
46
Number Of Sites
16
Number Of Participants
57

Croatia

Earliest CTIS Part Ii Submission Date
15-03-2024
Latest Decision Or Authorization Date
09-04-2024
Processing Time Days
25
Number Of Sites
4
Number Of Participants
8

Spain

Earliest CTIS Part Ii Submission Date
15-03-2024
Latest Decision Or Authorization Date
09-04-2024
Processing Time Days
25
Number Of Sites
16
Number Of Participants
52

France

Earliest CTIS Part Ii Submission Date
15-03-2024
Latest Decision Or Authorization Date
11-04-2024
Processing Time Days
27
Number Of Sites
24
Number Of Participants
70

Sponsor

Primary sponsor

Full Name
AbbVie Deutschland GmbH & Co. KG
Organisation Type
Pharmaceutical company
Country Of Registered Address
Germany

Contract research organisations

Name
Cytel Inc.
Responsibilities
Service provider to assist with iDMC activities
Name
Medidata Solutions Inc.
Responsibilities
ePRO and eCRF
Name
Greenphire LLC
Responsibilities
Patient Reimbursement
Name
Perceptive Informatics Inc.
Responsibilities
Medical Imaging, IRC

Third parties

  • {"country":"United States","full_name":"Avantor Inc.","duties_or_roles":"Thermometer Supplier","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Clinical Trial Media Inc.","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
  • {"country":"Switzerland","full_name":"Labcorp Central Laboratory Services SARL","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Cytel Inc.","duties_or_roles":"Service provider to assist with iDMC activities","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Medidata Solutions Inc.","duties_or_roles":"ePRO and eCRF","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"Belgium","full_name":"Labcorp","duties_or_roles":"","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"United States","full_name":"Medidata Solutions Inc.","duties_or_roles":"","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Greenphire LLC","duties_or_roles":"Patient Reimbursement","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Endpoint Clinical Inc.","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"Q Squared Solutions Limited","duties_or_roles":"","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Perceptive Informatics Inc.","duties_or_roles":"Medical Imaging, IRC","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
Epcoritamab (GEN3013)
Active Substance
EPCORITAMAB
Modality
Bispecific antibody
Routes Of Administration
SUBCUTANEOUS INJECTION
Route
SUBCUTANEOUS INJECTION
Orphan Designation
Yes
Combination Treatment
Yes

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