Clinical trial • Phase III • Oncology

EPCORITAMAB for Follicular lymphoma

Phase III trial of EPCORITAMAB for Follicular lymphoma.

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Follicular lymphoma
Trial Stage
Phase III
Drug Modality
Bispecific antibody|Monoclonal antibody|Small molecule
Orphan Drug
Yes

Key dates

Initial CTIS Submission Date
05-01-2024
First CTIS Authorization Date
29-04-2024

Trial design

Randomised, open-label, chemoimmunotherapy (cit) comparator arms: regimens include g/r-benda (obinutuzumab/rituximab + bendamustine) and g/r-chop (obinutuzumab/rituximab + chop: doxorubicin, cyclophosphamide, vincristine, prednisone); followed by anti-cd20 maintenance therapy. doses and schedules not specified in the available public ctis data.-controlled Phase III trial.

Randomised
Yes
Open Label
Yes
Comparator
Chemoimmunotherapy (CIT) comparator arms: regimens include G/R-Benda (obinutuzumab/rituximab + bendamustine) and G/R-CHOP (obinutuzumab/rituximab + CHOP: doxorubicin, cyclophosphamide, vincristine, prednisone); followed by anti-CD20 maintenance therapy. Doses and schedules not specified in the available public CTIS data.
Target Sample Size
549
Trial Duration For Participant
840

Eligibility

Recruits 549 Vulnerable population selected. Informed consent is handled via subject information and informed consent forms; country-specific ICF documents are provided in the documents list (multiple languages). No paediatric assent or parental consent procedures are described in the available criteria text..

Vulnerable Population
Vulnerable population selected. Informed consent is handled via subject information and informed consent forms; country-specific ICF documents are provided in the documents list (multiple languages). No paediatric assent or parental consent procedures are described in the available criteria text.

Inclusion criteria

  • {"criterion_text":"- Diagnosis of follicular lymphoma (FL)."}
  • {"criterion_text":"- Have CD20+, histologically confirmed classic FL (previously Grade 1 to 3a FL) at most recent representative tumor biopsy based on the local pathology report, according to the 5th edition of World Health Organization (WHO) Classification of Haematolymphoid Tumours."}
  • {"criterion_text":"- Are willing and able to comply with procedures required in this protocol."}
  • {"criterion_text":"- Must have stage II, III or IV disease."}
  • {"criterion_text":"- Must be in need of systemic treatment per investigator, as evidenced by meeting at least one of the Groupe d'Etude des Lymphomes Folliculaire (GELF) criteria."}
  • {"criterion_text":"- Has one or more target lesions: (a) A positron emission tomography (PET)/computerized tomography (CT) scan demonstrating PET-positive lesion(s), and (b) >=1 measurable nodal lesion (long axis >1.5cm) or >=1 measurable extra-nodal lesion (long axis >1.0 cm) on CT scan or MRI"}
  • {"criterion_text":"- Eastern Cooperative Oncology Group (ECOG) performance status 0–2."}
  • {"criterion_text":"- Able to receive at least one of the standard of care CIT treatment regimens (Arm B) at the discretion of the Investigator, and R2 (Arm C)"}

Exclusion criteria

  • {"criterion_text":"- Had major surgery within 4 weeks prior to randomization."}
  • {"criterion_text":"- Have active cytomegalovirus (CMV) disease."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- The primary endpoint is the Complete Response rate at 30 months/120 weeks (CR30) in Arm A1 (ER2) versus Arm B (CIT), as determined by PET-CT per Lugano 2014 criteria, as assessed by IRC.","definition_or_measurement_approach":"Determined by PET-CT per Lugano 2014 criteria, as assessed by Independent Review Committee (IRC)."}

Secondary endpoints

  • {"endpoint_text":"- OS","definition_or_measurement_approach":"Overall survival (OS) — time to death from any cause (no further measurement detail provided in endpoint list)."}
  • {"endpoint_text":"- MRD negativity rate","definition_or_measurement_approach":"Rate of minimal residual disease (MRD) negativity (secondary objective text specifies assessment at C3D1 / mid-induction)."}
  • {"endpoint_text":"- PROs: Change from baseline in physical functioning (assessed by the physical functioning scale of the EORTC QLQ-C30) at Week 21 for Arm A1 and Week 21 (G/R-Benda regimen)/22 (G/R-CHOP regimen) for Arm B.","definition_or_measurement_approach":"Change from baseline in physical functioning as measured by the Physical Functioning scale of the EORTC QLQ-C30 at the specified week(s)."}

Recruitment

Registry Or Advocacy Recruitment
True, Groupe D’Etude Des Lymphomes De L’Adulte
Digital Remote Recruitment
True, digital/remote methods include study website copy, web-based prescreener, downloadable study guides, web-based pre-screening, digital ads and search ads, and program-level website content (country-specific materials documented).
Planned Sample Size
549
Recruitment Window Months
160
Consent Approach
Informed consent is obtained from adult participants using country-specific subject information and informed consent forms (numerous ICF documents available per country and language in the documents list). Optional/optional-research consent forms and pregnancy/partner ICFs are included where applicable. No paediatric assent/parental consent procedures are described in the available public documentation.

Methods

  • Doctor-to-patient email/letter (materials exist per country: e.g. K2_M22-003_DE_Recruitment material Doctor to Patient Email_German_Public for Germany; K2 materials for BE, NL, PT, ES, SE, IT, etc.) — channel: email/letter via treating physicians; target: potential patient participants.
  • Study/Program website copy and program-level website (materials listed per country, e.g. 'Website copy', 'Program-level Website copy', 'Epcore Website Copy') — channel: web; target: potential participants and public.
  • Patient downloadable study guide (country-specific PDFs) — channel: downloadable PDF; target: prospective participants/caregivers.
  • Recruitment brochures (country-specific K2 recruitment brochures) — channel: printed/PDF brochures distributed by sites or online; target: potential participants.
  • Website prescreener / Web-based pre-screening tools (country-specific 'Website Prescreener', 'Web-based Pre-screening') — channel: online prescreener; target: self-identifying potential participants.
  • Patient-Doctor discussion guides and site-facing materials (country-specific) — channel: clinical site discussions; target: facilitate physician/patient conversation at sites.
  • Digital ads and search ads (explicitly listed for Spain: 'Digital ads', 'Search ads') — channel: online advertising; target: general public/potential participants in specified countries.
  • Doctor-to-Patient Email variants in multiple languages (e.g., BE English/Dutch/French/German versions) — channel: email; target: patients via treating clinicians.

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
Endpoint Clinical Inc.

Third parties

  • {"country":"United States","full_name":"Greenphire LLC","duties_or_roles":"Patient Reinbursement","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Endpoint Clinical Inc.","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Q Squared Solutions Holdings LLC","duties_or_roles":"","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"United States","full_name":"Clinical Trial Media Inc.","duties_or_roles":"","organisation_type":"Non-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":"Medable Inc.","duties_or_roles":"ePRO","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"United States","full_name":"Veeva Systems Inc.","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
  • {"country":"Switzerland","full_name":"Labcorp Central Laboratory Services S.a.r.l.","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
  • {"country":"Belgium","full_name":"Labcorp","duties_or_roles":"","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"United Kingdom","full_name":"Medical Equipment Supplies And Management Limited","duties_or_roles":"Thermometer Supplier","organisation_type":"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
Authorisation Status
prodAuthStatus 1
Orphan Designation
Yes
Investigational Product Name
Truxima 500 mg concentrate for solution for infusion
Active Substance
RITUXIMAB
Modality
Monoclonal antibody
Routes Of Administration
INTRAVENOUS
Route
INTRAVENOUS
Authorisation Status
prodAuthStatus 2
Investigational Product Name
Revlimid 5 mg hard capsules
Active Substance
LENALIDOMIDE
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
prodAuthStatus 2
Combination Treatment
Yes

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