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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