Study of Subcutaneous Epcoritamab in Combination With Intravenous Rituximab and Oral Lenalidomide (R2) to Assess Adverse Events and Change in Disease Activity in Adult Participants With Previously Untreated Follicular Lymphoma

Part of paid clinical trials in Fresno, California.

Sponsor
Genmab
Study ID
NCT06191744
Phase
PHASE3
Status
Recruiting

Conditions

  • Follicular Lymphoma (FL)

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • Epcoritamab — DRUG
    Subcutaneous (SC) Injection
  • Prednisone — DRUG
    Oral Tablet
  • Rituximab — DRUG
    Intravenous (IV) Infusion
  • Lenalidomide — DRUG
    Oral Capsule
  • Doxorubicin — DRUG
    IV Injection
  • Vincristine — DRUG
    IV Injection
  • Cyclophosphamide — DRUG
    IV Injection
  • Obinutuzumab — DRUG
    IV Infusion
  • Bendamustine — DRUG
    IV Infusion

Study Details

Follicular lymphoma (FL) is the second most common B-cell cancer and the most common type of cancer of lymphocytes. Unfortunately, this disease is incurable with conventional treatment and the disease recurs in almost all patients. This study will assess how safe and effective epcoritamab is in combination with lenalidomide and rituximab (R2) in treating adult participants with previously untreated FL. Adverse events and change in disease condition will be assessed. Epcoritamab is an investigational drug being developed for the treatment of FL. Study doctors put the participants in 1 of 5 groups, called treatment arms. Each group receives a different treatment. Around 1095 adult participants with previously untreated FL will be enrolled in approximately 250 sites across the world. Participants will receive R2 (intravenous \[IV\] infusion of rituximab (R) and oral capsules of lenalidomide) alone or in combination with subcutaneous injections of epcoritamab. Participants may also receive investigator's choice chemoimmunotherapy (CIT): IV infusion of obinutuzumab (G) and IV injections of cyclophosphamide, IV injections of doxorubicin, IV injections of vincristine, oral tablets of prednisone (CHOP) \[G-CHOP\]/ R-CHOP or G and IV infusion of bendamustine (Benda) \[G-Benda\]/R-Benda. The total treatment duration will be 120 weeks for all arms except A2, which is 24 weeks of treatment. There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, checking for side effects and completing questionnaires.

Key Dates

Start date
Feb 5, 2024
Status verified
Jun 2026
Primary completion
Nov 30, 2037
Completion
Nov 30, 2037

Study Design

Enrollment
1,095 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT

Arms

  • Experimental: Arm A1: Epcoritamab + Lenalidomide and Rituximab (R2)
    Participants will receive epcoritamab in combination with R2 (ER2), followed by epcoritamab during the 120 week treatment duration.
  • Experimental: Arm A2: Epcoritamab + Lenalidomide and Rituximab (R2)
    Participants will receive epcoritamab in combination with R2 (ER2), during the 24 week treatment duration.
  • Experimental: Arm B: Chemoimmunotherapy (CIT) Option A
    Participants will receive CIT Option A (obinutuzumab (G) and cyclophosphamide, doxorubicin, vincristine, prednisone (CHOP) \[G-CHOP\]/ rituximab (R)-CHOP during the 120 week treatment duration.
  • Experimental: Arm B: Chemoimmunotherapy (CIT) Option B
    Participants will receive CIT Option B (G and bendamustine (Benda) \[G-Benda\]/R-Benda during the 120 week treatment duration.
  • Experimental: Arm C: Lenalidomide and Rituximab (R2)
    Participants will receive lenalidomide and rituximab (R2) during the 120 week treatment duration.

Primary Outcome Measure

Arm A1 vs Arm B: Percentage of Participants who Achieve Complete Response rate at 30 months (CR30) [ Time Frame: Up to 30 Months ]

Central Contacts

Locations (58)

FacilityCityStateZIPSite coordinators
UCSF Fresno /ID# 264712FresnoCalifornia93701-2302-
Scripps Mercy Hospital /ID# 265393San DiegoCalifornia92103-
Sansum Clinic Research /ID# 261596Santa BarbaraCalifornia93105-
Rocky Mountain Cancer Centers - Boulder /ID# 261203BoulderColorado80303-
Christiana Care Health Service /ID# 261207NewarkDelaware19713-
Cancer Specialists of North Florida - Jacksonville - AC Skinner Parkway /ID# 262445JacksonvilleFlorida32256
Site Coordinator
904-538-4488
Advent Health /ID# 261578OrlandoFlorida32803-
Orlando Health Cancer Institute /ID# 260983OrlandoFlorida32806-
Moffitt Cancer Center /ID# 259487TampaFlorida33612-9416-
Beacon Cancer Care - Coeur d'Alene /ID# 260670Coeur d'AleneIdaho83814-
Northwestern Medicine - Northwestern Memorial Hospital /ID# 259814ChicagoIllinois60611-
Cancer Care Specialists Of Central Illinois /ID# 272464DecaturIllinois62526-
Loyola University /ID# 259462MaywoodIllinois60153-
Illinois Cancer Care, PC /ID# 261526PeoriaIllinois61615-
Fort Wayne Medical Oncology and Hematology- South Office /ID# 259583Fort WayneIndiana46804-
University of Iowa Health Care /ID# 262132Des MoinesIowa50314-3017-
Norton Cancer Institute - St. Matthews /ID# 261076LouisvilleKentucky40207-
University of Louisville Hospital /ID# 260544LouisvilleKentucky40202-
New England Cancer Specialists - Westbrook /ID# 260672WestbrookMaine04092-
University of Maryland, Baltimore /ID# 259538BaltimoreMaryland21201-
Center for Cancer and Blood Disorders-American Oncology Partners of Maryland /ID# 259476BethesdaMaryland20817-
St. Luke's Hospital - Chesterfield /ID# 260489ChesterfieldMissouri63017-
Intermountain Health St. Vincent Regional Hospital - Cancer Centers of Montana /ID# 260006BillingsMontana59102-
Nebraska Cancer Specialists (NCS) - Regional Cancer Center - St Francis Location /ID# 262506Grand IslandNebraska68803-
NHO - Nebraska Hematology-Oncology /ID# 269692LincolnNebraska68506-
Nebraska Cancer Specialists - Omaha - Wright Street /ID# 262505OmahaNebraska68130-
University of Nebraska Medical Center /ID# 261996OmahaNebraska68198-
Presbyterian Kaseman Hospital /ID# 262451AlbuquerqueNew Mexico87110-
University of New Mexico /ID# 261083AlbuquerqueNew Mexico87102-4517-
Presbyterian Rust Medical Center /ID# 262447Rio RanchoNew Mexico87124-
New York Oncology Hematology - Albany Cancer Center /ID# 261814AlbanyNew York12206-5013-
NYU Langone Hospital - Long Island /ID# 265531MineolaNew York11501-
Icahn School of Medicine at Mount Sinai /ID# 259595New YorkNew York10029-
NYU Langone Medical Center /ID# 264518New YorkNew York10016-6402-
New York Oncology Hematology /ID# 270208TroyNew York12180-
Clinical Research Alliance - Westbury /ID# 261078WestburyNew York11590-
Novant Health Presbyterian Medical Center /ID# 259740CharlotteNorth Carolina28204-
Novant Health Forsyth Medical Center /ID# 259741Winston-SalemNorth Carolina27103-
Oncology Hematology Care, Inc - Blue Ash /ID# 261204CincinnatiOhio45252-
Taylor Cancer Research Center /ID# 260488MaumeeOhio43537-1921-
Oncology Associates of Oregon, P.C. /ID# 261816EugeneOregon97401-
MUSC Hollings Cancer Center /ID# 259604CharlestonSouth Carolina29425-
Prisma Health /ID# 259602GreenvilleSouth Carolina29605-
Sarah Cannon Research Institute - Tristar Centennial Medical Center /ID# 274985NashvilleTennessee37203-
Texas Oncology - Austin Midtown /ID# 261208AustinTexas78705-
Texas Oncology- Baylor Charles A. Sammons Cancer Center /ID# 261206DallasTexas75246-2003-
MD Anderson Cancer Center /ID# 260984HoustonTexas77030-4000-
Oncology Consultants /ID# 268390HoustonTexas77030-
Joe Arrington Cancer Research /ID# 260382LubbockTexas79410-
Intermountain Healthcare LDS Hospital /ID# 259759Salt Lake CityUtah84143-
Virginia Cancer Specialists - Fairfax /ID# 261205FairfaxVirginia22031-
Oncology and Hematology Associates of Southwest Virginia /ID# 261592RoanokeVirginia98684-
Swedish Cancer Institute - Edmonds /ID# 266356EdmondsWashington98026-
Swedish Cancer Institute - Issaquah /ID# 266358IssaquahWashington98029-
Vista Oncology - East Olympia /ID# 261360OlympiaWashington98506-5028-
Swedish Medical Center - Seattle /ID# 260370SeattleWashington98104-
Virginia Mason Hospital & Medical Center /ID# 260549SeattleWashington98101-
Northwest Medical Specialties - Tacoma /ID# 262133TacomaWashington98405-

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