DLBCLPhase 1/2EPCORE™ NHL-1NCT03625037
First-in-Human (FIH) Trial in Patients With Relapsed, Progressive or Refractory B-Cell Lymphoma
A Phase 1/2 study testing Epcoritamab in people with DLBCL and High-grade B-cell Lymphoma (HGBCL), run by Genmab at 85 sites in 15 countries.
Trial summary
The purpose of this trial is to measure the following in participants with relapsed and/or refractory B-cell lymphoma who receive epcoritamab, an antibody also known as EPKINLY™ and GEN3013 (DuoBody®-CD3xCD20): The dose schedule for epcoritamab The side effects seen with epcoritamab What the body does with epcoritamab… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- DLBCL, High-grade B-cell Lymphoma (HGBCL), Primary Mediastinal Large B-cell Lymphoma (PMBCL)
- What is being tested?
- Epcoritamab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 666 participants
- Where
- 85 sitesin 15 countries
- Study dates
- 26 Jun 2018to Jan 2029
- Phase
- Phase 1/2
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
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 computed tomography (CT), magnetic resonance imaging (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 Bruton's tyrosine kinase inhibitor [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.
- Aspartate aminotransferase (AST), and/or alanine transaminase (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 milliliters (mL)/min.
- Known clinically significant cardiovascular disease.
- Ongoing active bacterial, viral, fungal, mycobacterial, parasitic, or other infection requiring systemic treatment (excluding prophylactic treatment). Past coronavirus disease 2019 (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 (deoxyribonucleic acid [DNA] polymerase chain reaction [PCR]-positive) or hepatitis C (ribonucleic acid [RNA] PCR-positive infection). Participants with evidence of prior hepatitis B (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.
Trial locations and contacts
85 sites in 15 countries.
85 sites in 15 countries
United States17 sites
University of Michigan
Ann Arbor, Michigan, 48109
Medical University of South Carolina
Charleston, South Carolina, 29425
The Cleveland Clinic Foundation
Cleveland, Ohio, 44195
UT Southwestern
Dallas, Texas, 75390
Colorado Blood Cancer Institute
Denver, Colorado, 80218
Barbara Ann Karmanos Cancer Institute
Detroit, Michigan, 48334
Hackensack Meridian Health
Hackensack, New Jersey, 07601
MD Anderson Cancer Center
Houston, Texas, 77030
University of Iowa Hospital and Clinics
Iowa City, Iowa, 52242
Ochsner Medical Center
New Orleans, Louisiana, 70121
University of Nebraska Medical Center
Omaha, Nebraska, 68198
Arizona Mayo Clinic
Phoenix, Arizona, 85054
Hillman Cancer Center
Pittsburgh, Pennsylvania, 15232
OHSU Knight Cancer Institute
Portland, Oregon, 97210
Rhode Island Hospital
Providence, Rhode Island, 02903
University of California at San Francisco
San Francisco, California, 94117
H. Lee Moffitt Cancer Center and Research Institute
Tampa, Florida, 33612
Australia10 sites
Monash Health
Clayton
Concord Hospital
Concord
St. Vincent Hospital
Fitzroy
Royal Brisbane and Women's Hospital
Herston
Royal Hobart Hospital RHH
Hobart
St. George Hospital
Kogarah
Cabrini Hospital
Malvern
Sir Charles Gairdner Hospital
Nedlands
Gold Coast Hospital
Southport
Westmead Hospital
Sydney
South Korea9 sites
Dong-A University Hospital
Busan
Keimyung University Dongsan Medical Center
Daegu
National Cancer Center
Goyang-si
Chonbuk National University Hospital
Jeonju
Seoul National University Bundang Hospital
Seongnam-si
Asan Medical Center
Seoul
Samsung Medical Center
Seoul
Seoul National University Hospital
Seoul
Severance Hospital, Yonsei University
Seoul
France6 sites
Hopital Henri Mondor
Créteil
CHU Montpellier
Montpellier
Hospital Saint-Louis
Paris
Hospices Civils de Lyon Centre Hospitalier Lyon Sud
Pierre-Bénite
Centre Henri Becquerel
Rouen
CHU de Tours-Hopital Bretonneau
Tours
Germany6 sites
Charite - Universitaetsmedizin Berlin
Berlin
Klinik fur Innere Medizin Hamatologie and Onkologie
Berlin
Universitaetsklinikum Koeln
Cologne
Universitaetsklinikum Essen
Essen
Johannes Gutenberg University
Mainz
Der Universität Munchen Medizinische Klinik III LMU
München
Poland6 sites
Szpital Uniwersytecki nr 2 im dr. Jana Biziela
Bydgoszcz
Uniwersyteckie Centrum Kliniczne
Gdansk
Pratia-McM
Krakow
Wojewodzki Szpital Specjalistyczny im. Janusza Korczaka
Słupsk
Maria Sklodowska-Curie Memorial Cancer Center and Institute
Warsaw
Uniwersytecki Szpital Kliniczny im. Jana Mikulicza-Radeckiego
Wroclaw
Italy5 sites
Ao Ss Antonio E Biagio Alessandria
Alessandria
Policlinico S. Orsola-Ematologia LA Seragnoli
Bologna
Istituto di Candiolo- Fondazione del Piemonte per l'Oncologia
Candiolo
Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori
Meldola
IRCCS Ospedale San Raffaele
Milan
Spain5 sites
Hospital Germans Trias i Pujol
Badalona
Hospital Universitario Vall dHebron
Barcelona
Institut Catala de Oncologia
Barcelona
Hospital Universitario Fundacin Jimnez Daz
Madrid
Clinica Universidad de Navarra
Pamplona, Navarre, 31008
Netherlands4 sites
VU University Medical Center
Amsterdam
Maastricht University Medical Center
Maastricht, 6229 HX
Erasmus MC Cancer Institute
Rotterdam
Universitair Medisch Centrum Utrecht
Utrecht
United Kingdom4 sites
The Christie NHS Foundation Trust
Manchester
Plymouth University School of Medicine- Derriford Hospital
Plymouth
University Hospital Southampton NHS Foundation Trust
Southampton
Royal Marsden NHS Foundation Trust
Sutton
Denmark3 sites
Rigshospitalet
Copenhagen
Odense University Hospital
Odense, 5000 C
Vejle Hospital
Vejle
Finland3 sites
Helsinki University Hospital
Helsinki
Kuopio University Hospital
Kuopio
Tampere University Hospital
Tampere
Sweden3 sites
Skåne University Hospital
Lund
Karolinska University Hospital Huddinge
Stockholm
Akademiska sjukhuset Uppsala University Hospital
Uppsala
Canada2 sites
Tom Baker Cancer Care
Calgary
Toronto-Sunnybrook Regional Cancer Ctr
Toronto
Singapore2 sites
National University Hospital
Singapore
Singapore General Hospital
Singapore
About this study
Official title: A Phase 1/2, Open-label Safety Trial of GEN3013 in Patients With Relapsed, Progressive or Refractory B-Cell Lymphoma
The purpose of this trial is to measure the following in participants with relapsed and/or refractory B-cell lymphoma who receive epcoritamab, an antibody also known as EPKINLY™ and GEN3013 (DuoBody®-CD3xCD20):
- The dose schedule for epcoritamab
- The side effects seen with epcoritamab
- What the body does with epcoritamab once it is administered
- What epcoritamab does to the body once it is administered
- How well epcoritamab works against relapsed and/or refractory B-cell lymphoma
Read more
The trial consists of 3 parts:
- a dose-escalation part (Phase 1, first-in-human [FIH])
- an expansion part (Phase 2a)
- a dose-optimization part (OPT) (Phase 2a)
The trial time for each participant depends on which trial part the participant enters:
- For the dose-escalation part, each participant will be in the trial for approximately 1 year, which is made up of 21 days of screening, 6 months of treatment (the total time of treatment may be different for each participant), and 6 months of follow-up (the total time of follow-up may be different for each participant).
- For the expansion and dose-OPT parts, each participant will be in the trial for approximately 1.5 years, which is made up of 21 days of screening, 1 year of treatment (the total time of treatment may be different for each participant), and 6 months of follow-up (the total time of follow-up may be different for each participant).
Participation in the study will require visits to the sites. During the first month, participants must visit every day or every few days, depending on which trial part the participant enters. After that, participants must visit weekly, every other week, once a month, and once every 2 months, as trial participation ends.
All participants will receive active drug, and no participants will be given placebo.
Read the detailed 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.
- Conditions
- DLBCL, High-grade B-cell Lymphoma (HGBCL), Primary Mediastinal Large B-cell Lymphoma (PMBCL), FL, MCL, Small Lymphocytic Lymphoma (SLL)
- Being tested
- Epcoritamab
- Medical subject headings
- Leukemia, Lymphocytic, Chronic, B-Cell, Lymphoma, B-Cell, Marginal Zone
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
EpcoritamabBiological
Also called GEN3013, DuoBody®-CD3xCD20, EPKINLY™
Administered as specified in the treatment arm.
| Study group | Role | What they receive |
|---|---|---|
| Epcoritamab | Experimental | Epcoritamab will be administered by subcutaneous injections in cycles of 28 days. Receives: Biological: Epcoritamab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Dose-Escalation: Dose Limiting Toxicity (DLT)
To determine the MTD and/or RP2D to be studied in the Expansion part. DLT will be graded according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0.
Measured: During the first cycle (28 days)
Dose-Escalation: Number of Participants with Adverse Events (AEs)
An AE is any untoward medical occurrence in a clinical trial participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product.
Measured: From first dose until the end of the safety follow-up period (Up to 1 year)
Expansion: Overall Response Rate (ORR)
ORR is defined as the percentage of participants achieving complete response (CR) or partial response (PR) based on Lugano criteria.
Measured: Up to 1.5 years
Dose-OPT DLBCL, FL and MCL: Percentage of Participants with =>Grade 2 Cytokine Release Syndrome (CRS) Events and All Grade CRS Events
CRS will be graded based on American Society for Transplantation and Cellular Therapy (ASTCT) criteria.
Measured: From first dose until 7 days after second full dose (Day 28 for DLBCL; Day 35 for FL; Day 28-35 for MCL)
Secondary outcomes (35)
Dose-Escalation: Number of Participants with Anti-lymphoma Activity of Epcoritamab
Anti-lymphoma activity will be evaluated as number of participants with resolution of constitutional symptoms, reduction in tumor size, objective, and best response (ORR, CR and PR).
Measured: Up to 1 year
Dose-Escalation: Duration of Response (DOR)
DOR is defined as the time from the first documentation of response (CR or PR) to the date of progressive disease (PD) or death, whichever occurs earlier as assessed by the investigator.
Measured: Up to 1 year
Expansion: DOR
DOR is defined as the time from the first documentation of response (CR or PR) to the date of PD or death, whichever occurs earlier based on Lugano criteria.
Measured: Up to 1.5 years
Expansion Part: Changes in Lymphoma Symptoms as Measured by the Functional Assessment of Cancer Therapy - Lymphoma (FACT-Lym)
Change from baseline in health-related quality of life over time and in relation to treatment will be evaluated using FACT-Lym scale.
Measured: Up to 1.5 year
Dose-OPT DLBCL and FL: Percentage of Participants with >=Grade 2 CRS Events and All Grade CRS Events Following First Full Dose
CRS will be graded based on ASTCT criteria.
Measured: Up to 1.5 years
Dose-OPT DLBCL and FL: Percentage of Participants with >=Grade 2 CRS Events and All Grade CRS Events Overall
CRS will be graded based on ASTCT criteria.
Measured: Up to 1.5 years
Dose-OPT DLBCL and FL: ORR
ORR is defined as the percentage of participants achieving CR or PR assessed by investigator.
Measured: Up to 1.5 years
Dose-OPT DLBCL and FL: CR Rate
CR rate is defined as the percentage of participants with CR assessed by investigator.
Measured: Up to 1.5 years
Dose-OPT DLBCL and FL: Duration of CR (DoCR)
DoCR is defined as the time from the first documentation of CR to the date of PD or death, whichever occurs earlier assessed by investigator.
Measured: Up to 1.5 years
Dose-OPT DLBCL and FL: Progression-Free Survival (PFS)
PFS is defined as the time from Day 1 of Cycle 1 to first documented PD or death due to any cause, whichever occurs earlier assessed by investigator.
Measured: Up to 1.5 years
Dose-OPT DLBCL and FL: DLT
To determine the MTD and/or RP2D to be studied in the expansion part. DLT will be graded according to NCI-CTCAE version 5.0.
Measured: During the first cycle (28 days) in each Dose-OPT Part (DLBCL, FL and MCL)
Dose-OPT DLBCL, FL and MCL: DOR
DOR is defined as the time from the first documentation of response (CR or PR) to the date of PD or death, whichever occurs earlier based on Lugano criteria assessed by investigator.
Measured: Up to 1.5 years
Dose-Escalation and Dose-OPT DLBCL, FL and MCL: Pre-dose Values of Epcoritamab
Measured: Predose and postdose at multiple timepoints of each Cycle (Cycle length=28 days), up to approximately 1.5 years
Dose-Escalation, Expansion Part and Dose-OPT MCL: PFS
PFS is defined as the time from Day 1 of Cycle 1 to first documented PD or death due to any cause, whichever occurs earlier based on Lugano criteria.
Measured: Dose-Escalation: Up to 1 year; Expansion and Dose-OPT Part (MCL): 1.5 years
Expansion and Dose-OPT MCL: CR Rate
CR rate is defined as the percentage of participants with CR based on Lugano criteria.
Measured: Up to 1.5 years
Expansion and Dose-OPT MCL: DoCR
DoCR is defined as the time from the first documentation of CR to the date of PD or death, whichever occurs earlier based on Lugano criteria.
Measured: Up to 1.5 years
Expansion and Dose-OPT MCL: ORR
ORR is defined as the percentage of participants achieving CR or PR based on LYRIC.
Measured: Up to 1.5 years
Expansion: Time to Response (TTR)
TTR is defined as the time from Day 1 of Cycle 1 to first documentation of objective tumor response (PR or better) earlier based on Lugano criteria.
Measured: Up to 1.5 years
Expansion and Dose-OPT MCL: CR Rate
CR rate is defined as the percentage of participants with CR based on LYRIC.
Measured: Up to 1.5 years
Expansion and Dose-OPT MCL: PFS
PFS is defined as the time from Day 1 of Cycle 1 to first documented PD or death due to any cause, whichever occurs earlier based on LYRIC.
Measured: Up to 1.5 years
Expansion and Dose-OPT MCL: DOR
DOR is defined as the time from the first documentation of response (CR or PR) to the date of PD or death, whichever occurs earlier based on LYRIC.
Measured: Up to 1.5 years
Expansion and Dose-OPT MCL: DoCR
DoCR is defined as the time from the first documentation of CR to the date of PD or death, whichever occurs earlier based on LYRIC.
Measured: Up to 1.5 years
Expansion and Dose-OPT: TTR
TTR is defined as the time from Day 1 of Cycle 1 to first documentation of objective tumor response (PR or better) earlier based on LYRIC.
Measured: Up to 1.5 years
Expansion and Dose-OPT DLBCL, FL and MCL: Number of Participants with AEs
An AE is any untoward medical occurrence in a clinical trial participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product.
Measured: Up to 7 years and 6 months
Expansion and Dose-OPT DLBCL, FL and MCL: Rate of Minimal Residual Disease (MRD) Negativity
MRD is defined as percentage of participants with at least 1 MRD negative result.
Measured: Up to 1.5 years
All Parts: Number of Participants with CRS Events
CRS will be graded based on ASTCT criteria.
Measured: Up to Day 1 of Cycle 12 (Cycle length=28 days)
All Parts: Total Body Clearance of Epcoritamab from the Plasma (CL)
Measured: Predose and postdose at multiple timepoints of each cycle (Cycle length=28 days), Dose-Escalation: Up to 1 year; Expansion and Dose-OPT Part: Up to 1.5 years
All Parts: Area under Curve (AUC) of Epcoritamab
Measured: Predose and postdose at multiple timepoints of each cycle (Cycle length=28 days), Dose-Escalation: Up to 1 year; Expansion and Dose-OPT Part: Up to 1.5 years
All Parts: Maximum (peak) Plasma Concentration (Cmax) of Epcoritamab
Measured: Predose and postdose at multiple timepoints of each cycle (Cycle length=28 days), Dose-Escalation: Up to 1 year; Expansion and Dose-OPT Part: Up to 1.5 years
All Parts: Time to Reach Cmax of Epcoritamab
Measured: Predose and postdose at multiple timepoints of each cycle (Cycle length=28 days), Dose-Escalation: Up to 1 year; Expansion and Dose-OPT Part: Up to 1.5 years
All Parts: Half Life of Epcoritamab (t1/2)
Measured: Predose and postdose at multiple timepoints of each cycle (Cycle length=28 days), Dose-Escalation: Up to 1 year; Expansion and Dose-OPT Part: Up to 1.5 years
All Parts: Number of Participants with Anti-drug Antibody (ADA)
Plasma samples will be screened for antibodies binding to epcoritamab, and for confirmed positive samples, the titer against the two specific arms of epcoritamab will be reported.
Measured: Up to 7 years and 6 months
All Parts: Time to Next Anti-lymphoma Therapy (TTNT)
TTNT is defined as the time from Day 1 of Cycle 1 to first recorded administration of subsequent anti-lymphoma therapy or death due to any cause, whichever occurs earlier.
Measured: Dose-Escalation: Up to 1 year; Expansion and Dose-OPT Part (DLBCL, FL and MCL): Up to 1.5 years
All Parts: Overall survival (OS)
OS is defined as the time from Day 1 of Cycle 1 to death.
Measured: Dose-Escalation: Up to 1 year; Expansion and Dose-OPT Part DLBCL, FL and MCL: Up to 1.5 years
Expansion: Trough Concentration of Epcoritamab
Measured: Up to 1.5 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Aug 2018
- Study start26 Jun 2018
- Primary completionJan 2029 (estimated)
- Study completionJan 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (9)Papers the sponsor has linked to this study.
- Other trials for DLBCLStudies of the same condition, open and under way.
- More trials run by GenmabThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1/2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Sequential
- Masking
- None (open label)
- Enrolment
- 666 participants (actual)
Sponsor and investigators
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03625037
- Sponsor's protocol ID
- GCT3013-01
- Other IDs
- 2017-001748-36, NL64317.078.17, 241053, 2023-504802-12-00, 2023, 2017
- Acronym
- EPCORE™ NHL-1
- Status last verified
- Oct 2026
- First submitted
- 7 Jun 2018
- Last updated
- 6 Oct 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
- Expanded access
- Available
Publications
Thieblemont C, Phillips T, Ghesquieres H, Cheah CY, Clausen MR, Cunningham D, Do YR, Feldman T, Gasiorowski R, Jurczak W, Kim TM, Lewis DJ, van der Poel M, Poon ML, Cota Stirner M, Kilavuz N, Chiu C, Chen M, Sacchi M, Elliott B, Ahmadi T, Hutchings M, Lugtenburg PJ. Epcoritamab, a Novel, Subcutaneous CD3xCD20 Bispecific T-Cell-Engaging Antibody, in Relapsed or Refractory Large B-Cell Lymphoma: Dose Expansion in a Phase I/II Trial. J Clin Oncol. 2023 Apr 20;41(12):2238-2247. doi: 10.1200/JCO.22.01725. Epub 2022 Dec 22.
PubMed 36548927Linton KM, Vitolo U, Jurczak W, Lugtenburg PJ, Gyan E, Sureda A, Christensen JH, Hess B, Tilly H, Cordoba R, Lewis DJ, Okada C, Hutchings M, Clausen MR, Sancho JM, Cochrane T, Leppa S, Chamuleau MED, Gernhardt D, Altintas I, Liu Y, Ahmadi T, Dinh MH, Hoehn D, Favaro E, Elliott B, Thieblemont C, Vose JM. Epcoritamab monotherapy in patients with relapsed or refractory follicular lymphoma (EPCORE NHL-1): a phase 2 cohort of a single-arm, multicentre study. Lancet Haematol. 2024 Aug;11(8):e593-e605. doi: 10.1016/S2352-3026(24)00166-2. Epub 2024 Jun 15.
PubMed 38889737Sinnollareddy M, Sanghavi K, Gibiansky L, Li T, Putnins M, Mohamed MF, Patah P, Favaro E, Gupta M, Parikh A, Xu S. Exposure-Response Analyses to Inform the Optimal Epcoritamab Monotherapy Dosing Regimen in Relapsed or Refractory Follicular Lymphoma. Clin Pharmacokinet. 2026 Aug 1. doi: 10.1007/s40262-026-01661-1. Online ahead of print.
PubMed 42541678Altintas I, Morehouse C, Favaro E, Rana A, Karavitis J, Szafer-Glusman E, Zhao K, Linton K, Danilov A, LaCasce AS, Falchi L, Okosun J, Ahmadi T, Fereshteh M, Jure-Kunkel M, Soong D, Steele AJ. MRD negativity by PBMCs and ctDNA confirms deep and durable responses after epcoritamab monotherapy in R/R FL. Blood Adv. 2026 Oct 13;10(19):6381-6394. doi: 10.1182/bloodadvances.2025017565.
PubMed 42431612Li T, Tredennick A, Polhamus D, Putnins M, Liu S, Sanghavi K, Thalhauser CJ, Parikh A, Noorani B, Mohamed MF, Le Gallo C, Elliott B, Gupta M, Xu S. Epcoritamab Step-Up Dosing Regimen Selection and Optimization Using Repeated Time-to-Event Modeling for Cytokine Release Syndrome Risk Mitigation. Clin Pharmacol Ther. 2026 Aug;120(2):542-551. doi: 10.1002/cpt.70362. Epub 2026 Jul 7.
PubMed 42411504Danilov AV, Kambhampati Thiruvengadam S, Linton K, Cumings K, Chirikov V, Mutebi A, Bains Chawla S, Chhibber A, Rivas Navarro F, Marques Goncalves F, Wang A, Ding Z, Alshreef A, Favaro E, Hoehn D, Sureda A. Indirect comparison of epcoritamab vs chemoimmunotherapy, mosunetuzumab, or odronextamab in follicular lymphoma. Blood Adv. 2025 Aug 12;9(15):3754-3765. doi: 10.1182/bloodadvances.2024015274.
PubMed 40472301Thieblemont C, Karimi YH, Ghesquieres H, Cheah CY, Clausen MR, Cunningham D, Jurczak W, Do YR, Gasiorowski R, Lewis DJ, Kim TM, van der Poel M, Poon ML, Feldman T, Linton KM, Sureda A, Hutchings M, Dinh MH, Kilavuz N, Soong D, Mark T, Sacchi M, Phillips T, Lugtenburg PJ. Epcoritamab in relapsed/refractory large B-cell lymphoma: 2-year follow-up from the pivotal EPCORE NHL-1 trial. Leukemia. 2024 Dec;38(12):2653-2662. doi: 10.1038/s41375-024-02410-8. Epub 2024 Sep 25.
PubMed 39322711Phillips T, Lugtenburg P, Kalsekar A, Mutebi A, Wang A, Blaedel J, Kosa K, Martin S, Sacchi M, Kilavuz N, Thieblemont C. Improvements in Patient-Reported Outcomes in Relapsed or Refractory Large B-Cell Lymphoma Patients Treated With Epcoritamab. Clin Lymphoma Myeloma Leuk. 2024 Mar;24(3):e78-e87.e2. doi: 10.1016/j.clml.2023.11.005. Epub 2023 Nov 27.
PubMed 38151388Hutchings M, Mous R, Clausen MR, Johnson P, Linton KM, Chamuleau MED, Lewis DJ, Sureda Balari A, Cunningham D, Oliveri RS, Elliott B, DeMarco D, Azaryan A, Chiu C, Li T, Chen KM, Ahmadi T, Lugtenburg PJ. Dose escalation of subcutaneous epcoritamab in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: an open-label, phase 1/2 study. Lancet. 2021 Sep 25;398(10306):1157-1169. doi: 10.1016/S0140-6736(21)00889-8. Epub 2021 Sep 8.
PubMed 34508654
Study at a glance
From the registry record, last updated by the sponsor on 6 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 1/2, Open-label Safety Trial of GEN3013 in Patients With Relapsed, Progressive or Refractory B-Cell Lymphoma
- ClinicalTrials.gov ID
- NCT03625037
- Acronym / sponsor ID
- EPCORE™ NHL-1 / GCT3013-01
- Conditions
- DLBCL, High-grade B-cell Lymphoma (HGBCL), Primary Mediastinal Large B-cell Lymphoma (PMBCL), FL, MCL, Small Lymphocytic Lymphoma (SLL)
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 666 participants (actual)
- Lead sponsor
- GenmabIndustry (pharma, biotech, devices)
- Collaborators
- AbbVie
- Study start
- 26 Jun 2018 (actual)
- Primary completion
- Jan 2029 (estimated)
- Study completion
- Jan 2029 (estimated)
- First posted
- 10 Aug 2018 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this trial is to measure the following in participants with relapsed and/or refractory B-cell lymphoma who receive epcoritamab, an antibody also known as EPKINLY™ and GEN3013 (DuoBody®-CD3xCD20):
- The dose schedule for epcoritamab
- The side effects seen with epcoritamab
- What the body does with epcoritamab once it is administered
- What epcoritamab does to the body once it is administered
- How well epcoritamab works against relapsed and/or refractory B-cell lymphoma
The trial consists of 3 parts:
- a dose-escalation part (Phase 1, first-in-human [FIH])
- an expansion part (Phase 2a)
- a dose-optimization part (OPT) (Phase 2a)
The trial time for each participant depends on which trial part the participant enters:
- For the dose-escalation part, each participant will be in the trial for approximately 1 year, which is made up of 21 days of screening, 6 months of treatment (the total time of treatment may be different for each participant), and 6 months of follow-up (the total time of follow-up may be different for each participant).
- For the expansion and dose-OPT parts, each participant will be in the trial for approximately 1.5 years, which is made up of 21 days of screening, 1 year of treatment (the total time of treatment may be different for each participant), and 6 months of follow-up (the total time of follow-up may be different for each participant).
Participation in the study will require visits to the sites. During the first month, participants must visit every day or every few days, depending on which trial part the participant enters. After that, participants must visit weekly, every other week, once a month, and once every 2 months, as trial participation ends.
All participants will receive active drug, and no participants will be given placebo.
Detailed 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.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Epcoritamab | Experimental | Biological: EpcoritamabEpcoritamab will be administered by subcutaneous injections in cycles of 28 days. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| EpcoritamabAlso: GEN3013, DuoBody®-CD3xCD20, EPKINLY™Administered as specified in the treatment arm. | Biological | Epcoritamab |
Primary outcome
Dose-Escalation: Dose Limiting Toxicity (DLT)
Time frame: During the first cycle (28 days)
To determine the MTD and/or RP2D to be studied in the Expansion part. DLT will be graded according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0.
Dose-Escalation: Number of Participants with Adverse Events (AEs)
Time frame: From first dose until the end of the safety follow-up period (Up to 1 year)
An AE is any untoward medical occurrence in a clinical trial participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product.
Expansion: Overall Response Rate (ORR)
Time frame: Up to 1.5 years
ORR is defined as the percentage of participants achieving complete response (CR) or partial response (PR) based on Lugano criteria.
Dose-OPT DLBCL, FL and MCL: Percentage of Participants with =>Grade 2 Cytokine Release Syndrome (CRS) Events and All Grade CRS Events
Time frame: From first dose until 7 days after second full dose (Day 28 for DLBCL; Day 35 for FL; Day 28-35 for MCL)
CRS will be graded based on American Society for Transplantation and Cellular Therapy (ASTCT) criteria.
35 secondary outcomes
Dose-Escalation: Number of Participants with Anti-lymphoma Activity of Epcoritamab
Time frame: Up to 1 year
Dose-Escalation: Duration of Response (DOR)
Time frame: Up to 1 year
Expansion: DOR
Time frame: Up to 1.5 years
Expansion Part: Changes in Lymphoma Symptoms as Measured by the Functional Assessment of Cancer Therapy - Lymphoma (FACT-Lym)
Time frame: Up to 1.5 year
Dose-OPT DLBCL and FL: Percentage of Participants with >=Grade 2 CRS Events and All Grade CRS Events Following First Full Dose
Time frame: Up to 1.5 years
Dose-OPT DLBCL and FL: Percentage of Participants with >=Grade 2 CRS Events and All Grade CRS Events Overall
Time frame: Up to 1.5 years
Dose-OPT DLBCL and FL: ORR
Time frame: Up to 1.5 years
Dose-OPT DLBCL and FL: CR Rate
Time frame: Up to 1.5 years
Dose-OPT DLBCL and FL: Duration of CR (DoCR)
Time frame: Up to 1.5 years
Dose-OPT DLBCL and FL: Progression-Free Survival (PFS)
Time frame: Up to 1.5 years
Dose-OPT DLBCL and FL: DLT
Time frame: During the first cycle (28 days) in each Dose-OPT Part (DLBCL, FL and MCL)
Dose-OPT DLBCL, FL and MCL: DOR
Time frame: Up to 1.5 years
Dose-Escalation and Dose-OPT DLBCL, FL and MCL: Pre-dose Values of Epcoritamab
Time frame: Predose and postdose at multiple timepoints of each Cycle (Cycle length=28 days), up to approximately 1.5 years
Dose-Escalation, Expansion Part and Dose-OPT MCL: PFS
Time frame: Dose-Escalation: Up to 1 year; Expansion and Dose-OPT Part (MCL): 1.5 years
Expansion and Dose-OPT MCL: CR Rate
Time frame: Up to 1.5 years
Expansion and Dose-OPT MCL: DoCR
Time frame: Up to 1.5 years
Expansion and Dose-OPT MCL: ORR
Time frame: Up to 1.5 years
Expansion: Time to Response (TTR)
Time frame: Up to 1.5 years
Expansion and Dose-OPT MCL: CR Rate
Time frame: Up to 1.5 years
Expansion and Dose-OPT MCL: PFS
Time frame: Up to 1.5 years
Expansion and Dose-OPT MCL: DOR
Time frame: Up to 1.5 years
Expansion and Dose-OPT MCL: DoCR
Time frame: Up to 1.5 years
Expansion and Dose-OPT: TTR
Time frame: Up to 1.5 years
Expansion and Dose-OPT DLBCL, FL and MCL: Number of Participants with AEs
Time frame: Up to 7 years and 6 months
Expansion and Dose-OPT DLBCL, FL and MCL: Rate of Minimal Residual Disease (MRD) Negativity
Time frame: Up to 1.5 years
All Parts: Number of Participants with CRS Events
Time frame: Up to Day 1 of Cycle 12 (Cycle length=28 days)
All Parts: Total Body Clearance of Epcoritamab from the Plasma (CL)
Time frame: Predose and postdose at multiple timepoints of each cycle (Cycle length=28 days), Dose-Escalation: Up to 1 year; Expansion and Dose-OPT Part: Up to 1.5 years
All Parts: Area under Curve (AUC) of Epcoritamab
Time frame: Predose and postdose at multiple timepoints of each cycle (Cycle length=28 days), Dose-Escalation: Up to 1 year; Expansion and Dose-OPT Part: Up to 1.5 years
All Parts: Maximum (peak) Plasma Concentration (Cmax) of Epcoritamab
Time frame: Predose and postdose at multiple timepoints of each cycle (Cycle length=28 days), Dose-Escalation: Up to 1 year; Expansion and Dose-OPT Part: Up to 1.5 years
All Parts: Time to Reach Cmax of Epcoritamab
Time frame: Predose and postdose at multiple timepoints of each cycle (Cycle length=28 days), Dose-Escalation: Up to 1 year; Expansion and Dose-OPT Part: Up to 1.5 years
All Parts: Half Life of Epcoritamab (t1/2)
Time frame: Predose and postdose at multiple timepoints of each cycle (Cycle length=28 days), Dose-Escalation: Up to 1 year; Expansion and Dose-OPT Part: Up to 1.5 years
All Parts: Number of Participants with Anti-drug Antibody (ADA)
Time frame: Up to 7 years and 6 months
All Parts: Time to Next Anti-lymphoma Therapy (TTNT)
Time frame: Dose-Escalation: Up to 1 year; Expansion and Dose-OPT Part (DLBCL, FL and MCL): Up to 1.5 years
All Parts: Overall survival (OS)
Time frame: Dose-Escalation: Up to 1 year; Expansion and Dose-OPT Part DLBCL, FL and MCL: Up to 1.5 years
Expansion: Trough Concentration of Epcoritamab
Time frame: Up to 1.5 years
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Oct 2026.
- Results publication: PubMed 36548927Thieblemont C, Phillips T, Ghesquieres H, Cheah CY, Clausen MR, Cunningham D, Do YR, Feldman T, Gasiorowski R, Jurczak W, Kim TM, Lewis DJ, van der Poel M, Poon ML, Cota Stirner M, Kilavuz N, Chiu C, Chen M, Sacchi M, Elliott B, Ahmadi T, Hutchings M, Lugtenburg PJ. Epcoritamab, a Novel, Subcutaneous CD3xCD20 Bispecific T-Cell-Engaging Antibody, in Relapsed or Refractory Large B-Cell Lymphoma: Dose Expansion in a Phase I/II Trial. J Clin Oncol. 2023 Apr 20;41(12):2238-2247. doi: 10.1200/JCO.22.01725. Epub 2022 Dec 22.
- Results publication: PubMed 38889737Linton KM, Vitolo U, Jurczak W, Lugtenburg PJ, Gyan E, Sureda A, Christensen JH, Hess B, Tilly H, Cordoba R, Lewis DJ, Okada C, Hutchings M, Clausen MR, Sancho JM, Cochrane T, Leppa S, Chamuleau MED, Gernhardt D, Altintas I, Liu Y, Ahmadi T, Dinh MH, Hoehn D, Favaro E, Elliott B, Thieblemont C, Vose JM. Epcoritamab monotherapy in patients with relapsed or refractory follicular lymphoma (EPCORE NHL-1): a phase 2 cohort of a single-arm, multicentre study. Lancet Haematol. 2024 Aug;11(8):e593-e605. doi: 10.1016/S2352-3026(24)00166-2. Epub 2024 Jun 15.
- Derived from this study: PubMed 42541678Sinnollareddy M, Sanghavi K, Gibiansky L, Li T, Putnins M, Mohamed MF, Patah P, Favaro E, Gupta M, Parikh A, Xu S. Exposure-Response Analyses to Inform the Optimal Epcoritamab Monotherapy Dosing Regimen in Relapsed or Refractory Follicular Lymphoma. Clin Pharmacokinet. 2026 Aug 1. doi: 10.1007/s40262-026-01661-1. Online ahead of print.
- Derived from this study: PubMed 42431612Altintas I, Morehouse C, Favaro E, Rana A, Karavitis J, Szafer-Glusman E, Zhao K, Linton K, Danilov A, LaCasce AS, Falchi L, Okosun J, Ahmadi T, Fereshteh M, Jure-Kunkel M, Soong D, Steele AJ. MRD negativity by PBMCs and ctDNA confirms deep and durable responses after epcoritamab monotherapy in R/R FL. Blood Adv. 2026 Oct 13;10(19):6381-6394. doi: 10.1182/bloodadvances.2025017565.
- Derived from this study: PubMed 42411504Li T, Tredennick A, Polhamus D, Putnins M, Liu S, Sanghavi K, Thalhauser CJ, Parikh A, Noorani B, Mohamed MF, Le Gallo C, Elliott B, Gupta M, Xu S. Epcoritamab Step-Up Dosing Regimen Selection and Optimization Using Repeated Time-to-Event Modeling for Cytokine Release Syndrome Risk Mitigation. Clin Pharmacol Ther. 2026 Aug;120(2):542-551. doi: 10.1002/cpt.70362. Epub 2026 Jul 7.
- Derived from this study: PubMed 40472301Danilov AV, Kambhampati Thiruvengadam S, Linton K, Cumings K, Chirikov V, Mutebi A, Bains Chawla S, Chhibber A, Rivas Navarro F, Marques Goncalves F, Wang A, Ding Z, Alshreef A, Favaro E, Hoehn D, Sureda A. Indirect comparison of epcoritamab vs chemoimmunotherapy, mosunetuzumab, or odronextamab in follicular lymphoma. Blood Adv. 2025 Aug 12;9(15):3754-3765. doi: 10.1182/bloodadvances.2024015274.
- Derived from this study: PubMed 39322711Thieblemont C, Karimi YH, Ghesquieres H, Cheah CY, Clausen MR, Cunningham D, Jurczak W, Do YR, Gasiorowski R, Lewis DJ, Kim TM, van der Poel M, Poon ML, Feldman T, Linton KM, Sureda A, Hutchings M, Dinh MH, Kilavuz N, Soong D, Mark T, Sacchi M, Phillips T, Lugtenburg PJ. Epcoritamab in relapsed/refractory large B-cell lymphoma: 2-year follow-up from the pivotal EPCORE NHL-1 trial. Leukemia. 2024 Dec;38(12):2653-2662. doi: 10.1038/s41375-024-02410-8. Epub 2024 Sep 25.
- Derived from this study: PubMed 38151388Phillips T, Lugtenburg P, Kalsekar A, Mutebi A, Wang A, Blaedel J, Kosa K, Martin S, Sacchi M, Kilavuz N, Thieblemont C. Improvements in Patient-Reported Outcomes in Relapsed or Refractory Large B-Cell Lymphoma Patients Treated With Epcoritamab. Clin Lymphoma Myeloma Leuk. 2024 Mar;24(3):e78-e87.e2. doi: 10.1016/j.clml.2023.11.005. Epub 2023 Nov 27.
- Derived from this study: PubMed 34508654Hutchings M, Mous R, Clausen MR, Johnson P, Linton KM, Chamuleau MED, Lewis DJ, Sureda Balari A, Cunningham D, Oliveri RS, Elliott B, DeMarco D, Azaryan A, Chiu C, Li T, Chen KM, Ahmadi T, Lugtenburg PJ. Dose escalation of subcutaneous epcoritamab in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: an open-label, phase 1/2 study. Lancet. 2021 Sep 25;398(10306):1157-1169. doi: 10.1016/S0140-6736(21)00889-8. Epub 2021 Sep 8.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Study Official study director
Genmab
85 sites in 15 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing Epcoritamab in people with DLBCL and High-grade B-cell Lymphoma (HGBCL), run by Genmab at 85 sites in 15 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 6 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 85 sites in United States, Australia, South Korea, France, Germany and 10 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Dose-Escalation: Dose Limiting Toxicity (DLT) (time frame: During the first cycle (28 days)). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03625037, which also lists 9 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Oct 2026.