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 relapsed or refractory (R/R) 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 3 groups, called treatment arms. Each group receives a different treatment. Enrollment to one of the groups is closed. Around 500 adult participants with R/R FL will be enrolled in approximately 300 sites across the world. Participants will receive R2 (375 mg/m\^2 intravenous infusion of rituximab up to 5 cycles and oral capsules of 20 mg lenalidomide for up to 12 cycles) alone or in combination with subcutaneous injections of epcoritamab for up to 12 cycles (each cycle is 28 days). 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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
549
The University of Arizona Cancer Center - North Campus /ID# 228862
Tucson, Arizona, United States
University of Arkansas for Medical Sciences /ID# 227198
Little Rock, Arkansas, United States
Alta Bates Summit Medical Center for Research /ID# 229428
Berkeley, California, United States
Beverly Hills Cancer Center /ID# 231535
Beverly Hills, California, United States
Long Beach Memorial Medical Ct /ID# 228997
Long Beach, California, United States
Percentage of Participants Achieving Best Overall Response (BOR)
BOR is defined as Complete Response (CR) or Partial Response (PR), determined by Lugano criteria, as assessed by an IRC.
Time frame: Up to approximately 5 years
Progression-Free Survival (PFS)
PFS is defined as duration from the date of randomization to the date of disease progression determined by Lugano criteria by independent review committee (IRC) or death (whichever occurs first).
Time frame: Up to approximately 5 years
Percentage of Participants Achieving CR
Percentage of participants who achieve a CR determined per Lugano criteria, as assessed by the IRC prior to the initiation of subsequent anti-lymphoma therapy.
Time frame: Up to approximately 5 years
Overall Survival (OS)
Overall survival is defined as the duration from the date of randomization to the date of the participant's death.
Time frame: Up to approximately 8 years from randomization
Percentage of Participants Achieving Minimal Residual Disease (MRD) Negativity
MRD negativity rate is defined as the percentage of participants who achieve MRD negative status prior to the initiation of subsequent anti-lymphoma therapy.
Time frame: Up to approximately 5 years
Change in Functional Assessment of Cancer Therapy - Lymphoma (FACT-Lym)
The objective of the FACT-Lym patient-reported outcome (PRO) is to address health-related quality of life issues for adult lymphoma patients. It utilizes a 5-point Like-type scale, with a higher score signifying a higher quality of life.
Time frame: Up to approximately 8 years
PFS as Assessed by Investigator
PFS is defined as duration from the date of randomization to the date of disease progression determined by Lugano criteria by investigator or death (whichever occurs first).
Time frame: Up to approximately 5 years
Percentage of Participants Achieving BOR as Assessed by Investigator
BOR is defined as CR PR, determined by Lugano criteria, as assessed by an investigator.
Time frame: Up to approximately 5 years
Percentage of Participants Achieving CR as Assessed by Investigator
Percentage of participants who achieve a CR determined per Lugano criteria, as assessed by the investigator prior to the initiation of subsequent anti-lymphoma therapy.
Time frame: Up to approximately 5 years
Duration of Response (DOR)
DOR is defined as the time from the first occurrence of response (CR or PR) to disease progression or death, whichever occurs first.
Time frame: Up to approximately 8 years
Duration of Complete Response (DOCR)
DOR is defined as the time from the first occurrence of CR to disease progression or death, whichever occurs first.
Time frame: Up to approximately 8 years
Time to Progression (TTP)
Time to progression is defined as the number of days from the date of study drug start to the date of the first documented disease progression or relapse.
Time frame: Up to approximately 8 years
Time to Next Anti-Lymphoma Treatment (TTNLT)
Time to next anti-lymphoma treatment is defined as the number of days from the date of the first documented disease progression or relapse to the date of next anti-lymphoma treatment.
Time frame: Up to approximately 8 years
Percentage of Participants Achieving CR at the End of Treatment
Percentage of participants who achieve a CR determined per Lugano criteria, as assessed by the IRC prior to the initiation of subsequent anti-lymphoma therapy.
Time frame: Up to approximately 5 years
Time to Response (TTR)
Time to response is defined for participants achieving a CR/PR as the time from starting therapy to first a CR/PR.
Time frame: Up to approximately 8 years
Time to Complete Response (TTCR)
Time to complete response is defined for participants achieving a CR/PR as the time from starting therapy to first a CR/PR.
Time frame: Up to approximately 8 years
Event-Free Survival (EFS)
EFS is defined as the duration from randomization to disease progression determined by Lugano criteria as assessed by the investigator, initiation of any non-protocol-specified new anti-lymphoma therapy for any reason, or death (whichever occurs first).
Time frame: Up to approximately 8 years
Time to next anti-lymphoma treatment (TTNLT)
Time frame: Up to approximately 8 years
Change in Patient's Global Impression of Severity (PGIS)
PGIS is a self-report measure PGIS reflects a participant's belief about their lymphoma symptoms over the past 7 days. The PGIS is a 5-point scale depicting a participant's rating of overall severity. Participants rate their lymphoma symptoms severity as none, mild, moderate, severe, or very severe.
Time frame: Up to approximately 8 years
Change in Patient's Global Impression of Change (PGIC)
PGIS is a self-report measure PGIC reflects a participant's belief about the efficacy of treatment. The PGIC is a 7-point scale depicting a participant's rating of overall improvement since start of treatment. Participants rate their change as very much improved, much improved, minimally improved, no change, minimally worse, much worse, or very much worse.
Time frame: Up to approximately 8 years
Change in EuroQol 5-Dimension Questionnaire, 5-level (EQ-5D-5L)
The EQ-5D-5L descriptive system measures health status and comprises 5 health aspects including mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each parameter has 5 response levels: no problems, slight problems, moderate problems, severe problems, unable to/extreme problems. This instrument will not be administered during the Survival Follow-Up.
Time frame: Up to approximately 8 years
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University of Southern California /ID# 227195
Los Angeles, California, United States
Valkyrie Clinical Trials /ID# 268502
Los Angeles, California, United States
Duplicate_Emory University /ID# 227299
Atlanta, Georgia, United States
Hawaii Cancer Care - Waterfront Plaza /ID# 262448
Honolulu, Hawaii, United States
Northwestern University Feinberg School of Medicine /ID# 227248
Chicago, Illinois, United States
...and 263 more locations