The purpose of this study is to measure the efficacy of the study drug, epcoritamab, in participants with relapsed/refractory large B-cell lymphoma.
This is a phase 2 study of outpatient administration of epcoritamab in non-transplant eligible large B-cell lymphoma that has relapsed after, or is refractory to, 1 prior line of therapy. Phase II clinical trials test the safety and effectiveness of an investigational drug to learn whether the drug works in treating a specific disease. "Investigational" means that the drug is being studied. The U.S. Food and Drug Administration (FDA) has approved epcoritamab as a treatment option for your disease after at least two prior treatments. The study treatment may continue for up to 24 cycles or until disease progression, unacceptable toxicity, or withdrawal. Participants will be followed for up to 24 months after last dosage of epcoritamab, or until disease progression or withdrawal, whichever occurs first. After 24 months or at time of progression, participants may be followed annually for survival status. It is expected that about 30 people will take part in this research study.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
30
Bispecific IgG1 antibody
Massachusetts General Hospital
Boston, Massachusetts, United States
NOT_YET_RECRUITINGNewton-Wellesley Hospital
Newton, Massachusetts, United States
RECRUITING12-month progression free survival (PFS)
The time from registration to the earlier of progression or death due to any cause and will be defined as the percent of patients alive and progression-free at 12 months. Participants alive without disease progression are censored at date of last disease evaluation.
Time frame: Day 1 until date of first documented disease progression or date of death from any cause, whichever came first, assessed up to 12 months after initial dose of study treatment.
Complete Response Rate
The proportion of subjects achieving an objective response of complete response (CR) according to the Lugano Classification, prior to start of another non-study anticancer therapy.
Time frame: Day 1 to 24 months post treatment
Overall Response Rate
The proportion of subjects achieving an objective response of complete response (CR) or partial response (PR) according to the Lugano Classification, prior to start of another non-study anticancer therapy.
Time frame: Day 1 to 24 months post treatment
Median Duration of Response
The time from first response to disease progression or death, and will be summarized using Kaplan-Meier estimates.
Time frame: Date of first response to first documented disease progression or date of death from any cause, whichever came first, assessed up to 24 months post treatment
Median Duration of Complete Response
The time subjects achieve complete response to disease progression or death and will be estimated using Kaplan Meier method or cumulative incidence curves.
Time frame: Date of complete response to first documented disease progression or date of death from any cause, whichever came first, assessed up to 24 months post treatment
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Overall Survival
The time from registration to death due to any cause or censored at date last known alive and will be summarized using Kaplan-Meier estimates.
Time frame: Registration date to date of death from any cause or last known alive date, assessed up to 24 months post treatment
Incidence and Severity of Treatment-Emergent Adverse Events
Assessed using NCI Common Terminology Criteria for Adverse Events (CTCAE) version 5.0. All participants will be followed and assessed for safety and tolerability of the protocol therapy.
Time frame: Day 1 to 24 months post treatment
Median Time to Resolution of Cytokine Release Syndrome
The duration of time for subjects to resolve cytokine release syndrome (CRS) and will be estimated using Kaplan Meier method or cumulative incidence curves.
Time frame: Date of cytokine release syndrome to resolution date of cytokine release syndrome
Median Time to Resolution of Immune Effector Cell-Associated Neurotoxicity Syndrome
The duration of time for subjects to resolve immune effector cell-associated neurotoxicity syndrome (ICANS) and will be estimated using Kaplan Meier method or cumulative incidence curves.
Time frame: Date of immune effector cell-associated neurotoxicity syndrome to resolution date of immune effector cell-associated neurotoxicity syndrome
Proportion of Subjects Receiving Interventions for CRS and/or ICANS
The number of subjects receiving interventions for CRS and ICANS, CRS, or ICANS and will be estimated using Kaplan Meier method or cumulative incidence curves.
Time frame: Date of intervention for CRS and/or ICANs to resolution of CRS and/or ICANS
Rate of Hospitalization
The frequency of subjects that are hospitalized and will be estimated using Kaplan Meier method or cumulative incidence curves.
Time frame: Day 1 to 24 months post treatment
Rate of Emergency Room Visits
The frequency of subjects that go to the emergency room and will be estimated using Kaplan Meier method or cumulative incidence curves.
Time frame: Day 1 to 24 months post treatment