The purpose of this Chinese sub-study trial is to find out if epcoritamab, also known as EPKINLY™ and GEN3013, is safe and works well as treatment for participants with DLBCL that are not responding to treatment, have grown in size, or have come back following treatment with at least 1 prior systemic cancer therapy. All participants in this trial will be randomly assigned to receive either epcoritamab or a pre-specified investigator's choice (standard of care) chemotherapy (either rituximab + gemcitabine + oxaliplatin \[R-GemOx\], or bendamustine + rituximab \[BR\]). Participants must have failed or be ineligible to receive an autologous stem cell transplant (ASCT). Epcoritamab will be injected under the skin. Investigator's choice chemotherapy will be given intravenously. Trial details include: The trial duration will be up to 5 years after last participant is randomized. All trial participants have a 21-day screening period, a treatment period, and a follow-up period that continues until death. The estimated trial duration for an individual participant depends upon the treatment arm assigned: Participants who receive epcoritamab will have 28-day treatment cycles. Epcoritamab will be given once weekly for the first 3 months, then every other week for 6 months, then every 28 days until lymphoma progression or unacceptable adverse events. Participants who receive investigator's choice (standard of care) chemotherapy will receive treatments either: R-GemOx: On Day 1 (or Day 1 \& Day 2), and Day 15 (or Day 15 \& Day 16) every 28 days, for up to 4 months; or BR: On Day 1 and Day 2 every 3 weeks for up to 4.5 months.
This Chinese sub-study is an open label, multi-center, phase-3 randomized trial of epcoritamab. The goal of this randomized trial is to evaluate the efficacy of epcoritamab (GEN3013, DuoBody®-CD3xCD20) compared to investigator's choice of chemotherapy, in participants with relapsed, refractory DLBCL who have failed or are ineligible for high-dose chemotherapy and autologous stem cell transplant (HDT-ASCT). No change in chemotherapy is permitted for participants during the treatment phase of the trial. This study is a sub-study of the master protocol GCT3013-05 (NCT04628494).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
72
Following mandatory pre-medication, participants will be administered epcoritamab as a subcutaneous injection.
Following mandatory pre-medication, participants will be administered intravenously either BR or R-GemOx.
Affiliated Hospital of Hebei University
Baoding, China
Beijing Cancer Hospital
Beijing, China
Beijing Tongren Hospital, Capital Medical University
Beijing, China
Peking University Third Hospital
Beijing, China
The First Hospital of Jilin University
Changchun, China
West China Hospital, Sichuan University
Chengdu, China
The Second Hospital of Dalian Medical University
Dalian, China
Guangdong Provincial Peoples Hospital
Guandong, China
Guangxi Medical University Affiliated Tumor Hospital
Guangxi, China
The First Affiliated Hospital, Zhejiang University School of Medicine
Hangzhou, China
...and 13 more locations
Overall Survival (OS)
Time frame: Up to approximately 5 years
Progression Free Survival (PFS)
Time frame: Up to approximately 5 years
Overall Response Rate (ORR)
Time frame: Up to approximately 5 years
Complete Response (CR) Rate
Time frame: Up to approximately 5 years
Duration of Response (DOR)
Time frame: Up to approximately 5 years
Time to Response (TTR)
Time frame: Up to approximately 5 years
Time to Next Anti-lymphoma Therapy (TTNT)
Time frame: Up to approximately 5 years
Number of Participants with Adverse Events (AEs)
Time frame: Up to approximately 5 years
Number of Participants with Dose Interruptions and Delays
Time frame: Up to approximately 5 years
Number of Participants with an Anti-epcoritamab Antibody Response
Time frame: Up to approximately 5 years
Changes from Baseline in Lymphoma Symptoms as Measured by the Functional Assessment of Cancer Therapy - Lymphoma (FACT-Lym)
Time frame: Baseline up to approximately 5 years
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