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Loncastuximab Tesirine

Phase 3

Relapsed Diffuse Large B-Cell Lymphoma | Small molecule | Oncology |ADC Therapeutics SA|Last Updated: Apr 28, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment440
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04384484Study to Evaluate Loncastuximab Tesirine With Rituximab Versus Immunochemotherapy in Participants With Relapsed or Refractory Diffuse Large B-Cell LymphomaPHASE3 ACTIVE NOT_RECRUITING 440Sep 16, 2020Jun 30, 2028Apr 28, 2026144 United States, Argentina +19
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Study Endpoints
Primary Endpoints
Progression-free Survival (PFS)
Up to 4 years
Secondary Endpoints
Overall Survival (OS)
Up to 4 years
Overall Response Rate (ORR)
Up to 4 years
Complete Response Rate (CRR)
Up to 4 years
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Part 1: Loncastuximab Tesirine + Rituximab (Lonca-R)EXPERIMENTALPart 1 consists of a non-randomized safety run-in period evaluating the study drug for the first 20 participants. Participants will receive Lonca-R on Day 1 of each cycle for up to 8 cycles, where 1 cycle is 3 weeks. Lonca-R will be administered via an intravenous infusion of loncastuximab tesirine 150 µg/kg + rituximab 375 mg/m\^2 Q3W for 2 cycles, then loncastuximab tesirine 75 µg/kg + rituximab 375 mg/m\^2 Q3W for up to 6 additional cycles.
Part 2: Loncastuximab Tesirine + Rituximab (Lonca-R)EXPERIMENTALRandomized participants will receive Lonca-R on Day 1 of each cycle for up to 8 cycles, where 1 cycle is 3 weeks. Lonca-R will be administered via an intravenous infusion of loncastuximab tesirine 150 µg/kg + rituximab 375 mg/m\^2 every Q3W for 2 cycles, then loncastuximab tesirine 75 µg/kg + rituximab 375 mg/m\^2 Q3W for up to 6 additional cycles.
Part 2: Standard Immunochemotherapy (R-GemOx)ACTIVE_COMPARATORRandomized participants will receive R-GemOx consisting of rituximab, gemcitabine and oxaliplatin as a standard immunochemotherapy treatment on Day 1 or Day 2 of each cycle for up to 8 cycles, where 1 Cycle is 2 weeks. R-GemOx will be administered via an intravenous infusion of rituximab 375 mg/m\^2 + gemcitabine 1000 mg/m\^2 + oxaliplatin 100 mg/m\^2 every 2 weeks (Q2W) for up to 8 cycles.
Interventions
NameTypeDescription
Loncastuximab TesirineDRUGIntravenous Infusion
RituximabDRUGIntravenous Infusion
GemcitabineDRUGIntravenous Infusion
OxaliplatinDRUGIntravenous Infusion
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites144

Inclusion Criteria: * Male or female participant aged 18 years or older * Pathologic diagnosis of DLBCL, as defined by the 2016 World Health Organization classification (including participants with DLBCL transformed from indolent lymphoma), or high-grade B-cell lymphoma, with MYC and BCL2 and/or BC...

Countries:United StatesArgentinaBelgiumBrazilCanadaChileChinaCzechiaFranceHungaryIsraelItalyJapanMexicoNetherlandsPolandPuerto RicoSpainSwitzerlandTurkey (Türkiye)United Kingdom
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT04384484primaryCompletionDate: changed
LOWMay 24, 2026NCT04384484studyFirstPostDate: changed