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Epcoritamab

Phase 3

Diffuse Large B-Cell Lymphoma | Monoclonal antibody | Oncology |Genmab A/S|Last Updated: Jul 20, 2026

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Trial Design
RandomizedCONTROLLEDDMC
Total Trials8
Total Enrollment2,693
FDA Designations
No designations recorded
Clinical trial landscape

Epcoritamab · 24 trials · 63 indications

Phase 3 6Phase 2 9Phase 1/2 1Phase 1 8
NCT05578976A Study to Evaluate Change in Disease Activity of Subcutaneous (SC) Epcoritamab Combined With Intravenous and Oral Rituximab, Cyclophosphamide, Doxorubicin Hydrochloride, Vincristine, and Prednisone (R-CHOP) or R-CHOP in Adult Participants With Newly Diagnosed Diffuse Large B-Cell Lymphoma (DLBCL)Diffuse Large B-Cell Lymphoma
ACTIVE NOT_RECRUITING900 Analytics
NCT07226752A Sub-study Trial of Epcoritamab vs Investigator's Choice Chemotherapy in Relapsed/Refractory Diffuse Large B-cell Lymphoma (R/R DLBCL) in ChinaDiffuse Large B-Cell Lymphoma
ACTIVE NOT_RECRUITING72 Analytics
NCT04628494A Phase 3 Trial of Epcoritamab vs Investigator's Choice Chemotherapy in Relapsed/Refractory (R/R) Diffuse Large B-cell Lymphoma (DLBCL)Diffuse Large B-cell Lymphoma
ACTIVE NOT_RECRUITING484 Analytics
NCT06508658A Study of Subcutaneously Injected Epcoritamab Plus Oral Lenalidomide Tablets Compared to Intravenously (IV) Infused Rituximab Plus IV Infused Gemcitabine and IV Infused Oxaliplatin in Adult Participants With Relapsed or Refractory Diffuse Large B-Cell LymphomaDiffuse Large B-Cell Lymphoma
ACTIVE NOT_RECRUITING379 Analytics
NCT06191744Study of Subcutaneous Epcoritamab in Combination With Intravenous Rituximab and Oral Lenalidomide (R2) to Assess Adverse Events and Change in Disease Activity in Adult Participants With Previously Untreated Follicular LymphomaFollicular Lymphoma (FL)
RECRUITING1,095 Analytics
NCT05409066Study of Subcutaneous Epcoritamab in Combination With Intravenous Rituximab and Oral Lenalidomide (R2) to Assess Adverse Events and Change in Disease Activity in Adult Participants With Follicular LymphomaFollicular Lymphoma (FL)
ACTIVE NOT_RECRUITING549 Analytics
PHASE3ACTIVE NOT_RECRUITING
A Study to Evaluate Change in Disease Activity of Subcutaneous (SC) Epcoritamab Combined With Intravenous and Oral Rituximab, Cyclophosphamide, Doxorubicin Hydrochloride, Vincristine, and Prednisone (R-CHOP) or R-CHOP in Adult Participants With Newly Diagnosed Diffuse Large B-Cell Lymphoma (DLBCL)
Diffuse Large B-Cell LymphomaUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
A Sub-study Trial of Epcoritamab vs Investigator's Choice Chemotherapy in Relapsed/Refractory Diffuse Large B-cell Lymphoma (R/R DLBCL) in China
Diffuse Large B-Cell LymphomaUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
A Phase 3 Trial of Epcoritamab vs Investigator's Choice Chemotherapy in Relapsed/Refractory (R/R) Diffuse Large B-cell Lymphoma (DLBCL)
Diffuse Large B-cell LymphomaUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
A Study of Subcutaneously Injected Epcoritamab Plus Oral Lenalidomide Tablets Compared to Intravenously (IV) Infused Rituximab Plus IV Infused Gemcitabine and IV Infused Oxaliplatin in Adult Participants With Relapsed or Refractory Diffuse Large B-Cell Lymphoma
Diffuse Large B-Cell LymphomaUnlock trial analytics
PHASE3RECRUITING
Study of Subcutaneous Epcoritamab in Combination With Intravenous Rituximab and Oral Lenalidomide (R2) to Assess Adverse Events and Change in Disease Activity in Adult Participants With Previously Untreated Follicular Lymphoma
Follicular Lymphoma (FL)Unlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
Study of Subcutaneous Epcoritamab in Combination With Intravenous Rituximab and Oral Lenalidomide (R2) to Assess Adverse Events and Change in Disease Activity in Adult Participants With Follicular Lymphoma
Follicular Lymphoma (FL)Unlock trial analytics
Study Endpoints
Primary Endpoints
Arm A vs Arm B: Progression-Free Survival (PFS)
Up to 4 Years

PFS is defined as the duration from the date of randomization to the date of disease progression determined per Lugano 2014 criteria as assessed by an independent review committee (IRC), or death, whichever occurs first.

Arm A1 vs Arm B: Percentage of Participants who Achieve Complete Response rate at 30 months (CR30)
Up to 30 Months

CR30 will be determined by positron emission tomography-computerized tomography (cat scan) \[PET-CT\] per Lugano 2014 criteria, as assessed by independent review committee (IRC).

Arm A1 vs Arm B: Number of Participants with Progression-free survival (PFS)
Up to 10 Years

PFS is defined as the time from randomization until disease progression determined by Lugano 2014 criteria per IRC, or death, whichever occurs first.

Percentage of Participants Achieving Best Overall Response (BOR)
Up to approximately 2 years and 3 months

BOR is defined as Complete Response (CR) or Partial Response (PR), determined by Lugano criteria, as assessed by an IRC.

Progression-Free Survival (PFS)
Up to approximately 2 years and 3 months

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).

Number of Participants Experiencing Cytokine Release Syndrome (CRS)-related Toxicity after Epcoritamab Administration
Up to 14 months

The number of participants experiencing Cytokine Release Syndrome (CRS) toxicity associated with Epcoritamab therapy will be reported, including Grades 2, 3 and 4. CRS-related toxicity will be assessed according to American Society for Transplantation and Cellular Therapy (ASTCT) criteria.

Number of Participants Experiencing Immune Effector Cell Associated Neurotoxicity Syndrome (ICANS)-related Toxicity
Up to 14 months

The number of participants experiencing Immune Effector Cell Associated Neurotoxicity Syndrome (ICANS)-related toxicity including Grades 2, 3 and 4. ICANS-related toxicity will be assessed according to American Society for Transplantation and Cellular Therapy (ASTCT) criteria.

Number of Participants Experiencing Neurologic Toxicities Associated with Epcoritamab
Up to 14 months

The number of participants experiencing neurologic toxicities associated with Epcoritamab therapy will be reported, including Grades 2, 3 and 4. Neurologic toxicities will be assessed using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 5.0, per physician discretion.

Number of Participants Experiencing Fluid Accumulation Associated with Loncastuximab
Up to 31 weeks

The number of participants experiencing fluid accumulation associated with Loncastuximab therapy will be reported, including Grades 2, 3 and 4. Fluid accumulation toxicities will be assessed using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 5.0, per physician discretion.

Number of Participants Experiencing Hepatotoxicity Associated with Loncastuximab
Up to 31 weeks

The number of participants experiencing hepatotoxicity (liver-related toxicity) associated with Loncastuximab therapy including Grades 2, 3 and 4 toxicity. Hepatotoxicity will be assessed using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 5.0, per physician discretion.

Complete Response (CR)
12 months

The proportion of participants achieving a best overall response of complete response (CR) after Cycle 12 of study therapy will be reported. Response will be assessed using modified Cheson criteria, if disease is not fluorodeoxyglucose (FDG)-avid in initial Screening; or by revised Lugano criteria if Screening FDG-positron emission tomography (PET)/ computed tomography (CT) demonstrated FDG avid disease. For Lugano criteria, CR will be defined by a Deauville score of ≤3.

uMRD CR as defined by negative leukemia cells to the 10^6
Post 12 cycles (approximately 336 days after the start of first cycle) of consolidative therapy with epcoritamab

uMRD CR as defined by negative leukemia cells to the 10\^6 after 12 cycles of consolidative therapy with epcoritamab measured by Adaptive's NGS MRD assay (ClonoSEQ) in patients who have attained a partial response or better with detectable disease after acalabrutinib or zanubrutinib +/- obinutuzumab treatment for a minimum of 12 cycles of therapy

Overall Response Rate (ORR)
Up to 12 cycles of treatment (28 days per cycle)

The overall response rate (ORR) was defined as the proportion of participants achieving complete response (CR) or partial response (PR) based on modified IWWM6 criteria.

Complete metabolic response (CMR)
24 weeks

CMR will be assessed by PET-CT using the Deauville 5-point scale and Lugano 2014 criteria. Patients who die from any cause or relapse/progress prior to this time-point will be considered non-responders. Patients who don't have a PET-CT scan within the protocol defined window or withdraw from the trial prior to this time-point will be considered non outcome evaluable. Patients who undergo stem-cell transplant (SCT) within 24 weeks of randomisation, patients who fail to start treatment and patients whose ineligibility is deemed to impact upon response to treatment will be replaced and hence not included in the analysis of this outcome

End of Treatment (EOT) Complete Metabolic Response (CMR) Rate
(Cycle 1 = 36 days, cycle 2-9 = 28 days), up to 267 days

EOT CMR rate defined as the proportion of participants achieving CR per PET/CT Lugano 2014 criteria (protocol appendix B) at the EOT assessment: PET-CT, score 1, 2, or 3 with or without a residual mass on a 5-point scale (5PS) among all patients and separately in Cohorts A and B.

Percentage of Participants Experiencing Grade 3 or Higher Cytokine Release Syndrome (CRS) Events
Up to 3 Months

Cytokine Release Syndrome events will be graded using American Society for Transplantation and Cellular Therapy (ASTCT), with a higher grade indicating higher severity.

Percentage of Participants Experiencing Grade 3 or Higher Immune Cell-Associated Neurotoxicity Syndrome (ICANS) Events
Up to 3 Months

ICANS events will be graded using ASTCT, with a higher grade indicating higher severity.

Percentage of Participants Experiencing Grade 3 or Higher Neurotoxicity (Ntox) Events
Up to 3 Months

Ntox is defined as the percentage of participants who developed at least 1 Grade 3 or higher Ntox since the initiation of epcoritamab treatment.

Number of Participants with Dose-Limiting Toxicities (DLT)
Up to Approximately 5 Years

DLT events are defined as clinically significant adverse events or abnormal laboratory values assessed as unrelated to disease progression, underlying disease, intercurrent illness, or concomitant medications.

Incidence of adverse events
Up to 30 days after the last dose of the study drug

Will be assessed using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 and American Society for Transplantation and Cellular Therapy (ASTCT) grading for cytokine release syndrome (CRS) and immune effector cell-associated neurotoxicity syndrome (ICANS). The dose limiting toxicity period will be the first 28 days after the first dose of epcoritamab.

Incidence of adverse events (AEs)
Up to 60 days after last dose of study drug

AEs will be tabulated by type and grade using the National Cancer Institute Common Terminology Criteria for Adverse Events version 5.0 and displayed in summary form. The maximum grade for each type of toxicity will be recorded for each patient, and frequency tables will be reviewed to determine toxicity patterns.

Incidence of cytokine release syndrome (CRS)
Up to 60 days after last dose of study drug

CRS severity will be graded using American Society for Transplantation and Cellular Therapy Cytokine Release Syndrome criteria. The CRS rate will be calculated together with 95% one-sided confidence intervals among evaluable patients.

Progression free survival
From initiation of treatment to disease progression based on the investigator-based assessments per Lugano criteria or death due to any causes, up to 6 years

Kaplan-Meier estimates will be provided. 95% confidence intervals will be generated.

Number of Participants with Adverse Events (AE)
Up to Approximately 3 Years

An AE is defined as any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment.

Maximum Observed Concentration (Cmax)
Up to Approximately Week 37

Maximum observed concentration.

Area Under the Concentration Versus Time Curve (AUC) from Time 0 to Time of Last Measurable Concentration within the Dosing Interval (AUCtau)
Up to Approximately Week 37

AUC from time 0 to time of last measurable concentration within the dosing interval.

Cohort 1 Part 2 [(3L+) R/R DLBCL]: Best Overall Response (BOR)
Up to Approximately 5 Years

Best overall response (BOR) is defined as the percentage of participants in Cohort 1 Part 2 third line plus (3L) R/R DLBCL who achieved best overall response of complete response (CR) or partial response (PR) by Lugano 2014 criteria as assessed by independent review committee (IRC).

Cohort 1 Part 1, Cohort 2, and Cohort 3: Number of Incidence of Dose-Limiting Toxicities (DLT)
Up to Approximately 5 Years

DLT events are defined as clinically significant adverse events or abnormal laboratory values assessed as unrelated to disease progression, underlying disease, intercurrent illness, or concomitant medications.

Dose Escalation Phase and Safety Run-in (R/R CLL arm): Number of Participants with Dose Limiting Toxicities (DLTs)
During the first cycle for low dose cohorts (Cycle length = 28 days) and for high dose cohorts (Cycle length = 35 days)

DLT events were defined as clinically significant adverse events (AEs) or abnormal laboratory values assessed as unrelated to disease progression, underlying disease, intercurrent illness, or concomitant medications as assessed per Common Terminology Criteria for Adverse Events (NCI-CTCAE) criteria version 5.0.

Dose Escalation Phase and Safety Run-in: Number of Participants with Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Up to 5 years
Dose Escalation Phase: Number of Participants with Cytokine Release Syndrome (CRS), Immune Effector Cell-Associated Neurotoxicity Syndrome (ICANS) and Clinical Tumor Lysis Syndrome (CTLS)
Up to 5 years

CRS and ICANS will be graded based on American Society for Transplantation and Cellular Therapy (ASTCT) criteria. CTLS will be graded according to Cairo-Bishop criteria.

Expansion Phase: Overall Response Rate (ORR)
Up to 5 years

R/R CLL participants will be assessed according to International Workshop on Chronic Lymphocytic Leukemia (iwCLL) criteria and the RS participants according to Lugano criteria. ORR based on the Lugano criteria is defined as the percentage of participants who achieve a response of PR or complete remission (CR), prior to initiation of subsequent therapy. The ORR based on the iwCLL criteria is defined as the percentage of participants who achieve a response of PR, CR with incomplete bone marrow recovery (CRi), or CR, prior to the initiation of subsequent therapy.

Part 1: Number of Participants With Dose limiting Toxicities (DLTs)
During the first cycle (Cycle length= 28 days) in each cohort

DLT events are defined as clinically significant adverse events (AEs) or abnormal laboratory values assessed as unrelated to disease progression, underlying disease, intercurrent illness, or concomitant medications as assessed per Common Terminology Criteria for Adverse Events (NCI-CTCAE) criteria version 5.0.

Part 1 and Part 2 (Arms 1-5, 7 and 10): Number of Participants With Adverse Events (AEs)
From first dose of drug until either 60 days after last dose, date participant withdraws consent, date participant starts a new systemic anticancer therapy, or date participant dies, whichever occurs first (up to approximately 3 years)

An AE is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign. (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.

Part 2 (Except Arm 7): Overall Response Rate (ORR)
Up to 3 years

ORR is defined as the percentage of participants achieving complete response (CR) or partial response (PR) based on Lugano criteria.

Dose-Escalation: Dose Limiting Toxicity (DLT)
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)
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)
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
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.

Secondary Endpoints
Arm A vs Arm B: Percentage of Participants Who Achieve Complete response (CR)
Up to 4 Years
Arm A vs Arm B: Overall Survival (OS)
Up to 4 Years
Arm A vs Arm B: Percentage of Participants Who Achieve Minimal Residual Disease (MRD) Negativity Rate
Up to 4 Years
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Study Design & Arms
Treatment Arms
ArmTypeDescription
Arm A: Epcoritamab Plus Lenalidomide (E-Len)EXPERIMENTALParticipants will receive E-Len for up to 12 cycles (each cycle is 28 days).
Arm B: Rituximab Plus Gemcitabine and Oxaliplatin (R-GemOx)EXPERIMENTALParticipants will receive R-GemOx for up to 4 cycles (each cycle is 28 days)
Arm C: EpcoritamabEXPERIMENTALParticipants will receive epcoritamab for up to 12 cycles (each cycle is 28 days).
Arm A1: Epcoritamab + Lenalidomide and Rituximab (R2)EXPERIMENTALParticipants will receive epcoritamab in combination with R2 (ER2), followed by epcoritamab during the 120 week treatment duration.
Arm A2: Epcoritamab + Lenalidomide and Rituximab (R2)EXPERIMENTALParticipants will receive epcoritamab in combination with R2 (ER2), during the 24 week treatment duration.
Arm B: Chemoimmunotherapy (CIT) Option AEXPERIMENTALParticipants will receive CIT Option A (obinutuzumab (G) and cyclophosphamide, doxorubicin, vincristine, prednisone (CHOP) \[G-CHOP\]/ rituximab (R)-CHOP during the 120 week treatment duration.
Arm B: Chemoimmunotherapy (CIT) Option BEXPERIMENTALParticipants will receive CIT Option B (G and bendamustine (Benda) \[G-Benda\]/R-Benda during the 120 week treatment duration.
Arm C: Lenalidomide and Rituximab (R2)EXPERIMENTALParticipants will receive lenalidomide and rituximab (R2) during the 120 week treatment duration.
Epcoritamab Dose A in Combination With R2EXPERIMENTALParticipants will receive epcoritamab Dose A in combination with lenalidomide and rituximab (R2) for 12 cycles (each cycle is 28 days).
Epcoritamab Dose B in Combination With R2EXPERIMENTALParticipants will receive epcoritamab Dose B in combination with lenalidomide and rituximab (R2) for 12 cycles (each cycle is 28 days). Enrollment is closed for this arm.
Lenalidomide and Rituximab (R2)ACTIVE_COMPARATORParticipants will receive lenalidomide and rituximab (R2) for 12 cycles (each cycle is 28 days).
EPCOR in combination with LONCA Treatment GroupEXPERIMENTALParticipants in the Epcoritamab (EPCOR) in combination with Loncastuximab (LONCA) treatment group will receive up to 4 cycles of combination EPCOR and LONCA therapy, and an additional 8 cycles of EPCOR therapy, for a total of twelve treatment cycles. Cycles 1 through 3 last 21 days each; cycles four through 12 last 28 days each. Protocol therapy will last approximately 12 months. Total participation duration is approximately 3 years.
Epcoritamab GroupEXPERIMENTALParticipants will receive up to 12 cycles of Epcoritamab therapy, each cycle lasting 28 days. Total participation is up to 3 years.
Epcoritamab + SOCEXPERIMENTALEpcoritamab is the investigational product under study in combination with SOC drugs in this protocol. During C1, epcoritamab will be initiated using step-up dosing (SUD) C1D1 .16mg, C1D8 .8mg, C1D15 3 mg, C1D22 24 mg vs 48 mg (full dose) during safety lead in to determine the RP2D. On Cycles 2-3 the RP2D (24mg vs 48 mg) will be administered on Days 1, 8, 15, 22. Then Cycles 4-9 RP2D will be administered on Days 1 \& 15. Then Cycle 10-12 RP2D on Day 1 of each cycle. Epcoritamab is administered subcutaneously. The SOC BTKi are oral medications administered daily during the trial period.
Safety Lead-In EpcoritamabEXPERIMENTALParticipants will be enrolled using a modified 3+3 dose-escalation design to establish the Recommended Phase 2 Dose of Epcoritamab and will complete study procedures as follows: * Baseline visit with CT scan and bone marrow biopsy. * Bone marrow biopsy before cycle 6. * Cycles 1 - 3: --Days 1, 8, 15, and 22 of 28 day cycle: Predetermined dose of Epcoritamab 1x daily. * Cycles 4 - 9: --Days 1 and 15 of 28 day cycle: Predetermined dose of Epcoritamab 1x daily. * Cycles 10 - 12: --Day 1 of 28 day cycle: Predetermined dose of Epcoritamab 1x daily. * End of Treatment visit with CT scan and bone marrow biopsy. * Follow up visits: every 3 months for 2 years * Off study visit * If there are 0 out of 3 dose-limiting toxicities (DLTs), the study will proceed to phase II. If 1/3 participants experience a DLT, up to 3 additional participants will be treated at the same dose level. If more than 1/6 total participants experience a DLT, then the study will not proceed to phase 2.
Phase II EpcoritamabEXPERIMENTALParticipants will be enrolled and will complete study procedures as follows: * Baseline visit with CT scan and bone marrow biopsy. * Bone marrow biopsy before cycle 6. * Cycles 1 - 3: --Days 1, 8, 15, and 22 of 28 day cycle: Predetermined dose of Epcoritamab 1x daily. * Cycles 4 - 9: --Days 1 and 15 of 28 day cycle: Predetermined dose of Epcoritamab 1x daily. * Cycles 10 - 12: --Day 1 of 28 day cycle: Predetermined dose of Epcoritamab 1x daily. * End of Treatment visit with CT scan and bone marrow biopsy. * Follow up visits: every 3 months for 2 years * Off study visit
Round 1: Epcoritamab and lenalidomideEXPERIMENTALEpcoritamab (weekly for cycles 1 and 2 and on day 1 of cycles 3-12 for up to 12 cycles) and lenalidomide (daily for days 1-21 of each cycle for up for 12 cycles), cycles will be 28 day cycles.
Round 2EXPERIMENTALInvestigation agent 2
Round 3EXPERIMENTALInvestigation agent 3
All rounds: Investigator Choice TherapyACTIVE_COMPARATORChoice of therapy to be selected by the Investigator for each patient prior to randomisation. The Investigator will choose between; RCHOP, RCVP, rituximab and bendamustine, rituximab and lenalidomide or bendamustine and obinutuzumab.
Epcoritamab + RituximabEXPERIMENTALParticipants will undergo study procedures as outlined: * PET/CT scans at baseline and after cycles 2, 5, and 9 of treatment. * Cycle 1: * Days -14, -7, 1, 8 of 6 week cycle: Predetermined dose of Rituximab. * Days 1, 8, 15, 22 of 6 week cycle: Predetermined dose of Epcoritamab. (Day 15 of Epcoritamab dosage will be administered in the hospital.) * Cycles 2 - 3: --Days 1, 8, 15, 22 of 4 week cycle: Predetermined dose of Epcoritamab. * Cycles 4 - 9: * Day 1 of 4 week cycle: Predetermined dose of Epcoritamab. * Day 15 of 4 week cycle: Predetermined dose of Epcoritamab. * Surveillance imaging (PT/CT scans) at months 13, 18, and 24 after initiation of treatment. * Follow up visits for up to 5 years.
Epcoritamab + Rituximab ExpansionEXPERIMENTALParticipants will undergo study procedures as outlined: * PET/CT scans at baseline and after cycles 2, 5, and 9 of treatment. * Cycle 1: * Days -14, -7, 1, 8 of 6 week cycle: Predetermined dose of Rituximab. * Days 1, 8, 15, 22 of 6 week cycle: Predetermined dose of Epcoritamab. * Cycles 2 - 3: --Days 1, 8, 15, 22 of 4 week cycle: Predetermined dose of Epcoritamab. * Cycles 4 - 9: * Day 1 of 4 week cycle: Predetermined dose of Epcoritamab. * Surveillance imaging (PT/CT scans) at months 13, 18, and 24 after initiation of treatment. * Follow up visits for up to 5 years.
Main Cohort: Epcoritamab Diffuse Large B-Cell Lymphoma (DLBCL)EXPERIMENTALParticipants with relapsed or refractory (R/R) DLBCL will receive subcutaneous (SC) epcoritamab in 28 day cycles.
Main Cohort: Epcoritamab Classic Follicular Lymphoma (cFL)EXPERIMENTALParticipants with R/R cFL will receive SC epcoritamab in 28 day cycles.
Diversity Enriched Cohort: Epcoritamab DLBCLEXPERIMENTALParticipants with R/R DLBCL will receive SC epcoritamab in 28 day cycles.
Diversity Enriched Cohort: Epcoritamab cFLEXPERIMENTALParticipants with R/R cFL will receive SC epcoritamab in 28 day cycles.
Arm 1: Dose EscalationEXPERIMENTALParticipants with relapsed/refractory (R/R) diffuse large B-cell lymphoma (DLBCL) will receive escalating doses of epcoritamab in combination with lenalidomide in 28 day cycles.
Arm 2: Dose EscalationEXPERIMENTALParticipants with R/R DLBCL will receive escalating doses of epcoritamab in combination with ibrutinib and lenalidomide in 28 day cycles.
Arm 3: Dose EscalationEXPERIMENTALParticipants with newly diagnosed treatment-naïve DLBCL will receive escalating doses of epcoritamab in combination with polatuzumab vedotin, rituximab, cyclophosphamide, doxorubicin hydrochloride (HCl), and prednisone (pola-R-CHP) in 21 day cycles.
Arm 4: Dose EscalationEXPERIMENTALParticipants with R/R DLBCL will receive escalating doses of epcoritamab in combination with CC-99282 in 28 day cycles.
Arm 5: Dose EscalationEXPERIMENTALParticipants with R/R follicular lymphoma (FL) will receive escalating doses of epcoritamab in combination with CC-99282 in 28 day cycles.
Arm 6A: Dose EscalationEXPERIMENTALParticipants with R/R mantle cell lymphoma (MCL) will receive escalating doses of epcoritamab in combination with ibrutinib in 28 day cycles.
Arm 1: Dose ExpansionEXPERIMENTALParticipants with R/R DLBCL will receive the recommended dose of epcoritamab in combination with lenalidomide in 28 day cycles.
Arm 2: Dose ExpansionEXPERIMENTALParticipants with R/R DLBCL will receive the recommended dose of epcoritamab in combination with oral ibrutinib and oral lenalidomide in 28 day cycles.
Arm 3: Dose ExpansionEXPERIMENTALParticipants newly diagnosed treatment-naïve DLBCL will receive the recommended dose of epcoritamab in combination with polatuzumab vedotin, rituximab, cyclophosphamide, doxorubicin hydrochloride (HCl), and prednisone (pola-R-CHP) in 21 day cycles.
Arm 3B: Dose ExpansionEXPERIMENTALParticipants newly diagnosed treatment-naïve DLBCL will receive the recommended dose of epcoritamab in combination with polatuzumab vedotin, rituximab, cyclophosphamide, doxorubicin hydrochloride (HCl), and prednisone (pola-R-CHP), in 21 day cycles,until unacceptable toxicity, withdrawal of consent, or completion of treatment.
Arm 4: Dose ExpansionEXPERIMENTALParticipants with R/R DLBCL will receive the recommended dose of epcoritamab in combination with CC-99282 in 28 day cycles.
Arm 5: Dose ExpansionEXPERIMENTALParticipants with R/R FL will receive the recommended dose of epcoritamab in combination with CC-99282 in 28 day cycles.
Arm 6: Dose ExpansionEXPERIMENTALParticipants with R/R MCL will receive the recommended dose of epcoritamab in combination with ibrutinib in 28 day cycles.
Treatment (epcoritamab)EXPERIMENTALPatients receive epcoritamab SC on days 1, 8, 15, and 22 of cycles 1 and 2, days 1 and 15 of cycles 4-9, and day 1 of each subsequent cycle. Cycles repeat every 28 days for up to 12 cycles in the absence of disease progression or unacceptable toxicity. Patients with CR may continue to receive epcoritamab if disease progression occurs within 6 months. Patients with PR or SD continue to receive epcoritamab in the absence of disease progression or unacceptable toxicity. Patients also undergo PET/CT and blood sample collection throughout the study and may undergo biopsy during screening.
Treatment (epcoritamab, ibrutinib)EXPERIMENTALPatients receive ibrutinib PO QD on days -7 to 28 of cycle 1 and on days 1 to 28 of remaining cycles, as well as epcoritamab SC on days 1, 8, 15 and 22 of cycles 1-3, days 1 and 15 of cycles 4-9, and on day 1 of remaining cycles. Treatment repeats every 28 days for up to 6 cycles of ibrutinib and up to 12 cycles of epcoritamab in the absence of disease progression or unacceptable toxicity. Additionally, patients undergo blood sample collection, CT and PET/CT throughout the study. Patients may also undergo bone marrow aspiration and biopsy on study.
Treatment (epcoritamab, pola-r-mini-CHP)EXPERIMENTALSee Detailed Description
EpcoritamabEXPERIMENTALParticipants will receive subcutaneous (SC) epcoritamab in 28 day cycles.
Cohort 1 Part 1: Epcoritamab MonotherapyEXPERIMENTALParticipants will receive subcutaneous (SC) epcoritamab in 28 day cycles.
Cohort 1 Part 2: Epcoritamab ExpansionEXPERIMENTALParticipants will receive SC epcoritamab in 28 day cycles.
Cohort 2: Epcoritamab + RCHOPEXPERIMENTALParticipants will receive SC epcoritamab in combination with \[intravenously (IV) infused rituximab, IV injected cyclophosphamide, IV infused doxorubicin, IV infused vincristine, and oral prednisone (R-CHOP)\] in 21 day cycles followed by 28 day cycles.
Cohort 3: Epcoritamab + R2EXPERIMENTALParticipants will receive SC epcoritamab in combination with \[intravenously (IV) infused rituximab, and oral lenalidomide (R2)\] in 28 day cycles.
Epcoritamab in R/R CLL/SLLEXPERIMENTALIn both study phases. Participants in the expansion phase will be treated at the RP2D defined in the dose-escalation phase.
Epcoritamab in RSEXPERIMENTALOnly in expansion phase.
Epcoritamab + Venetoclax in R/R CLL/SLLEXPERIMENTALIn both study phases. Participants in the expansion phase will be treated at the RP2D defined in the dose-escalation phase.
Epcoritamab + Lenalidomide in RSEXPERIMENTALOnly in expansion phase.
Epcoritamab + R-CHOP in RSEXPERIMENTALOnly in expansion phase.
Epcoritamab + Pirtobrutinib in R/R CLL, TN HR CLL (Non-US Participants Only) and SLLEXPERIMENTALSafety run-in and expansion phases.
Fixed Duration Epcoritamab in R/R CLL/SLLEXPERIMENTALOnly in expansion phase.
Arm 1 - Epcoritamab + R-CHOPEXPERIMENTALIn participants with previously untreated DLBCL.
Arm 2 - Epcoritamab + R2EXPERIMENTALIn participants with R/R FL.
Arm 3 - Epcoritamab + BREXPERIMENTALIn participants with previously untreated FL.
Arm 4 - Epcoritamab + R-DHAX/CEXPERIMENTALIn participants with R/R DLBCL eligible for ASCT.
Arm 5 - Epcoritamab + GemOxEXPERIMENTALIn participants with R/R DLBCL ineligible ASCT.
Arm 6 - Epcoritamab + R2EXPERIMENTALIn participants with previously untreated FL.
Arm 7 - Epcoritamab maintenanceEXPERIMENTALIn participants with FL who achieved a CR or PR after receiving SOC treatment in 1L or 2L.
Arm 8 - Epcoritamab + R mini-CHOPEXPERIMENTALIn participants with previously untreated DLBCL who are ineligible to receive full-dose anthracycline.
Arm 9 - Epcoritamab + LenalidomideEXPERIMENTALIn participants with R/R FL who progressed within 24 months of initiation of first-line anti-CD20-containing immunochemotherapy.
Arm 10 - Epcoritamab + R-ICEEXPERIMENTALIn participants with R/R DLBCL eligible for ASCT.
Interventions
NameTypeDescription
EpcoritamabDRUGSubcutaneous Injection (SC)
CyclophosphamideDRUGIntravenous (IV) Injection
RituximabDRUGIV Infusion
VincristineDRUGIV Infusion
DoxorubicinDRUGIV Infusion
PrednisoneDRUGOral; Tablet
Investigator's Choice ChemotherapyDRUGFollowing mandatory pre-medication, participants will be administered intravenously either BR or R-GemOx.
LenalidomideDRUGOral Capsule
OxaliplatinDRUGIV Infusion
GemcitabineDRUGIV Infusion
ObinutuzumabDRUGIV Infusion
BendamustineDRUGIV Infusion
Loncastuximab TesirineDRUGLoncastuximab will be administered intravenously (IV) at the following dose level and schedule over a total of four cycles: * Cycles 1 and 2 Day 1: 120 mcg/kg * Cycles 3 and 4 Day 1: 75 mcg/kg * Cycle 4 Day 22: 75 mcg/kg
Investigation agent 2DRUGThe drug used in round 2 is yet to be confirmed, round 2 is estimated to open in Q4 2025 and the record will be updated when the drug has been confirmed
Investigation agent 3DRUGThe drug used in round 3 is yet to be confirmed, round 3 is estimated to open in Q3 2027 and the record will be updated when the drug has been confirmed
IbrutinibDRUGOral; Capsule
Doxorubicin Hydrochloride [HCl]DRUGIV; Injection
Polatuzumab VedotinDRUGIV; Injection
CC-99282DRUGOral; Capsule
Epcoritamab (monotherapy)BIOLOGICALEpcoritamab will be administered subcutaneously in cycles of 4 weeks (i.e. 28 days)
Rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisoneDRUG21-day cycles
Gemcitabine and oxaliplatinDRUG28-day cycles
Epcoritamab (maintenance)BIOLOGICAL28-day cycle for Cycle 1 and then 56-day cycle from Cycle 2 through 13
Rituximab and lenalidomideDRUG28-day cycles.
BiopsyPROCEDUREUndergo biopsy
Biospecimen CollectionPROCEDUREUndergo blood sample collection
Computed TomographyPROCEDUREUndergo PET/CT
Positron Emission TomographyPROCEDUREUndergo PET/CT
Bone Marrow AspirationPROCEDUREUndergo bone marrow aspiration and biopsy
Bone Marrow BiopsyPROCEDUREUndergo bone marrow aspiration and biopsy
Magnetic Resonance ImagingPROCEDUREUndergo brain MRI
rituximab, cyclophosphamide, doxorubicin, vincristine and prednisoneDRUGR-CHOP will be administered intravenously (prednisone may be administered orally) in cycles of 21 days.
VenetoclaxDRUGVenetoclax tablets will be administered orally once daily during the 5-week ramp up period in cycles of 28 or 35 days each.
PirtobrutinibDRUGPirtobrutinib tablets will be administered in cycles of 28 days.
rituximab and bendamustineDRUG6 cycles (28-day cycles)
rituximab, cytarabine, dexamethasone, and oxaliplatin/carboplatinDRUG3 cycles (21-day cycles)
rituximab, cyclophosphamide, reduced dose of doxorubicin, vincristine, and prednisoneDRUG6 cycles (21-day cycles)
rituximab, ifosfamide, carboplatin, and etoposide phosphateDRUG3 cycles (21-day cycles)
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Eligibility Criteria
Age Range18 Years to N/A
SexALL

Inclusion Criteria: * Eastern Cooperative Oncology Group Performance status score of 0 to 2. * Histologically confirmed CD20+ Diffuse Large B-Cell Lymphoma (DLBCL) and documented in the most recent and representative pathology report, inclusive of the following according to the World Health Organiz...

Countries:United StatesArgentinaAustraliaBelgiumBrazilBulgariaCanadaChileChinaCroatiaCzechiaFranceGreeceHungaryJapanMexicoNetherlandsNew ZealandPolandPortugalRomaniaSerbiaSingaporeSouth AfricaSouth KoreaTaiwanTurkey (Türkiye)United KingdomDenmarkGermanyIsraelItalyPuerto RicoSlovakiaSpainSwedenAustriaSwitzerlandFinlandNorway
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Recent Changes (Last 90 Days)
LOWJul 20, 2026NCT07714421NEW_TRIAL: changed
LOWJul 20, 2026NCT07714421NEW_TRIAL: changed
LOWJul 8, 2026NCT05409066lastUpdatePostDate: changed
LOWJul 8, 2026NCT05409066lastUpdatePostDate: changed
LOWJul 7, 2026NCT06191744lastUpdatePostDate: changed
HIGHJul 7, 2026NCT05283720Status: RECRUITING → ACTIVE_NOT_RECRUITING
LOWJul 7, 2026NCT04623541lastUpdatePostDate: changed
LOWJul 7, 2026NCT03625037lastUpdatePostDate: changed
LOWJul 7, 2026NCT04663347lastUpdatePostDate: changed
LOWJul 7, 2026NCT06191744lastUpdatePostDate: changed
HIGHJul 7, 2026NCT05283720Status: RECRUITING → ACTIVE_NOT_RECRUITING
LOWJul 7, 2026NCT04623541lastUpdatePostDate: changed
LOWJul 7, 2026NCT03625037lastUpdatePostDate: changed
LOWJul 7, 2026NCT04663347lastUpdatePostDate: changed
LOWJun 2, 2026NCT06191744lastUpdatePostDate: changed
LOWJun 2, 2026NCT05283720lastUpdatePostDate: changed
LOWJun 2, 2026NCT04623541Enrollment: 195 → 194
LOWJun 2, 2026NCT03625037lastUpdatePostDate: changed
LOWJun 2, 2026NCT04663347lastUpdatePostDate: changed
LOWJun 2, 2026NCT06191744lastUpdatePostDate: changed