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Zilovertamab vedotin

Phase 3

Diffuse Large B-Cell Lymphoma | Monoclonal antibody | Oncology |Merck & Company, Inc.|Last Updated: Jun 8, 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 Enrollment1,046
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06717347A Study to Evaluate Zilovertamab Vedotin (MK-2140) Combination With Rituximab Plus Cyclophosphamide, Doxorubicin, and Prednisone (R-CHP) Versus Rituximab Plus Cyclophosphamide, Doxorubicin, Vincristine, and Prednisone (R-CHOP) in Participants With Previously Untreated DLBCL (MK-2140-010)PHASE3 RECRUITING 1,046Jan 27, 2025Mar 29, 2032Jun 8, 2026262 United States, Argentina +33
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Study Endpoints
Primary Endpoints
Progression-free survival (PFS)
Up to ~ 50 months

PFS is defined as the time from randomization to the first documented disease progression per Lugano response criteria by blinded independent central review (BICR) or death due to any cause, whichever occurs first.

Secondary Endpoints
Complete Response at End of Treatment (CR at EOT)
Up to ~ 32 months
Overall Survival (OS)
Up to ~ 74 months
Event-free Survival (EFS)
Up to ~ 74 months
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Zilovertamab vedotin + Rituximab + Cyclophosphamide, Doxorubicin, Prednisone (R-CHP)EXPERIMENTALParticipants receive a dose of zilovertamab vedotin (1.75 mg/kg) plus 750 mg/m\^2 cyclophosphamide, 50 mg/m\^2 doxorubicin, and 375 mg/m\^2 rituximab or rituximab biosimilar administered by intravenous (IV) infusion on Day 1 of each 21-day cycle (Q3W) for up to 6 cycles (up to approximately 4 months) plus 2 cycles of rituximab or biosimilar for participants with high risk DLBCL. Participants also receive 100 mg prednisone, prednisolone, or methylprednisolone via oral tablet per day during Days 1-5 of each 21-day cycle for up to 6 cycles (up to approximately 4 months).
Rituximab + Cyclophosphamide, Doxorubicin, Vincristine, Prednisone (R-CHOP)ACTIVE_COMPARATORParticipants receive 750 mg/m\^2 cyclophosphamide, 50 mg/m\^2 doxorubicin, and 375 mg/m\^2 rituximab or rituximab biosimilar, 1.4 mg/m\^2 vincristine administered by intravenous (IV) infusion on Day 1 of each 21-day cycle (Q3W) for up to 6 cycles (up to approximately 4 months) plus 2 cycles of rituximab or biosimilar for participants with high risk DLBCL. Participants also receive 100 mg prednisone, prednisolone, or methylprednisolone via oral tablet per day during Days 1-5 of each 21-day cycle for up to 6 cycles (up to approximately 4 months).
Interventions
NameTypeDescription
Zilovertamab vedotinBIOLOGICALIV infusion
RituximabBIOLOGICALIV infusion
CyclophosphamideDRUGIV infusion
DoxorubicinDRUGIV infusion
Rituximab BiosimilarBIOLOGICALIV infusion
PrednisoneDRUGPer Approved Product Label
PrednisoloneDRUGOral administration
VincristineDRUGIV infusion
Rescue medicationDRUGParticipants receive rescue medication per approved product label. The rescue medication is granulocyte colony-stimulating factor (G-CSF).
MethylprednisoloneDRUGPer Approved Product Label
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites262

Inclusion Criteria: * Has histologically confirmed diagnosis of diffuse large B-cell lymphoma (DLBCL), by prior biopsy, based on local testing according to the WHO classification of neoplasms of the hematopoietic and lymphoid tissues * Has positron emission tomography (PET) positive disease at scre...

Countries:United StatesArgentinaAustraliaBelgiumBrazilCanadaChileChinaColombiaDenmarkFranceGreeceGuatemalaHong KongHungaryIsraelItalyJapanMalaysiaMexicoNetherlandsPeruPolandPortugalPuerto RicoRomaniaSingaporeSouth AfricaSouth KoreaSpainSwitzerlandTaiwanThailandTurkey (Türkiye)Ukraine
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Recent Changes (Last 90 Days)
LOWJun 8, 2026NCT06717347lastUpdatePostDate: changed
LOWJun 8, 2026NCT06717347lastUpdatePostDate: changed
LOWJun 8, 2026NCT06717347lastUpdatePostDate: changed
LOWMay 29, 2026NCT06717347lastUpdatePostDate: changed
LOWMay 29, 2026NCT06717347lastUpdatePostDate: changed
LOWMay 29, 2026NCT06717347lastUpdatePostDate: changed
MEDIUMMay 26, 2026NCT06717347primaryCompletionDate: changed
LOWMay 24, 2026NCT06717347studyFirstPostDate: changed