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Purpose

Follicular lymphoma (FL) is the second most common B-cell cancer and the most common type of cancer of lymphocytes. Unfortunately, this disease is incurable with conventional treatment and the disease recurs in almost all patients. This study will assess how safe and effective epcoritamab is in combination with lenalidomide and rituximab (R2) in treating adult participants with previously untreated FL. Adverse events and change in disease condition will be assessed. Epcoritamab is an investigational drug being developed for the treatment of FL. Study doctors put the participants in 1 of 4 groups, called treatment arms. Each group receives a different treatment. Around 1080 adult participants with previously untreated FL will be enrolled in approximately 250 sites across the world. Participants will receive R2 (intravenous [IV] infusion of rituximab (R) and oral capsules of lenalidomide) alone or in combination with subcutaneous injections of epcoritamab. Participants may also receive investigator's choice chemoimmunotherapy (CIT): IV infusion of obinutuzumab (G) and IV injections of cyclophosphamide, IV injections of doxorubicin, IV injections of vincristine, oral tablets of prednisone (CHOP) [G-CHOP]/ R-CHOP or G and IV infusion of bendamustine (Benda) [G-Benda]/R-Benda. The total treatment duration will be 120 weeks. There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, checking for side effects and completing questionnaires.

Condition

Eligibility

Eligible Ages
Over 18 Years
Eligible Genders
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Diagnosis of follicular lymphoma (FL). - Have CD20+, histologically confirmed classic FL (previously Grade 1 to 3a FL) at most recent representative tumor biopsy based on the local pathology report, according to the 5th edition of World Health Organization (WHO) Classification of Haematolymphoid Tumours. - Are willing and able to comply with procedures required in the protocol. - Must have stage, II, III or IV disease. - Must be in need of systemic treatment per investigator, as evidenced by meeting at least one of the Groupe d'Etude des Lymphomes Folliculaire (GELF) criteria. - Has one or more target lesions: - A positron emission tomography (PET)/computerized tomography (CT) scan demonstrating PET-positive lesion(s), and - >=1 measurable nodal lesion (long axis >1.5cm) or >=1 measurable extra-nodal lesion (long axis >1.0 cm) on CT scan or MRI - Eastern Cooperative Oncology Group (ECOG) performance status 0-2. - Able to receive at least one of the standard of care chemoimmunotherapy (CIT) treatment regimens: [Arm B] at the discretion of the Investigator, and rituximab and lenalidomide (R2) [Arm C]. - Have laboratory values meeting the criteria in the protocol.

Exclusion Criteria

  • Had major surgery within 4 weeks prior to randomization. - Have active cytomegalovirus (CMV) disease.

Study Design

Phase
Phase 3
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Treatment
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Arm A: Epcoritamab + Lenalidomide and Rituximab (R2) 		Participants will receive epcoritamab in combination with R2 during the 120 week treatment duration.
  • Drug: Epcoritamab
    Subcutaneous (SC) Injection
    Other names:
    • ABBV-GMAB-3013
    • GEN3013
    • Epkinly
  • Drug: Rituximab
    Intravenous (IV) Infusion
  • Drug: Lenalidomide
    Oral Capsule
Experimental
Arm B: Chemoimmunotherapy (CIT) Option A 		Participants will receive CIT Option A (obinutuzumab (G) and cyclophosphamide, doxorubicin, vincristine, prednisone (CHOP) [G-CHOP]/ rituximab (R)-CHOP during the 120 week treatment duration.
  • Drug: Prednisone
    Oral Tablet
  • Drug: Rituximab
    Intravenous (IV) Infusion
  • Drug: Doxorubicin
    IV Injection
  • Drug: Vincristine
    IV Injection
  • Drug: Cyclophosphamide
    IV Injection
  • Drug: Obinutuzumab
    IV Infusion
Experimental
Arm B: Chemoimmunotherapy (CIT) Option B 		Participants will receive CIT Option B (G and bendamustine (Benda) [G-Benda]/R-Benda during the 120 week treatment duration.
  • Drug: Prednisone
    Oral Tablet
  • Drug: Rituximab
    Intravenous (IV) Infusion
  • Drug: Obinutuzumab
    IV Infusion
  • Drug: Bendamustine
    IV Infusion
Experimental
Arm C: Lenalidomide and Rituximab (R2) 		Participants will receive lenalidomide and rituximab (R2) during the 120 week treatment duration.
  • Drug: Rituximab
    Intravenous (IV) Infusion
  • Drug: Lenalidomide
    Oral Capsule

Recruiting Locations

University of Maryland, Baltimore /ID# 259538
Baltimore, Maryland 21201

More Details

Status
Recruiting
Sponsor
Genmab

Study Contact

ABBVIE CALL CENTER
844-663-3742
abbvieclinicaltrials@abbvie.com

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.