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Customizing first-line BTK inhibitors for CLL

with Gilles Salles, Paolo Ghia, and Francesc Bosch

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The Lymphoma & CLL Hub is an independent medical education platform, sponsored by Beigene and Roche, and supported through educational grants from Bristol Myers Squibb, Ipsen Biopharmaceuticals, Pfizer, and Pharmacyclics LLC, an AbbVie Company and Janssen Biotech, Inc., administered by Janssen Scientific Affairs, LLC. View funders.

2024-10-22T08:31:20.000Z

Epcoritamab plus pola-R-CHP as first-line treatment for patients with DLBCL: Results from the phase Ib/II EPCORE NHL-5 trial

Oct 22, 2024
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Learning objective: After reading this article, learners will be able to cite a new clinical development in diffuse large B-cell lymphoma.


The ongoing phase Ib/II EPCORE NHL-5 trial (NCT05283720) is evaluating the safety and efficacy of epcoritamab, a subcutaneous CD3 × CD20 bispecific antibody, in combination with antineoplastic agents in adult patients with NHL.1 The first results from Arm 3 of this trial, which included 37 adult patients with newly-diagnosed DLBCL treated with first-line epcoritamab plus pola-R-CHP, were presented at the SOHO 2024 Annual Meeting by Kerr.1


Key learnings
Fixed-duration epcoritamab plus pola-R-CHP resulted in high response rates, with an ORR and CR rate of 100% and 88.6%, respectively.
Response rates were rapid, with a median time to response of 2.7 months; durable, with the median duration of CR not reached; and consistent across patient subgroups.
The safety profile was consistent with previous findings, with no DLTs, ICANS, CTLS, or Grade ≥3 CRS observed. Grade 1/2 CRS occurred in 49% of patients and all events were resolved.
The most common Grade ≥3 TEAE was neutropenia (65%); however, there were no resulting discontinuations. Rates of infection were low.
These results suggest that epcoritamab plus pola-R-CHP is well tolerated and effective as a first-line treatment for patients with DLBCL, with results comparing favorably to pola-R-CHP or R-CHOP alone.

Abbreviations: CR, complete response; CRS, cytokine release syndrome; CTLS, clinical tumor lysis syndrome; DLBCL, diffuse large B-cell lymphoma; DLT, dose-limiting toxicity; ICANS, immune effector cell-associated neurotoxicity syndrome; NHL, non-Hodgkin lymphoma; ORR, objective response rate; pola-R-CHP, polatuzumab vedotin, rituximab, cyclophosphamide, doxorubicin, and prednisone; R-CHOP, rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone; SOHO, Society of Hematologic Oncology; TEAE, treatment-emergent adverse event.

  1. Kerr DA. First data from subcutaneous epcoritamab + polatuzumab vedotin, rituximab, cyclophosphamide, doxorubicin, and prednisone (pola-RCHP) for first-line diffuse large b-cell lymphoma (DLBCL): EPCORE NHL-5. Poster #ABCL-417. Presented at: Society of Hematologic Oncology 2024 Annual Meeting; Sep 4–7, 2024; Houston, US.

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