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On September 25, 2023, it was announced that epcoritimab received approval from both the European Commission and the Ministry of Health, Labour and Welfare of Japan for patients with relapsed/refractory diffuse large B-cell lymphoma, high-grade-B-cell lymphoma (HGBCL), primary mediastinal large B-cell lymphoma, and follicular lymphoma grade 3B.1,2
Epcoritimab is the first and only T-cell engaging bispecific antibody treatment approved for this indication.1,2 The approval is based on evidence from the EPCORE NHL-1 (NCT03625037) and EPCORE NHL-3 (NCT04542824) clinical trials, which are summarized below.
Table 1. Summary of EPCORE NHL-1 and -3*
CR, complete response; CRS, cytokine release syndrome, DLBCL, diffuse large B-cell lymphoma, LBCL, large B-cell lymphoma; ORR, overall response rate; R/R, relapsed or refractory; TRAE, treatment-related adverse event. |
||
Outcome, % (unless otherwise specified) |
EPCORE NHL-11,2 |
EPCORE NHL-32 |
---|---|---|
Phase |
Phase I/II |
Phase I/II |
Eligibility |
R/R LBCL |
R/R DLBCL post ≥2 prior lines of therapy |
ORR |
63 |
56 |
CR |
39 |
44 |
TRAE |
82.8 |
83.2 |
CRS |
49.7 |
83.3 |
Injection site reactions |
19.7 |
58.3 |
Neutropenia |
17.8 |
30.6 |
Lymphopenia |
— |
19.4 |
Decreased appetite |
— |
19.4 |
Thrombocytopenia |
— |
19.4 |
Rash |
— |
19.4 |
References
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