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Epcoritamab receives approval from the Japanese Ministry of Health, Labour and Welfare for R/R follicular lymphoma

By Ella Dixon

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Feb 21, 2025

Learning objective: After reading this article, learners will be able to cite a new clinical development in follicular lymphoma


On February 20, 2025, the Japanese Ministry of Health, Labour and Welfare approved epcoritamab, a T-cell-engaging bispecific antibody, for the treatment of relapsed/refractory follicular lymphoma (Grades 1 to 3A) in patients who have received ≥2 prior lines of therapy.1 This approval is based on results from the open-label, multicenter phase I/II  EPCORE NHL-1 (global) and EPCORE NHL-3 (Japan only) trials.1

EPCORE NHL-11

  • Of 128 evaluable patients, the overall response rate was 82%, with a complete response of 62.5%.
  • Of 91 patients evaluated for minimal residual disease (MRD), 67% were MRD-negative.
  • In patients receiving epcoritamab in a 2-step step-up dosing schedule, adverse events were seen in 93% of patients; the most common treatment-emergent adverse events were cytokine release syndrome (66.4%) and injection site reactions (36.7%).

EPCORE NHL-31

  • Of 21 evaluable patients, with a median follow-up of 21.2 months, the overall response rate was 95.2%, with a complete response of 76.2%.
  • Of these patients, 88.9% were MRD-negative after treatment.
  • In patients receiving epcoritamab in a 2-step step-up dosing schedule, the most common treatment-emergent adverse events were cytokine release syndrome (90.5%), rash (28.6%), neutropenia (28.6%), increased alanine aminotransferase (23.8%), and increased aspartate aminotransferase (23.8%).

References

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