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Health Canada approves epcoritamab in combination with lenalidomide + rituximab for R/R FL

By Amy Hopkins

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Sep 28, 2026

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


On September 24, 2026, Health Canada issued a Notice of Compliance for epcoritamab, in combination with lenalidomide + rituximab (R2), for the treatment of adult patients with Grade 1, 2, or 3a relapsed/refractory (R/R) follicular lymphoma (FL) after ≥1 prior line of systemic therapy.1

This authorization was supported by results from the phase III EPCORE FL-1 (NCT05409066) trial of epcoritamab + R2 vs R2 alone in patients with R/R FL after ≥1 prior line of therapy.1,2 The overall response rate (ORR; 95% vs 79%; p < 0.0001) and complete response (CR) rate (83% vs 50%; p < 0.0001) were significantly improved with epcoritamab + R2 vs R2 alone.2 Additionally, estimated 16-month progression-free survival (PFS) rates were significantly longer with epcoritamab + R2 vs R2 alone (85.5% vs 40.2%), representing a 79% reduction in risk of disease progression or death (hazard ratio [HR], 0.21; 95% confidence interval [CI], 0.13–0.33; p < 0.0001).1,2 Treatment-related adverse events (TRAEs) of any grade occurred in 97% of patients receiving epcoritamab + R2 vs 90% of patients receiving R2 alone, with serious adverse events (SAEs) in 56% vs 29% of patients.2

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In practice, what is the most common reason you discontinue rituximab maintenance after BR in older patients with previously untreated MCL?