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Active, not recruitingNCT04628494EPCORE DLBCL-1Updated May 22, 2026

A Phase 3 Trial of Epcoritamab vs Investigator's Choice Chemotherapy in Relapsed/Refractory (R/R) Diffuse Large B-cell Lymphoma (DLBCL)

A Phase 3 interventional study of Epcoritamab and Investigator's Choice Chemotherapy in Diffuse Large B-cell Lymphoma, sponsored by Genmab. Active, not recruiting at 186 sites in 24 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-05-22.

Sponsored by Genmab · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
483
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this trial is to find out if epcoritamab, also known as EPKINLY™ and GEN3013, is safe and works well as treatment for participants with DLBCL that are not responding to treatment, have grown in size, or have come back following treatment with at least 1 prior systemic cancer therapy. All participants in this trial will be randomly assigned to receive either epcoritamab or a pre-specified investigator's choice (standard of care) chemotherapy (either rituximab + gemcitabine + oxaliplatin [R-GemOx], or bendamustine + rituximab [BR]). Participants must have failed or be ineligible to receive an autologous stem cell transplant (ASCT).

Epcoritamab will be injected under the skin. Investigator's choice chemotherapy will be given intravenously.

Trial details include:

  • The trial duration will be up to 5 years after last participant is randomized.
  • All trial participants have a 21-day screening period, a treatment period, and a follow-up period that continues until death.
  • The estimated trial duration for an individual participant depends upon the treatment arm assigned:

    • Participants who receive epcoritamab will have 28-day treatment cycles. Epcoritamab will be given once weekly for the first 3 months, then every other week for 6 months, then every 28 days until lymphoma progression or unacceptable adverse events.
    • Participants who receive investigator's choice (standard of care) chemotherapy will receive treatments either:

      • R-GemOx: On Day 1 (or Day 1 \& Day 2), and Day 15 (or Day 15 \& Day 16) every 28 days, for up to 4 months; or
      • BR: On Day 1 and Day 2 every 3 weeks for up to 4.5 months.
Read the detailed description

The trial is an open label, multi-center, global phase-3 randomized trial of epcoritamab. The goal of this randomized trial is to evaluate the efficacy of epcoritamab (GEN3013, DuoBody®-CD3xCD20) compared to investigator's choice of chemotherapy, in participants with relapsed, refractory DLBCL who have failed or are ineligible for high-dose chemotherapy and autologous stem cell transplant (HDT-ASCT). No change in chemotherapy is permitted for participants during the treatment phase of the trial.

Overall Survival (OS) is the primary endpoint in USA and in China, with the analysis population including all randomized participants. OS/Progression Free Survival (PFS) are dual-primary endpoints for rest of the world (outside US and China), with the analysis population also including all participants randomized.

The China sub-study of GCT3013-05 is registered under NCT07226752.

02

Conditions studied

  • Diffuse Large B-cell Lymphoma

Keywords

  • double-hit DLBCL
  • triple-hit DLBCL
  • follicular grade 3B
  • transformed DLBCL
  • T-cell histiocytes-rich large B cell lymphoma
03

In context

Lymphoma, Large B-Cell, Diffuse

1,390 studies on the registry are indexed under Lymphoma, Large B-Cell, Diffuse; 350 are open to participants now.

This study's enrollment of 483 is above the median of 47 across 1,185 interventional studies indexed under Lymphoma, Large B-Cell, Diffuse.

Browse Lymphoma, Large B-Cell, Diffuse studies →

Lead sponsor

Genmab is the lead sponsor of 67 studies on the registry; 14 are open to participants now.

Of its 23 completed or terminated interventional studies of FDA-regulated products, 12 (52%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Main Inclusion Criteria:

  1. Relapsed or refractory disease and previously treated with at least 1 line of systemic antineoplastic therapy including anti-CD20 monoclonal antibody (mAb)-containing combination chemotherapy since lymphoma diagnosis
  2. One of the confirmed histologies below with CD20-positivity:

    1. DLBCL, not otherwise specified (NOS), including de novo or histologically transformed from follicular lymphoma (FL)
    2. "Double-hit" or "triple-hit" DLBCL (technically classified in World Health Organization (WHO) 2016 as high-grade B-cell lymphoma (HGBCL), with MYC and BCL2 and/or BCL6 translocations), including de novo or histologically transformed from FL
    3. FL Grade 3B
    4. T-cell/histiocyte-rich large B-cell lymphoma
  3. Eastern Cooperative Oncology Group Performance Status (ECOG PS) score of 0-2
  4. Failed previous HDT-ASCT or not eligible for high-dose therapy autologous stem cell transplant (HDT-ASCT) at screening
  5. Participants must have detectable disease by positron emission tomography (PET) scan and measurable by computed tomography (CT) scan or magnetic resonance imaging (MRI)
  6. Acceptable renal and liver function
  7. Life expectancy >2 months on standard of care treatment

Main Exclusion Criteria:

  1. Primary Central Nervous System (CNS) tumor or known CNS involvement
  2. Any prior therapy with a bispecific antibody targeting CD3 and CD20
  3. Major surgery within 4 weeks prior to randomization
  4. Chemotherapy and other non-investigational antineoplastic agents (except CD20 mAbs) within 4 weeks or 5 half-lives (whichever is shorter) prior to randomization
  5. Any investigational drug within 4 weeks or 5 half-lives, whichever is longer, prior to randomization
  6. Autologous stem cell transplant (ASCT) within 100 days of randomization
  7. Treatment with chimeric antigen receptor T-cell (CAR-T) therapy within 100 days prior to randomization
  8. Seizure disorder requiring anti-epileptic therapy
  9. Clinically significant cardiac disease
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
483 participants (actual)

Study arms

  • Experimental
    Epcoritamab (GEN3013; DuoBody®CD3xCD20)

    Epcoritamab will be administered in Cycles of 28 days until any of the discontinuation criteria is met

    Biological: Epcoritamab

  • Active comparator
    Investigator's choice of chemotherapy

    R-GemOx will be administrated in Cycles of 28 days until maximum cycles completion or any of the discontinuation criteria is met BR will be administrated in Cycles of 21 days until maximum cycles completion or any of the discontinuation criteria is met

    Drug: Investigator's Choice Chemotherapy

Interventions

  • BiologicalEpcoritamab

    Following mandatory pre-medication, participants will be administered epcoritamab as a subcutaneous injection.

    Also known as: GEN3013, DuoBody®-CD3xCD20, EPKINLY™

  • DrugInvestigator's Choice Chemotherapy

    Following mandatory pre-medication, participants will be administered intravenously either BR or R-GemOx.

    Also known as: BR or R-GemOx

06

What researchers measure

Primary outcomes

  1. Overall Survival (OS)

    Time frame: Up to approximately 5 years

Secondary outcomes

  1. Progression Free Survival (PFS)

    Time frame: Up to approximately 5 years

  2. Overall Response Rate (ORR)

    Time frame: Up to approximately 5 years

  3. Complete Response (CR) Rate

    Time frame: Up to approximately 5 years

  4. Duration of Response (DOR)

    Time frame: Up to approximately 5 years

  5. Time to Response (TTR)

    Time frame: Up to approximately 5 years

  6. Duration of Minimal Residual Disease (MRD) Negative Status

    Time frame: Up to approximately 5 years

  7. Rate of MRD Negative Status

    Time frame: Up to approximately 5 years

  8. Time to Next Anti-lymphoma Therapy (TTNT)

    Time frame: Up to approximately 5 years

  9. Number of Participants with Adverse Events (AEs)

    Time frame: Up to approximately 5 years

  10. Number of Participants with Dose Interruptions and Delays

    Time frame: Up to approximately 5 years

  11. Number of Participants with an Anti-epcoritamab Antibody Response

    Time frame: Up to approximately 5 years

  12. Changes from Baseline in Lymphoma Symptoms as Measured by the Functional Assessment of Cancer Therapy - Lymphoma (FACT-Lym)

    Time frame: Baseline up to approximately 5 years

07

Study locations

186 sites
  • Indiana Blood and Marrow Transplantation
    Indianapolis, Indiana 46237, United States
  • Community Health Network Cancer Center North
    Indianapolis, Indiana 46250, United States
  • University of Kentucky Markey Cancer Center
    Lexington, Kentucky 40536, United States
  • Henry Ford Health System
    Jackson, Michigan 49201, United States
  • MMCORC Attn Delaney Anderson
    Saint Louis Park, Minnesota 55416, United States
  • MD Anderson Cancer Center at Cooper
    Camden, New Jersey 08103, United States
  • Wake Forest Baptist Health
    Winston-Salem, North Carolina 27157, United States
  • The Christ Hospital Cancer Center
    Cincinnati, Ohio 45229, United States
  • TriHealth Cancer Institute- Good Samaritan Hospital
    Cincinnati, Ohio 45247, United States
  • Brooke Army Medical Center
    Fort Sam Houston, Texas 78234, United States
  • Community Cancer Trials of Utah
    Ogden, Utah 84405, United States
  • LDS Hospital
    Salt Lake City, Utah 84143, United States
  • Virginia Commonwealth University (VCU) Massey Cancer Center
    Richmond, Virginia 23298, United States
  • North Star Lodge Cancer Center
    Yakima, Washington 98902, United States
  • Waukesha Memorial Hospital
    Waukesha, Wisconsin 53188, United States
  • Flinders Medical Centre
    Bedford Park, Australia
  • Concord Repatriation General Hospital
    Concord, Australia
  • Peninsula Private Hospital Clinical Trials Unit
    Frankston, Australia
  • Icon Cancer Centre Corporate Office
    South Brisbane, Australia
  • Calvary Mater Newcastle
    Waratah, Australia
  • Westmead Hospital
    Westmead, Australia
  • Ordensklinikum Linz Barmherzige Schwestern
    Linz, Austria
  • Ordensklinikum Linz GmbH Elisabethinen
    Linz, Austria
  • Uniklinikum Salzburg, Universitätsklinik für Innere Medizin III der PMU
    Salzburg, Austria
  • ZNA Middelheim
    Antwerp, Belgium
  • AZ Sint-Jan
    Bruges, Belgium
  • Institut Jules Bordet
    Brussels, Belgium
  • Universitair Ziekenhuis Gent
    Ghent, Belgium
  • UZ Brussel
    Jette, Belgium
  • Hôpital de Jolimont
    La Louvière, Belgium
  • Universitair Ziekenhuis gasthuisberg Leuven
    Leuven, Belgium
  • AZ Nikolaas- Verenigde Ziekenhuizen van Waas en Durme
    Sint-Niklaas, Belgium
  • AZ Turnhout, Campus Sint-Elisabeth
    Turnhout, Belgium
  • CHU de Quebec-Universite Laval
    Québec, Canada
  • Aalborg Universitetshospital
    Aalborg, Denmark
  • Aarhus University Hospital, Department of Hematology, Clinical Research Unit C116
    Aarhus, Denmark
  • Clinical Research Unit, Roskilde Sygehus
    Roskilde, Denmark
  • Vejle Hospital
    Vejle, Denmark
  • HUS Cancer Center/ Clinical Trial Unit
    Helsinki, Finland
  • Oulu university hospital, Department of hematology
    Oulu, Finland
  • Audrey ALEME
    Amiens, France
  • Centre Hospitalier de la Côte Basque
    Bayonne, France
  • CHRU de Brest - Hospital Morvan
    Brest, France
  • CHU Caen - IHBN
    Caen, France
  • Groupe Hospitalier de La Rochelle
    La Rochelle, France
  • CHU de LIMOGES
    Limoges, France
  • Centre Léon Bérard
    Lyon, France
  • Hopital de la Conception APHM
    Marseille, France
  • CHU de Nantes - Hôtel Dieu
    Nantes, France
  • Centre Antoine Lacassagne
    Nice, France
  • Clinique Victor Hugo
    Paris, France
  • Hôpital Saint-Louis
    Paris, France
  • CHU de Bordeaux Hôpital Haut-Lévêque
    Pessac, France
  • Centre Hospitalier Lyon Sud
    Pierre-Bénite, France
  • CHU de Poitiers - Hôpital la Milétrie
    Poitiers, France
  • Centre Hospitalier Rene Dubos
    Pontoise, France
  • Ch Cornouaille
    Quimper, France
  • Centre Henri Becquerel
    Rouen, France
  • CHRU Tours Hôpital Bretonneau
    Tours, France
  • Uniklinik Köln, Klinik I für Innere Medizin, CIO Gebäude 70, 5.094
    Cologne, Germany
  • Universitaetsklinikum Essen
    Essen, Germany
  • Universitätsklinikum Schleswig-Holstein Medizinische Klinik II Hämatologie und Onkologie
    Kiel, Germany
  • Universitätsklinikum Würzburg
    Würzburg, Germany
  • National Institute of Oncology
    Budapest, Hungary
  • Semmelweis Egyetem Belgyógyászati és Onkológiai Klinika
    Budapest, Hungary
  • Debreceni Egyetem Klinikai Kozpont, Belgyogyaszati Klinika, Hematologia
    Debrecen, Hungary
  • Belgyógyászati osztály Markhot Ferenc Kórház
    Eger, Hungary
  • Petz Aladar Egyetemi Oktato Korhaz
    Győr, Hungary
  • Josa Andras Teaching Hospital, Hematology Dept
    Nyíregyháza, Hungary
  • University of Pecs 1st. Internal medicine Clinic Dept. Hematology
    Pécs, Hungary
  • Szegedi Tudományegyetem II. sz. Belgyogyaszat, Hematologia
    Szeged, Hungary
  • Fejer Megyei Szent Gyorgy Egyetemi Oktato Korhaz
    Székesfehérvár, Hungary
  • Bnai Zion Medical Center
    Haifa, Israel
  • Rambam Health Care Center
    Haifa, Israel
  • Hadassah University Hospital
    Jerusalem, Israel
  • Shaare Zedek Medical Center
    Jerusalem, Israel
  • Sourasky Medical Center
    Tel Aviv, Israel
  • IRCCS Istituto Tumori Giovanni Paolo II Bari
    Bari, Italy
  • Azienda Socio Sanitaria Territoriale Sette Laghi (Presidio Ospedale di Circolo e Fondazione Macchi)
    Bergamo, Italy
  • Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia (Presidio Spedali Civili)
    Brescia, Italy
  • Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (I.R.S.T.)
    Meldola, Italy
  • Istituto Oncologico Europeo
    Milan, Italy
  • San Raffaele Hospital
    Milan, Italy
  • Azienda Ospedaliero - Universitaria Maggiore delle Carita SCDU Ematologia building C
    Novara, Italy
  • Fondazione IRCCS Policlinico San matteo
    Pavia, Italy
  • Ospedale Santa Maria delle Croci
    Ravenna, Italy
  • Azienda Ospedaliera Universitaria Policlinico Umberto I Università di Roma La Sapienza, Dip Med Tra
    Rome, Italy
  • IRCCS Ospedale Casa Sollievo della Sofferenza
    San Giovanni Rotondo, Italy
  • Azienda Sanitaria Universitaria Giuliano Isontina (ASU GI) Ospedale Maggiore di Trieste
    Trieste, Italy
  • SC di Ematologia - AON SS Antonio e Biagio e Cesare Arrigo
    Venezia, Italy
  • Kyushu University Hospital
    Fukuoka, Japan
  • Fukushima Medical University Hospital
    Fukushima, Japan
  • Chugoku Central Hospital
    Fukuyama, Japan
  • Hokkaido University Hospital
    Hokkaido, Japan
  • National Cancer Center Hospital East
    Kashiwa, Japan
  • Kyoto University Medical Hospital
    Kyoto, Japan
  • Matsuyama Red Cross Hospital
    Matsuyama, Japan
  • Mie University Hospital
    Mie, Japan
  • Japanese Red Cross Nagoya Daini Hospital
    Nagoya, Japan
  • NHO Nagoya Medical Center
    Nagoya, Japan

Showing the first 100 of 186 sites across 24 countries.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 22, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04628494
Lead sponsor
Genmab
Collaborators
AbbVie
Responsible party
Sponsor
First posted
Nov 13, 2020
Start date
Jan 13, 2021
Primary completion
Oct 13, 2025
Completion
Apr 2028 (estimated)
Last update
May 22, 2026

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in May 2026. You cannot join it, but the record below documents what was studied.

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