ClinicalTrials.gg
RecruitingNCT07126236REPIFIRUpdated Sep 29, 2026

Response-adaptive to Epcoritamab In First Relapse: Study to Evaluate the Efficacy of Eptoritamab in Patients With Relapse/Refractory Large B Cell Lymphoma

A Phase 2 interventional study of Epcoritamab and Epcoritamab, tafasitamab and lenalidomide in Large B Cell Lymphoma, sponsored by Grupo Español de Linfomas y Transplante Autólogo de Médula Ósea. Recruiting at 19 sites in Spain. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-29.

Sponsored by Grupo Español de Linfomas y Transplante Autólogo de Médula Ósea · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Aug 2025; still recruiting 1 year 3 months later.
Updated Sep 29, 2026Site recruiting status changed4 sites addedGo to Updates ↓

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Phase
Phase 2
Study type
Interventional
Enrollment
80
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 143 studies in Lymphoma with a site in Spain — 25 open to participants now, 43 under way, 10 of them phase 3. Lymphoma · Spain.

Planned enrollment
79th of 134
80 · median 111
Started
2025
with 3 others
Phase 2
40 of 143
3 open now
Primary completion
2031-12
later than 40 of 42 live
Registered
139th of 143
by date
Lead sponsor
9 of 143
Grupo Español de Linfomas y Transplante Autólogo de Médula Ósea

Among the 143 studies in Lymphoma with a site in Spain, this one is the 79th largest by planned enrollment of the 134 interventional ones that give a count, is one of 4 that started in 2025, is one of 40 in phase 2, reaches primary completion later than 40 of the 42 other live ones, and was the 139th registered.

Lymphoma

3,018 studies on the registry are indexed under Lymphoma; 433 are open to participants now.

Browse Lymphoma studies →

Open to participants now

25 of the 143 studies in Lymphoma with a site in Spain are open now. Recruiting first, the newest first:

19 more — sign in →

All 25 open studies →

A study can be open while its sites in Spain have not opened yet or have stopped. Only those recruiting at a site in Spain →

Who these studies take

Of the 346 Lymphoma studies recruiting now, 227 (66%) set no upper age limit and 78 (23%) stop at 75 or younger; 77 take children under 18; 20 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

phase II, response-adaptive, open-label, multicenter study aiming to include 80 patients in 78 months. Patients will receive 3 cycles of epcoritamab monotherapy and, since cycle 4, they can continue with epcoritamab monotherapy until cycle 12 or change to combination therapy (epcoritamab + tafasitamab + lenalidomide) until cycle 15. Patients will be followed up to 5 years.

Read the detailed description

Epcoritamab is a full-length bispecific IgG1 antibody directed against two proteins, CD3 on the T lymphocyte and CD20 on the lymphoma cell. This antibody redirects and activates T cells, generating an immune synapse that eventually eliminates malignant cells expressing CD20.

Previous studies have demonstrated that Epcoritamab has potent antitumor activity as a monotherapy agent, with a favorable and manageable safety profile.

Since its efficacy is so favorable it is reasonable to think that it could be an excellent option for first-relapse patients. However, to date, there is no data on this therapy's usefulness as second-line treatment. Therefore we intend to evaluate the efficacy of Epcoritamab as a treatment option for patients with first-relapse LBCL.

The purpose of this study is to determine the efficacy of Epcoritamab as second line treatment for LBCL patients. On the basis of the clinical experience, it is hypothesized that Epcoritamab would provide a better complete response rate (CRR) in comparison to Platinum-based immunochemotherapy (CRR=25%), Polatuzumab-Bendamustin Rituximab (CRR=40%) and Tafasitamab-Lenalidomide (CRR=43%).

03

Conditions studied

  • Large B Cell Lymphoma

Keywords

  • lymphoma
  • geltamo
  • DIFFUSE LARGE B-CELL LYMPHOMA
  • DLBCL
  • RELAPSE
  • epcoritamab
  • tafasitamab
  • lenalidomide
04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Written must be obtained before any study-specific assessment is performed.
  2. Age >18 years
  3. Patients with Relapse/ confirmed LBCL, including, Diffuse Large B Cell Lymphoma (DLBCL); Primary Mediastinal Large B Cell Lymphoma (PMBCL), High-grade B-cell lymphoma (HGBCL); and grade 3B Follicular Lymphoma.

    Relapsed disease is defined as complete remission to therapy followed by a recurrence of the disease after a minimum of 6 months of completion of first-line therapy. A at the time of relapse is recommended but not mandatory.

    Refractory disease is defined as no objective response to first line therapy (biopsy not mandatory if diagnostic sample available). Four groups of patients are eligible:

    • PD as best response to first line therapy.
    • SD as best response after at least 4 cycles of first line therapy.
    • PR as best response after at least 6 cycles of first line therapy.
    • CR and disease recurrence within \< 6 months from the completion of first-line therapy.
  4. Patients must have received adequate first-line therapy including at a minimum: an anti-CD20 monoclonal antibody (rituximab or obinutuzumab), and CHOP (cyclophosphamide, hydroxydaunomycin, oncovin, and prednisone) or CHOP-like chemotherapy.
  5. At the investigator's discretion, the patient should not be a candidate for 1st relapse CAR-T therapy or unwilling to receive CAR-T therapy.
  6. Patients must be stem cell transplantation (ASCT)-ineligible: Age ≥65 and/or HTC-CI ≥3 or or unwilling to receive transplant.
  7. PET positive disease.
  8. Performance status according to (ECOG) 0 to 2.
  9. Patients meeting with the following hematology values:

    • ≥8 g/dl (transfusion support permitted but not within 7 days of screening lab collection)
    • (ANC) ≥ 1/109/L (growth factor support allowed in case of bone marrow involvement).
    • Absolute lymphocyte count ≥ 0.1/109/L,
    • count ≥ 70/109/L (unless secondary to bone marrow involvement, OR ≥50x/109/L if documented bone marrow involvement). Platelet transfusions permitted but not within 7 days of screening lab collection.
  10. Female patients of must have a negative urine or serum pregnancy test at screening and agree to use highly effective methods of (e.g., established use of oral, injected or implanted combined (estradiol and progesterone containing) hormonal contraception; placement of an intrauterine device (IUD) or intrauterine system (IUS) upon enrollment according to the recommendations provided by Clinical Trial Facilitation Group (CTFG), during the treatment period and for 4 months after the last dose of study medication. Moreover, the patient must agree to ongoing pregnancy testing during the course of the study, and after study therapy has ended. This applies even if the patient practices complete and continued sexual abstinence.

    Women not of childbearing potential are defined as: premenarchal; (greater than 50 years of age with amenorrhea for at least 12 months or any age with amenorrhea for at least 6 months and a serum follicle stimulating hormone (FSH) level greater than 40 IU per L or milli-International unit (mIU) per mL); permanently sterilized (e.g., bilateral tubal occlusion [which includes tubal ligation procedures as consistent with local regulations], hysterectomy, bilateral salpingectomy, bilateral oophorectomy); or otherwise be incapable of pregnancy.

  11. Male patients must use a reliable method of contraception (if sexually active with a female of child-bearing potential) upon enrollment according to the recommendations provided by CTFG, during the treatment period, and for 4 months following the last dose of drug or agreement to remain abstinent. Agreement to refrain from donating blood or sperm during the study participation and for 4 months after the last dose of study medication.
  12. Women must agree not to donate blood or oocytes during the course of the study and for 4 months after the last dose of study medication. Restrictions concerning blood donation apply as well to females who are not of childbearing potential. Men must also not donate sperm during the trial and for 4 months after receiving the last dose of study drug.
  13. Females of childbearing potential must refrain from breastfeeding during the course of the study and for 4 months after the last dose of study medication.
  14. Willingness and ability to comply with scheduled visits, treatment plans, laboratory tests, and other study procedures.
  15. Not included in other clinical trial or treated with an experimental drug.

Exclusion criteria

Exclusion Criteria:

  1. Patients who received more than one
  2. Patients with detectable Central Nervous System (CNS) lymphoma
  3. Significant organ function impairment:

    • calculated by Cockcroft-Gault ≤ 45 ml/min
    • direct level \< 2 x (except in patients with Gilbert's syndrome),
    • (ALT) and aspartate aminotransferase (AST) >3 × ULN or >5 × ULN in cases of documented liver involvement.
    • pleural effusion,
    • (LVEF) ≤ 45%
  4. Serious accompanying disorder leading to impaired organ function causing significant clinical problems and reduced of less than 3 months.
  5. Have a history of deep venous thrombosis/embolism, threatening thromboembolism or known thrombophilia or are at a high risk for a thromboembolic event in the opinion of the investigator and who are not willing/able to take venous thromboembolic event prophylaxis during the entire treatment period
  6. Known clinically significant cardiac disease, including:

    • Onset of unstable angina pectoris within 6 months of signing the patient form.
    • Acute myocardial infarction within 6 months of signing the patient informed consent form.
    • Congestive heart failure (grade III or IV as classified by the .
    • Left ventricular ejection fraction ≤45%.
  7. Known past or current other than inclusion diagnosis, except for: Cervical carcinoma of Stage 1B or less; Non-invasive basal cell or squamous cell skin carcinoma; Non-invasive, superficial bladder cancer; Localized low grade prostate cancer (up to Gleason score 6); DCIS of the breast; Other malignancy that has been treated with curative intent and has remained in remission for 3 years.
  8. Previous .
  9. Prior anti-CD3 and CD20 bispecific antibodies therapy or prior treatment with tafasitamab.
  10. Presence of severe infection that is uncontrolled or requiring IV antimicrobials for management.
  11. History of infection or acute or chronic active or C infection.

    • Individuals with positive HIV serology may be included if negative viral load and >200/mm3. For being included, patients should have controlled disease and been on treatment for at least 1 year
    • Individuals with history of hepatitis infection with positive antibodies (anti-HB and anti-HV) might be included if negative viral load (negative hepatitis B PCR). Patients who are HBcAb positive must receive HBV prophylaxis while on treatment. Patients with positive HbsAg are excluded. Patients who are hepatitis B PCR positive will be excluded. Patients who are RNA positive will be excluded.
  12. Females who are pregnant or breastfeeding.
  13. Richter's transformation or prior chronic lymphocytic leukemia (CLL).
  14. Treatment with radiotherapy, chemotherapy, immunotherapy, therapy, or any agent for the purposes of treating cancer within 4 weeks prior to Cycle 1 Day 1.
  15. Recent major surgery (within 4 weeks before the start of Cycle 1 Day 1) other than for diagnosis.
  16. Vaccination with a or COVID-19 vaccination within 4 weeks prior to treatment.
  17. History of to any of the study drugs or their ingredients or to drugs with similar structure. History of severe allergic or anaphylactic reactions to human, humanized, chimeric, or murine monoclonal antibodies.
  18. Close affiliation with the investigator (e.g. a close relative) or persons working at the study site.
Terms in these criteria, in plain language(30)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

CD4 count

The number of CD4 cells, a type of white blood cell, in a given amount of blood. It is used to follow how well the immune system is doing in HIV.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
80 participants (estimated)

Study arms

  • Experimental
    EPCO monotherapy

    Epcoritamab in monotherapy will be administred until cycle 12.

    Drug: Epcoritamab

  • Experimental
    Combination therapy

    3 cycles of Epcoritamab in monotherapy will be administred and then Epcoritamab will be administred with Tafasitamab and Lenalidomide from cycle 4 until cycle 15.

    Drug: Epcoritamab, tafasitamab and lenalidomide

Interventions

  • Patients will receive 12 cycles of Epcoritamab monotherapy.

  • DrugEpcoritamab, tafasitamab and lenalidomide

    Drug pages: Epcoritamab · Tafasitamab · Lenalidomide

    Patients will receive 3 cycles of Epcoritamab monotherapy and then 12 cycles of Epcoritamab, Tafasitamab and Lenalidomide.

06

What researchers measure

Primary outcomes

  1. Efficacy of Epcoritamab monotherapy

    The efficacy of Epcoritamab monotherapy will be centrally evaluated by the best CRR at any moment since initiation. The CRR will be assessed by PET-CT according to Lugano Classification and is defined as the proportion of patients who achieve a best response of complete response (CR) at any moment since initiation of Epcoritamab first administration.

    Time frame: Cycle 3, cycle 4, cycle 7, cycle 10, cycle 13 (for combination therapy) and EoT (28 days after last administration of investigational product) visits. Each cycle is 28 days.

Secondary outcomes

  1. Efficacy of Epcoritamab monotherapy after 3 cycles

    The efficacy of Epcoritamab monotherapy will be centrally evaluated by the best CRR, defined as the proportion of patients who achieve a best response of CR after 3 cycles of Epcoritamab administration.

    Time frame: At the end of cycle 3 (each cycle is 28 days)

  2. Efficacy of Epcoritamab monotherapy and combination therapy by CRR

    The efficacy of Epcoritamab monotherapy and combination therapy with tafasitamab-lenalidomide will be evaluated by local investigators and central evaluation as per CRR (locally evaluated for Epcoritamab monotherapy; local and central evaluation for combination therapy).

    Time frame: Cycle 3, cycle 4, cycle 7, cycle 10, cycle 13 (for combination therapy) and EoT (28 days after last administration of investigational product) visits. Each cycle is 28 days.

  3. Evaluation of MRD

    The efficacy of Epcoritamab monotherapy and combination therapy will be evaluated by MRD (positive or negative) from ctDNA samples immediately before initiation of C3, C4, C7, C10, C12, C13, C15, End of Treatment (EoT) and cycles 18/24 (epcoritamab monotherapy) or cycles 21/27 (combination therapy).

    Time frame: Cycles 3, 4, 7, 10, 12, 13, 15 (each cycle is 28 days), EoT (28 days after last administration of Study drug) and cycles 18 and 24 (epcoritamab monotherapy) or cycles 21 and 27 (combination therapy) visits (each cycle is 28 days).

  4. Evaluation of patients with negative MRD by PFS

    The PFS of patients with negative MRD at Visit 3 (V3) (immediately before administrating C3 of Epcoritamab monotherapy).

    Time frame: At cycle 3 visit (each cycle is 28 days).

  5. Safety and tolerability

    The safety and tolerability of Epcoritamab monotherapy and combination therapy are evaluated as follows: * Type, frequency, and severity of adverse events (AEs). * Type, frequency, and severity of Adverse events of special interest (AESIs): Cytokine release syndrome (CRS), immune effector cell-associated neurotoxicity syndrome (ICANS), clinical tumor lysis syndrome (CTLS) and other safety topics of interest (tumour flare reaction, prolonged cytopenia, serious infections and second primary malignancies). * Incidence, severity, and treatment.

    Time frame: Baseline, during all the cycles day 1 visit (each cycle is 28 days) and at EoT (28 days afert las administration of Study drug).

  6. Efficacy of Epcoritamab Monotherapy and Combination therapy by ORR

    The efficacy of Epcoritamab monotherapy and combination therapy with tafasitamab-lenalidomide will be evaluated by local investigators and central evaluation as per ORR at any time.

    Time frame: Cycle 3, cycle 4, cycle 7, cycle 10, cycle 13 (for combination therapy) and EoT (28 days after last administration of investigational product) visits. Each cycle is 28 days

  7. Efficacy of Epcoritamab Monotherapy and combination therapy by DoR

    The efficacy of Epcoritamab monotherapy and combination therapy with tafasitamab-lenalidomide will be evaluated by local investigators and central evaluation as per DoR at any time.

    Time frame: Cycle 3, cycle 4, cycle 7, cycle 10, cycle 13 (for combination therapy) and EoT (28 days after last administration of investigational product) visits. Each cycle is 28 days

  8. Efficacy of Epcoritamab monotherapy and combination therapy by DoCR

    The efficacy of Epcoritamab monotherapy and combination therapy with tafasitamab-lenalidomide will be evaluated by local investigators and central evaluation as per DoCR at any time.

    Time frame: Cycle 3, cycle 4, cycle 7, cycle 10, cycle 13 (for combination therapy) and EoT (28 days after last administration of investigational product) visits. Each cycle is 28 days

  9. Efficacy of Epcoritamab monotherapy and combination therapy by EFS

    The efficacy of Epcoritamab monotherapy and combination therapy with tafasitamab-lenalidomide will be evaluated by local investigators and central evaluation as per Event-free survival (EFS) at any time.

    Time frame: Cycle 3, cycle 4, cycle 7, cycle 10, cycle 13 (for combination therapy) and EoT (28 days after last administration of investigational product) visits. Each cycle is 28 days

  10. Efficacy of Epcoritamab monotherapy and combination therapy by PFS

    The efficacy of Epcoritamab monotherapy and combination therapy with tafasitamab-lenalidomide will be evaluated by local investigators and central evaluation as per PFS at any time.

    Time frame: Cycle 3, cycle 4, cycle 7, cycle 10, cycle 13 (for combination therapy) and EoT (28 days after last administration of investigational product) visits. Each cycle is 28 days

  11. Efficacy of Epcoritamab montherapy and combination therapy by OS

    The efficacy of Epcoritamab monotherapy and combination therapy with tafasitamab-lenalidomide will be evaluated by local investigators and central evaluation as per OS at any time.

    Time frame: Cycle 3, cycle 4, cycle 7, cycle 10, cycle 13 (for combination therapy) and EoT (28 days after last administration of investigational product) visits. Each cycle is 28 days

  12. Evaluation of patients with negative MRD by OS

    The OS of patients with negative MRD at Visit 3 (V3) (immediately before administrating C3 of Epcoritamab monotherapy).

    Time frame: At cycle 3 visit (each cycle is 28 days).

  13. Evaluation of patients with negative MRD by DoR

    The DoR of patients with negative MRD at Visit 3 (V3) (immediately before administrating C3 of Epcoritamab monotherapy).

    Time frame: At cycle 3 visit (each cycle is 28 days).

Other outcomes

  1. Response of patients stopping treatment by PFS

    To compare the PFS of patients stopping therapy after 1 year of treatment (CR by PET-CT and negative MRD) with the groups of patients who continue monotherapy or receive combination.

    Time frame: At EoT visit (28 days after last administration of Study drug) for monotherapy and at C13 visit for combination therapy (each cycle is 28 days).

  2. Correlation between biomarkers and study treatment by ORR

    Correlation between biomarkers and study treatment efficacy determined by ORR.

    Time frame: Cycles 3, 4, 7, 10, 12, 13, 15 (each cycle is 28 days), EoT (28 days after last administration of Study drug) and cycles 18 and 24 (epcoritamab monotherapy) or cycles 21 and 27 (combination therapy) visits (each cycle is 28 days).

  3. Efficacy of Epcoritamab monotherapy and combination therapy in patients reintroducing treatment by DoR

    Efficacy of Epcoritamab or Epcoritamab/Tafasitamab by DoR in patients reintroducing the study treatment with a MRD positive result.

    Time frame: After reintroduction of study treatment due to MRD positive result, on cycles 13, 16, 19, 22, 25, 28 visits (each cycle is 28 days).

  4. MRD negativity

    Median duration of molecular response (MRD negativity).

    Time frame: through study completion, an average of 5 years

  5. Correlation between tumor volume and efficacy

    Correlation between Total Metabolic Tumor Volume (centrally evaluated) and study treatment efficacy determined by PFS and OS.

    Time frame: Cycle 3, cycle 4, cycle 7, cycle 10, cycle 13 (for combination therapy) and EoT (28 days after last administration of investigational product) visits. Each cycle is 28 days.

  6. ctDNA levels

    Descriptive analysis of dynamic changes in ctDNA levels

    Time frame: Cycles 3, 4, 7, 10, 12, 13, 15 (each cycle is 28 days), EoT (28 days after last administration of Study drug) and cycles 18 and 24 (epcoritamab monotherapy) or cycles 21 and 27 (combination therapy) visits (each cycle is 28 days).

  7. Correlation between lymphocyte subsets and efficacy

    Correlation between lymphocyte subsets and study treatment efficacy determined by ORR, CRR, DoR, PFS and OS and safety determined by type, frequency, and severity of adverse events.

    Time frame: Through study completion, an average of 5 years.

  8. Response of patients stopping treatment

    To compare the DoR of patients stopping therapy after 1 year of treatment (CR by PET-CT and negative MRD) with the groups of patients who continue monotherapy or receive combination.

    Time frame: At EoT visit (28 days after last administration of Study drug) for monotherapy and at C13 visit for combination therapy (each cycle is 28 days).

  9. Correlation between biomarkers and study treatment efficacy by CRR

    Correlation between biomarkers and study treatment efficacy determined by CRR.

    Time frame: Cycles 3, 4, 7, 10, 12, 13, 15 (each cycle is 28 days), EoT (28 days after last administration of Study drug) and cycles 18 and 24 (epcoritamab monotherapy) or cycles 21 and 27 (combination therapy) visits (each cycle is 28 days).

  10. Correlation between biomarkers and study treatment efficacy DoR

    Correlation between biomarkers and study treatment efficacy determined by DoR, PFS and OS.

    Time frame: Cycles 3, 4, 7, 10, 12, 13, 15 (each cycle is 28 days), EoT (28 days after last administration of Study drug) and cycles 18 and 24 (epcoritamab monotherapy) or cycles 21 and 27 (combination therapy) visits (each cycle is 28 days).

  11. Correlation between biomarkers and study treatment efficacy by PFS

    Correlation between biomarkers and study treatment efficacy determined by PFS.

    Time frame: Cycles 3, 4, 7, 10, 12, 13, 15 (each cycle is 28 days), EoT (28 days after last administration of Study drug) and cycles 18 and 24 (epcoritamab monotherapy) or cycles 21 and 27 (combination therapy) visits (each cycle is 28 days).

  12. Correlation between biomarkers and study treatment efficacy by OS

    Correlation between biomarkers and study treatment efficacy determined by OS.

    Time frame: Cycles 3, 4, 7, 10, 12, 13, 15 (each cycle is 28 days), EoT (28 days after last administration of Study drug) and cycles 18 and 24 (epcoritamab monotherapy) or cycles 21 and 27 (combination therapy) visits (each cycle is 28 days).

  13. Efficacy of Epcoritamab monotherapy and combination therapy in patients reintroducing treatment by PFS

    Efficacy of Epcoritamab or Epcoritamab/Tafasitamab by PFS in patients reintroducing the study treatment with a MRD positive result.

    Time frame: After reintroduction of study treatment due to MRD positive result, on cycles 13, 16, 19, 22, 25, 28 visits (each cycle is 28 days)

  14. Efficacy of Epcoritamab monotherapy and combination therapy in patients reintroducing treatment by OS

    Efficacy of Epcoritamab or Epcoritamab/Tafasitamab by OS in patients reintroducing the study treatment with a MRD positive result.

    Time frame: After reintroduction of study treatment due to MRD positive result, on cycles 13, 16, 19, 22, 25, 28 visits (each cycle is 28 days)

07

Study locations

19 of 19 sites recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Data obtained through this study may be provided to qualified researchers with academic interest in hematology diseases. All individual data collected during the trial will be available. Data shared will be coded, with no PHI included. Study protocol, statistical analysis plan, informed consent form and clinical study report will be also available. Information will be available beginning 6 months after final publication with no end date established. Approval of the request and execution of all applicable agreements are prerequisites to the sharing of data with the requesting party. Data requests can be submitted starting 6 months after article publication. Access to trial IPD can be requested by qualified researchers and will be provided following review and approval of a research and execution of a Data Sharing Agreement (DSA). For more information or to submit a request, please contact to GELTAMO though the web page: https://www.geltamo.com/contacto

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Aug 2025 (actual). Primary completion is estimated for Dec 2031, 76 months after the start.

Of 237 non-industry phase 2 interventional studies under Lymphoma, half reached primary completion within 67 months of starting (the median), counting those still running; a quarter within 42 and three quarters within 114. This study's planned 76 months is above that.

Counting every sponsor, half of 293 studies reached it within 61 months; a quarter within 36 and three quarters within 105.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 10, 2025
First posted
Aug 17, 2025
StartActual
Aug 4, 2025
Primary completionEst.
Dec 27, 2031
CompletionEst.
Dec 27, 2031
Last update
Sep 29, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Sites
4 sites added. 14 sites changed recruiting status (14 now recruiting)
Show 14 sites
  • Hospital Universitario Miguel Servet · Zaragoza, SpainNot yet recruiting→Recruiting
  • Hospital Universitario de Burgos · Burgos, SpainNot yet recruiting→Recruiting
  • ICO Badalona · Badalona, SpainNot yet recruiting→Recruiting
  • Hospital Universitari Vall d'Hebrón · Barcelona, SpainNot yet recruiting→Recruiting
  • Hospital San Pedro de Alcántara · Cáceres, SpainNot yet recruiting→Recruiting
  • Hospital Universitario Infanta Leonor · Madrid, SpainNot yet recruiting→Recruiting
  • Hospital Universitario Fundación Jiménez Díaz · Madrid, SpainNot yet recruiting→Recruiting
  • Hospital Virgen de la Arrixaca · El Palmar, SpainNot yet recruiting→Recruiting
  • Hospital Universitario Costa del Sol · Marbella, SpainNot yet recruiting→Recruiting
  • Hospital Universitario Central de Asturias · Oviedo, SpainNot yet recruiting→Recruiting
  • Hospital Universitario de Canarias · San Cristóbal de La Laguna, SpainNot yet recruiting→Recruiting
  • Hospital Universitario Dr. Peset · Valencia, SpainNot yet recruiting→Recruiting
  • Hospital Universitario y Politécnico La Fe · Valencia, SpainNot yet recruiting→Recruiting
  • Hospital Universitario de Basurto · Bilbao, SpainNot yet recruiting→Recruiting
Show 4 added (4 Spain)
  • Hospital Universitario Virgen del Rocío · Seville, Spain
  • Hospital Universitario Son Espases · Palma de Mallorca, Spain
  • Hospital Universitario de Salamanca · Salamanca, Spain
  • Hospital Universitario 12 de Octubre · Madrid, Spain
Sep 29, 2026
Show all 1 update
  1. Sep 29, 2026
    4 sites added. 14 sites changed recruiting status (14 now recruiting)
    Show 14 sites
    • Hospital Universitario Miguel Servet · Zaragoza, SpainNot yet recruiting→Recruiting
    • Hospital Universitario de Burgos · Burgos, SpainNot yet recruiting→Recruiting
    • ICO Badalona · Badalona, SpainNot yet recruiting→Recruiting
    • Hospital Universitari Vall d'Hebrón · Barcelona, SpainNot yet recruiting→Recruiting
    • Hospital San Pedro de Alcántara · Cáceres, SpainNot yet recruiting→Recruiting
    • Hospital Universitario Infanta Leonor · Madrid, SpainNot yet recruiting→Recruiting
    • Hospital Universitario Fundación Jiménez Díaz · Madrid, SpainNot yet recruiting→Recruiting
    • Hospital Virgen de la Arrixaca · El Palmar, SpainNot yet recruiting→Recruiting
    • Hospital Universitario Costa del Sol · Marbella, SpainNot yet recruiting→Recruiting
    • Hospital Universitario Central de Asturias · Oviedo, SpainNot yet recruiting→Recruiting
    • Hospital Universitario de Canarias · San Cristóbal de La Laguna, SpainNot yet recruiting→Recruiting
    • Hospital Universitario Dr. Peset · Valencia, SpainNot yet recruiting→Recruiting
    • Hospital Universitario y Politécnico La Fe · Valencia, SpainNot yet recruiting→Recruiting
    • Hospital Universitario de Basurto · Bilbao, SpainNot yet recruiting→Recruiting
    Show 4 added (4 Spain)
    • Hospital Universitario Virgen del Rocío · Seville, Spain
    • Hospital Universitario Son Espases · Palma de Mallorca, Spain
    • Hospital Universitario de Salamanca · Salamanca, Spain
    • Hospital Universitario 12 de Octubre · Madrid, Spain
    + 3 other changes: verification date, date precision and contact details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07126236
Lead sponsor
Grupo Español de Linfomas y Transplante Autólogo de Médula Ósea
Collaborators
AbbVie, Incyte Corporation, Evidenze CRO
Responsible party
Sponsor
First posted
Aug 17, 2025
Start date
Aug 4, 2025
Primary completion
Dec 27, 2031 (estimated)
Completion
Dec 27, 2031 (estimated)
Last update
Sep 29, 2026

Study contacts

Auxi Moreno
Contact
amoreno@geltamo.com
+34 683 636 850
Ana María Méndez
Contact
administracion@geltamo.com
+34 942 203 450
Mariana Bastos-Oreiro
principal investigator · Hospital General Universitario Gregorio Marañon
Pau Abrisqueta
principal investigator · Hospital Universitari Vall d'Hebrón

Oversight

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

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Studies of the drugs tested here: Epcoritamab · Tafasitamab · Lenalidomide

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