ClinicalTrials.gg
RecruitingNCT07451652Updated Apr 1, 2026

Low Dose Epcoritamab Plus GemOx in R/R DLBCL

A Phase 2 interventional study of Epcoritamab and Gemcitabine (1000 mg/m2) in Relapsed/Refractory Diffuse Large B Cell Lymphoma, sponsored by Hospital Universitario Dr. Jose E. Gonzalez. Recruiting at 1 site in Mexico. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-04-01.

Sponsored by Hospital Universitario Dr. Jose E. Gonzalez · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Mar 2026; still recruiting 7 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
10
Allocation
Not applicable
Ages
18 Years to 65 Years
Sex
All
01

Study summary

In this study, researchers are looking to determine whether Gemcitabine/Oxaliplatin plus a lower dose of Epcoritamab (12 mg) works to treat subjects with relapsed/refractory diffuse large B-cell lymphoma, who are candidates to autologous stem cell transplantation.

02

Conditions studied

  • Relapsed/Refractory Diffuse Large B Cell Lymphoma

Keywords

  • relapsed/refractory diffuse large B cell lymphoma
  • epcoritamab
  • GemOx
  • gemcitabine
  • oxaliplatin
  • autologous stem cell transplant
03

In context

Lymphoma, Large B-Cell, Diffuse

1,868 studies on the registry are indexed under Lymphoma, Large B-Cell, Diffuse; 355 are open to participants now.

This study's planned enrollment of 10 is below the median of 45 across 1,497 interventional studies indexed under Lymphoma, Large B-Cell, Diffuse.

Browse Lymphoma, Large B-Cell, Diffuse studies →

Lead sponsor

Hospital Universitario Dr. Jose E. Gonzalez is the lead sponsor of 83 studies on the registry; 12 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 65 Years
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

  • Subjects with diffuse large B-cell lymphoma who have received at least 1 and that are candidates to stem cell transplant
  • 0-2
  • Women of reproductive age who agree on getting a method
  • Subjects who fulfill Lugano´s criteria for disease activity
  • Subjects who voluntarily accept to participate in this study

Exclusion criteria

Exclusion Criteria:

  • Active bacterial, viral or fungal infection
  • Subjects who have already received an autologous o stem cell transplantation
  • Subjects with other active neoplasias
  • Subjects with end-stage failure
Terms in these criteria, in plain language(5)

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.

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.

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.

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.

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
10 participants (estimated)

Study arms

  • Experimental
    Epcoritamab + GemOx

    Subjects will receive Gemcitabine/Oxaliplatin at usual doses as well as Epcoritamab with 2 step up doses followed by 12 mg weekly for 3 cycles.

    Drug: Epcoritamab · Drug: Gemcitabine (1000 mg/m2) · Drug: Oxaliplatin

Interventions

  • Subjects will receive 2 step up doses of Epcoritamab (0.16 mg and 0.8 mg) followed by 12 mg weekly, for a total of three 21-day cycles (8 applications)

  • DrugGemcitabine (1000 mg/m2)

    Drug page: Gemcitabine

    Subjects will receive gemcitabine 1000 mg/m2 on days 1 and 15 of the three 21-day cycles.

  • Subjects will receive oxaliplatin 100 mg/m2 on day 1 of three 21-day cycles.

06

What researchers measure

Primary outcomes

  1. Determine ORR and CR after GemOx plus low-dose Epcoritamab

    Determine ORR and CR after 3 cycles of GemOx plus low-dose Epcoritamab based on PET-CT

    Time frame: From enrollment to the end of treatment at 14 weeks

Secondary outcomes

  1. Establish feasibility

    Determine the number of subjects that complete the first cycle without need for hospitalization

    Time frame: From enrollment up to day 29

  2. Describe cytokine release syndrome incidence

    Describe the number of subjects who develop grade 2-4 cytokine release syndrome during the first cycle of treatment

    Time frame: From day 1 up to day 29

  3. Describe immune effector cell- associated neurotoxicity syndrome incidence

    Describe the number of subjects that develop immune effector cell-associated neurotoxicity syndrome

    Time frame: From day 1 up to week 10

  4. Describe adverse events

    Describe the number of subjects that develop any adverse events

    Time frame: From day 1 up to week 10

  5. Determine number of patients that follow through with transplant

    Determine the number of patients that go through with stem cell transplant after finishing 3 cycles of Epcoritamab + GemOx

    Time frame: From day one up through study completion, an average of 1 year

  6. Duration of response

    Determine the duration of response

    Time frame: From week 18 through study completion, an average of 1 year

  7. Progression free survival

    Report the subjects´ progression free survival

    Time frame: From week 18 up to six and twelve months

  8. Overall survival

    Report the overall survival

    Time frame: From day 1 to twelve months

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Hutchings M, Mous R, Clausen MR, Johnson P, Linton KM, Chamuleau MED, Lewis DJ, Sureda Balari A, Cunningham D, Oliveri RS, Elliott B, DeMarco D, Azaryan A, Chiu C, Li T, Chen KM, Ahmadi T, Lugtenburg PJ. Dose escalation of subcutaneous epcoritamab in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: an open-label, phase 1/2 study. Lancet. 2021 Sep 25;398(10306):1157-1169. doi: 10.1016/S0140-6736(21)00889-8. Epub 2021 Sep 8. PubMed 34508654 ↗
  • Li T, Gibiansky L, Parikh A, Putnins M, Chiu CW, Sacchi M, Feng H, Ahmadi T, Gupta M, Xu S. Optimal Dosing Regimen for Epcoritamab, a Subcutaneous Bispecific Antibody, in Relapsed or Refractory Large B-Cell Lymphoma. Clin Pharmacol Ther. 2025 May;117(5):1437-1450. doi: 10.1002/cpt.3588. Epub 2025 Feb 11. PubMed 39935086 ↗
  • Thieblemont C, Karimi YH, Ghesquieres H, Cheah CY, Clausen MR, Cunningham D, Jurczak W, Do YR, Gasiorowski R, Lewis DJ, Kim TM, van der Poel M, Poon ML, Feldman T, Linton KM, Sureda A, Hutchings M, Dinh MH, Kilavuz N, Soong D, Mark T, Sacchi M, Phillips T, Lugtenburg PJ. Epcoritamab in relapsed/refractory large B-cell lymphoma: 2-year follow-up from the pivotal EPCORE NHL-1 trial. Leukemia. 2024 Dec;38(12):2653-2662. doi: 10.1038/s41375-024-02410-8. Epub 2024 Sep 25. PubMed 39322711 ↗
  • Izutsu K, Kumode T, Yuda J, Nagai H, Mishima Y, Suehiro Y, Yamamoto K, Fujisaki T, Ishitsuka K, Ishizawa K, Ikezoe T, Nishikori M, Akahane D, Fujita J, Dinh M, Soong D, Noguchi H, Buchbjerg JK, Favaro E, Fukuhara N. Subcutaneous epcoritamab monotherapy in Japanese adults with relapsed/refractory diffuse large B-cell lymphoma. Cancer Sci. 2023 Dec;114(12):4643-4653. doi: 10.1111/cas.15996. Epub 2023 Nov 3. PubMed 37921363 ↗
  • Brody JD, Jorgensen J, Belada D, Costello R, Trneny M, Vitolo U, Lewis DJ, Karimi YH, Sureda A, Andre M, Wahlin BE, Lugtenburg PJ, Jiang T, Karagoz K, Steele AJ, Abbas A, Wang L, Risum M, Cordoba R. Epcoritamab plus GemOx in transplant-ineligible relapsed/refractory DLBCL: results from the EPCORE NHL-2 trial. Blood. 2025 Apr 10;145(15):1621-1631. doi: 10.1182/blood.2024026830. PubMed 39792928 ↗

Individual participant data

Plan to share: Undecided

09

Timeline

Tracking 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 Mar 2026 (actual). Primary completion is estimated for Sep 2027, 18 months after the start.

Of 210 non-industry phase 2 interventional studies under Lymphoma, Large B-Cell, Diffuse, half reached primary completion within 57 months of starting (the median), counting those still running; a quarter within 40 and three quarters within 96. This study's planned 18 months is below that.

Counting every sponsor, half of 264 studies reached it within 52 months; a quarter within 35 and three quarters within 85.

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

Registered
Feb 13, 2026
First posted
Mar 5, 2026
StartActual
Mar 17, 2026
Primary completionEst.
Sep 2027
CompletionEst.
Sep 2027
Last update
Apr 1, 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.
No changes since tracking began. The registry record was last updated on Apr 1, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07451652
Lead sponsor
Hospital Universitario Dr. Jose E. Gonzalez
Responsible party
Perla Rocío Colunga Pedraza (Associated professor, Hospital Universitario Dr. Jose E. Gonzalez) — Principal investigator
First posted
Mar 5, 2026
Start date
Mar 17, 2026
Primary completion
Sep 2027 (estimated)
Completion
Sep 2027 (estimated)
Last update
Apr 1, 2026

Study contacts

Perla R Colunga-Pedraza, MD
Contact
alrep_rcp@gmail.com
+52 8110761973
Natalia Huergo-Treviño, MD
Contact
nat.hue94@gmail.com
+524442416594
Perla R Colunga-Pedraza, MD
principal investigator · Hospital Universitario "Dr. José Eleuterio González"

Oversight

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

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Studies of the drugs tested here: Epcoritamab · Gemcitabine · Oxaliplatin

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