Actively Recruiting

Phase 2
Age: 18Years +
All Genders
NCT06931652

Study of Epcoritamab in R/R Primary Diffuse Large B-cell Lymphoma of the CNS Treated With Lenalidomide and Rituximab

Led by The Lymphoma Academic Research Organisation · Updated on 2026-03-16

60

Participants Needed

13

Research Sites

223 weeks

Total Duration

On this page

Sponsors

T

The Lymphoma Academic Research Organisation

Lead Sponsor

A

AbbVie

Collaborating Sponsor

AI-Summary

What this Trial Is About

The purpose of this phase 2 study is to evaluate the efficacy and safety of epcoritamab in subjects with relapsed or refractory primary diffuse large B-cell lymphoma of the Central Nervous System treated with rituximab and lenalidomide.

CONDITIONS

Official Title

Study of Epcoritamab in R/R Primary Diffuse Large B-cell Lymphoma of the CNS Treated With Lenalidomide and Rituximab

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Subject or their legal representative understands and signs informed consent before any study procedure.
  • Age 18 years or older at the time of consent.
  • Confirmed diagnosis of primary diffuse large B-cell lymphoma of the CNS or primary vitreoretinal diffuse large B-cell lymphoma with CD20 positivity.
  • Relapsed or refractory PCNSL or PVRL after at least one line of systemic therapy, including high-dose methotrexate.
  • ECOG performance status of 0 to 2.
  • Estimated life expectancy of at least 2 months.
  • Evaluable disease on brain MRI for PCNSL subjects.
  • Able to swallow capsules (no stomach tube).
  • Adequate blood counts: neutrophils ≥ 1.0 G/L without G-CSF for 7 days, platelets ≥ 50 G/L without transfusion for 7 days, hemoglobin ≥ 8.0 g/dL without transfusion for 7 days.
  • Adequate kidney function: creatinine clearance > 40 ml/min (dose adjustment if 40-60 ml/min).
  • Adequate liver function: bilirubin ≤ 2.0 mg/dl (unless Gilbert's syndrome) and AST or ALT ≤ 3 times upper normal limit.
  • Able to understand teratogenic risks of lenalidomide treatment.
  • Women of childbearing potential must agree to use two reliable contraception methods or abstain during specified periods including before, during, and after treatment.
  • Women of childbearing potential must have negative pregnancy tests at screening and before each treatment cycle.
  • Women must agree not to donate eggs during the study until 12 months after treatment ends.
  • Men sexually active with women of reproductive potential must use effective contraception and agree not to donate sperm during and after treatment for specified periods.
  • Covered by any French social security system.
  • Understand and speak an official country language or have authorized translator.
Not Eligible

You will not qualify if you...

  • Diagnosis of T-cell lymphoma.
  • Cerebral involvement from systemic lymphoma.
  • Prior organ transplantation or severe immunodeficiency.
  • Known HIV or positive HTLV1 infection.
  • Active hepatitis B or C infection; prior HBV with negative PCR allowed with antiviral therapy.
  • Persistent SARS-CoV-2 infection without symptom resolution and negative PCR.
  • Unable to follow study schedule due to geographic, social, or psychological reasons.
  • Active cancer other than the study lymphoma, except certain treated or non-invasive cancers.
  • Known allergy to study drugs or components.
  • Previous CAR-T therapy within 30 days before enrollment.
  • Receiving immunosuppressive therapy above specified limits unless for lymphoma control.
  • Prior use of bispecific antibodies targeting CD3/CD20 or lenalidomide.
  • Seizure disorder requiring treatment unless caused by lymphoma.
  • Recent live vaccinations within 28 days, except authorized COVID-19 vaccines.
  • Anti-cancer therapy within 28 days before study treatment.
  • Major surgery within 4 weeks before enrollment.
  • Significant cardiovascular disease or recent stroke.
  • QTcF interval >470 ms on ECG.
  • Active infections requiring systemic treatment.
  • Contraindications to uric acid-lowering agents.
  • Significant liver disease or active alcohol abuse.
  • Active or recent tuberculosis treatment.
  • Receiving immunostimulatory agents.
  • Prior allogeneic stem cell transplantation.
  • Medical or psychiatric conditions interfering with study participation.
  • Subject deprived of liberty or hospitalized without consent.
  • Adult under legal protection.

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 13 locations

1

INSTITUT BERGONIE - Service d'Oncologie Médicale

Bordeaux, France

Active, Not Recruiting

2

INSTITUT D'HEMATOLOGIE DE BASSE NORMANDIE - Service Hématologie

Caen, France

Actively Recruiting

3

CHU ESTAING - Service Thérapie Cellulaire et Hématologie Clinique

Clermont-Ferrand, France

Actively Recruiting

4

CHU DE LILLE - HOPITAL CLAUDE HURIEZ - Service des Maladies du Sang

Lille, France

Actively Recruiting

5

CHR DE MARSEILLE - CHU TIMONE - Service de Neuro-Oncologie

Marseille, France

Active, Not Recruiting

6

CHRU DE NANCY - HOPITAL CENTRAL - Service de Neurologie

Nancy, France

Active, Not Recruiting

7

GHU PITIE-SALPETRIERE - CHARLES FOIX - Service Neurologie

Paris, France

Active, Not Recruiting

8

HOPITAL DE LA PITIE SALPETRIERE - Service Hématologie Clinique

Paris, France

Active, Not Recruiting

9

CHU LYON-SUD - Hématologie Clinique

Pierre-Bénite, France

Actively Recruiting

10

CHU PONTCHAILLOU - Hématologie Clinique

Rennes, France

Not Yet Recruiting

11

INSTITUT CURIE - SITE SAINT-CLOUD - Service Hématologie

Saint-Cloud, France

Active, Not Recruiting

12

IUCT ONCOPOLE - Service Hématologie

Toulouse, France

Actively Recruiting

13

CHU BRETONNEAU - Service Cancérologie - Hématologie et Thérapie Cellulaire

Tours, France

Active, Not Recruiting

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Research Team

P

Project Management

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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Study of Epcoritamab in R/R Primary Diffuse Large B-cell Lymphoma of the CNS Treated With Lenalidomide and Rituximab | DecenTrialz