Subcutaneous epcoritamab in patients with relapsed/refractory B-cell non-Hodgkin lymphoma: Safety profile and antitumor activity.

Authors

null

Michael Roost Clausen

Vejle Hospital, Vejle, Denmark

Michael Roost Clausen , Pieternella Lugtenburg , Martin Hutchings , Peter W. M. Johnson , Kim M. Linton , David John Lewis , Martine Chamuleau , Anna Sureda Balari , David Cunningham , Brian Elliott , Dena DeMarco , Kuo-mei Chen , Rogier Mous

Organizations

Vejle Hospital, Vejle, Denmark, On behalf of the Lunenburg Lymphoma Phase I/II Consortium-HOVON/LLPC, Erasmus MC Cancer Institute, Department of Hematology, Rotterdam, Netherlands, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark, Cancer Research UK, Cancer Services, University of Southampton, Southampton, United Kingdom, Manchester Cancer Research Centre, Manchester, United Kingdom, Plymouth University Medical School, Plymouth, United Kingdom, On behalf of the Lunenburg Lymphoma Phase I/II Consortium-HOVON/LLPC, VU University Medical Center, Amsterdam, Netherlands, Institut Català d'Oncologia-Hospital Duran i Reynals, Hospitalet del Llobregat, IDIBELL, Universitat de Barcelona, Barcelona, Spain, The Royal Marsden NHS Foundation Trust, Sutton, United Kingdom, Genmab, Princeton, NJ, On behalf of the Lunenburg Lymphoma Phase I/II Consortium-HOVON/LLPC, Universitair Medisch Centrum Utrecht, Utrecht, Netherlands

Research Funding

Pharmaceutical/Biotech Company
This study was funded by Genmab A/S and AbbVie Inc

Background: Epcoritamab is a CD20xCD3 bispecific antibody that induces T-cell–mediated killing of CD20–positive malignant B-cells. We present updated data, including progression-free survival (PFS) from the dose escalation part of the first-in-human phase 1/2 study of epcoritamab in pts with relapsed or refractory (R/R) B-cell non-Hodgkin lymphoma (B-NHL; NCT03625037). Methods: Adults with R/R CD20+ B-NHL received flat-dose 1 mL SC epcoritamab (step-up dosing approach) in 28-day cycles (q1w: cycles 1–2; q2w: cycles 3–6; q4w thereafter) until disease progression or unacceptable toxicity. Step-up dosing and standard prophylaxis were used to mitigate severity of cytokine release syndrome (CRS). Results: At data cut off (1/31/2021), 68 pts with B-NHL were enrolled across histologies including diffuse large B-cell lymphoma (DLBCL; n = 46 [67.6%]; de novo and transformed), follicular lymphoma (FL; 12 [17.6%]), mantle cell lymphoma (MCL; 4 [5.9%]), and others (6 [8.8%]). Majority were heavily pretreated (median [range] prior lines: DLBCL, 3 [1–6]; FL, 4.5 [1–18]); including prior CAR-T (n = 6) and prior ASCT (n = 10). At median follow-up of 14.1 mo (DLBCL, 10.2 mo; FL, 15.2 mo), treatment was ongoing in 15 (22%) pts. Most common treatment-emergent adverse events (AEs) were pyrexia (69%), CRS (59%), and injection site reaction (47%). CRS events were all grade 1 or 2 and most occurred in cycle 1; neurotoxicity was limited (6%; grade 1: 3%; grade 3: 3%; all transient). One case of tumor lysis syndrome was observed (1.5%; grade 3); there were no cases of febrile neutropenia or treatment-related death. Overall response is shown for DLBCL ≥12 mg and ≥48 mg and FL ≥12 mg, corresponding to the minimal efficacy threshold (Table). Responses deepened over time (PR converted to CR: DLBCL, 6 pts; FL, 3 pts). Median time to response was 1.4 mo (DLBCL) and 1.9 mo (FL). Among DLBCL pts achieving CR with ≥6 mg (n = 11), none relapsed while on treatment. The median PFS for pts with DLBCL ≥12 mg (n = 22) was 9.1 mo (95% CI: 1.6, NE; median follow-up 9.3 mo) and for pts with DLBCL ≥48 mg (n = 11) median PFS was not reached (median follow-up 8.8 mo). Updated analyses will be presented. Conclusions: With longer follow-up, SC epcoritamab demonstrated substantial single-agent activity, inducing deep and durable clinically meaningful responses, with a consistent safety profile. Notably no severe (grade ≥3) CRS events, no febrile neutropenia, and limited neurotoxicity was observed. Clinical trial information: NCT03625037


DLBCL
FL
MCL
≥12 mg48–60 mg12–48 mg0.76–48 mg
Evaluable pts
22
11
5
4
ORR, n (%)
15 (68.2)
10 (91)
4 (80)
2 (50)
CR, n (%)
10 (45.5)
6 (55)
3 (60)
1 (25)
PR, n (%)
5 (22.7)
4 (36)
1 (20)
1 (25)
SD, n (%)
1 (4.5)0
0
1 (25)
PD, n (%)5 (22.7)
0
1 (20)
0

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Abstract Details

Meeting

2021 ASCO Annual Meeting

Session Type

Poster Discussion Session

Session Title

Hematologic Malignancies—Lymphoma and Chronic Lymphocytic Leukemia

Track

Hematologic Malignancies

Sub Track

Non-Hodgkin Lymphoma

Clinical Trial Registration Number

NCT03625037

Citation

J Clin Oncol 39, 2021 (suppl 15; abstr 7518)

DOI

10.1200/JCO.2021.39.15_suppl.7518

Abstract #

7518

Abstract Disclosures