EPKINLY: Broadest eligibility of any bispecific antibody in 3L+ DLBCL1-4

  • The EPCORE® NHL-1 trial allowed for the inclusion of patients with ECOG PS 2, ANC ≥1 x 109/L, any hemoglobin level,
    CrCL ≥45 mL/min, Richter's transformation, FL grade 3B, and significant pulmonary disease when starting EPKINLY

An open-label, multicohort, multicenter, single-arm trial that studied EPKINLY in patients with R/R LBCL after 2 or more lines of systemic therapy (N=157). Efficacy was evaluated in 148 patients with DLBCL, NOS, including DLBCL arising from indolent lymphoma, and HGBCL.

  • The EPCORE® NHL-1 trial was designed with a treat-to-progression strategy with the goal of sustained T-cell engagement in a patient population with a high risk of relapse1,2
  • Treatment to progression allows physicians the ability to continue therapy in patients experiencing clinical benefit with the primary goal of maintaining a response2

ENDPOINTS*

Primary endpoints*: ORR (CR+PR)

Select secondary endpoints: CR rate, DOR, DOCR, time to response

KEY INCLUSION CRITERIA

ECOG PS 0-2 | Prior CAR T allowed | ≥2 prior lines of antineoplastic therapy, including ≥1 anti-CD20 mAb

KEY EXCLUSION CRITERIA

CNS involvement of lymphoma | Allogeneic HSCT or solid organ transplant | Ongoing active infection | Known impaired T-cell immunity

1

DOSING SCHEDULE

Subcutaneous EPKINLY 48 mg

  • Weekly, cycles 1†-3
  • Every other week, cycles 4-9
  • Every 4 weeks, cycles 10+

Cycle=28 days.

Patients continued to receive EPKINLY until disease progression or unacceptable toxicity.

Strategies to minimize occurrence and severity of CRS:

  • Step-up dosage: step-up dose 1 of 0.16 mg on C1D1, step-up dose 2 of 0.8 mg on C1D8, and full dose of 48 mg on C1D15
  • Prophylactic treatment with corticosteroids, antihistamines, and antipyretics during C1 and as needed during C2+

Please see the Dosing Information and full Prescribing Information for recommended dosing schedule and prophylaxis.

EPKINLY was evaluated in 3L+ DLBCL patients1

Patient characteristics

EPKINLY was studied in a population of patients with complex treatment histories.

The diagnosis was DLBCL, NOS in 86%, including 27% with DLBCL transformed from indolent lymphoma, HGBCL in 14%.

EPKINLY® (epcoritamab-bysp) was studied in a range of patients, demonstrated by baseline characteristics such as age, ECOG performance status, number of prior therapies, and treatment history. See full Prescribing Information and Boxed Warnings.

*Efficacy results determined by Lugano criteria (2014) as assessed by Independent Review Committee (IRC).

†Step-up dosing occurs in cycle 1 of EPKINLY on the following schedule: 0.16 mg on day 1, 0.8 mg on day 8, 48 mg on days 15 and 22.

‡A patient is considered to be primary refractory if their disease is refractory to first-line antilymphoma therapy.

3L=third line; ANC=absolute neutrophil count; ASCT=autologous stem cell transplant; C1=cycle 1; C2=cycle 2; C1D1=cycle 1 day 1; C1D8=cycle 1 day 8; C1D15=cycle 1 day 15; CAR T=chimeric antigen receptor T-cell therapy; CD20=cluster of differentiation 20; CNS=central nervous system; CR=complete response; CrCL=creatinine clearance; DLBCL=diffuse large B-cell lymphoma; DOCR=duration of complete response; DOR=duration of response; ECOG PS=Eastern Cooperative Oncology Group performance status; HGBCL=high-grade B-cell lymphoma; HSCT=hematopoietic stem cell transplant; LBCL=large B-cell lymphoma; mAb=monoclonal antibody; NHL=non-Hodgkin lymphoma; NOS=not otherwise specified; ORR=overall response rate; PR=partial response; PS=performance status; R/R=relapsed/refractory.

Explore EPKINLY response rates and duration of response for this patient population

SEE THE CLINICAL TRIAL RESULTS