Expert Interview
Evaluating Phase 1b/2 EPCORE NHL-2 Trial Results for Epcoritamab Plus R-ICE in Relapsed or Refractory DLBCL Patients Eligible for ASCT
Ticker(s): GMABA hematologist-oncologist with clinical trial experience in aggressive B-cell lymphomas, particularly in relapsed or refractory settings. The expert should be familiar with bispecific antibodies, salvage chemoimmunotherapy regimens, and stem cell transplantation pathways. Experience with managing immune-related toxicities (e.g., CRS, ICANS) in novel immunotherapies is also preferred.
The ORR of 87% and CR rate of 65% with epcoritamab plus R-ICE in this trial is impressive, particularly given that many patients progressed rapidly after frontline treatment. How does this compare with historical benchmarks for salvage regimens in transplant-eligible R/R DLBCL?
Added By: slingshot_insightsRoughly 65% of patients proceeded to ASCT. Do these results suggest this combination could increase transplant eligibility, and how might it reshape the clinical approach to bridging high-risk patients to transplant?
Added By: slingshot_insightsAt six months, 81% of responses were ongoing and 74% of patients remained progression-free. What do these short-term durability metrics tell us, and what would you look for in long-term follow-up to assess curative potential?
Added By: slingshot_insightsCytokine release syndrome (CRS) occurred in over half the patients, but all cases were low grade and resolved. How manageable is CRS in this setting, especially when layered onto a cytotoxic regimen like R-ICE, and are there any concerns in transplant-prep patients?
Added By: slingshot_insightsPatients relapsing within 12 months had an 85% ORR vs 91% for those relapsing later. How significant is this consistency across relapse timing and prior lines of therapy for broader applicability in practice?
Added By: slingshot_insightsOnly one case of low-grade ICANS was observed. In your experience, does this low incidence suggest a favorable neurotoxicity profile for epcoritamab in aggressive B-NHL when combined with chemotherapy?
Added By: slingshot_insightsGiven the depth of response and safety data, do you envision a role for this epcoritamab-R-ICE regimen earlier in treatment algorithms, or is its value primarily as a second-line bridge-to-transplant option for now?
Added By: slingshot_insightsWhat type of confirmatory evidence or Phase 3 design would be needed to support potential approval of this combination? Is there a plausible regulatory path forward in transplant-eligible R/R DLBCL?
Added By: slingshot_insightsAre You Interested In These Questions?
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