Expert Interview
Analyzing the EPCORE NHL-2 Trial Results for Epcoritamab in Combination with R-ICE in Relapsed or Refractory DLBCL Patients Eligible for ASCT
Ticker(s): GMAB, ABBVA hematologist-oncologist specializing in lymphoma with experience managing R/R DLBCL patients, including those undergoing autologous stem cell transplantation. The expert should be familiar with bispecific antibody approaches, the role of salvage chemoimmunotherapy, and the clinical challenges of bridging patients to transplant.
The EPCORE NHL-2 Arm 10 reported an 87% overall response rate (ORR) and 65% complete response (CR) rate, with two-thirds of patients proceeding to ASCT. How transformative are these outcomes in expanding the pool of transplant-eligible patients compared to historical salvage regimens?
Added By: slingshot_insightsAt six months, 81% of responses were ongoing and 100% of patients were alive. How do you interpret these early durability signals, and what will be important to watch for as longer follow-up data mature?
Added By: slingshot_insightsThe study showed strong activity both in patients who relapsed within 12 months of first-line therapy and those with later relapses. What does this suggest about the ability of epcoritamab + R-ICE to overcome adverse biology in early-relapsing patients?
Added By: slingshot_insightsThe combination showed mainly low-grade CRS and no treatment discontinuations due to adverse events, but hematologic toxicities such as neutropenia and thrombocytopenia were frequent. How do you assess the risk–benefit profile of this regimen in the transplant-eligible population?
Added By: slingshot_insightsWith CAR-T therapy and novel bispecifics already shifting the R/R DLBCL landscape, how might an epcoritamab + R-ICE approach fit in? Could it become a preferred bridge to transplant or compete directly with cellular therapies?
Added By: slingshot_insightsGiven that many patients in routine practice are older or have comorbidities, do you see this regimen as feasible outside the clinical trial setting, or will careful patient selection be critical to replicate these results?
Added By: slingshot_insightsEpcoritamab is being tested across multiple lines of therapy. How might success in the transplant-eligible setting influence treatment sequencing decisions, especially balancing its use earlier versus reserving it for later relapse?
Added By: slingshot_insightsGiven these promising data, what key steps remain for Genmab and AbbVie to establish epcoritamab + R-ICE as a standard option for ASCT-eligible R/R DLBCL patients, and what hurdles—regulatory, clinical, or competitive—do you see ahead?
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