Genmab Reports Significant Results from EPCORE DLBCL-4 Trial
Genmab (GMAB) announced topline results from the Phase 3 EPCORE DLBCL-4 trial evaluating the combination of fixed duration epcoritamab, a T-cell engaging bispecific antibody administered subcutaneously, and lenalidomide, compared to standard-of-care, rituximab plus gemcitabine plus oxaliplatin, in adult patients with relapsed or refractory diffuse large B-cell lymphoma who received at least one prior line of treatment. Based on topline results, the trial met its primary objective, demonstrating statistically significant and clinically meaningful improvement in progression-free survival. The risk of disease progression and death was reduced by 60% and 56%, based on different censoring rules in the U.S. and outside the U.S., respectively. The safety profile of epcoritamab when administered in combination with lenalidomide was consistent with the previously reported safety profiles of the individual agents. "These topline results add to the growing evidence supporting the versatility of epcoritamab-based combinations, including fixed-duration epcoritamab, across lines of therapy for patients with relapsed or refractory large B-cell lymphoma who received at least one prior treatment," said Jan van de Winkel, CEO of Genmab. "With each new combination and treatment setting, we are building on our vision for epcoritamab as a core therapy across B-cell malignancies. We look forward to engaging with regulatory authorities as we continue to advance this program." Genmab and AbbVie (ABBV) will engage global regulatory authorities. Data will be submitted for presentation at a future medical meeting.
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- Therapy Approval: Genmab A/S announced that the European Commission has approved TEPKINLY (epcoritamab) in combination with lenalidomide and rituximab, marking a significant breakthrough as the first bispecific therapy for relapsed or refractory follicular lymphoma.
- Clinical Trial Results: Based on the EPCORE FL-1 trial results, TEPKINLY + R2 demonstrated a 79% reduction in the risk of disease progression or death (HR 0.21, p<0.0001), with overall response rates reaching 96%, significantly higher than the 81% seen with R2 alone, indicating its clinical significance.
- Treatment Paradigm Shift: TEPKINLY + R2 offers a chemotherapy-free treatment option that may change the treatment paradigm for follicular lymphoma, particularly for patients facing recurrent relapses, providing more durable responses and improving quality of life.
- Safety Profile: The safety profile of the combination was consistent with known effects of epcoritamab and R2, with 44% of patients experiencing serious adverse events, including common reactions like neutropenia, rash, and fatigue, necessitating close monitoring in clinical applications.
- Clinical Trial Results: The Phase 3 EPCORE®FL-1 trial demonstrated a 79% reduction in the risk of disease progression or death with TEPKINLY + R2, indicating significant efficacy in treating relapsed follicular lymphoma and the potential to change existing treatment paradigms.
- Efficacy Data: The overall response rate for TEPKINLY + R2 reached 96%, compared to 81% for R2 alone, highlighting a higher complete response rate of 74% among patients treated with TEPKINLY, showcasing its potential clinical value.
- Safety Analysis: The safety profile of TEPKINLY + R2 in the EPCORE FL-1 study was consistent with known profiles of individual regimens, with 44% of patients experiencing serious adverse reactions, but management and monitoring measures provided safety assurance for patients.
- Market Impact: The approval of TEPKINLY offers a new treatment option for patients with relapsed follicular lymphoma, particularly at first relapse, which could significantly improve patient quality of life and enhance Genmab's market position in oncology.

- Label Expansion Approved: The European Commission has authorized Tepkinly as a first-line treatment option for patients with relapsed or refractory follicular lymphoma, marking its legalization across 27 EU member states, Norway, Iceland, and Liechtenstein.
- Clinical Trial Support: This approval is backed by data from AbbVie and Genmab's Phase 3 EPCORE FL-1 trial, demonstrating significant advantages in treatment efficacy for the bispecific antibody therapy, further solidifying its market position.
- Growing Market Demand: Follicular lymphoma has a higher prevalence in Europe, with rates ranging from 11%-29%, compared to 2%-18% in other regions, indicating substantial market potential for Tepkinly to meet the increasing patient demand.
- Previous Approval Context: Tepkinly was previously approved in the U.S. under the brand name Epkinly as a monotherapy for patients with diffuse large B-cell lymphoma and relapsed follicular lymphoma who had undergone at least two prior lines of systemic therapy, showcasing its broad applicability across different indications.
- Drug Approval: Genmab announced that its cancer drug Tepkinly, in combination with lenalidomide, has been approved by the European Commission, marking a significant milestone that will strongly support the company's market expansion in cancer treatment.
- Market Potential: The approval of Tepkinly is expected to significantly enhance Genmab's revenue potential, particularly in the European market, addressing the growing patient demand and strengthening the company's competitive position in the biopharmaceutical industry.
- Strategic Partnerships: This approval lays the groundwork for potential collaborations between Genmab and other pharmaceutical companies, further driving its global business development and innovation capabilities.
- Investor Confidence: This approval news is likely to boost investor confidence in Genmab, with expectations of a positive impact on its stock price, reflecting the market's optimistic outlook on its future growth prospects.
- Clinical Trial Results: AbbVie's experimental T-cell engaging bispecific antibody Epkinly (epcoritamab) combined with Revlimid (lenalidomide) demonstrated significant improvements in progression-free survival for large B-cell lymphoma patients, reducing disease progression and death by 60% and 56%, respectively, compared to the control group receiving Rituxan (rituximab), gemcitabine, and oxaliplatin.
- Significant Treatment Impact: The phase 3 EPCOREDLBCL-4 trial results indicate that patients in the Epkinly group experienced markedly lower rates of disease progression and mortality, providing a new treatment option that could potentially redefine the standard of care for large B-cell lymphoma.
- Market Potential: With Epkinly approved for third-line treatment of large B-cell lymphoma, its combination with Revlimid may attract increased attention from clinicians, thereby driving AbbVie's market share growth in this therapeutic area.
- Strategic Partnership: AbbVie markets Epkinly in collaboration with Genmab (GMAB), a partnership that not only enhances both companies' competitive positions in the biopharmaceutical sector but also lays the groundwork for future joint research and market expansion efforts.
- Clinical Trial Success: Genmab announced that its Phase 3 study of epcoritamab combined with lenalidomide successfully met its primary endpoint, demonstrating the efficacy of this combination in treating specific cancer types, potentially offering new treatment options for patients.
- Significant Market Potential: The success of this study not only enhances Genmab's competitive position in the market but may also increase its share in the global oncology treatment market, likely attracting more investor interest.
- Future Development Plans: Genmab plans to submit regulatory applications in the coming months, and if approved, this will accelerate the commercialization process of the therapy, leading to substantial revenue growth for the company.
- Strategic Collaboration Opportunities: This success opens up potential collaboration opportunities between Genmab and pharmaceutical companies, which could lead to more R&D partnerships and market promotions, further strengthening its influence in the biopharmaceutical sector.










