Genmab Announces New Data from Phase 1b/2 EPCORE® CLL-1 Highlighting Potential of Epcoritamab as Monotherapy and in Combination for Patients with Richter Transformation (RT)
1. New data shows high complete response in epcoritamab for Richter transformation.
2. Epcoritamab largely effective in combination therapies for difficult-to-treat patients.
3. The trial results presented at the ASH Annual Meeting highlight promising survival rates.
4. Epcoritamab's use in various settings validates its potential as a versatile therapy.
5. Strong safety profile observed, supporting its further investigation in broader malignancies.
Positive trial outcomes increase the likelihood of market approval and demand. Stocks typically gain when a company demonstrates effective therapies in clinical trials, similar to prior biotech success stories.
How important is it?
The reported efficacy and safety data provide a strong foundation for future growth. Given the nature of its indication and the company's focus, the article is highly relevant.
Why Long Term?
The full potential of epcoritamab will unfold upon further trials and market acceptance. Historically, successful phase data leads to sustained stock growth for biotech companies.
Genmab's Epcoritamab Shows Promising Results in Richter Transformation Treatment
Copenhagen, Denmark; December 8, 2025 - Genmab A/S (Nasdaq: GMAB) has announced significant new findings from the Phase 1b/2 EPCORE® CLL-1 trial, indicating that the bispecific antibody, epcoritamab, demonstrates both robust monotherapy performance and promising efficacy in combination regimens for patients suffering from Richter transformation (RT).
Highlights from EPCORE® CLL-1 Trial
The data presented reveals that epcoritamab not only provides a high complete response rate but also encourages survival in RT patients who are unsuitable for traditional chemotherapy. The findings were unveiled during the 67th Annual Meeting and Exposition of the American Society of Hematology (ASH) held in Orlando, Florida.
Monotherapy Results: Arm 2A
In the monotherapy segment (Arm 2A) of the trial involving 42 RT patients, data indicates a overall response rate (ORR) of 57% for patients receiving epcoritamab as first-line therapy, with a notable 52% achieving a complete response (CR). The median overall survival (OS) reached 27.5 months, with progression-free survival (PFS) recorded at 8.5 months.
Combination Therapy: Arm 2B
In Arm 2B, where patients ineligible for chemoimmunotherapy received epcoritamab in combination with lenalidomide, the response rates soared. Following a median follow-up of 16.7 months, the ORR reported was 82% with a CR rate of 73% and an undefined median OS at nine months.
Further Insights: Arm 2C
Arm 2C assessed the efficacy of epcoritamab in combination with the R-CHOP regimen in previously untreated patients with RT. This group achieved a 77% ORR and a 63% CR rate, leading to median OS and PFS of 16.4 months and 16.0 months, respectively.
Expert Insights on Epcoritamab's Efficacy
Dr. Arnon Kater from Amsterdam UMC expressed optimism about these results, noting, “Patients with Richter transformation have limited treatment options, making the response and survival rates associated with epcoritamab particularly encouraging.”
Dr. Philip A. Thompson from the Peter MacCallum Cancer Center echoed this sentiment, stressing the pressing need for new therapeutic options in the absence of a standard of care for RT patients.
Safety Profile of Epcoritamab
The safety assessments align with known side effect profiles associated with epcoritamab and its combinations. In Arm 2A, cytokine release syndrome (CRS) occurred in 86% of participants, with most cases resolving in a median of three days. Other treatment emergent adverse events (TEAEs) included infections at 74% and anemia at 50%.
Comprehensive Summary of Safety Events
Arm 2A: Infections (74%), Anemia (50%), Thrombocytopenia (48%)
Arm 2B: CRS (100%), Neutropenia (82%), Thrombocytopenia (73%)
Arm 2C: CRS (56%), Anemia (60%), Neutropenia (73%)
Understanding Richter Transformation
Richter transformation occurs when chronic lymphocytic leukemia (CLL) evolves into a more aggressive form, typically diffuse large B-cell lymphoma (DLBCL). The prognosis for RT patients is generally poor, underscoring the urgent need for effective treatments like epcoritamab.