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iwCLL 2025 | Epcoritamab monotherapy in first-line Richter’s transformation: 2-year follow-up of EPCORE CLL-1

Barbara Eichhorst, MD, University Hospital Cologne, Cologne, Germany, comments on the efficacy of epcoritamab monotherapy in first-line Richter’s transformation, highlighting 2-year follow-up results from the Phase Ib/II EPCORE CLL-1 trial (NCT04623541). Dr Eichhorst suggests that further investigations should evaluate epcoritamab in combination with other agents in this patient population. This interview took place at the biennial International Workshop on Chronic Lymphocytic Leukemia (iwCLL) 2025 in Krakow, Poland.

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Transcript

Arnon Kater showed in his presentation we have quite a remarkable overall response rate of more than 60 percent, and what we also see is that the responses are usually coming very fast after the first two cycles of treatment in those patients. So the median PFS is a couple of months but in particular, a remarkable acceleration of remission where some patients appear to be in remission for some longer time...

Arnon Kater showed in his presentation we have quite a remarkable overall response rate of more than 60 percent, and what we also see is that the responses are usually coming very fast after the first two cycles of treatment in those patients. So the median PFS is a couple of months but in particular, a remarkable acceleration of remission where some patients appear to be in remission for some longer time. And therefore I think what the data tell us as well is that we have to look for maybe combination treatment, how we can get more patients in remission who will not progress from the beginning because, as he also showed, some of the patients who in the end came off the study because of progression, they had at least some response, many of them had progressive disease because they, for example, had in a different site a new lymph node. So I think what the data shows is that we have to evaluate that in combination treatment. In addition to that, what we also see is that there’s a little bit more cytokine release syndrome and also a little bit more ICANS, and we know that from DLBCL, de novo DLBCL, for example, but I think also with the growing number of patients being included, we learn how to deal with the administration of dexamethasone, for example.

 

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