Epcoritamab Explained
Type: | mab |
Mab Type: | BiTE |
Source: | zu |
Target: | CD3E, CD20 |
Tradename: | Epkinly, Tepkinly |
Dailymedid: | Epcoritamab |
Routes Of Administration: | Subcutaneous |
Class: | Antineoplastic |
Atc Prefix: | L01 |
Atc Suffix: | FX27 |
Legal Ca: | Rx-only |
Legal Ca Comment: | /Schedule D[1] [2] [3] |
Legal Us: | Rx-only |
Legal Us Comment: | [4] |
Legal Eu: | Rx-only |
Legal Eu Comment: | [5] |
Cas Number: | 2134641-34-0 |
Drugbank: | DB16672 |
Unii: | D6OMY2L0WA |
Kegg: | D12368 |
Synonyms: | epcoritamab-bysp, GEN3013 |
C: | 6471 |
H: | 9999 |
N: | 1735 |
O: | 2007 |
S: | 44 |
Epcoritamab, sold under the brand name Epkinly, is a monoclonal antibody anticancer medication used for the treatment of diffuse large B-cell lymphoma. Epcoritamab is a bispecific CD20-directed CD3 T-cell engager. Epcoritamab was co-developed by AbbVie and Genmab.
Epcoritamab was approved for medical use in the United States in May 2023,[6] [7] [8] [9] [10] in the European Union in September 2023, and in Canada in December 2023.
Medical uses
Epcoritamab is indicated for the treatment of adults with relapsed or refractory diffuse large B-cell lymphoma not otherwise specified, including diffuse large B-cell lymphoma arising from indolent lymphoma, and high-grade B-cell lymphoma after two or more lines of systemic therapy.
Side effects
The most common adverse reactions include cytokine release syndrome, fatigue, musculoskeletal pain, injection site reactions, pyrexia, abdominal pain, nausea, and diarrhea.
History
Epcoritamab was evaluated in the EPCORE NHL-1 (NCT03625037) trial in 148 participants with relapsed or refractory B-cell lymphoma after two or more lines of systemic therapy, including at least one anti-CD20 monoclonal antibody-containing therapy.
The efficacy outcome measure was overall response rate (ORR), which was 61%. Of those patients, 38% of patients achieved complete response.
Society and culture
Legal status
In July 2023, the Committee for Medicinal Products for Human Use of the European Medicines Agency (EMA) recommended a conditional marketing authorization for epcoritamab (Tepkinly).[11] It was approved for medical use in the European Union in September 2023.[12] The EMA granted orphan drug designation to epcoritamab in both February and June 2022.[13] [14] [15]
Names
Epcoritamab is the international nonproprietary name.[16] [17]
Further reading
- Thieblemont C, Phillips T, Ghesquieres H, Cheah CY, Clausen MR, Cunningham D, Do YR, Feldman T, Gasiorowski R, Jurczak W, Kim TM, Lewis DJ, van der Poel M, Poon ML, Cota Stirner M, Kilavuz N, Chiu C, Chen M, Sacchi M, Elliott B, Ahmadi T, Hutchings M, Lugtenburg PJ . Epcoritamab, a Novel, Subcutaneous CD3xCD20 Bispecific T-Cell-Engaging Antibody, in Relapsed or Refractory Large B-Cell Lymphoma: Dose Expansion in a Phase I/II Trial . Journal of Clinical Oncology . 41 . 12 . 2238–2247 . April 2023 . 36548927 . 10115554 . 10.1200/JCO.22.01725 .
- van der Horst HJ, de Jonge AV, Hiemstra IH, Gelderloos AT, Berry DR, Hijmering NJ, van Essen HF, de Jong D, Chamuleau ME, Zweegman S, Breij EC, Roemer MG, Mutis T . Epcoritamab induces potent anti-tumor activity against malignant B-cells from patients with DLBCL, FL and MCL, irrespective of prior CD20 monoclonal antibody treatment . Blood Cancer Journal . 11 . 2 . 38 . February 2021 . 33602901 . 7892878 . 10.1038/s41408-021-00430-6 .
Notes and References
- Web site: Epkinly Product information . . 22 October 2009 . 3 March 2024.
- Web site: Details for: Epkinly . . 18 December 2023 . 3 March 2024.
- Web site: Summary Basis of Decision (SBD) for Epkinly . Drug and Health Products Portal . 1 September 2012 . 9 May 2024.
- Web site: Epcoritamab-bysp- epcoritamab injection, solution Epcoritamab-bysp- epcoritamab injection, solution, concentrate . DailyMed . 16 May 2023 . 24 May 2023 . 25 May 2023 . https://web.archive.org/web/20230525015647/https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=d7836711-b677-412d-bf2d-0f7c8444103a . live .
- Web site: Tepkinly EPAR . European Medicines Agency . 5 October 2023 . 5 October 2023.
- Web site: FDA grants accelerated approval to epcoritamab-bysp for relapsed or refractory diffuse large B-cell lymphoma and high-grade B-cell lymphoma . U.S. Food and Drug Administration (FDA) . 19 May 2023 . 24 May 2023 . 23 May 2023 . https://web.archive.org/web/20230523183648/http://www.fda.gov/drugs/drug-approvals-and-databases/fda-grants-accelerated-approval-epcoritamab-bysp-relapsed-or-refractory-diffuse-large-b-cell . live .
- Web site: FDA approves treatment for relapsed or refractory diffuse large B-cell lymphoma and high-grade B-cell lymphoma . U.S. Food and Drug Administration (FDA) . 19 May 2023 . 2 June 2023 . 2 June 2023 . https://web.archive.org/web/20230602061019/https://www.fda.gov/drugs/news-events-human-drugs/fda-approves-treatment-relapsed-or-refractory-diffuse-large-b-cell-lymphoma-and-high-grade-b-cell . live .
- Epkinly (epcoritamab-bysp) Approved by U.S. FDA as the First and Only Bispecific Antibody to Treat Adult Patients with Relapsed or Refractory Diffuse Large B-Cell Lymphoma (DLBCL) . AbbVie . PR Newswire . 19 May 2023 . 20 May 2023 . 19 May 2023 . https://web.archive.org/web/20230519225549/https://www.prnewswire.com/news-releases/epkinly-epcoritamab-bysp-approved-by-us-fda-as-the-first-and-only-bispecific-antibody-to-treat-adult-patients-with-relapsed-or-refractory-diffuse-large-b-cell-lymphoma-dlbcl-301829783.html . live .
- Web site: Drug Approval Package: Epkinly . U.S. Food and Drug Administration (FDA) . 26 May 2023 . 30 May 2023.
- Frampton JE . Epcoritamab: First Approval . Drugs . 83 . 14 . 1331–1340 . September 2023 . 37597091 . 10.1007/s40265-023-01930-4 . 261030074 .
- Web site: Tepkinly: Pending EC decision . European Medicines Agency (EMA) . 21 July 2023 . 1 October 2023 . 1 October 2023 . https://web.archive.org/web/20231001042652/https://www.ema.europa.eu/en/medicines/human/summaries-opinion/tepkinly . dead .
- Web site: Tepkinly Product information . Union Register of medicinal products . 25 September 2023 . 1 October 2023.
- Web site: EU/3/22/2581: Orphan designation for the treatment of diffuse large B-cell lymphoma . European Medicines Agency (EMA) . 21 July 2023 . 1 October 2023.
- Web site: EU/3/22/2634: Orphan designation for the treatment of follicular lymphoma . European Medicines Agency (EMA) . 10 May 2023 . 1 October 2023.
- Web site: EU/3/22/2581 . Union Register of medicinal products . 25 September 2023 . 1 October 2023.
- ((World Health Organization)) . International nonproprietary names for pharmaceutical substances (INN): recommended INN: list 83 . WHO Drug Information . 34 . 1 . 2020 . 10665/339768 . free . World Health Organization .
- ((World Health Organization)) . 2022 . International nonproprietary names for pharmaceutical substances (INN): recommended INN: list 88 . WHO Drug Information . 36 . 3 . 10665/363551 . free . World Health Organization .