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Table 3 Summary of major bispecific antibodies in R/R DLBCLs and NHLs

From: The progress of novel strategies on immune-based therapy in relapsed or refractory diffuse large B-cell lymphoma

Medicine name

Targets

Mode of administration

Study

Patients

Treatment

Responses

Blinatumomab

CD19/CD3ε,

IgG1

IV

NCT00274742 Phase I

R/R DLBCL

Monotherapy (60 μg/m2/day)

ORR/CRR, 54.6% (6/11)/36.4% (4/11)

NCT01741792 Phase II

R/R DLBCL

Monotherapy (evaluated stepwise or flat dosing)

ORR/CRR, 42.9% (9/21)/19% (4/21)

NCT02910063

Phase II/III

R/R DLBCL

Monotherapy (stepwise)

ORR/CRR, 37% (15/41)/ 22% (9/41)

Mosunetuzumab

CD20/CD3δε, IgG1

IV or SC

NCT02500407

Phase I/Ib

R/R DLBCL

Monotherapy (dose escalation and standard 3 + 3 escalation)

ORR/CRR, 33% (13/39)/ 21% (8/39)

NCT02500407

Phase I

R/R B-NHL

Monotherapy (dose escalation)

Aggressive NHL, ORR/CRR, 34.9% (45/129)/19.4% (25/129)

Post CAR-T, ORR/CRR, 36.8% (7/19)/26.3% (5/19)

NCT03677141Phase Ib/II

R/R NHL

M-CHOP (step-up dosing)

ORR/CRR, 86% (6/7)/71% (5/7)

Epcoritamab

CD20/CD3ε, IgG1

SC

NCT03625037

Phase I/II

R/R DLBCL

Monotherapy

12-60 mg, ORR/CRR, 68% (15/22)/45% (10/22)

48 mg, ORR/CRR, 88% (7/8)/38% (3/7)

60 mg, ORR/CRR, 100% (3/3)/100% (3/3)

NCT03625037

EPCORE NHL-1

R/R DLBCL

Monotherapy (QW, cycle 1–3; Q2W, cycle 4–9; Q4W, cycle ≥ 10)

ORR/CRR, 63% (99/157)/39% (61/157)

CAR-T naïve, ORR/CRR, 69% (66/96)/42% (40/96)

Post CAR-T, ORR/CRR, 54% (33/61)/34% (21/61)

Glofitamab

CD20/CD3ε (2:1),

IgG1

IV

NCT03075696

Phase I

R/R DLBCL

Monotherapy (dose escalation, and dose expansion), Gpt pretreatment

ORR/CRR, 41.4% (30/73)/28.8% (21/73)

NCT03533283

Phase I/II trial

R/R DLBCL

Glofitamab + Pola (step-up dosing for Glofitamab), Gpt pretreatment

ORR/CRR, 73% (24/33)/51.5% (17/33)

NCT03075696

Phase II

R/R DLBCL

Monotherapy (step-up dosing), Gpt pretreatment

ORR/CRR, 51.6 (80/155)/39.4% (61/155)

NCT03467373

Phase Ib

R/R NHL

Glofitamab + R-CHOP, (step-up dosing began in cycle 2 for Glofitamab), Gpt pretreatment

ORR/CRR, 90% (28/31)/77% (24/31)

Odronextamab

CD20/CD3δε,

IgG4

IV

NCT02290951

Phase I

R/R DLBCL

Monotherapy (step-up dosing)

CAR-T naïve (All dose), ORR/CRR, 42.6% (23/53)/29.6% (16/54)

Post CAR-T (All dose), ORR/CR, 31.1% (14/45)/22.2% (10/45)

Plamotamab

CD20/CD3δε, IgG1

 

NCT02924402

Phase I

R/R DLBCL

Monotherapy (dose-escalation)

All patients, ORR/CRR, 47.4% (9/19)/26.3% (5/19)

Post CAR-T, ORR/CRR, 46.2% (6/13)/30.8% (4/13)

  1. R/R relapsed/refractory, DLBCL diffuse large B-cell lymphoma, NHL non-Hodgkin lymphoma, B-NHL B-cell non-Hodgkin lymphoma, ORR overall response rate, CRR complete response rate, IV intravenous, SC subcutaneous; CAR-T chimeric antigen receptor T cell therapy, Gpt obinutuzumab; Pola polatuzumab vedotin