> Trialight public data. Index of pages: https://trialight.com/llms.txt
> Web page: https://trialight.com/data/trial/a-study-to-compare-how-well-odronextamab-combined-with-604e7e45-4a33-40b8-ab71-522acae73953
> Record changed: 2026-11-04

# A Study to Compare How Well Odronextamab Combined With Chemotherapy Works and How Safe it is Against Rituximab Combined With Chemotherapy, in Adult Patients With Previously Untreated Diffuse Large B-cell Lymphoma

NCT06091865

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06091865)

Phase

Phase 3

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06091865)

Recruitment status

Recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06091865)

Participants

904

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06091865)

Lead sponsor

Regeneron Pharmaceuticals

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06091865)

Start date

2023-12-13

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06091865)

Number of sites

194

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06091865)

## Title and summary

**Summary**

This study is researching an experimental drug called odronextamab, referred to as study drug, when used in combination with chemotherapy. The study is focused on patients with Diffuse Large B-cell Lymphoma (DLBCL) that have not been treated before (called "previously untreated"). Patients with DLBCL that have come back after treatment (called "relapsed"), or have not responded to treatment (called "refractory"), can also participate in this study. This study will be made up of Part 1A, Part 1B, and Part 2.The aim of Part 1A and Part 1B of the study is to see how safe and tolerable the study drug in combination with chemotherapy is and to determine the dose and schedule of the study drug to be combined with chemotherapy in Part 2 of the study. The aim of Part 2 of the study is to see how effective the combination of the study drug with chemotherapy is in comparison with the combination of rituximab (the comparator drug), and chemotherapy, the current standard of care treatment approved for DLBCL. Standard of care means the usual medication expected and used when receiving treatment for a condition. The study is looking at several other research questions, including: \* What side effects may happen from taking the study drug when combined with chemotherapy \* How much study drug is in the blood at different times \* Whether the body makes antibodies against the study drug (which could make the study drug less effective or could lead to side effects) \* The impact from the study drug on quality of life and ability to complete routine daily activities

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06091865)

**Acronym**

OLYMPIA-3

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06091865)

**Short title**

A Study to Compare How Well Odronextamab Combined With Chemotherapy Works and How Safe it is Against Rituximab Combined With Chemotherapy, in Adult Patients With Previously Untreated Diffuse Large B-cell Lymphoma

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06091865)

**Official title**

A Phase 3, Open Label, Randomized Study Comparing the Efficacy and Safety of Odronextamab (REGN1979), an Anti-CD20 × Anti-CD3 Bispecific Antibody, in Combination With CHOP (ODRO-CHOP) Versus Rituximab in Combination With CHOP (R-CHOP) in Previously Untreated Participants With Diffuse Large B-cell Lymphoma (DLBCL) (OLYMPIA-3)

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06091865)

## Status and phase

**Control arm**

Active comparator

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06091865)

**Registry reports results**

No

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06091865)

**Listing at source**

Listed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06091865)

**Recruitment status**

Recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06091865)

**Phase**

Phase 3

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06091865)

**Study type**

Interventional

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06091865)

## Dates

**Completion date**

2029-09-12

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06091865)

**First posted**

2023-10-19

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06091865)

**Registry last updated**

2026-10-07

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06091865)

**Primary completion date**

2028-03-30

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06091865)

**Start date**

2023-12-13

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06091865)

## Size and sites

**Participants**

904

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06091865)

**Participant count basis**

Estimated

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06091865)

**Planned participants**

904

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06091865)

**Protocol amendments**

3

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06091865)

**Number of sites**

194

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06091865)

## Sponsor and oversight

**Data monitoring committee**

Yes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06091865)

**Registry sponsor category**

Industry

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06091865)

**Lead sponsor**

Regeneron Pharmaceuticals

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06091865)

**Source registry**

ClinicalTrials.gov

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06091865)

## Identifiers

**Registry ID**

NCT06091865

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06091865)

**ClinicalTrials.gov ID**

NCT06091865

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06091865)

**Registry record**

Open registry record

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06091865)

## Study design

**Allocation**

Randomised

**Model**

Parallel groups

**Purpose**

Treatment

**Masking**

No masking

Sources for study design

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06091865)

## Outcomes

### Primary outcomes

1. Incidence of Dose Limiting Toxicities (DLTs)  
Timeframe: Up to 35 days  
Part 1A
2. Incidence of Treatment Emergent Adverse Events (TEAEs)  
Timeframe: Up to 2 years  
Part 1
3. Severity of TEAEs  
Timeframe: Up to 2 years  
Part 1
4. Progression Free Survival (PFS), assessed by Independent Central Review (ICR)  
Timeframe: Up to 5 years  
Part 2

### Secondary outcomes

1. Event-Free Survival (EFS) assessed by ICR  
Timeframe: Up to 5 years  
Part 2
2. Complete Response (CR) assessed by ICR  
Timeframe: Up to 22 weeks  
Part 2
3. Overall Survival (OS)  
Timeframe: Up to 5 years  
Part 2
4. Best Overall Response (BOR) as assessed by local investigators  
Timeframe: Up to 22 weeks  
Part 1 and Part 2
5. CR as assessed by local investigators  
Timeframe: Up to 22 weeks  
Part 1 and Part 2
6. Duration of Response (DOR) as assessed by local investigators  
Timeframe: Up to 5 years  
Part 1 and Part 2
7. Odronextamab concentrations in serum when administered with CHOP  
Timeframe: Up to 22 weeks  
Part 1 and Part 2
8. Occurrence of Anti-Drug Antibodies (ADA) to odronextamab  
Timeframe: Up to 22 weeks  
Part 1 and Part 2
9. Magnitude of ADA to odronextamab  
Timeframe: Up to 22 weeks  
Part 1 and Part 2
10. PFS assessed by local investigator review  
Timeframe: Up to 5 years  
Part 2
11. EFS assessed by local investigator review  
Timeframe: Up to 5 years  
Part 2
12. BOR assessed by ICR  
Timeframe: Up to 22 weeks  
Part 2
13. DOR assessed by ICR  
Timeframe: Up to 5 years  
Part 2
14. Incidence of TEAEs  
Timeframe: Up to 2 years  
Part 2
15. Severity of TEAEs  
Timeframe: Up to 2 years  
Part 2
16. Minimal Residual Disease (MRD) status  
Timeframe: Up to 22 weeks  
Part 2
17. Change in physical functioning as measured by European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire (EORTC QLQ-C) 30  
Timeframe: Up to 5 years  
Part 2 The EORTC QLQ-C30 includes 5 functional scales (physical, role, cognitive, emotional and social functioning), 3 symptom scales (fatigue, pain and nausea/vomiting), a GHS/QoL scale, and six single items (constipation, diarrhea, insomnia, shortness of breath, appetite loss and financial difficulties). For the functioning scales and global health status / QoL, scores range from 1 = "very poor" to 7 = "excellent" with higher scores indicate better functioning; for the symptom scales, scores range from 1 = "not at all" to 4 = "very much" higher scores indicate higher symptom burden.
18. Change in patient reported outcomes, as measured by EORTC QLQ-C30  
Timeframe: Up to 5 years  
Part 2 The EORTC QLQ-C30 includes 5 functional scales (physical, role, cognitive, emotional and social functioning), 3 symptom scales (fatigue, pain and nausea/vomiting), a GHS/QoL scale, and six single items (constipation, diarrhea, insomnia, shortness of breath, appetite loss and financial difficulties). For the functioning scales and global health status / QoL, scores range from 1 = "very poor" to 7 = "excellent" with higher scores indicate better functioning; for the symptom scales, scores range from 1 = "not at all" to 4 = "very much" higher scores indicate higher symptom burden.
19. Change in patient reported outcomes, as measured by Functional Assessment of Cancer Therapy - Lymphoma Subscale (FACT-LymS)  
Timeframe: Up to 5 years  
Part 2 The FACT-Lym lymphoma subscale (LymS) includes 15 items to assess NHL-related symptoms and concerns. All questions are answered on a 5-point scale ranging from "not at all" (0) to "very much" (4). Higher scores are associated with a worse quality of life.
20. Change in patient reported outcomes, as measured by Patient Global Impression of Severity (PGIS)  
Timeframe: Up to 5 years  
Part 2 The PGIS includes a single-item to assess how a patient perceives the overall severity of cancer symptoms over the past 7 days. Patients will choose the response that best describes the severity of their overall cancer symptoms with options on a 5-point scale ranging from 1 (No symptoms) to 4 (Very Severe).
21. Change in patient reported outcomes, as measured by Patient Global Impression of Change (PGIC)  
Timeframe: Up to 5 years  
Part 2 The PGIC item includes a single-item to assess how a patient perceives their overall change in health status since the start of study treatment. Patients will choose from response options on a 7-point scale ranging from 1 (Much Better) to 7 (Much worse); 1- Much Better, 2-Moderately Better, 3-A Little Better, 4-About the Same, 5-A Little Worse, 6-Moderately Worse, 7-Much Worse.
22. Change in patient reported outcomes, as measured by EuroQol-5 Dimension-5 Level Scale (EQ-5D-5L)  
Timeframe: Up to 5 years  
Part 2 The EQ-5D-5L consists of the EQ-5D descriptive system and the EQ visual analogue scale (EQ VAS). The EQ-5D-5L descriptive system comprises the following 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: "no problems", "slight problems", "moderate problems", "severe problems" and "extreme problems". The EQ VAS records the participant's self-rated health on a vertical visual analogue scale where the endpoints are labeled "Best imaginable health state" and "Worst imaginable health state".
23. Change in score of the Functional Assessment of Cancer Therapy-General (FACT-G ) GP5 item  
Timeframe: Up to 5 years  
Part 2 A single item (GP5) of the validated FACT-G questionnaire will be used to assess from the participant perspective the overall impact of treatment side-effect. The question item is on a 5-point scale ranging from "not at all" (0) to "very much" (4).

Sources for outcomes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06091865)

## Eligibility

**Sex**

All

**Age groups**

Adults, Older adults

**Minimum age**

18 Years

**Healthy volunteers**

No

Key Inclusion Criteria:

1. Previously untreated participants for lymphoma with documented Cluster of Differentiation 20+ (CD20+) DLBCL, as described in the protocol OR relapsed or refractory DLBCL, for whom next available standard of care therapy is not available or deemed ineligible according to the investigator (Part 1A only)
2. Measurable disease with at least one nodal lesion or at least one extranodal lesion, as described in the protocol
3. Eastern Cooperative Oncology Group (ECOG) performance status ≤2
4. Life expectancy ≥ 12 months
5. International Prognostic Index (IPI) of 3 to 5 (part 1 only) and ≥2 (part 2) for untreated DLBCL only
6. Adequate hematologic and organ function, as defined in the protocol.

Key Exclusion Criteria:

1. Primary Central Nervous System (CNS) lymphoma or known involvement by non-primary CNS NHL and history or current relevant CNS pathology
2. Another active malignancy, significant active disease or medical condition, as described in the protocol
3. Peripheral neuropathy Grade ≥3
4. Treatment with any systemic anti-lymphoma therapy, except for participants with Relapsed/Refractory (R/R) DLBCL and participants with DLBCL transformed from an indolent lymphoma after treatment with systemic anti-lymphoma therapy.
5. Any other therapy or investigational treatment within 28 days or 5 half-lives of the drug, whichever is shorter, prior to the start of study treatment
6. Recent major surgery, prior organ transplantation, or standard radiotherapy, as described in the protocol
7. Allergy/hypersensitivity to study drugs, as described in the protocol
8. Infections such as any active infection (bacterial, viral, fungal, mycobacterial, parasitic or other), active Coronavirus Disease (COVID-19) infection, uncontrolled infection with Human Immunodeficiency Virus (HIV), Hepatitis B Virus (HBV), or Hepatitis C Virus (HCV), Cytomegalovirus (CMV) infection, as described in the protocol.

Note: Other protocol-defined Inclusion/ Exclusion criteria apply

Sources for eligibility

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06091865)

## Sites

- Mayo Clinic - ArizonaScottsdale, United StatesRecruiting
- David Geffen School of Medicine at UCLALos Angeles, United StatesRecruiting
- University of California Irvine Medical CenterOrange, United StatesRecruiting
- UC Davis Comprehensive Cancer CenterSacramento, United StatesRecruiting
- Mayo Clinic JacksonvilleJacksonville, United StatesRecruiting
- Indiana University Melvin and Bren Simon Comprehensive Cancer CenterIndianapolis, United StatesRecruiting
- St Vincent Ascension at Peyton Manning Childrens HospitalIndianapolis, United StatesRecruiting
- Investigative Clinical Research of IndianaNoblesville, United StatesRecruiting
- University of KentuckyLexington, United StatesRecruiting
- University of Maryland Greenebaum Comprehensive Cancer CenterBaltimore, United StatesRecruiting
- Beth Israel Deaconess Medical CenterBoston, United StatesRecruiting
- Henry Ford Health SystemDetroit, United StatesRecruiting
- Cancer and Hematology Centers of Western MichiganGrand Rapids, United StatesRecruiting
- Mayo Clinic - RochesterRochester, United StatesRecruiting
- Rutgers Cancer Institute of New JerseyNew Brunswick, United StatesRecruiting
- Stony Brook University HospitalStony Brook, United StatesRecruiting
- Clinical Research Alliance IncWestbury, United StatesWithdrawn
- Duke University Medical CenterDurham, United StatesRecruiting
- East Carolina UniversityGreenville, United StatesRecruiting
- University Hospitals Cleveland Medical CenterCleveland, United StatesRecruiting
- Center for Oncology and Blood DisordersHouston, United StatesWithdrawn
- Community Cancer Trials of UtahOgden, United StatesRecruiting
- Prohealth Care IncWaukesha, United StatesWithdrawn
- Liverpool HospitalLiverpool, AustraliaRecruiting
- Calvary Mater NewcastleWaratah, AustraliaRecruiting

And 169 more, listed on the interactive page.

Sources for sites

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06091865)

## References

- Related resource (olympiastudies.com)  
Source: [olympiastudies.com](https://olympiastudies.com/en-us)

### Other registry identifiers

- 2022-502785-25-00

Sources for references

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06091865)

## Related records

### Drugs (7)

- [Cyclophosphamide anhydrous](https://trialight.com/data/asset/cyclophosphamide-anhydrous-9448144e-aa73-4eab-8a04-b86e4bac9560.md)
- [Doxorubicin](https://trialight.com/data/asset/doxorubicin-f556df52-a942-40dd-90f8-e6bb7ff70b4d.md)
- [Odronextamab](https://trialight.com/data/asset/odronextamab-84560410-e211-4ce7-9a05-171df4b7cb8f.md)
- [Prednisolone](https://trialight.com/data/asset/prednisolone-783fce19-b285-4835-90c3-3db5a6364414.md)
- [Prednisone](https://trialight.com/data/asset/prednisone-a5a99f90-5fbe-45c2-a625-34ba78735da6.md)
- [Rituximab](https://trialight.com/data/asset/rituximab-3fb73477-f618-414e-aa0a-9ccba4d6da3f.md)
- [Vincristine](https://trialight.com/data/asset/vincristine-1701ac43-1743-4b51-a2db-509772d24571.md)

### Lead sponsors (1)

- [Regeneron Pharmaceuticals](https://trialight.com/data/company/regeneron-pharmaceuticals-254198d1-c0e1-4fb8-bdf8-2e7dab8b3589.md)

### Conditions (1)

- [Diffuse large B-cell lymphoma](https://trialight.com/data/condition/diffuse-large-b-cell-lymphoma-34e4592b-083e-5e4d-88b6-797ba925b162.md) Primary condition

### Targets (22)

- [CD3D](https://trialight.com/data/target/cd3d-6bee5ce0-96ac-5607-815b-7dbf809d2a64.md)
- [CD3E](https://trialight.com/data/target/cd3e-b4b887fd-970b-55c2-bf21-d8b729fecbe7.md)
- [CD3G](https://trialight.com/data/target/cd3g-45960ced-28d6-5e39-be86-e6477c0df8f8.md)
- [MS4A1](https://trialight.com/data/target/ms4a1-9e34d7a7-7b3d-5f02-928a-d18d9b50c1f8.md)
- [NR3C1](https://trialight.com/data/target/nr3c1-98974b8d-fb89-5483-955e-d4a994c71532.md)
- [NR3C2](https://trialight.com/data/target/nr3c2-ddf600eb-ddcf-5af5-b7a0-935d2b5ed817.md)
- [TOP2A](https://trialight.com/data/target/top2a-ee962484-09ab-5c5a-8b7b-1242173c1ca8.md)
- [TUBA1A](https://trialight.com/data/target/tuba1a-f463ed42-1a60-5499-a9d4-1b9bf58dc1a0.md)
- [TUBA1B](https://trialight.com/data/target/tuba1b-9d713a5c-e5d0-50cb-852e-c74562888bab.md)
- [TUBA1C](https://trialight.com/data/target/tuba1c-308bfde0-cfab-509b-8c74-457db8c8b365.md)
- [TUBA3C](https://trialight.com/data/target/tuba3c-4abfb5fd-1449-5948-844d-76d4c28b3ca5.md)
- [TUBA3E](https://trialight.com/data/target/tuba3e-3cb5d4e3-43d1-5066-b94a-f3fe2b9f7812.md)
- [TUBA4A](https://trialight.com/data/target/tuba4a-5a3e4e1b-bf84-5903-89e9-0dda280376ab.md)
- [TUBB](https://trialight.com/data/target/tubb-ec240191-c297-5eba-9021-60488341c8f3.md)
- [TUBB1](https://trialight.com/data/target/tubb1-aea59905-0cc2-5a62-be89-e62ea633ec75.md)
- [TUBB2A](https://trialight.com/data/target/tubb2a-d05cd610-e1d8-5bbe-a299-897fd869fa9f.md)
- [TUBB2B](https://trialight.com/data/target/tubb2b-23c4b067-2275-52fa-8ab9-3c15fac539bb.md)
- [TUBB3](https://trialight.com/data/target/tubb3-2961b200-1591-50aa-93ae-4a54a10915e9.md)
- [TUBB4A](https://trialight.com/data/target/tubb4a-ad5f7184-fd22-58b7-a66c-95289ce2e093.md)
- [TUBB4B](https://trialight.com/data/target/tubb4b-1b93a23c-a19e-5d34-93be-30d58939e047.md)

---

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