Evorpacept (CD47) + Lenalidomide/Rituximab Achieves 80% CR in R/R B-NHL (Phase I)
- Trial ID
- NCT05025800 on ClinicalTrials.gov
- Cancer type
- B-Cell Non-Hodgkin Lymphoma
- Published in
- New in Oncology - Aug 15, 2025 (DOUBLE ISSUE)
Evorpacept (ALX148) is a high-affinity CD47 blocker with an inactive Fc to promote macrophage phagocytosis while limiting cytopenias; added to lenalidomide and rituximab (R2) in a single-arm Phase I (n=20; ≥2 prior lines; 90% indolent; NCT05025800), it produced 80% CR and 2-yr PFS 69%, with grade≥3 AEs of neutropenia 60%, infections 30%, and ALT increase 15% (no DLTs). Set against R2 alone—AUGMENT’s median PFS 39.4 mo with grade≥3 neutropenia 50% and MAGNIFY’s CR ~42%—the depth of remission looks higher while durability sits within the R2 range, acknowledging small, nonrandomized data.
Take home
If larger cohorts maintain deep CRs without prohibitive myelosuppression, CD47 blockade could make R2 a more potent chemo-free backbone in late-line indolent B-NHL.
Source: Read the original publication
More in lymphoma
-
Trial result · Oct 22, 2026 · NCT04245839
Liso-cel (CD19 CAR-T) Delivers 100% CR/ORR With Minimal CRS/Neurotoxicity in Japanese R/R FL -
Trial result · Oct 22, 2026 · NCT05800366
Glofitamab (CD3×CD20) + pola-R-CHP (CD79b ADC + anti-CD20 chemoimmunotherapy) drives 95% CR and 95% 24‑mo PFS in high-risk 1L DLBCL -
Trial result · Oct 15, 2026 · NCT03618550
Pembrolizumab-GVD followed by autologous transplantation shows 91% five-year PFS in relapsed/refractory classical Hodgkin lymphoma -
Trial result · Oct 15, 2026 · NCT03598608
Favezelimab (anti–LAG-3) + pembrolizumab (PD-1) reports 83% ORR in PD-1–naive R/R cHL; development discontinued -
Trial result · Oct 1, 2026
Mosunetuzumab (CD20xCD3 bispecific) + response-adapted polatuzumab vedotin (CD79b ADC) drives 86% PET-CR and 89% 2y PFS in untreated indolent NHL
