GLOBAL RESEARCH ARCHIVE
Global Pharmaceuticals "ABBV/GMAB - reiterating high conviction on Epkinly..."
Research evidence excerpt
Global Pharmaceuticals "ABBV/GMAB - reiterating high conviction on Epkinly..."
years or so. As the P3 Epkinly 1L DLBCL trial is a large, well designed study run by ABBV
and GMAB, we believe it is likely that the control arm in this trial is consistent versus R-
CHOP arms in prior trials, and we are cautiously optimistic that the slow event accrual
rates might be another positive on top of the fact that the interim has not passed.
Having said that, all clinical trials carry execution risks, and generally it is hard to call the
potential implication when events happen slower than expected in oncology trials.
See Figure 4R-CHOPPFScurvesfor1LDLBCLinIPI3-5patientsfromMonjuviP3frontMINDstudy,Sehnet.al.realworldanalysis,andRupertet.al.metaanalysis,sugestingR-CHOPperformanceisrelativelyconsistentacrostrialsandrealworld. for R-CHOP PFS comparison in IPI 3-5 patients from Monjuvi P3 frontMIND
study, Sehn et. al. real world analysis, and Ruppert et. al. meta analysis, and Figure 5R-CHOPPFScurvesfor1LDLBCLinP3GOYAtrial(alIPI),P3REMoDL-Btrial(alIPI)andP3POLARIXtrial(IPI2-5) for
R-CHOP PFS comparison for patients with all IPI status from GOYA P3 and REMoDL-B
trial (even the R-CHOP arm from the POLARIX trial with IPI 2-5 is fairly comparable).
Up/downside on GMAB, and what if the trial does not stop for interim and
progress to full readout?
We believe GMAB could be up ~20% in our blue sky scenario if Epkinly 1L DLBCL trial is
positive with HR < 0.65, the efficacy level where KOLs believe is enough to drive usage
versus Polivy-R-CHP regimen, which is approved in 1L DLBCL (Figure 1GenmabEpkinlyP31LDLBCLscenarioup/downsideanalysis). However, as the
interim has not passed, and though GMAB has guided for 2026 for this readout, we
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