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Real members of MyLymphomaTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
November 2, 2025
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What happens when lymphoma doesn't respond to DA-R-EPOCH and you're starting epcoritamab?

It sounds like you're facing refractory DLBCL after DA-R-EPOCH didn't work. This is understandably frustrating, but there are still treatment options available.

When lymphoma is refractory (doesn't respond to initial treatment), your Show Full Answer

What happens when lymphoma doesn't respond to DA-R-EPOCH and you're starting epcoritamab?

It sounds like you're facing refractory DLBCL after DA-R-EPOCH didn't work. This is understandably frustrating, but there are still treatment options available.

When lymphoma is refractory (doesn't respond to initial treatment), your care team will recommend different approaches. Epcoritamab is a newer bispecific antibody immunotherapy that can be effective for people whose lymphoma hasn't responded to earlier treatments.

Here are some options others have explored in similar situations:

* Immunotherapy treatments like CAR T-cell therapy (Tecartus, Kymriah) or bispecific antibodies
* Bone marrow transplant
* Clinical trials for newer therapies
* Different chemotherapy combinations

Since your lymphoma didn't achieve remission with DA-R-EPOCH, your doctor is moving to a different mechanism of action with epcoritamab, which may work where chemotherapy didn't.

A MyLymphomaTeam member shared that even after initial treatment failure, second-line and newer therapies can still achieve remission. Keep communicating openly with your oncology team about how you're responding to the new treatment.

November 2, 2025

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