Status:

RECRUITING

Zanubrutinib Combined With G-CVP in Previously Untreated FL

Lead Sponsor:

Cancer Institute and Hospital, Chinese Academy of Medical Sciences

Conditions:

Follicular Lymphoma ( FL)

Eligibility:

All Genders

18-80 years

Phase:

PHASE2

Brief Summary

The goal of this clinical trial is to learn the efficacy and safety of zanubrutinib in combination with G-CVP in previously untreated follicular lymphoma patients The main questions it aims to answer ...

Detailed Description

Follicular lymphoma (FL), accounting for nearly 20% of non - Hodgkin lymphomas, is an indolent B - cell neoplasm originating from follicular center B cells. Over 90% of patients are at stage Ⅲ/Ⅳ at on...

Eligibility Criteria

Inclusion

  • Patients must meet all of the following criteria to be eligible:
  • 1\. Histologically confirmed CD20-positive FL (grades 1, 2, or 3a), diagnosed according to the WHO 2022 criteria; 2, Clear indication for treatment: symptoms affecting normal work and life; end-organ dysfunction; cytopenia due to bone marrow involvement by lymphoma; bulky disease (per GELF criteria); persistent or rapidly progressive disease; 3. No prior systemic therapy for lymphoma; 4. Age 18-80 years; 5. Eastern cooperative oncology group (ECOG) performance status (PS) \< 2; 6. Expected survival \> 2 years; 7. At least one measurable lesion with a longest diameter ≥ 1.5 cm or extranodal lesion ≥ 1 cm; 8. Willingness to participate in the study and comply with treatment and follow-up.

Exclusion

  • Patients will be excluded if they meet any of the following criteria:
  • Pregnant or breastfeeding women;
  • Abnormal liver or kidney function, defined as: serum direct/indirect bilirubin, alanine aminotransferase (ALT), aspartate aminotransferase (AST), or serum creatinine \> 2 × upper limit of normal (ULN); creatinine clearance \< 60 mL/min (unless due to lymphoma involvement);
  • History of deep vein thrombosis (DVT) or pulmonary embolism (PE) within the past 12 months;
  • Absolute neutrophil count (ANC) \< 1.5 × 10⁹/L, platelets \< 75 × 10⁹/L, or hemoglobin \< 70 g/L (unless due to bone marrow involvement by lymphoma);
  • Long-term use of strong or moderate CYP3A inducers;
  • Known hypersensitivity to any component of the study drug;
  • Other active malignancies, except: cured non-melanoma skin cancer, cervical carcinoma in situ, localized prostate cancer, superficial bladder cancer, ductal carcinoma in situ, or other malignancies with disease-free survival \> 5 years;
  • Severe concurrent infections;
  • Drug abuse, medical, psychological, or social conditions that may interfere with study participation or result evaluation;
  • Investigator-deemed ineligibility for the study.

Key Trial Info

Start Date :

January 1 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 31 2027

Estimated Enrollment :

40 Patients enrolled

Trial Details

Trial ID

NCT06959732

Start Date

January 1 2025

End Date

December 31 2027

Last Update

May 7 2025

Active Locations (1)

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1

Cancer Hospital Chinese Academy of Medical Sciences

Beijing, Beijing Municipality, China, 100021