A Study to Investigate the Efficacy of Zanubrutinib Plus Rituximab Compared With Bendamustine Plus Rituximab in Adults With Previously Untreated Mantle Cell Lymphoma Who Are Ineligible for Stem Cell Transplantation

NCT ID: NCT04002297

Last Updated: 2025-09-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

510 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-08-20

Study Completion Date

2027-12-31

Brief Summary

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This is a randomized study to compare the efficacy and safety of zanubrutinib plus rituximab versus bendamustine plus rituximab in previously untreated participants with mantle cell lymphoma (MCL) who are not eligible for stem cell transplantation.

Detailed Description

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Conditions

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Mantle Cell Lymphoma; Non-Hodgkin Lymphoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Arm A: zanubrutinib plus rituximab

Participants will receive zanubrutinib plus rituximab, followed by zanubrutinib monotherapy until Independent Review Committee (IRC)-confirmed disease progression.

Group Type EXPERIMENTAL

zanubrutinib

Intervention Type DRUG

Administered as two 80 mg capsules by mouth twice a day

rituximab

Intervention Type DRUG

Administered intravenously at a dose of 375 mg/m2 on Day 1 of Cycles 1 to 6

Arm B: bendamustine plus rituximab

Participants will receive bendamustine plus rituximab, followed by observation.

Group Type ACTIVE_COMPARATOR

bendamustine

Intervention Type DRUG

Administered intravenously at a dose of 90 mg/m2/day on Days 1 and 2 of Cycles 1 to 6

rituximab

Intervention Type DRUG

Administered intravenously at a dose of 375 mg/m2 on Day 1 of Cycles 1 to 6

Interventions

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zanubrutinib

Administered as two 80 mg capsules by mouth twice a day

Intervention Type DRUG

bendamustine

Administered intravenously at a dose of 90 mg/m2/day on Days 1 and 2 of Cycles 1 to 6

Intervention Type DRUG

rituximab

Administered intravenously at a dose of 375 mg/m2 on Day 1 of Cycles 1 to 6

Intervention Type DRUG

Other Intervention Names

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BGB-3111 Brukinsa

Eligibility Criteria

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Inclusion Criteria

1. ≥70 years of age at the time of informed consent, OR ≥60 and \<70 years of age with comorbidities precluding autologous stem cell transplantation
2. Histologically confirmed diagnosis of MCL
3. No prior systemic treatments for MCL
4. Measurable disease by CT/MRI
5. Eastern Cooperative Oncology Group (ECOG) performance status of 0-2
6. Adequate marrow and organ function

Exclusion Criteria

1. Known central nervous system involvement by lymphoma
2. Participants for whom the goal of therapy is tumor debulking prior to stem cell transplant
3. Clinically significant cardiovascular disease
4. History of severe bleeding disorder
5. Unable to swallow capsules or disease significantly affecting gastrointestinal function
6. Active fungal, bacterial and/or viral infection requiring systemic therapy
7. Requires ongoing treatment with a strong CYP3A inhibitor or inducer
Minimum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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BeiGene

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Study Director

Role: STUDY_DIRECTOR

BeiGene

Locations

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Chao Family Comprehensive Cancer Center

Orange, California, United States

Site Status

Rush University Medical Center

Chicago, Illinois, United States

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Beth Israel Deaconess Medical Center (Bidmc)

Boston, Massachusetts, United States

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University of Michigan Health System

Ann Arbor, Michigan, United States

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Comprehensive Cancer Centers of Nevada

Las Vegas, Nevada, United States

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Icahn School of Medicine At Mount Sinai

New York, New York, United States

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Clinical Research Alliance, Inc

Westbury, New York, United States

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Providence Portland Medical Center

Portland, Oregon, United States

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West Penn Hospital

Pittsburgh, Pennsylvania, United States

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The University of Texas Md Anderson Cancer Center

Houston, Texas, United States

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Joe Arrington Cancer Research and Treatment Center

Lubbock, Texas, United States

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Seattle Cancer Care Alliance

Seattle, Washington, United States

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Canberra Hospital

Garran, Australian Capital Territory, Australia

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Concord Repatriation General Hospital

Concord, New South Wales, Australia

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The Tweed Valley Hospital

Cudgen, New South Wales, Australia

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Saint Vincents Hospital Sydney

Darlinghurst, New South Wales, Australia

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Gosford Hospital

Gosford, New South Wales, Australia

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Calvary Mater Newcastle

Waratah, New South Wales, Australia

Site Status

Sunshine Coast Hospital and Health Service

Birtinya, Queensland, Australia

Site Status

Icon Cancer Foundation

South Brisbane, Queensland, Australia

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Flinders Medical Centre

Bedford PK, South Australia, Australia

Site Status

Royal Hobart Hospital

Hobart, Tasmania, Australia

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Monash Health

Clayton, Victoria, Australia

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St Vincents Hospital Melbourne

Fitzroy, Victoria, Australia

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Peninsula Private Hospital

Frankston, Victoria, Australia

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Barwon Health the Geelong Hospital

Geelong, Victoria, Australia

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Royal Perth Hospital

Perth, Western Australia, Australia

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Ordensklinikum Linz Gmbh Elisabethinen

Linz, , Austria

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Universitatsklinik Fur Innere Medizin Iii Universitatsklinikum Der Pmu Landeskrankenhaus Salzburg

Salzburg, , Austria

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Medical University Vienna Oncology

Vienna, , Austria

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Az Sint Jan Brugge

Bruges, , Belgium

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Universitair Ziekenhuis Brussel

Brussels, , Belgium

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Uz Antwerpen

Edegem, , Belgium

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Az Groeninge Campus Loofstraat

Kortrijk, , Belgium

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Centre Hospitalier Universitaire (Chu) de Liege Site Du Sart Tilman

Liège, , Belgium

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Centre Hospitalier Universitaire Universite Catholique de Louvain Site Godinne

Yvoir, , Belgium

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The Ottawa Hospital

Ottawa, Ontario, Canada

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Ciusss de Lestrie Chus

Sherbrooke, Quebec, Canada

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Peking University Peoples Hospital

Beijing, Beijing Municipality, China

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Beijing Friendship Hospital, Capital Medical University

Beijing, Beijing Municipality, China

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Fujian Medical University Union Hospital

Fuzhou, Fujian, China

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Quanzhou First Affliated Hospital of Fujian Medical University

Quanzhou, Fujian, China

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Sun Yat Sen University Cancer Center

Guangzhou, Guangdong, China

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Guangdong Provincial Peoples Hospital

Guangzhou, Guangdong, China

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Nanfang Hospital of Southern Medical University

Guangzhou, Guangdong, China

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Harbin Medical University Cancer Hospital

Harbin, Heilongjiang, China

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Henan Cancer Hospital

Zhengzhou, Henan, China

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Tongji Hospital of Tongji Medical College Huazhong University of Science and Technology

Wuhan, Hubei, China

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Hunan Cancer Hospital

Changsha, Hunan, China

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Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing University Medical School

Nanjing, Jiangsu, China

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Jiangsu Province Hospital

Nanjing, Jiangsu, China

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The Affiliated Hospital of Xuzhou Medical University

Xuzhou, Jiangsu, China

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The First Affiliated Hospital of Nanchang University Branch Donghu

Nanchang, Jiangxi, China

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Jilin Cancer Hospital

Changchun, Jilin, China

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The First Hospital of Jilin University

Changchun, Jilin, China

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Shengjing Hospital of China Medical University

Shenyang, Liaoning, China

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Fudan University Shanghai Cancer Center

Shanghai, Shanghai Municipality, China

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Shanghai East Hospital

Shanghai, Shanghai Municipality, China

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West China Hospital, Sichuan University

Chengdu, Sichuan, China

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Institute of Hematology and Hospital of Blood Disease

Tianjin, Tianjin Municipality, China

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Tianjin Medical University Cancer Institute and Hospital

Tianjin, Tianjin Municipality, China

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Affiliated Cancer Hospital of Xinjiang Medical University

Ürümqi, Xinjiang, China

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The First Affiliated Hospital, Zhejiang University School of Medicine

Hangzhou, Zhejiang, China

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Zhejiang Cancer Hospital

Hangzhou, Zhejiang, China

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Hwa Mei Hospital, University of Chinese Academy of Sciences (Ningbo No Hospital)

Ningbo, Zhejiang, China

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Centre de Lutte Contre Le Cancer Institut Bergonie

Bordeaux, , France

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Chru de Brest Hospital Morvan

Brest, , France

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Chu Dijon

Dijon, , France

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Chu Grenoble Alpes

Grenoble, , France

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Centre Hospitalier Le Mans

Le Mans, , France

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Hopital Claude Huriez Chu Lille

Lille, , France

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Institut Paoli Calmettes

Marseille, , France

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Centre Hospitalier Universitaire Nantes Hotel Dieu

Nantes, , France

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Institut Curie

Paris, , France

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Necker University Hospital

Paris, , France

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Chu Hopital Lyon Sud

PierreBenite, , France

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Centre Hospitalier Universitaire de Poitier Hopital de La Miletrie Hopital Jean Bernard

Poitiers, , France

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Ch Cornouaille

Quimper, , France

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Iuc Toulouse Oncopole

Toulouse, , France

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Uniklinik Koln (Aor)

Cologne, , Germany

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Universitatsklinikum Heidelberg

Heidelberg, , Germany

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Dept of Medicine Iii, University Hospitallmu

Munich, , Germany

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Universitaetsklinikum Ulm, Innere Medizin Iii

Ulm, , Germany

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Petrus Krankenhaus Wuppertal

Wuppertal, , Germany

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Cork University Hospital

Cork, , Ireland

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Mater Misericordiae University Hospital

Dublin, , Ireland

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St Jamess Hospital

Dublin, , Ireland

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University Hospital Galway

Galway, , Ireland

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University Hospital Limerick

Limerick, , Ireland

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University Hospital Waterford

Waterford, , Ireland

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Azienda Ospedaliera Nazionale Ssantonio E Biagio E Cesare Arrigo

Alessandria, , Italy

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Policlinico Sorsola Malpighi, Aou Di Bologna

Bologna, , Italy

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Azienda Ospedaliera Universitaria San Martino

Genova, , Italy

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Niguarda Cancer Center Division of Hematology

Milan, , Italy

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Aou Maggiore Della Carita

Novara, , Italy

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Aoor Villa Sofia Cervello

Palermo, , Italy

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Aou Pisana, Stabilimento Di Santa Chiara

Pisa, , Italy

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Unita Di Ematologia, Dipartimento Di Ematologia Ed Oncologia

Ravenna, , Italy

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Azienda Unita Sanitaria Locale Irccs

Reggio Emilia, , Italy

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Universita Degli Studi La Sapienza

Roma, , Italy

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Aou Senese Policlinico Santa Maria Alle Scotte

Siena, , Italy

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Ao Citta Della Salute E Della Scienza Di Torino Presidio O

Torino, , Italy

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University of Verona

Verona, , Italy

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National Hospital Organization Nagoya Medical Center

Nagoya, Aichi-ken, Japan

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Toyohashi Municipal Hospital

Toyohashi, Aichi-ken, Japan

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Chiba Cancer Center

Chiba, Chiba, Japan

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Kurume University Hospital

Kurume, Fukuoka, Japan

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Hiroshima Red Cross Hospital and Atomic Bomb Survivors Hospital

Hiroshima, Hiroshima, Japan

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Kanagawa Cancer Center

Yokohama, Kanagawa, Japan

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National Hospital Organization Kumamoto Medical Center

Kumamoto, Kumamoto, Japan

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Tohoku University Hospital

Sendai, Miyagi, Japan

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Kurashiki Central Hospital

Kurashikishi, Okayama-ken, Japan

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Osaka Red Cross Hospital

Osakashi, Osaka, Japan

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National Cancer Center Hospital

Chuoku, Tokyo, Japan

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University Hospital, Kyoto Prefectural Univ of Medicine

Kyoto, , Japan

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National Hospital Organization Okayama Medical Center

Okayama, , Japan

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Osaka Metropolitan University Hospital

Osaka, , Japan

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Tokyo Medical and Dental University Hospital

Tokyo, , Japan

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Yokohama Municipal Citizens Hospital

Yokohama, , Japan

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Admiraal de Ruijter Ziekenhuis

Goes, , Netherlands

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University of Medical Center Groningen (Umcg)

Groningen, , Netherlands

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St Antonius Ziekenhuis, Randd Interne Geneeskunde (F)

Nieuwegein, , Netherlands

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Albert Schweitzer Ziekenhuis

Nijmegen, , Netherlands

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Erasmus Mc

Rotterdam, , Netherlands

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Hagaziekenhuis

The Hague, , Netherlands

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Christchurch Hospital (Canterbury Health Laboratories)

Christchurch, , New Zealand

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Tauranga Hospital

Tauranga, , New Zealand

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Szpital Uniwersytecki Nr Im Dr Jana Biziela

Bydgoszcz, , Poland

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Silesian Healthy Blood Clinic

Chorzów, , Poland

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Uniwersyteckie Centrum Kliniczne

Gdansk, , Poland

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Copernicus Podmiot Leczniczy Sp Z Oo Wojewodzkie Centrum Onkologii

Gdask, , Poland

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Szpitale Pomorskie Spolka Z Ograniczona Odpowiedzialnoscia

Gdynia, , Poland

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Pratia McM Krakow

Krakow, , Poland

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Wojewodzki Szpital Specjalistyczny W Legnicy

Legnica, , Poland

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Wielospecjalistyczne Centrum Onkologii I Traumatologii Im M Kopernika W Lodzi

Lodz, , Poland

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Centrum Onkologii Ziemi Lubelskiej

Lublin, , Poland

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Instytut Hematologii I Transfuzjologii W Warszawie

Warsaw, , Poland

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Specjalistyczny Szpital Im Dr Alfreda Sokolowskiego

Wałbrzych, , Poland

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Uniwersytecki Szpital Kliniczny Im Jana Mikulicza Radeckiego We Wroclawiu

Wroclaw, , Poland

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Instituto Portugues Oncologia de Lisboa Francisco Gentil, Epe

Lisbon, , Portugal

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Chuln Hospital de Santa Maria

Lisbon, , Portugal

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Centro Hospitalar Universitario Porto

Porto, , Portugal

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Instituto Portugues de Oncologia Do Porto Francisco Gentil, Epe

Porto, , Portugal

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Institutul Clinic Fundeni

Bucharest, , Romania

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Institutul Regional de Oncologie Iasi

Iași, , Romania

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Clinical Hospital, Sp Botkin

Moscow, Moscow, Russia

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Fgu Russian Scientific Research Institute of Hematology and Transfusiology

Saint Petersburg, Sankt-Peterburg, Russia

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Leningrad Regional Clinic and Hospital

Saint Petersburg, Sankt-Peterburg, Russia

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Gbuz Mmcc Kommunarka Dzm

Moscow, , Russia

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Hospital Universitario Vall Dhebron

Barcelona, , Spain

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Institut Catala Doncologia

Barcelona, , Spain

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Ico Hug Trias I Pujol

Barcelona, , Spain

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Ico Girona

Girona, , Spain

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Hospital Universitario Gregorio Maranon

Madrid, , Spain

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Md Anderson Cancer Center Madrid Spain

Madrid, , Spain

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Start Madrid Fundacion Jimenez Diaz

Madrid, , Spain

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Hospital Universitario La Paz

Madrid, , Spain

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Hospital Regional Universitario de Malaga

Málaga, , Spain

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Hospital Universitario Virgen Del Rocio

Seville, , Spain

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National Cheng Kung University Hospital

Tainan City, , Taiwan

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Chi Mei Hospital Liouying

Tainan City, , Taiwan

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Tri Service General Hospital

Taipei, , Taiwan

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Dr Abdurrahman Yurtaslan Oncology Teaching and Research Hospital

Ankara, , Turkey (Türkiye)

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Hematoloji Ve Hematolik Onkoloji Tani Ve Tedavi Merezi

Ankara, , Turkey (Türkiye)

Site Status

Gazi University

Ankara, , Turkey (Türkiye)

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Tr Trakya University Health Research and Application Center (Hospital)

Edirne, , Turkey (Türkiye)

Site Status

Vkv American Hospital

Istanbul, , Turkey (Türkiye)

Site Status

Mersin Universitesi Tip Fakultesi Hastanesi

Mersin, , Turkey (Türkiye)

Site Status

Cherkasy Regional Oncology Dispensary

Cherkasy, , Ukraine

Site Status

Municipal Non Profit Enterprise City Clinical Hospital

Dnipro, , Ukraine

Site Status

National Cancer Institute

Kiev, , Ukraine

Site Status

Si Institute of Blood Pathology and Transfusion Medicine Nams of Ukraine, Hematology Department

Lviv, , Ukraine

Site Status

Aneurin Bevan University Health Board

Abergavenny, , United Kingdom

Site Status

Birmingham Heartlands Hospital

Birmingham, , United Kingdom

Site Status

Russells Hall Hopsital

Dudley, , United Kingdom

Site Status

Royal Marsden Nhs Foundation Royal Marsden Hospital

Sutton, , United Kingdom

Site Status

Countries

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United States Australia Austria Belgium Canada China France Germany Ireland Italy Japan Netherlands New Zealand Poland Portugal Romania Russia Spain Taiwan Turkey (Türkiye) Ukraine United Kingdom

References

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Dreyling M, Tam CS, Wang M, Smith SD, Ladetto M, Huang H, Novotny W, Co M, Romano A, Holmgren E, Huang J, Gouill SL. A Phase III study of zanubrutinib plus rituximab versus bendamustine plus rituximab in transplant-ineligible, untreated mantle cell lymphoma. Future Oncol. 2021 Jan;17(3):255-262. doi: 10.2217/fon-2020-0794. Epub 2020 Sep 28.

Reference Type DERIVED
PMID: 32985902 (View on PubMed)

Other Identifiers

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2019-000413-36

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CTR20211594

Identifier Type: REGISTRY

Identifier Source: secondary_id

2023-509908-15-00

Identifier Type: CTIS

Identifier Source: secondary_id

BGB-3111-306

Identifier Type: -

Identifier Source: org_study_id

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