Zanubrutinib, in Combination With Lenalidomide, With or Without Rituximab in Participants With Relapsed/Refractory Diffuse Large B-Cell Lymphoma

NCT ID: NCT04436107

Last Updated: 2025-05-23

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

66 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-09-11

Study Completion Date

2024-03-28

Brief Summary

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The primary objective of this study is to determine the maximum tolerated doses (MTD) and the recommended Phase 2 dose (RP2D), and safety, tolerability, and efficacy of zanubrutinib in combination with lenalidomide in participants with R/R DLBCL

Detailed Description

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Conditions

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Relapsed/Refractory Diffuse Large B-Cell Lymphoma

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Part 1: Zanubrutinib + Lenalidomide 15 mg

Participants received zanubrutinib 160 mg orally twice a day (BID) and lenalidomide 15 mg orally once a day (QD) on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity.

Group Type EXPERIMENTAL

Zanubrutinib

Intervention Type DRUG

160 mg administered orally twice daily (BID)

Lenalidomide

Intervention Type DRUG

Administered orally on Days 1-21 each cycle followed by a mandatory 7-day drug-free interval.

Part 1: Zanubrutinib + Lenalidomide 20 mg

Participants received zanubrutinib 160 mg orally BID and lenalidomide 20 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity.

Group Type EXPERIMENTAL

Zanubrutinib

Intervention Type DRUG

160 mg administered orally twice daily (BID)

Lenalidomide

Intervention Type DRUG

Administered orally on Days 1-21 each cycle followed by a mandatory 7-day drug-free interval.

Part 1: Zanubrutinib + Lenalidomide 25 mg

Participants received zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity.

Group Type EXPERIMENTAL

Zanubrutinib

Intervention Type DRUG

160 mg administered orally twice daily (BID)

Lenalidomide

Intervention Type DRUG

Administered orally on Days 1-21 each cycle followed by a mandatory 7-day drug-free interval.

Part 2: Zanubrutinib + Lenalidomide 25 mg

Participants received zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity.

Group Type EXPERIMENTAL

Zanubrutinib

Intervention Type DRUG

160 mg administered orally twice daily (BID)

Lenalidomide

Intervention Type DRUG

Administered orally on Days 1-21 each cycle followed by a mandatory 7-day drug-free interval.

Interventions

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Zanubrutinib

160 mg administered orally twice daily (BID)

Intervention Type DRUG

Lenalidomide

Administered orally on Days 1-21 each cycle followed by a mandatory 7-day drug-free interval.

Intervention Type DRUG

Other Intervention Names

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BGB-3111 BRUKINSA

Eligibility Criteria

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Inclusion Criteria

1. Histologically confirmed DLBCL, all participants must provide sufficient archival or fresh tumor tissue samples for evaluation by immunohistochemistry (IHC) and Gene Expression Profiling (GEP).
2. Relapsed or refractory disease, defined as either: 1) progression of disease after having achieved disease remission (complete response \[CR\] or partial response \[PR\]) , or 2) stable disease (SD), or progressive disease (PD) at completion of the treatment regimen preceding entry to the study.
3. Participants who have not received high dose therapy/stem cell transplantation (HDT/SCT) must be ineligible for HDT/SCT.
4. Measurable disease as defined by at least 1 lymph node \>1.5 cm in longest diameter, or at least 1 extra-nodal lesion \>1.0 cm in longest diameter, and measurable in 2 perpendicular dimensions.
5. Received an appropriate first-line therapy for DLBCL,defined as an anti CD20 antibody and an appropriate anthracycline-based combination therapy for at least 2 cycles, unless the patient is intolerant or had disease progression before Cycle 2..

Exclusion Criteria

1. Current or history of central nervous system (CNS) lymphoma.
2. Histologically transformed lymphoma.
3. History of allogeneic stem-cell transplantation.
4. Prior exposure to a BTK inhibitor.
5. Prior exposure to lenalidomide or thalidomide.
Minimum Eligible Age

18 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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Beijing Friendship Hospital, Capital Medical University

Beijing, Beijing Municipality, China

Site Status

Sun Yat Sen University Cancer Center

Guangzhou, Guangdong, China

Site Status

Henan Cancer Hospital

Zhengzhou, Henan, China

Site Status

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

Wuhan, Hubei, China

Site Status

Jilin Cancer Hospital

Changchun, Jilin, China

Site Status

Fudan University Shanghai Cancer Center

Shanghai, Shanghai Municipality, China

Site Status

Shanghai East Hospital

Shanghai, Shanghai Municipality, China

Site Status

West China Hospital, Sichuan University

Chengdu, Sichuan, China

Site Status

Tianjin Medical University Cancer Institute and Hospital

Tianjin, Tianjin Municipality, China

Site Status

Zhejiang Cancer Hospital

Hangzhou, Zhejiang, China

Site Status

Countries

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China

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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BGB-3111-110

Identifier Type: -

Identifier Source: org_study_id

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