Zanubrutinib Plus R-CHOP for Patients With Newly Diagnosed Untreated Non-GCB DLBCL

NCT ID: NCT04835870

Last Updated: 2022-09-16

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

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

78 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-04-01

Study Completion Date

2025-10-01

Brief Summary

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Aim of this study will evaluate the efficacy and safety of zanubrutinib in combination with R-CHOP for newly diagnosed untreated Non-GCB DLBCL Patients

Detailed Description

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Diffuse large B-cell lymphoma (DLBCL) is the most common type of non-Hodgkin's lymphoma. According to Hans' algorithms, DLBCL can be identified as 2 subtypes: germinal b-cell-like(GCB) and non-germinal b-cell-like(non-GCB). Approximately 50 to 60% of DLBCL was non-GCB subtype DLBCL.The non-GCB DLBCL revealed poor clinical outcomes. Bruton's tyrosine kinase (BTK) inhibitors have established therapeutic activity in B cell malignancies, with potential activity in non-GCB DLBCL. This study will evaluate the efficacy and safety of zanubrutinib in combination with R-CHOP for newly diagnosed untreated Non-GCB DLBCL Patients.

Conditions

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Non-GCB/ABC Diffuse Large B-Cell Lymphoma

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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R-CHOP + Zanubrutinib

Zanubrutinib plus Rituximab, Cyclosphosphamide, Doxorubicin, Vincristine and Prednisone (R-CHOP)

Group Type EXPERIMENTAL

Zanubrutinib

Intervention Type DRUG

Zanubrutinib-160mg bid PO d0-d20(1-21d)

Rituximab

Intervention Type DRUG

Rituximab-375 mg/m2 i.v d0 (/21d)

Cyclophosphamide

Intervention Type DRUG

Cyclophosphamide-750 mg/m2 i.v d1 (/21d)

Doxorubicin

Intervention Type DRUG

Doxorubicin-50 mg/m2 i.v d1 (/21d)

Vincristine

Intervention Type DRUG

Vincristine-1.4 mg/m2 i.v d1 (/21d)(2 mg max)

Prednisone

Intervention Type DRUG

Prednisone-100 mg p.o d1-d5 (/21d)

Interventions

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Zanubrutinib

Zanubrutinib-160mg bid PO d0-d20(1-21d)

Intervention Type DRUG

Rituximab

Rituximab-375 mg/m2 i.v d0 (/21d)

Intervention Type DRUG

Cyclophosphamide

Cyclophosphamide-750 mg/m2 i.v d1 (/21d)

Intervention Type DRUG

Doxorubicin

Doxorubicin-50 mg/m2 i.v d1 (/21d)

Intervention Type DRUG

Vincristine

Vincristine-1.4 mg/m2 i.v d1 (/21d)(2 mg max)

Intervention Type DRUG

Prednisone

Prednisone-100 mg p.o d1-d5 (/21d)

Intervention Type DRUG

Other Intervention Names

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BTK inhibitors MabThera CTX ADM VCR Prednisonum

Eligibility Criteria

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Inclusion Criteria

1. Histologically confirmed Non-GCB DLBCL with extrinsic involvement
2. Age ≥ 18 years
3. Measurable disease of at least 15mm(node)/10mm(extranodal)
4. ECOG performance status 0-2
5. Adequate organ function:Cardiac ejection fraction (EF) ≥ 50%;Creatinine clearance rate (≥30 mL/min) of serum creatinine; Aspartate Aminotransferase (AST), Alanine Aminotransferase (ALT) ≤3 times ULN
6. Adequate bone marrow function:Platelet count (≥ 50×10\^9/L);Hemoglobin (≥ 8 g/dL);The absolute value of neutrophils (≥1.0×10\^9/L)
7. Estimated survival time ≥3 months
8. Subjects of child-bearing or child-fathering potential must be willing to practice birth control from the time of enrollment on this study until the follow-up period of the study

Exclusion Criteria

1. Accepted major surgery within 4 weeks before treatment;
2. Diagnosis of primary mediastinal lymphoma or primary CNS lymphoma;
3. Previous history of indolent lymphoma;
4. Prior malignancy (other than DLBCL), except for cured malignant tumors with no active lesions for 3 years;Adequate treatment of inactive lesions in non-melanoma skin cancer 、malignant tonsilloma or carcinoma in situ;
5. History of intracranial haemorrhage in preceding 6 months,requires or receiving anticoagulation with warfarin or equivalent antagonists;
6. Requires treatment with a strong/medium CYP3A inducer;
7. The previous use of anthracycline-based drugs \> 150 mg/m2;
8. Evidence of complications or medical conditions, including but not limited, that may interfere the conduct of the study or place the patient at serious risk:significant cardiovascular disease(class 3 or 4 cardiac disease as defined by the New York Heart Association Functional Classification、myocardial infarction within 6 months of screening、uncontrolled or symptomatic arrhythmias) and/or significant lung disease;
9. HIV infection and/or active hepatitis B or active hepatitis C;
10. Uncontrolled systemic infection;
11. Pregnant or breasting-feeding women;
12. According to the researchers' judgment, patients' underlying condition may increase their risk of receiving research drug treatment, or confuse their judgment on toxic reactions.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The First Affiliated Hospital of Soochow University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Depei Wu, M.D

Role: STUDY_CHAIR

The First Affiliated Hospital of Soochow University

Locations

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The First Affiliated Hospital of USTC Anhui Provincial Hospital

Hefei, Anhui, China

Site Status RECRUITING

Fujian Medical University Union Hospital

Fuzhou, Fujian, China

Site Status RECRUITING

The First Affiliated Hospital of Xiamen University

Xiamen, Fujian, China

Site Status RECRUITING

The First People's Hospital of Changzhou

Changzhou, Jiangsu, China

Site Status RECRUITING

Jiangsu Cancer Hospital

Nanjing, Jiangsu, China

Site Status RECRUITING

Nanjing Drum Tower Hospital

Nanjing, Jiangsu, China

Site Status RECRUITING

Zhongda Hospital Southeast University

Nanjing, Jiangsu, China

Site Status RECRUITING

Nantong Tumor Hospital

Nantong, Jiangsu, China

Site Status RECRUITING

The First Affiliated Hospital of Soochow University

Suzhou, Jiangsu, China

Site Status RECRUITING

Changshu No.1 People's Hospital

Suzhou, Jiangsu, China

Site Status RECRUITING

Suzhou Hongci Hematology Hospital

Suzhou, Jiangsu, China

Site Status RECRUITING

Zhangjiagang First Peoples Hospital

Suzhou, Jiangsu, China

Site Status RECRUITING

Affiliated Hospital Of Jiangnan University

Wuxi, Jiangsu, China

Site Status RECRUITING

Wuxi People's Hospital

Wuxi, Jiangsu, China

Site Status RECRUITING

Xuzhou Central Hospital

Xuzhou, Jiangsu, China

Site Status RECRUITING

Shandong Provincial Hospital Affiliated to Shandong First Medical University

Jinan, Shandong, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Caixia Li, M.D

Role: CONTACT

+86 512 67781856

Jia Chen, M.D

Role: CONTACT

+86 512 67781856

Facility Contacts

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Xingbing Wang

Role: primary

+86-0551-62283160

Jianda Hu

Role: primary

+86-0591-83357896

Bing Xu

Role: primary

0592-2137275

Weiying Gu

Role: primary

0519-68870000

Jianqiu Wu

Role: primary

+86-025-83283597

Jingyan Xu

Role: primary

+86-025-83106666

Zheng Ge

Role: primary

+86-025-8372111

Xiaohong Xu

Role: primary

+86-0513-86712105

Caixia Li

Role: primary

Guifang Zhang

Role: primary

+86-0512-52773259

Ting Xu

Role: primary

+86-0512-83837999

Xiaochen Chen

Role: backup

+86-0512-83837999

Qiurong Zhang

Role: primary

+86-0512-56919999

Haiying Hua

Role: primary

+86-0510-68088900

Xin Zhou

Role: primary

+86-0510-82700775

Yan Xue

Role: primary

+86-0516-85790126

Xin Wang

Role: primary

+86-0531-82169114

References

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Geng H, Jia S, Zhang Y, Li J, Yang Q, Zeng L, Zong X, Lu Y, Lu S, Zhou J, Li C, Wu D. Efficacy and safety of zanubrutinib plus R-CHOP in treatment of non-GCB DLBCL with extranodal involvement. Front Immunol. 2023 Aug 21;14:1219167. doi: 10.3389/fimmu.2023.1219167. eCollection 2023.

Reference Type DERIVED
PMID: 37671152 (View on PubMed)

Other Identifiers

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ZR-CHOP

Identifier Type: -

Identifier Source: org_study_id

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