Treatment of CD79B Mutant Relapsed/Refractory Diffuse Large B-Cell Lymphoma With Bruton Tyrosine Kinase Inhibitor Zanubrutinib

NCT ID: NCT05068440

Last Updated: 2025-07-25

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

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

65 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-08-11

Study Completion Date

2025-03-31

Brief Summary

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Study consists of a single arm to explore the efficacy and safety of zanubrutinib in participants with CD79B mutant Relapsed/Refractory Diffuse Large B-Cell Lymphoma.

Detailed Description

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Conditions

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Relapsed Diffuse Large B-cell Lymphoma Refractory 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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Zanubrutinib

administered orally

Group Type EXPERIMENTAL

Zanubrutinib

Intervention Type DRUG

administered orally as capsules

Interventions

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Zanubrutinib

administered orally as capsules

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 based on the World Health Organization (WHO) 2008 classification of tumors of hematopoietic and lymphoid tissue.
2. Positive CD79B mutation confirmed by the central laboratory.
3. Previously received at least 1 line of adequate systemic anti-DLBCL therapy, defined as an anti-CD20 antibody-based chemoimmunotherapy for at least 2 consecutive cycles, unless participants had disease progression before Cycle 2
4. Relapsed or refractory (R/R) disease before study entry, defined as either

1. Recurrent disease after having achieved disease remission (CR or partial response \[PR\]) at the completion of the latest treatment regimen.
2. Stable disease or PD at the completion of the latest treatment regimen
5. Ineligible for high dose therapy/stem cell transplantation, which is defined as meeting any of the following criteria:

1. Significant organ dysfunction (eg, left ventricular ejection fraction \< 50% by echocardiogram or multiple gated acquisition scan \[MUGA\], diffuse lung capacity for carbon monoxide \< 60% predicted by pulmonary function test, creatinine clearance \< 70 mL/min shown by nuclear medicine scan or 24-hour urine collection) or comorbidities precluding the use of high dose therapy/stem cell transplantation on the basis of unacceptable risk of treatment-related morbidity
2. Failure to achieve CR or PR with salvage therapy.
3. Failure to collect stem cells or unable to perform stem cell collection as assessed by the investigator.

Exclusion Criteria

1. Participants who have NHL other than classical histology DLBCL (DLBCL, not otherwise specified), eg, participants with DLBCL transformed from indolent lymphomas, primary mediastinal (thymic) large B-cell lymphoma, primary cutaneous DLBCL, primary effusion lymphoma, and central nervous system (CNS) lymphoma.
2. History of allogeneic stem cell transplantation or chimeric antigen receptor (CAR) T-cell therapy.
3. Prior exposure to a Bruton's tyrosine kinase (BTK) inhibitor.
4. Receipt of the following treatment at the time indicated before the first dose of study drug:

1. Corticosteroid given with antineoplastic intent within 2 weeks, but a short course (≤ 7 days) of systemic corticosteroid treatment at doses ≤ 20 mg/day prednisone equivalent for control of lymphoma-related symptoms is allowed prior to enrollment provided that it is tapered off within 5 days after initiation of study treatment.
2. Chemotherapy or radiotherapy within 2 weeks.
3. Monoclonal antibody within 2 weeks.
4. Investigational therapy within 2 weeks.
5. Chinese patent medicine with antineoplastic intent within 2 weeks.
5. History of other active malignancies within 2 years before study entry, with the exception of (1) adequately treated in-situ carcinoma of the cervix; (2) localized basal cell or squamous cell carcinoma of the skin; (3) previous malignancy confined and treated locally (surgery or other modality) with curative intent.
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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Anhui Provincial Cancer Hospital Aka West Branch of Anhui Province Hospital

Hefei, Anhui, China

Site Status

Beijing Friendship Hospital, Capital Medical University

Beijing, Beijing Municipality, China

Site Status

Fujian Cancer Hospital

Fuzhou, Fujian, China

Site Status

Sun Yat Sen University Cancer Center

Guangzhou, Guangdong, China

Site Status

Guangdong Provincial Peoples Hospital Huifu Branch

Guangzhou, Guangdong, China

Site Status

The First Affiliated Hospital of Guangzhou Medical University

Guangzhou, Guangdong, China

Site Status

The First Affiliated Hospital of Shantou University Medical College

Shantou, Guangdong, China

Site Status

Hainan Cancer Hospital

Haikou, Hainan, China

Site Status

Harbin Medical University Cancer Hospital

Harbin, Heilongjiang, 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

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

Wuhan, Hubei, China

Site Status

The Second Xiangya Hospital of Central South University

Changsha, Hunan, China

Site Status

Hunan Cancer Hospital

Changsha, Hunan, China

Site Status

The First Affiliated Hospital of Nanchang University Branch Donghu

Nanchang, Jiangxi, China

Site Status

The First Hospital of Jilin University

Changchun, Jilin, China

Site Status

Liaoning Cancer Hospital and Institute

Shenyang, Liaoning, China

Site Status

Rui Jin Hospital Shanghai Jiao Tong University School of Medicine

Shanghai, Shanghai Municipality, China

Site Status

Shanxi Provincial Cancer Hospital

Taiyuan, Shanxi, China

Site Status

West China Hospital, Sichuan University

Chengdu, Sichuan, China

Site Status

Institute of Hematology and Hospital of Blood Disease

Tianjin, Tianjin Municipality, China

Site Status

Yunnan Cancer Hospital

Kunming, Yunnan, China

Site Status

The First Affiliated Hospital, Zhejiang University School of Medicine

Hangzhou, Zhejiang, China

Site Status

Zhejiang University College of Medicine Second Affiliated Hospital

Hangzhou, Zhejiang, China

Site Status

Taizhou Hospital of Zhejiang

Taizhou, Zhejiang, China

Site Status

Countries

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China

Other Identifiers

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CTR20210786

Identifier Type: REGISTRY

Identifier Source: secondary_id

BGB-3111-218

Identifier Type: -

Identifier Source: org_study_id

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