A Study of Orelabrutinib Plus R-CHOP in Treatment-naïve Patients With MCD Subtype Diffuse Large B-cell Lymphoma

NCT ID: NCT05234684

Last Updated: 2024-02-07

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-11-02

Study Completion Date

2025-12-30

Brief Summary

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The purpose of this study is to evaluate the safety and efficacy of orelabrutinib combined with R-CHOP regimen versus placebo with R-CHOP in the treatment of treatment-naïve patients with MCD subtype DLBCL.

Detailed Description

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Conditions

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Diffuse Large B Cell Lymphoma (DLBCL)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Orelabrutinib+ R-CHOP

Participants will receive 150 mg of oral orelabrutinib once daily with R-CHOP on day 1 of each cycle (21 days).

Group Type EXPERIMENTAL

Orelabrutinib + R-CHOP

Intervention Type DRUG

The orelabrutinib is a white, round, uncoated tablet. The R-CHOP include rituximab, cyclophosphamide, doxorubicin, vincristine, and prednison.

Placebo+ R-CHOP

Participants will receive 150 mg placebo once daily with R-CHOP on day 1 of each cycle (21 days).

Group Type PLACEBO_COMPARATOR

Placebo + R-CHOP

Intervention Type DRUG

The placebo is a white, round, uncoated tablet. The R-CHOP include rituximab, cyclophosphamide, doxorubicin, vincristine, and prednison.

Interventions

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Orelabrutinib + R-CHOP

The orelabrutinib is a white, round, uncoated tablet. The R-CHOP include rituximab, cyclophosphamide, doxorubicin, vincristine, and prednison.

Intervention Type DRUG

Placebo + R-CHOP

The placebo is a white, round, uncoated tablet. The R-CHOP include rituximab, cyclophosphamide, doxorubicin, vincristine, and prednison.

Intervention Type DRUG

Other Intervention Names

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ICP-022+ R-CHOP

Eligibility Criteria

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Inclusion Criteria

1. Men and women between 18 and 80 years old
2. Treatment-naive patients
3. Histologically confirmed diffuse large B-cell lymphoma (DLBCL) and CD20 positive.
4. Provide FFPE slices of past or fresh tumor biopsy tissue.
5. At least one measurable lesion.
6. Lymphoma International Prognostic Score (IPI) ≥ 2.
7. Ann Arbor stage II-IV, or stage I with bulky lesion (diameter \> 7.5 cm)
8. ECOG PS score of 0-2
9. Subjects who in line with the testing standard of the clinical trial laboratory.
10. Life expectancy ≥ 6 months.
11. Able to provide signed written informed consent.

Exclusion Criteria

1. History of other active malignancies within 5 years of study entry, unless cured without evidence of relapse or metastasis
2. Lymphoma involving the central nervous system or leptomeningeal metastasis.
3. Transformed lymphoma, that is transformed from other types of lymphoma.
4. Primary mediastinal large B-cell lymphoma.
5. History of stroke or intracranial hemorrhage within 6 months before screening.
6. Co-morbidity of uncontrolled or significant cardiovascular disease, significant impaired lung function, significant gastrointestinal abnormalities, uncontrolled infections (including HBV, HCV, HIV/AIDS and tuberculosis), or active autoimmune disease.
7. Active bleeding within 2 months before screening, or a clear bleeding tendency determined by the investigator; a history of deep vein thrombosis or pulmonary embolism.
8. Previous history of surgeries (major 4 weeks and minor 2 weeks prior screening) , organ transplant or hematopoietic stem cell transplantation, or progressive multifocal leukoencephalopathy (PML).
9. Administer live and attenuated vaccines (semi-inactivated) within 28 days prior to first receiving the test drug.
10. Planned stem cell transplant during the experimental treatment are excluded.
11. Chemotherapy, immunotherapy, targeted therapy, radiotherapy, or traditional Chinese medicine with anti-tumor effects for the purpose of anti-tumor therapy within 4 weeks before starting to take the experimental drug. Excluding short-term emergency use of corticosteroids before treatment.
12. Current diagnosis of any mental or cognitive impairment, drug abuse, or alcohol abuse.
13. Pregnant, lactating women, or women at childbearing ages who will not use contraception during the study up to 12 months after the last dose of rituximab or 180 days after the last dose of study drug
14. The last use of strong CYP3A inhibitor or strong CYP3A inducer is less than 5 halflivesfrom the first trial drug, or the drug or food with moderate and strong CYP3A inhibitory effect or strong CYP3A induction effect is planned to be taken at the same time during this study.
15. Any serious medical condition that, in the investigator's opinion, would put the subject at unacceptable risk and/or would prevent the subject from signing the informed consent form. In the opinion of the investigator, the subject's participation in the study would be at unacceptable risk.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Beijing InnoCare Pharma Tech Co., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Weili Zhao

Role: PRINCIPAL_INVESTIGATOR

Ruijin Hospital

Locations

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The first affiliated hospital of bengbu medical college

Bengbu, Anhui, China

Site Status RECRUITING

Anhui Provincal Cancer Hospital

Hefei, Anhui, China

Site Status RECRUITING

Beijing Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Chongqing University Cancer Hospital

Chongqing, Chongqing Municipality, China

Site Status RECRUITING

The Southwest Hospital of AMU

Chongqing, Chongqing Municipality, 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

Gansu Provincial Cancer Hospital

Lanzhou, Gansu, China

Site Status RECRUITING

The First People's Hospital of Foshan

Foshan, Guangdong, China

Site Status RECRUITING

Guangdong General Hospital

Guangzhou, Guangdong, China

Site Status RECRUITING

ZhuJiang Hospital of Southern Medical University

Guangzhou, Guangdong, China

Site Status RECRUITING

Sun Yat-sen University Cancer Center

Guangzhou, Guangdong, China

Site Status RECRUITING

PEKING University SHENZHEN Hospital

Shenzhen, Guangdong, China

Site Status RECRUITING

Sun Yat-sen University Cancer Center Internal medicine department

Guandong, Guangzhou, China

Site Status RECRUITING

Affiliated Hospital of Hebei University

Baoding, Hebei, China

Site Status RECRUITING

The Second Hospital of Hebei Medical University

Shijiazhuang, Hebei, China

Site Status RECRUITING

The First Affiliated Hospital of Henan University of science and Technology

Luoyang, Henan, China

Site Status RECRUITING

Henan Cancer Hospital

Zhengzhou, Henan, China

Site Status RECRUITING

The First Affiliated Hospital of Zhengzhou University

Zhengzhou, Henan, China

Site Status RECRUITING

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

Wuhan, Hubei, China

Site Status RECRUITING

Tongji Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology

Wuhan, Hubei, China

Site Status RECRUITING

The Second Xiangya Hospital of Central South University

Changsha, Hunan, China

Site Status RECRUITING

Hunan Cancer Hospital

Changsha, Hunan, China

Site Status RECRUITING

Chenzhou first people's Hospital

Chenzhou, Hunan, China

Site Status RECRUITING

The Affiliated Hospital of Nanjing University Medical School

Nanjing, Jiangsu, China

Site Status RECRUITING

Wuxi People's Hospital

Wuxi, Jiangsu, China

Site Status RECRUITING

Jiangxi Cancer Hospital

Nanchang, Jiangxi, China

Site Status RECRUITING

The First Affiliated Hospital Of Nanchang University

Nanchang, Jiangxi, China

Site Status RECRUITING

The Second Hospital of Dalian Medical University

Dalian, Liaoning, China

Site Status RECRUITING

The First Hospital of China Medical University

Shenyang, Liaoning, China

Site Status RECRUITING

Qilu Hospital Of Shandong University

Jinan, Shandong, China

Site Status RECRUITING

Provincial Hospital Affiliated to Shandong First Medical University

Jinan, Shandong, China

Site Status RECRUITING

The Affiliated Hospital of Qingdao University

Qingdao, Shandong, China

Site Status RECRUITING

Shanghai Changzheng Hospital

Shanghai, Shanghai Municipality, China

Site Status ACTIVE_NOT_RECRUITING

Ruijin Hospital, Shanghai Jiaotong University School of Medicine

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Shanghai 6th People's Hospital

Shanghai, Shanghai Municipality, China

Site Status ACTIVE_NOT_RECRUITING

The first Affiliated Hospital Of Xi'an Jiaotong University

Xi’an, Shanxi, China

Site Status ACTIVE_NOT_RECRUITING

The Second Affiliated Hospital Of Xi'an Jiaotong University

Xi’an, Shanxi, China

Site Status RECRUITING

West China Hospital Sichuan University

Chengdu, Sichuan, China

Site Status ACTIVE_NOT_RECRUITING

Tianjin Cancer Hospital

Tianjin, Tianjin Municipality, China

Site Status RECRUITING

Affiliated Cancer Hospital of Xinjiang Medical University

Ürümqi, Xinjiang, China

Site Status RECRUITING

The first affiliated Hospital Zhejiang University School Of Medicine

Hangzhou, Zhejiang, China

Site Status RECRUITING

Sir Run Run Shaw Hospital Zhejiang University School Of Medicine

Hangzhou, Zhejiang, China

Site Status RECRUITING

Shaoxing People's Hospital

Shaoxing, Zhejiang, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Weili Zhao

Role: CONTACT

+86 021-64370045

Facility Contacts

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Yanli Yang

Role: primary

Kaiyang Ding

Role: primary

Hui Liu

Role: primary

Yingyu Nan

Role: primary

Shuangnian Xu

Role: primary

Jianzhen Shen

Role: primary

Bing Xu

Role: primary

Jie Cui

Role: primary

Ying Zhao

Role: primary

Wenyu Li

Role: primary

Shaojie Wu

Role: primary

Chunkang Chang

Role: primary

Hongyu Zhang

Role: primary

Qingqing Cai

Role: primary

Hua Xue

Role: primary

Jinhai Ren

Role: primary

Ling Qin

Role: primary

Keshu Zhou

Role: primary

Xinhua Wang

Role: primary

Liling Zhang

Role: primary

Liang Huang

Role: primary

Hongling Peng

Role: primary

Hui Zhou

Role: primary

Xinquan Liang

Role: primary

Jingyan Xu

Role: primary

Xin Zhou

Role: primary

Wuping Li

Role: primary

Fei Li

Role: primary

Xiuhua Sun

Role: primary

Xiaojing Yan

Role: primary

Ming Hou

Role: primary

Xin Wang

Role: primary

Hongwei Xue

Role: primary

Weili Zhao

Role: primary

Aili He

Role: primary

Zhengzi Qian

Role: primary

Shujuan Wen

Role: primary

Jie Jin

Role: primary

Jin Zhang

Role: primary

Jiaping Fu

Role: primary

Other Identifiers

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ICP-CL-00115

Identifier Type: -

Identifier Source: org_study_id

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