Efficacy and Safety of Orelabrutinib Combined With Rituximab Versus Lenalidomide Combined With Rituximab in Patients With Relapsed/Refractory Marginal Zone Lymphoma

NCT ID: NCT06082102

Last Updated: 2025-09-15

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

324 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-12-19

Study Completion Date

2030-02-25

Brief Summary

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Efficacy and Safety of Orelabrutinib Combined with Rituximab versus Lenalidomide Combined with Rituximab in Patients with Relapsed/Refractory Marginal Zone Lymphoma

Detailed Description

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Conditions

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Relapsed/Refractory Marginal Zone 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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Orelabrutinib

Group Type EXPERIMENTAL

Orelabrutinib

Intervention Type DRUG

Orelabrutinib Tablets

Rituximab

Intervention Type DRUG

Rituximab Injection

Comparator

Group Type ACTIVE_COMPARATOR

Lenalidomide

Intervention Type DRUG

Lenalidomide Capsules

Rituximab

Intervention Type DRUG

Rituximab Injection

Interventions

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Orelabrutinib

Orelabrutinib Tablets

Intervention Type DRUG

Rituximab

Rituximab Injection

Intervention Type DRUG

Lenalidomide

Lenalidomide Capsules

Intervention Type DRUG

Rituximab

Rituximab Injection

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Age ≥ 18 years , either sex.
2. Histopathologically confirmed B-cell non-Hodgkin lymphoma MZL (splenic, nodal, or extra-nodal).
3. Prior systemic therapy including at least one anti-CD20 monoclonal antibody-containing regimen is required, with the following specifications:

For combination therapies: Minimum of 2 completed treatment cycles For anti-CD20 monotherapy: Minimum of 4 administered doses Progression during treatment waives cycle/dose requirements
4. Relapsed or refractory disease.
5. At least 1 measurable lesion confirmed through enhanced computed tomography (CT) or enhanced magnetic resonance imaging (MRI).
6. ECOG performance status (PS) score of 0-2.

Exclusion Criteria

1. Administration of the specified anti-tumor therapies within 2 weeks prior to the first dose of the study treatment.
2. Administration of any other investigational product within 4 weeks prior to the first dose of the study treatment, or concurrent participation in another clinical trial.(Excluding patients who have discontinued treatment and are in long-term follow-up).
3. Prior treatment with any types of BTK inhibitor.
4. Patients refractory to lenalidomide plus rituximab (R2 regimen). Refractoriness is defined as either: Failure to achieve at least partial response (PR) after completing an adequate R2 treatment course (≥2 cycles at standard doses), OR Disease progression during R2 therapy or within 6 months after the last dose.
5. Central nervous system (CNS) lymphoma, and lymphoma with CNS or meningeal involvements.
Minimum Eligible Age

18 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

Locations

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The First Affiliated Hospital of Bengbu Medical College

Bengbu, Auhui, China

Site Status RECRUITING

Beijing Tiantan Hospital, Capital Medical University

Beijing, Beijing Municipality, China

Site Status RECRUITING

Beijing Tongren Hospital, Capital Medical University

Beijing, Beijing Municipality, China

Site Status RECRUITING

Sun Yat-sen University Cancer Center

Guangzhou, Guangdong, China

Site Status RECRUITING

Guangdong Provincial Hospital of Chinese Medicine

Guangzhou, Guangdong, China

Site Status RECRUITING

Henan Cancer Hospital

Zhengzhou, Henan, China

Site Status RECRUITING

Henan Provincial Peoples Hospital

Zhengzhou, Henan, China

Site Status RECRUITING

Union Hospital Tongji Medical College Huazhong University of Science and Technology

Wuhan, Hubei, China

Site Status RECRUITING

Hunan Cancer Hospital

Changsha, Hunan, China

Site Status NOT_YET_RECRUITING

The First Affiliated Hospital of Nanchang University

Nanchang, Jiangxi, China

Site Status RECRUITING

Jiangxi Cancer Hospital

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

The Affiliated Hospital Of Qingdao University

Qingdao, Shandong, China

Site Status NOT_YET_RECRUITING

Yantai Yuhuangding Hospital

Yantai, Shandong, China

Site Status RECRUITING

Fudan University Shanghai Cancer Center

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

The Second Affiliated Hospital of Xi'an Jiaotong University(Xibei Hospital)

Xi’an, Shanxi, China

Site Status RECRUITING

West China Hospital, Sichuan University

Chengdu, Sichuan, China

Site Status NOT_YET_RECRUITING

The First Affiliated Hospital of Zhejiang University School of Medicine

Hangzhou, Zhejiang, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Alexia Lu

Role: CONTACT

010-66609745

Facility Contacts

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Yanli Yang

Role: primary

Lin Fu

Role: primary

Liang Wang

Role: primary

Huiqiang Huang

Role: primary

Xiping Dai

Role: primary

Keshu Zhou

Role: primary

Zunmin Zhu

Role: primary

Yu Hu

Role: primary

Yajun Li

Role: primary

Fei Li

Role: primary

Wuping Li

Role: primary

Xiaojing Yan

Role: primary

Xiaojing Yan

Role: primary

Xia Zhao

Role: primary

Xiaoxia Chu

Role: primary

Yan Yuan

Role: primary

Wanhong Zhao

Role: primary

Liqun Zou

Role: primary

Wenjuan Yu

Role: primary

Other Identifiers

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ICP-CL-00123

Identifier Type: -

Identifier Source: org_study_id

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