About this trial
This is a phase II (2 parts), open-label, single arm, multicenter study to evaluate the efficacy and safety of nemtabrutinib in combination with bortezomib and rituximab
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Confirmed diagnosis of WM in accordance with the consensus panel of the IWWM (per local evaluation), and treatment naïve
Symptomatic disease meeting at least 1 of the recommendations from the IWWM for requiring treatment.
Measurable disease defined as serum monoclonal IgM > 0.5g/dL.
Is an individual of any sex/gender, who are at least 19 years of age on the day of signing informed consent (ICF).
Disqualifiers
Active HBV/HCV infection.
Positive for human immunodeficiency virus (HIV).
Gastrointestinal dysfunction that may affect drug absorption (e.g., gastric bypass surgery, gastrectomy).
Active infection requiring systemic therapy, including IV antibiotics during screening. Participants may be rescreened followed completion of IV antibiotic course.
Trial design
Single group
Treatments tested in this trial
NEBULA
DrugNemtabrutinib + Bortezomib + Rituximab
Treatment groups
Trial outcomes
Primary outcomes
Major response rate (MRR)
Composite of complete response (CR) + very good partial response (VGPR) + partial response (PR) according to International Workshop on WM (IWWM)-11 response criteria
Secondary outcomes
Progression-free survival (PFS)
Time from enrollment to first documentation of disease progression or death due to any cause, whichever occurs first
Overall survival
Time from enrollment to death from any cause
Overall response rate (ORR)
Composite of CR + VGPR + PR + minor response (MR) according to IWWM-11 response criteria
complete response (CR) rate
Response assessments will be based on the IWWM-11 criteria
Sponsors and contacts
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