Rituximab and Zanubrutinib in Patients With Indolent B-cell Lymphomas

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorH. Lee Moffitt Cancer Center and Research Institute

About this trial

The purpose of the study is to establish the safety and efficacy of zanubrutinib in combination with rituximab for people with untreated B-cell lymphomas (marginal zone lymphoma and follicular lymphomas).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Cohort A: Previously untreated MZL. Prior therapy with H. Pylori antibiotic therapy or hepatitis C antiviral therapy are allowed on Cohort A.

Cohort B: Previously untreated FL

Nodal MZL requiring systemic therapy

Splenic MZL requiring systemic therapy

Disqualifiers

Prior therapy for lymphoma including chemotherapy or immunotherapy. Participant may have received corticosteroids but should be off them 5 days prior to study entry.

Prior exposure to a BTK inhibitor.

Known prior significant hypersensitivity to rituximab (not including infusion reactions).

Prior history of malignancies unless the patient has been disease free for ≥ 2 years. Exceptions include basal cell carcinoma or squamous cell carcinoma of the skin; carcinoma in situ of cervix; carcinoma in situ of breast, localized prostate cancer, or superficial bladder cancer that has undergone curative therapy.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Zanubrutinib

    Drug

    Zanubrutinib is an anti-cancer medication administered orally.

  • Rituximab

    Drug

    Rituximab is a biologic medication administered intravenously or subcutaneously.

Treatment groups

43 Participants
are divided into 2 treatment groups
Group A: Cohort A: Untreated Marginal Zone LymphomaExperimental treatment 2 interventions
Group B: Cohort B: Untreated Follicular LymphomaExperimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

Overall Response Rate: Cohort A

Overall response rate will be determined using a 5 point scale per the Lugano criteria.

Time frame
Up to 6 Months
2

Overall Response Rate: Cohort B

Overall response rate will be determined using a 5 point scale per the Lugano criteria.

Time frame
Up to 6 Months

Secondary outcomes

1

Efficacy of Zanubrutinib and Rituximab

Time to event endpoints (Progression free survival, Overall survival, duration of response, time to next anti-lymphoma therapy) will be summarized by Kaplan-Meier method for each cohort.

Time frame
Up to 24 months
2

Safety and tolerability of combination Zanubrutinib and Rituximab

Safety and tolerability of the combination use of zanubrutinib and rituximab will be summarized descriptively by frequencies and percentages. Statistics will be given on type, severity, frequency, and attribution of adverse events.

Time frame
Up to 24 Months

Other outcomes

Sponsors and contacts

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