About this trial
:This is a an open-label, single-arm study to evaluate the efficacy and safety of zanubrutinib and G-CHOP in untreated Intermediate-high risk Follicular Lymphoma patients.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Histologically confirmed CD20 positive (+) follicular lymphoma, grade 1, 2, or 3a
Have had no prior systemic treatment for lymphoma
Meeting Groupe d'Etude des Lymphomes Folliculaires (GELF) criteria for initiation of treatment
18-75 years old.
Disqualifiers
Known active central nervous system lymphoma or leptomeningeal disease
Evidence of diffuse large B-cell transformation
Grade 3b FL
Concurrent malignancy or malignancy within the last 3 years (except for ductal breast cancer in situ, non-melanoma skin cancer, prostate cancer not requiring treatment, and cervical carcinoma in situ) whose natural history or treatment has the potential to interfere with the safety or efficacy assessment of the investigational regimen are not eligible for this trial
Trial design
Single group
Treatments tested in this trial
Zanubrutinib
DrugZanubrutinib, 160mg PO BID.on days 1-28 Induction treatment: 4-6cycles ; Maintenance: 1 year;
Obinutuzumab
DrugInduction treatment: Obinutuzumab (G), 1000mg, IV, D1/8/15 (C1), D1 (C2-4/6); for 4-6 cycles, 1 cycle = 28 days Maintenance: Obinutuzumab (G), 1000mg, IV, every 2 months for 1 year;
Prednisone
DrugPrednisone (P), 100 mg, PO, D2-6;for 4-6 cycles for CHOP treatment , 1 cycle = 28 days
Cyclophosphamide
DrugCyclophosphamide (C), 750 mg/m2, IV, D2; for 4-6 cycles for CHOP treatment , 1 cycle = 28 days
Vincristine
DrugVincristine (O), 1.4 mg/m2 (maximum 2 mg), IV, D2; for 4-6 cycles for CHOP treatment , 1 cycle = 28 days
Doxorubicin
DrugDoxorubicin (H), 50 mg/m2, IV, D2; for 4-6 cycles for CHOP treatment ,1 cycle = 28 days
Treatment groups
Trial outcomes
Primary outcomes
CR (complete response) rate after induction (4 or 6 Cycles) by investigator (INV)
Percentage of participants with complete response was determined on the basis of investigator assessments according to 2014 Lugano criteria
Secondary outcomes
Objective Response rate after induction by investigator (INV)
ORR is defined as the proportion of patients achieving complete response (CR) or partial response (PR), as determined by INV according to 2014 Lugano criteria
Overall survival (OS)
Overall survival (OS) is defined as the duration from the date of initiation of the first cycle of treatment to the date of death because of any cause
Progression free survival (PFS)
-PFS defined as time from the date of enrollment to the date of first confirmed disease progression or death due to any cause, whichever occurs first, as determined by INV
Locations
Sponsors and contacts
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