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A Exploratory Study on Untreated Follicular Lymphoma With Orelabrutinib, Tafasitamab, and Lenalidomide (CUREMZL002)

10. maj 2026 opdateret af: Institute of Hematology & Blood Diseases Hospital, China

A Multicenter Exploratory Clinical Study on the Treatment of Untreated Follicular Lymphoma With Orelabrutinib, Tafasitamab, and Lenalidomide

Evaluate the efficacy and safety of orelabrutinib, tafasitamab, and lenalidomide in the first-line treatment of patients with follicular lymphoma.

Studieoversigt

Status

Ikke rekrutterer endnu

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

Follicular lymphoma (FL) is the most common indolent non-Hodgkin's lymphoma (NHL), accounting for 35% of NHL cases . The median age at diagnosis is 65 years , and most patients are diagnosed at an advanced stage. Although FL is still considered incurable, the clinical prognosis for most patients remains favorable.Currently, there is some data available for BTKi and tafasitamab in relapsed/refractory follicular lymphoma, and further exploration of relevant data in the first-line setting is needed. This combination therapy may provide new options for patients with follicular lymphoma.

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

27

Fase

  • Fase 2

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Studiesteder

  • Kina
    • Guangdong
      • Shenzhen, Guangdong, Kina
        • Shenzhen Second People's Hospital
        • Kontakt:
          • xiaoqing Li
          • Telefonnummer: 18620385718
    • Henan
      • Zhengzhou, Henan, Kina, 450000
        • Henan Cancer Hospital
    • Jiangxi
      • Nanchang, Jiangxi, Kina, 330000
        • The First Affiliated Hospital of Nanchang University
    • Shandong
      • Jinan, Shandong, Kina
        • Qilu Hospital of Shandong Province
        • Kontakt:
          • jingjing Ye
          • Telefonnummer: 18560086995
    • Tianjin Municipality
      • Tianjin, Tianjin Municipality, Kina, 300020
        • Institute of Hematology & Blood Diseases Hospital, China

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ingen

Beskrivelse

Inclusion Criteria:

  1. Age > 18 years, regardless of gender;
  2. Newly diagnosed patients with follicular lymphoma (Grade 1, 2, or 3a) confirmed histologicallyaccording to the World Health Organization (WHO) classification of diseases;
  3. Deemed by the investigator to have an indication for treatment and require therapy;
  4. ECOG performance status score of 0-2;

  5. Laboratory tests meeting the following criteria:

    1. Bone marrow hematopoietic function is essentially normal: WBC 3.5x10^9/L, ANC > 1.0x10^9/L, PLT > 75x10^9/L, Hb > 80 g/L;
    2. Liver function: AST/ALT s 2xULN, TBILI s 2xULN;
    3. Renal function: Creatinine clearance rate > 50 ml/min;6. Presence of at least one measurable lesion: Lymph node lesion with a long diameter > 1.5 cm orextranodal lesion with a long diameter > 1.0 cm as shown by PET/CT, CT, or MRl, or a lesion > 2cm assessed by clinical examination;

7. Ability to provide written informed consent.

Exclusion Criteria:

  1. Women with a positive serum pregnancy test or who are breastfeeding;
  2. Patients with lymphoma involving the central nervous system (CNS);
  3. Clinically significant heart disease, including unstable angina, acute myocardial infarction within6 months prior to randomization, congestive heart failure with New York Heart Association(NYHA) functional class IIl or IV, or left ventricular ejection fraction <50%;
  4. Patients with grade >2 neuropathy;
  5. Patients with active hepatitis B (HBV, hepatitis C (HCV, or other acquired/congenitalimmunodeficiency diseases;
  6. Patients with severe active infections requiring systemic antibiotic treatment;
  7. Patients with a history of severe neurological or psychiatric disorders that impair trialparticipation, including dementia, epilepsy, severe depression, and mania;8. Drug abuse, or medical, psychological, or social conditions that may interfere with studyparticipation or result evaluation;

9. Patients deemed ineligible by the investigator.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: N/A
  • Interventionel model: Enkelt gruppeopgave
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Orelabrutinib Tafasitamab Lenalidomide
Orelabrutinib tafasitamab Lenalidomide
Medicin: Orelabrutinib
Orelabrutinib 150 mg orally once daily on Days 1-28 of each 28-day cycle during induction therapy and maintenance therapy.
Medicin: Tafasitamab
Tafasitamab 12 mg/kg administered by intravenous infusion on Days 1, 4, 8, 15, and 22 in Cycle 1; on Days 1, 8, 15, and 22 in Cycles 2-3; and on Days 1 and 15 from Cycle 4 onward during induction therapy.
Medicin: Lenalidomide
Lenalidomide 20 mg orally once daily on Days 1-21 of each 28-day cycle during induction therapy and 10 mg orally once daily on Days 1-21 of each 28-day cycle during maintenance therapy.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Objective Response Rate (ORR)
Tidsramme: At the end of cycle 12 (each cycle is 28 days; up to approximately 48 weeks)
Percentage of participants achieving a Complete Response (CR) or Partial Response (PR) at the end of cycle 12, assessed according to the Lugano 2014 classification
At the end of cycle 12 (each cycle is 28 days; up to approximately 48 weeks)

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Complete Response (CR) Rate
Tidsramme: At the end of cycle 12 (each cycle is 28 days; up to approximately 48 weeks)
The complete response (CR) rate is defined as the percentage of participants who achieve a complete response at the end of cycle 12 , as assessed by the investigator according to the Lugano 2014 classification criteria
At the end of cycle 12 (each cycle is 28 days; up to approximately 48 weeks)
Progression-Free Survival (PFS)
Tidsramme: Up to approximately 3 years
The time from the start of treatment to disease progression or death from any cause.
Up to approximately 3 years
Rate of Progression of Disease within 24 Months (POD24)
Tidsramme: 24 months
Percentage of participants experiencing disease progression within 24 months from the initiation of treatment
24 months
Incidence and Severity of Adverse Events (AEs)
Tidsramme: Up to approximately 3 years
Safety evaluated by monitoring the incidence and severity of AEs, graded according to the NCI CTCAE v5.0.
Up to approximately 3 years
Overall Survival (OS)
Tidsramme: Up to approximately 3 years
The time from the start of treatment to death from any cause.
Up to approximately 3 years

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Institute of Hematology & Blood Diseases Hospital, China

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Anslået)

15. april 2026

Primær færdiggørelse (Anslået)

31. december 2029

Studieafslutning (Anslået)

31. december 2030

Datoer for studieregistrering

Først indsendt

13. april 2026

Først indsendt, der opfyldte QC-kriterier

10. maj 2026

Først opslået (Faktiske)

14. maj 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

14. maj 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

10. maj 2026

Sidst verificeret

1. maj 2026

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • IIT2026026

Plan for individuelle deltagerdata (IPD)

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INGEN

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