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

10. mai 2026 oppdatert av: 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.

Studieoversikt

Status

Har ikke rekruttert ennå

Forhold

Intervensjon / Behandling

Detaljert 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.

Studietype

Intervensjonell

Registrering (Antatt)

27

Fase

  • Fase 2

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiekontakt

Studiesteder

  • Kina
    • Guangdong
      • Shenzhen, Guangdong, Kina
        • Shenzhen Second People's Hospital
        • Ta kontakt med:
          • 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
        • Ta kontakt med:
          • jingjing Ye
          • Telefonnummer: 18560086995
    • Tianjin Municipality
      • Tianjin, Tianjin Municipality, Kina, 300020
        • Institute of Hematology & Blood Diseases Hospital, China

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

  • Voksen
  • Eldre voksen

Tar imot friske frivillige

Nei

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

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: N/A
  • Intervensjonsmodell: Enkeltgruppeoppdrag
  • Masking: Ingen (Open Label)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: Orelabrutinib Tafasitamab Lenalidomide
Orelabrutinib tafasitamab Lenalidomide
Legemiddel: Orelabrutinib
Orelabrutinib 150 mg orally once daily on Days 1-28 of each 28-day cycle during induction therapy and maintenance therapy.
Legemiddel: 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.
Legemiddel: 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.

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
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
Tiltaksbeskrivelse
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

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

Institute of Hematology & Blood Diseases Hospital, China

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Antatt)

15. april 2026

Primær fullføring (Antatt)

31. desember 2029

Studiet fullført (Antatt)

31. desember 2030

Datoer for studieregistrering

Først innsendt

13. april 2026

Først innsendt som oppfylte QC-kriteriene

10. mai 2026

Først lagt ut (Faktiske)

14. mai 2026

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

14. mai 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

10. mai 2026

Sist bekreftet

1. mai 2026

Mer informasjon

Begreper knyttet til denne studien

Nøkkelord

Ytterligere relevante MeSH-vilkår

Andre studie-ID-numre

  • IIT2026026

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

NEI

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

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