A Study of Zanubrutinib Plus Anti-CD20 Versus Lenalidomide Plus Rituximab in Participants With Relapsed/Refractory Follicular or Marginal Zone Lymphoma

Sponsor: BeiGene

Sponsor score: 40

ClinicalTrials ID:NCT05100862

This study evaluates zanubrutinib plus obinutuzumab versus lenalidomide plus rituximab in relapsed/refractory follicular or marginal zone lymphoma. Eligible participants must have histologically confirmed FL or MZL, prior systemic therapy, and measurable disease. Interventions include oral zanubrutinib, intravenous rituximab, oral lenalidomide, and intravenous obinutuzumab.

Patient Parameters

Program Overview

The purpose of the study is to compare the efficacy of zanubrutinib plus obinutuzumab versus lenalidomide plus rituximab (R^2) in participants with relapsed/refractory (R/R) follicular lymphoma (FL), as measured by progression-free survival as determined by an independent review committee in accordance with the 2014 modification of the International Working Group on non-Hodgkin lymphoma (NHL) Criteria based on n positron emission tomography and computed tomography (PET/CT), and to compare the efficacy of zanubrutinib plus rituximab versus R^2 in participants with R/R marginal zone lymphoma (MZL), as measured by progression free survival (PFS) assessed by IRC in accordance with CT-based Lugano 2014 Criteria.

Eligibility Criteria

Inclusion Criteria

  • Histologically confirmed grade 1-3a FL or MZL
  • Previously treated with ≥ 1 line of systemic therapy including anti-CD20 agent. Must have a documented failure to achieve at least partial response during the most recent systemic therapy or documented progressive disease after the most recent systemic therapy
  • Need for systemic therapy for FL or MZL
  • Measurable disease by computed tomography or magnetic resonance imaging
  • Adequate bone marrow, liver and renal function

Key

Exclusion Criteria

  • Transformation to aggressive lymphoma
  • Requiring ongoing need for corticosteroid treatment
  • Clinically significant cardiovascular disease
  • Prior malignancy within the past 2 years
  • Active fungal, bacterial, and/or viral infection that requires systemic therapy
  • Prior treatment with lenalidomide or drug from same class, if without response (partial or complete) or short remission duration (< 24 months)

Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Locations

FACILITYZIPCITYSTATE
Ucsf Fresno University of California San Francisco Fresno93730FresnoCalifornia
Kaiser Permanente Southern California92618IrvineCalifornia
Cancer and Blood Specialty Clinic90720Los AlamitosCalifornia
Los Angeles Cancer Network90017Los AngelesCalifornia
Valkyrie Clinical Trials90067Los AngelesCalifornia
UCLA Hematologyoncology90095Los AngelesCalifornia
Scripps Health92103San DiegoCalifornia
Sharp Healthcare Sharp Memorial Hospital92123San DiegoCalifornia
Baptist Md Anderson Cancer Center32207JacksonvilleFlorida
Memorial Cancer Institute, Memorial Healthcare System33026Pembroke PinesFlorida

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