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Trial Title: Comparison Between Rituximab Plus Zanubrutinib Versus Rituximab Monotherapy in Untreated SMZL Patients

NCT ID: NCT05735834

Condition: Splenic Marginal Zone Lymphoma

Conditions: Official terms:
Lymphoma
Lymphoma, B-Cell, Marginal Zone
Rituximab
Zanubrutinib

Study type: Interventional

Study phase: Phase 3

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: Rituximab
Description: Truxima concentrate for solution for infusion 500 mg/50 ml
Arm group label: Arm A - Rituximab + Zanubrutinib
Arm group label: Arm B - Rituximab

Other name: Truxima

Intervention type: Drug
Intervention name: Zanubrutinib
Description: Zanubrutinib 80 mg hard capsules
Arm group label: Arm A - Rituximab + Zanubrutinib

Other name: Brukinsa

Summary: The goal of this clinical trial is to compare the efficacy and tolerability of the combination of two medicinal products, rituximab, and zanubrutinib, compared to rituximab monotherapy in patients with Splenic Marginal Zone Lymphoma (SMZL), previously untreated and who need systemic treatment. The main questions it aims to answer are: - Is the combination rituximab and zanubrutinib a more effective therapy than rituximab monotherapy? - Is the combination therapy, rituximab and zanubrutinib, well tolerated? Study participants will be put into one of the two treatment groups (rituximab and zanubrutinib or rituximab alone) for a maximum of two years and will undergo regular visits until three years from treatment start.

Detailed description: Phase III, interventional, multicenter, open label, randomized study to evaluate whether treatment with zanubrutinib in combination with rituximab will result in an improvement in Progression Free Survival (PFS) compared to treatment with rituximab in patients with previously untreated splenic marginal zone lymphoma (SMZL). Approximately 120 subjects will be randomized in a 1:1 ratio to receive zanubrutinib and rituximab (Treatment Arm A) or rituximab (Treatment Arm B). The study will include a Screening Phase, a Treatment Phase, and a Follow-Up Phase. Subjects with investigator-confirmed progressive disease (PD) according to the Lugano 2014 criteria or unacceptable toxicity, or investigator/subject decision must discontinue study treatment. Patients who complete the treatment and patients who will discontinue treatment for any reason will enter the Follow-up Phase. The Response Follow-up Phase will occur for subjects who complete the treatment or discontinue for reasons other than disease progression and will include efficacy assessments every 24 weeks until investigator-assessed disease progression. Subjects with PD during the Response Follow-up Phase will continue to be followed in the Survival Follow-up Phase. An Independent Data Monitoring Committee (IDMC) will be responsible for independent review of the interim safety analysis on the first 20 enrolled patients in the experimental arm.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Ability to understand and willingness to sign a written informed consent in accordance with ICH/GCP regulations before registration and prior to any trial-specific procedures. - Confirmed diagnosis of SMZL, including Matutes immunophenotype score <3, absence of CD103 and CD25 expression by flow cytometry, absence of Cyclin D1, BCL6, and CD10 expression by immunohistochemistry, and absence of the MYD88 L265P mutation. Patients with prominent splenomegaly and involvement of the splenic hilar and/or extra hilar lymph nodes are eligible - Previously untreated disease. Patients with prior hepatitis C virus (HCV) infection who underwent HCV eradication and have persistent SMZL after 3 months post-eradication can be included. Patients with previous splenectomy are excluded. - Treatment needs according to the ESMO guideline criteria - Measurable lesions - Age ≥ 18 years. - European Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2. - Absolute neutrophil count (ANC) ≥ 1.0 x 109/L, platelet count ≥ 50 x 109/L, Hb > 7.5 g/dl. Values below such thresholds are allowed if attributable to the underlying lymphoma. Transfusions are allowed if clinically indicated during screening. - Adequate hepatic and renal function and coagulation parameters - Patient able and willing to swallow trial drugs as whole tablet/capsule Exclusion Criteria: - Previous splenectomy. - Any systemic therapy for SMZL. - Patients with central nervous system (CNS) involvement. - Prior malignancy (other than the disease under study) within the past 2 years, except for curatively treated basal or squamous skin cancer, superficial bladder cancer, carcinoma in situ of the cervix or breast, or localized Gleason score ≤ 6 prostate cancer. - Clinically significant cardiovascular disease - History of cerebrovascular accident or intracranial hemorrhage within 6 months before registration and known bleeding disorders (eg, von Willebrand's disease or hemophilia). - History of confirmed progressive multifocal leukoencephalopathy (PML). - Concomitant diseases that require anticoagulant therapy with warfarin or phenprocoumon or other vitamin K antagonists and patients treated with dual anti-platelet therapy. Patients being treated with factor Xa inhibitors (eg, rivaroxaban, apixaban, edoxaban), direct thrombin inhibitors (e. dabigatran) low molecular weight heparin (LMWH), or single anti-platelet agents (eg. aspirin, clopidogrel) can be included but must be properly informed about the potential risk of bleeding. - Malabsorption syndrome or other condition that precludes the enteral route of administration. - Any uncontrolled active systemic infection requiring intravenous antimicrobial treatment. - Known human immunodeficiency virus (HIV) infection. - Active COronaVIrus Disease 19 (COVID-19) infection or non-compliance with the prevailing hygiene measures regarding the COVID-19 pandemic. - Active chronic hepatitis C or hepatitis B virus infection - Active, uncontrolled autoimmune phenomenon (autoimmune hemolytic anemia or immune. thrombocytopenia) requiring steroid therapy with > 20 mg daily of prednisone dose or equivalent. - Known hypersensitivity to trial drugs or any component of the trial drugs. - Concomitant treatment with strong CYP3A inducers or inhibitors - Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that in the opinion of the investigator may increase the risk associated with trial participation or investigational product administration or may interfere with the interpretation of trial results and/or would make the patient inappropriate for enrolment into this trial. - Pregnancy or breastfeeding. - Concurrent participation in another therapeutic clinical trial.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Medical University of Vienna

Address:
City: Vienna
Country: Austria

Status: Recruiting

Contact:
Last name: Markus Raderer, MD
Email: markus.raderer@meduniwien.ac.at

Investigator:
Last name: Markus Raderer, MD
Email: Principal Investigator

Facility:
Name: Aarhus University Hospital

Address:
City: Aarhus
Country: Denmark

Status: Not yet recruiting

Contact:
Last name: Ida Sillesen, MD
Email: idasille@rm.dk

Investigator:
Last name: Ida Sillesen, MD
Email: Principal Investigator

Facility:
Name: Aarhus University Hospital

Address:
City: Aarhus
Country: Denmark

Status: Not yet recruiting

Contact:
Last name: Ida Blok Sillesen, MD
Email: idasille@rm.dk

Investigator:
Last name: Ida Blok Sillesen, MD
Email: Principal Investigator

Facility:
Name: Institut Bergonié

Address:
City: Bordeaux
Zip: 33076
Country: France

Status: Recruiting

Contact:
Last name: Fontanet Bijou, MD
Email: f.bijou@bordeaux.unicancer.fr

Investigator:
Last name: Fontanet Bijou, MD
Email: Principal Investigator

Facility:
Name: CHU de Grenoble

Address:
City: Grenoble
Zip: 38043
Country: France

Status: Recruiting

Contact:
Last name: Sylvain Carras, MD
Email: scarras@chu-grenoble.fr

Investigator:
Last name: Sylvain Carras, MD
Email: Principal Investigator

Facility:
Name: Hôpital Saint Louis

Address:
City: Paris
Zip: 75475
Country: France

Status: Recruiting

Contact:
Last name: Catherine Thieblemont, MD
Email: catherine.thieblemont@aphp.fr

Investigator:
Last name: Catherine Thieblemont, MD
Email: Principal Investigator

Facility:
Name: Hôpital Lyon-Sud

Address:
City: Pierre-Bénite
Zip: 69495
Country: France

Status: Recruiting

Contact:
Last name: Pierre Sesques, MD
Email: pierre.sesques@chu-lyon.fr

Investigator:
Last name: Pierre Sesques, MD
Email: Principal Investigator

Facility:
Name: CHRU Nancy Brabois

Address:
City: Vandœuvre-lès-Nancy
Zip: 54511
Country: France

Status: Recruiting

Contact:
Last name: Pierre Feugier, MD
Email: p.feugier@chru-nancy.fr

Investigator:
Last name: Pierre Feugier, MD
Email: Principal Investigator

Facility:
Name: IRCCS Istituto Tumori Giovanni Paolo II

Address:
City: Bari
Zip: 70124
Country: Italy

Status: Recruiting

Contact:
Last name: Carla Minoia, MD
Email: carlaminoia@libero.it

Investigator:
Last name: Carla Minoia, MD
Email: Principal Investigator

Facility:
Name: IRCCS AOU di Bologna

Address:
City: Bologna
Zip: 40138
Country: Italy

Status: Recruiting

Contact:
Last name: Pier Luigi Zinzani, MD
Email: pierluigi.zinzani@unibo.it

Investigator:
Last name: Pier Luigi Zinzani, MD
Email: Principal Investigator

Facility:
Name: ASST Spedali Civili di Brescia

Address:
City: Brescia
Zip: 25123
Country: Italy

Status: Recruiting

Contact:
Last name: Antonella Anastasia, MD
Email: antonella.anastasia@asst-spedalicivili.it

Investigator:
Last name: Antonella Anastasia, MD
Email: Principal Investigator

Facility:
Name: A.O.U. Policlinico G. Rodolico-S. Marco

Address:
City: Catania
Zip: 95123
Country: Italy

Status: Not yet recruiting

Contact:
Last name: Annalisa Chiarenza, MD
Email: annalisa.chiarenza@gmail.com

Investigator:
Last name: Annalisa Chiarenza, MD
Email: Principal Investigator

Facility:
Name: IRCCS IRST Istituto Romagnolo per lo Studio dei Tumori "Dino Amadori"

Address:
City: Meldola
Zip: 47014
Country: Italy

Status: Recruiting

Contact:
Last name: Pietro Rossi, MD
Email: pietro.rossi@irst.emr.it

Investigator:
Last name: Pietro Rossi, MD
Email: Principal Investigator

Facility:
Name: Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico

Address:
City: Milan
Zip: 20122
Country: Italy

Status: Not yet recruiting

Contact:
Last name: Alessandro Noto, MD
Email: alessandro.noto@policlinico.mi.it

Investigator:
Last name: Alessandro Noto, MD
Email: Principal Investigator

Facility:
Name: IRCCS Ospedale San Raffaele

Address:
City: Milan
Zip: 20132
Country: Italy

Status: Recruiting

Contact:
Last name: Lydia Scarfò, MD
Email: scarfo.lydia@hsr.it

Investigator:
Last name: Lydia Scarfò, MD
Email: Principal Investigator

Facility:
Name: ASST Grande Ospedale Metropolitano Niguarda

Address:
City: Milan
Zip: 20162
Country: Italy

Status: Recruiting

Contact:
Last name: Anna Maria Frustaci, MD
Email: Annamaria.frustaci@ospedaleniguarda.it

Investigator:
Last name: Anna Maria Frustaci, MD
Email: Principal Investigator

Facility:
Name: Azienda Ospedaliero Universitaria Maggiore della Carità

Address:
City: Novara
Zip: 28100
Country: Italy

Status: Recruiting

Contact:
Last name: Gloria Margiotta Casaluci, MD
Email: gloria.margiotta@med.uniupo.it

Investigator:
Last name: Gloria Margiotta Casaluci, MD
Email: Principal Investigator

Facility:
Name: Azienda Ospedaliera Ospedali Riuniti Villa Sofia Cervello

Address:
City: Palermo
Zip: 90146
Country: Italy

Status: Recruiting

Contact:
Last name: Caterina Patti, MD
Email: k.patti@villasofia.it

Investigator:
Last name: Caterina Patti, MD
Email: Principal Investigator

Facility:
Name: IRCCS Policlinico San Matteo

Address:
City: Pavia
Country: Italy

Status: Recruiting

Contact:
Last name: Luca Arcaini, MD
Email: arcaini@unipv.it

Investigator:
Last name: Luca Arcaini, MD
Email: Principal Investigator

Facility:
Name: Ospedale Santa Maria delle Croci

Address:
City: Ravenna
Zip: 48121
Country: Italy

Status: Recruiting

Contact:
Last name: Monica Tani, MD
Email: monica.tani@auslromagna.it

Investigator:
Last name: Monica Tani, MD
Email: Principal Investigator

Facility:
Name: USL-IRCCS of Reggio Emilia, Arcispedale Santa Maria Nuova

Address:
City: Reggio Emilia
Zip: 42123
Country: Italy

Status: Recruiting

Contact:
Last name: Stefano Luminari, MD
Email: stefano.luminari@ausl.re.it

Investigator:
Last name: Stefano Luminari, MD
Email: Principal Investigator

Facility:
Name: Policlinico Tor Vergata

Address:
City: Rom
Zip: 00133
Country: Italy

Status: Not yet recruiting

Contact:
Last name: Massimiliano Postorino, MD
Email: massimiliano.postorino@ptvonline.it

Investigator:
Last name: Massimiliano Postorino, MD
Email: Principal Investigator

Facility:
Name: Policlinico Santa Maria alle Scotte

Address:
City: Siena
Zip: 53100
Country: Italy

Status: Not yet recruiting

Contact:
Last name: Emanuele Cencini, MD
Email: emanuele.cencini@ao-siena.toscana.it

Investigator:
Last name: Emanuele Cencini, MD
Email: Principal Investigator

Facility:
Name: Ospedale di Circolo e Fondazione Macchi - ASST dei Sette Laghi

Address:
City: Varese
Zip: 21100
Country: Italy

Status: Not yet recruiting

Contact:
Last name: Marco Brociner, MD
Email: marco.brociner@asst-settelaghi.it

Investigator:
Last name: Marco Brociner, MD
Email: Principal Investigator

Facility:
Name: Oslo University Hospital

Address:
City: Oslo
Country: Norway

Status: Not yet recruiting

Contact:
Last name: Bjørn Østenstad, MD
Email: UXBJOS@ous-hf.no

Investigator:
Last name: Bjørn Østenstad
Email: Principal Investigator

Facility:
Name: Hospedal Clinic de Barcelona

Address:
City: Barcelona
Country: Spain

Status: Recruiting

Contact:
Last name: Laura Magnano mayer, MD
Email: LCMAGNAN@clinic.cat

Investigator:
Last name: Laura Magnano Mayer, MD
Email: Principal Investigator

Facility:
Name: Hospital del Mar

Address:
City: Barcelona
Country: Spain

Status: Recruiting

Contact:
Last name: Sergio Pinzón, MD
Email: sfpinzonmarino@psmar.cat

Investigator:
Last name: Sergio Pinzón, MD
Email: Principal Investigator

Facility:
Name: Istitut Català d'Oncologia, Hospital Duran i Reynals

Address:
City: Barcelona
Country: Spain

Status: Not yet recruiting

Contact:
Last name: Eva Domingo, MD
Email: edomingo@iconcologia.net

Investigator:
Last name: Eva Domingo, MD
Email: Principal Investigator

Facility:
Name: Hospital Universitario Cruces

Address:
City: Bilbao
Country: Spain

Status: Recruiting

Contact:
Last name: Xabier Martin Martitegui, MD
Email: xabier.martinmartitegui@osakidetza.eus

Investigator:
Last name: Xabier Martin Martitegui, MD
Email: Principal Investigator

Facility:
Name: Hospital Virgen Arrixaca

Address:
City: El Palmar
Country: Spain

Status: Recruiting

Contact:
Last name: Antonio Salar
Email: asalar@psmar.cat

Investigator:
Last name: Antonio Salar
Email: Principal Investigator

Facility:
Name: Hospital 12 De Octubre

Address:
City: Madrid
Country: Spain

Status: Recruiting

Contact:
Last name: Ana Jimenez Ubieto, MD
Email: anitiju@hotmail.com

Investigator:
Last name: Ana Jimenez Ubieto, MD
Email: Principal Investigator

Facility:
Name: Hospital Gregorio Marañón

Address:
City: Madrid
Country: Spain

Status: Not yet recruiting

Contact:
Last name: Marian Bastos, MD
Email: marianabeatriz.bastos@salud.madrid.org

Investigator:
Last name: Marian Bastos, MD
Email: Principal Investigator

Facility:
Name: Hospital Ramon y Cajal

Address:
City: Madrid
Country: Spain

Status: Recruiting

Contact:
Last name: Javier Lopez, MD
Email: jljimenez@salud.madrid.org

Investigator:
Last name: Javier Lopez, MD
Email: Principal Investigator

Facility:
Name: Clinica Universidad de Navarra

Address:
City: Pamplona
Country: Spain

Status: Not yet recruiting

Contact:
Last name: Carlos Grande Garcia, MD
Email: cgrandeg@unav.es

Investigator:
Last name: Carlos Grande Garcia, MD
Email: Principal Investigator

Facility:
Name: Hospital De Salamanca

Address:
City: Salamanca
Country: Spain

Status: Recruiting

Contact:
Last name: Norma Guiterrez, MD
Email: normagu@usal.es

Investigator:
Last name: Norma Guiterez, MD
Email: Principal Investigator

Facility:
Name: Hospital De Donostia

Address:
City: San Sebastián
Country: Spain

Status: Recruiting

Contact:
Last name: Izaskun Zeberio, MD
Email: IZASKUN.ZEBERIOETXETXIPIA@osakidetza.eus

Investigator:
Last name: Izaskun Zeberio, MD
Email: Principal Investigator

Facility:
Name: Hospital Clinico De Valencia

Address:
City: Valencia
Country: Spain

Status: Not yet recruiting

Contact:
Last name: Alfonso Ortiz
Email: alfon_7_10@hotmail.com

Investigator:
Last name: Alfonso Ortez, MD
Email: Principal Investigator

Facility:
Name: Hospital Universitario Miguel Servet

Address:
City: Zaragoza
Country: Spain

Status: Recruiting

Contact:
Last name: Araceli Rubio Martinez, MD
Email: arubiom@salud.aragon.es

Investigator:
Last name: Araceli Rubio Martinez, MD
Email: Principal Investigator

Facility:
Name: Karolinska University Hospital

Address:
City: Stockholm
Country: Sweden

Status: Not yet recruiting

Contact:
Last name: Bjørn Wahlin, MD
Email: bjorn.wahlin@gmail.com

Investigator:
Last name: Bjørn Wahlin, MD
Email: Principal Investigator

Facility:
Name: Oncology Institute of Southern Switzerland

Address:
City: Bellinzona
Zip: 6500
Country: Switzerland

Status: Recruiting

Contact:
Last name: Maria Cristina Pirosa, MD
Email: maria.pirosa@eoc.ch

Investigator:
Last name: Maria Cristina Pirosa, MD
Email: Principal Investigator

Facility:
Name: INSELSPITAL, Bern University Hospital

Address:
City: Bern
Zip: 3010
Country: Switzerland

Status: Recruiting

Contact:
Last name: Martin Andres, MD
Email: Martin.Andres@insel.ch

Investigator:
Last name: Martin Andres, MD
Email: Principal Investigator

Facility:
Name: Birmingham Hearthland Hospital

Address:
City: Birmingham
Zip: B95 SS
Country: United Kingdom

Status: Not yet recruiting

Contact:
Last name: Swathy Srinath, MD
Email: swathy.srinath2@uhb.nhs.uk

Investigator:
Last name: Swathy Srinat, MD
Email: Principal Investigator

Facility:
Name: University Hospitals Dorset

Address:
City: Bournemouth
Zip: BH7 7DW
Country: United Kingdom

Status: Not yet recruiting

Contact:
Last name: Renata Walewska, MD
Email: Renata.Walewska@uhd.nhs.uk

Investigator:
Last name: Renata Walewska, MD
Email: Principal Investigator

Facility:
Name: University Hospital of Wales

Address:
City: Cardiff
Zip: CF14 4XW
Country: United Kingdom

Status: Not yet recruiting

Contact:
Last name: Simona Gatto, MD
Email: Simona.Gatto@wales.nhs.uk

Investigator:
Last name: Simona Gatto, MD
Email: Principal Investigator

Facility:
Name: Hospital Beatson West of Scotland Cancer Centre

Address:
City: Glasgow
Zip: G12 0YN
Country: United Kingdom

Status: Recruiting

Contact:
Last name: Pam McKay, MD
Email: Pam.McKay@ggc.scot.nhs.uk

Investigator:
Last name: Pam McKay, MD
Email: Principal Investigator

Facility:
Name: Leicester Royal Infirmary

Address:
City: Leicester
Zip: LE1 5WW
Country: United Kingdom

Status: Not yet recruiting

Contact:
Last name: Constantine-George Balotis, MD
Email: Constantine.G.Balotis@uhl-tr.nhs.uk

Investigator:
Last name: Constantine-George Balotis, MD
Email: Principal Investigator

Facility:
Name: Clatterbridge Cancer Centre

Address:
City: Liverpool
Zip: L7 8YA
Country: United Kingdom

Status: Not yet recruiting

Contact:
Last name: Andrew Pettit, MD
Email: arp@liverpool.ac.uk

Investigator:
Last name: Andrew Pettit, MD
Email: Principal Investigator

Facility:
Name: University College London Hospitals

Address:
City: London
Zip: NW1 2PG
Country: United Kingdom

Status: Not yet recruiting

Contact:
Last name: Satyen Gohil, MD
Email: satyen.gohil@nhs.net

Investigator:
Last name: Satyen Gohil, MD
Email: Principal Investigator

Facility:
Name: Guy's Hospital - Guy's and St. Thomas' NHS Foundation Trust

Address:
City: London
Zip: SE1 9RT
Country: United Kingdom

Status: Not yet recruiting

Contact:
Last name: Suzanne Arulogun, MD
Email: Suzanne.Arulogun@gstt.nhs.uk

Investigator:
Last name: Suzanne Arulogun, MD
Email: Principal Investigator

Facility:
Name: The Christie

Address:
City: Manchester
Zip: M20 4BX
Country: United Kingdom

Status: Recruiting

Contact:
Last name: Kim Linton
Email: Kim.M.Linton@manchester.ac.uk

Investigator:
Last name: Kim Linton, MD
Email: Principal Investigator

Facility:
Name: Churchill Hospital

Address:
City: Oxford
Zip: OX3 7LE
Country: United Kingdom

Status: Not yet recruiting

Contact:
Last name: Xu Danmei, MD
Email: danmei.xu@nhs.net

Investigator:
Last name: Xu Danmei, MD
Email: Principal Investigator

Facility:
Name: Derriford Hospital

Address:
City: Plymouth
Zip: PL6 8DH
Country: United Kingdom

Status: Not yet recruiting

Contact:
Last name: David Lewis, MD
Email: david.lewis17@nhs.net

Investigator:
Last name: David Lewis, MD
Email: Principal Investigator

Facility:
Name: University Hospitals Southampton

Address:
City: Southampton
Zip: SO16 6YD
Country: United Kingdom

Status: Not yet recruiting

Contact:
Last name: Andrew Davies, MD
Email: a.davies@soton.ac.uk

Investigator:
Last name: Andrew Davies, MD
Email: Principal Investigator

Facility:
Name: The Royal Marsden NHS Foundation Trust

Address:
City: Sutton
Zip: SM2 5PT
Country: United Kingdom

Status: Not yet recruiting

Contact:
Last name: Sunil Iyengar, MD
Email: Sunil.iyengar@rmh.nhs.uk

Investigator:
Last name: Sunil Iyengar, MD
Email: Principal Investigator

Facility:
Name: South Warwickshire University NHS Foundation Trust

Address:
City: Warwick
Zip: CV34 5BW
Country: United Kingdom

Status: Not yet recruiting

Contact:
Last name: Anton Borg, MD
Email: Anton.Borg@swft.nhs.uk

Investigator:
Last name: Anton Borg, MD
Email: Principal Investigator

Start date: May 21, 2024

Completion date: May 2029

Lead sponsor:
Agency: International Extranodal Lymphoma Study Group (IELSG)
Agency class: Other

Source: International Extranodal Lymphoma Study Group (IELSG)

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05735834

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