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Trial Title: Orelabrutinib in Combination with R-CHOP for CD5-positive DLBCL Patients(Rocket Trial)

NCT ID: NCT06647940

Condition: Diffuse Large B Cell Lymphoma (DLBCL)

Conditions: Official terms:
Lymphoma, Large B-Cell, Diffuse
Tyrosine Kinase Inhibitors

Conditions: Keywords:
DLBCL
Orelabrutinib
CD5-positive
R-CHOP

Study type: Interventional

Study phase: Phase 2

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: Orelabrutinib Oral Tablet
Description: Orelabrutinib (150 mg po D1-D21) is added from the second cycle of R-CHOP regimen
Arm group label: Orelabrutinib in combination with R-CHOP

Other name: Bruton's Tyrosine Kinase Inhibitor

Intervention type: Drug
Intervention name: R-CHOP Protocol
Description: Rituximab, Cyclophosphamide, Doxorubicin, Vincristine, Prednisone
Arm group label: Orelabrutinib in combination with R-CHOP

Other name: R-CHOP regimen

Summary: This is a prospective, single-arm, multicenter, phase II clinical trial to evaluate the efficacy and safety of orelabrutinib combined with the R-CHOP (rituximab, cyclophosphamide, vincristine, doxorubicin, and prednisone) regimen as first-line treatment in CD5-positive diffuse large B-cell lymphoma (DLBCL) patients.

Detailed description: The purpose of this phase II clinical trial is to evaluate the efficacy and safety of orelabrutinib in combination with R-CHOP for untreated CD5-positive DLBCL patients. The induction phase consisted of 6 cycles of orelabrutinib in combination with R-CHOP (orelabrutinib added from the second cycle), followed by 2 cycles of rituximab + orelabrutinib, for a total of 8 treatment cycles. After 8 cycles of induction therapy, if the response is assessed as complete remission (CR), maintenance therapy with orelabrutinib will be conducted. The primary endpoint is the 2-year event-free survival (EFS) rate.

Criteria for eligibility:
Criteria:
Key Inclusion Criteria: 1. Subjects fully understand and voluntarily participate in this study and sign informed consent. 2. Aged ≥18 years, both male and female. 3. Pathologically confirmed CD5-positive DLBCL 4. There must be at least one measurable or evaluable lesion that meets the evaluation criteria for Lugano 2014 lymphoma. 5. Eastern Cooperative Oncology Group(ECOG) performance status score of 0-2. 6. Expected survival ≥3 months. 7. Sufficient bone marrow, liver, and kidney function. Key Exclusion Criteria: 1. DLBCL combined with other types of lymphoma. Transformed DLBCL. 2. DLBCL with central nervous system invasion. 3. The patients had previously received BTK inhibitors. 4. The patients have contraindications to any drug in the combined treatment. 5. Patients with the infection of human immunodeficiency virus (HIV) and/or acquired immunodeficiency syndrome. 6. Inability to swallow tablets, presence of malabsorption syndrome, or any other gastrointestinal disease or dysfunction that may affect the absorption of the study drug. 7. Pregnant and lactating women, and subjects of childbearing age who do not want to use contraception. 8. Mentally ill persons or persons unable to obtain informed consent. 9. The investigators think that the patient is not suitable for the study.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Gansu Cancer Hospital

Address:
City: Lanzhou
Country: China

Status: Recruiting

Contact:
Last name: Junfeng Jiang

Phone: 13893332604
Email: jiangjunfeng@gsszlyy.cn

Facility:
Name: Dongguan People's Hospital

Address:
City: Dongguan
Zip: 510060
Country: China

Status: Recruiting

Contact:
Last name: Yirong Jiang

Phone: 13688967985
Email: 13688967985@org.cn

Facility:
Name: Fifth Affiliated Hospital of Guangzhou Medical University

Address:
City: Guangzhou
Zip: 510060
Country: China

Status: Recruiting

Contact:
Last name: Runhui Zheng

Phone: 13560225061
Email: 332520646@qq.com

Facility:
Name: First People's Hospital of Guangzhou

Address:
City: Guangzhou
Country: China

Status: Recruiting

Contact:
Last name: Tingfen Deng

Phone: 13642689191
Email: 1255608195@qq.com

Facility:
Name: Guangdong Provincial Hospital of Traditional Chinese Medicine

Address:
City: Guangzhou
Country: China

Status: Recruiting

Contact:
Last name: Yuanbin Wu

Phone: 13711454979
Email: wyb@gdhtcm.org.cn

Facility:
Name: Second Affiliated Hospital of Guangzhou Medical University

Address:
City: Guangzhou
Country: China

Status: Recruiting

Contact:
Last name: Xu Ye

Phone: ‭13060669127‬
Email: yexu@gzhmu.edu.cn

Facility:
Name: First Affiliated Hospital of Shantou University Medical College.

Address:
City: Shantou
Country: China

Status: Recruiting

Contact:
Last name: Yongzhong Su

Phone: 18038865106
Email: fuyiyuanban@163.com

Facility:
Name: Shenzhen People's Hospital

Address:
City: Shenzhen
Country: China

Status: Recruiting

Contact:
Last name: Jihao Zhou

Phone: 18718678693
Email: 2568341625@qq.com

Facility:
Name: Zhaoqing First People's Hospital

Address:
City: Zhaoqing
Country: China

Status: Recruiting

Contact:
Last name: Wei Lin

Phone: 13822658301
Email: 1222567198@qq.com

Facility:
Name: Fifth Affiliated Hospital of Sun Yat-sen University

Address:
City: Zhuhai
Zip: 510060
Country: China

Status: Recruiting

Contact:
Last name: Nan Chen

Phone: 13631270598
Email: chennan9@mail.suysu.edu.cn

Facility:
Name: Sun Yat-sen Universitiy Cancer Center, Sun Yat-Sen University,

Address:
City: Guangzhou
Zip: 51000
Country: China

Status: Recruiting

Contact:
Last name: Qing qing Cai, MD. PhD.

Phone: 0086-20-87342823
Email: caiqq@sysucc.org.cn

Contact backup:
Last name: Yi Xia, MD. PhD.

Phone: 0086-20-87342823
Email: xiayi@sysucc.org.cn

Contact backup:
Last name: Qingqing Cai, MD. PhD.

Contact backup:
Last name: Yi Xia, MD. PhD.

Start date: November 1, 2024

Completion date: March 1, 2027

Lead sponsor:
Agency: Sun Yat-sen University
Agency class: Other

Collaborator:
Agency: Fifth Affiliated Hospital, Sun Yat-Sen University
Agency class: Other

Collaborator:
Agency: Gansu Cancer Hospital
Agency class: Other

Collaborator:
Agency: First Affiliated Hospital of Shantou University Medical College
Agency class: Other

Collaborator:
Agency: Southern Medical University, China
Agency class: Other

Collaborator:
Agency: Guangdong Provincial Hospital of Traditional Chinese Medicine
Agency class: Other

Collaborator:
Agency: Second Affiliated Hospital of Guangzhou Medical University
Agency class: Other

Collaborator:
Agency: Fifth Affiliated Hospital of Guangzhou Medical University
Agency class: Other

Collaborator:
Agency: Shenzhen People's Hospital
Agency class: Other

Collaborator:
Agency: Guangzhou First People's Hospital
Agency class: Other

Collaborator:
Agency: Dongguan People's Hospital
Agency class: Other

Collaborator:
Agency: The First People's Hospital of Zhaoqing
Agency class: Other

Source: Sun Yat-sen University

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06647940

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