NCT06363994

Brief Summary

Compare the efficacy and safety of Orelabrutinib plus bendamustine+ rituximab versus bendamustine + rituximab in previously untreated patients with mantle cell lymphoma (MCL)

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
476

participants targeted

Target at P50-P75 for phase_3

Timeline
74mo left

Started May 2024

Longer than P75 for phase_3

Geographic Reach
1 country

39 active sites

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress24%
May 2024Jun 2032

First Submitted

Initial submission to the registry

April 9, 2024

Completed
3 days until next milestone

First Posted

Study publicly available on registry

April 12, 2024

Completed
2 months until next milestone

Study Start

First participant enrolled

May 29, 2024

Completed
7.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 25, 2031

Expected
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

June 25, 2032

Last Updated

December 27, 2024

Status Verified

December 1, 2024

Enrollment Period

7.1 years

First QC Date

April 9, 2024

Last Update Submit

December 20, 2024

Conditions

Outcome Measures

Primary Outcomes (2)

  • Dose-limiting toxicity (DLT)

    28 days

  • Progression-free Survival (PFS) for Arm A vs. Arm B

    Approximately 7 years

Study Arms (2)

Arm A

ACTIVE COMPARATOR
Drug: OrelabrutinibDrug: Bendamustine InjectionDrug: Rituximab

Arm B

ACTIVE COMPARATOR
Drug: Bendamustine InjectionDrug: RituximabDrug: Orelabrutinib Placebo

Interventions

Eligible patients will receive Orelabrutinib orally as per the protocol,until disease progression or other reasons for treatment discontinuation,whichever comes first.

Arm A

Eligible patients will receive Bendamustine by injection as per the protocol

Arm AArm B

Eligible patients will receive Rituximab by injection as per the protocol

Arm AArm B

Eligible patients will receive Orelabrutinib Placebo orally as per the protocol

Arm B

Eligibility Criteria

Age60 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Subjects ≥ 65 of age, or ≥ 60 and \< 65 years old who are ineligible for stem cell transplant or have refused stem cell transplantation due to reason(s) including: Have not received prior systemic therapies for MCL.
  • Modified Ann Arbor stage II-IV. Patients with stage II require systemic treatment to be eligible, at the discretion of the investigator.
  • Histopathological confirmed MCL, expression of Cyclin D1 and/or t (11; 14) chromosomal translocation. Either fresh tissue or FFPE for diagnosis must be sent to central lab for final confirmation after randomization.
  • At least one measurable site of disease (the longest axis of the lymph node lesion is \> 1.5 cm, or the longest diameter of the extranodal lesion is \> 1.0 cm).
  • ECOG PS score of 0 to 2.

You may not qualify if:

  • Existing or prior history of other malignant tumor and no evidence of recurrence and metastasis within 2 years before screening.
  • Subjects with evident gastrointestinal dysfunction that may affect drug intake, transport or absorption, or subjects who have undergone total gastrectomy.
  • Subjects for whom the goal of therapy is tumor debulking prior to stem cell transplant.
  • Use of strong inhibitors or strong inducers of cytochrome P450 3A within 14 days or 5 half-lives, whichever is longer, before the first dose of study treatment; or plan to use strong inhibitors or strong inducers of CYP3A during the study.
  • Known central nervous system lymphoma.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (39)

Beijing Cancer Hospital

Beijing, China

RECRUITING

Peking University Third Hospital

Beijing, China

RECRUITING

The First Affiliated Hospital of Bengbu Medical University

Bengbu, China

RECRUITING

First Hospital of Jilin University

Changchun, China

NOT YET RECRUITING

Hunan Cancer Hospital

Changsha, China

RECRUITING

The First People's Hospital of Changzhou

Changzhou, China

NOT YET RECRUITING

Sichuan Provincial People's Hospital

Chengdu, China

RECRUITING

West China Hospital of Sichuan University

Chengdu, China

NOT YET RECRUITING

Chongqinq Cancer Hospital

Chongqing, China

RECRUITING

The First Affiliated Hospital of Chongqing Medical University

Chongqing, China

NOT YET RECRUITING

The second Hospital of Dalian Medical University

Dalian, China

NOT YET RECRUITING

Fujing Cancer Hospital

Fuzhou, China

RECRUITING

Union Hospital Affiliated to Fujian Medical University

Fuzhou, China

NOT YET RECRUITING

Guangdong Provincial People's Hospital

Guangzhou, China

RECRUITING

Sun Yat-sen University Cancer Center

Guangzhou, China

RECRUITING

The Second Affiliated Hospital Zhejiang University School of Medicine

Hangzhou, China

NOT YET RECRUITING

Zhejiang University Medical School affiliated to the first Hospital

Hangzhou, China

RECRUITING

The First Affiliated Hospital of Anhui Medical University

Hefei, China

RECRUITING

Cancer Hospital of Shandong First Medical University

Jinan, China

NOT YET RECRUITING

Shandong Provincial Hospital

Jinan, China

NOT YET RECRUITING

The First Affiliated Hospital of Ningbo University

Jinan, China

RECRUITING

The First Affiliated Hospital of Henan University of Science & Technology

Luoyang, China

NOT YET RECRUITING

The First Affiliated Hospital of Nanchang University

Nanchang, China

RECRUITING

Nanjing Drum Tower Hospital Affiliated to Medical School of Nanjing University

Nanjing, China

NOT YET RECRUITING

Cancer Hospital Affiliated to Fudan University

Shanghai, China

NOT YET RECRUITING

Huashan Hospital of Fudan University

Shanghai, China

RECRUITING

Shengjing Hospital of China Medical University

Shenyang, China

NOT YET RECRUITING

The First Affiliated Hospital of China Medical University

Shenyang, China

RECRUITING

The Fourth Hospital of Hebei Medical University

Shijiazhuang, China

NOT YET RECRUITING

Shanxi Cancer Hospital

Taiyuan, China

NOT YET RECRUITING

Tianjin Cancer Hospital

Tianjin, China

RECRUITING

The Tumor Hospital Affiliated to Xinjiang Medical University

Ürümqi, China

RECRUITING

Union Hospital Affiliated to Tongji Medical College, Huazhong University of Science and

Wuhan, China

RECRUITING

Union Hospital Affiliated to Tongji Medical College, Huazhong University of Science and

Wuhan, China

NOT YET RECRUITING

The First Affiliated Hospital of the PLA Air Force Military Medical University (Xijing Hospital)

Xi'an, China

NOT YET RECRUITING

The Second Affiliated Hospital Of Xi'an Jiaotong University

Xi'an, China

NOT YET RECRUITING

Yibin Second People's Hospital

Yibin, China

NOT YET RECRUITING

Henan Cancer Hospital

Zhengzhou, China

RECRUITING

Henan Provincial People's Hospital

Zhengzhou, China

NOT YET RECRUITING

MeSH Terms

Conditions

Lymphoma, Mantle-Cell

Interventions

orelabrutinibBendamustine HydrochlorideRituximab

Condition Hierarchy (Ancestors)

Lymphoma, Non-HodgkinLymphomaNeoplasms by Histologic TypeNeoplasmsLymphoproliferative DisordersLymphatic DiseasesHemic and Lymphatic DiseasesImmunoproliferative DisordersImmune System Diseases

Intervention Hierarchy (Ancestors)

ButyratesAcids, AcyclicCarboxylic AcidsOrganic ChemicalsNitrogen Mustard CompoundsMustard CompoundsHydrocarbons, HalogenatedHydrocarbonsBenzimidazolesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic CompoundsAntibodies, Monoclonal, Murine-DerivedAntibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsAmino Acids, Peptides, and ProteinsSerum GlobulinsGlobulins

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 9, 2024

First Posted

April 12, 2024

Study Start

May 29, 2024

Primary Completion (Estimated)

June 25, 2031

Study Completion (Estimated)

June 25, 2032

Last Updated

December 27, 2024

Record last verified: 2024-12

Data Sharing

IPD Sharing
Will not share

Locations