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The primary objective of this study is to determine the maximum tolerated doses (MTD) and the recommended Phase 2 dose (RP2D), and safety, tolerability, and efficacy of zanubrutinib in combination with lenalidomide in participants with R/R DLBCL
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part 1: Zanubrutinib + Lenalidomide 15 mg | Experimental | Participants received zanubrutinib 160 mg orally twice a day (BID) and lenalidomide 15 mg orally once a day (QD) on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
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| Part 1: Zanubrutinib + Lenalidomide 20 mg | Experimental | Participants received zanubrutinib 160 mg orally BID and lenalidomide 20 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
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| Part 1: Zanubrutinib + Lenalidomide 25 mg | Experimental | Participants received zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
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| Part 2: Zanubrutinib + Lenalidomide 25 mg | Experimental | Participants received zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Zanubrutinib | Drug | 160 mg administered orally twice daily (BID) |
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| Measure | Description | Time Frame |
|---|---|---|
| Part 1: Number of Participants Experiencing Treatment-emergent Adverse Events (TEAEs) | An adverse event (AE) is defined as any untoward medical occurrence in a patient temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product (zanubrutinib in combination with lenalidomide). A serious adverse event (SAE) is any untoward medical occurrence that, at any dose:
| From first dose of study drug to 30 days after last dose. Maximum time on treatment in Part 1 was 1260 days. |
| Part 2: Overall Response Rate (ORR) | ORR is defined as the percentage of participants who achieved a best overall response of partial response (PR) or complete response (CR) based on the Lugano classification as assessed by the investigator. Response was evaluated using computed tomography (CT) and metabolic imaging (fluorodeoxyglucose-positron emission tomography (FDG-PET)). CR: complete metabolic (no/minimal FDG uptake and no evidence of FDG-avid disease in bone marrow) and radiologic response (target lesions regressed to ≤ 1.5 cm in longest diameter with no extra-lymphatic sites of disease, no organ enlargement and normal bone marrow morphology), no new lesions, and no bone marrow involvement confirmed by bone marrow biopsies (if bone marrow was involved at baseline). PR is partial metabolic (reduced FDG uptake from Baseline) and radiologic response (≥ 50% decrease in size of measurable nodes and extranodal sites, no increase in lesions, and spleen regressed by > 50% in length beyond normal) and no new lesions. | Response was assessed every 12 weeks for the first 48 weeks and every 16 weeks for the next 48 weeks and every 24 weeks thereafter; maximum time on follow-up was 24 months in Part 2 and 31 months in the RP2D group. |
| Measure | Description | Time Frame |
|---|---|---|
| Part 1: Overall Response Rate (ORR) | ORR is defined as the percentage of participants who achieved a best overall response of partial response or complete response based on the Lugano classification as assessed by the investigator. Response was evaluated using CT and metabolic imaging (FDG-PET). CR: complete metabolic (no/minimal FDG uptake and no evidence of FDG-avid disease in bone marrow) and radiologic response (target lesions regressed to ≤ 1.5 cm in longest diameter with no extra-lymphatic sites of disease, no organ enlargement and normal bone marrow morphology), no new lesions, and no bone marrow involvement confirmed by bone marrow biopsies (if bone marrow was involved at baseline). PR is partial metabolic (reduced FDG uptake from Baseline) and radiologic response (≥ 50% decrease in size of measurable nodes and extranodal sites, no increase in lesions, and spleen regressed by > 50% in length beyond normal) and no new lesions. |
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Key Inclusion Criteria:
Key Exclusion Criteria:
NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
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| Name | Affiliation | Role |
|---|---|---|
| Study Director | BeiGene | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beijing Friendship Hospital, Capital Medical University | Beijing | Beijing Municipality | 100050 | China | ||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41824782 | Derived | Song Z, Cheng Y, Yang H, Zhang L, Zou L, Guo Y, Cao J, Huang H, Wang Z, Huang S, Fang Y, Lyu J, Zhang Y, Liu Y, Zhou K, Zhang H. Phase 1 study of zanubrutinib plus lenalidomide for patients with relapsed/refractory diffuse large B-cell lymphoma. Blood Adv. 2026 Jun 9;10(11):3897-3908. doi: 10.1182/bloodadvances.2025018482. |
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BeiGene shares data on completed studies responsibly and provides qualified scientific and medical researchers access to data and supporting documentation for clinical trials in dossiers for medicines and indications after submission and approval in the United States, China, and Europe. Clinical trials supporting subsequent local approvals, new indications, or combination products are eligible for sharing once corresponding regulatory approvals are achieved.
BeiGene shares data only when permitted by applicable data privacy and security laws and regulations, when it is feasible to do so without compromising the privacy of study participants, and other considerations.
Qualified researchers with appropriate competencies who are engaged in novel scientific research may submit a request for participant-level data with a research proposal for BeiGene review. Research teams must include a biostatistician and sign a Data Sharing Agreement prior to receiving access to clinical trial data.
See plan description
See plan description
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This study was conducted at 10 study centers in China. Participants with relapsed/refractory diffuse large B-cell lymphoma (R/R DLBCL) ineligible for high-dose therapy/stem cell transplant who had received ≥ 1 prior line of systemic therapy were enrolled.
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| ID | Title | Description |
|---|---|---|
| FG000 | Part 1: Zanubrutinib + Lenalidomide 15 mg | Participants received zanubrutinib 160 mg orally twice a day (BID) and lenalidomide 15 mg orally once a day (QD) on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| FG001 | Part 1: Zanubrutinib + Lenalidomide 20 mg |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Dec 1, 2020 | Apr 11, 2025 |
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| Lenalidomide | Drug | Administered orally on Days 1-21 each cycle followed by a mandatory 7-day drug-free interval. |
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| Response was assessed every 12 weeks for the first 48 weeks and every 16 weeks for the next 48 weeks and every 24 weeks thereafter; maximum time on follow-up in Part 1 was 42 months. |
| Area Under the Plasma Concentration-time Curve From Zero to 8 Hours Postdose (AUCt) of Zanubrutinib After a Single Dose and at Steady State | Blood samples to characterize the pharmacokinetic (PK) profile of zanubrutinib and lenalidomide when given in combination were collected after a single dose (Cycle 1 Day 1) and at steady state (Cycle 1 Day 21) for participants in Part 1 and for twelve participants from the first stage of enrollment in Part 2. The lower limit of quantitation (LLOQ) was 1.00 ng/mL. | Cycle 1 Day 1 and Cycle 1 Day 21 at predose and 0.5, 1, 2, 3, 4, and 8 hours postdose |
| Area Under the Concentration-time Curve From Time Zero to Time of Last Quantifiable Concentration (AUClast) of Zanubrutinib After a Single Dose and at Steady State | Blood samples to characterize the PK profile of zanubrutinib and lenalidomide when given in combination were collected after first dose (Cycle 1 Day 1) and at steady state (Cycle 1 Day 21) for participants in Part 1 and for twelve participants from the first stage of enrollment in Part 2. The lower limit of quantitation was 1.00 ng/mL. | Cycle 1 Day 1 and Cycle 1 Day 21 at predose and 0.5, 1, 2, 3, 4, and 8 hours postdose |
| Area Under the Concentration-time Curve From Time Zero to Infinity (AUCinf) of Zanubrutinib After a Single Dose | Blood samples to characterize the PK profile of zanubrutinib and lenalidomide when given in combination were collected after first dose (Cycle 1 Day 1) for participants in Part 1 and for twelve participants from the first stage of enrollment in Part 2. The lower limit of quantitation was 1.00 ng/mL. | Cycle 1 Day 1, 0.5, 1, 2, 3, 4, and 8 hours postdose |
| Maximum Plasma Concentration (Cmax) of Zanubrutinib After a Single Dose and at Steady State | Blood samples to characterize the PK profile of zanubrutinib and lenalidomide when given in combination were collected after first dose (Cycle 1 Day 1) and at steady state (Cycle 1 Day 21) for participants in Part 1 and for twelve participants from the first stage of enrollment in Part 2. The lower limit of quantitation was 1.00 ng/mL. | Cycle 1 Day 1 and Cycle 1 Day 21 at predose and 0.5, 1, 2, 3, 4, and 8 hours postdose |
| Time to Maximum Plasma Concentration (Tmax) of Zanubrutinib After a Single Dose and at Steady State | Blood samples to characterize the PK profile of zanubrutinib and lenalidomide when given in combination were collected after first dose (Cycle 1 Day 1) and at steady state (Cycle 1 Day 21) for participants in Part 1 and for twelve participants from the first stage of enrollment in Part 2. The lower limit of quantitation was 1.00 ng/mL. | Cycle 1 Day 1 and Cycle 1 Day 21 at predose and 0.5, 1, 2, 3, 4, and 8 hours postdose |
| Time to the Last Quantifiable Concentration (Tlast) of Zanubrutinib After a Single Dose and at Steady State | Blood samples to characterize the PK profile of zanubrutinib and lenalidomide when given in combination were collected after first dose (Cycle 1 Day 1) and at steady state (Cycle 1 Day 21) for participants in Part 1 and for twelve participants from the first stage of enrollment in Part 2. The lower limit of quantitation was 1.00 ng/mL. | Cycle 1 Day 1 and Cycle 1 Day 21 at predose and 0.5, 1, 2, 3, 4, and 8 hours postdose |
| Apparent Terminal Elimination Half-life (T1/2) of Zanubrutinib After a Single Dose and at Steady State | Blood samples to characterize the pharmacokinetic (PK) profile of zanubrutinib and lenalidomide when given in combination were collected after a single dose (Cycle 1 Day 1) and at steady state (Cycle 1 Day 21) for participants in Part 1 and for twelve participants from the first stage of enrollment in Part 2. The lower limit of quantitation (LLOQ) was 1.00 ng/mL. | Cycle 1 Day 1 and Cycle 1 Day 21 at predose and 0.5, 1, 2, 3, 4, and 8 hours postdose |
| Apparent Volume (CL/F) of Zanubrutinib After a Single Dose and at Steady State | Blood samples to characterize the pharmacokinetic (PK) profile of zanubrutinib and lenalidomide when given in combination were collected after a single dose (Cycle 1 Day 1) and at steady state (Cycle 1 Day 21) for participants in Part 1 and for twelve participants from the first stage of enrollment in Part 2. The lower limit of quantitation (LLOQ) was 1.00 ng/mL. | Cycle 1 Day 1 and Cycle 1 Day 21 at predose and 0.5, 1, 2, 3, 4, and 8 hours postdose |
| Apparent Clearance (Vz/F) of Zanubrutinib After a Single Dose and at Steady State | Blood samples to characterize the pharmacokinetic (PK) profile of zanubrutinib and lenalidomide when given in combination were collected after a single dose (Cycle 1 Day 1) and at steady state (Cycle 1 Day 21) for participants in Part 1 and for twelve participants from the first stage of enrollment in Part 2. The lower limit of quantitation (LLOQ) was 1.00 ng/mL. | Cycle 1 Day 1 and Cycle 1 Day 21 at predose and 0.5, 1, 2, 3, 4, and 8 hours postdose |
| Accumulation Ratio of AUCt for Zanubrutinib | Blood samples to characterize the pharmacokinetic (PK) profile of zanubrutinib and lenalidomide when given in combination were collected after a single dose (Cycle 1 Day 1) and at steady state (Cycle 1 Day 21) for participants in Part 1 and for twelve participants from the first stage of enrollment in Part 2. The lower limit of quantitation (LLOQ) was 1.00 ng/mL. Accumulation ratio is defined as the ratio of AUCt at steady state (Day 21) to the AUCt after the first dose (Day 1). | Cycle 1 Day 1 and Cycle 1 Day 21 at predose and 0.5, 1, 2, 3, 4, and 8 hours postdose |
| Accumulation Ratio of Cmax for Zanubrutinib | Blood samples to characterize the pharmacokinetic (PK) profile of zanubrutinib and lenalidomide when given in combination were collected after a single dose (Cycle 1 Day 1) and at steady state (Cycle 1 Day 21) for participants in Part 1 and for twelve participants from the first stage of enrollment in Part 2. The lower limit of quantitation (LLOQ) was 1.00 ng/mL. Accumulation ratio is defined as the ratio of Cmax at steady state (Day 21) to the Cmax after the first dose (Day 1). | Cycle 1 Day 1 and Cycle 1 Day 21 at predose and 0.5, 1, 2, 3, 4, and 8 hours postdose |
| Area Under the Plasma Concentration-time Curve From Zero to 8 Hours Postdose (AUCt) of Lenalidomide After a Single Dose and at Steady State | Blood samples to characterize the pharmacokinetic (PK) profile of zanubrutinib and lenalidomide when given in combination were collected after a single dose (Cycle 1 Day 1) and at steady state (Cycle 1 Day 21) for participants in Part 1 and for twelve participants from the first stage of enrollment in Part 2. The lower limit of quantitation was 2.00 ng/mL. | Cycle 1 Day 1 and Cycle 1 Day 21 at predose and 0.5, 1, 2, 3, 4, and 8 hours postdose |
| AUClast of Lenalidomide After a Single Dose and at Steady State | Blood samples to characterize the pharmacokinetic (PK) profile of zanubrutinib and lenalidomide when given in combination were collected after a single dose (Cycle 1 Day 1) and at steady state (Cycle 1 Day 21) for participants in Part 1 and for twelve participants from the first stage of enrollment in Part 2. The lower limit of quantitation was 2.00 ng/mL. | Cycle 1 Day 1 and Cycle 1 Day 21 at predose and 0.5, 1, 2, 3, 4, and 8 hours postdose |
| AUCinf of Lenalidomide After a Single Dose | Blood samples to characterize the pharmacokinetic (PK) profile of zanubrutinib and lenalidomide when given in combination were collected after a single dose (Cycle 1 Day 1) and at steady state (Cycle 1 Day 21) for participants in Part 1 and for twelve participants from the first stage of enrollment in Part 2. The lower limit of quantitation was 2.00 ng/mL. | Cycle 1 Day 1 at predose and 0.5, 1, 2, 3, 4, and 8 hours postdose |
| Cmax of Lenalidomide After a Single Dose and at Steady State | Blood samples to characterize the pharmacokinetic (PK) profile of zanubrutinib and lenalidomide when given in combination were collected after a single dose (Cycle 1 Day 1) and at steady state (Cycle 1 Day 21) for participants in Part 1 and for twelve participants from the first stage of enrollment in Part 2. The lower limit of quantitation was 2.00 ng/mL. | Cycle 1 Day 1 and Cycle 1 Day 21 at predose and 0.5, 1, 2, 3, 4, and 8 hours postdose |
| Tmax of Lenalidomide After a Single Dose and at Steady State | Blood samples to characterize the pharmacokinetic (PK) profile of zanubrutinib and lenalidomide when given in combination were collected after a single dose (Cycle 1 Day 1) and at steady state (Cycle 1 Day 21) for participants in Part 1 and for twelve participants from the first stage of enrollment in Part 2. The lower limit of quantitation was 2.00 ng/mL. | Cycle 1 Day 1 and Cycle 1 Day 21 at predose and 0.5, 1, 2, 3, 4, and 8 hours postdose |
| Tlast of Lenalidomide After a Single Dose and at Steady State | Blood samples to characterize the pharmacokinetic (PK) profile of zanubrutinib and lenalidomide when given in combination were collected after a single dose (Cycle 1 Day 1) and at steady state (Cycle 1 Day 21) for participants in Part 1 and for twelve participants from the first stage of enrollment in Part 2. The lower limit of quantitation was 2.00 ng/mL. | Cycle 1 Day 1 and Cycle 1 Day 21 at predose and 0.5, 1, 2, 3, 4, and 8 hours postdose |
| T1/2 of Lenalidomide After a Single Dose and at Steady State | Blood samples to characterize the pharmacokinetic (PK) profile of zanubrutinib and lenalidomide when given in combination were collected after a single dose (Cycle 1 Day 1) and at steady state (Cycle 1 Day 21) for participants in Part 1 and for twelve participants from the first stage of enrollment in Part 2. The lower limit of quantitation was 2.00 ng/mL. | Cycle 1 Day 1 and Cycle 1 Day 21 at predose and 0.5, 1, 2, 3, 4, and 8 hours postdose |
| CL/F of Lenalidomide After a Single Dose and at Steady State | Blood samples to characterize the pharmacokinetic (PK) profile of zanubrutinib and lenalidomide when given in combination were collected after a single dose (Cycle 1 Day 1) and at steady state (Cycle 1 Day 21) for participants in Part 1 and for twelve participants from the first stage of enrollment in Part 2. The lower limit of quantitation was 2.00 ng/mL. | Cycle 1 Day 1 and Cycle 1 Day 21 at predose and 0.5, 1, 2, 3, 4, and 8 hours postdose |
| Vz/F of Lenalidomide After a Single Dose and at Steady State | Blood samples to characterize the pharmacokinetic (PK) profile of zanubrutinib and lenalidomide when given in combination were collected after a single dose (Cycle 1 Day 1) and at steady state (Cycle 1 Day 21) for participants in Part 1 and for twelve participants from the first stage of enrollment in Part 2. The lower limit of quantitation was 2.00 ng/mL. | Cycle 1 Day 1 and Cycle 1 Day 21 at predose and 0.5, 1, 2, 3, 4, and 8 hours postdose |
| Accumulation Ratio of AUCt for Lenalidomide | Blood samples to characterize the pharmacokinetic (PK) profile of zanubrutinib and lenalidomide when given in combination were collected after a single dose (Cycle 1 Day 1) and at steady state (Cycle 1 Day 21) for participants in Part 1 and for twelve participants from the first stage of enrollment in Part 2. The lower limit of quantitation was 2.00 ng/mL. Accumulation ratio is defined as the ratio of AUCt at steady state (Day 21) to AUCt after the first dose (Day 1). | Cycle 1 Day 1 and Cycle 1 Day 21 at predose and 0.5, 1, 2, 3, 4, and 8 hours postdose |
| Accumulation Ratio of Cmax for Lenalidomide | Blood samples to characterize the pharmacokinetic (PK) profile of zanubrutinib and lenalidomide when given in combination were collected after a single dose (Cycle 1 Day 1) and at steady state (Cycle 1 Day 21) for participants in Part 1 and for twelve participants from the first stage of enrollment in Part 2. The lower limit of quantitation was 2.00 ng/mL. Accumulation ratio is defined as the ratio of Cmax at steady state (Day 21) to Cmax after the first dose (Day 1). | Cycle 1 Day 1 and Cycle 1 Day 21 at predose and 0.5, 1, 2, 3, 4, and 8 hours postdose |
| Part 1: Overall Response Rate by Immunohistochemistry Subtypes | ORR is defined as the percentage of participants who achieved a best overall response of PR or CR based on the Lugano classification as assessed by the investigator. Response was evaluated using CT and metabolic imaging (FDG-PET). CR: complete metabolic (no/minimal FDG uptake and no evidence of FDG-avid disease in bone marrow) and radiologic response (target lesions regressed to ≤ 1.5 cm in longest diameter with no extra-lymphatic sites of disease, no organ enlargement and normal bone marrow morphology), no new lesions, and no bone marrow involvement confirmed by bone marrow biopsies (if bone marrow was involved at baseline). PR is partial metabolic (reduced FDG uptake from Baseline) and radiologic response (≥ 50% decrease in size of measurable nodes and extranodal sites, no increase in lesions, and spleen regressed by > 50% in length beyond normal) and no new lesions. Immunohistochemistry (IHC) was used to identify germinal B-cell-like (GCB) and non-GCB phenotypes. | Response was assessed every 12 weeks for the first 48 weeks and every 16 weeks for the next 48 weeks and every 24 weeks thereafter; maximum time on follow-up in Part 1 was 42 months. |
| Part 1: Overall Response Rate by Gene Expression Profiling (GEP) Subtypes | The percentage of participants who achieved a best overall response of PR or CR based on the Lugano classification as assessed by the investigator. Response was evaluated using CT and metabolic imaging. CR: complete metabolic (no/minimal FDG uptake and no evidence of FDG-avid disease in bone marrow) and radiologic response (target lesions regressed to ≤ 1.5 cm in longest diameter with no extra-lymphatic sites of disease, no organ enlargement and normal bone marrow morphology), no new lesions, and no bone marrow involvement confirmed by bone marrow biopsies (if bone marrow was involved at baseline). PR: partial metabolic (reduced FDG uptake from Baseline) and radiologic response (≥ 50% decrease in size of measurable nodes and extranodal sites, no increase in lesions, and spleen regressed by > 50% in length beyond normal) and no new lesions. Gene expression profiling by HTG EdgeSeq DLBCL cell-of-origin (COO) assay was used to determine activated B-cell like (ABC) and GCB subtypes. | Response was assessed every 12 weeks for the first 48 weeks and every 16 weeks for the next 48 weeks and every 24 weeks thereafter; maximum time on follow-up in Part 1 was 42 months. |
| Part 2: Overall Response Rate by Immunohistochemistry Subtypes | ORR is defined as the percentage of participants who achieved a best overall response of PR or CR based on the Lugano classification as assessed by the investigator. CR: complete metabolic (no/minimal FDG uptake and no evidence of FDG-avid disease in bone marrow) and radiologic response (target lesions regressed to ≤ 1.5 cm in longest diameter with no extra-lymphatic sites of disease, no organ enlargement and normal bone marrow morphology), no new lesions, and no bone marrow involvement confirmed by bone marrow biopsy (if bone marrow was involved at baseline). PR: partial metabolic (reduced FDG uptake from Baseline) and radiologic response (≥ 50% decrease in size of measurable nodes and extranodal sites, no increase in lesions, and spleen regressed by > 50% in length beyond normal) and no new lesions. Immunohistochemistry was used to identify GCB and non-GCB phenotypes. | Response was assessed every 12 weeks for the first 48 weeks and every 16 weeks for the next 48 weeks and every 24 weeks thereafter; maximum time on follow-up was 31 months in the RP2D group. |
| Part 2: Overall Response Rate by Gene Expression Profiling Subtypes | ORR is defined as the percentage of participants who achieved a best overall response of PR or CR based on the Lugano classification assessed by the investigator. CR: complete metabolic (no/minimal FDG uptake and no evidence of FDG-avid disease in bone marrow) and radiologic response (target lesions regressed to ≤1.5 cm in longest diameter with no extra-lymphatic sites of disease, no organ enlargement and normal bone marrow morphology), no new lesions, and no bone marrow involvement confirmed by bone marrow biopsy (if bone marrow was involved at baseline). PR: partial metabolic (reduced FDG uptake from Baseline) and radiologic response (≥ 50% decrease in size of measurable nodes and extranodal sites, no increase in lesions, and spleen regressed by > 50% in length beyond normal) and no new lesions. Gene expression profiling by HTG EdgeSeq DLBCL COO assay was used to determine ABC and GCB subtypes. | Response was assessed every 12 weeks for the first 48 weeks and every 16 weeks for the next 48 weeks and every 24 weeks thereafter; maximum time on follow-up was 31 months in the RP2D group. |
| Part 2: Complete Response Rate (CRR) | CRR is defined as the percentage of participants who achieved a best overall response of complete response (CR) based on the Lugano classification as assessed by the investigator. Response was evaluated using CT and metabolic imaging (FDG-PET). CR: complete metabolic (no/minimal FDG uptake and no evidence of FDG-avid disease in bone marrow) and radiologic response (target lesions regressed to ≤1.5 cm in longest diameter with no extra-lymphatic sites of disease, no organ enlargement and normal bone marrow morphology), no new lesions, and no bone marrow involvement confirmed by bone marrow biopsies (if bone marrow was involved at baseline). | Response was assessed every 12 weeks for the first 48 weeks and every 16 weeks for the next 48 weeks and every 24 weeks thereafter; maximum time on follow-up was 24 months in Part 2 and 31 months in the RP2D group. |
| Part 2: Complete Response Rate by Immunohistochemistry Subtypes | CRR is defined as the percentage of participants who achieved a best overall response of complete response (CR) based on the Lugano classification as assessed by the investigator. Response was evaluated using CT and metabolic imaging (FDG-PET). CR: complete metabolic (no/minimal FDG uptake and no evidence of FDG-avid disease in bone marrow) and radiologic response (target lesions regressed to ≤1.5 cm in longest diameter with no extra-lymphatic sites of disease, no organ enlargement and normal bone marrow morphology), no new lesions, and no bone marrow involvement confirmed by bone marrow biopsies (if bone marrow was involved at baseline). Immunohistochemistry was used to identify GCB and non-GCB phenotypes. | Response was assessed every 12 weeks for the first 48 weeks and every 16 weeks for the next 48 weeks and every 24 weeks thereafter; maximum time on follow-up was 31 months in the RP2D group. |
| Part 2: Complete Response Rate by Gene Expression Profiling Subtypes | CRR is defined as the percentage of participants who achieved a best overall response of complete response (CR) based on the Lugano classification as assessed by the investigator. Response was evaluated using CT and metabolic imaging (FDG-PET). CR: complete metabolic (no/minimal FDG uptake and no evidence of FDG-avid disease in bone marrow) and radiologic response (target lesions regressed to ≤1.5 cm in longest diameter with no extra-lymphatic sites of disease, no organ enlargement and normal bone marrow morphology), no new lesions, and no bone marrow involvement confirmed by bone marrow biopsies (if bone marrow was involved at baseline). Gene expression profiling by HTG EdgeSeq DLBCL cell-of-origin assay was used to determine ABC and GCB subtypes. | Response was assessed every 12 weeks for the first 48 weeks and every 16 weeks for the next 48 weeks and every 24 weeks thereafter; maximum time on follow-up was 31 months in the RP2D group. |
| Part 2: Duration of Response (DOR) | DOR is defined as the time from the date that the response criteria were first met to the date that progressive disease (PD) was objectively documented or death, whichever occurred first. Median DOR was estimated using the Kaplan-Meier method. Participants who did not have disease progression were censored at their last valid assessment. PD: Progressive metabolic disease (increased FDG uptake from Baseline and/or new FDG-avid foci consistent with lymphoma), abnormal node or lesions with longest diameter > 1.5 cm, an increase of ≥ 50% in the product of the perpendicular diameters, and an increase in the longest diameter of 0.5 cm for lesions ≤ 2 cm or 1.0 cm for lesions > 2 cm, or any new lesions. | From first dose to the end of study; maximum time on follow-up was 24 months in Part 2 and 31 months in the RP2D group. |
| Part 2: Duration of Response by Immunohistochemistry Subtypes | DOR is defined as the time from the date that the response criteria were first met to the date that progressive disease PD was objectively documented or death, whichever occurred first. Median DOR was estimated using the Kaplan-Meier method. Participants who did not have disease progression were censored at their last valid assessment. Immunohistochemistry was used to identify GCB and non-GCB phenotypes. | From first dose to the end of study; maximum time on follow-up was 31 months in the RP2D group. |
| Part 2: Duration of Response by Gene Expression Profiling Subtypes | DOR is defined as the time from the date that the response criteria were first met to the date that progressive disease PD was objectively documented or death, whichever occurred first. Median DOR was estimated using the Kaplan-Meier method. Participants who did not have disease progression were censored at their last valid assessment. Gene expression profiling by HTG EdgeSeq DLBCL cell-of-origin assay was used to determine ABC and GCB subtypes. | From first dose to the end of study; maximum time on follow-up was 31 months in the RP2D group. |
| Part 2: Progression-free Survival (PFS) | PFS is defined as the time from the starting date of the combination therapy to the date of first documentation of disease progression or death, whichever occurred first. Median PFS was estimated using the Kaplan-Meier method. Participants who did not have disease progression were censored at their last valid tumor assessment. | From first dose to the end of study; maximum time on follow-up was 24 months in Part 2 and 31 months in the RP2D group. |
| Part 2: Progression-Free Survival by Immunohistochemistry Subtypes | PFS is defined as the time from the starting date of the combination therapy to the date of first documentation of disease progression or death, whichever occurred first. Median PFS was estimated using the Kaplan-Meier method. Participants who did not have disease progression were censored at their last valid tumor assessment. Immunohistochemistry was used to identify GCB and non-GCB phenotypes. | From first dose to the end of study; maximum time on follow-up was 31 months in the RP2D group. |
| Part 2: Progression-Free Survival by Gene Expression Profiling Subtypes | PFS is defined as the time from the starting date of the combination therapy to the date of first documentation of disease progression or death, whichever occurred first. Median PFS was estimated using the Kaplan-Meier method. Participants who did not have disease progression were censored at their last valid tumor assessment. Gene expression profiling by HTG EdgeSeq DLBCL cell-of-origin assay was used to determine ABC and GCB subtypes. | From first dose to the end of study; maximum time on follow-up was 31 months in the RP2D group. |
| Part 2: Time to Response (TTR) | Time to response is defined as time from the starting date of combination therapy to the date the response criteria were first met. | Response was assessed every 12 weeks for the first 48 weeks and every 16 weeks for the next 48 weeks and every 24 weeks thereafter; maximum time on follow-up was 24 months in Part 2 and 31 months in the RP2D group. |
| Part 2: Time to Response by Immunohistochemistry Subtypes | Time to response is defined as time from the starting date of combination therapy to the date the response criteria were first met. Immunohistochemistry was used to identify GCB and non-GCB phenotypes. | Response was assessed every 12 weeks for the first 48 weeks and every 16 weeks for the next 48 weeks and every 24 weeks thereafter; maximum time on follow-up was 31 months in the RP2D group. |
| Part 2: Time to Response by Gene Expression Profiling Subtypes | Time to response is defined as the time from the starting date of combination therapy to the date objective response criteria were first met. Gene expression profiling by HTG EdgeSeq DLBCL cell-of-origin assay was used to determine ABC and GCB subtypes. | From first dose to the end of study; maximum time on follow-up was 31 months in the RP2D group. |
| Part 2: Number of Participants With Treatment-emergent Adverse Events | An AE is defined as any untoward medical occurrence in a patient temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product (zanubrutinib in combination with lenalidomide). A serious adverse event (SAE) is any untoward medical occurrence that, at any dose:
| From first dose of study drug to 30 days after last dose. Maximum time on treatment in Part 2 was 701 days. |
| Sun Yat Sen University Cancer Center |
| Guangzhou |
| Guangdong |
| 510060 |
| China |
| Henan Cancer Hospital | Zhengzhou | Henan | 450000 | China |
| Union Hospital of Tongji Medical College, Huazhong University of Science and Technology | Wuhan | Hubei | 430022 | China |
| Jilin Cancer Hospital | Changchun | Jilin | 130021 | China |
| Fudan University Shanghai Cancer Center | Shanghai | Shanghai Municipality | 200000 | China |
| Shanghai East Hospital | Shanghai | Shanghai Municipality | 200120 | China |
| West China Hospital, Sichuan University | Chengdu | Sichuan | 610041 | China |
| Tianjin Medical University Cancer Institute and Hospital | Tianjin | Tianjin Municipality | 300060 | China |
| Zhejiang Cancer Hospital | Hangzhou | Zhejiang | 310022 | China |
Participants received zanubrutinib 160 mg orally BID and lenalidomide 20 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| FG002 | Part 1: Zanubrutinib + Lenalidomide 25 mg | Participants received zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| FG003 | Part 2: Zanubrutinib + Lenalidomide 25 mg | Participants received zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
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| ID | Title | Description |
|---|---|---|
| BG000 | Part 1: Zanubrutinib + Lenalidomide 15 mg | Participants received zanubrutinib 160 mg orally BID and lenalidomide 15 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| BG001 | Part 1: Zanubrutinib + Lenalidomide 20 mg | Participants received zanubrutinib 160 mg orally BID and lenalidomide 20 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| BG002 | Part 1: Zanubrutinib + Lenalidomide 25 mg | Participants received zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| BG003 | Part 2: Zanubrutinib + Lenalidomide 25 mg | Participants received zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| BG004 | Total | Total of all reporting groups |
| Units | Counts |
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| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
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| Age, Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||
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| Primary | Part 1: Number of Participants Experiencing Treatment-emergent Adverse Events (TEAEs) | An adverse event (AE) is defined as any untoward medical occurrence in a patient temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product (zanubrutinib in combination with lenalidomide). A serious adverse event (SAE) is any untoward medical occurrence that, at any dose:
| The safety analysis set was defined as all participants who received at least one dose of any medication within the combination therapy. | Posted | Count of Participants | Participants | From first dose of study drug to 30 days after last dose. Maximum time on treatment in Part 1 was 1260 days. |
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| Primary | Part 2: Overall Response Rate (ORR) | ORR is defined as the percentage of participants who achieved a best overall response of partial response (PR) or complete response (CR) based on the Lugano classification as assessed by the investigator. Response was evaluated using computed tomography (CT) and metabolic imaging (fluorodeoxyglucose-positron emission tomography (FDG-PET)). CR: complete metabolic (no/minimal FDG uptake and no evidence of FDG-avid disease in bone marrow) and radiologic response (target lesions regressed to ≤ 1.5 cm in longest diameter with no extra-lymphatic sites of disease, no organ enlargement and normal bone marrow morphology), no new lesions, and no bone marrow involvement confirmed by bone marrow biopsies (if bone marrow was involved at baseline). PR is partial metabolic (reduced FDG uptake from Baseline) and radiologic response (≥ 50% decrease in size of measurable nodes and extranodal sites, no increase in lesions, and spleen regressed by > 50% in length beyond normal) and no new lesions. | The efficacy analysis set was defined as all participants who were exposed to at least one dose of medication with confirmed R/R DLBCL. Participants with no post-baseline response assessments were treated as non-responders. Overall response rate was a prespecified primary endpoint in Part 2 only; results are also presented for all participants (Part 1 + Part 2) who received the recommended phase 2 dose (RP2D) of lenalidomide (25 mg). | Posted | Number | 95% Confidence Interval | percentage of participants | Response was assessed every 12 weeks for the first 48 weeks and every 16 weeks for the next 48 weeks and every 24 weeks thereafter; maximum time on follow-up was 24 months in Part 2 and 31 months in the RP2D group. |
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| Secondary | Part 1: Overall Response Rate (ORR) | ORR is defined as the percentage of participants who achieved a best overall response of partial response or complete response based on the Lugano classification as assessed by the investigator. Response was evaluated using CT and metabolic imaging (FDG-PET). CR: complete metabolic (no/minimal FDG uptake and no evidence of FDG-avid disease in bone marrow) and radiologic response (target lesions regressed to ≤ 1.5 cm in longest diameter with no extra-lymphatic sites of disease, no organ enlargement and normal bone marrow morphology), no new lesions, and no bone marrow involvement confirmed by bone marrow biopsies (if bone marrow was involved at baseline). PR is partial metabolic (reduced FDG uptake from Baseline) and radiologic response (≥ 50% decrease in size of measurable nodes and extranodal sites, no increase in lesions, and spleen regressed by > 50% in length beyond normal) and no new lesions. | The efficacy analysis set was defined as all participants who were exposed to at least one dose of medication with confirmed R/R DLBCL. Participants with no post-baseline response assessments were treated as non-responders. | Posted | Number | 95% Confidence Interval | percentage of participants | Response was assessed every 12 weeks for the first 48 weeks and every 16 weeks for the next 48 weeks and every 24 weeks thereafter; maximum time on follow-up in Part 1 was 42 months. |
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| Secondary | Area Under the Plasma Concentration-time Curve From Zero to 8 Hours Postdose (AUCt) of Zanubrutinib After a Single Dose and at Steady State | Blood samples to characterize the pharmacokinetic (PK) profile of zanubrutinib and lenalidomide when given in combination were collected after a single dose (Cycle 1 Day 1) and at steady state (Cycle 1 Day 21) for participants in Part 1 and for twelve participants from the first stage of enrollment in Part 2. The lower limit of quantitation (LLOQ) was 1.00 ng/mL. | The PK analysis set was defined as all participants who had at least one post-dose plasma concentration collected without a major protocol deviation affecting PK. Per the prespecified analysis of zanubrutinib PK parameters, participants were analyzed in one group since there was only one dose level for zanubrutinib, regardless of dose of lenalidomide they received. The analysis includes participants with available PK parameter data at each time point. | Posted | Geometric Mean | Geometric Coefficient of Variation | h*ng/mL | Cycle 1 Day 1 and Cycle 1 Day 21 at predose and 0.5, 1, 2, 3, 4, and 8 hours postdose |
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| Secondary | Area Under the Concentration-time Curve From Time Zero to Time of Last Quantifiable Concentration (AUClast) of Zanubrutinib After a Single Dose and at Steady State | Blood samples to characterize the PK profile of zanubrutinib and lenalidomide when given in combination were collected after first dose (Cycle 1 Day 1) and at steady state (Cycle 1 Day 21) for participants in Part 1 and for twelve participants from the first stage of enrollment in Part 2. The lower limit of quantitation was 1.00 ng/mL. | The PK analysis set was defined as all participants who had at least one post-dose plasma concentration collected without a major protocol deviation affecting PK. Per the prespecified analysis of zanubrutinib PK parameters, participants were analyzed in one group since there was only one dose level for zanubrutinib, regardless of dose of lenalidomide they received. The analysis includes participants with available PK parameter data at each time point. | Posted | Geometric Mean | Geometric Coefficient of Variation | h*ng/mL | Cycle 1 Day 1 and Cycle 1 Day 21 at predose and 0.5, 1, 2, 3, 4, and 8 hours postdose |
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| Secondary | Area Under the Concentration-time Curve From Time Zero to Infinity (AUCinf) of Zanubrutinib After a Single Dose | Blood samples to characterize the PK profile of zanubrutinib and lenalidomide when given in combination were collected after first dose (Cycle 1 Day 1) for participants in Part 1 and for twelve participants from the first stage of enrollment in Part 2. The lower limit of quantitation was 1.00 ng/mL. | The PK analysis set was defined as all participants who had at least one post-dose plasma concentration collected without a major protocol deviation affecting PK. Per the prespecified analysis of zanubrutinib PK parameters, participants were analyzed in one group since there was only one dose level for zanubrutinib, regardless of dose of lenalidomide they received. The analysis includes participants with available AUCinf data. | Posted | Geometric Mean | Geometric Coefficient of Variation | h*ng/mL | Cycle 1 Day 1, 0.5, 1, 2, 3, 4, and 8 hours postdose |
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| Secondary | Maximum Plasma Concentration (Cmax) of Zanubrutinib After a Single Dose and at Steady State | Blood samples to characterize the PK profile of zanubrutinib and lenalidomide when given in combination were collected after first dose (Cycle 1 Day 1) and at steady state (Cycle 1 Day 21) for participants in Part 1 and for twelve participants from the first stage of enrollment in Part 2. The lower limit of quantitation was 1.00 ng/mL. | The PK analysis set was defined as all participants who had at least one post-dose plasma concentration collected without a major protocol deviation affecting PK. Per the prespecified analysis of zanubrutinib PK parameters, participants were analyzed in one group since there was only one dose level for zanubrutinib, regardless of dose of lenalidomide they received. The analysis includes participants with available PK parameter data at each time point. | Posted | Geometric Mean | Geometric Coefficient of Variation | ng/mL | Cycle 1 Day 1 and Cycle 1 Day 21 at predose and 0.5, 1, 2, 3, 4, and 8 hours postdose |
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| Secondary | Time to Maximum Plasma Concentration (Tmax) of Zanubrutinib After a Single Dose and at Steady State | Blood samples to characterize the PK profile of zanubrutinib and lenalidomide when given in combination were collected after first dose (Cycle 1 Day 1) and at steady state (Cycle 1 Day 21) for participants in Part 1 and for twelve participants from the first stage of enrollment in Part 2. The lower limit of quantitation was 1.00 ng/mL. | The PK analysis set was defined as all participants who had at least one post-dose plasma concentration collected without a major protocol deviation affecting PK. Per the prespecified analysis of zanubrutinib PK parameters, participants were analyzed in one group since there was only one dose level for zanubrutinib, regardless of dose of lenalidomide they received. The analysis includes participants with available PK parameter data at each time point. | Posted | Median | Full Range | hours | Cycle 1 Day 1 and Cycle 1 Day 21 at predose and 0.5, 1, 2, 3, 4, and 8 hours postdose |
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| Secondary | Time to the Last Quantifiable Concentration (Tlast) of Zanubrutinib After a Single Dose and at Steady State | Blood samples to characterize the PK profile of zanubrutinib and lenalidomide when given in combination were collected after first dose (Cycle 1 Day 1) and at steady state (Cycle 1 Day 21) for participants in Part 1 and for twelve participants from the first stage of enrollment in Part 2. The lower limit of quantitation was 1.00 ng/mL. | The PK analysis set was defined as all participants who had at least one post-dose plasma concentration collected without a major protocol deviation affecting PK. Per the prespecified analysis of zanubrutinib PK parameters, participants were analyzed in one group since there was only one dose level for zanubrutinib, regardless of dose of lenalidomide they received. The analysis includes participants with available PK parameter data at each time point. | Posted | Median | Full Range | hours | Cycle 1 Day 1 and Cycle 1 Day 21 at predose and 0.5, 1, 2, 3, 4, and 8 hours postdose |
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| Secondary | Apparent Terminal Elimination Half-life (T1/2) of Zanubrutinib After a Single Dose and at Steady State | Blood samples to characterize the pharmacokinetic (PK) profile of zanubrutinib and lenalidomide when given in combination were collected after a single dose (Cycle 1 Day 1) and at steady state (Cycle 1 Day 21) for participants in Part 1 and for twelve participants from the first stage of enrollment in Part 2. The lower limit of quantitation (LLOQ) was 1.00 ng/mL. | The PK analysis set was defined as all participants who had at least one post-dose plasma concentration collected without a major protocol deviation affecting PK. Per the prespecified analysis of zanubrutinib PK parameters, participants were analyzed in one group since there was only one dose level for zanubrutinib, regardless of dose of lenalidomide they received. The analysis includes participants with available PK parameter data at each time point. | Posted | Geometric Mean | Full Range | hours | Cycle 1 Day 1 and Cycle 1 Day 21 at predose and 0.5, 1, 2, 3, 4, and 8 hours postdose |
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| Secondary | Apparent Volume (CL/F) of Zanubrutinib After a Single Dose and at Steady State | Blood samples to characterize the pharmacokinetic (PK) profile of zanubrutinib and lenalidomide when given in combination were collected after a single dose (Cycle 1 Day 1) and at steady state (Cycle 1 Day 21) for participants in Part 1 and for twelve participants from the first stage of enrollment in Part 2. The lower limit of quantitation (LLOQ) was 1.00 ng/mL. | The PK analysis set was defined as all participants who had at least one post-dose plasma concentration collected without a major protocol deviation affecting PK. Per the prespecified analysis of zanubrutinib PK parameters, participants were analyzed in one group since there was only one dose level for zanubrutinib, regardless of dose of lenalidomide they received. The analysis includes participants with available PK parameter data at each time point. | Posted | Geometric Mean | Geometric Coefficient of Variation | L/h | Cycle 1 Day 1 and Cycle 1 Day 21 at predose and 0.5, 1, 2, 3, 4, and 8 hours postdose |
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| Secondary | Apparent Clearance (Vz/F) of Zanubrutinib After a Single Dose and at Steady State | Blood samples to characterize the pharmacokinetic (PK) profile of zanubrutinib and lenalidomide when given in combination were collected after a single dose (Cycle 1 Day 1) and at steady state (Cycle 1 Day 21) for participants in Part 1 and for twelve participants from the first stage of enrollment in Part 2. The lower limit of quantitation (LLOQ) was 1.00 ng/mL. | The PK analysis set was defined as all participants who had at least one post-dose plasma concentration collected without a major protocol deviation affecting PK. Per the prespecified analysis of zanubrutinib PK parameters, participants were analyzed in one group since there was only one dose level for zanubrutinib, regardless of dose of lenalidomide they received. The analysis includes participants with available PK parameter data at each time point. | Posted | Geometric Mean | Geometric Coefficient of Variation | liters | Cycle 1 Day 1 and Cycle 1 Day 21 at predose and 0.5, 1, 2, 3, 4, and 8 hours postdose |
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| Secondary | Accumulation Ratio of AUCt for Zanubrutinib | Blood samples to characterize the pharmacokinetic (PK) profile of zanubrutinib and lenalidomide when given in combination were collected after a single dose (Cycle 1 Day 1) and at steady state (Cycle 1 Day 21) for participants in Part 1 and for twelve participants from the first stage of enrollment in Part 2. The lower limit of quantitation (LLOQ) was 1.00 ng/mL. Accumulation ratio is defined as the ratio of AUCt at steady state (Day 21) to the AUCt after the first dose (Day 1). | The PK analysis set was defined as all participants who had at least one post-dose plasma concentration collected without a major protocol deviation affecting PK. Per the prespecified analysis of zanubrutinib PK parameters, participants were analyzed in one group since there was only one dose level for zanubrutinib, regardless of dose of lenalidomide they received. The analysis includes participants with available AUCt data at both Day 1 and Day 21. | Posted | Geometric Mean | Geometric Coefficient of Variation | ratio | Cycle 1 Day 1 and Cycle 1 Day 21 at predose and 0.5, 1, 2, 3, 4, and 8 hours postdose |
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| Secondary | Accumulation Ratio of Cmax for Zanubrutinib | Blood samples to characterize the pharmacokinetic (PK) profile of zanubrutinib and lenalidomide when given in combination were collected after a single dose (Cycle 1 Day 1) and at steady state (Cycle 1 Day 21) for participants in Part 1 and for twelve participants from the first stage of enrollment in Part 2. The lower limit of quantitation (LLOQ) was 1.00 ng/mL. Accumulation ratio is defined as the ratio of Cmax at steady state (Day 21) to the Cmax after the first dose (Day 1). | The PK analysis set was defined as all participants who had at least one post-dose plasma concentration collected without a major protocol deviation affecting PK. Per the prespecified analysis of zanubrutinib PK parameters, participants were analyzed in one group since there was only one dose level for zanubrutinib, regardless of dose of lenalidomide they received. The analysis includes participants with available Cmax data at both Day 1 and Day 21. | Posted | Geometric Mean | Geometric Coefficient of Variation | ratio | Cycle 1 Day 1 and Cycle 1 Day 21 at predose and 0.5, 1, 2, 3, 4, and 8 hours postdose |
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| Secondary | Area Under the Plasma Concentration-time Curve From Zero to 8 Hours Postdose (AUCt) of Lenalidomide After a Single Dose and at Steady State | Blood samples to characterize the pharmacokinetic (PK) profile of zanubrutinib and lenalidomide when given in combination were collected after a single dose (Cycle 1 Day 1) and at steady state (Cycle 1 Day 21) for participants in Part 1 and for twelve participants from the first stage of enrollment in Part 2. The lower limit of quantitation was 2.00 ng/mL. | The PK analysis set was defined as all participants who had at least one post-dose plasma concentration collected without a major protocol deviation affecting PK. The analysis includes participants with available PK parameter data at each time point. | Posted | Geometric Mean | Geometric Coefficient of Variation | h*ng/mL | Cycle 1 Day 1 and Cycle 1 Day 21 at predose and 0.5, 1, 2, 3, 4, and 8 hours postdose |
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| Secondary | AUClast of Lenalidomide After a Single Dose and at Steady State | Blood samples to characterize the pharmacokinetic (PK) profile of zanubrutinib and lenalidomide when given in combination were collected after a single dose (Cycle 1 Day 1) and at steady state (Cycle 1 Day 21) for participants in Part 1 and for twelve participants from the first stage of enrollment in Part 2. The lower limit of quantitation was 2.00 ng/mL. | The PK analysis set was defined as all participants who had at least one post-dose plasma concentration collected without a major protocol deviation affecting PK. The analysis includes participants with available PK parameter data at each time point. | Posted | Geometric Mean | Geometric Coefficient of Variation | h*ng/mL | Cycle 1 Day 1 and Cycle 1 Day 21 at predose and 0.5, 1, 2, 3, 4, and 8 hours postdose |
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| Secondary | AUCinf of Lenalidomide After a Single Dose | Blood samples to characterize the pharmacokinetic (PK) profile of zanubrutinib and lenalidomide when given in combination were collected after a single dose (Cycle 1 Day 1) and at steady state (Cycle 1 Day 21) for participants in Part 1 and for twelve participants from the first stage of enrollment in Part 2. The lower limit of quantitation was 2.00 ng/mL. | The PK analysis set was defined as all participants who had at least one post-dose plasma concentration collected without a major protocol deviation affecting PK. The analysis includes participants with available PK parameter data at each time point. | Posted | Geometric Mean | Geometric Coefficient of Variation | h*ng/mL | Cycle 1 Day 1 at predose and 0.5, 1, 2, 3, 4, and 8 hours postdose |
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| Secondary | Cmax of Lenalidomide After a Single Dose and at Steady State | Blood samples to characterize the pharmacokinetic (PK) profile of zanubrutinib and lenalidomide when given in combination were collected after a single dose (Cycle 1 Day 1) and at steady state (Cycle 1 Day 21) for participants in Part 1 and for twelve participants from the first stage of enrollment in Part 2. The lower limit of quantitation was 2.00 ng/mL. | The PK analysis set was defined as all participants who had at least one post-dose plasma concentration collected without a major protocol deviation affecting PK. The analysis includes participants with available PK parameter data at each time point. | Posted | Geometric Mean | Geometric Coefficient of Variation | ng/mL | Cycle 1 Day 1 and Cycle 1 Day 21 at predose and 0.5, 1, 2, 3, 4, and 8 hours postdose |
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| Secondary | Tmax of Lenalidomide After a Single Dose and at Steady State | Blood samples to characterize the pharmacokinetic (PK) profile of zanubrutinib and lenalidomide when given in combination were collected after a single dose (Cycle 1 Day 1) and at steady state (Cycle 1 Day 21) for participants in Part 1 and for twelve participants from the first stage of enrollment in Part 2. The lower limit of quantitation was 2.00 ng/mL. | The PK analysis set was defined as all participants who had at least one post-dose plasma concentration collected without a major protocol deviation affecting PK. The analysis includes participants with available PK parameter data at each time point. | Posted | Median | Full Range | hours | Cycle 1 Day 1 and Cycle 1 Day 21 at predose and 0.5, 1, 2, 3, 4, and 8 hours postdose |
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| Secondary | Tlast of Lenalidomide After a Single Dose and at Steady State | Blood samples to characterize the pharmacokinetic (PK) profile of zanubrutinib and lenalidomide when given in combination were collected after a single dose (Cycle 1 Day 1) and at steady state (Cycle 1 Day 21) for participants in Part 1 and for twelve participants from the first stage of enrollment in Part 2. The lower limit of quantitation was 2.00 ng/mL. | The PK analysis set was defined as all participants who had at least one post-dose plasma concentration collected without a major protocol deviation affecting PK. The analysis includes participants with available PK parameter data at each time point. | Posted | Median | Full Range | hours | Cycle 1 Day 1 and Cycle 1 Day 21 at predose and 0.5, 1, 2, 3, 4, and 8 hours postdose |
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| Secondary | T1/2 of Lenalidomide After a Single Dose and at Steady State | Blood samples to characterize the pharmacokinetic (PK) profile of zanubrutinib and lenalidomide when given in combination were collected after a single dose (Cycle 1 Day 1) and at steady state (Cycle 1 Day 21) for participants in Part 1 and for twelve participants from the first stage of enrollment in Part 2. The lower limit of quantitation was 2.00 ng/mL. | The PK analysis set was defined as all participants who had at least one post-dose plasma concentration collected without a major protocol deviation affecting PK. The analysis includes participants with available PK parameter data at each time point. | Posted | Geometric Mean | Full Range | hours | Cycle 1 Day 1 and Cycle 1 Day 21 at predose and 0.5, 1, 2, 3, 4, and 8 hours postdose |
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| Secondary | CL/F of Lenalidomide After a Single Dose and at Steady State | Blood samples to characterize the pharmacokinetic (PK) profile of zanubrutinib and lenalidomide when given in combination were collected after a single dose (Cycle 1 Day 1) and at steady state (Cycle 1 Day 21) for participants in Part 1 and for twelve participants from the first stage of enrollment in Part 2. The lower limit of quantitation was 2.00 ng/mL. | The PK analysis set was defined as all participants who had at least one post-dose plasma concentration collected without a major protocol deviation affecting PK. The analysis includes participants with available PK parameter data at each time point. | Posted | Geometric Mean | Geometric Coefficient of Variation | L/h | Cycle 1 Day 1 and Cycle 1 Day 21 at predose and 0.5, 1, 2, 3, 4, and 8 hours postdose |
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| Secondary | Vz/F of Lenalidomide After a Single Dose and at Steady State | Blood samples to characterize the pharmacokinetic (PK) profile of zanubrutinib and lenalidomide when given in combination were collected after a single dose (Cycle 1 Day 1) and at steady state (Cycle 1 Day 21) for participants in Part 1 and for twelve participants from the first stage of enrollment in Part 2. The lower limit of quantitation was 2.00 ng/mL. | The PK analysis set was defined as all participants who had at least one post-dose plasma concentration collected without a major protocol deviation affecting PK. The analysis includes participants with available PK parameter data at each time point. | Posted | Geometric Mean | Geometric Coefficient of Variation | liters | Cycle 1 Day 1 and Cycle 1 Day 21 at predose and 0.5, 1, 2, 3, 4, and 8 hours postdose |
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| Secondary | Accumulation Ratio of AUCt for Lenalidomide | Blood samples to characterize the pharmacokinetic (PK) profile of zanubrutinib and lenalidomide when given in combination were collected after a single dose (Cycle 1 Day 1) and at steady state (Cycle 1 Day 21) for participants in Part 1 and for twelve participants from the first stage of enrollment in Part 2. The lower limit of quantitation was 2.00 ng/mL. Accumulation ratio is defined as the ratio of AUCt at steady state (Day 21) to AUCt after the first dose (Day 1). | The PK analysis set was defined as all participants who had at least one post-dose plasma concentration collected without a major protocol deviation affecting PK. The analysis includes participants with available AUCt data at both Day 1 and Day 21. | Posted | Geometric Mean | Geometric Coefficient of Variation | ratio | Cycle 1 Day 1 and Cycle 1 Day 21 at predose and 0.5, 1, 2, 3, 4, and 8 hours postdose |
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| Secondary | Accumulation Ratio of Cmax for Lenalidomide | Blood samples to characterize the pharmacokinetic (PK) profile of zanubrutinib and lenalidomide when given in combination were collected after a single dose (Cycle 1 Day 1) and at steady state (Cycle 1 Day 21) for participants in Part 1 and for twelve participants from the first stage of enrollment in Part 2. The lower limit of quantitation was 2.00 ng/mL. Accumulation ratio is defined as the ratio of Cmax at steady state (Day 21) to Cmax after the first dose (Day 1). | The PK analysis set was defined as all participants who had at least one post-dose plasma concentration collected without a major protocol deviation affecting PK. The analysis includes participants with available Cmax data at both Day 1 and Day 21. | Posted | Geometric Mean | Geometric Coefficient of Variation | ratio | Cycle 1 Day 1 and Cycle 1 Day 21 at predose and 0.5, 1, 2, 3, 4, and 8 hours postdose |
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| Secondary | Part 1: Overall Response Rate by Immunohistochemistry Subtypes | ORR is defined as the percentage of participants who achieved a best overall response of PR or CR based on the Lugano classification as assessed by the investigator. Response was evaluated using CT and metabolic imaging (FDG-PET). CR: complete metabolic (no/minimal FDG uptake and no evidence of FDG-avid disease in bone marrow) and radiologic response (target lesions regressed to ≤ 1.5 cm in longest diameter with no extra-lymphatic sites of disease, no organ enlargement and normal bone marrow morphology), no new lesions, and no bone marrow involvement confirmed by bone marrow biopsies (if bone marrow was involved at baseline). PR is partial metabolic (reduced FDG uptake from Baseline) and radiologic response (≥ 50% decrease in size of measurable nodes and extranodal sites, no increase in lesions, and spleen regressed by > 50% in length beyond normal) and no new lesions. Immunohistochemistry (IHC) was used to identify germinal B-cell-like (GCB) and non-GCB phenotypes. | The efficacy analysis set was defined as all participants who were exposed to at least one dose of medication with confirmed R/R DLBCL. Participants with no post-baseline response assessments were treated as non-responders. | Posted | Number | 95% Confidence Interval | percentage of participants | Response was assessed every 12 weeks for the first 48 weeks and every 16 weeks for the next 48 weeks and every 24 weeks thereafter; maximum time on follow-up in Part 1 was 42 months. |
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| Secondary | Part 1: Overall Response Rate by Gene Expression Profiling (GEP) Subtypes | The percentage of participants who achieved a best overall response of PR or CR based on the Lugano classification as assessed by the investigator. Response was evaluated using CT and metabolic imaging. CR: complete metabolic (no/minimal FDG uptake and no evidence of FDG-avid disease in bone marrow) and radiologic response (target lesions regressed to ≤ 1.5 cm in longest diameter with no extra-lymphatic sites of disease, no organ enlargement and normal bone marrow morphology), no new lesions, and no bone marrow involvement confirmed by bone marrow biopsies (if bone marrow was involved at baseline). PR: partial metabolic (reduced FDG uptake from Baseline) and radiologic response (≥ 50% decrease in size of measurable nodes and extranodal sites, no increase in lesions, and spleen regressed by > 50% in length beyond normal) and no new lesions. Gene expression profiling by HTG EdgeSeq DLBCL cell-of-origin (COO) assay was used to determine activated B-cell like (ABC) and GCB subtypes. | The efficacy analysis set was defined as all participants who were exposed to at least one dose of medication with confirmed R/R DLBCL. Participants with no post-baseline response assessments were treated as non-responders. Four participants in the Zanubrutinib + Lenalidomide 15 mg group had a missing or unclassified GEP-subtype and are not included in the analysis. | Posted | Number | 95% Confidence Interval | percentage of participants | Response was assessed every 12 weeks for the first 48 weeks and every 16 weeks for the next 48 weeks and every 24 weeks thereafter; maximum time on follow-up in Part 1 was 42 months. |
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| Secondary | Part 2: Overall Response Rate by Immunohistochemistry Subtypes | ORR is defined as the percentage of participants who achieved a best overall response of PR or CR based on the Lugano classification as assessed by the investigator. CR: complete metabolic (no/minimal FDG uptake and no evidence of FDG-avid disease in bone marrow) and radiologic response (target lesions regressed to ≤ 1.5 cm in longest diameter with no extra-lymphatic sites of disease, no organ enlargement and normal bone marrow morphology), no new lesions, and no bone marrow involvement confirmed by bone marrow biopsy (if bone marrow was involved at baseline). PR: partial metabolic (reduced FDG uptake from Baseline) and radiologic response (≥ 50% decrease in size of measurable nodes and extranodal sites, no increase in lesions, and spleen regressed by > 50% in length beyond normal) and no new lesions. Immunohistochemistry was used to identify GCB and non-GCB phenotypes. | The efficacy analysis set was defined as all participants who were exposed to at least one dose of medication with confirmed R/R DLBCL. Participants with no post-baseline response assessments were treated as non-responders. For Part 2 clinical outcomes analyzed by subtype, results include all participants who received the RP2D of lenalidomide (25 mg) with non-missing subtype. | Posted | Number | 95% Confidence Interval | percentage of participants | Response was assessed every 12 weeks for the first 48 weeks and every 16 weeks for the next 48 weeks and every 24 weeks thereafter; maximum time on follow-up was 31 months in the RP2D group. |
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| Secondary | Part 2: Overall Response Rate by Gene Expression Profiling Subtypes | ORR is defined as the percentage of participants who achieved a best overall response of PR or CR based on the Lugano classification assessed by the investigator. CR: complete metabolic (no/minimal FDG uptake and no evidence of FDG-avid disease in bone marrow) and radiologic response (target lesions regressed to ≤1.5 cm in longest diameter with no extra-lymphatic sites of disease, no organ enlargement and normal bone marrow morphology), no new lesions, and no bone marrow involvement confirmed by bone marrow biopsy (if bone marrow was involved at baseline). PR: partial metabolic (reduced FDG uptake from Baseline) and radiologic response (≥ 50% decrease in size of measurable nodes and extranodal sites, no increase in lesions, and spleen regressed by > 50% in length beyond normal) and no new lesions. Gene expression profiling by HTG EdgeSeq DLBCL COO assay was used to determine ABC and GCB subtypes. | The efficacy analysis set was defined as all participants who were exposed to at least one dose of medication with confirmed R/R DLBCL. Participants with no post-baseline response assessments were treated as non-responders. For Part 2 clinical outcomes analyzed by subtype, results include all participants who received the RP2D of lenalidomide (25 mg) with non-missing subtype (four participants had a missing GEP-subtype and are not included). | Posted | Number | 95% Confidence Interval | percentage of participants | Response was assessed every 12 weeks for the first 48 weeks and every 16 weeks for the next 48 weeks and every 24 weeks thereafter; maximum time on follow-up was 31 months in the RP2D group. |
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| Secondary | Part 2: Complete Response Rate (CRR) | CRR is defined as the percentage of participants who achieved a best overall response of complete response (CR) based on the Lugano classification as assessed by the investigator. Response was evaluated using CT and metabolic imaging (FDG-PET). CR: complete metabolic (no/minimal FDG uptake and no evidence of FDG-avid disease in bone marrow) and radiologic response (target lesions regressed to ≤1.5 cm in longest diameter with no extra-lymphatic sites of disease, no organ enlargement and normal bone marrow morphology), no new lesions, and no bone marrow involvement confirmed by bone marrow biopsies (if bone marrow was involved at baseline). | The efficacy analysis set was defined as all participants who were exposed to at least one dose of medication with confirmed R/R DLBCL. Participants with no post-baseline response assessments were treated as non-responders. Complete response rate was a prespecified secondary endpoint in Part 2 only; results are also presented for all participants who received the RP2D of lenalidomide (25 mg). | Posted | Number | 95% Confidence Interval | percentage of participants | Response was assessed every 12 weeks for the first 48 weeks and every 16 weeks for the next 48 weeks and every 24 weeks thereafter; maximum time on follow-up was 24 months in Part 2 and 31 months in the RP2D group. |
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| Secondary | Part 2: Complete Response Rate by Immunohistochemistry Subtypes | CRR is defined as the percentage of participants who achieved a best overall response of complete response (CR) based on the Lugano classification as assessed by the investigator. Response was evaluated using CT and metabolic imaging (FDG-PET). CR: complete metabolic (no/minimal FDG uptake and no evidence of FDG-avid disease in bone marrow) and radiologic response (target lesions regressed to ≤1.5 cm in longest diameter with no extra-lymphatic sites of disease, no organ enlargement and normal bone marrow morphology), no new lesions, and no bone marrow involvement confirmed by bone marrow biopsies (if bone marrow was involved at baseline). Immunohistochemistry was used to identify GCB and non-GCB phenotypes. | The efficacy analysis set was defined as all participants who were exposed to at least one dose of medication with confirmed R/R DLBCL. Participants with no post-baseline response assessments were treated as non-responders. CRR by IHC subtype was a prespecified secondary endpoint in Part 2 only. For Part 2 clinical outcomes analyzed by subtype, results include all participants who received the RP2D of lenalidomide (25 mg) with non-missing subtype. | Posted | Number | 95% Confidence Interval | percentage of participants | Response was assessed every 12 weeks for the first 48 weeks and every 16 weeks for the next 48 weeks and every 24 weeks thereafter; maximum time on follow-up was 31 months in the RP2D group. |
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| Secondary | Part 2: Complete Response Rate by Gene Expression Profiling Subtypes | CRR is defined as the percentage of participants who achieved a best overall response of complete response (CR) based on the Lugano classification as assessed by the investigator. Response was evaluated using CT and metabolic imaging (FDG-PET). CR: complete metabolic (no/minimal FDG uptake and no evidence of FDG-avid disease in bone marrow) and radiologic response (target lesions regressed to ≤1.5 cm in longest diameter with no extra-lymphatic sites of disease, no organ enlargement and normal bone marrow morphology), no new lesions, and no bone marrow involvement confirmed by bone marrow biopsies (if bone marrow was involved at baseline). Gene expression profiling by HTG EdgeSeq DLBCL cell-of-origin assay was used to determine ABC and GCB subtypes. | The efficacy analysis set was defined as all participants who were exposed to at least one dose of medication with confirmed R/R DLBCL. Participants with no post-baseline response assessments were treated as non-responders. CRR by GEP subtype was a prespecified secondary endpoint in Part 2 only. For Part 2 clinical outcomes analyzed by subtype, results include all participants who received the RP2D of lenalidomide (25 mg) with non-missing subtype. | Posted | Number | 95% Confidence Interval | percentage of participants | Response was assessed every 12 weeks for the first 48 weeks and every 16 weeks for the next 48 weeks and every 24 weeks thereafter; maximum time on follow-up was 31 months in the RP2D group. |
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| Secondary | Part 2: Duration of Response (DOR) | DOR is defined as the time from the date that the response criteria were first met to the date that progressive disease (PD) was objectively documented or death, whichever occurred first. Median DOR was estimated using the Kaplan-Meier method. Participants who did not have disease progression were censored at their last valid assessment. PD: Progressive metabolic disease (increased FDG uptake from Baseline and/or new FDG-avid foci consistent with lymphoma), abnormal node or lesions with longest diameter > 1.5 cm, an increase of ≥ 50% in the product of the perpendicular diameters, and an increase in the longest diameter of 0.5 cm for lesions ≤ 2 cm or 1.0 cm for lesions > 2 cm, or any new lesions. | The efficacy analysis set was defined as all participants who were exposed to at least one dose of medication with confirmed R/R DLBCL. DOR was a prespecified secondary endpoint in Part 2 only; results are also presented for all participants who received the RP2D of lenalidomide (25 mg). Participants with an overall response are included in the analysis. | Posted | Median | 95% Confidence Interval | months | From first dose to the end of study; maximum time on follow-up was 24 months in Part 2 and 31 months in the RP2D group. |
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| Secondary | Part 2: Duration of Response by Immunohistochemistry Subtypes | DOR is defined as the time from the date that the response criteria were first met to the date that progressive disease PD was objectively documented or death, whichever occurred first. Median DOR was estimated using the Kaplan-Meier method. Participants who did not have disease progression were censored at their last valid assessment. Immunohistochemistry was used to identify GCB and non-GCB phenotypes. | The efficacy analysis set was defined as all participants who were exposed to at least one dose of medication with confirmed R/R DLBCL. DOR by IHC subtype was a prespecified secondary endpoint in Part 2 only. For Part 2 clinical outcomes analyzed by subtype, results include all participants who received the RP2D of lenalidomide (25 mg). Participants with an overall response and non-missing IHC subtype are included in the analysis. | Posted | Median | 95% Confidence Interval | months | From first dose to the end of study; maximum time on follow-up was 31 months in the RP2D group. |
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| Secondary | Part 2: Duration of Response by Gene Expression Profiling Subtypes | DOR is defined as the time from the date that the response criteria were first met to the date that progressive disease PD was objectively documented or death, whichever occurred first. Median DOR was estimated using the Kaplan-Meier method. Participants who did not have disease progression were censored at their last valid assessment. Gene expression profiling by HTG EdgeSeq DLBCL cell-of-origin assay was used to determine ABC and GCB subtypes. | The efficacy analysis set was defined as all participants who were exposed to at least one dose of medication with confirmed R/R DLBCL. DOR by GEP subtype was a prespecified secondary endpoint in Part 2 only. For Part 2 clinical outcomes analyzed by subtype, results include all participants who received the RP2D of lenalidomide (25 mg). Participants with an overall response and non-missing GEP subtype are included in the analysis. | Posted | Median | 95% Confidence Interval | months | From first dose to the end of study; maximum time on follow-up was 31 months in the RP2D group. |
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| Secondary | Part 2: Progression-free Survival (PFS) | PFS is defined as the time from the starting date of the combination therapy to the date of first documentation of disease progression or death, whichever occurred first. Median PFS was estimated using the Kaplan-Meier method. Participants who did not have disease progression were censored at their last valid tumor assessment. | The efficacy analysis set was defined as all participants who were exposed to at least one dose of medication with confirmed R/R DLBCL. PFS was a prespecified secondary endpoint in Part 2 only; results are also presented for all participants who received the RP2D of lenalidomide. | Posted | Median | 95% Confidence Interval | months | From first dose to the end of study; maximum time on follow-up was 24 months in Part 2 and 31 months in the RP2D group. |
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| Secondary | Part 2: Progression-Free Survival by Immunohistochemistry Subtypes | PFS is defined as the time from the starting date of the combination therapy to the date of first documentation of disease progression or death, whichever occurred first. Median PFS was estimated using the Kaplan-Meier method. Participants who did not have disease progression were censored at their last valid tumor assessment. Immunohistochemistry was used to identify GCB and non-GCB phenotypes. | The efficacy analysis set was defined as all participants who were exposed to at least one dose of medication with confirmed R/R DLBCL. PFS by IHC subtype was a prespecified secondary endpoint in Part 2 only. For Part 2 clinical outcomes analyzed by subtype, results include all participants who received the RP2D of lenalidomide (25 mg) with non-missing subtype. | Posted | Median | 95% Confidence Interval | months | From first dose to the end of study; maximum time on follow-up was 31 months in the RP2D group. |
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| Secondary | Part 2: Progression-Free Survival by Gene Expression Profiling Subtypes | PFS is defined as the time from the starting date of the combination therapy to the date of first documentation of disease progression or death, whichever occurred first. Median PFS was estimated using the Kaplan-Meier method. Participants who did not have disease progression were censored at their last valid tumor assessment. Gene expression profiling by HTG EdgeSeq DLBCL cell-of-origin assay was used to determine ABC and GCB subtypes. | The efficacy analysis set was defined as all participants who were exposed to at least one dose of medication with confirmed R/R DLBCL. PFS by GEP subtype was a prespecified secondary endpoint in Part 2 only. For Part 2 clinical outcomes analyzed by subtype, results include all participants who received the RP2D of lenalidomide (25 mg) with non-missing subtype (four participants had a missing GEP-subtype and are not included). | Posted | Median | 95% Confidence Interval | months | From first dose to the end of study; maximum time on follow-up was 31 months in the RP2D group. |
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| Secondary | Part 2: Time to Response (TTR) | Time to response is defined as time from the starting date of combination therapy to the date the response criteria were first met. | The efficacy analysis set was defined as all participants who were exposed to at least one dose of medication with confirmed R/R DLBCL. TTR was a prespecified secondary endpoint in Part 2 only; results are also presented for all participants who received the RP2D of lenalidomide (25 mg). Participants with an overall response are included in the analysis. | Posted | Median | Inter-Quartile Range | months | Response was assessed every 12 weeks for the first 48 weeks and every 16 weeks for the next 48 weeks and every 24 weeks thereafter; maximum time on follow-up was 24 months in Part 2 and 31 months in the RP2D group. |
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| Secondary | Part 2: Time to Response by Immunohistochemistry Subtypes | Time to response is defined as time from the starting date of combination therapy to the date the response criteria were first met. Immunohistochemistry was used to identify GCB and non-GCB phenotypes. | The efficacy analysis set was defined as all participants who were exposed to at least one dose of medication with confirmed R/R DLBCL. TTR by IHC subtype was a prespecified secondary endpoint in Part 2 only. For Part 2 clinical outcomes analyzed by subtype, results include all participants who received the RP2D of lenalidomide (25 mg). Participants with an overall response and non-missing IHC subtype are included in the analysis. | Posted | Median | Inter-Quartile Range | months | Response was assessed every 12 weeks for the first 48 weeks and every 16 weeks for the next 48 weeks and every 24 weeks thereafter; maximum time on follow-up was 31 months in the RP2D group. |
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| Secondary | Part 2: Time to Response by Gene Expression Profiling Subtypes | Time to response is defined as the time from the starting date of combination therapy to the date objective response criteria were first met. Gene expression profiling by HTG EdgeSeq DLBCL cell-of-origin assay was used to determine ABC and GCB subtypes. | The efficacy analysis set was defined as all participants who were exposed to at least one dose of medication with confirmed R/R DLBCL. TTR by GEP subtype was a prespecified secondary endpoint in Part 2 only. For Part 2 clinical outcomes analyzed by subtype, results include all participants who received the RP2D of lenalidomide (25 mg). Participants with an overall response and non-missing GEP subtype are included in the analysis. | Posted | Median | Inter-Quartile Range | months | From first dose to the end of study; maximum time on follow-up was 31 months in the RP2D group. |
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| Secondary | Part 2: Number of Participants With Treatment-emergent Adverse Events | An AE is defined as any untoward medical occurrence in a patient temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product (zanubrutinib in combination with lenalidomide). A serious adverse event (SAE) is any untoward medical occurrence that, at any dose:
| The safety analysis set was defined as all participants who received at least one dose of any medication within the combination therapy. | Posted | Count of Participants | Participants | From first dose of study drug to 30 days after last dose. Maximum time on treatment in Part 2 was 701 days. |
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All-cause mortality: Up to the end of study, maximum time on study was 41.6 months. AEs: From first dose of study drug to 30 days after last dose. Maximum time on treatment was 1260 days.
Not provided
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Part 1: Zanubrutinib + Lenalidomide 15 mg | Participants received zanubrutinib 160 mg orally BID and lenalidomide 15 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. | 3 | 6 | 0 | 6 | 6 | 6 |
| EG001 | Part 1: Zanubrutinib + Lenalidomide 20 mg | Participants received zanubrutinib 160 mg orally BID and lenalidomide 20 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. | 5 | 10 | 3 | 10 | 10 | 10 |
| EG002 | Part 1: Zanubrutinib + Lenalidomide 25 mg | Participants received zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. | 3 | 11 | 4 | 11 | 11 | 11 |
| EG003 | Part 2: Zanubrutinib + Lenalidomide 25 mg | Participants received zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. | 18 | 39 | 14 | 39 | 39 | 39 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | 26.0 | Systematic Assessment |
| |
| Febrile neutropenia | Blood and lymphatic system disorders | 26.0 | Systematic Assessment |
| |
| Thrombocytopenia | Blood and lymphatic system disorders | 26.0 | Systematic Assessment |
| |
| Cardiopulmonary failure | Cardiac disorders | 26.0 | Systematic Assessment |
| |
| Abdominal discomfort | Gastrointestinal disorders | 26.0 | Systematic Assessment |
| |
| Haematochezia | Gastrointestinal disorders | 26.0 | Systematic Assessment |
| |
| Intestinal obstruction | Gastrointestinal disorders | 26.0 | Systematic Assessment |
| |
| Chest discomfort | General disorders | 26.0 | Systematic Assessment |
| |
| Malaise | General disorders | 26.0 | Systematic Assessment |
| |
| Pyrexia | General disorders | 26.0 | Systematic Assessment |
| |
| COVID-19 | Infections and infestations | 26.0 | Systematic Assessment |
| |
| COVID-19 pneumonia | Infections and infestations | 26.0 | Systematic Assessment |
| |
| Pneumonia | Infections and infestations | 26.0 | Systematic Assessment |
| |
| Pneumonia viral | Infections and infestations | 26.0 | Systematic Assessment |
| |
| Road traffic accident | Injury, poisoning and procedural complications | 26.0 | Systematic Assessment |
| |
| Blood creatinine increased | Investigations | 26.0 | Systematic Assessment |
| |
| Neutrophil count decreased | Investigations | 26.0 | Systematic Assessment |
| |
| Platelet count decreased | Investigations | 26.0 | Systematic Assessment |
| |
| White blood cell count decreased | Investigations | 26.0 | Systematic Assessment |
| |
| Hypercalcaemia | Metabolism and nutrition disorders | 26.0 | Systematic Assessment |
| |
| Hypokalaemia | Metabolism and nutrition disorders | 26.0 | Systematic Assessment |
| |
| Pulmonary embolism | Respiratory, thoracic and mediastinal disorders | 26.0 | Systematic Assessment |
| |
| Skin induration | Skin and subcutaneous tissue disorders | 26.0 | Systematic Assessment |
| |
| Scalp haematoma | Vascular disorders | 26.0 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | 26.0 | Systematic Assessment |
| |
| Leukocytosis | Blood and lymphatic system disorders | 26.0 | Systematic Assessment |
| |
| Leukopenia | Blood and lymphatic system disorders | 26.0 | Systematic Assessment |
| |
| Neutropenia | Blood and lymphatic system disorders | 26.0 | Systematic Assessment |
| |
| Splenomegaly | Blood and lymphatic system disorders | 26.0 | Systematic Assessment |
| |
| Arrhythmia | Cardiac disorders | 26.0 | Systematic Assessment |
| |
| Pericardial effusion | Cardiac disorders | 26.0 | Systematic Assessment |
| |
| Sinus bradycardia | Cardiac disorders | 26.0 | Systematic Assessment |
| |
| Sinus tachycardia | Cardiac disorders | 26.0 | Systematic Assessment |
| |
| Thyroid cyst | Endocrine disorders | 26.0 | Systematic Assessment |
| |
| Conjunctival haemorrhage | Eye disorders | 26.0 | Systematic Assessment |
| |
| Abdominal discomfort | Gastrointestinal disorders | 26.0 | Systematic Assessment |
| |
| Abdominal distension | Gastrointestinal disorders | 26.0 | Systematic Assessment |
| |
| Abdominal pain | Gastrointestinal disorders | 26.0 | Systematic Assessment |
| |
| Abdominal pain lower | Gastrointestinal disorders | 26.0 | Systematic Assessment |
| |
| Abdominal pain upper | Gastrointestinal disorders | 26.0 | Systematic Assessment |
| |
| Constipation | Gastrointestinal disorders | 26.0 | Systematic Assessment |
| |
| Diarrhoea | Gastrointestinal disorders | 26.0 | Systematic Assessment |
| |
| Dysphagia | Gastrointestinal disorders | 26.0 | Systematic Assessment |
| |
| Gastrooesophageal reflux disease | Gastrointestinal disorders | 26.0 | Systematic Assessment |
| |
| Haematochezia | Gastrointestinal disorders | 26.0 | Systematic Assessment |
| |
| Inguinal hernia | Gastrointestinal disorders | 26.0 | Systematic Assessment |
| |
| Mouth ulceration | Gastrointestinal disorders | 26.0 | Systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | 26.0 | Systematic Assessment |
| |
| Stomatitis | Gastrointestinal disorders | 26.0 | Systematic Assessment |
| |
| Toothache | Gastrointestinal disorders | 26.0 | Systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | 26.0 | Systematic Assessment |
| |
| Asthenia | General disorders | 26.0 | Systematic Assessment |
| |
| Axillary pain | General disorders | 26.0 | Systematic Assessment |
| |
| Chest discomfort | General disorders | 26.0 | Systematic Assessment |
| |
| Fatigue | General disorders | 26.0 | Systematic Assessment |
| |
| General physical health deterioration | General disorders | 26.0 | Systematic Assessment |
| |
| Influenza like illness | General disorders | 26.0 | Systematic Assessment |
| |
| Non-cardiac chest pain | General disorders | 26.0 | Systematic Assessment |
| |
| Oedema peripheral | General disorders | 26.0 | Systematic Assessment |
| |
| Peripheral swelling | General disorders | 26.0 | Systematic Assessment |
| |
| Pyrexia | General disorders | 26.0 | Systematic Assessment |
| |
| Swelling face | General disorders | 26.0 | Systematic Assessment |
| |
| Hepatic function abnormal | Hepatobiliary disorders | 26.0 | Systematic Assessment |
| |
| Asymptomatic bacteriuria | Infections and infestations | 26.0 | Systematic Assessment |
| |
| Bronchitis | Infections and infestations | 26.0 | Systematic Assessment |
| |
| COVID-19 | Infections and infestations | 26.0 | Systematic Assessment |
| |
| COVID-19 pneumonia | Infections and infestations | 26.0 | Systematic Assessment |
| |
| Cervicitis | Infections and infestations | 26.0 | Systematic Assessment |
| |
| Fungal skin infection | Infections and infestations | 26.0 | Systematic Assessment |
| |
| Herpes zoster | Infections and infestations | 26.0 | Systematic Assessment |
| |
| Pneumonia | Infections and infestations | 26.0 | Systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | 26.0 | Systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | 26.0 | Systematic Assessment |
| |
| Activated partial thromboplastin time prolonged | Investigations | 26.0 | Systematic Assessment |
| |
| Alanine aminotransferase increased | Investigations | 26.0 | Systematic Assessment |
| |
| Aspartate aminotransferase increased | Investigations | 26.0 | Systematic Assessment |
| |
| Basophil count increased | Investigations | 26.0 | Systematic Assessment |
| |
| Beta 2 microglobulin increased | Investigations | 26.0 | Systematic Assessment |
| |
| Bilirubin conjugated increased | Investigations | 26.0 | Systematic Assessment |
| |
| Blood alkaline phosphatase increased | Investigations | 26.0 | Systematic Assessment |
| |
| Blood bilirubin increased | Investigations | 26.0 | Systematic Assessment |
| |
| Blood bilirubin unconjugated increased | Investigations | 26.0 | Systematic Assessment |
| |
| Blood cholesterol increased | Investigations | 26.0 | Systematic Assessment |
| |
| Blood creatine phosphokinase increased | Investigations | 26.0 | Systematic Assessment |
| |
| Blood creatinine increased | Investigations | 26.0 | Systematic Assessment |
| |
| Blood fibrinogen decreased | Investigations | 26.0 | Systematic Assessment |
| |
| Blood fibrinogen increased | Investigations | 26.0 | Systematic Assessment |
| |
| Blood glucose increased | Investigations | 26.0 | Systematic Assessment |
| |
| Blood lactate dehydrogenase increased | Investigations | 26.0 | Systematic Assessment |
| |
| Blood phosphorus decreased | Investigations | 26.0 | Systematic Assessment |
| |
| Blood phosphorus increased | Investigations | 26.0 | Systematic Assessment |
| |
| Blood pressure increased | Investigations | 26.0 | Systematic Assessment |
| |
| Blood thyroid stimulating hormone increased | Investigations | 26.0 | Systematic Assessment |
| |
| Blood urea increased | Investigations | 26.0 | Systematic Assessment |
| |
| C-reactive protein increased | Investigations | 26.0 | Systematic Assessment |
| |
| Creatinine renal clearance decreased | Investigations | 26.0 | Systematic Assessment |
| |
| Eosinophil count decreased | Investigations | 26.0 | Systematic Assessment |
| |
| Fibrin D dimer increased | Investigations | 26.0 | Systematic Assessment |
| |
| Gamma-glutamyltransferase increased | Investigations | 26.0 | Systematic Assessment |
| |
| Globulins decreased | Investigations | 26.0 | Systematic Assessment |
| |
| International normalised ratio increased | Investigations | 26.0 | Systematic Assessment |
| |
| Lipase increased | Investigations | 26.0 | Systematic Assessment |
| |
| Lymphocyte count decreased | Investigations | 26.0 | Systematic Assessment |
| |
| Monocyte count decreased | Investigations | 26.0 | Systematic Assessment |
| |
| Neutrophil count decreased | Investigations | 26.0 | Systematic Assessment |
| |
| Platelet count decreased | Investigations | 26.0 | Systematic Assessment |
| |
| Prothrombin time prolonged | Investigations | 26.0 | Systematic Assessment |
| |
| Red blood cell count decreased | Investigations | 26.0 | Systematic Assessment |
| |
| Weight decreased | Investigations | 26.0 | Systematic Assessment |
| |
| Weight increased | Investigations | 26.0 | Systematic Assessment |
| |
| White blood cell count decreased | Investigations | 26.0 | Systematic Assessment |
| |
| White blood cell count increased | Investigations | 26.0 | Systematic Assessment |
| |
| Decreased appetite | Metabolism and nutrition disorders | 26.0 | Systematic Assessment |
| |
| Diabetes mellitus | Metabolism and nutrition disorders | 26.0 | Systematic Assessment |
| |
| Hypercalcaemia | Metabolism and nutrition disorders | 26.0 | Systematic Assessment |
| |
| Hyperchloraemia | Metabolism and nutrition disorders | 26.0 | Systematic Assessment |
| |
| Hypercholesterolaemia | Metabolism and nutrition disorders | 26.0 | Systematic Assessment |
| |
| Hyperglycaemia | Metabolism and nutrition disorders | 26.0 | Systematic Assessment |
| |
| Hyperlipidaemia | Metabolism and nutrition disorders | 26.0 | Systematic Assessment |
| |
| Hypernatraemia | Metabolism and nutrition disorders | 26.0 | Systematic Assessment |
| |
| Hyperphosphataemia | Metabolism and nutrition disorders | 26.0 | Systematic Assessment |
| |
| Hypertriglyceridaemia | Metabolism and nutrition disorders | 26.0 | Systematic Assessment |
| |
| Hyperuricaemia | Metabolism and nutrition disorders | 26.0 | Systematic Assessment |
| |
| Hypoalbuminaemia | Metabolism and nutrition disorders | 26.0 | Systematic Assessment |
| |
| Hypocalcaemia | Metabolism and nutrition disorders | 26.0 | Systematic Assessment |
| |
| Hypochloraemia | Metabolism and nutrition disorders | 26.0 | Systematic Assessment |
| |
| Hypokalaemia | Metabolism and nutrition disorders | 26.0 | Systematic Assessment |
| |
| Hypomagnesaemia | Metabolism and nutrition disorders | 26.0 | Systematic Assessment |
| |
| Hyponatraemia | Metabolism and nutrition disorders | 26.0 | Systematic Assessment |
| |
| Hypophosphataemia | Metabolism and nutrition disorders | 26.0 | Systematic Assessment |
| |
| Hypoproteinaemia | Metabolism and nutrition disorders | 26.0 | Systematic Assessment |
| |
| Back pain | Musculoskeletal and connective tissue disorders | 26.0 | Systematic Assessment |
| |
| Intervertebral disc protrusion | Musculoskeletal and connective tissue disorders | 26.0 | Systematic Assessment |
| |
| Pain in extremity | Musculoskeletal and connective tissue disorders | 26.0 | Systematic Assessment |
| |
| Periarthritis | Musculoskeletal and connective tissue disorders | 26.0 | Systematic Assessment |
| |
| Lymphangiosis carcinomatosa | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | 26.0 | Systematic Assessment |
| |
| Dizziness | Nervous system disorders | 26.0 | Systematic Assessment |
| |
| Hypoaesthesia | Nervous system disorders | 26.0 | Systematic Assessment |
| |
| Agitation | Psychiatric disorders | 26.0 | Systematic Assessment |
| |
| Insomnia | Psychiatric disorders | 26.0 | Systematic Assessment |
| |
| Poor quality sleep | Psychiatric disorders | 26.0 | Systematic Assessment |
| |
| Haematuria | Renal and urinary disorders | 26.0 | Systematic Assessment |
| |
| Renal pain | Renal and urinary disorders | 26.0 | Systematic Assessment |
| |
| Urinary retention | Renal and urinary disorders | 26.0 | Systematic Assessment |
| |
| Epididymal cyst | Reproductive system and breast disorders | 26.0 | Systematic Assessment |
| |
| Cough | Respiratory, thoracic and mediastinal disorders | 26.0 | Systematic Assessment |
| |
| Cystic lung disease | Respiratory, thoracic and mediastinal disorders | 26.0 | Systematic Assessment |
| |
| Haemoptysis | Respiratory, thoracic and mediastinal disorders | 26.0 | Systematic Assessment |
| |
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | 26.0 | Systematic Assessment |
| |
| Pleural effusion | Respiratory, thoracic and mediastinal disorders | 26.0 | Systematic Assessment |
| |
| Productive cough | Respiratory, thoracic and mediastinal disorders | 26.0 | Systematic Assessment |
| |
| Dermatitis | Skin and subcutaneous tissue disorders | 26.0 | Systematic Assessment |
| |
| Dermatitis allergic | Skin and subcutaneous tissue disorders | 26.0 | Systematic Assessment |
| |
| Ecchymosis | Skin and subcutaneous tissue disorders | 26.0 | Systematic Assessment |
| |
| Night sweats | Skin and subcutaneous tissue disorders | 26.0 | Systematic Assessment |
| |
| Pruritus | Skin and subcutaneous tissue disorders | 26.0 | Systematic Assessment |
| |
| Purpura | Skin and subcutaneous tissue disorders | 26.0 | Systematic Assessment |
| |
| Rash | Skin and subcutaneous tissue disorders | 26.0 | Systematic Assessment |
| |
| Rash maculo-papular | Skin and subcutaneous tissue disorders | 26.0 | Systematic Assessment |
| |
| Urticaria | Skin and subcutaneous tissue disorders | 26.0 | Systematic Assessment |
| |
| Hypertension | Vascular disorders | 26.0 | Systematic Assessment |
| |
| Hypotension | Vascular disorders | 26.0 | Systematic Assessment |
| |
| Venous thrombosis limb | Vascular disorders | 26.0 | Systematic Assessment |
|
BeiGene has 18 months from the end of the study at all sites to publish overall study results. After the 1st multi-site publication or the expiration of publication period,Investigators are free to publish/present the results of the study. Investigators must submit all draft publications/presentations to us for review 60 days prior to the planned publication/presentation date. BeiGene may request deletion of its confidential information & may request a further delay to protect its IP rights.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Study Director | BeiGene | 1 877-828-5568 | clinicaltrials@beigene.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Aug 3, 2023 | Apr 11, 2025 | SAP_001.pdf |
| ID | Term |
|---|---|
| D016403 | Lymphoma, Large B-Cell, Diffuse |
| ID | Term |
|---|---|
| D016393 | Lymphoma, B-Cell |
| D008228 | Lymphoma, Non-Hodgkin |
| D008223 | Lymphoma |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| C000629551 | zanubrutinib |
| D000077269 | Lenalidomide |
| ID | Term |
|---|---|
| D010797 | Phthalimides |
| D010795 | Phthalic Acids |
| D000146 | Acids, Carbocyclic |
| D002264 | Carboxylic Acids |
| D009930 | Organic Chemicals |
| D010881 | Piperidones |
| D010880 | Piperidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D054833 | Isoindoles |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
Not provided
Not provided
| Male |
|
| Asian |
|
| Native Hawaiian or Other Pacific Islander |
|
| Black or African American |
|
| White |
|
| More than one race |
|
| Unknown or Not Reported |
|
| Title | Measurements |
|---|---|
|
Participants received zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| OG001 | Part 1+2: Zanubrutinib + Lenalidomide 25 mg | All participants who received the Recommended Phase 2 dose (RP2D) of zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
|
|
| OG001 | Part 1: Zanubrutinib + Lenalidomide 20 mg | Participants received zanubrutinib 160 mg orally BID and lenalidomide 20 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| OG002 | Part 1: Zanubrutinib + Lenalidomide 25 mg | Participants received zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| OG002 |
| Day 1 Zanubrutinib + Lenalidomide 25 mg |
Participants received zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| OG003 | Day 21 Zanubrutinib + Lenalidomide 15 mg | Participants received zanubrutinib 160 mg orally BID and lenalidomide 15 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| OG004 | Day 21 Zanubrutinib + Lenalidomide 20 mg | Participants received zanubrutinib 160 mg orally BID and lenalidomide 20 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| OG005 | Day 21 Zanubrutinib + Lenalidomide 25 mg | Participants received zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
|
|
Participants received zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| OG003 | Day 21 Zanubrutinib + Lenalidomide 15 mg | Participants received zanubrutinib 160 mg orally BID and lenalidomide 15 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| OG004 | Day 21 Zanubrutinib + Lenalidomide 20 mg | Participants received zanubrutinib 160 mg orally BID and lenalidomide 20 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| OG005 | Day 21 Zanubrutinib + Lenalidomide 25 mg | Participants received zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
|
|
Participants received zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
|
|
Participants received zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| OG003 | Day 21 Zanubrutinib + Lenalidomide 15 mg | Participants received zanubrutinib 160 mg orally BID and lenalidomide 15 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| OG004 | Day 21 Zanubrutinib + Lenalidomide 20 mg | Participants received zanubrutinib 160 mg orally BID and lenalidomide 20 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| OG005 | Day 21 Zanubrutinib + Lenalidomide 25 mg | Participants received zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
|
|
Participants received zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| OG003 | Day 21 Zanubrutinib + Lenalidomide 15 mg | Participants received zanubrutinib 160 mg orally BID and lenalidomide 15 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| OG004 | Day 21 Zanubrutinib + Lenalidomide 20 mg | Participants received zanubrutinib 160 mg orally BID and lenalidomide 20 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| OG005 | Day 21 Zanubrutinib + Lenalidomide 25 mg | Participants received zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
|
|
Participants received zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| OG003 | Day 21 Zanubrutinib + Lenalidomide 15 mg | Participants received zanubrutinib 160 mg orally BID and lenalidomide 15 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| OG004 | Day 21 Zanubrutinib + Lenalidomide 20 mg | Participants received zanubrutinib 160 mg orally BID and lenalidomide 20 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| OG005 | Day 21 Zanubrutinib + Lenalidomide 25 mg | Participants received zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
|
|
Participants received zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| OG003 | Day 21 Zanubrutinib + Lenalidomide 15 mg | Participants received zanubrutinib 160 mg orally BID and lenalidomide 15 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| OG004 | Day 21 Zanubrutinib + Lenalidomide 20 mg | Participants received zanubrutinib 160 mg orally BID and lenalidomide 20 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| OG005 | Day 21 Zanubrutinib + Lenalidomide 25 mg | Participants received zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
|
|
Participants received zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| OG003 | Day 21 Zanubrutinib + Lenalidomide 15 mg | Participants received zanubrutinib 160 mg orally BID and lenalidomide 15 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| OG004 | Day 21 Zanubrutinib + Lenalidomide 20 mg | Participants received zanubrutinib 160 mg orally BID and lenalidomide 20 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| OG005 | Day 21 Zanubrutinib + Lenalidomide 25 mg | Participants received zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
|
|
Participants received zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| OG003 | Day 21 Zanubrutinib + Lenalidomide 15 mg | Participants received zanubrutinib 160 mg orally BID and lenalidomide 15 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| OG004 | Day 21 Zanubrutinib + Lenalidomide 20 mg | Participants received zanubrutinib 160 mg orally BID and lenalidomide 20 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| OG005 | Day 21 Zanubrutinib + Lenalidomide 25 mg | Participants received zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
|
|
| OG002 |
| Zanubrutinib + Lenalidomide 25 mg |
Participants received zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
|
|
| OG002 |
| Zanubrutinib + Lenalidomide 25 mg |
Participants received zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
|
|
| OG001 | Non-GCB Subtype: Zanubrutinib + Lenalidomide 15 mg | Participants with IHC non-GCB subtype received zanubrutinib 160 mg orally BID and lenalidomide 15 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| OG002 | GCB Subtype: Zanubrutinib + Lenalidomide 20 mg | Participants with IHC GCB subtype received zanubrutinib 160 mg orally BID and lenalidomide 20 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| OG003 | Non-GCB Subtype: Zanubrutinib + Lenalidomide 20 mg | Participants with IHC non-GCB subtype received zanubrutinib 160 mg orally BID and lenalidomide 20 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| OG004 | GCB Subtype: Zanubrutinib + Lenalidomide 25 mg | Participants in Part 1 with IHC GCB subtype received zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| OG005 | Non-GCB Subtype: Zanubrutinib + Lenalidomide 25 mg | Participants in Part 1 with IHC non-GCB subtype received zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
|
|
Participants with GEP ABC subtype received zanubrutinib 160 mg orally BID and lenalidomide 15 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity.
| OG001 | GCB Subtype: Zanubrutinib + Lenalidomide 15 mg | Participants with GEP GCB subtype received zanubrutinib 160 mg orally BID and lenalidomide 15 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| OG002 | ABC Subtype: Zanubrutinib + Lenalidomide 20 mg | Participants with GEP ABC subtype received zanubrutinib 160 mg orally BID and lenalidomide 20 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| OG003 | GCB Subtype: Zanubrutinib + Lenalidomide 20 mg | Participants with GEP GCB subtype received zanubrutinib 160 mg orally BID and lenalidomide 20 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| OG004 | ABC Subtype: Zanubrutinib + Lenalidomide 25 mg | Participants in Part 1 with GEP ABC subtype received zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
| OG005 | GCB Subtype: Zanubrutinib + Lenalidomide 25 mg | Participants in Part 1 with GEP GCB subtype received zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
|
|
| OG001 | Non-GCB Subtype: Zanubrutinib + Lenalidomide 25 mg | Participants with IHC non-GCB subtype who received zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
|
|
Participants with GEP ABC subtype who received zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity.
| OG001 | GCB Subtype: Zanubrutinib + Lenalidomide 25 mg | Participants with GEP GCB subtype who received zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
|
|
| Part 1+2: Zanubrutinib + Lenalidomide 25 mg |
All participants who received the RP2D of zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
|
|
| OG001 | Non-GCB Subtype: Zanubrutinib + Lenalidomide 25 mg | Participants with IHC non-GCB subtype who received zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
|
|
| OG001 | GCB Subtype: Zanubrutinib + Lenalidomide 25 mg | Participants with GEP GCB subtype who received zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
|
|
All participants who received the Recommended Phase 2 dose (RP2D) of zanubrutinib 160 mg orally BID and lenalidomide 25 mg orally QD on Days 1-21 of each 28-day cycle until disease progression or unacceptable toxicity. |
|
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