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This is a prospective, single center, single arm, open label study of zanubrutinib, lenalidomide in combination with Rituximab-ICE for treatment of relapsed/refractory diffuse large B-cell lymphoma.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ZR2-ICE Group | Experimental | All patients will receive 3 cycles of ZR2-ICE immunochemotherapy every three weeks. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ZR2-ICE | Drug |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Objective response rate (ORR) | To evaluate the efficacy in terms of objective response rate including CR and PR rate after three cycles of ZR2-ICE | 9 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Complete remission rate (CR) | To evaluate the efficacy in terms of Complete Response Rate after three cycles of ZR2-ICE | 9 weeks |
| DOR | Among participants who experience an objective response, DOR is defined as the date of their first objective response (which is subsequently confirmed) to disease progression |
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Inclusion Criteria:
1. Age between 18 years and 75 years 2. Histologically confirmed diagnosis of DLBCL, CD20 positive 3. Patients received at least one systemic regimens for the treatment of DLBCL, and one therapy line must have included a CD20-targeted therapy.
4. Relapsed or refractory disease 5. Eastern Cooperative Oncology Group (ECOG) performance status of 0-2. 6. Measurable disease on cross section imaging by PET and/or CT that is at least 1.5 cm in the longest diameter and measurable in two perpendicular dimensions as defined by IWG criteria.
7. Patients must meet the following laboratory criteria at screening, including:
9. Male subject agrees to use an acceptable method for contraception for the duration of the study. Men must agree to not donate sperm during and after the study. For males, these restrictions apply for 3 months after the last dose of study drug.
10. Sign an informed consent document indicating that they understand the purpose of and procedures required for the study, and are willing to participate in the study. Must be able to adhere to study visit schedules and other protocol requirements.
Exclusion Criteria:
1. Patients who have a history of "double/triple hit" genetics. 2. Patients who have, within 14 days prior to Day 1 dosing:
4. Patients who have,
6. Patients who have,
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Hong-Hui Huang, Professor | Contact | 00862168383144 | huanghonghui@renji.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Renji Hospital, Shanghai Jiaotong University School of Medicine | Recruiting | Shanghai | Shanghai Municipality | 200127 | China |
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| 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 |
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| Up to 2 years |
| Progression-free survival | Progression-free survival is defined as the time from enrolment to progression or death due to any cause. The distribution of PFS will be estimated using the method of Kaplan-Meier. | Up to 2 years |
| Overall survival | Overall survival is defined as the time from enrolment to death due to any cause. | Up to 2 years |
| Safety Management Study | Incidence of Treatment-Emergent Adverse Events | Up to 100 days |
| D009369 |
| Neoplasms |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |