Clinical trial Recruiting at 11 sites Phase 2 Interventional Ages 18 and up

Combining orelabrutinib with R-CHOP for treating CD5-positive DLBCL

Official title: Orelabrutinib in Combination with R-CHOP for CD5-positive DLBCL Patients: a Single-arm, Multicenter, Phase II Clinical Trial(Rocket Trial)

Run by Sun Yat-sen University · NCT06647940 · Data updated 2026-11-12

This study is testing if adding a new drug called orelabrutinib to the standard R-CHOP treatment can help people with untreated CD5-positive diffuse large B-cell lymphoma live longer without their cancer coming back.

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment39 (estimated)
SponsorSun Yat-sen University
Academic / other
Drugs / interventionsrituximab, orelabrutinib, cyclophosphamide, doxorubicin, prednisone
Locations11 sites (Guangzhou, China and 10 other locations)
StatusRecruiting
StartedNovember 1, 2024
Main results expectedNovember 1, 2026
Study endsMarch 1, 2027
Registry record updatedOctober 22, 2024
Trial IDNCT06647940 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 and older with pathologically confirmed CD5-positive DLBCL and measurable lesions.

Probably not a fit

Patients with DLBCL combined with other types of lymphoma or those who have previously received BTK inhibitors may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This phase II clinical trial evaluates the efficacy and safety of orelabrutinib in combination with the R-CHOP regimen for patients with untreated CD5-positive diffuse large B-cell lymphoma (DLBCL). Participants will undergo 6 cycles of treatment with orelabrutinib added from the second cycle, followed by 2 additional cycles of rituximab and orelabrutinib. The primary endpoint of the trial is the 2-year event-free survival rate. This multicenter study aims to provide insights into a potentially effective first-line treatment for this specific patient population.

Why it matters

Potential benefit: If successful, this treatment could improve survival rates and outcomes for patients with CD5-positive DLBCL.

How similar studies have gone: While this approach is novel for CD5-positive DLBCL, similar combinations of targeted therapies and chemotherapy have shown promise in other lymphoma studies.

Who can join: the full rules

Show full inclusion / exclusion criteria
Key Inclusion Criteria:

1. Subjects fully understand and voluntarily participate in this study and sign informed consent.
2. Aged ≥18 years, both male and female.
3. Pathologically confirmed CD5-positive DLBCL
4. There must be at least one measurable or evaluable lesion that meets the evaluation criteria for Lugano 2014 lymphoma.
5. Eastern Cooperative Oncology Group(ECOG) performance status score of 0-2.
6. Expected survival ≥3 months.
7. Sufficient bone marrow, liver, and kidney function.

Key Exclusion Criteria:

1. DLBCL combined with other types of lymphoma. Transformed DLBCL.
2. DLBCL with central nervous system invasion.
3. The patients had previously received BTK inhibitors.
4. The patients have contraindications to any drug in the combined treatment.
5. Patients with the infection of human immunodeficiency virus (HIV) and/or acquired immunodeficiency syndrome.
6. Inability to swallow tablets, presence of malabsorption syndrome, or any other gastrointestinal disease or dysfunction that may affect the absorption of the study drug.
7. Pregnant and lactating women, and subjects of childbearing age who do not want to use contraception.
8. Mentally ill persons or persons unable to obtain informed consent.
9. The investigators think that the patient is not suitable for the study.

Where it's running

  • Sun Yat-sen Universitiy Cancer Center, Sun Yat-Sen University,
    Guangzhou, China, China
    Recruiting
  • Gansu Cancer Hospital
    Lanzhou, Gansu, China
    Recruiting
  • Dongguan People's Hospital
    Dongguan, Guangdong, China
    Recruiting
  • Fifth Affiliated Hospital of Guangzhou Medical University
    Guangzhou, Guangdong, China
    Recruiting
  • First People's Hospital of Guangzhou
    Guangzhou, Guangdong, China
    Recruiting
  • Guangdong Provincial Hospital of Traditional Chinese Medicine
    Guangzhou, Guangdong, China
    Recruiting
Show 5 more locations
  • Second Affiliated Hospital of Guangzhou Medical University
    Guangzhou, Guangdong, China
    Recruiting
  • First Affiliated Hospital of Shantou University Medical College.
    Shantou, Guangdong, China
    Recruiting
  • Shenzhen People's Hospital
    Shenzhen, Guangdong, China
    Recruiting
  • Zhaoqing First People's Hospital
    Zhaoqing, Guangdong, China
    Recruiting
  • Fifth Affiliated Hospital of Sun Yat-sen University
    Zhuhai, Guangdong, China
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.