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
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 39 (estimated) |
| Sponsor | Sun Yat-sen University Academic / other |
| Drugs / interventions | rituximab, orelabrutinib, cyclophosphamide, doxorubicin, prednisone |
| Locations | 11 sites (Guangzhou, China and 10 other locations) |
| Status | Recruiting |
| Started | November 1, 2024 |
| Main results expected | November 1, 2026 |
| Study ends | March 1, 2027 |
| Registry record updated | October 22, 2024 |
| Trial ID | NCT06647940 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
- Study coordinator: Qingqing Cai, MD. PhD.
- Email: caiqq@sysucc.org.cn
- Phone: 02087342823
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Orelabrutinib plus Pola‑R‑CHP for untreated non‑GCB diffuse large B‑cell lymphoma
This trial tests whether adding orelabrutinib to the Pola‑R‑CHP chemotherapy improves responses in adults with newly diagnosed non‑GCB diffuse large B‑cell lymphoma.
-
ctDNA testing in newly diagnosed DLBCL or HGBL to predict treatment outcomes
This study checks if measuring circulating tumor DNA in blood after first-line therapy can predict whether the disease will stay away or come back in people with DLBCL or HGBL.
-
Proton Therapy for Mediastinal Lymphoma in Denmark
This study tests whether using proton therapy for mediastinal lymphoma can lower late-toxicity risk compared with photon therapy in adults.
-
Memory-Enhanced CAR-T Therapy for Relapsed/Refractory Large B-Cell Lymphoma
This trial tests memory-enhanced 7×19-THEMIS CAR-T cells in adults with relapsed or refractory large B-cell lymphoma to see how safe they are and whether tumors shrink or disappear.
-
Orelabrutinib plus Pola-R-CHP as first-line treatment for intermediate- to high-risk DLBCL
This trial tests whether adding orelabrutinib to the Pola-R-CHP regimen can improve outcomes for adults with intermediate- to high-risk newly diagnosed DLBCL.
-
UB-VV400 with rapamycin in relapsed/refractory B-cell lymphomas
A phase 1/2 trial tests UB-VV400 plus rapamycin in adults with relapsed or refractory B-cell lymphomas to see if it is safe and shows anti-tumor activity.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.