Clinical trial Recruiting at 2 sites Phase 3 Interventional Ages 18 and up

DZD8586 compared with doctor’s choice treatments for relapsed/refractory CLL/SLL

Official title: A Phase 3, Open-Label, Randomized, Multicenter Study to Evaluate Anti-tumor Efficacy of DZD8586 Versus Investigator's Choice in Patients With Relapsed/Refractory Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma

Run by Dizal Pharmaceuticals · NCT07139873 · Data updated 2026-11-12

This trial will test whether the oral drug DZD8586 works better than commonly chosen treatments for adults with relapsed or refractory CLL/SLL.

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment250 (estimated)
SponsorDizal Pharmaceuticals
Industry-sponsored
Locations2 sites (Nanjing, Jiangsu and 1 other locations)
StatusRecruiting
StartedSeptember 8, 2025
Main results expectedJanuary 2029
Study endsDecember 2029
Registry record updatedJune 3, 2026
Trial IDNCT07139873 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (≥18) with relapsed or refractory CLL/SLL who require further therapy, have ECOG 0–2, adequate organ and marrow function, and agree to contraception rules are the intended participants.

Probably not a fit

Patients with Richter transformation, CNS involvement, uncontrolled infection, significant cardiovascular disease, inability to swallow or absorb oral medication, or who are breastfeeding are unlikely to benefit or may be ineligible.

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

What this trial studies

This is a phase 3, open-label, randomized, multicenter trial randomizing about 250 adults with relapsed or refractory CLL/SLL to receive DZD8586 or investigator's choice therapy (options include bendamustine, idelalisib, or rituximab). The primary endpoint is progression-free survival reviewed by an independent review committee, with safety and tolerability monitored across arms. Key eligibility includes age ≥18, ECOG 0–2, adequate marrow and organ function, and no Richter transformation or CNS involvement. The study is being conducted at major hospitals in Nanjing and Tianjin, China.

Why it matters

Potential benefit: If successful, DZD8586 could extend progression-free survival or provide an alternative tolerable option for patients whose CLL/SLL returned after prior treatments.

How similar studies have gone: Other targeted agents and rituximab- or idelalisib-containing regimens have shown benefit in relapsed CLL/SLL, but DZD8586 itself is a novel agent now being tested in phase 3.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Male and female participants ≥ 18 years of age.
2. ECOG performance status 0-2.
3. Confirmed diagnosis of relapsed or refractory CLL/SLL with indication for treatment.
4. Adequate bone marrow reserve and organ system functions.
5. Participants willing to comply with contraceptive restrictions.

Exclusion Criteria:

1. Any unresolved \> Grade 1 adverse event at the time of starting study treatment.
2. Known or suspected Richter transformation.
3. Known or suspected CNS involvement.
4. Previous or current therapy and comedications meet exclusion criteria.
5. Participants with major cardiovascular disease, active infection, malignancy or uncontrolled systemic disease.
6. Nausea and vomiting not controlled or chronic gastrointestinal diseases, unable to swallow the formulated product or previous bowel resection that would preclude adequate absorption.
7. Women who are breast feeding.
8. History of hypersensitivity to active or inactive excipients of DZD8586 or drugs with a similar chemical structure or class.

Where it's running

  • First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital
    Nanjing, Jiangsu, China
    Recruiting
  • National Clinical Research Center for Blood Diseases, Blood Disease Hospital & Institute of Hematology, Chinese Academy of Medical Sciences & Peking Union Medical College
    Tianjin, Tianjin Municipality, 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.