Evaluating zanubrutinib for treating Waldenström Macroglobulinemia
Official title: A Phase 4, Observational Study Evaluating the Efficacy and Safety of the Bruton Tyrosine Kinase (BTK) Inhibitor Zanubrutinib in Patients With Waldenström Macroglobulinemia
Run by BeOne Medicines · NCT05640102 · Data updated 2026-11-12
This study is testing how well zanubrutinib works and how safe it is for people with Waldenström macroglobulinemia, especially those with certain genetic traits and from different backgrounds.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 111 (estimated) |
| Sponsor | BeOne Medicines Industry-sponsored |
| Drugs / interventions | zanubrutinib |
| Locations | 8 sites (Huntsville, Alabama and 7 other locations) |
| Status | Recruiting |
| Started | March 3, 2023 |
| Main results expected | December 2026 |
| Study ends | December 2027 |
| Registry record updated | August 7, 2026 |
| Trial ID | NCT05640102 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates include individuals with a confirmed diagnosis of Waldenström macroglobulinemia who are currently being treated with or are planned to be prescribed zanubrutinib.
✕Probably not a fit
Patients with evidence of disease transformation or other active malignancies 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 observational study aims to assess the efficacy and safety of zanubrutinib in patients diagnosed with Waldenström macroglobulinemia, focusing on those with specific genetic mutations and from diverse racial and ethnic backgrounds. It utilizes a hybrid approach, combining retrospective and prospective data collection to create a comprehensive registry. The study will gather clinical profiles and treatment outcomes to enhance understanding of zanubrutinib's benefits in these populations.
Why it matters
Potential benefit: If successful, this study could provide valuable insights into the effectiveness of zanubrutinib for diverse patient groups with Waldenström macroglobulinemia.
How similar studies have gone: While this study focuses on a specific population, similar observational studies have shown promise in understanding treatment efficacy in diverse groups.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Clinical and definitive histologic diagnosis of WM * Measurable disease, as defined by a serum immunoglobulin M (IgM) level \> 0.5 g/dL at the time of zanubrutinib initiation * Started treatment with zanubrutinib, has been treated with zanubrutinib, or is planned to be prescribed zanubrutinib for the treatment of WM * Bone marrow specimens with central MYD88 test results of: 1. Cohort 1: MYD88 L265P mutation; enrollment of TN participants will be stopped in each racial and ethnic participant group when the required numbers of participants in the group are met 2. Cohort 2: non-L265P MYD88 mutation(s) and MYD88WT Exclusion Criteria: * Evidence of disease transformation before the first dose of zanubrutinib * Evidence of other non-Hodgkin Lymphoma (NHL) subtypes * Prior or concurrent active malignancy ≤ 2 years before the first dose of zanubrutinib, except for malignancies that, in the investigator's opinion, will not obscure the interpretation of safety or efficacy results * Concurrent participation in another therapeutic clinical study while receiving zanubrutinib, although the participant may be eligible depending on the status of the interventional study after discussion with the Medical Monitor or designee on an individual basis
Where it's running
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Clearview Cancer Institute
Huntsville, Alabama, United States Recruiting -
South Alabama Medical Science Foundation Mitchell Cancer Institute
Mobile, Alabama, United States Recruiting -
City of Hope National Medical Center
Duarte, California, United States Recruiting -
Los Angeles Cancer Network (Lacn)
Glendale, California, United States Recruiting -
Eisenhower Medical Center, Lucy Curci Cancer Center
Rancho Mirage, California, United States Recruiting -
Comprehensive Cancer Centers of Nevada
Las Vegas, Nevada, United States Recruiting
Show 2 more locations
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Hattiesburg Hematology and Oncology Clinic
Hattiesburg, Mississippi, United States Active not recruiting -
Pan American Oncology Trials, Llc
Rio Piedras, Puerto Rico Active not recruiting
Study contacts
- Study coordinator: Study Director
- Email: clinicaltrials@beigene.com
- Phone: 1-877-828-5568
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Zanubrutinib with bendamustine and rituximab for untreated Waldenström macroglobulinemia
This treatment will try zanubrutinib together with bendamustine and rituximab to see if it produces deep responses in people with untreated Waldenström macroglobulinemia.
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Comparing venetoclax and rituximab to ibrutinib and rituximab for treating Waldenstrom's macroglobulinemia
This study is testing whether a new combination of venetoclax and rituximab works better than the standard treatment of ibrutinib and rituximab for people with Waldenstrom's macroglobulinemia who haven't been treated before.
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Zanubrutinib plus Lenalidomide for frail elderly with newly diagnosed PCNSL
This study tests whether a combination of zanubrutinib and lenalidomide can help frail elderly patients with newly diagnosed primary CNS lymphoma.
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Venetoclax plus Zanubrutinib for CLL/SLL in frontline or previously treated patients
This phase II trial tests if venetoclax plus zanubrutinib can safely and effectively treat adults with chronic lymphocytic leukemia or small lymphocytic lymphoma, including those who are newly diagnosed and those who have had prior therapy.
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MRD-guided Zanubrutinib + Sonrotoclax in new high-risk CLL/SLL
This trial tests a time-limited, MRD-guided combination therapy with zanubrutinib and sonrotoclax for adults up to 75 with previously untreated high-risk CLL/SLL.
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Polatuzumab vedotin with Zanubrutinib, Rituximab, Cyclophosphamide, Doxorubicin, and Prednisone in untreated DLBCL (MCD/BN2/N1)
This study tests a targeted combination therapy to see if it can treat previously untreated DLBCL with specific molecular subtypes.
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.