MK-1045 and Rituximab in Follicular Lymphoma
Official title: A Phase 2/3 Randomized, Open-label Study of MK-1045 in Combination With Rituximab in Participants With 1L Follicular Lymphoma
Run by Merck Sharp & Dohme LLC · NCT07634471 · Data updated 2026-11-12
This study tests whether adding MK-1045 to rituximab can help people with follicular lymphoma after standard therapy.
Quick facts
| Phase | Phase2; Phase3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 960 (estimated) |
| Sponsor | Merck Sharp & Dohme LLC Industry-sponsored |
| Drugs / interventions | rituximab, chemotherapy, immunotherapy |
| Locations | 38 sites (Duarte, California and 37 other locations) |
| Status | Recruiting |
| Started | June 22, 2026 |
| Main results expected | July 23, 2032 |
| Study ends | July 23, 2035 |
| Registry record updated | November 10, 2026 |
| Trial ID | NCT07634471 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with biopsy-confirmed CD19+/CD20+ classical follicular lymphoma, measurable disease, specific FLIPI range, and certain HIV/HBV/HCV statuses.
✕Probably not a fit
Patients with prior systemic therapy for FL or those not meeting biomarker/eligibility criteria may not benefit from the study treatment.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This interventional trial examines the safety and effectiveness of combining MK-1045 with rituximab in adults with CD19+/CD20+ follicular lymphoma. The study includes phases 2 and 3 to assess tolerability, response rates, and progression-free survival compared with standard rituximab-based therapy. Participants have measurable disease, specific FL risk factors, and meet criteria related to HIV, HBV, and HCV status. Interventions may include rituximab alone, rituximab with MK-1045, or other components such as bendamustine and cyclophosphamide as part of standard regimens. Primary interests are safety, tumor response, and whether the combination improves outcomes over conventional treatment.
Why it matters
Potential benefit: If successful, patients could experience better tumor control and longer time before cancer worsens with the MK-1045-rituximab combination.
How similar studies have gone: Previous immunotherapy approaches with MK-1045-like strategies have shown promise in lymphoid malignancies, but this exact combination is being evaluated for efficacy and safety in FL.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Has biopsy-proven, previously untreated, histologically confirmed cluster of differentiation (CD)19-positive and CD20-positive classical follicular lymphoma (FL), with Ann Arbor Stage II-IV disease and a Follicular Lymphoma International Prognostic Index (FLIPI) score of 2-5. * Has radiographically measurable disease per the Lugano Response Criteria. * Has provided a newly obtained core or excisional biopsy or archival tissue of a tumor lesion not previously irradiated. * If human immunodeficiency virus (HIV)-positive, has well-controlled HIV on antiretroviral therapy (ART). * If hepatitis B surface antigen (HBsAg)-positive, has undetectable hepatitis B virus (HBV) viral load and has received HBV antiviral therapy for at least 4 weeks and will continue it. * If history of hepatitis C virus (HCV) infection, has undetectable HCV viral load. Exclusion Criteria: * Has received prior systemic anticancer therapy or radiotherapy for FL. * Has follicular large B-cell lymphoma or any other subtype of FL other than classical FL. * Has FL that has transformed into a more aggressive type of lymphoma. * History or presence of clinically relevant central nervous system (CNS) diseases. * Has history of serious cardiovascular and cerebrovascular diseases. * Is HIV-infected with a history of Kaposi's sarcoma and/or Multicentric Castleman's Disease. * Has received a live or live-attenuated vaccine within 30 days before the first dose of study intervention. * Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy. * Has a known additional malignancy that is progressing or has required active treatment within the past 3 years. * Has known active CNS lymphoma or involvement. * Has an active autoimmune disease that has required systemic treatment in the past 2 years. * Has active infection requiring systemic therapy. * Has chronic liver disease, including liver cirrhosis of Child-Pugh class B or C. * Has not adequately recovered from major surgery or has ongoing surgical complications.
Where it's running
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City of Hope - Duarte Cancer Center ( Site 1301)
Duarte, California, United States Recruiting -
University of Kentucky ( Site 1303)
Lexington, Kentucky, United States Recruiting -
John Theurer Cancer Center at Hackensack University Medical Center ( Site 1311)
Hackensack, New Jersey, United States Recruiting -
Icahn School of Medicine at Mount Sinai ( Site 1325)
New York, New York, United States Recruiting -
Duke Cancer Center Clinic 1B/C Onc/Heme ( Site 1307)
Durham, North Carolina, United States Recruiting -
University Hospitals of Cleveland ( Site 1321)
Cleveland, Ohio, United States Recruiting
Show 32 more locations
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SCRI Oncology Partners ( Site 7000)
Nashville, Tennessee, United States Recruiting -
Instituto Alexander Fleming ( Site 0105)
Ciudad Autonoma de Buenos Aires, Buenos Aires, Argentina Recruiting -
Hospital Aleman ( Site 0101)
Buenos Aires, Buenos Aires F.D., Argentina Recruiting -
Sanatorio Nuestra Senora del Rosario ( Site 0104)
Rosario, Santa Fe Province, Argentina Recruiting -
Hospital Privado Universitario de Córdoba ( Site 0102)
Córdoba, Argentina Recruiting -
Box Hill Hospital ( Site 0201)
Box Hill, Victoria, Australia Recruiting -
Biocenter ( Site 0402)
Concepción, Biobio, Chile Recruiting -
Fundacion Arturo Lopez Perez FALP ( Site 0404)
Santiago, Region M. de Santiago, Chile Recruiting -
Pontificia Universidad Catolica de Chile ( Site 0407)
Santiago, Region M. de Santiago, Chile Recruiting -
Beijing Cancer hospital ( Site 0501)
Beijing, Beijing Municipality, China Recruiting -
Fudan University Shanghai Cancer Center ( Site 0504)
Shanghai, Shanghai Municipality, China Recruiting -
Centre Hospitalier Régional Universitaire de Tours - Hôpital Bretonneau ( Site 0604)
Tours, Indre-et-Loire, France Recruiting -
Evangelismos General Hospital of Athens ( Site 1501)
Athens, Attica, Greece Recruiting -
General Hospital of Athens "Laiko" ( Site 1502)
Athens, Attica, Greece Recruiting -
Hadassah Medical Center ( Site 0701)
Jerusalem, Israel Recruiting -
Sheba Medical Center ( Site 0702)
Ramat Gan, Israel Recruiting -
Sourasky Medical Center ( Site 0704)
Tel Aviv, Israel Recruiting -
Fondazione Policlinico Universitario Agostino Gemelli IRCCS - Università Cattolica del Sacro Cuore ( Site 1601)
Rome, Lazio, Italy Recruiting -
INOC - Istituto Nazionale Oncologico Candiolo ( Site 1602)
Candiolo, Torino, Italy Recruiting -
Pratia MCM Krakow ( Site 1702)
Krakow, Lesser Poland Voivodeship, Poland Recruiting -
Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie ( Site 1701)
Warsaw, Masovian Voivodeship, Poland Recruiting -
Samsung Medical Center ( Site 0801)
Seoul, South Korea Recruiting -
Institut Català d'Oncologia (ICO) - Badalona ( Site 0904)
Badalona, Barcelona, Spain Recruiting -
Hospital Virgen de la Victoria ( Site 0905)
Málaga, Malaga, Spain Recruiting -
Hospital Universitari Vall de Hebron ( Site 0903)
Barcelona, Spain Recruiting -
Hospital Universitario Gregorio Maranon ( Site 0902)
Madrid, Spain Recruiting -
Hospital Universitario de Salamanca ( Site 0906)
Salamanca, Spain Recruiting -
National Taiwan University Hospital ( Site 1001)
Taipei, Taiwan Recruiting -
Chang Gung Medical Foundation-Linkou Branch ( Site 1002)
Taoyuan, Taiwan Recruiting -
Hacettepe Universite Hastaneleri ( Site 1110)
Ankara, Turkey (Türkiye) Recruiting -
Sisli Florence Nightingale Hastanesi ( Site 1112)
Istanbul, Turkey (Türkiye) Recruiting -
Ondokuz Mayıs Universitesi ( Site 1113)
Samsun, Turkey (Türkiye) Recruiting
Study contacts
- Study coordinator: Toll Free Number
- Email: Trialsites@msd.com
- Phone: 1-888-577-8839
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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.