Clinical trial Recruiting at 38 sites Phase2; Phase3 Interventional Ages 18 and up

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.

More Follicular Lymphoma trials

Quick facts

PhasePhase2; Phase3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment960 (estimated)
SponsorMerck Sharp & Dohme LLC
Industry-sponsored
Drugs / interventionsrituximab, chemotherapy, immunotherapy
Locations38 sites (Duarte, California and 37 other locations)
StatusRecruiting
StartedJune 22, 2026
Main results expectedJuly 23, 2032
Study endsJuly 23, 2035
Registry record updatedNovember 10, 2026
Trial IDNCT07634471 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

  • 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
  • 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

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.