Clinical trial Recruiting at 1 site Phase 2 Interventional Ages 18 to 75

ZR-MTX combo for newly diagnosed primary intraocular lymphoma

Official title: A Prospective, Phase II Clinical Trial Using the Combination of Zanubrutinib, Rituximab and High-dose Intravenous Methotrexate With Intravitreal Methotrexate Injection Therapy for the Treatment of Primary Intraocular Lymphoma

Run by Peking Union Medical College Hospital · NCT06973811 · Data updated 2026-11-12

This trial tests a Rituximab, Zanubrutinib, and methotrexate cocktail plus intravitreal methotrexate in people newly diagnosed with primary intraocular lymphoma to see if it can extend the time before the disease progresses.

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years to 75 Years
SexAll
Enrollment47 (estimated)
SponsorPeking Union Medical College Hospital
Academic / other
Drugs / interventionsRituximab, Zanubrutinib, methotrexate
Locations1 site (Beijing, Beijing Municipality)
StatusRecruiting
StartedOctober 10, 2024
Main results expectedOctober 30, 2027
Study endsOctober 30, 2029
Registry record updatedSeptember 4, 2026
Trial IDNCT06973811 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with newly diagnosed primary vitreoretinal (intraocular) lymphoma, ECOG 0-2, adequate kidney and liver function, and ability to consent.

Probably not a fit

Patients with active CNS involvement in eyes and brain, uncontrolled infections, significant heart failure, pregnancy, or HIV/HBV/HCV infection may not benefit.

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 single-arm phase II study evaluating the ZR-MTX regimen (Rituximab, Zanubrutinib, and methotrexate) with intravitreal methotrexate in newly diagnosed primary intraocular lymphoma. Patients receive induction cycles of ZR therapy, with response guiding additional cycles, followed by limited Zanubrutinib maintenance if needed. Intravitreal methotrexate is administered concurrently, and MRD status influences duration of systemic therapy, with ongoing monitoring through ophthalmologic exams and brain MRI over several years. The primary endpoint is progression-free survival, with safety and eligibility criteria specified for adults with adequate organ function and controlled infections.

Why it matters

Potential benefit: If successful, patients may experience longer progression-free periods and potential disease control with a steroid-sparing, targeted treatment approach.

How similar studies have gone: Previous similar approaches in intraocular lymphomas have shown activity with targeted regimens, but this exact combination and MRD-directed maintenance are investigational.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* • Newly-diagnosed primary vitreoretinal lymphoma

  * ECOG≤2
  * creatinine clearance rate (CCR) ≥ 60ml/h, according to Cockcroft-Gault
  * Total bilirubin # 2 upper limits of normal, alanine aminotransferase#ALT# \< 3 upper limits of normal
  * Sign the Informed consent
  * Women of childbearing potential must understand that the study medication could have a potential teratogenic risk. They should undergo complete contraception during the study period.
  * Male subjects must agree to use condoms throughout study drug therapy.

Exclusion Criteria:

* • primary central nervous system lymphoma involved eyes and brain

  * systemic B cell lymphoma involved eyes
  * Pre-existing uncontrolled active infection
  * Clinical evidence of grade 3 or 4 heart failure as defined by the New York Heart Association criteria
  * Pregnancy or active lactation
  * Co-existing tumors
  * HIV or HBV or HCV infection

Where it's running

  • Peking Union Medical College Hospital
    Beijing, Beijing 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.