[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100625096":3},{"organization":4,"armGroups":7,"interventions":14,"overallOfficials":20,"centralContacts":25,"locations":33,"responsibleParty":53,"collaborators":11,"id":55,"slug":56,"hasResults":57,"nctId":58,"briefTitle":59,"officialTitle":59,"acronym":11,"eligibilityCriteria":60,"healthyVolunteers":57,"sex":61,"minAge":62,"maxAge":63,"enrollmentInfo":64,"targetDuration":11,"studyType":67,"phases":68,"briefSummary":70,"conditions":71,"keywords":11,"overallStatus":36,"whyStopped":11,"lastUpdateSubmitDate":73,"lastUpdatePostDateStruct":74,"startDateStruct":77,"completionDateStruct":79,"leadSponsor":81,"locationsCount":82},{"fullName":5,"class":6},"The First Affiliated Hospital with Nanjing Medical University","OTHER",[8],{"label":9,"type":10,"description":11,"interventionNames":12},"PD-1+ZR2","EXPERIMENTAL",null,[13],"Drug: tislelizumab + zanubrutinib + rituximab + lenalidomide",[15],{"type":16,"name":17,"description":18,"armGroupLabels":19,"otherNames":11},"DRUG","tislelizumab + zanubrutinib + rituximab + lenalidomide","Patients with FL will receive a PD-1 + ZR² regimen (tislelizumab + zanubrutinib + rituximab + lenalidomide) for 6 cycles (3 weeks per cycle).\n\nInduction Phase (Cycles 1-6; 21 days per cycle) Zanubrutinib (Z): 160 mg orally twice daily (BID). Rituximab (R): 375 mg administered intravenously on Day 1 of cycles 1-6; additionally administered on Day 1 of cycles 2-8\u002F12 per protocol (21-day cycles).\n\nLenalidomide: 20 mg orally once daily on cycles 1-6. Tislelizumab: 200 mg intravenous infusion on Day 1 every 3 weeks. After 6 cycles of the four-drug combination, response will be assessed by CT\u002FPET-CT. Patients achieving CR\u002FPR\u002FSD will proceed to maintenance; those not achieving at least SD will discontinue the study.\n\nMaintenance Phase\n\nPatients achieving CR\u002FPR\u002FSD during induction will receive:\n\nZanubrutinib: 160 mg orally BID; and Tislelizumab: 200 mg IV on Day 1 every 3 weeks until disease progression, unacceptable toxicity, or completion of 1 year of maintenance.",[9],[21],{"name":22,"affiliation":23,"role":24},"Wei Xu, PhD","Hematological Department, Jiangsu Province Hospital","PRINCIPAL_INVESTIGATOR",[26,31],{"name":27,"role":28,"phone":29,"phoneExt":11,"email":30},"Jinhua Liang","CONTACT","15952032421","1151525490@qq.com",{"name":22,"role":28,"phone":11,"phoneExt":11,"email":32},"xuwei10000@hotmail.com",[34],{"facility":35,"status":36,"city":37,"state":38,"zip":39,"country":40,"countryCode":41,"cosmosGeoPoint":42,"geoPoint":47,"contacts":48},"Jiangsu Province Hospital","RECRUITING","Nanjing","Jiangsu","210000","China","CN",{"type":43,"coordinates":44},"Point",[45,46],118.77778,32.06167,{"lat":46,"lon":45},[49,51],{"name":50,"role":28,"phone":29,"phoneExt":11,"email":30},"Jinhua Liang, PhD",{"name":52,"role":28,"phone":11,"phoneExt":11,"email":32},"Wei Xu",{"type":54,"investigatorFullName":11,"investigatorTitle":11,"investigatorAffiliation":11,"oldNameTitle":11,"oldOrganization":11},"SPONSOR","100625096","phase-2-efficacy-and-safety-of-zanubrutinib-rituximab-and-lenalidomide-zr-in-combination-with-tislelizumab-for-relapsedrefractory-follicular-lymphoma-100625096",false,"NCT07418190","Efficacy and Safety of Zanubrutinib, Rituximab, and Lenalidomide (ZR²) in Combination With Tislelizumab for Relapsed\u002FRefractory Follicular Lymphoma","Inclusion Criteria:\n\n* Eligible participants must meet all of the following criteria:\n\nProvide written informed consent. Age ≥18 years . Histologically confirmed relapsed\u002Frefractory follicular lymphoma (R\u002FR FL) . Received at least two prior lines of systemic therapy , including anti-CD20 monoclonal antibody therapy.\n\nECOG performance status 0-1 . Measurable disease , with longest diameter \\>1.5 cm . Estimated life expectancy (per investigator assessment) ≥18 weeks . Adverse events from prior anticancer therapy must have resolved to ≤ grade 1 (except alopecia and anorexia).\n\nAdequate hepatic function:\n\nTotal bilirubin ≤1.5 × ULN ; for patients with documented Gilbert syndrome: total bilirubin ≤3 × ULN with predominantly indirect hyperbilirubinemia.\n\nAST and ALT ≤3 × ULN .\n\nAdequate hematologic function:\n\nANC ≥1.5 × 10⁹\u002FL (≥1,500\u002FµL) Platelets ≥75,000\u002FµL , with no platelet transfusion within 14 days prior to first dosing on Cycle 1 Day 1 Hemoglobin ≥10.0 g\u002FdL (6.2 mmol\u002FL), with no blood transfusion within 21 days prior to first dosing on Cycle 1 Day 1 Adequate renal function: serum creatinine ≤1.5 × ULN , or creatinine clearance ≥50 mL\u002Fmin calculated by the Cockcroft-Gault formula (see Appendix 14), for patients in whom serum creatinine may not adequately reflect renal function per investigator judgment.\n\nFor women of childbearing potential: negative serum pregnancy test within 7 days before study treatment; postmenopausal women (non-treatment-related amenorrhea ≥12 months) or surgically sterile women (no ovaries and\u002For uterus) are exempt. Women of childbearing potential must agree to abstinence (avoid heterosexual intercourse) or to use effective contraception.\n\nFor men: agree to abstinence (avoid heterosexual intercourse) or to use effective contraception.\n\nExclusion Criteria:\n\n* Participants meeting any of the following will be excluded:\n\n  1. Unable to comply with protocol-required hospitalization and restrictions.\n  2. Active infection or latent tuberculosis infection.\n  3. History of severe hypersensitivity to drugs of the same class.\n  4. Current central nervous system involvement.\n  5. Pregnant or breastfeeding women.\n  6. Uncontrolled comorbidities (e.g., cardiac disease, immune disorders); myocardial infarction, unstable arrhythmia, or unstable angina within the past 6 months.\n  7. Illicit drug use or alcohol abuse within 12 months prior to screening, per investigator judgment.\n  8. Any other disease, metabolic disorder, physical examination finding, or clinical laboratory abnormality that reasonably suggests a contraindication to the investigational products.\n  9. The investigator should review vaccination status of potential participants and, prior to study initiation, follow local disease control and prevention guidelines for adult immunization with non-live vaccines aimed at preventing infectious diseases.\n  10. Any psychiatric or cognitive disorder that may limit understanding\u002Fexecution of informed consent or protocol compliance.\n  11. Pregnant or breastfeeding women, or women\u002Fmen (or male partners) planning pregnancy during the study period.\n  12. Any other condition deemed by the investigator to make the participant unsuitable for the trial.\n\n      * Cases to Be Excluded From Statistical Analysis (per protocol)\n\nParticipants already enrolled who meet any of the following will be treated as excluded cases in statistical analyses:\n\nPost-enrollment discovery of non-fulfillment of eligibility criteria. Prior exposure to zanubrutinib or other BTK inhibitors. Intolerable toxicity after taking zanubrutinib or other BTK inhibitors. Received fewer than two consecutive administrations after enrollment such that objective efficacy cannot be assessed (adverse events may still be assessable).\n\nProtocol violations. Prior hematopoietic stem cell transplantation.","ALL","18 Years","75 Years",{"count":65,"type":66},33,"ESTIMATED","INTERVENTIONAL",[69],"PHASE2","This is a prospective, open-label, single-arm, single-center, Phase II clinical study designed to evaluate the efficacy and safety of zanubrutinib, rituximab, and lenalidomide (ZR²) in combination with tislelizumab in patients with relapsed\u002Frefractory follicular lymphoma who have relapsed or are refractory after ≥1 prior systemic therapy.\n\nAfter successful screening, enrolled patients will receive 6 treatment cycles (21 days per cycle). Disease response will be assessed by CT\u002FPET-CT during treatment and after completion of induction. Patients who achieve CR\u002FPR\u002FSD will proceed to the maintenance phase; patients who do not achieve at least SD (i.e., fail to reach CR\u002FPR\u002FSD) during induction will discontinue the study. Patients with CR\u002FPR\u002FSD after induction will receive maintenance therapy with zanubrutinib plus tislelizumab until disease progression, unacceptable toxicity, or completion of 1 year of maintenance.\n\nEfficacy and safety assessments will be performed per protocol. Tumor response will be assessed by site investigators according to the 2014 Lugano criteria, including determination of response status, date of response, and date of progression\u002Frelapse.",[72],"Relapsed\u002FRefractory Follicular Lymphoma","2026-02-11",{"date":75,"type":76},"2026-02-18","ACTUAL",{"date":78,"type":66},"2026-02-01",{"date":80,"type":66},"2029-12-31",{"name":5,"class":6},1]