About this trial
This multicenter, open-label, trial aims to evaluate the efficacy and safety of orelabrutinib plus lisaftoclax and rituximab in patients with high-risk mantle cell lymphoma (MCL). The primary objective is to assess the optimal complete response (CR) rate during the induction phase, with secondary objectives including progression-free survival (PFS), overall survival (OS), objective response rate (ORR), and safety. Exploratory analysis will investigate the correlation between tumor biomarkers and treatment efficacy.
Eligibility criteria
Qualifiers
Diagnosed with MCL (mantle cell lymphoma) through flow cytometry or histopathology, and has not received prior treatment.
Age > 14 years of age, both genders are eligible.
Ann Arbor stage II-IV; for stage II subjects, those who require systemic therapy based on the investigator's judgment are eligible.
At least one measurable lesion.
Disqualifiers
Patients who have previously received treatment with BTK inhibitors.
Patients with severe complications or serious infections.
Patients with uncontrolled cardiovascular diseases, coagulation disorders, connective tissue diseases, serious infectious diseases, etc.
Patients with active infections requiring systemic treatment, including bacterial, fungal, and viral infections.
Trial design
Treatments tested in this trial
- Orelabrutinib
- Rituximab (R)
- Lisaftoclax (APG-2575)
- Lisaftoclax (APG-2575)
Treatment groups
Sponsors and collaborators
Ruijin Hospital
Lead sponsor
Fujian Medical University Union Hospital
Collaborator
First Affiliated Hospital of Wenzhou Medical University
Collaborator
The First Affiliated Hospital of Anhui Medical University
Collaborator
The Third Xiangya Hospital of Central South University
Collaborator
Qilu Hospital of Shandong University
Collaborator
Shanghai Minhang Central Hospital
Collaborator
Huadong Hospital
Collaborator
Yangpu District Central Hospital Affiliated to Tongji University
Collaborator