Bendamustine and Rituximab With or Without Orelabrutinib in MCL Treatment

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18-80
SponsorRuijin Hospital

About this trial

This multicenter, open-label, randomized controlled trial aims to evaluate the efficacy and safety of Orelabrutinib in combination with Bendamustine and Rituximab (OBR) versus Bendamustine and Rituximab (BR) in patients with intermediate- to high-risk mantle cell lymphoma (MCL) who are ineligible for transplantation. The primary objective is to assess the 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 > 18 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
  • Bendamustine
  • Rituximab
  • Venetoclax

Treatment groups

78 Participants
are divided into 4 treatment groups

Sponsors and collaborators

Ruijin Hospital

Lead sponsor

The Third Xiangya Hospital of Central South University

Collaborator

Anhui Provincial Cancer Hospital

Collaborator

Fujian Medical University Union Hospital

Collaborator

Yantai Yuhuangding Hospital

Collaborator

Huadong Hospital Affiliated with Fudan University, Shanghai

Collaborator

The First Affiliated Hospital of Anhui Medical University

Collaborator

Jiangxi Provincial Cancer Hospital

Collaborator

Fujian Cancer Hospital

Collaborator