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OncoMatch/Clinical Trials/NCT06504940

Optimize Study - Orelabrutinib Combined With BR/G in Untreated Marginal Zone Lymphoma (MZL)

Is NCT06504940 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments including Orelabrutinib combined with bendamustine and rituximab and Orelabrutinib combined with obinutuzumab for marginal zone lymphoma.

Phase 2RecruitingFirst Affiliated Hospital of Zhejiang UniversityNCT06504940Data as of May 2026

Treatment: Orelabrutinib combined with bendamustine and rituximab · Orelabrutinib combined with obinutuzumabThis is a multi-center, prospective cohort study. The main purpose of Cohort A is to evaluate the efficacy and safety of Orelabrutinib combined with BR (bendamustine and rituximab) for previously untreated young patients with MZL; the purpose of Cohort B is to assess the efficacy and safety of Orelabrutinib combined with G (Obinutuzumab) followed by Orelabrutinib maintenance therapy for previously untreated elderly patients with MZL.

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Extracted eligibility criteria

Cancer type

Non-Hodgkin Lymphoma

Performance status

ECOG 0–3(Limited self-care)

Prior therapy

Must have received: local treatment (surgery, radiotherapy, Helicobacter pylori treatment, hepatitis C treatment)

Progression, recurrence after local treatment, or unsuitable for local treatment (local treatments include surgery, radiotherapy, Helicobacter pylori treatment, hepatitis C treatment).

Cannot have received: BTK inhibitor

Previously treated with BTK...inhibitors

Cannot have received: BCR pathway inhibitor (PI3K, Syk)

Previously treated with...BCR pathway inhibitors (such as PI3K, Syk)

Cannot have received: BCL-2 inhibitor

Previously treated with...BCL-2 inhibitors

Lab requirements

Blood counts

Absolute neutrophil count ≥1.5×10^9/L, platelets ≥75×10^9/L, hemoglobin ≥75g/L; if bone marrow involvement: ANC ≥1.0×10^9/L, platelets ≥50×10^9/L, hemoglobin ≥50g/L.

Kidney function

serum creatinine ≤1.5x ULN

Liver function

Total bilirubin ≤1.5x ULN, AST or ALT ≤2x ULN; serum creatinine ≤1.5x ULN; serum amylase ≤ULN.

Cardiac function

INR ≤1.5x ULN; no NYHA class II or above CHF, unstable angina, MI, or arrhythmias requiring treatment within 6 months; LVEF <50% excluded; no primary cardiomyopathy; no significant QTc prolongation (>470ms females, >450ms males); no symptomatic or medication-requiring coronary artery disease; no uncontrollable hypertension.

Major organ functions meet the following criteria: a) Complete blood count... b) Blood biochemistry... c) Coagulation function: INR ≤1.5x ULN. Exclusion: significant cardiovascular diseases as detailed.

Structured fields extracted by AI. May contain errors — verify against the official protocol.

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