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OncoMatch/Clinical Trials/NCT06544785

Zanubrutinib With Obinutuzumab in Untreated Patients With Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma

Is NCT06544785 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments including Zanubrutinib Oral Product and Obinutuzumab for chronic lymphocytic leukemia.

Phase 2RecruitingPETHEMA FoundationNCT06544785Data as of May 2026

Treatment: Zanubrutinib Oral Product · ObinutuzumabThe goal of this phase II randomized open label study is to compare the rate of complete remission (CR) with undetectable minimal residual disease (uMRD) obtained with zanubrutinib in combination with obinutuzumab with two different schedules of administration of obinutuzumab (starting obinutuzumab at cycle 2 or 12 months) in patients with previously untreated Chronic Lymphocytic Leukemia (CLL) or Small Lymphocytic Lymphoma (SLL). There is scarce information about which is the most appropriate schedule of combining the BTKi and the anti-CD20 monoclonal antibody, and whether treatment can be safely stopped in those patients attaining deep responses (CR with uMRD) remains to be determined. Response will be assessed after 20 cycles of treatment for the primary objective of the study. Patients attaining uMRD will stop treatment with zanubrutinib, whereas the rest of patients will continue on treatment with zanubrutinib until progression, unacceptable toxicity, or trial completion, whichever comes first.

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Extracted eligibility criteria

Cancer type

Chronic Lymphocytic Leukemia

Non-Hodgkin Lymphoma

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Cannot have received: any prior therapy for CLL

Prior treatment for CLL

Lab requirements

Blood counts

Absolute neutrophil count (ANC) < 1.0 X 10^9/L; Platelet count < 75 X 10^9/L, except for patients with bone marrow involvement by CLL in which case the platelet count must be ≥ 30 X 10^9/L

Kidney function

Estimated Glomerular Filtration Rate (Cockcroft-Gault) ≤30 mL/min/1.73m2

Liver function

Serum aspartate aminotransferase (AST)/serum glutamic-oxaloacetic transaminase (SGOT) or alanine transaminase (ALT)/serum glutamate pyruvate transaminase (SGPT) >2.5 x upper limit of normal (ULN); Serum total bilirubin > 1.5 x ULN, except in cases of Gilbert's syndrome

Cardiac function

Prothrombin time/INR or aPTT (in the absence of Lupus anticoagulant) > 2x ULN

Estimated Glomerular Filtration Rate (Cockcroft-Gault) ≤30 mL/min/1.73m2; Absolute neutrophil count (ANC) < 1.0 X 10^9/L; Platelet count < 75 X 10^9/L, except for patients with bone marrow involvement by CLL in which case the platelet count must be ≥ 30 X 10^9/L; Serum aspartate aminotransferase (AST)/serum glutamic-oxaloacetic transaminase (SGOT) or alanine transaminase (ALT)/serum glutamate pyruvate transaminase (SGPT) >2.5 x upper limit of normal (ULN); Serum total bilirubin > 1.5 x ULN, except in cases of Gilbert's syndrome; Prothrombin time/INR or aPTT (in the absence of Lupus anticoagulant) > 2x ULN

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

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