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OncoMatch/Clinical Trials/NCT06563596

Epco, Zanu, Ritux for R/R FL or MZL

Is NCT06563596 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments including Zanubrutinib and Rituximab for follicular lymphoma.

Phase 2RecruitingReid Merryman, MDNCT06563596Data as of May 2026

Treatment: Zanubrutinib · Rituximab · EpcoritamabThe purpose of this study is to determine how effective and safe the combination of epcoritamab, zanubrutinib, and rituximab is in treating participants with relapse or refractory Follicular Lymphoma (FL) or marginal zone lymphoma (MZL). * The names of the study drugs involved in this research study are: * Epcoritamab (a type of antibody) * Zanubrutinib (a type of Bruton tyrosine kinase inhibitor) * Rituximab (a type of monoclonal antibody)

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Extracted eligibility criteria

Cancer type

Non-Hodgkin Lymphoma

Biomarker criteria

Required: MS4A1 overexpression (CD20+)

Histologically confirmed diagnosis of CD20+ FL (grade 1-3A) or CD20+ MZL (any subtype)

Performance status

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

Prior therapy

Min 1 prior line

Must have received: CD20 monoclonal antibody

Receipt of at least one prior line of therapy for FL or MZL (with prior treatment including a CD20 monoclonal antibody)

Cannot have received: BTK inhibitor

Prior exposure to a BTK inhibitor

Cannot have received: CAR-T cell therapy

Exception: allowed if >100 days prior to first dose of epcoritamab

Treatment with CAR-T therapy within 100 days prior to first dose of epcoritamab

Cannot have received: investigational drug

Treatment with an investigational drug within 4 weeks prior to the first dose of study treatment

Cannot have received: chemotherapy

Exception: CD20 mAbs allowed

Chemotherapy and other non-investigational anti-neoplastic agents (except CD20 mAbs) within 4 weeks prior to the first dose of study treatment

Cannot have received: CD3xCD20 bispecific antibody

Exception: A limited number of patients with BsAb-refractory disease will be permitted to enroll in each cohort

A limited number of patients with BsAb-refractory disease will be permitted to enroll in each cohort (see section 2.5.3). After this limit is reached, patients with BsAb-refractory disease will be excluded.

Lab requirements

Blood counts

Absolute neutrophil count > 1.0x10^9/L unless due to marrow involvement by lymphoma in which case ANC must be >0.5x10^9/L; Platelets > 75 x10^9/L, unless due to marrow involvement by lymphoma, in which case platelets must be >50 x10^9/L

Kidney function

Estimated CrCl (based on Cockcroft Gault or MDRD) ≥ 45ml/min or ≥ 45ml/min/1.73m2

Liver function

Total bilirubin < 1.5 X ULN, unless Gilbert syndrome, in which case direct bilirubin must be < 1.5 x ULN; AST/ALT < 2.5 X ULN, unless documented liver involvement by lymphoma, in which case AST/ALT must be <5 x ULN

Adequate hematologic and organ function

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

US trial sites

  • Dana-Farber Cancer Institute · Boston, Massachusetts
  • Memorial Sloan Kettering Cancer Center · New York, New York
  • The Ohio State University Wexner Medical Center · Columbus, Ohio

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