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OncoMatch/Clinical Trials/NCT06849713

Zanubrutinib, Obinutuzumab, and Sonrotoclax in Previously Untreated Patients With CLL or SLL

Is NCT06849713 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments including Zanubrutinib and Sonrotoclax for chronic lymphocytic leukemia.

Phase 2RecruitingMassachusetts General HospitalNCT06849713Data as of May 2026

Treatment: Zanubrutinib · Sonrotoclax · ObinutuzumabThe purpose of this study is to determine the proportion of participants who achieve undetectable measurable residual disease (uMRD) in previously untreated chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL).

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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: systemic therapy

Exception: Prior local radiation for symptomatic disease is permitted. Short course systemic corticosteroids is permissible for disease control, improvement of performance status, or non-cancer indication (≤14 days, ≤100 mg prednisone, ≤20 mg dexamethasone, or equivalent, discontinued prior to study treatment). Inhaled, topical, and replacement/stress corticosteroids permitted. Steroid usage for autoimmune complications of CLL (e.g., ITP or AIHA) permitted.

Participants must have no prior systemic therapy for CLL or SLL, except: Prior local radiation for symptomatic disease is permitted. Short course systemic corticosteroids is permissible for disease control, improvement of performance status, or non-cancer indication. However, duration of steroid course must be ≤14 days with maximum daily dose of ≤100 mg prednisone, ≤20 mg dexamethasone, or equivalent, and must be discontinued prior to study treatment (last dose may be administered up until the morning of / prior to study treatment). Inhaled steroids, topical steroids, and replacement / stress corticosteroids are permitted independent of above rules. In cases of autoimmune complications of CLL (e.g., ITP or AIHA), steroid usage is permitted.

Cannot have received: anti-CD20 monoclonal antibody

Prior anti-CD20 monoclonal antibody therapy for any indication (malignant or non-malignant).

Lab requirements

Blood counts

absolute neutrophil count ≥1,000/µL without growth factor support (unless clearly due to disease under study); platelets ≥75,000/µL, or ≥20,000/µL if clearly due to disease under study

Kidney function

CrCl or GFR ≥30 mL/min as estimated by Cockcroft-Gault, CKD-EPI, or 24-hour urine collection

Liver function

total bilirubin ≤2 x institutional ULN, or ≤3 x institutional ULN if due to Gilbert's syndrome, or with PI approval if clearly due to disease under study; AST(SGOT)/ALT(SGPT) ≤2.5 x institutional ULN

Participants must meet the following organ and marrow function as defined below: - absolute neutrophil count ≥1,000/µL without growth factor support (filgrastim within 5 days or PEGfilgrastim within 10 days of test), unless clearly due to disease under study (per investigator) - platelets ≥75,000/µL, or ≥20,000/µL if clearly due to disease under study (per investigator) - total bilirubin ≤2 x institutional upper limit of normal (ULN), or ≤3 x institutional ULN if due to Gilbert's syndrome, or with PI approval if clearly due to disease under study - AST(SGOT)/ALT(SGPT) ≤2.5 x × institutional ULN - CrCl or GFR ≥30 mL/min as estimated by the Cockcroft-Gault equation, the CKD-EPI equation, or as measured by 24-hour urine collection

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

US trial sites

  • Massachusetts General Hospital · Boston, Massachusetts
  • Memorial Sloan Kettering Cancer Center · New York, New York

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