OncoMatch

OncoMatch/Clinical Trials/NCT06859008

Zanubrutinib in Combination With Sonrotoclax for the Treatment of Underrepresented Ethnic and Racial Minorities With Relapsed or Refractory B-cell Non-Hodgkin Lymphoma

Is NCT06859008 recruiting? Yes, currently enrolling (May 2026). This Phase 1 trial studies multiple treatments including Sonrotoclax and Zanubrutinib for chronic lymphocytic leukemia/small lymphocytic lymphoma.

Phase 1RecruitingCity of Hope Medical CenterNCT06859008Data as of May 2026

Treatment: Sonrotoclax · ZanubrutinibThis phase I trial tests zanubrutinib in combination with sonrotoclax for treating underrepresented ethnic and racial minorities with B-cell non-Hodgkin lymphoma that has come back after a period of improvement (relapsed) or that has not responded to previous treatment (refractory). Many racial and ethnic minorities face additional treatment challenges which may lead to poorer outcomes, however, there are fewer racial and ethnic minorities participating in clinical trials. Zanubrutinib, a type of tyrosine kinase inhibitor, blocks a protein called Bruton tyrosine kinase (BTK), which may help keep cancer cells from growing. Sonrotoclax works by blocking a protein called B-cell lymphoma-2 (Bcl-2). This protein helps certain types of blood cancer cells to survive and grow. When sonrotoclax blocks Bcl-2, it slows down or stops the growth of cancer cells and causes them to die. Zanubrutinib and sonrotoclax have been shown to be an effective treatment for B-cell cancers. Giving zanubrutinib in combination with sonrotoclax may be effective in treating ethnic and racial minorities with relapsed or refractory B-cell non-Hodgkin lymphoma.

Check if I qualify

Extracted eligibility criteria

Cancer type

Chronic Lymphocytic Leukemia

Non-Hodgkin Lymphoma

Diffuse Large B-Cell Lymphoma

Performance status

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

Prior therapy

Must have received:

DLBCL: relapsed after, or was refractory to, at least 2 prior lines of therapy

Must have received:

FL: relapsed after, or was refractory to, at least 1 prior systemic therapy

Must have received:

MZL: relapsed after, or was refractory to, at least 1 prior therapy

Must have received:

MCL: relapsed after, or was refractory to, at least 1 prior systemic therapy

Must have received:

CLL/SLL: previously untreated and/or relapsed/refractory CLL defined as disease that relapsed after, or was refractory to, at least 1 prior therapy will be included

Cannot have received: autologous stem cell transplant

Exception: allowed if ≥ 30 days after transplant

Prior autologous stem cell transplant unless ≥ 30 days after transplant

Cannot have received: chimeric antigen receptor T cell therapy

Exception: allowed if ≥ 30 days after cell infusion

prior chimeric antigen receptor T cell (CAR-T) therapy unless ≥ 30 days after cell infusion

Cannot have received: allogeneic stem cell transplant

Exception: excluded if active GVHD, or requiring immunosuppressive drugs for GVHD, or have taken calcineurin inhibitors within 4 weeks prior to consent

Prior allogeneic stem cell transplant with active graft-versus-host disease (GVHD), or requiring immunosuppressive drugs for treatment of GVHD, or have taken calcineurin inhibitors within 4 weeks prior to consent

Cannot have received: BCL2 inhibitor (venetoclax)

Exception: excluded if prior therapy ≥ 2 months with or progression on a Bcl2 inhibitor

Prior therapy ≥ 2 months with or progression on a Bcl2 inhibitor (eg, venetoclax)

Cannot have received: biologic and/or immunologic-based therapy (rituximab)

Exception: excluded if within 28 days before first dose

≤ 28 days before first dose of study drug: Any biologic and/or immunologic-based therapy(ies) including experimental therapy(ies) for leukemia, lymphoma, or myeloma (including, but not limited to, monoclonal antibody therapy, eg, rituximab, and/or cancer vaccine therapy)

Cannot have received: systemic chemotherapy

Exception: excluded if within 14 days before first dose

≤ 14 days before the first dose of study drug: systemic chemotherapy or radiation therapy

Cannot have received: radiation therapy

Exception: excluded if within 14 days before first dose

≤ 14 days before the first dose of study drug: systemic chemotherapy or radiation therapy

Cannot have received: corticosteroid

Exception: excluded if within 7 days before first dose, unless for control of BTK inhibitor withdrawal flare

≤ 7 days before the first dose of study drug: corticosteroid given with antineoplastic intent other than control of BTK inhibitor withdrawal flare

Cannot have received: BTK inhibitor

Exception: excluded if within 5 half-lives before first dose

≤ 5 half-lives before the first dose of study drug: BTK inhibitor, tyrosine kinase inhibitor, or other targeted small molecule given with antineoplastic intent

Cannot have received: tyrosine kinase inhibitor

Exception: excluded if within 5 half-lives before first dose

≤ 5 half-lives before the first dose of study drug: BTK inhibitor, tyrosine kinase inhibitor, or other targeted small molecule given with antineoplastic intent

Cannot have received: targeted small molecule

Exception: excluded if within 5 half-lives before first dose

≤ 5 half-lives before the first dose of study drug: BTK inhibitor, tyrosine kinase inhibitor, or other targeted small molecule given with antineoplastic intent

Lab requirements

Blood counts

Without bone marrow involvement: ANC ≥ 1,000/mm^3, Platelets ≥ 75,000/mm^3; With bone marrow involvement: ANC ≥ 500/mm^3, Platelets ≥ 30,000/mm^3; Hemoglobin ≥ 7g/dL

Kidney function

Creatinine clearance of ≥ 30 mL/min per 24 hour urine test or the Cockcroft-Gault formula

Liver function

Total bilirubin ≤ 1.5 x ULN (unless has Gilbert's disease); AST ≤ 2.5 x ULN; ALT ≤ 2.5 x ULN

Cardiac function

QTcF ≤ 480 ms

ANC, platelets, hemoglobin, bilirubin, AST, ALT, creatinine clearance, QTcF as specified

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

US trial sites

  • City of Hope Medical Center · Duarte, California

Showing up to 5 US sites. See all sites on ClinicalTrials.gov →

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

Check if I qualify