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.
Treatment: Sonrotoclax · Zanubrutinib — This 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 qualifyExtracted 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 →
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