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OncoMatch/Clinical Trials/NCT07022223

Orelabrutinib Combined With Rituximab as First-line Systemic Treatment for Marginal Zone Lymphoma

Is NCT07022223 recruiting? Yes, currently enrolling (Jun 2026). This Phase 2 trial studies orelabrutinib combined with rituximab regimen for marginal zone lymphoma(mzl).

Phase 2RecruitingSecond Affiliated Hospital, School of Medicine, Zhejiang UniversityNCT07022223Data as of Jun 2026Location: China

Treatment: orelabrutinib combined with rituximab regimenThis is a single-arm, prospective clinical study to evaluate the efficacy and safety of orelabrutinib combined with rituximab as first-line systemic treatment for marginal zone lymphoma.

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Extracted eligibility criteria

Treatments studied

Immunotherapy

orelabrutinib combined with rituximab regimen

Cancer type

Non-Hodgkin Lymphoma

Biomarker criteria

Required: MS4A1 overexpression (CD20-positive)

Histologically confirmed CD20-positive marginal zone lymphoma

Performance status

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

Prior therapy

Must have received: local therapy (surgery, radiotherapy, anti-Helicobacter pylori treatment, anti-hepatitis C treatment)

MZL that has progressed or relapsed after prior local therapy (including surgery, radiotherapy, anti-Helicobacter pylori treatment, and anti-hepatitis C treatment), or is not suitable for local therapy

Cannot have received: BTK inhibitor

Previous treatment with BTK...inhibitors

Cannot have received: BCR pathway inhibitor (PI3K, Syk)

Previous treatment with...BCR pathway inhibitors (such as PI3K, Syk)

Cannot have received: BCL-2 inhibitor

Previous treatment with...BCL-2 inhibitors

Lab requirements

Blood counts

Absolute neutrophil count ≥ 1.5×10^9/L, platelets ≥ 75×10^9/L, hemoglobin ≥ 75 g/L; if bone marrow involvement, ANC ≥ 1.0×10^9/L, platelets ≥ 50×10^9/L, hemoglobin ≥ 50 g/L

Kidney function

serum creatinine ≤ 1.5 times ULN; urine protein ≥ 2+, and 24-hour urine protein quantification ≥ 2 g/24 hours [excluded]

Liver function

Total bilirubin ≤ 1.5 times ULN, AST or ALT ≤ 2 times ULN

Cardiac function

NYHA Class II or higher congestive heart failure, unstable angina, MI within 6 months, arrhythmias requiring treatment, LVEF < 50%, primary cardiomyopathy, QTc > 470 ms (female), > 450 ms (male), symptomatic or medically treated coronary artery disease, uncontrolled hypertension [all excluded]

Adequate function of major organs, as follows: Hematology: Absolute neutrophil count ≥ 1.5×10^9/L, platelets ≥ 75×10^9/L, hemoglobin ≥ 75 g/L; if there is bone marrow involvement, absolute neutrophil count ≥ 1.0×10^9/L, platelets ≥ 50×10^9/L, hemoglobin ≥ 50 g/L; Biochemistry: Total bilirubin ≤ 1.5 times ULN, AST or ALT ≤ 2 times ULN; serum creatinine ≤ 1.5 times ULN; serum amylase ≤ ULN; Coagulation: INR ≤ 1.5 times ULN.

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

Frequently asked questions

Is NCT07022223 currently recruiting?

Yes, this trial is currently recruiting patients.

Are there prior therapy exclusions?

Yes. Prior BTK inhibitor, BCR pathway inhibitor, BCL-2 inhibitor disqualifies patients from enrollment.

Does this trial require MS4A1?

Yes, MS4A1 overexpression is a required biomarker for enrollment.

Could you qualify for this trial?

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

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