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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 (May 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 May 2026

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

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.

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