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OncoMatch/Clinical Trials/NCT07270835

Zanubrutinib Combined With Rituximab in the Treatment of Secondary HLH in B-cell Lymphoma

Is NCT07270835 recruiting? Yes, currently enrolling (May 2026). This Phase 4 trial studies multiple treatments including Rituximab and Zanubrutinib for hemophagocytic lymphohistiocytosis.

Phase 4RecruitingThe First Affiliated Hospital of Soochow UniversityNCT07270835Data as of May 2026

Treatment: Rituximab · ZanubrutinibFor patients who met the inclusion criteria, treatment regimens were administered: Rituximab 375 mg/m², intravenously, once weekly for 4 weeks. Zanubrutinib 160 mg, orally, twice daily for 4 weeks. Combined drugs: prednisone 100 mg/m²/d, orally, d1-5; Ruxolitinib 15mg bid orally; With/without emapalumab as appropriate.

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Extracted eligibility criteria

Cancer type

Non-Hodgkin Lymphoma

Biomarker criteria

Required: MS4A1 CD20-positive (increased proportion of CD20-positive B cells by bone marrow flow cytometry)

HLH patients whose bone marrow flow cytometry show an increased proportion of CD20-positive B cells

Prior therapy

Cannot have received: experimental drugs

Exception: had not completed the drug washout period

Have received other experimental drugs and had not completed the drug washout period

Lab requirements

Blood counts

Fibrinogen could be corrected to ≥0.6g/L by infusion

Kidney function

Baseline serum creatinine ≤1.5 times ULN; CrCl <30 mL/min or severe renal insufficiency [excluded]

Liver function

ALT or AST >5 times the upper limit, or severe cirrhosis [excluded]

Cardiac function

Left ventricular ejection fraction (LVEF) ≥50% measured by echocardiography; NYHA class III-IV heart failure or severe arrhythmia [excluded]

Baseline serum creatinine ≤1.5 times ULN; Fibrinogen could be corrected to ≥0.6g/L by infusion; Left ventricular ejection fraction (LVEF) ≥50% measured by echocardiography; Severe organ dysfunction including NYHA class III-IV heart failure or severe arrhythmia; Liver function: ALT or AST >5 times the upper limit, or severe cirrhosis; Renal function: CrCl <30 mL/min or severe renal insufficiency

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

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