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OncoMatch/Clinical Trials/NCT07499271

Genetic Subtype-matched Targeted Therapy for the Treatment of Newly Diagnosed DLBCL With TP53 Mutation

Is NCT07499271 recruiting? Yes, currently enrolling (Jun 2026). This Phase 2 trial studies multiple treatments including POLA-R-CHP and Orelabrutinib for diffuse large b-cell lymphoma (dlbcl).

Phase 2RecruitingThe First Affiliated Hospital of Soochow UniversityNCT07499271Data as of Jun 2026Location: China

Treatment: POLA-R-CHP · OrelabrutinibTo evaluate the efficacy and safety of Genetic subtype-matched targeted therapy in the treatment of treatment-naive diffuse large B-cell lymphoma with TP53 mutation.

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Extracted eligibility criteria

Treatments studied

Targeted therapy

Orelabrutinib

Other

POLA-R-CHP

Cancer type

Diffuse Large B-Cell Lymphoma

Non-Hodgkin Lymphoma

Biomarker criteria

Required: TP53 mutation

Genetic Subtype-matched Targeted Therapy for the Treatment of Newly Diagnosed DLBCL With TP53 Mutation

Required: MS4A1 overexpression

CD20-positive diffuse large B-cell lymphoma

Performance status

ECOG 0–3(Limited self-care)

Demographics

Ages ≤ 70

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Cannot have received: systemic anti-tumor therapy

Patients who have previously received systemic anti-tumor therapy

Cannot have received: systemic adrenal corticosteroids (dexamethasone)

Exception: ≤5 days within 14 days prior to study drug administration; daily doses ≤10 mg dexamethasone or equivalent drugs

Patients who received systemic adrenal corticosteroids for more than 5 days within 14 days prior to study drug administration, or who require daily doses of >10 mg of dexamethasone or equivalent drugs to control central nervous system disease

Lab requirements

Blood counts

Absolute neutrophil count ≥1.5×10⁹/L, platelet count ≥80×10⁹/L, hemoglobin ≥80 g/L

Kidney function

Serum creatinine ≤1.5×ULN or estimated creatinine clearance ≥60 mL/min

Liver function

Total serum bilirubin ≤1.5×ULN (≤3.0×ULN if liver metastases present); AST and ALT ≤2.5×ULN (≤5.0×ULN if liver metastases present)

Cardiac function

LVEF < 50% within 6 months prior to first dose; clinically significant history of QTc prolongation, second-degree type II or third-degree AV block, QTc interval (Fridericia's method) > 470 ms (female) or > 480 ms (male); arrhythmia requiring treatment; uncontrolled hypertension

Bone marrow and organ function meeting the following criteria (without blood transfusion, G-CSF, or medication correction within 14 days prior to screening): ... Liver function: Total serum bilirubin ≤1.5×ULN (≤3.0×ULN if liver metastases present); AST and ALT ≤2.5×ULN (≤5.0×ULN if liver metastases present). Coagulation function: INR and aPTT ≤1.5×ULN. Renal function: Serum creatinine ≤1.5×ULN or estimated creatinine clearance ≥60 mL/min. Cardiac: LVEF < 50% within 6 months prior to first dose; QTc prolongation, AV block, arrhythmia, uncontrolled hypertension.

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

Frequently asked questions

Is NCT07499271 currently recruiting?

Yes, this trial is currently recruiting patients.

Can patients have received prior systemic therapy?

No. This trial requires treatment-naive patients — prior systemic therapy is an exclusion criterion.

Does this trial require TP53?

Yes, TP53 mutation is a required biomarker for enrollment.

Does this trial require MS4A1?

Yes, MS4A1 overexpression is a required biomarker for enrollment.

Is there an age limit?

Yes. Patients must be 70 years or younger.

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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