About this trial
Evaluate the efficacy and safety of orelabrutinib, tafasitamab, and lenalidomide in the first-line treatment of patients with follicular lymphoma.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age > 18 years, regardless of gender;
Newly diagnosed patients with follicular lymphoma (Grade 1, 2, or 3a) confirmed histologicallyaccording to the World Health Organization (WHO) classification of diseases;
Deemed by the investigator to have an indication for treatment and require therapy;
ECOG performance status score of 0-2;
Disqualifiers
Women with a positive serum pregnancy test or who are breastfeeding;
Patients with lymphoma involving the central nervous system (CNS);
Clinically significant heart disease, including unstable angina, acute myocardial infarction within6 months prior to randomization, congestive heart failure with New York Heart Association(NYHA) functional class IIl or IV, or left ventricular ejection fraction <50%;
Patients with grade >2 neuropathy;
Trial design
Single group
Treatments tested in this trial
Orelabrutinib
DrugOrelabrutinib 150 mg orally once daily on Days 1-28 of each 28-day cycle during induction therapy and maintenance therapy.
Tafasitamab
DrugTafasitamab 12 mg/kg administered by intravenous infusion on Days 1, 4, 8, 15, and 22 in Cycle 1; on Days 1, 8, 15, and 22 in Cycles 2-3; and on Days 1 and 15 from Cycle 4 onward during induction therapy.
Lenalidomide
DrugLenalidomide 20 mg orally once daily on Days 1-21 of each 28-day cycle during induction therapy and 10 mg orally once daily on Days 1-21 of each 28-day cycle during maintenance therapy.
Treatment groups
Trial outcomes
Primary outcomes
Objective Response Rate (ORR)
Percentage of participants achieving a Complete Response (CR) or Partial Response (PR) at the end of cycle 12, assessed according to the Lugano 2014 classification
Secondary outcomes
Complete Response (CR) Rate
The complete response (CR) rate is defined as the percentage of participants who achieve a complete response at the end of cycle 12 , as assessed by the investigator according to the Lugano 2014 classification criteria
Progression-Free Survival (PFS)
The time from the start of treatment to disease progression or death from any cause.
Rate of Progression of Disease within 24 Months (POD24)
Percentage of participants experiencing disease progression within 24 months from the initiation of treatment
Incidence and Severity of Adverse Events (AEs)
Safety evaluated by monitoring the incidence and severity of AEs, graded according to the NCI CTCAE v5.0.
Sponsors and contacts
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