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Phase III

A Phase 3 Randomized Double-Blind Multicenter Study of Sonrotoclax Plus Zanubrutinib Versus Placebo Plus Zanubrutinib in Patients With Relapsed/Refractory Mantle Cell Lymphoma

  • Study HIC#:2000039878
  • Last Updated:08/03/2025

The goal of this study is to compare how well sonrotoclax plus zanubrutinib works versus zanubrutinib plus placebo in treating adults with relapsed/refractory (R/R) mantle cell lymphoma (MCL). This study will also look at the safety of sonrotoclax plus zanubrutinib versus zanubrutinib plus placebo.

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    Eligibility Criteria

    Inclusion Criteria:

    • Histologically confirmed diagnosis of MCL based on the World Health Organization 2022 classification of Haematolymphoid Tumors (WHO-HAEM5), or based on International Consensus Classification (ICC)
    • Received 1 to 5 prior lines of systemic therapy including an anti-CD20 monoclonal antibody (mAb)-based immunotherapy or chemoimmunotherapy and requiring treatment in the opinion of the investigator
    • Relapsed or refractory disease after the last line of therapy
    • Measurable disease defined as ≥ 1 nodal lesion that is > 1.5 cm in longest diameter, or ≥ 1 extranodal lesion that is > 1 cm in longest diameter
    • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 to 2
    • Adequate organ function

    Exclusion Criteria:

    • Prior therapy with B-cell lymphoma-2 inhibitor
    • Prior therapy with covalent or non-covalent Bruton tyrosine kinase inhibitor (BTKi) unless the participant was intolerant of non-zanubrutinib covalent or non-covalent BTKi
    • Prior autologous stem cell transplantation or chimeric antigen receptor T-cell therapy within 3 months before first dose of study drug
    • Prior allogeneic stem cell transplant within 6 months of the first dose of the study drug
    • Known central nervous system involvement by lymphoma
    • Clinically significant cardiovascular disease
    • History of stroke or intracranial hemorrhage within 6 months before first dose of study drug

    Principal Investigator

    Sub-Investigators

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