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临床试验/NCT07514169
NCT07514169招募中2 期

The Efficacy and Safety of Pola-ZR-Glo (Polatuzumab Vedotin, Zanubrutinib, Lenalidomide and Glofitamab) Regimen in Older Treatment-naive Patients With Large B-cell Lymphoma (LBCL)

Ruijin Hospital1 个研究点 分布在 1 个国家目标入组 30 人开始时间: 2026年3月31日最近更新:

试验速览

阶段
2 期
状态
招募中
入组人数
30
试验地点
1

研究概览

简要总结

This is a prospective, single-center, open-label, single-arm clinical study designed to evaluate the efficacy and safety of Pola-ZR-Glo (Polatuzumab Vedotin, Zanubrutinib, Lenalidomide and Glofitamab) regimen in older treatment-naive patients with large B-cell lymphoma.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
70 Years 至 —(Older Adult)
性别
All
接受健康志愿者

入选标准

  • Patients must satisfy all of the following criteria to be enrolled in the study:
  • Histologically-confirmed large B-cell lymphoma (without central nervous system involvement)
  • Aged ≥ 70 years old with comprehensive geriatric assessment stratified as unfit or frail, or those who decline immunochemotherapy.
  • Eastern Cooperative Oncology Group Performance Status 0-2
  • At least 1 measurable site of disease (defined as lymph nodes with the long diameters longer than 1.5cm, or extra-nodal sites with the long diameters longer than 1.0cm; meanwhile, any lesion site with at least 2 measurable vertical diameters)
  • Life expectancy of at least 3 months determined by researchers
  • The patient or his or her legal representative must provide written informed consent prior to any special examination or procedure for the research.
  • Anti-lymphoma drugs have not been used before (except glucocorticoids)

排除标准

  • Presence of any of the following criteria will exclude a patient from enrollment:
  • Uncontrolled blood clotting disorders, connective tissue diseases, serious infectious diseases and other diseases
  • Laboratory measures meet the following criteria at screening (unless caused by lymphoma):
  • Neutrophils<1.0×10^9/L Platelets<75×10^9/L ALT or AST is 2.5 times higher than the upper limits of normal (ULN), serum bilirubin are 1.5 times higher than the ULN.
  • eGFR is lower than 30ml/min/1.73m^2 (according to Cockcroft-Gault Equation or MDRD Equation).
  • uncontrollable or significant cardiovascular diseases, including but not limited to: Left ventricular ejection fraction<50% Cardiomyopathy, such as dilated cardiomyopathy, hypertrophic cardiomyopathy, restrictive cardiomyopathy QTc prolongation with clinical significance, QTc interval>470ms (females) or 480ms (males), type 2 second-degree atrioventricular block or third-degree atrioventricular block
  • Patients with HbsAg positive are required to have HBV DNA<1.0×10^3 IU/ml before entering the group. In addition, if the patient is HBsAg negative but HBcAb positive (regardless of HBsAb status), HBV DNA test is also required, and HBV DNA<1.0×10^3 IU/ml is required before entering the group
  • Patients with psychiatric disorders or patients who are known or suspected to be unable to fully comply with the study protocol
  • HIV-infected patients
  • History of stroke or intracranial hemorrhage within 6 months prior to start of therapy
  • Other medical conditions determined by the researchers that may affect the study

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Zhao Weili

Professor and Director, Shanghai Institute of Hematology

Ruijin Hospital

研究点 (1)

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