Purpose

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.

Conditions

Eligibility

Eligible Ages
Over 18 Years
Eligible Genders
All
Accepts Healthy Volunteers
No

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 Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Study Design

Phase
Phase 3
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Treatment
Masking
Double (Participant, Investigator)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Arm A: sonrotoclax plus zanubrutinib
Sonrotoclax and zanubrutinib will be administered in combination.
  • Drug: Sonrotoclax
    Administered orally
    Other names:
    • BGB-11417
  • Drug: Zanubrutinib
    Administered orally
    Other names:
    • Brukinsa
    • BGB-3111
Placebo Comparator
Arm B: placebo plus zanubrutinib
Placebo and zanubrutinib will be administered in combination.
  • Drug: Zanubrutinib
    Administered orally
    Other names:
    • Brukinsa
    • BGB-3111
  • Drug: Placebo
    Administered orally

Recruiting Locations

Fort Wayne Medical Oncology and Hematology
Fort Wayne, Indiana 46804

Hattiesburg Hematology and Oncology Clinic
Hattiesburg, Mississippi 39401-7233

Washington University School of Medicine
Saint Louis, Missouri 63110-1010

McGlinn Cancer Institute
West Reading, Pennsylvania 19611-2143

Tennessee Oncology
Nashville, Tennessee 37205

Md Anderson Cancer Center
Houston, Texas 77030-3907

Auxilio Mutuo Cancer Center
San Juan, Puerto Rico 00917

More Details

NCT ID
NCT06742996
Status
Recruiting
Sponsor
BeiGene

Study Contact

Study Director
1.877.828.5568
clinicaltrials@beigene.com

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.