RecruitingPhase 1NCT06859008

Zanubrutinib in Combination With Sonrotoclax for the Treatment of Underrepresented Ethnic and Racial Minorities With Relapsed or Refractory B-cell Non-Hodgkin Lymphoma

Feasibility of Treating Relapsed/Refractory B-Cell Non-Hodgkin Lymphoma With Zanubrutinib in Combination With the BCL2 Inhibitor, Sonrotoclax, Focusing on Access for Underrepresented Ethnic/Racial Minorities


Sponsor

City of Hope Medical Center

Enrollment

37 participants

Start Date

Aug 25, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

This phase I trial tests zanubrutinib in combination with sonrotoclax for treating underrepresented ethnic and racial minorities with B-cell non-Hodgkin lymphoma that has come back after a period of improvement (relapsed) or that has not responded to previous treatment (refractory). Many racial and ethnic minorities face additional treatment challenges which may lead to poorer outcomes, however, there are fewer racial and ethnic minorities participating in clinical trials. Zanubrutinib, a type of tyrosine kinase inhibitor, blocks a protein called Bruton tyrosine kinase (BTK), which may help keep cancer cells from growing. Sonrotoclax works by blocking a protein called B-cell lymphoma-2 (Bcl-2). This protein helps certain types of blood cancer cells to survive and grow. When sonrotoclax blocks Bcl-2, it slows down or stops the growth of cancer cells and causes them to die. Zanubrutinib and sonrotoclax have been shown to be an effective treatment for B-cell cancers. Giving zanubrutinib in combination with sonrotoclax may be effective in treating ethnic and racial minorities with relapsed or refractory B-cell non-Hodgkin lymphoma.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study is testing a combination of two targeted drugs — zanubrutinib (a BTK inhibitor) and sonrotoclax (a BCL2 inhibitor) — specifically in racial and ethnic minority patients with relapsed or refractory B-cell non-Hodgkin lymphoma, a blood cancer that has come back or stopped responding to treatment. **You may be eligible if...** - You are 18 or older - You have confirmed B-cell non-Hodgkin lymphoma that has relapsed or is refractory - You self-identify as Black or African American, Hispanic/Latino, American Indian/Native Alaskan, Pacific Islander/Native Hawaiian, Non-Hispanic White, or Non-Hispanic Asian - Your general health score (ECOG) is 2 or better **You may NOT be eligible if...** - You had major surgery within the past 4 weeks - You had an allogeneic (donor) stem cell transplant with active graft-versus-host disease - You previously received 2+ months of BCL2 inhibitor therapy (e.g., venetoclax) - You received a live vaccine recently or have had CAR-T cell therapy within the past 30 days Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

PROCEDUREBiopsy

Undergo biopsy

PROCEDUREBiospecimen Collection

Undergo urine and blood sample collection

PROCEDUREBone Marrow Aspiration

Undergo bone marrow aspiration and biopsy

PROCEDUREBone Marrow Biopsy

Undergo bone marrow aspiration and biopsy

PROCEDUREComputed Tomography

Undergo CT

PROCEDUREMagnetic Resonance Imaging

Undergo MRI

OTHERQuestionnaire Administration

Ancillary studies

DRUGSonrotoclax

Given PO

DRUGZanubrutinib

Given PO


Locations(1)

City of Hope Medical Center

Duarte, California, United States

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NCT06859008


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