Mantle Cell LymphomaPhase 3NCT06742996
A Study to Investigate the Efficacy and Safety of Sonrotoclax Plus Zanubrutinib Compared With Placebo Plus Zanubrutinib in Adults With Relapsed/Refractory Mantle Cell Lymphoma (CELESTIAL-RRMCL)
A Phase 3 study testing Sonrotoclax and Zanubrutinib in people with Mantle Cell Lymphoma and B Cell Lymphoma, run by BeOne Medicines at 145 sites in 17 countries.
Trial summary
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. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Mantle Cell Lymphoma, B Cell Lymphoma
- What is being tested?
- Sonrotoclax and Zanubrutinib
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 300 participants
- Where
- 145 sitesin 17 countries
- Study dates
- 5 Mar 2025to 30 Mar 2032
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Histologically locally confirmed diagnosis of MCL based on the World Health Organization 2022 classification of Haematolymphoid Tumors (WHO-HAEM5), or based on International Consensus Classification (ICC)
- Ability to provide archival or fresh tumor tissue for retrospective central confirmation of MCL diagnosis
- 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
Who cannot join
- Prior therapy with B-cell lymphoma-2 inhibitor (BCL2i)
- Prior therapy with BTK degraders
- 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. Participants with refractory disease to BTKi therapy or relapse attributed to failure of BTKi therapy are ineligible.
- 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
Show all 9Show fewer
- 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.
Trial locations and contacts
145 sites in 17 countries. Contact the study team or a site near you to ask about taking part.
145 sites in 17 countries
United States41 sites, 41 recruiting
- Recruiting
University of Michigan
Ann Arbor, Michigan, 48109-1382
- Recruiting
The University of Maryland Greenebaum Comprehensive Cancer Center
Baltimore, Maryland, 21201
- Recruiting
Our Lady of the Lake Hospital
Baton Rouge, Louisiana, 70808-4365
- Recruiting
University of Alabama At Birmingham Hospital
Birmingham, Alabama, 35294-0004
- Recruiting
Dana Farber Cancer Institute Longwood Medical Center
Boston, Massachusetts, 02215-5418
- Recruiting
Atrium Health Levine Cancer Institute (Lci)
Charlotte, North Carolina, 28204-2990
- Recruiting
University of Virginia
Charlottesville, Virginia, 22908-0817
- Recruiting
Rush University Medical Center
Chicago, Illinois, 60607
- Recruiting
University of Chicago Medical Center
Chicago, Illinois, 60637-1443
- Recruiting
University Hospitals
Cleveland, Ohio, 44106-1716
- Recruiting
Cleveland Clinic Foundation
Cleveland, Ohio, 44195-0001
- Recruiting
Ohio State University Comprehensive Cancer Center
Columbus, Ohio, 43210-1280
- Recruiting
Ohio Health Research Institute
Columbus, Ohio, 43214-3907
- Recruiting
Duke University
Durham, North Carolina, 27710
- Recruiting
Fort Wayne Medical Oncology and Hematology
Fort Wayne, Indiana, 46804
- Recruiting
Ucsf Fresno
Fresno, California, 93701
- Recruiting
Virgina Cancer Specialists
Gainesville, Virginia, 20155-3257
- Recruiting
Nebraska Cancer Specialists St Francis Grand Island
Grand Island, Nebraska, 68803
- Recruiting
The Cancer and Hematology Centers
Grand Rapids, Michigan, 49503-2563
- Recruiting
Hattiesburg Hematology and Oncology Clinic
Hattiesburg, Mississippi, 39401-7233
- Recruiting
Penn State Milton S Hershey Medical Center
Hershey, Pennsylvania, 17033
- Recruiting
Md Anderson Cancer Center
Houston, Texas, 77030-3907
- Recruiting
Kaiser Permanente Southern California
Irvine, California, 92618-3734
- Recruiting
University of Wisconsin
Madison, Wisconsin, 53792-0001
- Recruiting
Tennessee Oncology Nashville St Thomas Midtown Clinic
Nashville, Tennessee, 37205
- Recruiting
Tennessee Oncology
Nashville, Tennessee, 37205
- Recruiting
Yale University Yale Cancer Center
New Haven, Connecticut, 06520-8028
- Recruiting
Memorial Sloan Kettering Cancer Center Mskcc
New York, New York, 10065-6800
- Recruiting
Nebraska Cancer Specialists
Omaha, Nebraska, 68130-2042
- Recruiting
The Valley Hospital, Inc
Paramus, New Jersey, 07652
- Recruiting
Memorial Cancer Institute, Memorial Healthcare System
Pembroke Pines, Florida, 33026-4119
- Recruiting
Vcu Massey Cancer Center
Richmond, Virginia, 23298-5026
- Recruiting
Mayo Clinic Rochester
Rochester, Minnesota, 55905-0001
- Recruiting
Texas Oncology Austin Midtown
Round Rock, Texas, 78681-4019
- Recruiting
Washington University School of Medicine
St Louis, Missouri, 63110-1010
- Recruiting
University of Arizona Cancer Center
Tucson, Arizona, 85724-0001
- Recruiting
Northwest Cancer Specialist, Pc(Us Oncology Research)
Vancouver, Washington, 98684-6930
- Recruiting
Mission Cancer and Blood
Waukee, Iowa, 50263
- Recruiting
McGlinn Cancer Institute
West Reading, Pennsylvania, 19611-2143
- Recruiting
Cleveland Clinic Florida
Weston, Florida, 33331-3609
- Recruiting
Atrium Health Wake Forest Baptist
Winston-Salem, North Carolina, 27157
China19 sites, 17 recruiting
- Recruiting
Beijing Cancer Hospital
Beijing, Beijing Municipality, 100142
- Recruiting
Sichuan Academy of Medical Sciences and Sichuan Provincial Peoples Hospital
Chengdu, Sichuan, 610071
- Recruiting
The First Affiliated Hospital of Chongqing Medical University
Chongqing, Chongqing Municipality, 630014
- Recruiting
Sun Yat Sen University Cancer Center
Guangzhou, Guangdong, 510060
- Recruiting
Nanfang Hospital, Southern Medical University
Guangzhou, Guangdong, 510515
- Recruiting
The First Affiliated Hospital, Zhejiang University School of Medicinechengzhan
Hangzhou, Zhejiang, 310002
- Recruiting
Harbin Medical University Cancer Hospital
Harbin, Heilongjiang, 150000
- Recruiting
Linyi Cancer Hospital
Linyi, Shandong, 276001
- Recruiting
Jiangxi Cancer Hospital
Nanchang, Jiangxi, 330029
- Recruiting
Jiangsu Province Hospital
Nanjing, Jiangsu, 210029
- Recruiting
The Affiliated Hospital of Qingdao University Branch West Coast
Qingdao, Shandong, 266555
- Recruiting
Fudan University Shanghai Cancer Center
Shanghai, Shanghai Municipality, 200000
- Recruiting
Liaoning Cancer Hospital and Institute
Shenyang, Liaoning, 110042
- Recruiting
The First Affiliated Hospital of Wenzhou Medical University
Wenzhou, Zhejiang, 325000
- Active, not recruiting
Union Hospital of Tongji Medical College, Huazhong University of Science and Technology
Wuhan, Hubei, 430022
- Active, not recruiting
Tongji Hospital of Tongji Medical College Huazhong University of Science and Technology
Wuhan, Hubei, 430030
- Recruiting
Shaanxi Provincial Peoples Hospital
Xi'an, Shaanxi, 710068
- Recruiting
The Affiliated Hospital of Xuzhou Medical University
Xuzhou, Jiangsu, 221000
- Recruiting
The First Affiliated Hospital of Zhengzhou University
Zhengzhou, Henan, 450052
Japan18 sites, 18 recruiting
- Recruiting
Institute of Science Tokyo Hospital
Bunkyoku, Tokyo, 113-8519
- Recruiting
Chiba Cancer Center
Chiba, Chiba, 260-8717
- Recruiting
Hiroshima Red Cross Hospital and Atomic Bomb Survivors Hospital
Hiroshima, Hiroshima, 730-8619
- Recruiting
Kagoshima University Hospital
Kagoshima, Kagoshima-ken, 890-8520
- Recruiting
Kobe City Medical Center General Hospital
KobeShi, Hyōgo, 650-0047
- Recruiting
Dokkyo Medical University Saitama Medical Center
Koshigaya, Saitama, 503-8502
- Recruiting
Kurashiki Central Hospital
Kurashikishi, Okayama-ken, 710-8602
- Recruiting
Matsuyama Red Cross Hospital
Matsuyama, Ehime, 790 8524
- Recruiting
Aichi Cancer Center Hospital Clinical Oncology
Nagoya, Aichi-ken, 464-8681
- Recruiting
Ogaki Municipal Hospital
Ōgaki, Gifu, 503-8502
- Recruiting
National Hospital Organization Okayama Medical Center
Okayama, Okayama-ken, 701-1192
- Recruiting
Osaka Metropolitan University Hospital
Osaka, Osaka, 545-8586
- Recruiting
Osaka Red Cross Hospital
Osakashi, Osaka, 543-8555
- Recruiting
Hokkaido University Hospital
Sapporo, Hokkaido, 060-8648
- Recruiting
Tohoku University Hospital
Sendai, Miyagi, 980-8574
- Recruiting
Toyohashi Municipal Hospital
Toyohashishi, Aichi-ken, 441-8570
- Recruiting
Kanagawa Cancer Center
Yokohama, Kanagawa, 241-8515
- Recruiting
Yokohama Municipal Citizens Hospital
Yokohama, 221-0855
Brazil10 sites, 1 recruiting
- Active, not recruiting
Fundacao Pio Xii Hospital de Amor de Barretos
Barretos, 14.784-400
- Active, not recruiting
Hospital Felicio Rocho
Belo Horizonte, 30110-068
- Active, not recruiting
Universidade de Campinas Centro de Hematologia E Hemoterapia
Campinas, 13083-878
- Active, not recruiting
Fundacao Universidade de Caxias Do Sul
Caxias do Sul, 95070-560
- Active, not recruiting
Hospital Erasto Gaertner
Curitiba, 81520-060
- Active, not recruiting
Instituto Joinvilense de Hematologia E Oncologia
Joinville, 89201-260
- Active, not recruiting
Hospital de Clinicas de Porto Alegre
Porto AlegreRS, 900350-903
- Active, not recruiting
Hospital Do Cancer de Pernambuco
Recife, 50040-000
- Active, not recruiting
Hcfmusp Pesquisa Clinica Do Servico de Hematologia E Terapia Celular
São Paulo, 05403-010
- Recruiting
Hospital Santa Rita de Cassia Afecc
Vitória, 29043-260
Germany7 sites, 7 recruiting
- Recruiting
Klinikum Chemnitz Ggmbh
Chemnitz, 09116
- Recruiting
Universitatsklinikum Frankfurt
Frankfurt am Main, 60596
- Recruiting
Universitatsklinikum Halle
Halle, 06120
- Recruiting
Dept of Medicine Iii, University Hospitallmu
München, 81377
- Recruiting
Stauferklinikum Schwabisch Gmund Kliniken Ostalb
Mutlangen, 73557
- Recruiting
Diakonie Klinikum Jung Stilling Krankenhaus
Siegen, 57074
- Recruiting
Robert Bosch Krankenhaus, Abteilung Hamatologie, Onkologie Und Palliativmedizin
Stuttgart, 70376
United Kingdom7 sites, 7 recruiting
- Recruiting
Birmingham Heartlands Hospital
Birmingham, B9 5SS
- Recruiting
The Royal Bournemouth and Christchurch Hospitals Nhs Foundation
Bournemouth, BH7 7DW
- Recruiting
Beatson West of Scotland Cancer Centre
Glasgow, G12 0YN
- Recruiting
Oxford University Hospitals Nhs Trust Churchill Hospital
Headington, OX3 7LE
- Recruiting
University College Hospital
London, NW1 2PG
- Recruiting
Clatterbridge Cancer Centre
Metropolitan Borough of Wirral, CH63 4JY
- Recruiting
Derriford Hospital
Plymouth, PL6 8DH
South Korea6 sites
- Active, not recruiting
Samsung Medical Center
GangnamGu, Seoul Teugbyeolsi, 06351
- Active, not recruiting
The Catholic University of Korea, Seoul St Marys Hospital
SeochoGu, Seoul Teugbyeolsi, 06591
- Active, not recruiting
Pusan National University Hospital
Seogu, Busan Gwang'Yeogsi, 49241
- Active, not recruiting
Seoul National University Hospital
Seoul, Seoul Teugbyeolsi, 03080
- Active, not recruiting
Asan Medical Center
SongpaGu, Seoul Teugbyeolsi, 05505
- Active, not recruiting
The Catholic University of Korea, Yeouido St Marys Hospital
Yeongdeungpo-gu, Seoul Teugbyeolsi, 07345
Australia5 sites
- Active, not recruiting
Sunshine Coast Hospital and Health Service
Birtinya, Queensland, QLD 4575
- Active, not recruiting
Box Hill Hospital
Box Hill, Victoria, VIC 3128
- Active, not recruiting
Monash Health
Clayton, Victoria, VIC 3168
- Active, not recruiting
Rockingham Hospital
Cooloongup, Western Australia, WA 6168
- Active, not recruiting
Perth Blood Institute
West Perth, Western Australia, WA 6005
Italy5 sites
- Active, not recruiting
Policlinico Sorsola Malpighi, Aou Di Bologna
Bologna, 40138
- Active, not recruiting
Ospedale Vito Fazzi, Asl Lecce
Lecce, 73100
- Active, not recruiting
Istituto Romagnolo Per Lo Studio Dei Tumori Dino Amadori Irst
Meldola, 47014
- Active, not recruiting
Azienda Sanitaria Universitaria Giuliano Isontina
Trieste, 34129
- Active, not recruiting
Centroricerche Cliniche Di Verona Srl
Verona, 37134
New Zealand5 sites
- Active, not recruiting
North Shore Hospital
Auckland, 0622
- Active, not recruiting
Christchurch Hospital
Christchurch, 8011
- Active, not recruiting
Dunedin Hospital
Dunedin, 9016
- Active, not recruiting
Tauranga Hospital
Tauranga, 3112
- Active, not recruiting
Wellington Regional Hospital (Ccdhb)
Wellington, 6021
Poland5 sites
- Active, not recruiting
Pratia McM Krakow
Krakow, 30-727
- Active, not recruiting
Wojewodzkie Wielospecjalistyczne Centrum Onkologii I Traumatologii Im M Kopernika W Lodzi
Lodz, 93-510
- Active, not recruiting
Uniwersytecki Szpital Kliniczny Nr 4 W Lublinie
Lublin, 20-090
- Active, not recruiting
Aidport Sp Z O O
Skorzewo, 60-185
- Active, not recruiting
Dolnoslaskie Centrum Onkologii, Pulmonologii I Hematologii
Wroclaw, 53-439
Argentina4 sites, 1 recruiting
- Recruiting
Hospital Aleman
Caba, 1425
- Active, not recruiting
FUNDALEU
Caba, CP1114
- Active, not recruiting
Hospital Italiano de Buenos Aires
Ciudad Autonoma Buenos Aires, 1413
- Active, not recruiting
Hospital Universitario de Cordoba
Córdoba, X5000HUA
France4 sites, 2 recruiting
- Recruiting
Chu Montpellier Hopital Saint Eloi
Montpellier, 34090
- Active, not recruiting
Centre Hospitalier Universitaire Nantes Hotel Dieu
Nantes, 44000
- Active, not recruiting
Chu Hopital Lyon Sud
PierreBenite, 69495
- Recruiting
Chu Tours Hopital Bretonneau
Tours, 37000
Spain4 sites
- Active, not recruiting
Hospital Clinic de Barcelona
Barcelona, 08036
- Active, not recruiting
Ico H Duran I Reynals
Barcelona, 08907
- Completed
Hospital Universitario Fundacion Jimenez Diaz
Madrid, 28040
- Active, not recruiting
H Puerta de Hierro Majadahonda
Majadahonda, 28222
Turkey (Türkiye)3 sites
- Active, not recruiting
Etlik City Hospital
Ankara, 06170
- Active, not recruiting
Antalya Memorial Hospital
Dokuma, 07025
- Active, not recruiting
Kocaeli Universitesi Tip Fakultesi
Kocaeli, 41380
Puerto Rico1 site, 1 recruiting
- Recruiting
Auxilio Mutuo Cancer Center
San Juan, 00917
About this study
Official title: A Phase 3 Randomized Double-Blind Multicenter Study of Sonrotoclax Plus Zanubrutinib Versus Placebo Plus Zanubrutinib in Patients With Relapsed/Refractory Mantle Cell Lymphoma
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.
Read the detailed description
Mantle cell lymphoma (MCL) is a rare, aggressive type of B-cell lymphoma. B-cells are white blood cells that help fight infections. Lymphoma is a cancer in the lymphatic system. Sometimes this type of cancer can come back after treatment (relapse), or it does not respond to treatment or stops responding to treatment (refractory).
Sonrotoclax is a drug which blocks a protein called B-cell lymphoma-2 (Bcl-2). Zanubrutinib works by blocking a protein called Bruton tyrosine kinase (BTK). Bcl-2 and BTK help certain blood cancer cells live and grow. By blocking Bcl-2 and BTK, sonrotoclax and zanubrutinib may slow or stop cancer cell growth and help them die.
The purpose of this study is to test if sonrotoclax plus zanubrutinib is safe and if it works better in adults with R/R MCL compared to zanubrutinib plus placebo. The main goal is to compare how long participants live without their disease getting worse. The study will also evaluate side effects and overall safety.
This study has two treatment groups. Participants will be randomly assigned (by chance) to receive sonrotoclax plus zanubrutinib or zanubrutinib plus placebo. All study treatments will be taken by mouth. Placebo is a pill that looks like the study drug but has no active ingredient. Participants and the study doctor will not know what treatment group the participant is assigned to during the study, unless there is an urgent medical need.
The study will enroll approximately 300 adults with R/R MCL at multiple centers worldwide.
The overall time to participate in this study is up to approximately 7 years. Participants will make regular visits to the clinic for treatment, health checks, blood tests, and tumor imaging tests.
Note: Our company, previously known as BeiGene, is now officially BeOne Medicines. Because some of our older studies were sponsored under the name BeiGene, you may see both names used for this study on this website.
- Conditions
- Mantle Cell Lymphoma, B Cell Lymphoma
- Being tested
- Sonrotoclax, Zanubrutinib, Placebo
- Keywords
- mantle cell lymphoma, MCL, relapsed/refractory mantle cell lymphoma, sonrotoclax, BGB-11417
- Medical subject headings
- Lymphoma, Mantle-Cell, Lymphoma, B-Cell
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
SonrotoclaxDrug
Also called BGB-11417
Administered orally
ZanubrutinibDrug
Also called Brukinsa, BGB-3111
Administered orally
PlaceboDrug
Administered orally
| Study group | Role | What they receive |
|---|---|---|
| Arm A: sonrotoclax plus zanubrutinib | Experimental | Sonrotoclax and zanubrutinib will be administered in combination. Receives: Drug: Sonrotoclax; Drug: Zanubrutinib |
| Arm B: placebo plus zanubrutinib | Placebo comparator | Placebo and zanubrutinib will be administered in combination. Receives: Drug: Zanubrutinib; Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-Free Survival (PFS) as assessed by Blinded Independent Review Committee (BIRC)
PFS is defined as the time from randomization to the date of progression or death, whichever occurs first.
Measured: Approximately 41 months
Secondary outcomes (10)
Overall Survival (OS)
OS is defined as the time from randomization to the date of death from any cause.
Measured: Approximately 92 months
PFS as assessed by investigator (INV)
PFS is defined as the time from randomization to the date of progression or death, whichever occurs first.
Measured: Approximately 58 months
Overall Response Rate (ORR) as assessed by BIRC and by INV
ORR is defined as the percentage of participants who achieved a best overall response of partial response (PR) or complete response (CR), per Lugano 2014 criteria.
Measured: Approximately 58 months
Duration of Response (DOR) as assessed by BIRC and by INV
DOR is defined as the time from the first qualifying response to the date of progression or death, whichever occurs first.
Measured: Approximately 58 months
Complete Response Rate (CRR) as assessed by BIRC and by INV
CRR is defined as the percentage of participants who achieved a best overall response of CR.
Measured: Approximately 58 months
Time to first response as assessed by BIRC and by INV
Time to first response is defined as time from the date of randomization to first response.
Measured: Approximately 58 months
Time to initiation of new anticancer therapy
Time to initiation of new anticancer therapy is defined as time from the date of randomization to the date of initiation of new anticancer therapy.
Measured: Approximately 58 months
Health-Related Quality of Life (HRQoL) as Assessed by the European Organisation of Research and Treatment of Cancer-Quality of Life Questionnaire Non-Hodgkin Lymphoma High Grade Module 29 (EORTC-QLQ-NHL-HG29)
Patient-reported symptom burden, neuropathy, and physical condition/fatigue as measured by the EORTC-QLQ-NHL-HG29 questionnaire. The EORTC-QLQ-NHL-HG29 is the NHL-aggressive module of QLQ-C30; and it consists of 5 scales: Symptom burden due to disease and/or treatment (7 items), Neuropathy (2 items), Physical condition/Fatigue (5 items), Emotional impacts (4 items), and Worries/Fears health and functioning (11 items). Items are rated using a 4-point response scale ("not at all," "a little," "quite a bit," and "very much"). A higher score for all the multi-item scales and items represents a higher level of symptomatology or problems.
Measured: Approximately 58 months
Health-Related Quality of Life (HRQoL) as Assessed by the European Organisation of Research and Treatment of Cancer-Quality of Life Questionnaire Core 30 (EORTC-QLQ-C30)
Patient-reported global health status (GHS), role, and physical function as measured by the EORTC-QLQ-C30 questionnaire. The EORTC QLQ-30 contains 30 questions that incorporate 5 functional scales (physical functioning, role functioning, emotional functioning, cognitive functioning, and social functioning), 1 global health status scale, 3 symptom scales (fatigue, nausea and vomiting, and pain), and 6 single items (dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties). The participant answers questions about their health during the past week. There are 28 questions answered on a 4-point scale where 1 =Not at all (best) to 4 =Very Much (worst) and 2 questions answered on a 7-point scale where 1 =Very poor (worst) to 7 =Excellent (best).
Measured: Approximately 58 months
Number of participants with treatment-emergent adverse events (TEAEs)
Number of participants with TEAEs, including laboratory values, vital signs, electrocardiogram results, and physical examination findings, graded according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) v5.0.
Measured: From the first dose of study drug(s) to 30 days after the last dose; up to approximately 58 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Dec 2024
- Study start5 Mar 2025
- Primary completion31 Aug 2028 (estimated)
- Study completion30 Mar 2032 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Mantle Cell LymphomaStudies of the same condition, open and under way.
- More trials run by BeOne MedicinesThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 300 participants (estimated)
Sponsor and investigators
- Lead sponsor
- BeOne Medicines
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Study Director, Study director, BeOne Medicines
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06742996
- Sponsor's protocol ID
- BGB-11417-302
- Other IDs
- 2024-515593-27-00, CTR20250207
- Status last verified
- Oct 2026
- First submitted
- 16 Dec 2024
- Last updated
- 29 Oct 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: BeOne shares data on completed studies responsibly and provides qualified scientific and medical researchers access to data and supporting documentation for clinical trials in dossiers for medicines and indications after submission and approval in the United States, China, and Europe. Clinical trials supporting subsequent local approvals, new indications, or combination products are eligible for sharing once corresponding regulatory approvals are achieved. BeOne shares data only when permitted by applicable data privacy and security laws and regulations, when it is feasible to do so without compromising the privacy of study participants, and other considerations. Qualified researchers with appropriate competencies who are engaged in novel scientific research may submit a request for participant-level data with a research proposal for BeOne review. Research teams must include a biostatistician and sign a Data Sharing Agreement prior to receiving access to clinical trial data.
Study at a glance
From the registry record, last updated by the sponsor on 29 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3 Randomized Double-Blind Multicenter Study of Sonrotoclax Plus Zanubrutinib Versus Placebo Plus Zanubrutinib in Patients With Relapsed/Refractory Mantle Cell Lymphoma
- ClinicalTrials.gov ID
- NCT06742996
- Acronym / sponsor ID
- BGB-11417-302
- Conditions
- Mantle Cell Lymphoma, B Cell Lymphoma
- Keywords
- mantle cell lymphoma, MCL, relapsed/refractory mantle cell lymphoma, sonrotoclax, BGB-11417
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 300 participants (estimated)
- Lead sponsor
- BeOne MedicinesIndustry (pharma, biotech, devices)
- Study start
- 5 Mar 2025 (actual)
- Primary completion
- 31 Aug 2028 (estimated)
- Study completion
- 30 Mar 2032 (estimated)
- First posted
- 19 Dec 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Detailed description
Mantle cell lymphoma (MCL) is a rare, aggressive type of B-cell lymphoma. B-cells are white blood cells that help fight infections. Lymphoma is a cancer in the lymphatic system. Sometimes this type of cancer can come back after treatment (relapse), or it does not respond to treatment or stops responding to treatment (refractory).
Sonrotoclax is a drug which blocks a protein called B-cell lymphoma-2 (Bcl-2). Zanubrutinib works by blocking a protein called Bruton tyrosine kinase (BTK). Bcl-2 and BTK help certain blood cancer cells live and grow. By blocking Bcl-2 and BTK, sonrotoclax and zanubrutinib may slow or stop cancer cell growth and help them die.
The purpose of this study is to test if sonrotoclax plus zanubrutinib is safe and if it works better in adults with R/R MCL compared to zanubrutinib plus placebo. The main goal is to compare how long participants live without their disease getting worse. The study will also evaluate side effects and overall safety.
This study has two treatment groups. Participants will be randomly assigned (by chance) to receive sonrotoclax plus zanubrutinib or zanubrutinib plus placebo. All study treatments will be taken by mouth. Placebo is a pill that looks like the study drug but has no active ingredient. Participants and the study doctor will not know what treatment group the participant is assigned to during the study, unless there is an urgent medical need.
The study will enroll approximately 300 adults with R/R MCL at multiple centers worldwide.
The overall time to participate in this study is up to approximately 7 years. Participants will make regular visits to the clinic for treatment, health checks, blood tests, and tumor imaging tests.
Note: Our company, previously known as BeiGene, is now officially BeOne Medicines. Because some of our older studies were sponsored under the name BeiGene, you may see both names used for this study on this website.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Arm A: sonrotoclax plus zanubrutinib | Experimental | Drug: Sonrotoclax, Drug: ZanubrutinibSonrotoclax and zanubrutinib will be administered in combination. |
| Arm B: placebo plus zanubrutinib | Placebo comparator | Drug: Zanubrutinib, Drug: PlaceboPlacebo and zanubrutinib will be administered in combination. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Histologically locally confirmed diagnosis of MCL based on the World Health Organization 2022 classification of Haematolymphoid Tumors (WHO-HAEM5), or based on International Consensus Classification (ICC)
- Ability to provide archival or fresh tumor tissue for retrospective central confirmation of MCL diagnosis
- 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
Key exclusion criteria (9 listed)
- Prior therapy with B-cell lymphoma-2 inhibitor (BCL2i)
- Prior therapy with BTK degraders
- 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. Participants with refractory disease to BTKi therapy or relapse attributed to failure of BTKi therapy are ineligible.
- 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
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| SonrotoclaxAlso: BGB-11417Administered orally | Drug | Arm A: sonrotoclax plus zanubrutinib |
| ZanubrutinibAlso: Brukinsa, BGB-3111Administered orally | Drug | Arm A: sonrotoclax plus zanubrutinib, Arm B: placebo plus zanubrutinib |
| PlaceboAdministered orally | Drug | Arm B: placebo plus zanubrutinib |
Primary outcome
Progression-Free Survival (PFS) as assessed by Blinded Independent Review Committee (BIRC)
Time frame: Approximately 41 months
PFS is defined as the time from randomization to the date of progression or death, whichever occurs first.
10 secondary outcomes
Overall Survival (OS)
Time frame: Approximately 92 months
PFS as assessed by investigator (INV)
Time frame: Approximately 58 months
Overall Response Rate (ORR) as assessed by BIRC and by INV
Time frame: Approximately 58 months
Duration of Response (DOR) as assessed by BIRC and by INV
Time frame: Approximately 58 months
Complete Response Rate (CRR) as assessed by BIRC and by INV
Time frame: Approximately 58 months
Time to first response as assessed by BIRC and by INV
Time frame: Approximately 58 months
Time to initiation of new anticancer therapy
Time frame: Approximately 58 months
Health-Related Quality of Life (HRQoL) as Assessed by the European Organisation of Research and Treatment of Cancer-Quality of Life Questionnaire Non-Hodgkin Lymphoma High Grade Module 29 (EORTC-QLQ-NHL-HG29)
Time frame: Approximately 58 months
Health-Related Quality of Life (HRQoL) as Assessed by the European Organisation of Research and Treatment of Cancer-Quality of Life Questionnaire Core 30 (EORTC-QLQ-C30)
Time frame: Approximately 58 months
Number of participants with treatment-emergent adverse events (TEAEs)
Time frame: From the first dose of study drug(s) to 30 days after the last dose; up to approximately 58 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Oct 2026.
- Individual participant dataSharing planned: Yes. BeOne shares data on completed studies responsibly and provides qualified scientific and medical researchers access to data and supporting documentation for clinical trials in dossiers for medicines and indications after submission and approval in the United States, China, and Europe. Clinical trials supporting subsequent local approvals, new indications, or combination products are eligible for sharing once corresponding regulatory approvals are achieved. BeOne shares data only when permitted by applicable data privacy and security laws and regulations, when it is feasible to do so without compromising the privacy of study participants, and other considerations. Qualified researchers with appropriate competencies who are engaged in novel scientific research may submit a request for participant-level data with a research proposal for BeOne review. Research teams must include a biostatistician and sign a Data Sharing Agreement prior to receiving access to clinical trial data.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Study Director study director
BeOne Medicines
145 sites in 17 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Sonrotoclax and Zanubrutinib in people with Mantle Cell Lymphoma and B Cell Lymphoma, run by BeOne Medicines at 145 sites in 17 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 29 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 145 sites in United States, China, Japan, Brazil, Germany and 12 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Study Director (1.877.828.5568, clinicaltrials@beonemed.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression-Free Survival (PFS) as assessed by Blinded Independent Review Committee (BIRC) (time frame: Approximately 41 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Oct 2026.