Mantle Cell Lymphoma; Non-Hodgkin LymphomaPhase 3MANGROVENCT04002297
A Study to Investigate the Efficacy of Zanubrutinib Plus Rituximab Compared With Bendamustine Plus Rituximab in Adults With Previously Untreated Mantle Cell Lymphoma Who Are Ineligible for Stem Cell Transplantation
A Phase 3 study testing zanubrutinib, bendamustine and rituximab in people with Mantle Cell Lymphoma; Non-Hodgkin Lymphoma, run by BeOne Medicines at 176 sites in 22 countries.
Trial summary
This is a randomized study to compare the efficacy and safety of zanubrutinib plus rituximab versus bendamustine plus rituximab in previously untreated participants with mantle cell lymphoma (MCL) who are not eligible for stem cell transplantation. Read more about this study
- Who is it for?
- Ages 60 years and older
- Conditions the study is for
- Mantle Cell Lymphoma; Non-Hodgkin Lymphoma
- What is being tested?
- zanubrutinib, bendamustine and rituximab
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 510 participants
- Where
- 176 sitesin 22 countries
- Study dates
- 20 Aug 2019to 30 Sep 2031
- 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 60 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- ≥70 years of age at the time of informed consent, OR ≥60 and <70 years of age with comorbidities precluding autologous stem cell transplantation
- Histologically confirmed diagnosis of MCL
- No prior systemic treatments for MCL
- Measurable disease by CT/MRI
- Eastern Cooperative Oncology Group (ECOG) performance status of 0-2
- Adequate marrow and organ function
Who cannot join
- Known central nervous system involvement by lymphoma
- Participants for whom the goal of therapy is tumor debulking prior to stem cell transplant
- Clinically significant cardiovascular disease
- History of severe bleeding disorder
- Unable to swallow capsules or disease significantly affecting gastrointestinal function
- Active fungal, bacterial and/or viral infection requiring systemic therapy
- Requires ongoing treatment with a strong CYP3A inhibitor or inducer
- NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
Trial locations and contacts
176 sites in 22 countries.
176 sites in 22 countries
China27 sites
Peking University Peoples Hospital
Beijing, Beijing Municipality, 100044
Beijing Friendship Hospital, Capital Medical University
Beijing, Beijing Municipality, 100050
Jilin Cancer Hospital
Changchun, Jilin, 130021
The First Hospital of Jilin University
Changchun, Jilin, 130021
Hunan Cancer Hospital
Changsha, Hunan, 410013
West China Hospital, Sichuan University
Chengdu, Sichuan, 610041
Fujian Medical University Union Hospital
Fuzhou, Fujian, 350001
Sun Yat Sen University Cancer Center
Guangzhou, Guangdong, 510060
Guangdong Provincial Peoples Hospital
Guangzhou, Guangdong, 510080
Nanfang Hospital of Southern Medical University
Guangzhou, Guangdong, 510515
The First Affiliated Hospital, Zhejiang University School of Medicine
Hangzhou, Zhejiang, 310003
Zhejiang Cancer Hospital
Hangzhou, Zhejiang, 310022
Harbin Medical University Cancer Hospital
Harbin, Heilongjiang, 150000
The First Affiliated Hospital of Nanchang University Branch Donghu
Nanchang, Jiangxi, 330006
Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing University Medical School
Nanjing, Jiangsu, 210008
Jiangsu Province Hospital
Nanjing, Jiangsu, 210029
Hwa Mei Hospital, University of Chinese Academy of Sciences (Ningbo No Hospital)
Ningbo, Zhejiang, 315000
Quanzhou First Affliated Hospital of Fujian Medical University
Quanzhou, Fujian, 362000
Fudan University Shanghai Cancer Center
Shanghai, Shanghai Municipality, 200000
Shanghai East Hospital
Shanghai, Shanghai Municipality, 200120
Shengjing Hospital of China Medical University
Shenyang, Liaoning, 110004
Institute of Hematology and Hospital of Blood Disease
Tianjin, Tianjin Municipality, 300020
Tianjin Medical University Cancer Institute and Hospital
Tianjin, Tianjin Municipality, 300060
Affiliated Cancer Hospital of Xinjiang Medical University
Ürümqi, Xinjiang, 830000
Tongji Hospital of Tongji Medical College Huazhong University of Science and Technology
Wuhan, Hubei, 430030
The Affiliated Hospital of Xuzhou Medical University
Xuzhou, Jiangsu, 221000
Henan Cancer Hospital
Zhengzhou, Henan, 450000
Japan16 sites
Chiba Cancer Center
Chiba, Chiba, 260-8717
National Cancer Center Hospital
Chuoku, Tokyo, 104-0045
Hiroshima Red Cross Hospital and Atomic Bomb Survivors Hospital
Hiroshima, Hiroshima, 730-8619
National Hospital Organization Kumamoto Medical Center
Kumamoto, Kumamoto, 860-0008
Kurashiki Central Hospital
Kurashikishi, Okayama-ken, 710-8602
Kurume University Hospital
Kurume, Fukuoka, 830-0011
University Hospital, Kyoto Prefectural Univ of Medicine
Kyoto, Kyoto, 602-8566
National Hospital Organization Nagoya Medical Center
Nagoya, Aichi-ken, 460-0001
National Hospital Organization Okayama Medical Center
Okayama, Okayama-ken, 701-1192
Osaka Metropolitan University Hospital
Osaka, Osaka, 545-8586
Osaka Red Cross Hospital
Osakashi, Osaka, 543-8555
Tohoku University Hospital
Sendai, Miyagi, 980-8574
Tokyo Medical and Dental University Hospital
Tokyo, Tokyo, 113-8519
Toyohashi Municipal Hospital
Toyohashi, Aichi-ken, 441-8570
Kanagawa Cancer Center
Yokohama, Kanagawa, 241-8515
Yokohama Municipal Citizens Hospital
Yokohama, 221-0855
Australia15 sites
Flinders Medical Centre
Bedford PK, South Australia, 5042
Sunshine Coast Hospital and Health Service
Birtinya, Queensland, 4575
Monash Health
Clayton, Victoria, 3168
Concord Repatriation General Hospital
Concord, New South Wales, 2139
The Tweed Valley Hospital
Cudgen, New South Wales, 2487
Saint Vincents Hospital Sydney
Darlinghurst, New South Wales, 2010
St Vincents Hospital Melbourne
Fitzroy, Victoria, 3065
Peninsula Private Hospital
Frankston, Victoria, 3199
Canberra Hospital
Garran, Australian Capital Territory, 2605
Barwon Health the Geelong Hospital
Geelong, Victoria, 3220
Gosford Hospital
Gosford, New South Wales, 2250
Royal Hobart Hospital
Hobart, Tasmania, 7000
Royal Perth Hospital
Perth, Western Australia, 6000
Icon Cancer Foundation
South Brisbane, Queensland, 4101
Calvary Mater Newcastle
Waratah, New South Wales, 2298
France14 sites
Centre de Lutte Contre Le Cancer Institut Bergonie
Bordeaux, 33076
Chru de Brest Hospital Morvan
Brest, 29200
Chu Dijon
Dijon, J4V 2H1
Chu Grenoble Alpes
Grenoble, 38043
Centre Hospitalier Le Mans
Le Mans, 72037
Hopital Claude Huriez Chu Lille
Lille, 59000
Institut Paoli Calmettes
Marseille, 13009
Centre Hospitalier Universitaire Nantes Hotel Dieu
Nantes, 44093
Institut Curie
Paris, 75005
Necker University Hospital
Paris, 75015
Chu Hopital Lyon Sud
PierreBenite, 69495
Centre Hospitalier Universitaire de Poitier Hopital de La Miletrie Hopital Jean Bernard
Poitiers, 86000
Ch Cornouaille
Quimper, 29000
Iuc Toulouse Oncopole
Toulouse, 31059
Italy13 sites
Azienda Ospedaliera Nazionale Ssantonio E Biagio E Cesare Arrigo
Alessandria, 15121
Policlinico Sorsola Malpighi, Aou Di Bologna
Bologna, 40138
Azienda Ospedaliera Universitaria San Martino
Genova, 16132
Niguarda Cancer Center Division of Hematology
Milan, 20162
Aou Maggiore Della Carita
Novara, 28100
Aoor Villa Sofia Cervello
Palermo, 90146
Aou Pisana, Stabilimento Di Santa Chiara
Pisa, 56126
Unita Di Ematologia, Dipartimento Di Ematologia Ed Oncologia
Ravenna, 48121
Azienda Unita Sanitaria Locale Irccs
Reggio Emilia, 42123
Universita Degli Studi La Sapienza
Roma, 00161
Aou Senese Policlinico Santa Maria Alle Scotte
Siena, 53100
Ao Citta Della Salute E Della Scienza Di Torino Presidio O
Torino, 10126
University of Verona
Verona, 37142
United States12 sites
University of Michigan Health System
Ann Arbor, Michigan, 48109
Beth Israel Deaconess Medical Center (Bidmc)
Boston, Massachusetts, 02215-5400
Rush University Medical Center
Chicago, Illinois, 60612
The University of Texas Md Anderson Cancer Center
Houston, Texas, 77030-4009
Comprehensive Cancer Centers of Nevada
Las Vegas, Nevada, 89169
Joe Arrington Cancer Research and Treatment Center
Lubbock, Texas, 79410
Icahn School of Medicine At Mount Sinai
New York, New York, 10029
Chao Family Comprehensive Cancer Center
Orange, California, 92868
West Penn Hospital
Pittsburgh, Pennsylvania, 15224
Providence Portland Medical Center
Portland, Oregon, 97213
Seattle Cancer Care Alliance
Seattle, Washington, 98109
Clinical Research Alliance, Inc
Westbury, New York, 11590
Poland12 sites
Szpital Uniwersytecki Nr Im Dr Jana Biziela
Bydgoszcz, 85-168
Silesian Healthy Blood Clinic
Chorzów, 41-503
Uniwersyteckie Centrum Kliniczne
Gdansk, 80-952
Copernicus Podmiot Leczniczy Sp Z Oo Wojewodzkie Centrum Onkologii
Gdask, 80-219
Szpitale Pomorskie Spolka Z Ograniczona Odpowiedzialnoscia
Gdynia, 81-519
Pratia McM Krakow
Krakow, 30-727
Wojewodzki Szpital Specjalistyczny W Legnicy
Legnica, 59-220
Wielospecjalistyczne Centrum Onkologii I Traumatologii Im M Kopernika W Lodzi
Lodz, 93-510
Centrum Onkologii Ziemi Lubelskiej
Lublin, 20-090
Specjalistyczny Szpital Im Dr Alfreda Sokolowskiego
Wałbrzych, 58-309
Instytut Hematologii I Transfuzjologii W Warszawie
Warsaw, 02-776
Uniwersytecki Szpital Kliniczny Im Jana Mikulicza Radeckiego We Wroclawiu
Wroclaw, 50-556
Spain10 sites
Hospital Universitario Vall Dhebron
Barcelona, 08035
Institut Catala Doncologia
Barcelona, 08908
Ico Hug Trias I Pujol
Barcelona, 08916
Ico Girona
Girona, 17007
Hospital Universitario Gregorio Maranon
Madrid, 28009
Md Anderson Cancer Center Madrid Spain
Madrid, 28033
Start Madrid Fundacion Jimenez Diaz
Madrid, 28040
Hospital Universitario La Paz
Madrid, 28046
Hospital Regional Universitario de Malaga
Málaga, 29010
Hospital Universitario Virgen Del Rocio
Seville, 41013
Belgium6 sites
Az Sint Jan Brugge
Bruges, 8000
Universitair Ziekenhuis Brussel
Brussels, 1090
Uz Antwerpen
Edegem, 2650
Az Groeninge Campus Loofstraat
Kortrijk, 8500
Centre Hospitalier Universitaire (Chu) de Liege Site Du Sart Tilman
Liège, 4000
Centre Hospitalier Universitaire Universite Catholique de Louvain Site Godinne
Yvoir, 5530
Ireland6 sites
Cork University Hospital
Cork, t12DC4A
Mater Misericordiae University Hospital
Dublin, D7
St Jamess Hospital
Dublin, D8
University Hospital Galway
Galway, H91 YR71
University Hospital Limerick
Limerick, V94F858
University Hospital Waterford
Waterford, X91 ER8E
Netherlands6 sites
Admiraal de Ruijter Ziekenhuis
Goes, 4462 RA
University of Medical Center Groningen (Umcg)
Groningen, 9713 GZ
St Antonius Ziekenhuis, Randd Interne Geneeskunde (F)
Nieuwegein, 3435 CM
Albert Schweitzer Ziekenhuis
Nijmegen, 6525 GA
Erasmus Mc
Rotterdam, 3015 GD
Hagaziekenhuis
The Hague, 2545 CH
Turkey (Türkiye)6 sites
Dr Abdurrahman Yurtaslan Oncology Teaching and Research Hospital
Ankara, 06620
Hematoloji Ve Hematolik Onkoloji Tani Ve Tedavi Merezi
Ankara, 06700
Gazi University
Ankara, 6500
Tr Trakya University Health Research and Application Center (Hospital)
Edirne, 22030
Vkv American Hospital
Istanbul, 34365
Mersin Universitesi Tip Fakultesi Hastanesi
Mersin, 33000
Germany5 sites
Uniklinik Koln (Aor)
Cologne, 50937
Universitatsklinikum Heidelberg
Heidelberg, 69120
Dept of Medicine Iii, University Hospitallmu
Munich, 81377
Universitaetsklinikum Ulm, Innere Medizin Iii
Ulm, 89081
Petrus Krankenhaus Wuppertal
Wuppertal, 42283
Portugal4 sites
Instituto Portugues Oncologia de Lisboa Francisco Gentil, Epe
Lisbon, 1099-023
Chuln Hospital de Santa Maria
Lisbon, 1649-035
Centro Hospitalar Universitario Porto
Porto, 4099-001
Instituto Portugues de Oncologia Do Porto Francisco Gentil, Epe
Porto, 4200-072
Russia4 sites
Clinical Hospital, Sp Botkin
Moscow, Moscow, 125284
Gbuz Mmcc Kommunarka Dzm
Moscow, 142770
Fgu Russian Scientific Research Institute of Hematology and Transfusiology
Saint Petersburg, Sankt-Peterburg, 191024
Leningrad Regional Clinic and Hospital
Saint Petersburg, Sankt-Peterburg, 194291
Ukraine4 sites
Cherkasy Regional Oncology Dispensary
Cherkasy, 18009
Municipal Non Profit Enterprise City Clinical Hospital
Dnipro, 49102
National Cancer Institute
Kiev, 3022
Si Institute of Blood Pathology and Transfusion Medicine Nams of Ukraine, Hematology Department
Lviv, 79044
United Kingdom4 sites
Aneurin Bevan University Health Board
Abergavenny, NP7 7EG
Birmingham Heartlands Hospital
Birmingham, B9 5SS
Russells Hall Hopsital
Dudley, DY1 2HQ
Royal Marsden Nhs Foundation Royal Marsden Hospital
Sutton, SM2 5PT
Austria3 sites
Ordensklinikum Linz Gmbh Elisabethinen
Linz, 4020
Universitatsklinik Fur Innere Medizin Iii Universitatsklinikum Der Pmu Landeskrankenhaus Salzburg
Salzburg, 5020
Medical University Vienna Oncology
Vienna, 1090
Taiwan3 sites
National Cheng Kung University Hospital
Tainan, 704
Chi Mei Hospital Liouying
Tainan, 736
Tri Service General Hospital
Taipei, 114
Canada2 sites
The Ottawa Hospital
Ottawa, Ontario, K1H 8M2
Ciusss de Lestrie Chus
Sherbrooke, Quebec, J1H 5N4
New Zealand2 sites
Christchurch Hospital (Canterbury Health Laboratories)
Christchurch, 8011
Tauranga Hospital
Tauranga, 3112
Romania2 sites
Institutul Clinic Fundeni
Bucharest, 022328
Institutul Regional de Oncologie Iasi
Iași, 700483
About this study
Official title: A Phase 3 Randomized, Open-Label, Multicenter Study Comparing Zanubrutinib (BGB-3111) Plus Rituximab Versus Bendamustine Plus Rituximab in Patients With Previously Untreated Mantle Cell Lymphoma Who Are Ineligible for Stem Cell Transplantation
This is a randomized study to compare the efficacy and safety of zanubrutinib plus rituximab versus bendamustine plus rituximab in previously untreated participants with mantle cell lymphoma (MCL) who are not eligible for stem cell transplantation.
Read the detailed description
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.
- Being tested
- zanubrutinib, bendamustine, rituximab
- Keywords
- MCL, NHL, BTKi
- Medical subject headings
- Lymphoma, Mantle-Cell, Lymphoma, Non-Hodgkin
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
zanubrutinibDrug
Also called BGB-3111, Brukinsa
Administered as two 80 mg capsules by mouth twice a day
bendamustineDrug
Administered intravenously at a dose of 90 mg/m2/day on Days 1 and 2 of Cycles 1 to 6
rituximabDrug
Administered intravenously at a dose of 375 mg/m2 on Day 1 of Cycles 1 to 6
| Study group | Role | What they receive |
|---|---|---|
| Arm A: zanubrutinib plus rituximab | Experimental | Participants will receive zanubrutinib plus rituximab, followed by zanubrutinib monotherapy until Independent Review Committee (IRC)-confirmed disease progression. Receives: Drug: zanubrutinib; Drug: rituximab |
| Arm B: bendamustine plus rituximab | Active comparator | Participants will receive bendamustine plus rituximab, followed by observation. Receives: Drug: bendamustine; Drug: rituximab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-free survival (PFS) determined by independent central review
PFS is defined as the time from randomization to the date of first documentation of disease progression or death, whichever occurs first.
Measured: Up to approximately 7 years
Secondary outcomes (9)
PFS by investigator assessment
PFS is defined as the time from randomization to the date of first documentation of disease progression or death, whichever occurs first.
Measured: Up to approximately 7 years
Overall response rate (ORR)
ORR is defined as the percentage of participants who achieve a complete response (CR) or partial response (PR), determined by independent central review and by investigator assessment.
Measured: Up to approximately 7 years
Duration of response (DOR)
DOR, as determined by independent central review and by investigator assessment, and defined as the time from the date that response criteria are first met to the date that disease progression is objectively documented or death, whichever occurs first.
Measured: Up to approximately 7 years
Overall survival (OS)
OS is defined as the time from randomization to the date of death due to any reason.
Measured: Up to approximately 7 years
Time to Response (TTR)
TTR, as determined by independent central review and by investigator assessment, and defined as the time from randomization to the first documentation of response.
Measured: Up to approximately 7 years
Rate of complete response (CR) or complete metabolic response
Rate of CR or complete metabolic response is defined as the percentage of participants who achieve a CR or complete metabolic response, determined by independent central review and by investigator assessment.
Measured: Up to approximately 7 years
Participant-reported outcomes (PROs) as assessed by the European Quality of Life 5-Dimension 5 Level Questionnaire (EQ-5D-5L)
EuroQoL-Five Dimensions, Five Levels (EQ-5D-5L) is a generic, self-reported measure of utility that consists of a five-item descriptive system and a visual analogue scale (EQ VAS). The descriptive system involves five health dimensions (mobility, self-care, usual activities, pain/discomfort and anxiety/depression). Participants may choose from the following response levels: no problems=1; slight problems=2; moderate problems=3; severe problems=4; and unable to/extreme problems=5. Higher values indicate worst health.
Measured: Up to approximately 7 years
PROs as assessed by the European Organization for Research on Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30)
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: Up to approximately 7 years
Number of participants with adverse events and serious adverse events
Number of participants with adverse events and serious adverse events, including laboratory values, vital signs, and physical examination findings.
Measured: Up to approximately 7 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Jun 2019
- Study start20 Aug 2019
- Primary completion27 Apr 2026
- Study completion30 Sep 2031 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Mantle Cell Lymphoma; Non-Hodgkin 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
- None (open label)
- Enrolment
- 510 participants (actual)
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
- NCT04002297
- Sponsor's protocol ID
- BGB-3111-306
- Other IDs
- 2019-000413-36, CTR20211594, 2023-509908-15-00, 2023, 2019
- Acronym
- MANGROVE
- Status last verified
- Sep 2026
- First submitted
- 27 Jun 2019
- Last updated
- 30 Sep 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.
Publications
Dreyling M, Tam CS, Wang M, Smith SD, Ladetto M, Huang H, Novotny W, Co M, Romano A, Holmgren E, Huang J, Gouill SL. A Phase III study of zanubrutinib plus rituximab versus bendamustine plus rituximab in transplant-ineligible, untreated mantle cell lymphoma. Future Oncol. 2021 Jan;17(3):255-262. doi: 10.2217/fon-2020-0794. Epub 2020 Sep 28.
PubMed 32985902
Study at a glance
From the registry record, last updated by the sponsor on 30 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3 Randomized, Open-Label, Multicenter Study Comparing Zanubrutinib (BGB-3111) Plus Rituximab Versus Bendamustine Plus Rituximab in Patients With Previously Untreated Mantle Cell Lymphoma Who Are Ineligible for Stem Cell Transplantation
- ClinicalTrials.gov ID
- NCT04002297
- Acronym / sponsor ID
- MANGROVE / BGB-3111-306
- Keywords
- MCL, NHL, BTKi
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 510 participants (actual)
- Lead sponsor
- BeOne MedicinesIndustry (pharma, biotech, devices)
- Study start
- 20 Aug 2019 (actual)
- Primary completion
- 27 Apr 2026 (actual)
- Study completion
- 30 Sep 2031 (estimated)
- First posted
- 28 Jun 2019 (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.
This is a randomized study to compare the efficacy and safety of zanubrutinib plus rituximab versus bendamustine plus rituximab in previously untreated participants with mantle cell lymphoma (MCL) who are not eligible for stem cell transplantation.
Detailed description
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
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Arm A: zanubrutinib plus rituximab | Experimental | Drug: zanubrutinib, Drug: rituximabParticipants will receive zanubrutinib plus rituximab, followed by zanubrutinib monotherapy until Independent Review Committee (IRC)-confirmed disease progression. |
| Arm B: bendamustine plus rituximab | Active comparator | Drug: bendamustine, Drug: rituximabParticipants will receive bendamustine plus rituximab, followed by observation. |
Who may qualify
- Ages
- 60 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- ≥70 years of age at the time of informed consent, OR ≥60 and <70 years of age with comorbidities precluding autologous stem cell transplantation
- Histologically confirmed diagnosis of MCL
- No prior systemic treatments for MCL
- Measurable disease by CT/MRI
- Eastern Cooperative Oncology Group (ECOG) performance status of 0-2
Key exclusion criteria (8 listed)
- Known central nervous system involvement by lymphoma
- Participants for whom the goal of therapy is tumor debulking prior to stem cell transplant
- Clinically significant cardiovascular disease
- History of severe bleeding disorder
- Unable to swallow capsules or disease significantly affecting gastrointestinal function
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 |
|---|---|---|
| zanubrutinibAlso: BGB-3111, BrukinsaAdministered as two 80 mg capsules by mouth twice a day | Drug | Arm A: zanubrutinib plus rituximab |
| bendamustineAdministered intravenously at a dose of 90 mg/m2/day on Days 1 and 2 of Cycles 1 to 6 | Drug | Arm B: bendamustine plus rituximab |
| rituximabAdministered intravenously at a dose of 375 mg/m2 on Day 1 of Cycles 1 to 6 | Drug | Arm A: zanubrutinib plus rituximab, Arm B: bendamustine plus rituximab |
Primary outcome
Progression-free survival (PFS) determined by independent central review
Time frame: Up to approximately 7 years
PFS is defined as the time from randomization to the date of first documentation of disease progression or death, whichever occurs first.
9 secondary outcomes
PFS by investigator assessment
Time frame: Up to approximately 7 years
Overall response rate (ORR)
Time frame: Up to approximately 7 years
Duration of response (DOR)
Time frame: Up to approximately 7 years
Overall survival (OS)
Time frame: Up to approximately 7 years
Time to Response (TTR)
Time frame: Up to approximately 7 years
Rate of complete response (CR) or complete metabolic response
Time frame: Up to approximately 7 years
Participant-reported outcomes (PROs) as assessed by the European Quality of Life 5-Dimension 5 Level Questionnaire (EQ-5D-5L)
Time frame: Up to approximately 7 years
PROs as assessed by the European Organization for Research on Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30)
Time frame: Up to approximately 7 years
Number of participants with adverse events and serious adverse events
Time frame: Up to approximately 7 years
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 30 Sep 2026.
- Derived from this study: PubMed 32985902Dreyling M, Tam CS, Wang M, Smith SD, Ladetto M, Huang H, Novotny W, Co M, Romano A, Holmgren E, Huang J, Gouill SL. A Phase III study of zanubrutinib plus rituximab versus bendamustine plus rituximab in transplant-ineligible, untreated mantle cell lymphoma. Future Oncol. 2021 Jan;17(3):255-262. doi: 10.2217/fon-2020-0794. Epub 2020 Sep 28.
- 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. This study is not recruiting at the moment.
Study Director study director
BeOne Medicines
176 sites in 22 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing zanubrutinib, bendamustine and rituximab in people with Mantle Cell Lymphoma; Non-Hodgkin Lymphoma, run by BeOne Medicines at 176 sites in 22 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 6 inclusion and 8 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: under way, not looking for participants, as of the sponsor's last update on 30 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 176 sites in China, Japan, Australia, France, Italy and 17 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. 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?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression-free survival (PFS) determined by independent central review (time frame: Up to approximately 7 years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04002297, which also lists 1 linked publication.
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 30 Sep 2026.