Relapsed/Refractory Follicular LymphomaPhase 3MAHOGANYNCT05100862
A Study of Zanubrutinib Plus Anti-CD20 Versus Lenalidomide Plus Rituximab in Participants With Relapsed/Refractory Follicular or Marginal Zone Lymphoma
A Phase 3 study testing Zanubrutinib, Rituximab and Lenalidomide in people with Relapsed/Refractory Follicular Lymphoma and Marginal Zone Lymphoma, run by BeOne Medicines at 264 sites in 28 countries.
Trial summary
The purpose of the study is to compare the efficacy of zanubrutinib plus obinutuzumab versus lenalidomide plus rituximab (R^2) in participants with relapsed/refractory (R/R) follicular lymphoma (FL), as measured by progression-free survival as determined by an independent review committee in accordance with the 2014… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Relapsed/Refractory Follicular Lymphoma, Marginal Zone Lymphoma
- What is being tested?
- Zanubrutinib, Rituximab and Lenalidomide
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 799 participants
- Where
- 264 sitesin 28 countries
- Study dates
- 10 Mar 2022to Jun 2030
- 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 confirmed grade 1-3a FL or MZL
- Previously treated with ≥ 1 line of systemic therapy including anti-CD20 agent. Must have a documented failure to achieve at least partial response during the most recent systemic therapy or documented progressive disease after the most recent systemic therapy
- Need for systemic therapy for FL or MZL
- Measurable disease by computed tomography or magnetic resonance imaging
- Adequate bone marrow, liver and renal function
Who cannot join
- Transformation to aggressive lymphoma
- Requiring ongoing need for corticosteroid treatment
- Clinically significant cardiovascular disease
- Prior malignancy within the past 2 years
- Active fungal, bacterial, and/or viral infection that requires systemic therapy
- Prior treatment with lenalidomide or drug from same class, if without response (partial or complete) or short remission duration (< 24 months)
- Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Trial locations and contacts
264 sites in 28 countries.
264 sites in 28 countries
United States50 sites
Luminis Health Anne Arundel Medical Center
Annapolis, Maryland, 21401
The University of Maryland Greenebaum Comprehensive Cancer Center
Baltimore, Maryland, 21201
Ascension St Agnes Hospital
Baltimore, Maryland, 21229-5201
Iyengar Hematology Oncology Medical Center Pa
Bayonne, New Jersey, 07002-4654
American Oncology Partners of Maryland Pa
Bethesda, Maryland, 20817-7847
St Vincent Frontier Cancer Center
Billings, Montana, 59102-6746
Levine Cancer Institute Wake Forest
Charlotte, North Carolina, 28204-2990
Oncology Hematology Care Clinical Trials, Llc
Cincinnati, Ohio, 45245-1995
Va Northeast Ohio Healthcare System
Cleveland, Ohio, 44106-1702
University of Missouri Hospital Ellis Fischel Cancer Center
Columbia, Missouri, 65212-1000
Texas Oncology Baylor Charles A Sammons Cancer Center
Dallas, Texas, 75246-2003
Henry Ford Hospital
Detroit, Michigan, 48202-2608
Summit Medical Group
Florham Park, New Jersey, 07932-1049
Fort Wayne Medical Oncology and Hematology
Fort Wayne, Indiana, 46804
Ucsf Fresno University of California San Francisco Fresno
Fresno, California, 93730-3595
Corewell Health the Michigan Cancer Consortium
Grand Rapids, Michigan, 49503-2560
Hattiesburg Hematology and Oncology Clinic
Hattiesburg, Mississippi, 39401-7233
Md Anderson Cancer Center
Houston, Texas, 77030-3907
Kaiser Permanente Southern California
Irvine, California, 92618-3734
Baptist Md Anderson Cancer Center
Jacksonville, Florida, 32207-8432
Comprehensive Cancer Centers of Nevada
Las Vegas, Nevada, 89169-3321
Baptist Health Lexington
Lexington, Kentucky, 40503-1466
Cancer and Blood Specialty Clinic
Los Alamitos, California, 90720-3302
Los Angeles Cancer Network
Los Angeles, California, 90017-4803
Valkyrie Clinical Trials
Los Angeles, California, 90067-2011
UCLA Hematologyoncology
Los Angeles, California, 90095-3075
Northwest Georgia Oncology Centers Marietta
Marietta, Georgia, 30060-1152
Tennessee Oncology Nashville St Thomas Midtown Clinic
Nashville, Tennessee, 37205
Cancer Care Specialists of Illinois
OFallon, Illinois, 62269
Nebraska Cancer Specialists
Omaha, Nebraska, 68130-2042
Ascension Sacred Heart
Pensacola, Florida, 32504-8615
Scripps Health
San Diego, California, 92103-2106
Sharp Healthcare Sharp Memorial Hospital
San Diego, California, 92123-2701
University of Washington
Seattle, Washington, 98195
New York Cancer and Blood Specialists
Shirley, New York, 11967
Christus Highland Cancer Treatment Center
Shreveport, Louisiana, 71105-6800
Medical Oncology Associates
Spokane, Washington, 99208-1129
Oncology Hematology Associates
Springfield, Missouri, 65807-5288
Suny Upstate Medical University
Syracuse, New York, 13210-2306
Northwest Medical Specialties
Tacoma, Washington, 98405
North Shore Hematology Oncology Associates Eccc Bronx
The Bronx, New York, 10469-5930
Toledo Clinic Cancer Center
Toledo, Ohio, 43623-3536
Cotton Oneil Cancer Center
Topeka, Kansas, 66606-1535
Northeast Texas Cancer and Research Institute
Tyler, Texas, 75702-7522
Prairie Lakes Healthcare System
Watertown, South Dakota, 57201-1548
Mission Cancer and Blood
Waukee, Iowa, 50263
Optum Medical Care, Pc
Westbury, New York, 11590-5119
Cancer Center of Kansas
Wichita, Kansas, 67214-3728
Mainline Health Lankenau Institute For Medical Research
Wynnewood, Pennsylvania, 19096
Cancer Care Associates of York
York, Pennsylvania, 17403-5049
China38 sites
Anyang Tumor Hospital
Anyang, Henan, 455001
Beijing Friendship Hospital, Capital Medical University
Beijing, Beijing Municipality, 100050
Beijing Cancer Hospital
Beijing, Beijing Municipality, 100142
Beijing Friendship Hospital, Capital Medical University(Tongzhou)
Beijing, Beijing Municipality, 101100
The First Hospital of Jilin University
Changchun, Jilin, 130021
The First Peoples Hospital of Changde City
Changde, Hunan, 415000
West China Hospital, Sichuan University
Chengdu, Sichuan, 610041
Chongqing Cancer Hospital
Chongqing, Chongqing Municipality, 400030
Dongyang Peoples Hospital
Dongyang, Zhejiang, 322103
The First Peoples Hospital of Foshan
Foshan, Guangdong, 528000
Fujian Medical University Union Hospital
Fuzhou, Fujian, 350001
Sun Yat Sen University Cancer Center
Guangzhou, Guangdong, 510060
Zhejiang Cancer Hospital
Hangzhou, Zhejiang, 310022
Harbin Medical University Cancer Hospital
Harbin, Heilongjiang, 150000
Huizhou Central Peoples Hospital
Huizhou, Guangdong, 516001
The First Hospital of Jiaxing
Jiaxing, Zhejiang, 314001
Jinhua Municipal Central Hospital
Jinhua, Zhejiang, 321000
Meizhou People Hospital
Meizhou, Guangdong, 514031
The First Affiliated Hospital of Nanchang University Branch Donghu
Nanchang, Jiangxi, 330006
Jiangxi Province Cancer Hospital
Nanchang, Jiangxi, 330029
The First Affiliated Hospital of Nanchang University Branch Xianghu
Nanchang, Jiangxi, 332000
Jiangsu Province Hospital
Nanjing, Jiangsu, 210029
Affiliated Hospital of Nantong University
Nantong, Jiangsu, 201203
Peoples Hospital of Rizhao
Rizhao, Shandong, 276827
Fudan University Shanghai Cancer Center
Shanghai, Shanghai Municipality, 200000
Shengjing Hospital of China Medical University
Shenyang, Liaoning, 110004
Liaoning Cancer Hospital and Institute
Shenyang, Liaoning, 110042
The First Affiliated Hospital of Soochow University
Suzhou, Jiangsu, 215006
The Second Affiliated Hospital of Shandong First Medical University
Taian, Shandong, 271099
Shanxi Provincial Cancer Hospital
Taiyuan, Shanxi, 030013
The First Affiliated Hospital of Wenzhou Medical University
Wenzhou, Zhejiang, 325000
Union Hospital of Tongji Medical College, Huazhong University of Science and Technology
Wuhan, Hubei, 430022
Tongji Hospital of Tongji Medical College Huazhong University of Science and Technology
Wuhan, Hubei, 430030
The First Affiliated Hospital of Wannan Medical College
Wuhu, Anhui, 241001
Wuxi Peoples Hospital
Wuxi, Jiangsu, 214023
The First Affiliated Hospital of Xiamen University
Xiamen, Fujian, 361003
Affiliated Hospital of Guangdong Medical University
Zhanjiang, Guangdong, 524000
Henan Cancer Hospital
Zhengzhou, Henan, 450000
Brazil22 sites
Hospital de Amor Barretos
Barretos, 14784-400
Clinica de Oncologia Reichow
Blumenau, 89010-340
Unesp Faculdade de Medicina Da Universidade Estadual Paulista Campus Botucatu
Botucatu, 18618687
Instituto Dor de Pesquisa E Ensino Distrito Federal
Brasília, 70390140
Universidade de Campinas Centro de Hematologia E Hemoterapia
Campinas, 13083-878
Fundacao Universidade de Caxias Do Sul
Caxias do Sul, 95070-560
Centro Integrado de Oncologia de Curitiba Ss Cionc
Curitiba, 80810-050
Hospital Erasto Gaertner
Curitiba, 81520-060
Centro de Ensino E Pesquisa Em Oncologia de Santa Catarina (Cepen)
Florianópolis, 88020-210
Complexo Hospitalar de Niteroi
Niterói, 24020-096
Centro Gaucho Integrado de Oncologia Hospital Mae de Deus
Porto Alegre, 90110-270
Instituto Dor de Pesquisa E Ensino Pernambuco
Recife, 50070-170
Hospital Das Clinicas Da Faculdade de Medicina de Ribeirao Preto Usp
Ribeirão Preto, 14051-140
Instituto Dor de Pesquisa E Ensino Rio de Janeiro
Rio de Janeiro, 22281-100
Instituto Americas Ensino, Pesquisa E Inovacao
Rio de Janeiro, 22775-001
Hospital Sao Rafael Instituto Dor de Pesquisa E Ensino
Salvador, 41253-190
Ensino E Terapia de Inovacao Clinica Amo Etica
Salvador, 41950-640
Instituto Dor de Pesquisa E Ensino Sao Paulo
São Paulo, 01401-004
Hospital Nove de Julho Dasa
São Paulo, 01409-001
Hcfmusp Pesquisa Clinica Do Servico de Hematologia E Terapia Celular
São Paulo, 05403-010
Sociedade Beneficente Israelita Brasileira Hospital Albert Einstein
São Paulo, 05652-900
Hospital Santa Rita de Cassia Afecc
Vitória, 29043-260
Australia17 sites
Monash Health
Clayton, Victoria, VIC 3168
Concord Repatriation General Hospital
Concord, New South Wales, NSW 2139
Townsville University Hospital
Douglas, Queensland, QLD 4814
Epworth Freemasons
East Melbourne, Victoria, VIC 3002
St Vincents Hospital Melbourne
Fitzroy, Victoria, VIC 3065
Gosford Hospital
Gosford, New South Wales, NSW 2250
Austin Health
Heidelberg, Victoria, VIC 3084
St George Hospital
Kogarah, New South Wales, NSW 2217
Cabrini Hospital Malvern
Malvern, Victoria, VIC 3144
The Alfred Hospital
Melbourne, Victoria, VIC 3004
La Trobe Regional Hospital
Melbourne, Victoria, VIC 3844
Genesiscare North Adelaide
North Adelaide, South Australia, SA 5006
Orange Health Hospital
Orange, New South Wales, NSW 2800
Royal Perth Hospital
Perth, Western Australia, WA 6000
Port Macquarie Base Hospital
Port Macquarie, New South Wales, NSW 2444
Perth Blood Institute
West Perth, Western Australia, WA 6005
Westmead Hospital
Westmead, New South Wales, NSW 2145
Spain16 sites
Ico Badalona
Badalona, 08916
Hospital Universitario de Burgos
Burgos, 09006
Hospital Universitario Puerta Del Mar
Cadiz, 11009
Hospital Universitario Virgen de Las Nieves
Granada, 18014
Institut Catala Doncologia Hospital Duran I Reynals
L'Hospitalet de Llobregat, 8908
Complejo Asistencial Universitario de Leon
León, 24071
Hospital de La Princesa
Madrid, 28006
Clinica Universidad de Navarra
Madrid, 28027
Hospital Universitario Ramon Y Cajal
Madrid, 28034
H Puerta de Hierro Majadahonda
Majadahonda, 28222
Hospital Clinico Universitario Virgen de La Arrixaca
Murcia, 30120
Clinica Universidad de Navarra Pamplona
Pamplona, 31008
Hospital Universitario Quironsalud Madrid
Pozuelo de Alarcón, 28223
Hospital Universitario de Salamanca
Salamanca, 37007
Hospital Universitario Virgen Del Rocio
Seville, 41013
Hospital Universitari Mutua Terrassa
Terrassa, 8221
Japan13 sites
Tokyo Metropolitan Komagome Hospital
Bunkyoku, Tokyo, 113-8677
National Cancer Center Hospital
ChuoKu, Tokyo, 104-0045
Kansai Medical University Hospital
Hirakata, Osaka, 573-1191
Hiroshima Red Cross Hospital and Atomic Bomb Survivors Hospital
Hiroshima, Hiroshima, 730-8619
Kagoshima University Hospital
Kagoshima, Kagoshima-ken, 890-8520
Cancer Institute Hospital of Jfcr
Kotoku, Tokyo, 135-8550
University Hospital, Kyoto Prefectural Univ of Medicine
KyotoShi, Kyoto, 602-8566
Matsuyama Red Cross Hospital
Matsuyama, Ehime, 790 8524
National Hospital Organization Okayama Medical Center
Okayama, Okayama-ken, 701-1192
Kindai University Hospital
Sakai, Osaka, 590-0197
National Hospital Organization Hokkaido Cancer Center
Sapporo, Hokkaido, 003-0804
Yamagata University Hospital
Yamagata, Yamagata, 990-9585
Kanagawa Cancer Center
Yokohama, Kanagawa, 241-8515
South Korea13 sites
Kyungpook National University Chilgok Hospital
BukGu, Gyeongsangbukdo, 41404
Inje University Busan Paik Hospital
BusanjinGu, Busan Gwang'Yeogsi, 47392
Samsung Medical Center
GangnamGu, Seoul Teugbyeolsi, 06351
Chonnam National University Hwasun Hospital
HwasunGun, Jeonnam-Gwangju S.M. City, 58128
Gyeongsang National University Hospital
Jinju, Gyeongsangnam-do, 52727
The Catholic University of Korea, Seoul St Marys Hospital
SeochoGu, Seoul Teugbyeolsi, 06591
Severance Hospital Yonsei University Health System
SeodaemunGu, Seoul Teugbyeolsi, 03722
Dong A University Hospital
Seogu, Busan Gwang'Yeogsi, 49201
Pusan National University Hospital
Seogu, Busan Gwang'Yeogsi, 49241
Seoul National University Bundang Hospital
Seongnam-si, Gyeonggi-do, 13620
Seoul National University Hospital
Seoul, Seoul Teugbyeolsi, 03080
Asan Medical Center
SongpaGu, Seoul Teugbyeolsi, 05505
Soon Chun Hyang University Hospital Seoul
YongsanGu, Seoul Teugbyeolsi, 04401
Canada10 sites
Ciusss Du Saguenay Lac St Jean
Chicoutimi, Quebec, G7H 5H6
Queen Elizabeth Ii Health Sciences Centre
Halifax, Nova Scotia, B3H 2Y9
Juravinski Cancer Centre
Hamilton, Ontario, L8V 5C2
London Health Sciences Centre
London, Ontario, N6A 5W9
Ciusss de Lest de Lile de Montreal Hopital Maisonneuve Rosemont
Montreal, Quebec, H1T 2M4
Chu de Quebec Universite Laval, Hopital de Lenfant Jesus, Centre Integre de Cancerologie (Cic)
Québec, Quebec, G1J 1Z4
Unite de Recherche Clinique Du Cisss Des Laurentides
SaintJerome, Quebec, J7Z 5T3
Ciusss de Lestrie Chus
Sherbrooke, Quebec, J1H 5N4
Newfoundland and Labrador Health Services
St. John's, Newfoundland and Labrador, A1B 3V6
British Columbia Cancer Agency the Vancouver Centre
Vancouver, British Columbia, V5Z 4E6
Italy10 sites
Cro Irccs Aviano
Aviano, 33081
Irccs Azienda Ospedaliero Universitaria Bologna
Bologna, 40138
Aou Careggi, Servizio Sanitario Toscana
Florence, 50134
Istituto Europeo Di Oncologia
Milan, 20141
Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda
Milan, 20162
Aou Maggiore Della Carita
Novara, 28100
Azienda Ospedaliera Di Padova
Padova, 35128
Irccs Policlinico San Matteo, Universita Degli Studi Di Pavi
Pavia, 27100
Arcispedale S Maria Nuova Ausl Reggio Emilia Hematology Unit
Reggio Emilia, 42123
Aou Santa Maria Della Misericordia Di Udine
Udine, 33100
Poland9 sites
Szpital Uniwersytecki Nr 2 Im Dr Jana Biziela
Bydgoszcz, 85-168
Uniwersyteckie Centrum Kliniczne Klinika Hematologii I Transplantologii
Gdansk, 80-214
Pratia Onkologia Katowice
Katowice, 40-519
Pratia McM Krakow
Krakow, 30-727
Uniwersytecki Szpital Kliniczny W Poznaniu
Poznan, 61-131
Wojewodzki Szpital Zespolony Im L Rydygiera W Toruniu
Torun, 87-100
Centralny Szpital Kliniczny Uck Wum
Warsaw, 02-097
Instytut Hematologii I Transfuzjologii W Warszawie
Warsaw, 02-776
Narodowy Instytut Onkologii Im Marii Sklodowskiej Curie W Warszawie
Warsaw, 02-781
United Kingdom9 sites
Beatson West of Scotland Cancer Centre
Glasgow, G12 0YN
The Christie Hospital
Greater Manchester, M20 4BX
Huddersfield Royal Infirmary
Huddersfield, HD3 3EA
Nhs Highland
Inverness, IV2 3BW
The Leeds Teaching Hospitals Nhs Trust
Leeds, LS9 7TF
Barts Health Nhs Trust
London, EC1A 7BE
University College Hospital
London, NW1 2PG
Derriford Hospital
Plymouth, PL6 8DH
Southampton General Hospital
Southampton, SO16 6YD
France8 sites
Hopital Prive Dantony Departement Dhemathologie
Antony, 92160
Centre Hospitalier Le Mans
Le Mans, 72037
Chu Montpellier Hopital Saint Eloi
Montpellier, 34090
Hopital Larchet 2 Chu Nice
Nice, 06200
Institut Curie
Paris, 75005
Necker University Hospital
Paris, 75015
Hopitaux Universitaires de Strasbourg Hopital de Hautepierre (Ancien Icans)
Strasbourg, 67200
Chu Nancy Hopital Brabois
VandoeuvrelesNancy, 54511
Israel7 sites
Assuta Ashdod Medical Center
Ashdod, 7747629
Shaare Zedek Medical Center
Jerusalem, 9103102
Hadassah En Karem Medical Center
Jerusalem, 9112001
Rabin Medical Center
Petah Tikva, 49100
Chaim Sheba Medical Center
Ramat Gan, 5265601
Assuta Medical Center
Tel Aviv, 60000
Sourasky Tel Aviv Medical Center
Tel Aviv, 6423906
Austria5 sites
Medizinische Universitatsklinik Innsbruck
Innsbruck, 6020
Uk St Poelten
Sankt Pölten, 3100
Medical Univeristy Vienna
Vienna, 1090
Hanusch Krankenhaus
Vienna, 1140
Wiener Gesundheitsverbund Klinik Ottakring
Vienna, 1160
Turkey (Türkiye)5 sites
Ankara University Medical Faculty
Ankara, 06620
Gazi University Medical School
AOCiftlii, 06560
Bagcilar Medipol Mega Hospital
Istanbul, 34214
Kocaeli Universitesi Tip Fakultesi
Kocaeli, 41380
Vkv American Hospital
Tevikiye, 34365
Belgium4 sites
Institut Jules Bordet
Anderlecht, 1070
Az Sint Jan Brugge
Bruges, 8000
Universitair Ziekenhuis Gent
Ghent, 9000
University Hospitals Leuven
Leuven, 3000
Romania4 sites
Coltea Clinical Hospital
Bucharest, 30171
Institutul Oncologic Prof Dr Ion Chiricuta Cluj Napoca
ClujNapoca, 400015
Institutul Regional de Oncologie Iasi
Iași, 700483
Spitalul Clinic Judetean de Urgenta Bihor
Oradea, 410469
Greece3 sites
University Hospital of Alexandroupolis
Alexandroupoli, 68100
Evaggelismos
Athens, 106 76
University Hospital of Patra
Pátrai, 26504
Portugal3 sites
Hospital de Braga
Braga, 4710-243
Instituto Portugues de Oncologia Do Porto Francisco Gentil, Epe
Porto, 4200-072
Unidade Local de Saude Gaia E Espinho
VILA NOVA de GAIA Porto, 4434-502
Switzerland3 sites
Hfr Fribourg
Fribourg, 1708
Reseau Hospitalier Neuchatelois
La ChauxdeFonds, 2300
Universitatsspital Zurich
Zurich, 8091
Argentina2 sites
Hospital Aleman
Caba, 1425
Hospital Italiano de Buenos Aires
Ciudad Autonoma Buenos Aires, 1413
Bulgaria2 sites
Acibadem City Clinic Tokuda Umhat Ead, Department of Medical Oncology
Sofia, 1407
NHATHD
Sofia, 1756
Czechia2 sites
Fakultni Nemocnice Hradec Kralove
Hradec Králové, 500 03
Fakultni Nemocnice Olomouc
Olomouc, 77900
Germany2 sites
Universitaetsklinikum Essen
Essen, 45147
Universitaetsklinikum Ulm
Ulm, 89081
Ireland2 sites
St Jamess Hospital
Dublin, D08 NHY1
University Hospital Waterford
Waterford, X91 ER8E
Puerto Rico2 sites
Pan American Oncology Trials, Llc
Rio Piedras, 00935
Auxilio Mutuo Cancer Center
San Juan, 00917
South Africa2 sites
Haemalife
Kuils River, 7579
Alberts Cellular Therapy
Pretoria, '0181
About this study
Official title: A Phase 3 Randomized, Open-Label Multicenter Study of Zanubrutinib (BGB-3111) Plus Anti-CD20 Antibodies Versus Lenalidomide Plus Rituximab in Patients With Relapsed/Refractory Follicular or Marginal Zone Lymphoma
The purpose of the study is to compare the efficacy of zanubrutinib plus obinutuzumab versus lenalidomide plus rituximab (R^2) in participants with relapsed/refractory (R/R) follicular lymphoma (FL), as measured by progression-free survival as determined by an independent review committee in accordance with the 2014 modification of the International Working Group on non-Hodgkin lymphoma (NHL) Criteria based on n positron emission tomography and computed tomography (PET/CT), and to compare the efficacy of zanubrutinib plus rituximab versus R^2 in participants with R/R marginal zone lymphoma (MZL), as measured by progression free survival (PFS) assessed by IRC in accordance with CT-based Lugano 2014 Criteria.
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, Rituximab, Lenalidomide, Obinutuzumab
- Keywords
- Zanubrutinib, BGB-3111, Rituximab, Lenalidomide, Obinutuzumab
- Medical subject headings
- Lymphoma, Follicular, Lymphoma, B-Cell, Marginal Zone
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
Zanubrutinib will be administered orally as two 80-milligram (mg) capsules twice a day (160 mg twice a day) or four 80-mg capsules once a day (320 mg once a day) continuously in repeated 28-day cycles.
RituximabDrug
Also called Rituxan, MabThera, Ruxience, Truxima
Rituximab will be administered intravenously at a dose of 375 mg/meter squared on Days 1, 8, 15, and 22 of Cycle 1 and on Day 1 of Cycles 2 to 5. Each cycle is 28 days in length.
LenalidomideDrug
Also called Revlimid
Lenalidomide will be administered orally as 20-mg capsules (10 mg if creatinine clearance ≥ 30 mL/min but < 60 mL/min) once a day on Days 1 to 21 of each 28-day cycle for a total of 12 cycles.
ObinutuzumabDrug
Obinutuzumab will be administered at a dose of 1000 mg on Cycle 1 Days 1, 8, 15 and then on Cycles 2 to 6 Day 1.
| Study group | Role | What they receive |
|---|---|---|
| Follicular Lymphoma Arm A: Zanubrutinib plus Obinutuzumab | Experimental | Participants will receive zanubrutinib and Obinutuzumab. Following the completion of the combination treatment, participants will continue receiving zanubrutinib monotherapy until confirmed disease progression, unacceptable toxicity, withdrawal of consent, or study termination, whichever occurs first. Receives: Drug: Zanubrutinib; Drug: Obinutuzumab |
| Follicular Lymphoma Arm B: Lenalidomide plus Rituximab | Active comparator | Participants will receive lenalidomide and rituximab. Receives: Drug: Rituximab; Drug: Lenalidomide |
| Marginal Zone Lymphoma Arm C: Zanubrutinib plus Rituximab | Experimental | Participants will receive zanubrutinib and rituximab. Following the completion of the combination treatment, participants will continue receiving zanubrutinib monotherapy until confirmed disease progression, unacceptable toxicity, withdrawal of consent, or study termination, whichever occurs first. Receives: Drug: Zanubrutinib; Drug: Rituximab |
| Marginal Zone Lymphoma Arm D: Lenalidomide plus Rituximab | Active comparator | Participants will receive lenalidomide and rituximab. Receives: Drug: Rituximab; Drug: Lenalidomide |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-free Survival As Determined By A Blinded Independent Review Committee (BIRC)
Measured: Approximately 78 months
Secondary outcomes (11)
Progression-free Survival As Determined By Investigator Assessment
Measured: Approximately 87 months
Duration Of Response As Determined By BIRC And By Investigator Assessment
Measured: Approximately 87 months
Overall Response Rate As Determined By BIRC And By Investigator Assessment
Measured: Approximately 87 months
Complete Response Rate As Determined By BIRC And By Investigator Assessment
Measured: Approximately 87 months
Time To Response As Determined By BIRC And By Investigator Assessment
Measured: Approximately 87 months
Time to Next Ant-Lymphoma Treatment
Measured: Approximately 87 months
Overall Survival
Measured: Approximately 87 months
Health-related Quality Of Life (HRQoL) Using EORTC QLQ-C30)
HRQ0L assessed by The European Organization For Research On Treatment Of Cancer Quality Of Life Questionnaire-core 30 (EORTC QLQ-C30) consists of 30 questions that are associated with 5 functional scales (physical, role, cognitive, emotional, and social), 3 symptom scales (fatigue, pain, and nausea and vomiting), and 6 single symptom items ( dyspnoea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties). The scores range from 0 to 100 and higher score indicates better quality of life.
Measured: Approximately 87 months
HRQoL Using European Quality of Life 5 Dimension 5 Level Questionnaire [EQ 5D 5L)
The EQ-5D-5L is comprised of a descriptive module and a visual analogue scale. The EQ-5D-5L descriptive module comprises the following 5 dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems, and extreme problems. The visual analogue scale records the respondent's self-rated health on a 0 to 100 scale, with 100 labeled "the best health you can imagine" and 0 labeled "the worst health you can imagine. Higher scores indicate better quality of life.
Measured: Approximately 87 months
HRQoL Using National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy Lymphoma Symptom Index-18 [FLymSI 18)
The FLymSI-18 is comprised of 18 questions which cover 4 sub-scales: physical symptoms, emotional symptoms, side effects, and functional well-being. Scores are based on the 5-level Likert scale with 5 possible responses ranging from 0 'Not at all' to 4 'Very much' and is divided into a total score. Higher score indicates better quality of life.
Measured: Approximately 87 months
Number of Participants Experiencing Adverse Events (AEs)
Measured: From first dose to 28 days after the last dose of zanubrutinib or lenalidomide, 90 days after the last dose of obinutuzumab or rituximab, or until the date of confirmed disease progression, whichever comes later (Approximately 87 months)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Oct 2021
- Study start10 Mar 2022
- Primary completionJul 2028 (estimated)
- Study completionJun 2030 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Relapsed/Refractory Follicular 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
- 799 participants (actual)
Sponsor and investigators
- Lead sponsor
- BeOne Medicines
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Study Director, Study director, BeOne MedicinesStudy Director, Principal investigator, BeOne Medicines
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05100862
- Sponsor's protocol ID
- BGB-3111-308
- Other IDs
- CTR20232545, 2022-502548-12-00
- Acronym
- MAHOGANY
- Status last verified
- Sep 2026
- First submitted
- 27 Sep 2021
- Last updated
- 15 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 15 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3 Randomized, Open-Label Multicenter Study of Zanubrutinib (BGB-3111) Plus Anti-CD20 Antibodies Versus Lenalidomide Plus Rituximab in Patients With Relapsed/Refractory Follicular or Marginal Zone Lymphoma
- ClinicalTrials.gov ID
- NCT05100862
- Acronym / sponsor ID
- MAHOGANY / BGB-3111-308
- Keywords
- Zanubrutinib, BGB-3111, Rituximab, Lenalidomide, Obinutuzumab
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 799 participants (actual)
- Lead sponsor
- BeOne MedicinesIndustry (pharma, biotech, devices)
- Study start
- 10 Mar 2022 (actual)
- Primary completion
- Jul 2028 (estimated)
- Study completion
- Jun 2030 (estimated)
- First posted
- 29 Oct 2021 (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 purpose of the study is to compare the efficacy of zanubrutinib plus obinutuzumab versus lenalidomide plus rituximab (R^2) in participants with relapsed/refractory (R/R) follicular lymphoma (FL), as measured by progression-free survival as determined by an independent review committee in accordance with the 2014 modification of the International Working Group on non-Hodgkin lymphoma (NHL) Criteria based on n positron emission tomography and computed tomography (PET/CT), and to compare the efficacy of zanubrutinib plus rituximab versus R^2 in participants with R/R marginal zone lymphoma (MZL), as measured by progression free survival (PFS) assessed by IRC in accordance with CT-based Lugano 2014 Criteria.
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
- 4
| Arm | Type | Receives |
|---|---|---|
| Follicular Lymphoma Arm A: Zanubrutinib plus Obinutuzumab | Experimental | Drug: Zanubrutinib, Drug: ObinutuzumabParticipants will receive zanubrutinib and Obinutuzumab. Following the completion of the combination treatment, participants will continue receiving zanubrutinib monotherapy until confirmed disease progression, unacceptable toxicity, withdrawal of consent, or study termination, whichever occurs first. |
| Follicular Lymphoma Arm B: Lenalidomide plus Rituximab | Active comparator | Drug: Rituximab, Drug: LenalidomideParticipants will receive lenalidomide and rituximab. |
| Marginal Zone Lymphoma Arm C: Zanubrutinib plus Rituximab | Experimental | Drug: Zanubrutinib, Drug: RituximabParticipants will receive zanubrutinib and rituximab. Following the completion of the combination treatment, participants will continue receiving zanubrutinib monotherapy until confirmed disease progression, unacceptable toxicity, withdrawal of consent, or study termination, whichever occurs first. |
| Marginal Zone Lymphoma Arm D: Lenalidomide plus Rituximab | Active comparator | Drug: Rituximab, Drug: LenalidomideParticipants will receive lenalidomide and rituximab. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Histologically confirmed grade 1-3a FL or MZL
- Previously treated with ≥ 1 line of systemic therapy including anti-CD20 agent. Must have a documented failure to achieve at least partial response during the most recent systemic therapy or documented progressive disease after the most recent systemic therapy
- Need for systemic therapy for FL or MZL
- Measurable disease by computed tomography or magnetic resonance imaging
- Adequate bone marrow, liver and renal function
Key exclusion criteria (7 listed)
- Transformation to aggressive lymphoma
- Requiring ongoing need for corticosteroid treatment
- Clinically significant cardiovascular disease
- Prior malignancy within the past 2 years
- Active fungal, bacterial, and/or viral infection that requires systemic therapy
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, BrukinsaZanubrutinib will be administered orally as two 80-milligram (mg) capsules twice a day (160 mg twice a day) or four 80-mg capsules once a day (320 mg once a day) continuously in repeated 28-day cycles. | Drug | Follicular Lymphoma Arm A: Zanubrutinib plus Obinutuzumab, Marginal Zone Lymphoma Arm C: Zanubrutinib plus Rituximab |
| RituximabAlso: Rituxan, MabThera, Ruxience, TruximaRituximab will be administered intravenously at a dose of 375 mg/meter squared on Days 1, 8, 15, and 22 of Cycle 1 and on Day 1 of Cycles 2 to 5. Each cycle is 28 days in length. | Drug | Follicular Lymphoma Arm B: Lenalidomide plus Rituximab, Marginal Zone Lymphoma Arm C: Zanubrutinib plus Rituximab, Marginal Zone Lymphoma Arm D: Lenalidomide plus Rituximab |
| LenalidomideAlso: RevlimidLenalidomide will be administered orally as 20-mg capsules (10 mg if creatinine clearance ≥ 30 mL/min but < 60 mL/min) once a day on Days 1 to 21 of each 28-day cycle for a total of 12 cycles. | Drug | Follicular Lymphoma Arm B: Lenalidomide plus Rituximab, Marginal Zone Lymphoma Arm D: Lenalidomide plus Rituximab |
| ObinutuzumabObinutuzumab will be administered at a dose of 1000 mg on Cycle 1 Days 1, 8, 15 and then on Cycles 2 to 6 Day 1. | Drug | Follicular Lymphoma Arm A: Zanubrutinib plus Obinutuzumab |
Primary outcome
Progression-free Survival As Determined By A Blinded Independent Review Committee (BIRC)
Time frame: Approximately 78 months
11 secondary outcomes
Progression-free Survival As Determined By Investigator Assessment
Time frame: Approximately 87 months
Duration Of Response As Determined By BIRC And By Investigator Assessment
Time frame: Approximately 87 months
Overall Response Rate As Determined By BIRC And By Investigator Assessment
Time frame: Approximately 87 months
Complete Response Rate As Determined By BIRC And By Investigator Assessment
Time frame: Approximately 87 months
Time To Response As Determined By BIRC And By Investigator Assessment
Time frame: Approximately 87 months
Time to Next Ant-Lymphoma Treatment
Time frame: Approximately 87 months
Overall Survival
Time frame: Approximately 87 months
Health-related Quality Of Life (HRQoL) Using EORTC QLQ-C30)
Time frame: Approximately 87 months
HRQoL Using European Quality of Life 5 Dimension 5 Level Questionnaire [EQ 5D 5L)
Time frame: Approximately 87 months
HRQoL Using National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy Lymphoma Symptom Index-18 [FLymSI 18)
Time frame: Approximately 87 months
Number of Participants Experiencing Adverse Events (AEs)
Time frame: From first dose to 28 days after the last dose of zanubrutinib or lenalidomide, 90 days after the last dose of obinutuzumab or rituximab, or until the date of confirmed disease progression, whichever comes later (Approximately 87 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 15 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. This study is not recruiting at the moment.
Study Director study director
BeOne Medicines
Study Director principal investigator
BeOne Medicines
264 sites in 28 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Zanubrutinib, Rituximab and Lenalidomide in people with Relapsed/Refractory Follicular Lymphoma and Marginal Zone Lymphoma, run by BeOne Medicines at 264 sites in 28 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 5 inclusion and 7 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 15 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 264 sites in United States, China, Brazil, Australia, Spain and 23 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 As Determined By A Blinded Independent Review Committee (BIRC) (time frame: Approximately 78 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 15 Oct 2026.