Diffuse Large B-Cell Lymphoma (DLBCL)Phase 2/3NCT07712588
Birelentinib Plus R-CHOP in Patients With Newly Diagnosed Diffuse Large B-Cell Lymphoma (TAI-SHAN19)
A Phase 2/3 study testing Birelentinib, Rituximab and Cyclophosphamid in people with Diffuse Large B-Cell Lymphoma (DLBCL), run by Dizal Pharmaceuticals at 5 sites in China.
Trial summary
This study will treat patients with newly diagnosed diffuse large B-cell lymphoma (DLBCL). It will assess the anti-tumor efficacy and safety of birelentinib plus rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP) vs placebo plus R-CHOP. Read more about this study
- Who is it for?
- Ages 18 to 70 years
- Conditions the study is for
- Diffuse Large B-Cell Lymphoma (DLBCL)
- What is being tested?
- Birelentinib, Rituximab and Cyclophosphamid
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 880 participants
- Where
- 5 sitesChina
- Study dates
- Sep 2026to Feb 2032
- Phase
- Phase 2/3
- 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 to 70 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Age 18-70 years
- ECOG score 0-2
- Pathologically confirmed DLBCL unspecified (DLBCL, NOS)
- No prior anti-lymphoma therapy
- Ann Arbor Stages II - IV
- IPI score ≥ 3, or IPI score 1 - 2 and LDH > 1.3 × ULN and/or lesion diameter ≥ 7 cm
- Adequate bone marrow and organ function
- Willing to comply with contraceptive restrictions
Who cannot join
- Indolent lymphoma or Richter transformation, primary mediastinal lymphoma, lymphoma invading the central nervous system or high-grade lymphoma with MYC and BCL2 rearrangements.
- Vaccination with live attenuated vaccines or viral vector vaccines within 4 weeks prior to treatment.
- Taking vitamin K antagonists, taking 2 or more antiplatelet/anticoagulant drugs at the same time, drugs/herbs or supplements known to potently induce or inhibit CYP3A enzyme activity, anti-tumor traditional Chinese medicine.
- Major surgery within 4 weeks or anticipated surgery after the start of this study.
- Clinically significant cardiac disorders. History of thrombotic diseases, stroke or intracranial hemorrhage within 6 months.
- Active infectious diseases.
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- Peripheral neuropathy ≥ Grade 2 (as defined by CTCAE version 6.0)
- Intractable nausea and vomiting that cannot be well controlled by supportive treatment, chronic gastrointestinal diseases, dysphagia, or previous surgical resection of the intestinal segment may affect the adequate absorption of the drug.
- Diagnosed with other malignant diseases other than B-cell lymphoma within the past 2 years.
- Patients with severe or uncontrolled systemic diseases, including poorly controlled hypertension and active bleeding constitution.
- Patients with a history of hypersensitivity to any component of the R-CHOP regimen, DZD8586 drug excipients, or other chemical analogues.
- Serious medical or psychiatric illness that could affect participation in the study or could compromise the ability to consent.
- Women who are pregnant or breastfeeding.
Trial locations and contacts
5 sites in 1 country. Contact the study team or a site near you to ask about taking part.
5 sites in 1 country
China5 sites
Hunan Cancer Hospital
Changsha, Hunan
Zhou
Chongqing University Cancer Hospital
Chongqing, Chongqing Municipality
Liu
Harbin Medical University Cancer Hospital
Harbin, Heilongjiang
Zhang
Cancer Hospital of Shandong Frist Medical University
Jinan, Shangdong
Li
Shanghai Jiao Tong University School of Medicine, Ruijin Hospital
Shanghai, Shanghai Municipality
Zhao
About this study
Official title: A Phase 2/3, Randomized, Double-Blind, Multi-center Study of Birelentinib Combined With R-CHOP in Patients With Newly Diagnosed Diffuse Large B-Cell Lymphoma
This study will treat patients with newly diagnosed diffuse large B-cell lymphoma (DLBCL). It will assess the anti-tumor efficacy and safety of birelentinib plus rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP) vs placebo plus R-CHOP.
- Conditions
- Diffuse Large B-Cell Lymphoma (DLBCL)
- Being tested
- Birelentinib, Rituximab, Cyclophosphamid, Doxorubicin, Vincristine
- Medical subject headings
- Lymphoma, Large B-Cell, Diffuse
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BirelentinibDrug
Also called DZD8586
Specified dose on specified days
RituximabDrug
Specified dose on specified days
CyclophosphamidDrug
Specified dose on specified days
DoxorubicinDrug
Specified dose on specified days
VincristineDrug
Specified dose on specified days
PrednisoneDrug
Specified dose on specified days
PlaceboDrug
Specified dose on specified days
| Study group | Role | What they receive |
|---|---|---|
| Birelentinib + R-CHOP (Rituximab, Cyclosphosphamide, Doxorubicin, Vincristine and Prednisone) | Experimental | Not described Receives: Drug: Birelentinib; Drug: Rituximab; Drug: Cyclophosphamid; Drug: Doxorubicin; Drug: Vincristine; Drug: Prednisone |
| Placebo + R-CHOP | Placebo comparator | Not described Receives: Drug: Rituximab; Drug: Cyclophosphamid; Drug: Doxorubicin; Drug: Vincristine; Drug: Prednisone; Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Part A: Incidence and severity of adverse events
Measured: Up to 2 years
Part B: Progression-free survival (PFS)
Measured: Up to 5 years
Secondary outcomes (7)
Part A: Objective response rate (ORR)
Measured: Up to 5 years
Part A: Complete response rate (CRR)
Measured: Up to 5 years
Part B: Event-free survival (EFS)
Measured: Up to 5 years
Part B: Overall Survival (OS)
Measured: Approximately 5 years
Part B: Objective response rate (ORR)
Measured: Up to 5 years
Part B: Complete response rate (CRR)
Measured: Up to 5 years
Part B: Incidence and severity of adverse events
Measured: Up to 2 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Jul 2026
- Study startSep 2026 (estimated)
- Primary completionJan 2031 (estimated)
- Study completionFeb 2032 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Diffuse Large B-Cell Lymphoma (DLBCL)Studies of the same condition, open and under way.
- 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 2/3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 880 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Dizal Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Zhao, Principal investigator, Ruijin Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07712588
- Sponsor's protocol ID
- DZ2025B0006
- Status last verified
- Jul 2026
- First submitted
- 14 Jul 2026
- Last updated
- 5 Aug 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 5 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2/3, Randomized, Double-Blind, Multi-center Study of Birelentinib Combined With R-CHOP in Patients With Newly Diagnosed Diffuse Large B-Cell Lymphoma
- ClinicalTrials.gov ID
- NCT07712588
- Acronym / sponsor ID
- DZ2025B0006
- Conditions
- Diffuse Large B-Cell Lymphoma (DLBCL)
- Phase
- Phase 2/3
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 880 participants (estimated)
- Lead sponsor
- Dizal PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- Sep 2026 (estimated)
- Primary completion
- Jan 2031 (estimated)
- Study completion
- Feb 2032 (estimated)
- First posted
- 17 Jul 2026 (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 study will treat patients with newly diagnosed diffuse large B-cell lymphoma (DLBCL). It will assess the anti-tumor efficacy and safety of birelentinib plus rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP) vs placebo plus R-CHOP.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Birelentinib + R-CHOP (Rituximab, Cyclosphosphamide, Doxorubicin, Vincristine and Prednisone) | Experimental | Drug: Birelentinib, Drug: Rituximab, Drug: Cyclophosphamid, Drug: Doxorubicin, Drug: Vincristine, Drug: Prednisone |
| Placebo + R-CHOP | Placebo comparator | Drug: Rituximab, Drug: Cyclophosphamid, Drug: Doxorubicin, Drug: Vincristine, Drug: Prednisone, Drug: Placebo |
Who may qualify
- Ages
- 18 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Age 18-70 years
- ECOG score 0-2
- Pathologically confirmed DLBCL unspecified (DLBCL, NOS)
- No prior anti-lymphoma therapy
- Ann Arbor Stages II - IV
Key exclusion criteria (13 listed)
- Indolent lymphoma or Richter transformation, primary mediastinal lymphoma, lymphoma invading the central nervous system or high-grade lymphoma with MYC and BCL2 rearrangements.
- Vaccination with live attenuated vaccines or viral vector vaccines within 4 weeks prior to treatment.
- Taking vitamin K antagonists, taking 2 or more antiplatelet/anticoagulant drugs at the same time, drugs/herbs or supplements known to potently induce or inhibit CYP3A enzyme activity, anti-tumor traditional Chinese medicine.
- Major surgery within 4 weeks or anticipated surgery after the start of this study.
- Clinically significant cardiac disorders. History of thrombotic diseases, stroke or intracranial hemorrhage within 6 months.
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 |
|---|---|---|
| BirelentinibAlso: DZD8586Specified dose on specified days | Drug | Birelentinib + R-CHOP (Rituximab, Cyclosphosphamide, Doxorubicin, Vincristine and Prednisone) |
| RituximabSpecified dose on specified days | Drug | Birelentinib + R-CHOP (Rituximab, Cyclosphosphamide, Doxorubicin, Vincristine and Prednisone), Placebo + R-CHOP |
| CyclophosphamidSpecified dose on specified days | Drug | Birelentinib + R-CHOP (Rituximab, Cyclosphosphamide, Doxorubicin, Vincristine and Prednisone), Placebo + R-CHOP |
| DoxorubicinSpecified dose on specified days | Drug | Birelentinib + R-CHOP (Rituximab, Cyclosphosphamide, Doxorubicin, Vincristine and Prednisone), Placebo + R-CHOP |
| VincristineSpecified dose on specified days | Drug | Birelentinib + R-CHOP (Rituximab, Cyclosphosphamide, Doxorubicin, Vincristine and Prednisone), Placebo + R-CHOP |
| PrednisoneSpecified dose on specified days | Drug | Birelentinib + R-CHOP (Rituximab, Cyclosphosphamide, Doxorubicin, Vincristine and Prednisone), Placebo + R-CHOP |
| PlaceboSpecified dose on specified days | Drug | Placebo + R-CHOP |
Primary outcome
Part A: Incidence and severity of adverse events
Time frame: Up to 2 years
Part B: Progression-free survival (PFS)
Time frame: Up to 5 years
7 secondary outcomes
Part A: Objective response rate (ORR)
Time frame: Up to 5 years
Part A: Complete response rate (CRR)
Time frame: Up to 5 years
Part B: Event-free survival (EFS)
Time frame: Up to 5 years
Part B: Overall Survival (OS)
Time frame: Approximately 5 years
Part B: Objective response rate (ORR)
Time frame: Up to 5 years
Part B: Complete response rate (CRR)
Time frame: Up to 5 years
Part B: Incidence and severity of adverse events
Time frame: Up to 2 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 5 Aug 2026.
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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.
Zhao principal investigator
Ruijin Hospital
5 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2/3 study testing Birelentinib, Rituximab and Cyclophosphamid in people with Diffuse Large B-Cell Lymphoma (DLBCL), run by Dizal Pharmaceuticals at 5 sites in China.
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 8 inclusion and 13 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: opening soon, as of the sponsor's last update on 5 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 5 sites in China. 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 combined phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
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 Liu (+86-21-61095852, ziyi.liu@dizalpharma.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Part A: Incidence and severity of adverse events (time frame: Up to 2 years). The study lists 2 primary outcomes in all. 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 5 Aug 2026.