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A Prospective, Multicenter, Single-arm Phase II Study Evaluating the Efficacy and Safety of Polatuzumab Vedotin in Combination with Zanubrutinib, Rituximab, Cyclophosphamide, Doxorubicin, and Prednisone (Pola-ZRCHP) in Previously Untreated Patients with Non-Germinal Center B-Cell-like Diffuse Large B-Cell Lymphoma

A Prospective, Multicenter, Single-arm Phase II Study Evaluating the Efficacy and Safety of Polatuzumab Vedotin in Combination with Zanubrutinib, Rituximab, Cyclophosphamide, Doxorubicin, and Prednisone (Pola-ZRCHP) in Previously Untreated Patients with Non-Germinal Center B-Cell-like Diffuse Large B-Cell Lymphoma

Status
Active, not recruiting
Phases
Phase 2
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2600119915
Enrollment
Unknown
Registered
2026-03-05
Start date
2026-03-15
Completion date
Unknown
Last updated
2026-03-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Diffuse Large B cell Lymphoma

Interventions

Pola-ZRCHP group:Pola-ZRCHP

Sponsors

Jiangsu Province Hospital (The First Affiliated Hospital with Nanjing Medical University)
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 75 Years

Inclusion criteria

Inclusion criteria: 1.Age is between 18 and 75 years at the time of signing the informed consent form; 2.The tissue sample is histologically confirmed as non-GCB DLBCL, and CD20 is expressed; 3.No prior treatment has been received; 4.IPI score is 2-5 points; 5.ECOG performance status score is 0 or 1; 6.Expected survival is >= 6 months.; 7.At least one bidimensional measurable lesion exists (with the longest diameter > 1.5 cm as measured by CT or MRI); 8.Echocardiography (ECHO) shows a left ventricular ejection fraction (LVEF) >= 50%; 9.Adequate hematological function: within 7 days prior to the first treatment, hemoglobin >= 9.0 g/dL (without packed RBC transfusion), neutrophil count >= 1.0 × 10^9/L, and platelet count >= 75 × 10^9/L. 10. For female participants with fertility: agree to keep abstinence (prohibit heterosexual sex) or take contraceptive measures, and agree not to donate eggs. For male participants: agree to keep abstinence (prohibit heterosexual sexual intercourse) or use contraceptive methods, and agree not to donate sperm.

Exclusion criteria

Exclusion criteria: 1.Contraindication to any individual component of Pola-ZR-CHP; 2.Presence of active bacterial, viral, fungal, or other infections, or occurrence of a major infection within 4 weeks prior to the first treatment; 3.Suspected or latent tuberculosis; 4.Currently pregnant or breastfeeding, or planning to become pregnant during the study period; 5.History of confirmed progressive multifocal leukoencephalopathy (PML); 6.Current or previous history of central nervous system (CNS) lymphoma; 7.Presence of significant, uncontrolled comorbidities that may affect compliance or interpretation of results; 8.Severe or extensive cardiovascular disease (e.g., NYHA Class III/IV heart failure, myocardial infarction within the past 6 months, etc.); 9.Clinically significant liver disease (including active hepatitis, alcoholism, or cirrhosis); 10.Abnormal laboratory results: INR or PT > 1.5 × ULN, aPTT > 1.5 × ULN, AST/ALT >= 2.5 × ULN, total bilirubin >= 1.5 × ULN, creatinine clearance < 40 mL/min; 11.HBV DNA positive; HCV antibody positive and HCV RNA positive; 12. Any other disease, metabolic dysfunction, disease or condition reasonably suspected by physical examination results or clinical laboratory results as contraindications to the use of test drugs.

Design outcomes

Primary

MeasureTime frame
2-year progression free survival (2-year PFS);

Secondary

MeasureTime frame
Objective response rate;Complete remission rate;Incidence and severity of adverse events;Event-Free Survival;Overall Survival;

Countries

China

Contacts

Public ContactYi Xia

Jiangsu Province Hospital (The First Affiliated Hospital with Nanjing Medical University)

cynthia0311@163.com+86 13770698391

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Mar 14, 2026