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Study of Zanubrutinib (BGB-3111) in Participants With Marginal Zone Lymphoma

A Phase 2, Open-label Study of Zanubrutinib (BGB-3111) in Patients With Relapsed or Refractory Marginal Zone Lymphoma

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03846427
Acronym
MAGNOLIA
Enrollment
68
Registered
2019-02-19
Start date
2019-02-19
Completion date
2022-05-04
Last updated
2024-10-26

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

Conditions

Marginal Zone Lymphoma, MZL

Keywords

BGB-3111, Zanubrutinib

Brief summary

This is a single arm study to evaluate the efficacy, safety and tolerability of zanubrutinib (BGB-3111) in participants with relapsed/refractory marginal zone lymphoma (R/R MZL).

Interventions

DRUGZanubrutinib

Zanubrutinib at a dose of 160 mg orally twice a day (BID)

Sponsors

BeiGene
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Key Inclusion Criteria: 1. Age 18 years or older 2. Histologically confirmed diagnosis of MZL including splenic, nodal, and extranodal subtypes 3. Previously received one or more lines of therapy including at least one CD20-directed regimen (either as monotherapy or as chemoimmunotherapy) with documented failure to achieve at least partial response or documented progressive disease (PD) after, the most recent systemic treatment 4. Current need for systemic therapy for MZL 5. Measurable disease by computed tomography (CT) or magnetic resonance imaging (MRI) 6. Eastern Cooperative Oncology Group (ECOG) of 0-2 7. Life expectancy ≥ 6 months 8. Adequate bone marrow function 9. Adequate organ function 10. Male and female participants must use highly effective methods of contraception Key

Exclusion criteria

1. Known transformation to aggressive lymphoma, eg, large cell lymphoma 2. Clinically significant cardiovascular disease 3. Prior malignancy within the past 2 years, except for curatively treated basal or squamous cell skin cancer, superficial bladder cancer, carcinoma in situ of the cervix or breast, or localized Gleason score 6 prostate cancer 4. History of severe bleeding disorder such as hemophilia A, hemophilia B, von Willebrand disease, or history of spontaneous bleeding requiring blood transfusion or other medical intervention 5. History of stroke or intracranial hemorrhage 6. Severe or debilitating pulmonary disease 7. Active fungal, bacterial and/or viral infection requiring systemic therapy 8. Known central nervous system involvement by lymphoma 9. Known infection with HIV, or serologic status reflecting active viral hepatitis B (HBV) or viral hepatitis C (HCV) infection 10. Major surgery within 4 weeks of the first dose of study drug 11. Prior treatment with a Bruton's tyrosine kinase (BTK) inhibitor 12. Pregnant or lactating women 13. Requires ongoing treatment with a strong Cytochrome P4503A (CYP3A) inhibitor or inducer 14. Concurrent participation in another therapeutic clinical trial NOTE: Other protocol defined Inclusion/

Design outcomes

Primary

MeasureTime frameDescription
Overall Response Rate (ORR) by Independent Review Committee (IRC) AssessmentUp to approximately 3 years and 2.5 monthsORR is defined as the percentage of participants with complete or partial response as the best overall response, as determined by an IRC using the Lugano Classification

Secondary

MeasureTime frameDescription
ORR by IRC Assessment Using Positron Emission Tomography-Computed Tomography (PET-CT)Up to approximately 3 years and 2.5 monthsORR is defined as the percentage of participants with complete and partial response as the best overall response, as determined by an IRC using PET-CT assessment data for participants with fluorodeoxyglucose (FDG)-avid disease
Progression-free Survival (PFS) by Investigator AssessmentUp to approximately 3 years and 2.5 monthsPFS is defined as the time from first dose until first documentation of progression or death, whichever comes first, as assessed by the investigator using Lugano Classification
PFS Event-Free Rate by Investigator AssessmentUp to 3 years and 2.5 months after first participant enrolled; Month 24 reportedPFS is defined as the time from first dose until first documentation of progression or death, whichever comes first, as assessed by the investigator using Lugano Classification. The Kaplan-Meier method was used to estimate the percentage of participants who were event-free for PFS at 24 months with 95% confidence intervals estimated using Greenwood's formula.
PFS by IRC AssessmentUp to approximately 3 years and 2.5 monthsPFS is defined as the time from first dose until first documentation of progression or death, whichever comes first, as assessed by an IRC using Lugano Classification
PFS Event-Free Rate by IRC AssessmentUp to 3 years and 2.5 months after first participant enrolled; Month 24 reportedPFS is defined as the time from first dose until first documentation of progression or death, whichever comes first, as assessed by the IRC using Lugano Classification. The Kaplan-Meier method was used to estimate the percentage of participants who were event-free for PFS at 24 months with 95% confidence intervals estimated using Greenwood's formula.
Overall Survival (OS)Up to approximately 3 years and 2.5 monthsOS is defined as the time from first study drug administration to the date of death due to any cause
OS Event-Free RateUp to 3 years and 2.5 months after first participant enrolled; Month 24 reportedOS is defined as the time from first study drug administration to the date of death due to any cause. The Kaplan-Meier method was used to estimate the percentage of participants who were event-free for OS at 24 months with 95% confidence intervals estimated using Greenwood's formula.
Duration of Response (DOR) by Investigator AssessmentUp to approximately 3 years and 2.5 monthsDOR is defined as the time from the date that response criteria are first met to the date that progressive disease is objectively documented or death, whichever comes first, as assessed by the investigator using Lugano Classification.
DOR Event-Free Rate by Investigator AssessmentUp to 3 years and 2.5 months after first participant enrolled; Month 24 reportedDOR is defined as the time from the date that response criteria are first met to the date that progressive disease is objectively documented or death, whichever comes first, as assessed by the investigator using Lugano Classification. The Kaplan-Meier method was used to estimate the percentage of participants who were event-free for progression or death at 24 months with 95% confidence intervals estimated using Greenwood's formula.
DOR by IRC AssessmentUp to approximately 3 years and 2.5 monthsDOR is defined as the time from the date that response criteria are first met to the date that progressive disease is objectively documented or death, whichever comes first, as assessed by the IRC using Lugano Classification.
DOR Event-Free Rate by IRC AssessmentUp to 3 years and 2.5 months after first participant enrolled; Month 24 reportedDOR is defined as the time from the date that response criteria are first met to the date that progressive disease is objectively documented or death, whichever comes first, as assessed by the IRC using Lugano Classification. The Kaplan-Meier method was used to estimate the percentage of participants who were event-free for progression or death at 24 months with 95% confidence intervals estimated using Greenwood's formula.
Time to Treatment Failure (TTF)Up to approximately 3 years and 2.5 monthsTTF is defined as the time from study treatment start to the date of discontinuation of study drug due to any reason.
ORR by Investigator AssessmentUp to approximately 3 years and 2.5 monthsORR is defined as the percentage of participants with complete or partial response as the best overall response, as determined by the investigator using the Lugano Classification.
Time to Next Line of TherapyUp to approximately 3 years and 2.5 monthsTime to next line of therapy is defined as the time from study treatment start to the start of the first subsequent therapy for MZL
Time to Next Line of Therapy Event-Free RateUp to 3 years and 2.5 months after first participant enrolled; Month 24 reportedTime to next line of therapy is defined as the time from study treatment start to the start of the first subsequent therapy for MZL. The Kaplan-Meier method was used to estimate the percentage of participants who were event-free for time to next line of therapy at 24 months with 95% confidence intervals estimated using Greenwood's formula.
Time to Response (TTR) by Investigator AssessmentUp to approximately 3 years and 2.5 monthsTTR is defined as the time from study treatment start to date of the earliest qualifying response (partial response or better) as assessed by the investigator using Lugano Classification
TTR by IRC AssessmentUp to approximately 3 years and 2.5 monthsTTR is defined as the time from study treatment start to date of the earliest qualifying response (partial response or better), as assessed by the IRC using Lugano Classification.
Change From Baseline in EuroQol 5-dimension 5-level (EQ-5D-5L) Visual Analogue Score (VAS)Baseline to Cycle 30 (28 days per cycle)Mean change from baseline in EQ-5D-5L VAS. The EQ-5D-5L measures health outcomes using a VAS to record a participant's self-rated health on a scale from 0 to 100, where 100 is 'the best health you can imagine' and 0 is 'the worst health you can imagine.' Positive change from baseline indicates improved health.
Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) Global Health StatusBaseline to Cycle 30 (28 days per cycle)Mean change from baseline in EORTC QLQ-C30 Global Health Status/Quality of Life score. The EORTC QLQ-C30 v3.0 is a questionnaire that assesses quality of life of cancer patients and includes global health status and quality of life questions related to their overall health in which participants respond based on a 7-point scale, where 1 is very poor and 7 is excellent. Answers are converted to a score of 0 to 100, with a positive score from baseline indicating improved health.
Number of Participants With Adverse EventsFrom first dose to 30 days after last dose of study drug (Up to approximately 3 years and 2.5 months)Number of participants with treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs), including laboratory tests, physical exams, and vital signs
Area Under the Curve From Time 0 to 6 Hours (AUC0-6)Predose (within 30 min prior to dose) and 0.5, 1, 2, 3, 4, and 6 hours postdose on Cycle 1 Day 1 (28 days per cycle)
Apparent Oral Clearance (CL/F) of ZanubrutinibPredose (within 30 min prior to dose) and 0.5, 1, 2, 3, 4, and 6 hours postdose on Cycle 1 Day 1 (28 days per cycle)
Maximum Observed Concentration (Cmax)Predose (within 30 min prior to dose) and 0.5, 1, 2, 3, 4, and 6 hours postdose on Cycle 1 Day 1 (28 days per cycle)
Elimination Half Life (t1/2)Predose (within 30 min prior to dose) and 0.5, 1, 2, 3, 4, and 6 hours postdose on Cycle 1 Day 1 (28 days per cycle)
TTF Event-Free RateUp to 3 years and 2.5 months after first participant enrolled; Month 24 reportedTTF is defined as the time from study treatment start to the date of discontinuation of study drug due to any reason. The Kaplan-Meier method was used to estimate the percentage of participants who were event-free for TTF at 24 months with 95% confidence intervals estimated using Greenwood's formula.

Countries

Australia, China, Czechia, France, Italy, New Zealand, South Korea, United Kingdom, United States

Participant flow

Recruitment details

This study was conducted at 31 study centers in 9 countries.

Pre-assignment details

The study was composed of an initial screening phase (up to 35 days), a single-arm treatment phase, and a follow-up phase. A total of 38 participants rolled over to BGB-3111-LTE1 (NCT04170283) after study completion.

Participants by arm

ArmCount
Zanubrutinib
Zanubrutinib 160 mg (two 80-mg capsules) orally twice daily with or without food until progressive disease, intolerable toxicity, or withdrawal of consent
68
Total68

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyDeath13
Overall StudyPhysician Decision1
Overall StudyWithdrawal by Subject3

Baseline characteristics

CharacteristicZanubrutinib
Age, Continuous67.9 Years
STANDARD_DEVIATION 11.41
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
58 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
10 Participants
Race/Ethnicity, Customized
Asian
13 Participants
Race/Ethnicity, Customized
Multiple
2 Participants
Race/Ethnicity, Customized
Not Reported
11 Participants
Race/Ethnicity, Customized
Other
1 Participants
Race/Ethnicity, Customized
Unknown
1 Participants
Race/Ethnicity, Customized
White
40 Participants
Sex: Female, Male
Female
32 Participants
Sex: Female, Male
Male
36 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
13 / 68
other
Total, other adverse events
61 / 68
serious
Total, serious adverse events
30 / 68

Outcome results

Primary

Overall Response Rate (ORR) by Independent Review Committee (IRC) Assessment

ORR is defined as the percentage of participants with complete or partial response as the best overall response, as determined by an IRC using the Lugano Classification

Time frame: Up to approximately 3 years and 2.5 months

Population: Efficacy analysis set consisted of all participants with a confirmed diagnosis of MZL who received at least 1 dose of study drug

ArmMeasureValue (NUMBER)
ZanubrutinibOverall Response Rate (ORR) by Independent Review Committee (IRC) Assessment68.2 Percentage of participants
p-value: <0.0001Binomial exact method
Secondary

Apparent Oral Clearance (CL/F) of Zanubrutinib

Time frame: Predose (within 30 min prior to dose) and 0.5, 1, 2, 3, 4, and 6 hours postdose on Cycle 1 Day 1 (28 days per cycle)

Population: Pharmacokinetic analysis set included all participants who had at least 1 postdose zanubrutinib plasma concentration

ArmMeasureValue (MEAN)Dispersion
ZanubrutinibApparent Oral Clearance (CL/F) of Zanubrutinib215.3 Liters/hourStandard Deviation 114.8
Secondary

Area Under the Curve From Time 0 to 6 Hours (AUC0-6)

Time frame: Predose (within 30 min prior to dose) and 0.5, 1, 2, 3, 4, and 6 hours postdose on Cycle 1 Day 1 (28 days per cycle)

Population: Pharmacokinetic analysis set included all participants who had at least 1 postdose zanubrutinib plasma concentration

ArmMeasureValue (MEAN)Dispersion
ZanubrutinibArea Under the Curve From Time 0 to 6 Hours (AUC0-6)868.0 Hour*ng/mLStandard Deviation 304.3
Secondary

Change From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) Global Health Status

Mean change from baseline in EORTC QLQ-C30 Global Health Status/Quality of Life score. The EORTC QLQ-C30 v3.0 is a questionnaire that assesses quality of life of cancer patients and includes global health status and quality of life questions related to their overall health in which participants respond based on a 7-point scale, where 1 is very poor and 7 is excellent. Answers are converted to a score of 0 to 100, with a positive score from baseline indicating improved health.

Time frame: Baseline to Cycle 30 (28 days per cycle)

Population: Efficacy analysis set consisted of all participants with a confirmed diagnosis of MZL who received at least 1 dose of study drug

ArmMeasureGroupValue (MEAN)Dispersion
ZanubrutinibChange From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) Global Health StatusCycle 37.471 Score on a scaleStandard Deviation 19.5396
ZanubrutinibChange From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) Global Health StatusCycle 67.823 Score on a scaleStandard Deviation 15.8121
ZanubrutinibChange From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) Global Health StatusCycle 95.382 Score on a scaleStandard Deviation 20.0833
ZanubrutinibChange From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) Global Health StatusCycle 127.143 Score on a scaleStandard Deviation 17.3216
ZanubrutinibChange From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) Global Health StatusCycle 1810.677 Score on a scaleStandard Deviation 18.4811
ZanubrutinibChange From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) Global Health StatusCycle 249.286 Score on a scaleStandard Deviation 19.2561
ZanubrutinibChange From Baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) Global Health StatusCycle 306.250 Score on a scaleStandard Deviation 20.491
Secondary

Change From Baseline in EuroQol 5-dimension 5-level (EQ-5D-5L) Visual Analogue Score (VAS)

Mean change from baseline in EQ-5D-5L VAS. The EQ-5D-5L measures health outcomes using a VAS to record a participant's self-rated health on a scale from 0 to 100, where 100 is 'the best health you can imagine' and 0 is 'the worst health you can imagine.' Positive change from baseline indicates improved health.

Time frame: Baseline to Cycle 30 (28 days per cycle)

Population: Efficacy analysis set consisted of all participants with a confirmed diagnosis of MZL who received at least 1 dose of study drug

ArmMeasureGroupValue (MEAN)Dispersion
ZanubrutinibChange From Baseline in EuroQol 5-dimension 5-level (EQ-5D-5L) Visual Analogue Score (VAS)Cycle 31.0 Score on a scaleStandard Deviation 18.18
ZanubrutinibChange From Baseline in EuroQol 5-dimension 5-level (EQ-5D-5L) Visual Analogue Score (VAS)Cycle 62.2 Score on a scaleStandard Deviation 15.78
ZanubrutinibChange From Baseline in EuroQol 5-dimension 5-level (EQ-5D-5L) Visual Analogue Score (VAS)Cycle 90.2 Score on a scaleStandard Deviation 16.28
ZanubrutinibChange From Baseline in EuroQol 5-dimension 5-level (EQ-5D-5L) Visual Analogue Score (VAS)Cycle 122.8 Score on a scaleStandard Deviation 16.15
ZanubrutinibChange From Baseline in EuroQol 5-dimension 5-level (EQ-5D-5L) Visual Analogue Score (VAS)Cycle 185.6 Score on a scaleStandard Deviation 17.68
ZanubrutinibChange From Baseline in EuroQol 5-dimension 5-level (EQ-5D-5L) Visual Analogue Score (VAS)Cycle 245.8 Score on a scaleStandard Deviation 15.24
ZanubrutinibChange From Baseline in EuroQol 5-dimension 5-level (EQ-5D-5L) Visual Analogue Score (VAS)Cycle 301.6 Score on a scaleStandard Deviation 18.15
Secondary

DOR by IRC Assessment

DOR is defined as the time from the date that response criteria are first met to the date that progressive disease is objectively documented or death, whichever comes first, as assessed by the IRC using Lugano Classification.

Time frame: Up to approximately 3 years and 2.5 months

Population: Efficacy analysis set consisted of all participants with a confirmed diagnosis of MZL who received at least 1 dose of study drug; DOR was summarized for responders only, defined as participants with a best overall response of partial response or above.

ArmMeasureValue (MEDIAN)
ZanubrutinibDOR by IRC AssessmentNA Months
Secondary

DOR Event-Free Rate by Investigator Assessment

DOR is defined as the time from the date that response criteria are first met to the date that progressive disease is objectively documented or death, whichever comes first, as assessed by the investigator using Lugano Classification. The Kaplan-Meier method was used to estimate the percentage of participants who were event-free for progression or death at 24 months with 95% confidence intervals estimated using Greenwood's formula.

Time frame: Up to 3 years and 2.5 months after first participant enrolled; Month 24 reported

Population: Efficacy analysis set consisted of all participants with a confirmed diagnosis of MZL who received at least 1 dose of study drug; DOR was summarized for responders only, defined as participants with a best overall response of partial response or above.

ArmMeasureValue (NUMBER)
ZanubrutinibDOR Event-Free Rate by Investigator Assessment60.8 Percentage of participants
Secondary

DOR Event-Free Rate by IRC Assessment

DOR is defined as the time from the date that response criteria are first met to the date that progressive disease is objectively documented or death, whichever comes first, as assessed by the IRC using Lugano Classification. The Kaplan-Meier method was used to estimate the percentage of participants who were event-free for progression or death at 24 months with 95% confidence intervals estimated using Greenwood's formula.

Time frame: Up to 3 years and 2.5 months after first participant enrolled; Month 24 reported

Population: Efficacy analysis set consisted of all participants with a confirmed diagnosis of MZL who received at least 1 dose of study drug; DOR was summarized for responders only, defined as participants with a best overall response of partial response or above.

ArmMeasureValue (NUMBER)
ZanubrutinibDOR Event-Free Rate by IRC Assessment72.9 Percentage of participants
Secondary

Duration of Response (DOR) by Investigator Assessment

DOR is defined as the time from the date that response criteria are first met to the date that progressive disease is objectively documented or death, whichever comes first, as assessed by the investigator using Lugano Classification.

Time frame: Up to approximately 3 years and 2.5 months

Population: Efficacy analysis set consisted of all participants with a confirmed diagnosis of MZL who received at least 1 dose of study drug; DOR was summarized for responders only, defined as participants with a best overall response of partial response or above.

ArmMeasureValue (MEDIAN)
ZanubrutinibDuration of Response (DOR) by Investigator AssessmentNA Months
Secondary

Elimination Half Life (t1/2)

Time frame: Predose (within 30 min prior to dose) and 0.5, 1, 2, 3, 4, and 6 hours postdose on Cycle 1 Day 1 (28 days per cycle)

Population: Pharmacokinetic analysis set included all participants who had at least 1 postdose zanubrutinib plasma concentration

ArmMeasureValue (MEDIAN)
ZanubrutinibElimination Half Life (t1/2)1.2 Hours
Secondary

Maximum Observed Concentration (Cmax)

Time frame: Predose (within 30 min prior to dose) and 0.5, 1, 2, 3, 4, and 6 hours postdose on Cycle 1 Day 1 (28 days per cycle)

Population: Pharmacokinetic analysis set included all participants who had at least 1 postdose zanubrutinib plasma concentration

ArmMeasureValue (MEAN)Dispersion
ZanubrutinibMaximum Observed Concentration (Cmax)315.5 nanograms/milliliterStandard Deviation 120.2
Secondary

Number of Participants With Adverse Events

Number of participants with treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs), including laboratory tests, physical exams, and vital signs

Time frame: From first dose to 30 days after last dose of study drug (Up to approximately 3 years and 2.5 months)

Population: Safety analysis set is all participants who were enrolled and received at least 1 dose of study drug

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
ZanubrutinibNumber of Participants With Adverse EventsAt least one TEAE68 Participants
ZanubrutinibNumber of Participants With Adverse EventsAt least one SAE30 Participants
Secondary

ORR by Investigator Assessment

ORR is defined as the percentage of participants with complete or partial response as the best overall response, as determined by the investigator using the Lugano Classification.

Time frame: Up to approximately 3 years and 2.5 months

Population: Efficacy analysis set consisted of all participants with a confirmed diagnosis of MZL who received at least 1 dose of study drug

ArmMeasureValue (NUMBER)
ZanubrutinibORR by Investigator Assessment75.8 Percentage of participants
Secondary

ORR by IRC Assessment Using Positron Emission Tomography-Computed Tomography (PET-CT)

ORR is defined as the percentage of participants with complete and partial response as the best overall response, as determined by an IRC using PET-CT assessment data for participants with fluorodeoxyglucose (FDG)-avid disease

Time frame: Up to approximately 3 years and 2.5 months

Population: Efficacy analysis set consisted of evaluable participants with FDG-avid disease at baseline

ArmMeasureValue (NUMBER)
ZanubrutinibORR by IRC Assessment Using Positron Emission Tomography-Computed Tomography (PET-CT)69.5 Percentage of participants
Secondary

OS Event-Free Rate

OS is defined as the time from first study drug administration to the date of death due to any cause. The Kaplan-Meier method was used to estimate the percentage of participants who were event-free for OS at 24 months with 95% confidence intervals estimated using Greenwood's formula.

Time frame: Up to 3 years and 2.5 months after first participant enrolled; Month 24 reported

Population: Efficacy analysis set consisted of all participants with a confirmed diagnosis of MZL who received at least 1 dose of study drug

ArmMeasureValue (NUMBER)
ZanubrutinibOS Event-Free Rate85.9 Percentage of participants
Secondary

Overall Survival (OS)

OS is defined as the time from first study drug administration to the date of death due to any cause

Time frame: Up to approximately 3 years and 2.5 months

Population: Efficacy analysis set consisted of all participants with a confirmed diagnosis of MZL who received at least 1 dose of study drug

ArmMeasureValue (MEDIAN)
ZanubrutinibOverall Survival (OS)NA Months
Secondary

PFS by IRC Assessment

PFS is defined as the time from first dose until first documentation of progression or death, whichever comes first, as assessed by an IRC using Lugano Classification

Time frame: Up to approximately 3 years and 2.5 months

Population: Efficacy analysis set consisted of all participants with a confirmed diagnosis of MZL who received at least 1 dose of study drug

ArmMeasureValue (MEDIAN)
ZanubrutinibPFS by IRC AssessmentNA Months
Secondary

PFS Event-Free Rate by Investigator Assessment

PFS is defined as the time from first dose until first documentation of progression or death, whichever comes first, as assessed by the investigator using Lugano Classification. The Kaplan-Meier method was used to estimate the percentage of participants who were event-free for PFS at 24 months with 95% confidence intervals estimated using Greenwood's formula.

Time frame: Up to 3 years and 2.5 months after first participant enrolled; Month 24 reported

Population: Efficacy analysis set consisted of all participants with a confirmed diagnosis of MZL who received at least 1 dose of study drug

ArmMeasureValue (NUMBER)
ZanubrutinibPFS Event-Free Rate by Investigator Assessment57.9 Percentage of participants
Secondary

PFS Event-Free Rate by IRC Assessment

PFS is defined as the time from first dose until first documentation of progression or death, whichever comes first, as assessed by the IRC using Lugano Classification. The Kaplan-Meier method was used to estimate the percentage of participants who were event-free for PFS at 24 months with 95% confidence intervals estimated using Greenwood's formula.

Time frame: Up to 3 years and 2.5 months after first participant enrolled; Month 24 reported

Population: Efficacy analysis set consisted of all participants with a confirmed diagnosis of MZL who received at least 1 dose of study drug

ArmMeasureValue (NUMBER)
ZanubrutinibPFS Event-Free Rate by IRC Assessment70.9 Percentage of participants
Secondary

Progression-free Survival (PFS) by Investigator Assessment

PFS is defined as the time from first dose until first documentation of progression or death, whichever comes first, as assessed by the investigator using Lugano Classification

Time frame: Up to approximately 3 years and 2.5 months

Population: Efficacy analysis set consisted of all participants with a confirmed diagnosis of MZL who received at least 1 dose of study drug

ArmMeasureValue (MEDIAN)
ZanubrutinibProgression-free Survival (PFS) by Investigator AssessmentNA Months
Secondary

Time to Next Line of Therapy

Time to next line of therapy is defined as the time from study treatment start to the start of the first subsequent therapy for MZL

Time frame: Up to approximately 3 years and 2.5 months

Population: Efficacy analysis set consisted of all participants with a confirmed diagnosis of MZL who received at least 1 dose of study drug

ArmMeasureValue (MEDIAN)
ZanubrutinibTime to Next Line of TherapyNA Months
Secondary

Time to Next Line of Therapy Event-Free Rate

Time to next line of therapy is defined as the time from study treatment start to the start of the first subsequent therapy for MZL. The Kaplan-Meier method was used to estimate the percentage of participants who were event-free for time to next line of therapy at 24 months with 95% confidence intervals estimated using Greenwood's formula.

Time frame: Up to 3 years and 2.5 months after first participant enrolled; Month 24 reported

Population: Efficacy analysis set consisted of all participants with a confirmed diagnosis of MZL who received at least 1 dose of study drug

ArmMeasureValue (NUMBER)
ZanubrutinibTime to Next Line of Therapy Event-Free Rate74.5 Percentage of participants
Secondary

Time to Response (TTR) by Investigator Assessment

TTR is defined as the time from study treatment start to date of the earliest qualifying response (partial response or better) as assessed by the investigator using Lugano Classification

Time frame: Up to approximately 3 years and 2.5 months

Population: Efficacy analysis set consisted of all participants with a confirmed diagnosis of MZL who received at least 1 dose of study drug; TTR was summarized for responders only, defined as participants with a best overall response of partial response or above.

ArmMeasureValue (MEDIAN)
ZanubrutinibTime to Response (TTR) by Investigator Assessment2.79 Months
Secondary

Time to Treatment Failure (TTF)

TTF is defined as the time from study treatment start to the date of discontinuation of study drug due to any reason.

Time frame: Up to approximately 3 years and 2.5 months

Population: Efficacy analysis set consisted of all participants with a confirmed diagnosis of MZL who received at least 1 dose of study drug

ArmMeasureValue (MEDIAN)
ZanubrutinibTime to Treatment Failure (TTF)27.8 Months
Secondary

TTF Event-Free Rate

TTF is defined as the time from study treatment start to the date of discontinuation of study drug due to any reason. The Kaplan-Meier method was used to estimate the percentage of participants who were event-free for TTF at 24 months with 95% confidence intervals estimated using Greenwood's formula.

Time frame: Up to 3 years and 2.5 months after first participant enrolled; Month 24 reported

Population: Efficacy analysis set consisted of all participants with a confirmed diagnosis of MZL who received at least 1 dose of study drug

ArmMeasureValue (NUMBER)
ZanubrutinibTTF Event-Free Rate53.0 Percentage of participants
Secondary

TTR by IRC Assessment

TTR is defined as the time from study treatment start to date of the earliest qualifying response (partial response or better), as assessed by the IRC using Lugano Classification.

Time frame: Up to approximately 3 years and 2.5 months

Population: Efficacy analysis set consisted of all participants with a confirmed diagnosis of MZL who received at least 1 dose of study drug; TTR was summarized for responders only, defined as participants with a best overall response of partial response or above.

ArmMeasureValue (MEDIAN)
ZanubrutinibTTR by IRC Assessment2.79 Months

Source: ClinicalTrials.gov · Data processed: Feb 20, 2026