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New pill shows promise against Hard-to-Treat blood cancers
NCT ID NCT04014205
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests a new drug called orelabrutinib in people with B-cell malignancies, such as certain lymphomas and leukemias. The drug works by blocking a protein that helps cancer cells grow. The trial has two parts: first finding the safest dose, then seeing how well it shrinks tumors. About 81 adults with relapsed or hard-to-treat cancers are taking part.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Orelabrutinib (a targeted drug that blocks a protein called BTK to help stop cancer cell growth)
- What this could lead to
- If successful, this could provide a new treatment option for people with certain B-cell blood cancers, especially those who have not responded to other therapies.
- What could go wrong
- This is an early-phase trial with a small number of participants, so results may not apply broadly. The drug may cause side effects or fail to shrink tumors in many patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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About 81 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Nov 2019
- Expected to finish
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Jun 2026
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 years and older
- Sex
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Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Signed Informed Consent. 2. Age ≥ 18 years. 3. Part 1: Patients with histologically confirmed relapsed or refractory B-cell malignancies, including Grades 1-3a FL, MZL, MCL, and CLL/SLL. Part 2: Patients with histologically confirmed B-cell malignancies including r/r FL, r/r MZL and CLL/SLL with/without prior treatment. 4. Life expectancy (in the opinion of the investigator) of ≥ 4 months. 5. ECOG performance status of 0 \~1. 6. Must have adequate organ function. 7. Negative test results for HBV (\[HBsAg (-)\] and non-active HBV or HCV infection Exclusion Criteria: 1. Pregnant or breast-feeding or intending to become pregnant during the study. 2. Prior treatment with systemic immunotherapeutic agents. 3. Known allergies to Orelabrutinib (ICP-022) or its excipients or infection with HIV. 4. Treatment with any chemotherapeutic agent, or any other investigational therapies within 4 weeks prior to first dose of the study drug. 5. History of allogeneic stem-cell (or other organ) transplantation or confirmed progressive PML. 6. Any external beam radiation therapy within 6 weeks prior to the first dose of the study drug. 7. Concurrent use of warfarin or other vitamin K antagonists or anticoagulation therapies or strong CYP3A inhibitor. 8. Active uncontrolled infections. 9. Recent infection requiring IV anti-infective treatment that was completed ≤ 14 days before the first dose of study drug. 10. Unresolved toxicities from prior anti-cancer therapy. 11. Medically apparent CNS lymphoma or leptomeningeal disease. 12. Current or previous history of CNS disease. 13. Major surgery or significant traumatic injury \< 28 days prior to the first dose of the study drug. 14. Patients with another invasive malignancy in the last 2 years. 15. Significant cardiovascular disease or active pulmonary disease. 16. Received systemic immunosuppressive medications.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Anne Arundel Medical Center (AAMC) Oncology and Hematology
Annapolis, Maryland, 21401-3093, United States
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Asclepes Research Centers - Weeki Wachee
Weeki Wachee, Florida, 34607, United States
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Carmel Medical Center
Haifa, Israel
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Cherkassy Regional Oncology Center
Cherkasy, Ukraine
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Clinical Research Alliance
Westbury, New York, 11590, United States
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Coborn Cancer Center
Saint Cloud, Minnesota, 56303, United States
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Cotton O'Neil Cancer Center (Stormont-Vail Cancer Center)
Topeka, Kansas, 66606, United States
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Desert Hematology Oncology Medical Group, Inc.
Rancho Mirage, California, 92270, United States
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Florida Cancer Specialists (FCS) South
Fort Myers, Florida, 33901, United States
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Gabrail Cancer Research Center
Canton, Ohio, 44718, United States
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Goshen Center for Cancer Care
Goshen, Indiana, 46526, United States
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Guthrie Cancer Center
Sayre, Pennsylvania, 18840, United States
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Institute of Blood Pathology and Transfusion Medicine
Lviv, Ukraine
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Khmelnytskyi Regional Hospital
Khmelnytskyi, Ukraine
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Los Angeles Cancer Network - Good Samaritan Hospital Location
Los Angeles, California, 90017, United States
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MD Anderson Cancer Center
Houston, Texas, 77030, United States
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Mayo Clinic - Minnesota
Rochester, Minnesota, 55905-0001, United States
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Mayo Clinic-Mayo Clinic Hospital-Phoenix
Phoenix, Arizona, 85054-4502, United States
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Medical Oncology Associates PS (dba Summit Cancer Centers)
Spokane, Washington, 99201, United States
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National Cancer Institute
Kyiv, Ukraine
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Northwest Neurology - Rolling Meadows Office
Elk Grove Village, Illinois, 60007, United States
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Orchard Healthcare Research Inc.
Skokie, Illinois, 60077, United States
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Pacific Cancer Medical Center
Anaheim, California, 92801-1824, United States
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Prairie Lakes Cancer Center
Watertown, South Dakota, 57201, United States
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Sarah Cannon Research Institute - Tennessee Oncology
Nashville, Tennessee, 37203-1625, United States
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Soroka Medical Center
Beersheba, Israel
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Southeast Nebraska Cancer Center
Lincoln, Nebraska, 68510-2496, United States
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St. Luke's Hospital - Medical and Diagnostic Center
Kropyvnytskyi, Ukraine
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Summit Medical Group
Florham Park, New Jersey, 07932-0001, United States
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Tennessee Cancer Specialists
Knoxville, Tennessee, 37909-1327, United States
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Tennessee Oncology - Chattanooga Oncology & Hematology Associates
Chattanooga, Tennessee, 37404-1130, United States
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The Oncology Institute of Hope & Innovation
Whittier, California, 90603, United States
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Transcarpathian Regional Clinical Hospital named after Andrii Novak
Uzhhorod, Ukraine
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Tulane University School of Medicine - Tulane Cancer Center Comprehensive Clinic TCCCC
New Orleans, Louisiana, 70112, United States
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University of Pittsburgh - Hillman Cancer Center
Pittsburgh, Pennsylvania, 15232, United States
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Uniwersyteckie Centrum Kliniczne
Gdansk, Poland
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Off-the-Shelf Gene-Edited immune cells tested against Hard-to-Treat lymphoma
- Triple drug combo targets mantle cell lymphoma
- New drug joins standard chemotherapy in fight against B-Cell lymphoma
- New antibody tested against aggressive blood cancer
- Two-Drug combo aims to push CLL into deep remission
- Can a new BTK inhibitor outsmart resistance in CLL?