New drug cocktail aims to tackle tough lymphoma
NCT ID NCT07570017
First seen Jun 24, 2026 · Last updated Sep 11, 2026 · Updated 3 times
Summary
This early-stage trial tests a new drug called rocbrutinib combined with standard chemotherapy (R-GemOx) in 42 people with a type of lymphoma (DLBCL) that has returned or not responded to treatment. The main goals are to find a safe dose and see if the combination shrinks tumors. It is a small, early study focused on safety first.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- rocbrutinib (LP-168) combined with rituximab, gemcitabine, and oxaliplatin (R-GemOx)
- What this could lead to
- If successful, this could point toward a new treatment option for people with a hard-to-treat type of lymphoma that has come back or not responded to prior therapy.
- What could go wrong
- This is a very early (Phase Ib) trial with only 42 participants, so it is primarily testing safety and dosing. The combination may not prove effective or could cause significant side effects.
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
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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About 42 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2026
- Expected to finish
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Jul 2028
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
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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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: * Patients with relapsed or refractory non-GCB DLBCL. * Have at least one measurable lesion according to the Lugano Response Criteria 2014. * ECOG performance status 0-2 (0-1 for dose escalation part). * Life expectancy ≥ 12 weeks. * Adequate coagulation function, liver and kidney function, bone marrow hematopoietic function. * No plan for autologous/allogeneic hematopoietic stem cell transplantation or chimeric antigen receptor T-cell (CAR-T) therapy. * Toxicities from prior anti-tumor therapy have recovered to Grade ≤1 according to NCI CTCAE v5.0. * All male subjects and female subjects of childbearing potential must strictly use medically approved contraception throughout the entire study period. All male subjects must also avoid sperm donation during the above period. For women of childbearing potential, the result of serum pregnancy test must be obtained. Women must be non-lactating * Subjects must provide adequate tissue and blood samples for exploratory study. Participation is voluntary, requiring signed informed consent and compliance with the treatment regimen and visit schedule. Exclusion Criteria: * Intolerance to Rocbrutinib or any drug in the combination regimen. * Prior treatment with a BTK-targeted therapy; prior treatment with R-GemOx. * DLBCL transformed from an indolent lymphoma; diagnosis of high-grade or double-hit DLBCL. * Chemotherapy, biologic therapy (except CAR-T), immunotherapy or major surgery within 4 weeks of the first dose of study treatment. * Small molecule targeted therapy within 4 weeks or within 5 half-lives (whichever is shorter) of the first dose of study treatment. * Herbal or proprietary Chinese medicines with antitumor activity or radiotherapy with a limited field of radiation within 7 days of the first dose of study treatment. * History of allogeneic hematopoietic stem-cell transplantation (allo-HSCT) or other organ transplantation, or autologous HSCT (auto-HSCT) or chimeric antigen receptor T-cell (CAR-T) therapy within 90 days of the first dose of study treatment. * Current corticosteroid therapy at a dose \>20 mg/day prednisone equivalent. The prednisone-equivalent dose must have been stable for at least 4 weeks before Cycle 1 Day 1. * Unable to discontinue prohibited medications during the study period (strong or moderate CYP3A inhibitors or inducers, P-gp inhibitors, OATP1B3-sensitive substrates, warfarin or other vitamin K antagonists). * Known or suspected CNS involvement by lymphoma. * Presence of peripheral neuropathy \> Grade 1. * Any severe and/or uncontrolled systemic disease, or condition affecting drug swallowing or absorption, that in the investigator's judgment makes the subject unsuitable for the study.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
2 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Fudan University Shanghai Cancer Center
RECRUITINGShanghai, Shanghai Municipality, 200032, China
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Sun Yat-sen University Cancer Center
RECRUITINGGuangzhou, Guangdong, 510050, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a targeted drug boost the power of stem cell transplants for tough lymphoma?
- Can a targeted pill boost Chemotherapy's punch against lymphoma?
- Real-World data may reveal how well tafasitamab fights Hard-to-Treat lymphoma
- Off-the-Shelf immune cells take on tough lymphoma
- New cocktail aims to tame aggressive lymphoma in the very elderly
- New hope for aggressive lymphoma: triple-drug combo enters human trials