Nemtabrutinib and Pembrolizumab for the Treatment of Richter Transformation, Diffuse Large B-cell Lymphoma Subtype
NCT06863402 · Status: RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 32
Last updated 2026-05-20
Summary
This phase II trial tests how well nemtabrutinib in combination with pembrolizumab works in treating patients with Richter transformation, diffuse large B-cell lymphoma subtype (RT-DLBCL). Nemtabrutinib is in a class of medications called kinase inhibitors. It blocks a protein called BTK, which is present on B-cells (a type of white blood cell) in cancers such as Richter transformation at abnormal levels. This may help keep cancer cells from growing and spreading. Immunotherapy with monoclonal antibodies, such as pembrolizumab, may help the body's immune system attack the cancer, and may interfere with the ability of cancer cells to grow and spread. Giving nemtabrutinib in combination with pembrolizumab may kill more cancer cells in patients with RT-DLBCL.
Conditions
- Richter Syndrome
- Diffuse Large B-Cell Lymphoma
- Chronic Lymphocytic Leukemia
Interventions
- PROCEDURE
-
Biospecimen Collection
Undergo blood sample collection
- PROCEDURE
-
Bone Marrow Biopsy
Undergo bone marrow biopsy
- PROCEDURE
-
Computed Tomography
Undergo PET/CT or CT
- PROCEDURE
-
Echocardiography
Undergo ECHO
- PROCEDURE
-
Multigated Acquisition Scan
Undergo MUGA
- DRUG
-
Nemtabrutinib
Given PO
- BIOLOGICAL
-
Given IV
- PROCEDURE
-
Positron Emission Tomography
Undergo PET/CT
- OTHER
-
Questionnaire Administration
Ancillary studies
Sponsors & Collaborators
-
Roswell Park Cancer Institute
lead OTHER
Principal Investigators
-
Matthew J Cortese · Roswell Park Cancer Institute
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-06-15
- Primary Completion
- 2029-06-01
- Completion
- 2030-06-01
- FDA Drug
- Yes
Countries
- United States
Study Locations
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