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Zanubrutinib

Phase 2

Follicular Lymphoma | Small molecule | Oncology |Genmab A/S|Last Updated: Feb 19, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment45
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06563596Epco, Zanu, Ritux for R/R FL or MZLPHASE2 RECRUITING 45Jan 21, 2025Mar 1, 2030Feb 19, 20263 United States
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Study Endpoints
Primary Endpoints
Complete Metabolic Response (CMR) Rate among patients with R/R FL
6 months

CMR rate is defined as the proportion of participants who achieved CMR during study. CMR assessed by PET/CT is defined using Lugano criteria.

Complete Metabolic Response (CMR) Rate among patients with R/R MZL
6 months

CMR rate is defined as the proportion of participants who achieved CMR during study. CMR assessed by PET/CT or CT is defined using Lugano criteria.

Secondary Endpoints
Objective Response Rate (ORR)
12 months
Partial Response Rate (PRR)
12 months
End-of-treatment Objective Response Rate (EOT ORR)
Up to 12 months - End-of treatment visit occurs 4 weeks after cycle 12 day 1. Each cycle is 4 weeks. Participants who discontinue therapy due to toxicity would also undergo an EOT evaluation approximately 4 weeks after the last dose of study treatment.
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Rituxan + Zanubrutinib + Epcoritamab for FLEXPERIMENTALEnrolled participants will complete: * Baseline visit with imaging and bone marrow biopsy * Imaging on cycles 3, 6, 9 * Up to 1 year of treatment with study drugs * End of Treatment visit with imaging and bone marrow biopsy * Follow up visits every 6 months for up to 10 years
Rituxan + Zanubrutinib + Epcoritamab for MZLEXPERIMENTALEnrolled participants will complete: * Baseline visit with imaging and bone marrow biopsy * Imaging on cycles 3, 6, 9 * Up to 1 year of treatment with study drugs * End of Treatment visit with imaging and bone marrow biopsy * Follow up visits every 6 months for up to 10 years
Interventions
NameTypeDescription
ZanubrutinibDRUGBruton tyrosine kinase inhibitor, 80 mg immediate-release capsule, taken orally per protocol.
RituximabDRUGChimeric anti-CD20 monoclonal antibody, 10 or 50 mL single-use vials, via intravenous infusion per institutional standard.
EpcoritamabDRUGBispecific antibody, 5 or 60 mg/mL vials, via subcutaneous (under the skin) injection per protocol.
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites3

Inclusion Criteria: * Histologically confirmed diagnosis of CD20+ FL (grade 1-3A) or CD20+ MZL (any subtype) (at time of trial entry) with review of the diagnostic pathology specimen at one of the participating institutions. Patients with current histologic transformation are excluded. * Receipt of...

Countries:United States
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Recent Changes (Last 90 Days)
LOWMay 24, 2026NCT06563596studyFirstPostDate: changed