ClinicalTrials.gg
RecruitingNCT06792825Updated Aug 12, 2026

HM2023-43:Ph 2 Trial of Tafasitamab With Lenalidomide+Rituximab in Treatment-naive FL and MZL

A Phase 2 interventional study of Tafasitamab and Rituximab in Follicular Lymphoma and Marginal Zone Lymphoma, sponsored by Masonic Cancer Center, University of Minnesota. Recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-12.

Sponsored by Masonic Cancer Center, University of Minnesota · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Aug 2025; still recruiting 1 year 3 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
65
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 194 studies testing rituximab in Lymphoma, Follicular — 12 open to participants now, 24 under way, 6 of them phase 3. Rituximab · Lymphoma, Follicular.

Planned enrollment
67th of 188
65 · median 48
Started
2025
with 1 other
Phase 2
104 of 194
9 open now
Primary completion
2029-07
later than 19 of 23 live
Registered
191st of 194
by date

Among the 194 studies testing rituximab in Lymphoma, Follicular, this one is the 67th largest by planned enrollment of the 188 interventional ones that give a count, is one of 2 that started in 2025, is one of 104 in phase 2, reaches primary completion later than 19 of the 23 other live ones, and was the 191st registered.

Lymphoma, Follicular

1,891 studies on the registry are indexed under Lymphoma, Follicular; 290 are open to participants now.

Browse Lymphoma, Follicular studies →

Open to participants now

12 of the 194 studies testing rituximab in Lymphoma, Follicular are open now, in 12 countries. Recruiting first, the newest first:

6 more — sign in →

By country, each count listing its studies:

All 12 open studies →

About rituximab

Rituximab: first FDA approval 1997 (RITUXAN), first EMA approval 1998. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 226 Lymphoma, Follicular studies recruiting now, 159 (70%) set no upper age limit and 39 (17%) stop at 75 or younger; 33 take children under 18; 24 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 194 studies testing rituximab in Lymphoma, Follicular, or all of them as a file.
02

Study summary

The study follows a Simon's two-stage phase II trial design to evaluate the safety and efficacy of tafasitamab added to rituximab and lenalidomide for two treatment-naïve, parallel, independent cohorts: follicular lymphoma (FL) and marginal zone lymphoma (MZ). Each cohort, FL and MZ, will be evaluated separately. This study is presented to the patient and consent is signed prior to the initiation of treatment for their primary malignancy.

03

Conditions studied

  • Follicular Lymphoma
  • Marginal Zone Lymphoma
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • confirmed marginal zone lymphoma
  • Histologically confirmed CD20+ follicular lymphoma stage 1, 2 or 3a
  • No prior systemic therapy for lymphoma
  • Must be in need of treatment as evidenced by one or more of the following criteria:
  • Bulky disease defined as:
  • a nodal or extranodal (except spleen) mass >7cm in its greater diameter or,
  • involvement of at least 3 nodal or extranodal sites (each with a diameter greater than >3 cm)
  • Presence of at least one of the following B symptoms:
  • fever (>38C) of unclear etiology
  • night sweats
  • weight loss greater than 10% within the prior 6 months
  • Any other symptoms attributable to lymphomatous mass
  • Endangerment of vital organ due to lymphomatous mass including but not limited to:
  • Symptomatic or massive splenomegaly
  • Compression syndrome (including but not limited to ureteral, orbital, gastrointestinal)
  • Pleural, pericardial or ascitic effusion regardless of cell count
  • Follicular lymphoma in leukemic phase (>5 X 109/L circulating cells)

OR:

  • Follicular lymphoma graded high-risk by FLIPI2 score (see Appendix III)
  • Adequate organ function within 14 days (28 days for pulmonary or cardiac) of study registration
  • Participants who are of or have partners of child-bearing potential must agree to either total abstinence or use of both a highly effective (IUD, hormonal , tubal ligation or vasectomy), and effective contraception (male or female condom, diaphragm or cervical cap) for the duration of treatment and for 12 months after the last dose of study drug.
  • Able to tolerate prophylactic anticoagulation/antiplatelet therapy while on lenalidomide
  • Able to provide written voluntary consent prior to the performance of any research related tests or procedures (or the subject's legally authorized representative (LAR) if enrollment of persons with diminished capacity is permitted - general permitted for Phase II and greater studies)

Exclusion criteria

Exclusion Criteria:

  • Seropositive for or active viral infection with virus (HBV):
  • HBV surface antigen (HBsAg) positive
  • HBV surface antigen (HBsAg) negative, HBV surface antibody (anti-HBs) positive and/or HBV core antibody (anti-HBc) positive, and detectable viral DNA
  • virus (HCV) positive subjects with chronic hepatitis C, or subjects with an active hepatitis C infection requiring anti-viral medication (at time of randomization).
  • Known seropositive for or active viral infection with (HIV).
  • Prior history of lenalidomide use
  • Prior history of , other than follicular or marginal zone lymphoma, unless the subject has been free of the disease for ≥ 5 years.
  • Peripheral neuropathy ≥ grade 2 at time of screening
  • Uncontrolled intercurrent illness.
  • Active infection (requiring systemic therapy) or has received a within 14 days prior to first dose of study drug.
  • Presence or history of CNS involvement by lymphoma
  • Patients who are not willing to take venous thromboembolic (VTE) prophylaxis or antiplatelet therapy
  • Recent ( \<1 year ) arterial thrombosis (any) or venous thrombosis ≥ grade 3 by 5.0.
  • Pregnant or breastfeeding as agents used in this study are Pregnancy Category X.

Women of must have two negative pregnancy tests (serum or urine) prior to their first dose of lenalidomide, and must agree to scheduled pregnancy testing while on treatment regardless of their choice, per the requirements of the lenalidomide risk evaluation and mitigation strategy (REMS) program.

Terms in these criteria, in plain language(9)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

CTCAE grade

The US National Cancer Institute’s scale of how severe an adverse event is — any unwanted medical event during a study, such as a symptom, an illness or an abnormal test result, whether or not a treatment caused it. Whether it did is judged separately.

1
Mild.
2
Moderate.
3
Severe.
4
Life-threatening.
5
Death due to the event.

“Side effects of earlier treatment resolved to grade 1 or less” means they have settled to mild or gone.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
65 participants (estimated)

Study arms

  • Experimental
    Follicular Lymphoma

    On Cycle 1, patients will receive an infusion of tafasitamab 12 mg/kg IV on Day 1, Day 8, Day 15 and day 22, rituximab 375 mg/m2 IV on Day 1, Day 8, Day 15 and Day 22, and lenalidomide 20 mg PO Day 1 through Day 21. On Cycles 2-3, patients will receive tafasitamab 12 mg/kg IV on Day 1, Day 8, Day 15 and day 22, rituximab 375 mg/m2 IV on day 1, and lenalidomide 20 mg PO Day 1-21. On Cycles 4-6, patients will receive an infusion of tafasitamab 12 mg/kg IV on Day 1, Rituximab 375 mg/m2 IV on Day 1, and lenalidomide 20 mg PO from Day 1-21. At the end of Cycle 6, patients on both cohorts will be assessed by Lugano standard. Patients in complete remission (CR) will continue on tafasitamab/rituximab and discontinue lenalidomide. Patients with partial response (PR) or stable disease (SD) will continue on all three drugs, tafasitamab/rituximab/lenalidomide, and if progressive disease (PD) will discontinue study.

    Drug: Tafasitamab · Drug: Rituximab · Drug: Lenalidomide

  • Experimental
    Marginal Zone Lymphoma

    On Cycle 1, patients will receive an infusion of tafasitamab 12 mg/kg IV on Day 1, Day 8, Day 15 and day 22, rituximab 375 mg/m2 IV on Day 1, Day 8, Day 15 and Day 22, and lenalidomide 20 mg PO Day 1 through Day 21. On Cycles 2-3, patients will receive tafasitamab 12 mg/kg IV on Day 1, Day 8, Day 15 and day 22, rituximab 375 mg/m2 IV on day 1, and lenalidomide 20 mg PO Day 1-21. On Cycles 4-6, patients will receive an infusion of tafasitamab 12 mg/kg IV on Day 1, Rituximab 375 mg/m2 IV on Day 1, and lenalidomide 20 mg PO from Day 1-21. At the end of Cycle 6, patients on both cohorts will be assessed by Lugano standard. Patients in complete remission (CR) will continue on tafasitamab/rituximab and discontinue lenalidomide. Patients with partial response (PR) or stable disease (SD) will continue on all three drugs, tafasitamab/rituximab/lenalidomide, and if progressive disease (PD) will discontinue study.

    Drug: Tafasitamab · Drug: Rituximab · Drug: Lenalidomide

Interventions

  • Tafasitamab 12 mg/kg IV on Day 1, Day 8, Day 15 and day 22.

  • Rituximab 375 mg/m2 IV on day 1

    Also known as: R2

  • Lenalidomide 20 mg PO Day 1 through Day 21

06

What researchers measure

Primary outcomes

  1. Complete response (CR)

    Estimate complete response (CR) at the end of study (after 12 cycles around 1 year) regimen of tafasitamab with lenalidomide and rituximab.

    Time frame: 1 year

Secondary outcomes

  1. Complete response (CR)

    Estimate complete response (CR) rate after 6 cycles of treatment.

    Time frame: 6 months

  2. Overall response rate (ORR)

    Estimate overall response rate (ORR) at the end of treatment (around 1 year).

    Time frame: 1 year

  3. Progression of disease (POD24)

    Estimate progression of disease (POD24) within 24 months (2 years)

    Time frame: 2 years

  4. Progression free survival (PFS)

    Estimate progression free survival (PFS) at 3 years after registration on study

    Time frame: 3 years

  5. Overall survival (OS)

    Estimate overall survival (OS) at 3 years after registration on study

    Time frame: 3 years

  6. Rate of histologic conversion to DLBCL

    Estimate rate of histologic conversion to DLBCL at any point on study.

    Time frame: 3 years

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Aug 2025 (actual). Primary completion is estimated for Jul 2029, 47 months after the start.

Of 151 non-industry phase 2 interventional studies under Lymphoma, Follicular, half reached primary completion within 67 months of starting (the median), counting those still running; a quarter within 40 and three quarters within 110. This study's planned 47 months is below that.

Counting every sponsor, half of 199 studies reached it within 57 months; a quarter within 31 and three quarters within 97.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 23, 2025
First posted
Jan 27, 2025
StartActual
Aug 7, 2025
Primary completionEst.
Jul 8, 2029
CompletionEst.
Jul 8, 2031
Last update
Aug 12, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 12, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06792825
Collaborators
Incyte Corporation
Responsible party
Sponsor
First posted
Jan 27, 2025
Start date
Aug 7, 2025
Primary completion
Jul 8, 2029 (estimated)
Completion
Jul 8, 2031 (estimated)
Last update
Aug 12, 2026

Study contacts

Sanjal Desai, MD
Contact
desai171@umn.edu
612-624-9452

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drugs tested here: Tafasitamab · Rituximab · Lenalidomide

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