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Not yet recruitingNCT07921615PBL-001Updated Nov 6, 2026

QLS4131 Plus Isa-V-CHOP in Newly Diagnosed, HIV-Negative PBL: A Single-Center, Single-Arm, Phase II Study

A Phase 2 interventional study of QLS4131 combined with Isa-V-CHOP in Plasmablastic Lymphoma, sponsored by Institute of Hematology & Blood Diseases Hospital, China. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-06.

Sponsored by Institute of Hematology & Blood Diseases Hospital, China · Phase 2, Interventional, and Treatment

Updated Nov 6, 2026Newly registeredGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
10
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This is a single-center, single-arm, open-label, phase II exploratory clinical study designed to evaluate the efficacy and safety of QLS4131 combined with the Isa-V-CHOP regimen in patients with treatment-naive, HIV-negative plasmablastic lymphoma. The study plans to enroll 10 patients.

The study consists of a screening period, a study treatment period, and a follow-up period. The screening period will last up to 21 days. The study treatment period will run from C1D1 to the end of Cycle 6, or until early termination due to disease progression, toxicity, or other reasons. After the end of study treatment, patients will be followed for 24 months.

02

Conditions studied

  • Plasmablastic Lymphoma

Browse trials for

Keywords

  • QLS4131
  • trispecific antibody
03

In context

Plasmablastic Lymphoma

18 studies on the registry are indexed under Plasmablastic Lymphoma; 11 are open to participants now.

This study's planned enrollment of 10 is below the median of 28 across 16 interventional studies indexed under Plasmablastic Lymphoma.

Browse Plasmablastic Lymphoma studies →

Lead sponsor

Institute of Hematology & Blood Diseases Hospital, China is the lead sponsor of 410 studies on the registry; 291 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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

  1. Understands and voluntarily signs the form (ICF);
  2. Age ≥18 years;
  3. Histopathologically confirmed plasmablastic lymphoma (PBL);
  4. Positive BCMA or GPRC5D expression: BCMA or GPRC5D expression on tumor cells confirmed by immunohistochemistry (IHC) or flow cytometry;
  5. Treatment-naive or having received no more than 1 cycle of prior systemic therapy (e.g., CHOP, EPOCH);
  6. (unless only bone marrow lesions are present), defined as at least one lesion with a longest diameter ≥1.5 cm as measured by CT or PET-CT;
  7. performance status 0-2 (may be relaxed to 3 for elderly/frail patients if organ function permits);
  8. Liver function tests meeting the following criteria: total ≤1.5× (ULN), unless due to Gilbert's syndrome or of non-hepatic origin; (AST) and alanine aminotransferase (ALT) ≤3×ULN (except for liver function impairment caused by tumor invasion);
  9. Renal function tests meeting the following criterion: ≥30 mL/min (calculated using the Cockcroft-Gault formula);
  10. Blood routine tests within 14 days before the start of screening meeting the following criteria (except in patients with bone marrow involvement): ≥1.0×10⁹/L and count ≥75×10⁹/L; Expected ≥2 months as judged by the investigator.

Exclusion criteria

Exclusion Criteria:

  1. Diagnosis or treatment of a other than PBL within 1 year before enrollment (except for cases treated with surgery alone and considered cured);
  2. Prior or allogeneic hematopoietic stem cell transplantation (HSCT) or CAR-T therapy;
  3. History of epilepsy or other central nervous system disorders;
  4. Other severe medical conditions that could affect the study (e.g., myocardial infarction within 6 months, uncontrolled diabetes, other severe cardiopulmonary diseases, etc.); the determination is at the investigator's discretion;
  5. (HIV) infection;
  6. Active virus (HBV) or virus (HCV) infection, defined as HBV-DNA or HCV-RNA above the upper limit of detection, with or without abnormal liver function. If a patient had active HBV infection at initial diagnosis and converted to inactive HBV infection after anti-HBV treatment, the patient may be enrolled in this study provided adequate anti-HBV therapy;
  7. Pregnant or lactating women, or women of not using measures;
  8. Major surgery (e.g., requiring general anesthesia) within 2 weeks before enrollment, or not expected to fully recover from surgery, or surgery planned during the planned study participation period. Note: subjects with planned surgical procedures under local anesthesia may participate in the study;
  9. to the drugs used;
  10. Any active severe psychiatric illness, medical illness, or other symptoms/conditions that, as judged by the investigator, may affect treatment, compliance, or the ability to provide .
Terms in these criteria, in plain language(18)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

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.

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

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.

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.

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
10 participants (estimated)

Study arms

  • Experimental
    TsAb-treatment group

    Eligible patients who meet the inclusion/exclusion criteria will receive QLS4131 combined with the Isa-V-CHOP regimen after enrollment, with each cycle lasting 21 days; efficacy will be assessed after Cycles 2 and 4 and after completion of Cycle 6. After completing 6 cycles and the primary endpoint assessment, patients with advanced-stage disease (Ann Arbor stage III-IV) may receive autologous hematopoietic stem cell transplantation or QLS4131 monotherapy maintenance for 6 cycles; patients with limited-stage disease (stage I-II) may be considered for local radiotherapy.

    Drug: QLS4131 combined with Isa-V-CHOP

Interventions

  • DrugQLS4131 combined with Isa-V-CHOP

    This study uses QLS4131 combined with the Isa-V-CHOP regimen for a total of 6 study cycles, with each cycle lasting 21 days. Vincristine and bortezomib will be administered at the adjusted doses and frequencies listed below; the doses will not be routinely escalated to the original high-intensity regimen merely because of good early tolerability. The treatment components are as follows: QLS4131 + Isa + V-CHOP regimen QLS4131: C1, 0.6 mg on d1, 3 mg on d4, 12 mg on d8; C2-6, 12 mg on d1 Isatuximab: 10 mg/kg in C1 on d1 and d8; C2-6, on d1 Bortezomib: 1.3 mg/m², SC, on d1 and d8 Cyclophosphamide: 750 mg/m², IV, on d1 Doxorubicin: 40-50 mg/m² or liposomal doxorubicin 30-40 mg/m², IV, on d1 Vincristine: 1.0 mg/m² (maximum dose 1.5 mg), IV, on d1 Prednisone: 60 mg/m² (maximum dose 100 mg), d1-5

06

What researchers measure

Primary outcomes

  1. Complete response rate (CRR)

    Time frame: 6 months

Secondary outcomes

  1. Overall response rate (ORR)

    Time frame: 6 months

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Nov 6, 2026
Show all 1 update
  1. Nov 6, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07921615
Responsible party
Sponsor
First posted
Nov 6, 2026
Start date
Dec 1, 2026 (estimated)
Primary completion
Dec 9, 2027 (estimated)
Completion
Dec 30, 2028 (estimated)
Last update
Nov 6, 2026

Study contacts

Gang An
Contact
angang@ihcams.ac.cn
86-022-23909171

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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