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NCT Number: NCT07654465

Rituximab Maintenance Versus Observation After R2 Induction in Previously Untreated Marginal Zone Lymphoma

This is a multicenter, phase 2, randomized trial to compare rituximab maintenance with observation after rituximab and lenalidomide (R2) induction therapy in patients with previously untreated marginal zone lymphoma. Patients who achieve complete response or partial response after R2 induction will be randomized to receive rituximab maintenance or observation.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Able to understand and voluntarily sign the informed consent form.
  • Age ≥18 years.
  • Histologically confirmed CD20-positive marginal zone lymphoma, including extranodal, splenic, or nodal subtypes.
  • Considered unsuitable for or unable to tolerate standard chemotherapy.
  • Previously untreated with systemic anti-lymphoma therapy.
  • Measurable or evaluable disease according to Lugano 2014 criteria.
  • Eastern Cooperative Oncology Group (ECOG) performance status 0-2.
  • Adequate organ function.

Exclusion criteria

  • History of other malignancies that may interfere with study assessment.
  • Central nervous system involvement by lymphoma.
  • Known HIV infection or active hepatitis B/C infection.
  • Active or uncontrolled infection.
  • Gastrointestinal condition that may interfere with oral administration or absorption of study treatment.
  • Pregnancy or breastfeeding.

Treatment and study plan

Rituximab

Drug

Patients will receive R2 induction therapy consisting of rituximab and lenalidomide. Patients who achieve complete response or partial response after induction will receive rituximab maintenance every 8 weeks for up to 2 years.

observation

Other

Patients will receive R2 induction therapy consisting of rituximab and lenalidomide. Patients who achieve complete response or partial response after induction will undergo observation without maintenance anti-lymphoma therapy.

Primary outcomes

  1. 2-year progression-free survival rate

    Time frame: At 2 years after randomization

    The 2-year progression-free survival rate is defined as the proportion of patients who are alive without disease progression at 2 years after randomization.

Secondary outcomes

  1. Complete response rate

    Time frame: Up to 24 months after randomization

    Complete response rate is defined as the proportion of patients who achieve complete response according to the Lugano 2014 criteria during the maintenance or observation period.

  2. Overall response rate

    Time frame: Up to 24 months after randomization

    Overall response rate is defined as the proportion of patients who achieve complete response or partial response according to the Lugano 2014 criteria during the maintenance or observation period.

  3. Duration of response

    Time frame: Up to 24 months after randomization

    Duration of response is defined as the time from the first documented complete response or partial response to disease progression, relapse, or death from any cause, whichever occurs first.

  4. Overall survival

    Time frame: Up to 24 months after randomization

    Overall survival is defined as the time from randomization to death from any cause.

  5. Event-free survival

    Time frame: Up to 24 months after randomization

    Event-free survival is defined as the time from randomization to disease progression, relapse, initiation of new systemic anti-lymphoma therapy, or death from any cause, whichever occurs first.

  6. Disease-free survival

    Time frame: Up to 24 months after randomization

    Disease-free survival is defined as the time from the first documented complete response to disease relapse, progression, or death from any cause, whichever occurs first.

  7. Incidence of progression of disease within 24 months

    Time frame: Within 24 months from the start of induction therapy

    POD24 is defined as the proportion of patients who experience disease progression, relapse, or death from any cause within 24 months from the start of frontline induction therapy.

  8. Patient-reported outcomes

    Time frame: Up to 24 months after randomization

    Patient-reported outcomes will be assessed using the EORTC QLQ-C30 questionnaire.

  9. Incidence of adverse events and serious adverse events

    Time frame: Up to 30 days after the last study treatment or during follow-up as clinically indicated

    The incidence and severity of adverse events and serious adverse events will be assessed according to the National Cancer Institute Common Terminology Criteria for Adverse Events version 5.0.

Study contacts

Contact information is provided by the study sponsor or research team.

Cai Qingqing

CONTACT

[email protected]

(020)87342823

Sponsors and collaborators

Lead sponsor

Sun Yat-sen University

Other

Registry information

Official study title

Rituximab Maintenance Versus Observation After Rituximab and Lenalidomide (R2) Induction in Previously Untreated Marginal Zone Lymphoma: A Multicenter, Phase 2, Randomized Trial

Acronym: ROMA

Important dates

Study start
2026
Primary completion
2030
Study completion
2031
First posted
Jun 17, 2026
Registry last updated
Jun 17, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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