A Prospective Study of Pirtobrutinib, Lisaftoclax, and Rituximab in the Treatment of Relapsed or Refractory Diffuse Large B-Cell Lymphoma (R/R DLBCL)
This study aims to evaluate the efficacy of combining pirtobrutinib, lisaftoclax, and rituximab (PVR) in patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who have received at least one prior line of systemic therapy and to explore a more effective treatment strategy for this patient population.
• ≥18 years old.
• Capable of understanding and voluntarily signing written informed consent.
• ECOG performance 0 \
• Anticipated survival ≥3 months
• Histologically or cytologically confirmed DLBCL.
• PET-CT-defined measurable disease with a short axis diameter of ≥1.5 cm.
• Have received at least one prior line of systemic therapy for DLBCL.
• Resolution of any prior treatment-related non-hematologic toxicities to Grade ≤1 or baseline.
• Adequate Bone Marrow and Organ Function, defined as:
• Bone Marrow Function: ANC≥1.5 × 10⁹/L, Platelets ≥80 × 10⁹/L, Hemoglobin ≥80 g/L Hepatic Function: Total bilirubin ≤1.5 × ULN (≤3.0 × ULN if liver metastases present); AST/SGOT and ALT/SGPT ≤2.5 × ULN (≤5.0 × ULN if liver metastases present) Coagulation: INR and aPTT≤1.5 × ULN Renal Function: Serum creatinine ≤1.5 × ULN or estimated creatinine clearance (CrCl) ≥60 mL/min;
⁃ Subjects with childbearing or childbearing potential must be willing to practice birth control from the date of registration in this study to the follow-up period of the study.
⁃ Able to swallow tablets/capsules without difficulty.
⁃ Adhere to scheduled visits, treatment plans, laboratory tests, and other study procedures.