Clinical Trials

Orelabrutinib is under evaluation in numerous clinical trials ranging from Phase I to Phase IV, investigating various B-cell malignancies—including chronic lymphocytic leukemia, mantle cell, marginal zone, and diffuse large B-cell lymphomas—as well as immune thrombocytopenia and pharmacokinetic profiles in healthy volunteers. Sponsored by academic centers and pharmaceutical companies like Peking University People's Hospital and Beijing InnoCare Pharma Tech Co. Ltd., study statuses range from active recruiting to completed. Investigations include orelabrutinib for patients with suboptimal responses to prior ibrutinib therapy and in combination chemoimmunotherapy regimens for central nervous system lymphoma.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT07784101 NOT_YET_RECRUITING
Relapsed or Refractory Mantle Cell Lymphoma (MCL)
Beijing InnoCare Pharma Tech Co., Ltd.
2026-10 PHASE3
NCT06363994 RECRUITING
Mantle Cell Lymphoma
InnoCare Pharma Inc.
2024-05-29 PHASE3
NCT07377578 RECRUITING
Mantle Cell Lymphoma
Guangzhou Lupeng Pharmaceutical Company LTD.
2026-02-05 PHASE3
NCT06378138 RECRUITING
Hematologic Malignancies
Beijing InnoCare Pharma Tech Co., Ltd.
2024-05-15 PHASE2; PHASE3
NCT07719855 NOT_YET_RECRUITING
Follicular Lymphoma ( FL)
Ruijin Hospital
2026-07 PHASE3
NCT07299019 RECRUITING
Secondary Progressive Multiple Sclerosis
Zenas BioPharma (USA), LLC
2026-03-23 PHASE3
NCT07067463 RECRUITING
Multiple Sclerosis (MS) Primary Progressive
Zenas BioPharma (USA), LLC
2026-03-23 PHASE3
NCT07677813 NOT_YET_RECRUITING
DLBCL - Diffuse Large B Cell Lymphoma
Ou Bai, MD/PHD
2026-06-16 PHASE2
NCT07585747 NOT_YET_RECRUITING
Follicular Lymphoma
Institute of Hematology & Blood Diseases Hospital, China
2026-04-15 PHASE2
NCT07198464 NOT_YET_RECRUITING
Primary Central Nervous System Lymphoma (PCNSL)
Zhengzhou University
2025-10-07
NCT07480863 ACTIVE_NOT_RECRUITING
Marginal Zone Lymphoma(MZL)
Cancer Institute and Hospital, Chinese Academy of Medical Sciences
2025-10-01 PHASE2
NCT07719556 RECRUITING
Mantle Cell Lymphoma (MCL)
The First Affiliated Hospital with Nanjing Medical University
2026-07-15 PHASE2
NCT07410520 RECRUITING
Primary Central Nervous System Lymphoma (PCNSL); Secondary Central Nervous System Lymphoma (SCNSL)
The First Affiliated Hospital with Nanjing Medical University
2026-02-07 PHASE2
NCT06793189 RECRUITING
Marginal Zone Lymphoma(MZL)
Ruijin Hospital
2025-01-23 PHASE2
NCT06516978 NOT_YET_RECRUITING
Diffuse Large B Cell Lymphoma
The First Affiliated Hospital with Nanjing Medical University
2024-10-01 PHASE2
NCT07185373 RECRUITING
Primary Central Nervous System Lymphoma
Huashan Hospital
2025-10-01 PHASE2; PHASE3
NCT07272499 RECRUITING
Mantle Cell Lymphoma (MCL)
Ruijin Hospital
2025-09-10 PHASE2
NCT06082102 RECRUITING
Relapsed/Refractory Marginal Zone Lymphoma
Beijing InnoCare Pharma Tech Co., Ltd.
2023-12-19 PHASE3
NCT07257510 RECRUITING
Mantle Cell Lymphoma (MCL); POZ
Peking University Third Hospital
2025-08-01
NCT07705308 NOT_YET_RECRUITING
Lymphoma of the Mucosa Associated Lymphoid Tissue (MALT)
Ruijin Hospital
2026-08-01 PHASE2
NCT07199296 RECRUITING
Mantle Cell Lymphoma (MCL)
Ruijin Hospital
2025-07-01 PHASE2
NCT07208981 RECRUITING
Marginal Zone Lymphoma(MZL)
The First Affiliated Hospital with Nanjing Medical University
2025-08-14 PHASE2
NCT07372365 RECRUITING
Marginal Zone Lymphoma (MZL)
The First Affiliated Hospital of Soochow University
2025-10-24 PHASE2
NCT07554898 RECRUITING
MALT Lymphoma
Zhejiang Cancer Hospital
2026-04-16 PHASE2
NCT07448324 RECRUITING
Marginal Zone Lymphoma(MZL)
The First Affiliated Hospital with Nanjing Medical University
2025-04-01 PHASE2
NCT07247383 ACTIVE_NOT_RECRUITING
Marginal Zone Lymphoma of Ocular Adnexal; Marginal Zone Lymphoma(MZL)
Second Affiliated Hospital, Zhejiang University, School of Medicine
2025-09-19 PHASE2
NCT07499271 RECRUITING
Diffuse Large B-Cell Lymphoma (DLBCL)
The First Affiliated Hospital of Soochow University
2026-01-01 PHASE2
NCT06958705 RECRUITING
Chronic Lymphocytic Leukemia (CLL) / Small Lymphocytic Lymphoma (SLL)
The First Affiliated Hospital with Nanjing Medical University
2025-12-01 PHASE2
NCT07441993 RECRUITING
Marginal Zone Lymphoma
Institute of Hematology & Blood Diseases Hospital, China
2026-01-05 PHASE2
NCT07206264 NOT_YET_RECRUITING
Mantle Cell Lymphoma
Tianjin Medical University Cancer Institute and Hospital
2025-10 PHASE2
NCT07355699 RECRUITING
Marginal Zone Lymphoma(MZL)
Beijing Tongren Hospital
2025-11-25 PHASE4
NCT07778212 RECRUITING
DLBCL - Diffuse Large B Cell Lymphoma; Intermediate-High Risk; First-Line
The First Affiliated Hospital of Xiamen University
2026-08-30
NCT07022223 RECRUITING
Marginal Zone Lymphoma(MZL)
Second Affiliated Hospital, Zhejiang University, School of Medicine
2025-03-11 PHASE2
NCT07191431 RECRUITING
Lymphoma Cns
Ruijin Hospital
2025-09-22
NCT06496308 RECRUITING
Mantle Cell Lymphoma (MCL)
Ruijin Hospital
2024-07-10 PHASE3
NCT06504940 RECRUITING
Marginal Zone Lymphoma
First Affiliated Hospital of Zhejiang University
2024-06-28 PHASE2
NCT07008053 NOT_YET_RECRUITING
Marginal Zone Lymphomas
Tianjin Medical University Cancer Institute and Hospital
2025-07 PHASE2
NCT07680933 RECRUITING
DLBCL - Diffuse Large B Cell Lymphoma
The Affiliated Hospital of Xuzhou Medical University
2026-03-01 PHASE2
NCT06478472 RECRUITING
Marginal Zone Lymphoma
The First Affiliated Hospital of Xiamen University
2024-06-23
NCT07072208 RECRUITING
Diffuse Large B-Cell Lymphoma
The First Affiliated Hospital of Soochow University
2024-11-01
NCT07559331 RECRUITING
Primary Immune Thrombocytopenia (ITP)
Shandong University
2026-04-08 PHASE3
NCT07453368 RECRUITING
Autoimmune Hemolytic Anemia (AIHA)
Peking Union Medical College Hospital
2026-03-01 PHASE2
NCT06134284 RECRUITING
OR Regimen for Relapsed/Refractory Marginal Zone Lymphoma
Lixia Sheng
2023-01-02 PHASE4
NCT06701357 RECRUITING
DLBCL
Ruijin Hospital
2024-12-10 PHASE2
NCT06656221 NOT_YET_RECRUITING
Mantle Cell Lymphoma
Ruijin Hospital
2024-12-01 PHASE2
NCT06647940 RECRUITING
Diffuse Large B Cell Lymphoma (DLBCL)
Sun Yat-sen University
2024-11-01 PHASE2
NCT06901999 NOT_YET_RECRUITING
CNS Lymphoma
Ruijin Hospital
2025-04 PHASE2
NCT07078500 RECRUITING
Diffuse Large B-Cell Lymphoma (DLBCL)
Second Affiliated Hospital, Zhejiang University, School of Medicine
2025-05-05 PHASE2
NCT07400250 NOT_YET_RECRUITING
Primary Immune Thrombocytopenia (ITP)
Peking Union Medical College Hospital
2026-04-01 PHASE2
NCT06566807 RECRUITING
Marginal Zone Lymphoma
Huai'an First People's Hospital
2024-08-25 PHASE2
NCT04989621 RECRUITING
Follicular Lymphoma; Relapsed and Refractory Follicular Lymphoma
Sun Yat-sen University
2021-08-01 PHASE2
NCT04014205 ACTIVE_NOT_RECRUITING
Part 1:r/r B-cell Malignancies; Part 2:B-cell Malignancies
Beijing InnoCare Pharma Tech Co., Ltd.
2019-11-18 PHASE1; PHASE2
NCT06513234 RECRUITING
Marginal Zone Lymphoma
Institute of Hematology & Blood Diseases Hospital, China
2024-07-11 PHASE2
NCT06454968 RECRUITING
Marginal Zone Lymphoma
Peking Union Medical College Hospital
2024-06-20 PHASE2
NCT05351346 UNKNOWN
Diffuse Large B Cell Lymphoma
Ruijin Hospital
2022-06-01 PHASE3
NCT06700798 RECRUITING
Marginal Zone Lymphoma(MZL)
Fei Li
2024-12-01 PHASE2
NCT05926427 UNKNOWN
CNS Lymphoma
Ruijin Hospital
2023-08-10 PHASE2
NCT06476899 NOT_YET_RECRUITING
CLL/SLL
Fei Li
2024-07-24 PHASE2
NCT04711148 UNKNOWN
Relapsing Remitting Multiple Sclerosis
Beijing InnoCare Pharma Tech Co., Ltd.
2021-03-01 PHASE2
NCT06530511 UNKNOWN
Diffuse Large B Cell Lymphoma
Affiliated Hospital of Nantong University
2024-08-01 PHASE2
NCT06228963 RECRUITING
MALT Lymphoma of Stomach; Helicobacter Pylori Infection
Fudan University
2024-03 PHASE2
NCT06004856 UNKNOWN
Chronic Primary Immune Thrombocytopenia (ITP)
Beijing InnoCare Pharma Tech Co., Ltd.
2023-10-26 PHASE3
NCT05600660 RECRUITING
Primary Central Nervous System Lymphoma
Second Affiliated Hospital, Zhejiang University, School of Medicine
2022-08-01 PHASE2
NCT04961515 RECRUITING
Primary Central Nervous System Hodgkin Lymphoma
Second Affiliated Hospital, Zhejiang University, School of Medicine
2021-07-01 PHASE2
NCT04304040 UNKNOWN
B-cell Lymphoma Recurrent; B-cell Lymphoma Refractory
Beijing InnoCare Pharma Tech Co., Ltd.
2020-07-28 PHASE1; PHASE2
NCT06985472 RECRUITING
Initial MZL; Untreated MZL; BTKi; CD20
Li Zhiming
2024-11-13 PHASE2
NCT06503276 RECRUITING
Extranodal Marginal Zone B-cell Lymphoma
Shanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong University
2023-11-01 PHASE2
NCT05728658 RECRUITING
Hematological Malignancies
Beijing InnoCare Pharma Tech Co., Ltd.
2023-03-09 PHASE1
NCT05688696 UNKNOWN
Systemic Lupus Erythematosus, SLE
Beijing InnoCare Pharma Tech Co., Ltd.
2023-04-29 PHASE2
NCT06583837 ACTIVE_NOT_RECRUITING
Lymphoma, B-Cell, Marginal Zone
Fudan University
2024-09-10 PHASE2
NCT05809180 UNKNOWN
Diffuse Large B Cell Lymphoma
The First Affiliated Hospital of Soochow University
2023-01-04
NCT05051891 COMPLETED
Treatment-naїve Mantle Cell Lymphoma
Beijing InnoCare Pharma Tech Co., Ltd.
2021-12-22 PHASE3
NCT05209620 RECRUITING
Central Nervous System Lymphoma
Henan Cancer Hospital
2021-12-21 PHASE2
NCT06290817 UNKNOWN
Diffuse Large B-cell Lymphoma
Second Affiliated Hospital, Zhejiang University, School of Medicine
2023-03-30 PHASE2
NCT05322733 UNKNOWN
Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma
The First Affiliated Hospital with Nanjing Medical University
2022-04-15 PHASE2
NCT05918276 NOT_YET_RECRUITING
CLL/SLL
Nanfang Hospital, Southern Medical University
2023-07-15 PHASE2
NCT05933967 RECRUITING
The First Affiliated Hospital of Nanchang University
Shandong Cancer Hospital and Institute
2023-06-01 PHASE2
NCT05978739 COMPLETED
Mantle Cell Lymphoma
InnoCare Pharma Inc.
2023-08-18 PHASE2
NCT05491044 UNKNOWN
CLL/SLL
Peking University People's Hospital
2022-01-01 PHASE2
NCT05234684 UNKNOWN
Diffuse Large B Cell Lymphoma (DLBCL)
Beijing InnoCare Pharma Tech Co., Ltd.
2022-11-02 PHASE3
NCT06454266 COMPLETED
Primary Central Nervous System Lymphoma
Ningbo No. 1 Hospital
2021-12-28 PHASE2
NCT05334238 UNKNOWN
Primary Central Nervous System Lymphoma
Ruijin Hospital
2021-12-01 PHASE3
NCT05390749 UNKNOWN
Primary Central Nervous System Lymphoma
Peking Union Medical College Hospital
2022-04-11 PHASE2
NCT05784987 UNKNOWN
Diffuse Large B-cell Lymphoma
The First Affiliated Hospital with Nanjing Medical University
2023-04-15
NCT05498259 UNKNOWN
Diffuse Large B-Cell Lymphoma
The First Affiliated Hospital of Soochow University
2022-07-27 PHASE2
NCT05097443 UNKNOWN
High Grade B-Cell Lymphoma With MYC and BCL2 and/or BCL6 Rearrangements; High Grade B-Cell Lymphoma, Not Otherwise Specified; Diffuse Large B-cell Lymphoma; Mantle Cell Lymphoma; B-cell NonHodgkin Lymphoma
Shandong Provincial Hospital
2021-04-15 PHASE3
NCT05020288 UNKNOWN
Immune Thrombocytopenia; Bruton's Tyrosine Kinase
Shandong University
2021-09-01 PHASE2
NCT05036577 COMPLETED
Primary Central Nervous System Lymphoma
Huashan Hospital
2021-10-10 PHASE1
NCT05684653 UNKNOWN
Hepatic Impairment
Beijing InnoCare Pharma Tech Co., Ltd.
2023-03-17 PHASE1
NCT05232149 UNKNOWN
Primary Immune Thrombocytopenia
Beijing InnoCare Pharma Tech Co., Ltd.
2022-02-21 PHASE2
NCT05381506 UNKNOWN
DLBCL
Sun Yat-sen University
2022-07 PHASE2
NCT05284175 UNKNOWN
Neuromyelitis Optica Spectrum Disorder
Peking Union Medical College Hospital
2022-04
NCT05660720 UNKNOWN
Healthy Subject
Beijing InnoCare Pharma Tech Co., Ltd.
2022-11-19 PHASE1
NCT05549284 UNKNOWN
Primary Central Nervous System Lymphoma
Affiliated Hospital to Academy of Military Medical Sciences
2022-06-01 PHASE2
NCT04899427 UNKNOWN
Primary Central Nervous System Lymphoma
Peking Union Medical College Hospital
2021-03-24 PHASE2
NCT05021770 UNKNOWN
Refractory and Relapsed Primary CNS Lymphoma; PCNSL; Non Hodgkin Lymphoma
Huiqiang Huang
2021-12 PHASE1; PHASE2
NCT05076097 UNKNOWN
Mantle Cell Lymphoma
Tianjin Medical University Cancer Institute and Hospital
2021-09-30 PHASE2
NCT05014100 UNKNOWN
B-cell Lymphoma
Puyang Oilfield General Hospital
2021-09-01 PHASE2
NCT05124028 UNKNOWN
Immune Thrombocytopenia
Peking University People's Hospital
2021-12-01 PHASE1; PHASE2
NCT05316857 COMPLETED
Healthy Person
Beijing InnoCare Pharma Tech Co., Ltd.
2021-12-16 PHASE1
NCT05491044 Recruiting
CLL/SLL
Peking University People''s Hospital
2022-01-01 Phase 2
NCT05021770 Not yet recruiting
Refractory and Relapsed Primary CNS Lymphoma|PCNSL|Non Hodgkin Lymphoma
Huiqiang Huang|Guangdong 999 Brain Hospital|Sun Yat-sen University
2021-12 Phase 1|Phase 2
NCT05020288 Not yet recruiting
Immune Thrombocytopenia|Bruton''s Tyrosine Kinase
Shandong University
2021-09-01 Phase 2
NCT04441450 Completed
Healthy Volunteers
Beijing InnoCare Pharma Tech Co. Ltd.
2019-07-01 Not Applicable

(data from https://clinicaltrials.gov, updated on 2026-08-25)

Check the Orelabrutinib product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Orelabrutinib selectively and irreversibly binds to Bruton's tyrosine kinase (BTK), thereby inhibiting downstream B-cell receptor pathway signaling and suppressing malignant cellular proliferation. By blocking this crucial enzymatic activation cascade, orelabrutinib induces programmed cell death and reduces tumor burden in B-cell malignancies studied in clinical trials, such as mantle cell lymphoma, chronic lymphocytic leukemia, and primary central nervous system lymphoma.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

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Note: Technical data last updated: Sep 1, 2026.