Phase 1
N=241
Study to Investigate Idelalisib in Combination With Chemotherapeutic Agents, Immunomodulatory Agents and Anti-CD20 Monoclonal Antibody (mAb) in Participants With Relapsed or Refractory Indolent B-cell Non-Hodgkin's Lymphoma, Mantle Cell Lymphoma or Chronic Lymphocytic Leukemia
Indolent Non-Hodgkin's Lymphoma · Chronic Lymphocytic Leukemia · Mantle Cell Lymphoma
Bottom Line
View on ClinicalTrials.gov: NCT01088048 ↗Enrolled (actual)
241
Serious AEs
56.9%
Results posted
Mar 2021
Primary outcome: Primary: Duration of Exposure to IDELA — 8.1; 7.6; 4.2; 5.1 months
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 1
- Interventions
- Idelalisib (Drug); Rituximab (Drug); Bendamustine (Drug); Ofatumumab (Drug); Fludarabine (Drug); Everolimus (Drug); Bortezomib (Drug); Chlorambucil (Drug); Lenalidomide (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Gilead Sciences
- Primary completion
- Apr 2015
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Duration of Exposure to IDELA |
8.1; 7.6; 4.2; 5.1; 8.0; 8.3 | — |
| PRIMARY Toxicity of Administration of IDELA |
100.0; 100.0; 100.0; 83.33; 100.0; 100.0 | — |
| SECONDARY Overall Response Rate |
78.4; 84.3; 44.4; 61.1; 81.8; 71.4 | — |
| SECONDARY Duration of Response |
NA; NA; 5.6; 9.3; NA; NA | — |
| SECONDARY Time to Response |
1.9; 1.9; 1.9; 1.9; 1.9; 1.9 | — |
| SECONDARY Progression-free Survival |
NA; NA; 4.3; 8.1; NA; NA | — |
| SECONDARY Overall Survival |
NA; NA; NA; NA; NA; NA | — |
| SECONDARY Plasma Concentration of IDELA (Cohort 1, Cohorts 2 and 3, Cohort 5) |
0.4; 68.8; 0.0; 437.6; 1231.4; 1380.0 | — |
| SECONDARY Plasma Concentration of IDELA (Cohort 4) |
0.0; 0.0; 1119.5; 994.5; 1758.2; 737.0 | — |
| SECONDARY Plasma Concentration of IDELA (Cohort 6) |
0.0; 1930.7; 530.8; 1869.8; 677.9; 1733.0 | — |
| SECONDARY Plasma Concentration of IDELA (Cohort 7) |
NA; 1603.1; 20.7; 1621.3; 354.8; 592.7 | — |
| SECONDARY Sub-study: Plasma Concentration of IDELA (Cohorts 1-4) |
1.5; 0.0; 437.6; 1222.1; 1022.4; 1723.1 | — |
| SECONDARY Plasma Concentration of Bendamustine |
NA; 3484.1; 4694.7; 3433.2; 2847.2; 1916.4 | — |
| SECONDARY Plasma Concentration of Everolimus |
NA; 93.0; 3.0; 56.3 | — |
| SECONDARY Plasma Concentration of Lenalidomide |
NA; 51.6; NA | — |
Summary
The primary objective of the study is to evaluate the safety of idelalisib in combination with an anti-CD20 monoclonal antibody (mAb), a chemotherapeutic agent, a mammalian target of rapamycin (mTOR) inhibitor, a protease inhibitor, an antiangiogenic agent, and/or an immunomodulatory agent in participants with relapsed or refractory indolent B-cell non-Hodgkin lymphoma (NHL), mantle cell lymphoma (MCL), or chronic lymphocytic leukemia (CLL).
Eligibility Criteria
Key Inclusion Criteria
- Age ≥ 18
- Previously treated with relapsed or refractory disease (refractory defined as not responding to a standard regimen or progressing within 6 months of the last course of a standard regimen)
- Disease status requirement:
- For CLL patients, symptomatic disease that mandates treatment as defined by the International Workshop on Chronic Lymphocytic Lymphoma (IWCLL) 2008 criteria
- For indolent NHL and MCL patients, measurable disease by CT scan defined as at least 1 lesion that measures > 2 cm in a single dimension
- WHO performance status of ≤ 2
- For men and women of child-bearing potential, willing to use adequate contraception (ie, latex condom, cervical cap, diaphragm, abstinence, etc.) for the entire duration of the study.
- For Cohort 7 only: Women of child bearing potential must have 2 negative pregnancy tests prior to starting lenalidomide.
- Able to provide written informed consent
Key Exclusion Criteria
- Is not a good candidate to receive any of the drugs administered in the study for a given disease (idelalisib, bendamustine, rituximab, ofatumumab, fludarabine, everolimus, bortezomib, or chlorambucil), according to the clinical judgment of the investigator
- Patients with atypical immunophenotype with t(11: 14) translocation or cyclin D1 over-expression (CLL patients only)
- Had radiotherapy, radioimmunotherapy, biological therapy, chemotherapy, or treatment with an investigational product within 4-weeks prior to the baseline disease status tests
- Had treatment with a short course of corticosteroids for symptom relief within 1-week prior to the baseline disease status tests
- Has had an allogeneic hematopoietic stem cell transplant
- Has known active central nervous system involvement of the malignancy
- Is pregnant or nursing
- Has active, serious infection requiring systemic therapy. Patients may receive prophylactic antibiotics and antiviral therapy at the discretion of the investigator
- Has absolute neutrophil count (ANC) 50% infiltration of bone marrow by tumor cells
- Has platelet count 50% infiltration of bone marrow by tumor cells
- Has serum creatinine ≥ 2.0 mg/dL
- For Cohort 7 only: Has creatinine clearance < 60 mL/min
- Has serum bilirubin ≥ 2 mg/dL (unless due to Gilbert's syndrome) for patients with iNHL or CLL; for patients with MCL, serum bilirubin ≥ 1.5 x upper limit of normal
- Has serum aspartate aminotransferase (AST)/alanine aminotransferase (ALT) ≥ 2 x upper limit of normal
- Has Child-Pugh Class B or C hepatic impairment
- Has a positive test for HIV antibodies
- Has active hepatitis B or C (confirmed by RNA test). Patients with serologic evidence of prior exposure are eligible.
- Prior treatment with idelalisib
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Data sourced from ClinicalTrials.gov (NCT01088048). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.