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Phase 1 N=241 Treatment

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

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

OutcomeResultp-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.

View full record on ClinicalTrials.gov →

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.

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