Non Hodgkin Lymphoma Clinical Trial
Efficacy and Safety Study of Idelalisib in Participants With Indolent B-Cell Non-Hodgkin Lymphomas
Summary
The primary objective will be to assess the overall response rate and to evaluate the efficacy and safety of idelalisib (IDELA; GS-1101) in participants with previously treated indolent Non-Hodgkin Lymphoma (iNHL) that is refractory both to rituximab and to alkylating-agent-containing chemotherapy.
Eligible participants will initiate oral therapy with idelalisib at a starting dose of 150 mg taken twice per day. Treatment with idelalisib can continue in compliant participants as long as the study is still ongoing and the participants appear to be benefiting from treatment with acceptable safety.
Eligibility Criteria
Key Inclusion Criteria:
Karnofsky performance status of ≥ 60 (Eastern Cooperative Oncology Group [ECOG] performance score of 0, 1, or 2)
Histologically confirmed diagnosis of B-cell iNHL, with histological subtype limited to the following:
Follicular lymphoma (FL)
Small lymphocytic lymphoma (SLL) with absolute lymphocyte count < 5 x 10^9/L at the time of diagnosis and on baseline laboratory assessment performed within 4 weeks prior to the start of study drug administration
Lymphoplasmacytic lymphoma (LPL), with or without associated Waldenstroms Macroglobulinemia (WM)
Marginal zone lymphoma (MZL) (splenic, nodal, or extranodal)
Prior treatment with ≥ 2 prior chemotherapy-based or immunotherapy-based regimens for iNHL
Presence of radiographically measurable lymphadenopathy or extranodal lymphoid malignancy
Prior treatment with rituximab and with an alkylating agent (eg, bendamustine, cyclophosphamide, ifosfamide, chlorambucil, melphalan, busulfan, nitrosoureas) for iNHL
Lymphoma that is refractory to rituximab and to an alkylating agent
Discontinuation of all other therapies for treatment of iNHL ≥ 3 weeks before Visit 2
For men and women of childbearing potential, willingness to abstain from sexual intercourse or employ an effective method of contraception during the study drug administration and follow-up periods
Willingness and ability to provide written informed consent and to comply with the protocol requirements
Key Exclusion Criteria:
Central nervous system or leptomeningeal lymphoma
Known histological transformation from iNHL to diffuse large B-cell lymphoma
History of a non-lymphoma malignancy except for the following: adequately treated local basal cell or squamous cell carcinoma of the skin, cervical carcinoma in situ, superficial bladder cancer, localized prostate cancer, other adequately treated Stage 1 or 2 cancer currently in complete remission, or any other cancer that has been in complete remission for ≥ 5 years
Evidence of ongoing systemic bacterial, fungal, or viral infection (excluding viral upper respiratory tract infections) at the time of initiation of study treatment
Pregnancy or breastfeeding
Ongoing alcohol or drug addiction
Known history of drug-induced liver injury, chronic active hepatitis B infection, chronic active hepatitis C infection, alcoholic liver disease, non-alcoholic steatohepatitis, primary biliary cirrhosis, ongoing extrahepatic obstruction caused by stones, cirrhosis of the liver, or portal hypertension
History of prior allogeneic bone marrow progenitor cell or solid organ transplantation
Ongoing immunosuppressive therapy, including systemic corticosteroids. Participant may be using topical or inhaled corticosteroids.
Prior therapy with idelalisib
Exposure to another investigational drug within 3 weeks prior to start of study treatment
Concurrent participation in another therapeutic treatment trial
Prior or ongoing clinically significant illness, medical condition, surgical history, physical finding, ECG finding, or laboratory abnormality that, in the investigator's opinion, could affect the safety of the participant, alter the absorption, distribution, metabolism or excretion of the study drug, or impair the assessment of study results
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
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There are 41 Locations for this study
Fullerton California, 92835, United States
Long Beach California, 90813, United States
Los Angeles California, 90095, United States
Santa Maria California, 93454, United States
Stanford California, 94035, United States
Boynton Beach Florida, 33435, United States
Atlanta Georgia, 30322, United States
Chicago Illinois, 60611, United States
Saint Louis Missouri, 63110, United States
Hackensack New Jersey, 07601, United States
New Brunswick New Jersey, 08901, United States
New York New York, 10002, United States
New York New York, 10467, United States
Columbus Ohio, 43210, United States
Philadelphia Pennsylvania, 19104, United States
Columbia South Carolina, 29210, United States
Chattanooga Tennessee, 37404, United States
Nashville Tennessee, 37203, United States
Dallas Texas, 75246, United States
Charlottesville Virginia, 22908, United States
Seattle Washington, 98109, United States
Madison Wisconsin, 53792, United States
Brest , 29609, France
Pierre Benite , 69310, France
Rouen , 76038, France
Tours , 37044, France
Berlin , 13353, Germany
Essen , 45147, Germany
München , 81377, Germany
Ulm , 89081, Germany
Bologna , 40138, Italy
Genova , 16132, Italy
Milano , 20132, Italy
Rome , 00161, Italy
Kraków , 30-51, Poland
Warsaw , 02-78, Poland
Leeds , LS9 7, United Kingdom
London , EC1M , United Kingdom
London , W1G 6, United Kingdom
Manchester , M20 4, United Kingdom
Southampton , SO16 , United Kingdom
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