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临床试验/NCT03711578
NCT03711578已完成2 期

An Open Label, Phase II Study to Evaluate the Efficacy and Safety of Tenalisib (RP6530), a Novel PI3K δ/γ Dual Inhibitor in Adult Patients With Relapsed/Refractory Indolent Non-Hodgkin's Lymphoma (iNHL)

Rhizen Pharmaceuticals SA11 个研究点 分布在 2 个国家目标入组 20 人开始时间: 2018年11月25日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
已完成
发起方
入组人数
20
试验地点
11
主要终点
Objective Response Rate (ORR)

研究概览

简要总结

To assess the anti-tumor activity and safety of Tenalisib in patients with relapsed/refractory indolent Non-Hodgkin's Lymphoma (iNHL),

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Patients with histologically confirmed diagnosis of indolent B-cell NHL, with histological subtype limited to:
  • Follicular lymphoma (FL) G1, G2, or G3a
  • Marginal zone lymphoma (MZL) (splenic, nodal, or extra-nodal)
  • Lymphoplasmacytic lymphoma/Waldenstrom macroglobulinemia (LPL/WM)
  • Small lymphocytic lymphoma (SLL) with absolute lymphocyte count <5 x10^9/L at the time of diagnosis and at study entry.
  • Relapsed or refractory after ≥ 2 prior lines of therapy (refractory defined as not responding to a standard regimen or progressing within 6 months of the last course of a standard regimen). Patients must have received rituximab and alkylating agents.
  • Patients must have at least one bi-dimensionally measurable lesion (that has not been previously irradiated) with the longest diameter ≥ 1.5 cm.
  • Male or female patients > 18 years of age.
  • ECOG performance status ≤
  • Life expectancy of at least 3 months.
  • Adequate bone marrow, liver, and renal function as assessed by the following laboratory requirements conducted within 7 days before starting study treatment:
  • Hemoglobin ≥ 9 g/dl
  • Absolute neutrophil count (ANC) ≥ 1 x 10^9/L
  • Platelets ≥50 x 10^9/L (patient without BM involvement) and 30 x 10^9/L (patient with BM involvement)
  • Total bilirubin ≤1.5 times the upper limit of normal (ULN)
  • Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤2.5 x ULN if known liver involvement
  • Creatinine ≤ 1.5 mg/dL OR calculated creatinine clearance ≥ 50 mL/min (as calculated by the Cockcroft-Gault method)
  • Use of an effective means of contraception for female patients of child-bearing potential, and all male partners.
  • Willingness and ability to comply with trial and follow-up procedures, give written informed consent.

排除标准

  • FL grade 3b or transformed disease or CLL
  • Cancer therapy within 3 weeks (21 days) or 5 half-lives (whichever is shorter) prior to C1D
  • Corticosteroids (prednisone or equivalent) at a dose of < 20 mg daily are allowed. Corticosteroid should be stabilized for at least 1 week prior to C1D1
  • Auto-SCT within 3 months from C1D1 (patients must not have active graft versus- host disease)
  • History of having received an Allo-SCT
  • Active hepatitis B or C infection
  • Known history of human immunodeficiency virus (HIV) infection
  • Evidence of ongoing severe systemic bacterial, fungal or viral infection
  • Known primary central nervous system lymphoma or any preexisting neurologic manifestations
  • Known history of drug-induced liver injury, alcoholic liver disease, primary biliary cirrhosis, ongoing extrahepatic obstruction caused by stones, cirrhosis of the liver or portal hypertension;
  • Prior exposure to drug that specifically inhibits PI3K
  • Pregnancy or lactation
  • Myeloid growth factors or red blood cells/ platelet transfusion within 14 days prior to C1D1
  • Drug administration within 1 week prior to C1D1
  • Strong inhibitors or inducers of CYP3A4, CYP2C9, including grapefruit products, herbal supplements and drugs
  • Substrates of CYP3A4 enzyme with a narrow therapeutic range

研究组 & 干预措施

Tenalisib

Experimental

Participants receive Tenalisib 800 mg BID in 28-Days Cycle for 8 Cycles

干预措施: Tenalisib, (Drug)

结局指标

主要结局

Objective Response Rate (ORR)

时间窗: 7 months

ORR is defined as sum of CR and PR rates and will be assessed according to the Lugano Classification for initial evaluation, staging, and response assessment of Non-Hodgkin lymphoma. (Cheson-2014)

Complete Response Rate

时间窗: 7 months

CR rate will be assessed according to the Lugano Classification for initial evaluation, staging, and response assessment of non-Hodgkin lymphoma.

Progression Free Survival (PFS)

时间窗: From date of first dose of tenalisib until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 7 months

PFS is defined as the time of the first dose of Tenalisib to disease progression or death.

Duration of Response (DoR)

时间窗: 7 months

DoR is measured from the initial response to disease progression or death

次要结局

  • Number of Participants With Treatment-emergent Adverse Events as Assessed by CTCAE v4.0(8 months)

研究者

发起方
Rhizen Pharmaceuticals SA
申办方类型
Industry
责任方
Sponsor

研究点 (11)

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