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Zandelisib (ME-401) in Subjects With Follicular Lymphoma or Marginal Zone Lymphoma After Failure of Two or More Prior Therapies (TIDAL)

Phase 2
Terminated
Conditions
Non Hodgkin Lymphoma
Follicular Lymphoma (FL)
Marginal Zone Lymphoma
Interventions
Registration Number
NCT03768505
Lead Sponsor
MEI Pharma, Inc.
Brief Summary

This is the study of the PI3Kδ inhibitor Zandelisib (ME-401) in subjects with relapsed/refractory follicular lymphoma or marginal zone lymphoma after failure of at least 2 prior lines of systemic therapy

Detailed Description

This is a global, multicenter open-label, single-arm, Phase 2 study of the PI3Kδ inhibitor Zandelisib (ME-401) in subjects with relapsed/refractory follicular lymphoma or marginal zone lymphoma after failure of at least 2 prior lines of systemic therapy which must have included an anti-CD20 antibody and chemotherapy with an alkylating agent or a purine analogue.

Approximately 180 subjects will be enrolled and treated with Zandelisib (ME-401) on the intermittent schedule.

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
169
Inclusion Criteria
  • Histologically confirmed diagnosis as defined in the World Health Organization (WHO) classification scheme

    1. Follicular Lymphoma (FL) limited to Grade 1,2 or 3a or
    2. Marginal Zone Lymphoma (MZL) including nodal, extranodal and splenic MZL
  • Subjects that have had progression of disease or had no response to therapy after at least 2 prior systemic therapies for FL or MZL

  • Age ≥ 18

  • At least one bi-dimensionally measurable nodal lesion > 1.5 cm in its longest diameter by computed tomography (CT) scan as defined by the Lugano Classification

  • Adequate hematologic, renal and hepatic parameters at screening unless abnormal values are due to FL per Investigator assessment

  • QT-interval corrected according to Fridericia's formula (QTcF) ≤ 450 milliseconds (msec);

  • Left ventricular ejection fraction (LVEF) ≥ 45%

Exclusion Criteria
  • Histologically confirmed FL Grade 3b transformation from FL to an aggressive lymphoma
  • Known lymphomatous involvement of the central nervous system
  • Uncontrolled clinically significant illness
  • Ongoing or history of drug-induced pneumonitis
  • History of clinically significant cardiovascular abnormalities
  • History of clinically significant GI conditions
  • Known history of, or active HIV infection

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Zandelisib (ME-401) open labelZandelisib (ME-401)Subjects with relapsed/refractory FL or MZL will be administered 60 mg of ME-401 orally, once a day on an intermittent schedule (IS).
Primary Outcome Measures
NameTimeMethod
Objective Response Rate (ORR) of ME-401 in Relapsed or Refractory FL or MZL3 years 9 months

ORR is measured as the proportion of subjects achieving the best response rating of CR or PR prior to first PD

Secondary Outcome Measures
NameTimeMethod
Duration of Response (DOR)3 years 9 months

Duration of Response will be measured as the time from documentation from CR or PR to time of disease progression

Overall Incidence of Treatment Emergent Adverse Events (TEAEs)3 years 9 months

The incidence of TEAEs is measured by the proportion of subjects with at least one TEAE.

Complete Response (CR) Rate3 years 9 months

Complete response rate will be measured by the number of subjects that achieve CR

Progression-free Survival (PFS)3 years 9 months

Progression-free survival will be measurement of time from initiation of treatment (Day 1) until disease progression or death

Overall Survival2 years

Overall survival will be measured as the time from initiation of treatment (Day 1) until death

PK of ME-4013 years 9 months

The PK of ME-401 will be determined by the peak plasma concentration (Cmax)

Trial Locations

Locations (107)

CHD Vendee, Onco-hematologie

🇫🇷

La Roche-Sur-Yon Cedex 9, France

Tower Hematology Oncology

🇺🇸

Beverly Hills, California, United States

Memorial Sloan Kettering

🇺🇸

Uniondale, New York, United States

Universita Cattolica del Sacro Cuore

🇮🇹

Roma, Italy

Marshfield Medical Center

🇺🇸

Marshfield, Wisconsin, United States

Universitatsklinikum Halle

🇩🇪

Halle, Germany

Centro di Riferimento Oncologico di Aviano (CRO) IRCCS

🇮🇹

Aviano, Italy

AZ Sint-Jan Brugge-Oostende

🇧🇪

Brugge, Belgium

University of Wisconsin Carbone Cancer Center

🇺🇸

Madison, Wisconsin, United States

Centre Hospitalier Universitaire (CHU) de Poitiers - Hôpital de la Miletrie

🇫🇷

Poitiers, France

Advocate Health & Hospitals Corporation

🇺🇸

Niles, Illinois, United States

UOC Oncoematologia

🇮🇹

Napoli, Italy

Pacific Cancer Medical Center, Inc.

🇺🇸

Anaheim, California, United States

H. Lee Moffit Cancer Center

🇺🇸

Tampa, Florida, United States

Cleveland Clinic-Florida

🇺🇸

Weston, Florida, United States

San Juan Oncology

🇺🇸

Farmington, New Mexico, United States

Liverpool Hospital

🇦🇺

Sydney, Australia

Institut Jules Bordet

🇧🇪

Brussels, Belgium

St. Vincent Frontier Cancer Center

🇺🇸

Billings, Montana, United States

University of Michigan Medical School

🇺🇸

Ann Arbor, Michigan, United States

Centre Hospitalier du Mans

🇫🇷

Le Mans, France

Klinikum Mutterhaus Feldstr

🇩🇪

Trier, Rheinland-Pfalz, Germany

Munich Municipal Hospital

🇩🇪

Munich, Germany

Policlinico Sant'Orsola Malpighi

🇮🇹

Bologna, Italy

IRCCS AOU Policlinico San Martino

🇮🇹

Genova, Italy

Azienda Ospedaliera Santa Maria

🇮🇹

Terni, Italy

Stony Brook University

🇺🇸

Stony Brook, New York, United States

Vanderbilt University

🇺🇸

Nashville, Tennessee, United States

Clinical Research Alliance

🇺🇸

Lake Success, New York, United States

Medical Oncology Associates PS

🇺🇸

Spokane, Washington, United States

Dong-A University Hospital

🇰🇷

Busan, Korea, Republic of

Szpital Uniwersytecki nr 2 im.

🇵🇱

Bydgoszcz, Poland

Primary Specialty Oncology

🇵🇱

Warszawa, Poland

Institut Gustave Roussy

🇫🇷

Villejuif, France

Hamatologisch-Onkolgische Praxis

🇩🇪

Nordheim, Stolberg, Germany

ICO-Hospital Duran i Reynals

🇪🇸

Barcelona, Spain

Southern District Hospital

🇳🇿

Dunedin, New Zealand

Infermi Hospital Rimini

🇮🇹

Rimini, Italy

Pusan National University Hospital

🇰🇷

Busan, Korea, Republic of

Chi-Mei Medical Center, Liouying

🇨🇳

Tainan, Taiwan

Korea University Anam Hospital

🇰🇷

Seoul, Korea, Republic of

Ospedale Santa Maria delle Croci

🇮🇹

Ravenna, Italy

IRCCS Regina Elena National Cancer Institute

🇮🇹

Rome, Italy

Ospedale DellAngelo Di Mestre Umberto I

🇮🇹

Venice, Italy

Hospital Universitari Vall d'Hebron

🇪🇸

Barcelona, Spain

MD Anderson Cancer Center

🇪🇸

Madrid, Spain

Hospital Universitario de Canarias

🇪🇸

La Laguna, Tenerife, Spain

Hospital Universitari Mutua Terrasa

🇪🇸

Barcelona, Spain

Belfast Health and Social Care Trust - Belfast City Hospital

🇬🇧

Belfast, United Kingdom

Hospital Universitario Quiron Salud Madrid

🇪🇸

Madrid, Spain

Royal Marsden Hospital

🇬🇧

London, Sutton, United Kingdom

Hospital Universitario Virgen Macarena

🇪🇸

Sevilla, Spain

Ewha Womans University Mokdong Hospital

🇰🇷

Seoul, Korea, Republic of

The Catholic University of Korea-Seoul St. Marys Hospital

🇰🇷

Seoul, Korea, Republic of

Pratia MCM Krakow

🇵🇱

Kraków, Poland

Dolnoslaskie Centrum Transplantacji Komorkowych z Krajowym Bankiem Dawcow Szpiku

🇵🇱

Wroclaw, Poland

Fundacion Jimenez Diaz

🇪🇸

Madrid, Spain

North Shore Hospital

🇳🇿

Auckland, New Zealand

Instytut Hematologii i Transfuzjologii

🇵🇱

Warszawa, Poland

Norfolk and Norwich University Hospital NHS Foundation Trust

🇬🇧

Norwich, United Kingdom

Royal Hallamshire Hospital

🇬🇧

Sheffield, United Kingdom

Oxford University Hospitals

🇬🇧

Oxford, United Kingdom

The Oncology Institute of Hope and Innovation

🇺🇸

Henderson, Nevada, United States

Rush University Medical Center

🇺🇸

Chicago, Illinois, United States

Dana-Farber Cancer Institute

🇺🇸

Boston, Massachusetts, United States

Cleveland Clinic

🇺🇸

Cleveland, Ohio, United States

Swedish Cancer Institute

🇺🇸

Seattle, Washington, United States

ojewodzkie Wielospecjalistyczne Centrum

🇵🇱

Łódź, Poland

Sharp Memorial Hospital

🇺🇸

San Diego, California, United States

Renovatio Clinical

🇺🇸

Houston, Texas, United States

Duke Cancer Center

🇺🇸

Durham, North Carolina, United States

Antwerp University Hospital

🇧🇪

Edegem, Belgium

China Medical University Hospital

🇨🇳

Taichung, Taiwan

Kepler Universitatsklinikum GmBH

🇦🇹

Linz, Austria

Ente Ospedaliero Cantonale (EOC)

🇨🇭

Bellinzona, Switzerland

The Christie NHS Foundation Trust

🇬🇧

Manchester, United Kingdom

Centre Hospitalier de Mulhouse

🇫🇷

Mulhouse, France

Seoul National University Hospital

🇰🇷

Seoul, Korea, Republic of

Ulsan University Hospital

🇰🇷

Ulsan, Korea, Republic of

Hospital Clinico de Salamanca

🇪🇸

Salamanca, Spain

Complejo Hospitalario de Navarra

🇪🇸

Pamplona, Spain

Hospital Virgen del Rocio

🇪🇸

Sevilla, Spain

Universitatsklinikum Munster

🇩🇪

Münster, Germany

Nottingham University Hospital

🇬🇧

Nottingham, UK, United Kingdom

Oncology Institute of Hope and Innovation

🇺🇸

Tucson, Arizona, United States

Investigative Clinical Research of Indiana LLC

🇺🇸

Indianapolis, Indiana, United States

Oregon Health and Science University

🇺🇸

Portland, Oregon, United States

The Perth Blood Institute

🇦🇺

West Perth, Western Australia, Australia

Peninsula and South Eastern Haematology and Oncology Group

🇦🇺

Frankston, Victoria, Australia

Cliniques Universitaires Saint-Luc

🇧🇪

Brussels, Belgium

Medical University of Vienna

🇦🇹

Vienna, Austria

C H de la Cote Basque, Service d'Hematologie

🇫🇷

Bayonne, France

Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori I.R.S.T.

🇮🇹

Meldola, Italy

Samsung Medical Center

🇰🇷

Seoul, Korea, Republic of

Hospital Universitario Ramon y Cajal

🇪🇸

Madrid, Spain

Miguel Servet Hospital

🇪🇸

Zaragoza, Spain

National Cheng Kung University Hospital

🇨🇳

Tainan City, Taiwan

National Taiwan University Hospital NTUH

🇨🇳

Taipei City, Taiwan

North Wales Cancer Treatment Centre, Glan Clwyd Hospital

🇬🇧

Rhyl, Denbighire, United Kingdom

Royal Cornwall Hospital

🇬🇧

Cornwell, United Kingdom

e Clatterbridge Cancer Centre

🇬🇧

Liverpool, United Kingdom

Lewisham and Greenwich University Hospital Lewisham

🇬🇧

London, United Kingdom

St George's Hospital

🇬🇧

London, United Kingdom

Centre for Haematology, Imperial College London

🇬🇧

London, United Kingdom

Asan Medical Center

🇰🇷

Seoul, Korea, Republic of

Universitatsklinikum Ulm

🇩🇪

Ulm, Germany

Royal Liverpool University Hospital

🇬🇧

Liverpool, United Kingdom

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