Trial Outcomes & Findings for Efficacy and Safety of Idelalisib (GS-1101) in Combination With Rituximab for Previously Treated Indolent Non-Hodgkin Lymphomas (NCT NCT01732913)

NCT ID: NCT01732913

Last Updated: 2018-11-16

Results Overview

Progression-free survival (PFS) is defined as the interval from randomization to the earlier of the first documentation of definitive indolent non-Hodgkin lymphoma (iNHL) disease progression or death from any cause. PFS was to be assessed by an independent review committee (IRC).

Recruitment status

TERMINATED

Study phase

PHASE3

Target enrollment

295 participants

Results posted on

2018-11-16

Participant Flow

Participants were enrolled at study sites in the North America, Europe, and Asia Pacific. The first participant was screened on 16 January 2013. The last study visit occurred on 18 May 2016.

385 participants were screened.

Participant milestones

Participant milestones
Measure
Idelalisib + Rituximab
Idelalisib (Zydelig®) 150 mg tablet orally twice daily + rituximab 375 mg/m\^2 intravenously starting on Day 1 for a total of 8 infusions
Placebo + Rituximab
Placebo tablet orally twice daily + rituximab 375 mg/m\^2 intravenously starting on Day 1 for a total of 8 infusions
Overall Study
STARTED
198
97
Overall Study
COMPLETED
42
28
Overall Study
NOT COMPLETED
156
69

Reasons for withdrawal

Reasons for withdrawal
Measure
Idelalisib + Rituximab
Idelalisib (Zydelig®) 150 mg tablet orally twice daily + rituximab 375 mg/m\^2 intravenously starting on Day 1 for a total of 8 infusions
Placebo + Rituximab
Placebo tablet orally twice daily + rituximab 375 mg/m\^2 intravenously starting on Day 1 for a total of 8 infusions
Overall Study
Study Terminated by Sponsor
105
55
Overall Study
Withdrawal by Subject
27
4
Overall Study
Physician Decision
14
7
Overall Study
Other
7
1
Overall Study
Initiation of Other Anti-Cancer Therapy
3
2

Baseline Characteristics

Efficacy and Safety of Idelalisib (GS-1101) in Combination With Rituximab for Previously Treated Indolent Non-Hodgkin Lymphomas

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Idelalisib + Rituximab
n=198 Participants
Idelalisib 150 mg tablet orally twice daily + rituximab 375 mg/m\^2 intravenously starting on Day 1 for a total of 8 infusions
Placebo + Rituximab
n=97 Participants
Placebo tablet orally twice daily + rituximab 375 mg/m\^2 intravenously starting on Day 1 for a total of 8 infusions
Total
n=295 Participants
Total of all reporting groups
Age, Continuous
64 years
STANDARD_DEVIATION 11.4 • n=5 Participants
67 years
STANDARD_DEVIATION 11.4 • n=7 Participants
65 years
STANDARD_DEVIATION 11.4 • n=5 Participants
Sex: Female, Male
Female
99 Participants
n=5 Participants
48 Participants
n=7 Participants
147 Participants
n=5 Participants
Sex: Female, Male
Male
99 Participants
n=5 Participants
49 Participants
n=7 Participants
148 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
35 Participants
n=5 Participants
17 Participants
n=7 Participants
52 Participants
n=5 Participants
Race/Ethnicity, Customized
Black or African American
5 Participants
n=5 Participants
4 Participants
n=7 Participants
9 Participants
n=5 Participants
Race/Ethnicity, Customized
White
123 Participants
n=5 Participants
54 Participants
n=7 Participants
177 Participants
n=5 Participants
Race/Ethnicity, Customized
Other
3 Participants
n=5 Participants
3 Participants
n=7 Participants
6 Participants
n=5 Participants
Race/Ethnicity, Customized
Not Permitted
32 Participants
n=5 Participants
19 Participants
n=7 Participants
51 Participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic or Latino
12 Participants
n=5 Participants
3 Participants
n=7 Participants
15 Participants
n=5 Participants
Race/Ethnicity, Customized
Not Hispanic or Latino
150 Participants
n=5 Participants
75 Participants
n=7 Participants
225 Participants
n=5 Participants
Race/Ethnicity, Customized
Unknown or Not Reported
36 Participants
n=5 Participants
19 Participants
n=7 Participants
55 Participants
n=5 Participants
Region of Enrollment
Russian Federation
7 Participants
n=5 Participants
2 Participants
n=7 Participants
9 Participants
n=5 Participants
Region of Enrollment
Singapore
5 Participants
n=5 Participants
4 Participants
n=7 Participants
9 Participants
n=5 Participants
Region of Enrollment
Romania
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Region of Enrollment
Hungary
24 Participants
n=5 Participants
6 Participants
n=7 Participants
30 Participants
n=5 Participants
Region of Enrollment
United States
65 Participants
n=5 Participants
34 Participants
n=7 Participants
99 Participants
n=5 Participants
Region of Enrollment
Japan
23 Participants
n=5 Participants
9 Participants
n=7 Participants
32 Participants
n=5 Participants
Region of Enrollment
United Kingdom
3 Participants
n=5 Participants
1 Participants
n=7 Participants
4 Participants
n=5 Participants
Region of Enrollment
Portugal
3 Participants
n=5 Participants
1 Participants
n=7 Participants
4 Participants
n=5 Participants
Region of Enrollment
Spain
6 Participants
n=5 Participants
0 Participants
n=7 Participants
6 Participants
n=5 Participants
Region of Enrollment
Czech Republic
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Region of Enrollment
Sweden
6 Participants
n=5 Participants
2 Participants
n=7 Participants
8 Participants
n=5 Participants
Region of Enrollment
Taiwan
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Region of Enrollment
Poland
5 Participants
n=5 Participants
7 Participants
n=7 Participants
12 Participants
n=5 Participants
Region of Enrollment
Korea, Republic of
4 Participants
n=5 Participants
2 Participants
n=7 Participants
6 Participants
n=5 Participants
Region of Enrollment
Italy
7 Participants
n=5 Participants
4 Participants
n=7 Participants
11 Participants
n=5 Participants
Region of Enrollment
Israel
3 Participants
n=5 Participants
0 Participants
n=7 Participants
3 Participants
n=5 Participants
Region of Enrollment
Australia
7 Participants
n=5 Participants
6 Participants
n=7 Participants
13 Participants
n=5 Participants
Region of Enrollment
France
25 Participants
n=5 Participants
17 Participants
n=7 Participants
42 Participants
n=5 Participants
Region of Enrollment
Germany
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants

PRIMARY outcome

Population: Due to the early termination of the study, efficacy data were not available for all participants, and therefore the prespecified analyses were not conducted.

Progression-free survival (PFS) is defined as the interval from randomization to the earlier of the first documentation of definitive indolent non-Hodgkin lymphoma (iNHL) disease progression or death from any cause. PFS was to be assessed by an independent review committee (IRC).

Outcome measures

Outcome data not reported

SECONDARY outcome

Population: Due to the early termination of the study, efficacy data were not available for all participants, and therefore the prespecified analyses were not conducted.

Overall Response Rate (ORR) is defined as the proportion of participants who achieve a complete response or partial response (or very good partial response or minor response for participants with Waldenstrom's). ORR was to be assessed by an IRC.

Outcome measures

Outcome data not reported

SECONDARY outcome

Population: Due to the early termination of the study, efficacy data were not available for all participants, and therefore the prespecified analyses were not conducted.

Lymph node response rate is defined as the proportion of participants who achieve ≥ 50% decrease from baseline in the sum of the products of the greatest perpendicular diameters of index lesions. Lymph node response rate was to be assessed by an IRC.

Outcome measures

Outcome data not reported

SECONDARY outcome

Population: Due to the early termination of the study, efficacy data were not available for all participants, and therefore the prespecified analyses were not conducted.

Complete response rate is defined as the proportion of participants who achieve a complete response. Complete response rate was to be assessed by an IRC.

Outcome measures

Outcome data not reported

SECONDARY outcome

Population: Due to the early termination of the study, efficacy data were not mature for all participants, and therefore the prespecified analyses were not conducted.

Overall survival is defined as the interval from randomization to death from any cause.

Outcome measures

Outcome data not reported

Adverse Events

Idelalisib + Rituximab

Serious events: 103 serious events
Other events: 189 other events
Deaths: 0 deaths

Placebo + Rituximab

Serious events: 11 serious events
Other events: 83 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Idelalisib + Rituximab
n=198 participants at risk
Idelalisib 150 mg tablet orally twice daily + rituximab 375 mg/m\^2 intravenously starting on Day 1 for a total of 8 infusions
Placebo + Rituximab
n=95 participants at risk
Placebo tablet orally twice daily + rituximab 375 mg/m\^2 intravenously starting on Day 1 for a total of 8 infusions
Blood and lymphatic system disorders
Anaemia
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Blood and lymphatic system disorders
Febrile neutropenia
3.5%
7/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Blood and lymphatic system disorders
Leukopenia
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Blood and lymphatic system disorders
Neutropenia
1.5%
3/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Blood and lymphatic system disorders
Thrombocytopenia
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
1.1%
1/95 • Up to 27 months plus 30 days
Safety Analysis Set
Cardiac disorders
Acute coronary syndrome
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Cardiac disorders
Atrial fibrillation
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Cardiac disorders
Bradycardia
0.00%
0/198 • Up to 27 months plus 30 days
Safety Analysis Set
1.1%
1/95 • Up to 27 months plus 30 days
Safety Analysis Set
Cardiac disorders
Cardiac arrest
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Cardiac disorders
Cardiac failure congestive
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
2.1%
2/95 • Up to 27 months plus 30 days
Safety Analysis Set
Cardiac disorders
Pericarditis
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Cardiac disorders
Tachycardia
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Gastrointestinal disorders
Abdominal pain
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Gastrointestinal disorders
Colitis
4.0%
8/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Gastrointestinal disorders
Colitis ulcerative
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Gastrointestinal disorders
Constipation
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Gastrointestinal disorders
Diarrhoea
9.1%
18/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Gastrointestinal disorders
Enteritis
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Gastrointestinal disorders
Enterocolitis
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Gastrointestinal disorders
Incarcerated inguinal hernia
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Gastrointestinal disorders
Intestinal obstruction
0.00%
0/198 • Up to 27 months plus 30 days
Safety Analysis Set
1.1%
1/95 • Up to 27 months plus 30 days
Safety Analysis Set
Gastrointestinal disorders
Nausea
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Gastrointestinal disorders
Pancreatitis
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Gastrointestinal disorders
Salivary gland disorder
0.00%
0/198 • Up to 27 months plus 30 days
Safety Analysis Set
1.1%
1/95 • Up to 27 months plus 30 days
Safety Analysis Set
Gastrointestinal disorders
Salivary gland enlargement
0.00%
0/198 • Up to 27 months plus 30 days
Safety Analysis Set
1.1%
1/95 • Up to 27 months plus 30 days
Safety Analysis Set
Gastrointestinal disorders
Stomatitis
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Gastrointestinal disorders
Vomiting
1.5%
3/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
General disorders
Asthenia
1.0%
2/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
General disorders
Death
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
General disorders
Fatigue
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
1.1%
1/95 • Up to 27 months plus 30 days
Safety Analysis Set
General disorders
Gait disturbance
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
General disorders
Oedema
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
General disorders
Pyrexia
4.5%
9/198 • Up to 27 months plus 30 days
Safety Analysis Set
1.1%
1/95 • Up to 27 months plus 30 days
Safety Analysis Set
Hepatobiliary disorders
Cholecystitis acute
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Hepatobiliary disorders
Drug-induced liver injury
1.5%
3/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Hepatobiliary disorders
Hepatic failure
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Hepatobiliary disorders
Hepatic function abnormal
1.0%
2/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Hepatobiliary disorders
Jaundice
1.0%
2/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Immune system disorders
Hypersensitivity
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Infections and infestations
Bronchitis
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Infections and infestations
Cellulitis
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Infections and infestations
Clostridium difficile colitis
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Infections and infestations
Cytomegalovirus infection
1.0%
2/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Infections and infestations
Eczema herpeticum
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Infections and infestations
Fungaemia
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Infections and infestations
Gastroenteritis
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Infections and infestations
Herpes zoster meningomyelitis
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Infections and infestations
Infection
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
1.1%
1/95 • Up to 27 months plus 30 days
Safety Analysis Set
Infections and infestations
Infective exacerbation of chronic obstructive airways disease
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Infections and infestations
Lower respiratory tract infection
0.00%
0/198 • Up to 27 months plus 30 days
Safety Analysis Set
1.1%
1/95 • Up to 27 months plus 30 days
Safety Analysis Set
Infections and infestations
Metapneumovirus infection
0.00%
0/198 • Up to 27 months plus 30 days
Safety Analysis Set
1.1%
1/95 • Up to 27 months plus 30 days
Safety Analysis Set
Infections and infestations
Neutropenic sepsis
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Infections and infestations
Otitis externa
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Infections and infestations
Pneumocystis jirovecii pneumonia
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Infections and infestations
Pneumonia
9.6%
19/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Infections and infestations
Sepsis
2.5%
5/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Infections and infestations
Septic shock
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Infections and infestations
Skin bacterial infection
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Infections and infestations
Staphylococcal bacteraemia
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Infections and infestations
Upper respiratory tract infection
1.0%
2/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Infections and infestations
Urinary tract infection
2.0%
4/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Injury, poisoning and procedural complications
Clavicle fracture
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Injury, poisoning and procedural complications
Fall
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Injury, poisoning and procedural complications
Infusion related reaction
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
2.1%
2/95 • Up to 27 months plus 30 days
Safety Analysis Set
Injury, poisoning and procedural complications
Laceration
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Injury, poisoning and procedural complications
Rib fracture
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Injury, poisoning and procedural complications
Spinal compression fracture
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Injury, poisoning and procedural complications
Subdural haematoma
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Injury, poisoning and procedural complications
Subdural haemorrhage
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Injury, poisoning and procedural complications
Upper limb fracture
0.00%
0/198 • Up to 27 months plus 30 days
Safety Analysis Set
1.1%
1/95 • Up to 27 months plus 30 days
Safety Analysis Set
Investigations
Alanine aminotransferase increased
5.6%
11/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Investigations
Aspartate aminotransferase increased
5.1%
10/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Investigations
Blood alkaline phosphatase increased
0.00%
0/198 • Up to 27 months plus 30 days
Safety Analysis Set
1.1%
1/95 • Up to 27 months plus 30 days
Safety Analysis Set
Investigations
Blood creatinine increased
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Investigations
Blood lactate dehydrogenase increased
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Investigations
Transaminases increased
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Metabolism and nutrition disorders
Cachexia
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Metabolism and nutrition disorders
Dehydration
2.0%
4/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Metabolism and nutrition disorders
Hypercalcaemia
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Metabolism and nutrition disorders
Hyperglycaemia
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Metabolism and nutrition disorders
Hypoglycaemia
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Metabolism and nutrition disorders
Hypokalaemia
1.0%
2/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Metabolism and nutrition disorders
Hyponatraemia
1.0%
2/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Musculoskeletal and connective tissue disorders
Back pain
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer recurrent
0.00%
0/198 • Up to 27 months plus 30 days
Safety Analysis Set
1.1%
1/95 • Up to 27 months plus 30 days
Safety Analysis Set
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Glioblastoma
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Nervous system disorders
Cerebrovascular accident
1.0%
2/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Nervous system disorders
Dizziness
1.0%
2/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Nervous system disorders
Syncope
1.5%
3/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Nervous system disorders
Transient ischaemic attack
1.5%
3/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Psychiatric disorders
Anxiety
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Psychiatric disorders
Major depression
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Psychiatric disorders
Mental status changes
1.0%
2/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Psychiatric disorders
Suicidal ideation
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Renal and urinary disorders
Acute kidney injury
2.5%
5/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Renal and urinary disorders
Nephrolithiasis
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Renal and urinary disorders
Urinary retention
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Respiratory, thoracic and mediastinal disorders
Bronchitis chronic
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
1.0%
2/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Respiratory, thoracic and mediastinal disorders
Cough
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Respiratory, thoracic and mediastinal disorders
Dyspnoea
1.5%
3/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Respiratory, thoracic and mediastinal disorders
Dyspnoea exertional
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Respiratory, thoracic and mediastinal disorders
Hypoxia
1.0%
2/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Respiratory, thoracic and mediastinal disorders
Interstitial lung disease
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Respiratory, thoracic and mediastinal disorders
Lung disorder
1.0%
2/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Respiratory, thoracic and mediastinal disorders
Pneumonitis
4.0%
8/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
1.5%
3/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Respiratory, thoracic and mediastinal disorders
Respiratory failure
0.51%
1/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Skin and subcutaneous tissue disorders
Psoriasis
1.0%
2/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Skin and subcutaneous tissue disorders
Rash
2.0%
4/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set

Other adverse events

Other adverse events
Measure
Idelalisib + Rituximab
n=198 participants at risk
Idelalisib 150 mg tablet orally twice daily + rituximab 375 mg/m\^2 intravenously starting on Day 1 for a total of 8 infusions
Placebo + Rituximab
n=95 participants at risk
Placebo tablet orally twice daily + rituximab 375 mg/m\^2 intravenously starting on Day 1 for a total of 8 infusions
Blood and lymphatic system disorders
Anaemia
6.1%
12/198 • Up to 27 months plus 30 days
Safety Analysis Set
6.3%
6/95 • Up to 27 months plus 30 days
Safety Analysis Set
Blood and lymphatic system disorders
Neutropenia
12.6%
25/198 • Up to 27 months plus 30 days
Safety Analysis Set
5.3%
5/95 • Up to 27 months plus 30 days
Safety Analysis Set
Gastrointestinal disorders
Abdominal pain
10.1%
20/198 • Up to 27 months plus 30 days
Safety Analysis Set
4.2%
4/95 • Up to 27 months plus 30 days
Safety Analysis Set
Gastrointestinal disorders
Constipation
14.1%
28/198 • Up to 27 months plus 30 days
Safety Analysis Set
13.7%
13/95 • Up to 27 months plus 30 days
Safety Analysis Set
Gastrointestinal disorders
Diarrhoea
44.4%
88/198 • Up to 27 months plus 30 days
Safety Analysis Set
18.9%
18/95 • Up to 27 months plus 30 days
Safety Analysis Set
Gastrointestinal disorders
Gastrooesophageal reflux disease
5.1%
10/198 • Up to 27 months plus 30 days
Safety Analysis Set
3.2%
3/95 • Up to 27 months plus 30 days
Safety Analysis Set
Gastrointestinal disorders
Nausea
25.3%
50/198 • Up to 27 months plus 30 days
Safety Analysis Set
12.6%
12/95 • Up to 27 months plus 30 days
Safety Analysis Set
Gastrointestinal disorders
Vomiting
14.6%
29/198 • Up to 27 months plus 30 days
Safety Analysis Set
7.4%
7/95 • Up to 27 months plus 30 days
Safety Analysis Set
General disorders
Asthenia
7.6%
15/198 • Up to 27 months plus 30 days
Safety Analysis Set
9.5%
9/95 • Up to 27 months plus 30 days
Safety Analysis Set
General disorders
Chills
5.6%
11/198 • Up to 27 months plus 30 days
Safety Analysis Set
4.2%
4/95 • Up to 27 months plus 30 days
Safety Analysis Set
General disorders
Fatigue
20.7%
41/198 • Up to 27 months plus 30 days
Safety Analysis Set
21.1%
20/95 • Up to 27 months plus 30 days
Safety Analysis Set
General disorders
Oedema peripheral
7.1%
14/198 • Up to 27 months plus 30 days
Safety Analysis Set
5.3%
5/95 • Up to 27 months plus 30 days
Safety Analysis Set
General disorders
Pyrexia
25.3%
50/198 • Up to 27 months plus 30 days
Safety Analysis Set
11.6%
11/95 • Up to 27 months plus 30 days
Safety Analysis Set
Infections and infestations
Bronchitis
4.5%
9/198 • Up to 27 months plus 30 days
Safety Analysis Set
6.3%
6/95 • Up to 27 months plus 30 days
Safety Analysis Set
Infections and infestations
Nasopharyngitis
5.1%
10/198 • Up to 27 months plus 30 days
Safety Analysis Set
6.3%
6/95 • Up to 27 months plus 30 days
Safety Analysis Set
Infections and infestations
Upper respiratory tract infection
11.6%
23/198 • Up to 27 months plus 30 days
Safety Analysis Set
8.4%
8/95 • Up to 27 months plus 30 days
Safety Analysis Set
Infections and infestations
Urinary tract infection
6.6%
13/198 • Up to 27 months plus 30 days
Safety Analysis Set
3.2%
3/95 • Up to 27 months plus 30 days
Safety Analysis Set
Injury, poisoning and procedural complications
Infusion related reaction
18.2%
36/198 • Up to 27 months plus 30 days
Safety Analysis Set
21.1%
20/95 • Up to 27 months plus 30 days
Safety Analysis Set
Investigations
Alanine aminotransferase increased
32.8%
65/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Investigations
Aspartate aminotransferase increased
28.3%
56/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Investigations
Gamma-glutamyltransferase increased
5.6%
11/198 • Up to 27 months plus 30 days
Safety Analysis Set
1.1%
1/95 • Up to 27 months plus 30 days
Safety Analysis Set
Investigations
Transaminases increased
6.1%
12/198 • Up to 27 months plus 30 days
Safety Analysis Set
1.1%
1/95 • Up to 27 months plus 30 days
Safety Analysis Set
Investigations
Weight decreased
10.1%
20/198 • Up to 27 months plus 30 days
Safety Analysis Set
1.1%
1/95 • Up to 27 months plus 30 days
Safety Analysis Set
Metabolism and nutrition disorders
Decreased appetite
13.1%
26/198 • Up to 27 months plus 30 days
Safety Analysis Set
2.1%
2/95 • Up to 27 months plus 30 days
Safety Analysis Set
Metabolism and nutrition disorders
Dehydration
5.6%
11/198 • Up to 27 months plus 30 days
Safety Analysis Set
0.00%
0/95 • Up to 27 months plus 30 days
Safety Analysis Set
Metabolism and nutrition disorders
Hypokalaemia
10.6%
21/198 • Up to 27 months plus 30 days
Safety Analysis Set
4.2%
4/95 • Up to 27 months plus 30 days
Safety Analysis Set
Musculoskeletal and connective tissue disorders
Arthralgia
4.5%
9/198 • Up to 27 months plus 30 days
Safety Analysis Set
6.3%
6/95 • Up to 27 months plus 30 days
Safety Analysis Set
Musculoskeletal and connective tissue disorders
Back pain
4.5%
9/198 • Up to 27 months plus 30 days
Safety Analysis Set
6.3%
6/95 • Up to 27 months plus 30 days
Safety Analysis Set
Musculoskeletal and connective tissue disorders
Pain in extremity
8.1%
16/198 • Up to 27 months plus 30 days
Safety Analysis Set
3.2%
3/95 • Up to 27 months plus 30 days
Safety Analysis Set
Nervous system disorders
Dizziness
6.1%
12/198 • Up to 27 months plus 30 days
Safety Analysis Set
6.3%
6/95 • Up to 27 months plus 30 days
Safety Analysis Set
Nervous system disorders
Headache
15.2%
30/198 • Up to 27 months plus 30 days
Safety Analysis Set
12.6%
12/95 • Up to 27 months plus 30 days
Safety Analysis Set
Psychiatric disorders
Anxiety
5.1%
10/198 • Up to 27 months plus 30 days
Safety Analysis Set
3.2%
3/95 • Up to 27 months plus 30 days
Safety Analysis Set
Psychiatric disorders
Insomnia
10.6%
21/198 • Up to 27 months plus 30 days
Safety Analysis Set
11.6%
11/95 • Up to 27 months plus 30 days
Safety Analysis Set
Respiratory, thoracic and mediastinal disorders
Cough
14.1%
28/198 • Up to 27 months plus 30 days
Safety Analysis Set
14.7%
14/95 • Up to 27 months plus 30 days
Safety Analysis Set
Respiratory, thoracic and mediastinal disorders
Dyspnoea
6.1%
12/198 • Up to 27 months plus 30 days
Safety Analysis Set
2.1%
2/95 • Up to 27 months plus 30 days
Safety Analysis Set
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
6.1%
12/198 • Up to 27 months plus 30 days
Safety Analysis Set
3.2%
3/95 • Up to 27 months plus 30 days
Safety Analysis Set
Skin and subcutaneous tissue disorders
Pruritus
12.6%
25/198 • Up to 27 months plus 30 days
Safety Analysis Set
4.2%
4/95 • Up to 27 months plus 30 days
Safety Analysis Set
Skin and subcutaneous tissue disorders
Rash
19.2%
38/198 • Up to 27 months plus 30 days
Safety Analysis Set
12.6%
12/95 • Up to 27 months plus 30 days
Safety Analysis Set
Skin and subcutaneous tissue disorders
Rash maculo-papular
8.1%
16/198 • Up to 27 months plus 30 days
Safety Analysis Set
2.1%
2/95 • Up to 27 months plus 30 days
Safety Analysis Set
Vascular disorders
Hypertension
6.1%
12/198 • Up to 27 months plus 30 days
Safety Analysis Set
2.1%
2/95 • Up to 27 months plus 30 days
Safety Analysis Set

Additional Information

Clinical Trial Disclosures

Gilead Sciences

Results disclosure agreements

  • Principal investigator is a sponsor employee After conclusion of the study and without prior written approval from Gilead, investigators in this study may communicate, orally present, or publish in scientific journals or other media only after the following conditions have been met: * The results of the study in their entirety have been publicly disclosed by or with the consent of Gilead in an abstract, manuscript, or presentation form; or * The study has been completed at all study sites for at least 2 years
  • Publication restrictions are in place

Restriction type: OTHER