Entospletinib in Combination With Idelalisib in Adults With Relapsed or Refractory Hematologic Malignancies

NCT ID: NCT01796470

Last Updated: 2020-06-02

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

66 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-06-20

Study Completion Date

2016-12-22

Brief Summary

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This study will evaluate the efficacy of the combination entospletinib and idelalisib in participants with relapsed or refractory hematologic malignancies. Participants will be enrolled who have one of the following hematological tumor types: chronic lymphocytic leukemia (CLL), mantle cell lymphoma (MCL), diffuse large B-cell lymphoma (DLBCL), or indolent non-Hodgkin lymphomas (iNHL; including follicular lymphoma (FL) and lymphoplasmacytoid lymphoma/Waldenström macroglobulinemia \[LPL/WM\], small lymphocytic lymphoma \[SLL\], or marginal zone lymphoma \[MZL\]).

Detailed Description

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Conditions

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Chronic Lymphocytic Leukemia Mantle Cell Lymphoma Diffuse Large B-cell Lymphoma Indolent Non-Hodgkin's Lymphoma

Study Design

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Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Entospletinib + idelalisib

Entospletinib plus idelalisib at one of 4 dose combinations (400 mg/100 mg; 600 mg/100 mg; 800 mg/100 mg; 800 mg/150 mg).

After discontinuation of entospletinib+idelalisib combination therapy, and following a washout period, participants may continue to receive entospletinib 400 mg monotherapy.

Group Type EXPERIMENTAL

Entospletinib

Intervention Type DRUG

Entospletinib tablets administered orally twice daily

Idelalisib

Intervention Type DRUG

Idelalisib tablets administered orally twice daily

Interventions

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Entospletinib

Entospletinib tablets administered orally twice daily

Intervention Type DRUG

Idelalisib

Idelalisib tablets administered orally twice daily

Intervention Type DRUG

Other Intervention Names

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GS-9973 GS-1101 GS 1101 Cal-101 Cal 101 Zydelig®

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of B-cell indolent non-Hodgkin lymphoma (iNHL),diffuse large B-cell lymphoma (DLBCL),mantle cell lymphoma (MCL), or chronic lymphocytic leukemia (CLL) as documented by medical records and with histology based on criteria established by the World Health Organization
* For institutions that have Phase 3 or Phase 4 protocols studying idelalisib (Zydelig®; GS-1101); individuals with malignancies being studied in these protocols must have failed screening and be registered as a screen failure in the respective idelalisib protocol
* Prior treatment for lymphoid malignancy
* Presence of radiographically measurable lymphadenopathy or extranodal lymphoid malignancy
* Discontinuation of all therapy for the treatment of cancer ≥ 3 weeks before the start of study drug
* All acute toxic effects of any prior antitumor therapy resolved to Grade ≤ 1 before the start of study drug
* Karnofsky performance status of ≥ 60
* Life expectancy of at least 3 months

Exclusion Criteria

* Known histological transformation from iNHL or CLL to an aggressive form of NHL (ie, Richter transformation)
* Known active central nervous system or leptomeningeal lymphoma
* Presence of known intermediate- or high-grade myelodysplastic syndrome
* Current therapy with agents that reduce gastric acidity, including but not limited to antacids, H2 inhibitors, and proton pump inhibitors
* Evidence of ongoing systemic bacterial, fungal, or viral infection at the time of start of study drug
* Ongoing liver injury
* Ongoing or recent hepatic encephalopathy
* Ongoing drug-induced pneumonitis
* Ongoing inflammatory bowel disease
* Ongoing alcohol or drug addiction
* Pregnancy or breastfeeding
* History of prior allogeneic bone marrow progenitor cell or solid organ transplantation
* Ongoing immunosuppressive therapy
* Concurrent participation in an investigational drug trial with therapeutic intent
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Gilead Sciences

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Gilead Study Director

Role: STUDY_DIRECTOR

Gilead Sciences

Locations

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UC San Diego Moores Cancer Center

La Jolla, California, United States

Site Status

Pacific Shores Medical Group

Long Beach, California, United States

Site Status

Ventura County Hematology Oncology Specialists

Oxnard, California, United States

Site Status

Cancer Center of Santa Barbara

Santa Barbara, California, United States

Site Status

Georgetown University Medical Center

Washington D.C., District of Columbia, United States

Site Status

Collaborative Research Group LLC

Boynton Beach, Florida, United States

Site Status

Weill Cornell Medical College

New York, New York, United States

Site Status

University of Rochester, James P. Wilmot Cancer Center

Rochester, New York, United States

Site Status

Signal Point Clinical Research Center, LLC

Middletown, Ohio, United States

Site Status

Oregon Health and Science University

Portland, Oregon, United States

Site Status

Charleston Hematology Oncology

Charleston, South Carolina, United States

Site Status

MD Anderson Cancer Center

Houston, Texas, United States

Site Status

Northwest Medical Specialties

Tacoma, Washington, United States

Site Status

Countries

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United States

References

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Barr PM, Saylors GB, Spurgeon SE, Cheson BD, Greenwald DR, O'Brien SM, Liem AK, Mclntyre RE, Joshi A, Abella-Dominicis E, Hawkins MJ, Reddy A, Di Paolo J, Lee H, He J, Hu J, Dreiling LK, Friedberg JW. Phase 2 study of idelalisib and entospletinib: pneumonitis limits combination therapy in relapsed refractory CLL and NHL. Blood. 2016 May 19;127(20):2411-5. doi: 10.1182/blood-2015-12-683516. Epub 2016 Mar 11.

Reference Type DERIVED
PMID: 26968534 (View on PubMed)

Other Identifiers

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GS-US-339-0103

Identifier Type: -

Identifier Source: org_study_id

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