Trial Outcomes & Findings for Study of Duvelisib in Combination With Rituximab vs Rituximab in Subjects With Previously Treated Follicular Lymphoma (NCT NCT02204982)

NCT ID: NCT02204982

Last Updated: 2023-09-28

Results Overview

Due to the small number of enrolled subjects and study being terminated, PFS endpoint analysis was not performed.

Recruitment status

TERMINATED

Study phase

PHASE3

Target enrollment

13 participants

Primary outcome timeframe

Until disease progression, for up to 5 years from randomization

Results posted on

2023-09-28

Participant Flow

Participant milestones

Participant milestones
Measure
Duvelisib + Rituximab
Duvelisib is administered orally and supplied as 5 mg and 25 mg formulated capsules. Rituximab is administered as an intravenous (IV) infusion and is supplied in single-use vials at two strengths, 100 mg and 500 mg. Duvelisib: duvelisib (25 mg BID) administered orally in 28-day continuous treatment cycles Rituximab: IV infusion of rituximab (375 mg/m2) once weekly for 4 weeks during Cycle 1, then once on Day 1 of Cycles 4, 6, 8, and 10.
Placebo + Rituximab
Placebo is administered orally and supplied as formulated capsules to match the active 5 mg and 25 mg capsules. Rituximab is administered as an intravenous (IV) infusion and is supplied in single-use vials at two strengths, 100 mg and 500 mg. Placebo: Matching Placebo (25 mg BID) administered orally in 28-day continuous treatment cycles. Rituximab: IV infusion of rituximab (375 mg/m2) once weekly for 4 weeks during Cycle 1, then once on Day 1 of Cycles 4, 6, 8, and 10.
Overall Study
STARTED
6
7
Overall Study
COMPLETED
2
0
Overall Study
NOT COMPLETED
4
7

Reasons for withdrawal

Reasons for withdrawal
Measure
Duvelisib + Rituximab
Duvelisib is administered orally and supplied as 5 mg and 25 mg formulated capsules. Rituximab is administered as an intravenous (IV) infusion and is supplied in single-use vials at two strengths, 100 mg and 500 mg. Duvelisib: duvelisib (25 mg BID) administered orally in 28-day continuous treatment cycles Rituximab: IV infusion of rituximab (375 mg/m2) once weekly for 4 weeks during Cycle 1, then once on Day 1 of Cycles 4, 6, 8, and 10.
Placebo + Rituximab
Placebo is administered orally and supplied as formulated capsules to match the active 5 mg and 25 mg capsules. Rituximab is administered as an intravenous (IV) infusion and is supplied in single-use vials at two strengths, 100 mg and 500 mg. Placebo: Matching Placebo (25 mg BID) administered orally in 28-day continuous treatment cycles. Rituximab: IV infusion of rituximab (375 mg/m2) once weekly for 4 weeks during Cycle 1, then once on Day 1 of Cycles 4, 6, 8, and 10.
Overall Study
Patient ineligible-medical monitor
1
0
Overall Study
Withdrawal by Subject
1
0
Overall Study
Adverse Event
1
0
Overall Study
Adverse Event and Investigator decision
1
0
Overall Study
Physician Decision
0
2
Overall Study
Protocol-Specified Disease Progression
0
4
Overall Study
Termination of Study bySponsor
0
1

Baseline Characteristics

Study of Duvelisib in Combination With Rituximab vs Rituximab in Subjects With Previously Treated Follicular Lymphoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Duvelisib + Rituximab
n=6 Participants
Duvelisib is administered orally and supplied as 5 mg and 25 mg formulated capsules. Rituximab is administered as an intravenous (IV) infusion and is supplied in single-use vials at two strengths, 100 mg and 500 mg. Duvelisib: duvelisib (25 mg BID) administered orally in 28-day continuous treatment cycles Rituximab: IV infusion of rituximab (375 mg/m2) once weekly for 4 weeks during Cycle 1, then once on Day 1 of Cycles 4, 6, 8, and 10.
Placebo + Rituximab
n=7 Participants
Placebo is administered orally and supplied as formulated capsules to match the active 5 mg and 25 mg capsules. Rituximab is administered as an intravenous (IV) infusion and is supplied in single-use vials at two strengths, 100 mg and 500 mg. Placebo: Matching Placebo (25 mg BID) administered orally in 28-day continuous treatment cycles. Rituximab: IV infusion of rituximab (375 mg/m2) once weekly for 4 weeks during Cycle 1, then once on Day 1 of Cycles 4, 6, 8, and 10.
Total
n=13 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
4 Participants
n=5 Participants
2 Participants
n=7 Participants
6 Participants
n=5 Participants
Age, Categorical
>=65 years
2 Participants
n=5 Participants
5 Participants
n=7 Participants
7 Participants
n=5 Participants
Age, Continuous
56.5 years
n=5 Participants
68 years
n=7 Participants
68 years
n=5 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
1 Participants
n=7 Participants
5 Participants
n=5 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
6 Participants
n=7 Participants
8 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
White
5 Participants
n=5 Participants
5 Participants
n=7 Participants
10 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Region of Enrollment
United States
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Region of Enrollment
Australia
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Region of Enrollment
Italy
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Region of Enrollment
Spain
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Region of Enrollment
Poland
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Region of Enrollment
Canada
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Region of Enrollment
France
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Eastern Cooperative Oncology Group Performance Status
0=Fully active, no restrictions
4 Participants
n=5 Participants
6 Participants
n=7 Participants
10 Participants
n=5 Participants
Eastern Cooperative Oncology Group Performance Status
1= Restricted in physically strenuous activity
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Eastern Cooperative Oncology Group Performance Status
2=Ambulatory more than 50% of waking hours
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Eastern Cooperative Oncology Group Performance Status
3=Confined to bed or chair more than 50% of waking
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Eastern Cooperative Oncology Group Performance Status
4=Completely disabled
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Eastern Cooperative Oncology Group Performance Status
5=Dead
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Until disease progression, for up to 5 years from randomization

Population: Data could not be reported because the study was terminated early and a sufficient number of subjects and events were not available for analysis.

Due to the small number of enrolled subjects and study being terminated, PFS endpoint analysis was not performed.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Until disease progression, for up to 5 years from randomization

Outcome measures

Outcome measures
Measure
Duvelisib + Rituximab
n=5 Participants
Duvelisib is administered orally and supplied as 5 mg and 25 mg formulated capsules. Rituximab is administered as an intravenous (IV) infusion and is supplied in single-use vials at two strengths, 100 mg and 500 mg. Duvelisib: duvelisib (25 mg BID) administered orally in 28-day continuous treatment cycles Rituximab: IV infusion of rituximab (375 mg/m2) once weekly for 4 weeks during Cycle 1, then once on Day 1 of Cycles 4, 6, 8, and 10.
Placebo + Rituximab
n=6 Participants
Placebo is administered orally and supplied as formulated capsules to match the active 5 mg and 25 mg capsules. Rituximab is administered as an intravenous (IV) infusion and is supplied in single-use vials at two strengths, 100 mg and 500 mg. Placebo: Matching Placebo (25 mg BID) administered orally in 28-day continuous treatment cycles. Rituximab: IV infusion of rituximab (375 mg/m2) once weekly for 4 weeks during Cycle 1, then once on Day 1 of Cycles 4, 6, 8, and 10.
Overall Response Rate (ORR)
Complete Response
3 Participants
0 Participants
Overall Response Rate (ORR)
Partial Response
2 Participants
1 Participants
Overall Response Rate (ORR)
Stable Disease
0 Participants
3 Participants
Overall Response Rate (ORR)
Progressive Disease
0 Participants
2 Participants

Adverse Events

Duvelisib + Rituximab

Serious events: 5 serious events
Other events: 6 other events
Deaths: 0 deaths

Placebo + Rituximab

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Duvelisib + Rituximab
n=6 participants at risk
Duvelisib is administered orally and supplied as 5 mg and 25 mg formulated capsules. Rituximab is administered as an intravenous (IV) infusion and is supplied in single-use vials at two strengths, 100 mg and 500 mg. Duvelisib: duvelisib (25 mg BID) administered orally in 28-day continuous treatment cycles Rituximab: IV infusion of rituximab (375 mg/m2) once weekly for 4 weeks during Cycle 1, then once on Day 1 of Cycles 4, 6, 8, and 10.
Placebo + Rituximab
n=7 participants at risk
Placebo is administered orally and supplied as formulated capsules to match the active 5 mg and 25 mg capsules. Rituximab is administered as an intravenous (IV) infusion and is supplied in single-use vials at two strengths, 100 mg and 500 mg. Placebo: Matching Placebo (25 mg BID) administered orally in 28-day continuous treatment cycles. Rituximab: IV infusion of rituximab (375 mg/m2) once weekly for 4 weeks during Cycle 1, then once on Day 1 of Cycles 4, 6, 8, and 10.
Infections and infestations
Pneumonia
33.3%
2/6 • 15 months
0.00%
0/7 • 15 months
Respiratory, thoracic and mediastinal disorders
Interstitial Lung Disease
33.3%
2/6 • 15 months
0.00%
0/7 • 15 months
Gastrointestinal disorders
Gastrointestinal Inflammation
16.7%
1/6 • 15 months
0.00%
0/7 • 15 months
General disorders
Pyrexia
16.7%
1/6 • 15 months
0.00%
0/7 • 15 months
Infections and infestations
Pneumonia Cytomegaloviral
16.7%
1/6 • 15 months
0.00%
0/7 • 15 months
Respiratory, thoracic and mediastinal disorders
Chronic Obstructive pulmonary disease
16.7%
1/6 • 15 months
0.00%
0/7 • 15 months
Respiratory, thoracic and mediastinal disorders
Respiratory Failure
16.7%
1/6 • 15 months
0.00%
0/7 • 15 months
Respiratory, thoracic and mediastinal disorders
Pneumonitis
16.7%
1/6 • 15 months
0.00%
0/7 • 15 months

Other adverse events

Other adverse events
Measure
Duvelisib + Rituximab
n=6 participants at risk
Duvelisib is administered orally and supplied as 5 mg and 25 mg formulated capsules. Rituximab is administered as an intravenous (IV) infusion and is supplied in single-use vials at two strengths, 100 mg and 500 mg. Duvelisib: duvelisib (25 mg BID) administered orally in 28-day continuous treatment cycles Rituximab: IV infusion of rituximab (375 mg/m2) once weekly for 4 weeks during Cycle 1, then once on Day 1 of Cycles 4, 6, 8, and 10.
Placebo + Rituximab
n=7 participants at risk
Placebo is administered orally and supplied as formulated capsules to match the active 5 mg and 25 mg capsules. Rituximab is administered as an intravenous (IV) infusion and is supplied in single-use vials at two strengths, 100 mg and 500 mg. Placebo: Matching Placebo (25 mg BID) administered orally in 28-day continuous treatment cycles. Rituximab: IV infusion of rituximab (375 mg/m2) once weekly for 4 weeks during Cycle 1, then once on Day 1 of Cycles 4, 6, 8, and 10.
Injury, poisoning and procedural complications
Infusion related reaction
0.00%
0/6 • 15 months
28.6%
2/7 • 15 months
Investigations
Alanine aminotransferase increased
50.0%
3/6 • 15 months
0.00%
0/7 • 15 months
Investigations
Aspartate aminotransferase increased
50.0%
3/6 • 15 months
0.00%
0/7 • 15 months
Investigations
Amylase increased
16.7%
1/6 • 15 months
0.00%
0/7 • 15 months
Investigations
Blood Cholesterol increased
16.7%
1/6 • 15 months
0.00%
0/7 • 15 months
Investigations
Gamma-glutamyltransferase increased
16.7%
1/6 • 15 months
0.00%
0/7 • 15 months
Investigations
Lipase increased
16.7%
1/6 • 15 months
0.00%
0/7 • 15 months
Investigations
Weight increased
16.7%
1/6 • 15 months
0.00%
0/7 • 15 months
Investigations
Blood Uric acid increased
0.00%
0/6 • 15 months
14.3%
1/7 • 15 months
Metabolism and nutrition disorders
Hyperglycaemia
16.7%
1/6 • 15 months
0.00%
0/7 • 15 months
Metabolism and nutrition disorders
Hypertriglyceridaemia
16.7%
1/6 • 15 months
0.00%
0/7 • 15 months
Metabolism and nutrition disorders
Hyperuricaemia
16.7%
1/6 • 15 months
0.00%
0/7 • 15 months
Metabolism and nutrition disorders
Hypokalaemia
16.7%
1/6 • 15 months
0.00%
0/7 • 15 months
Musculoskeletal and connective tissue disorders
Arthralgia
0.00%
0/6 • 15 months
14.3%
1/7 • 15 months
Musculoskeletal and connective tissue disorders
Metatarsalgia
0.00%
0/6 • 15 months
14.3%
1/7 • 15 months
Musculoskeletal and connective tissue disorders
Muscle spasms
0.00%
0/6 • 15 months
14.3%
1/7 • 15 months
Musculoskeletal and connective tissue disorders
Pain in extremity
0.00%
0/6 • 15 months
14.3%
1/7 • 15 months
Nervous system disorders
Dysgeusia
16.7%
1/6 • 15 months
0.00%
0/7 • 15 months
Nervous system disorders
Hypoaesthesia
16.7%
1/6 • 15 months
0.00%
0/7 • 15 months
Nervous system disorders
Balance disorder
0.00%
0/6 • 15 months
14.3%
1/7 • 15 months
Nervous system disorders
Sciatica
0.00%
0/6 • 15 months
14.3%
1/7 • 15 months
Psychiatric disorders
Anxiety
0.00%
0/6 • 15 months
28.6%
2/7 • 15 months
Respiratory, thoracic and mediastinal disorders
Cough
16.7%
1/6 • 15 months
0.00%
0/7 • 15 months
Respiratory, thoracic and mediastinal disorders
Dyspnoea
16.7%
1/6 • 15 months
0.00%
0/7 • 15 months
Respiratory, thoracic and mediastinal disorders
Hypoventilation
16.7%
1/6 • 15 months
0.00%
0/7 • 15 months
Respiratory, thoracic and mediastinal disorders
Interstitial Lung Disease
16.7%
1/6 • 15 months
0.00%
0/7 • 15 months
Blood and lymphatic system disorders
Neutropenia
33.3%
2/6 • 15 months
0.00%
0/7 • 15 months
Eye disorders
Vision blurred
0.00%
0/6 • 15 months
14.3%
1/7 • 15 months
Gastrointestinal disorders
Abdominal pain upper
16.7%
1/6 • 15 months
0.00%
0/7 • 15 months
Gastrointestinal disorders
Constipation
16.7%
1/6 • 15 months
0.00%
0/7 • 15 months
Gastrointestinal disorders
Diarrhoea
16.7%
1/6 • 15 months
14.3%
1/7 • 15 months
Gastrointestinal disorders
Dysphagia
16.7%
1/6 • 15 months
0.00%
0/7 • 15 months
Gastrointestinal disorders
Gastrointestinal Inflammation
16.7%
1/6 • 15 months
0.00%
0/7 • 15 months
Gastrointestinal disorders
Mouth Ulceration
16.7%
1/6 • 15 months
0.00%
0/7 • 15 months
Gastrointestinal disorders
Nausea
16.7%
1/6 • 15 months
0.00%
0/7 • 15 months
Gastrointestinal disorders
Abdominal distension
0.00%
0/6 • 15 months
14.3%
1/7 • 15 months
Gastrointestinal disorders
Dry mouth
0.00%
0/6 • 15 months
14.3%
1/7 • 15 months
General disorders
Asthenia
33.3%
2/6 • 15 months
28.6%
2/7 • 15 months
General disorders
Chest pain
16.7%
1/6 • 15 months
0.00%
0/7 • 15 months
General disorders
Oedema peripheral
16.7%
1/6 • 15 months
14.3%
1/7 • 15 months
General disorders
Pyrexia
16.7%
1/6 • 15 months
14.3%
1/7 • 15 months
General disorders
Chills
0.00%
0/6 • 15 months
28.6%
2/7 • 15 months
General disorders
Fatigue
0.00%
0/6 • 15 months
28.6%
2/7 • 15 months
General disorders
Influenza like illness
0.00%
0/6 • 15 months
14.3%
1/7 • 15 months
Infections and infestations
Gastroenteritis
16.7%
1/6 • 15 months
14.3%
1/7 • 15 months
Infections and infestations
Bronchitis
0.00%
0/6 • 15 months
14.3%
1/7 • 15 months
Infections and infestations
Bronchitis viral
0.00%
0/6 • 15 months
14.3%
1/7 • 15 months
Infections and infestations
Nasopharyngitis
0.00%
0/6 • 15 months
14.3%
1/7 • 15 months
Infections and infestations
Oral herpes
0.00%
0/6 • 15 months
14.3%
1/7 • 15 months
Infections and infestations
Upper respiratory tract infection
0.00%
0/6 • 15 months
28.6%
2/7 • 15 months
Respiratory, thoracic and mediastinal disorders
Productive cough
0.00%
0/6 • 15 months
14.3%
1/7 • 15 months
Skin and subcutaneous tissue disorders
Rash
16.7%
1/6 • 15 months
0.00%
0/7 • 15 months
Skin and subcutaneous tissue disorders
Pruritis
0.00%
0/6 • 15 months
14.3%
1/7 • 15 months
Skin and subcutaneous tissue disorders
Skin Discolouration
0.00%
0/6 • 15 months
14.3%
1/7 • 15 months

Additional Information

Beth Gregory, PharmD, MBA

Secura Bio, Inc.

Phone: 1-702-254-0011

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place