Phase 3 Study of Zandelisib (ME-401) in Combination With Rituximab in Patients With iNHL - (COASTAL)
Study Details
Study Description
Brief Summary
This is a Phase 3 study of the PI3Kδ inhibitor Zandelisib (ME-401) in combination with rituximab, in comparison to standard immunochemotherapy (Rituximab-Bendamustine or Rituximab-CHOP) in subjects with relapsed or refractory FL and MZL.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 3 |
Detailed Description
This is an open label, randomized, two-arm Phase 3 study in subjects with relapsed or refractory FL and MZL to evaluate efficacy and safety of zandelisib in combination with rituximab in comparison to standard immunochemotherapy (Rituximab-Bendamustine or Rituximab-CHOP).
Subjects must have relapsed after at least one previous line of systemic immunochemotherapy. Previous treatments must have included an anti-CD20 monoclonal antibody (mAb) with chemotherapy such as Bendamustine (B), CHOP, CVP, FND, or similar regimens, or an anti-CD20 mAb with Lenalidomide (L).
Approximately 534 randomized subjects will be enrolled in this study.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Rituximab plus Zandelisib Rituximab plus Zandelisib for 6 cycles followed by Zandelisib for 20 cycles |
Drug: Zandelisib
Zandelisib 60 mg capsules taken daily for two cycles followed by intermittent schedule starting at Cycle 3
Other Names:
Drug: Rituximab
Rituximab IV 375 mg/m2 for 6 cycles
Other Names:
|
Experimental: Rituximab plus chemotherapy Rituximab and Bendamustine or Rituximab with (CHOP) for 6 cycles |
Drug: Rituximab
Rituximab IV 375 mg/m2 for 6 cycles
Other Names:
Drug: Bendamustine
Bendamustine IV 90 mg/m2 on Days 1 and 2 for 6 cycles
Other Names:
Drug: CHOP
Cyclophosphamide, Vindcristine IV, and Prednisone daily orally
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Progression Free Survival [5 years]
PFS is defined as the time from randomization date until the date of disease progression, or death from any cause
Secondary Outcome Measures
- Overall Response Rate (ORR) [5 years]
ORR is defined as the proportion of subjects who have a best overall response of CR or PR according to the Lugano Classification over the entire duration of the study, including the efficacy follow-up period.
- Complete Response Rate (CRR) [5 years]
CRR is defined as the proportion of subjects who have a best overall response of CR during the study (i.e., up to time of analysis of PFS).
- Overall Survival [10 years]
OS is defined as the time (in days) from randomization until death from any cause. For subjects alive at the time of analysis, they will be censored at the last documented alive date.
- Number of Treatment Emergent AEs (Zandelisib when combined with Rituximab) [5 years]
Measured by the number of Treatment Emergent AEs
- Number of SAEs (Zandelisib when combined with Rituximab) [5 years]
Measured by the number of SAEs
- Number of Lab Abnormalities (Zandelisib when combined with Rituximab) [5 years]
Measured by the number of laboratory abnormalities
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Male or female subjects ≥18 years of age, ≥19 years in Korea, or ≥20 years for subjects in Japan and Taiwan
-
Histologically confirmed diagnosis of CD20 positive iNHL with histological subtype limited to:
-
FL Gr 1, Gr 2, or Gr 3a
-
MZL (splenic, nodal, or extra-nodal)
-
Subjects with relapsed or refractory disease who received ≥1 prior lines of therapy
-
Subjects must have at least one bi-dimensionally measurable lesion >1.5 cm
-
Adequate hematologic parameters at screening unless abnormal values are due to disease
-
Adequate renal and hepatic function
-
Adequate cardiac function based on ECG and LVEF assessments
Exclusion Criteria:
-
Histologically confirmed diagnosis of FL Gr 3b or transformed disease
-
Prior therapy with PI3K inhibitors
-
Ongoing or history of drug-induced pneumonitis
-
Known lymphomatous involvement of the central nervous system
-
Tested positive for or active viral infection with hepatitis B or C virus
-
Tested positive or active infection with human immunodeficiency virus
-
Tested positive, or active infection with human T-cell leukemia virus type 1
-
Any uncontrolled clinically significant illness
-
History of clinically significant cardiovascular abnormalities such as congestive heart failure
-
History of clinically significant gastrointestinal (GI) conditions
-
Females who are pregnant
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | The Oncology Institute of Hope and Innovation | Tucson | Arizona | United States | 85745 |
2 | Orange Coast Memorial Medical Center | Fountain Valley | California | United States | 92708 |
3 | Long Beach Memorial Medical Center | Long Beach | California | United States | 90806 |
4 | The Oncology Institute of Hope and Innovation | Riverside | California | United States | 92506 |
5 | BRCR Medical Center Inc | Hollywood | Florida | United States | 33021 |
6 | Henry Ford Hospital | Detroit | Michigan | United States | 48202 |
7 | Revive Research Institute | Farmington Hills | Michigan | United States | 48334 |
8 | Revive Research Institute | Sterling Heights | Michigan | United States | 48314 |
9 | Mercy Clinic Cancer & Hematology - Chub O'Reilly Cancer Center | Springfield | Missouri | United States | 65804 |
10 | Inspira Medical Center Mullica Hill | Mullica Hill | New Jersey | United States | 08062 |
11 | MetroHealth Medical Center | Cleveland | Ohio | United States | 44109 |
12 | Alpha Research Institute, LLC | Baytown | Texas | United States | 77521 |
13 | Valley Cancer Associates | Harlingen | Texas | United States | 78550 |
14 | Community Cancer Trials of Utah | Ogden | Utah | United States | 84405 |
15 | The Perth Blood Institute (PBI) | West Perth | Australia | 6005 | |
16 | Westmead Hospital | Westmead | Australia | 2145 | |
17 | AZ Sint-Jan Burgge-Oostende AV | Brugge | Belgium | 8000 | |
18 | UZ Brussel | Brussel | Belgium | 1090 | |
19 | Universitair Ziekenhuis Antwerpen | Edegem | Belgium | 655, 2650 | |
20 | Center Hospitalier de Jolimont | Haine-Saint-Paul | Belgium | 7100 | |
21 | UZ Leuven Campus Gasthuisberg | Leuven | Belgium | ||
22 | Eastern Regional Health Authority | Saint John's | Newfoundland and Labrador | Canada | A1B3V6 |
23 | Centre intégré universitaire de santé et de services sociaux de l'Estrie | Sherbrooke | Quebec | Canada | JIH5N4 |
24 | McGill University Health Centre | Québec | Canada | H4A 3J1 | |
25 | Centre Hospitalier De Dunkerque - Service d'hématologie | Le Mans | France | 72000 | |
26 | Centre Hospitalier du Mans | Le Mans | France | 72000 | |
27 | Hôpital Saint-Louis | Paris | France | 75010 | |
28 | CHU de Bordeaux - Maladies Du Sang, Centre François Magendie | Pessac | France | 33600 | |
29 | Centre Henri Becquerel, Service d'Hematologie | Rouen | France | 76038 | |
30 | CHU de Tours, Hôpital Bretonneau Centre | Tours Cedex 1 | France | 37044 | |
31 | Institut De Cancerologie Gustave Roussy | Villejuif | France | 94805 | |
32 | LTD Israeli-Georgian Medical Research Clinic "Helsicore" | Tbilisi | Georgia | 0112 | |
33 | M. Zodelava Hematology Center | Tbilisi | Georgia | 0112 | |
34 | J.S.C. K. Eristavi National Center of Experimental and Clinic | Tbilisi | Georgia | 0159 | |
35 | LTD "Medinvest" Institute of Hematology and Transfusiology | Tbilisi | Georgia | 0186 | |
36 | General Hospital of Athens "Laiko", Department of Haematology and Bone Marrow Transplantation | Athens | Greece | 11527 | |
37 | University General Hospital of Ioannina, Department of Haematology | Ioánnina | Greece | 455 00 | |
38 | University General Hospital of Patras "Panagia H. Voitheia" | Patras | Greece | 26504 | |
39 | General Hospital of Thessaloniki "G. Papanikolaou" | Thessaloníki | Greece | 57010 | |
40 | Országos Onkológiai Intézet Gyógyszerterápiás Központ Hematológia és Lymphoma Osztály | Budapest | Hungary | H-1122 | |
41 | Debreceni Egyetem Klinikai Kozpont, Belgyogyaszati Klinika | Debrecen | Hungary | H-4032 | |
42 | Szabolcs-Szatmar-Bereg Megyei Korhazak es Egyetemi Oktatokorhaz, | Nyiregyhaza | Hungary | H-4400 | |
43 | SOC Oncologia Medica e dei Tumori Immunocorrelati | Aviano | Italy | 33081 | |
44 | UO di Ematologia "L.e A.Seragnoli" Policlinico Sant'Orsola Malpighi | Bologna | Italy | 40138 | |
45 | U.O. Ematologia, Azienda Ospedaliera S. Croce e Carle | Cuneo | Italy | 12100 | |
46 | U.O. Ematologia - Azienda Ospedaliero-Universitaria Careggi | Firenze | Italy | 50134 | |
47 | SC Oncologia Medica | Meldola | Italy | 47014 | |
48 | UOC Ematologia, Presidio Ospedaliero Papardo | Messina | Italy | 98158 | |
49 | UO Ematologia 1 Azienda ULSS 3 Serenissima, Distertto del veneziano - Ospedale dell'Angelo di Mestre | Mestre | Italy | 30174 | |
50 | Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano | Milano | Italy | 20122 | |
51 | Dipartimento di Oncoematologia, Unità Linfomi, Ospedale | Milano | Italy | 20132 | |
52 | Divisione Oncoematologia, Istituto Europeo di Oncologia | Milano | Italy | 20141 | |
53 | Azienda Ospedaliera Ospedali Riuniti Via Sofia | Palermo | Italy | 90146 | |
54 | UO Ematologia, Ospedale Civile S.Maria delle Croci | Ravenna | Italy | 48121 | |
55 | UO Ematologia, Ospedale Infermi di Rimini AUSL Romagna | Rimini | Italy | 47923 | |
56 | Istituti Fisioterapici Ospitalieri | Roma | Italy | 00144 | |
57 | S.C. Oncoematologia Azienda Ospedaliera Santa Maria | Terni | Italy | 05110 | |
58 | National Hospital Organization Nagoya Medical Center | Naka-ku | Aichi | Japan | 460-0001 |
59 | National Hospital Organization Shikoku Cancer Center | Matsuyama-Shi | Ehime | Japan | 791-0280 |
60 | National Hospital Organization Kyushu Cancer Center | Minami | Fukuoka | Japan | 811-1395 |
61 | Gunma University Hospital | Maebashi | Gunma | Japan | 371-8511 |
62 | Kobe City Medical Center General Hospital | Kobe | Hyogo | Japan | 650-0047 |
63 | Kagoshima University Hospital | Sakuragaoka | Kagoshima-Shi, Kagoshima | Japan | 890-8520 |
64 | University Hospital Kyoto Prefectural University of Medicine | Kamigyo-ku | Kyoto | Japan | 602-8566 |
65 | Kindai University Hospital | Osakasayama-shi | Osaka | Japan | 589-8511 |
66 | Anjo Kosei Hospital | Aichi | Japan | 446-8602 | |
67 | Japanese Red Cross Aichi Medical Center Nagoya Daini Hospital | Aichi | Japan | 466-8650 | |
68 | Aomori Prefectural Central Hospital | Aomori | Japan | 030-8553 | |
69 | Chiba Cancer Center | Chiba | Japan | 260-8717 | |
70 | Kyushu University Hospital | Fukuoka | Japan | 812-8582 | |
71 | Chugoku Central Hospital | Hiroshima | Japan | 720-0001 | |
72 | Hokkaido University Hospital | Hokkaido | Japan | 060-8648 | |
73 | National Hospital Organization Kumamoto Medical Center | Kumamoto | Japan | 860-0008 | |
74 | Kyoto University Hospital | Kyoto | Japan | 606-8507 | |
75 | National University Corporation Tohoku University Hospital | Miyagi | Japan | 980-8574 | |
76 | Aichi Cancer Center Hospital | Nagoya | Japan | 464-8681 | |
77 | Okayama University Hospital | Okayama | Japan | 700-8558 | |
78 | Osaka International Cancer Institute | Osaka | Japan | 541-8567 | |
79 | Osaka University Hospital | Osaka | Japan | 565-0871 | |
80 | Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital | Tokyo | Japan | 113-8677 | |
81 | The Cancer Institute Hospital of Japanese Foundation For Cancer Research | Tokyo | Japan | 135-8550 | |
82 | Keio University Hospital | Tokyo | Japan | 160-8582 | |
83 | Inje University Busan Paik Hospital | Busan | Korea, Republic of | 47392 | |
84 | Dong-A university Hospital | Busan | Korea, Republic of | 49201 | |
85 | Pusan National University Hospital | Busan | Korea, Republic of | 49241 | |
86 | Kyungpook National University Hospital | Daegu | Korea, Republic of | 41944 | |
87 | Chonnam National University Hwasun Hospital | Jeollyang | Korea, Republic of | 58128 | |
88 | Korea University Anam Hospital | Seoul | Korea, Republic of | 02841 | |
89 | Seoul National University Hospital | Seoul | Korea, Republic of | 03080 | |
90 | Severance Hospital, Yonsei University Health System | Seoul | Korea, Republic of | 03722 | |
91 | Asan Medical Center | Seoul | Korea, Republic of | 05505 | |
92 | Samsung Medical Center | Seoul | Korea, Republic of | 06351 | |
93 | The Catholic University of Korea | Seoul | Korea, Republic of | 06591 | |
94 | Ewka Womans University Mokdong Hospital | Seoul | Korea, Republic of | 07985 | |
95 | Ulsan University Hospital | Ulsan | Korea, Republic of | 44033 | |
96 | Albert Schweizer Ziekenhuis, Hematology Department | Dordrecht | Netherlands | 3318 | |
97 | Spaarne Gasthuis, Oncology Department | Hoofddorp | Netherlands | 2134 | |
98 | Canterbury District Health Board, Haematology Department | Christchurch | New Zealand | 8011 | |
99 | Dunedin Hospital, Southern Blood and Cancer Service | Dunedin | New Zealand | 9016 | |
100 | Klinika Hematologii, Szpital Uniwersytecki | Bydgoszcz | Poland | 85-168 | |
101 | Pratia MCM Krakow | Kraków | Poland | 30-510 | |
102 | ARS Medical - Szpital, Oddzial hematologiczny | Piła | Poland | 64-920 | |
103 | Centrum Medyczne Pratia Poznan | Skorzewo | Poland | 60-185 | |
104 | University Clinical Center of Serbia, Clinic for Hematology | Belgrade | Serbia | 11000 | |
105 | Zvezdara University Medical Center, Clinical department for Hematology and Oncology | Belgrade | Serbia | 11000 | |
106 | Clinical Hospital Center "Zemun", Clinic for Internal Medicine, Department for Hematology | Belgrade | Serbia | 11080 | |
107 | Oncology Institute of Vojvodina, Clinic for Internal Oncology | Kamenica | Serbia | 21204 | |
108 | Clinical Center of Vojvodina, Clinic for Hematology | Novi Sad | Serbia | 21000 | |
109 | Hospital Universitario Quironsalud | Alcorcón | Madrid | Spain | 28223 |
110 | Hospital Universitari Vall d'Hebron, Vall d'Hebron Institute of Oncology | Barcelona | Spain | 08035 | |
111 | Hospital Universitario Mútua Terrassa | Barcelona | Spain | 08221 | |
112 | Institut Catalá d'Oncologia, Hospital Duran i Reynals | Barcelona | Spain | 08908 | |
113 | Hospital Universitario Ramón y Cajal | Madrid | Spain | 28034 | |
114 | Complejo Hospitalario de Navarra | Navarro | Spain | 31008 | |
115 | Hospital Universitario de Canarias | Santa Cruz De Tenerife | Spain | 38320 | |
116 | Hospital Universitario Virgen Macarena | Sevilla | Spain | 41009 | |
117 | Hospital Universitario Miguel Servet | Zaragoza | Spain | 50009 | |
118 | China Medical University Hospital | Taichung | Taiwan | 404332 | |
119 | Taichung Veterans General Hospital | Taichung | Taiwan | 40705 | |
120 | Chi Mei Hospital | Tainan City | Taiwan | 73657 | |
121 | National Cheng Kung University Hospital | Tainan | Taiwan | 704 | |
122 | Gazi University Health Research and Application Hospital, Hematology Department | Ankara | Turkey | 29 06560 | |
123 | Erciyes University Medical Faculty, Department of Hematology | Kayseri | Turkey | 38039 | |
124 | Ondokuz Mayis University Medical Faculty, Hematology Department | Samsun | Turkey | 55200 | |
125 | Namik Kemal University Hospital | Tekirdağ | Turkey | 59100 | |
126 | Karadeniz Technical University Medical Faculty Department of Hematology | Trabzon | Turkey | 61080 | |
127 | North Wales Cancer Treatment Centre | Bodelwyddan | Denbighshire | United Kingdom | LL18 5UJ |
128 | Royal Cornwall Hospital | Cornwell | United Kingdom | TR1 3LJ | |
129 | Department of Haematology St. George's University of London | London | United Kingdom | SW17 0RE | |
130 | The Royal Marsden NHS Foundation Trust - Royal Marsden Hospital | London | United Kingdom | SW3 6JJ | |
131 | Imperial College Healthcare NHS Trust Hammersmith Hospital | London | United Kingdom | W12 0HS | |
132 | The Christie NHS Foundation Trust | Manchester | United Kingdom | M20 4BX | |
133 | Genesis Care Oxford | Oxford | United Kingdom | OX4 6LB | |
134 | University Hospitals Plymouth NHS Trust, Derriford Hopital | Plymouth | United Kingdom | PL6 8DH | |
135 | The Royal Marsden NHS Foundation Trust - Royal Marsden Hospital | Surrey Quays | United Kingdom | SM2 5PT |
Sponsors and Collaborators
- MEI Pharma, Inc.
- Kyowa Kirin, Inc.
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- ME-401-004
- 2020-004199-16