Clinical trial
A Phase 3, Randomized, Open-Label, Controlled, Multicenter Study of Zandelisib (ME- 401) in Combination With Rituximab Versus Standard Immunochemotherapy in Patients With Relapsed Indolent Non Hodgkin's Lymphoma (iNHL) - The COASTAL Study
Name
ME-401-004
Description
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.
Trial arms
Trial start
2021-08-13
Estimated PCD
2023-03-20
Trial end
2023-03-20
Status
Terminated
Phase
Early phase I
Treatment
Zandelisib
Zandelisib 60 mg capsules taken daily for two cycles followed by intermittent schedule starting at Cycle 3
Arms:
Rituximab plus Zandelisib
Other names:
ME-401
Rituximab
Rituximab IV 375 mg/m2 for 6 cycles
Arms:
Rituximab plus Zandelisib, Rituximab plus chemotherapy
Other names:
Rituxan, MabThera
Bendamustine
Bendamustine IV 90 mg/m2 on Days 1 and 2 for 6 cycles
Arms:
Rituximab plus chemotherapy
Other names:
Bendeka, Treanda, Belrapzo
CHOP
Cyclophosphamide, Vindcristine IV, and Prednisone daily orally
Arms:
Rituximab plus chemotherapy
Other names:
cyclophosphamide 750 mg/m2, hydroxydoxorubicin IV 50 mg/m2, vincristine IV 1.4 mg/m2 and prednisone 100 mg daily
Size
82
Primary endpoint
Progression Free Survival
1 year 7 months
Eligibility 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:
1. FL Gr 1, Gr 2, or Gr 3a
2. 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
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE3'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'interventionModelDescription': 'Arm 1: Rituximab plus Zandelisib\n\nArm 2: Rituximab plus chemotherapy (CHOP or Bendamustine)', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 82, 'type': 'ACTUAL'}}
Updated at
2023-12-13
1 organization
4 products
3 indications
Organization
MEI PharmaProduct
ZandelisibIndication
Follicular LymphomaIndication
Non-Hodgkin LymphomaIndication
Marginal Zone LymphomaProduct
RituximabProduct
BendamustineProduct
CHOP