ClinicalTrials.gg
TerminatedNCT02204982DYNAMO + RUpdated Sep 28, 2023Results posted

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

A Phase 3 interventional study of Duvelisib and Placebo in Follicular Lymphoma, sponsored by SecuraBio. Terminated at 5 sites in 4 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-09-28.

Sponsored by SecuraBio · Phase 3, Interventional, and Treatment

Why this study was terminated
Sponsor is focusing on studies which can enable registration of duvelisib
Phase
Phase 3
Study type
Interventional
Enrollment
13
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

A study to evaluate the safety and efficacy of duvelisib administered in combination with rituximab vs placebo in combination with rituximab in patients with previously treated CD20-positive follicular lymphoma who are not suitable candidates for chemotherapy.

Read the detailed description

Study IPI-145-08 is an international, multicenter, randomized, double-blind, placebo-controlled, parallel-group, Phase 3 study designed to evaluate the efficacy and safety of duvelisib in combination with rituximab vs placebo in combination with rituximab in subjects with previously treated CD20-positive follicular lymphoma.

Approximately 400 subjects will receive 25 mg of duvelisib or placebo, orally BID for 28 day continuous cycles, in combination with 375 mg/m2 of Rituximab given once weekly for 4 weeks during Cycle 1 and then once on Day 1 of Cycles 4, 6, 8, and 10. Patients will remain on treatment for up to 27 cycles and may continue treatment if clinical benefit is observed.

02

Conditions studied

  • Follicular Lymphoma

Keywords

  • Phase 3, Follicular Lymphoma, FL, PI3K
03

In context

Lymphoma, Follicular

1,891 studies on the registry are indexed under Lymphoma, Follicular; 290 are open to participants now.

This study's enrollment of 13 is below the median of 48 across 1,503 interventional studies indexed under Lymphoma, Follicular.

Browse Lymphoma, Follicular studies →

Lead sponsor

SecuraBio is the lead sponsor of 25 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Diagnosis of CD20-positive FL:

    • Histology grades 1, 2 or 3a
    • -confirmed histopathological diagnosis of FL. Biopsy specimen should be obtained ≤2 years prior to randomization, unless medically
  • CD20 immunophenotyping performed ≤2 years prior to randomization
  • First or subsequent relapse following at least one induction therapy regimen containing rituximab in combination with an anthracycline or rituximab in combination with an alkylating agent
  • Patients in first relapse must be chemoresistant or intolerant to chemotherapy
  • No response or disease progression ≤ 24 months from start of last previous therapy
  • At least 1 lesion >1.5 cm in at least one diameter by CT/CT-PET or magnetic resonance imaging (MRI) in an area of no prior radiation therapy, or in an area that was previously irradiated that has documented progression

Exclusion criteria

Exclusion Criteria:

  • Clinical evidence of other indolent forms of lymphoma (e.g., marginal zone lymphoma [MZL], small lymphocytic lymphoma [SLL])
  • Transformation to a more aggressive subtype of lymphoma or grade 3b FL
  • to rituximab: defined as disease progression while receiving or within 6 months of completing either weekly rituximab induction therapy, or rituximab-based chemoimmunotherapy induction
  • Intolerance to rituximab or severe allergic or anaphylactic reaction to any humanized or murine monoclonal antibodies
  • Prior hematopoietic stem cell transplant (HSCT)
  • Known Central Nervous System (CNS) lymphoma; subjects with symptoms of CNS disease must have a negative CT scan and negative diagnostic lumbar puncture
  • Prior treatment with a PI3K inhibitor or BTK inhibitor
  • History of tuberculosis within the preceding two years
  • Ongoing systemic bacterial, fungal, or viral infections at randomization (defined as requiring IV antimicrobial, antifungal or antiviral agents)
  • Subjects on antimicrobial, antifungal or antiviral prophylaxis are not specifically excluded if all other I/E criteria are met
  • Prior, current, or chronic or infection, positive result for hepatitis B surface antigen (HBsAg) or hepatitis B core antibody (HBcAb) or hepatitis C virus antibodies (HCV Ab)
  • History of stroke, unstable angina, myocardial infarction, or ventricular arrhythmia requiring medication or mechanical control within the last 6 months
Terms in these criteria, in plain language(7)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
13 participants (actual)

Study arms

  • Experimental
    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.

    Drug: Duvelisib · Drug: Rituximab

  • Placebo comparator
    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.

    Drug: Placebo · Drug: Rituximab

Interventions

  • PI3K Inhibitor

    Also known as: Copiktra, IPI-145

  • DrugPlacebo

    Matching Placebo (25 mg BID) administered orally in 28-day continuous treatment cycles.

  • 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.

    Also known as: Rituxan, MabThera

06

What researchers measure

Primary outcomes

  1. Progression-Free Survival (PFS)

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

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

Secondary outcomes

  1. Overall Response Rate (ORR)

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

07

Results

Posted Jan 3, 2019

Participant flow

Participant flow — Overall Study
MilestoneDuvelisib + RituximabPlacebo + Rituximab
Started67
Completed20
Not completed47
Withdrew: Patient ineligible-medical monitor10
Withdrew: Withdrawal by subject10
Withdrew: Adverse event10
Withdrew: Adverse event and investigator decision10
Withdrew: Physician decision02
Withdrew: Protocol-specified disease progression04
Withdrew: Termination of study bysponsor01

Outcome measures

PrimaryProgression-Free Survival (PFS)

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

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

No measurements were reported for this outcome.

SecondaryOverall Response Rate (ORR)
Time frame:
Until disease progression, for up to 5 years from randomization
Reported as:
Count of participants · Participants
Overall Response Rate (ORR)
ParticipantsDuvelisib + RituximabPlacebo + Rituximab
Complete Response30
Partial Response21
Stable Disease03
Progressive Disease02

Adverse events

Collected over 15 months. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Duvelisib + Rituximab0/6 (0%)5/6 (83.3%)6/6 (100%)
Placebo + Rituximab0/7 (0%)0/7 (0%)7/7 (100%)
Most frequent serious events
Most frequent serious events
EventDuvelisib + RituximabPlacebo + Rituximab
PneumoniaInfections and infestations2/60/7
Interstitial Lung DiseaseRespiratory, thoracic and mediastinal disorders2/60/7
Gastrointestinal InflammationGastrointestinal disorders1/60/7
PyrexiaGeneral disorders1/60/7
Pneumonia CytomegaloviralInfections and infestations1/60/7
Chronic Obstructive pulmonary diseaseRespiratory, thoracic and mediastinal disorders1/60/7
Respiratory FailureRespiratory, thoracic and mediastinal disorders1/60/7
PneumonitisRespiratory, thoracic and mediastinal disorders1/60/7
Most frequent other events
Showing 10 of 54
Most frequent other events
EventDuvelisib + RituximabPlacebo + Rituximab
Alanine aminotransferase increasedInvestigations3/60/7
Aspartate aminotransferase increasedInvestigations3/60/7
NeutropeniaBlood and lymphatic system disorders2/60/7
AstheniaGeneral disorders2/62/7
Infusion related reactionInjury, poisoning and procedural complications0/62/7
AnxietyPsychiatric disorders0/62/7
ChillsGeneral disorders0/62/7
FatigueGeneral disorders0/62/7
Upper respiratory tract infectionInfections and infestations0/62/7
Amylase increasedInvestigations1/60/7

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Duvelisib + RituximabPlacebo + RituximabTotal
<=18 years000
Between 18 and 65 years426
>=65 years257
Age, Continuous
Age, Continuous(years)Duvelisib + RituximabPlacebo + RituximabTotal
Median56.5 (55 to 77)68 (47 to 79)68 (55 to 77)
Sex: Female, Male
Sex: Female, Male(Participants)Duvelisib + RituximabPlacebo + RituximabTotal
Female415
Male268
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Duvelisib + RituximabPlacebo + RituximabTotal
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American011
White5510
More than one race101
Unknown or Not Reported011
Region of Enrollment
Region of Enrollment(Participants)Duvelisib + RituximabPlacebo + RituximabTotal
United States112
Australia101
Italy213
Spain112
Poland123
Canada011
France011
Eastern Cooperative Oncology Group Performance Status
Eastern Cooperative Oncology Group Performance Status(Participants)Duvelisib + RituximabPlacebo + RituximabTotal
0=Fully active, no restrictions4610
1= Restricted in physically strenuous activity213
2=Ambulatory more than 50% of waking hours000
3=Confined to bed or chair more than 50% of waking000
4=Completely disabled000
5=Dead000
08

Study locations

5 sites
  • Frankston, Victoria 3199, Australia
  • Bordeaux, 33076, France
  • Bologna, 40138, Italy
  • Terni, 05100, Italy
  • Gdynia, 81-519, Poland
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 28, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02204982
Lead sponsor
SecuraBio
Responsible party
Sponsor
First posted
Jul 31, 2014
Start date
Sep 2014
Primary completion
Dec 2016
Completion
Mar 2017
Results posted
Jan 3, 2019
Last update
Sep 28, 2023

Study contacts

Hagop Youssoufian, MD
study chair · Verastem, Inc.

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Sep 2023. You cannot join it, but the record below documents what was studied.

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