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WithdrawnNCT02576275Updated Mar 17, 2021

A Study of Duvelisib in Combination With Rituximab and Bendamustine vs Placebo in Combination With Rituximab and Bendamustine in Subjects With Previously-Treated Indolent Non-Hodgkin Lymphoma (BRAVURA)

A Phase 3 interventional study of Duvelisib and Placebo in Indolent Non-Hodgkin's Lymphoma, Follicular Lymphoma and Small Lymphocytic Lymphoma, sponsored by SecuraBio. Withdrawn at 7 sites in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-03-17.

Sponsored by SecuraBio · Phase 3, Interventional, and Treatment

Why this study was withdrawn
The scope of the program has been reduced to focus resources on studies which can potentially enable the registration of duvelisib.
Phase
Phase 3
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study will evaluate the efficacy and safety of duvelisib in combination with bendamustine and rituximab (DBR) vs placebo in combination with bendamustine and rituximab (PBR) in subjects with previously-treated indolent non-Hodgkin lymphoma (iNHL).

Read the detailed description

Study IPI-145-22 is an international, multicenter, randomized, double-blind, placebo-controlled, two-arm Phase 3 study designed to evaluate efficacy and safety of DBR vs PBR in subjects with previously-treated iNHL (including follicular lymphoma [FL], small lymphocytic lymphoma [SLL] and marginal zone lymphoma [MZL]).

Approximately 600 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 on Day 1 of Cycles 1-6 and 90 mg/m2 of bendamustine given on Day 1 and Day 2 of Cycles 1-6. Subjects will receive duvelisib until disease progression or unacceptable toxicity.

02

Conditions studied

  • Indolent Non-Hodgkin's Lymphoma
  • Follicular Lymphoma
  • Small Lymphocytic Lymphoma
  • Marginal Zone Lymphoma

Keywords

  • Phase 3
  • iNHL
  • Follicular Lymphoma
  • FL
  • PI3K
  • Small Lymphocytic Lymphoma
  • SLL
  • Marginal Zone Lymphoma
  • MZL
03

In context

Lymphoma, Follicular

964 studies on the registry are indexed under Lymphoma, Follicular; 242 are open to participants now.

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
Yes

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 iNHL with one of the following histologic sub-types and grade:

    • Follicular lymphoma (FL)Grade 1, 2, or 3a
    • Small lymphocytic lymphoma (SLL)
    • Marginal zone lymphoma (MZL)( splenic, nodal, or extranodal)
  • Have received the following systemic treatments for iNHL:

    • an anti-CD20 antibody; and
    • chemotherapy
  • At least 1 measurable disease lesion > 1.5 cm in at least one dimension by computed tomography (CT)/CT-PET or magnetic resonance imaging (MRI)
  • Eastern Cooperative Oncology Group (ECOG) performance status 0 to 2 (corresponds to Karnofsky Performance Status [(KPS) ≥60%])

Exclusion criteria

Exclusion Criteria:

  • Clinical evidence of transformation to a more aggressive subtype of lymphoma or grade 3B FL
  • Refractory to bendamustine + rituximab therapy or single-agent bendamustine 120 mg/m2, with refractory defined as:

    - Progression of disease while receiving or within 6 months of completing treatment

  • Severe allergic or anaphylactic reaction to any monoclonal antibody therapy, murine protein, or known hypersensitivity to any of the study drugs
  • Received prior allogeneic transplant
  • Received prior treatment with a phosphoinositide-3-kinase (PI3K) inhibitor
  • Infection with hepatitis B, hepatitis C, or human immunodeficiency virus (HIV).
  • History of tuberculosis treatment within the two years prior to randomization
  • History of chronic liver disease, veno-occlusive disease, or alcohol abuse
  • Ongoing treatment with chronic immunosuppressants (e.g., cyclosporine) or systemic steroids > 20 mg of prednisone (or equivalent) daily (QD)
  • Ongoing treatment for systemic bacterial, fungal, or viral infection at screening
  • Unable to receive prophylactic treatment for pneumocystis, herpes simplex virus (HSV), or herpes zoster (VZV) at screening
  • Concurrent active malignancy other than adequately treated non-melanoma skin cancer or lentigo maligna without evidence of invasive disease or adequately treated cervical carcinoma in situ without evidence of disease
  • History of stroke, unstable angina, myocardial infarction, or ventricular arrhythmia requiring medication or a pacemaker within the last 6 months prior to screening
  • History of progressive multifocal leukoencephalopathy
05

Study design

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

Study arms

  • Experimental
    Duvelisib + Rituximab + Bendamustine

    Duvelisib is administered orally and supplied as 5 mg and 25 mg formulated capsules. Bendamustine is administered as an intravenous (IV) infusion and is supplied for injection in single-use vials at two strengths, 25 mg and 100 mg. Rituximab is administered as an IV infusion and is supplied in single-use vials at two strengths, 100 mg and 500 mg.

    Drug: Duvelisib · Drug: Rituximab · Drug: Bendamustine

  • Placebo comparator
    Placebo + Rituximab + Bendamustine

    Placebo is administered orally and supplied as formulated capsules to match the active 5 mg and 25 mg capsules of duvelisib. Bendamustine is administered as an IV infusion and is supplied for injection in single-use vials at two strengths, 25 mg and 100 mg. Rituximab is administered as an IV infusion and is supplied in single-use vials at two strengths, 100 mg and 500 mg.

    Drug: Placebo · Drug: Rituximab · Drug: Bendamustine

Interventions

  • Duvelisib (25 mg BID) administered orally in 28-day continuous treatment cycles

    Also known as: IPI-145

  • DrugPlacebo

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

  • IV infusion of rituximab (375 mg/m2) on Day 1 of Cycles 1-6.

    Also known as: Rituxan, MabThera

  • IV infusion of bendamustine (90 mg/m2) on Day 1 and Day 2 of Cycles 1-6.

    Also known as: Treanda, Levact

06

What researchers measure

Primary outcomes

  1. Progression-Free Survival (PFS)

    Time frame: From date of enrollment until the date of first documentation of progression or date of death from any cause, whatever came first, assessed up to 78 months

Secondary outcomes

  1. Complete Response (CRR)

    Time frame: Every 3-6 Cycles (each cycle is 28 days) from date of randomization, until date of first documented progression. Subjects will be evaluated for progression through the primary analysis of the study or 5 years from randomization, whichever is later.

  2. Overall Response Rate (ORR)

    Time frame: Every 3-6 Cycles (each cycle is 28 days) from date of randomization, until date of first documented progression. Subjects will be evaluated for progression through the primary analysis of the study or 5 years from randomization, whichever is later.

  3. Overall Survival (OS)

    Time frame: Every 6 months for up to 5 years from date of randomization

  4. Duration of Response (DOR)

    Time frame: Every 3-6 Cycles (each cycle is 28 days) from date of randomization, until date of first documented progression. Subjects will be evaluated for progression through the primary analysis of the study or 5 years from randomization, whichever is later.

  5. Safety (Treatment- emergent adverse events (TEAEs) and changes in safety laboratory values)

    Time frame: Continuous from informed consent until 30 days from last dose

  6. Pharmacokinetics (PK)

    Evaluate the Duvelisib concentration in plasma sample.

    Time frame: Cycle 1 and Cycle 2 (each cycle is 28 days)

  7. Pharmacokinetics (PK)

    Evaluate IPI-656 (metabolite) concentration in plasma sample.

    Time frame: Cycle 1 and Cycle 2 (each cycle is 28 days)

07

Study locations

7 sites
  • Plainville, Connecticut 06062, United States
  • Plantation, Florida 33322, United States
  • Thomasville, Georgia 31792, United States
  • East Setauket, New York 11733-3456, United States
  • Cookeville, Tennessee 38501, United States
  • Knoxville, Tennessee 37909, United States
  • Spokane, Washington 99208, United States
08

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Dec 2015, a primary completion of Nov 2016 and a completion of Nov 2016. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 7, 2015
First posted
Oct 15, 2015
Start
Dec 2015
Primary completionActual
Nov 2016
CompletionActual
Nov 2016
Last update
Mar 17, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 17, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02576275
Lead sponsor
SecuraBio
Responsible party
Sponsor
First posted
Oct 15, 2015
Start date
Dec 2015
Primary completion
Nov 2016
Completion
Nov 2016
Last update
Mar 17, 2021

Study contacts

Hagop Youssoufian, MD
study chair · Verastem, Inc.

Oversight

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

Not currently enrolling

This study is withdrawn, as verified in Mar 2021. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Duvelisib

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