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TerminatedNCT02914938Updated May 9, 2023

A Study of ME-401 in Subjects With CLL/SLL, FL, and B-cell Non Hodgkin's Lymphoma

A Phase 1 interventional study of ME-401 and Rituximab in Chronic Lymphocytic Leukemia (CLL), Small Lymphocytic Lymphoma (SLL) and Follicular Lymphoma (FL), sponsored by MEI Pharma, Inc.. Terminated at 24 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-05-09.

Sponsored by MEI Pharma, Inc. · Phase 1, Interventional, and Treatment

Why this study was terminated
discontinuation of zandelisib program
Phase
Phase 1
Study type
Interventional
Enrollment
97
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

A Three-Arm Study of ME-401 in Subjects with Relapsed/Refractory CLL/SLL or FL, of ME-401 in Combination with Rituximab in Subjects with Relapsed/Refractory CLL/SLL or B-cell NHL, and of ME-401 in Combination with Zanubrutinib in Subjects with Relapsed/Refractory CLL/SLL or B-cell NHL

Read the detailed description

This is a three-arm study of ME-401 alone, of ME-401 in combination with rituximab, and of ME-401 in combination with zanubrutinib in subjects with relapsed/refractory CLL/SLL or B cell NHL. The 3 arms of the study will be conducted in parallel, with subject allocation to ME-401 alone, ME-401 plus rituximab, or ME-401 plus zanubrutinib based on disease type and availability of an open enrollment slot.

02

Conditions studied

  • Chronic Lymphocytic Leukemia (CLL)
  • Small Lymphocytic Lymphoma (SLL)
  • Follicular Lymphoma (FL)
  • Marginal Zone B Cell Lymphoma
  • Diffuse Large B-cell Lymphoma (DLBCL)
  • High Grade Non-Hodgkin's Lymphoma
  • Mantle Cell Lymphoma (MCL)
03

In context

Lymphoma

5,578 studies on the registry are indexed under Lymphoma; 825 are open to participants now.

This study's enrollment of 97 is above the median of 40 across 4,509 interventional studies indexed under Lymphoma.

Browse Lymphoma studies →

Lead sponsor

MEI Pharma, Inc. is the lead sponsor of 13 studies on the registry; none 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

Inclusion criteria

  • Diagnosis of relapsed/refractory CLL and/or relapsed/refractory SLL or FL
  • No prior therapy with PI3Kd inhibitors
  • No prior therapy with Bruton tyrosine kinase (BTK) inhibitors unless the subject was intolerant of BTK therapy or subject had disease progression
  • Subjects with CLL/SLL must have prior treatment with BTK inhibitor and must have had progression or recurrence while on treatment of within 12 mos from BTK treatment
  • Subject must have failed at least 1 prior systemic therapy
  • QT-interval corrected according to Fridericia's formula (QTcF) ≤ 450 milliseconds (ms)
  • Left ventricular ejection fraction > 50%
  • For subjects, except those with CLL, must have at least one bi-dimensionally measurable nodal lesion >1.5 cm, as defined by Lugano Classification
  • Willingness to participate in collection of pharmacokinetic samples
  • A negative serum pregnancy test within 14 days of study Day 0, for females of childbearing potential

Inclusion Criteria ME-401 in Combination with Rituximab

  • Diagnosis of relapsed/refractory CLL SLL or FL, MZL, DLBCL and high-grade B-cell lymphoma. Subjects must meet the following criteria for relapsed or refractory disease:
  • No prior therapy with PI3Kδ inhibitors
  • No prior therapy with Bruton tyrosine kinase (BTK) inhibitors unless the subject was intolerant of BTK therapy or subject had disease progression
  • Subjects with CLL, SLL, FL, and MZL must have a failure of at least 1 prior systemic therapy and be considered by the investigator a candidate for therapy with a rituximab-based regimen; subjects with DLBCL and high-grade B-cell lymphoma must have a failure of at least 2 prior therapies.
  • QT-interval corrected according to Fridericia's formula (QTcF) ≤450 milliseconds (ms)
  • Left ventricular ejection fraction > 50%
  • For subjects, except those with CLL, must have at least one bi-dimensionally measurable nodal lesion >1.5 cm, as defined by Lugano Classification
  • Willingness to participate in collection of pharmacokinetic samples
  • A negative serum pregnancy test within 14 days of study Day 0 for females of childbearing potential

Inclusion Criteria ME-401 in Combination with Zanubrutinib

  • Diagnosis of relapsed/refractory CLL or histologically-confirmed relapsed/refractory SLL or FL, MZL, MCL, DLBCL NOS (germinal center B-cell type or activated B-cell type)
  • No prior therapy with PI3Kδ inhibitors
  • No prior therapy with BTK inhibitors
  • Subjects with CLL, SLL, FL, MCL, and MZL must have a failure of at least 1 prior systemic therapy, require treatment in the opinion of the investigator, and be considered by the investigator a candidate for therapy subjects with DLBCL and high-grade B-cell lymphoma must have a failure of at least 2 prior therapies
  • For subjects with SLL, FL, MZL, MCL, DLBCL: At least one bi dimensionally measurable nodal lesion > 1.5 cm in its longest diameter by CT scan or MRI
  • QT-interval corrected according to Fridericia's formula (QTcF) ≤ 450 milliseconds (msec)
  • Left ventricular ejection fraction > 50% as measured by echocardiogram or multigated acquisition (MUGA) scan
  • Willingness to participate in collection of pharmacokinetic samples
  • For females of childbearing potential, a negative serum pregnancy test within 14 days of study Day 0

Exclusion criteria

Exclusion Criteria:

  • Known histological transformation from CLL to an aggressive lymphoma
  • Uncontrolled autoimmune hemolytic anemia or immune thrombocytopenia
  • Subjects who have tested positive for hepatitis B surface antigen and/or hepatitis B core antibody
  • Positive for hepatitis C virus antibody (HCV Ab) or human immunodeficiency virus (HIV) antibody
  • Ongoing drug-induced pneumonitis
  • History of clinically significant cardiovascular abnormalities
  • History of severe bleeding disorders (ME-401 plus zanubrutinib arm only)
  • Known central nervous system (CNS) hemorrhage or stroke within 6 months prior to start of study drugs (ME-401 plus zanubrutinib arm only)
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
97 participants (actual)

Study arms

  • Experimental
    ME-401 Alone

    This arm is an open-label, dose escalation study to determine the safety, efficacy and pharmacokinetics of ME-401 along with the mBED, MTD, and DLTs. There are 4 planned cohorts which may enroll up to 61 subjects.

    Drug: ME-401

  • Experimental
    ME-401 in Combination with Rituximab

    The second arm is an open label study to evaluate the safety, efficacy, and pharmacokinetics of ME-401 in combination with rituximab in subjects with various B-cell malignancies. There are two planned cohorts which may enroll up to 30 subjects.

    Drug: ME-401 · Drug: Rituximab

  • Experimental
    ME-401 in Combination with Zanubrutinib

    The third arm is an open label study evaluating the safety, efficacy, MTD, DLT and pharmacokinetics of ME-401 in combination with zanubrutinib in subjects with various B-cell malignancies. This arm will include 2 stages: a safety evaluation stage (cohort of 6-12 subjects) and a disease-specific expansion cohort stage (up to 74 subjects).

    Drug: ME-401 · Drug: Zanubrutinib

Interventions

  • DrugME-401

    60 mg

  • DrugRituximab

    IV infusion 375 mg/m2

    Also known as: Rituxan

  • DrugZanubrutinib

    80 and 160 mg bid

06

What researchers measure

Primary outcomes

  1. Minimum Biologically Effective Dose (mBED) of ME-401 alone

    The mBED will be defined as the dose that is safe and that achieves an objective response rate that is not less than 30%.

    Time frame: 1 year

  2. Maximally Tolerated Dose (MTD) of ME-401 alone

    The MTD will be determined as the maximum dose that is safe. DLT rate closest to .25 and not to exceed 2 DLTs in 6 subjects

    Time frame: 1 year

  3. Dose Limiting Toxicities (DLTs) of ME-401 alone

    DLTs will be measured by the number of treatment related AEs that occur within the first 56 days of ME-401 administration, is considered clinically significant by the P.I. and occurs in the presence of supportive care

    Time frame: within the first 56 days

  4. Evaluate the safety and tolerability of ME-401 plus rituximab

    Safety and tolerability will be measured by the number of treatment related AEs

    Time frame: 1 year

  5. Determine the MTD of ME-401 plus zanubrutinib

    The MTD of ME-401 is defined as the dose level with a DLT rate closest to 0.25.

    Time frame: 1 year

  6. Determine the DLTs of ME-401 plus zanubrutinib

    DLTs will be measured by the number of treatment related AEs that occur within the first 56 days of ME-401 plus zanubrutinib

    Time frame: within the first 56 days

  7. Evaluate the safety and tolerability of ME-401 plus zanubrutinib

    Safety and tolerability will be measured by the number of treatment related AEs

    Time frame: 1 year

Secondary outcomes

  1. Safety profile of ME-401 alone

    Safety profile will be measured by number of participants with treatment-related adverse events as assessed by CTCAE v4.0

    Time frame: 1 year

  2. Efficacy of ME-401 alone as assessed by (OR)

    The efficacy of ME-401 alone will be assessed by the overall response (OR) of subjects which is calculated as the percent of subjects achieving complete response (CR), minimal disease negativity (MRD), duration of response (DOR) and progression free survival (PFS).

    Time frame: 2 years

  3. Evaluate the (AUC) PK of ME-401 alone

    Determined by the Area Under the Concentration time curve (AUC)

    Time frame: 2 years

  4. Evaluate the PK (Cmax) of ME-401 alone

    Determined by Peak Plasma Concentration (Cmax)

    Time frame: 2 years

  5. Efficacy of ME-401 with rituximab

    The efficacy of ME-401 with Rituximab will be determined by the overall response (OR) of subjects calculated as the percent of subjects achieving a complete remission (CR), duration of response (DOR) or Progression Free survival (PFS) according to the International Workshop on Chronic Lymphocytic Leukemia (iwCLL)

    Time frame: 2 years

  6. Evaluate the PK (AUC) of ME-401 with rituximab

    Determined by the Area Under the Concentration time curve (AUC)

    Time frame: 2 years

  7. Evaluate the PK (Cmax) of ME-401 with rituximab

    Determined by Peak Plasma Concentration (Cmax)

    Time frame: 2 years

  8. Efficacy of ME-401 with zanubrutinib

    The efficacy of ME-401 with zanubrutinib will be assessed by the overall response (OR) of subjects calculated as the percent of subjects achieving a complete remission (CR), Duration of response (DOR) and progression free survival (PFS)

    Time frame: 2 years

  9. Evaluate the PK (AUC) of ME-401 in combination with zanubrutinib

    Determined by the Area Under the Concentration time curve (AUC)

    Time frame: 2 years

  10. Evaluate the PK (Cmax) of ME-401 in combination with zanubrutinib

    Determined by Peak Plasma Concentration (Cmax)

    Time frame: 2 years

07

Study locations

24 sites
  • University of Arizona
    Tucson, Arizona 85724, United States
  • Compassionate Care
    Corona, California 92708, United States
  • Sylvester Comprehensive Cancer Center (Univ of Miami School of Med)
    Miami, Florida 33136, United States
  • Massachusetts General Hospital Cancer Center
    Boston, Massachusetts 02114, United States
  • Dana Farber
    Boston, Massachusetts 02215, United States
  • Memorial Sloan Kettering
    Basking Ridge, New Jersey 07920, United States
  • Memorial Sloan Kettering
    Middletown, New Jersey 07748, United States
  • Memorial Sloan Kettering
    Montvale, New Jersey 07645, United States
  • Memorial Sloan Kettering
    Commack, New York 11725, United States
  • Memorial Sloan Kettering
    Harrison, New York 10604, United States
  • NYU Langone Laura & Isaac - Perlmutter Cancer Center
    New York, New York 10016, United States
  • Memorial Sloan Kettering Cancer Center
    New York, New York 10065, United States
  • Stony Brook
    Stony Brook, New York 11794, United States
  • Memorial Sloan Kettering
    Uniondale, New York 11553, United States
  • Cleveland Clinic
    Cleveland, Ohio 44195, United States
  • Stephenson Cancer Center
    Oklahoma City, Oklahoma 73104, United States
  • Vanderbilt
    Nashville, Tennessee 37240, United States
  • University of Southwestern Medical Center
    Dallas, Texas 75390, United States
  • MD Anderson Cancer Center
    Houston, Texas 77030, United States
  • Swedish Cancer Institute
    Edmonds, Washington 98026, United States
  • Swedish Cancer Institute
    Issaquah, Washington 98029, United States
  • Swedish Cancer Center
    Seattle, Washington 98104, United States
  • Carbone Cancer Center
    Madison, Wisconsin 53792, United States
  • lstituto Oncologico della Svizzera ltaliana Ospedale Regionale Bellinzona e Valli CH
    Bellinzona, Switzerland
08

References and documents

Publications

  • Pagel JM, Soumerai JD, Reddy N, Jagadeesh D, Stathis A, Asch A, Salman H, Kenkre VP, Iasonos A, Llorin-Sangalang J, Li J, Zelenetz AD. Zandelisib with continuous or intermittent dosing as monotherapy or in combination with rituximab in patients with relapsed or refractory B-cell malignancy: a multicentre, first-in-patient, dose-escalation and dose-expansion, phase 1b trial. Lancet Oncol. 2022 Aug;23(8):1021-1030. doi: 10.1016/S1470-2045(22)00333-3. Epub 2022 Jul 11. PubMed 35835137 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 9, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02914938
Lead sponsor
MEI Pharma, Inc.
Responsible party
Sponsor
First posted
Sep 26, 2016
Start date
Oct 2016
Primary completion
Mar 29, 2023
Completion
Mar 29, 2023
Last update
May 9, 2023

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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