ClinicalTrials.gg
Active, not recruitingNCT06990529Updated Sep 16, 2026

Long-term Safety and Efficacy of Leniolisib in PIDs With Immune Dysregulation

A Phase 2 interventional study of Leniolisib in PIDs Linked to PI3K, sponsored by Pharming Technologies B.V.. Active, not recruiting at 5 sites in 3 countries. Open to participants aged 12 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-09-16.

Sponsored by Pharming Technologies B.V. (part of Pharming Group N.V.) · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
12
Allocation
Not applicable
Ages
12 Years to 75 Years
Sex
All
01

Study summary

This is an open-label extension (OLE) study to extend treatment to patients with primary immunodeficiency (PID) disorders linked to phosphoinositide 3-kinase delta signaling who participated in a prior study of leniolisib, LE 7201. The primary objective is to assess long-term safety and tolerability of leniolisib. Secondary and exploratory objectives include various efficacy and immunophenotyping measures for leniolisib.

02

Conditions studied

  • PIDs Linked to PI3K
03

In context

Lead sponsor

Pharming Technologies B.V. is the lead sponsor of 22 studies on the registry; 3 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 3 (60%) have results posted.

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

04

Who can participate

Ages eligible
12 Years to 75 Years
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

  1. Subject must have participated in LE 7201.
  2. Subject is deemed by the Investigator to benefit from continued leniolisib therapy.
  3. Subject or their legal representatives (for a patient under the age of 18 years) must be able to communicate with the Investigator and understand and comply with the requirements of the study, including an ability to provide written before any assessment is performed.

Exclusion criteria

Exclusion Criteria:

  1. Subject has had a successful hematopoietic stem cell transplant.
  2. Previous or concurrent use of medication, such as:

    1. Use of an mTOR inhibitor or a PI3K delta inhibitor, besides leniolisib, within 3 weeks prior to first dosing of study medication.
    2. Rituximab or other B-cell depleting antibodies, belimumab, cyclophosphamide, or alemtuzumab within 6 months prior to first dosing of study medication.
    3. Cyclosporine A, mycophenolate mofetil, 6-mercaptopurine, azathioprine, methotrexate, tacrolimus, ruxolitinib or other Janus kinase (JAK) inhibitors within 3 weeks prior to first dosing of study medication.
    4. above 25 mg prednisone or equivalent per day within 2 weeks prior to first dosing of study medication.
    5. Other immunosuppressive agents expected to have a significant impact on immune cell number or function.
  3. Subject is receiving concurrent treatment with another therapy or use of another investigational therapy less than 4 weeks or 5 half lives (whichever is longer) prior to first dosing of study medication.
  4. History of to the study drug or to drugs of similar chemical classes.
  5. Current use of medication known to be a strong inhibitor or moderate or strong inducer, of isoenzyme cytochrome P450 (CYP)3A.
  6. Current use of medications that to a larger extent are breast cancer resistant protein (BCRP), organic anion transporting polypeptide (OATP)1B1, and/or OATP1B3 substrates.
  7. History of acquired immunodeficiency diseases, including a positive (HIV) test result at screening.
  8. Uncontrolled chronic or recurrent infectious disease (except those considered to be characteristic of PID), or evidence of tuberculosis (TB) infection as defined by a positive QuantiFERON TB-Gold test at Screening.
  9. Any surgical or medical condition which may jeopardize the subject in case of participation in the study, or might significantly alter the absorption, distribution, metabolism, or excretion of drugs (conditions due to underlying clinical PID phenotype may be permitted):

    1. Uncontrolled hypertension
    2. Congestive heart failure ( status of class III or IV)
    3. Diagnosis of (ECG) abnormalities indicating a significant risk of safety
    4. (Global Initiative for Chronic Obstructive Lung Disease [GOLD] stage 3-4)
    5. Chronic need for supplemental oxygen or invasive or non-invasive respiratory support
    6. Major GI tract surgery that may affect drug absorption (such as gastric bypass surgery, gastroenterostomy)
    7. Acute pancreatitis
    8. Liver failure or liver disease or dysfunction as indicated by or AST greater than 2.5 times the , greater than 2 times the upper limit of normal, greater than 1.5 in the absence of anticoagulation, or presence of diuretic ascites
    9. History of significant renal injury/renal disease severely affecting renal function or presence of impaired renal function as indicated by estimated (eGFR) of less than 30 mL/min/1.73 m2.
  10. A positive surface antigen (HBsAg), positive hepatitis B polymerase chain reaction (PCR), positive PCR, or positive hepatitis C antibody result at screening.
  11. Administration of (this includes any attenuated live vaccines) starting from 6 weeks prior to first dosing of study medication, during the study, and up to 7 days after the last dose of leniolisib.
  12. Subject has a previous diagnosis of lymphoma that has been treated with chemotherapy, radiotherapy, or transplant within 1 year prior to first dosing of study medication or is anticipated to require lymphoma treatment within 6 months of the first dose of study medication.
  13. Subject has a history of (except lymphoma) within 3 years prior to first dosing of study medication or has evidence of residual disease from a previously diagnosed malignancy, except for adequately treated cancers of the skin (basal or squamous cell) or carcinoma in situ of the uterine cervix.
  14. Subject has uncontrolled post-transplant lymphoproliferative disease-like Epstein-Barr-virus-related lymphoproliferative disease.
  15. Subject has had major surgery requiring hospitalization or radiotherapy within 4 weeks prior to first dosing of study medication or has a planned or expected major surgical procedure during the study period.
  16. Pregnant or nursing (lactating) women.
  17. An individual of who is physiologically capable of becoming pregnant, unless using highly effective methods of .
Terms in these criteria, in plain language(23)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

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.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

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.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
12 participants (estimated)

Study arms

  • Experimental
    Treatment Arm

    All subjects will receive leniolisib film-coated tablets (FCTs)

    Drug: Leniolisib

Interventions

  • All subjects will receive leniolisib film-coated tablets (FCTs) at the same dose they were receiving when they completed the preceding study (10, 30, or 70 mg twice daily \[BID\]).

06

What researchers measure

Primary outcomes

  1. To assess the long-term safety and tolerability of leniolisib

    Adverse events (AEs)

    Time frame: From Baseline to approximately 3 years of Treatment

Secondary outcomes

  1. Impact of leniolisib on hemoglobin

    Hemoglobin over time

    Time frame: From Baseline to approximately 3 years of Treatment

  2. Impact of leniolisib on platelets

    Platelet count over time

    Time frame: From Baseline to approximately 3 years of Treatment

  3. Impact of leniolisib on neutrophils

    Absolute neutrophil count (ANC) over time

    Time frame: From Baseline to approximately 3 years of Treatment

  4. Impact of leniolisib on GLILD or other PID-related ILD

    Computed tomography (CT) evidence of granulomatous lymphocytic interstitial lung disease (ILD) or other PID-related ILD evaluated using Hartmann scoring methodology over time

    Time frame: From Baseline to approximately 3 years of Treatment

  5. Impact of leniolisib on pulmonary function

    Change in FEV1 will be evaluated

    Time frame: From Baseline to approximately 3 years of Treatment

  6. Impact of leniolisib on pulmonary function

    Change in FVC will be evaluated

    Time frame: From Baseline to approximately 3 years of Treatment

  7. Impact of leniolisib on pulmonary function

    Change in TLC will be evaluated

    Time frame: From Baseline to approximately 3 years of Treatment

  8. Impact of leniolisib on pulmonary function

    Change in DLCO will be evaluated)

    Time frame: From Baseline to approximately 3 years of Treatment

  9. Impact of leniolisib on lymphoproliferation measured as index lesions

    Percent change of lymphoproliferation over time measured as the sum of product of diameters (SPD) in the index lesions selected at baseline of the preceding study per the Cheson methodology

    Time frame: From Baseline to approximately 3 years of Treatment

  10. Impact of leniolisib on spleen size

    Spleen size over time measured by three-dimensional (3D) volume and two dimensional (2D) size of spleen

    Time frame: From Baseline to approximately 3 years of Treatment

  11. To assess the impact of leniolisib on white blood cell (WBC) counts

    WBC count over time

    Time frame: From Baseline to approximately 3 years of Treatment

  12. To assess the impact of leniolisib on white blood cell (WBC) counts

    Absolute monocyte count over time

    Time frame: From Baseline to approximately 3 years of Treatment

  13. To assess the impact of leniolisib on white blood cell (WBC) counts

    Absolute eosinophil count over time

    Time frame: From Baseline to approximately 3 years of Treatment

  14. To assess the impact of leniolisib on white blood cell (WBC) counts

    Absolute basophil count over time

    Time frame: From Baseline to approximately 3 years of Treatment

  15. To assess the impact of leniolisib on lymphocyte numbers

    Absolute lymphocyte count over time

    Time frame: From Baseline to approximately 3 years of Treatment

  16. To assess the impact of leniolisib on lymphocyte numbers

    CD4+ T cell count over time

    Time frame: From Baseline to approximately 3 years of Treatment

  17. To assess the impact of leniolisib on lymphocyte numbers

    CD8+ T cell count over time

    Time frame: From Baseline to approximately 3 years of Treatment

  18. To assess the long-term impact of leniolisib on white blood cell (WBC) counts and lymphocyte numbers

    B cell count over time

    Time frame: From Baseline to approximately 3 years of Treatment

  19. To assess the impact of leniolisib on lymphocyte numbers

    Natural killer (NK) cell count over time

    Time frame: From Baseline to approximately 3 years of Treatment

  20. To assess the impact of leniolisib on B and T cell phenotypic populations

    Percentages of naïve B cells, CD21low B cells and T regulatory cells over time

    Time frame: From Baseline to approximately 3 years of Treatment

  21. To examine the impact of leniolisib on levels of chemokine (C X C motif) ligand (CXCL)13 and soluble interleukin-2 receptor (IL-2R)α

    Levels of CXCL13 and soluble IL-2Rα over time

    Time frame: From Baseline to approximately 3 years of Treatment

07

Study locations

5 sites
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Apr 2025 (actual). Primary completion is estimated for Aug 2029, 51 months after the start.

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

Registered
May 8, 2025
First posted
May 25, 2025
StartActual
Apr 29, 2025
Primary completionEst.
Aug 12, 2029
CompletionEst.
Aug 12, 2029
Last update
Sep 16, 2026
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 Sep 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06990529
Collaborators
Aixial Group
Responsible party
Sponsor
First posted
May 25, 2025
Start date
Apr 29, 2025
Primary completion
Aug 12, 2029 (estimated)
Completion
Aug 12, 2029 (estimated)
Last update
Sep 16, 2026

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Leniolisib

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