Phase 3 Study of Zandelisib (ME-401) in Combination With Rituximab in Patients With iNHL - (COASTAL)

Last updated: October 31, 2024
Sponsor: MEI Pharma, Inc.
Overall Status: Terminated

Phase

3

Condition

Lymphoma, B-cell

Lymphoma

Marginal Zone Lymphoma

Treatment

Bendamustine

Rituximab

CHOP

Clinical Study ID

NCT04745832
ME-401-004
2020-004199-16
  • Ages > 18
  • All Genders

Study Summary

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.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Male or female subjects ≥18 years of age, ≥19 years in Korea, or ≥20 years forsubjects in Japan and Taiwan

  • Histologically confirmed diagnosis of CD20 positive iNHL with histological subtypelimited 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 todisease

  • Adequate renal and hepatic function

  • Adequate cardiac function based on ECG and LVEF assessments

Exclusion

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 congestiveheart failure

  • History of clinically significant gastrointestinal (GI) conditions

  • Females who are pregnant

Study Design

Total Participants: 82
Treatment Group(s): 4
Primary Treatment: Bendamustine
Phase: 3
Study Start date:
August 13, 2021
Estimated Completion Date:
March 20, 2023

Study Description

This is an open label, randomized, two-arm Phase 3 study in subjects with relapsed or refractory FL and MZL to evaluate efficacy and safety of zandelisib in combination with rituximab in comparison to standard immunochemotherapy (Rituximab-Bendamustine or Rituximab-CHOP).

Subjects must have relapsed after at least one previous line of systemic immunochemotherapy. Previous treatments must have included an anti-CD20 monoclonal antibody (mAb) with chemotherapy such as Bendamustine (B), CHOP, CVP, FND, or similar regimens, or an anti-CD20 mAb with Lenalidomide (L).

Approximately 534 randomized subjects will be enrolled in this study.

Connect with a study center

  • Canberra Hospital

    Garran, 2605
    Australia

    Site Not Available

  • The Perth Blood Institute (PBI)

    West Perth, 6005
    Australia

    Site Not Available

  • Westmead Hospital

    Westmead, 2145
    Australia

    Site Not Available

  • AZ Sint-Jan Burgge-Oostende AV

    Brugge, 8000
    Belgium

    Site Not Available

  • UZ Brussel

    Brussel, 1090
    Belgium

    Site Not Available

  • Universitair Ziekenhuis Antwerpen

    Edegem, 655, 2650
    Belgium

    Site Not Available

  • Center Hospitalier de Jolimont

    Haine-Saint-Paul, 7100
    Belgium

    Site Not Available

  • UZ Leuven Campus Gasthuisberg

    Leuven,
    Belgium

    Site Not Available

  • Eastern Regional Health Authority

    Saint John's, Newfoundland and Labrador A1B3V6
    Canada

    Site Not Available

  • Centre intégré universitaire de santé et de services sociaux de l'Estrie

    Sherbrooke, Quebec JIH5N4
    Canada

    Site Not Available

  • McGill University Health Centre

    Québec, H4A 3J1
    Canada

    Site Not Available

  • CHU Estaing. Service d'hématologie clinique et de thérapie cellulaire adulte,

    Clermont-Ferrand, 63003
    France

    Site Not Available

  • Centre Hospitalier De Dunkerque - Service d'hématologie

    Le Mans, 72000
    France

    Site Not Available

  • Centre Hospitalier du Mans

    Le Mans, 72000
    France

    Site Not Available

  • Centre Leon Berard

    Lyon, 69373
    France

    Site Not Available

  • Hôpital Saint-Louis

    Paris, 75010
    France

    Site Not Available

  • CHU de Bordeaux - Maladies Du Sang, Centre François Magendie

    Pessac, 33600
    France

    Site Not Available

  • Centre Henri Becquerel, Service d'Hematologie

    Rouen, 76038
    France

    Site Not Available

  • CHU de Tours, Hôpital Bretonneau Centre

    Tours Cedex 1, 37044
    France

    Site Not Available

  • Institut De Cancerologie Gustave Roussy

    Villejuif, 94805
    France

    Site Not Available

  • J.S.C. K. Eristavi National Center of Experimental and Clinic

    Tbilisi, 0159
    Georgia

    Site Not Available

  • LTD "Medinvest" Institute of Hematology and Transfusiology

    Tbilisi, 0186
    Georgia

    Site Not Available

  • LTD Israeli-Georgian Medical Research Clinic "Helsicore"

    Tbilisi, 0112
    Georgia

    Site Not Available

  • M. Zodelava Hematology Center

    Tbilisi, 0112
    Georgia

    Site Not Available

  • General Hospital of Athens "Laiko", Department of Haematology and Bone Marrow Transplantation

    Athens, 11527
    Greece

    Site Not Available

  • University General Hospital of Ioannina, Department of Haematology

    Ioánnina, 455 00
    Greece

    Site Not Available

  • University General Hospital of Patras "Panagia H. Voitheia"

    Patras, 26504
    Greece

    Site Not Available

  • General Hospital of Thessaloniki "G. Papanikolaou"

    Thessaloníki, 57010
    Greece

    Site Not Available

  • Országos Onkológiai Intézet Gyógyszerterápiás Központ Hematológia és Lymphoma Osztály

    Budapest, H-1122
    Hungary

    Site Not Available

  • Debreceni Egyetem Klinikai Kozpont, Belgyogyaszati Klinika

    Debrecen, H-4032
    Hungary

    Site Not Available

  • Szabolcs-Szatmar-Bereg Megyei Korhazak es Egyetemi Oktatokorhaz,

    Nyiregyhaza, H-4400
    Hungary

    Site Not Available

  • SOC Oncologia Medica e dei Tumori Immunocorrelati

    Aviano, 33081
    Italy

    Site Not Available

  • UO di Ematologia "L.e A.Seragnoli" Policlinico Sant'Orsola Malpighi

    Bologna, 40138
    Italy

    Site Not Available

  • U.O. Ematologia, Azienda Ospedaliera S. Croce e Carle

    Cuneo, 12100
    Italy

    Site Not Available

  • U.O. Ematologia - Azienda Ospedaliero-Universitaria Careggi

    Firenze, 50134
    Italy

    Site Not Available

  • U.O. Clinica Ematologica

    Genova, 16132
    Italy

    Site Not Available

  • SC Oncologia Medica

    Meldola, 47014
    Italy

    Site Not Available

  • UOC Ematologia, Presidio Ospedaliero Papardo

    Messina, 98158
    Italy

    Site Not Available

  • UO Ematologia 1 Azienda ULSS 3 Serenissima, Distertto del veneziano - Ospedale dell'Angelo di Mestre

    Mestre, 30174
    Italy

    Site Not Available

  • Dipartimento di Oncoematologia, Unità Linfomi, Ospedale

    Milano, 20132
    Italy

    Site Not Available

  • Divisione Oncoematologia, Istituto Europeo di Oncologia

    Milano, 20141
    Italy

    Site Not Available

  • Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano

    Milano, 20122
    Italy

    Site Not Available

  • Azienda Ospedaliera Ospedali Riuniti Via Sofia

    Palermo, 90146
    Italy

    Site Not Available

  • UO Ematologia, Ospedale Civile S.Maria delle Croci

    Ravenna, 48121
    Italy

    Site Not Available

  • UO Ematologia, Ospedale Infermi di Rimini AUSL Romagna

    Rimini, 47923
    Italy

    Site Not Available

  • Istituti Fisioterapici Ospitalieri

    Roma, 00144
    Italy

    Site Not Available

  • S.C. Oncoematologia Azienda Ospedaliera Santa Maria

    Terni, 05110
    Italy

    Site Not Available

  • National Hospital Organization Nagoya Medical Center

    Naka-ku, Aichi 460-0001
    Japan

    Site Not Available

  • National Hospital Organization Shikoku Cancer Center

    Matsuyama-Shi, Ehime 791-0280
    Japan

    Site Not Available

  • National Hospital Organization Kyushu Cancer Center

    Minami, Fukuoka 811-1395
    Japan

    Site Not Available

  • Gunma University Hospital

    Maebashi, Gunma 371-8511
    Japan

    Site Not Available

  • Kobe City Medical Center General Hospital

    Kobe, Hyogo 650-0047
    Japan

    Site Not Available

  • Kagoshima University Hospital

    Sakuragaoka, Kagoshima-Shi, Kagoshima 890-8520
    Japan

    Site Not Available

  • University Hospital Kyoto Prefectural University of Medicine

    Kamigyo-ku, Kyoto 602-8566
    Japan

    Site Not Available

  • Kindai University Hospital

    Osakasayama-shi, Osaka 589-8511
    Japan

    Site Not Available

  • Anjo Kosei Hospital

    Aichi, 446-8602
    Japan

    Site Not Available

  • Japanese Red Cross Aichi Medical Center Nagoya Daini Hospital

    Aichi, 466-8650
    Japan

    Site Not Available

  • Aomori Prefectural Central Hospital

    Aomori, 030-8553
    Japan

    Site Not Available

  • Chiba Cancer Center

    Chiba, 260-8717
    Japan

    Site Not Available

  • Kyushu University Hospital

    Fukuoka, 812-8582
    Japan

    Site Not Available

  • Chugoku Central Hospital

    Hiroshima, 720-0001
    Japan

    Site Not Available

  • Hokkaido University Hospital

    Hokkaido, 060-8648
    Japan

    Site Not Available

  • National Hospital Organization Kumamoto Medical Center

    Kumamoto, 860-0008
    Japan

    Site Not Available

  • Kyoto University Hospital

    Kyoto, 606-8507
    Japan

    Site Not Available

  • National University Corporation Tohoku University Hospital

    Miyagi, 980-8574
    Japan

    Site Not Available

  • Aichi Cancer Center Hospital

    Nagoya, 464-8681
    Japan

    Site Not Available

  • Okayama University Hospital

    Okayama, 700-8558
    Japan

    Site Not Available

  • Osaka International Cancer Institute

    Osaka, 541-8567
    Japan

    Site Not Available

  • Osaka University Hospital

    Osaka, 565-0871
    Japan

    Site Not Available

  • Keio University Hospital

    Tokyo, 160-8582
    Japan

    Site Not Available

  • The Cancer Institute Hospital of Japanese Foundation For Cancer Research

    Tokyo, 135-8550
    Japan

    Site Not Available

  • Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital

    Tokyo, 113-8677
    Japan

    Site Not Available

  • Korea University Anam Hospital

    Seongbuk-gu, Seoul 02841
    Korea, Republic of

    Site Not Available

  • Dong-A university Hospital

    Busan, 49201
    Korea, Republic of

    Site Not Available

  • Inje University Busan Paik Hospital

    Busan, 47392
    Korea, Republic of

    Site Not Available

  • Pusan National University Hospital

    Busan, 49241
    Korea, Republic of

    Site Not Available

  • Kyungpook National University Hospital

    Daegu, 41944
    Korea, Republic of

    Site Not Available

  • Chonnam National University Hwasun Hospital

    Jeollyang, 58128
    Korea, Republic of

    Site Not Available

  • Asan Medical Center

    Seoul, 05505
    Korea, Republic of

    Site Not Available

  • Ewka Womans University Mokdong Hospital

    Seoul, 07985
    Korea, Republic of

    Site Not Available

  • Korea University Anam Hospital

    Seoul, 02841
    Korea, Republic of

    Site Not Available

  • Samsung Medical Center

    Seoul, 06351
    Korea, Republic of

    Site Not Available

  • Seoul National University Hospital

    Seoul, 03080
    Korea, Republic of

    Site Not Available

  • Severance Hospital, Yonsei University Health System

    Seoul, 03722
    Korea, Republic of

    Site Not Available

  • The Catholic University of Korea

    Seoul, 06591
    Korea, Republic of

    Site Not Available

  • Ulsan University Hospital

    Ulsan, 44033
    Korea, Republic of

    Site Not Available

  • Albert Schweizer Ziekenhuis, Hematology Department

    Dordrecht, 3318
    Netherlands

    Site Not Available

  • Spaarne Gasthuis, Oncology Department

    Hoofddorp, 2134
    Netherlands

    Site Not Available

  • Canterbury District Health Board, Haematology Department

    Christchurch, 8011
    New Zealand

    Site Not Available

  • Dunedin Hospital, Southern Blood and Cancer Service

    Dunedin, 9016
    New Zealand

    Site Not Available

  • Klinika Hematologii, Szpital Uniwersytecki

    Bydgoszcz, 85-168
    Poland

    Site Not Available

  • Pratia MCM Krakow

    Kraków, 30-510
    Poland

    Site Not Available

  • ARS Medical - Szpital, Oddzial hematologiczny

    Piła, 64-920
    Poland

    Site Not Available

  • Centrum Medyczne Pratia Poznan

    Skorzewo, 60-185
    Poland

    Site Not Available

  • GBUZ of Moscow City Clinical Hospital

    Moscow, 125284
    Russian Federation

    Site Not Available

  • Budgetary Healthcare Institution of Omsk region

    Omsk, 644013
    Russian Federation

    Site Not Available

  • Clinical Hospital Center "Zemun", Clinic for Internal Medicine, Department for Hematology

    Belgrade, 11080
    Serbia

    Site Not Available

  • University Clinical Center of Serbia, Clinic for Hematology

    Belgrade, 11000
    Serbia

    Site Not Available

  • Zvezdara University Medical Center, Clinical department for Hematology and Oncology

    Belgrade, 11000
    Serbia

    Site Not Available

  • Oncology Institute of Vojvodina, Clinic for Internal Oncology

    Kamenica, 21204
    Serbia

    Site Not Available

  • University Clinical Center Kragujevac, Clinic for Hematology

    Kragujevac, 34000
    Serbia

    Site Not Available

  • Clinical Center of Vojvodina, Clinic for Hematology

    Novi Sad, 21000
    Serbia

    Site Not Available

  • Hospital Universitario Quironsalud

    Alcorcón, Madrid 28223
    Spain

    Site Not Available

  • Hospital Universitari Vall d'Hebron, Vall d'Hebron Institute of Oncology

    Barcelona, 08035
    Spain

    Site Not Available

  • Hospital Universitario Mútua Terrassa

    Barcelona, 08221
    Spain

    Site Not Available

  • Institut Catalá d'Oncologia, Hospital Duran i Reynals

    Barcelona, 08908
    Spain

    Site Not Available

  • Hospital Universitario Ramón y Cajal

    Madrid, 28034
    Spain

    Site Not Available

  • Complejo Hospitalario de Navarra

    Navarro, 31008
    Spain

    Site Not Available

  • Hospital Universitario de Canarias

    Santa Cruz De Tenerife, 38320
    Spain

    Site Not Available

  • Hospital Universitario Virgen Macarena

    Sevilla, 41009
    Spain

    Site Not Available

  • Hospital Universitario Miguel Servet

    Zaragoza, 50009
    Spain

    Site Not Available

  • China Medical University Hospital

    Taichung, 404332
    Taiwan

    Site Not Available

  • Taichung Veterans General Hospital

    Taichung, 40705
    Taiwan

    Site Not Available

  • National Cheng Kung University Hospital

    Tainan, 704
    Taiwan

    Site Not Available

  • Chi Mei Hospital

    Tainan City, 73657
    Taiwan

    Site Not Available

  • Gazi University Health Research and Application Hospital, Hematology Department

    Ankara, 29 06560
    Turkey

    Site Not Available

  • Istanbul University Istanbul Medical Faculty, Hematology Department

    Istanbul, 34093
    Turkey

    Site Not Available

  • Erciyes University Medical Faculty, Department of Hematology

    Kayseri, 38039
    Turkey

    Site Not Available

  • Ondokuz Mayis University Medical Faculty, Hematology Department

    Samsun, 55200
    Turkey

    Site Not Available

  • Namik Kemal University Hospital

    Tekirdağ, 59100
    Turkey

    Site Not Available

  • Karadeniz Technical University Medical Faculty Department of Hematology

    Trabzon, 61080
    Turkey

    Site Not Available

  • Komunalne nekomertsiine pidpryiemstvo

    Cherkasy, 18009
    Ukraine

    Site Not Available

  • North Wales Cancer Treatment Centre

    Bodelwyddan, Denbighshire LL18 5UJ
    United Kingdom

    Site Not Available

  • Royal Cornwall Hospital

    Cornwell, TR1 3LJ
    United Kingdom

    Site Not Available

  • Department of Haematology St. George's University of London

    London, SW17 0RE
    United Kingdom

    Site Not Available

  • Imperial College Healthcare NHS Trust Hammersmith Hospital

    London, W12 0HS
    United Kingdom

    Site Not Available

  • The Royal Marsden NHS Foundation Trust - Royal Marsden Hospital

    London, SW3 6JJ
    United Kingdom

    Site Not Available

  • The Christie NHS Foundation Trust

    Manchester, M20 4BX
    United Kingdom

    Site Not Available

  • Genesis Care Oxford

    Oxford, OX4 6LB
    United Kingdom

    Site Not Available

  • University Hospitals Plymouth NHS Trust, Derriford Hopital

    Plymouth, PL6 8DH
    United Kingdom

    Site Not Available

  • The Royal Marsden NHS Foundation Trust - Royal Marsden Hospital

    Surrey Quays, SM2 5PT
    United Kingdom

    Site Not Available

  • The Oncology Institute of Hope and Innovation

    Tucson, Arizona 85745
    United States

    Site Not Available

  • Orange Coast Memorial Medical Center

    Fountain Valley, California 92708
    United States

    Site Not Available

  • Long Beach Memorial Medical Center

    Long Beach, California 90806
    United States

    Site Not Available

  • The Oncology Institute of Hope and Innovation

    Riverside, California 92506
    United States

    Site Not Available

  • BRCR Medical Center Inc

    Hollywood, Florida 33021
    United States

    Site Not Available

  • Henry Ford Hospital

    Detroit, Michigan 48202
    United States

    Site Not Available

  • Revive Research Institute

    Farmington Hills, Michigan 48334
    United States

    Site Not Available

  • Revive Research Institute

    Sterling Heights, Michigan 48314
    United States

    Site Not Available

  • Mercy Clinic Cancer & Hematology - Chub O'Reilly Cancer Center

    Springfield, Missouri 65804
    United States

    Site Not Available

  • Inspira Medical Center Mullica Hill

    Mullica Hill, New Jersey 08062
    United States

    Site Not Available

  • MetroHealth Medical Center

    Cleveland, Ohio 44109
    United States

    Site Not Available

  • Alpha Research Institute, LLC

    Baytown, Texas 77521
    United States

    Site Not Available

  • Valley Cancer Associates

    Harlingen, Texas 78550
    United States

    Site Not Available

  • Community Cancer Trials of Utah

    Ogden, Utah 84405
    United States

    Site Not Available

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