Preliminary safety, pharmacokinetics, and pharmacodynamics of duvelisib plus rituximab or obinutuzumab in patients with previously untreated CD20+ follicular lymphoma.

Authors

null

Carla Casulo

James P. Wilmont Cancer Center Strong Memorial Hospital, Rochester, NY

Carla Casulo , Eric D. Jacobsen , Koen Van Eygen , Houston Eccleston Holmes , Jan P. Lemmens , Kerstin Allen , Lori Steelman , Veronica Campbell , Jylle Nevejans , Joseph Pearlberg , Andre Goy

Organizations

James P. Wilmont Cancer Center Strong Memorial Hospital, Rochester, NY, Dana-Farber Cancer Institute, Boston, MA, AZ Groeninge, Kortrijk, Belgium, Texas Oncology PA, Dallas, TX, Medcl Inst St Augustinus, Wilrijk, Belgium, Infinity Pharmaceuticals, Inc., Cambridge, MA, John Theurer Cancer Center, Hackensack University Medical Center, Hackensack, NJ

Research Funding

Pharmaceutical/Biotech Company

Background: Duvelisib (IPI-145), an oral dual inhibitor of PI3K-δ and -γ, is being evaluated as an oral therapeutic for hematologic malignancies as a monotherapy or in combination with anti-CD20 antibodies. Methods: CONTEMPO (NCT02391545) is an ongoing 2-part, 2-arm, Phase 1b/2 study evaluating the safety, pharmacokinetics, pharmacodynamics and efficacy of duvelisib combined with the anti-CD20 antibodies rituximab (DR) or obinutuzumab (DO) in patients with previously untreated CD20+ follicular lymphoma. Duvelisib is administered at 25 mg BID continuously in 28-day treatment cycles combined either with rituximab (375 mg/m2for 4 weekly doses, then 1 dose every 2 cycles) or obinutuzumab (1000 mg for 4 weekly doses, then 1 dose every 2 cycles). We report results from Part 1 which evaluated the safety of the combinations by monitoring adverse events (AEs) and dose limiting toxicities (DLTs). Results: Twelve patients were treated in Part 1 of the study (6 DR and 6 DO). At the time of data cut-off, patients had received duvelisib for a median of 2.5 (DR) and 1.9 (DO) months. No DLT occurred with DR. One DLT of treatment-related Grade 3 elevated lipase occurred with DO (Cycle 1). No serious AEs occurred on either arm, and no patient discontinued treatment. Four patients (1 DR; 3 DO) had ≥ Grade 3 AEs (DR: amylase increased, lipase increased; DO: neutropenia, ALT increased, lipase increased). Duvelisib was rapidly absorbed (tmax ~1 hour; Cmax ~910 ng/mL; single dose); after multiple doses, plasma steady state levels were ~500-540 ng/mL and approximately half of the duvelisib was transformed into its metabolite IPI-656. Postdose serum cytokine levels were decreased by Cycle 1 Day 8 compared to baseline. Preliminary activity will be reported at the time of the meeting. Conclusions: Combination of duvelisib 25 mg BID with rituximab or obinutuzumab was well tolerated in these patients, with one DLT observed. Both DR and DO arms were continued to Part 2 of the study, which is ongoing. Clinical trial information: NCT02391545

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Abstract Details

Meeting

2016 ASCO Annual Meeting

Session Type

Publication Only

Session Title

Publication Only: <span>Hematologic Malignancies—Lymphoma and Chronic Lymphocytic Leukemia</span>

Track

Hematologic Malignancies—Lymphoma and Chronic Lymphocytic Leukemia

Sub Track

Non-Hodgkin Lymphoma

Clinical Trial Registration Number

NCT02391545

Citation

J Clin Oncol 34, 2016 (suppl; abstr e19052)

DOI

10.1200/JCO.2016.34.15_suppl.e19052

Abstract #

e19052

Abstract Disclosures