Clin Lymphoma Myeloma Leuk. 2022 Oct;pii: S2152-2650(22)01555-5. [Epub ahead of print]22 Suppl 2 S387-S388
Tycel Phillips,
Wojciech Jurczak,
Vincent Ribrag,
Kim Linton,
Graham P Collin,
Javier Lopéz-Jimenéz,
Nishitha Reddy,
Andrea Mengarelli,
Gerardo Musuraca,
Oonagh Sheehy,
Weiming Xu,
Michel Azoulay,
Richard G Ghalie,
Pier Luigi Zinzani,
Andrew D Zelenetz.
CONTEXT: Zandelisib is a selective PI3Kδ inhibitor administered orally at 60 mg once daily (QD) for 2 cycles (response induction), then intermittent dosing (ID) on days 1-7 of subsequent 28-day cycles for maintenance, while potentially enabling regulatory T-cell recovery to reduce risk of immune adverse events (irAEs) seen with continuous PI3Kδ inhibition. In a phase Ib study of zandelisib in 37 R/R FL patients, the overall response rate (ORR) was 87% (78% single agent; 95% with rituximab), with only 8% discontinuations due to irAEs (Pagel ICML 2021).
OBJECTIVE: Topline results from the fully enrolled FL population from TIDAL, a global phase II study evaluating zandelisib in R/R indolent lymphomas (NCT03768505).
PATIENTS: Age ≥18y with FL Grade I-IIIA, progressive disease after ≥2 prior therapies, and no prior PI3K inhibitor. Consent required. FL sample size (planned): 120 patients. Primary efficacy population (PEP): first 91 patients treated.
INTERVENTION: Zandelisib 60 mg QD for 2 cycles, followed by ID during cycle 3+.
MAIN OUTCOME MEASURE: IRC-assessed ORR (Lugano criteria) after a minimum 6-month follow-up.
RESULTS: 91 FL patients in PEP (of 121 enrolled): median 3 prior therapies (range, 2-8), 21 (23%) prior stem cell transplant, 42 (46%) refractory to last therapy, 31 (34%) tumors ≥5 cm, 51 (56%) POD24. ORR was 70.3% (64/91; 95% CI: 59.8%, 79.5%) and complete response (CR) rate was 35.2% (32/91; 95% CI: 25.4%, 45.9%). Responses occurred early: 87.5% (56/91) occurred at end of Cycle 2, 75% (24/91) of CRs at end of Cycle 4. Data still immature for accurate duration of response (DOR) estimation. With median follow-up of 9.4 months (range, 0.8-24) for all 121 patients, 12 (9.9%) discontinued due to any treatment-related AE. Grade 3 AEs of special interest (AESI) included diarrhea (6/121; 5%), colitis (2/121; 1.7%), rash (4/121; 3.3%), stomatitis (3/121; 2.5%), and AST and ALT elevation and non-infectious pneumonitis (1/121 each; 0.8%). Most Grade 3 AESIs (15 [83%]) occurred during daily dosing (cycles 1-3).
CONCLUSIONS: Zandelisib on ID led to high ORR and CR rates in heavily pretreated FL patients and was associated with a low rate of grade 3 AESI and discontinuations due to treatment-related AEs.
Keywords: IBCL; PI3Kδ inhibitor; Phase II; TIDAL; clinical trial; follicular lymphoma; zandelisib