Trial Outcomes & Findings for Umbralisib and Rituximab as Initial Therapy for Patients With Follicular Lymphoma and Marginal Zone Lymphoma (NCT NCT03919175)

NCT ID: NCT03919175

Last Updated: 2026-02-27

Results Overview

The frequency of patients who achieve a complete response per 2014 Lugano criteria.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

18 participants

Primary outcome timeframe

2 years

Results posted on

2026-02-27

Participant Flow

Participant milestones

Participant milestones
Measure
Umbralisib+Rituximab
* A treatment cycle is defined as 28 consecutive days. * Umbralisib will be administered at 800 mg by mouth once daily on days 1-28 of cycles 1-24. * Rituximab will be administered at 375 mg/m2 by intravenous infusion on Cycle 1 Day 1 and may be administered at 375 mg/m2 by intravenous infusion or at 1400 mg by subcutaneous injection on days 8, 15, 22 of cycle 1, day 1 of cycles 2 to 6, then every 8 weeks starting on day 1 of cycle 7 until completion of 24 cycles of umbralisib (i.e. every other cycle for 18 cycles or 9 doses, for a total of 15 doses of rituximab), or until progression or intolerance. Umbralisib: Umbralisib is an investigational drug which blocks a protein called PI3K. PI3K is a protein that plays a role in the way cells grow. In this type of cancer, PI3K is increased and more active than usual. This helps the cancer cells to grow and survive. Rituximab: Rituximab works by targeting the CD20 antigen on normal and malignant B-cells. Then the body's natural immune defenses are recruited to attack and kill the marked B-cells
Overall Study
STARTED
18
Overall Study
COMPLETED
18
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Number analyzed is 18 (inaccurate warning)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Umbralisib+Rituximab
n=18 Participants
* A treatment cycle is defined as 28 consecutive days. * Umbralisib will be administered at 800 mg by mouth once daily on days 1-28 of cycles 1-24. * Rituximab will be administered at 375 mg/m2 by intravenous infusion on Cycle 1 Day 1 and may be administered at 375 mg/m2 by intravenous infusion or at 1400 mg by subcutaneous injection on days 8, 15, 22 of cycle 1, day 1 of cycles 2 to 6, then every 8 weeks starting on day 1 of cycle 7 until completion of 24 cycles of umbralisib (i.e. every other cycle for 18 cycles or 9 doses, for a total of 15 doses of rituximab), or until progression or intolerance. Umbralisib: Umbralisib is an investigational drug which blocks a protein called PI3K. PI3K is a protein that plays a role in the way cells grow. In this type of cancer, PI3K is increased and more active than usual. This helps the cancer cells to grow and survive. Rituximab: Rituximab works by targeting the CD20 antigen on normal and malignant B-cells. Then the body's natural immune defenses are recruited to attack and kill the marked B-cells
Age, Customized
Age 18 to <65
11 Participants
n=24 Participants • Number analyzed is 18 (inaccurate warning)
Age, Customized
Age 65 and older
7 Participants
n=24 Participants • Number analyzed is 18 (inaccurate warning)
Sex: Female, Male
Female
9 Participants
n=24 Participants
Sex: Female, Male
Male
9 Participants
n=24 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=24 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
0 Participants
n=24 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
18 Participants
n=24 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=24 Participants
Race (NIH/OMB)
Asian
0 Participants
n=24 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=24 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=24 Participants
Race (NIH/OMB)
White
17 Participants
n=24 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=24 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=24 Participants

PRIMARY outcome

Timeframe: 2 years

The frequency of patients who achieve a complete response per 2014 Lugano criteria.

Outcome measures

Outcome measures
Measure
Umbralisib+Rituximab
n=18 Participants
* A treatment cycle is defined as 28 consecutive days. * Umbralisib will be administered at 800 mg by mouth once daily on days 1-28 of cycles 1-24. * Rituximab will be administered at 375 mg/m2 by intravenous infusion on Cycle 1 Day 1 and may be administered at 375 mg/m2 by intravenous infusion or at 1400 mg by subcutaneous injection on days 8, 15, 22 of cycle 1, day 1 of cycles 2 to 6, then every 8 weeks starting on day 1 of cycle 7 until completion of 24 cycles of umbralisib (i.e. every other cycle for 18 cycles or 9 doses, for a total of 15 doses of rituximab), or until progression or intolerance. Umbralisib: Umbralisib is an investigational drug which blocks a protein called PI3K. PI3K is a protein that plays a role in the way cells grow. In this type of cancer, PI3K is increased and more active than usual. This helps the cancer cells to grow and survive. Rituximab: Rituximab works by targeting the CD20 antigen on normal and malignant B-cells. Then the body's natural immune defenses are recruited to attack and kill the marked B-cells
Complete Response Rate
7 Participants

SECONDARY outcome

Timeframe: 2 years

The frequency of patients who achieve a complete or partial response per 2014 Lugano criteria

Outcome measures

Outcome measures
Measure
Umbralisib+Rituximab
n=18 Participants
* A treatment cycle is defined as 28 consecutive days. * Umbralisib will be administered at 800 mg by mouth once daily on days 1-28 of cycles 1-24. * Rituximab will be administered at 375 mg/m2 by intravenous infusion on Cycle 1 Day 1 and may be administered at 375 mg/m2 by intravenous infusion or at 1400 mg by subcutaneous injection on days 8, 15, 22 of cycle 1, day 1 of cycles 2 to 6, then every 8 weeks starting on day 1 of cycle 7 until completion of 24 cycles of umbralisib (i.e. every other cycle for 18 cycles or 9 doses, for a total of 15 doses of rituximab), or until progression or intolerance. Umbralisib: Umbralisib is an investigational drug which blocks a protein called PI3K. PI3K is a protein that plays a role in the way cells grow. In this type of cancer, PI3K is increased and more active than usual. This helps the cancer cells to grow and survive. Rituximab: Rituximab works by targeting the CD20 antigen on normal and malignant B-cells. Then the body's natural immune defenses are recruited to attack and kill the marked B-cells
Overall Response Rate
Complete response
7 Participants
Overall Response Rate
Partial response
7 Participants
Overall Response Rate
Stable disease
4 Participants
Overall Response Rate
Progressive disease
0 Participants

SECONDARY outcome

Timeframe: 2 years

The median progression-free survival using Kaplan-Meier method with time of registration as time origin.

Outcome measures

Outcome measures
Measure
Umbralisib+Rituximab
n=18 Participants
* A treatment cycle is defined as 28 consecutive days. * Umbralisib will be administered at 800 mg by mouth once daily on days 1-28 of cycles 1-24. * Rituximab will be administered at 375 mg/m2 by intravenous infusion on Cycle 1 Day 1 and may be administered at 375 mg/m2 by intravenous infusion or at 1400 mg by subcutaneous injection on days 8, 15, 22 of cycle 1, day 1 of cycles 2 to 6, then every 8 weeks starting on day 1 of cycle 7 until completion of 24 cycles of umbralisib (i.e. every other cycle for 18 cycles or 9 doses, for a total of 15 doses of rituximab), or until progression or intolerance. Umbralisib: Umbralisib is an investigational drug which blocks a protein called PI3K. PI3K is a protein that plays a role in the way cells grow. In this type of cancer, PI3K is increased and more active than usual. This helps the cancer cells to grow and survive. Rituximab: Rituximab works by targeting the CD20 antigen on normal and malignant B-cells. Then the body's natural immune defenses are recruited to attack and kill the marked B-cells
Progression Free Survival
NA years
The median PFS and associated confidence intervals were not reached for this study. This is due to an insufficient number of participants with events.

SECONDARY outcome

Timeframe: 2 Years

The median overall survival using Kaplan-Meier method with time of registration as time origin.

Outcome measures

Outcome measures
Measure
Umbralisib+Rituximab
n=18 Participants
* A treatment cycle is defined as 28 consecutive days. * Umbralisib will be administered at 800 mg by mouth once daily on days 1-28 of cycles 1-24. * Rituximab will be administered at 375 mg/m2 by intravenous infusion on Cycle 1 Day 1 and may be administered at 375 mg/m2 by intravenous infusion or at 1400 mg by subcutaneous injection on days 8, 15, 22 of cycle 1, day 1 of cycles 2 to 6, then every 8 weeks starting on day 1 of cycle 7 until completion of 24 cycles of umbralisib (i.e. every other cycle for 18 cycles or 9 doses, for a total of 15 doses of rituximab), or until progression or intolerance. Umbralisib: Umbralisib is an investigational drug which blocks a protein called PI3K. PI3K is a protein that plays a role in the way cells grow. In this type of cancer, PI3K is increased and more active than usual. This helps the cancer cells to grow and survive. Rituximab: Rituximab works by targeting the CD20 antigen on normal and malignant B-cells. Then the body's natural immune defenses are recruited to attack and kill the marked B-cells
Overall Survival
NA years
The median OS and associated confidence intervals were not reached for this study. This is due to an insufficient number of participants with events.

SECONDARY outcome

Timeframe: 2 years

Outcome measures

Outcome measures
Measure
Umbralisib+Rituximab
n=18 Participants
* A treatment cycle is defined as 28 consecutive days. * Umbralisib will be administered at 800 mg by mouth once daily on days 1-28 of cycles 1-24. * Rituximab will be administered at 375 mg/m2 by intravenous infusion on Cycle 1 Day 1 and may be administered at 375 mg/m2 by intravenous infusion or at 1400 mg by subcutaneous injection on days 8, 15, 22 of cycle 1, day 1 of cycles 2 to 6, then every 8 weeks starting on day 1 of cycle 7 until completion of 24 cycles of umbralisib (i.e. every other cycle for 18 cycles or 9 doses, for a total of 15 doses of rituximab), or until progression or intolerance. Umbralisib: Umbralisib is an investigational drug which blocks a protein called PI3K. PI3K is a protein that plays a role in the way cells grow. In this type of cancer, PI3K is increased and more active than usual. This helps the cancer cells to grow and survive. Rituximab: Rituximab works by targeting the CD20 antigen on normal and malignant B-cells. Then the body's natural immune defenses are recruited to attack and kill the marked B-cells
Number of Participants With Adverse Events
15 Participants

Adverse Events

Umbralisib+Rituximab

Serious events: 9 serious events
Other events: 15 other events
Deaths: 2 deaths

Serious adverse events

Serious adverse events
Measure
Umbralisib+Rituximab
n=18 participants at risk
* A treatment cycle is defined as 28 consecutive days. * Umbralisib will be administered at 800 mg by mouth once daily on days 1-28 of cycles 1-24. * Rituximab will be administered at 375 mg/m2 by intravenous infusion on Cycle 1 Day 1 and may be administered at 375 mg/m2 by intravenous infusion or at 1400 mg by subcutaneous injection on days 8, 15, 22 of cycle 1, day 1 of cycles 2 to 6, then every 8 weeks starting on day 1 of cycle 7 until completion of 24 cycles of umbralisib (i.e. every other cycle for 18 cycles or 9 doses, for a total of 15 doses of rituximab), or until progression or intolerance. Umbralisib: Umbralisib is an investigational drug which blocks a protein called PI3K. PI3K is a protein that plays a role in the way cells grow. In this type of cancer, PI3K is increased and more active than usual. This helps the cancer cells to grow and survive. Rituximab: Rituximab works by targeting the CD20 antigen on normal and malignant B-cells. Then the body's natural immune defenses are recruited to attack and kill the marked B-cells
Gastrointestinal disorders
Cholecystitis
5.6%
1/18 • Approximately 24 months
Immune system disorders
Allergic reaction
5.6%
1/18 • Approximately 24 months
Respiratory, thoracic and mediastinal disorders
Pneumonitis
5.6%
1/18 • Approximately 24 months
Infections and infestations
Infections and infestations - Other, specify
5.6%
1/18 • Approximately 24 months
Skin and subcutaneous tissue disorders
Rash maculo-papular
11.1%
2/18 • Approximately 24 months
General disorders
General disorders and administration site conditions - Other, specify
5.6%
1/18 • Approximately 24 months
General disorders
Back pain
5.6%
1/18 • Approximately 24 months
General disorders
Pain
5.6%
1/18 • Approximately 24 months

Other adverse events

Other adverse events
Measure
Umbralisib+Rituximab
n=18 participants at risk
* A treatment cycle is defined as 28 consecutive days. * Umbralisib will be administered at 800 mg by mouth once daily on days 1-28 of cycles 1-24. * Rituximab will be administered at 375 mg/m2 by intravenous infusion on Cycle 1 Day 1 and may be administered at 375 mg/m2 by intravenous infusion or at 1400 mg by subcutaneous injection on days 8, 15, 22 of cycle 1, day 1 of cycles 2 to 6, then every 8 weeks starting on day 1 of cycle 7 until completion of 24 cycles of umbralisib (i.e. every other cycle for 18 cycles or 9 doses, for a total of 15 doses of rituximab), or until progression or intolerance. Umbralisib: Umbralisib is an investigational drug which blocks a protein called PI3K. PI3K is a protein that plays a role in the way cells grow. In this type of cancer, PI3K is increased and more active than usual. This helps the cancer cells to grow and survive. Rituximab: Rituximab works by targeting the CD20 antigen on normal and malignant B-cells. Then the body's natural immune defenses are recruited to attack and kill the marked B-cells
Infections and infestations
Conjunctivitis
16.7%
3/18 • Approximately 24 months
Respiratory, thoracic and mediastinal disorders
Cough
16.7%
3/18 • Approximately 24 months
Nervous system disorders
Dizziness
16.7%
3/18 • Approximately 24 months
General disorders
Fever
16.7%
3/18 • Approximately 24 months
Gastrointestinal disorders
Gastroesophageal reflux disease
16.7%
3/18 • Approximately 24 months
Nervous system disorders
Nervous system disorders - Other, specify
16.7%
3/18 • Approximately 24 months
Investigations
Neutrophil count decreased
16.7%
3/18 • Approximately 24 months
Investigations
Platelet count decreased
16.7%
3/18 • Approximately 24 months
Gastrointestinal disorders
Colitis
27.8%
5/18 • Approximately 24 months
Psychiatric disorders
Depression
11.1%
2/18 • Approximately 24 months
Nervous system disorders
Dysgeusia
11.1%
2/18 • Approximately 24 months
Infections and infestations
Folliculitis
11.1%
2/18 • Approximately 24 months
Vascular disorders
Hot flashes
11.1%
2/18 • Approximately 24 months
General disorders
Non-cardiac chest pain
11.1%
2/18 • Approximately 24 months
Skin and subcutaneous tissue disorders
Rash acneiform
11.1%
2/18 • Approximately 24 months
Respiratory, thoracic and mediastinal disorders
Respiratory, thoracic and mediastinal disorders - Other, specify
11.1%
2/18 • Approximately 24 months
Nervous system disorders
Tremor
11.1%
2/18 • Approximately 24 months
Gastrointestinal disorders
Vomiting
11.1%
2/18 • Approximately 24 months
Gastrointestinal disorders
Abdominal distension
5.6%
1/18 • Approximately 24 months
Skin and subcutaneous tissue disorders
Alopecia
5.6%
1/18 • Approximately 24 months
Respiratory, thoracic and mediastinal disorders
Apnea
5.6%
1/18 • Approximately 24 months
Musculoskeletal and connective tissue disorders
Arthralgia
5.6%
1/18 • Approximately 24 months
Musculoskeletal and connective tissue disorders
Arthritis
5.6%
1/18 • Approximately 24 months
Infections and infestations
Bacteremia
5.6%
1/18 • Approximately 24 months
Gastrointestinal disorders
Bloating
5.6%
1/18 • Approximately 24 months
Blood and lymphatic system disorders
Blood and lymphatic system disorders - Other, specify
5.6%
1/18 • Approximately 24 months
Investigations
Blood lactate dehydrogenase increased
5.6%
1/18 • Approximately 24 months
Eye disorders
Blurred vision
5.6%
1/18 • Approximately 24 months
Musculoskeletal and connective tissue disorders
Bone pain
5.6%
1/18 • Approximately 24 months
Injury, poisoning and procedural complications
Bruising
5.6%
1/18 • Approximately 24 months
Musculoskeletal and connective tissue disorders
Buttock pain
5.6%
1/18 • Approximately 24 months
Hepatobiliary disorders
Cholecystitis
5.6%
1/18 • Approximately 24 months
Eye disorders
Dry eye
5.6%
1/18 • Approximately 24 months
Gastrointestinal disorders
Dry mouth
5.6%
1/18 • Approximately 24 months
Ear and labyrinth disorders
Ear pain
5.6%
1/18 • Approximately 24 months
General disorders
Edema face
5.6%
1/18 • Approximately 24 months
Injury, poisoning and procedural complications
Fall
5.6%
1/18 • Approximately 24 months
Gastrointestinal disorders
Fecal incontinence
5.6%
1/18 • Approximately 24 months
Musculoskeletal and connective tissue disorders
Flank pain
5.6%
1/18 • Approximately 24 months
Injury, poisoning and procedural complications
Fracture
5.6%
1/18 • Approximately 24 months
General disorders
Gait disturbance
5.6%
1/18 • Approximately 24 months
Gastrointestinal disorders
Gastritis
5.6%
1/18 • Approximately 24 months
Vascular disorders
Hematoma
5.6%
1/18 • Approximately 24 months
Gastrointestinal disorders
Hemorrhoids
5.6%
1/18 • Approximately 24 months
Hepatobiliary disorders
Hepatobiliary disorders - Other, specify
5.6%
1/18 • Approximately 24 months
Metabolism and nutrition disorders
Hyperglycemia
5.6%
1/18 • Approximately 24 months
Metabolism and nutrition disorders
Hyperlipidemia
5.6%
1/18 • Approximately 24 months
Metabolism and nutrition disorders
Hypophosphatemia
5.6%
1/18 • Approximately 24 months
Respiratory, thoracic and mediastinal disorders
Hypoxia
5.6%
1/18 • Approximately 24 months
Gastrointestinal disorders
Ileus
5.6%
1/18 • Approximately 24 months
Immune system disorders
Immune system disorders - Other, specify
5.6%
1/18 • Approximately 24 months
Infections and infestations
Infections and infestations - Other, specify
5.6%
1/18 • Approximately 24 months
Investigations
Investigations - Other, specify
5.6%
1/18 • Approximately 24 months
Blood and lymphatic system disorders
Leukocytosis
5.6%
1/18 • Approximately 24 months
Blood and lymphatic system disorders
Lymph node pain
5.6%
1/18 • Approximately 24 months
Investigations
Lymphocyte count decreased
5.6%
1/18 • Approximately 24 months
Investigations
Lymphocyte count increased
5.6%
1/18 • Approximately 24 months
General disorders
Malaise
5.6%
1/18 • Approximately 24 months
Metabolism and nutrition disorders
Metabolism and nutrition disorders - Other, specify
5.6%
1/18 • Approximately 24 months
Gastrointestinal disorders
Mucositis oral
5.6%
1/18 • Approximately 24 months
Musculoskeletal and connective tissue disorders
Muscle cramp
5.6%
1/18 • Approximately 24 months
Musculoskeletal and connective tissue disorders
Musculoskeletal and connective tissue disorder - Other, specify
5.6%
1/18 • Approximately 24 months
Metabolism and nutrition disorders
Obesity
5.6%
1/18 • Approximately 24 months
Gastrointestinal disorders
Oral pain
5.6%
1/18 • Approximately 24 months
Infections and infestations
Otitis media
5.6%
1/18 • Approximately 24 months
Nervous system disorders
Paresthesia
5.6%
1/18 • Approximately 24 months
Skin and subcutaneous tissue disorders
Pruritus
5.6%
1/18 • Approximately 24 months
Psychiatric disorders
Psychiatric disorders - Other, specify
5.6%
1/18 • Approximately 24 months
Respiratory, thoracic and mediastinal disorders
Pulmonary hypertension
5.6%
1/18 • Approximately 24 months
Respiratory, thoracic and mediastinal disorders
Rhinorrhea
5.6%
1/18 • Approximately 24 months
Respiratory, thoracic and mediastinal disorders
Sinus pain
5.6%
1/18 • Approximately 24 months
Skin and subcutaneous tissue disorders
Skin ulceration
5.6%
1/18 • Approximately 24 months
Ear and labyrinth disorders
Tinnitus
5.6%
1/18 • Approximately 24 months
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumor pain
5.6%
1/18 • Approximately 24 months
Renal and urinary disorders
Urinary frequency
5.6%
1/18 • Approximately 24 months
Infections and infestations
Vaginal infection
5.6%
1/18 • Approximately 24 months
Reproductive system and breast disorders
Vaginal inflammation
5.6%
1/18 • Approximately 24 months
Respiratory, thoracic and mediastinal disorders
Voice alteration
5.6%
1/18 • Approximately 24 months
Investigations
Weight gain
5.6%
1/18 • Approximately 24 months
Investigations
Weight loss
5.6%
1/18 • Approximately 24 months
General disorders
Fatigue
83.3%
15/18 • Approximately 24 months
Gastrointestinal disorders
Diarrhea
77.8%
14/18 • Approximately 24 months
Gastrointestinal disorders
Nausea
61.1%
11/18 • Approximately 24 months
Investigations
Aspartate aminotransferase increased
44.4%
8/18 • Approximately 24 months
Gastrointestinal disorders
Abdominal pain
38.9%
7/18 • Approximately 24 months
Investigations
Alanine aminotransferase increased
38.9%
7/18 • Approximately 24 months
Psychiatric disorders
Anxiety
38.9%
7/18 • Approximately 24 months
Psychiatric disorders
Insomnia
38.9%
7/18 • Approximately 24 months
Skin and subcutaneous tissue disorders
Rash maculo-papular
33.3%
6/18 • Approximately 24 months
Metabolism and nutrition disorders
Anorexia
27.8%
5/18 • Approximately 24 months
Musculoskeletal and connective tissue disorders
Back pain
27.8%
5/18 • Approximately 24 months
Vascular disorders
Hypertension
27.8%
5/18 • Approximately 24 months
Injury, poisoning and procedural complications
Infusion related reaction
27.8%
5/18 • Approximately 24 months
General disorders
Injection site reaction
27.8%
5/18 • Approximately 24 months
Musculoskeletal and connective tissue disorders
Pain in extremity
27.8%
5/18 • Approximately 24 months
Infections and infestations
Upper respiratory infection
27.8%
5/18 • Approximately 24 months
Blood and lymphatic system disorders
Anemia
22.2%
4/18 • Approximately 24 months
Respiratory, thoracic and mediastinal disorders
Dyspnea
22.2%
4/18 • Approximately 24 months
General disorders
General disorders and administration site conditions - Other, specify
22.2%
4/18 • Approximately 24 months
Nervous system disorders
Headache
22.2%
4/18 • Approximately 24 months
General disorders
Pain
22.2%
4/18 • Approximately 24 months
Skin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders - Other, specify
22.2%
4/18 • Approximately 24 months
Respiratory, thoracic and mediastinal disorders
Sore throat
22.2%
4/18 • Approximately 24 months
Investigations
Alkaline phosphatase increased
16.7%
3/18 • Approximately 24 months
General disorders
Chills
16.7%
3/18 • Approximately 24 months

Additional Information

Jacob D. Soumerai, MD; Associate Professor of Medicine

Massachusetts General Hospital

Phone: 617-792-0547

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place