Study Evaluating the Efficacy and Safety of Idelalisib in Combination With Bendamustine and Rituximab for Previously Treated Chronic Lymphocytic Leukemia (CLL) (Tugela ) (Tugela)
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ClinicalTrials.gov Identifier: NCT01569295 |
Recruitment Status :
Completed
First Posted : April 3, 2012
Results First Posted : February 27, 2018
Last Update Posted : March 10, 2020
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Sponsor:
Gilead Sciences
Information provided by (Responsible Party):
Gilead Sciences
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Study Type | Interventional |
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Study Design | Allocation: Randomized; Intervention Model: Parallel Assignment; Masking: Triple (Participant, Care Provider, Investigator); Primary Purpose: Treatment |
Condition |
Chronic Lymphocytic Leukemia |
Interventions |
Drug: Idelalisib Drug: Rituximab Drug: Bendamustine Drug: Placebo to match idelalisib |
Enrollment | 416 |
Participant Flow
Recruitment Details | Participants were enrolled at a total of 110 sites in Australia, New Zealand, Europe, Asia and North America. The first participant was screened on 15 June 2012. The last study visit occurred on 10 June 2019. |
Pre-assignment Details | 540 participants were screened. |
Arm/Group Title | Idelalisib + Bendamustine + Rituximab | Placebo + Bendamustine + Rituximab |
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Arm/Group Description | Idelalisib 150 mg tablet administered orally twice daily (until the earliest of participant withdrawal from study, definitive progression of chronic lymphocytic leukemia (CLL), intolerable toxicity, pregnancy, substantial noncompliance with study procedures, or study discontinuation) + rituximab 375 mg/m^2 on Day 1, then 500 mg/m^2 every 28 days administered intravenously for a total of 6 infusions + bendamustine 70 mg/mg^2/infusion on days 1 and 2 of each 28 day cycle, administered intravenously for a total of 6 cycles (12 infusions). | Placebo to match idelalisib administered orally twice daily + rituximab 375 mg/m^2 on Day 1, then 500 mg/ m^2 every 28 days administered intravenously for a total of 6 infusions + bendamustine 70 mg/m^2/infusion on days 1 and 2 of each 28 day cycle administered intravenously for a total of 6 cycles (12 infusions). |
Period Title: Overall Study | ||
Started | 207 | 209 |
Long-Term Follow-up | 109 | 161 |
Completed | 0 | 0 |
Not Completed | 207 | 209 |
Reason Not Completed | ||
Progressive Disease | 75 | 139 |
Adverse Event | 39 | 14 |
Withdrawal by Subject | 25 | 12 |
Death | 19 | 15 |
Physician Decision | 13 | 18 |
Study Terminated by Sponsor | 24 | 2 |
Other Reason not Specified | 3 | 5 |
Non-Compliance with Study Drug | 6 | 1 |
Other Anticancer/Experimental Therapy | 2 | 2 |
Lost to Follow-up | 1 | 1 |
Baseline Characteristics
Arm/Group Title | Idelalisib + Bendamustine + Rituximab | Placebo + Bendamustine + Rituximab | Total | |
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Arm/Group Description | Idelalisib 150 mg tablet administered orally twice daily (until the earliest of participant withdrawal from study, definitive progression of CLL, intolerable toxicity, pregnancy, substantial noncompliance with study procedures, or study discontinuation) + rituximab 375 mg/m^2 on Day 1, then 500 mg/m^2 every 28 days administered intravenously for a total of 6 infusions + bendamustine 70 mg/mg^2/infusion on days 1 and 2 of each 28 day cycle, administered intravenously for a total of 6 cycles (12 infusions). | Placebo to match idelalisib administered orally twice daily + rituximab 375 mg/m^2 on Day 1, then 500 mg/ m^2 every 28 days administered intravenously for a total of 6 infusions + bendamustine 70 mg/m^2/infusion on days 1 and 2 of each 28 day cycle administered intravenously for a total of 6 cycles (12 infusions). | Total of all reporting groups | |
Overall Number of Baseline Participants | 207 | 209 | 416 | |
Baseline Analysis Population Description |
The intent-to-treat (ITT) Analysis Set included all participants randomized in the study regardless of whether study drug was administered and with treatment group designated according to initial randomization.
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Age, Continuous
Mean (Standard Deviation) Unit of measure: Years |
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Number Analyzed | 207 participants | 209 participants | 416 participants | |
62 (9.2) | 63 (9.8) | 62 (9.5) | ||
Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 207 participants | 209 participants | 416 participants | |
Female |
47 22.7%
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53 25.4%
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100 24.0%
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Male |
160 77.3%
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156 74.6%
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316 76.0%
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Race/Ethnicity, Customized
Measure Type: Count of Participants Unit of measure: Participants |
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Race | Number Analyzed | 207 participants | 209 participants | 416 participants |
White |
187 90.3%
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190 90.9%
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377 90.6%
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Black or African American |
6 2.9%
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4 1.9%
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10 2.4%
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Asian |
2 1.0%
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1 0.5%
|
3 0.7%
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Other |
2 1.0%
|
2 1.0%
|
4 1.0%
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Not Permitted |
10 4.8%
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12 5.7%
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22 5.3%
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Race/Ethnicity, Customized
Measure Type: Count of Participants Unit of measure: Participants |
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Ethnicity | Number Analyzed | 207 participants | 209 participants | 416 participants |
Hispanic or Latino |
4 1.9%
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5 2.4%
|
9 2.2%
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Not Hispanic or Latino |
191 92.3%
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188 90.0%
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379 91.1%
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Not Permitted |
12 5.8%
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15 7.2%
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27 6.5%
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Missing |
0 0.0%
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1 0.5%
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1 0.2%
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Region of Enrollment
Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 207 participants | 209 participants | 416 participants |
Romania |
5 2.4%
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6 2.9%
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11 2.6%
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Hungary |
24 11.6%
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20 9.6%
|
44 10.6%
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United States |
37 17.9%
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33 15.8%
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70 16.8%
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Czechia |
9 4.3%
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5 2.4%
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14 3.4%
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United Kingdom |
27 13.0%
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29 13.9%
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56 13.5%
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Portugal |
1 0.5%
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4 1.9%
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5 1.2%
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Russia |
22 10.6%
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14 6.7%
|
36 8.7%
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Spain |
14 6.8%
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18 8.6%
|
32 7.7%
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Greece |
1 0.5%
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1 0.5%
|
2 0.5%
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Canada |
0 0.0%
|
3 1.4%
|
3 0.7%
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Turkey |
6 2.9%
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6 2.9%
|
12 2.9%
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Belgium |
3 1.4%
|
7 3.3%
|
10 2.4%
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Ireland |
1 0.5%
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1 0.5%
|
2 0.5%
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Poland |
17 8.2%
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22 10.5%
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39 9.4%
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Italy |
10 4.8%
|
7 3.3%
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17 4.1%
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Australia |
8 3.9%
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8 3.8%
|
16 3.8%
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France |
13 6.3%
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14 6.7%
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27 6.5%
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Croatia |
5 2.4%
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9 4.3%
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14 3.4%
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New Zealand |
4 1.9%
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2 1.0%
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6 1.4%
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Outcome Measures
Adverse Events
Limitations and Caveats
[Not Specified]
More Information
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts
the PI's rights to discuss or publish trial results after the trial is completed.
After conclusion of the study and without prior written approval from Gilead, investigators in this study may communicate, orally present, or publish in scientific journals or other media only after the following conditions have been met:
- The results of the study in their entirety have been publicly disclosed by or with the consent of Gilead in an abstract, manuscript, or presentation form; or
- The study has been completed at all study sites for at least 2 years
Results Point of Contact
Name/Title: | Gilead Clinical Study Information Center |
Organization: | Gilead Sciences |
Phone: | 1-833-445-3230 (GILEAD-0) |
EMail: | ClinicalTrialDisclosures@gilead.com |
Publications:
Zelenetz AD, Robak T, et al. Idelalisib Plus Bendamustine and Rituximab (BR) Is Superior to BR Alone in Patients with Relapsed/Refractory Chronic Lymphocytic Leukemia: Results of a Phase 3 Randomized Double-Blind Placebo-Controlled Study. American Society ofHematology (ASH) 57th Annual Meeting & Exposition; 5-8 December 2015; Orlando, FL.
Barrientos JC, Brown JR, et al. Results of a Randomized Double-Blind Placebo-Controlled Phase 3 study Evaluating Idelalisib in Combination with Bendamustine and Rituximab in Patients with Relapsed/Refractory CLL and Adverse Prognostic Features. American Society of Clinical Oncology (ASCO) 2016 Annual Meeting; 3-7 June 2016; Chicago, IL.
Hillmen, P, Ferra C, et al. Idelalisib in Combination with Bendamustine and Rituximab Improves Overall Survival in Patients with Relapsed/Refractory CLL: Interim Results of a Phase 3 Randomized Double-Blind Placebo-Controlled Study. European Hematology Association (EHA) 21st Annual Meeting; 9-12 June 2016; Copenhagen, Denmark.
Zelenetz AD, Brown JR et al. Updated Analysis of Overall Survival in Randomized Phase III Study of Idelalisib in Combination with Bendamustine and Rituximab in Patients with Relapsed/Refractory CLL. American Society of Hematology (ASH) 58th Annual Meeting & Exposition; 3-6 December 2016; San Diego, CA
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: | Gilead Sciences |
ClinicalTrials.gov Identifier: | NCT01569295 |
Other Study ID Numbers: |
GS-US-312-0115 2011-006292-20 ( EudraCT Number ) |
First Submitted: | March 27, 2012 |
First Posted: | April 3, 2012 |
Results First Submitted: | December 18, 2017 |
Results First Posted: | February 27, 2018 |
Last Update Posted: | March 10, 2020 |