Safety, Pharmacodynamics, Pharmacokinetics, and Efficacy of GS-9901 in Adults With Relapsed or Refractory Follicular Lymphoma, Marginal Zone Lymphoma, Chronic Lymphocytic Leukemia, or Small Lymphocytic Lymphoma



Status:Terminated
Conditions:Blood Cancer, Lymphoma
Therapuetic Areas:Oncology
Healthy:No
Age Range:18 - Any
Updated:4/21/2016
Start Date:January 2015
End Date:August 2015

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A Phase 1b Dose-escalation Study Evaluating the Safety, Pharmacodynamics, Pharmacokinetics, and Efficacy of GS-9901 in Subjects With Relapsed or Refractory Follicular Lymphoma, Marginal Zone Lymphoma, Chronic Lymphocytic Leukemia, or Small Lymphocytic Lymphoma

This study will evaluate the safety and tolerability of GS-9901 monotherapy in adults with
follicular lymphoma (FL), marginal zone lymphoma (MZL), chronic lymphocytic leukemia (CLL),
or small lymphocytic lymphoma (SLL). The study will also characterize the pharmacokinetic
(PK) profile of GS-9901, determine the appropriate dosing regimen of GS-9901 for use in
future clinical trials, and to evaluate the efficacy of GS-9901 monotherapy in adults with
FL, MZL, CLL, or SLL.


Inclusion Criteria:

- Diagnosis of FL, MZL, SLL, or CLL (meeting International Workshop on CLL [IWCLL]
Criteria, 2008) as documented by medical records and with histology based on criteria
established by the World Health Organization

- FL Grades 1, 2, or 3a

- SLL with absolute lymphocyte count of < 5 x 10^9/L at initial diagnosis

- MZL (splenic, nodal, or extra-nodal)

- Prior treatment for FL or CLL/SLL with ≥ 1 prior chemotherapy-based or
immunotherapy-based regimen with no approved therapies available

- Presence of radiographically measurable lymphadenopathy or extra nodal lymphoid
malignancy

- All acute toxic effects of any prior antitumor therapy resolved to Grade ≤1 before
the start of study therapy (with the exception of alopecia [Grade 1 or 2 permitted],
or bone marrow parameters [any of Grade 1, 2, or 3 permitted)

- Eastern Cooperative Oncology Group (ECOG) ≤ 2

- Able to provide written informed consent

Exclusion Criteria:

- History of lymphoid malignancy other than FL, MZL, SLL, or CLL

- History of myelodysplastic syndrome

- History of a non-lymphoid malignancy except for the following: adequately treated
local basal cell or squamous cell carcinoma of the skin, cervical carcinoma in situ,
superficial bladder cancer, asymptomatic prostate cancer without known metastatic
disease and with no requirement for therapy or requiring only hormonal therapy and
with normal prostate-specific antigen for ≥ 1 year prior to start of study therapy,
or any other cancer that has been in complete remission for ≥ 5 years

- Evidence of ongoing systemic bacterial, fungal, or viral infection at the time of
start of study therapy

- Ongoing drug-induced pneumonitis

- Ongoing inflammatory bowel disease

- History of prior allogeneic bone marrow progenitor cell or solid organ
transplantation

- History of prior therapy with any inhibitor of serine/threonine kinase (AKT), Bruton
tyrosine kinase (BTK), Janus kinase (JAK), mammalian target of rapamycin (mTOR),
phosphatidylinositol 3-kinase (PI3K), or spleen tyrosine kinase (SYK)

- Ongoing immunosuppressive therapy, including systemic corticosteroids for treatment
of lymphoid malignancy
We found this trial at
6
sites
Washington, District of Columbia 02007
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Washington,
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Duarte, California 91010
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Duarte, CA
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Fresno, California 93720
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Fresno, CA
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Southington, Connecticut 06489
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Southington, CT
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Tacoma, Washington 98405
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Tacoma, WA
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Whittier, California 90603
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Whittier, CA
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