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Idelalisib

Phase 3

Chronic Lymphocytic Leukemia | Small molecule | Oncology |Gilead Sciences, Inc.|Last Updated: Mar 17, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials4
Total Enrollment669
FDA Designations
No designations recorded
Clinical Trials (4)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01569295Study Evaluating the Efficacy and Safety of Idelalisib in Combination With Bendamustine and Rituximab for Previously Treated Chronic Lymphocytic Leukemia (CLL) (Tugela )PHASE3 COMPLETED 416Jun 15, 2012Jun 10, 2019Mar 10, 2020106 United States, Australia +16
NCT01539512A Randomized, Double-Blind, Placebo-Controlled Study of Idelalisib in Combination With Rituximab for Previously Treated Chronic Lymphocytic Leukemia (CLL)PHASE3 COMPLETED 220Apr 1, 2012Apr 1, 2014May 14, 201972 United States, France +3
NCT02135133A Study of Idelalisib (GS1101, CAL101) + Ofatumumab in Previously Untreated CLL/SLLPHASE2 COMPLETED 27Jun 1, 2014Oct 6, 2020Mar 17, 20263 United States
NCT02242045Study to Evaluate Safety, Tolerability, and Pharmacokinetics of Idelalisib in Japanese Participants With Relapsed or Refractory Indolent B-Cell Non-Hodgkin Lymphomas (iNHL) or Chronic Lymphocytic Leukemia (CLL)PHASE1 COMPLETED 6Oct 1, 2014Oct 17, 2017Mar 19, 20213 Japan
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Study Endpoints
Primary Endpoints
Progression-Free Survival (PFS)
Up to 84 months

PFS was defined as the interval from randomization to the earlier of the first documentation of definitive disease progression or death from any cause. PFS (months) = (minimum (date of disease progression, date of death) - date of randomization + 1)/30.4375.

Progression-Free Survival
Up to 17 months

Progression-free survival was defined as the interval from randomization to the earlier of the first documentation of definitive disease progression or death from any cause. Definitive disease progression was CLL progression based on standard criteria (other than lymphocytosis alone) as defined by the 2008 update of the International Workshop on CLL guidelines, ie, appearance of any new lesion; increase by ≥ 50% in the sum of the products of the perpendicular diameters of measured lymph nodes (SPD); new or ≥ 50% enlargement of liver or spleen; transformation to a more aggressive histology (eg, Richter's or prolymphocytic transformation); reduction in the number of blood cells (cytopenia) attributable to CLL.

Overall Response Rate (ORR)
Disease evaluated on Cycle 2 day 22 (Restage end of cycle 2), Cycle 10 day 1 (Final Restage 2 months after end of ofa therapy) and off treatment prior to cycle 10. Treatment duration is median 243 days with range of 9-620 days.

The overall response rate (ORR) was defined as the proportion of participants achieving complete response (CR) or partial response (PR) based on IWCLL 2008 criteria.

Percentage of Participants Experiencing Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) Within 28 Days of Idelalisib Exposure
First dose date up to 28 days

An AE was any untoward medical occurrence in a clinical study participant which did not necessarily have a causal relationship with the treatment. An AE can therefore be any unfavorable and/or unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. TEAEs were defined as 1 or both of the following: 1) Any AEs with an onset date on or after the study drug start date and no later than 30 days after permanent discontinuation of study drug; and/or 2) Any AEs leading to premature discontinuation of study drug.

Percentage of Participants Experiencing TEAEs Related to Idelalisib Within 28 Days of Idelalisib Exposure
First dose date up to 28 days

An AE was any untoward medical occurrence in a clinical study participant which did not necessarily have a causal relationship with the treatment. An AE can therefore be any unfavorable and/or unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. TEAEs were defined as 1 or both of the following: 1) Any AEs with an onset date on or after the study drug start date and no later than 30 days after permanent discontinuation of study drug; and/or 2) Any AEs leading to premature discontinuation of study drug.

Percentage of Participants Experiencing Treatment-Emergent Laboratory Abnormalities Within 28 Days of Idelalisib Exposure by Worst Grade at Postbaseline
First dose date up to 28 days

Treatment-emergent laboratory abnormalities were defined as values that increase at least one toxicity grade from baseline. If the relevant baseline laboratory value was missing, then any abnormality of at least Grade 1 observed within the time frame specified above was considered treatment-emergent.The most severe graded abnormality from all tests was counted for each participant. Treatment-emergent laboratory abnormalities were graded per Common Terminology Criteria for Adverse Events (CTCAE), Version 4.03 where 1=Mild, 2=Moderate, 3=Severe, 4=Potentially Life Threatening.

Percentage of Participants Who Permanently Discontinued Idelalisib Due to a TEAE Within 28 Days of Idelalisib Exposure
First dose date up to 28 days

An AE was any untoward medical occurrence in a clinical study participant which did not necessarily have a causal relationship with the treatment. An AE can therefore be any unfavorable and/or unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. TEAEs were defined as 1 or both of the following: 1) Any AEs with an onset date on or after the study drug start date and no later than 30 days after permanent discontinuation of study drug; and/or 2) Any AEs leading to premature discontinuation of study drug.

Plasma Concentration of Idelalisib and Its Major Metabolite GS-563117 on Day 1
Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, and 12 hours postdose on Day 1

Lower limit of quantitation was 5 ng/mL for idelalisib and metabolite GS-563117 both.

Plasma Concentration of Idelalisib and Its Major Metabolite GS-563117 on Day 8
Predose and 1.5 hours postdose on Day 8
Plasma Concentration of Idelalisib and Its Major Metabolite GS-563117 on Day 15
Predose and 1.5 hours postdose on Day 15
Plasma Concentration of Idelalisib and Its Major Metabolite GS-563117 on Day 22
Predose and 1.5 hours postdose on Day 22
Plasma Concentration of Idelalisib and Its Major Metabolite GS-563117 on Day 29
Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, and 12 hours postdose on Day 29
Secondary Endpoints
Overall Response Rate (ORR)
Up to 84 months
Lymph Node Response Rate
Up to 84 months
Overall Survival
Up to 84 months
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Idelalisib+bendamustine+rituximabEXPERIMENTALParticipants will receive idelalisib plus bendamustine and rituximab
Placebo to match idelalisib+bendamustine+rituximabPLACEBO_COMPARATORParticipants will receive placebo to match idelalisib plus bendamustine and rituximab
Idelalisib + rituximabACTIVE_COMPARATORParticipants will receive idelalisib plus rituximab
Placebo + rituximabPLACEBO_COMPARATORParticipants will receive placebo to match idelalisib plus rituximab
Idelalisib & OfatumumabEXPERIMENTALIdelalisib will be given orally continuously at 150 mg BID. On day 57, ofatumumab will begin with the 300 mg dose, given after idelalisib is taken. Ofatumumab will then be administered at 1000 mg weekly to complete 8 weeks (days 64, 71, 78, 85, 92, 99, 106) throughout Cycles 3 and 4. This will be followed by monthly ofatumumab on weeks 20, 24, 28, 32 to complete 4 additional cycles (5-8). The overall induction treatment period will then be 8 months, comprised of two months of single agent idelalisib followed by 6 months of ofatumumab with idelalisib. After the completion of the induction treatment, idelalisib will continue indefinitely in arbitrarily defined 28 day cycles in all participants who have not had excessive toxicity and do not have progressive disease.
IdelalisibEXPERIMENTALParticipants with iNHL or CLL will receive idelalisib until the earliest of the following: unacceptable toxicity, substantial noncompliance, disease progression, pregnancy, initiation of another anticancer or experimental therapy, investigator discretion, or idelalisib discontinuation.
Interventions
NameTypeDescription
IdelalisibDRUGIdelalisib 150 mg administered orally twice daily
RituximabDRUGRituximab 375 mg/m\^2 on Day 1, then 500 mg/m\^2 every 28 days administered intravenously for a maximum of 6 infusions
BendamustineDRUGBendamustine 70 mg/mg\^2/day on 2 consecutive days every 28 days administered intravenously for a maximum of 12 infusions
Placebo to match idelalisibDRUGPlacebo to match idelalisib administered orally twice daily
OfatumumabDRUGOfatumumab will then be administered at 1000 mg weekly to complete 8 weeks (days 64, 71, 78, 85, 92, 99, 106) throughout Cycles 3 and 4. This will be followed by monthly ofatumumab on weeks 20, 24, 28, 32 to complete 4 additional cycles (5-8).
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites106

Key Inclusion Criteria: * Previously treated recurrent CLL * Measurable lymphadenopathy * Requires therapy for CLL * Has experienced CLL progression \< 36 months since the completion of the last prior therapy Key Exclusion Criteria: * Recent history of a major non-CLL malignancy * Evidence of an ...

Countries:United StatesAustraliaBelgiumCanadaCroatiaCzechiaFranceGreeceHungaryIrelandItalyPolandPortugalRomaniaRussiaSpainTurkey (Türkiye)United KingdomGermanyJapan
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