PI3K inhibitors in CLL
. | Phase 1: duvelisib monotherapy9 . | Phase 3 DUO: duvelisib vs ofatumomab10 . | Phase 3: idelalisib-rituximab vs rituximab11 . |
---|---|---|---|
n = 55 (R/R CLL) . | n = 160 (duvelisib), n = 159 (ofatumumab) . | n = 110 (idelalisib-rituximab), n = 110 (rituximab) . | |
Median prior therapies (range) | 4 (1-11) | 2 (1-10) vs 2 (1-8) | 3 (1-12) vs 3 (1-9) |
Median years since diagnosis (range) | 8.5 (0.7-20.9) | 7.5 vs 6.7 | 8.6 vs 9.0 |
ORR, % | 56.4 | 73.8 vs 45.3* | 83.6 vs 15.5* |
CR, % | 1.8 | 0.6 vs 0.6 | 0 vs 0 |
PR, % | 54.5 | 72.5 vs 44.7 | 83.6 vs 15.5* |
SD, % | 34.5 | 21.3 vs 39.6 | 11.8 vs 64.5 |
PFS, mo | 15.7 | 13.3 vs 9.9 | 19.4 vs 6.5 |
Discontinued due to adverse events, % | 36.4 | 35.0 vs 4 | 20 vs 10.9 |
Key grade ≥3 adverse events with frequency ≥10% | Neutropenia, anemia, thrombocytopenia, pneumonia, transaminitis | Neutropenia, anemia, diarrhea/colitis, pneumonia | Neutropenia, pneumonia |
. | Phase 1: duvelisib monotherapy9 . | Phase 3 DUO: duvelisib vs ofatumomab10 . | Phase 3: idelalisib-rituximab vs rituximab11 . |
---|---|---|---|
n = 55 (R/R CLL) . | n = 160 (duvelisib), n = 159 (ofatumumab) . | n = 110 (idelalisib-rituximab), n = 110 (rituximab) . | |
Median prior therapies (range) | 4 (1-11) | 2 (1-10) vs 2 (1-8) | 3 (1-12) vs 3 (1-9) |
Median years since diagnosis (range) | 8.5 (0.7-20.9) | 7.5 vs 6.7 | 8.6 vs 9.0 |
ORR, % | 56.4 | 73.8 vs 45.3* | 83.6 vs 15.5* |
CR, % | 1.8 | 0.6 vs 0.6 | 0 vs 0 |
PR, % | 54.5 | 72.5 vs 44.7 | 83.6 vs 15.5* |
SD, % | 34.5 | 21.3 vs 39.6 | 11.8 vs 64.5 |
PFS, mo | 15.7 | 13.3 vs 9.9 | 19.4 vs 6.5 |
Discontinued due to adverse events, % | 36.4 | 35.0 vs 4 | 20 vs 10.9 |
Key grade ≥3 adverse events with frequency ≥10% | Neutropenia, anemia, thrombocytopenia, pneumonia, transaminitis | Neutropenia, anemia, diarrhea/colitis, pneumonia | Neutropenia, pneumonia |
CR, complete remission; NR, not reached; PR, partial response; SD, stable disease.
P < 0.0001