Clinical trial · Interventional
Phase 3 Study of Zandelisib (ME-401) in Combination With Rituximab in Patients With iNHL - (COASTAL)
A Phase 3, Randomized, Open-Label, Controlled, Multicenter Study of Zandelisib (ME- 401) in Combination With Rituximab Versus Standard Immunochemotherapy in Patients With Relapsed Indolent Non Hodgkin's Lymphoma (iNHL) - The COASTAL Study
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Why stopped (as posted): Discontinuation of zandelisib program
Summary
Brief summary (as posted)
This is a Phase 3 study of the PI3Kδ inhibitor Zandelisib (ME-401) in combination with rituximab, in comparison to standard immunochemotherapy (Rituximab-Bendamustine or Rituximab-CHOP) in subjects with relapsed or refractory FL and MZL.
Conditions
Conditions (3)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Follicular Lymphoma (FL) | Follicular Lymphoma | ONTOLOGY_EXACT | 0.85 |
| Marginal Zone Lymphoma | Marginal Zone Lymphoma | ONTOLOGY_EXACT | 0.98 |
| Non Hodgkin Lymphoma | Non-Hodgkin Lymphoma | ONTOLOGY_EXACT | 0.90 |
Interventions
Interventions (4)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Bendamustine | Drug | Bendamustine | ALIAS |
| CHOP | Drug | — | UNRESOLVED |
| Rituximab | Drug | Rituximab | ALIAS |
| Zandelisib | Drug | — | UNRESOLVED |
Design
Arms and outcomes
Arms (2)
- type
- EXPERIMENTAL
- label
- Rituximab plus Zandelisib
- description
- Rituximab plus Zandelisib for 6 cycles followed by Zandelisib for 20 cycles
- interventionNames
- Drug: Zandelisib
- Drug: Rituximab
- type
- EXPERIMENTAL
- label
- Rituximab plus chemotherapy
- description
- Rituximab and Bendamustine or Rituximab with (CHOP) for 6 cycles
- interventionNames
- Drug: Rituximab
- Drug: Bendamustine
- Drug: CHOP
Primary outcomes (1)
- measure
- Progression Free Survival
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion Criteria: * Male or female subjects ≥18 years of age, ≥19 years in Korea, or ≥20 years for subjects in Japan and Taiwan * Histologically confirmed diagnosis of CD20 positive iNHL with histological subtype limited to: 1. FL Gr 1, Gr 2, or Gr 3a 2. MZL (splenic, nodal, or extra-nodal) * Subjects with relapsed or refractory disease who received ≥1 prior lines of therapy * Subjects must have at least one bi-dimensionally measurable lesion \>1.5 cm * Adequate hematologic parameters at screening unless abnormal values are due to disease * Adequate renal and hepatic function * Adequate cardiac function based on ECG and LVEF assessments Exclusion Criteria: * Histologically confirmed diagnosis of FL Gr 3b or transformed disease * Prior therapy with PI3K inhibitors * Ongoing or history of drug-induced pneumonitis * Known lymphomatous involvement of the central nervous system * Tested positive for or active viral infection with hepatitis B or C virus * Tested positive or active infection with human immunodeficiency virus * Tested positive, or active infection with human T-cell leukemia virus type 1 * Any uncontrolled clinically significant illness * History of clinically significant cardiovascular abnormalities such as congestive heart failure * History of clinically significant gastrointestinal (GI) conditions * Females who are pregnant
References
Publications (0)
Data not yet available