Evidence map›Paper›PMID 39778876›Full record

Trial reportBritish journal of haematology2025

A phase II study of zandelisib in patients with relapsed or refractory indolent non-Hodgkin lymphoma: ME-401-K02 study.

Wataru Munakata, Takahiro Kumode, Hideki Goto, Noriko Fukuhara, Tatsu Shimoyama, Masahiro Takeuchi, Toshiro Kawakita, Kohmei Kubo, Masashi Sawa, Toshiki Uchida and 8 more

Registry-linked trialAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in British journal of haematology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04533581 (A Japanese Phase 2 Study of ME-401 in Subjects With Relapsed or Refractory Indolent B-cell Non-Hodgkin's Lymphoma), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04533581 phase2active not recruitingnot on this map

A Japanese Phase 2 Study of ME-401 in Subjects With Relapsed or Refractory Indolent B-cell Non-Hodgkin's Lymphoma (NHL)

TypeinterventionalSponsorKyowa Kirin Co., Ltd.Ran2020 to 2028Enrolled61ConditionsIndolent B-cell Non-Hodgkin's LymphomaArmsME-401
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Wataru MunakataDepartment of Hematology, National Cancer Center Hospital, Tokyo, Japan.ORCID https://orcid.org/0000-0002-4679-0656
Takahiro KumodeHematology and Rheumatology, Kindai University Faculty of Medicine, Osaka, Japan.
Hideki GotoDivision of Laboratory and Transfusion Medicine, Hokkaido University Hospital, Sapporo, Japan.
Noriko FukuharaHematology, Tohoku University Hospital, Sendai, Japan.
Tatsu ShimoyamaOncology, Tokyo Metropolitan Komagome Hospital, Tokyo, Japan.
Masahiro TakeuchiOncology and Hematology, Chiba Cancer Center, Chiba, Japan.
Toshiro KawakitaHematology, NHO Kumamoto Medical Center, Kumamoto, Japan.
Kohmei KuboHematology, Aomori Prefectural Central Hospital, Aomori, Japan.
Masashi SawaHematology and Oncology, Anjo Kosei Hospital, Anjo, Aichi, Japan.
Toshiki UchidaHematology and Oncology, JRC AMC Nagoya Daini Hospital, Nagoya, Aichi, Japan.
Yuko MishimaHematology and Oncology, Cancer Institute Hospital, JFCR, Tokyo, Japan.ORCID https://orcid.org/0000-0002-9742-8470
Michiko IchiiHematology and Oncology, Osaka University Graduate School of Medicine, Osaka, Japan.ORCID https://orcid.org/0000-0002-0018-6656
Miyoko HanayaKyowa Kirin Co., Ltd, Tokyo, Japan.
Asuka MatsumotoKyowa Kirin Co., Ltd, Tokyo, Japan.
Masaaki KurikiKyowa Kirin Co., Ltd, Tokyo, Japan.
Toshihiro SeikeKyowa Kirin Co., Ltd, Tokyo, Japan.
Koji IzutsuDepartment of Hematology, National Cancer Center Hospital, Tokyo, Japan.ORCID https://orcid.org/0000-0001-9129-8057
Kenichi IshizawaDepartment of Nursing, Tohoku Fukushi University, Sendai, Japan.

Funding

Kyowa Kirin Co., Ltd.
6 · The paper itself

Abstract

Zandelisib, a selective, potent PI3Kδ inhibitor, demonstrated favourable outcomes in patients with relapsed or refractory follicular lymphoma in a global phase II study. This phase II study evaluated the efficacy and safety of zandelisib for relapsed or refractory follicular lymphoma or marginal zone lymphoma. Sixty-one patients received zandelisib orally at 60 mg daily continuously in the first two 28-day cycles, followed by intermittent dosing on Days 1-7 following each cycle until progressive disease or unacceptable toxicity. Objective and complete response rates were 75.4% (95% confidence interval [CI], 62.7%-85.5%) and 24.6% (95% CI, 14.5%-37.3%) respectively. Median time to response was 58 days; 70.5% (43/61) of patients achieved their first response by Week 8. At least one Grade ≥ 3 treatment-emergent adverse event (TEAE) occurred in 55.7% of patients: transaminase elevation (8.2%); cutaneous reactions (3.3%); and diarrhoea, enterocolitis and lung infection (1.6% each), defined as adverse events of special interest. The discontinuation rate due to any TEAE was 14.8%. No zandelisib-related death occurred. Zandelisib showed favourable efficacy and tolerability in Japanese patients with relapsed or refractory indolent non-Hodgkin B-cell lymphoma. This unique dosing schedule may maintain efficacy while mitigating the safety issues observed with other PI3Kδ inhibitors (ClinicalTrials.gov number, NCT04533581).

Indexed as

Lymphoma, B-Cell, Marginal ZoneLymphoma, FollicularLymphoma, Non-HodgkinAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedRecurrenceTreatment Outcomefollicular lymphomaindolent non‐Hodgkin lymphomamarginal zone lymphomaPI3Kδ inhibitorzandelisib

Identifiers

PMID39778876
PMCPMC11829137

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.