Long-term Safety and Efficacy of Leniolisib in PIDs With Immune Dysregulation

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age12-75
SponsorPharming Technologies B.V.

About this trial

This is an open-label extension (OLE) study to extend treatment to patients with primary immunodeficiency (PID) disorders linked to phosphoinositide 3-kinase delta signaling who participated in a prior study of leniolisib, LE 7201. The primary objective is to assess long-term safety and tolerability of leniolisib. Secondary and exploratory objectives include various efficacy and immunophenotyping measures for leniolisib.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Subject must have participated in LE 7201.

Subject is deemed by the Investigator to benefit from continued leniolisib therapy.

Subject or their legal representatives (for a patient under the age of 18 years) must be able to communicate with the Investigator and understand and comply with the requirements of the study, including an ability to provide written informed consent before any assessment is performed.

Disqualifiers

Subject has had a successful allogeneic hematopoietic stem cell transplant.

Use of an mTOR inhibitor or a PI3K delta inhibitor, besides leniolisib, within 3 weeks prior to first dosing of study medication.

Rituximab or other B-cell depleting antibodies, belimumab, cyclophosphamide, or alemtuzumab within 6 months prior to first dosing of study medication.

Cyclosporine A, mycophenolate mofetil, 6-mercaptopurine, azathioprine, methotrexate, tacrolimus, ruxolitinib or other Janus kinase (JAK) inhibitors within 3 weeks prior to first dosing of study medication.

Trial design

Design model

Single group

Treatments tested in this trial

  • Leniolisib

    Drug

    All subjects will receive leniolisib film-coated tablets (FCTs) at the same dose they were receiving when they completed the preceding study (10, 30, or 70 mg twice daily \[BID\]).

Treatment groups

12 Participants
are divided into 1 treatment group
Group A: Treatment ArmExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

To assess the long-term safety and tolerability of leniolisib

Adverse events (AEs)

Time frame
From Baseline to approximately 3 years of Treatment

Secondary outcomes

1

Impact of leniolisib on hemoglobin

Hemoglobin over time

Time frame
From Baseline to approximately 3 years of Treatment
2

Impact of leniolisib on platelets

Platelet count over time

Time frame
From Baseline to approximately 3 years of Treatment
3

Impact of leniolisib on neutrophils

Absolute neutrophil count (ANC) over time

Time frame
From Baseline to approximately 3 years of Treatment
4

Impact of leniolisib on GLILD or other PID-related ILD

Computed tomography (CT) evidence of granulomatous lymphocytic interstitial lung disease (ILD) or other PID-related ILD evaluated using Hartmann scoring methodology over time

Time frame
From Baseline to approximately 3 years of Treatment

Other outcomes

Sponsors and contacts

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