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Trial · NCT03364231

Study to Assess the Efficacy and Safety of Umbralisib in Participants With Non-Follicular Indolent Non-Hodgkin's Lymphoma

NCT03364231, Phase 2, Completed, TG Therapeutics, Inc.; results first posted 2023-06-23

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Study to Assess the Efficacy and Safety of Umbralisib in Participants With Non-Follicular Indolent Non-Hodgkin's Lymphoma. Trials, record NCT03364231. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03364231

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Study to Assess the Efficacy and Safety of Umbralisib in Participants With Non-Follicular Indolent Non-Hodgkin's Lymphoma
NCT number
NCT03364231
Status
Completed
Phases
Phase 2
Enrollment
21 participants, actual
Lead sponsor
TG Therapeutics, Inc.
Conditions
Marginal Zone Lymphoma, Waldenstrom Macroglobulinemia, Non Follicular Indolent Non-Hodgkin Lymphoma
Interventions
Umbralisib
First posted
2017-12-06
Last updated
2023-06-23
Results first posted
2023-06-23

Source ClinicalTrials.gov

Registered outcomes6

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
Primary
Overall Response Rate (ORR) as Assessed by Revised Response Criteria for Non- Hodgkin's Lymphoma (Lugano Classification) and Consensus-Based 6th International Workshop on Waldenstrom's Macroglobulinemia (IWWM)
Every 3 cycles (1 Cycle = 28 days) from Day 1 Cycle 1 up to approximately 4.2 years
ORR for MZL=percentage of participants with complete response (CR)/partial response (PR). ORR for WM=CR/PR/very good partial response (VGPR)/minor response (MR). Response assessed per revised Lugano Classification for MZL \&per IWWM for WM participants. Per Lugano criteria CR=complete disappearance of all evidence of disease \& disease-related symptoms. PR=regression of measurable disease \& no new disease sites. Regression=≥50% decrease in the sum of the products of the diameters (SPD) of index lesions, with no increase in size of other lymph nodes/liver/spleen.Per IWWM criteria CR=disappearance of serum monoclonal immunoglobulin M (IgM) protein by immunofixation with a normal serum IgM level. VGPR=reduction of monoclonal IgM protein \>90% from baseline. PR=reduction of monoclonal IgM protein between 50-90% from baseline with regression of measurable disease. Regression defined in similar manner as Lugano Classification. MR=reduction of monoclonal IgM protein \>25% but \<50% from baseline.
PrimaryDuration of Response (DOR)From the first demonstration of response to umbralisib till disease progression/death (up to approximately 4.2 years)DOR is defined as the time from documentation of a response to treatment to the first documentation of tumor progression or death due to any cause, whichever comes first.
SecondaryComplete Response (CR) RateEvery 3 cycles (1 Cycle = 28 days) from Day 1 Cycle 1 up to approximately 4.2 years
CR rate is defined as percentage of participants who achieved CR. CR was assessed using Revised Response Criteria for Non- Hodgkin's Lymphoma (Lugano Classification) for participants with MZL and Consensus-Based 6th IWWM for participants with WM. Per Lugano Classification, CR= the complete disappearance of all evidence of disease and disease-related symptoms i.e., liver/spleen non palpable and normal in size and disappearance of nodules related to lymphoma. Per IWWM criteria, CR=disappearance of serum monoclonal IgM protein by immunofixation with a normal serum IgM level, liver/spleen non palpable and normal in size and disappearance of nodes related to WM.
SecondaryProgression-Free Survival (PFS)From date of randomization until the date of first documented progression (up to approximately 4.2 years)
PFS is defined as the interval from Cycle 1 (1 cycle = 28 days) Day 1 to the earlier of the first documentation of definitive disease progression or death from any cause. Assessment of progressive disease (PD) was based on Revised Response Criteria for non-Hodgkin's lymphoma, Lugano Classification for participants with MZL and consensus-based 6th IWWM for participants with WM. Per Lugano Classification, PD was defined as the appearance of any new lesion more than 1.5 centimeters (cm) in any axis, even if other lesions are decreasing in size. At least a 50% increase from nadir in one of the following: SPD of index lesions, greatest transverse diameter (GTD) of any individual previously involved node, or GTD of any previously involved node provided that the GTD of that node is now ≥ 1.5 cm. Per IWWM criteria participants, PD was defined as more than 25% increase in serum IgM level from lowest nadir and/or progression in clinical features attributable to the disease.
SecondaryTime to Treatment Failure (TTF)From first dose on Day 1 of Cycle 1 (28 days = 1 cycle) up to discontinuation of treatment (up to approximately 4.2 years)
TTF is defined as a composite endpoint measuring time from Cycle 1/Day 1 to discontinuation of treatment for any reason, including disease progression, treatment toxicity, and death. PD was assessed based on Revised Response Criteria for non-Hodgkin's lymphoma, Lugano Classification for participants with MZL and consensus-based 6th IWWM for participants with WM. Per Lugano Classification, PD was defined as the appearance of any new lesion more than 1.5 cm in any axis, even if other lesions are decreasing in size. At least a 50% increase from nadir in one of the following: SPD of index lesions, GTD of any individual previously involved node, or GTD of any previously involved node provided that the GTD of that node is now ≥ 1.5 cm. Per IWWM criteria PD was defined as more than 25% increase in serum IgM level from lowest nadir and/or progression in clinical features attributable to the disease.
SecondaryNumber of Participants With at Least One Adverse Event (AE)From first dose of study treatment up to end of study (up to approximately 4.2 years)
An AE is any untoward medical occurrence in a participant that does not necessarily have to have a causal relationship with the treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporarily associated with the use of a medicinal product, whether or not considered related to the medicinal product.

Outcomes6

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARY
Overall Response Rate (ORR) as Assessed by Revised Response Criteria for Non- Hodgkin's Lymphoma (Lugano Classification) and Consensus-Based 6th International Workshop on Waldenstrom's Macroglobulinemia (IWWM)
Every 3 cycles (1 Cycle = 28 days) from Day 1 Cycle 1 up to approximately 4.2 yearsmITT population included all participants who received at least one dose of study treatment and provided at least some post baseline efficacy assessment.percentage of participantsNUMBER
PRIMARYDuration of Response (DOR)From the first demonstration of response to umbralisib till disease progression/death (up to approximately 4.2 years)
mITT population included all participants who received at least one dose of study treatment and provided at least some post baseline efficacy assessment. 'Overall number of participants analyzed' is the number of participants with data available for analysis.
monthsMEDIAN
SECONDARYComplete Response (CR) RateEvery 3 cycles (1 Cycle = 28 days) from Day 1 Cycle 1 up to approximately 4.2 yearsmITT population included all participants who received at least one dose of study treatment and provided at least some post baseline efficacy assessment.percentage of participantsNUMBER
SECONDARYProgression-Free Survival (PFS)From date of randomization until the date of first documented progression (up to approximately 4.2 years)mITT population included all participants who received at least one dose of study treatment and provided at least some post baseline efficacy assessment.monthsMEDIAN
SECONDARYTime to Treatment Failure (TTF)From first dose on Day 1 of Cycle 1 (28 days = 1 cycle) up to discontinuation of treatment (up to approximately 4.2 years)mITT population included all participants who received at least one dose of study treatment and provided at least some post baseline efficacy assessment.monthsMEDIAN
SECONDARYNumber of Participants With at Least One Adverse Event (AE)From first dose of study treatment up to end of study (up to approximately 4.2 years)Safety population included all enrolled participants who received at least one dose of study treatment.ParticipantsCOUNT_OF_PARTICIPANTS

Results by group12

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Overall Response Rate (ORR) as Assessed by Revised Response Criteria for Non- Hodgkin's Lymphoma (Lugano Classification) and Consensus-Based 6th International Workshop on Waldenstrom's Macroglobulinemia (IWWM)
MZL: Umbralisib37.595% Confidence Interval 8.5 to 75.5percentage of participants
Overall Response Rate (ORR) as Assessed by Revised Response Criteria for Non- Hodgkin's Lymphoma (Lugano Classification) and Consensus-Based 6th International Workshop on Waldenstrom's Macroglobulinemia (IWWM)
WM: Umbralisib30.095% Confidence Interval 6.7 to 65.2percentage of participants
Duration of Response (DOR)MZL: Umbralisib21.2Full Range 3 to 33months
Duration of Response (DOR)WM: Umbralisib13Full Range 5 to 14months
Complete Response (CR) RateMZL: Umbralisib12.595% Confidence Interval 0.3 to 52.7percentage of participants
Complete Response (CR) RateWM: Umbralisib095% Confidence Interval NA to NApercentage of participants
Progression-Free Survival (PFS)MZL: Umbralisib47.1Full Range 1.4 to 47.1months
Progression-Free Survival (PFS)WM: Umbralisib18.4Full Range 2.1 to 35.0months
Time to Treatment Failure (TTF)MZL: Umbralisib13.195% Confidence Interval 1.4 to NAmonths
Time to Treatment Failure (TTF)WM: Umbralisib6.595% Confidence Interval 2.1 to 15.9months

Participant flow10

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDMarginal Zone Lymphoma (MZL): Umbralisib8
Overall StudySTARTEDWaldenstrom's Macroglobulinemia (WM): Umbralisib13
Overall StudySafety PopulationMarginal Zone Lymphoma (MZL): Umbralisib8
Overall StudySafety PopulationWaldenstrom's Macroglobulinemia (WM): Umbralisib13
Overall StudyModified Intent-To-Treat (mITT)Marginal Zone Lymphoma (MZL): Umbralisib8
Overall StudyModified Intent-To-Treat (mITT)Waldenstrom's Macroglobulinemia (WM): Umbralisib10
Overall StudyCOMPLETEDMarginal Zone Lymphoma (MZL): Umbralisib0
Overall StudyCOMPLETEDWaldenstrom's Macroglobulinemia (WM): Umbralisib0
Overall StudyNOT COMPLETEDMarginal Zone Lymphoma (MZL): Umbralisib8
Overall StudyNOT COMPLETEDWaldenstrom's Macroglobulinemia (WM): Umbralisib13

Adverse events220

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersMZL: Umbralisib28
otherAnaemiaBlood and lymphatic system disordersWM: Umbralisib413
otherNeutropeniaBlood and lymphatic system disordersMZL: Umbralisib08
otherNeutropeniaBlood and lymphatic system disordersWM: Umbralisib313
otherThrombocytopeniaBlood and lymphatic system disordersMZL: Umbralisib08
otherThrombocytopeniaBlood and lymphatic system disordersWM: Umbralisib213
otherLeukocytosisBlood and lymphatic system disordersMZL: Umbralisib08
otherLeukocytosisBlood and lymphatic system disordersWM: Umbralisib113
otherAtrial fibrillationCardiac disordersMZL: Umbralisib08
otherAtrial fibrillationCardiac disordersWM: Umbralisib113

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityMZL: Umbralisib18
Total, all-cause mortalityWM: Umbralisib013
Total, other adverse eventsMZL: Umbralisib88
Total, other adverse eventsWM: Umbralisib1313
Total, serious adverse eventsMZL: Umbralisib18
Total, serious adverse eventsWM: Umbralisib013

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons3

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
MZL: Umbralisib vs WM: Umbralisib: Number of Participants With at Least One Adverse Event (AE)Trial comparisons
MZL: Umbralisib vs WM: Umbralisib: deaths from any causeTrial comparisons
MZL: Umbralisib vs WM: Umbralisib: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03364231

GET https://conductscience.org/api/trials/v1/NCT03364231/events?page=2