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On August 12, 2020, the U.S. Food and Drug Administration (FDA) accepted the new drug application (NDA) for umbralisib, as a treatment option for patients with previously treated marginal zone lymphoma (MZL) and follicular lymphoma (FL).
Umbralisib, an oral dual inhibitor of the PI3 kinase-delta and casein kinase-1 epsilon, has already received FDA breakthrough therapy designation for the treatment of patients with MZL who had received one prior anti-CD20 regimen, and orphan drug designation for patients with FL who were relapsed or refractory following ≥ 2 prior lines of therapy, including an anti-CD20 regimen and an alkylating agent.
The NDA application was based on data from the MZL and FL cohorts of the UNITY-NHL phase IIb trial (NCT02793583). This global multicenter, open-label trial evaluated safety and efficacy of the single agent umbralisib in patients with MZL who had received at least one prior anti-CD20 regimen, and in patients with FL who were relapsed or refractory following at least two prior lines of therapy, including an anti-CD20 regimen and an alkylating agent. The trial met its primary endpoint of overall response rate, meeting the prespecified targets of 40─50% in both cohorts.
The FDA granted priority review to umbralisib for the MZL indication and standard review for the FL indication.
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