Clinical Trials

Numerous clinical trials spanning Phase 1 through Phase 4 evaluate the efficacy and safety of CAL-101 (idelalisib) as monotherapy and combination regimens for B-cell malignancies, including chronic lymphocytic leukemia, follicular lymphoma, small lymphocytic lymphoma, and marginal zone lymphoma. Sponsored by pharmaceutical developers such as Gilead Sciences and Dizal Pharmaceuticals alongside academic institutions like the Dana-Farber Cancer Institute and the Sidney Kimmel Comprehensive Cancer Center, these studies encompass completed, active, recruiting, terminated, and withdrawn trial statuses.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT05725200 RECRUITING
Metastatic Colorectal Cancer
Oslo University Hospital
2022-09-27 PHASE2
NCT06205290 WITHDRAWN
Leukemia, Lymphocytic, Chronic, B-Cell
Juno Therapeutics, Inc., a Bristol-Myers Squibb Company
2024-01-16 PHASE3
NCT07218341 RECRUITING
Chronic Lymphocytic Leukemia; Lymphoma, Small Lymphocytic
Eli Lilly and Company
2026-03-09 PHASE4
NCT07139873 RECRUITING
Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma
Dizal Pharmaceuticals
2025-09-08 PHASE3
NCT06846671 RECRUITING
CLL; Chronic Lymphocytic Leukemia
BeOne Medicines
2025-04-10 PHASE3
NCT06736990 ACTIVE_NOT_RECRUITING
Idiopathic Pulmonary Fibrosis
Calluna Pharma AS
2025-06-20 PHASE2
NCT02787369 ACTIVE_NOT_RECRUITING
Recurrent Chronic Lymphoid Leukemia
Dana-Farber Cancer Institute
2016-05 PHASE1
NCT02457598 TERMINATED
B-cell Malignancies
Gilead Sciences
2015-06-16 PHASE1
NCT04666038 ACTIVE_NOT_RECRUITING
Chronic Lymphocytic Leukemia; Small Lymphocytic Lymphoma
Loxo Oncology, Inc.
2021-03-09 PHASE3
NCT04699461 TERMINATED
Relapsed Follicular Lymphoma; Refractory Follicular Lymphoma
ADC Therapeutics S.A.
2021-11-04 PHASE2
NCT02536300 TERMINATED
Follicular Lymphoma
Gilead Sciences
2016-01-14 PHASE3
NCT03151057 TERMINATED
B Cells-Tumors; B Cell Chronic Lymphocytic Leukemia; Follicular Lymphoma; Mantle Cell Lymphoma; Large B-Cell Diffuse Lymphoma of Bone (Diagnosis)
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
2018-07-31 PHASE1
NCT02445131 COMPLETED
Chronic Lymphocytic Leucemia
German CLL Study Group
2015-05-28 PHASE2
NCT02662296 WITHDRAWN
Prolymphocytic Leukemia; Recurrent Chronic Lymphocytic Leukemia; Recurrent Non-Hodgkin Lymphoma; Recurrent Small Lymphocytic Lymphoma
Fred Hutchinson Cancer Center
2016-03 PHASE2
NCT03639324 WITHDRAWN
Chronic Lymphocytic Leukemia; CLL; Relapsed CLL; Refractory Chronic Lymphocytic Leukemia; Relapsed Chronic Lymphocytic Leukemia; Small Lymphocytic Lymphoma; SLL; Relapsed Small Lymphocytic Lymphoma; Refractory Small Lymphocytic Lymphoma
Virginia Commonwealth University
2020-10-02 PHASE1
NCT03576443 COMPLETED
Diffuse Large B Cell Lymphoma
Nordic Lymphoma Group
2017-07-07 PHASE2
NCT02970318 ACTIVE_NOT_RECRUITING
Chronic Lymphocytic Leukemia
Acerta Pharma BV
2017-02-02 PHASE3
NCT02332980 COMPLETED
Recurrent B-Cell Non-Hodgkin Lymphoma; Recurrent Chronic Lymphocytic Leukemia; Recurrent Extranodal Marginal Zone Lymphoma of Mucosa-Associated Lymphoid Tissue; Recurrent Grade 1 Follicular Lymphoma; Recurrent Grade 2 Follicular Lymphoma; Recurrent Grade 3 Follicular Lymphoma; Recurrent Lymphoplasmacytic Lymphoma; Recurrent Marginal Zone Lymphoma; Recurrent Nodal Marginal Zone Lymphoma; Recurrent Small Lymphocytic Lymphoma; Recurrent Splenic Marginal Zone Lymphoma; Recurrent Waldenstrom Macroglobulinemia; Refractory B-Cell Non-Hodgkin Lymphoma; Refractory Chronic Lymphocytic Leukemia; Refractory Extranodal Marginal Zone Lymphoma of Mucosa-Associated Lymphoid Tissue; Refractory Follicular Lymphoma; Refractory Lymphoplasmacytic Lymphoma; Refractory Nodal Marginal Zone Lymphoma; Refractory Small Lymphocytic Lymphoma; Refractory Splenic Marginal Zone Lymphoma; Refractory Waldenstrom Macroglobulinemia; Richter Syndrome; Waldenstrom Macroglobulinemia
Mayo Clinic
2015-02-19 PHASE2
NCT03890289 TERMINATED
Follicular Lymphoma
Fondazione Italiana Linfomi - ETS
2019-10-18 PHASE2
NCT03349346 WITHDRAWN
Diffuse Large B-Cell Lymphoma; Mediastinal B-cell Lymphoma
Gilead Sciences
2019-06 PHASE1
NCT03878524 TERMINATED
Accelerated Phase Chronic Myelogenous Leukemia, BCR-ABL1 Positive; Anatomic Stage IV Breast Cancer AJCC v8; Anemia; Ann Arbor Stage III Hodgkin Lymphoma; Ann Arbor Stage III Non-Hodgkin Lymphoma; Ann Arbor Stage IV Hodgkin Lymphoma; Ann Arbor Stage IV Non-Hodgkin Lymphoma; Atypical Chronic Myeloid Leukemia, BCR-ABL1 Negative; Blast Phase Chronic Myelogenous Leukemia, BCR-ABL1 Positive; Castration-Resistant Prostate Carcinoma; Chronic Phase Chronic Myelogenous Leukemia, BCR-ABL1 Positive; Hematopoietic and Lymphoid System Neoplasm; Locally Advanced Pancreatic Adenocarcinoma; Metastatic Breast Carcinoma; Metastatic Malignant Solid Neoplasm; Metastatic Pancreatic Adenocarcinoma; Myelodysplastic/Myeloproliferative Neoplasm With Ring Sideroblasts and Thrombocytosis; Myelodysplastic/Myeloproliferative Neoplasm, Unclassifiable; Primary Myelofibrosis; Recurrent Acute Lymphoblastic Leukemia; Recurrent Acute Myeloid Leukemia; Recurrent Chronic Lymphocytic Leukemia; Recurrent Chronic Myelogenous Leukemia, BCR-ABL1 Positive; Recurrent Hematologic Malignancy; Recurrent Hodgkin Lymphoma; Recurrent Myelodysplastic Syndrome; Recurrent Myelodysplastic/Myeloproliferative Neoplasm; Recurrent Myeloproliferative Neoplasm; Recurrent Non-Hodgkin Lymphoma; Recurrent Plasma Cell Myeloma; Recurrent Small Lymphocytic Lymphoma; Refractory Acute Lymphoblastic Leukemia; Refractory Acute Myeloid Leukemia; Refractory Chronic Lymphocytic Leukemia; Refractory Chronic Myelogenous Leukemia, BCR-ABL1 Positive; Refractory Chronic Myelomonocytic Leukemia; Refractory Hematologic Malignancy; Refractory Hodgkin Lymphoma; Refractory Malignant Solid Neoplasm; Refractory Myelodysplastic Syndrome; Refractory Myelodysplastic/Myeloproliferative Neoplasm; Refractory Non-Hodgkin Lymphoma; Refractory Plasma Cell Myeloma; Refractory Primary Myelofibrosis; Refractory Small Lymphocytic Lymphoma; Stage II Pancreatic Cancer AJCC v8; Stage III Pancreatic Cancer AJCC v8; Stage IV Pancreatic Cancer AJCC v8; Stage IV Prostate Cancer AJCC v8; Unresectable Pancreatic Adenocarcinoma
OHSU Knight Cancer Institute
2020-04-01 PHASE1
NCT02135133 COMPLETED
Chronic Lymphocytic Leukemia; Small Lymphocytic Lymphoma
Dana-Farber Cancer Institute
2014-06 PHASE2
NCT02962401 COMPLETED
Waldenstrom Macroglobulinemia
French Innovative Leukemia Organisation
2017-03-07 PHASE2
NCT03257722 TERMINATED
Non Small Cell Lung Cancer; Metastasis; Recurrence
Asha Nayak
2017-09-26 PHASE1; PHASE2
NCT03742323 TERMINATED
Acute Lymphoblastic Leukemia
PETHEMA Foundation
2018-07-01 PHASE1; PHASE2
NCT01644253 TERMINATED
Chronic Lymphocytic Leukemia; Peripheral T-cell Lymphoma
Aptevo Therapeutics
2012-09 PHASE1
NCT02968563 COMPLETED
Chronic Lymphocytic Leukemia
Gilead Sciences
2016-12-13 PHASE2
NCT01569295 COMPLETED
Chronic Lymphocytic Leukemia
Gilead Sciences
2012-06-15 PHASE3
NCT02639910 COMPLETED
Leukemia, Lymphocytic, Chronic, B-Cell; Chronic Lymphocytic Leukemia; Small Lymphocytic Lymphoma
MorphoSys AG
2016-11 PHASE2
NCT03582098 Completed
Chronic Lymphocytic Leukaemia
Gilead Sciences
2018-09-12 --
NCT01659021 TERMINATED
Chronic Lymphocytic Leukemia
Gilead Sciences
2012-12-04 PHASE3
NCT02603445 COMPLETED
Follicular Lymphoma, Mantle Cell Lymphoma
Novartis Pharmaceuticals
2015-11-16 PHASE1
NCT03151057 Terminated
B Cells-Tumors|B Cell Chronic Lymphocytic Leukemia|Follicular Lymphoma|Mantle Cell Lymphoma|Large B-Cell Diffuse Lymphoma of Bone (Diagnosis)
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins|Gilead Sciences
2018-07-31 Phase 1
NCT01090414 TERMINATED
Chronic Lymphocytic Leukemia; Lymphoma, Non-Hodgkin
Gilead Sciences
2010-03-22 PHASE1; PHASE2
NCT01539291 TERMINATED
Chronic Lymphocytic Leukemia
Gilead Sciences
2012-10-03 PHASE3
NCT01282424 COMPLETED
Follicular Lymphoma; Small Lymphocytic Lymphoma; Lymphoplasmacytic Lymphoma; Marginal Zone Lymphoma
Gilead Sciences
2011-03-18 PHASE2
NCT03568929 Completed
Follicular Non-Hodgkin''s Lymphoma Refractory
Gilead Sciences
2018-05-25 --
NCT02779283 COMPLETED
Acute Lymphoblastic Leukemia; Acute Myeloid Leukemia
OHSU Knight Cancer Institute
2016-01-13 PHASE1
NCT02739360 TERMINATED
Lymphoid Malignancies
Gilead Sciences
2016-05-04 PHASE4
NCT02436135 TERMINATED
Myelofibrosis
Gilead Sciences
2015-06-05 PHASE1
NCT02538614 TERMINATED
Chronic Lymphocytic Leukemia (CLL)
Gilead Sciences
2015-12-29 PHASE1
NCT01620216 TERMINATED
Acute Myeloid Leukemia Arising From Previous Myelodysplastic Syndrome; Chronic Myelomonocytic Leukemia; Recurrent Acute Lymphoblastic Leukemia; Recurrent Acute Myeloid Leukemia; Refractory Acute Lymphoblastic Leukemia; Refractory Acute Myeloid Leukemia
OHSU Knight Cancer Institute
2012-05-11 PHASE2
NCT02590588 TERMINATED
Amyloidosis
John Mark Sloan
2016-01 PHASE2
NCT01980888 TERMINATED
Chronic Lymphocytic Leukemia
Gilead Sciences
2014-02-05 PHASE3
NCT01732913 TERMINATED
Indolent Non-Hodgkin's Lymphomas
Gilead Sciences
2013-01-16 PHASE3
NCT01732926 TERMINATED
Indolent Non-Hodgkin's Lymphomas
Gilead Sciences
2013-01-02 PHASE3
NCT01980875 TERMINATED
Chronic Lymphocytic Leukemia
Gilead Sciences
2015-04-21 PHASE3
NCT02044822 TERMINATED
B-cell Chronic Lymphocytic Leukemia (CLL) With 17p Deletion
Gilead Sciences
2014-08-06 PHASE2
NCT02468557 TERMINATED
Previously Untreated Pancreatic Ductal Adenocarcinoma; Relapsed/Refractory Pancreatic Ductal Adenocarcinoma
Gilead Sciences
2015-07-30 PHASE1
NCT02258529 TERMINATED
Follicular Lymphoma; Small Lymphocytic Lymphoma
Gilead Sciences
2015-09-14 PHASE2
NCT02439138 TERMINATED
Waldenstrom's Macroglobulinemia
Dana-Farber Cancer Institute
2015-10 PHASE2
NCT01306643 COMPLETED
Indolent Non-Hodgkin's Lymphoma; Follicular Lymphoma; Small Lymphocytic Lymphoma; Marginal Zone Lymphoma
Gilead Sciences
2011-02 PHASE1; PHASE2
NCT01203930 TERMINATED
Chronic Lymphocytic Leukemia (CLL); Small Lymphocytic Lymphoma (SLL)
Gilead Sciences
2010-10 PHASE2
NCT01088048 COMPLETED
Indolent Non-Hodgkin's Lymphoma; Chronic Lymphocytic Leukemia; Mantle Cell Lymphoma
Gilead Sciences
2010-03-25 PHASE1
NCT01796470 TERMINATED
Chronic Lymphocytic Leukemia; Mantle Cell Lymphoma; Diffuse Large B-cell Lymphoma; Indolent Non-Hodgkin's Lymphoma
Gilead Sciences
2013-06-20 PHASE2
NCT02242045 COMPLETED
Chronic Lymphocytic Leukemia; Indolent Non-Hodgkin Lymphoma; Follicular Lymphoma; Small Lymphocytic Lymphoma; Lymphoplasmacytic Lymphoma (With or Without Waldenstrom Macroglobulinemia); Marginal Zone Lymphoma
Gilead Sciences
2014-10-01 PHASE1
NCT01659047 WITHDRAWN
Chronic Lymphocytic Leukemia
Gilead Sciences
2012-08 PHASE2
NCT01838434 COMPLETED
Relapsed/Refractory Mantle Cell Lymphoma
Alliance for Clinical Trials in Oncology
2013-10-17 PHASE1
NCT01393106 COMPLETED
Hodgkin Lymphoma
Gilead Sciences
2011-09 PHASE2
NCT01644799 COMPLETED
Recurrent Follicular Lymphoma
Alliance for Clinical Trials in Oncology
2013-08-02 PHASE1
NCT01539512 COMPLETED
Chronic Lymphocytic Leukemia
Gilead Sciences
2012-04 PHASE3
NCT00710528 COMPLETED
Chronic Lymphocytic Leukemia (CLL); Lymphoma, Non-Hodgkin (NHL); Acute Myeloid Leukemia (AML); Multiple Myeloma (MM)
Gilead Sciences
2008-06 PHASE1
NCT00836914 COMPLETED
Allergic Rhinitis
Gilead Sciences
2009-02 PHASE1

(data from https://clinicaltrials.gov, updated on 2023-02-21)

Check the CAL-101 (Idelalisib) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

CAL-101 selectively binds to and inhibits the p110δ isoform of phosphoinositide 3-kinase (PI3K), thereby suppressing downstream Akt phosphorylation and disrupting constitutive survival signaling pathways. This biochemical block increases poly(ADP-ribose) polymerase and caspase cleavage to induce apoptosis in malignant cells, underlying its antitumor activity in clinical conditions such as chronic lymphocytic leukemia and indolent non-Hodgkin lymphoma.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.