Clinical Trials

Leniolisib (CDZ173) is being evaluated across several clinical trials targeting primary immunodeficiency disorders, primarily Activated PI3K-delta Syndrome (APDS), PASLI disease, and Common Variable Immunodeficiency (CVID). Spanning Phase 2, Phase 3, and combined Phase 2/3 designs, these studies assess safety, pharmacokinetics, and therapeutic efficacy in pediatric and adult populations. Sponsored by industry entities including Pharming Technologies B.V. and Novartis Pharmaceuticals, the trials encompass completed early-stage dose-finding protocols alongside active, recruiting, and non-recruiting extension evaluations.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT06990529 RECRUITING
PIDs Linked to PI3K
Pharming Technologies B.V.
2025-04-29 PHASE2
NCT05693129 ACTIVE_NOT_RECRUITING
APDS
Pharming Technologies B.V.
2023-08-30 PHASE3
NCT05438407 ACTIVE_NOT_RECRUITING
APDS
Pharming Technologies B.V.
2023-02-01 PHASE3
NCT06549114 ACTIVE_NOT_RECRUITING
Primary Immunodeficiency Disorders (PIDs)
Pharming Technologies B.V.
2024-10-21 PHASE2
NCT06897358 ACTIVE_NOT_RECRUITING
Common Variable Immunodeficiency (CVID)
Pharming Technologies B.V.
2025-02-12 PHASE2
NCT06249997 UNKNOWN
APDS Gene Mutation
Pharming Technologies B.V.
2023-08-03 PHASE3
NCT06249997 Recruiting
APDS Gene Mutation
Pharming Technologies B.V.|Laboratory Corporation of America|Axial Biotech Inc|CMIC Co Ltd. Japan
2023-08-03 Phase 3
NCT05693129 Recruiting
APDS
Pharming Technologies B.V.|CMIC Co Ltd. Japan|Labcorp Central Laboratory|Fortrea|Aixial Group
2023-08-30 Phase 3
NCT05438407 Active not recruiting
APDS
Pharming Technologies B.V.|CMIC Co Ltd. Japan|Labcorp Central Laboratory|Fortrea|Aixial Group
2023-02-01 Phase 3
NCT02435173 COMPLETED
Common Variable Immunodeficiency (CVID), APDS / PASLI
Novartis Pharmaceuticals
2015-08-24 PHASE2; PHASE3
NCT02859727 Active not recruiting
Activated PI3Kdelta Syndrome (APDS); PASLI Disease
Pharming Technologies B.V.
2016-09-08 Phase 2|Phase 3
NCT02435173 Completed
Common Variable Immunodeficiency (CVID) APDS / PASLI
Novartis Pharmaceuticals|Novartis
2015-08-24 Phase 2|Phase 3

(data from https://clinicaltrials.gov, updated on 2026-02-13)

Check the leniolisib (CDZ 173) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Leniolisib selectively binds to and inhibits phosphoinositide 3-kinase delta (PI3Kδ), preventing the phosphorylation of PIP2 to PIP3 and downregulating downstream AKT/mTOR signaling pathways involved in lymphocyte activation and proliferation. By restoring normal immune cell homeostasis and reducing hyperactive B-cell and T-cell responses, this targeted inhibition addresses the underlying cellular pathology of primary immunodeficiency disorders such as Activated PI3K-delta Syndrome (APDS) and Common Variable Immunodeficiency.

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.