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Duvelisib

  • Prescription medicine
  • Prescription only
  • Identity checked
  • Sources last checked 2026-09-04

This page shows what was measured, who it was measured in, and what that does not settle.

What Duvelisib does in the body

COPIKTRA is indicated for the treatment of adult patients with relapsed or refractory chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL) after at least two prior lines of systemic therapy.

From the FDA-approved label: Duvelisib is an inhibitor of PI3K with inhibitory activity predominantly against PI3K-δ and PI3K-γ isoforms expressed in normal and malignant B-cells. Duvelisib induced growth inhibition and reduced viability in cell lines derived from malignant B-cells and in primary CLL tumor cells. Duvelisib inhibits several key cell-signaling pathways, including B-cell receptor signaling and CXCR12-mediated chemotaxis of malignant B-cells. Additionally, duvelisib inhibits CXCL12-induced T cell migration and M-CSF and IL-4 driven M2 polarization of macrophages.

Why people take it. COPIKTRA is indicated for the treatment of adult patients with relapsed or refractory chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL) after at least two prior lines of systemic therapy.

What happened in people

RNAWiki has not yet published a reviewed conclusion for this use.

A fixed RNAWiki sentence

Where this came from

Wording RNAWiki always uses, not a finding about this substance.

No reviewed claim names a result for any goal on this record.

No source is stored against this line.

The limit that matters most

Not recorded.

Where it acts
Not recorded.
Kind of result
No result is published, so no kind of result applies yet
Supervision
Professional supervision is normally required. A regulator classifies this substance in a way that restricts how it is supplied.

What the registries record it as

  • The substance registry classes this as chemical.

    FDA substance registry · 610V23S0JI · read 2026-08-29

  • Its recorded molecular formula is C22H17ClN6O•H2O, weighing 434.88 g/mol.

    US prescribing information · e3c5ac56-e1f6-473a-bc73-687836534780 · read 2026-08-30

Where each sentence above came from

The use the label states, quoted from it. No plain-language version of this sentence has been written.

The use the label states, quoted from it. It is written for a clinician, not for a reader without medical training.

No statement of the main limit is recorded.

The four opening statements run to 150 words.

Words this page uses

Four words worth knowing first

Chosen from what this page shows, with each one explained before the word it depends on.

Biomarker

A biomarker is a number from a test that stands in for something about health.

A picture of it, and where the picture fails

A biomarker is like a fuel gauge.

Where that stops being true. A gauge is wired to the tank. Many biomarkers are only loosely tied to health.

What people get wrong. A better number is read as a better life. Several medicines improved a number and helped nobody.

A measurable indicator used as a substitute for a clinical outcome of interest.

Placebo

A placebo is a dummy treatment given so the real one can be compared with it.

A picture of it, and where the picture fails

A placebo is like a blank control in an experiment.

Where that stops being true. A blank does nothing. People given a placebo often do get better.

What people get wrong. A placebo effect is read as imaginary. The improvement is measured and real.

An inactive intervention matched in appearance to the test intervention, used to control for non-specific effects.

Comparator

A comparator is whatever the treatment was measured against.

A picture of it, and where the picture fails

It is like the other runner in a race.

Where that stops being true. A race has one winner. A study can show both arms improved.

What people get wrong. Results are read without asking what the other group got. Beating nothing is not beating a treatment.

The control condition against which the experimental intervention is assessed.

What happened in peopleRead from sources, not yet reviewed

What happened in people

Each card is one study: the exact question it asked, who was in it, and whether it showed what it set out to show.

Proportion of subjects who achieve a 20% improvement in the American College of Rheumatology Criteria (ACR20) from Baseline to Week 12

The study did not show it

Who was studied
NCT01851707
How many people
322
Study design
Phase 2
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Oral

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

Progression-free Survival (PFS)

The study did not show it

Who was studied
NCT02004522
How many people
319
Study design
Phase 3
Compared against
Not recorded for this study
Kind of result
Living longer, or avoiding a major event
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Oral

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

Recommended Phase 2 Dose (RP2D) for Phase I

The study did not show it

Who was studied
NCT05675813
How many people
264
Study design
Phase 1/Phase 2
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Oral

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

Safety and Tolerability

The study did not show it

Who was studied
NCT01476657
How many people
210
Study design
Phase 1
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Oral

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

Complete remission (CR) rate

The study did not show it

Who was studied
NCT04803201
How many people
170
Study design
Phase 2
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Oral

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

Overall Response Rate (ORR) as Assessed by the Investigator Using the Lugano Criteria

The study did not show it

Who was studied
NCT03372057
How many people
156
Study design
Phase 2
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Oral

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot
What we know
RNAWiki holds 6 written-up human studies for this substance, each with the question it asked.
How we know it
Each card names the study, the number of people and what the study set out to measure.
What this does not prove
These summaries were written by a person and have not been signed off as reviewed claims.
Why it matters
A study that failed is as informative as one that worked, and both are here.
What we still do not know
No reviewed claim exists, so no exact population, effect size or interval is published yet.

What is missing or unclearRead from sources, not yet reviewed

Were people like you studied?

RNAWiki cannot tell whether a study fits you. It can show who was in it, and where the result stops carrying.

Who was studied

People similar to this profile were included.

  • COPIKTRA is indicated for the treatment of adult patients with relapsed or refractory chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL) after at least two prior lines of systemic therapy. Limitations of Use: COPIKTRA is not indicated or recommended for the treatment of any patients with CLL or SLL as initial or second line treatment due to an increased risk of treatment-related mortality.

Who is missing from the studies

  • Which groups were under-represented in the studies has not been recorded for this substance. Pregnancy, breastfeeding, children, older adults, and people with liver or kidney conditions are commonly excluded from trials; nothing here says whether they were.

What the label states about particular groups

  • On pediatric, the label states: “Safety and effectiveness of COPIKTRA have not been established in pediatric patients.”

    US prescribing information · e3c5ac56-e1f6-473a-bc73-687836534780 · read 2026-08-30

  • On older people, the label states: “Clinical trials of COPIKTRA included 270 patients (61%) that were 65 years of age and older and 104 (24%) that were 75 years of age and older.”

    US prescribing information · e3c5ac56-e1f6-473a-bc73-687836534780 · read 2026-08-30

  • On people who are pregnant, the label states: “Risk Summary Based on findings from animal studies and the mechanism of action, COPIKTRA can cause fetal harm when administered to a pregnant woman [see Clinical Pharmacology ( 12.1 )] .”

    US prescribing information · e3c5ac56-e1f6-473a-bc73-687836534780 · read 2026-08-30

  • On people who are breastfeeding, the label states: “Risk Summary There are no data on the presence of duvelisib and/or its metabolites in human milk, the effects on the breastfed child, or on milk production.”

    US prescribing information · e3c5ac56-e1f6-473a-bc73-687836534780 · read 2026-08-30

Where the result stopped carrying

  • This is a scope explorer, not a diagnosis engine.
  • It shows who was studied so you can see whether people similar to you were included.

RNAWiki cannot tell whether a study fits you. It can show who was in it.

What it would be like to takeRead from sources, not yet reviewed

Why it might seem to do nothing

A real effect and a noticed effect are different things. These are the recorded reasons the two come apart.

It was studied in different people

The people in the studies were not much like the reader.

On this record: Which groups were under-represented in the studies has not been recorded for this substance. Pregnancy, breastfeeding, children, older adults, and people with liver or kidney conditions are commonly excluded from trials; nothing here says whether they were.

The evidence may simply be wrong

Small early studies often do not hold up.

On this record: RNAWiki has not yet published a reviewed conclusion for this use.

Other reasons RNAWiki checked and found nothing for (11)
It was studied for a different goal
The studies measured something else entirely. Nothing in this record points to this reason.
A different form was studied
The studied form is not the form on the shelf. Nothing in this record points to this reason.
There was nothing to correct
Where a level is already normal, topping it up may change nothing. Nothing in this record points to this reason.
Something else had to happen too
In the studies it was paired with training, a diet or another treatment. Nothing in this record points to this reason.
The change is too small to feel
A real change can still sit below what a person notices. Nothing in this record points to this reason.
Day-to-day swing hides it
Sleep, food, stress and time of day move most numbers more than this would. Nothing in this record points to this reason.
Not enough time yet
The studies ran longer than the person has waited. Nothing in this record points to this reason.
It was not taken as studied
Missed days change the result, and studies count them. Nothing in this record points to this reason.
Something else changed at the same time
Two changes at once cannot be told apart afterwards. Nothing in this record points to this reason.
The product may not be what it says
Contents of a sold product are not always what the label states. Nothing in this record points to this reason.
No recorded reason
RNAWiki has nothing stored that would explain it. Nothing in this record points to this reason.

None of these is a reason to take more. Taking more is not a step this page ever suggests.

What it would be like to takeRead from sources, not yet reviewed

What taking it involves

The recorded facts about getting hold of it and using it. Nothing here is a suggestion about what you should do.

How it is supplied

Prescription only

Quoted from a source

Where this came from

Copied from a source RNAWiki stored, with the source named.

Read from the recorded approval status.

No source is stored against this line.

Form and route

Oral

Source-linked record

Where this came from

A person wrote this into the record with the study named beside it. No reviewer has signed it off.

The form and route recorded on this substance.

No source is stored against this line.

Who oversees it

Professional supervision is normally required. A regulator classifies this substance in a way that restricts how it is supplied.

Quoted from a source

Where this came from

Copied from a source RNAWiki stored, with the source named.

Suppression classes recorded: S1, S3, S4, S6.

No source is stored against this line.

What is in the pack

Sold as capsule, given by the oral route.

Source-linked record

Where this came from

A person wrote this into the record with the study named beside it. No reviewer has signed it off.

Recorded notes on how this is sold and what that means for what is in the pack.

No source is stored against this line.

Where it is registered

Regulatory records are listed in the technical disclosure at the foot of this page.

Counted from records

Where this came from

A count of rows RNAWiki holds. It describes our records, not your body.

Register entries are stored per jurisdiction and shown with their dates.

No source is stored against this line.

Why people stop

Not recorded.

Nothing recorded

Where this came from

RNAWiki holds nothing here and says so rather than guessing.

No record of why people stopped taking it is stored for this substance.

No source is stored against this line.

What it would be like to takeNothing found in the sources checked

What can go wrong

Sorted by where each line came from. A regulator's label and a report somebody sent in are not the same kind of fact.

Nothing found in the sources checked

No harm is recorded against this substance in the sources RNAWiki checked. Finding nothing is not the same as showing there is nothing.

The sources listed were searched and held nothing. That is not the same as nothing existing.

Over a long time. No completed tested study window is recorded, so long-term effects are not established by the registry record.

Groups the studies covered thinly. Which groups were under-represented in the studies has not been recorded for this substance. Pregnancy, breastfeeding, children, older adults, and people with liver or kidney conditions are commonly excluded from trials; nothing here says whether they were.

What is missing or unclearRead from sources, not yet reviewed

Does the exact form matter?

Evidence belongs to the exact thing that was tested. A different salt, a different mixture or a different preparation is a different question.

The form that was studied

Oral

Source-linked record

Where this came from

A person wrote this into the record with the study named beside it. No reviewer has signed it off.

The form used in the studies cited on this page.

No source is stored against this line.

What is sold

Not recorded.

Nothing recorded

Where this came from

RNAWiki holds nothing here and says so rather than guessing.

Nothing further is recorded about which forms are sold.

No source is stored against this line.

What is recorded as being sold

  • 4 products list this as an active ingredient in the United States drug directory. 4 of them contain it and nothing else.

    FDA National Drug Code directory · 11014-0348 · read 2026-08-29

  • They are sold as capsule, taken oral.

    FDA National Drug Code directory · 11014-0348 · read 2026-08-29

  • 1 published label names it as an active ingredient. 1 of them describe this substance alone, which is where its own label text on this page comes from.

    US prescribing information · e3c5ac56-e1f6-473a-bc73-687836534780 · read 2026-08-29

  • Those labels are classed as human prescription drug.

    US prescribing information · e3c5ac56-e1f6-473a-bc73-687836534780 · read 2026-08-29

  • COPIKTRA is oral at 3 DOSAGE FORMS AND STRENGTHS Strength Description 25 mg White to off-white opaque and Swedish orange opaque capsule printed in black ink with "duv 25 mg" 15 mg Pink opaque capsule printed in black ink with "duv 15 mg" C…, recorded as fda label in effect 2025-12-18 in the United States.

    US prescribing information · e3c5ac56-e1f6-473a-bc73-687836534780 · read 2026-08-30

Evidence carries across two names for one substance. It does not carry across a salt, a mirror form or a mixture.

What it would be like to takeRead from sources, not yet reviewed

What you could measure

This one is decided with a clinician, so this section holds questions to ask rather than a plan to run.

Self-experiment planning is not offered for a prescription or clinician-supervised medicine. The questions below are for a clinician or pharmacist.

Questions worth asking

  • Which of the trials of Duvelisib studied people like me?
  • What was measured, and for how long?
  • Was the result a laboratory value or a health outcome?
  • What would we watch for, and when would we stop?

Tracking can show whether something changed for you. It cannot show what caused it.

RNAWiki records evidence. It does not say whether this substance is right for you.

What is missing or unclearRead from sources, not yet reviewed

What nobody knows yet

Open questions, each with why it is open and what would close it.

How much did people take in the studies?

The sources RNAWiki checked hold nothing for this field.

Why it matters. A result belongs to an amount. Without the amount the result floats free.

What would answer it

A stored source that records it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

Missing populations

Which groups were under-represented in the studies has not been recorded.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

Missing long-term data

No completed tested study window is recorded.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

No reviewed conclusion

RNAWiki has not yet published a reviewed conclusion for this use.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

Missing interaction studies

No interaction was found in the registers checked. Not finding one is not the same as showing there is none.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

Formulation uncertainty

Several salts, forms or products of Duvelisib are recorded. Results from one form may not transfer to another.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

Mechanism not reviewed

No reviewed mechanism story exists for this substance.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

What happened in peopleRead from sources, not yet reviewed

Check any of this yourself

Every line above traced back to the study it came from. This is the technical layer, and the vocabulary changes here.

Where else this substance is registered

FDA substance identifier (UNII)
610V23S0JI
RxNorm concept
2058514

Checks this page had to pass

  • Passed

    Identity resolved

    no open identity hold

  • Passed

    No unresolved merge across substance families

    no quarantine open

  • Passed

    Every public sentence names a source

    The opening statement carries the origin: Quoted from a stored source.

  • Not passed

    Trial roles classified for highlighted evidence

    No registered study is classified as testing this substance.

  • Passed

    No internal keys in reader text

    enforced by the copy-contract test over the rendered page

  • Passed

    Safety mode resolved

    Suppression classes recorded: S1, S3, S4, S6.

  • Passed

    Canonical metadata present

    slug and display name present

What is missing or unclearRead from sources, not yet reviewed

How this medicine reached us

Kept near the foot of the page. A historical event moves up only when it changes something about this substance today.

  1. Withdrawn, in European Union; no reason is published (EMA Medicine.csv)

What the approval register records

  • 1 approved application covers products containing this substance. The earliest was NDA211155, approved 20180924 to SECURA.

    Drugs@FDA application register · NDA211155 · read 2026-08-29

  • Marketing status on the register: prescription.

    Drugs@FDA application register · NDA211155 · read 2026-08-29

  • The earliest marketing start date recorded for a listed product is 20180925.

    FDA National Drug Code directory · 11014-0348 · read 2026-08-29

What is missing or unclearRead from sources, not yet reviewed

What to learn next

Ordered by what would most change how you read this page, starting with what is easiest to misunderstand.

This order is fixed in code and does not count clicks or time on the page.

What is not here

9 questions this page could not answer

These sections were prepared and left out because there was nothing to put in them. They are listed rather than hidden, so the gaps in this record are visible.

  • What was measured, goal by goal — found nothing in the sources checked.
  • How close this is to real life — found nothing in the sources checked.
  • The path through the body — found nothing in the sources checked.
  • Felt, measured, or meaningful — found nothing in the sources checked.
  • How long anything takes — found nothing in the sources checked.
  • What it may clash with — found nothing in the sources checked.
  • Other ways to the same goal — found nothing in the sources checked.
  • Claims that go past the evidence — found nothing in the sources checked.
  • What changed on this page — found nothing in the sources checked.

The record as stored

The full record, for auditing

Everything above is built from what is below. This layer keeps the technical vocabulary, record identifiers and every stored row, so a reader who wants to check the page can.

Recorded evidence blocks (11)

On the Duvelisib label: indicated for what?


"COPIKTRA is indicated for the treatment of adult patients with relapsed or refractory chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL) after at least two prior lines of systemic therapy. Limitations of Use: COPIKTRA is not indicated or recommended for the treatment of any patients with CLL or SLL…": indications and usage on Duvelisib's label. DailyMed label · e3c5ac56-e1f6-473a-bc73-687836534780 · 2025-12-18

53 registered trials of Duvelisib — at which phases?


Registered studies posting no result
36 of 53

53 registered studies of Duvelisib: 28 phase1, 24 phase2, 5 phase3, 2 na or unstated, 1 early phase1. CLINICALTRIALS_SNAPSHOT · 2026-09-01

24 with a PubMed record

Show the evidence
  • phase1
    28
  • phase2
    24
  • phase3
    5
  • na or unstated
    2
  • early phase1
    1
  • completed
    22
6 more recorded rows
  • terminated
    9
  • withdrawn
    7
  • recruiting
    6
  • active not recruiting
    5
  • not yet recruiting
    2
  • unknown
    2

recorded 2026-09-01 · last checked 2026-09-04

15 of Duvelisib's trials stopped: safety, accrual/recruitment, funding/business, sponsor decision unspecified, other?


safety (2), accrual/recruitment (1), funding/business (4), sponsor decision unspecified (1) and other (7): Duvelisib's stop wording, clustered. CLINICALTRIALS_SNAPSHOT · 2026-09-01

"The scope of the program has been reduced to focus resources on studies which can potentially enable the registration of duvelisib."; 15 of 53 registered studies

Show the evidence

Trial

  • NCT01476657
    terminated; "The scope of the program has been reduced to focus resources on studies which can potentially enable the registration of duvelisib."
  • NCT02204982
    terminated; "Sponsor is focusing on studies which can enable registration of duvelisib"
  • NCT02292225
    terminated; "The scope of the program has been reduced to focus resources on studies which can potentially enable the registration of duvelisib."
  • NCT02391545
    terminated; "Sponsor is focusing on studies which can enable registration of duvelisib."
  • NCT02576275
    withdrawn; "The scope of the program has been reduced to focus resources on studies which can potentially enable the registration of duvelisib."
  • NCT02605694
    withdrawn; "Sponsor is focusing on studies which can enable registration of duvelisib"
9 further recorded trials
  • NCT02640833
    withdrawn; "Study Stopped"
  • NCT03370185
    withdrawn; "Reassessing corporate priorities."
  • NCT04193293
    terminated; "The study was terminated due to low enrollment."
  • NCT04209621
    terminated; "Due to unexpected sudden death on study."
  • NCT04331119
    terminated; "Loss of funding"
  • NCT04342117
    terminated; "Strategy Change"
  • NCT04639843
    withdrawn; "Safety issues with PI3 kinase inhibitors"
  • NCT04688658
    terminated; "Secura Bio, Inc. discontinued support of the trial."
  • NCT04836832
    withdrawn; "PI decision"

recorded 2026-09-01 · last checked 2026-09-04

Duvelisib's half-life is 4.7 hours — which schedules were studied?


4.7 hours, the half-life Duvelisib's label states: "The geometric mean (CV%) terminal elimination half-life of duvelisib is 4.7 hours (57%)." DailyMed label · e3c5ac56-e1f6-473a-bc73-687836534780 · 2025-12-18

tmax 1 to 2 hours; bioavailability 42 %.

Show the evidence
  • half life pharmacokinetics
    4.7 hours; The geometric mean (CV%) terminal elimination half-life of duvelisib is 4.7 hours (57%).
  • tmax pharmacokinetics
    1 to 2 hours; The median time to peak concentration (T max ) was observed at 1 to 2 hours in patients.
  • bioavailability pharmacokinetics
    42 %; Absorption The absolute bioavailability of 25 mg duvelisib after a single oral dose in healthy volunteers was 42%.
  • metabolism pharmacokinetics
    Metabolism Duvelisib is primarily metabolized by cytochrome P450 CYP3A4.

recorded 2025-12-18 · last checked 2026-09-04

Which running trial of Duvelisib could settle lifespan?


NCT03961672 measures Progression Free Survival (PFS) at 12 Months, reading out 2026-10-26.

3 open trials; n 15; "Intermittent Duvelisib Dosing in Treating Patients With Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma"

Show the evidence

Trial

  • NCT03961672
    "Intermittent Duvelisib Dosing in Treating Patients With Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma"; n 15; "Progression Free Survival (PFS) at 12 Months"; 2026-10-26
  • NCT07293403
    "Duvelisib Maintenance for the Treatment of Peripheral T-Cell Lymphomas"; n 25; "Progression free survival"; 2027-11-23
  • NCT06522737
    "A Study of Duvelisib Versus Gemcitabine or Bendamustine in Participants With Relapsed/Refractory Nodal T Cell Lymphoma With T Follicular Helper (TFH) Phenotype"; n 124; "Progression-free Survival (PFS) as assessed by the Independent Review Committee (IRC)"; 2028-12

Which 11 trials of Duvelisib posted no result?


Posted no result
11 of 11 completed trials
Registrations
NCT01549106, NCT01836861, NCT01925911, NCT01947777, NCT02095587 and NCT01851707, and 5 more
Completion dates
oldest 2012-02; newest 2024-04-24
Show the evidence

Trial

  • NCT01549106
    2012-02
  • NCT01836861
    2013-05
  • NCT01925911
    2013-10
  • NCT01947777
    2013-12
  • NCT02095587
    2014-10
  • NCT01851707
    2015-02
5 further recorded trials
  • NCT02307461
    2015-09
  • NCT01871675
    2016-06
  • NCT02598570
    2017-02
  • NCT03892044
    2024-02-14
  • NCT05065866
    2024-04-24

At the median, Duvelisib's trials enrolled 25 people — anything larger?


Median enrolment
25
Largest enrolment
322
Registered trials counted
53

What do 181 spontaneous reports say about Duvelisib — and not say?


These are reports people sent to a regulator. They do not show the medicine caused the reaction. Nobody counted how many people took the medicine and reported nothing. The same event can be reported more than once, and many reports are incomplete. News coverage, lawsuits and new warnings change how often people report. A count is not a rate and not a risk.

Duvelisib appears in spontaneous reports to regulators. Across the 10 most-reported reaction terms, 181 reaction mentions were counted: diarrhoea 47; fatigue 38; rash 18; pyrexia 17. FAERS via Open Targets · CHEMBL3039502 · 2026-06-24

Show the evidence
  • diarrhoea
    47
  • fatigue
    38
  • rash
    18
  • pyrexia
    17
  • pneumonia
    13
  • cough
    12
4 more recorded rows
  • constipation
    11
  • hospitalisation
    10
  • malignant neoplasm progression
    9
  • rash pruritic
    6

recorded 2026-06-24 · last checked 2026-09-04

Which 10 reactions does Duvelisib's label not list?


constipation, cough and diarrhoea and 7 more reported for Duvelisib, absent from its label. FAERS via Open Targets · CHEMBL3039502 · 2026-06-24

2 label terms; 10 reported and unlisted; e3c5ac56-e1f6-473a-bc73-687836534780

Show the evidence
  • constipation
    count not stated
  • cough
    count not stated
  • diarrhoea
    count not stated
  • fatigue
    count not stated
  • hospitalisation
    count not stated
  • malignant neoplasm progression
    count not stated
4 more recorded rows
  • pneumonia
    count not stated
  • pyrexia
    count not stated
  • rash
    count not stated
  • rash pruritic
    count not stated

recorded 2026-06-24 · last checked 2026-09-04

Duvelisib and CYP3A4 and CYP3A: shared by which compounds?


CYP3A4 and CYP3A appear in Duvelisib's recorded interaction sentences, 8 in all. DailyMed label · e3c5ac56-e1f6-473a-bc73-687836534780 · 2025-12-18

CYP3A, CYP3A4, CYP3A4, CYP3A4; 4 shared nodes; drug_interactions

Show the evidence

Interaction statement

  • drug_interactions
    CYP3A4 inhibitors: Reduce COPIKTRA dose to 15 mg twice daily when co-administered with strong CYP3A4 inhibitors.
  • drug_interactions
    ( 2.4 , 7.1 , 12.3 ) Strong CYP3A4 inducers: Avoid coadministration.
  • drug_interactions
    ( 2.5 , 7.1 , 12.3 ) Moderate CYP3A4 inducers: Avoid coadministration.
  • drug_interactions
    ( 2.5 , 7.1 , 12.3 ) CYP3A4 substrates: Monitor for signs of toxicities when co-administering COPIKTRA with sensitive CYP3A substrates.
  • drug_interactions
    ( 7.2 ) 7.1 Effects of Other Drugs on COPIKTRA Strong CYP3A4 Inhibitors Coadministration with a strong CYP3A4 inhibitor increases duvelisib AUC [see Clinical Pharmacology ( 12.3 )] , which may increase the risk of COPIKTRA toxicities.
  • drug_interactions
    Reduce COPIKTRA dosage when co-administered with a strong CYP3A4 inhibitor [see Dosage and Administration ( 2.4 )] .
2 more recorded rows
  • Interaction statement drug_interactions
    Strong and Moderate CYP3A4 Inducers Coadministration with a strong or moderate CYP3A4 inducer decreases duvelisib area under the curve (AUC) [see Clinical Pharmacology ( 12.3 )] , which may reduce COPIKTRA efficacy.
  • Interaction statement drug_interactions
    Avoid coadministration of strong or moderate CYP3A4 inducers with COPIKTRA.
  • CYP3A
    FINGOLIMOD LAURYL SULFATE, Darunavir Propylene Glycolate, Vincristine, Naldemedine, Pemetrexed, Eravacycline, Rasburicase, Repotrectinib

CYP3A4

  • FINGOLIMOD LAURYL SULFATE, ERYTHROMYCIN LACTOBIONATE, FOSAPREPITANT DIMEGLUMINE, TAFAMIDIS MEGLUMINE, Arimoclomol, Beclometasone, Rasagiline, Sofpironium
  • FINGOLIMOD LAURYL SULFATE, ERYTHROMYCIN LACTOBIONATE, FOSAPREPITANT DIMEGLUMINE, TAFAMIDIS MEGLUMINE, Arimoclomol, Beclometasone, Rasagiline, Sofpironium
  • FINGOLIMOD LAURYL SULFATE, ERYTHROMYCIN LACTOBIONATE, FOSAPREPITANT DIMEGLUMINE, TAFAMIDIS MEGLUMINE, Arimoclomol, Beclometasone, Rasagiline, Sofpironium

recorded 2025-12-18 · last checked 2026-09-04

Where do the label and the trials disagree about Duvelisib?


"withdrawn" against "approved": withdrawal status vs register status for Duvelisib.

EMA_MEDICINE_REGISTER, Drugs@FDA; 1 recorded pair

Show the evidence
  • EMA_MEDICINE_REGISTER EMEA/H/C/005381
    withdrawn; 2026-09-04
  • Drugs@FDA NDA211155
    approved; 2026-08-28
Where it is registered

Where it’s registered

Withdrawn, in European Union; no reason is published (EMA Medicine.csv)

Identifiers, relations and other names

The exact record

ChEMBL id
CHEMBL3039502
PubChem CID
50905713
CAS number
1201438-56-3
RxCUI
2058509
InChIKey
SJVQHLPISAIATJ-ZDUSSCGKSA-N
Development code
INK-1147, INK-1197, IPI-145
Also called
DUVELISIB MONOHYDRATE, DUVELISIB HYDRATE [JAN], DUVELISIB HYDRATE [MI], Duvelisib monohydrate [WHO-DD]
Trade name
Copiktra
Salt form
Duvelisib hydrate
Sources (6)

Sources

ChEMBL 37 — CC BY-SA 3.0 Unported · ChEMBL ATC CC BY-SA · ClinicalTrials.gov — US Government work · EMA medicine register · Open Targets 26.06 — CC0 · mixed register set; per-register licences in docs/specs/corpus-20k-sources.md · openFDA / DailyMed — US Government work

How these records are assembled · Which registers were checked

Index-quality checks
  • identity passed: no open identity hold
  • required summary fields resolved: 4 required field(s) not terminal: Why people use it, Best-supported result, Biggest unanswered question, Human evidence
  • public claims reviewed: 0 reviewed claim(s); drafts are never rendered
  • source coverage passed: 6 source rows
  • no critical contamination: no quarantine open
  • canonical metadata passed: slug and display name present
  • no raw internal fields: enforced by the copy-contract test over the rendered page

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