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apilimod + rituximab is an investigational combination therapy under clinical development for the treatment of B-cell non-Hodgkin lymphoma (B-NHL) and other B-cell malignancies. Apilimod (LAM-002A) is a first-in-class, oral small molecule inhibitor of the lipid kinase PIKfyve, which leads to disruption of lysosomal homeostasis and induces cytotoxicity in B-cell lymphoma models. Rituximab is a monoclonal antibody targeting the CD20 antigen on B cells, mediating B-cell depletion primarily through antibody-dependent cellular cytotoxicity (ADCC) and complement-dependent cytotoxicity. In preclinical and early clinical trials, the combination has demonstrated synergistic anti-tumor activity: apilimod enhances direct B-cell lymphoma cytotoxicity, while rituximab promotes immune-mediated clearance of malignant B cells. The combination is being investigated in phase 1/2 cohorts for efficacy, safety, and pharmacokinetics.
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