Lenalidomide in Previously Treated Patients With Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
Purpose
This study will evaluate the safety and effectiveness of a new drug called lenalidomide (Revlimid) for treating patients with chronic lymphocytic leukemia (CLL) and small lymphocytic lymphoma (SLL) who relapsed after their initial treatment.
Patients 21 years of age and older with CLL or SLL who have previously received standard treatment may be eligible for this study.
Participants take lenalidomide capsules once a day for 21 days, followed by 21 days off the drug. This constitutes one treatment cycle. Treatment continues for four cycles as long as the medicine is tolerated. After four cycles, patients who respond completely continue treatment for another two cycles; patients who respond partially continue treatment for another four cycles; and patients who do not respond stop treatment but continue to be followed for safety.
...
| Condition | Intervention | Phase |
|---|---|---|
|
Chronic Lymphocytic Anemia Small Lymphocytic Lymphoma |
Drug: Lenalidomide (Revlimide) |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Phase II Study of Lenalidomide Revlimid(Registered Trademark) in Previously Treated Patients With Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma |
- The response rate to lenalidomide (Revlimid) in subjects with CLL/SLL.
- Progression free survival; side effects of treatment; the frequency, duration and severity of myelosupression; quantitative measurements of immune cell subsets T, B, NK cells), gene expression in CLL cells and measurements of coagulation factors...
| Enrollment: | 33 |
| Study Start Date: | February 2007 |
| Study Completion Date: | November 2010 |
| Primary Completion Date: | September 2010 (Final data collection date for primary outcome measure) |
-
Drug: Lenalidomide (Revlimide)
There is evidence that lenalidomide has single agent activity in chronic lymphocytic leukemia (CLL)/small lymphocytic leukemia (SLL. Optimal dosing of lenalidomide in CLL has not been established yet. A pilot clinical trial in CLL studied single agent lenalidomide cycled every 4 weeks with 25 mg for three weeks on and one week off drug. In this trial dose reductions have been necessary secondary to prolonged neutropenia or thrombocytopenia in a majority of patients. However, there was also remarkable efficacy and evidence for an immune stimulatory effect of lenalidomide. Therefore, we propose this phase II trial using 20 mg lenalidomide (Revlimid(Registered Trademark)) 3 weeks on and 3 weeks off for 4 cycles in subjects who have been previously treated for chronic lymphocytic leukemia (CLL)/small lymphocytic leukemia (SLL). Subjects with at least PR may go on to receive 4 additional cycles.
The primary objective of the trial is to test the efficacy of a more tolerable dosing scheme of lenalidomide.
Eligibility| Ages Eligible for Study: | 21 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
INCLUSION CRITERIA:
- Diagnosed with chronic lymphocytic leukemia (CLL) or small lymphocytic leukemia (SLL).
- Failed prior standard of care therapy for CLL.
- Neutrophil count (ANC) greater than or equal to 500/mcL.
- Platelet count greater than or equal to 20K/mcL.
- Age 21-99.
EXCLUSION CRITERIA:
- Chronic or current clinically significant infection, including HIV positivity or uncontrolled infection.
- ECOG performance greater than 2.
- Other concurrent anticancer therapies.
- Less than 4 weeks from last systemic therapy for CLL. Steroids up to 2 weeks before the start of treatment are permissible.
- Moribund status or concurrent hepatic, renal, cardiac, neurologic, pulmonary, infectious, or metabolic disease of such severity that it would preclude the patient's ability to tolerate protocol therapy.
- Creatinine greater than 1.5 times the upper limit of normal.
- Women who are pregnant or nursing, as well as women of childbearing potential who are unwilling to use a dual method of contraception.
- Men who are unwilling to use a barrier protection.
- Inability to understand the investigational nature of the study; inability to provide informed consent.
Contacts and Locations More Information
Additional Information:
No publications provided by National Institutes of Health Clinical Center (CC)
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Georg Aue, M.D./National Heart, Lung, and Blood Institute, National Institutes of Health |
| ClinicalTrials.gov Identifier: | NCT00439231 History of Changes |
| Obsolete Identifiers: | NCT00465127 |
| Other Study ID Numbers: | 070104, 07-H-0104 |
| Study First Received: | February 22, 2007 |
| Last Updated: | November 24, 2010 |
| Health Authority: | United States: Federal Government |
Keywords provided by National Institutes of Health Clinical Center (CC):
|
Monoclonal Antibody Therapy Biologic Response Modifier Therapy CLL SLL |
CC 5013 Chronic Lymphocytic Leukemia Small Lymphocytic Leukemia |
Additional relevant MeSH terms:
|
Anemia Leukemia Leukemia, Lymphocytic, Chronic, B-Cell Leukemia, Lymphoid Lymphoma Hematologic Diseases Neoplasms by Histologic Type Neoplasms Leukemia, B-Cell Lymphoproliferative Disorders Lymphatic Diseases Immunoproliferative Disorders Immune System Diseases Lenalidomide |
Thalidomide Antineoplastic Agents Therapeutic Uses Pharmacologic Actions Immunosuppressive Agents Immunologic Factors Physiological Effects of Drugs Leprostatic Agents Anti-Bacterial Agents Anti-Infective Agents Angiogenesis Inhibitors Angiogenesis Modulating Agents Growth Substances Growth Inhibitors |
ClinicalTrials.gov processed this record on May 23, 2013