Study of Lenalidomide to Evaluate Safety and Efficacy in Patients With Relapsed or Refractory Chronic Lymphocytic Leukemia
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Purpose
The purpose of this study is to determine the safety and effectiveness of different dose regimen of lenalidomide in patients with relapsed or refractory chronic lymphocytic leukemia.
| Condition | Intervention | Phase |
|---|---|---|
|
Relapsed or Refractory Chronic Lymphocytic Leukemia |
Drug: lenalidomide |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | A Phase II, Multi-center, Randomized, Double-blind, Parallel-group Study of the Safety and Efficacy of Different Lenalidomide (Revlimid) Dose Regimens in Subjects With Relapsed or Refractory B-Cell Chronic Lymphocytic Leukemia |
- Safety [type, frequency, and severity of adverse events (AEs) and relationship of AEs to lenalidomide] [ Time Frame: 24 months post LPFV ] [ Designated as safety issue: Yes ]
- Response rate [per the International Workshop on Chronic Lymphocytic Leukemia (iwCLL) Guidelines for diagnosis and treatment of CLL (Hallek, 2008)] [ Time Frame: 24 months post LPFV ] [ Designated as safety issue: No ]
- Duration of response, Time to response, Time to progression, Event-free survival, Progression-free survival, Overall survival [ Time Frame: 24 months post LPFV ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 90 |
| Study Start Date: | July 2009 |
| Estimated Study Completion Date: | March 2013 |
| Estimated Primary Completion Date: | March 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: Treatment Arm 1
Treatment Arm 1: 5 mg →10 mg →15 mg →20 mg →25 mg/daily Subjects will continue treatment until disease progression or unacceptable toxicity |
Drug: lenalidomide
Depending on the starting dose, subjects will be allocated in a double-blind fashion to three different regimens and will escalate every 28 days, based on individual subject tolerability, as follows:
|
|
Active Comparator: Treatment Arm 2
Treatment Arm 2: 10 mg →15 mg →20 mg →25 mg/daily Subjects will continue treatment until disease progression or unacceptable toxicity |
Drug: lenalidomide
Depending on the starting dose, subjects will be allocated in a double-blind fashion to three different regimens and will escalate every 28 days, based on individual subject tolerability, as follows:
|
|
Active Comparator: Treatment Arm 3
Treatment Arm 3: 15 mg →20 mg →25 mg/daily Subjects will continue treatment until disease progression or unacceptable toxicity |
Drug: lenalidomide
Depending on the starting dose, subjects will be allocated in a double-blind fashion to three different regimens and will escalate every 28 days, based on individual subject tolerability, as follows:
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Age ≥ 18 years at the time of signing the informed consent form
- Must be able to adhere to the study visit schedule and other protocol requirements
- Must have a documented diagnosis of B-cell CLL
- Must be relapsed or refractory to at least 1 regimen for treatment of CLL . At least one of the prior treatments must have included a purine analog-based or bendamustine-based regimen
- Must have an Eastern Cooperative Oncology Group (ECOG) performance status score of ≤2.
Exclusion Criteria:
- Any serious medical condition, laboratory abnormality, or psychiatric illness that would prevent the subject from signing the informed consent form
- Active infections requiring systemic antibiotics
- Systemic treatment for B-cell CLL within 28 days of initiation of lenalidomide treatment
- Alemtuzumab therapy within 120 days of initiating lenalidomide treatment
- Prior therapy with lenalidomide
- History of grade 4 rash due to prior thalidomide treatment
- Planned autologous or allogeneic bone marrow transplantation
- Central nervous system (CNS) involvement as documented by spinal fluid cytology or imaging.
- Uncontrolled hyperthyroidism or hypothyroidism
- Venous thromboembolism within 12 months
- ≥ Grade-2 neuropathy
- Uncontrolled autoimmune hemolytic anemia or thrombocytopenia
- Disease transformation [i.e. Richter's Syndrome (lymphomas) or prolymphocytic leukemia]
- Participation in any clinical study or having taken any investigational therapy within 28 days prior to initiating lenalidomide therapy
Contacts and Locations
Hide Study Locations| United States, California | |
| Moores Cancer Center | |
| La Jolla, California, United States, 92093-0820 | |
| Desert Hematology Oncology Medical Group, Inc. | |
| Rancho Mirage, California, United States, 92270 | |
| Stanford University | |
| Stanford, California, United States, 94305 | |
| United States, Connecticut | |
| Cancer Center of Central Connecticut | |
| Southington, Connecticut, United States, 06489 | |
| United States, Florida | |
| Cancer & Blood Disease Center | |
| Lecanto, Florida, United States, 34461 | |
| United States, Illinois | |
| Rush University Medical Center | |
| Chicago, Illinois, United States, 60612 | |
| Robert H. Lurie Comprehensive Cancer Center | |
| Chicago, Illinois, United States, 60611 | |
| United States, Indiana | |
| Indiana University Melvin and Bren Simon Cancer Center | |
| Indianapolis, Indiana, United States, 46202 | |
| United States, Michigan | |
| Karmanos Cancer Institute | |
| Detroit, Michigan, United States, 48201 | |
| United States, New Jersey | |
| Hackensack University Medical Center | |
| Hackensack, New Jersey, United States, 07601 | |
| United States, New York | |
| Roswell Park Cancer Institute | |
| Buffalo, New York, United States, 14263 | |
| Long Island Jewish Medical Center Biomedical Research Alliance of NY (BRANY) | |
| New Hyde Park, New York, United States, 11042 | |
| United States, North Carolina | |
| Wake Forest University School of Medicine | |
| Winston-Salem, North Carolina, United States, 27157 | |
| United States, Ohio | |
| Gabrail Cancer Center Research | |
| Canton, Ohio, United States, 44718 | |
| The Cleveland Clinic Foundation | |
| Cleveland, Ohio, United States, 44195 | |
| United States, Pennsylvania | |
| Drexel University, College of Medicine | |
| Philadelphia, Pennsylvania, United States, 19102 | |
| Canada, Alberta | |
| Cross Cancer Institute University of Alberta | |
| Edmonton, Alberta, Canada, T6G1Z2 | |
| Canada, Ontario | |
| Juravinski Cancer Centre | |
| Hamilton, Ontario, Canada, L8V 1C3 | |
| France | |
| Hôpital Sud | |
| Amiens, France, 80054 | |
| Hopital Avicenne | |
| Bobigny, France, 93009 | |
| CHU de Grenoble | |
| Grenoble Cedex 09, France, 38043 | |
| Centre Jean-Bernard - Clinique Victor Hugo | |
| Le Mans, France, 72000 | |
| Institut Paoli Calmettes | |
| Marseille, France, 13273 | |
| Hôpital Lapeyronie | |
| Montpellier Cedex 05, France, 34295 | |
| Centre Hospitalier de Mulhouse - Hopital Emile Muller | |
| Mulhouse, France, 68100 | |
| Hôpital Pitié Salpétrière | |
| Paris, France, 75013 | |
| CH Perpignan - Hopital Saint-Jean | |
| Perpignan, France, 66046 | |
| CHU Haut-Leveque | |
| Pessac, France, 33600 | |
| Centre Hospitalier Lyon sud | |
| Pierre Bénite, France, 69310 | |
| Hôpital Robert Debré, CHU de Reims | |
| Reims Cedex, France, 51092 | |
| CHU de Rennes Hôpital de Pontchaillou | |
| Rennes Cedex, France, 35033 | |
| CHRU - Hôpital de Brabois | |
| Vandoeuvre cedex, France, 54511 | |
| Germany | |
| Charite Campus Benjamin Franklin | |
| Berlin, Germany, 12203 | |
| Universitaetsklinikum Essen | |
| Essen, Germany, 45122 | |
| Ernst-Moritz-Arndt-Universitaet Greifswald | |
| Greifswald, Germany, 17487 | |
| University of Schleswig Holstein | |
| Kiel, Germany, 24105 | |
| Klinikum der Universität zu Koeln | |
| Koeln, Germany, 50924 | |
| University of Ulm | |
| Ulm, Germany, 89081 | |
| Italy | |
| Clinica Ematologica- A.O.U. San Martino | |
| Genova, Italy, 16132 | |
| U.O. Ematologia "Vito Fazzi" Lecce | |
| Lecce, Italy, 73100 | |
| I.R.C.C.S Ospedale S. Raffaele | |
| Milano, Italy, 20132 | |
| Instito Europeo di Oncologia | |
| Milano, Italy, 20141 | |
| Universita degli Studi di Padova | |
| Padova, Italy, 35128 | |
| Universita degli Studi di Peugla | |
| Perugia, Italy, 06100 | |
| Spain | |
| Hospital Germans Trias I Pujol | |
| Badalona, Spain, 08918 | |
| Hospital Clinic Provincial de Barcelona | |
| Barcelona, Spain, 08036 | |
| Sweden | |
| Karolinska Universitetssjukhuset | |
| Stockholm, Sweden, 141 86 | |
| United Kingdom | |
| St James's Institute of Oncology | |
| Leeds, United Kingdom, LS9 7TF | |
| Bart's and the London NHS Trust - St. Bartholomew's Hospital | |
| London, United Kingdom, EC1A 7BE | |
| The Royal Marsden Hospital | |
| London, United Kingdom, SW3 6JJ | |
| Kings College Hospital | |
| London, United Kingdom, SE5 9RS | |
| Christie Hospital NHS Foundation Trust | |
| Manchester, United Kingdom, M20 4BX | |
| Study Director: | Jay Mei, M.D. | Celgene Corporation |
More Information
No publications provided
| Responsible Party: | Celgene Corporation |
| ClinicalTrials.gov Identifier: | NCT00963105 History of Changes |
| Other Study ID Numbers: | CC-5013-CLL-009 |
| Study First Received: | August 20, 2009 |
| Last Updated: | October 3, 2012 |
| Health Authority: | United States: Food and Drug Administration |
Additional relevant MeSH terms:
|
Leukemia Leukemia, Lymphocytic, Chronic, B-Cell Leukemia, Lymphoid 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 16, 2013