A Study to Determine the Efficacy and Safety of Lenalidomide in Patients With Mantle Cell NHL Who Have Relapsed or Progressed After Treatment With Bortezomib or Are Refractory to Bortezomib. The "EMERGE" Trial (EMERGE)
Mantle Cell Lymphoma
About this trial
This is an interventional treatment trial for Mantle Cell Lymphoma focused on measuring Mantle Cell Lymphoma, Non-Hodgkin's Lymphoma, CC-5013, Revlimid, Lenalidomide
Eligibility Criteria
Inclusion Criteria:
- Biopsy proven mantle cell lymphoma
- Patients must have documents relapsed, refractory or PD after treatment with bortezomib
- Must have measureable disease on cross sectional imaging by CT
- Eastern Cooperative Oncology Group (ECOG) performance score 0,1 or 2
- Willing to follow pregnancy precautions
Exclusion Criteria:
Any of the following laboratory abnormalities
- Absolute neutrophil count (ANC) < 1,500 cells/mm3 (1.5 x 109/L)
- Platelet count < 60,000/mm3 (60 x 109/L)
- Serum aspartate transaminase/Serum glutamic oxaloacetic transaminase(AST/SGOT) or alanine transaminase/Serum glutamic pyruvic transaminase (ALT/SGPT) > 3.0 x upper limit of normal (ULN), except in patients with documented liver involvement by lymphoma.
- Serum total bilirubin > 1.5 x ULN, except in cases of Gilbert's Syndrome and documented liver involvement by lymphoma.
- Calculated creatinine clearance (Cockcroft-Gault formula) of < 30 mL /min
- Patients who are candidates for high dose chemotherapy/allogeneic stem cell transplant are not eligible
- History of active central nervous system (CNS) lymphoma within the previous 3 months
- Subjects not willing or unable to take deep vein thrombosis (DVT) prophylaxis
- Prior history of malignancies, other than MCL, unless the patient has been free of the disease for ≥ 3 years
- Positive Human immunodeficiency virus (HIV) or active Hepatitis B or C
Sites / Locations
- University of Arkansas for Medical Sciences
- UCSD Moores Cancer Center
- Loma Linda University Medical Center
- Tower Cancer Research Foundation
- Boca Raton Community Hospital, Inc., Research Dept.
- Pasco Hernando Oncology Associates, PA
- Broward General Medical Center
- MD Anderson Cancer Center, Orlando Regional Healthcare
- Lake County Oncology and Hematology
- Winship Cancer Institute of Emory University
- Northwestern University
- Loyola University Medical Center - Smith
- Indiana University Cancer Center
- Alvin and Lois Lapidus Cancer Institute Sinai Hospital of Baltimore
- Tufts Medical Center
- Beth Israel Deaconess Medical Center
- University of Massachusetts Medical Center
- Karmanos Cancer Institute
- Mayo Clinic
- Washington University Siteman Cancer Center
- University of Nebraska
- Hackensack University Medical Center
- NYU School of Medicine
- University of Rochester Cancer Center, James P. Wilmot Cancer Center
- Presbyterian Hospital
- Temple University School of Medicine
- Hillman Cancer Institute at UPMC
- South Carolina Cancer Specialists
- Avera Cancer Institute
- University of Tennessee Cancer Institute
- University of Virginia Cancer Center Clinical Trials Office
- Universitaetsklinik Innsbruck
- Landeskrankenhaus Salzburg
- Medical University of Vienna
- AZ Sint-Jan AV Brugge
- UZ Gent
- Universitair Ziekenhuis Leuven, Campus Gasthuisberg
- Hospital Universitario San Ignacio
- Oncologos del occidente S.A.
- Hopital Sud, CHU d'Amiens
- Institut Bergonie
- Hopital Henri Mondor
- Hopital Emile Muller
- Hopital Cochin
- Institut Curie
- Hopital Robert Debre
- Institut de Cancerologie de la Loire
- Hopital Hautepierre
- University Hospital Wuerzburg
- Debreceni Egyetem Orvos- es Egeszsegtudomanyi Centrum
- University of Debrecen, DEOEC, Institute of Internal Medicine
- Petz Aladar Megyei Oktato Korhaz,II. Belgyogyaszat
- Kaposi Mor Oktato Korhaz
- Rambam Medical Center
- Hadassah Medical Center
- Rabin Medical Center
- Sheba Medical Center
- Universita Federico II di Napoli Nuovo Policlinico
- Ospedale Civile dello Spirito Santo
- Universita Cattololica del Sacro Cuore
- Centro De Cancer, Hospital Espanol Auxilio De Puerto Rico
- Singapore General Hospital
- Hospital General De Elche
- Duran i Reynals Institut Catala d'Oncologia
- Hospital Clinico Universitario de Salamanca
- Hospital Universitario La Fe
- Gazi Universitesi
- Istanbul Universitesi Istanbul
- Ankara Universitesi Tip Fakultesi
- Royal Cornwall Hospitals Trust
Arms of the Study
Arm 1
Experimental
Lenalidomide
Single agent Lenalidomide Lenalidomide: 10mg or 25 mg oral capsules on days 1 to 21 of each 28 day cycle and dependent on renal function; Participants with normal renal function (defined as Creatinine Clearance(CrCl)) of ≥ 60 mL/min in this study) received 25 mg of lenalidomide daily, and those with moderate renal insufficiency (CrCl) ≥ 30 mL/min but < 60 mL/min) were started at a 10-mg dose. Participants could continue to receive treatment until disease progression, development of unacceptable AEs, or voluntary withdrawal.