Study of Lenalidomide to Evaluate Safety and Efficacy in Patients With Relapsed or Refractory Chronic Lymphocytic Leukemia
Relapsed or Refractory Chronic Lymphocytic Leukemia
About this trial
This is an interventional treatment trial for Relapsed or Refractory Chronic Lymphocytic Leukemia
Eligibility Criteria
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
Sites / Locations
- UCSD Moores Cancer Center
- Desert Hematology Oncology Medical Group, Inc.
- Stanford University School of Medicine
- Cancer Center of Central Connecticut
- Cancer and Blood Disease Center
- Northwestern University Medical Center Division of Hematology Oncology
- Rush University Medical Center
- Indiana University Cancer Center
- Karmanos Cancer Institute
- Hackensack University Medical Center
- Roswell Park Cancer Institute
- Long Island Jewish Medical Center CLL Research and Treatment Program
- Wake Forest University School of Medicine
- Gabrail Cancer Center Research
- Cleveland Clinic Foundation
- Drexel University, College of Medicine, Clinical Research Group
- Cross Cancer Institute
- Juravinski Cancer Centre
- CHU Sud
- Hopital Avicenne
- CHU Grenoble
- Clinique Victor Hugo
- Institut Paoli Calmettes
- CHU Montpellier - Hôpital Saint Eloi
- Hopital Emile Muller
- Hopital Pitie Salpetriere
- CH Perpignan - Hopital Saint-Jean
- CHRU - Hopital du Haut Leveque
- Centre Hospitalier Lyon Sud
- Hopital Robert Debre
- CHU Rennes Hematology
- CHRU Hopital Brabois
- Charite -Universitätsmedizin Berlin
- Universitatsklinikum Essen
- Ernst-Moritz-Arndt-Universität Greifswald
- Universitatsklinikum Schleswig Holstein
- Klinikum der Universitat zu Koln
- University of Ulm Abteilung Innere Medizin III
- Azienda Ospedaliera Universitaria San Martino
- Ematologia ed Immunologia, Azienda Ospedaliera "Vito Fazzi" di Lecce
- I.R.C.C.S. Ospedale San Raffaele
- Istituto Europeo di Oncologia - IEO
- Universita degli Studi di Padova
- Universita' Degli Studi Di Perugia
- Hospital Clinic Provincial de Barcelona
- Hospital Universitari Germans Trias i Pujol
- Karolinska Universitetssjukhuset
- St James's Institute of Oncology
- St.Bartholomew's Hospital
- King's College Hospital
- The Royal Marsden Hospital
- Christie Hospital NHS Foundation Trust
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Experimental
Lenalidomide 5 mg
Lenalidomide 10 mg
Lenalidomide 15 mg
Participants received a starting dose of 5 mg lenalidomide orally once a day. Lenalidomide dose was escalated by 5 mg in a step-wise manner every 28 days up to a maximum dose of 25 mg daily based on tolerability. Participants continued receiving study drug until disease progression or unacceptable toxicity, unless they withdrew consent or had other reasons to discontinue from study drug
Participants received a starting dose of 10 mg lenalidomide orally once a day. Lenalidomide dose was escalated by 5 mg in a step-wise manner every 28 days up to a maximum dose of 25 mg daily based on tolerability. Participants continued receiving study drug until disease progression or unacceptable toxicity, unless they withdrew consent or had other reasons to discontinue from study drug
Participants received a starting dose of 15 mg lenalidomide orally once a day. Lenalidomide dose was escalated by 5 mg in a step-wise manner every 28 days up to a maximum dose of 25 mg daily based on tolerability. Participants continued receiving study drug until disease progression or unacceptable toxicity, unless they withdrew consent or had other reasons to discontinue from study drug