Lenalidomide Plus Rituximab Followed by Lenalidomide Versus Rituximab Maintenance for Relapsed/Refractory Follicular, Marginal Zone or Mantle Cell Lymphoma. (MAGNIFY)
Lymphoma, Non-Hodgkin
About this trial
This is an interventional treatment trial for Lymphoma, Non-Hodgkin focused on measuring Lymphoma, Mantle cell Lymphoma, Follicular Lymphoma, Marginal zone Lymphoma, Lenalidomide treatment, rituximab treatment, Non Hodgkins Lymphoma
Eligibility Criteria
Inclusion Criteria:
-- Age ≥18 years
- Histologically confirmed Follicular Lymphoma (FL, Grade 1, 2, 3a, or 3b), Transformed FL, Marginal Zone Lymphoma, or Mantle Cell Lymphoma
- Must have documented relapsed, refractory or Progressive Disease after last treatment with systemic therapy
- Bi-dimensionally measurable disease
- Eastern Cooperative Oncology Group (ECOG) Performance status < 2
- Adequate bone marrow function
- Willingness to follow pregnancy precautions
Exclusion Criteria:
- Histology other than follicular or marginal zone lymphoma or clinical evidence of transformation or Grade 3b follicular lymphoma
- Any medical condition (other than the underlying lymphoma) that requires chronic steroid use
- Subjects taking corticosteroids during the last 1 week prior treatment, unless administered at a dose equivalent to < 20 mg/day of prednisone
- Systemic anti-lymphoma therapy within 28 days or use of antibody agents within 4 weeks use of radioimmunotherapy within 3 months
- Known seropositive for or active viral infection with hepatitis B virus (HBV), hepatitis C virus (HCV), human immunodeficiency virus (HIV)
- Known sensitivity or allergy to murine products
- Presence or history of central nervous system involvement by lymphoma. Subjects who are at a risk for a thromboembolic event and are not willing to take prophylaxis for it
- Any condition that places the subject at unacceptable risk if he/she were to participate in the study or that confounds the ability to interpret data from the study
Other protocol-defined inclusion/exclusion criteria apply
Sites / Locations
- Local Institution - 055
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- John Muir Health
- Bay Area Cancer Research Group, LLC
- Sutter Hematology and Oncology
- Local Institution - 032
- Local Institution - 130
- Local Institution - 052
- Local Institution - 106
- Colorado Cancer Research Program
- Local Institution - 062
- Praxair Cancer Center Danbury
- Medical Oncology and Blood Disorders, LLP
- Local Institution - 041
- Hematology Oncology Associates, PC
- Local Institution - 149
- Local Institution - 116
- Cancer Specialists, LLC dba Cancer Specialists of North Florida
- Mount Sinai Comprehensive Cancer Center
- Local Institution - 054
- Sacred Heart Medical Oncology Group
- Local Institution - 011
- Local Institution - 083
- Local Institution - 108
- United States Department of Veterans Affairs - VA Great Lakes Health Care System - Edward Hines Jr
- Local Institution - 159
- Local Institution - 056
- Local Institution - 028
- Orchard Healthcare Research Inc.
- American Health Network of Indiana, LLC
- McFarland Clinic
- Siouxland Hematology-Oncology Associates, LLP
- Cedar Valley Medical Specialists
- Local Institution - 019
- Local Institution - 350
- Kentucky Cancer Clinic
- Local Institution - 138
- Maine General Medical Center
- Anne Arundel Medical Center
- Local Institution - 030
- Associates Of Oncology/Hematology, P.C.
- Local Institution - 051
- Local Institution - 033
- Local Institution - 164
- Local Institution - 050
- Local Institution - 103
- Local Institution - 042
- Mercy Medical Research Institute
- Local Institution - 003
- Local Institution - 098
- Summit Medical Group Overlook Oncology Center
- Veterans Affairs New Jersey Health Care System
- Local Institution - 080
- Regional Cancer Care Associates LLC
- Saint Peter'S University Hospital
- Brookdale University Hospital and Medical Center
- C.R. Wood Cancer Center at Glens Falls Hospital
- Broome Oncology, LLC
- Local Institution - 152
- Local Institution - 023
- Local Institution - 039
- Summa Health System Akron City Hospital Laboratory
- Aultman Hospital
- Local Institution - 161
- Local Institution - 047
- Local Institution - 045
- Toledo Clinic Cancer Center
- Local Institution - 037
- Local Institution - 059
- Hematology Oncology Associates, P.C.
- Local Institution - 073
- Spartanburg Regional Healthcare System - Gibbs Cancer Center & Research Institute
- Rapid City Regional Hospital
- Local Institution - 153
- Baptist Cancer Center
- Local Institution - 076
- Texas Oncology, P.A.- Amarillo
- Arlington Cancer Center
- Texas Oncology-Arlington South
- Local Institution - 105
- Local Institution - 026
- Local Institution - 067
- Local Institution - 008
- Texas Health Physicians Group
- Local Institution - 071
- Local Institution - 070
- Local Institution - 058
- Local Institution - 111
- Tyler Hematology and Oncology
- Local Institution - 163
- Texas Oncology, P.A. - Deke Slayton Cancer Center
- Local Institution - 090
- Rutland Regional Medical Center
- Local Institution - 053
- Fort Belvoir Community Hospital
- Local Institution - 081
- Cancer Treatment Center of America
- PeaceHealth St. Joseph Medical Center
- Local Institution - 049
- Local Institution - 119
- Seattle Cancer Care Alliance
- Local Institution - 104
- Local Institution - 099
- Local Institution - 006
- Local Institution - 038
- Aurora Health Care Aurora Research
- Local Institution - 301
- Local Institution - 300
- Local Institution - 101
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- Local Institution - 029
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Arm A: Lenalidomide + rituximab followed by lenalidomide
Arm B: Lenalidomide + rituximab followed by rituximab
Induction Period (12 cycles): Lenalidomide 20mg (10 mg if creatinine clearance ≥ 30 mL/min but < 60mL/min) by mouth (PO) daily (QD) on Days 1 to 21 of every 28-day cycle during cycles 1 through 12 and rituximab 375mg/m^2 intraveneously (IV) every week in Cycle 1 on Days 1, 8, 15, and 22 and on Day 1 of every 28-day cycle during cycles 3, 5, 7, 9, and 11, followed by a Maintenance Period (lasting 18 Cycles) that includes Lenalidomide 10 mg PO QD on Days 1 to 21 of every 28-day cycle during cycles 13 to 30 and rituximab 375 mg/m^2 IV on Day 1 of every 28-day cycle during cycles 13, 15, 17, 19, 21, 23, 25, 27, and 29 followed by an optional Maintenance Period (up to Progressive Disease) receiving Lenalidomide 10mg PO QD on Days 1 through 21 of every 28 day cycle until the disease progresses
Induction Period (12 Cycles): Lenalidomide 20 mg PO QD (10 mg if creatinine clearance ≥ 30 mL/min but < 60 mL/min) on Days 1 to 21 of every 28-day cycle during cycles 1 to 12 and rituximab 375 mg/m^2 IV every week in cycle 1 on Days 1, 8, 15, and 22 and on Day 1 of every 28-day cycle during cycles 3, 5, 7, 9, and 11, followed by a Maintenance Period for 18 Cycles that includes: Rituximab 375 mg/m^2 IV on Day 1 of every 28-day cycle during cycles 13, 15, 17, 19, 21, 23, 25, 27, and 29