Trial Outcomes & Findings for Lenalidomide (Revlimid®, CC-5013) in Subjects With Relapsed or Refractory Indolent Non-Hodgkin's Lymphoma (NCT NCT00179673)

NCT ID: NCT00179673

Last Updated: 2025-05-13

Results Overview

Response was defined as participants with a complete response (CR), unconfirmed complete response (Cru) or partial response (PR), assessed using the International Workshop Lymphoma Response Criteria (IWLRC) and based on best responses as determined by the investigator. CR: Complete disappearance of all detectable clinical and radiographic evidence of disease, disappearance of any disease-related symptoms, and normalization of biochemical abnormalities. Cru: Criteria for CR above but with 1 or more of the following: • A residual lymph node mass \> 1.5 cm in greatest transverse diameter that has regressed by more than 75% in the sum of the products of diameters (SPD) • Indeterminate bone marrow (increased number or size of aggregates without cytologic or architectural atypia). PR: ≥ 50% decrease in SPD of the 6 largest dominant nodes or nodal masses. No increase in the size of other nodes, liver, or spleen. Splenic and hepatic nodules must regress by at least 50% in the SPD.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

43 participants

Primary outcome timeframe

From enrollment through study completion. Median duration on study was 4.4 months with a maximum of 32 months

Results posted on

2025-05-13

Participant Flow

Participant milestones

Participant milestones
Measure
Lenalidomide
Participants received single-agent lenalidomide 25 mg orally once daily on Days 1 to 21 of every 28-day cycle for up to 52 weeks or until disease progression developed, lenalidomide treatment was discontinued for any reason, or the study was terminated.
Overall Study
STARTED
43
Overall Study
Received Study Drug
43
Overall Study
COMPLETED
0
Overall Study
NOT COMPLETED
43

Reasons for withdrawal

Reasons for withdrawal
Measure
Lenalidomide
Participants received single-agent lenalidomide 25 mg orally once daily on Days 1 to 21 of every 28-day cycle for up to 52 weeks or until disease progression developed, lenalidomide treatment was discontinued for any reason, or the study was terminated.
Overall Study
Adverse Event
7
Overall Study
Lack of Efficacy
15
Overall Study
Withdrawal by Subject
3
Overall Study
Death
4
Overall Study
Other Observations and options
14

Baseline Characteristics

Lenalidomide (Revlimid®, CC-5013) in Subjects With Relapsed or Refractory Indolent Non-Hodgkin's Lymphoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Lenalidomide
n=43 Participants
Participants received single-agent lenalidomide 25 mg orally once daily on Days 1 to 21 of every 28-day cycle for up to 52 weeks or until disease progression developed, lenalidomide treatment was discontinued for any reason, or the study was terminated.
Age, Continuous
64.6 years
STANDARD_DEVIATION 10.95 • n=5 Participants
Age, Customized
<65 years
24 participants
n=5 Participants
Age, Customized
65 - 75
10 participants
n=5 Participants
Age, Customized
>75 years
9 participants
n=5 Participants
Sex: Female, Male
Female
17 Participants
n=5 Participants
Sex: Female, Male
Male
26 Participants
n=5 Participants
Race/Ethnicity, Customized
White
37 participants
n=5 Participants
Race/Ethnicity, Customized
Black
4 participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic
0 participants
n=5 Participants
Race/Ethnicity, Customized
Asian/Pacific Islander
1 participants
n=5 Participants
Race/Ethnicity, Customized
American Indian/Alaska Native
0 participants
n=5 Participants
Race/Ethnicity, Customized
Other = Unspecified
1 participants
n=5 Participants
NHL Duration
5.6 years
STANDARD_DEVIATION 4.38 • n=5 Participants
Non-Hodgkin's Lymphoma (NHL) Histology
Follicular lymphoma grade 1 or 2
22 participants
n=5 Participants
Non-Hodgkin's Lymphoma (NHL) Histology
Small Lymphocytic lymphoma
18 participants
n=5 Participants
Non-Hodgkin's Lymphoma (NHL) Histology
Nodal marginal-zone B-cell lymphoma
2 participants
n=5 Participants
Non-Hodgkin's Lymphoma (NHL) Histology
Extranodal marginal-zone B-cell type (MALT)
1 participants
n=5 Participants
Non-Hodgkin's Lymphoma (NHL)-Stage
Stage I
1 participants
n=5 Participants
Non-Hodgkin's Lymphoma (NHL)-Stage
Stage II
11 participants
n=5 Participants
Non-Hodgkin's Lymphoma (NHL)-Stage
Stage III
6 participants
n=5 Participants
Non-Hodgkin's Lymphoma (NHL)-Stage
Stage IV
25 participants
n=5 Participants
International Prognostic Index (IPI)]
Low (0 to 1)
14 participants
n=5 Participants
International Prognostic Index (IPI)]
Low/Intermediate (2)
15 participants
n=5 Participants
International Prognostic Index (IPI)]
High/Intermediate (3)
6 participants
n=5 Participants
International Prognostic Index (IPI)]
High (4 to 5)
8 participants
n=5 Participants
Eastern Cooperative Oncology Group (ECOG) performance status
0 = fully active, no restrictions;
27 participants
n=5 Participants
Eastern Cooperative Oncology Group (ECOG) performance status
1 = restricted but ambulatory and capable of light
12 participants
n=5 Participants
Eastern Cooperative Oncology Group (ECOG) performance status
2 = ambulatory and capable of self care but unable
4 participants
n=5 Participants

PRIMARY outcome

Timeframe: From enrollment through study completion. Median duration on study was 4.4 months with a maximum of 32 months

Population: Intent-to-treat (ITT) population, which included all enrolled patients who received at least 1 dose of study drug. Patients who dropped out without having a response assessment or who had a response after they had received other anti-cancer treatments were considered non-responders.

Response was defined as participants with a complete response (CR), unconfirmed complete response (Cru) or partial response (PR), assessed using the International Workshop Lymphoma Response Criteria (IWLRC) and based on best responses as determined by the investigator. CR: Complete disappearance of all detectable clinical and radiographic evidence of disease, disappearance of any disease-related symptoms, and normalization of biochemical abnormalities. Cru: Criteria for CR above but with 1 or more of the following: • A residual lymph node mass \> 1.5 cm in greatest transverse diameter that has regressed by more than 75% in the sum of the products of diameters (SPD) • Indeterminate bone marrow (increased number or size of aggregates without cytologic or architectural atypia). PR: ≥ 50% decrease in SPD of the 6 largest dominant nodes or nodal masses. No increase in the size of other nodes, liver, or spleen. Splenic and hepatic nodules must regress by at least 50% in the SPD.

Outcome measures

Outcome measures
Measure
Lenalidomide
n=43 Participants
Participants received single-agent lenalidomide 25 mg orally once daily on Days 1 to 21 of every 28-day cycle for up to 52 weeks or until disease progression developed, lenalidomide treatment was discontinued for any reason, or the study was terminated.
Percentage of Participants With Response
23.3 percentage of participants
Interval 11.8 to 38.6

SECONDARY outcome

Timeframe: From enrollment through study completion. Median duration on study was 4.4 months with a maximum of 32 months

Population: Intent-to-treat (ITT) population. Patients who dropped out without having a response assessment or who had a response after they had received other anti-cancer treatments were considered non-responders

Tumor control was defined as participants with a complete response, unconfirmed complete response, partial response or stable disease (SD), assessed using the International Workshop Lymphoma Response Criteria (IWLRC) and based on best responses as determined by the investigator. SD was defined as a response less than a PR (see above) but not Progressive Disease (PD). PD was defined as • ≥ 50 % increase from nadir in the SPD of any previously identified abnormal node for partial responders or non-responders. • Appearance of any new lesion during or at the end of therapy.

Outcome measures

Outcome measures
Measure
Lenalidomide
n=43 Participants
Participants received single-agent lenalidomide 25 mg orally once daily on Days 1 to 21 of every 28-day cycle for up to 52 weeks or until disease progression developed, lenalidomide treatment was discontinued for any reason, or the study was terminated.
Percentage of Participants With Tumor Control
60.5 percentage of participants
Interval 44.4 to 75.0

SECONDARY outcome

Timeframe: From enrollment through study completion. Median duration on study was 4.4 months with a maximum of 32 months

Population: Includes participants with a response to treatment

The duration of response was calculated as the first response assessment demonstrating evidence of at least a partial response to the first documentation of progressive disease (as determined by computed tomography scan) or death due to NHL, whichever occurred first. For participants without documentation of progression, the duration of response was censored at the last date of tumor assessment indicating no progression. Median was based on the Kaplan-Meier estimate.

Outcome measures

Outcome measures
Measure
Lenalidomide
n=10 Participants
Participants received single-agent lenalidomide 25 mg orally once daily on Days 1 to 21 of every 28-day cycle for up to 52 weeks or until disease progression developed, lenalidomide treatment was discontinued for any reason, or the study was terminated.
The Duration of Response
NA months
Interval 15.5 to
The median was not reached due to the low number of events.

SECONDARY outcome

Timeframe: From enrollment through study completion. Median duration on study was 4.4 months with a maximum of 32 months

Population: Intent to treat population

Progression-free survival was defined as the time from the start of study drug therapy to the first observation of disease progression or death due to any cause, whichever came first. Participants who withdrew for any reason or received another NHL therapy including stem cell transplantation without documented progressive disease were censored on the date of their last adequate response assessment indicating no progression (or last adequate assessment prior to receiving other NHL therapy). Participants who were still active without progressive disease at the time of the data cut-off date were censored on the date of their last adequate response assessment.

Outcome measures

Outcome measures
Measure
Lenalidomide
n=43 Participants
Participants received single-agent lenalidomide 25 mg orally once daily on Days 1 to 21 of every 28-day cycle for up to 52 weeks or until disease progression developed, lenalidomide treatment was discontinued for any reason, or the study was terminated.
Progression Free Survival (PFS)
4.4 months
Interval 2.5 to 10.4

SECONDARY outcome

Timeframe: From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months.

Population: Safety Population, which includes all participants who received at least one dose of study drug.

The Investigator determined the relationship between the administration of study drug and the occurrence of an AE as suspected if the temporal relationship of the adverse event to study drug administration made a causal relationship possible, and other drugs, therapeutic interventions, or underlying conditions did not provide a sufficient explanation for the observed event. The Investigator graded the severity of AEs according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) criteria and the following scale: • Grade 1 = Mild • Grade 2 = Moderate • Grade 3 = Severe • Grade 4 = Life threatening • Grade 5 = Death A Serious AE is defined as any AE which results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect or constitutes an important medical event.

Outcome measures

Outcome measures
Measure
Lenalidomide
n=43 Participants
Participants received single-agent lenalidomide 25 mg orally once daily on Days 1 to 21 of every 28-day cycle for up to 52 weeks or until disease progression developed, lenalidomide treatment was discontinued for any reason, or the study was terminated.
Number of Participants With Adverse Events (AEs)
At least one Adverse Event (AE)
42 participants
Number of Participants With Adverse Events (AEs)
≥ 1 AE related to study drug
37 participants
Number of Participants With Adverse Events (AEs)
Grade (GR) 3-5 AE
27 participants
Number of Participants With Adverse Events (AEs)
Grade 3-5 AE related to study drug
24 participants
Number of Participants With Adverse Events (AEs)
Serious adverse event (SAE)
18 participants
Number of Participants With Adverse Events (AEs)
SAE related to study drug
10 participants
Number of Participants With Adverse Events (AEs)
AE leading to discontinuation of study drug
9 participants
Number of Participants With Adverse Events (AEs)
Related AE leading to study drug discontinuation
5 participants
Number of Participants With Adverse Events (AEs)
AE leading to dose reduction or interruption
27 participants

Adverse Events

Lenalidomide

Serious events: 18 serious events
Other events: 41 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Lenalidomide
n=43 participants at risk
Participants received single-agent lenalidomide 25 mg orally once daily on Days 1 to 21 of every 28-day cycle for up to 52 weeks or until disease progression developed, lenalidomide treatment was discontinued for any reason, or the study was terminated.
Blood and lymphatic system disorders
Anemia Not Otherwise Specified (NOS)
2.3%
1/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Blood and lymphatic system disorders
Lymph Node Pain
2.3%
1/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Blood and lymphatic system disorders
Febrile Neutropenia
2.3%
1/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Blood and lymphatic system disorders
Pancytopenia
2.3%
1/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Blood and lymphatic system disorders
Thrombocytopenia
2.3%
1/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Gastrointestinal disorders
Abdominal Pain NOS
4.7%
2/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Gastrointestinal disorders
Constipation
2.3%
1/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Gastrointestinal disorders
Diarrhoea NOS
2.3%
1/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
General disorders
Pyrexia
4.7%
2/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Infections and infestations
Sepsis NOS
2.3%
1/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Nervous system disorders
Transient Ischaemic Attack
2.3%
1/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Respiratory, thoracic and mediastinal disorders
Pulmonary Embolism
2.3%
1/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
General disorders
Asthenia
4.7%
2/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
General disorders
Fatigue
4.7%
2/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
General disorders
Chest Discomfort
2.3%
1/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
General disorders
Oedema Peripheral
2.3%
1/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Blood and lymphatic system disorders
Leukocytosis
2.3%
1/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Gastrointestinal disorders
Gastrointestinal Obstruction NOS
2.3%
1/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Gastrointestinal disorders
Intestinal Fistula
2.3%
1/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Gastrointestinal disorders
Small Intestinal Obstruction NOS
2.3%
1/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Infections and infestations
Pneumonia NOS
4.7%
2/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Infections and infestations
Clostridial Infestion NOS
2.3%
1/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Infections and infestations
Infection NOS
2.3%
1/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Nervous system disorders
Somnolence
2.3%
1/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Respiratory, thoracic and mediastinal disorders
Acute Respiratory Distress Syndrome
2.3%
1/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Respiratory, thoracic and mediastinal disorders
Chronic Obstructive Airways Disease
2.3%
1/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Respiratory, thoracic and mediastinal disorders
Cough
2.3%
1/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Respiratory, thoracic and mediastinal disorders
Dyspnoea NOS
2.3%
1/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Cardiac disorders
Cardio-Respiratory Arrest
2.3%
1/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Metabolism and nutrition disorders
Dehydration
2.3%
1/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lymphoma NOS
2.3%
1/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Renal and urinary disorders
Renal Failure Acute
2.3%
1/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months

Other adverse events

Other adverse events
Measure
Lenalidomide
n=43 participants at risk
Participants received single-agent lenalidomide 25 mg orally once daily on Days 1 to 21 of every 28-day cycle for up to 52 weeks or until disease progression developed, lenalidomide treatment was discontinued for any reason, or the study was terminated.
General disorders
Fatigue
46.5%
20/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
General disorders
Oedema Peripheral
9.3%
4/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
General disorders
Pain NOS
9.3%
4/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
General disorders
Pyrexia
9.3%
4/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Gastrointestinal disorders
Constipation
30.2%
13/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Gastrointestinal disorders
Diarrhoea NOS
30.2%
13/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Gastrointestinal disorders
Nausea
18.6%
8/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Gastrointestinal disorders
Abdominal Pain NOS
11.6%
5/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Blood and lymphatic system disorders
Neutropenia
44.2%
19/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Blood and lymphatic system disorders
Thrombocytopenia
34.9%
15/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Blood and lymphatic system disorders
Leukopenia NOS
23.3%
10/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Blood and lymphatic system disorders
Anaemia NOS
16.3%
7/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Investigations
Haemoglobin Decreased
18.6%
8/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Investigations
Neutrophil Count Decreased
18.6%
8/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Investigations
Alanine Aminotransferase Increased
11.6%
5/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Investigations
Blood Alkaline Phosphatase NOS Increased
9.3%
4/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Investigations
White Blood Cell Count Decreased
9.3%
4/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Investigations
Aspartate Aminotransferase Increased
7.0%
3/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Investigations
Platelet Count Decreased
7.0%
3/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Skin and subcutaneous tissue disorders
Rash NOS
23.3%
10/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Skin and subcutaneous tissue disorders
Pruritus
11.6%
5/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Skin and subcutaneous tissue disorders
Night Sweats
7.0%
3/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Musculoskeletal and connective tissue disorders
Arthralgia
16.3%
7/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Musculoskeletal and connective tissue disorders
Muscle Cramp
11.6%
5/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Respiratory, thoracic and mediastinal disorders
Cough
16.3%
7/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Respiratory, thoracic and mediastinal disorders
Pharyngitis
11.6%
5/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Nervous system disorders
Headache
9.3%
4/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Nervous system disorders
Hypoaesthesia
7.0%
3/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Metabolism and nutrition disorders
Hyperglycaemia NOS
11.6%
5/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Metabolism and nutrition disorders
Hyperkalemia
7.0%
3/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Psychiatric disorders
Insomnia
14.0%
6/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumour Flare
9.3%
4/43 • From the start of study drug through 30 days after the last dose of study drug. Maximum time on study drug was 13.8 months

Additional Information

Senior Manager, Clinical Trials Disclosure

Celgene Corporation

Phone: 888-260-1599

Results disclosure agreements

  • Principal investigator is a sponsor employee The investigator shall have the right to publish and/or present study data provided that the investigator shall (i) furnish the sponsor a copy of any proposed publication or presentation generally thirty (60) days in advance of the submission, (ii) delete any confidential information of the sponsor, and (iii) delay submission for generally up to ninety (90) days to permit the preparation and filing of intellectual property applications or until sponsor gives its consent in a timely manner.
  • Publication restrictions are in place

Restriction type: OTHER