A Dose Escalation Study of Lenalidomide in Relapsed or Refractory B-cell Chronic Lymphocytic Leukemia

NCT ID: NCT00419250

Last Updated: 2019-11-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

52 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-12-01

Study Completion Date

2010-06-01

Brief Summary

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The purpose of this study is to evaluate the safety of lenalidomide and to define the maximum tolerated escalation dose level (MTEDL) when administered by a stepwise dose-escalation schedule in subjects with relapsed or refractory B-cell CLL.

Detailed Description

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Conditions

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Chronic Lymphocytic Leukemia Leukemia, B-Cell, Chronic

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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dose-escalation to 5 mg lenalidomide (len)

escalate up to 5 mg once daily / 28-day cycle

Group Type EXPERIMENTAL

lenalidomide

Intervention Type DRUG

dose-escalation to 10 mg lenalidomide (len)

escalate up to 10 mg once daily / 28-day cycle

Group Type EXPERIMENTAL

lenalidomide

Intervention Type DRUG

dose-escalation to 15 mg lenalidomide (len)

escalate up to 15 mg once daily / 28-day cycle

Group Type EXPERIMENTAL

lenalidomide

Intervention Type DRUG

dose-escalation to 20 mg lenalidomide (len)

escalate up to 20 mg once daily / 28-day cycle

Group Type EXPERIMENTAL

lenalidomide

Intervention Type DRUG

dose-escalation to 25 mg lenalidomide (len)

escalate up to 25 mg once daily / 28-day cycle

Group Type EXPERIMENTAL

lenalidomide

Intervention Type DRUG

Interventions

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lenalidomide

Intervention Type DRUG

lenalidomide

Intervention Type DRUG

lenalidomide

Intervention Type DRUG

lenalidomide

Intervention Type DRUG

lenalidomide

Intervention Type DRUG

Other Intervention Names

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Revlimid, CC-5013 Revlimid, CC-5013 Revlimid, CC-5013 Revlimid, CC-5013 Revlimid, CC-5013

Eligibility Criteria

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Inclusion Criteria

* Documented diagnosis of B-cell CLL that has relapsed after or is refractory to at least one prior regimen. The prior regimen(s) must have included an alkylating agent and fludarabine (used in combination or separately)
* ECOG \< or = 2
* Willing to agree to follow the pregnancy precautions.

Exclusion Criteria

* Pregnant or nursing women
* Systemic treatment for B-cell CLL within 28 days of study start
* Central nervous system involvement
* History of renal failure requiring dialysis
* Prior treatment with lenalidomide
* Alemtuzumab therapy within 56 days of initiating lenalidomide treatment
* ANC \< 1000 / ul
* Platelet count \< 50,000 / ul
* Calculated creatinine clearance \< 60 mL/min (Cockroft-Gault method)
* AST or ALT \> 3.0 x upper limit of normal
* Serum total bilirubin \> 2.0 mg/dl
* Neuropathy \> or = Grade 2
* Uncontrolled autoimmune hemolytic anemia or thrombocytopenia
* Richter's transformation (active)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Celgene

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Elayne Lombardy, MD

Role: STUDY_DIRECTOR

Celgene Corporation

Asher Chanan-Khan, MD

Role: PRINCIPAL_INVESTIGATOR

Roswell Park Cancer Institute

Locations

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Arizona Cancer Center

Tucson, Arizona, United States

Site Status

Alta Bates Summit Comprehensive Cancer Center

Berkeley, California, United States

Site Status

Desert Hematology Oncology Medical Group, Inc.

Rancho Mirage, California, United States

Site Status

Baptist Cancer Institute

Jacksonville, Florida, United States

Site Status

Cancer & Blood Disease Center

Lecanto, Florida, United States

Site Status

Northwest Georgia Oncology Centers, PC., Wellstar Health System

Marietta, Georgia, United States

Site Status

Mountain States Tumor Institute

Boise, Idaho, United States

Site Status

Robert H. Lurie Comprehensive Cancer Center

Chicago, Illinois, United States

Site Status

University of Chicago Medical Center

Chicago, Illinois, United States

Site Status

Indiana University Medical center

Indianapolis, Indiana, United States

Site Status

LSU Health Sciences Center, Feist-Weiller Cancer Center

Shreveport, Louisiana, United States

Site Status

Karmanos Cancer Institute/Wayne State University School of Medicine

Detroit, Michigan, United States

Site Status

Roswell Park Cancer Institute

Buffalo, New York, United States

Site Status

Weill Medical College of Cornell University, Division of Hematology & Oncology

New York, New York, United States

Site Status

SUNY Upstate Medical Center

Syracuse, New York, United States

Site Status

Wake Forest University School of Medicine

Winston-Salem, North Carolina, United States

Site Status

The Cleveland Clinic Foundation

Cleveland, Ohio, United States

Site Status

Abington Hematology Oncology Assoc., Inc.

Willow Grove, Pennsylvania, United States

Site Status

University of Texas MD Anderson Cancer Center

Houston, Texas, United States

Site Status

Swedish Cancer Institute

Seattle, Washington, United States

Site Status

Cross Cancer Institute

Edmonton, Alberta, Canada

Site Status

Cancer Care Manitoba

Winnipeg, Manitoba, Canada

Site Status

Juravinski Cancer Centre

Hamilton, Ontario, Canada

Site Status

London Helath Science Centre

London, Ontario, Canada

Site Status

Saskatoon Cancer Centre

Saskatoon, Saskatchewan, Canada

Site Status

Uniklinik Köln, Klinik I für Innere Medizin, Klinisches Studienzentrum Hämatologie

Bettenhaus Ebene 04, Raum 001/048, Kerpener Str. 62, Koln, Germany

Site Status

Charité, Campus Benjamin Franklin, Medizinische Klinik III

Hindenburgdamm 30, State of Berlin, Germany

Site Status

University of Schleswig Holstein, Director Medizinische Klinik II

Campus Kiel, Chemnitzstrasse 33, Kiel, , Germany

Site Status

University of Ulm, Abteilung Innere Medizin III, Robert-Koch-Strasse 8

Ulm, , Germany

Site Status

Clinica Ematologica- A.O.U. San Martino, Clinica Ematologica Dipartimento di Medicina Interna

Genova, , Italy

Site Status

Hospital Clinic Provincial de Barcelona, Servicio de Hematología, Institute of Haematology and Oncology

Villaroel, 170, Barcelona, , Spain

Site Status

Karolinska Universitetssjukhuset, Hematologiskt Centrum, Karolinska Universitetssjukhuset,

Stockholm, , Sweden

Site Status

St James's Institute of Oncology, Dept. of Haematology, Level 3, Bexley Wing, Beckett Street

Leeds, , United Kingdom

Site Status

Bart's and the London NHS Trust, St. Bartholomew's Hospital, 7th Floor Gloucester House, Cancer Services

London, , United Kingdom

Site Status

Christie Hospital NHS Foundation Trust, Haematology and Transplant Unit,

Manchester, , United Kingdom

Site Status

Countries

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United States Canada Germany Italy Spain Sweden United Kingdom

References

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Wendtner CM, Hillmen P, Mahadevan D, Buhler A, Uharek L, Coutre S, Frankfurt O, Bloor A, Bosch F, Furman RR, Kimby E, Gribben JG, Gobbi M, Dreisbach L, Hurd DD, Sekeres MA, Ferrajoli A, Shah S, Zhang J, Moutouh-de Parseval L, Hallek M, Heerema NA, Stilgenbauer S, Chanan-Khan AA. Final results of a multicenter phase 1 study of lenalidomide in patients with relapsed or refractory chronic lymphocytic leukemia. Leuk Lymphoma. 2012 Mar;53(3):417-23. doi: 10.3109/10428194.2011.618232. Epub 2011 Nov 15.

Reference Type BACKGROUND
PMID: 21879809 (View on PubMed)

Other Identifiers

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CC-5013-CLL-001

Identifier Type: -

Identifier Source: org_study_id

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