A Study to Evaluate Lenalidomide Combined With Dexamethasone in Relapsed or Refractory Diffuse Large B-Cell Lymphoma

NCT ID: NCT00474188

Last Updated: 2009-09-02

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

26 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-05-31

Study Completion Date

2008-12-31

Brief Summary

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To evaluate the safety and efficacy of lenalidomide (Revlimid ®) in combination with dexamethasone in subjects with relapsed or refractory diffuse large B-cell lymphoma.

Detailed Description

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Non-Hodgkin's lymphoma (NHL) can be divided into two general prognostic groups: the indolent lymphomas and the aggressive lymphomas. Indolent lymphomas have a relatively good prognosis, with median survival time as long as 10 years, but they are not usually curable in advanced stages. Aggressive NHL constitutes about half of all cases of NHL in North America and Western Europe. Of the aggressive lymphomas, diffuse large B-cell lymphoma (DLBCL) is the most common type, accounting for up to 30 percent of newly diagnosed cases. The aggressive type of NHL has a shorter natural history; approximately 50-60% of these subjects can be cured with combination chemotherapy regimens. Even with recent advances, many patients with advanced stage DLBCL are not cured with conventional therapy. This leaves a subset of subjects who will eventually relapse or who are refractory to treatment.

Due to the variation in the clinical behavior of the different types of aggressive NHL, it is important to test lenalidomide in DLBCL. Other studies are addressing the activity of lenalidomide in the other types of aggressive lymphomas, as well as in indolent NHL. It is important to test lenalidomide in combination therapy. This study is focused on treating subjects with relapsed or refractory DLBCL using oral lenalidomide in combination with oral dexamethasone.

Conditions

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Diffuse Large B-cell Lymphoma

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Single Arm

Group Type EXPERIMENTAL

CC-5013 (lenalidomide)

Intervention Type DRUG

Lenalidomide 25 mg, orally, once daily, on Days 1 to 21 of every 28-day cycle administerd in combination with dexamethasone 40 mg, orally, once daily, on Days 1, 8, 15, and 22 of every 28-day cycle

dexamethasone

Intervention Type DRUG

Dexamethasone 40 mg, orally, once daily, on Days 1, 8, 15, and 22 of every 28-day cycle administered in combination with lenalidomide 25 mg, orally, once daily, on Days 1 to 21 of every 28-day cycle.

Interventions

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CC-5013 (lenalidomide)

Lenalidomide 25 mg, orally, once daily, on Days 1 to 21 of every 28-day cycle administerd in combination with dexamethasone 40 mg, orally, once daily, on Days 1, 8, 15, and 22 of every 28-day cycle

Intervention Type DRUG

dexamethasone

Dexamethasone 40 mg, orally, once daily, on Days 1, 8, 15, and 22 of every 28-day cycle administered in combination with lenalidomide 25 mg, orally, once daily, on Days 1 to 21 of every 28-day cycle.

Intervention Type DRUG

Other Intervention Names

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CC-5013 lenalidomide Revlimid Decadron

Eligibility Criteria

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Inclusion Criteria

* Biopsy-proven diffuse large B-cell non-Hodgkin's lymphoma
* Relapsed or refractory to previous therapy for non-Hodgkin's lymphoma
* Measurable disease on cross sectional imaging that is at least 2 cm in the longest diameter
* ECOG performance score of 0,1 or 2
* Willing to follow the 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 SGOT/AST or SGPT/ALT 5.0 x upper limit of normal (ULN).
* Serum total bilirubin \> 2.0 mg/dL (34 µmol/L).
* Subjects who are candidates for and willing to undergo an autologous stem cell transplant.
* History of active CNS lymphoma within the previous 3 months
* Subjects not willing or unable to take DVT prophylaxis
* History of other malignancies within the past year
* Positive HIV or active Hepatitis B or C
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Celgene Corporation

INDUSTRY

Sponsor Role lead

Responsible Party

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Celgene/sponsor

Principal Investigators

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Andrew Spencer, MD

Role: PRINCIPAL_INVESTIGATOR

The Alfred

Locations

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Palo Verde Hematology/Oncology, Ltd.

Glendale, Arizona, United States

Site Status

Tower Cancer Research Foundation

Beverly Hills, California, United States

Site Status

Advanced Medical Specialties

Miami, Florida, United States

Site Status

Hematology/Oncology Associates of Treasure Coast

Port Saint Lucie, Florida, United States

Site Status

Northwest Georgia Oncology Centers

Marietta, Georgia, United States

Site Status

Cancer Care & Hematology Specialists of Chicagoland

Arlington Heights, Illinois, United States

Site Status

Northwestern University, Feinberg School of Medicine

Chicago, Illinois, United States

Site Status

Rush University Medical Center

Chicago, Illinois, United States

Site Status

University of Kentucky

Lexington, Kentucky, United States

Site Status

Southwest Oncology Associates

Lafayette, Louisiana, United States

Site Status

Washington County Hospital, The Center for Clinical Research

Hagerstown, Maryland, United States

Site Status

Kalamazoo Hematology & Oncology

Kalamazoo, Michigan, United States

Site Status

Oncology & Hematology Specialists, PA

Denville, New Jersey, United States

Site Status

Hackensack University Medical Center

Hackensack, New Jersey, United States

Site Status

Northwestern Carolina, Oncology and Hematology PA

Hickory, North Carolina, United States

Site Status

New Bern Cancer Care

New Bern, North Carolina, United States

Site Status

James Cancer Hospital

Columbus, Ohio, United States

Site Status

SouthWest Regional Cancer Center

Austin, Texas, United States

Site Status

Northern Utah Associates

Ogden, Utah, United States

Site Status

The Alfred Hospital

Melbourne, Victoria, Australia

Site Status

Frankston Hospital

Frankston, , Australia

Site Status

HOCA

South Brisbane, , Australia

Site Status

Border Medical Oncology

Wodonga, , Australia

Site Status

Cross Cancer Institute

Edmonton, Alberta, Canada

Site Status

Countries

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United States Australia Canada

Other Identifiers

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CC-5013-NHL-005

Identifier Type: -

Identifier Source: org_study_id

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