Trial Outcomes & Findings for A Study to Determine the Efficacy and Safety of Lenalidomide in Patients With Mantle Cell NHL Who Have Relapsed or Progressed After Treatment With Bortezomib or Are Refractory to Bortezomib. The "EMERGE" Trial (NCT NCT00737529)

NCT ID: NCT00737529

Last Updated: 2018-12-13

Results Overview

Overall Response Rate (ORR) was defined as the percentage of participants whose best response was Complete Response, Complete Response unconfirmed or Partial Response. Participants who had discontinued before any response has been observed, or changed to other anti-lymphoma treatments before response had been observed, were considered as non-responders. Tumor Response was assessed by a modification of the International Lymphoma Workshop Response Criteria, IWRC, Cheson, 1999); CR is defined as the disappearance of all clinical and radiographic evidence of disease; CRu is defined as a CR, with a 1) residual lymph node mass \>1.5 cm that has decreased by 75% in the sum of the product of the diameters (SPD). Individual nodes previously confluent decreased by more than 75% in the SPD compared with original mass; 2) indeterminate bone marrow; PR = is defined ≥50% decrease in 6 largest nodes or nodal masses.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

134 participants

Primary outcome timeframe

From Day 1 of study treatment to progession or early treatment discontinuation; up to data cut-off date of 06 April 2016; median duration of treatment was 94.5 days.

Results posted on

2018-12-13

Participant Flow

Participants were enrolled and treated at 42 centers in 12 countries: US/ Puerto Rico, France, Israel, Belgium, Spain, Turkey, Austria, Hungary, Italy, Colombia, Germany, and Singapore.

All participants were required to have local histologic confirmation of Mantle Cell Lymphoma (MCL) for entry into the study.

Participant milestones

Participant milestones
Measure
Lenalidomide
Participants received lenalidomide 10 mg or 25 mg oral capsules on days 1 to 21 of each 28-day cycle and was dependent on renal function; Participants with normal renal function (defined as creatinine clearance (CrCl)) of ≥ 60 mL/min) received 25 mg of lenalidomide by mouth (PO) daily, and those with moderate renal insufficiency (CrCl) ≥ 30 mL/min but \< 60 mL/min) were started at a 10 mg daily dose. Participants could continue to receive treatment until disease progression, development of unacceptable adverse events (AEs), or voluntary withdrawal.
Overall Study
STARTED
134
Overall Study
COMPLETED
1
Overall Study
NOT COMPLETED
133

Reasons for withdrawal

Reasons for withdrawal
Measure
Lenalidomide
Participants received lenalidomide 10 mg or 25 mg oral capsules on days 1 to 21 of each 28-day cycle and was dependent on renal function; Participants with normal renal function (defined as creatinine clearance (CrCl)) of ≥ 60 mL/min) received 25 mg of lenalidomide by mouth (PO) daily, and those with moderate renal insufficiency (CrCl) ≥ 30 mL/min but \< 60 mL/min) were started at a 10 mg daily dose. Participants could continue to receive treatment until disease progression, development of unacceptable adverse events (AEs), or voluntary withdrawal.
Overall Study
Disease Progression
95
Overall Study
Adverse Event
24
Overall Study
Withdrawal by Subject
5
Overall Study
Death
4
Overall Study
Protocol Violation
1
Overall Study
Other
4

Baseline Characteristics

A Study to Determine the Efficacy and Safety of Lenalidomide in Patients With Mantle Cell NHL Who Have Relapsed or Progressed After Treatment With Bortezomib or Are Refractory to Bortezomib. The "EMERGE" Trial

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Lenalidomide
n=134 Participants
Participants received lenalidomide 10 mg or 25 mg oral capsules on days 1 to 21 of each 28-day cycle and was dependent on renal function; Participants with normal renal function (defined as creatinine clearance (CrCl)) of ≥ 60 mL/min) received 25 mg of lenalidomide by mouth (PO) daily, and those with moderate renal insufficiency (CrCl) ≥ 30 mL/min but \< 60 mL/min) were started at a 10 mg daily dose. Participants could continue to receive treatment until disease progression, development of unacceptable adverse events (AEs), or voluntary withdrawal.
Age, Continuous
67.2 Years
STANDARD_DEVIATION 8.38 • n=93 Participants
Age, Customized
<65
49 Participants
n=93 Participants
Age, Customized
≥ 65
85 Participants
n=93 Participants
Sex: Female, Male
Female
26 Participants
n=93 Participants
Sex: Female, Male
Male
108 Participants
n=93 Participants
Race/Ethnicity, Customized
White or Caucasian
128 Participants
n=93 Participants
Race/Ethnicity, Customized
Asian
3 Participants
n=93 Participants
Race/Ethnicity, Customized
Black or African American
1 Participants
n=93 Participants
Race/Ethnicity, Customized
Other
2 Participants
n=93 Participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
0 = (Fully Active)
43 Participants
n=93 Participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
1 = (Restrictive but ambulatory)
73 Participants
n=93 Participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
2 = (Ambulatory but unable to work)
17 Participants
n=93 Participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
3 = (Limited self care)
1 Participants
n=93 Participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
4 = (Completely Disabled)
0 Participants
n=93 Participants
Renal function at baseline
Normal (CrCl > = 60 mL/min)
99 Participants
n=93 Participants
Renal function at baseline
Moderate Renal Insufficiency (CrCl ≥ 30 and < 60mL
28 Participants
n=93 Participants
Renal function at baseline
Severe Renal Insufficiency (CrCl < 30 mL/min)
1 Participants
n=93 Participants
Renal function at baseline
Missing
6 Participants
n=93 Participants
Duration of Mantle Cell Lymphoma
<3 years
52 years
n=93 Participants
Duration of Mantle Cell Lymphoma
≥ 3 years
82 years
n=93 Participants
MCL (Ann Arbor) Stage at Diagnosis
I
2 Participants
n=93 Participants
MCL (Ann Arbor) Stage at Diagnosis
II
5 Participants
n=93 Participants
MCL (Ann Arbor) Stage at Diagnosis
III
19 Participants
n=93 Participants
MCL (Ann Arbor) Stage at Diagnosis
IV
105 Participants
n=93 Participants
MCL (Ann Arbor) Stage at Diagnosis
Missing
3 Participants
n=93 Participants
MCL International Prognostic Index (MIPI) Score Group at Enrollment
Low
39 Participants
n=93 Participants
MCL International Prognostic Index (MIPI) Score Group at Enrollment
Intermediate
51 Participants
n=93 Participants
MCL International Prognostic Index (MIPI) Score Group at Enrollment
High
39 Participants
n=93 Participants
MCL International Prognostic Index (MIPI) Score Group at Enrollment
Missing
5 Participants
n=93 Participants
Prior Bone Marrow Assessment
Positive
55 Participants
n=93 Participants
Prior Bone Marrow Assessment
Negative
52 Participants
n=93 Participants
Prior Bone Marrow Assessment
Indeterminate
8 Participants
n=93 Participants
Prior Bone Marrow Assessment
Missing
19 Participants
n=93 Participants
Tumor Burden
High = having 1 lesion ≥ 5 cm or 3 lesions ≥ 3cm
78 Participants
n=93 Participants
Tumor Burden
Low = < 5cm lesions
54 Participants
n=93 Participants
Tumor Burden
Missing = unable to characterize
2 Participants
n=93 Participants
Bulky Disease
Yes
44 Participants
n=93 Participants
Bulky Disease
No
88 Participants
n=93 Participants
Bulky Disease
Missing
2 Participants
n=93 Participants

PRIMARY outcome

Timeframe: From Day 1 of study treatment to progession or early treatment discontinuation; up to data cut-off date of 06 April 2016; median duration of treatment was 94.5 days.

Population: ITT population defined as all enrolled participants who received at least one dose of study drug.

Overall Response Rate (ORR) was defined as the percentage of participants whose best response was Complete Response, Complete Response unconfirmed or Partial Response. Participants who had discontinued before any response has been observed, or changed to other anti-lymphoma treatments before response had been observed, were considered as non-responders. Tumor Response was assessed by a modification of the International Lymphoma Workshop Response Criteria, IWRC, Cheson, 1999); CR is defined as the disappearance of all clinical and radiographic evidence of disease; CRu is defined as a CR, with a 1) residual lymph node mass \>1.5 cm that has decreased by 75% in the sum of the product of the diameters (SPD). Individual nodes previously confluent decreased by more than 75% in the SPD compared with original mass; 2) indeterminate bone marrow; PR = is defined ≥50% decrease in 6 largest nodes or nodal masses.

Outcome measures

Outcome measures
Measure
Lenalidomide
n=134 Participants
Participants received lenalidomide 10 mg or 25 mg oral capsules on days 1 to 21 of each 28-day cycle and was dependent on renal function; Participants with normal renal function (defined as creatinine clearance (CrCl)) of ≥ 60 mL/min) received 25 mg of lenalidomide by mouth (PO) daily, and those with moderate renal insufficiency (CrCl) ≥ 30 mL/min but \< 60 mL/min) were started at a 10 mg daily dose. Participants could continue to receive treatment until disease progression, development of unacceptable adverse events (AEs), or voluntary withdrawal.
Percentage of Participants Who Achieved an Overall Response According to the Independent Review Committee (IRC)
29.9 percentage of participants
Interval 22.26 to 38.36

PRIMARY outcome

Timeframe: From Day 1 of study drug to progression or early treatment discontinuation; up to data cut-off date of 06 April 2016; Median duration of treatment was 94.5 days.

Population: Includes participants from the ITT population who achieved a PR or better.

Kaplan Meier estimate for the duration of response (DoR) was calculated from the date of the first occurrence of initial response for responders (demonstrating evidence of at least a PR) to the date of first documented disease progression (any new lesion or increase by ≥ 50% of previously involved sites from nadir) or death (without documented progression) for participants who responded; participants who had not progressed (or died) were censored at the last valid assessment.

Outcome measures

Outcome measures
Measure
Lenalidomide
n=40 Participants
Participants received lenalidomide 10 mg or 25 mg oral capsules on days 1 to 21 of each 28-day cycle and was dependent on renal function; Participants with normal renal function (defined as creatinine clearance (CrCl)) of ≥ 60 mL/min) received 25 mg of lenalidomide by mouth (PO) daily, and those with moderate renal insufficiency (CrCl) ≥ 30 mL/min but \< 60 mL/min) were started at a 10 mg daily dose. Participants could continue to receive treatment until disease progression, development of unacceptable adverse events (AEs), or voluntary withdrawal.
Kaplan Meier Estimate of Duration of Response (DoR) According to the Independent Review Committee
16.64 months
Interval 10.4219 to 29.8191

SECONDARY outcome

Timeframe: From Day 1 of study drug to progression or early treatment discontinuation; up to data cut-off date of 06 April 2016; Median duration of treatment was 94.5 days

Population: The ITT population was defined as all enrolled participants who received at least one dose of study drug.

The percentage of participants whose best response was CR or CRu. Participants who had discontinued before CR/CRu was observed, or changed to other anti-lymphoma treatments before a CR/CRu response had been observed, were considered as non-responders. CR is defined as the disappearance of all clinical and radiographic evidence of disease; CRu is defined as a CR, with a 1) residual lymph node mass \>1.5 cm that has decreased by 75% in the sum of the product of the diameters (SPD). Individual nodes previously confluent decreased by more than 75% in the SPD compared with original mass; 2) indeterminate bone marrow.

Outcome measures

Outcome measures
Measure
Lenalidomide
n=134 Participants
Participants received lenalidomide 10 mg or 25 mg oral capsules on days 1 to 21 of each 28-day cycle and was dependent on renal function; Participants with normal renal function (defined as creatinine clearance (CrCl)) of ≥ 60 mL/min) received 25 mg of lenalidomide by mouth (PO) daily, and those with moderate renal insufficiency (CrCl) ≥ 30 mL/min but \< 60 mL/min) were started at a 10 mg daily dose. Participants could continue to receive treatment until disease progression, development of unacceptable adverse events (AEs), or voluntary withdrawal.
Percentage of Participants With a Complete Response (CR) /Complete Response Unconfirmed (CRu) According to the Independent Review Committee
9.0 percentage of participants
Interval 4.71 to 15.12

SECONDARY outcome

Timeframe: From Day 1 of study drug to progression or early discontinuation; up to data cut-off date of 06 April 2016; median time in follow-up was 16.34 months

Population: Includes participants from the ITT population who achieved a CRu or better.

Kaplan Meier estimates for the duration of CR/CRu was calculated from the date of the first occurrence of CR/CRu to the date of documented disease progression or death (without documented progression) for participants who obtained a CR/CRu; participants who had not progressed (or died) were censored at the last valid assessment.

Outcome measures

Outcome measures
Measure
Lenalidomide
n=12 Participants
Participants received lenalidomide 10 mg or 25 mg oral capsules on days 1 to 21 of each 28-day cycle and was dependent on renal function; Participants with normal renal function (defined as creatinine clearance (CrCl)) of ≥ 60 mL/min) received 25 mg of lenalidomide by mouth (PO) daily, and those with moderate renal insufficiency (CrCl) ≥ 30 mL/min but \< 60 mL/min) were started at a 10 mg daily dose. Participants could continue to receive treatment until disease progression, development of unacceptable adverse events (AEs), or voluntary withdrawal.
Kaplan Meier Estimate of Duration of Complete Response (DoCR) (CR+CRu) According to the Independent Review Committee
24.43 months
Interval 5.063 to
NA indicates the upper limit of DoR of CR+CRu was not estimable at final cut-off date as of 06 April 2016 due to participants remaining on study.

SECONDARY outcome

Timeframe: From Day 1 of study drug to first documented date of disease progression; up to data cut-off date of 06 April 2016; median time in follow-up was 16.34 months

Population: Intent to Treat population defined as all enrolled participants who received at least one dose of study drug.

Kaplan Meier estimates of PFS was defined as the start of study drug therapy to the first observation of disease progression or death due to any cause, whichever comes first. If a participant had not progressed or died, PFS was censored at the time of last adequate assessment when the participant was known not to have progressed. For participants who received other anti-lymphoma therapy with no evidence of progression, PFS was censored at time of last adequate tumor assessment with no evidence of progression prior to the start of new anti-lymphoma treatment.

Outcome measures

Outcome measures
Measure
Lenalidomide
n=134 Participants
Participants received lenalidomide 10 mg or 25 mg oral capsules on days 1 to 21 of each 28-day cycle and was dependent on renal function; Participants with normal renal function (defined as creatinine clearance (CrCl)) of ≥ 60 mL/min) received 25 mg of lenalidomide by mouth (PO) daily, and those with moderate renal insufficiency (CrCl) ≥ 30 mL/min but \< 60 mL/min) were started at a 10 mg daily dose. Participants could continue to receive treatment until disease progression, development of unacceptable adverse events (AEs), or voluntary withdrawal.
Kaplan-Meier Estimate of Progression-Free Survival (PFS) According to the Independent Review Committee
4.01 months
Interval 3.6822 to 7.2329

SECONDARY outcome

Timeframe: From Day 1 of study drug to first documented time of progression; up to data cut-off date of 06 April 2016; median time in follow-up was 16.34 months

Population: Intent to Treat population was defined as all enrolled participants who received at least one dose of study drug.

Kaplan Meier estimate of time to progression was calculated as time from the start of the study drug therapy to the first observation of disease progression. Participants who died without progression were censored at the date of death; otherwise, the censoring rules presented above for PFS applied to the analysis of TTP. Progressive Disease(PD): Appearance of new lesion or increase by ≥50% from previously involved sites from nadir

Outcome measures

Outcome measures
Measure
Lenalidomide
n=134 Participants
Participants received lenalidomide 10 mg or 25 mg oral capsules on days 1 to 21 of each 28-day cycle and was dependent on renal function; Participants with normal renal function (defined as creatinine clearance (CrCl)) of ≥ 60 mL/min) received 25 mg of lenalidomide by mouth (PO) daily, and those with moderate renal insufficiency (CrCl) ≥ 30 mL/min but \< 60 mL/min) were started at a 10 mg daily dose. Participants could continue to receive treatment until disease progression, development of unacceptable adverse events (AEs), or voluntary withdrawal.
Kaplan Meier Estimate of Time to Progression (TTP) According to the Independent Review Committee
5.46 months
Interval 3.7479 to 9.4685

SECONDARY outcome

Timeframe: From Day 1 of study drug to first documented time of treatment failure; up to data cut-off date of 06 April 2016; median duration of treatment was 94.5 days

Population: Intent to Treat population was defined as all enrolled participants who received at least one dose of study drug.

Time to treatment failure (TTF) was calculated from the start of study drug therapy to early discontinuation from treatment due to any cause, including disease progression, toxicity, or death and was based on site-reported data.

Outcome measures

Outcome measures
Measure
Lenalidomide
n=134 Participants
Participants received lenalidomide 10 mg or 25 mg oral capsules on days 1 to 21 of each 28-day cycle and was dependent on renal function; Participants with normal renal function (defined as creatinine clearance (CrCl)) of ≥ 60 mL/min) received 25 mg of lenalidomide by mouth (PO) daily, and those with moderate renal insufficiency (CrCl) ≥ 30 mL/min but \< 60 mL/min) were started at a 10 mg daily dose. Participants could continue to receive treatment until disease progression, development of unacceptable adverse events (AEs), or voluntary withdrawal.
Kaplan-Meier Estimate of Time to Treatment Failure (TTF) According to the Independent Review Committee
3.75 months
Interval 2.3342 to 4.6356

SECONDARY outcome

Timeframe: From Day 1 of study drug to time of first documented PR or better; up to data cut-off date of 06 April 2016; median duration of treatment was 94.5 days

Population: Included participants from the ITT population who achieved a PR or better.

Time to Response was defined as the time from first dose of study drug to the date of the first response (having at least a PR) and was calculated only for responding participants.

Outcome measures

Outcome measures
Measure
Lenalidomide
n=40 Participants
Participants received lenalidomide 10 mg or 25 mg oral capsules on days 1 to 21 of each 28-day cycle and was dependent on renal function; Participants with normal renal function (defined as creatinine clearance (CrCl)) of ≥ 60 mL/min) received 25 mg of lenalidomide by mouth (PO) daily, and those with moderate renal insufficiency (CrCl) ≥ 30 mL/min but \< 60 mL/min) were started at a 10 mg daily dose. Participants could continue to receive treatment until disease progression, development of unacceptable adverse events (AEs), or voluntary withdrawal.
Time to Response (TTR)
3.5 months
Interval 1.7 to 15.9

SECONDARY outcome

Timeframe: From Day 1 of study drug to first documented CR/CRu or better; up to data cut-off date of 06 April 2016; median duration of treatment was 94.5 days

Population: Included participants from the ITT population who achieved a CRu or better.

Time to Complete Response (CR+CRu) was defined as the time from the first dose of study drug to the date of the first occurrence of at least CRu and was calculated only for participants with CR or CRu.

Outcome measures

Outcome measures
Measure
Lenalidomide
n=12 Participants
Participants received lenalidomide 10 mg or 25 mg oral capsules on days 1 to 21 of each 28-day cycle and was dependent on renal function; Participants with normal renal function (defined as creatinine clearance (CrCl)) of ≥ 60 mL/min) received 25 mg of lenalidomide by mouth (PO) daily, and those with moderate renal insufficiency (CrCl) ≥ 30 mL/min but \< 60 mL/min) were started at a 10 mg daily dose. Participants could continue to receive treatment until disease progression, development of unacceptable adverse events (AEs), or voluntary withdrawal.
Time to Complete Response (CR+CRu) According to the Independent Review Committee
3.9 months
Interval 1.9 to 13.0

SECONDARY outcome

Timeframe: From Day 1 of study drug to first documented date of progressive disease or death; up to the final data cut-off date of 30 March 2017; median duration of follow-up for surviving participants was 62.94 months

Population: Intent to Treat population defined as all enrolled participants who received at least one dose of study drug.

Kaplan Meier estimate of overall survival was calculated from the time the first dose of study drug to death from any cause. Participants who had not died were censored at the last date the participant was known to be alive.

Outcome measures

Outcome measures
Measure
Lenalidomide
n=134 Participants
Participants received lenalidomide 10 mg or 25 mg oral capsules on days 1 to 21 of each 28-day cycle and was dependent on renal function; Participants with normal renal function (defined as creatinine clearance (CrCl)) of ≥ 60 mL/min) received 25 mg of lenalidomide by mouth (PO) daily, and those with moderate renal insufficiency (CrCl) ≥ 30 mL/min but \< 60 mL/min) were started at a 10 mg daily dose. Participants could continue to receive treatment until disease progression, development of unacceptable adverse events (AEs), or voluntary withdrawal.
Overall Survival (OS)
19.50 months
Interval 13.6767 to 25.5781

SECONDARY outcome

Timeframe: From the first dose of lenalidomide through 28 days after the last dose during the follow-up phase; median (minimum, maximum) duration of treatment was 94.0 (1.0, 1950 days)

Population: The safety population received at least one dose of lenalidomide was used for all safety analysis. This was identical to the ITT population.

Adverse events were assessed using National Cancer Institute, Common Terminology Criteria for Adverse Events (NCI CTCAE), Version 3: according to the following scale: Grade 1 = Mild Adverse Event (AE), Grade 2 = Moderate AE, Grade 3 = Severe and Undesirable AE, Grade 4 = Life-threatening or Disabling AE, and Grade 5 = Death; Serious AEs (SAEs) are those that resulted in death, were life-threatening, required or prolonged inpatient hospitalization, resulted in persistent or significant disability/incapacity, congenital anomaly, or resulted in an important medical event that may have jeopardized the patient or required medical or surgical intervention to prevent one of the outcomes listed above. after the first dose of study drug and within 28 days after the last dose. A TEAE is defined as any AE occurring or worsening on or after the first dose of study drug and within 28 days after the last dose of study drug.

Outcome measures

Outcome measures
Measure
Lenalidomide
n=134 Participants
Participants received lenalidomide 10 mg or 25 mg oral capsules on days 1 to 21 of each 28-day cycle and was dependent on renal function; Participants with normal renal function (defined as creatinine clearance (CrCl)) of ≥ 60 mL/min) received 25 mg of lenalidomide by mouth (PO) daily, and those with moderate renal insufficiency (CrCl) ≥ 30 mL/min but \< 60 mL/min) were started at a 10 mg daily dose. Participants could continue to receive treatment until disease progression, development of unacceptable adverse events (AEs), or voluntary withdrawal.
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Any TEAE
132 participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Any TEAE Related to Investigational Product (IP)
118 participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Any TEAE Grade 3-5 AE
106 participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Any TEAE Grade 3 AE
101 participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Any TEAE Grade 4 AE
57 participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Any TEAE Grade 5 AE
18 participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Any Grade 3-5 AE Related to IP
90 participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Any Grade 3 AE Related to IP
88 participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Any Grade 4 AE Related to IP
41 participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Any Grade 5 AE Related to IP
2 participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Any TEAE Serious Adverse Event (SAE)
70 participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Any SAE Related to IP
30 participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Any TEAE Leading to Stopping of IP
28 participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Any Treatment Related AE Leading to Stopping IP
16 participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Any AE Leading to Dose Reduction
55 participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Any AE Leading to IP Interruption
81 participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Any Treatment Related AE Leading to Dose Reduction
52 participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Treatment Related AE Leading to IP Interruption
66 participants

Adverse Events

Lenalidomide

Serious events: 70 serious events
Other events: 125 other events
Deaths: 106 deaths

Serious adverse events

Serious adverse events
Measure
Lenalidomide
n=134 participants at risk
Participants received lenalidomide 10 mg or 25 mg oral capsules on days 1 to 21 of each 28-day cycle and was dependent on renal function; Participants with normal renal function (defined as creatinine clearance (CrCl)) of ≥ 60 mL/min) received 25 mg of lenalidomide by mouth (PO) daily, and those with moderate renal insufficiency (CrCl) ≥ 30 mL/min but \< 60 mL/min) were started at a 10 mg daily dose. Participants could continue to receive treatment until disease progression, development of unacceptable adverse events (AEs), or voluntary withdrawal.
Blood and lymphatic system disorders
ANAEMIA
1.5%
2/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Blood and lymphatic system disorders
FEBRILE NEUTROPENIA
5.2%
7/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Blood and lymphatic system disorders
LEUKOCYTOSIS
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Blood and lymphatic system disorders
LYMPH NODE PAIN
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Blood and lymphatic system disorders
LYMPHOCYTOSIS
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Blood and lymphatic system disorders
NEUTROPENIA
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Blood and lymphatic system disorders
THROMBOCYTOPENIA
1.5%
2/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Cardiac disorders
ATRIAL FIBRILLATION
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Cardiac disorders
BRADYCARDIA
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Cardiac disorders
CARDIAC FAILURE CONGESTIVE
1.5%
2/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Cardiac disorders
SUPRAVENTRICULAR TACHYCARDIA
1.5%
2/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Gastrointestinal disorders
ABDOMINAL PAIN
3.0%
4/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Gastrointestinal disorders
ASCITES
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Gastrointestinal disorders
CONSTIPATION
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Gastrointestinal disorders
DIARRHOEA
1.5%
2/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Gastrointestinal disorders
ENTERITIS
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Gastrointestinal disorders
FAECES DISCOLOURED
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Gastrointestinal disorders
GASTRIC HAEMORRHAGE
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Gastrointestinal disorders
GASTROINTESTINAL HAEMORRHAGE
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Gastrointestinal disorders
INTESTINAL ISCHAEMIA
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Gastrointestinal disorders
INTRA-ABDOMINAL HAEMORRHAGE
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Gastrointestinal disorders
LOWER GASTROINTESTINAL HAEMORRHAGE
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Gastrointestinal disorders
NAUSEA
1.5%
2/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Gastrointestinal disorders
PANCREATITIS
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Gastrointestinal disorders
VOMITING
1.5%
2/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
General disorders
ASTHENIA
2.2%
3/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
General disorders
DEATH
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
General disorders
GENERAL PHYSICAL HEALTH DETERIORATION
2.2%
3/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
General disorders
MUCOSAL INFLAMMATION
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
General disorders
NON-CARDIAC CHEST PAIN
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
General disorders
PYREXIA
4.5%
6/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
General disorders
SUDDEN DEATH
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Hepatobiliary disorders
CHOLECYSTITIS
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Infections and infestations
ATYPICAL PNEUMONIA
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Infections and infestations
BACTERAEMIA
1.5%
2/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Infections and infestations
BACTERIAL SEPSIS
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Infections and infestations
BRONCHITIS
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Infections and infestations
BRONCHOPNEUMONIA
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Infections and infestations
BRONCHOPULMONARY ASPERGILLOSIS
1.5%
2/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Infections and infestations
CELLULITIS
2.2%
3/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Infections and infestations
CLOSTRIDIUM DIFFICILE COLITIS
1.5%
2/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Infections and infestations
ENTEROCOCCAL SEPSIS
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Infections and infestations
ENTEROCOLITIS INFECTIOUS
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Infections and infestations
H1N1 INFLUENZA
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Infections and infestations
INFLUENZA
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Infections and infestations
LOBAR PNEUMONIA
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Infections and infestations
PNEUMONIA
6.0%
8/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Infections and infestations
PNEUMONIA BACTERIAL
3.0%
4/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Infections and infestations
PNEUMONIA KLEBSIELLA
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Infections and infestations
PNEUMONIA STREPTOCOCCAL
1.5%
2/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Infections and infestations
PSEUDOMONAL SEPSIS
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Infections and infestations
RESPIRATORY TRACT INFECTION
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Infections and infestations
SEPSIS
2.2%
3/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Infections and infestations
SEPTIC SHOCK
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Infections and infestations
STAPHYLOCOCCAL SEPSIS
1.5%
2/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Infections and infestations
STREPTOCOCCAL BACTERAEMIA
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Infections and infestations
URINARY TRACT INFECTION
2.2%
3/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Infections and infestations
UROSEPSIS
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Injury, poisoning and procedural complications
ANKLE FRACTURE
1.5%
2/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Injury, poisoning and procedural complications
FALL
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Injury, poisoning and procedural complications
SUBDURAL HAEMATOMA
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Investigations
CREATININE RENAL CLEARANCE DECREASED
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Metabolism and nutrition disorders
DEHYDRATION
3.0%
4/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Metabolism and nutrition disorders
FAILURE TO THRIVE
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Metabolism and nutrition disorders
GOUT
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Metabolism and nutrition disorders
HYPERCALCAEMIA
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Musculoskeletal and connective tissue disorders
BACK PAIN
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Musculoskeletal and connective tissue disorders
MUSCULAR WEAKNESS
2.2%
3/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Musculoskeletal and connective tissue disorders
NECK PAIN
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Musculoskeletal and connective tissue disorders
PAIN IN EXTREMITY
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
BASAL CELL CARCINOMA
2.2%
3/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MANTLE CELL LYMPHOMA
4.5%
6/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MENINGIOMA
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
METASTATIC SQUAMOUS CELL CARCINOMA
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MYELODYSPLASTIC SYNDROME
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
SQUAMOUS CELL CARCINOMA OF SKIN
4.5%
6/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Nervous system disorders
HEADACHE
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Nervous system disorders
MIGRAINE
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Nervous system disorders
TRANSIENT GLOBAL AMNESIA
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Renal and urinary disorders
BLADDER NECK OBSTRUCTION
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Renal and urinary disorders
HAEMATURIA
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Renal and urinary disorders
RENAL FAILURE
1.5%
2/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Renal and urinary disorders
URINARY RETENTION
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Respiratory, thoracic and mediastinal disorders
CHRONIC OBSTRUCTIVE PULMONARY DISEASE
2.2%
3/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Respiratory, thoracic and mediastinal disorders
DYSPNOEA
3.0%
4/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Respiratory, thoracic and mediastinal disorders
OBSTRUCTIVE AIRWAYS DISORDER
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Respiratory, thoracic and mediastinal disorders
PLEURAL EFFUSION
1.5%
2/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Respiratory, thoracic and mediastinal disorders
PNEUMONITIS
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Respiratory, thoracic and mediastinal disorders
PULMONARY EMBOLISM
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Respiratory, thoracic and mediastinal disorders
RESPIRATORY DISTRESS
1.5%
2/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Respiratory, thoracic and mediastinal disorders
RESPIRATORY FAILURE
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Skin and subcutaneous tissue disorders
SKIN TOXICITY
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Vascular disorders
DEEP VEIN THROMBOSIS
1.5%
2/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Vascular disorders
HYPOTENSION
5.2%
7/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Vascular disorders
ORTHOSTATIC HYPOTENSION
0.75%
1/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).

Other adverse events

Other adverse events
Measure
Lenalidomide
n=134 participants at risk
Participants received lenalidomide 10 mg or 25 mg oral capsules on days 1 to 21 of each 28-day cycle and was dependent on renal function; Participants with normal renal function (defined as creatinine clearance (CrCl)) of ≥ 60 mL/min) received 25 mg of lenalidomide by mouth (PO) daily, and those with moderate renal insufficiency (CrCl) ≥ 30 mL/min but \< 60 mL/min) were started at a 10 mg daily dose. Participants could continue to receive treatment until disease progression, development of unacceptable adverse events (AEs), or voluntary withdrawal.
Blood and lymphatic system disorders
ANAEMIA
31.3%
42/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Blood and lymphatic system disorders
LEUKOPENIA
16.4%
22/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Blood and lymphatic system disorders
LYMPHOPENIA
7.5%
10/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Blood and lymphatic system disorders
NEUTROPENIA
50.7%
68/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Blood and lymphatic system disorders
THROMBOCYTOPENIA
38.1%
51/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Gastrointestinal disorders
ABDOMINAL PAIN
7.5%
10/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Gastrointestinal disorders
CONSTIPATION
15.7%
21/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Gastrointestinal disorders
DIARRHOEA
33.6%
45/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Gastrointestinal disorders
NAUSEA
30.6%
41/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Gastrointestinal disorders
VOMITING
11.9%
16/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
General disorders
ASTHENIA
13.4%
18/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
General disorders
CHILLS
6.0%
8/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
General disorders
FATIGUE
35.1%
47/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
General disorders
OEDEMA PERIPHERAL
16.4%
22/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
General disorders
PYREXIA
22.4%
30/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Infections and infestations
NASOPHARYNGITIS
6.0%
8/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Infections and infestations
PNEUMONIA
6.0%
8/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Infections and infestations
RESPIRATORY TRACT INFECTION
6.7%
9/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Infections and infestations
SINUSITIS
6.7%
9/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Infections and infestations
UPPER RESPIRATORY TRACT INFECTION
14.9%
20/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Investigations
ALANINE AMINOTRANSFERASE INCREASED
5.2%
7/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Investigations
BLOOD CREATININE INCREASED
5.2%
7/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Investigations
WEIGHT DECREASED
14.9%
20/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Metabolism and nutrition disorders
DECREASED APPETITE
15.7%
21/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Metabolism and nutrition disorders
DEHYDRATION
6.0%
8/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Metabolism and nutrition disorders
HYPOCALCAEMIA
5.2%
7/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Metabolism and nutrition disorders
HYPOKALAEMIA
14.2%
19/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Musculoskeletal and connective tissue disorders
ARTHRALGIA
9.0%
12/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Musculoskeletal and connective tissue disorders
BACK PAIN
14.2%
19/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Musculoskeletal and connective tissue disorders
MUSCLE SPASMS
12.7%
17/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Musculoskeletal and connective tissue disorders
PAIN IN EXTREMITY
6.7%
9/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
TUMOUR FLARE
9.7%
13/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Nervous system disorders
DIZZINESS
5.2%
7/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Nervous system disorders
DYSGEUSIA
6.0%
8/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Nervous system disorders
HEADACHE
6.0%
8/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Nervous system disorders
NEUROPATHY PERIPHERAL
6.7%
9/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Psychiatric disorders
ANXIETY
8.2%
11/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Psychiatric disorders
INSOMNIA
6.0%
8/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Respiratory, thoracic and mediastinal disorders
COUGH
30.6%
41/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Respiratory, thoracic and mediastinal disorders
DYSPHONIA
6.7%
9/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Respiratory, thoracic and mediastinal disorders
DYSPNOEA
17.9%
24/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Respiratory, thoracic and mediastinal disorders
OROPHARYNGEAL PAIN
10.4%
14/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Respiratory, thoracic and mediastinal disorders
PLEURAL EFFUSION
6.0%
8/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Skin and subcutaneous tissue disorders
DRY SKIN
7.5%
10/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Skin and subcutaneous tissue disorders
NIGHT SWEATS
6.0%
8/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Skin and subcutaneous tissue disorders
PRURITUS
17.2%
23/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Skin and subcutaneous tissue disorders
RASH
22.4%
30/134 • From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).

Additional Information

Senior Manager, Clinical Trials Disclosure

Celgene Corporation

Phone: 1-888-260-1599

Results disclosure agreements

  • Principal investigator is a sponsor employee Single center publications may not be submitted until after multicenter publication is submitted (or 1 year after study completion), whichever comes first. The investigator may then publish results provided that Celgene receive a copy of any proposed publication/presentation at least 30 days in advance of submission, delete any confidential information \& delay the submission for up to 60 additional days for patent filing. Multicenter publications must include input from investigators \& Celgene.
  • Publication restrictions are in place

Restriction type: OTHER