Trial Outcomes & Findings for Multi-center, Survival Data Collection in Subjects Previously Enrolled in Celgene Protocol CC-5013-MDS-003 (NCT NCT01099267)

NCT ID: NCT01099267

Last Updated: 2019-11-19

Results Overview

Count of participants who were alive or deceased at the time of the extension study follow-up.

Recruitment status

COMPLETED

Target enrollment

54 participants

Primary outcome timeframe

up to 7 years

Results posted on

2019-11-19

Participant Flow

This extension study was conducted specifically to provide further long-term outcomes as regards overall survival/vital status and the possible occurrence of progression to AML for all participants previously enrolled in study NCT00065156 (Celgene CC-5013-MDS-003). Participants from the original study are included in the Participant Flow.

When the final MDS-003 clinical study report was written, 76 participants had died; therefore, 72 of all 148 participants who first enrolled in the MDS-003 study could have been included in the extension study. Sixteen did not participate because their investigative sites did not participant. Two withdrew consent during the earlier study.

Participant milestones

Participant milestones
Measure
Lenalidomide
No intervention was given during this extension study which gathered survival information on participants of study NCT00065156 (Celgene study CC-5013-MDS-003). During the CC-5013-MDS-003 study, participants initially took a syncopated dosage regimen in which 10 mg of lenalidomide was taken orally once daily on Days 1 to 21 of a 28-day cycle. The study was amended to employ a continuous dosage regimen in which 10 mg of lenalidomide was taken without a planned rest period. Participants who initially began therapy on the syncopated regimen and who did not experience dose-limiting adverse events (AEs) were allowed to switch to the continuous regimen.
MDS-003 Study
STARTED
148
MDS-003 Study
COMPLETED
24
MDS-003 Study
NOT COMPLETED
124
MDS-009 Extension Follow-up
STARTED
54
MDS-009 Extension Follow-up
Informed Consent Given
33
MDS-009 Extension Follow-up
Other Source of Follow-up Info Used
21
MDS-009 Extension Follow-up
COMPLETED
54
MDS-009 Extension Follow-up
NOT COMPLETED
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Lenalidomide
No intervention was given during this extension study which gathered survival information on participants of study NCT00065156 (Celgene study CC-5013-MDS-003). During the CC-5013-MDS-003 study, participants initially took a syncopated dosage regimen in which 10 mg of lenalidomide was taken orally once daily on Days 1 to 21 of a 28-day cycle. The study was amended to employ a continuous dosage regimen in which 10 mg of lenalidomide was taken without a planned rest period. Participants who initially began therapy on the syncopated regimen and who did not experience dose-limiting adverse events (AEs) were allowed to switch to the continuous regimen.
MDS-003 Study
Adverse Event
37
MDS-003 Study
Lack of Efficacy
52
MDS-003 Study
Withdrawal by Subject
8
MDS-003 Study
Lost to Follow-up
1
MDS-003 Study
Death
11
MDS-003 Study
Study Closed by Sponsor
2
MDS-003 Study
Disease Progression
7
MDS-003 Study
Investigator Decision
2
MDS-003 Study
Non-Compliance
2
MDS-003 Study
Loss of Response
1
MDS-003 Study
Secondary Malign Disease
1

Baseline Characteristics

Multi-center, Survival Data Collection in Subjects Previously Enrolled in Celgene Protocol CC-5013-MDS-003

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Lenalidomide
n=148 Participants
No intervention was given during this extension study which gathered survival information on participants of study NCT00065156 (Celgene study CC-5013-MDS-003). During the CC-5013-MDS-003 study, participants initially took a syncopated dosage regimen in which 10 mg of lenalidomide was taken orally once daily on Days 1 to 21 of a 28-day cycle. The study was amended to employ a continuous dosage regimen in which 10 mg of lenalidomide was taken without a planned rest period. Participants who initially began therapy on the syncopated regimen and who did not experience dose-limiting adverse events (AEs) were allowed to switch to the continuous regimen.
Age, Continuous
70.0 years
STANDARD_DEVIATION 10.50 • n=5 Participants
Sex: Female, Male
Female
97 Participants
n=5 Participants
Sex: Female, Male
Male
51 Participants
n=5 Participants
Region of Enrollment
United States
112 participants
n=5 Participants
Region of Enrollment
Germany
36 participants
n=5 Participants

PRIMARY outcome

Timeframe: up to 7 years

Population: Intent to treat population

Count of participants who were alive or deceased at the time of the extension study follow-up.

Outcome measures

Outcome measures
Measure
Lenalidomide
n=148 Participants
No intervention was given during this extension study which gathered survival information on participants of study NCT00065156 (Celgene study CC-5013-MDS-003). During the CC-5013-MDS-003 study, participants initially took a syncopated dosage regimen in which 10 mg of lenalidomide was taken orally once daily on Days 1 to 21 of a 28-day cycle. The study was amended to employ a continuous dosage regimen in which 10 mg of lenalidomide was taken without a planned rest period. Participants who initially began therapy on the syncopated regimen and who did not experience dose-limiting adverse events (AEs) were allowed to switch to the continuous regimen.
Participants Survival Status as of the Time of the Extension Study Follow-up
Deceased
101 participants
Participants Survival Status as of the Time of the Extension Study Follow-up
Alive
29 participants
Participants Survival Status as of the Time of the Extension Study Follow-up
Unknown
18 participants

PRIMARY outcome

Timeframe: up to 7 years

Population: Intent to treat population

Overall survival was measured from the start of therapy in CC-5013-MDS-003 to the date of death from any cause. Results include data collected during the extension follow-up.

Outcome measures

Outcome measures
Measure
Lenalidomide
n=148 Participants
No intervention was given during this extension study which gathered survival information on participants of study NCT00065156 (Celgene study CC-5013-MDS-003). During the CC-5013-MDS-003 study, participants initially took a syncopated dosage regimen in which 10 mg of lenalidomide was taken orally once daily on Days 1 to 21 of a 28-day cycle. The study was amended to employ a continuous dosage regimen in which 10 mg of lenalidomide was taken without a planned rest period. Participants who initially began therapy on the syncopated regimen and who did not experience dose-limiting adverse events (AEs) were allowed to switch to the continuous regimen.
Kaplan Meier Estimate for Overall Survival
39.47 months
Interval 32.99 to 47.14

PRIMARY outcome

Timeframe: up to 7 years

Population: Intent to treat population. One participant was diagnosed by central reviewer as having AML at entry to the MDS-003 study (baseline) so was excluded from this analysis.

Count of participants who progressed to AML at the time of the extension study follow-up.

Outcome measures

Outcome measures
Measure
Lenalidomide
n=147 Participants
No intervention was given during this extension study which gathered survival information on participants of study NCT00065156 (Celgene study CC-5013-MDS-003). During the CC-5013-MDS-003 study, participants initially took a syncopated dosage regimen in which 10 mg of lenalidomide was taken orally once daily on Days 1 to 21 of a 28-day cycle. The study was amended to employ a continuous dosage regimen in which 10 mg of lenalidomide was taken without a planned rest period. Participants who initially began therapy on the syncopated regimen and who did not experience dose-limiting adverse events (AEs) were allowed to switch to the continuous regimen.
Participants Status Regarding Progression to Acute Myeloid Leukemia (AML) as of the Time of the Extension Study Follow-up
Progressed to AML
36 participants
Participants Status Regarding Progression to Acute Myeloid Leukemia (AML) as of the Time of the Extension Study Follow-up
Did not progress to AML
86 participants
Participants Status Regarding Progression to Acute Myeloid Leukemia (AML) as of the Time of the Extension Study Follow-up
Unknown
25 participants

PRIMARY outcome

Timeframe: up to 7 years

Population: Intent to treat population. One participant was diagnosed by central reviewer as having AML at entry to the MDS-003 study (baseline) so was excluded from this analysis.

Progression to AML was measured from the start of therapy in CC-5013-MDS-003 to the date AML was diagnosed. Results include data collected during the extension follow-up.

Outcome measures

Outcome measures
Measure
Lenalidomide
n=147 Participants
No intervention was given during this extension study which gathered survival information on participants of study NCT00065156 (Celgene study CC-5013-MDS-003). During the CC-5013-MDS-003 study, participants initially took a syncopated dosage regimen in which 10 mg of lenalidomide was taken orally once daily on Days 1 to 21 of a 28-day cycle. The study was amended to employ a continuous dosage regimen in which 10 mg of lenalidomide was taken without a planned rest period. Participants who initially began therapy on the syncopated regimen and who did not experience dose-limiting adverse events (AEs) were allowed to switch to the continuous regimen.
Kaplan Meier Estimate for Progression to Acute Myeloid Leukemia (AML)
NA months
Not evaluable as 50% of participants in MDS-003 did not progress to AML.

PRIMARY outcome

Timeframe: up to 7 years

Population: Safety population of participants who died

Summary of the cause of death for participants from MDS-003 who died as of the time of the extension study follow-up.

Outcome measures

Outcome measures
Measure
Lenalidomide
n=101 Participants
No intervention was given during this extension study which gathered survival information on participants of study NCT00065156 (Celgene study CC-5013-MDS-003). During the CC-5013-MDS-003 study, participants initially took a syncopated dosage regimen in which 10 mg of lenalidomide was taken orally once daily on Days 1 to 21 of a 28-day cycle. The study was amended to employ a continuous dosage regimen in which 10 mg of lenalidomide was taken without a planned rest period. Participants who initially began therapy on the syncopated regimen and who did not experience dose-limiting adverse events (AEs) were allowed to switch to the continuous regimen.
Cause of Death for Participants Who Died
Disease progression - AML
24 participants
Cause of Death for Participants Who Died
Disease progression - MDS
7 participants
Cause of Death for Participants Who Died
Infection - Sepsis
9 participants
Cause of Death for Participants Who Died
Infection - Respiratory
4 participants
Cause of Death for Participants Who Died
Infection - Infection (not specified)
3 participants
Cause of Death for Participants Who Died
Cardiac - Cardiac heart failure
9 participants
Cause of Death for Participants Who Died
Cardiac - Myocardial infarction
3 participants
Cause of Death for Participants Who Died
Cardiac - Sudden death
1 participants
Cause of Death for Participants Who Died
Hemorrhage - Cerebral hemorrhage
3 participants
Cause of Death for Participants Who Died
Hemorrhage - Gastrointestinal hemorrhage
1 participants
Cause of Death for Participants Who Died
Hemorrhage - Unknown origin
1 participants
Cause of Death for Participants Who Died
Neoplasm - Endometrial
1 participants
Cause of Death for Participants Who Died
Neoplasm - Lung Cancer
1 participants
Cause of Death for Participants Who Died
Neoplasm - Ovarian
1 participants
Cause of Death for Participants Who Died
Other Events - Multi-organ failure
2 participants
Cause of Death for Participants Who Died
Gastrointestinal - Intestinal perforation
1 participants
Cause of Death for Participants Who Died
Venous-thromboembolic - Pulmonary embolism
1 participants
Cause of Death for Participants Who Died
Others - Cause of death unknown
29 participants

Adverse Events

Lenalidomide

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Associate Director, Clinical Trials Disclosure

Celgene Corporation

Phone: 1-888-260-1599

Results disclosure agreements

  • Principal investigator is a sponsor employee Unless approved by Celgene, single center data will not be published before multicenter data, unless more than 1 year has elapsed since completion of the Study. Thereafter, Investigator may publish single center data provided that Investigator shall: i) provide a copy of the publication to Celgene at least 60 days in advance of submission for publication; ii) delete Celgene Confidential Information and; iii) delay submission up to 90 additional days to permit intellectual property filings.
  • Publication restrictions are in place

Restriction type: OTHER