Trial Outcomes & Findings for Lenalidomide as Immune Adjuvant in Patient's With Chronic Lymphocytic Leukemia (CLL) (NCT NCT01924169)

NCT ID: NCT01924169

Last Updated: 2018-09-20

Results Overview

IgG response defined as having improvement in IgG level by at least 25% at 6 months, compared to baseline.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

3 participants

Primary outcome timeframe

6 months

Results posted on

2018-09-20

Participant Flow

November 2014 through May 2016. All of the participants were recruited at The University of Texas (UT) MD Anderson Cancer Center.

Participant milestones

Participant milestones
Measure
Lenalidomide
Lenalidomide administered at the dose of 5 mg/day three times a day for three months. If IgG levels improve by at least 25% of baseline, lenalidomide administration continued for 3 months on, and 3 months off for 2 years. If Immunoglobulin G (IgG) levels do not improve, frequency of lenalidomide increased to 5 mg/day for additional 3 months and if response is achieved, lenalidomide continued at 5mg/day 3 month on/3 month off for a total of 2 years. Seasonal influenza vaccination (Trivalent Influenza Vaccine, Fluzone High Dose) administered yearly, during the fall/winter season and pneumococcal immunization (Pneumococcal Polysaccharide Vaccine, Pneumovax) administered once between month 6 and month 21.
Overall Study
STARTED
3
Overall Study
COMPLETED
3
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Lenalidomide as Immune Adjuvant in Patient's With Chronic Lymphocytic Leukemia (CLL)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Lenalidomide
n=3 Participants
Lenalidomide administered at the dose of 5 mg/day three times a day for three months. If IgG levels improve by at least 25% of baseline, lenalidomide administration continued for 3 months on, and 3 months off for 2 years. If IgG levels do not improve, frequency of lenalidomide increased to 5 mg/day for additional 3 months and if response is achieved, lenalidomide continued at 5mg/day 3 month on/3 month off for a total of 2 years. Seasonal influenza vaccination (Trivalent Influenza Vaccine, Fluzone High Dose) administered yearly, during the fall/winter season and pneumococcal immunization (Pneumococcal Polysaccharide Vaccine, Pneumovax) administered once between month 6 and month 21.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
1 Participants
n=5 Participants
Age, Categorical
>=65 years
2 Participants
n=5 Participants
Age, Continuous
65 years
n=5 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
3 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
3 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
3 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 6 months

IgG response defined as having improvement in IgG level by at least 25% at 6 months, compared to baseline.

Outcome measures

Outcome measures
Measure
Lenalidomide
n=3 Participants
Lenalidomide administered at the dose of 5 mg/day three times a day for three months. If IgG levels improve by at least 25% of baseline, lenalidomide administration continued for 3 months on, and 3 months off for 2 years. If IgG levels do not improve, frequency of lenalidomide increased to 5 mg/day for additional 3 months and if response is achieved, lenalidomide continued at 5mg/day 3 month on/3 month off for a total of 2 years. Seasonal influenza vaccination (Trivalent Influenza Vaccine, Fluzone High Dose) administered yearly, during the fall/winter season and pneumococcal immunization (Pneumococcal Polysaccharide Vaccine, Pneumovax) administered once between month 6 and month 21.
Number of Participants With IgG Response
0 Participants

SECONDARY outcome

Timeframe: 4 weeks after flu vaccine administered

Population: The first three participants did not remain on study long enough to undergo immunizations.

Study considered positive in regard to the secondary endpoints if seroconversion is observed in 60% or more of the subjects for at least one of the vaccinations given.

Outcome measures

Outcome data not reported

Adverse Events

Lenalidomide

Serious events: 2 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Lenalidomide
n=3 participants at risk
Lenalidomide administered at the dose of 5 mg/day three times a day for three months. If IgG levels improve by at least 25% of baseline, lenalidomide administration continued for 3 months on, and 3 months off for 2 years. If IgG levels do not improve, frequency of lenalidomide increased to 5 mg/day for additional 3 months and if response is achieved, lenalidomide continued at 5mg/day 3 month on/3 month off for a total of 2 years. Seasonal influenza vaccination (Trivalent Influenza Vaccine, Fluzone High Dose) administered yearly, during the fall/winter season and pneumococcal immunization (Pneumococcal Polysaccharide Vaccine, Pneumovax) administered once between month 6 and month 21.
Gastrointestinal disorders
Diarrhea
33.3%
1/3 • Number of events 1 • Participants will be assessed for adverse events from the first dose of study medication to the completion of study treatment, up to 6 months.
Gastrointestinal disorders
Vomiting
33.3%
1/3 • Number of events 1 • Participants will be assessed for adverse events from the first dose of study medication to the completion of study treatment, up to 6 months.
Cardiac disorders
Chest Pain
33.3%
1/3 • Number of events 1 • Participants will be assessed for adverse events from the first dose of study medication to the completion of study treatment, up to 6 months.

Other adverse events

Other adverse events
Measure
Lenalidomide
n=3 participants at risk
Lenalidomide administered at the dose of 5 mg/day three times a day for three months. If IgG levels improve by at least 25% of baseline, lenalidomide administration continued for 3 months on, and 3 months off for 2 years. If IgG levels do not improve, frequency of lenalidomide increased to 5 mg/day for additional 3 months and if response is achieved, lenalidomide continued at 5mg/day 3 month on/3 month off for a total of 2 years. Seasonal influenza vaccination (Trivalent Influenza Vaccine, Fluzone High Dose) administered yearly, during the fall/winter season and pneumococcal immunization (Pneumococcal Polysaccharide Vaccine, Pneumovax) administered once between month 6 and month 21.
General disorders
Fatigue/Malaise
33.3%
1/3 • Number of events 1 • Participants will be assessed for adverse events from the first dose of study medication to the completion of study treatment, up to 6 months.
Infections and infestations
Pneumonia
33.3%
1/3 • Number of events 1 • Participants will be assessed for adverse events from the first dose of study medication to the completion of study treatment, up to 6 months.
Gastrointestinal disorders
Constipation
33.3%
1/3 • Number of events 1 • Participants will be assessed for adverse events from the first dose of study medication to the completion of study treatment, up to 6 months.
Nervous system disorders
insomnia
33.3%
1/3 • Number of events 1 • Participants will be assessed for adverse events from the first dose of study medication to the completion of study treatment, up to 6 months.
Skin and subcutaneous tissue disorders
rash
33.3%
1/3 • Number of events 1 • Participants will be assessed for adverse events from the first dose of study medication to the completion of study treatment, up to 6 months.

Additional Information

Alessandra Ferrajoli, MD/Professor

The University of Texas MD Anderson Cancer Center

Phone: 713-792-7734

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place