Trial Outcomes & Findings for Lenalidomide in Treating Patients With High Risk Acute Myeloid Leukemia in Remission (NCT NCT02126553)

NCT ID: NCT02126553

Last Updated: 2022-11-14

Results Overview

Time from date of treatment start until the date of first objective documentation of disease-relapse.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

29 participants

Primary outcome timeframe

Up to 7 Years

Results posted on

2022-11-14

Participant Flow

Recruitment Period: November 2014 to November 2021

Participant milestones

Participant milestones
Measure
Treatment (Lenalidomide)
Patients receive lenalidomide PO QD on days 1-28. Treatment repeats every 28 days for up to 24 cycles in the absence of disease progression or unacceptable toxicity. Laboratory Biomarker Analysis: Correlative studies Lenalidomide: Given PO
Overall Study
STARTED
29
Overall Study
COMPLETED
29
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Lenalidomide in Treating Patients With High Risk Acute Myeloid Leukemia in Remission

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment (Lenalidomide)
n=29 Participants
Patients receive lenalidomide PO QD on days 1-28. Treatment repeats every 28 days for up to 24 cycles in the absence of disease progression or unacceptable toxicity. Laboratory Biomarker Analysis: Correlative studies Lenalidomide: Given PO
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
20 Participants
n=5 Participants
Age, Categorical
>=65 years
9 Participants
n=5 Participants
Age, Continuous
59 years
n=5 Participants
Sex: Female, Male
Female
14 Participants
n=5 Participants
Sex: Female, Male
Male
15 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
2 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
3 Participants
n=5 Participants
Race (NIH/OMB)
White
20 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
4 Participants
n=5 Participants
Region of Enrollment
United States
29 participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 7 Years

Time from date of treatment start until the date of first objective documentation of disease-relapse.

Outcome measures

Outcome measures
Measure
Treatment (Lenalidomide)
n=29 Participants
Patients receive lenalidomide PO QD on days 1-28. Treatment repeats every 28 days for up to 24 cycles in the absence of disease progression or unacceptable toxicity. Laboratory Biomarker Analysis: Correlative studies Lenalidomide: Given PO
Relapse-free Survival (RFS)
21.5 Months
Interval 0.7 to 54.3

SECONDARY outcome

Timeframe: Up to 7 Years

Time from date of treatment start until date of death due to any cause or last Follow-up. Survival will be measured by the estimated median survival computed by Kaplan-Meier (K-M) analysis, which is the time point at which the cumulative survival drops below 50%, if present. If not present then the median Overall Survival is not reached and not available (NA) as there are an insufficient number of participants with events. In either case ranges are provided for observed survival intervals used in the K-M analysis.

Outcome measures

Outcome measures
Measure
Treatment (Lenalidomide)
n=29 Participants
Patients receive lenalidomide PO QD on days 1-28. Treatment repeats every 28 days for up to 24 cycles in the absence of disease progression or unacceptable toxicity. Laboratory Biomarker Analysis: Correlative studies Lenalidomide: Given PO
Overall Survival (OS)
NA Months
Interval 1.3 to 54.0
Median not reached due to insufficient number of participants with events.

SECONDARY outcome

Timeframe: Up to 7 Years

Time from date of treatment start until the date of first objective documentation of disease-relapse, death or discontinuation due to adverse events.

Outcome measures

Outcome measures
Measure
Treatment (Lenalidomide)
n=29 Participants
Patients receive lenalidomide PO QD on days 1-28. Treatment repeats every 28 days for up to 24 cycles in the absence of disease progression or unacceptable toxicity. Laboratory Biomarker Analysis: Correlative studies Lenalidomide: Given PO
Event-free Survival (EFS)
12 Months
Interval 0.5 to 54.3

SECONDARY outcome

Timeframe: Up to 7 years

Complete Response is defined as disappearance of all clinical and/or radiologic evidence of disease, including extramedullary leukemia. Neutrophil count \>/= 1.0 x 10\^9/L and platelet count\>/= 100 x 10\^9, and bone marrow differential showing \</=5%blasts. Response date to loss of response or last follow up. Remission duration will be measured by the estimated median remission duration computed by Kaplan-Meier (K-M) analysis, which is the time point at which the cumulative remission duration drops below 50%, if present. If not present then median remission duration is not reached and not available (NA) as there are an insufficient number of participants with events. In either case ranges are provided for observed survival intervals used in the K-M analysis.

Outcome measures

Outcome measures
Measure
Treatment (Lenalidomide)
n=29 Participants
Patients receive lenalidomide PO QD on days 1-28. Treatment repeats every 28 days for up to 24 cycles in the absence of disease progression or unacceptable toxicity. Laboratory Biomarker Analysis: Correlative studies Lenalidomide: Given PO
Complete Response (CR) Duration
NA Months
Interval 0.7 to 54.3
Median not reached due to insufficient number of partcipants.

Adverse Events

Treatment (Lenalidomide)

Serious events: 7 serious events
Other events: 22 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Treatment (Lenalidomide)
n=29 participants at risk
Patients receive lenalidomide PO QD on days 1-28. Treatment repeats every 28 days for up to 24 cycles in the absence of disease progression or unacceptable toxicity. Laboratory Biomarker Analysis: Correlative studies Lenalidomide: Given PO
Infections and infestations
Cellulitis Hand
3.4%
1/29 • Number of events 1 • Up to 7 years
Metabolism and nutrition disorders
elevated transaminases
3.4%
1/29 • Number of events 1 • Up to 7 years
General disorders
Chest Pain
3.4%
1/29 • Number of events 1 • Up to 7 years
Infections and infestations
Cellulitis Foot
3.4%
1/29 • Number of events 1 • Up to 7 years
Infections and infestations
Bronchopneumonia
3.4%
1/29 • Number of events 1 • Up to 7 years
Nervous system disorders
Dysarthria
3.4%
1/29 • Number of events 1 • Up to 7 years
Cardiac disorders
Atrial Fibrillation
3.4%
1/29 • Number of events 1 • Up to 7 years
Respiratory, thoracic and mediastinal disorders
Pleural Effusion
3.4%
1/29 • Number of events 1 • Up to 7 years
Infections and infestations
Pneumonia
3.4%
1/29 • Number of events 1 • Up to 7 years

Other adverse events

Other adverse events
Measure
Treatment (Lenalidomide)
n=29 participants at risk
Patients receive lenalidomide PO QD on days 1-28. Treatment repeats every 28 days for up to 24 cycles in the absence of disease progression or unacceptable toxicity. Laboratory Biomarker Analysis: Correlative studies Lenalidomide: Given PO
Metabolism and nutrition disorders
ALT, SGPT (serum glutamic pyruvic transaminase)
6.9%
2/29 • Number of events 2 • Up to 7 years
Gastrointestinal disorders
Anorexia
3.4%
1/29 • Number of events 1 • Up to 7 years
Metabolism and nutrition disorders
AST, SGOT (serum glutamic oxaloacetic transaminase)
3.4%
1/29 • Number of events 2 • Up to 7 years
Metabolism and nutrition disorders
Bilirubin (hyperbilirubinemia)
3.4%
1/29 • Number of events 1 • Up to 7 years
Skin and subcutaneous tissue disorders
Itchy Scalp
3.4%
1/29 • Number of events 1 • Up to 7 years
Gastrointestinal disorders
Diarrhea
13.8%
4/29 • Number of events 4 • Up to 7 years
Nervous system disorders
Dizziness
3.4%
1/29 • Number of events 1 • Up to 7 years
Eye disorders
Dry eye syndrome
6.9%
2/29 • Number of events 2 • Up to 7 years
Gastrointestinal disorders
Dry mouth/salivary gland (xerostomia)
6.9%
2/29 • Number of events 2 • Up to 7 years
Skin and subcutaneous tissue disorders
Dry skin
10.3%
3/29 • Number of events 3 • Up to 7 years
Respiratory, thoracic and mediastinal disorders
Dyspnea (shortness of breath)
3.4%
1/29 • Number of events 1 • Up to 7 years
Blood and lymphatic system disorders
Edema: limb
3.4%
1/29 • Number of events 1 • Up to 7 years
General disorders
Fatigue (asthenia, lethargy, malaise)
20.7%
6/29 • Number of events 6 • Up to 7 years
Gastrointestinal disorders
Heartburn/dyspepsia
13.8%
4/29 • Number of events 4 • Up to 7 years
Infections and infestations
Infection (documented clinically or microbiologically) with Grade 3 or 4 neutrophils (ANC <1.0 x 10^
3.4%
1/29 • Number of events 1 • Up to 7 years
Musculoskeletal and connective tissue disorders
Foot Cramps
3.4%
1/29 • Number of events 1 • Up to 7 years
Musculoskeletal and connective tissue disorders
Myalgia Back and Neck
3.4%
1/29 • Number of events 1 • Up to 7 years
Musculoskeletal and connective tissue disorders
Myositis (inflammation/damage of muscle)
3.4%
1/29 • Number of events 1 • Up to 7 years
Gastrointestinal disorders
Nausea
10.3%
3/29 • Number of events 3 • Up to 7 years
Nervous system disorders
Neuropathy: motor
3.4%
1/29 • Number of events 1 • Up to 7 years
Blood and lymphatic system disorders
Neutrophils/granulocytes (ANC/AGC)
13.8%
4/29 • Number of events 4 • Up to 7 years
General disorders
Headache
6.9%
2/29 • Number of events 2 • Up to 7 years
General disorders
back pain
3.4%
1/29 • Number of events 1 • Up to 7 years
Blood and lymphatic system disorders
Platelets Thrombocytopenia
13.8%
4/29 • Number of events 4 • Up to 7 years
Skin and subcutaneous tissue disorders
Pruritus/itching
13.8%
4/29 • Number of events 4 • Up to 7 years
Skin and subcutaneous tissue disorders
Rash/desquamation
41.4%
12/29 • Number of events 12 • Up to 7 years
Gastrointestinal disorders
Taste alteration (dysgeusia)
3.4%
1/29 • Number of events 1 • Up to 7 years
Eye disorders
Vision-photophobia
3.4%
1/29 • Number of events 1 • Up to 7 years
Gastrointestinal disorders
Vomiting
10.3%
3/29 • Number of events 3 • Up to 7 years

Additional Information

Tapan Kadia MD./Professor

The University of Texas MD Anderson Cancer Center

Phone: 713-563-3534

Results disclosure agreements

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