Clinical trial
A Phase II Trial to Evaluate the Safety and Activity of Single-agent Lenalidomide Given as Maintenance Therapy After Response to Second-line Therapy in Patients With Relapsed DLBCL, Not Eligible for High-dose Chemotherapy and ASCT (Autologous Stem-Cell Transplantation)
Name
2008-003729-18
Description
This phase II multi-institutional trial will explore the safety and efficacy of lenalidomide monotherapy given as maintenance therapy following salvage chemo-immunotherapy in patients with relapsed or refractory chemosensitive diffuse large B-cell lymphoma
Trial arms
Trial start
2009-03-01
Estimated PCD
2017-03-01
Trial end
2021-08-01
Status
Completed
Phase
Early phase I
Treatment
Lenalidomide
single-agent lenalidomide 25 mg once daily for 21 days out of 28, as maintenance treatment after the end of second-line chemotherapy until progression of disease.
Arms:
Lenalidomide
Other names:
Revlimid
Size
48
Primary endpoint
1-year Progression-free Survival
1-year
Eligibility criteria
Inclusion Criteria:
* Age \> 65 years
* Age \< 65 but not eligible to high-dose chemotherapy and autologous stem cell transplantation
* Biopsy-proven DLBCL relapsed to previous combination chemotherapy regimen ± rituximab
* PR (Partial Response) or CR (Complete Response) to second-line chemotherapy (ICE or DHAP/DHAOx or MINE regimen) + rituximab
* ECOG (Eastern Cooperative Oncology Group) performance status score \< 4
* Female of childbearing potential (FCBP) must demonstrate to practice a proper contraception to avoid any pregnancy risk during the study and at least 28 days after the discontinuation of the study
* Male subjects must agree to practice a proper contraception during any sexual contact with females childbearing potential
Exclusion Criteria:
* CNS (Central Nervous System) involvement
* Prior ASCT
* TTP (Time To Progression) \<6 months after first-line therapy
* Use of experimental drugs during second-line salvage chemotherapy
* Severe concomitant illnesses / medical conditions (e.g. impaired respiratory and/or cardiac function, uncontrolled diabetes mellitus )
* Active infectious disease
* HIV, HBV (Hepatitis B Virus) or HCV (Hepatitis C Virus) - positivity
* Impaired liver function (Bilirubin \>2 x upper normal limit; ALT (alanine aminotransferase) /AST (aspartate aminotransferase) /GGT (γ-glutamyltransferase) \> 3 x upper normal limit) at one month from salvage chemotherapy conclusion
* Impaired renal function (creatinine clearance \<50 ml/min) at one month from salvage chemotherapy conclusion
* Absolute neutrophil count (ANC) \<1000/microL
* Platelet count \<75.000 /mm3
* Hemoglobin \<9 g/dL
* Non-co-operative behaviour or non-compliance
* Psychiatric diseases or conditions that might impair the ability to give informed consent
* Pregnant or lactating females
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE2'], 'designInfo': {'allocation': 'NA', 'interventionModel': 'SINGLE_GROUP', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 48, 'type': 'ACTUAL'}}
Updated at
2024-04-10
1 organization
1 drug
1 indication
Organization
IRCCS San RaffaeleDrug
lenalidomideIndication
Diffuse Large B-cell Lymphoma