Status:

COMPLETED

Trial on Lenalidomide Given as Maintenance Therapy for Relapsed Diffuse Large B Cell Lymphoma

Lead Sponsor:

IRCCS San Raffaele

Collaborating Sponsors:

Celgene

Conditions:

Diffuse Large B-cell Lymphoma

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

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...

Detailed Description

Patients older than 65 years or younger but not eligible to high-dose chemotherapy and autologous stem cell transplantation with biopsy-proven diffuse large B-cell lymphoma relapsed to previous combin...

Eligibility Criteria

Inclusion

  • 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

  • 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

Key Trial Info

Start Date :

March 1 2009

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

August 1 2021

Estimated Enrollment :

48 Patients enrolled

Trial Details

Trial ID

NCT00799513

Start Date

March 1 2009

End Date

August 1 2021

Last Update

April 10 2024

Active Locations (1)

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San Raffaele Scientific Institute

Milan, Italy, 20132