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To compare the efficacy of oral CC-5013 in combination with oral pulse high-dose dexamethasone to that of placebo and oral high-dose pulse dexamethasone as treatment for subjects with relapsed or refractory multiple myeloma."
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CC-5013 plus dexamethasone | Experimental | Arm A: Oral CC-5013 is initiated on Day 1 of Cycle 1 at a dose of 25 mg daily for 21 days every 28 days. Therefore, the subject will take a placebo identical in appearance to the CC-5013 capsule for week 4 of every 28 days. Oral pulse dexamethasone is administered at a dose of 40mg daily on Days 1-4, 9-12, and 17-20 of each 28 day cycle for Cycles 1 through 4. Beginning with Cycle 5, the oral dexamethasone dosing schedule will be reduced to 40mg daily for Days 1-4 every 28 days. In addition, oral CC-5013 placebo capsules will be administered for 28 days of every cycle. |
|
| Dexamethasone plus placebo | Experimental | Arm B: Oral pulse dexamethasone is administered at a dose of 40mg daily on Days 1-4, 9-12, and 17-20 of each 28 day cycle for Cycles 1 through 4. Beginning with Cycle 5, the oral dexamethasone dosing schedule will be reduced to 40mg daily for Days 1-4 every 28 days. In addition, oral placebo capsules will be administered for 28 days of every cycle. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CC-5013 plus dexamethasone | Drug | 25 mg daily for 21 days every 28 days. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Kaplan-Meier Estimate of Time to Tumor Progression (TTP) | Time to progression was calculated as the time from randomization to the first occurrence of disease progression, as determined by a detailed review of all the myeloma response assessment data using the Bladé criteria (Bladé, 1998). Disease progression was also based on bone marrow findings, worsening lytic bone disease, progressively enlarging extramedullary plasmacytomas, or hypercalcemia. | From randomization up to cut-off date of 03 August 2005; up to 24 months |
| Kaplan-Meier Estimate of Time to Tumor Progression (TTP) (Later Cut-off Date of 02 Mar 2008) | Time to progression was calculated as the time from randomization to the first occurrence of disease progression, as determined by a detailed review of all the myeloma response assessment data using the Bladé criteria (Bladé, 1998). Disease progression was also based on bone marrow findings, worsening lytic bone disease, progressively enlarging extramedullary plasmacytomas, or hypercalcemia. | From randomization up to cut-off date of 02 March 2008; up to 51 months |
| Measure | Description | Time Frame |
|---|---|---|
| Kaplan-Meier Estimate of Overall Survival (OS) | OS was calculated as the time from randomization to death from any cause. OS was censored at the last date that the participant was known to be alive for participants who were alive at the time of analysis and for participants who were lost to follow-up before death was documented. | Randomization to data cut off of 03 August 2005; up to 24 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Robert Knight, MD | Celgene Corporation | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Royal Prince Alfred Hospital | Camperdown | New South Wales | 2050 | Australia | ||
| Peter MacCallum Cancer Centre Divsion of Haematology/Medical Oncology |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 18032762 | Result | Dimopoulos M, Spencer A, Attal M, Prince HM, Harousseau JL, Dmoszynska A, San Miguel J, Hellmann A, Facon T, Foa R, Corso A, Masliak Z, Olesnyckyj M, Yu Z, Patin J, Zeldis JB, Knight RD; Multiple Myeloma (010) Study Investigators. Lenalidomide plus dexamethasone for relapsed or refractory multiple myeloma. N Engl J Med. 2007 Nov 22;357(21):2123-32. doi: 10.1056/NEJMoa070594. | |
| 21273172 |
| Label | URL |
|---|---|
| Link to CSR synopsis | View source |
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A pre-specified interim analysis revealed a highly significant benefit favoring the lenalidomide/dexamethasone regimen, crossing the pre-specified O'Brien-Fleming superiority boundary. A decision was made to unblind the study allowing those receiving Placebo/dexamethasone to receive the lenalidomide/dexamethasone regimen.
The study was conducted at 55 sites in Australia, Europe, and Israel. Eligible participants were randomized in a 1:1 ratio to: lenalidomide plus oral pulse high-dose dexamethasone or Placebo plus oral pulse high-dose dexamethasone.
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| ID | Title | Description |
|---|---|---|
| FG000 | Lenalidomide Plus Dexamethasone (Len/Dex) | Lenalidomide 25 mg by mouth (PO) daily (QD) on Days 1 to 21 and a matching placebo capsule QD on Days 22 to 28 of each 28-day cycle. Pulse dexamethasone 40mg PO QD on Days 1-4, 9-12, and 17-20 of each 28-day cycle for cycles 1 through 4. Beginning with Cycle 5, dexamethasone dosing schedule was reduced to 40mg PO QD on Days 1 to 4 every 28 days for the remaining cycles. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Blinded Treatment (Up to 03 Aug 2005) |
|
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| Dexamethasone plus Placebo | Drug | Oral pulse dexamethasone is administered at a dose of 40mg daily on Days 1-4, 9-12, and 17-20 of each 28 day cycle for Cycles 1 through 4. Beginning with Cycle 5, the oral dexamethasone dosing schedule will be reduced to 40mg daily for Days 1-4 every 28 days. In addition, oral placebo capsules will be administered for 28 days of every cycle. |
|
|
| Kaplan-Meier Estimate of Overall Survival (OS) (Later Cut-off Date of 02 March 2008) | OS was calculated as the time from randomization to death from any cause. OS was censored at the last date that the participant was known to be alive for participants who were alive at the time of analysis and for participants who were lost to follow-up before death was documented. | Randomization to data cut off of 02 March 2008; up to 51 months |
| Summary of Myeloma Response Rates Based on Best Response Assessment | Complete Response (CR): Disappearance of monoclonal paraprotein and maintained for ≥ 6 weeks . Remission Response (RR):75-99% reduction in the level of the serum monoclonal paraprotein compared to baseline; 90-99% reduction in 24-hr urinary light chain excretion. Partial Response (PR): 50-74% reduction in the level of monoclonal paraprotein compared to baseline; 50-89% reduction in 24-hr urinary light chain excretion. Stable Disease (SD): Criteria for PR or PD have not been met. Plateau Phase: If PR, stable monoclonal paraprotein values (within 25% above or below nadir)/stable soft tissue plasmacytomas maintained for at least 3 months. Progressive Disease (PD): Reappearance of serum or urinary monoclonal paraprotein on immunofixation or electrophoresis on two consecutive occasions at least one week apart. Increase of percentage of plasma cells in bone marrow aspirate or biopsy to ≥ 5%. Development of at least one new lytic bone lesion or soft tissue plasmacytoma. | Randomization to 03 August 2005; up to 24 months |
| Myeloma Response Rates Based on the Reviewers Best Response Assessment (Later Cut-off Date of 02 March 2008) | Complete Response (CR): Disappearance of monoclonal paraprotein and maintained for ≥ 6 weeks . Remission Response (RR):75-99% reduction in the level of the serum monoclonal paraprotein compared to baseline; 90-99% reduction in 24-hr urinary light chain excretion. Partial Response (PR): 50-74% reduction in the level of monoclonal paraprotein compared to baseline; 50-89% reduction in 24-hr urinary light chain excretion. Stable Disease (SD): Criteria for PR or PD have not been met. Plateau Phase: If PR, stable monoclonal paraprotein values (within 25% above or below nadir)/stable soft tissue plasmacytomas maintained for at least 3 months. Progressive Disease (PD): Reappearance of serum or urinary monoclonal paraprotein on immunofixation or electrophoresis on two consecutive occasions at least one week apart. Increase of percentage of plasma cells in bone marrow aspirate or biopsy to ≥ 5%. Development of at least one new lytic bone lesion or soft tissue plasmacytoma. | Randomization to data cut-off of 02 Mar 2008; up to 51 months |
| Number of Participants With Adverse Events (AE) | An AE is any sign, symptom, illness, or diagnosis that appears or worsens during the course of the study. Treatment-emergent AEs (TEAEs) are any AE occurring or worsening on or after the first treatment of the study drug and within 30 days after the last cycle end date of study drug. A serious AE = any AE which results in death; is life-threatening; requires or prolongs existing inpatient hospitalization; results in persistent or significant disability is a congenital anomaly/birth defect; constitutes an important medical event. The severity of AEs were graded according to the National Cancer Institute (NCI) Common Terminology Criteria for AEs (CTCAE, Version 2.0): Grade 1 = Mild (no limitation in activity or intervention required); Grade 2 = Moderate (some limitation in activity; no/minimal medical intervention required); Grade 3 = Severe (marked limitation in activity; medical intervention required, hospitalization possible); Grade 4 = Life-threatening; Grade 5 = Death. | From first dose of study drug through to 30 days after the last dose, until the data cut-off date of 25 June 2013; up to 90 months |
| Time to First Symptomatic Skeletal-related Event (SRE) (Clinical Need for Radiation or Surgery to Bone) | Time from randomization to the date of the first occurrence of a symptomatic SRE (clinical need for radiotherapy or surgery to bone). | Up to unblinding data cut off of 03 August 2005; up to 24 months |
| Time to First Worsening on the Eastern Cooperative Oncology Group (ECOG) Performance Scale | The time to first worsening of the ECOG performance status was calculated as the time from randomization to the date of the first worsening compared with the last ECOG evaluation obtained prior to randomization. Data were censored at the last date that the participant was known to be unchanged or improved from before randomization for the participants who had not had worsened at the time of the analysis and for the patients who were lost to follow-up before worsening in the ECOG performance status was documented. | Randomization to cut off date of 03 August 2005; up to 24 months |
| Time to First Worsening on the Eastern Cooperative Oncology Group (ECOG) Performance Scale (Later Cut-off Date of 02 March 2008) | The time to first worsening of the ECOG performance status was calculated as the time from randomization to the date of the first worsening compared with the last ECOG evaluation obtained prior to randomization. Data were censored at the last date that the participant was known to be unchanged or improved from before randomization for the participants who had not had worsened at the time of the analysis and for the patients who were lost to follow-up before worsening in the ECOG performance status was documented. | Randomization to cut off date of 02 March 2008; up to 51 months |
| East Melbourne |
| Victoria |
| 3006 |
| Australia |
| The Alfred Hospital | Prahran | Victoria | 3121 | Australia |
| Border Medical Oncology | Wodonga | Victoria | 3690 | Australia |
| Box Hill Hospital | Box Hill | VIC 3128 | Australia |
| Frankston Hospital Oncology Research | Frankston | VIC 3199 | Australia |
| Royal Brisbane Hospital | Herston | QLD4029 | Australia |
| The Royal Melbourne Hospital | Parkville | 3050 | Australia |
| Mater Public Hospital | South Brisbane | QLD 4101 | Australia |
| University Hospital of Salzburg St Johanns Spital | Salzburg | A -5020 | Austria |
| Wilhelminenspital | Vienna | 1160 | Austria |
| CHU Saint-Luc | Brussels | 1200 | Belgium |
| UZ Gasthuisberg | Leuven | 3000 | Belgium |
| Centre Hospitalier Lyon Sud | Chemin Grand Revoyet | 69495 Pierre Benite cedex | France |
| Hopital Claude Huriez | Lille | 59037 | France |
| Centre Hospitalier Hotel-Dieu | Nantes | France |
| Hopital Saint-Loius | Paris | 75010 | France |
| Chu de Bordeaux Groupe Hospitalier Sud | Pessac | 33640 | France |
| CHU Purpan | Toulouse | TSA 40031-31059 | France |
| CHU Nancy - Hopital Brabois | Vandœuvre-lès-Nancy | 54511 | France |
| Universitaetsklinikum Charite | Berlin | 13125 | Germany |
| Universitatsklinik ChariteMedizinische Fakultaet der HumboldtUniversitaet zu Berlin | Berlin | 13353 | Germany |
| Universitaetsklinikum Dusseldorf Klinik fuer Haematologie | Düsseldorf | 40225 | Germany |
| Universitaetsklinkum Erlangen | Erlangen | 91054 | Germany |
| Klininkum der Johann-Wolfgang-Goethe-Universtat | Frankfurt am Main | 60590 | Germany |
| Universitaetsklinikum Heidelberg Medizinische Klinik und Poliklinik V | Heidelberg | 69120 | Germany |
| Klinikum der Univeristact Muenchen | München | 80336 | Germany |
| Universitatsklinik Muenster Medizinische Klinik A | Münster | 48129 | Germany |
| Universitaetsklinikum Tuebingen | Tübingen | 72076 | Germany |
| "Alexandras" General Hospital of Athens | Athens | 11538 | Greece |
| University Hospital GalwayHaematology Department | Galway | Co. Galway | Ireland |
| Belfast City HospitalHaematology Department | Belfast | BT9 7AB | Ireland |
| Hope Directorate Haematology Oncology Service St. James Hospital | Dublin | Ireland |
| MidWestern Regional Hospital | Limerick | Ireland |
| Rambam Medical Center | Haifa | 31096 | Israel |
| Hadassah University Hospital | Jerusalem | Israel |
| Tel Aviv Sourasky Medical Center Department of Hematology | Tel Aviv | 64239 | Israel |
| The Chaim Sheba Medical Center | Tel Litwinsky | 52621 | Israel |
| Policlinico Sant'Orsola-Malpighi | Bologna | 40138 | Italy |
| Azienda Ospedaliera San Martino | Genova | 16132 | Italy |
| Ospedale Niguarda Ca Granda | Milan | 20162 | Italy |
| Policlinico San Matteo | Pavia | 27100 | Italy |
| Univerita La Sapien | Roma | 00161 | Italy |
| Azienda Sanitaria Ospedaliera Molinette S. Giovanni Battista | Torio | 10126 | Italy |
| Policlinico Universitario a Gesttione diretta di Udine | Udine | 33100 | Italy |
| Institute of Internal Diseases University of Medicine | Gdansk | 80-211 | Poland |
| University School of Medicine | Lublin | 20-290 | Poland |
| Institute of Haematology and Blood Transfusion | Warsaw | 00-957 | Poland |
| Hospital Clinic | Barcelona | 08036 | Spain |
| Hospital Universitario de la Princessa | Madrid | 28006 | Spain |
| Hospital Doce de Octubre | Madrid | 28041 | Spain |
| Clinica Universitaria de Navarra | Pamplona | 31080 | Spain |
| Hospital Universitario de Salamanca | Salamanca | 37007 | Spain |
| Hospital Universtario Marques de Valdecilla | Santander | 39008 | Spain |
| Sahlgrenska University Hospital Department of Hematology and Coagulation | Gothenburg | S-413 45 | Sweden |
| Centre Hospitalier Universitaire Vaudois (CHUV) | Lausanne | 1011 | Switzerland |
| Kantonsspital St. Gallen | Sankt Gallen | Switzerland |
| Universitätsspital Zürich | Zurich | 8091 | Switzerland |
| Cherkassy Regional Oncology Center | Cherkassy | 18009 | Ukraine |
| Dnepropetrovsk City Clinical Hospital #4 | Dnipro | 49044 | Ukraine |
| Kiev Bone Marrow Transplantation Center Bone Marrow Department | Kiev | 03115 | Ukraine |
| Institute of Hematology and Transfusiology of the UAMS Department of blood diseases | Kiev | 04060 | Ukraine |
| Institute of Blood Pathology and Transfusion Medicine of the UAMS Hematology Department | Lviv | 79044 | Ukraine |
| Institute of Blood Pathology and Transfusion Medicine of the UAMS | Lviv | 79044 | Ukraine |
| Odess Regional Clinical Hospital | Odesa | 65025 | Ukraine |
| Zhitomir Regional Clinical Hospital | Zhytomyr | 10003 | Ukraine |
| University College Hospital Trust | London | Bloomsbury | WC1E 6AU | United Kingdom |
| Bristol Haematology and Oncology Centre | Bristol | BS2 8ED | United Kingdom |
| Haematology Dept, 4th Floor Thomas Guy House | London | SE1 9RT | United Kingdom |
| Derived |
| San-Miguel JF, Dimopoulos MA, Stadtmauer EA, Rajkumar SV, Siegel D, Bravo ML, Olesnyckyj M, Knight RD, Zeldis JB, Harousseau JL, Weber DM. Effects of lenalidomide and dexamethasone treatment duration on survival in patients with relapsed or refractory multiple myeloma treated with lenalidomide and dexamethasone. Clin Lymphoma Myeloma Leuk. 2011 Feb;11(1):38-43. doi: 10.3816/CLML.2010.n.120. |
| 19901114 | Derived | Zangari M, Tricot G, Polavaram L, Zhan F, Finlayson A, Knight R, Fu T, Weber D, Dimopoulos MA, Niesvizky R, Fink L. Survival effect of venous thromboembolism in patients with multiple myeloma treated with lenalidomide and high-dose dexamethasone. J Clin Oncol. 2010 Jan 1;28(1):132-5. doi: 10.1200/JCO.2009.23.0169. Epub 2009 Nov 9. |
| 18799726 | Derived | Wang M, Dimopoulos MA, Chen C, Cibeira MT, Attal M, Spencer A, Rajkumar SV, Yu Z, Olesnyckyj M, Zeldis JB, Knight RD, Weber DM. Lenalidomide plus dexamethasone is more effective than dexamethasone alone in patients with relapsed or refractory multiple myeloma regardless of prior thalidomide exposure. Blood. 2008 Dec 1;112(12):4445-51. doi: 10.1182/blood-2008-02-141614. Epub 2008 Sep 17. |
| FG001 | Placebo Plus Dexamethasone | Placebo PO daily on Days 1 to 28 of each 28 day cycle. Pulse dexamethasone 40mg PO QD on Days 1-4, 9-12, and 17-20 of each 28-day cycle for Cycles 1 through 4. Beginning with Cycle 5, dexamethasone dosing schedule was reduced to 40mg PO QD for Days 1-4 every 28 days. Participants with documented progressive disease were permitted to crossover to receive lenalidomide at the same doses mentioned. After the study was unblinded in August 2005 participants were given the option to add lenalidomide to their dexamethasone treatment regimen immediately or to add lenalidomide to their dexamethasone therapy at the time of disease progression. |
| Safety Population |
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| Evaluable Population |
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| COMPLETED |
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| NOT COMPLETED |
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| On Study at Time of Unblinding |
|
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| Long Term Extension (Up to 25 Jun 2013) |
|
|
Intent to treat population included all participants who were randomized
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| ID | Title | Description |
|---|---|---|
| BG000 | Lenalidomide Plus Dexamethasone | Lenalidomide 25 mg by mouth (PO) daily (QD) on Days 1 to 21 and a matching placebo capsule QD on Days 22 to 28 of each 28-day cycle. Dexamethasone 40mg PO QD on Days 1-4, 9-12, and 17-20 of each 28 day cycle for cycles 1 through 4. Beginning with Cycle 5, dexamethasone dosing schedule was reduced to 40mg PO QD on Days 1 to 4 every 28 days for the remaining cycles. |
| BG001 | Placebo Plus Dexamethasone | Placebo PO daily on Days 1 to 28 of each 28 day cycle. Dexamethasone 40mg PO QD on Days 1-4, 9-12, and 17-20 of each 28-day cycle for Cycles 1 through 4. Beginning with Cycle 5, dexamethasone dosing schedule was reduced to 40mg PO QD for Days 1-4 every 28 days. |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||
| Eastern Cooperative Oncology Group Performance Status | Eastern Cooperative Oncology Group (ECOG) Performance Status is used by doctors and researchers to assess how a participants' disease is progressing, assess how the disease affects the daily living activities of the participant and determine appropriate treatment and prognosis. | Number | participants |
| |||||||||||||||
| Number of Prior Anti-Myeloma Therapies | Number | participants |
| ||||||||||||||||
| Time from First Pathological Diagnosis | Median | Full Range | years |
| |||||||||||||||
| Baseline multiple myeloma stage | The International Staging System divides myeloma into 3 stages based only on the serum beta-2 microglobulin and serum albumin levels. Stage I: Serum beta-2 microglobulin is less than 3.5 (mg/L) and the albumin level is above 3.5 (g/L); Stage II: Neither stage I or III, meaning that either:
Stage III: Serum beta-2 microglobulin is greater than 5.5. | Number | participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Kaplan-Meier Estimate of Time to Tumor Progression (TTP) | Time to progression was calculated as the time from randomization to the first occurrence of disease progression, as determined by a detailed review of all the myeloma response assessment data using the Bladé criteria (Bladé, 1998). Disease progression was also based on bone marrow findings, worsening lytic bone disease, progressively enlarging extramedullary plasmacytomas, or hypercalcemia. | Intent to treat included all participants who were randomized. | Posted | Median | 95% Confidence Interval | weeks | From randomization up to cut-off date of 03 August 2005; up to 24 months |
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| Secondary | Kaplan-Meier Estimate of Overall Survival (OS) | OS was calculated as the time from randomization to death from any cause. OS was censored at the last date that the participant was known to be alive for participants who were alive at the time of analysis and for participants who were lost to follow-up before death was documented. | Intent to Treat population includes all participants who were randomized. | Posted | Median | 95% Confidence Interval | weeks | Randomization to data cut off of 03 August 2005; up to 24 months |
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| Secondary | Kaplan-Meier Estimate of Overall Survival (OS) (Later Cut-off Date of 02 March 2008) | OS was calculated as the time from randomization to death from any cause. OS was censored at the last date that the participant was known to be alive for participants who were alive at the time of analysis and for participants who were lost to follow-up before death was documented. | Intent to Treat population includes all participants who were randomized. | Posted | Median | 95% Confidence Interval | weeks | Randomization to data cut off of 02 March 2008; up to 51 months |
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| Secondary | Summary of Myeloma Response Rates Based on Best Response Assessment | Complete Response (CR): Disappearance of monoclonal paraprotein and maintained for ≥ 6 weeks . Remission Response (RR):75-99% reduction in the level of the serum monoclonal paraprotein compared to baseline; 90-99% reduction in 24-hr urinary light chain excretion. Partial Response (PR): 50-74% reduction in the level of monoclonal paraprotein compared to baseline; 50-89% reduction in 24-hr urinary light chain excretion. Stable Disease (SD): Criteria for PR or PD have not been met. Plateau Phase: If PR, stable monoclonal paraprotein values (within 25% above or below nadir)/stable soft tissue plasmacytomas maintained for at least 3 months. Progressive Disease (PD): Reappearance of serum or urinary monoclonal paraprotein on immunofixation or electrophoresis on two consecutive occasions at least one week apart. Increase of percentage of plasma cells in bone marrow aspirate or biopsy to ≥ 5%. Development of at least one new lytic bone lesion or soft tissue plasmacytoma. | Intent to Treat Population includes all participants who were randomized | Posted | Number | percentage of participants | Randomization to 03 August 2005; up to 24 months |
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| Secondary | Myeloma Response Rates Based on the Reviewers Best Response Assessment (Later Cut-off Date of 02 March 2008) | Complete Response (CR): Disappearance of monoclonal paraprotein and maintained for ≥ 6 weeks . Remission Response (RR):75-99% reduction in the level of the serum monoclonal paraprotein compared to baseline; 90-99% reduction in 24-hr urinary light chain excretion. Partial Response (PR): 50-74% reduction in the level of monoclonal paraprotein compared to baseline; 50-89% reduction in 24-hr urinary light chain excretion. Stable Disease (SD): Criteria for PR or PD have not been met. Plateau Phase: If PR, stable monoclonal paraprotein values (within 25% above or below nadir)/stable soft tissue plasmacytomas maintained for at least 3 months. Progressive Disease (PD): Reappearance of serum or urinary monoclonal paraprotein on immunofixation or electrophoresis on two consecutive occasions at least one week apart. Increase of percentage of plasma cells in bone marrow aspirate or biopsy to ≥ 5%. Development of at least one new lytic bone lesion or soft tissue plasmacytoma. | Intent to Treat Population includes all participants who were randomized | Posted | Number | percentage of participants | Randomization to data cut-off of 02 Mar 2008; up to 51 months |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Number of Participants With Adverse Events (AE) | An AE is any sign, symptom, illness, or diagnosis that appears or worsens during the course of the study. Treatment-emergent AEs (TEAEs) are any AE occurring or worsening on or after the first treatment of the study drug and within 30 days after the last cycle end date of study drug. A serious AE = any AE which results in death; is life-threatening; requires or prolongs existing inpatient hospitalization; results in persistent or significant disability is a congenital anomaly/birth defect; constitutes an important medical event. The severity of AEs were graded according to the National Cancer Institute (NCI) Common Terminology Criteria for AEs (CTCAE, Version 2.0): Grade 1 = Mild (no limitation in activity or intervention required); Grade 2 = Moderate (some limitation in activity; no/minimal medical intervention required); Grade 3 = Severe (marked limitation in activity; medical intervention required, hospitalization possible); Grade 4 = Life-threatening; Grade 5 = Death. | The safety population includes all participants who received at least one dose of study drug regimen | Posted | Number | participants | From first dose of study drug through to 30 days after the last dose, until the data cut-off date of 25 June 2013; up to 90 months |
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| Secondary | Time to First Symptomatic Skeletal-related Event (SRE) (Clinical Need for Radiation or Surgery to Bone) | Time from randomization to the date of the first occurrence of a symptomatic SRE (clinical need for radiotherapy or surgery to bone). | Analysis not performed due to an insufficient number of participants with SRE | Posted | Number | participants | Up to unblinding data cut off of 03 August 2005; up to 24 months |
|
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| Post-Hoc | Kaplan-Meier Estimate of Duration of Response | Duration of response was calculated for responders and defined as the time from the first observation of a response (e.g., the first time that the appropriate decrease in M-protein level was observed for confirmed responders) to the first documented progression or relapse. Response duration was censored at the last adequate assessment showing evidence of no progression. | Intent to Treat population includes all participants who were randomized to study drug. | Posted | Median | 95% Confidence Interval | weeks | Up to data cut off of 03 August 2005; up to 24 months |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Primary | Kaplan-Meier Estimate of Time to Tumor Progression (TTP) (Later Cut-off Date of 02 Mar 2008) | Time to progression was calculated as the time from randomization to the first occurrence of disease progression, as determined by a detailed review of all the myeloma response assessment data using the Bladé criteria (Bladé, 1998). Disease progression was also based on bone marrow findings, worsening lytic bone disease, progressively enlarging extramedullary plasmacytomas, or hypercalcemia. | Intent to treat included all participants who were randomized. | Posted | Median | 95% Confidence Interval | weeks | From randomization up to cut-off date of 02 March 2008; up to 51 months |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Time to First Worsening on the Eastern Cooperative Oncology Group (ECOG) Performance Scale | The time to first worsening of the ECOG performance status was calculated as the time from randomization to the date of the first worsening compared with the last ECOG evaluation obtained prior to randomization. Data were censored at the last date that the participant was known to be unchanged or improved from before randomization for the participants who had not had worsened at the time of the analysis and for the patients who were lost to follow-up before worsening in the ECOG performance status was documented. | Intent to Treat includes all participants who were randomized to study drug; a total of six ECOG scores were missing at the time of the Aug 2005 cut-off. | Posted | Median | 95% Confidence Interval | weeks | Randomization to cut off date of 03 August 2005; up to 24 months |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Time to First Worsening on the Eastern Cooperative Oncology Group (ECOG) Performance Scale (Later Cut-off Date of 02 March 2008) | The time to first worsening of the ECOG performance status was calculated as the time from randomization to the date of the first worsening compared with the last ECOG evaluation obtained prior to randomization. Data were censored at the last date that the participant was known to be unchanged or improved from before randomization for the participants who had not had worsened at the time of the analysis and for the patients who were lost to follow-up before worsening in the ECOG performance status was documented. | Intent to Treat includes all participants who were randomized to study drug; six ECOG scores were missing at the March 2008 cut-off. | Posted | Median | 95% Confidence Interval | weeks | Randomization to cut off date of 02 March 2008; up to 51 months |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Post-Hoc | Kaplan-Meier Estimate of Duration of Response (Cut-off at a Later Date of 03 March 2008) | Duration of response was calculated for responders and defined as the time from the first observation of a response (e.g., the first time that the appropriate decrease in M-protein level was observed for confirmed responders) to the first documented progression or relapse. Response duration was censored at the last adequate assessment showing evidence of no progression. | Intent to Treat population includes all participants who were randomized to study drug. | Posted | Median | 95% Confidence Interval | weeks | Up to data cut off of 03 Mar 2008; up to 51 months |
|
From first dose of study drug to 30 days after the last visit. Up to 25 Jun 2013 (90 Months).
Includes adverse events for those who received Lenalidomide after unblinding.
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Lenalidomide Plus Dexamethasone | Lenalidomide 25 mg by mouth (PO) daily (QD) on Days 1 to 21 and a matching placebo capsule QD on Days 22 to 28 of each 28-day cycle. Dexamethasone 40mg PO QD on Days 1-4, 9-12, and 17-20 of each 28 day cycle for cycles 1 through 4. Beginning with Cycle 5, dexamethasone dosing schedule was reduced to 40mg PO QD on Days 1 to 4 every 28 days for the remaining cycles. | 105 | 176 | 175 | 176 | ||
| EG001 | Placebo Plus Dexamethasone | Placebo PO daily on Days 1 to 28 of each 28 day cycle. Dexamethasone 40mg PO QD on Days 1-4, 9-12, and 17-20 of each 28-day cycle for Cycles 1 through 4. Beginning with Cycle 5, dexamethasone dosing schedule was reduced to 40mg PO QD for Days 1-4 every 28 days. | 79 | 175 | 173 | 175 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| PNEUMONIA NOS | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| RESPIRATORY TRACT INFECTION NOS | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| SEPSIS NOS | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| SEPTIC SHOCK | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| UPPER RESPIRATORY TRACT INFECTION NOS | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| BRONCHOPNEUMONIA NOS | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| CELLULITIS | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| ARTHRITIS BACTERIAL | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| BRONCHITIS ACUTE NOS | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| HERPES ZOSTER | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| HERPES ZOSTER OPHTHALMIC | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| LOBAR PNEUMONIA NOS | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| PNEUMOCYSTIS CARINII PNEUMONIA | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| PNEUMONIA PNEUMOCOCCAL | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| URINARY TRACT INFECTION NOS | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| UROSEPSIS | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| BACTERAEMIA | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| BACTERIAL SEPSIS | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| BRONCHITIS CHRONIC NOS | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| BURSITIS INFECTIVE NOS | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| CENTRAL LINE INFECTION | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| CLOSTRIDIUM DIFFICILE SEPSIS | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| ESCHERICHIA URINARY TRACT INFECTION | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| GASTROINTESTINAL INFECTION NOS | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| LOWER RESPIRATORY TRACT INFECTION NOS | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| LUNG INFECTION NOS | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| MENINGITIS | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| MENINGITIS PNEUMOCOCCAL | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| NECROTISING FASCIITIS NOS | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| OTITIS MEDIA NOS | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| PNEUMONIA BACTERIAL NOS | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| PNEUMONIA LEGIONELLA | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| PYELONEPHRITIS ACUTE NOS | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| RESPIRATORY TRACT INFECTION VIRAL NOS | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| SALMONELLA INFECTION NOS | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| SINUSITIS NOS | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| STAPHYLOCOCCAL INFECTION | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| STAPHYLOCOCCAL SEPSIS | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| STREPTOCOCCAL SEPSIS | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| URINARY TRACT INFECTION BACTERIAL | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| PYREXIA | General disorders | MedDRA (15.1) | Systematic Assessment |
| |
| GENERAL PHYSICAL HEALTH DETERIORATION | General disorders | MedDRA (15.1) | Systematic Assessment |
| |
| ASTHENIA | General disorders | MedDRA (15.1) | Systematic Assessment |
| |
| DIFFICULTY IN WALKING | General disorders | MedDRA (15.1) | Systematic Assessment |
| |
| MULTI-ORGAN FAILURE | General disorders | MedDRA (15.1) | Systematic Assessment |
| |
| OEDEMA PERIPHERAL | General disorders | MedDRA (15.1) | Systematic Assessment |
| |
| PERFORMANCE STATUS DECREASED | General disorders | MedDRA (15.1) | Systematic Assessment |
| |
| CATHETER SITE INFLAMMATION | General disorders | MedDRA (15.1) | Systematic Assessment |
| |
| GRANULOMA NOS | General disorders | MedDRA (15.1) | Systematic Assessment |
| |
| INFLUENZA LIKE ILLNESS | General disorders | MedDRA (15.1) | Systematic Assessment |
| |
| NECROSIS NOS | General disorders | MedDRA (15.1) | Systematic Assessment |
| |
| PAIN NOS | General disorders | MedDRA (15.1) | Systematic Assessment |
| |
| SUDDEN DEATH | General disorders | MedDRA (15.1) | Systematic Assessment |
| |
| BACK PAIN | Musculoskeletal and connective tissue disorders | MedDRA (15.1) | Systematic Assessment |
| |
| BONE PAIN | Musculoskeletal and connective tissue disorders | MedDRA (15.1) | Systematic Assessment |
| |
| MUSCLE WEAKNESS NOS | Musculoskeletal and connective tissue disorders | MedDRA (15.1) | Systematic Assessment |
| |
| OSTEONECROSIS | Musculoskeletal and connective tissue disorders | MedDRA (15.1) | Systematic Assessment |
| |
| PATHOLOGICAL FRACTURE | Musculoskeletal and connective tissue disorders | MedDRA (15.1) | Systematic Assessment |
| |
| PAIN IN LIMB | Musculoskeletal and connective tissue disorders | MedDRA (15.1) | Systematic Assessment |
| |
| CHEST WALL PAIN | Musculoskeletal and connective tissue disorders | MedDRA (15.1) | Systematic Assessment |
| |
| JOINT SWELLING | Musculoskeletal and connective tissue disorders | MedDRA (15.1) | Systematic Assessment |
| |
| MYALGIA | Musculoskeletal and connective tissue disorders | MedDRA (15.1) | Systematic Assessment |
| |
| MYOPATHY | Musculoskeletal and connective tissue disorders | MedDRA (15.1) | Systematic Assessment |
| |
| MYOPATHY STEROID | Musculoskeletal and connective tissue disorders | MedDRA (15.1) | Systematic Assessment |
| |
| OSTEOPOROSIS NOS | Musculoskeletal and connective tissue disorders | MedDRA (15.1) | Systematic Assessment |
| |
| PAIN IN JAW | Musculoskeletal and connective tissue disorders | MedDRA (15.1) | Systematic Assessment |
| |
| SPONDYLITIS NOS | Musculoskeletal and connective tissue disorders | MedDRA (15.1) | Systematic Assessment |
| |
| DEEP VEIN THROMBOSIS | Vascular disorders | MedDRA (15.1) | Systematic Assessment |
| |
| HYPOTENSION NOS | Vascular disorders | MedDRA (15.1) | Systematic Assessment |
| |
| PHLEBITIS NOS | Vascular disorders | MedDRA (15.1) | Systematic Assessment |
| |
| VENOUS THROMBOSIS NOS LIMB | Vascular disorders | MedDRA (15.1) | Systematic Assessment |
| |
| PERIPHERAL ISCHAEMIA | Vascular disorders | MedDRA (15.1) | Systematic Assessment |
| |
| CIRCULATORY COLLAPSE | Vascular disorders | MedDRA (15.1) | Systematic Assessment |
| |
| PHLEBITIS SUPERFICIAL | Vascular disorders | MedDRA (15.1) | Systematic Assessment |
| |
| PULMONARY EMBOLISM | Respiratory, thoracic and mediastinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| ACUTE RESPIRATORY FAILURE | Respiratory, thoracic and mediastinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| BRONCHITIS NOS | Respiratory, thoracic and mediastinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| BRONCHOSPASM NOS | Respiratory, thoracic and mediastinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| RESPIRATORY FAILURE | Respiratory, thoracic and mediastinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| ACUTE RESPIRATORY DISTRESS SYNDROME | Respiratory, thoracic and mediastinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| BRONCHOPNEUMOPATHY | Respiratory, thoracic and mediastinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| COUGH | Respiratory, thoracic and mediastinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| DYSPNOEA NOS | Respiratory, thoracic and mediastinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| EPISTAXIS | Respiratory, thoracic and mediastinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| LUNG CONSOLIDATION | Respiratory, thoracic and mediastinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| MAXILLARY SINUSITIS | Respiratory, thoracic and mediastinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| PNEUMONIA ASPIRATION | Respiratory, thoracic and mediastinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| PULMONARY CONGESTION | Respiratory, thoracic and mediastinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| DIARRHOEA NOS | Gastrointestinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| CONSTIPATION | Gastrointestinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| MELAENA | Gastrointestinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| OESOPHAGEAL VARICES HAEMORRHAGE | Gastrointestinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| OESOPHAGITIS NOS | Gastrointestinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| UPPER GASTROINTESTINAL HAEMORRHAGE | Gastrointestinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| ABDOMINAL PAIN NOS | Gastrointestinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| ABDOMINAL PAIN UPPER | Gastrointestinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| CAECITIS | Gastrointestinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| COLOVESICAL FISTULA | Gastrointestinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| DIVERTICULITIS INTESTINAL | Gastrointestinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| DIVERTICULITIS NOS | Gastrointestinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| GASTRIC ULCER | Gastrointestinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| GASTRITIS NOS | Gastrointestinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| GASTROENTERITIS NOS | Gastrointestinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| GASTROINTESTINAL HAEMORRHAGE NOS | Gastrointestinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| NAUSEA | Gastrointestinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| OESOPHAGITIS ULCERATIVE | Gastrointestinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| PEPTIC ULCER HAEMORRHAGE | Gastrointestinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| VOMITING NOS | Gastrointestinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| CEREBROVASCULAR ACCIDENT | Nervous system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| MEMORY IMPAIRMENT | Nervous system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| SPINAL CORD COMPRESSION NOS | Nervous system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| ATAXIA | Nervous system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| BRAIN OEDEMA | Nervous system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| CEREBRAL ISCHAEMIA | Nervous system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| ENCEPHALITIS NOS | Nervous system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| EPIDURITIS | Nervous system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| HYPOAESTHESIA | Nervous system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| INTRACRANIAL PRESSURE INCREASED NOS | Nervous system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| LEUKOENCEPHALOPATHY | Nervous system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| PERIPHERAL MOTOR NEUROPATHY | Nervous system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| PERIPHERAL NEUROPATHY NOS | Nervous system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| POLYNEUROPATHY NOS | Nervous system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| SUBDURAL HAEMATOMA | Nervous system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| TREMOR | Nervous system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| ANAEMIA NOS | Blood and lymphatic system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| THROMBOCYTOPENIA | Blood and lymphatic system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| NEUTROPENIA | Blood and lymphatic system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| FEBRILE NEUTROPENIA | Blood and lymphatic system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| PANCYTOPENIA | Blood and lymphatic system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| HYPERVISCOSITY SYNDROME | Blood and lymphatic system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| THROMBOTIC THROMBOCYTOPENIC PURPURA | Blood and lymphatic system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| RENAL FAILURE ACUTE | Renal and urinary disorders | MedDRA (15.1) | Systematic Assessment |
| |
| RENAL FAILURE NOS | Renal and urinary disorders | MedDRA (15.1) | Systematic Assessment |
| |
| RENAL IMPAIRMENT NOS | Renal and urinary disorders | MedDRA (15.1) | Systematic Assessment |
| |
| FANCONI SYNDROME ACQUIRED | Renal and urinary disorders | MedDRA (15.1) | Systematic Assessment |
| |
| OLIGURIA | Renal and urinary disorders | MedDRA (15.1) | Systematic Assessment |
| |
| RENAL COLIC | Renal and urinary disorders | MedDRA (15.1) | Systematic Assessment |
| |
| RENAL FAILURE ACUTE ON CHRONIC | Renal and urinary disorders | MedDRA (15.1) | Systematic Assessment |
| |
| URINARY RETENTION | Renal and urinary disorders | MedDRA (15.1) | Systematic Assessment |
| |
| PULMONARY OEDEMA NOS | Cardiac disorders | MedDRA (15.1) | Systematic Assessment |
| |
| ATRIAL FIBRILLATION | Cardiac disorders | MedDRA (15.1) | Systematic Assessment |
| |
| MYOCARDIAL INFARCTION | Cardiac disorders | MedDRA (15.1) | Systematic Assessment |
| |
| ACUTE CORONARY SYNDROME | Cardiac disorders | MedDRA (15.1) | Systematic Assessment |
| |
| ACUTE MYOCARDIAL INFARCTION | Cardiac disorders | MedDRA (15.1) | Systematic Assessment |
| |
| ANGINA UNSTABLE | Cardiac disorders | MedDRA (15.1) | Systematic Assessment |
| |
| CARDIAC FAILURE ACUTE | Cardiac disorders | MedDRA (15.1) | Systematic Assessment |
| |
| CARDIAC FAILURE CONGESTIVE | Cardiac disorders | MedDRA (15.1) | Systematic Assessment |
| |
| CARDIAC FAILURE NOS | Cardiac disorders | MedDRA (15.1) | Systematic Assessment |
| |
| CARDIO-RESPIRATORY ARREST | Cardiac disorders | MedDRA (15.1) | Systematic Assessment |
| |
| CORONARY ARTERY STENOSIS | Cardiac disorders | MedDRA (15.1) | Systematic Assessment |
| |
| MYOCARDIAL ISCHAEMIA | Cardiac disorders | MedDRA (15.1) | Systematic Assessment |
| |
| VENTRICULAR BIGEMINY | Cardiac disorders | MedDRA (15.1) | Systematic Assessment |
| |
| HYPERGLYCAEMIA NOS | Metabolism and nutrition disorders | MedDRA (15.1) | Systematic Assessment |
| |
| DEHYDRATION | Metabolism and nutrition disorders | MedDRA (15.1) | Systematic Assessment |
| |
| ELECTROLYTE IMBALANCE | Metabolism and nutrition disorders | MedDRA (15.1) | Systematic Assessment |
| |
| HYPERCALCAEMIA | Metabolism and nutrition disorders | MedDRA (15.1) | Systematic Assessment |
| |
| HYPOCALCAEMIA | Metabolism and nutrition disorders | MedDRA (15.1) | Systematic Assessment |
| |
| DIABETES MELLITUS INADEQUATE CONTROL | Metabolism and nutrition disorders | MedDRA (15.1) | Systematic Assessment |
| |
| DIABETES MELLITUS NOS | Metabolism and nutrition disorders | MedDRA (15.1) | Systematic Assessment |
| |
| DEPRESSION | Psychiatric disorders | MedDRA (15.1) | Systematic Assessment |
| |
| CONFUSIONAL STATE | Psychiatric disorders | MedDRA (15.1) | Systematic Assessment |
| |
| BIPOLAR DISORDER | Psychiatric disorders | MedDRA (15.1) | Systematic Assessment |
| |
| DELIRIUM | Psychiatric disorders | MedDRA (15.1) | Systematic Assessment |
| |
| INSOMNIA | Psychiatric disorders | MedDRA (15.1) | Systematic Assessment |
| |
| MANIA | Psychiatric disorders | MedDRA (15.1) | Systematic Assessment |
| |
| MENTAL DISORDER NOS | Psychiatric disorders | MedDRA (15.1) | Systematic Assessment |
| |
| BASAL CELL CARCINOMA | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (15.1) | Systematic Assessment |
| |
| BREAST CANCER IN SITU | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (15.1) | Systematic Assessment |
| |
| GLIOBLASTOMA MULTIFORME | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (15.1) | Systematic Assessment |
| |
| LUNG ADENOCARCINOMA NOS | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (15.1) | Systematic Assessment |
| |
| NEOPLASM NOS | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (15.1) | Systematic Assessment |
| |
| PROSTATE CANCER NOS | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (15.1) | Systematic Assessment |
| |
| TRANSITIONAL CELL CARCINOMA | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (15.1) | Systematic Assessment |
| |
| FEMUR FRACTURE | Injury, poisoning and procedural complications | MedDRA (15.1) | Systematic Assessment |
| |
| JOINT DISLOCATION | Injury, poisoning and procedural complications | MedDRA (15.1) | Systematic Assessment |
| |
| POST PROCEDURAL COMPLICATION | Injury, poisoning and procedural complications | MedDRA (15.1) | Systematic Assessment |
| |
| POST PROCEDURAL PAIN | Injury, poisoning and procedural complications | MedDRA (15.1) | Systematic Assessment |
| |
| SPINAL FRACTURE NOS | Injury, poisoning and procedural complications | MedDRA (15.1) | Systematic Assessment |
| |
| THORACIC VERTEBRAL FRACTURE | Injury, poisoning and procedural complications | MedDRA (15.1) | Systematic Assessment |
| |
| BLOOD CREATININE INCREASED | Investigations | MedDRA (15.1) | Systematic Assessment |
| |
| BODY TEMPERATURE INCREASED | Investigations | MedDRA (15.1) | Systematic Assessment |
| |
| C-REACTIVE PROTEIN INCREASED | Investigations | MedDRA (15.1) | Systematic Assessment |
| |
| INTERNATIONAL NORMALISED RATIO DECREASED | Investigations | MedDRA (15.1) | Systematic Assessment |
| |
| WEIGHT DECREASED | Investigations | MedDRA (15.1) | Systematic Assessment |
| |
| CHOLELITHIASIS | Hepatobiliary disorders | MedDRA (15.1) | Systematic Assessment |
| |
| CHOLECYSTITIS ACUTE NOS | Hepatobiliary disorders | MedDRA (15.1) | Systematic Assessment |
| |
| HEPATIC FAILURE | Hepatobiliary disorders | MedDRA (15.1) | Systematic Assessment |
| |
| ACQUIRED HYPOTHYROIDISM | Endocrine disorders | MedDRA (15.1) | Systematic Assessment |
| |
| ADRENAL INSUFFICIENCY NOS | Endocrine disorders | MedDRA (15.1) | Systematic Assessment |
| |
| CORNEAL ULCER | Eye disorders | MedDRA (15.1) | Systematic Assessment |
| |
| EXOPHTHALMOS NOS | Eye disorders | MedDRA (15.1) | Systematic Assessment |
| |
| BREAST MICROCALCIFICATION | Reproductive system and breast disorders | MedDRA (15.1) | Systematic Assessment |
| |
| LUNG SQUAMOUS CELL CARCINOMA, STAGE UNSPECIFIED | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (15.1) | Systematic Assessment |
| |
| LEUKOPLAKIA NOS | Skin and subcutaneous tissue disorders | MedDRA (15.1) | Systematic Assessment |
| |
| PHLEBOTHROMBOSIS | Vascular disorders | MedDRA (15.1) | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| NEUTROPENIA | Blood and lymphatic system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| ANAEMIA | Blood and lymphatic system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| THROMBOCYTOPENIA | Blood and lymphatic system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| LEUKOPENIA | Blood and lymphatic system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| LYMPHOPENIA | Blood and lymphatic system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| VERTIGO | Ear and labyrinth disorders | MedDRA (15.1) | Systematic Assessment |
| |
| CUSHINGOID | Endocrine disorders | MedDRA (15.1) | Systematic Assessment |
| |
| VISION BLURRED | Eye disorders | MedDRA (15.1) | Systematic Assessment |
| |
| CONSTIPATION | Gastrointestinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| DIARRHOEA NOS | Gastrointestinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| NAUSEA | Gastrointestinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| DYSPEPSIA | Gastrointestinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| ABDOMINAL PAIN UPPER | Gastrointestinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| VOMITING NOS | Gastrointestinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| ABDOMINAL PAIN NO | Gastrointestinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| STOMATITIS | Gastrointestinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| DRY MOUTH | Gastrointestinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| GASTRITIS NOS | Gastrointestinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| GASTROENTERITIS NOS | Gastrointestinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| ASTHENIA | General disorders | MedDRA (15.1) | Systematic Assessment |
| |
| FATIGUE | General disorders | MedDRA (15.1) | Systematic Assessment |
| |
| PYREXIA | General disorders | MedDRA (15.1) | Systematic Assessment |
| |
| OEDEMA PERIPHERAL | General disorders | MedDRA (15.1) | Systematic Assessment |
| |
| OEDEMA NOS | General disorders | MedDRA (15.1) | Systematic Assessment |
| |
| LETHARGY | General disorders | MedDRA (15.1) | Systematic Assessment |
| |
| CHEST PAIN | General disorders | MedDRA (15.1) | Systematic Assessment |
| |
| UPPER RESPIRATORY TRACT INFECTION NOS | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| URINARY TRACT INFECTION NOS | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| INFLUENZA | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| ORAL CANDIDIASIS | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| LOWER RESPIRATORY TRACT INFECTION NOS | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| RESPIRATORY TRACT INFECTION NOS | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| HERPES SIMPLEX | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| SINUSITIS NOS | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| WEIGHT DECREASED | Investigations | MedDRA (15.1) | Systematic Assessment |
| |
| WEIGHT INCREASED | Investigations | MedDRA (15.1) | Systematic Assessment |
| |
| ANOREXIA | Metabolism and nutrition disorders | MedDRA (15.1) | Systematic Assessment |
| |
| HYPOKALAEMIA | Metabolism and nutrition disorders | MedDRA (15.1) | Systematic Assessment |
| |
| HYPERGLYCAEMIA NOS | Metabolism and nutrition disorders | MedDRA (15.1) | Systematic Assessment |
| |
| HYPOCALCAEMIA | Metabolism and nutrition disorders | MedDRA (15.1) | Systematic Assessment |
| |
| HYPOPHOSPHATAEMIA | Metabolism and nutrition disorders | MedDRA (15.1) | Systematic Assessment |
| |
| HYPERURICAEMIA | Metabolism and nutrition disorders | MedDRA (15.1) | Systematic Assessment |
| |
| MUSCLE CRAMP | Musculoskeletal and connective tissue disorders | MedDRA (15.1) | Systematic Assessment |
| |
| BACK PAIN | Musculoskeletal and connective tissue disorders | MedDRA (15.1) | Systematic Assessment |
| |
| BONE PAIN | Musculoskeletal and connective tissue disorders | MedDRA (15.1) | Systematic Assessment |
| |
| ARTHRALGIA | Musculoskeletal and connective tissue disorders | MedDRA (15.1) | Systematic Assessment |
| |
| MUSCLE WEAKNESS NOS | Musculoskeletal and connective tissue disorders | MedDRA (15.1) | Systematic Assessment |
| |
| PAIN IN LIMB | Musculoskeletal and connective tissue disorders | MedDRA (15.1) | Systematic Assessment |
| |
| MYALGIA | Musculoskeletal and connective tissue disorders | MedDRA (15.1) | Systematic Assessment |
| |
| CHEST WALL PAIN | Musculoskeletal and connective tissue disorders | MedDRA (15.1) | Systematic Assessment |
| |
| HEADACHE | Nervous system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| TREMOR | Nervous system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| DIZZINESS | Nervous system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| PARAESTHESIA | Nervous system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| DYSGEUSIA | Nervous system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| HYPOAESTHESIA | Nervous system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| SOMNOLENCE | Nervous system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| INSOMNIA | Psychiatric disorders | MedDRA (15.1) | Systematic Assessment |
| |
| DEPRESSION | Psychiatric disorders | MedDRA (15.1) | Systematic Assessment |
| |
| CONFUSIONAL STATE | Psychiatric disorders | MedDRA (15.1) | Systematic Assessment |
| |
| ANXIETY | Psychiatric disorders | MedDRA (15.1) | Systematic Assessment |
| |
| MOOD ALTERATION NOS | Psychiatric disorders | MedDRA (15.1) | Systematic Assessment |
| |
| COUGH | Respiratory, thoracic and mediastinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| DYSPNOEA NOS | Respiratory, thoracic and mediastinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| NASOPHARYNGITIS | Respiratory, thoracic and mediastinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| BRONCHITIS NOS | Respiratory, thoracic and mediastinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| PHARYNGITIS | Respiratory, thoracic and mediastinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| EPISTAXIS | Respiratory, thoracic and mediastinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| HICCUPS | Respiratory, thoracic and mediastinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| RHINITIS NOS | Respiratory, thoracic and mediastinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| RASH NOS | Skin and subcutaneous tissue disorders | MedDRA (15.1) | Systematic Assessment |
| |
| SWEATING INCREASED | Skin and subcutaneous tissue disorders | MedDRA (15.1) | Systematic Assessment |
| |
| DRY SKIN | Skin and subcutaneous tissue disorders | MedDRA (15.1) | Systematic Assessment |
| |
| PRURITUS | Skin and subcutaneous tissue disorders | MedDRA (15.1) | Systematic Assessment |
| |
| ERYTHEMA | Skin and subcutaneous tissue disorders | MedDRA (15.1) | Systematic Assessment |
| |
| HYPERTENSION NOS | Vascular disorders | MedDRA (15.1) | Systematic Assessment |
|
Investigator has the right to publish and/or present study data after multicentric publication or one year has elapsed until completion of this multicentric study provided that he/she (i) furnishes the sponsor a copy of any proposed publication or presentation before its submission, (ii) deletes any sponsor's confidential data as pointed out by sponsor, and (iii) delays any submission for generally up to ninety (90) days to permit the preparation and filing of intellectual property applications.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Anne McClain, Senior Manager | Celgene Corporation | 1-866-260-1599 | ClinicalTrialDisclosure@celgene.com |
| ID | Term |
|---|---|
| D009101 | Multiple Myeloma |
| ID | Term |
|---|---|
| D054219 | Neoplasms, Plasma Cell |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D020141 | Hemostatic Disorders |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D010265 | Paraproteinemias |
| D001796 | Blood Protein Disorders |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D006474 | Hemorrhagic Disorders |
| D008232 | Lymphoproliferative Disorders |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| D000077269 | Lenalidomide |
| D003907 | Dexamethasone |
| ID | Term |
|---|---|
| D010797 | Phthalimides |
| D010795 | Phthalic Acids |
| D000146 | Acids, Carbocyclic |
| D002264 | Carboxylic Acids |
| D009930 | Organic Chemicals |
| D010881 | Piperidones |
| D010880 | Piperidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D054833 | Isoindoles |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D011246 | Pregnadienetriols |
| D011245 | Pregnadienes |
| D011278 | Pregnanes |
| D013256 | Steroids |
| D000072473 | Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
| D013259 | Steroids, Fluorinated |
Not provided
Not provided
| Lack of Efficacy |
|
| Withdrawal by Subject |
|
| Death |
|
| Other |
|
| Other |
|
| Progression of Disease |
|
| Withdrawal by Subject |
|
| Male |
|
| 1 = (Restrictive but Ambulatory) |
|
| 2 = Ambulatory unable to Work) |
|
| 3 = (Limited Self-Care) |
|
| 4 = (Completely Disabled) |
|
| Missing |
|
| 2 or more prior anti-myeloma therapies |
|
| Stage II |
|
| Stage III |
|
| Units | Counts |
|---|
| Participants |
|
|
|
|
|
|
| OG001 |
| Placebo Plus Dexamethasone |
Placebo PO daily on Days 1 to 28 of each 28 day cycle. Pulse dexamethasone 40mg PO QD on Days 1-4, 9-12, and 17-20 of each 28-day cycle for Cycles 1 through 4. Beginning with Cycle 5, dexamethasone dosing schedule was reduced to 40mg PO QD for Days 1-4 every 28 days. |
|
|
|
| OG001 | Placebo Plus Dexamethasone | Placebo PO daily on Days 1 to 28 of each 28 day cycle. Pulse dexamethasone 40 mg PO QD on Days 1-4, 9-12, and 17-20 of each 28-day cycle for Cycles 1 through 4. Beginning with Cycle 5, dexamethasone dosing schedule was reduced to 40 mg PO QD for Days 1-4 every 28 days. Participants with documented progressive disease were permitted to crossover to receive lenalidomide at the same doses mentioned. After the study was unblinded in August 2005 participants were given the option to add lenalidomide to their dexamethasone treatment regimen immediately or to add lenalidomide to their dexamethasone therapy at the time of disease progression. |
|
|
|
| OG001 | Placebo Plus Dexamethasone | Placebo PO daily on Days 1 to 28 of each 28 day cycle. Pulse dexamethasone 40 mg PO QD on Days 1-4, 9-12, and 17-20 of each 28-day cycle for Cycles 1 through 4. Beginning with Cycle 5, dexamethasone dosing schedule was reduced to 40 mg PO QD for Days 1-4 every 28 days. Participants with documented progressive disease were permitted to crossover to receive lenalidomide at the same doses mentioned. After the study was unblinded in August 2005 participants were given the option to add lenalidomide to their dexamethasone treatment regimen immediately or to add lenalidomide to their dexamethasone therapy at the time of disease progression. |
|
|
| Participants |
|
|
| Units | Counts |
|---|---|
| Participants |
|
|
|
|
|
|
|
|
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|
|
|
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