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To evaluate the safety and efficacy of Lenalidomide (Revlimid (R)) in subjects with mantle cell lymphoma who have relapsed, progressed or are refractory to bortezomib.
Follow up phase will continue until either 100% of the patients have died, are lost to follow up or have withdrawn consent or a maximum of 4 years from the last patient enrolled, whichever comes first. All other efficacy and safety endpoints will be updated at this time. In the unlikely event that the study will be closed and patients are still responding to treatment at this time, Celgene will discuss with the treating physicians options to provide further treatment to the patient after study closure in line with local regulation.
Follow up for second primary malignancies and OS will continue until 100% of the patients have died, are lost to follow up, have withdrawn consent, or a maximum of 5 years from the last patient enrolled, whichever comes first.
10 October 2017: In regard to the last subject last visit date/study completion date, the prolongation of timelines is due to the bridging of a treatment gap for a patient responding to study medication until non-study medication is available.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Lenalidomide | Experimental | Single agent Lenalidomide Lenalidomide: 10mg or 25 mg oral capsules on days 1 to 21 of each 28 day cycle and dependent on renal function; Participants with normal renal function (defined as Creatinine Clearance(CrCl)) of ≥ 60 mL/min in this study) received 25 mg of lenalidomide daily, and those with moderate renal insufficiency (CrCl) ≥ 30 mL/min but < 60 mL/min) were started at a 10-mg dose. Participants could continue to receive treatment until disease progression, development of unacceptable AEs, or voluntary withdrawal. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| lenalidomide | Drug | 25mg oral capsules continuous days 1-21 each of a 28 day cycle |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants Who Achieved an Overall Response According to the Independent Review Committee (IRC) | Overall Response Rate (ORR) was defined as the percentage of participants whose best response was Complete Response, Complete Response unconfirmed or Partial Response. Participants who had discontinued before any response has been observed, or changed to other anti-lymphoma treatments before response had been observed, were considered as non-responders. Tumor Response was assessed by a modification of the International Lymphoma Workshop Response Criteria, IWRC, Cheson, 1999); CR is defined as the disappearance of all clinical and radiographic evidence of disease; CRu is defined as a CR, with a 1) residual lymph node mass >1.5 cm that has decreased by 75% in the sum of the product of the diameters (SPD). Individual nodes previously confluent decreased by more than 75% in the SPD compared with original mass; 2) indeterminate bone marrow; PR = is defined ≥50% decrease in 6 largest nodes or nodal masses. | From Day 1 of study treatment to progession or early treatment discontinuation; up to data cut-off date of 06 April 2016; median duration of treatment was 94.5 days. |
| Kaplan Meier Estimate of Duration of Response (DoR) According to the Independent Review Committee | Kaplan Meier estimate for the duration of response (DoR) was calculated from the date of the first occurrence of initial response for responders (demonstrating evidence of at least a PR) to the date of first documented disease progression (any new lesion or increase by ≥ 50% of previously involved sites from nadir) or death (without documented progression) for participants who responded; participants who had not progressed (or died) were censored at the last valid assessment. | From Day 1 of study drug to progression or early treatment discontinuation; up to data cut-off date of 06 April 2016; Median duration of treatment was 94.5 days. |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants With a Complete Response (CR) /Complete Response Unconfirmed (CRu) According to the Independent Review Committee | The percentage of participants whose best response was CR or CRu. Participants who had discontinued before CR/CRu was observed, or changed to other anti-lymphoma treatments before a CR/CRu response had been observed, were considered as non-responders. CR is defined as the disappearance of all clinical and radiographic evidence of disease; CRu is defined as a CR, with a 1) residual lymph node mass >1.5 cm that has decreased by 75% in the sum of the product of the diameters (SPD). Individual nodes previously confluent decreased by more than 75% in the SPD compared with original mass; 2) indeterminate bone marrow. |
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Inclusion Criteria:
Exclusion Criteria:
Any of the following laboratory abnormalities
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| Name | Affiliation | Role |
|---|---|---|
| Lei Zhang, MD | Celgene Corporation | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Arkansas for Medical Sciences | Little Rock | Arkansas | 72205 | United States | ||
| UCSD Moores Cancer Center |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24002500 | Background | Goy A, Sinha R, Williams ME, Kalayoglu Besisik S, Drach J, Ramchandren R, Zhang L, Cicero S, Fu T, Witzig TE. Single-agent lenalidomide in patients with mantle-cell lymphoma who relapsed or progressed after or were refractory to bortezomib: phase II MCL-001 (EMERGE) study. J Clin Oncol. 2013 Oct 10;31(29):3688-95. doi: 10.1200/JCO.2013.49.2835. Epub 2013 Sep 3. | |
| 25921098 |
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All participants were required to have local histologic confirmation of Mantle Cell Lymphoma (MCL) for entry into the study.
Participants were enrolled and treated at 42 centers in 12 countries: US/ Puerto Rico, France, Israel, Belgium, Spain, Turkey, Austria, Hungary, Italy, Colombia, Germany, and Singapore.
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| ID | Title | Description |
|---|---|---|
| FG000 | Lenalidomide | Participants received lenalidomide 10 mg or 25 mg oral capsules on days 1 to 21 of each 28-day cycle and was dependent on renal function; Participants with normal renal function (defined as creatinine clearance (CrCl)) of ≥ 60 mL/min) received 25 mg of lenalidomide by mouth (PO) daily, and those with moderate renal insufficiency (CrCl) ≥ 30 mL/min but < 60 mL/min) were started at a 10 mg daily dose. Participants could continue to receive treatment until disease progression, development of unacceptable adverse events (AEs), or voluntary withdrawal. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| From Day 1 of study drug to progression or early treatment discontinuation; up to data cut-off date of 06 April 2016; Median duration of treatment was 94.5 days |
| Kaplan Meier Estimate of Duration of Complete Response (DoCR) (CR+CRu) According to the Independent Review Committee | Kaplan Meier estimates for the duration of CR/CRu was calculated from the date of the first occurrence of CR/CRu to the date of documented disease progression or death (without documented progression) for participants who obtained a CR/CRu; participants who had not progressed (or died) were censored at the last valid assessment. | From Day 1 of study drug to progression or early discontinuation; up to data cut-off date of 06 April 2016; median time in follow-up was 16.34 months |
| Kaplan-Meier Estimate of Progression-Free Survival (PFS) According to the Independent Review Committee | Kaplan Meier estimates of PFS was defined as the start of study drug therapy to the first observation of disease progression or death due to any cause, whichever comes first. If a participant had not progressed or died, PFS was censored at the time of last adequate assessment when the participant was known not to have progressed. For participants who received other anti-lymphoma therapy with no evidence of progression, PFS was censored at time of last adequate tumor assessment with no evidence of progression prior to the start of new anti-lymphoma treatment. | From Day 1 of study drug to first documented date of disease progression; up to data cut-off date of 06 April 2016; median time in follow-up was 16.34 months |
| Kaplan Meier Estimate of Time to Progression (TTP) According to the Independent Review Committee | Kaplan Meier estimate of time to progression was calculated as time from the start of the study drug therapy to the first observation of disease progression. Participants who died without progression were censored at the date of death; otherwise, the censoring rules presented above for PFS applied to the analysis of TTP. Progressive Disease(PD): Appearance of new lesion or increase by ≥50% from previously involved sites from nadir | From Day 1 of study drug to first documented time of progression; up to data cut-off date of 06 April 2016; median time in follow-up was 16.34 months |
| Kaplan-Meier Estimate of Time to Treatment Failure (TTF) According to the Independent Review Committee | Time to treatment failure (TTF) was calculated from the start of study drug therapy to early discontinuation from treatment due to any cause, including disease progression, toxicity, or death and was based on site-reported data. | From Day 1 of study drug to first documented time of treatment failure; up to data cut-off date of 06 April 2016; median duration of treatment was 94.5 days |
| Time to Response (TTR) | Time to Response was defined as the time from first dose of study drug to the date of the first response (having at least a PR) and was calculated only for responding participants. | From Day 1 of study drug to time of first documented PR or better; up to data cut-off date of 06 April 2016; median duration of treatment was 94.5 days |
| Time to Complete Response (CR+CRu) According to the Independent Review Committee | Time to Complete Response (CR+CRu) was defined as the time from the first dose of study drug to the date of the first occurrence of at least CRu and was calculated only for participants with CR or CRu. | From Day 1 of study drug to first documented CR/CRu or better; up to data cut-off date of 06 April 2016; median duration of treatment was 94.5 days |
| Overall Survival (OS) | Kaplan Meier estimate of overall survival was calculated from the time the first dose of study drug to death from any cause. Participants who had not died were censored at the last date the participant was known to be alive. | From Day 1 of study drug to first documented date of progressive disease or death; up to the final data cut-off date of 30 March 2017; median duration of follow-up for surviving participants was 62.94 months |
| Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Adverse events were assessed using National Cancer Institute, Common Terminology Criteria for Adverse Events (NCI CTCAE), Version 3: according to the following scale: Grade 1 = Mild Adverse Event (AE), Grade 2 = Moderate AE, Grade 3 = Severe and Undesirable AE, Grade 4 = Life-threatening or Disabling AE, and Grade 5 = Death; Serious AEs (SAEs) are those that resulted in death, were life-threatening, required or prolonged inpatient hospitalization, resulted in persistent or significant disability/incapacity, congenital anomaly, or resulted in an important medical event that may have jeopardized the patient or required medical or surgical intervention to prevent one of the outcomes listed above. after the first dose of study drug and within 28 days after the last dose. A TEAE is defined as any AE occurring or worsening on or after the first dose of study drug and within 28 days after the last dose of study drug. | From the first dose of lenalidomide through 28 days after the last dose during the follow-up phase; median (minimum, maximum) duration of treatment was 94.0 (1.0, 1950 days) |
| La Jolla |
| California |
| 92093 |
| United States |
| Loma Linda University Medical Center | Loma Linda | California | 92354 | United States |
| Tower Cancer Research Foundation | Los Angeles | California | 90211 | United States |
| Boca Raton Community Hospital, Inc., Research Dept. | Boca Raton | Florida | 33486 | United States |
| Pasco Hernando Oncology Associates, PA | Brooksville | Florida | 34613 | United States |
| Broward General Medical Center | Fort Lauderdale | Florida | 33316 | United States |
| MD Anderson Cancer Center, Orlando Regional Healthcare | Orlando | Florida | 32806 | United States |
| Lake County Oncology and Hematology | The Villages | Florida | 32159 | United States |
| Winship Cancer Institute of Emory University | Atlanta | Georgia | 30322 | United States |
| Northwestern University | Chicago | Illinois | 60611 | United States |
| Loyola University Medical Center - Smith | Maywood | Illinois | 60153 | United States |
| Indiana University Cancer Center | Indianapolis | Indiana | 46202 | United States |
| Alvin and Lois Lapidus Cancer Institute Sinai Hospital of Baltimore | Baltimore | Maryland | 21215 | United States |
| Tufts Medical Center | Boston | Massachusetts | 02111 | United States |
| Beth Israel Deaconess Medical Center | Boston | Massachusetts | 02215 | United States |
| University of Massachusetts Medical Center | Worcester | Massachusetts | 01655 | United States |
| Karmanos Cancer Institute | Detroit | Michigan | 48201-2014 | United States |
| Mayo Clinic | Rochester | Minnesota | 55905 | United States |
| Washington University Siteman Cancer Center | St Louis | Missouri | 63110 | United States |
| University of Nebraska | Omaha | Nebraska | 68198-7680 | United States |
| Hackensack University Medical Center | Hackensack | New Jersey | 07601 | United States |
| NYU School of Medicine | New York | New York | 10016 | United States |
| University of Rochester Cancer Center, James P. Wilmot Cancer Center | Rochester | New York | 14642 | United States |
| Presbyterian Hospital | Charlotte | North Carolina | 28204 | United States |
| Temple University School of Medicine | Philadelphia | Pennsylvania | 19140 | United States |
| Hillman Cancer Institute at UPMC | Pittsburgh | Pennsylvania | 15232 | United States |
| South Carolina Cancer Specialists | Hilton Head Island | South Carolina | 29926 | United States |
| Avera Cancer Institute | Sioux Falls | South Dakota | 57105 | United States |
| University of Tennessee Cancer Institute | Memphis | Tennessee | 38104 | United States |
| University of Virginia Cancer Center Clinical Trials Office | Charlottesville | Virginia | 22908 | United States |
| Universitaetsklinik Innsbruck | Innsbruck | 6020 | Austria |
| Landeskrankenhaus Salzburg | Salzburg | 5020 | Austria |
| Medical University of Vienna | Vienna | 1090 | Austria |
| AZ Sint-Jan AV Brugge | Bruges | 8000 | Belgium |
| UZ Gent | Ghent | 9000 | Belgium |
| Universitair Ziekenhuis Leuven, Campus Gasthuisberg | Leuven | 3000 | Belgium |
| Hospital Universitario San Ignacio | Bogotá | Colombia |
| Oncologos del occidente S.A. | Pereira | Colombia |
| Hopital Sud, CHU d'Amiens | Amiens | 80054 | France |
| Institut Bergonie | Bordeaux | 33076 | France |
| Hopital Henri Mondor | Créteil | 94010 | France |
| Hopital Emile Muller | Mulhouse | 68070 | France |
| Hopital Cochin | Paris | 75014 | France |
| Institut Curie | Paris | 75248 | France |
| Hopital Robert Debre | Reims | 51092 | France |
| Institut de Cancerologie de la Loire | Saint Jean Priest En Jarez | 42277 | France |
| Hopital Hautepierre | Strasbourg | 67098 | France |
| University Hospital Wuerzburg | Würzburg | 97080 | Germany |
| Debreceni Egyetem Orvos- es Egeszsegtudomanyi Centrum | Debrecen | 4032 | Hungary |
| University of Debrecen, DEOEC, Institute of Internal Medicine | Debrecen | 4032 | Hungary |
| Petz Aladar Megyei Oktato Korhaz,II. Belgyogyaszat | Győr | 9024 | Hungary |
| Kaposi Mor Oktato Korhaz | Kaposvár | 7400 | Hungary |
| Rambam Medical Center | Haifa | 35254 | Israel |
| Hadassah Medical Center | Jerusalem | 91120 | Israel |
| Rabin Medical Center | Petch Tikva | 49100 | Israel |
| Sheba Medical Center | Tel Litwinsky | 52621 | Israel |
| Universita Federico II di Napoli Nuovo Policlinico | Naples | 80131 | Italy |
| Ospedale Civile dello Spirito Santo | Pescara | 65124 | Italy |
| Universita Cattololica del Sacro Cuore | Roma | 00168 | Italy |
| Centro De Cancer, Hospital Espanol Auxilio De Puerto Rico | San Juan | 00919 | Puerto Rico |
| Singapore General Hospital | Singapore | 169608 | Singapore |
| Hospital General De Elche | Alicante | 03203 | Spain |
| Duran i Reynals Institut Catala d'Oncologia | L'Hospitalet de Llobregat | 08907 | Spain |
| Hospital Clinico Universitario de Salamanca | Salamanca | 37003 | Spain |
| Hospital Universitario La Fe | Valencia | 46009 | Spain |
| Gazi Universitesi | Besevler Ankara | 06500 | Turkey (Türkiye) |
| Istanbul Universitesi Istanbul | Istanbul | 34390 | Turkey (Türkiye) |
| Ankara Universitesi Tip Fakultesi | Sihhiye Ankara | 06100 | Turkey (Türkiye) |
| Royal Cornwall Hospitals Trust | Truro | TR1 3LJ | United Kingdom |
| Goy A, Kalayoglu Besisik S, Drach J, Ramchandren R, Robertson MJ, Avivi I, Rowe JM, Herbrecht R, Van Hoof A, Zhang L, Cicero S, Fu T, Witzig T. Longer-term follow-up and outcome by tumour cell proliferation rate (Ki-67) in patients with relapsed/refractory mantle cell lymphoma treated with lenalidomide on MCL-001(EMERGE) pivotal trial. Br J Haematol. 2015 Aug;170(4):496-503. doi: 10.1111/bjh.13456. Epub 2015 Apr 28. |
| 28699256 | Result | Witzig TE, Luigi Zinzani P, Habermann TM, Tuscano JM, Drach J, Ramchandren R, Kalayoglu Besisik S, Takeshita K, Casadebaig Bravo ML, Zhang L, Fu T, Goy A. Long-term analysis of phase II studies of single-agent lenalidomide in relapsed/refractory mantle cell lymphoma. Am J Hematol. 2017 Oct;92(10):E575-E583. doi: 10.1002/ajh.24854. Epub 2017 Aug 28. |
| 24019544 | Derived | San-Miguel JF, Richardson PG, Gunther A, Sezer O, Siegel D, Blade J, LeBlanc R, Sutherland H, Sopala M, Mishra KK, Mu S, Bourquelot PM, Victoria Mateos M, Anderson KC. Phase Ib study of panobinostat and bortezomib in relapsed or relapsed and refractory multiple myeloma. J Clin Oncol. 2013 Oct 10;31(29):3696-703. doi: 10.1200/JCO.2012.46.7068. Epub 2013 Sep 9. |
| COMPLETED |
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| NOT COMPLETED |
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The baseline characteristics are from the participants assesed within the intent to treat population (ITT), which included all enrolled participants who received at least one dose of study drug.
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| ID | Title | Description |
|---|---|---|
| BG000 | Lenalidomide | Participants received lenalidomide 10 mg or 25 mg oral capsules on days 1 to 21 of each 28-day cycle and was dependent on renal function; Participants with normal renal function (defined as creatinine clearance (CrCl)) of ≥ 60 mL/min) received 25 mg of lenalidomide by mouth (PO) daily, and those with moderate renal insufficiency (CrCl) ≥ 30 mL/min but < 60 mL/min) were started at a 10 mg daily dose. Participants could continue to receive treatment until disease progression, development of unacceptable adverse events (AEs), or voluntary withdrawal. |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | Years |
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| Age, Customized | Count of Participants | Participants |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Count of Participants | Participants |
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| Eastern Cooperative Oncology Group (ECOG) Performance Status | Eastern Cooperative Oncology Group Performance Status is used by doctors and researchers to assess how a participant's disease is progressing, assess how the disease affects the daily living activities of the participant and determine appropriate treatment and prognosis. 0 = Fully Active (Most Favorable Activity); 1 = Restricted activity but ambulatory; 2 = Ambulatory but unable to carry out work activities; 3 = Limited Self-Care; 4 = Completely Disabled, No self-care (Least Favorable Activity) | Count of Participants | Participants |
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| Renal function at baseline | Participants with a Creatinine clearance (as calculated by the Cockcroft-Gault formula, utilizing actual body weight or ideal body weight, whichever was less) of ≥ 60 mL/min received a starting dose of 25 mg once daily. Participants with moderate renal insufficiency (ie, CrCl ≥ 30 mL/min but < 60 mL/min) received a starting dose of 10 mg lenalidomide once daily. | Count of Participants | Participants |
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| Duration of Mantle Cell Lymphoma | Number | years |
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| MCL (Ann Arbor) Stage at Diagnosis | Ann Arbor staging is the staging system for lymphomas, both in Hodgkin's lymphoma (previously called Hodgkin's disease) and Non-Hodgkin lymphoma (NHL). Stage I = Involvement of 1 Lymph Node (LN) or extralymphatic region; Stage II = ≥ 2 LN sites on the same side of the diaphragm; Stage III = LN regions on both sides of the diaphragm; may include spleen and 1 extralymphatic organ; Stage IV = involvement of ≥ 1 extralymphatic organs with or without associated LN involvement (diffuse or disseminated). | Count of Participants | Participants |
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| MCL International Prognostic Index (MIPI) Score Group at Enrollment | A prognostic index predictive of the outcome in advanced Mantle Cell Lymphoma | Count of Participants | Participants |
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| Prior Bone Marrow Assessment | Baseline assessment of bone marrow involvement was not required per protocol; however, bone marrow biopsy and aspirate data previously conducted were collected if available. | Count of Participants | Participants |
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| Tumor Burden | Defined as at least one lesion that was ≥ 5 cm in diameter or ≥ 3 lesions that were ≥ 3 cm in diameter by central radiology review. | Count of Participants | Participants |
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| Bulky Disease | Bulky disease is defined as at least one lesion ≥ 7 cm in diameter | Count of Participants | Participants |
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| 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 | Percentage of Participants Who Achieved an Overall Response According to the Independent Review Committee (IRC) | Overall Response Rate (ORR) was defined as the percentage of participants whose best response was Complete Response, Complete Response unconfirmed or Partial Response. Participants who had discontinued before any response has been observed, or changed to other anti-lymphoma treatments before response had been observed, were considered as non-responders. Tumor Response was assessed by a modification of the International Lymphoma Workshop Response Criteria, IWRC, Cheson, 1999); CR is defined as the disappearance of all clinical and radiographic evidence of disease; CRu is defined as a CR, with a 1) residual lymph node mass >1.5 cm that has decreased by 75% in the sum of the product of the diameters (SPD). Individual nodes previously confluent decreased by more than 75% in the SPD compared with original mass; 2) indeterminate bone marrow; PR = is defined ≥50% decrease in 6 largest nodes or nodal masses. | ITT population defined as all enrolled participants who received at least one dose of study drug. | Posted | Number | 95% Confidence Interval | percentage of participants | From Day 1 of study treatment to progession or early treatment discontinuation; up to data cut-off date of 06 April 2016; median duration of treatment was 94.5 days. |
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| Primary | Kaplan Meier Estimate of Duration of Response (DoR) According to the Independent Review Committee | Kaplan Meier estimate for the duration of response (DoR) was calculated from the date of the first occurrence of initial response for responders (demonstrating evidence of at least a PR) to the date of first documented disease progression (any new lesion or increase by ≥ 50% of previously involved sites from nadir) or death (without documented progression) for participants who responded; participants who had not progressed (or died) were censored at the last valid assessment. | Includes participants from the ITT population who achieved a PR or better. | Posted | Median | 95% Confidence Interval | months | From Day 1 of study drug to progression or early treatment discontinuation; up to data cut-off date of 06 April 2016; Median duration of treatment was 94.5 days. |
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| Secondary | Percentage of Participants With a Complete Response (CR) /Complete Response Unconfirmed (CRu) According to the Independent Review Committee | The percentage of participants whose best response was CR or CRu. Participants who had discontinued before CR/CRu was observed, or changed to other anti-lymphoma treatments before a CR/CRu response had been observed, were considered as non-responders. CR is defined as the disappearance of all clinical and radiographic evidence of disease; CRu is defined as a CR, with a 1) residual lymph node mass >1.5 cm that has decreased by 75% in the sum of the product of the diameters (SPD). Individual nodes previously confluent decreased by more than 75% in the SPD compared with original mass; 2) indeterminate bone marrow. | The ITT population was defined as all enrolled participants who received at least one dose of study drug. | Posted | Number | 95% Confidence Interval | percentage of participants | From Day 1 of study drug to progression or early treatment discontinuation; up to data cut-off date of 06 April 2016; Median duration of treatment was 94.5 days |
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| Secondary | Kaplan Meier Estimate of Duration of Complete Response (DoCR) (CR+CRu) According to the Independent Review Committee | Kaplan Meier estimates for the duration of CR/CRu was calculated from the date of the first occurrence of CR/CRu to the date of documented disease progression or death (without documented progression) for participants who obtained a CR/CRu; participants who had not progressed (or died) were censored at the last valid assessment. | Includes participants from the ITT population who achieved a CRu or better. | Posted | Median | 95% Confidence Interval | months | From Day 1 of study drug to progression or early discontinuation; up to data cut-off date of 06 April 2016; median time in follow-up was 16.34 months |
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| Secondary | Kaplan-Meier Estimate of Progression-Free Survival (PFS) According to the Independent Review Committee | Kaplan Meier estimates of PFS was defined as the start of study drug therapy to the first observation of disease progression or death due to any cause, whichever comes first. If a participant had not progressed or died, PFS was censored at the time of last adequate assessment when the participant was known not to have progressed. For participants who received other anti-lymphoma therapy with no evidence of progression, PFS was censored at time of last adequate tumor assessment with no evidence of progression prior to the start of new anti-lymphoma treatment. | Intent to Treat population defined as all enrolled participants who received at least one dose of study drug. | Posted | Median | 95% Confidence Interval | months | From Day 1 of study drug to first documented date of disease progression; up to data cut-off date of 06 April 2016; median time in follow-up was 16.34 months |
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| Secondary | Kaplan Meier Estimate of Time to Progression (TTP) According to the Independent Review Committee | Kaplan Meier estimate of time to progression was calculated as time from the start of the study drug therapy to the first observation of disease progression. Participants who died without progression were censored at the date of death; otherwise, the censoring rules presented above for PFS applied to the analysis of TTP. Progressive Disease(PD): Appearance of new lesion or increase by ≥50% from previously involved sites from nadir | Intent to Treat population was defined as all enrolled participants who received at least one dose of study drug. | Posted | Median | 95% Confidence Interval | months | From Day 1 of study drug to first documented time of progression; up to data cut-off date of 06 April 2016; median time in follow-up was 16.34 months |
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| Secondary | Kaplan-Meier Estimate of Time to Treatment Failure (TTF) According to the Independent Review Committee | Time to treatment failure (TTF) was calculated from the start of study drug therapy to early discontinuation from treatment due to any cause, including disease progression, toxicity, or death and was based on site-reported data. | Intent to Treat population was defined as all enrolled participants who received at least one dose of study drug. | Posted | Median | 95% Confidence Interval | months | From Day 1 of study drug to first documented time of treatment failure; up to data cut-off date of 06 April 2016; median duration of treatment was 94.5 days |
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| Secondary | Time to Response (TTR) | Time to Response was defined as the time from first dose of study drug to the date of the first response (having at least a PR) and was calculated only for responding participants. | Included participants from the ITT population who achieved a PR or better. | Posted | Median | Full Range | months | From Day 1 of study drug to time of first documented PR or better; up to data cut-off date of 06 April 2016; median duration of treatment was 94.5 days |
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| Secondary | Time to Complete Response (CR+CRu) According to the Independent Review Committee | Time to Complete Response (CR+CRu) was defined as the time from the first dose of study drug to the date of the first occurrence of at least CRu and was calculated only for participants with CR or CRu. | Included participants from the ITT population who achieved a CRu or better. | Posted | Median | Full Range | months | From Day 1 of study drug to first documented CR/CRu or better; up to data cut-off date of 06 April 2016; median duration of treatment was 94.5 days |
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| Secondary | Overall Survival (OS) | Kaplan Meier estimate of overall survival was calculated from the time the first dose of study drug to death from any cause. Participants who had not died were censored at the last date the participant was known to be alive. | Intent to Treat population defined as all enrolled participants who received at least one dose of study drug. | Posted | Median | 95% Confidence Interval | months | From Day 1 of study drug to first documented date of progressive disease or death; up to the final data cut-off date of 30 March 2017; median duration of follow-up for surviving participants was 62.94 months |
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| Secondary | Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Adverse events were assessed using National Cancer Institute, Common Terminology Criteria for Adverse Events (NCI CTCAE), Version 3: according to the following scale: Grade 1 = Mild Adverse Event (AE), Grade 2 = Moderate AE, Grade 3 = Severe and Undesirable AE, Grade 4 = Life-threatening or Disabling AE, and Grade 5 = Death; Serious AEs (SAEs) are those that resulted in death, were life-threatening, required or prolonged inpatient hospitalization, resulted in persistent or significant disability/incapacity, congenital anomaly, or resulted in an important medical event that may have jeopardized the patient or required medical or surgical intervention to prevent one of the outcomes listed above. after the first dose of study drug and within 28 days after the last dose. A TEAE is defined as any AE occurring or worsening on or after the first dose of study drug and within 28 days after the last dose of study drug. | The safety population received at least one dose of lenalidomide was used for all safety analysis. This was identical to the ITT population. | Posted | Number | participants | From the first dose of lenalidomide through 28 days after the last dose during the follow-up phase; median (minimum, maximum) duration of treatment was 94.0 (1.0, 1950 days) |
|
From the first dose of 1enalidomide through 28 days after the last dose of lenalidomide; (maximum duration of study drug was 1940 days).
Not provided
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 | Participants received lenalidomide 10 mg or 25 mg oral capsules on days 1 to 21 of each 28-day cycle and was dependent on renal function; Participants with normal renal function (defined as creatinine clearance (CrCl)) of ≥ 60 mL/min) received 25 mg of lenalidomide by mouth (PO) daily, and those with moderate renal insufficiency (CrCl) ≥ 30 mL/min but < 60 mL/min) were started at a 10 mg daily dose. Participants could continue to receive treatment until disease progression, development of unacceptable adverse events (AEs), or voluntary withdrawal. | 106 | 134 | 70 | 134 | 125 | 134 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| ANAEMIA | Blood and lymphatic system disorders | 17.0 | Systematic Assessment |
| |
| FEBRILE NEUTROPENIA | Blood and lymphatic system disorders | 17.0 | Systematic Assessment |
| |
| LEUKOCYTOSIS | Blood and lymphatic system disorders | 17.0 | Systematic Assessment |
| |
| LYMPH NODE PAIN | Blood and lymphatic system disorders | 17.0 | Systematic Assessment |
| |
| LYMPHOCYTOSIS | Blood and lymphatic system disorders | 17.0 | Systematic Assessment |
| |
| NEUTROPENIA | Blood and lymphatic system disorders | 17.0 | Systematic Assessment |
| |
| THROMBOCYTOPENIA | Blood and lymphatic system disorders | 17.0 | Systematic Assessment |
| |
| ATRIAL FIBRILLATION | Cardiac disorders | 17.0 | Systematic Assessment |
| |
| BRADYCARDIA | Cardiac disorders | 17.0 | Systematic Assessment |
| |
| CARDIAC FAILURE CONGESTIVE | Cardiac disorders | 17.0 | Systematic Assessment |
| |
| SUPRAVENTRICULAR TACHYCARDIA | Cardiac disorders | 17.0 | Systematic Assessment |
| |
| ABDOMINAL PAIN | Gastrointestinal disorders | 17.0 | Systematic Assessment |
| |
| ASCITES | Gastrointestinal disorders | 17.0 | Systematic Assessment |
| |
| CONSTIPATION | Gastrointestinal disorders | 17.0 | Systematic Assessment |
| |
| DIARRHOEA | Gastrointestinal disorders | 17.0 | Systematic Assessment |
| |
| ENTERITIS | Gastrointestinal disorders | 17.0 | Systematic Assessment |
| |
| FAECES DISCOLOURED | Gastrointestinal disorders | 17.0 | Systematic Assessment |
| |
| GASTRIC HAEMORRHAGE | Gastrointestinal disorders | 17.0 | Systematic Assessment |
| |
| GASTROINTESTINAL HAEMORRHAGE | Gastrointestinal disorders | 17.0 | Systematic Assessment |
| |
| INTESTINAL ISCHAEMIA | Gastrointestinal disorders | 17.0 | Systematic Assessment |
| |
| INTRA-ABDOMINAL HAEMORRHAGE | Gastrointestinal disorders | 17.0 | Systematic Assessment |
| |
| LOWER GASTROINTESTINAL HAEMORRHAGE | Gastrointestinal disorders | 17.0 | Systematic Assessment |
| |
| NAUSEA | Gastrointestinal disorders | 17.0 | Systematic Assessment |
| |
| PANCREATITIS | Gastrointestinal disorders | 17.0 | Systematic Assessment |
| |
| VOMITING | Gastrointestinal disorders | 17.0 | Systematic Assessment |
| |
| ASTHENIA | General disorders | 17.0 | Systematic Assessment |
| |
| DEATH | General disorders | 17.0 | Systematic Assessment |
| |
| GENERAL PHYSICAL HEALTH DETERIORATION | General disorders | 17.0 | Systematic Assessment |
| |
| MUCOSAL INFLAMMATION | General disorders | 17.0 | Systematic Assessment |
| |
| NON-CARDIAC CHEST PAIN | General disorders | 17.0 | Systematic Assessment |
| |
| PYREXIA | General disorders | 17.0 | Systematic Assessment |
| |
| SUDDEN DEATH | General disorders | 17.0 | Systematic Assessment |
| |
| CHOLECYSTITIS | Hepatobiliary disorders | 17.0 | Systematic Assessment |
| |
| ATYPICAL PNEUMONIA | Infections and infestations | 17.0 | Systematic Assessment |
| |
| BACTERAEMIA | Infections and infestations | 17.0 | Systematic Assessment |
| |
| BACTERIAL SEPSIS | Infections and infestations | 17.0 | Systematic Assessment |
| |
| BRONCHITIS | Infections and infestations | 17.0 | Systematic Assessment |
| |
| BRONCHOPNEUMONIA | Infections and infestations | 17.0 | Systematic Assessment |
| |
| BRONCHOPULMONARY ASPERGILLOSIS | Infections and infestations | 17.0 | Systematic Assessment |
| |
| CELLULITIS | Infections and infestations | 17.0 | Systematic Assessment |
| |
| CLOSTRIDIUM DIFFICILE COLITIS | Infections and infestations | 17.0 | Systematic Assessment |
| |
| ENTEROCOCCAL SEPSIS | Infections and infestations | 17.0 | Systematic Assessment |
| |
| ENTEROCOLITIS INFECTIOUS | Infections and infestations | 17.0 | Systematic Assessment |
| |
| H1N1 INFLUENZA | Infections and infestations | 17.0 | Systematic Assessment |
| |
| INFLUENZA | Infections and infestations | 17.0 | Systematic Assessment |
| |
| LOBAR PNEUMONIA | Infections and infestations | 17.0 | Systematic Assessment |
| |
| PNEUMONIA | Infections and infestations | 17.0 | Systematic Assessment |
| |
| PNEUMONIA BACTERIAL | Infections and infestations | 17.0 | Systematic Assessment |
| |
| PNEUMONIA KLEBSIELLA | Infections and infestations | 17.0 | Systematic Assessment |
| |
| PNEUMONIA STREPTOCOCCAL | Infections and infestations | 17.0 | Systematic Assessment |
| |
| PSEUDOMONAL SEPSIS | Infections and infestations | 17.0 | Systematic Assessment |
| |
| RESPIRATORY TRACT INFECTION | Infections and infestations | 17.0 | Systematic Assessment |
| |
| SEPSIS | Infections and infestations | 17.0 | Systematic Assessment |
| |
| SEPTIC SHOCK | Infections and infestations | 17.0 | Systematic Assessment |
| |
| STAPHYLOCOCCAL SEPSIS | Infections and infestations | 17.0 | Systematic Assessment |
| |
| STREPTOCOCCAL BACTERAEMIA | Infections and infestations | 17.0 | Systematic Assessment |
| |
| URINARY TRACT INFECTION | Infections and infestations | 17.0 | Systematic Assessment |
| |
| UROSEPSIS | Infections and infestations | 17.0 | Systematic Assessment |
| |
| ANKLE FRACTURE | Injury, poisoning and procedural complications | 17.0 | Systematic Assessment |
| |
| FALL | Injury, poisoning and procedural complications | 17.0 | Systematic Assessment |
| |
| SUBDURAL HAEMATOMA | Injury, poisoning and procedural complications | 17.0 | Systematic Assessment |
| |
| CREATININE RENAL CLEARANCE DECREASED | Investigations | 17.0 | Systematic Assessment |
| |
| DEHYDRATION | Metabolism and nutrition disorders | 17.0 | Systematic Assessment |
| |
| FAILURE TO THRIVE | Metabolism and nutrition disorders | 17.0 | Systematic Assessment |
| |
| GOUT | Metabolism and nutrition disorders | 17.0 | Systematic Assessment |
| |
| HYPERCALCAEMIA | Metabolism and nutrition disorders | 17.0 | Systematic Assessment |
| |
| BACK PAIN | Musculoskeletal and connective tissue disorders | 17.0 | Systematic Assessment |
| |
| MUSCULAR WEAKNESS | Musculoskeletal and connective tissue disorders | 17.0 | Systematic Assessment |
| |
| NECK PAIN | Musculoskeletal and connective tissue disorders | 17.0 | Systematic Assessment |
| |
| PAIN IN EXTREMITY | Musculoskeletal and connective tissue disorders | 17.0 | Systematic Assessment |
| |
| BASAL CELL CARCINOMA | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | 17.0 | Systematic Assessment |
| |
| MANTLE CELL LYMPHOMA | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | 17.0 | Systematic Assessment |
| |
| MENINGIOMA | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | 17.0 | Systematic Assessment |
| |
| METASTATIC SQUAMOUS CELL CARCINOMA | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | 17.0 | Systematic Assessment |
| |
| MYELODYSPLASTIC SYNDROME | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | 17.0 | Systematic Assessment |
| |
| SQUAMOUS CELL CARCINOMA OF SKIN | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | 17.0 | Systematic Assessment |
| |
| HEADACHE | Nervous system disorders | 17.0 | Systematic Assessment |
| |
| MIGRAINE | Nervous system disorders | 17.0 | Systematic Assessment |
| |
| TRANSIENT GLOBAL AMNESIA | Nervous system disorders | 17.0 | Systematic Assessment |
| |
| BLADDER NECK OBSTRUCTION | Renal and urinary disorders | 17.0 | Systematic Assessment |
| |
| HAEMATURIA | Renal and urinary disorders | 17.0 | Systematic Assessment |
| |
| RENAL FAILURE | Renal and urinary disorders | 17.0 | Systematic Assessment |
| |
| URINARY RETENTION | Renal and urinary disorders | 17.0 | Systematic Assessment |
| |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE | Respiratory, thoracic and mediastinal disorders | 17.0 | Systematic Assessment |
| |
| DYSPNOEA | Respiratory, thoracic and mediastinal disorders | 17.0 | Systematic Assessment |
| |
| OBSTRUCTIVE AIRWAYS DISORDER | Respiratory, thoracic and mediastinal disorders | 17.0 | Systematic Assessment |
| |
| PLEURAL EFFUSION | Respiratory, thoracic and mediastinal disorders | 17.0 | Systematic Assessment |
| |
| PNEUMONITIS | Respiratory, thoracic and mediastinal disorders | 17.0 | Systematic Assessment |
| |
| PULMONARY EMBOLISM | Respiratory, thoracic and mediastinal disorders | 17.0 | Systematic Assessment |
| |
| RESPIRATORY DISTRESS | Respiratory, thoracic and mediastinal disorders | 17.0 | Systematic Assessment |
| |
| RESPIRATORY FAILURE | Respiratory, thoracic and mediastinal disorders | 17.0 | Systematic Assessment |
| |
| SKIN TOXICITY | Skin and subcutaneous tissue disorders | 17.0 | Systematic Assessment |
| |
| DEEP VEIN THROMBOSIS | Vascular disorders | 17.0 | Systematic Assessment |
| |
| HYPOTENSION | Vascular disorders | 17.0 | Systematic Assessment |
| |
| ORTHOSTATIC HYPOTENSION | Vascular disorders | 17.0 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| ANAEMIA | Blood and lymphatic system disorders | 17.0 | Systematic Assessment |
| |
| LEUKOPENIA | Blood and lymphatic system disorders | 17.0 | Systematic Assessment |
| |
| LYMPHOPENIA | Blood and lymphatic system disorders | 17.0 | Systematic Assessment |
| |
| NEUTROPENIA | Blood and lymphatic system disorders | 17.0 | Systematic Assessment |
| |
| THROMBOCYTOPENIA | Blood and lymphatic system disorders | 17.0 | Systematic Assessment |
| |
| ABDOMINAL PAIN | Gastrointestinal disorders | 17.0 | Systematic Assessment |
| |
| CONSTIPATION | Gastrointestinal disorders | 17.0 | Systematic Assessment |
| |
| DIARRHOEA | Gastrointestinal disorders | 17.0 | Systematic Assessment |
| |
| NAUSEA | Gastrointestinal disorders | 17.0 | Systematic Assessment |
| |
| VOMITING | Gastrointestinal disorders | 17.0 | Systematic Assessment |
| |
| ASTHENIA | General disorders | 17.0 | Systematic Assessment |
| |
| CHILLS | General disorders | 17.0 | Systematic Assessment |
| |
| FATIGUE | General disorders | 17.0 | Systematic Assessment |
| |
| OEDEMA PERIPHERAL | General disorders | 17.0 | Systematic Assessment |
| |
| PYREXIA | General disorders | 17.0 | Systematic Assessment |
| |
| NASOPHARYNGITIS | Infections and infestations | 17.0 | Systematic Assessment |
| |
| PNEUMONIA | Infections and infestations | 17.0 | Systematic Assessment |
| |
| RESPIRATORY TRACT INFECTION | Infections and infestations | 17.0 | Systematic Assessment |
| |
| SINUSITIS | Infections and infestations | 17.0 | Systematic Assessment |
| |
| UPPER RESPIRATORY TRACT INFECTION | Infections and infestations | 17.0 | Systematic Assessment |
| |
| ALANINE AMINOTRANSFERASE INCREASED | Investigations | 17.0 | Systematic Assessment |
| |
| BLOOD CREATININE INCREASED | Investigations | 17.0 | Systematic Assessment |
| |
| WEIGHT DECREASED | Investigations | 17.0 | Systematic Assessment |
| |
| DECREASED APPETITE | Metabolism and nutrition disorders | 17.0 | Systematic Assessment |
| |
| DEHYDRATION | Metabolism and nutrition disorders | 17.0 | Systematic Assessment |
| |
| HYPOCALCAEMIA | Metabolism and nutrition disorders | 17.0 | Systematic Assessment |
| |
| HYPOKALAEMIA | Metabolism and nutrition disorders | 17.0 | Systematic Assessment |
| |
| ARTHRALGIA | Musculoskeletal and connective tissue disorders | 17.0 | Systematic Assessment |
| |
| BACK PAIN | Musculoskeletal and connective tissue disorders | 17.0 | Systematic Assessment |
| |
| MUSCLE SPASMS | Musculoskeletal and connective tissue disorders | 17.0 | Systematic Assessment |
| |
| PAIN IN EXTREMITY | Musculoskeletal and connective tissue disorders | 17.0 | Systematic Assessment |
| |
| TUMOUR FLARE | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | 17.0 | Systematic Assessment |
| |
| DIZZINESS | Nervous system disorders | 17.0 | Systematic Assessment |
| |
| DYSGEUSIA | Nervous system disorders | 17.0 | Systematic Assessment |
| |
| HEADACHE | Nervous system disorders | 17.0 | Systematic Assessment |
| |
| NEUROPATHY PERIPHERAL | Nervous system disorders | 17.0 | Systematic Assessment |
| |
| ANXIETY | Psychiatric disorders | 17.0 | Systematic Assessment |
| |
| INSOMNIA | Psychiatric disorders | 17.0 | Systematic Assessment |
| |
| COUGH | Respiratory, thoracic and mediastinal disorders | 17.0 | Systematic Assessment |
| |
| DYSPHONIA | Respiratory, thoracic and mediastinal disorders | 17.0 | Systematic Assessment |
| |
| DYSPNOEA | Respiratory, thoracic and mediastinal disorders | 17.0 | Systematic Assessment |
| |
| OROPHARYNGEAL PAIN | Respiratory, thoracic and mediastinal disorders | 17.0 | Systematic Assessment |
| |
| PLEURAL EFFUSION | Respiratory, thoracic and mediastinal disorders | 17.0 | Systematic Assessment |
| |
| DRY SKIN | Skin and subcutaneous tissue disorders | 17.0 | Systematic Assessment |
| |
| NIGHT SWEATS | Skin and subcutaneous tissue disorders | 17.0 | Systematic Assessment |
| |
| PRURITUS | Skin and subcutaneous tissue disorders | 17.0 | Systematic Assessment |
| |
| RASH | Skin and subcutaneous tissue disorders | 17.0 | Systematic Assessment |
|
Single center publications may not be submitted until after multicenter publication is submitted (or 1 year after study completion), whichever comes first. The investigator may then publish results provided that Celgene receive a copy of any proposed publication/presentation at least 30 days in advance of submission, delete any confidential information & delay the submission for up to 60 additional days for patent filing. Multicenter publications must include input from investigators & Celgene.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Senior Manager, Clinical Trials Disclosure | Celgene Corporation | 1-888-260-1599 | clinicaltrialsdisclosure@celgene.com |
| ID | Term |
|---|---|
| D020522 | Lymphoma, Mantle-Cell |
| D008228 | Lymphoma, Non-Hodgkin |
| ID | Term |
|---|---|
| D008223 | Lymphoma |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| D000077269 | Lenalidomide |
| 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 |
Not provided
Not provided
| Black or African American |
|
| Other |
|
| 2 = (Ambulatory but unable to work) |
|
| 3 = (Limited self care) |
|
| 4 = (Completely Disabled) |
|
| Severe Renal Insufficiency (CrCl < 30 mL/min) |
|
| Missing |
|
| III |
|
| IV |
|
| Missing |
|
| High |
|
| Missing |
|
| Indeterminate |
|
| Missing |
|
| Missing = unable to characterize |
|
| Missing |
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| Participants |
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