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NCT01145495

Lenalidomide and Rituximab in Treating Patients With Previously Untreated Stage II, Stage III, or Stage IV Follicular Non-Hodgkin Lymphoma

Completed Phase 2 Results posted Last updated 27 June 2023
What this trial tests

Phase 2 trial testing Laboratory Biomarker Analysis in Ann Arbor Stage II Grade 1 Contiguous Follicular Lymphoma in 66 participants. Completed in 15 January 2022.

Timeline
15 June 2010
Primary endpoint
31 December 2012
15 January 2022

Quick facts

Lead sponsorNational Cancer Institute (NCI)
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment66
Start date15 June 2010
Primary completion31 December 2012
Estimated completion15 January 2022
Sites91 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

National Cancer Institute (NCI)

Who can join

18 and older, any sex, with Ann Arbor Stage II Grade 1 Contiguous Follicular Lymphoma or Ann Arbor Stage II Grade 1 Non-Contiguous Follicular Lymphoma. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants Who Achieved a Complete Response Primary · At 12 months

Response is assessed by investigator according to International Working Group (IWG) criteria. Complete response requires disappearance of all evidence of disease.

GroupValue95% CI
Treatment (Lenalidomide, Rituximab)47
Toxicity of Study Treatment, Assessed by the NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0 Secondary · Up to 5 years

Data will be summarized using frequency tables.

Grade 1-2 Fatigue
GroupValue95% CI
Treatment (Lenalidomide, Rituximab)51
Grade 1-2 Diarrhea
GroupValue95% CI
Treatment (Lenalidomide, Rituximab)24
Grade 1-2 Rash
GroupValue95% CI
Treatment (Lenalidomide, Rituximab)21
Grade 1-2 Febrile neutropenia
GroupValue95% CI
Treatment (Lenalidomide, Rituximab)1
Grade 3-4 Neutropenia
GroupValue95% CI
Treatment (Lenalidomide, Rituximab)14
Grade 3-4 Lymphopenia
GroupValue95% CI
Treatment (Lenalidomide, Rituximab)6
Grade 3-4 Thrombocytopenia
GroupValue95% CI
Treatment (Lenalidomide, Rituximab)1
Grade 3-4 Infection
GroupValue95% CI
Treatment (Lenalidomide, Rituximab)7
Disease Progression Secondary · Up to 5 years

Kaplan-Meier method will be used. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.

2 Years PFS
GroupValue95% CI
Treatment (Lenalidomide, Rituximab)0.860.75 – 0.93
3 Years PFS
GroupValue95% CI
Treatment (Lenalidomide, Rituximab)0.810.69 – 0.89
4 Years PFS
GroupValue95% CI
Treatment (Lenalidomide, Rituximab)0.740.61 – 0.86
5 Years PFS
GroupValue95% CI
Treatment (Lenalidomide, Rituximab)0.720.58 – 0.82
Best Response Secondary · Up to 5 years

Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.

GroupValue95% CI
Treatment (Lenalidomide, Rituximab)47
Treatment (Lenalidomide, Rituximab)15
Treatment (Lenalidomide, Rituximab)1
Treatment (Lenalidomide, Rituximab)2

Adverse events — posted to ClinicalTrials.gov

Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Treatment (Lenalidomide, Rituximab)
Serious: 0/65 (0%)
Deaths: 0/65
Other adverse events (186 terms — click to expand)

ReactionSystemTreatment (Lenalidomide, R…
FatigueGeneral disorders
Lymphocyte count decreasedInvestigations
White blood cell decreasedInvestigations
Neutrophil count decreasedInvestigations
Rash maculo-papularSkin and subcutaneous tissue disorders
Alanine aminotransferase increasedInvestigations
Platelet count decreasedInvestigations
DiarrheaGastrointestinal disorders
HyperglycemiaMetabolism and nutrition disorders
AnemiaBlood and lymphatic system disorders
Infusion related reactionInjury, poisoning and procedural complications
Aspartate aminotransferase increasedInvestigations
ConstipationGastrointestinal disorders
NauseaGastrointestinal disorders
Edema limbsGeneral disorders
HypocalcemiaMetabolism and nutrition disorders
HeadacheNervous system disorders
Upper respiratory infectionInfections and infestations
Alkaline phosphatase increasedInvestigations
ArthralgiaMusculoskeletal and connective tissue disorders
Abdominal painGastrointestinal disorders
PainGeneral disorders
Peripheral sensory neuropathyNervous system disorders
PruritusSkin and subcutaneous tissue disorders
MyalgiaMusculoskeletal and connective tissue disorders
AnxietyPsychiatric disorders
InsomniaPsychiatric disorders
CoughRespiratory, thoracic and mediastinal disorders
DyspneaRespiratory, thoracic and mediastinal disorders
HypertensionVascular disorders
DyspepsiaGastrointestinal disorders
Blood bilirubin increasedInvestigations
HypokalemiaMetabolism and nutrition disorders
Back painMusculoskeletal and connective tissue disorders
Skin and subcut tissue disord - Oth specSkin and subcutaneous tissue disorders
HypoglycemiaMetabolism and nutrition disorders
Neck painMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
Dry skinSkin and subcutaneous tissue disorders
Mucositis oralGastrointestinal disorders

Data from ClinicalTrials.gov NCT01145495 adverse events section.

Sponsor's own description

This phase II trial studies how well lenalidomide and rituximab work in treating patients with previously untreated stage II, stage III, or stage IV follicular non-Hodgkin lymphoma. Biological therapies, such as lenalidomide, may stimulate or suppress the immune system in different ways and stop cancer cells from growing. Monoclonal antibodies, such as rituximab, may interfere with the ability of cancer cells to grow and spread. Giving lenalidomide together with rituximab may kill more cancer cells.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. A phase II trial of lenalidomide plus rituximab in previously untreated follicular non-Hodgkin's lymphoma (NHL): CALGB 50803 (Alliance).
    Martin P, Jung SH, Pitcher B, Bartlett NL, et al · · 2017 · cited 56× · PMID 28945884 · DOI 10.1093/annonc/mdx496
  2. The prognostic significance of PFS24 in follicular lymphoma following firstline immunotherapy: A combined analysis of 3 CALGB trials.
    Lansigan F, Barak I, Pitcher B, Jung SH, et al · · 2019 · cited 33× · PMID 30575311 · DOI 10.1002/cam4.1918
  3. Mutations associated with progression in follicular lymphoma predict inferior outcomes at diagnosis: Alliance A151303.
    Russler-Germain DA, Krysiak K, Ramirez C, Mosior M, et al · · 2023 · cited 21× · PMID 37493986 · DOI 10.1182/bloodadvances.2023010779
  4. Relevance of Bone Marrow Biopsies for Response Assessment in US National Cancer Institute National Clinical Trials Network Follicular Lymphoma Clinical Trials.
    Rutherford SC, Yin J, Pederson L, Perez Burbano G, et al · · 2023 · cited 15× · PMID 35787017 · DOI 10.1200/jco.21.02301
  5. Biomarkers for Risk Stratification in Patients With Previously Untreated Follicular Lymphoma Receiving Anti-CD20-based Biological Therapy.
    Sohani AR, Maurer MJ, Giri S, Pitcher B, et al · · 2021 · cited 12× · PMID 33136585 · DOI 10.1097/pas.0000000000001609
  6. Long-term follow-up of lenalidomide and rituximab as initial treatment of follicular lymphoma.
    Strati P, Jain P, Johnson RJ, Forbes S, et al · · 2021 · cited 11× · PMID 32932518 · DOI 10.1182/blood.2020007994
  7. Impact of imaging frequency on progression-free survival in Alliance trials enrolling patients with follicular lymphoma.
    Rutherford SC, Yin J, Pederson LD, Blum KA, et al · · 2024 · cited 2× · PMID 38266151 · DOI 10.1182/bloodadvances.2023012090
  8. Chinese expert consensus on oral drugs for the treatment of mature B-cell lymphomas (2020 edition).
    Chen S, Zhao W, Li J, Wu D, et al · · 2022 · cited 2× · PMID 36152123 · DOI 10.1007/s11684-021-0891-0

Verify or expand the search:

Other trials of Laboratory Biomarker Analysis

Trials testing the same drug.

Other recruiting trials for Ann Arbor Stage II Grade 1 Contiguous Follicular Lymphoma

Currently open trials in the same condition.

Other National Cancer Institute (NCI) trials

Trials by the same sponsor.

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