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NCT01698801

A Phase 2 Study of Lenalidomide to Evaluate the Efficacy in Japanese Patients With Newly Diagnosed Multiple Myeloma

Completed Phase 2 Results posted Last updated 8 November 2018
What this trial tests

Phase 2 trial testing Lenalidomide in Multiple Myeloma in 26 participants. Completed in 26 June 2018.

Timeline
1 October 2012
Primary endpoint
26 November 2013
26 June 2018

Quick facts

Lead sponsorCelgene
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment26
Start date1 October 2012
Primary completion26 November 2013
Estimated completion26 June 2018
Sites24 locations across Japan

Drugs / interventions tested

Conditions studied

Sponsor

Celgene — full company profile →

Who can join

20 and older, any sex, with Multiple Myeloma. 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.

Overall Response Rate Primary · From first dose until the data cut-off date of 15 July 2014. Median time on follow-up was 61.6 weeks.

Number of Complete Responses (CR) plus Very Good Partial Response (VGPR) plus Partial Response (PR) based on the International Myeloma Working Group criteria (IMWG). Any participant who achieved a CR, VGPR, or PR while on study treatment was defined as a responder. CR: Negative serum and urine on immunofixation, disappearance of any soft tissue plasmacytomas and ≤ 5% plasma cells in bone marrow; VGPR: Serum and urine M-protein detectable by immunofixation but not on electrophoresis or ≥ 90% reduction in serum M-protein and urine M-protein level \< 100 mg/24 hours; PR: ≥ 50% reduction of serum

GroupValue95% CI
Lenalidomide Plus Dexamethasone87.5
Time to Response Secondary · From the first dose of study drug treatment until the data cut-off date of 15 July 2014. Median follow-up time was 61.6 weeks.

Time to response was calculated for the responders as the time from the first dose date to the initial documented response (CR, VGPR or PR). CR: Negative serum and urine on immunofixation, disappearance of any soft tissue plasmacytomas and ≤ 5% plasma cells in bone marrow; VGPR: Serum and urine M-protein detectable by immunofixation but not on electrophoresis or ≥ 90% reduction in serum M-protein and urine M-protein level \< 100 mg/24 hours; PR: ≥ 50% reduction of serum M-Protein and reduction in urinary M-protein by ≥ 90% or to \< 200 mg/24 hours. If present at baseline a ≥ 50% reduction in

GroupValue95% CI
Lenalidomide Plus Dexamethasone1.970.9 – 13.8
Duration of Response Secondary · From the first dose of study drug treatment until the data cut-off date of 15 July2014. Median follow up time was 61.6 weeks.

Duration of response was calculated for the responders as the time from the initial documented response (CR or VGPR or PR) to the first documented progression or death due to any cause, whichever occurred first. Duration of response for participants last known to be alive with no progression after a CR, VGPR, or PR were censored at the date of last adequate response assessment.

GroupValue95% CI
Lenalidomide Plus DexamethasoneNA10.550 – NA
Progression Free Survival (PFS) Secondary · From the first dose of study drug treatment until the data cut-off date of 15 July 2014. Median follow-up for PFS assessments was 61.6 weeks.

PFS was calculated as the time from the first dose date to the first documented progression based on IWG criteria or death due to any cause, whichever occurred first. If progression or death was not documented at the time of data cutoff date, these observations were censored at the last adequate assessment date showing evidence of no progression or death.

GroupValue95% CI
Lenalidomide Plus DexamethasoneNANA – NA
Overall Survival (OS) Secondary · From the first dose of study drug treatment until the data cut-off date of 15 July 2014. Median follow up is 14.2 months

The time from the start of study treatment to death due to 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.

GroupValue95% CI
Lenalidomide Plus Dexamethasone17.7117.710 – NA
Number of Participants With Adverse Events Secondary · From first dose of study drug treatment through to 28 days after the last dose, until the data cut-off date of 15 July 2014; median treatment duration was 60 weeks

An adverse event is any noxious, unintended, or untoward medical occurrence that may appear or worsen in a participant during the course of a study. A serious AE is any AE occurring at any dose that: • Results in death; • Is life-threatening; • Requires or prolongs existing inpatient hospitalization; • Results in persistent or significant disability/incapacity; • Is a congenital anomaly/birth defect; • Constitutes an important medical event. The Investigator assessed the relationship of each AE to study drug and graded the severity according to the National Cancer Institute (NCI) Common Termin

Any adverse event
GroupValue95% CI
Lenalidomide Plus Dexamethasone26
TEAE related to study drug
GroupValue95% CI
Lenalidomide Plus Dexamethasone25
TEAE related to Lenalidomide
GroupValue95% CI
Lenalidomide Plus Dexamethasone25
TEAE related to Dexamethasone
GroupValue95% CI
Lenalidomide Plus Dexamethasone20
Grade 3-4 adverse event
GroupValue95% CI
Lenalidomide Plus Dexamethasone18
Grade 3-4 adverse event related to any study drug
GroupValue95% CI
Lenalidomide Plus Dexamethasone15
Grade 3-4 adverse event related to Lenalidomide
GroupValue95% CI
Lenalidomide Plus Dexamethasone15
Grade 3-4 adverse event related to Dexamethasone
GroupValue95% CI
Lenalidomide Plus Dexamethasone4

Adverse events — posted to ClinicalTrials.gov

Time frame: From first dose of any study drug, through to 28 days after the last dose of the last study drugs received; until the data cut-off date of 14 July 2014. Maximum time on treatment was 89 weeks.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Lenalidomide Plus Dexamethasone
Serious: 11/26 (42%)
Deaths:

Serious adverse events (12 terms)

ReactionSystemLenalidomide Plus Dexameth…
CARDIAC FAILURE ACUTECardiac disorders
CORONARY ARTERY STENOSISCardiac disorders
PNEUMONIAInfections and infestations
URINARY TRACT INFECTIONInfections and infestations
INTERSTITIAL LUNG DISEASERespiratory, thoracic and mediastinal disorders
PNEUMONIA ASPIRATIONRespiratory, thoracic and mediastinal disorders
THROMBOCYTOPENIABlood and lymphatic system disorders
LOWER GASTROINTESTINAL HAEMORRHAGEGastrointestinal disorders
HEPATIC FUNCTION ABNORMALHepatobiliary disorders
TUMOUR LYSIS SYNDROMEMetabolism and nutrition disorders
PRESYNCOPENervous system disorders
TOXIC SKIN ERUPTIONSkin and subcutaneous tissue disorders
Other adverse events (51 terms — click to expand)

ReactionSystemLenalidomide Plus Dexameth…
RASHSkin and subcutaneous tissue disorders
NASOPHARYNGITISInfections and infestations
CONSTIPATIONGastrointestinal disorders
ANAEMIABlood and lymphatic system disorders
NEUTROPENIABlood and lymphatic system disorders
OEDEMA PERIPHERALGeneral disorders
THROMBOCYTOPENIABlood and lymphatic system disorders
LEUKOPENIABlood and lymphatic system disorders
INSOMNIAPsychiatric disorders
DRY SKINSkin and subcutaneous tissue disorders
MALAISEGeneral disorders
DYSGEUSIANervous system disorders
LYMPHOPENIABlood and lymphatic system disorders
HICCUPSRespiratory, thoracic and mediastinal disorders
RASH MACULO-PAPULARSkin and subcutaneous tissue disorders
STOMATITISGastrointestinal disorders
DENTAL CARIESGastrointestinal disorders
UPPER RESPIRATORY TRACT INFECTIONInfections and infestations
MUSCULAR WEAKNESSMusculoskeletal and connective tissue disorders
BACK PAINMusculoskeletal and connective tissue disorders
DECREASED APPETITEMetabolism and nutrition disorders
HYPOPHOSPHATAEMIAMetabolism and nutrition disorders
HYPERTENSIONVascular disorders
HEPATIC FUNCTION ABNORMALHepatobiliary disorders
HEAD INJURYInjury, poisoning and procedural complications
PRURITUSSkin and subcutaneous tissue disorders
CONTUSIONInjury, poisoning and procedural complications
CATARACTEye disorders
URTICARIASkin and subcutaneous tissue disorders
NAUSEAGastrointestinal disorders
VOMITINGGastrointestinal disorders
FACE OEDEMAGeneral disorders
MUSCLE SPASMSMusculoskeletal and connective tissue disorders
ALANINE AMINOTRANSFERASE INCREASEDInvestigations
ASPARTATE AMINOTRANSFERASE INCREASEDInvestigations
WEIGHT DECREASEDInvestigations
HYPOTENSIONVascular disorders
ERYTHEMASkin and subcutaneous tissue disorders
ABDOMINAL PAIN UPPERGastrointestinal disorders
DIARRHOEAGastrointestinal disorders

Most-reported serious reactions: CARDIAC FAILURE ACUTE, CORONARY ARTERY STENOSIS, PNEUMONIA, URINARY TRACT INFECTION, INTERSTITIAL LUNG DISEASE, PNEUMONIA ASPIRATION, THROMBOCYTOPENIA, LOWER GASTROINTESTINAL HAEMORRHAGE.

Data from ClinicalTrials.gov NCT01698801 adverse events section.

Sponsor's own description

To determine the efficacy of lenalidomide in combination with low-dose dexamethasone in Japanese subjects with previously untreated multiple myeloma.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Lenalidomide and low-dose dexamethasone in Japanese patients with newly diagnosed multiple myeloma: A phase II study.
    Suzuki K, Shinagawa A, Uchida T, Taniwaki M, et al · · 2016 · cited 11× · PMID 26914369 · DOI 10.1111/cas.12916

Verify or expand the search:

Other trials of Lenalidomide

Trials testing the same drug.

Other recruiting trials for Multiple Myeloma

Currently open trials in the same condition.

Other Celgene trials

Trials by the same sponsor.

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