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NCT02126553

Lenalidomide in Treating Patients With High Risk Acute Myeloid Leukemia in Remission

Completed Phase 2 Results posted Last updated 14 November 2022
What this trial tests

Phase 2 trial testing Laboratory Biomarker Analysis in Alkylating Agent-Related Acute Myeloid Leukemia in 29 participants. Completed in 30 November 2021.

Timeline
13 November 2014
Primary endpoint
30 November 2021
30 November 2021

Quick facts

Lead sponsorM.D. Anderson Cancer Center
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment29
Start date13 November 2014
Primary completion30 November 2021
Estimated completion30 November 2021
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

M.D. Anderson Cancer Center — full company profile →

Who can join

18 and older, any sex, with Alkylating Agent-Related Acute Myeloid Leukemia or Secondary Acute Myeloid Leukemia. 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.

Relapse-free Survival (RFS) Primary · Up to 7 Years

Time from date of treatment start until the date of first objective documentation of disease-relapse.

GroupValue95% CI
Treatment (Lenalidomide)21.50.7 – 54.3
Overall Survival (OS) Secondary · Up to 7 Years

Time from date of treatment start until date of death due to any cause or last Follow-up. Survival will be measured by the estimated median survival computed by Kaplan-Meier (K-M) analysis, which is the time point at which the cumulative survival drops below 50%, if present. If not present then the median Overall Survival is not reached and not available (NA) as there are an insufficient number of participants with events. In either case ranges are provided for observed survival intervals used in the K-M analysis.

GroupValue95% CI
Treatment (Lenalidomide)NA1.3 – 54
Event-free Survival (EFS) Secondary · Up to 7 Years

Time from date of treatment start until the date of first objective documentation of disease-relapse, death or discontinuation due to adverse events.

GroupValue95% CI
Treatment (Lenalidomide)120.5 – 54.3
Complete Response (CR) Duration Secondary · Up to 7 years

Complete Response is defined as disappearance of all clinical and/or radiologic evidence of disease, including extramedullary leukemia. Neutrophil count \>/= 1.0 x 10\^9/L and platelet count\>/= 100 x 10\^9, and bone marrow differential showing \</=5%blasts. Response date to loss of response or last follow up. Remission duration will be measured by the estimated median remission duration computed by Kaplan-Meier (K-M) analysis, which is the time point at which the cumulative remission duration drops below 50%, if present. If not present then median remission duration is not reached and not ava

GroupValue95% CI
Treatment (Lenalidomide)NA0.7 – 54.3

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to 7 years. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Treatment (Lenalidomide)
Serious: 7/29 (24%)
Deaths: 0/29

Serious adverse events (9 terms)

ReactionSystemTreatment (Lenalidomide)
Cellulitis HandInfections and infestations
elevated transaminasesMetabolism and nutrition disorders
Chest PainGeneral disorders
Cellulitis FootInfections and infestations
BronchopneumoniaInfections and infestations
DysarthriaNervous system disorders
Atrial FibrillationCardiac disorders
Pleural EffusionRespiratory, thoracic and mediastinal disorders
PneumoniaInfections and infestations
Other adverse events (29 terms — click to expand)

ReactionSystemTreatment (Lenalidomide)
Rash/desquamationSkin and subcutaneous tissue disorders
Fatigue (asthenia, lethargy, malaise)General disorders
DiarrheaGastrointestinal disorders
Heartburn/dyspepsiaGastrointestinal disorders
Neutrophils/granulocytes (ANC/AGC)Blood and lymphatic system disorders
Platelets ThrombocytopeniaBlood and lymphatic system disorders
Pruritus/itchingSkin and subcutaneous tissue disorders
Dry skinSkin and subcutaneous tissue disorders
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
ALT, SGPT (serum glutamic pyruvic transaminase)Metabolism and nutrition disorders
Dry eye syndromeEye disorders
Dry mouth/salivary gland (xerostomia)Gastrointestinal disorders
HeadacheGeneral disorders
AnorexiaGastrointestinal disorders
AST, SGOT (serum glutamic oxaloacetic transaminase)Metabolism and nutrition disorders
Bilirubin (hyperbilirubinemia)Metabolism and nutrition disorders
Itchy ScalpSkin and subcutaneous tissue disorders
DizzinessNervous system disorders
Dyspnea (shortness of breath)Respiratory, thoracic and mediastinal disorders
Edema: limbBlood and lymphatic system disorders
Infection (documented clinically or microbiologically) with Grade 3 or 4 neutrophils (ANC <1.0 x 10^Infections and infestations
Foot CrampsMusculoskeletal and connective tissue disorders
Myalgia Back and NeckMusculoskeletal and connective tissue disorders
Myositis (inflammation/damage of muscle)Musculoskeletal and connective tissue disorders
Neuropathy: motorNervous system disorders
back painGeneral disorders
Taste alteration (dysgeusia)Gastrointestinal disorders
Vision-photophobiaEye disorders

Most-reported serious reactions: Cellulitis Hand, elevated transaminases, Chest Pain, Cellulitis Foot, Bronchopneumonia, Dysarthria, Atrial Fibrillation, Pleural Effusion.

Data from ClinicalTrials.gov NCT02126553 adverse events section.

Sponsor's own description

This phase II trial studies how well lenalidomide works in treating patients with acute myeloid leukemia that have had a decrease in or disappearance of signs and symptoms of cancer, although cancer still may be in the body and may be likely to come back or spread. Biological therapies, such as lenalidomide, use substances made from living organisms that may kill cancer cells by blocking blood flow to the cancer and by stimulating white blood cells to kill the cancer cells.

Publications & conference data

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

  1. Prognostic and therapeutic implications of measurable residual disease in acute myeloid leukemia.
    Aitken MJL, Ravandi F, Patel KP, Short NJ. · · 2021 · cited 40× · PMID 34479626 · DOI 10.1186/s13045-021-01148-5
  2. Maintenance therapy in acute myeloid leukemia: an evidence-based review of randomized trials.
    Rashidi A, Walter RB, Tallman MS, Appelbaum FR, et al · · 2016 · cited 38× · PMID 27354720 · DOI 10.1182/blood-2016-03-674127
  3. Phase 2 study of lenalidomide maintenance for patients with high-risk acute myeloid leukemia in remission.
    Abou Dalle I, Kantarjian HM, Ravandi F, Daver N, et al · · 2021 · cited 9× · PMID 33449377 · DOI 10.1002/cncr.33409
  4. Future prospects of therapeutic clinical trials in acute myeloid leukemia.
    Khan M, Mansoor AE, Kadia TM. · · 2017 · cited 7× · PMID 27771959 · DOI 10.2217/fon-2016-0262

Verify or expand the search:

Other trials of Laboratory Biomarker Analysis

Trials testing the same drug.

Other recruiting trials for Alkylating Agent-Related Acute Myeloid Leukemia

Currently open trials in the same condition.

Other M.D. Anderson Cancer Center trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02126553.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing