Chronic Lymphocytic Leukemia Clinical Trial
Official title:
Lenalidomide for the Treatment of CLL Patients With High-Risk Disease
This phase II clinical trial is studying how well lenalidomide works in treating patients with high-risk chronic lymphocytic leukemia. Biological therapies, such as lenalidomide, may stimulate the immune system in different ways and stop cancer cells from growing.
PRIMARY OBJECTIVES:
I. To determine the time to progression in patients with high-risk chronic lymphocytic
leukemia (CLL) treated with lenalidomide.
SECONDARY OBJECTIVES:
I. To determine the clinical response (complete and partial response) in treatment-naïve
patients with high-risk CLL treated with single-agent lenalidomide.
II. To determine the incidence of immune-mediated flare reaction. III. To determine the
toxicity profile of single-agent lenalidomide in previously untreated patients with
high-risk CLL.
IV. To conduct correlative studies in bone marrow, peripheral blood, and/or lymph nodes of
patients treated with lenalidomide.
OUTLINE:
Patients receive oral lenalidomide once daily on days 1-21. Treatment repeats every 28 days
for 8 courses in the absence of disease progression or unacceptable toxicity. Patients who
achieve complete response (by morphological criteria but have persistent minimal residual
disease by molecular criteria) or partial response may continue treatment beyond 8 courses.
Patients may undergo bone marrow, peripheral blood, and/or lymph node sample collection at
baseline and periodically during study for correlative studies.
After completion of study therapy, patients are followed up every 3 months for a maximum of
5 years.
;
Allocation: Non-Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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