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Trial · NCT00875667

A Study to Determine the Efficacy of Lenalidomide Versus Investigator's Choice in Patients With Relapsed or Refractory Mantle Cell Lymphoma (MCL)

NCT00875667, Phase 2, Completed, Celgene; results first posted 2019-09-16

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ConductScience Library. A Study to Determine the Efficacy of Lenalidomide Versus Investigator's Choice in Patients With Relapsed or Refractory Mantle Cell Lymphoma (MCL). Trials, record NCT00875667. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00875667

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Study to Determine the Efficacy of Lenalidomide Versus Investigator's Choice in Patients With Relapsed or Refractory Mantle Cell Lymphoma (MCL)
NCT number
NCT00875667
Status
Completed
Phases
Phase 2
Enrollment
254 participants, actual
Lead sponsor
Celgene
Conditions
Mantle Cell Lymphoma, Lymphoma, Mantle-Cell
Interventions
Lenalidomide, Investigators choice single agent
First posted
2009-04-03
Last updated
2019-09-16
Results first posted
2019-09-16

Source ClinicalTrials.gov

Registered outcomes47

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryKaplan Meier Estimate for Progression Free Survival (PFS) by Independent Review Committee (IRC) Central ReviewFrom randomization to progression of disease or death; up to data cut off date of 07 March 2014; overall median follow-up time was 93.9 weeks
PFS was defined as time of randomization to the first observation of disease progression or death due to any cause, whichever was first. If a participant had not progressed or died, PFS was censored at the time of last 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 tumor assessment with no evidence of progression prior to the start of new anti-lymphoma treatment.
PrimaryKaplan Meier Estimate for Progression Free Survival by Investigator's Assessment at the Final AnalysisFrom randomization to progression of disease or death; up to study discontinuation of 09 October 2018; overall median follow-up time was 285 weeks
Kaplan Meier estimates of PFS were defined as the time from randomization to the first observation of disease progression or death due to any cause, whichever was first. If a participant had not progressed or died, PFS was censored at the time of last completed 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 tumor assessment with no evidence of progression prior to the start of new anti-lymphoma treatment.
SecondaryPercentage of Participants Who Achieved an Overall Response According to the IRC Central ReviewFrom date of randomization to the data cut-off date of 07 March 2014; median treatment duration was 24.3 weeks for the lenalidomide arm and 13.1 weeks for the investigators choice arm
Overall Response Rate (ORR) was defined as the percentage of participants whose best response was Complete Response (CR), Complete Response unconfirmed (CRu) or Partial Response (PR). Participants who discontinued before any response had 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.
SecondaryPercentage of Participants Who Achieved an Overall Response as Assessed by the Investigator at the Final AnalysisFrom date of randomization to the study discontinuation date of 09 October 2018; median treatment duration was 24.3 weeks for lenalidomide and 13.1 weeks for the investigator choice arm
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.
SecondaryKaplan Meier Estimate for Duration of Response (DOR) According to the IRC Central ReviewFrom date of randomization to the data cut-off date of 07 March 2014; median study duration was 70.7 weeks for the lenalidomide arm and 69.3 weeks for the investigators choice arm
Duration of response was defined as the time from when the first response of CR, CRu, or PR was first achieved until documented tumor progression, or until the participant died from any cause, whichever occurred first. Participants who did not progress or die at the time of analysis were censored at the last assessment date that the participant was known to be progression-free. Participants who received a new treatment without documented progression were censored at the last assessment date that the participant was known to be progression-free.
SecondaryKaplan Meier Estimate for Duration of Response as Assessed by the Investigator at the Final AnalysisFrom date of randomization to the study discontinuation date of 09 October 2018; median study duration was 103.9 weeks for lenalidomide and 87.0 weeks for the investigator choice arm
Duration of response was defined as the time from when the first response of CR, CRu, or PR was first achieved until documented tumor progression, or until the participant died from any cause, whichever occurred first. Participants who did not progress or die at the time of analysis were censored at the last assessment date that the participant was known to be progression-free. Participants who received a new treatment without documented progression were censored at the last assessment date that the participant was known to be progression-free.
SecondaryPercentage of Participants With a Complete Response, Unconfirmed Complete Response, Partial Response and Stable Disease According to the IRC Central ReviewFrom date of randomization to the data cut-off date of 07 March 2014; median treatment duration was 24.3 weeks for the lenalidomide arm and 13.1 weeks for the investigators choice arm
Tumor control rate was defined as the percentage of participants with a complete response (CR), unconfirmed complete response (CRu), partial response (PR) and stable disease (SD). 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. Stable disease (SD) is defined as less than a PR (see above) but is not progressive disease or relapsed disease.
SecondaryPercentage of Participants With a Complete Response, Unconfirmed Complete Response, Partial Response and Stable Disease at the Final AnalysisFrom date of randomization to the discontinuation date of 09 October 2018; median treatment duration was 24.3 weeks for the lenalidomide arm and 13.1 weeks for the investigators choice arm
Tumor control rate was defined as the percentage of participants with a complete response (CR), unconfirmed complete response (CRu), partial response (PR) and stable disease (SD). 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. Stable disease (SD) is defined as less than a PR (see above) but is not progressive disease or relapsed disease.
SecondaryKaplan Meier Estimate of Time to Progression According to the IRC Central ReviewFrom date of randomization to the data cut-off date of 07 March 2014; median study duration was 70.7 weeks for the lenalidomide arm and 69.3 weeks for the investigators choice arm
Time to progression (TTP) was defined as the time from randomization until objective tumor progression. Time to progression did not include deaths. Participants without progression at the time of analysis were censored at the last assessment date that the participant was known to be progression-free. Participants who received a new anti-lymphoma treatment without documented progression were censored at the last assessment date that the participant was known to be progression-free.
SecondaryKaplan Meier Estimate of Time to Progression as Assessed by the Investigator at the Final AnalysisFrom date of randomization to the study discontinuation date of 09 October 2018; median study duration was 103.9 weeks for lenalidomide and 87.0 weeks for the investigator choice arm
Time to progression (TTP) was defined as the time from randomization until objective tumor progression. Time to progression did not include deaths. Participants without progression at the time of analysis were censored at the last assessment date that the participant was known to be progression-free. Participants who received a new anti-lymphoma treatment without documented progression were censored at the last assessment date that the participant was known to be progression-free.

Outcomes47

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYKaplan Meier Estimate for Progression Free Survival (PFS) by Independent Review Committee (IRC) Central ReviewFrom randomization to progression of disease or death; up to data cut off date of 07 March 2014; overall median follow-up time was 93.9 weeksITT population included all randomized participants.weeksMEDIAN
PRIMARYKaplan Meier Estimate for Progression Free Survival by Investigator's Assessment at the Final AnalysisFrom randomization to progression of disease or death; up to study discontinuation of 09 October 2018; overall median follow-up time was 285 weeksITT population included all randomized participants.weeksMEDIAN
SECONDARYPercentage of Participants Who Achieved an Overall Response According to the IRC Central ReviewFrom date of randomization to the data cut-off date of 07 March 2014; median treatment duration was 24.3 weeks for the lenalidomide arm and 13.1 weeks for the investigators choice armITT population included all randomized participants.Percentage of ParticipantsNUMBER
SECONDARYPercentage of Participants Who Achieved an Overall Response as Assessed by the Investigator at the Final AnalysisFrom date of randomization to the study discontinuation date of 09 October 2018; median treatment duration was 24.3 weeks for lenalidomide and 13.1 weeks for the investigator choice armITT population included all randomized participants.Percentage of ParticipantsNUMBER
SECONDARYKaplan Meier Estimate for Duration of Response (DOR) According to the IRC Central ReviewFrom date of randomization to the data cut-off date of 07 March 2014; median study duration was 70.7 weeks for the lenalidomide arm and 69.3 weeks for the investigators choice armThe analysis population included participants with an overall response.WeeksMEDIAN
SECONDARYKaplan Meier Estimate for Duration of Response as Assessed by the Investigator at the Final AnalysisFrom date of randomization to the study discontinuation date of 09 October 2018; median study duration was 103.9 weeks for lenalidomide and 87.0 weeks for the investigator choice armThe analysis population included participants with an overall response.WeeksMEDIAN
SECONDARYPercentage of Participants With a Complete Response, Unconfirmed Complete Response, Partial Response and Stable Disease According to the IRC Central ReviewFrom date of randomization to the data cut-off date of 07 March 2014; median treatment duration was 24.3 weeks for the lenalidomide arm and 13.1 weeks for the investigators choice armITT population includes all randomized participants.Percentage of ParticipantsNUMBER
SECONDARYPercentage of Participants With a Complete Response, Unconfirmed Complete Response, Partial Response and Stable Disease at the Final AnalysisFrom date of randomization to the discontinuation date of 09 October 2018; median treatment duration was 24.3 weeks for the lenalidomide arm and 13.1 weeks for the investigators choice armITT population includes all randomized participants.Percentage of participantsNUMBER
SECONDARYKaplan Meier Estimate of Time to Progression According to the IRC Central ReviewFrom date of randomization to the data cut-off date of 07 March 2014; median study duration was 70.7 weeks for the lenalidomide arm and 69.3 weeks for the investigators choice armITT population includes all randomized participants.WeeksMEDIAN
SECONDARYKaplan Meier Estimate of Time to Progression as Assessed by the Investigator at the Final AnalysisFrom date of randomization to the study discontinuation date of 09 October 2018; median study duration was 103.9 weeks for lenalidomide and 87.0 weeks for the investigator choice armITT population includes all randomized participants.WeeksMEDIAN

Results by group278

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Kaplan Meier Estimate for Progression Free Survival (PFS) by Independent Review Committee (IRC) Central ReviewLenalidomide37.695% Confidence Interval 24.0 to 52.6weeks
Kaplan Meier Estimate for Progression Free Survival (PFS) by Independent Review Committee (IRC) Central ReviewInvestigators Choice22.795% Confidence Interval 15.9 to 30.1weeks
Kaplan Meier Estimate for Progression Free Survival by Investigator's Assessment at the Final AnalysisLenalidomide37.395% Confidence Interval 24.1 to 52.6weeks
Kaplan Meier Estimate for Progression Free Survival by Investigator's Assessment at the Final AnalysisInvestigators Choice23.695% Confidence Interval 15.9 to 33.3weeks
Percentage of Participants Who Achieved an Overall Response According to the IRC Central ReviewLenalidomide40.095% Confidence Interval 32.58 to 47.78Percentage of Participants
Percentage of Participants Who Achieved an Overall Response According to the IRC Central ReviewInvestigators Choice10.795% Confidence Interval 5.02 to 19.37Percentage of Participants
Percentage of Participants Who Achieved an Overall Response as Assessed by the Investigator at the Final AnalysisLenalidomide45.995% Confidence Interval 38.23 to 53.68Percentage of Participants
Percentage of Participants Who Achieved an Overall Response as Assessed by the Investigator at the Final AnalysisInvestigators Choice22.695% Confidence Interval 14.20 to 33.05Percentage of Participants
Kaplan Meier Estimate for Duration of Response (DOR) According to the IRC Central ReviewLenalidomide69.695% Confidence Interval 41.1 to 86.7Weeks
Kaplan Meier Estimate for Duration of Response (DOR) According to the IRC Central ReviewInvestigators Choice45.195% Confidence Interval 36.3 to 80.9Weeks

Participant flow10

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDLenalidomide170
Overall StudySTARTEDInvestigators Choice84
Overall StudyCrossover From IC to LenalidomideLenalidomide0
Overall StudyCrossover From IC to LenalidomideInvestigators Choice40
Overall StudyParticipants TreatedLenalidomide167
Overall StudyParticipants TreatedInvestigators Choice83
Overall StudyCOMPLETEDLenalidomide0
Overall StudyCOMPLETEDInvestigators Choice11
Overall StudyNOT COMPLETEDLenalidomide170
Overall StudyNOT COMPLETEDInvestigators Choice73

Adverse events318

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherANAEMIABlood and lymphatic system disordersLenalidomide45167
otherANAEMIABlood and lymphatic system disordersInvestigator's Choice1883
otherLEUKOPENIABlood and lymphatic system disordersLenalidomide29167
otherLEUKOPENIABlood and lymphatic system disordersInvestigator's Choice1883
otherLYMPHOPENIABlood and lymphatic system disordersLenalidomide8167
otherLYMPHOPENIABlood and lymphatic system disordersInvestigator's Choice683
otherNEUTROPENIABlood and lymphatic system disordersLenalidomide86167
otherNEUTROPENIABlood and lymphatic system disordersInvestigator's Choice2983
otherTHROMBOCYTOPENIABlood and lymphatic system disordersLenalidomide63167
otherTHROMBOCYTOPENIABlood and lymphatic system disordersInvestigator's Choice3383

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityLenalidomide119167
Total, all-cause mortalityInvestigator's Choice5983
Total, other adverse eventsLenalidomide146167
Total, other adverse eventsInvestigator's Choice6183
Total, serious adverse eventsLenalidomide75167
Total, serious adverse eventsInvestigator's Choice2283

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
26899778BACKGROUNDPubMed
28771673DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Lenalidomide vs Investigator's Choice: deaths from any causeTrial comparisons
Lenalidomide vs Investigator's Choice: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00875667

GET https://conductscience.org/api/trials/v1/NCT00875667/registered?page=2