At a glance
ClinicalIndex Comparison Record- ✓Low or intermediate-1 risk MDS by IPSS with del(5q) cytogenetic abnormality (deletion between bands q31 and q33)
- ✓Red blood cell transfusion-dependent anemia requiring ≥2 units of RBCs within 8 weeks prior to enrollment
- ✓Age ≥18 years
- ✓ECOG performance status 0, 1, or 2
- ✕Prior lenalidomide therapy
- ✕Prior ≥grade 3 allergic reaction or hypersensitivity to thalidomide
- ✕Prior ≥grade 3 rash or any desquamation/blistering while taking thalidomide
- ✕Clinically significant anemia from iron, B12, folate deficiency, autoimmune/hereditary hemolysis, or GI bleeding
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
A Multicenter, Single-arm, Open-label Study of the Efficacy and Safety of Lenalidomide Monotherapy in Red Blood Cell Transfusion-dependent Subjects With Myelodysplastic Syndromes Associated With a Del(5q) Cytogenetic Abnormality.
In Brief
A Phase 2 clinical trial evaluating lenalidomide for Myelodysplastic Syndromes. Completed, enrolled 148 participants across 32 sites in 2 countries.
Detailed Summary
This study is a multicenter, single-arm, open-label study of oral lenalidomide monotherapy administered to red blood cell (RBC) transfusion-dependent subjects with low- or intermediate-1-risk Myelodysplastic Syndromes (MDS) associated with a del (5q31-33) cytogenetic abnormality. Screening procedures will take place within 28 days of the first day of lenalidomide treatment. Subjects will receive lenalidomide in 28-day cycles for up to 6 cycles, or until bone marrow disease progression or progression/relapse following erythroid hematologic improvement is documented. Study visits will occur every cycle (every 28 days) and laboratory monitoring to assess hematological parameters will occur every 14 days. Safety and efficacy assessments to be performed during the study are outlined in the Schedule of Study Assessments.
Study Details
Timeline
Interventions
10 mg orally once daily for 21 days out of a 28-day cycle (syncopated); subsequently amended (Amendment 1, dated 27 August 2003) to employ a continuous dosage regimen in which 10 mg was taken once daily for 28 day cycles (continuous). Subjects who initially began a syncopated regimen and who did not experience a dose-limiting adverse event were allowed to switch to the continuous regimen.