LymphomaPhase 3REMARCNCT01122472
Study of Lenalidomide Maintenance Versus Placebo in Responding Elderly Patients With DLBCL and Treated With R-CHOP
A Phase 3 study testing Lenalidomide in people with Lymphoma and Diffuse Large B-cell Lymphoma, run by The Lymphoma Academic Research Organisation at 157 sites in 9 countries.
Trial summary
This study is designed as a phase III, randomized, double-blind, placebo-controlled trial to explore the effect of maintenance therapy with lenalidomide versus placebo on progression-free survival (PFS) in patients treated with R-CHOP responding to induction therapy For the primary efficacy variable, PFS, an… Read more about this study
- Who is it for?
- Ages 60 to 80 years
- Conditions the study is for
- Lymphoma, Diffuse Large B-cell Lymphoma
- What is being tested?
- Lenalidomide
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 650 participants
- Where
- 157 sitesin 9 countries
- Study dates
- Apr 2009to Sep 2019
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 60 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- For patients registered at the time of initial diagnosis
- Patient with histologically proven CD20+ diffuse large B cel LYMPHOMA (DLBCL) 5WHO classification 2008) including clinical subtypes (primitive mediastinal, intravascular, etc.). Patients with De Novo Transformed DLBCL from low grade lymphoma (Follicular, other..) may also be included. Patients with DLBCL associated with some small cell infiltration in bone marrow may also be included Or CD20+ B-cell lymphoma with intermediate features between DLBCL and Burkitt or with intermediate features between DLBCL and classical Hodgkin lymphoma Or CD20+ Follicular lymphoma grade 3B Or CD20+ Aggressive B-cell lymphoma unclassifiable
- previous untreated with chemo- or radiotherapy
- For patients registered after response evaluation to first line treatment with R-CHOP:
- Patient with histologically proven CD20+ diffuse large B cell LYMPHOMA (DLBCL) 5WHO classification 2008) including clinical subtypes (primitive mediastinal, intravascular, etc.). Patients with De Novo Transformed DLBCL from low grade lymphoma (Follicular, other..) may also be included. Patients with DLBCL associated with some small cell infiltration in bone marrow may also be included Or CD20+ B-cell lymphoma with intermediate features between DLBCL and Burkitt or with intermediate features between DLBCL and classical Hodgkin lymphoma Or CD20+ Follicular lymphoma grade 3B Or CD20+ Aggressive B-cell lymphoma unclassifiable
- Have reached a CR or PR after first line treatment with at least 6 cycles of R-CHOP 14 regimens and up to 8 cycles of R-CHOP21
Show all 19Show fewer
- Previously untreated with Radiotherapy
- For all patients:
- aged from 60 to 80 years at time of registration
- Ann Arbor stages II-IV at time of initial diagnosis
- aaIPI> 1 at time of initial diagnosis
- ECOG performance status 0-2
- Minimum life expectancy of 3 months
- Following laboratory values at screening:
- ANC≥ 1000.10^6/L and Platelets≥60000.10^6/L
- AST<5*ULN, ALT<5*ULN, Total Bilirubin<1,5*ULN
- Creatinine clearance>30mL/min
- Women are are using effective contraception, are not pregnant and agree not to become pregnant during participation in the trial and after end of study. Men agree not to father a child during participation in the trial and during the 12 months thereafter.
- Having previously signed a written informed consent form
Who cannot join
- Any other histological type of Lymphoma, Burkitt included.
- Any history of treated or non treated small B-cell lymphoma
- Central nervous system or meningeal involvement by lymphoma
- Contraindication to any drug contained in the chemotherapy regimen Myocardial infarction during last 3 months or unstable coronary disease or uncontrolled chronic symptomatic congestive heart insufficiency NYHA III-IV
- Uncontrolled hypertension
- Uncontrolled diabetes mellitus as defined by the investigator
Show all 11Show fewer
- Active systemic infection requiring treatment
- previously known HIV positive serology
- Active hepatitis B or C
- Prior history of malignancies other than lymphoma within 3 years
- Serious medical or psychiatric illness
Trial locations and contacts
157 sites in 9 countries.
157 sites in 9 countries
France73 sites
CHR de la Région d'Annecy
Annecy, 74011
CH Antibes-Juan les Pins
Antibes, 06606
CH d'Arras
Arras, 62022
Hopital Henri DUFFAUT
Avignon, 84902
Hopital de BAYONNE
Bayonne, 64100
CHG Mail Pierre Charlot
Blois, 41016
Hôpital d'Avicenne
Bobigny, 93009
Hopital Jean VERDIER
Bondy, 93143
Polyclinique Bordeaux Nord Aquitaine
Bordeaux, 33300
Hopital DUCHENNE
Boulogne-sur-Mer, 62200
CH de Bourg-en-Bresse
Bourg-en-Bresse, 01012
Centre Hospitalier de Brive
Brive-la-Gaillarde, 19100
Centre François Baclesse
Caen, 14026
CHU Clémenceau- Côte de Nacre
Caen, 14033
CH de Cannes
Cannes, 06400
Hôpital de Châlon
Chalon-sur-Saône, 711100
Centre Hospitalier
Chambéry, 73011
CH Chartres
Chartres, 28018 BP407
Hopital Antoine Béclère
Clamart, 92140
Hôpital des instructions des Armées PERCY
Clamart, 92140
Hopital Louis Pasteur
Colmar, 68024
CH de Compiègne
Compiègne, 60321
Hopital Sud Francilien
Corbeil-Essonnes, 91108
CH Henri Mondor
Créteil, 94010
CHU le Bocage
Dijon, 21034
CH de Dunkerque
Dunkirk, 59385
CHI Evreux
Évreux, 27000
CHI Fréjus Saint Raphaêl
Fréjus, 83608
Institut Daniel Hollard
Grenoble, 38028
Centre Hospitalier de Guéret
Guéret, 23000
CHG La Rochelle
La Rochelle, 17019
Hopital André Mignot
Le Chesnay, 78150
Hopital Bicêtre
Le Kremlin-Bicêtre, 94275
Clinique Victor Hugo - Centre Jean Bernard
Le Mans, 72015
CHU de Lens
Lens, 62307
Hôpital Saint Vincent de Paul
Lille, 59020
CHRU de Lille
Lille, 59037
Hopital DUPUYTREN
Limoges, 87042
Clinique de la Sauvegarde
Lyon, 69337
Centre Léon Bérard
Lyon, 69373
CH les CHANAUX
Mâcon, 71018
Institut Paoli Calmettes
Marseille, 13273
Hopital Nord
Marseille, 13915
CHG Meaux
Meaux, 77100
CH Marc JACQUET
Melun, 77011
Hopital Notre Dame de Bon Secours
Metz, 57038
CRLC Val d'Aurelle
Montpellier, 34298
Centre Azuréen de Cancérologie
Mougins, 062250
Hopital Emile Muller- CHU Mulhouse
Mulhouse, 68070
Hôpital Américain de Paris
Neuilly-sur-Seine, 92202
Centre Antoine Lacassagne
Nice, 06189
CHU de Nice
Nice, 06202
Hopital Saint Antoine
Paris, 75012
Hôtel Dieu
Paris, 75181
Institut Curie
Paris, 75248
Hopital St-Louis
Paris, 75475
Hopital de la Pitié Salpetrière
Paris, 75651
Hopital NECKER
Paris, 75743
CH de Perpignan
Perpignan, 66046
Centre Hospitalier Lyon Sud
Pierre-Bénite, 64495
CH René DUBOS
Pontoise, 95303
Hopital Robert DEBRE
Reims, 51092
Centre Henri BECQUEREL
Rouen, 76038
Clinique Mathilde
Rouen, 76175
Centre René Huguenin
Saint-Cloud, 92211
CHG Saint Germain
Saint-Germain-en-Laye, 78105
CHI Toulon La Seyne-sur-mer
Toulon, 83056
CHU Purpan Pav. Dieulafoy
Toulouse, 31059
Hopital de Troyes
Troyes, 10000
CH Valence
Valence, 26953
CH de Valenciennes
Valenciennes, 59322
CHU Nancy Brabois
Vandœuvre-lès-Nancy, 54511
Institut Gustave ROUSSY
Villejuif, 94805
Belgium26 sites
ZNA Middelheim
Antwerp, 2020
ZNA Stuivenberg
Antwerp, 2060
Hopital Saint Joseph
Arlon, 6700
A.Z. Sint Jan AV
Bruges, 8000
CHU Brugmann
Brussels, 1020
Institut Jules BORDET
Brussels
Universite Catholique de Louvain Saint Luc
Brussels
CH Notre Dame
Charleroi, 6000
CHU Charleroi-Vesale
Charleroi, B-6000
Centre de Sante des Fagnes
Chimay, 6460
Universitair Ziekenhuis Gent
Ghent, 9000
Clinique Notre Dame de Grace
Gosselies, 6041
Hopital Jolimont
Haine-Saint-Paul, 7100
CH Hutois
Huy, 4500
AZ VUB
Jette, 1090
AZ Groeninge - Campus Maria s Voorzienigheid
Kortrijk, 8500
CHR de la Citadelle
Liège, 4000
CHU de Liege
Liège, 4000
CHU Ambroise Pare
Mons, 7000
Clinique Saint Joseph
Mons, 7000
Hopital Sainte Elisabeth
Namur, 5000
Clinique Saint Pierre
Ottignies, 1340
Heilig Hart Ziekenhuis
Roeselare, 8800
CH de la Tourelle-Peltzer
Verviers, 4800
A.Z. Sint-Augustinus
Wilrijk, 2610
Universite Catholique de Louvain Mont Godinne
Yvoir, 5530
Spain16 sites
Complejo Hospitalario Universitario de A Coruna
A Coruña, 15006
Hospital Universitario Fundacion Alcorcon
Alcorcón, 28922
Hospital Clinic Barcelona
Barcelona, 08036
Hospital de la Santa Creu i Sant Pau
Barcelona, 08041
Hopital Universitario Virgen de la Arrixaca
El Palmar, 30120
Hopital de Jerez (S.A.S)
Jerez de la Frontera, 11407
Hospital de Leon
León, 24080
Hospital 12 de Octubre
Madrid, 28003
Hospital Général Universitario Gregorio Maranon
Madrid, 28007
Hospital Universitario - La Paz
Madrid, 28046
Hospital Morales Meseguer
Murcia, 30008
Hospital Central Asturias
Oviedo, 33006
Hospital Clinico Salamanca
Salamanca, 37007
Universitario Marques de Valdecilla
Santander, 39008
Hospital Joan XXIII
Tarragona, 43007
Hospital Mutua de Terrassa
Terrassa, 08221
Australia15 sites
Bendigo Hospital
Bendigo, 3550
Concord Repatriation General Hospital
Concord, 2139
Flinders Medical Centre - Repatriation General Hospital
Daw Park, 5000
St Vincent's Hospital, Melbourne
Fitzroy, 3065
Frankston Hospital Monash Medical Centre
Frankston, 3199
Fremantle Hospital
Fremantle, 6160
Canberra Hospital
Garran, 2606
Austin Hospital
Heidelberg, 69126
Royal Hobart Hospital
Hobart, 7000
Mater Misericordiae Hospital - Calvary Mater NewCastle
Hunter, 2310
St George Hospital
Kogarah, 2217
Sir Charles Gardiner Hospital
Nedlands, 6009
Gold Coast Hospital
Southport, 4215
Albury Base Hospital/Murray Valley Private Hospital
Wodonga, 3690
Queen Elizabeth Hospital
Woodville, 5011
Austria10 sites
LKH Feldkirch
Feldkirch, 6807
Medizinische Universität Innsbruck für Innere Medizin
Innsbruck, 6020
LKH Leoben-Eisenerz Department für Hämato-Onkologie
Leoben, 8700
Krankenhaus Barmherzigen Schwestern Linz - Abteilung für Inner
Linz, 4010
Krankenhaus der Elisabethinen Linz GmbH
Linz, 4010
AKh Linz - Innere Medizin 3 - Zentrum für Hämatologie un
Linz, 4021
Universitätklinik der PMU Salzburg - Für Innere Medizin III
Salzburg, 5020
Landeskrankenhaus Steyr - Innere Medizin II
Steyr, 4400
Uniersitätsklinik f. Innere Medizin I
Vienna, A-1090 VIE
Klinikum Wels-Grieskirchen GmbH
Wels, 4600
Israel7 sites
Haemek Medical Center
Afula, 18101
Barzilai Medical Center
Ashkelon, 78278
Soroka
Beersheba, 84101
Bnai-Zion medical center
Haifa, 31048
Meir Medical Center
Kfar Saba, 44281
Rabin Medical Center - Beilinson Hospital
Petah Tikva, 49100
Kaplan Medical Center
Rehovot, 76100
Poland5 sites
SPZOZ Zespol Szpitali Miejskich w Chorzowie
Chorzów, 41500
Klinika Hematologii Collegium Medicum UJ
Krakow, 31501
Oddzial Chorob Rozrostowych Regionalny Osrodek Onkologiczny
Lodz, 93509
Medical University of Warsaw
Warsaw, 02776
Klinika Nowotworow Ukladu Chlonnego- Centrum Onkologii
Warsaw, 02781
Portugal4 sites
Hospitais da Universidade de Coimbra
Coimbra, 3000 - 075
Instituto Português de Oncologia de Lisboa de Francisco Gentil
Lisbon, 1099 - 023
Hospital de Santa Maria
Lisbon, 1649 - 035
IPO - Francisco Gentil - Porto
Porto, 4200
Switzerland1 site
Centre Hospitalier Universitaire Vaudois
Lausanne, CH-1011
About this study
Official title: Double Blind Randomized Phase III Study of Lenalidomide Maintenance Versus Placebo in Responding Elderly Patients With DLBCL and Treated With R-CHOP in First Line
This study is designed as a phase III, randomized, double-blind, placebo-controlled trial to explore the effect of maintenance therapy with lenalidomide versus placebo on progression-free survival (PFS) in patients treated with R-CHOP responding to induction therapy
For the primary efficacy variable, PFS, an improvement in median PFS from 38.6 months for Treatment Arm B to 54 months for Treatment Arm A (corresponding to a 2-year PFS of 65% vs 73.6%), is considered clinically relevant.
Read the detailed description
Patients should have received at least 6 and up to 8 cycles of the R-CHOP 14 or R-CHOP 21 regimen or 6 R-CHOP-14 or -21 completed by 2 Rituximab alone in accordance to local preferences.
Patients can be registered to participate in the study at two time points:
- At time of initial diagnosis and study enrolment (signature of informed consent) before the first cycle of treatment with R-CHOP.
- At randomization (signature of informed consent) after treatment in first line with R-CHOP and have reached at least PR or CR.
Evaluation of the response to R-CHOP must be in accordance with Revised Response Criteria for Malignant Lymphoma(2007).
Stratification: Before randomization, the patients will be stratified according to the country and the response to R-CHOP (PR vs CR).
Randomization: Patients in CR/PR after R-CHOP will be randomized to maintenance therapy with lenalidomide or placebo.
- Conditions
- Lymphoma, Diffuse Large B-cell Lymphoma
- Being tested
- Lenalidomide, Placebo
- Keywords
- lenalidomide (Revlimid), diffuse large B-cell lymphoma, phase III study, after R-CHOP, Maintenance treatment, Maintenance
- Medical subject headings
- Lymphoma, Lymphoma, Large B-Cell, Diffuse
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
LenalidomideDrug
Also called Revlimid
Daily for 3 weeks every 4 weeks for 24 months
PlaceboDrug
Daily for 3 weeks every 4 weeks for 24 months
| Study group | Role | What they receive |
|---|---|---|
| Lenalidomide | Experimental | Lenalidomide daily for 3 weeks every 4 weeks for 24 months Receives: Drug: Lenalidomide |
| Placebo | Placebo comparator | Placebo daily for 3 weeks every 4 weeks for 24 months Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-Free-Survival (PFS)
PFS will be measured from the date of randomization to the date of first documented disease progression or death. Progression data will be assigned to the earliest time when any progression is observed without prior missing assessments during the study up to the end of the follow up phase.
Measured: Final PFS analysis will be realized when the number of events (160) has been reached or at the latest when the last patient into the study will finish follow up. The approximate schedule will be 75 months after the first patient randomized.
Secondary outcomes (6)
Overall survival (OS)
From the date of randomization to the date of death from any cause Interim analysis of OS will be performed at the time of the PFS final analysis; it is projected to have 97 deaths at this time. Final analysis of OS at the end of the study, defined by the last visit of follow-up for the last patient randomized, 5 years after its randomization
Measured: 5 years
Event-Free Survival (EFS)
From the date of randomization to the date of first documented disease progression, relapse, initiation of new anti-lymphoma therapy or death from any cause Interim analysis of EFS will be performed at the time of the PFS final analysis. Final analysis of OS at the end of the study, defined by the last visit of follow-up for the last patient randomized, 5 years after its randomization
Measured: 5 years
Response rate at the end of maintenance treatment
Measured: 24 months
Percentage of patients who convert from PR (partial response) to CR (complete response)
Measured: 24 months
Safety of lenalidomide in maintenance
Toxicities occured during maintenance phase will be measured and reported from grade 2 for infection and neurological toxicities and from grade 3 for other toxicities according to CTCAE v3
Measured: 5 years
PFS2
From randomization to objective tumor progression on next-line treatment or death from any cause
Measured: 5 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 May 2010 (estimated)
- Study startApr 2009
- Primary completionJun 2016
- Study completionSep 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for LymphomaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 650 participants (actual)
Sponsor and investigators
- Lead sponsor
- The Lymphoma Academic Research Organisation
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01122472
- Sponsor's protocol ID
- REMARC
- Acronym
- REMARC
- Status last verified
- Jul 2021
- First submitted
- 8 Apr 2010
- Last updated
- 26 Jul 2021
- Results posted
- No
- Data monitoring committee
- No
- Individual data sharing
- No
Publications
Montagne A, Bertho G, Papastergiou T, Chartier L, Ricci R, Jardin F, Ghesquieres H, Rossi C, Morschhauser F, Haioun C, Ribrag V, Feugier P, Brisou G, Oberic L, Gaulard P, Giraud N, Bennani Y, Thieblemont C, Baud V. Risk stratification of patients with diffuse large B-cell lymphoma using plasma NMR-based metabolomics at diagnosis. Blood Adv. 2026 Jan 27;10(2):358-366. doi: 10.1182/bloodadvances.2025017248.
PubMed 41056515Beldi-Ferchiou A, Jais JP, Ghesquieres H, Casasnovas RO, Tilly H, Fruchart C, Morschhauser F, Haioun C, Lazarovici J, Perrot A, Nicolas-Virelizier E, Salles G, Godard N, Zamali I, De Colella JS, Claudel A, Corront B, Oberic L, Briere J, Gaulard P, Thieblemont C, Delfau-Larue MH. Lenalidomide maintenance fails to overcome the unfavourable prognosis of low NK-cell counts in rituximab-chemotherapy responsive elderly DLBCL patients: A LYSA group study. Br J Haematol. 2023 Apr;201(2):256-266. doi: 10.1111/bjh.18642. Epub 2023 Feb 6.
PubMed 36740991Girum KB, Rebaud L, Cottereau AS, Meignan M, Clerc J, Vercellino L, Casasnovas O, Morschhauser F, Thieblemont C, Buvat I. 18F-FDG PET Maximum-Intensity Projections and Artificial Intelligence: A Win-Win Combination to Easily Measure Prognostic Biomarkers in DLBCL Patients. J Nucl Med. 2022 Dec;63(12):1925-1932. doi: 10.2967/jnumed.121.263501. Epub 2022 Jun 16.
PubMed 35710733Cottereau AS, Meignan M, Nioche C, Capobianco N, Clerc J, Chartier L, Vercellino L, Casasnovas O, Thieblemont C, Buvat I. Risk stratification in diffuse large B-cell lymphoma using lesion dissemination and metabolic tumor burden calculated from baseline PET/CTdagger. Ann Oncol. 2021 Mar;32(3):404-411. doi: 10.1016/j.annonc.2020.11.019. Epub 2020 Dec 3.
PubMed 33278600Vercellino L, Cottereau AS, Casasnovas O, Tilly H, Feugier P, Chartier L, Fruchart C, Roulin L, Oberic L, Pica GM, Ribrag V, Abraham J, Simon M, Gonzalez H, Bouabdallah R, Fitoussi O, Sebban C, Lopez-Guillermo A, Sanhes L, Morschhauser F, Trotman J, Corront B, Choufi B, Snauwaert S, Godmer P, Briere J, Salles G, Gaulard P, Meignan M, Thieblemont C. High total metabolic tumor volume at baseline predicts survival independent of response to therapy. Blood. 2020 Apr 16;135(16):1396-1405. doi: 10.1182/blood.2019003526.
PubMed 31978225
Study at a glance
From the registry record, last updated by the sponsor on 26 Jul 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Double Blind Randomized Phase III Study of Lenalidomide Maintenance Versus Placebo in Responding Elderly Patients With DLBCL and Treated With R-CHOP in First Line
- ClinicalTrials.gov ID
- NCT01122472
- Acronym / sponsor ID
- REMARC / REMARC
- Conditions
- Lymphoma, Diffuse Large B-cell Lymphoma
- Keywords
- lenalidomide (Revlimid), diffuse large B-cell lymphoma, phase III study, after R-CHOP, Maintenance treatment, Maintenance
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 650 participants (actual)
- Lead sponsor
- The Lymphoma Academic Research OrganisationUniversity, hospital or other
- Study start
- Apr 2009
- Primary completion
- Jun 2016 (actual)
- Study completion
- Sep 2019 (actual)
- First posted
- 13 May 2010 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is designed as a phase III, randomized, double-blind, placebo-controlled trial to explore the effect of maintenance therapy with lenalidomide versus placebo on progression-free survival (PFS) in patients treated with R-CHOP responding to induction therapy
For the primary efficacy variable, PFS, an improvement in median PFS from 38.6 months for Treatment Arm B to 54 months for Treatment Arm A (corresponding to a 2-year PFS of 65% vs 73.6%), is considered clinically relevant.
Detailed description
Patients should have received at least 6 and up to 8 cycles of the R-CHOP 14 or R-CHOP 21 regimen or 6 R-CHOP-14 or -21 completed by 2 Rituximab alone in accordance to local preferences.
Patients can be registered to participate in the study at two time points:
- At time of initial diagnosis and study enrolment (signature of informed consent) before the first cycle of treatment with R-CHOP.
- At randomization (signature of informed consent) after treatment in first line with R-CHOP and have reached at least PR or CR.
Evaluation of the response to R-CHOP must be in accordance with Revised Response Criteria for Malignant Lymphoma(2007).
Stratification: Before randomization, the patients will be stratified according to the country and the response to R-CHOP (PR vs CR).
Randomization: Patients in CR/PR after R-CHOP will be randomized to maintenance therapy with lenalidomide or placebo.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Lenalidomide | Experimental | Drug: LenalidomideLenalidomide daily for 3 weeks every 4 weeks for 24 months |
| Placebo | Placebo comparator | Drug: PlaceboPlacebo daily for 3 weeks every 4 weeks for 24 months |
Who may qualify
- Ages
- 60 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (19 listed)
- For patients registered at the time of initial diagnosis
- Patient with histologically proven CD20+ diffuse large B cel LYMPHOMA (DLBCL) 5WHO classification 2008) including clinical subtypes (primitive mediastinal, intravascular, etc.). Patients with De Novo Transformed DLBCL from low grade lymphoma (Follicular, other..) may also be included. Patients with DLBCL associated with some small cell infiltration in bone marrow may also be included Or CD20+ B-cell lymphoma with intermediate features between DLBCL and Burkitt or with intermediate features between DLBCL and classical Hodgkin lymphoma Or CD20+ Follicular lymphoma grade 3B Or CD20+ Aggressive B-cell lymphoma unclassifiable
- previous untreated with chemo- or radiotherapy
- Patient with histologically proven CD20+ diffuse large B cell LYMPHOMA (DLBCL) 5WHO classification 2008) including clinical subtypes (primitive mediastinal, intravascular, etc.). Patients with De Novo Transformed DLBCL from low grade lymphoma (Follicular, other..) may also be included. Patients with DLBCL associated with some small cell infiltration in bone marrow may also be included Or CD20+ B-cell lymphoma with intermediate features between DLBCL and Burkitt or with intermediate features between DLBCL and classical Hodgkin lymphoma Or CD20+ Follicular lymphoma grade 3B Or CD20+ Aggressive B-cell lymphoma unclassifiable
- Have reached a CR or PR after first line treatment with at least 6 cycles of R-CHOP 14 regimens and up to 8 cycles of R-CHOP21
Key exclusion criteria (11 listed)
- Any other histological type of Lymphoma, Burkitt included.
- Any history of treated or non treated small B-cell lymphoma
- Central nervous system or meningeal involvement by lymphoma
- Contraindication to any drug contained in the chemotherapy regimen Myocardial infarction during last 3 months or unstable coronary disease or uncontrolled chronic symptomatic congestive heart insufficiency NYHA III-IV
- Uncontrolled hypertension
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| LenalidomideAlso: RevlimidDaily for 3 weeks every 4 weeks for 24 months | Drug | Lenalidomide |
| PlaceboDaily for 3 weeks every 4 weeks for 24 months | Drug | Placebo |
Primary outcome
Progression-Free-Survival (PFS)
Time frame: Final PFS analysis will be realized when the number of events (160) has been reached or at the latest when the last patient into the study will finish follow up. The approximate schedule will be 75 months after the first patient randomized.
PFS will be measured from the date of randomization to the date of first documented disease progression or death. Progression data will be assigned to the earliest time when any progression is observed without prior missing assessments during the study up to the end of the follow up phase.
6 secondary outcomes
Overall survival (OS)
Time frame: 5 years
Event-Free Survival (EFS)
Time frame: 5 years
Response rate at the end of maintenance treatment
Time frame: 24 months
Percentage of patients who convert from PR (partial response) to CR (complete response)
Time frame: 24 months
Safety of lenalidomide in maintenance
Time frame: 5 years
PFS2
Time frame: 5 years
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Jul 2021.
- Derived from this study: PubMed 41056515Montagne A, Bertho G, Papastergiou T, Chartier L, Ricci R, Jardin F, Ghesquieres H, Rossi C, Morschhauser F, Haioun C, Ribrag V, Feugier P, Brisou G, Oberic L, Gaulard P, Giraud N, Bennani Y, Thieblemont C, Baud V. Risk stratification of patients with diffuse large B-cell lymphoma using plasma NMR-based metabolomics at diagnosis. Blood Adv. 2026 Jan 27;10(2):358-366. doi: 10.1182/bloodadvances.2025017248.
- Derived from this study: PubMed 36740991Beldi-Ferchiou A, Jais JP, Ghesquieres H, Casasnovas RO, Tilly H, Fruchart C, Morschhauser F, Haioun C, Lazarovici J, Perrot A, Nicolas-Virelizier E, Salles G, Godard N, Zamali I, De Colella JS, Claudel A, Corront B, Oberic L, Briere J, Gaulard P, Thieblemont C, Delfau-Larue MH. Lenalidomide maintenance fails to overcome the unfavourable prognosis of low NK-cell counts in rituximab-chemotherapy responsive elderly DLBCL patients: A LYSA group study. Br J Haematol. 2023 Apr;201(2):256-266. doi: 10.1111/bjh.18642. Epub 2023 Feb 6.
- Derived from this study: PubMed 35710733Girum KB, Rebaud L, Cottereau AS, Meignan M, Clerc J, Vercellino L, Casasnovas O, Morschhauser F, Thieblemont C, Buvat I. 18F-FDG PET Maximum-Intensity Projections and Artificial Intelligence: A Win-Win Combination to Easily Measure Prognostic Biomarkers in DLBCL Patients. J Nucl Med. 2022 Dec;63(12):1925-1932. doi: 10.2967/jnumed.121.263501. Epub 2022 Jun 16.
- Derived from this study: PubMed 33278600Cottereau AS, Meignan M, Nioche C, Capobianco N, Clerc J, Chartier L, Vercellino L, Casasnovas O, Thieblemont C, Buvat I. Risk stratification in diffuse large B-cell lymphoma using lesion dissemination and metabolic tumor burden calculated from baseline PET/CTdagger. Ann Oncol. 2021 Mar;32(3):404-411. doi: 10.1016/j.annonc.2020.11.019. Epub 2020 Dec 3.
- Derived from this study: PubMed 31978225Vercellino L, Cottereau AS, Casasnovas O, Tilly H, Feugier P, Chartier L, Fruchart C, Roulin L, Oberic L, Pica GM, Ribrag V, Abraham J, Simon M, Gonzalez H, Bouabdallah R, Fitoussi O, Sebban C, Lopez-Guillermo A, Sanhes L, Morschhauser F, Trotman J, Corront B, Choufi B, Snauwaert S, Godmer P, Briere J, Salles G, Gaulard P, Meignan M, Thieblemont C. High total metabolic tumor volume at baseline predicts survival independent of response to therapy. Blood. 2020 Apr 16;135(16):1396-1405. doi: 10.1182/blood.2019003526.
- Related InfoLink provided by the sponsor.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
157 sites in 9 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Lenalidomide in people with Lymphoma and Diffuse Large B-cell Lymphoma, run by The Lymphoma Academic Research Organisation at 157 sites in 9 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 19 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 26 Jul 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 157 sites in France, Belgium, Spain, Australia, Austria and 4 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression-Free-Survival (PFS) (time frame: Final PFS analysis will be realized when the number of events (160) has been reached or at the latest when the last patient into the study will finish follow up. The approximate schedule will be 75 months after the first patient randomized.). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01122472, which also lists 5 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Jul 2021.