Lymphoma, Non-HodgkinPhase 3MAGNIFYNCT01996865
Lenalidomide Plus Rituximab Followed by Lenalidomide Versus Rituximab Maintenance for Relapsed/Refractory Follicular, Marginal Zone or Mantle Cell Lymphoma.
A Phase 3 study testing Lenalidomide and Rituximab in people with Lymphoma, Non-Hodgkin, run by Celgene at 126 sites in 3 countries.
Trial summary
Follicular lymphoma (FL), marginal zone lymphoma (MZL), and mantle cell lymphoma (MCL) are distinct histologic types of B-cell NHL. Lenalidomide is an immunomodulatory agent with direct and immune-mediated mechanisms of action, as well as clinical activity in NHL. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Lymphoma, Non-Hodgkin
- What is being tested?
- Lenalidomide and Rituximab
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 503 participants
- Where
- 126 sitesin 3 countries
- Study dates
- 1 Apr 2014to 17 Sep 2024
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
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 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- -- Age ≥18 years
- Histologically confirmed Follicular Lymphoma (FL, Grade 1, 2, 3a, or 3b), Transformed FL, Marginal Zone Lymphoma, or Mantle Cell Lymphoma
- Must have documented relapsed, refractory or Progressive Disease after last treatment with systemic therapy
- Bi-dimensionally measurable disease
- Eastern Cooperative Oncology Group (ECOG) Performance status < 2
- Adequate bone marrow function
- Willingness to follow pregnancy precautions
Who cannot join
- Histology other than follicular or marginal zone lymphoma or clinical evidence of transformation or Grade 3b follicular lymphoma
- Any medical condition (other than the underlying lymphoma) that requires chronic steroid use
- Subjects taking corticosteroids during the last 1 week prior treatment, unless administered at a dose equivalent to < 20 mg/day of prednisone
- Systemic anti-lymphoma therapy within 28 days or use of antibody agents within 4 weeks use of radioimmunotherapy within 3 months
- Known seropositive for or active viral infection with hepatitis B virus (HBV), hepatitis C virus (HCV), human immunodeficiency virus (HIV)
- Known sensitivity or allergy to murine products
Show all 9Show fewer
- Presence or history of central nervous system involvement by lymphoma. Subjects who are at a risk for a thromboembolic event and are not willing to take prophylaxis for it
- Any condition that places the subject at unacceptable risk if he/she were to participate in the study or that confounds the ability to interpret data from the study
- Other protocol-defined inclusion/exclusion criteria apply
Trial locations and contacts
126 sites in 3 countries.
126 sites in 3 countries
United States110 sites
Summa Health System Akron City Hospital Laboratory
Akron, Ohio, 44202
Local Institution - 166
Amarillo, Texas, 79106
McFarland Clinic
Ames, Iowa, 50010
Local Institution - 051
Ann Arbor, Michigan, 48106
Anne Arundel Medical Center
Annapolis, Maryland, 21401
Arlington Cancer Center
Arlington, Texas, 76012
Texas Oncology-Arlington South
Arlington, Texas, 76014
Local Institution - 030
Baltimore, Maryland, 21204
PeaceHealth St. Joseph Medical Center
Bellingham, Washington, 98225
Local Institution - 079
Berkeley, California, 94704
Summit Medical Group Overlook Oncology Center
Berkeley Heights, New Jersey, 07922
Local Institution - 050
Bolivar, Missouri, 65613
Local Institution - 052
Boulder, Colorado, 80303
Brookdale University Hospital and Medical Center
Brooklyn, New York, 11212
Aultman Hospital
Canton, Ohio, 44710
Local Institution - 053
Christiansburg, Virginia, 24073
Local Institution - 161
Cincinnati, Ohio, 45242
Local Institution - 047
Cleveland, Ohio, 44109
Local Institution - 103
Columbia, Missouri, 65212
Local Institution - 045
Columbus, Ohio, 43219
Local Institution - 142
Concord, California, 94520
Local Institution - 105
Dallas, Texas, 75230
Praxair Cancer Center Danbury
Danbury, Connecticut, 06810
Local Institution - 106
Denver, Colorado, 80220
Colorado Cancer Research Program
Denver, Colorado, 80222
Veterans Affairs New Jersey Health Care System
East Orange, New Jersey, 07018
Local Institution - 108
Elk Grove Village, Illinois, 60007
Local Institution - 080
Englewood, New Jersey, 07631
Local Institution - 059
Eugene, Oregon, 97401
Local Institution - 019
Fairway, Kansas, 66205
Local Institution - 068
Fleming Island, Florida, 32003
Local Institution - 129
Fort Belvoir, Virginia, 22060
Local Institution - 049
Gig Harbor, Washington, 98332
C.R. Wood Cancer Center at Glens Falls Hospital
Glens Falls, New York, 12801
Local Institution - 062
Glenwood Springs, Colorado, 81601
Local Institution - 350
Great Bend, Kansas, 67530
Local Institution - 073
Greenville, South Carolina, 29615
Kentucky Cancer Clinic
Hazard, Kentucky, 41701
United States Department of Veterans Affairs - VA Great Lakes Health Care System - Edward Hines Jr
Hines, Illinois, 60141
Local Institution - 159
Hinsdale, Illinois, 60521
Local Institution - 026
Houston, Texas, 77030
Local Institution - 067
Houston, Texas, 77030
Local Institution - 008
Houston, Texas, 77090
Broome Oncology, LLC
Johnson City, New York, 13790
Local Institution - 023
Kinston, North Carolina, 28501-1584
Local Institution - 152
Lake Success, New York, 11042
Local Institution - 033
Lansing, Michigan, 48912
Local Institution - 098
Lebanon, New Hampshire, 03756
Local Institution - 003
Lincoln, Nebraska, 68510
Local Institution - 077
Little Rock, Arkansas, 72205
Local Institution - 138
Louisville, Kentucky, 40207
Medical Oncology and Blood Disorders, LLP
Manchester, Connecticut, 06040
Local Institution - 011
Marietta, Georgia, 30060
Hematology Oncology Associates, P.C.
Medford, Oregon, 97504
Baptist Cancer Center
Memphis, Tennessee, 38104
Local Institution - 076
Memphis, Tennessee, 38104
Mount Sinai Comprehensive Cancer Center
Miami Beach, Florida, 33140
Aurora Health Care Aurora Research
Milwaukee, Wisconsin, 53233
Local Institution - 038
Morgantown, West Virginia, 26506
Local Institution - 025
Mount Holly, New Jersey, 08060
Local Institution - 301
Mukwonago, Wisconsin, 53145
American Health Network of Indiana, LLC
New Albany, Indiana, 47150
Saint Peter'S University Hospital
New Brunswick, New Jersey, 08901
Local Institution - 083
Newnan, Georgia, 30265
Local Institution - 056
Niles, Illinois, 60714
Local Institution - 081
Norfolk, Virginia, 23502
Local Institution - 041
Norwalk, Connecticut, 06851
Local Institution - 054
Ocala, Florida, 34474
Local Institution - 300
Oconomowoc, Wisconsin, 53066
Local Institution - 037
Oklahoma City, Oklahoma, 73104
Local Institution - 119
Olympia, Washington, 98502
Local Institution - 028
Park Ridge, Illinois, 60068
Local Institution - 114
Pensacola, Florida, 32504
Local Institution - 021
Plano, Texas, 75093
Bay Area Cancer Research Group, LLC
Pleasant Hill, California, 94523
Cancer Treatment Center of America
Portsmouth, Virginia, 23704
Local Institution - 039
Raleigh, North Carolina, 27607
Rapid City Regional Hospital
Rapid City, South Dakota, 57701
Local Institution - 164
Rochester, Minnesota, 55905
Associates Of Oncology/Hematology, P.C.
Rockville, Maryland, 20850
Local Institution - 071
Round Rock, Texas, 78681
Rutland Regional Medical Center
Rutland, Vermont, 05701
Sutter Hematology and Oncology
Sacramento, California, 95816
Local Institution - 090
Salt Lake City, Utah, 84106
Local Institution - 070
San Antonio, Texas, 78217
Local Institution - 058
San Antonio, Texas, 78240
Local Institution - 032
San Diego, California, 92123
Local Institution - 130
Santa Barbara, California, 93105
Seattle Cancer Care Alliance
Seattle, Washington, 98109
Siouxland Hematology-Oncology Associates, LLP
Sioux City, Iowa, 51101-1733
Local Institution - 153
Sioux Falls, South Dakota, 57105
Orchard Healthcare Research Inc.
Skokie, Illinois, 60077
Spartanburg Regional Healthcare System - Gibbs Cancer Center & Research Institute
Spartanburg, South Carolina, 29303
Local Institution - 013
Springfield, Missouri, 65804
Local Institution - 042
St Louis, Missouri, 63110
Hematology Oncology Associates, PC
Stamford, Connecticut, 06902
Local Institution - 111
Temple, Texas, 66205
Toledo Clinic Cancer Center
Toledo, Ohio, 43623
Local Institution - 149
Trumbull, Connecticut, 06611
Local Institution - 055
Tucson, Arizona, 85710
Local Institution - 094
Tyler, Texas, 75701
Local Institution - 163
Tyler, Texas, 75702
Local Institution - 104
Vancouver, Washington, 98684
Local Institution - 099
Walla Walla, Washington, 99362
Local Institution - 116
Waterbury, Connecticut, 067014
Cedar Valley Medical Specialists
Waterloo, Iowa, 50701
Local Institution - 143
Waterville, Maine, 04901
Local Institution - 101
Waukesha, Wisconsin, 53188-5099
Local Institution - 057
Webster, Texas, 77598-4420
Local Institution - 006
Wenatchee, Washington, 98801
Germany15 sites
Local Institution - 208
Berlin, 10707
Local Institution - 202
Bremen, 28177
Local Institution - 213
Cologne, 50677
Local Institution - 205
Frankfurt, 60389
Local Institution - 211
Frechen, 50226
Local Institution - 200
Giessen, 35392
Local Institution - 203
Hanover, 30171
Local Institution - 206
Kassel, 34119
Local Institution - 210
Marburg, 35037
Local Institution - 215
Mönchengladbach, 41063
Local Institution - 204
München, 81241
Local Institution - 212
Münster, 48149
Local Institution - 201
Potsdam, 14467
Local Institution - 207
Ravensberg, 88212
Local Institution - 209
Würzburg, 97080
About this study
Official title: A Phase 3B Randomized Study of Lenalidomide (CC-5013) Plus Rituximab Maintenance Therapy Followed by Lenalidomide Single-Agent Maintenance Versus Rituximab Maintenance in Subjects With Relapsed/Refractory Follicular, Marginal Zone, or Mantle Cell Lymphoma
Follicular lymphoma (FL), marginal zone lymphoma (MZL), and mantle cell lymphoma (MCL) are distinct histologic types of B-cell NHL. Lenalidomide is an immunomodulatory agent with direct and immune-mediated mechanisms of action, as well as clinical activity in NHL. Recent studies in frontline and relapsed/refractory NHL show high activity for lenalidomide plus rituximab (R2), supporting further study of this combination.
Read the detailed description
MAGNIFY (NCT01996865) is a phase 3b, multicenter, open-label study of patients with grades 1-3b or transformed follicular lymphoma (FL), marginal zone lymphoma (MZL), or mantle cell lymphoma (MCL) who received ≥1 prior therapy and had stage I-IV, measurable disease. ~500 patients are planned for enrollment in 12 cycles of R2 induction, with a projected ~314 patients with ≥SD after induction randomized (1:1) to two maintenance arms. Induction includes oral lenalidomide 20 mg/day, days 1-21 per 28-day cycle (d1-21/28) plus IV rituximab 375 mg/m2, days 1, 8, 15, and 22 of cycle 1 and day 1 of cycles 3, 5, 7, 9, and 11 (28-day cycles). Patients are then randomized to maintenance lenalidomide 10 mg/day, d1-21/28, cycles 13-30, plus rituximab 375 mg/m2, day 1 of cycles 13, 15, 17, 19, 21, 23, 25, 27, and 29 (R2, Arm A), or rituximab alone (same schedule, Arm B). Patients receiving R2 maintenance after 18 cycles may continue maintenance lenalidomide monotherapy 10 mg/day, d1-21/28 (per patient and/or investigator discretion), until disease progression as tolerated. The primary endpoint is progression-free survival (per modified 1999 IWG criteria). Secondary endpoints include safety, overall survival, response rates, duration of response, and quality of life (exploratory). Patients will be followed for ≥5 years after the last patient initiated induction therapy. Enrollment in MAGNIFY began in March 2014; as of Jan 2016, 133 patients are enrolled.
- Conditions
- Lymphoma, Non-Hodgkin
- Being tested
- Lenalidomide, Rituximab
- Keywords
- Lymphoma, Mantle cell Lymphoma, Follicular Lymphoma, Marginal zone Lymphoma, Lenalidomide treatment, rituximab treatment, Non Hodgkins Lymphoma
- Medical subject headings
- Lymphoma, Non-Hodgkin, Lymphoma, Lymphoma, Mantle-Cell, Lymphoma, Follicular, Lymphoma, B-Cell, Marginal Zone
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
LenalidomideDrug
Also called CC-5013, Revlimid
RituximabDrug
Also called Rituxan
| Study group | Role | What they receive |
|---|---|---|
| Arm A: Lenalidomide + rituximab followed by lenalidomide | Experimental | Induction Period (12 cycles): Lenalidomide 20mg (10 mg if creatinine clearance ≥ 30 mL/min but < 60mL/min) by mouth (PO) daily (QD) on Days 1 to 21 of every 28-day cycle during cycles 1 through 12 and rituximab 375mg/m^2 intraveneously (IV) every week in Cycle 1 on Days 1, 8, 15, and 22 and on Day 1 of every 28-day cycle during cycles 3, 5, 7, 9, and 11, followed by a Maintenance Period (lasting 18 Cycles) that includes Lenalidomide 10 mg PO QD on Days 1 to 21 of every 28-day cycle during cycles 13 to 30 and rituximab 375 mg/m^2 IV on Day 1 of every 28-day cycle during cycles 13, 15, 17, 19, 21, 23, 25, 27, and 29 followed by an optional Maintenance Period (up to Progressive Disease) receiving Lenalidomide 10mg PO QD on Days 1 through 21 of every 28 day cycle until the disease progresses Receives: Drug: Lenalidomide; Drug: Rituximab |
| Arm B: Lenalidomide + rituximab followed by rituximab | Active comparator | Induction Period (12 Cycles): Lenalidomide 20 mg PO QD (10 mg if creatinine clearance ≥ 30 mL/min but < 60 mL/min) on Days 1 to 21 of every 28-day cycle during cycles 1 to 12 and rituximab 375 mg/m^2 IV every week in cycle 1 on Days 1, 8, 15, and 22 and on Day 1 of every 28-day cycle during cycles 3, 5, 7, 9, and 11, followed by a Maintenance Period for 18 Cycles that includes: Rituximab 375 mg/m^2 IV on Day 1 of every 28-day cycle during cycles 13, 15, 17, 19, 21, 23, 25, 27, and 29 Receives: Drug: Lenalidomide; Drug: Rituximab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression Free Survival (PFS)
Progression free survival (PFS) is defined as the time from the date of first dose of maintenance therapy to the date of the first objective documentation of tumor progression or death due to any cause. Analysis was based on Kaplan Meier estimates. The PFS events were determined using a modification of the IWG 1999 criteria.
Measured: From the first dose date of maintenance therapy to objective disease progression or death from any cause, whichever occurs first (up to approximately 432 weeks)
Secondary outcomes (12)
Overall Survival (OS)
Overall Survival (OS) is defined as the time between the first dose date of maintenance therapy and death from any cause. Participants who complete the study and are still alive at the time of the clinical data cutoff date will be censored at the last visit date or the last contact date, whichever is later. Participants who were lost to follow-up prior to the clinical data cut-off date will also be censored at the time of the last contact. Analysis was based on Kaplan Meier estimates and Hazard Ratio (HR).
Measured: From the first dose date of maintenance therapy to death from any cause (up to approximately 480 weeks)
Improvement of Response (IOR)
Improvement of Response (IOR) is the percentage of participants with improved tumor response during the maintenance phase (converted from partial response at end of induction to complete response or complete response unconfirmed as best response) and participants who converted from stable disease at the end of induction period to partial response or better as best response during maintenance phase.
Measured: From the first dose date of maintenance therapy to death from any cause (up to approximately 432 weeks)
Overall Response Rate (ORR)
The overall response rate (ORR) is defined as the percentage of participants with a best response of at least partial response (including complete response, complete response unconfirmed and partial response) after the first dose date of maintenance therapy and prior to any treatment change.
Measured: From the first dose date of maintenance therapy up to CR, CRu, PR, or treatment change (up to approximately 432 weeks)
Complete Response Rate (CRR)
Best Complete Response Rate (CRR), defined as the proportion of participants with a best response of at least CRu (including CR and CRu) after the first dose date of maintenance therapy and prior to any treatment change.
Measured: From the first dose date of maintenance therapy up to CR or CRu (up to approximately 432 weeks)
Duration of Response (DOR)
DOR is from initial response (at least CRu) after the first dose date of maintenance therapy and prior to treatment change to documented disease progression or death. Participants who have not progressed or died at the time of the clinical data cutoff date will be censored at the last assessment showing no progression. Participants who change treatment without evidence of disease progression will be censored at the last assessment showing no progression prior to treatment change. Analysis was based on Kaplan Meier estimates.
Measured: From the initial response (at least PR) after the first dose date of maintenance therapy and prior to treatment change to documented disease progression or death, whichever occurs first (up to approximately 432 weeks)
Time to Next Anti-lymphoma Treatment
Time to next anti-lymphoma treatment is defined as the time from the first dose date of maintenance therapy to the time of first documented administration of new anti-lymphoma therapy. Participants without new treatment therapy will be censored at the last visit. Analysis was based on Kaplan Meier estimates.
Measured: From the first dose date of maintenance therapy to the time of first documented administration of new anti-lymphoma therapy (up to approximately 300 weeks)
Time to Histological Transformation
Time to histological transformation is defined as from the first dose date of maintenance therapy to the time of histological transformation as measured based on documentation of histological transformation (as assessed by the investigator). Analysis was based on Kaplan Meier estimates.
In case of clinical suspicion of transformation, including rapid disease progression, unexpected changes in "B" symptoms or rapidly increasing LDH, a biopsy should be performed. In this clinical trial, histological transformation will be considered disease progression. This endpoint will not be calculated for participants randomized with transformed Follicular Lymphoma (tFL).
Measured: From the first dose date of maintenance therapy to the time of histological transformation (up to approximately 432 weeks)
Duration of Complete Response (DOCR)
Duration of complete response (DOCR) is calculated as the time from the initial response (CR or CRu) after the first dose date of maintenance therapy and prior to treatment change to documented disease progression or death. Analysis was based on Kaplan Meier estimates. Participants who have not progressed or died at the time of the clinical data cutoff date will be censored at the last assessment showing no progression. Participants who change treatment without evidence of disease progression will be censored at the last assessment showing no progression prior to treatment change.
Measured: From the initial CR/CRu after the first dose date of maintenance therapy and prior to treatment change to documented disease progression or death, whichever occurs first (up to approximately 432 weeks)
Participants Experiencing Treatment Emergent Adverse Events (TEAEs)
Number of participants experiencing AEs, SAEs, AEs leading to study discontinuation, and AEs of interest (AEIs). An Adverse Event (AE) is defined as any new untoward medical occurrence or worsening of a preexisting medical condition in a clinical investigation participant administered study treatment and that does not necessarily have a causal relationship with this treatment. SAEs is any untoward medical occurrence that, at any dose: results in death; is life-threatening; requires inpatient hospitalization; results significant disability; or is a congenital anomaly/birth defect. TEAEs are defined as AEs with an onset date on or after the first dose of study treatment up to 30 days after the last dose of study treatment in the study, or if a pre-existing condition worsens in severity or becomes serious after receiving the first dose of study treatment.
Measured: From first dose up to 30 days after last dose (up to approximately 64 weeks for induction period and 427 weeks for maintenance period)
Participants Experiencing Adverse Events Related to Vital Signs
The number of participants who experienced adverse events related to vital sign measurements
Measured: From first dose up to 30 days after last dose (up to approximately 64 weeks for induction period and 427 weeks for maintenance period)
Participants With Grade 3 or Grade 4 Hematology Parameters
Clinical laboratory values in induction period include any laboratory values that are taken after the first dose date of induction therapy through 28 days after the last dose date of induction therapy or before the first dose date of maintenance therapy, whichever is earlier. Graded according to the NCI CTCAE version 4.03, except for tumor flare reaction, which is accessed using NCI CTCAE version 3.0. Participants with zero maximum grade are excluded.
Measured: From first dose up to 30 days after last dose (up to approximately 64 weeks for induction period and 427 weeks for maintenance period)
Participants With Grade 3 or Grade 4 Serum Chemistry Parameters
Clinical laboratory values in induction period include any laboratory values that are taken after the first dose date of induction therapy through 28 days after the last dose date of therapy. Graded according to the NCI CTCAE version 4.03, except for tumor flare reaction, which is accessed using NCI CTCAE version 3.0. Participants with zero maximum grade are excluded.
Measured: From first dose up to 30 days after last dose (up to approximately 64 weeks for induction period and 427 weeks for maintenance period)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Nov 2013 (estimated)
- Study start1 Apr 2014
- Primary completion11 May 2024
- Study completion17 Sep 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Lymphoma, Non-HodgkinStudies of the same condition, open and under way.
- More trials run by CelgeneThe sponsor's other registered studies.
- 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
- None (open label)
- Enrolment
- 503 participants (actual)
Sponsor and investigators
- Lead sponsor
- Celgene
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Bristol-Myers Squibb, Study director, Bristol-Myers Squibb
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01996865
- Sponsor's protocol ID
- CC-5013-NHL-008
- Acronym
- MAGNIFY
- Status last verified
- Jul 2025
- First submitted
- 22 Nov 2013
- Last updated
- 10 Jul 2025
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Leonard JP, Trneny M, Izutsu K, Fowler NH, Hong X, Zhu J, Zhang H, Offner F, Scheliga A, Nowakowski GS, Pinto A, Re F, Fogliatto LM, Scheinberg P, Flinn IW, Moreira C, Cabecadas J, Liu D, Kalambakas S, Fustier P, Wu C, Gribben JG; AUGMENT Trial Investigators. AUGMENT: A Phase III Study of Lenalidomide Plus Rituximab Versus Placebo Plus Rituximab in Relapsed or Refractory Indolent Lymphoma. J Clin Oncol. 2019 May 10;37(14):1188-1199. doi: 10.1200/JCO.19.00010. Epub 2019 Mar 21.
PubMed 30897038Becnel MR, Nastoupil LJ, Samaniego F, Davis RE, You MJ, Green M, Hagemeister FB, Fanale MA, Fayad LE, Westin JR, Wang M, Oki Y, Forbes SG, Feng L, Neelapu SS, Fowler NH. Lenalidomide plus rituximab (R2 ) in previously untreated marginal zone lymphoma: subgroup analysis and long-term follow-up of an open-label phase 2 trial. Br J Haematol. 2019 Jun;185(5):874-882. doi: 10.1111/bjh.15843. Epub 2019 Mar 28.
PubMed 30919940
Study at a glance
From the registry record, last updated by the sponsor on 10 Jul 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3B Randomized Study of Lenalidomide (CC-5013) Plus Rituximab Maintenance Therapy Followed by Lenalidomide Single-Agent Maintenance Versus Rituximab Maintenance in Subjects With Relapsed/Refractory Follicular, Marginal Zone, or Mantle Cell Lymphoma
- ClinicalTrials.gov ID
- NCT01996865
- Acronym / sponsor ID
- MAGNIFY / CC-5013-NHL-008
- Conditions
- Lymphoma, Non-Hodgkin
- Keywords
- Lymphoma, Mantle cell Lymphoma, Follicular Lymphoma, Marginal zone Lymphoma, Lenalidomide treatment, rituximab treatment, Non Hodgkins Lymphoma
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 503 participants (actual)
- Lead sponsor
- CelgeneIndustry (pharma, biotech, devices)
- Study start
- 1 Apr 2014 (actual)
- Primary completion
- 11 May 2024 (actual)
- Study completion
- 17 Sep 2024 (actual)
- First posted
- 27 Nov 2013 (estimated)
- Results
- Posted 10 Jul 2025
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Follicular lymphoma (FL), marginal zone lymphoma (MZL), and mantle cell lymphoma (MCL) are distinct histologic types of B-cell NHL. Lenalidomide is an immunomodulatory agent with direct and immune-mediated mechanisms of action, as well as clinical activity in NHL. Recent studies in frontline and relapsed/refractory NHL show high activity for lenalidomide plus rituximab (R2), supporting further study of this combination.
Detailed description
MAGNIFY (NCT01996865) is a phase 3b, multicenter, open-label study of patients with grades 1-3b or transformed follicular lymphoma (FL), marginal zone lymphoma (MZL), or mantle cell lymphoma (MCL) who received ≥1 prior therapy and had stage I-IV, measurable disease. ~500 patients are planned for enrollment in 12 cycles of R2 induction, with a projected ~314 patients with ≥SD after induction randomized (1:1) to two maintenance arms. Induction includes oral lenalidomide 20 mg/day, days 1-21 per 28-day cycle (d1-21/28) plus IV rituximab 375 mg/m2, days 1, 8, 15, and 22 of cycle 1 and day 1 of cycles 3, 5, 7, 9, and 11 (28-day cycles). Patients are then randomized to maintenance lenalidomide 10 mg/day, d1-21/28, cycles 13-30, plus rituximab 375 mg/m2, day 1 of cycles 13, 15, 17, 19, 21, 23, 25, 27, and 29 (R2, Arm A), or rituximab alone (same schedule, Arm B). Patients receiving R2 maintenance after 18 cycles may continue maintenance lenalidomide monotherapy 10 mg/day, d1-21/28 (per patient and/or investigator discretion), until disease progression as tolerated. The primary endpoint is progression-free survival (per modified 1999 IWG criteria). Secondary endpoints include safety, overall survival, response rates, duration of response, and quality of life (exploratory). Patients will be followed for ≥5 years after the last patient initiated induction therapy. Enrollment in MAGNIFY began in March 2014; as of Jan 2016, 133 patients are enrolled.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Arm A: Lenalidomide + rituximab followed by lenalidomide | Experimental | Drug: Lenalidomide, Drug: RituximabInduction Period (12 cycles): Lenalidomide 20mg (10 mg if creatinine clearance ≥ 30 mL/min but < 60mL/min) by mouth (PO) daily (QD) on Days 1 to 21 of every 28-day cycle during cycles 1 through 12 and rituximab 375mg/m^2 intraveneously (IV) every week in Cycle 1 on Days 1, 8, 15, and 22 and on Day 1 of every 28-day cycle during cycles 3, 5, 7, 9, and 11, followed by a Maintenance Period (lasting 18 Cycles) that includes Lenalidomide 10 mg PO QD on Days 1 to 21 of every 28-day cycle during cycles 13 to 30 and rituximab 375 mg/m^2 IV on Day 1 of every 28-day cycle during cycles 13, 15, 17, 19, 21, 23, 25, 27, and 29 followed by an optional Maintenance Period (up to Progressive Disease) receiving Lenalidomide 10mg PO QD on Days 1 through 21 of every 28 day cycle until the disease progresses |
| Arm B: Lenalidomide + rituximab followed by rituximab | Active comparator | Drug: Lenalidomide, Drug: RituximabInduction Period (12 Cycles): Lenalidomide 20 mg PO QD (10 mg if creatinine clearance ≥ 30 mL/min but < 60 mL/min) on Days 1 to 21 of every 28-day cycle during cycles 1 to 12 and rituximab 375 mg/m^2 IV every week in cycle 1 on Days 1, 8, 15, and 22 and on Day 1 of every 28-day cycle during cycles 3, 5, 7, 9, and 11, followed by a Maintenance Period for 18 Cycles that includes: Rituximab 375 mg/m^2 IV on Day 1 of every 28-day cycle during cycles 13, 15, 17, 19, 21, 23, 25, 27, and 29 |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- -- Age ≥18 years
- Histologically confirmed Follicular Lymphoma (FL, Grade 1, 2, 3a, or 3b), Transformed FL, Marginal Zone Lymphoma, or Mantle Cell Lymphoma
- Must have documented relapsed, refractory or Progressive Disease after last treatment with systemic therapy
- Bi-dimensionally measurable disease
- Eastern Cooperative Oncology Group (ECOG) Performance status < 2
Key exclusion criteria (9 listed)
- Histology other than follicular or marginal zone lymphoma or clinical evidence of transformation or Grade 3b follicular lymphoma
- Any medical condition (other than the underlying lymphoma) that requires chronic steroid use
- Subjects taking corticosteroids during the last 1 week prior treatment, unless administered at a dose equivalent to < 20 mg/day of prednisone
- Systemic anti-lymphoma therapy within 28 days or use of antibody agents within 4 weeks use of radioimmunotherapy within 3 months
- Known seropositive for or active viral infection with hepatitis B virus (HBV), hepatitis C virus (HCV), human immunodeficiency virus (HIV)
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: CC-5013, Revlimid | Drug | Arm A: Lenalidomide + rituximab followed by lenalidomide, Arm B: Lenalidomide + rituximab followed by rituximab |
| RituximabAlso: Rituxan | Drug | Arm A: Lenalidomide + rituximab followed by lenalidomide, Arm B: Lenalidomide + rituximab followed by rituximab |
Primary outcome
Progression Free Survival (PFS)
Time frame: From the first dose date of maintenance therapy to objective disease progression or death from any cause, whichever occurs first (up to approximately 432 weeks)
Progression free survival (PFS) is defined as the time from the date of first dose of maintenance therapy to the date of the first objective documentation of tumor progression or death due to any cause. Analysis was based on Kaplan Meier estimates. The PFS events were determined using a modification of the IWG 1999 criteria.
12 secondary outcomes
Overall Survival (OS)
Time frame: From the first dose date of maintenance therapy to death from any cause (up to approximately 480 weeks)
Improvement of Response (IOR)
Time frame: From the first dose date of maintenance therapy to death from any cause (up to approximately 432 weeks)
Overall Response Rate (ORR)
Time frame: From the first dose date of maintenance therapy up to CR, CRu, PR, or treatment change (up to approximately 432 weeks)
Complete Response Rate (CRR)
Time frame: From the first dose date of maintenance therapy up to CR or CRu (up to approximately 432 weeks)
Duration of Response (DOR)
Time frame: From the initial response (at least PR) after the first dose date of maintenance therapy and prior to treatment change to documented disease progression or death, whichever occurs first (up to approximately 432 weeks)
Time to Next Anti-lymphoma Treatment
Time frame: From the first dose date of maintenance therapy to the time of first documented administration of new anti-lymphoma therapy (up to approximately 300 weeks)
Time to Histological Transformation
Time frame: From the first dose date of maintenance therapy to the time of histological transformation (up to approximately 432 weeks)
Duration of Complete Response (DOCR)
Time frame: From the initial CR/CRu after the first dose date of maintenance therapy and prior to treatment change to documented disease progression or death, whichever occurs first (up to approximately 432 weeks)
Participants Experiencing Treatment Emergent Adverse Events (TEAEs)
Time frame: From first dose up to 30 days after last dose (up to approximately 64 weeks for induction period and 427 weeks for maintenance period)
Participants Experiencing Adverse Events Related to Vital Signs
Time frame: From first dose up to 30 days after last dose (up to approximately 64 weeks for induction period and 427 weeks for maintenance period)
Participants With Grade 3 or Grade 4 Hematology Parameters
Time frame: From first dose up to 30 days after last dose (up to approximately 64 weeks for induction period and 427 weeks for maintenance period)
Participants With Grade 3 or Grade 4 Serum Chemistry Parameters
Time frame: From first dose up to 30 days after last dose (up to approximately 64 weeks for induction period and 427 weeks for maintenance period)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Jul 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 30897038Leonard JP, Trneny M, Izutsu K, Fowler NH, Hong X, Zhu J, Zhang H, Offner F, Scheliga A, Nowakowski GS, Pinto A, Re F, Fogliatto LM, Scheinberg P, Flinn IW, Moreira C, Cabecadas J, Liu D, Kalambakas S, Fustier P, Wu C, Gribben JG; AUGMENT Trial Investigators. AUGMENT: A Phase III Study of Lenalidomide Plus Rituximab Versus Placebo Plus Rituximab in Relapsed or Refractory Indolent Lymphoma. J Clin Oncol. 2019 May 10;37(14):1188-1199. doi: 10.1200/JCO.19.00010. Epub 2019 Mar 21.
- Background: PubMed 30919940Becnel MR, Nastoupil LJ, Samaniego F, Davis RE, You MJ, Green M, Hagemeister FB, Fanale MA, Fayad LE, Westin JR, Wang M, Oki Y, Forbes SG, Feng L, Neelapu SS, Fowler NH. Lenalidomide plus rituximab (R2 ) in previously untreated marginal zone lymphoma: subgroup analysis and long-term follow-up of an open-label phase 2 trial. Br J Haematol. 2019 Jun;185(5):874-882. doi: 10.1111/bjh.15843. Epub 2019 Mar 28.
- BMS Clinical Trial InformationLink provided by the sponsor.
- BMS Clinical Trial Patient RecruitingLink provided by the sponsor.
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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.
Bristol-Myers Squibb study director
Bristol-Myers Squibb
126 sites in 3 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Lenalidomide and Rituximab in people with Lymphoma, Non-Hodgkin, run by Celgene at 126 sites in 3 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 7 inclusion and 9 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 10 Jul 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 126 sites in United States, Germany, Puerto Rico. 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. 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?
Yes. Results are posted in the registry (first posted 10 Jul 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
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: From the first dose date of maintenance therapy to objective disease progression or death from any cause, whichever occurs first (up to approximately 432 weeks)). 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 NCT01996865, which also lists 2 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 10 Jul 2025.