Evidence map›Paper›PMID 17088571›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2006

Clinical efficacy of lenalidomide in patients with relapsed or refractory chronic lymphocytic leukemia: results of a phase II study.

Asher Chanan-Khan, Kena C Miller, Laurie Musial, David Lawrence, Swaminathan Padmanabhan, Kenichi Takeshita, Carl W Porter, David W Goodrich, Zale P Bernstein, Paul Wallace and 7 more

5 registry-linked trialsOpen access · bronzeAbstract readClinical Trial, Phase II
PubMed Publisher
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 153 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
153citing papers in PubMed, 1 pooled it
14.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00628238 phase2unknown statusnot on this mapstarted 2008, after this paper: background citation

A Two-Arm, Multi-center Trial of Revlimid® and Rituximab, for First-Line Treatment in Patients With B-cell Chronic Lymphocytic Leukemia (CLL)

TypeinterventionalSponsorChronic Lymphocytic Leukemia Research ConsortiumRan2008 to 2011Enrolled80ConditionsChronic Lymphocytic Leukemia, CLL, Untreated, Front-lineArmsLenalidomide and Rituximab
NCT00783367 phase2completednot on this mapstarted 2008, after this paper: background citation

Phase 2 Trial of Lenalidomide (Revlimid)-Dexamethasone + Rituximab in Recurrent Small B-Cell Non-Hodgkin Lymphomas (NHL) Resistant to Rituximab

TypeinterventionalSponsorAbramson Cancer Center at Penn MedicineRan2008 to 2020Enrolled50ConditionsFollicular Lymphoma, Marginal Zone B-Cell Lymphoma, MALT Lymphoma, Lymphoma of Mucosa-Associated Lymphoid TissueArmsLenalidomide, Dexamethasone, Rituximab
NCT00829647 phase1 / phase2withdrawnnot on this mapstarted 2009, after this paper: background citation

A Phase I/II Study of Combination Dasatinib and Lenalidomide in Purine Analogue-Failed Chronic Lymphocytic Leukemia

TypeinterventionalSponsorScripps HealthRan2009 to 2016Enrolled0ConditionsChronic Lymphocytic Leukemia, LeukemiaArmsdasatinib and lenalidomide
NCT01686386 phase1 / phase2unknown statusnot on this mapstarted 2010, after this paper: background citation

A Phase I/II Study of Bendamustine, Lenalidomide and Low-dose Dexamethasone, (BdL) for the Treatment of Patients With Relapsed Myeloma.

TypeinterventionalSponsorGruppo Italiano Studio LinfomiRan2010 to 2013Enrolled60ConditionsMultiple MyelomaArmsBendamustine, Lenalidomide, Dexamethasone
NCT01723839 phase2completednot on this mapstarted 2012, after this paper: background citation

Phase II Clinical Protocol for the Treatment of Patients With Previously Untreated CLL With Four or Six Cycles of Fludarabine and Cyclophosphamide With Rituximab (FCR) Plus Lenalidomide Followed by Lenalidomide Consolidation/ Maintenance

TypeinterventionalSponsorHackensack Meridian HealthRan2012 to 2021Enrolled21ConditionsChronic Lymphocytic Leukemia (CLL)ArmsFludarabine, Cyclophosphamide, Rituximab, Lenalidomide
3 · Its place in the literature

Who cites it

153 citing papers in PubMed, 1 synthesis or guideline pooled it, 409 citations in OpenAlex.

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  15. Phase II study of lenalidomide and rituximab as salvage therapy for patients with relapsed or refractory chronic lymphocytic leukemia.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2013
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  20. Single-agent lenalidomide in the treatment of previously untreated chronic lymphocytic leukemia.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2011
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93 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 3 institutions in 2 countries.

Asher Chanan-KhanDepartment of Medicine, Roswell Park Cancer Institute, Buffalo, NY 14263, USA. asher.chanan-khan@roswellpark.org
Kena C Miller
Laurie Musial
David Lawrence
Swaminathan Padmanabhan
Kenichi Takeshita
Carl W Porter
David W Goodrich
Zale P Bernstein
Paul Wallace
David Spaner
Alice Mohr
Catriona Byrne
Francisco Hernandez-Ilizaliturri
Cynthia Chrystal
Petr Starostik
Myron S Czuczman
Regional Cancer Center · USRoswell Park Comprehensive Cancer Center · USSunnybrook Health Science Centre · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePatients with relapsed or refractory chronic lymphocytic leukemia (CLL) have profound immune defects and limited treatment options. Given the dramatic activity of lenalidomide in other B-cell malignancies and its pleotropic immunomodulatory effects, we conducted a phase II trial of this agent in CLL. PATIENTS AND

methodsPatients with relapsed or refractory B-cell CLL (B-CLL) were eligible if they required treatment as per the National Cancer Institute Working Group 1996 guidelines. Lenalidomide was administered orally at 25 mg on days 1 through 21 of a 28-day cycle. Response was assessed after each cycle. Patients were to continue treatment until disease progression, unacceptable toxicity, or complete remission. Rituximab was added to lenalidomide on disease progression.

resultsForty-five patients were enrolled, with a median age of 64 years. Sixty-four percent of the patients had Rai stage III or IV disease, and 51% were refractory to fludarabine. The overall response rate was 47%, with 9% of the patients attaining a complete remission. Fatigue, thrombocytopenia, and neutropenia were the most common adverse effects noted in 83%, 78%, and 78% of the patients, respectively.

conclusionLenalidomide is clinically active in patients with relapsed or refractory B-CLL. These findings are encouraging and warrant further investigation of this agent in the treatment of this disorder.

Indexed as

AdultAgedAntineoplastic AgentsFatigueFemaleHumansImmunologic FactorsLenalidomideLeukemia, Lymphocytic, Chronic, B-CellMaleMiddle AgedNeoplasm Recurrence, LocalNeutropeniaRemission InductionThalidomideThrombocytopeniaAntineoplastic AgentsImmunologic FactorsLenalidomideThalidomide

Identifiers

PMID17088571
OpenAlexW2136242714

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.