Page last updated: 2024-11-05

thalidomide and ATLL

thalidomide has been researched along with ATLL in 7 studies

Thalidomide: A piperidinyl isoindole originally introduced as a non-barbiturate hypnotic, but withdrawn from the market due to teratogenic effects. It has been reintroduced and used for a number of immunological and inflammatory disorders. Thalidomide displays immunosuppressive and anti-angiogenic activity. It inhibits release of TUMOR NECROSIS FACTOR-ALPHA from monocytes, and modulates other cytokine action.
thalidomide : A racemate comprising equimolar amounts of R- and S-thalidomide.
2-(2,6-dioxopiperidin-3-yl)-1H-isoindole-1,3(2H)-dione : A dicarboximide that is isoindole-1,3(2H)-dione in which the hydrogen attached to the nitrogen is substituted by a 2,6-dioxopiperidin-3-yl group.

Research Excerpts

ExcerptRelevanceReference
" Of 13 assessable patients (nine with adult T-cell leukaemia-lymphoma, four with other peripheral T-cell lymphomas) receiving lenalidomide, dose-limiting toxic effects were reported in three patients during cycle 1 (one grade 4 thrombocytopenia [cohort 2], one grade 3 QT prolongation on electrocardiogram [cohort 3], and one grade 3 fatigue and grade 4 thrombocytopenia [cohort 3])."9.22Lenalidomide in relapsed adult T-cell leukaemia-lymphoma or peripheral T-cell lymphoma (ATLL-001): a phase 1, multicentre, dose-escalation study. ( Aoki, T; Asou, N; Chen, N; Choi, I; Imaizumi, Y; Maruyama, D; Midorikawa, S; Nosaka, K; Ogura, M; Ohtsu, T; Taguchi, J; Tobinai, K; Tsukasaki, K; Uchida, T; Uike, N; Utsunomiya, A, 2016)
" Of 13 assessable patients (nine with adult T-cell leukaemia-lymphoma, four with other peripheral T-cell lymphomas) receiving lenalidomide, dose-limiting toxic effects were reported in three patients during cycle 1 (one grade 4 thrombocytopenia [cohort 2], one grade 3 QT prolongation on electrocardiogram [cohort 3], and one grade 3 fatigue and grade 4 thrombocytopenia [cohort 3])."5.22Lenalidomide in relapsed adult T-cell leukaemia-lymphoma or peripheral T-cell lymphoma (ATLL-001): a phase 1, multicentre, dose-escalation study. ( Aoki, T; Asou, N; Chen, N; Choi, I; Imaizumi, Y; Maruyama, D; Midorikawa, S; Nosaka, K; Ogura, M; Ohtsu, T; Taguchi, J; Tobinai, K; Tsukasaki, K; Uchida, T; Uike, N; Utsunomiya, A, 2016)
"Autoimmune haemolytic anaemia is also recognised, is frequently difficult to treat and overall prognosis is often poor, usually from associated problems."1.31Remission of severe, intractable autoimmune haemolytic anaemia following matched unrelated donor transplantation. ( Kinsey, SE; Pratt, G, 2001)

Research

Studies (7)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's2 (28.57)29.6817
2010's5 (71.43)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Moskowitz, AJ1
Ogura, M2
Imaizumi, Y2
Uike, N1
Asou, N1
Utsunomiya, A1
Uchida, T1
Aoki, T1
Tsukasaki, K2
Taguchi, J1
Choi, I1
Maruyama, D1
Nosaka, K2
Chen, N1
Midorikawa, S2
Ohtsu, T2
Tobinai, K3
Ishida, T1
Fujiwara, H1
Taira, N1
Abe, Y1
Moriuchi, Y1
Jo, T1
Ishizawa, K1
Ito, S1
Yoshimitsu, M1
Otsuka, M1
Ruiz, W1
Mehta-Shah, N1
Horwitz, SM1
Dalle, JH1
Leblond, P1
Decouvelaere, A1
Yakoub-Agha, I1
Preudhomme, C1
Nelken, B1
Mazingue, F1
Pratt, G1
Kinsey, SE1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Phase I, Multicenter, Open-label, Dose-escalation Study to Assess the Safety of Lenalidomide in Patients With Advanced Adult T-cell Leukemia-lymphoma and Peripheral T-cell Lymphoma[NCT01169298]Phase 113 participants (Actual)Interventional2010-07-01Completed
A Phase 2, Multicenter, Single-arm, Open-label Study to Evaluate the Safety and Efficacy of Lenalidomide in Patients With Relapsed or Recurrent Adult T-cell Leukemia-lymphoma[NCT01724177]Phase 226 participants (Actual)Interventional2012-11-12Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Kaplan Meier Estimate of Progression Free Survival (PFS) as Assessed by the ESEC

PFS was defined as the time from the first dose of study treatment to progressive disease (PD) or death due to any cause on study or within 28 days after study discontinuation, whichever occurred earlier. (NCT01724177)
Timeframe: From day 1 of study treatment to the date of disease progression; up to data cut date of date of 19 May 2017; maximum study duration was 134.1 weeks

Interventionweeks (Median)
Lenalidomide16.30

Kaplan-Meier Estimate for Overall Survival

Overall Survival was defined as the time from the start of study treatment to the death due to any cause. For participants who were still alive at the time of the data cutoff, survival data were censored at the latest available date the participant was known to be alive. (NCT01724177)
Timeframe: From Day 1 of study treatment to disease progression or death; up to final data cut-off date of 19 May 2017; maximum surivival time was 197.9 weeks

Interventionweeks (Median)
Lenalidomide88.10

Kaplan-Meier Estimate of Duration of Response (DOR) for Responders as Assessed by the ESEC

The response duration in participants with an objective response was measured from the date of the first Complete Response or Complete Response unconfirmed or Partial Response to the first date of Relapsed Disease or Progressive Disease (PD). For participants who did not progress during the study, DOR was censored at the last adequate response assessment not showing evidence of PD. (NCT01724177)
Timeframe: From day 1 of study treatment to first documented response; up to data cut-off date of 19 May 2017; Maximum study duration was 134.1 Weeks

Interventionweeks (Number)
Lenalidomide24.10

Kaplan-Meier Estimate of Time to Progression (TTP)

Time to progression was calculated as the time from the first dosing of study treatment to the first documented PD and assessed by the ESEC (NCT01724177)
Timeframe: From day 1 of study treatment to the date of disease progression; up to data cut date of 19 May 2017; maximum study duration was 134.1 weeks

Interventionweeks (Median)
Lenalidomide16.30

Percentage of Participants Who Achieved a Complete Response, Unconfirmed Complete Response (CRu), Partial Response or Stable Disease (SD) as Assessed by the ESEC

The tumor control rate was measured for those with a response of Complete Remission, + CRu, + PR + Stable Disease (SD) in the EE population based on the best response. (NCT01724177)
Timeframe: From day 1 of study treatment to first documented response; up to data cut-off date of 19 May 2017; maximum study duration was 134.1 weeks

Interventionpercentage of participants (Number)
Lenalidomide73.1

Percentage of Participants Who Achieved a Complete Response, Unconfirmed Complete Response, or Partial Response as Assessed by the Efficacy-Safety Evaluation Committee (ESEC)

"ORR is a Complete Response (CR) + Complete Response unconfirmed (CRu) + Partial Response (PR). A CR requires that target lesions have regressed to normal; nodal non-target lesions have regressed to normal; extranodal non-target lesions have disappeared; hepatomegaly/splenomegaly has disappeared; skin findings are GR 0; peripheral blood is normal; Bone marrow (BM) infiltration is negative and no new lesions. A CRu requires the sum of the product diameters (SPD) of target lesions have decreased by at least 75% from baseline; nodal non-target lesions have regressed to normal size; extranodal non-target lesions have disappeared; hepatomegaly/splenomegaly has disappeared; skin findings are Grade 0; peripheral blood is normal; BM infiltration is negative and no new lesions. A PR requires the SPD of target lesions has decreased by at least 50% from baseline; all nodal non-target lesions have regressed to normal or show no increase in size; all extranodal non-target lesions have disappeared" (NCT01724177)
Timeframe: From day 1 of study treatment to date of first documented CR, CRU or PR; Up to data cut-off date of 19 May 2017; maximum study duration was 134.1 weeks

Interventionpercentage of participants (Number)
Lenalidomide42.3

Time to Response

Time to Response was defined as the time from the first dose of study treatment to the initial documented response (CR or CRu, or PR) (NCT01724177)
Timeframe: From day 1 of study treatment to first documented response; up to data cut-off date of 19 May 2017; maximum study duration was 134.1 weeks

Interventionweeks (Median)
Lenalidomide8.10

Number of Participants With Treatment Emergent Adverse Events

Treatment Emergent Adverse Event (TEAE) was defined as any AE occurring on or after the start of study treatment and within 28 days after the last dose. Severity was assessed using National Cancer Institute Common Terminology Criteria for Adverse Events version 4.0 (NCI CTCAE v4.0): Grade 1= Mild Grade 2= Moderate Grade 3= Severe Grade 4= Life-threatening and Grade 5= Death related to AE. Serious AEs (SAEs) were those that resulted in death, were life-threatening, required or prolonged inpatient hospitalization, resulted in persistent or significant disability/incapacity, congenital anomaly, or resulted in an important medical event that may have jeopardized the patient or required medical or surgical intervention to prevent one of the outcomes listed above. (NCT01724177)
Timeframe: From the date of the first dose of study drug up to 28 days after the last dose of study drug; up to data cutoff date of 19 May 2017; maximum treatment duration was 130.1 weeks

Interventionparticipants (Number)
≥ 1 TEAE≥ 1 TEAE Related to Lenalidomide≥ 1 NCI CTCAE Grade (GR) 3 or Greater TEAE≥ 1 NCI CTCAE ≥ GR 3 TEAE Related to Lenalidomide≥ 1 Serious TEAE≥ 1 Serious TEAE Related to Lenalidomide≥ 1 TEAE Leading to Discontinuation≥ 1 Related TEAE Leading to Discontinuation≥ 1 TEAE Leading to Dose Reduction/Interruption≥ 1 related TEAE Leading to Decrease/Interruption≥ 1 TEAE Resulting in Death
Lenalidomide262625251198817170

Reviews

1 review available for thalidomide and ATLL

ArticleYear
Clinical trials for human T-cell lymphotropic virus type I-associated peripheral T-cell lymphoma in Japan.
    Seminars in hematology, 2010, Volume: 47 Suppl 1

    Topics: Antibodies, Monoclonal; Antibodies, Monoclonal, Humanized; Antineoplastic Combined Chemotherapy Prot

2010

Trials

2 trials available for thalidomide and ATLL

ArticleYear
Lenalidomide in relapsed adult T-cell leukaemia-lymphoma or peripheral T-cell lymphoma (ATLL-001): a phase 1, multicentre, dose-escalation study.
    The Lancet. Haematology, 2016, Volume: 3, Issue:3

    Topics: Adult; Angiogenesis Inhibitors; Humans; Lenalidomide; Leukemia-Lymphoma, Adult T-Cell; Lymphoma, T-C

2016
Multicenter Phase II Study of Lenalidomide in Relapsed or Recurrent Adult T-Cell Leukemia/Lymphoma: ATLL-002.
    Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2016, Volume: 34, Issue:34

    Topics: Administration, Oral; Aged; Aged, 80 and over; Angiogenesis Inhibitors; Disease Progression; Endpoin

2016

Other Studies

4 other studies available for thalidomide and ATLL

ArticleYear
Lenalidomide in adult T-cell leukaemia-lymphoma.
    The Lancet. Haematology, 2016, Volume: 3, Issue:3

    Topics: Adult; Antineoplastic Agents; Humans; Lenalidomide; Leukemia; Leukemia-Lymphoma, Adult T-Cell; T-Lym

2016
Lenalidomide in Adult T-Cell Leukemia/Lymphoma.
    Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2016, Volume: 34, Issue:34

    Topics: Adult; Angiogenesis Inhibitors; Humans; Lenalidomide; Leukemia-Lymphoma, Adult T-Cell; Lymphoma; Tha

2016
Efficacy of thalidomide in a child with histiocytic sarcoma following allogeneic bone marrow transplantation for T-ALL.
    Leukemia, 2003, Volume: 17, Issue:10

    Topics: Antineoplastic Agents; Bone Marrow Transplantation; Child, Preschool; Humans; Leukemia-Lymphoma, Adu

2003
Remission of severe, intractable autoimmune haemolytic anaemia following matched unrelated donor transplantation.
    Bone marrow transplantation, 2001, Volume: 28, Issue:8

    Topics: Adrenal Cortex Hormones; Alemtuzumab; Anemia, Hemolytic, Autoimmune; Antibodies, Monoclonal; Antibod

2001