Review Article

Lenalidomide in Diffuse Large B-Cell Lymphoma

Table 1

Response to Lenalidomide in relapsed/refractory diffuse large B-cell lymphomas.

LenalidomideMonotherapyAssociation
Name of the protocolNHL002 [52]NHL003 [53]Lenalidomide and rituximab [54]
Year of publication200820112011

Type of studyMulticentricInternationalMulticentric
PhasePhase IIPhase IIPhase II
TreatmentLenalidomideLenalidomideLenalidomide and rituximab
 Dose of lenalidomide:25 mg/d, D1–2125 mg/d, D1–2120 mg/d, D1–21
every 28 daysevery 28 daysevery 28 days
 Duration or treatment or
 No. of cycles
52 weeks4 cycles 
+ maintenance (  pts)
 No. of patients4926723
 No. of DLBCL2610823
Response*InductionComplete therapy
 ORR , (%)5 (19)30 (28)8 (35)8 (35)
 CR , (%)1 (3)8 (7)7 (31)8 (35)
 CRU , (%)2 (8)
 PR , (%)2 (8)22 (20)1 (4)0 (0)
 Stable disease , (%)7 (27)23 (21)2 (8)2 (8)
 Progression , (%)14 (54)40 (37)13 (57)
Followup9.216
Median time to response (month)PR: 1.9 (1.2–3.7) 
CR: 4.3 (1.9–10.5)
1.9 (1.4–11.5)
Median response duration (month)6.2 (0–12.8)1.6
PFS, Median (month)42.71-year DFS 34.8%

ORR: overall response rate, CR: complete response, CRU: complete response unconfirmed, PR: partial response, PFS: progression free survival.
NHL002: the results of response are specifically reported for DLBCL.
NHL003: the results of response are specifically reported for DLBCL.