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References | Regimen | No | Response | TLS | TFR | AE grade 3-4 |
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Chanan Kh [21] 2007 Phase II Relapsed or refractory | Lenalidomide 5 mg per day escalating up to 25 mg per day | 45 | ORR 47% RC 9% OS: NR TFS: NR | 5% | 58% | Neutropenia 70% Thrombocytopenia 45% Anemia 18% |
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Ferrajoli [7] 2008 Phase II Relapsed or refractory | Lenalidomide 10 mg per day escalating up to 25 mg/day (5 mg each 28 days) Median 10 mg | 44 | ORR 32% RC: 7% OS 73% at 14 months TFS: NR | 0 | 12% | Neutropenia 41% Thrombocytopenia 13% Anemia 3% |
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Chen [9, 25] 2011 Phase II Untreated | Lenalidomide 2.5 mg per week escalating up to 10 mg or 25 mg if no response Median 18 cycles (2–33) | 25 | ORR 72% OS 85.3% TFS 68.8% (estimated at 3 years) | 0 | 88% | Neutropenia 76% Thrombocytopenia 28% Anemia 20% |
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Aue 2010 [10] Phase II Relapsed or refractory | Lenalidomide pulses: 10–20 mg for 21 days followed by 21 days of rest (4–8 cycles) | 31 | ORR 16% RC 0 PFS responding 16 m versus 6 m | 0 | 53% | Neutropenia 56% Thrombocytopenia 30% Anemia 15% Infection
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Badoux [26] 2011 Phase II Elderly Untreated | Lenalidomide 5 mg monthly increases to 25 mg as tolerated until disease progression or unacceptable toxicity | 60 (>65 years) median 71 years | ORR 65% RC 10% OS 88% TFS 60% (estimated at 2 years) | 0 | 52% | Neutropenia 83% Thrombocytopenia 47% Anemia <1% Infection 10% |
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Lamanna [27] Phase II Treated and untreated | Continuous low dose 2.5 mg to 5 mg is increased if progression (up to 20 mg) | 21 | | 7% | 47% | Neutropenia 52% Thrombocytopenia 24% |
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Wendter [28] CLL-009 2011 Phase II Relapsed or refractory | Initial doses of 5, 10, or 15 mg escalating up to 25 mg (dose finding) | 60 | ORR 37% RC 3.4% | 3.4% | 10% | Neutropenia 41,7% Thrombocytopenia 25% Anemia 8.3% |
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Wendter [22] 2012 CLL-001 Phase II Treated | Continuous cycles of 28 days increasing from 2.5 mg to 25 mg | 52 | ORR 12% RC 0% SD 58% | | 10% | Neutropenia 65% Thrombocytopenia 33% Anemia 10% |
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