Lenalidomide

Myelodysplastic Syndrome, Hemopoietic stem cell transplant, Lymphoma + 10 more

Treatment

15 FDA approvals

20 Active Studies for Lenalidomide

What is Lenalidomide

Lenalidomide

The Generic name of this drug

Treatment Summary

Lenalidomide (previously referred to as CC-5013) is a medication that is used to treat different types of cancer. It is similar to thalidomide but is more potent and has fewer side effects. Lenalidomide works by killing cancer cells, reducing inflammation, and boosting the body’s immune system. It is available in oral capsules and is approved by the FDA and the EU for the treatment of multiple myeloma, myelodysplastic syndromes, mantle cell lymphoma, follicular lymphoma, and marginal zone lymphoma. Lenalidomide is only available through a

Revlimid

is the brand name

image of different drug pills on a surface

Lenalidomide Overview & Background

Brand Name

Generic Name

First FDA Approval

How many FDA approvals?

Revlimid

Lenalidomide

2005

70

Approved as Treatment by the FDA

Lenalidomide, also known as Revlimid, is approved by the FDA for 15 uses which include Myelodysplastic Syndromes (MDS) and Mantle Cell Lymphoma (MCL) .

Myelodysplastic Syndromes (MDS)

Mantle Cell Lymphoma (MCL)

Multiple Myeloma (MM)

Used to treat Multiple Myeloma (MM) in combination with Dexamethasone

Marginal Zone Lymphoma (MZL)

Used to treat Marginal Zone Lymphoma (MZL) in combination with Rituximab

Transfusion-dependent Anemia

Mantle Cell Lymphoma

Multiple Myeloma

Used to treat Multiple Myeloma (MM) in combination with Dexamethasone

Follicular Lymphoma

Used to treat Follicular Lymphoma ( FL) in combination with Rituximab

previously treated

In adults whose disease has relapsed with Rituximab

Myelodysplastic Syndrome

Hemopoietic stem cell transplant

Used to treat post-autologous hematopoietic stem cell transplantation in combination with Dexamethasone

Anemia

Lymphoma

Used to treat Marginal Zone Lymphoma (MZL) in combination with Rituximab

at least two prior systemic chemotherapy regimens

Lymphoma

Effectiveness

How Lenalidomide Affects Patients

Lenalidomide is a drug that can help fight cancer, reduce the growth of tumors, and stop the spread of cancer cells. It also works to control inflammation and improve the body's natural immunity by increasing T cell proliferation and activity of natural killer (NK) cells. Lenalidomide is more powerful than thalidomide at stimulating T cell proliferation, and can even improve the body's response to other cancer treatments like rituximab. Additionally, lenalidomide may be of use in treating inflammatory and autoimmune diseases, such as amyotrophic lateral sclerosis.

How Lenalidomide works in the body

Lenalidomide works in multiple ways to combat cancer. It modulates the production of certain molecules, like cytokines, which control the body's immune response. Lenalidomide also attaches to an adaptor protein, which marks molecules for destruction. This includes certain B-cell transcription factors that are essential for B-cell survival of malignant cells. Lenalidomide also reduces pro-inflammatory cytokines and enhances anti-inflammatory cytokines. It increases the activity of natural killer cells and CD4+ T cells, which helps to fight cancer. Lenalidomide also directly affects tumor cells by inhibiting their growth

When to interrupt dosage

The suggested dose of Lenalidomide relies upon the determined condition, including Mantle Cell Lymphoma, Relapsed and/or Refractory Lymphoma and Refractory Diffuse Large B Cell Lymphoma (DLBCL). The magnitude of dosage is contingent upon the technique of delivery (e.g. Capsule - Oral or Oral) detailed in the table hereunder.

Condition

Dosage

Administration

Myelodysplastic Syndrome

5.0 mg, 15.0 mg, 2.5 mg, 25.0 mg, 10.0 mg, 7.5 mg, , 20.0 mg

, Capsule - Oral, Capsule, Oral

Hemopoietic stem cell transplant

5.0 mg, 15.0 mg, 2.5 mg, 25.0 mg, 10.0 mg, 7.5 mg, , 20.0 mg

, Capsule - Oral, Capsule, Oral

Lymphoma

5.0 mg, 15.0 mg, 2.5 mg, 25.0 mg, 10.0 mg, 7.5 mg, , 20.0 mg

, Capsule - Oral, Capsule, Oral

Chronic Lymphocytic Leukemia

5.0 mg, 15.0 mg, 2.5 mg, 25.0 mg, 10.0 mg, 7.5 mg, , 20.0 mg

, Capsule - Oral, Capsule, Oral

Multiple Myeloma

5.0 mg, 15.0 mg, 2.5 mg, 25.0 mg, 10.0 mg, 7.5 mg, , 20.0 mg

, Capsule - Oral, Capsule, Oral

Lymphoma, B-Cell

5.0 mg, 15.0 mg, 2.5 mg, 25.0 mg, 10.0 mg, 7.5 mg, , 20.0 mg

, Capsule - Oral, Capsule, Oral

Mantle Cell Lymphoma

5.0 mg, 15.0 mg, 2.5 mg, 25.0 mg, 10.0 mg, 7.5 mg, , 20.0 mg

, Capsule - Oral, Capsule, Oral

Lymphoma

5.0 mg, 15.0 mg, 2.5 mg, 25.0 mg, 10.0 mg, 7.5 mg, , 20.0 mg

, Capsule - Oral, Capsule, Oral

Anemia

5.0 mg, 15.0 mg, 2.5 mg, 25.0 mg, 10.0 mg, 7.5 mg, , 20.0 mg

, Capsule - Oral, Capsule, Oral

at least two prior systemic chemotherapy regimens

5.0 mg, 15.0 mg, 2.5 mg, 25.0 mg, 10.0 mg, 7.5 mg, , 20.0 mg

, Capsule - Oral, Capsule, Oral

previously treated

5.0 mg, 15.0 mg, 2.5 mg, 25.0 mg, 10.0 mg, 7.5 mg, , 20.0 mg

, Capsule - Oral, Capsule, Oral

Follicular Lymphoma

5.0 mg, 15.0 mg, 2.5 mg, 25.0 mg, 10.0 mg, 7.5 mg, , 20.0 mg

, Capsule - Oral, Capsule, Oral

Amyloidosis

5.0 mg, 15.0 mg, 2.5 mg, 25.0 mg, 10.0 mg, 7.5 mg, , 20.0 mg

, Capsule - Oral, Capsule, Oral

Warnings

Lenalidomide has one contraindication, so it should not be taken when you have any of the conditions in the following table.

Lenalidomide Contraindications

Condition

Risk Level

Notes

Severe Hypersensitivity Reactions

Do Not Combine

Lenalidomide may interact with Pulse Frequency

There are 20 known major drug interactions with Lenalidomide.

Common Lenalidomide Drug Interactions

Drug Name

Risk Level

Description

2-Methoxyethanol

Major

The risk or severity of adverse effects can be increased when Lenalidomide is combined with 2-Methoxyethanol.

9-(N-methyl-L-isoleucine)-cyclosporin A

Major

The risk or severity of adverse effects can be increased when Lenalidomide is combined with 9-(N-methyl-L-isoleucine)-cyclosporin A.

Abatacept

Major

The risk or severity of adverse effects can be increased when Lenalidomide is combined with Abatacept.

Abetimus

Major

The risk or severity of adverse effects can be increased when Lenalidomide is combined with Abetimus.

Acteoside

Major

The risk or severity of adverse effects can be increased when Lenalidomide is combined with Acteoside.

Lenalidomide Toxicity & Overdose Risk

The lowest amount of lenalidomide that can cause death in rats is greater than 2000mg/kg when taken orally, and greater than 40mg/kg when taken intravenously. In humans, the lowest toxic dose is 9mg/kg taken intermittently. If someone takes too much lenalidomide, potential side effects can include pregnancy risks, low white blood cell or platelet counts, increased risk of blood clots, secondary cancers, liver damage, severe skin reactions, fast breakdown of cancer cells, hormone imbalances, and thyroid problems.

Lenalidomide Novel Uses: Which Conditions Have a Clinical Trial Featuring Lenalidomide?

426 active trials are presently being conducted to evaluate the potential of Lenalidomide in treating previously treated, Relapsed and/or Refractory Lymphoma and Multiple Myeloma.

Condition

Clinical Trials

Trial Phases

Myelodysplastic Syndrome

132 Actively Recruiting

Phase 1, Phase 2, Phase 3, Not Applicable, Phase 4

Lymphoma, B-Cell

35 Actively Recruiting

Phase 1, Phase 2, Phase 3

Multiple Myeloma

7 Actively Recruiting

Phase 1, Phase 2

Lymphoma

0 Actively Recruiting

Hemopoietic stem cell transplant

0 Actively Recruiting

Amyloidosis

1 Actively Recruiting

Not Applicable

Chronic Lymphocytic Leukemia

19 Actively Recruiting

Phase 1, Phase 2

Lymphoma

39 Actively Recruiting

Phase 2, Phase 1, Phase 3, Early Phase 1, Not Applicable

Follicular Lymphoma

78 Actively Recruiting

Phase 3, Not Applicable, Phase 2, Phase 1, Early Phase 1

Anemia

0 Actively Recruiting

at least two prior systemic chemotherapy regimens

0 Actively Recruiting

Mantle Cell Lymphoma

72 Actively Recruiting

Phase 2, Phase 3, Not Applicable, Phase 1, Early Phase 1

previously treated

0 Actively Recruiting

Lenalidomide Reviews: What are patients saying about Lenalidomide?

5

Patient Review

6/12/2013

Lenalidomide for Multiple Myeloma

I've been on this medication for six months as part of a clinical trial for high-risk smoldering multiple myeloma. I experience itchiness and take Claritin daily, fatigue and thus need to rest frequently, stomach issues that I just have to deal with, diarrhea or constipation depending on the day, and headaches which are constant but manageable. Overall, I think that the pros outweigh the cons here because if I stopped taking the medication things would likely only get worse.

5

Patient Review

3/12/2015

Lenalidomide for Multiple Myeloma

I've had MM and other cancers since 1988. In 2013, I started taking revlimid and within one month saw a strong decrease [in the cancer]. After two months, I stopped the medication because the myeloma had sufficiently decreased. However, I needed treatment for colon cancer. I started taking revlimid again two weeks ago and feel great.

4.3

Patient Review

5/23/2012

Lenalidomide for Multiple Myeloma

I'm pretty exhausted.

3

Patient Review

12/9/2020

Lenalidomide for Multiple Myeloma

The side-effects of this medication are really terrible. I feel weak and frail. I've dropped down to 15 mg from 25 mg but things haven't changed. I felt well until I started taking this medication - feel dreadful now so I think I can blame the medication.

2.7

Patient Review

6/7/2013

Lenalidomide for Multiple Myeloma

My wife took this medication for six months and, at that time, her cancer was controlled. However, after six months, her myeloma rose again.

2.7

Patient Review

5/19/2011

Lenalidomide for Multiple Myeloma

This treatment was quite painful and I had many reactions to it.

2.7

Patient Review

2/17/2014

Lenalidomide for Multiple Myeloma

The high cost is my main issue with this treatment.

1

Patient Review

6/27/2012

Lenalidomide for Multiple Myeloma

My father took this medication for three days and experienced severe itchiness on his head/scalp and heart palpitations. He discontinued the med but within a week had developed a severe and painful full body rash that has continued for over a week.

1

Patient Review

6/9/2012

Lenalidomide for Multiple Myeloma

My mother died after taking just three capsules of this medication. Please be careful- it caused congestive heart failure in her.

Patient Q&A Section about lenalidomide

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

How long can you stay on lenalidomide?

"The average amount of time that patients took lenalidomide was 21 months, with 25% of patients taking it for less than 11 months and 25% taking it for more than 31 months. The treatment was stopped for 64.7% (n = 90) of the patients when the analysis was done."

Answered by AI

What are side effects of lenalidomide?

"If you experience any of the following side effects, tell your doctor or pharmacist immediately: diarrhea, stomach/abdominal pain, nausea/vomiting, loss of appetite, constipation, dizziness, dry skin, dry mouth, or trouble sleeping. These side effects may be indicative of a serious condition."

Answered by AI

How long can you take lenalidomide?

"The average length of time a patient stayed on lenalidomide maintenance was 21 months, with 25% of patients receiving less than 11 months of maintenance and 25% receiving longer than 31 months. The treatment had been discontinued in 64.7% of patients by the time the analysis was performed."

Answered by AI

What is the function of lenalidomide?

"Lenalidomide is a drug used to treat anemia (low red blood cell count) in patients with myelodysplastic syndrome (MDS), a condition in which the bone marrow doesn't produce enough healthy blood cells. People with MDS may require blood transfusions to make up for the lack of healthy red blood cells."

Answered by AI

Is lenalidomide a chemotherapy?

"Myeloma is a cancer of the blood, and lenalidomide is a treatment for it. Myelodysplastic syndromes are blood disorders, and lenalidomide is a treatment for them. Clinical trials are ongoing for the use of lenalidomide in other types of cancer."

Answered by AI

What type of drug is lenalidomide?

"Lenalidomide is a drug used to treat cancer, also known by its brand name Revlimid. It is a treatment for myeloma, a type of blood cancer, as well as for blood disorders called myelodysplastic syndromes. You may also receive lenalidomide as part of clinical trials for other types of cancer. If you have myeloma, you might be treated with lenalidomide in combination with a steroid drug called dexamethasone."

Answered by AI

Clinical Trials for Lenalidomide

Image of University of Colorado Hospital in Aurora, United States.

CD64 CAR T Cell Therapy for Leukemia and MDS

18+
All Sexes
Aurora, CO

This is a Phase 1, open label, dose-escalation study to evaluate the safety, expansion, persistence, and preliminary clinical activity of lentivirally transduced autologous T cells expressing anti-CD64 chimeric antigen receptors (CAR) expressing tandem CD3ζ and 4-1BB (CD3ζ/4-1BB) costimulatory domains in subjects with refractory or relapsed (R/R) acute myeloid leukemia (AML) or high-risk myelodysplastic syndromes (MDS). This CAR T cell product will be referred to as "CD64 CAR T" which is CD64 directed, autologous, genetically modified CAR T cells. The primary objective identify the safety profile and maximum tolerated dose (MTD) of CD64 CAR T in subjects with R/R AML or MDS as determined by the defined DLTs using a standard Bayesian Optimal Interval (BOIN) design.

Phase 1
Waitlist Available

University of Colorado Hospital

Mathew Angelos, MD, PhD

Image of Mayo Clinic in Florida in Jacksonville, United States.

In-Home Treatment for Cancer

18+
All Sexes
Jacksonville, FL

This phase II trial studies whether providing cancer treatment in the home is preferred over the traditional clinic setting and if it improves treatment satisfaction in cancer patients living in the Florida Panhandle and surrounding areas. Typically, drug-related cancer care is provided at a medical center which causes patients to have to spend considerable time away from their family, friends, and familiar surroundings. This may add to the physical, emotional, social, and financial burden for patients and their families during this difficult time in their lives. The Cancer Connected Access and Remote Expertise (CARE) Beyond Walls (CCBW) program uses a specialized care team trained to provide cancer treatment in the patient's home setting. It is designed to support remote connection between the home health team and providers and Mayo clinic. This may be preferred over the traditional clinic setting which may improve treatment satisfaction in cancer patients living in the Florida Panhandle and surrounding areas.

Phase 2
Recruiting

Mayo Clinic in Florida

Roxana S. Dronca, MD

Image of The University of Arizona Cancer Center in Tucson, United States.

DLI-X for Leukemia

Any Age
All Sexes
Tucson, AZ

The primary objective of this proposal is to conduct the first-in-human randomized clinical trial evaluating prophylactic DLI-X (pro-DLI-X) for relapse prevention following matched sibling donor (MSD) or haploidentical (haplo) hematopoietic cell transplantation (HCT) in patients with hematologic malignancies. Additionally, the study aims to assess the safety and efficacy of therapeutic DLI-X (t-DLI-X) compared to t-DLI alone in patients with minimal residual disease (MRD+) or overt relapse post-alloHCT. For patients with CD19-positive lymphoid malignancies, the study will incorporate blinatumomab, while those with myeloid or CD19-negative lymphoid malignancies will receive t-DLI-X or t-DLI alone. We hypothesize that both pro-DLI-X and t-DLI-X, with or without blinatumomab, will demonstrate safety and superior efficacy by enhancing graft-versus-leukemia (GvL) effects mediated by natural killer (NK) cells, γδ T cells, and CD8+ T cells, while maintaining manageable and treatment-responsive graft-versus-host disease (GvHD).

Phase 1
Waitlist Available

The University of Arizona Cancer Center

Emmanuel Katsanis, MD

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Image of Case Comprehensive Cancer Center, University Hospitals Seidman Cancer Center in Cleveland, United States.

Rituximab + Tafasitamab + NK Cells for Non-Hodgkin's Lymphoma

18+
All Sexes
Cleveland, OH

This research study is for people who have relapsed or refractory B-cell non-Hodgkin's lymphoma (NHL) that has not responded to two or more lines of therapy. The purpose of this study is to identify the recommended dose of allogeneic NK cells in combination with IL-2, Tafasitamab and Rituximab for the treatment of relapsed or refractory B-cell non-Hodgkin's lymphoma. NK cells are an investigational (experimental) treatment which means they are not approved by the Food and Drug Administration (FDA). NK cells are a type of lymphocyte that's part of the body's natural immune system, and they can kill cancer cells by creating pores in the cancer cell membranes and inducing apoptosis (programmed cell death). Participants in this study will receive lymphodepleting chemotherapy, as well as Allogeneic NK cells, Tafasitamab and Interleukin-2 (IL-2) by an intravenous (IV) infusion. Participants are expected to complete one cycle, and they may be eligible to complete a second cycle of the same regiment if they have stable disease, partial or complete remission at the end of the first cycle. Participants will be in this study for about 12 months.

Phase 1
Waitlist Available

Case Comprehensive Cancer Center, University Hospitals Seidman Cancer Center (+1 Sites)

Paolo Caimi, MD

Incyte Corporation

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Image of Ohio State University Comprehensive Cancer Center in Columbus, United States.

TriCAR19.20.22 T Cells for Blood Cancers

18+
All Sexes
Columbus, OH

This phase I trial tests the safety, side effects and best dose of anti-CD19/20/22 chimeric antigen receptor (CAR) T cells (TriCAR19.20.22 T cells) and how well they work in treating patients with non-Hodgkin lymphoma, acute lymphoblastic leukemia (ALL) and chronic lymphocytic leukemia (CLL) that has come back after a period of improvement (relapsed) or that has not responded to previous treatment (refractory). CAR T-cell therapy is a type of treatment in which a patient's T cells (a type of immune system cell) are changed in the laboratory so they will attack cancer cells. T cells are taken from a patient's blood. Then the gene for a special receptor that binds to a certain protein, such as CD19, CD20 and CD22, on the patient's cancer cells is added to the T cells in the laboratory. The special receptor is called a CAR. Large numbers of the CAR T cells are grown in the laboratory and given to the patient by infusion for treatment of certain cancers. Giving TriCAR19.20.22 T cells may be safe, tolerable, and/or effective in treating patients with relapsed or refractory non-Hodgkin lymphoma, ALL and CLL.

Phase 1
Recruiting

Ohio State University Comprehensive Cancer Center

Sumithira Vasu, MD

Image of Fred Hutch/University of Washington Cancer Consortium in Seattle, United States.

ST-067 + CAR T-cell Therapy for Large B-Cell Lymphoma

18+
All Sexes
Seattle, WA

This phase I/II trial tests the safety, side effects, and best dose/regimen of ST-067 in combination with CD19-directed chimeric antigen receptor (CAR) T-cell therapy (liso-cel) and how well it works in treating patients with large B-cell lymphoma (LBCL) that has come back after a period of improvement (recurrent) or LBCL that has not responded to previous treatment (refractory). ST-067 is an engineered variant of the human cytokine interleukin-18 that may help the immune system kill cancer cells. Lisocabtagene maraleucel (liso-cel) is an autologous CAR T-cell therapy prepared using the person's own immune system (a group of cells, tissues, and organs that protect the body from attack by bacteria, viruses, and cancer cells) to fight the cancer. Giving ST-067 in combination with liso-cel may better treat patients with relapsed/refractory LBCL.

Phase 1 & 2
Recruiting

Fred Hutch/University of Washington Cancer Consortium

Alexandre V. Hirayama, MD

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