Revlimid

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

Treatment

15 FDA approvals

20 Active Studies for Revlimid

What is Revlimid

Lenalidomide

The Generic name of this drug

Treatment Summary

Lenalidomide is a prescription drug used to treat certain types of cancer, such as multiple myeloma, myelodysplastic syndromes, mantle cell lymphoma, follicular lymphoma, and marginal zone lymphoma. Lenalidomide belongs to a class of drugs called immunomodulatory imide drugs, which work by promoting malignant cell death and enhancing the body's immunity. It is usually taken orally in capsule form and is only available under a special restricted distribution program. Lenalidomide is much safer and more effective than its predecessor, thalidomide, and has fewer side effects and toxic

Revlimid

is the brand name

image of different drug pills on a surface

Revlimid 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 Revlimid Affects Patients

Lenalidomide is a drug used to treat hematological malignancies, which are cancers of the blood and bone marrow. It works in two ways - directly and indirectly. Directly, it kills cancer cells and slows down tumor growth, while also stopping cancer cells from invading other tissues. Indirectly, it reduces inflammation by blocking pro-inflammatory proteins. It also works to strengthen the immune system by increasing T cell production and natural killer cell activity. Lenalidomide has been studied for its potential to treat other diseases such as amyotrophic lateral sclerosis (ALS).

How Revlimid works in the body

Lenalidomide has many effects on the body. It works to weaken cancer cells by breaking down molecules that help them survive and reproduce. It also decreases inflammation by slowing down the production of molecules that cause swelling and discomfort. Lenalidomide also works to prevent the spread of cancer cells by stopping the cells from sticking together and moving around the body. Lastly, it prevents tumor growth by stopping blood vessels from supplying them with nutrients.

When to interrupt dosage

The advised dose of Revlimid is contingent upon the determined condition, including Mantle Cell Lymphoma, Relapsed and/or Refractory Lymphoma and Refractory Diffuse Large B Cell Lymphoma (DLBCL). The amount of dosage relies upon the technique of delivery (e.g. Capsule - Oral or Oral) stipulated in the table beneath.

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

Revlimid 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 Revlimid.

Common Revlimid 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.

Revlimid Toxicity & Overdose Risk

The lowest lethal dose of lenalidomide in rats is greater than 2000 mg/kg when taken by mouth and greater than 40 mg/kg when given intravenously. In humans, the lowest toxic dose is 9 mg/kg taken over 4 weeks. There have been reports of serious side effects due to lenalidomide overdosing, including risks to the fetus, low blood cell counts, blood clots, heart problems, cancer, liver damage, skin reactions, abnormal thyroid levels, and tumour flare reactions.

image of a doctor in a lab doing drug, clinical research

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

426 active studies are currently being conducted to assess the potential of Revlimid to treat previously treated, Relapsed and/or Refractory Lymphoma and Multiple Myeloma.

Condition

Clinical Trials

Trial Phases

Myelodysplastic Syndrome

131 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

Revlimid Reviews: What are patients saying about Revlimid?

5

Patient Review

1/21/2014

Revlimid for Multiple Myeloma

My 90 year old husband has been on revlimid since Jan.'09 and it's working great! We've seen a significant reduction in tumors with very few side effects.

5

Patient Review

7/21/2013

Revlimid for Multiple Myeloma

The only downside I've experienced is neuropathy in my feet, but it's worth it because I'm now able to walk more than four miles each day.

5

Patient Review

7/28/2013

Revlimid for Multiple Myeloma

I have experienced some unfortunate side effects from this medication, including muscle cramps and worsening of my neuropathy.

5

Patient Review

8/12/2014

Revlimid for Multiple Myeloma

The process of signing for the delivery while still working was a little difficult, but other than that everything went smoothly.

4.7

Patient Review

8/11/2018

Revlimid for Multiple Myeloma

I've been on this drug for three years now and it has kept me alive. The downside is that I'm constantly tired and have developed neuropathy in both feet. Additionally, my skin has become thicker over time.

4.7

Patient Review

8/1/2012

Revlimid for Multiple Myeloma

Even after aggressive treatment, my myeloma continued to worsen. Thankfully, this medication put me into remission within just a few months. It's now been over three years and I've only experienced minor side effects like irritable bowel syndrome and a metallic taste in my mouth.

4.7

Patient Review

4/12/2012

Revlimid for Multiple Myeloma

This medication is great at lowering my white blood count.

4.7

Patient Review

2/15/2012

Revlimid for Multiple Myeloma

4.7

Patient Review

10/8/2014

Revlimid for Multiple Myeloma

This drug has been working great for me with no noticeable side effects.

4.3

Patient Review

6/23/2013

Revlimid for Multiple Myeloma

I had a stem cell transplant in May of 2011 and I'm doing really well now. I've been on Revlimid since then with very few side effects. The only thing is that I get tired more easily, but it has gotten better over time.

4

Patient Review

11/3/2014

Revlimid for Multiple Myeloma

I was diagnosed with MM in 2008 and have since tried stem cell transfer, CDT, Velcade, and Revlimid. The latter is the only one that has worked for me; I'm on my 32nd cycle now. That said, it does come with some not-so-great side effects like IBS and facial rash. Recently had a blood clot but thankfully that's cleared up now. All things considered, I'm doing alright.

3.3

Patient Review

11/28/2012

Revlimid for Multiple Myeloma

So far, the medication has been working well for me. I'm grateful.

2.7

Patient Review

2/8/2012

Revlimid for Bone Marrow Disorders Occurring Before Leukemia

2.3

Patient Review

4/11/2012

Revlimid for Multiple Myeloma

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Patient Q&A Section about revlimid

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

What type of cancer is Revlimid used for?

"Lenalidomide is a cancer drug, also known by the brand name Revlimid, which is used to treat myeloma and blood disorders known as myelodysplastic syndromes. It may also be used as part of clinical trials for other types of cancer. When used to treat myeloma, lenalidomide is usually combined with a steroid drug called dexamethasone."

Answered by AI

What is the success rate of Revlimid?

"After patients went through tandem autologous transplants, they were given Revlimid. Out of the patients that took Revlimid, 88% achieved at least a very good partial remission and 53% achieved a complete remission. The one-year survival for these patients was 92%."

Answered by AI

Is Revlimid a high risk medication?

"If you have questions about the Lenalidomide REMS, please call 1-888-geyercorp.

The side effects of REVLIMID (lenalidomide) may be very serious, including the risk to unborn babies, the risk of low blood counts, and blood clots. There are safety considerations that you need to be aware of before taking REVLIMID. That is why REVLIMID is only available through a restricted distribution program called Lenalidomide REMS. If you have questions about the Lenalidomide REMS, please call 1-888-geyercorp."

Answered by AI

What does Revlimid do to your body?

"Cancer cells are growth-slow or growth-stop by the medicine. The medicine is also used to treat anemia which is caused by blood/bone marrow disorders (myelodysplastic syndromes-MDS). By using this medicine, patients may not need blood transfusions as often."

Answered by AI

Is Revlimid a chemotherapy?

"The drug Lenalidomide, which is also known by its brand name Revlimid, is used to treat cancer. It is specifically used to treat myeloma, which is a cancer of the blood, as well as myelodysplastic syndromes, which are disorders of the blood. Lenalidomide may also be used in clinical trials for other types of cancer. When used to treat myeloma, it is often combined with another drug called dexamethasone, which is a steroid."

Answered by AI

Clinical Trials for Revlimid

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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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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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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