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NCT00807599 · ADVERSE EVENTS

Adverse events

Lenalidomide (Revlimid®) Plus Low-dose Dexamethasone (Ld x 4 Cycles) Then Stem Cell Collection Followed by Randomization to Continued Ld or Stem Cell Transplantation (SCT) Plus Maintenance L · Source last updated 2019-03-15

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Adverse events occurred during the study; they are not necessarily caused by treatment. Serious events are not interchangeable with severe/grade 3–4 events. These safety populations may differ from efficacy populations.

Collection time frame
Up to 4 years
Other-event reporting threshold
5%
Participants affected / participants at risk, as reported
Safety groupSerious eventsOther eventsDeaths
Continue Lenalidomide and Dexamethasone

All patients on this study start with the same treatment, lenalidomide and dexamethasone by mouth. After patients have received 4 cycles of lenalidomide and dexamethasone and are within 2 weeks of completing stem cell collection, they are randomized (like the toss of a coin) to either : stem cell transplant right after collection * continue lenalidomide and dexamethasone * saving stem cell transplant for a later time. lenalidomide and dexamethasone: Patients will then be randomized to continued Ld or high-dose melphalan with SCT. On the SCT arm patients not achieving VGPR by 3 months after the 1st SCT will undergo a 2nd SCT. All patients after one or two SCT, will receive maintenance L.

17 / 2626 / 263 / 26
Stem Cell Transplant x 1 or x 2

All patients on this study start with the same treatment, lenalidomide and dexamethasone by mouth. After patients have received 4 cycles of lenalidomide and dexamethasone and are within 2 weeks of completing stem cell collection, they are randomized (like the toss of a coin) to either : * stem cell transplant right after collection * continue lenalidomide and dexamethasone, saving stem cell transplant for a later time. Stem cell transplant x 1 or x 2: After 4 cycles of Ld, eligible patients will undergo stem cell mobilization and collection with standard-of-care cyclophosphamide and Neupogen (G-CSF) or with plerixafor G-CSF. Mobilization with cyclophosphamide is preferred, but plerixafor is also allowed. Ld will be held for at least 2 weeks prior to stem cell mobilization. On the SCT arm, patients not achieving VGPR by 3 months after the 1st SCT will undergo a 2nd SCT. All patients, after one or two SCT, will receive maintenance L.

18 / 2424 / 245 / 24

Group identifiers: EG000: Continue Lenalidomide and Dexamethasone · EG001: Stem Cell Transplant x 1 or x 2

Serious adverse events

Event terms and counts are source-reported; expand to read more. A reporting threshold may omit less frequent events.

  1. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Musculoskeletal and connective tissue disorders
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      1
      num At Risk
      24
    term
    Arthritis
  2. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Musculoskeletal and connective tissue disorders
    stats
    1. group Id
      EG000
      num Affected
      2
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      1
      num At Risk
      24
    term
    Back Pain
  3. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Metabolism and nutrition disorders
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      1
      num At Risk
      24
    term
    Blood Glucose Increase
  4. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Cardiac disorders
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      24
    term
    Cardiac disorder
  5. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Cardiac disorders
    stats
    1. group Id
      EG000
      num Affected
      0
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      1
      num At Risk
      24
    term
    Cardiac Valve Disease
  6. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Infections and infestations
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      1
      num At Risk
      24
    term
    Catheter related infection
  7. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Cardiac disorders
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      1
      num At Risk
      24
    term
    Chest pain
  8. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Hepatobiliary disorders
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      1
      num At Risk
      24
    term
    Cholecystitis
  9. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Respiratory, thoracic and mediastinal disorders
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      24
    term
    Cough
  10. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Skin and subcutaneous tissue disorders
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      24
    term
    Decubitus ulcer
  11. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Blood and lymphatic system disorders
    stats
    1. group Id
      EG000
      num Affected
      4
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      4
      num At Risk
      24
    term
    Febrile neutropenia
  12. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Blood and lymphatic system disorders
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      2
      num At Risk
      24
    term
    Hemoglobin decreased

Other reported adverse events

Event terms and counts are source-reported; expand to read more. A reporting threshold may omit less frequent events.

  1. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Investigations
    stats
    1. group Id
      EG000
      num Affected
      3
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      9
      num At Risk
      24
    term
    ALT
  2. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Investigations
    stats
    1. group Id
      EG000
      num Affected
      3
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      5
      num At Risk
      24
    term
    AST
  3. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Investigations
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      3
      num At Risk
      24
    term
    Alkaline Phosphatase
  4. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Investigations
    stats
    1. group Id
      EG000
      num Affected
      3
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      3
      num At Risk
      24
    term
    Bilirubin
  5. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Investigations
    stats
    1. group Id
      EG000
      num Affected
      3
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      1
      num At Risk
      24
    term
    CPK
  6. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Gastrointestinal disorders
    stats
    1. group Id
      EG000
      num Affected
      3
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      2
      num At Risk
      24
    term
    Constipation
  7. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Investigations
    stats
    1. group Id
      EG000
      num Affected
      4
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      1
      num At Risk
      24
    term
    Creatinine
  8. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Gastrointestinal disorders
    stats
    1. group Id
      EG000
      num Affected
      3
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      4
      num At Risk
      24
    term
    Diarrhea
  9. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    General disorders
    stats
    1. group Id
      EG000
      num Affected
      2
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      24
    term
    Edema: limb
  10. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    General disorders
    stats
    1. group Id
      EG000
      num Affected
      9
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      10
      num At Risk
      24
    term
    Fatigue
  11. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Metabolism and nutrition disorders
    stats
    1. group Id
      EG000
      num Affected
      17
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      13
      num At Risk
      24
    term
    Hyperglycemia
  12. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Metabolism and nutrition disorders
    stats
    1. group Id
      EG000
      num Affected
      2
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      1
      num At Risk
      24
    term
    Hypoglycemia
Complete source fields
event Groups
  1. deaths Num Affected
    3
    deaths Num At Risk
    26
    description
    All patients on this study start with the same treatment, lenalidomide and dexamethasone by mouth. After patients have received 4 cycles of lenalidomide and dexamethasone and are within 2 weeks of completing stem cell collection, they are randomized (like the toss of a coin) to either : stem cell transplant right after collection * continue lenalidomide and dexamethasone * saving stem cell transplant for a later time. lenalidomide and dexamethasone: Patients will then be randomized to continued Ld or high-dose melphalan with SCT. On the SCT arm patients not achieving VGPR by 3 months after the 1st SCT will undergo a 2nd SCT. All patients after one or two SCT, will receive maintenance L.
    id
    EG000
    other Num Affected
    26
    other Num At Risk
    26
    serious Num Affected
    17
    serious Num At Risk
    26
    title
    Continue Lenalidomide and Dexamethasone
  2. deaths Num Affected
    5
    deaths Num At Risk
    24
    description
    All patients on this study start with the same treatment, lenalidomide and dexamethasone by mouth. After patients have received 4 cycles of lenalidomide and dexamethasone and are within 2 weeks of completing stem cell collection, they are randomized (like the toss of a coin) to either : * stem cell transplant right after collection * continue lenalidomide and dexamethasone, saving stem cell transplant for a later time. Stem cell transplant x 1 or x 2: After 4 cycles of Ld, eligible patients will undergo stem cell mobilization and collection with standard-of-care cyclophosphamide and Neupogen (G-CSF) or with plerixafor G-CSF. Mobilization with cyclophosphamide is preferred, but plerixafor is also allowed. Ld will be held for at least 2 weeks prior to stem cell mobilization. On the SCT arm, patients not achieving VGPR by 3 months after the 1st SCT will undergo a 2nd SCT. All patients, after one or two SCT, will receive maintenance L.
    id
    EG001
    other Num Affected
    24
    other Num At Risk
    24
    serious Num Affected
    18
    serious Num At Risk
    24
    title
    Stem Cell Transplant x 1 or x 2
frequency Threshold
5
other Events
  1. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Investigations
    stats
    1. group Id
      EG000
      num Affected
      3
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      9
      num At Risk
      24
    term
    ALT
  2. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Investigations
    stats
    1. group Id
      EG000
      num Affected
      3
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      5
      num At Risk
      24
    term
    AST
  3. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Investigations
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      3
      num At Risk
      24
    term
    Alkaline Phosphatase
  4. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Investigations
    stats
    1. group Id
      EG000
      num Affected
      3
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      3
      num At Risk
      24
    term
    Bilirubin
  5. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Investigations
    stats
    1. group Id
      EG000
      num Affected
      3
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      1
      num At Risk
      24
    term
    CPK
  6. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Gastrointestinal disorders
    stats
    1. group Id
      EG000
      num Affected
      3
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      2
      num At Risk
      24
    term
    Constipation
  7. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Investigations
    stats
    1. group Id
      EG000
      num Affected
      4
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      1
      num At Risk
      24
    term
    Creatinine
  8. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Gastrointestinal disorders
    stats
    1. group Id
      EG000
      num Affected
      3
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      4
      num At Risk
      24
    term
    Diarrhea
  9. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    General disorders
    stats
    1. group Id
      EG000
      num Affected
      2
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      24
    term
    Edema: limb
  10. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    General disorders
    stats
    1. group Id
      EG000
      num Affected
      9
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      10
      num At Risk
      24
    term
    Fatigue
  11. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Metabolism and nutrition disorders
    stats
    1. group Id
      EG000
      num Affected
      17
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      13
      num At Risk
      24
    term
    Hyperglycemia
  12. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Metabolism and nutrition disorders
    stats
    1. group Id
      EG000
      num Affected
      2
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      1
      num At Risk
      24
    term
    Hypoglycemia
serious Events
  1. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Musculoskeletal and connective tissue disorders
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      1
      num At Risk
      24
    term
    Arthritis
  2. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Musculoskeletal and connective tissue disorders
    stats
    1. group Id
      EG000
      num Affected
      2
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      1
      num At Risk
      24
    term
    Back Pain
  3. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Metabolism and nutrition disorders
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      1
      num At Risk
      24
    term
    Blood Glucose Increase
  4. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Cardiac disorders
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      24
    term
    Cardiac disorder
  5. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Cardiac disorders
    stats
    1. group Id
      EG000
      num Affected
      0
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      1
      num At Risk
      24
    term
    Cardiac Valve Disease
  6. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Infections and infestations
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      1
      num At Risk
      24
    term
    Catheter related infection
  7. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Cardiac disorders
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      1
      num At Risk
      24
    term
    Chest pain
  8. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Hepatobiliary disorders
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      1
      num At Risk
      24
    term
    Cholecystitis
  9. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Respiratory, thoracic and mediastinal disorders
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      24
    term
    Cough
  10. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Skin and subcutaneous tissue disorders
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      24
    term
    Decubitus ulcer
  11. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Blood and lymphatic system disorders
    stats
    1. group Id
      EG000
      num Affected
      4
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      4
      num At Risk
      24
    term
    Febrile neutropenia
  12. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Blood and lymphatic system disorders
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      26
    2. group Id
      EG001
      num Affected
      2
      num At Risk
      24
    term
    Hemoglobin decreased
time Frame
Up to 4 years

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Preserved source evidence · Not medical advice