Participants With Grade 3 or Grade 4 Serum Chemistry Parameters
Lenalidomide Plus Rituximab Followed by Lenalidomide Versus Rituximab Maintenance for Relapsed/Refractory Follicular, Marginal Zone or Mantle Cell Lymphoma. · Source last updated 2025-07-10
Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.
Measure
COUNT_OF_PARTICIPANTS
Unit
Participants
Interval / dispersion
Not reported
Time frame
From first dose up to 30 days after last dose (up to approximately 64 weeks for induction period and 427 weeks for maintenance period)
What was measured
Clinical laboratory values in induction period include any laboratory values that are taken after the first dose date of induction therapy through 28 days after the last dose date of therapy. Graded according to the NCI CTCAE version 4.03, except for tumor flare reaction, which is accessed using NCI CTCAE version 3.0. Participants with zero maximum grade are excluded.
Analysis population: All treated participants
Groups in this outcome
Induction Period: Lenalidomide + Rituximab
Induction Period (12 cycles): participants received lenalidomide 20 mg (10 mg if creatinine clearance ≥ 30 mL/min but \< 60 mL/min) once daily on Days 1 to 21 of every 28-day Cycle for Cycles 1 to 12 AND rituximab 375 mg/m2 every week in Cycle 1 (Days 1, 8, 15, and 22) and Day 1 of every 28-day Cycle for Cycles 3, 5, 7, 9, and 11
Arm A: Lenalidomide + Rituximab
Maintenance Period (18 Cycles): lenalidomide 10 mg once daily on Days 1 to 21 of every 28-day Cycle for Cycles 13 to 30 AND rituximab 375 mg/m2 on Day 1 of every 28-day Cycle for Cycles 13, 15, 17, 19, 21, 23, 25, 27, and 29. Followed by Optional Maintenance Period (up to PD): Lenalidomide 10 mg once daily on Days 1 to 21 of every 28-day Cycle up to PD. This treatment will be at the discretion of the participant and the investigator.
Arm B: Rituximab
Maintenance Period (18 Cycles): participants received rituximab 375 mg/m2 on Day 1 of every 28-day Cycle for Cycles 13, 15, 17, 19, 21, 23, 25, 27, and 29
Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.
Analysis denominator · Participants
Group
Source count
Induction Period: Lenalidomide + Rituximab
500
Arm A: Lenalidomide + Rituximab
134
Arm B: Rituximab
132
Reported measurements
Hypokalemia - Grade 3
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Induction Period: Lenalidomide + Rituximab
30
Not reported
Not reported
Not reported
Not reported
Arm A: Lenalidomide + Rituximab
8
Not reported
Not reported
Not reported
Not reported
Arm B: Rituximab
4
Not reported
Not reported
Not reported
Not reported
Hyperkalemia- Grade 3
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Induction Period: Lenalidomide + Rituximab
4
Not reported
Not reported
Not reported
Not reported
Arm A: Lenalidomide + Rituximab
0
Not reported
Not reported
Not reported
Not reported
Arm B: Rituximab
1
Not reported
Not reported
Not reported
Not reported
Hypocalcemia - Grade 3
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Induction Period: Lenalidomide + Rituximab
7
Not reported
Not reported
Not reported
Not reported
Arm A: Lenalidomide + Rituximab
1
Not reported
Not reported
Not reported
Not reported
Arm B: Rituximab
0
Not reported
Not reported
Not reported
Not reported
Hypercalcemia - Grade 3
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Induction Period: Lenalidomide + Rituximab
7
Not reported
Not reported
Not reported
Not reported
Arm A: Lenalidomide + Rituximab
0
Not reported
Not reported
Not reported
Not reported
Arm B: Rituximab
0
Not reported
Not reported
Not reported
Not reported
Hypophosphatemia - Grade 3
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Induction Period: Lenalidomide + Rituximab
17
Not reported
Not reported
Not reported
Not reported
Arm A: Lenalidomide + Rituximab
6
Not reported
Not reported
Not reported
Not reported
Arm B: Rituximab
2
Not reported
Not reported
Not reported
Not reported
Hypercreatininemia - Grade 3
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Induction Period: Lenalidomide + Rituximab
3
Not reported
Not reported
Not reported
Not reported
Arm A: Lenalidomide + Rituximab
1
Not reported
Not reported
Not reported
Not reported
Arm B: Rituximab
0
Not reported
Not reported
Not reported
Not reported
Hyperuricemia - Grade 3
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Induction Period: Lenalidomide + Rituximab
40
Not reported
Not reported
Not reported
Not reported
Arm A: Lenalidomide + Rituximab
13
Not reported
Not reported
Not reported
Not reported
Arm B: Rituximab
20
Not reported
Not reported
Not reported
Not reported
Alanine Aminotransferase Increased - Grade 3
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Induction Period: Lenalidomide + Rituximab
14
Not reported
Not reported
Not reported
Not reported
Arm A: Lenalidomide + Rituximab
3
Not reported
Not reported
Not reported
Not reported
Arm B: Rituximab
0
Not reported
Not reported
Not reported
Not reported
Aspartate Aminotransferase Increased - Grade 3
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Induction Period: Lenalidomide + Rituximab
9
Not reported
Not reported
Not reported
Not reported
Arm A: Lenalidomide + Rituximab
1
Not reported
Not reported
Not reported
Not reported
Arm B: Rituximab
0
Not reported
Not reported
Not reported
Not reported
Hyperbilirubinemia - Grade 3
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Induction Period: Lenalidomide + Rituximab
5
Not reported
Not reported
Not reported
Not reported
Arm A: Lenalidomide + Rituximab
3
Not reported
Not reported
Not reported
Not reported
Arm B: Rituximab
1
Not reported
Not reported
Not reported
Not reported
Hypokalemia - Grade 4
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Induction Period: Lenalidomide + Rituximab
4
Not reported
Not reported
Not reported
Not reported
Arm A: Lenalidomide + Rituximab
0
Not reported
Not reported
Not reported
Not reported
Arm B: Rituximab
0
Not reported
Not reported
Not reported
Not reported
Hyperkalemia- Grade 4
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Induction Period: Lenalidomide + Rituximab
1
Not reported
Not reported
Not reported
Not reported
Arm A: Lenalidomide + Rituximab
2
Not reported
Not reported
Not reported
Not reported
Arm B: Rituximab
0
Not reported
Not reported
Not reported
Not reported
Hypocalcemia - Grade 4
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Induction Period: Lenalidomide + Rituximab
5
Not reported
Not reported
Not reported
Not reported
Arm A: Lenalidomide + Rituximab
5
Not reported
Not reported
Not reported
Not reported
Arm B: Rituximab
2
Not reported
Not reported
Not reported
Not reported
Hypercalcemia - Grade 4
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Induction Period: Lenalidomide + Rituximab
3
Not reported
Not reported
Not reported
Not reported
Arm A: Lenalidomide + Rituximab
5
Not reported
Not reported
Not reported
Not reported
Arm B: Rituximab
0
Not reported
Not reported
Not reported
Not reported
Hypophosphatemia - Grade 4
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Induction Period: Lenalidomide + Rituximab
1
Not reported
Not reported
Not reported
Not reported
Arm A: Lenalidomide + Rituximab
1
Not reported
Not reported
Not reported
Not reported
Arm B: Rituximab
1
Not reported
Not reported
Not reported
Not reported
Hypercreatininemia - Grade 4
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Induction Period: Lenalidomide + Rituximab
1
Not reported
Not reported
Not reported
Not reported
Arm A: Lenalidomide + Rituximab
2
Not reported
Not reported
Not reported
Not reported
Arm B: Rituximab
0
Not reported
Not reported
Not reported
Not reported
Hyperuricemia - Grade 4
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Induction Period: Lenalidomide + Rituximab
9
Not reported
Not reported
Not reported
Not reported
Arm A: Lenalidomide + Rituximab
4
Not reported
Not reported
Not reported
Not reported
Arm B: Rituximab
0
Not reported
Not reported
Not reported
Not reported
Alanine Aminotransferase Increased - Grade 4
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Induction Period: Lenalidomide + Rituximab
0
Not reported
Not reported
Not reported
Not reported
Arm A: Lenalidomide + Rituximab
0
Not reported
Not reported
Not reported
Not reported
Arm B: Rituximab
0
Not reported
Not reported
Not reported
Not reported
Aspartate Aminotransferase Increased - Grade 4
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Induction Period: Lenalidomide + Rituximab
0
Not reported
Not reported
Not reported
Not reported
Arm A: Lenalidomide + Rituximab
0
Not reported
Not reported
Not reported
Not reported
Arm B: Rituximab
0
Not reported
Not reported
Not reported
Not reported
Hyperbilirubinemia - Grade 4
Values in Participants · Interval/dispersion: Not reported
Group
Value
Spread
Lower
Upper
Comment
Induction Period: Lenalidomide + Rituximab
1
Not reported
Not reported
Not reported
Not reported
Arm A: Lenalidomide + Rituximab
1
Not reported
Not reported
Not reported
Not reported
Arm B: Rituximab
0
Not reported
Not reported
Not reported
Not reported
Complete source fields
classes
categories
measurements
group Id
OG000
value
30
group Id
OG001
value
8
group Id
OG002
value
4
title
Hypokalemia - Grade 3
categories
measurements
group Id
OG000
value
4
group Id
OG001
value
0
group Id
OG002
value
1
title
Hyperkalemia- Grade 3
categories
measurements
group Id
OG000
value
7
group Id
OG001
value
1
group Id
OG002
value
0
title
Hypocalcemia - Grade 3
categories
measurements
group Id
OG000
value
7
group Id
OG001
value
0
group Id
OG002
value
0
title
Hypercalcemia - Grade 3
categories
measurements
group Id
OG000
value
17
group Id
OG001
value
6
group Id
OG002
value
2
title
Hypophosphatemia - Grade 3
categories
measurements
group Id
OG000
value
3
group Id
OG001
value
1
group Id
OG002
value
0
title
Hypercreatininemia - Grade 3
categories
measurements
group Id
OG000
value
40
group Id
OG001
value
13
group Id
OG002
value
20
title
Hyperuricemia - Grade 3
categories
measurements
group Id
OG000
value
14
group Id
OG001
value
3
group Id
OG002
value
0
title
Alanine Aminotransferase Increased - Grade 3
categories
measurements
group Id
OG000
value
9
group Id
OG001
value
1
group Id
OG002
value
0
title
Aspartate Aminotransferase Increased - Grade 3
categories
measurements
group Id
OG000
value
5
group Id
OG001
value
3
group Id
OG002
value
1
title
Hyperbilirubinemia - Grade 3
categories
measurements
group Id
OG000
value
4
group Id
OG001
value
0
group Id
OG002
value
0
title
Hypokalemia - Grade 4
categories
measurements
group Id
OG000
value
1
group Id
OG001
value
2
group Id
OG002
value
0
title
Hyperkalemia- Grade 4
denoms
counts
group Id
OG000
value
500
group Id
OG001
value
134
group Id
OG002
value
132
units
Participants
description
Clinical laboratory values in induction period include any laboratory values that are taken after the first dose date of induction therapy through 28 days after the last dose date of therapy. Graded according to the NCI CTCAE version 4.03, except for tumor flare reaction, which is accessed using NCI CTCAE version 3.0. Participants with zero maximum grade are excluded.
groups
description
Induction Period (12 cycles): participants received lenalidomide 20 mg (10 mg if creatinine clearance ≥ 30 mL/min but \< 60 mL/min) once daily on Days 1 to 21 of every 28-day Cycle for Cycles 1 to 12 AND rituximab 375 mg/m2 every week in Cycle 1 (Days 1, 8, 15, and 22) and Day 1 of every 28-day Cycle for Cycles 3, 5, 7, 9, and 11
id
OG000
title
Induction Period: Lenalidomide + Rituximab
description
Maintenance Period (18 Cycles): lenalidomide 10 mg once daily on Days 1 to 21 of every 28-day Cycle for Cycles 13 to 30 AND rituximab 375 mg/m2 on Day 1 of every 28-day Cycle for Cycles 13, 15, 17, 19, 21, 23, 25, 27, and 29. Followed by Optional Maintenance Period (up to PD): Lenalidomide 10 mg once daily on Days 1 to 21 of every 28-day Cycle up to PD. This treatment will be at the discretion of the participant and the investigator.
id
OG001
title
Arm A: Lenalidomide + Rituximab
description
Maintenance Period (18 Cycles): participants received rituximab 375 mg/m2 on Day 1 of every 28-day Cycle for Cycles 13, 15, 17, 19, 21, 23, 25, 27, and 29
id
OG002
title
Arm B: Rituximab
param Type
COUNT_OF_PARTICIPANTS
population Description
All treated participants
reporting Status
POSTED
time Frame
From first dose up to 30 days after last dose (up to approximately 64 weeks for induction period and 427 weeks for maintenance period)
title
Participants With Grade 3 or Grade 4 Serum Chemistry Parameters