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NCT04447027 · OUTCOME

Overall Response Rate (Complete Response + Partial Response)

Romidepsin, CC-486 (5-azacitidine), Dexamethasone, and Lenalidomide (RAdR) for Relapsed/Refractory T-cell Malignancies · Source last updated 2026-08-13

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

Measure
NUMBER
Unit
percentage of participants
Interval / dispersion
95% Confidence Interval
Time frame
6 cycles (each cycle is 28 days)

What was measured

The response rate will be estimated using the Kaplan-Meier curve and reported along with a 95% confidence interval. Response was measured by the Response Evaluation Criteria in Lymphoma (RECIL) 2017 criteria. Complete response (CR) is disappearance of all target lesions and all nodes with long axis \<10mm. Partial response (PR) is a ≥30% decrease in the sum of longest diameters of target lesions but not a CR.

Groups in this outcome

Arm 1, Cohort 1, Dose Level -1, Dose Escalation Lenalidomide

T-cell Malignancies, Dose Escalation, Arm 1, Dose Level -1 Arm 1, Dose Level -1: Lenalidomide 2.5 mg Day 1-10 (7 days lead in for first cycle); CC-486 (5azacitidine) 200 mg by mouth (PO Day) 1 to 10; Romidepsin 12 mg/m\^2 intravenous (IV) Day 1 and day 10; Dexamethasone 40 mg PO Day 1 and day 10. Relapsed/refractory mature T cell malignancies for determination of maximum tolerated dose (MTD).

Arm 1, Cohort 1, Dose Level 1, Dose Expansion Lenalidomide

T-cell Malignancies, Dose Escalation, Arm 1, Dose Level 1 Arm 1, Dose Level 1: Lenalidomide 5 mg Day 1-10 (7 days lead in for first cycle); CC-486 (5azacitidine) 300 mg by mouth (PO Day) 1 to 10; Romidepsin 12 mg/m\^2 intravenous (IV) Day 1 and day 10; Dexamethasone 40 mg PO Day 1 and day 10. Relapsed/refractory mature T cell malignancies for determination of maximum tolerated dose (MTD).

Arm 1, Cohort 1, Dose Level 2, Dose Escalation Lenalidomide

T-cell Malignancies, Dose Escalation, Arm 1, Dose Level 2 Arm 1, Dose Level 2: Lenalidomide 10 mg Day 1-10 (7 days lead in for first cycle); CC-486 (5azacitidine) 300 mg by mouth (PO Day) 1 to 10; Romidepsin 12 mg/m\^2 intravenous (IV) Day 1 and day 10; Dexamethasone 40 mg PO Day 1 and day 10. Relapsed/refractory mature T cell malignancies for determination of maximum tolerated dose (MTD).

Arm 1, Cohort 1, Dose Level 3 Dose Escalation

T-cell Malignancies, Dose Escalation, Arm 1, Dose Level 3 Arm 1, Dose Level 3: Lenalidomide 15 mg Day 1-10 (7 days lead in for first cycle); CC-486 (5azacitidine) 300 mg by mouth (PO Day) 1 to 10; Romidepsin 12 mg/m\^2 intravenous (IV) Day 1 and day 10; Dexamethasone 40 mg PO Day 1 and day 10. Relapsed/refractory mature T cell malignancies for determination of maximum tolerated dose (MTD).

Arm 1, Cohort 1, Dose Level 4, Dose Escalation Lenalidomide

T-cell Malignancies, Dose Escalation, Arm 1, Dose Level 4 Arm 1, Dose Level 4: Lenalidomide 20 mg Day 1-10 (7 days lead in for first cycle); CC-486 (5azacitidine) 300 mg by mouth (PO Day) 1 to 10; Romidepsin 12 mg/m\^2 intravenous (IV) Day 1 and day 10; Dexamethasone 40 mg PO Day 1 and day 10. Relapsed/refractory mature T cell malignancies for determination of maximum tolerated dose (MTD).

Arm 2, Cohort 2, Dose Level 2, Dose Expansion Lenalidomide

T-cell Malignancies, Dose Expansion, Arm 2, Dose Level 2 Arm 2, Dose Level 2: Lenalidomide by oral intake at maximum tolerated dose (MTD) on days -7 to 10 of each 21-day cycle (max 6 cycles) with CC-486 (5-azacitidine) at 300mg/day by oral intake on days 1-10, Romidepsin at 12 mg/m\^2 by intravenous (IV) infusion on Day 1 and day 10; and Dexamethasone at 40 mg by oral intake on days 1 and 10 of each cycle. Relapsed/refractory mature T cell malignancies enrolled after maximum tolerated dose (MTD) is determined.

Arm 2, Cohort 2, Dose Level 4, Dose Expansion Lenalidomide

T-cell Malignancies, Dose Expansion, Arm 2, Dose Level 4 Arm 2, Dose Level 4: Lenalidomide by oral intake at maximum tolerated dose (MTD) Day 1-10 (7 days lead in for first cycle); CC-486 (5azacitidine) 300 mg by mouth (PO Day) 1 to 10; Romidepsin 12 mg/m\^2 intravenous (IV) Day 1 and day 10; Dexamethasone 40 mg PO Day 1 and day 10. Relapsed/refractory mature T cell malignancies enrolled after maximum tolerated dose (MTD) is determined.

Arm 3, Cohort 2, Dose Level 4, Dose Expansion Lenalidomide

T-cell Malignancies, Dose Expansion, Arm 3, Dose Level 4 Arm 3, Dose Level 4: Lenalidomide 20 mg maximum tolerated dose (MTD) by oral intake at on days -7 to 10 of each 21-day cycle (max 6 cycles) with CC-486 (5-azacitidine) at 300mg/day by oral intake on days 1-10, Romidepsin at 12 mg/m\^2 by intravenous (IV) infusion on Day 1 and day 10; and Dexamethasone at 40 mg by oral intake on days 1 and 10 of each cycle. Relapsed/refractory mature T cell malignancies enrolled after maximum tolerated dose (MTD) is determined.

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
Arm 1, Cohort 1, Dose Level -1, Dose Escalation Lenalidomide2
Arm 1, Cohort 1, Dose Level 1, Dose Expansion Lenalidomide6
Arm 1, Cohort 1, Dose Level 2, Dose Escalation Lenalidomide6
Arm 1, Cohort 1, Dose Level 3 Dose Escalation3
Arm 1, Cohort 1, Dose Level 4, Dose Escalation Lenalidomide3
Arm 2, Cohort 2, Dose Level 2, Dose Expansion Lenalidomide2
Arm 2, Cohort 2, Dose Level 4, Dose Expansion Lenalidomide1
Arm 3, Cohort 2, Dose Level 4, Dose Expansion Lenalidomide3

Reported measurements

Complete Response
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Arm 1, Cohort 1, Dose Level -1, Dose Escalation Lenalidomide50Not reported47.352.7Not reported
Arm 1, Cohort 1, Dose Level 1, Dose Expansion Lenalidomide16.6Not reported15.318.0Not reported
Arm 1, Cohort 1, Dose Level 2, Dose Escalation Lenalidomide33.3Not reported31.834.8Not reported
Arm 1, Cohort 1, Dose Level 3 Dose Escalation66Not reported64.068.0Not reported
Arm 1, Cohort 1, Dose Level 4, Dose Escalation Lenalidomide100Not reported98100Not reported
Arm 2, Cohort 2, Dose Level 2, Dose Expansion Lenalidomide50Not reported47.352.7Not reported
Arm 2, Cohort 2, Dose Level 4, Dose Expansion Lenalidomide100Not reported100100Not reported
Arm 3, Cohort 2, Dose Level 4, Dose Expansion Lenalidomide100Not reported97.3100Not reported
Partial Response
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Arm 1, Cohort 1, Dose Level -1, Dose Escalation Lenalidomide50Not reported47.352.7Not reported
Arm 1, Cohort 1, Dose Level 1, Dose Expansion Lenalidomide0Not reported00Not reported
Arm 1, Cohort 1, Dose Level 2, Dose Escalation Lenalidomide33.3Not reported31.834.8Not reported
Arm 1, Cohort 1, Dose Level 3 Dose Escalation66Not reported64.068.0Not reported
Arm 1, Cohort 1, Dose Level 4, Dose Escalation Lenalidomide100Not reported98100Not reported
Arm 2, Cohort 2, Dose Level 2, Dose Expansion Lenalidomide50Not reported47.352.7Not reported
Arm 2, Cohort 2, Dose Level 4, Dose Expansion Lenalidomide0Not reported00Not reported
Arm 3, Cohort 2, Dose Level 4, Dose Expansion Lenalidomide50Not reported47.352.7Not reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        47.3
        upper Limit
        52.7
        value
        50
      2. group Id
        OG001
        lower Limit
        15.3
        upper Limit
        18.0
        value
        16.6
      3. group Id
        OG002
        lower Limit
        31.8
        upper Limit
        34.8
        value
        33.3
      4. group Id
        OG003
        lower Limit
        64.0
        upper Limit
        68.0
        value
        66
      5. group Id
        OG004
        lower Limit
        98
        upper Limit
        100
        value
        100
      6. group Id
        OG005
        lower Limit
        47.3
        upper Limit
        52.7
        value
        50
      7. group Id
        OG006
        lower Limit
        100
        upper Limit
        100
        value
        100
      8. group Id
        OG007
        lower Limit
        97.3
        upper Limit
        100
        value
        100
    title
    Complete Response
  2. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        47.3
        upper Limit
        52.7
        value
        50
      2. group Id
        OG001
        lower Limit
        0
        upper Limit
        0
        value
        0
      3. group Id
        OG002
        lower Limit
        31.8
        upper Limit
        34.8
        value
        33.3
      4. group Id
        OG003
        lower Limit
        64.0
        upper Limit
        68.0
        value
        66
      5. group Id
        OG004
        lower Limit
        98
        upper Limit
        100
        value
        100
      6. group Id
        OG005
        lower Limit
        47.3
        upper Limit
        52.7
        value
        50
      7. group Id
        OG006
        lower Limit
        0
        upper Limit
        0
        value
        0
      8. group Id
        OG007
        lower Limit
        47.3
        upper Limit
        52.7
        value
        50
    title
    Partial Response
denoms
  1. counts
    1. group Id
      OG000
      value
      2
    2. group Id
      OG001
      value
      6
    3. group Id
      OG002
      value
      6
    4. group Id
      OG003
      value
      3
    5. group Id
      OG004
      value
      3
    6. group Id
      OG005
      value
      2
    7. group Id
      OG006
      value
      1
    8. group Id
      OG007
      value
      3
    units
    Participants
description
The response rate will be estimated using the Kaplan-Meier curve and reported along with a 95% confidence interval. Response was measured by the Response Evaluation Criteria in Lymphoma (RECIL) 2017 criteria. Complete response (CR) is disappearance of all target lesions and all nodes with long axis \<10mm. Partial response (PR) is a ≥30% decrease in the sum of longest diameters of target lesions but not a CR.
dispersion Type
95% Confidence Interval
groups
  1. description
    T-cell Malignancies, Dose Escalation, Arm 1, Dose Level -1 Arm 1, Dose Level -1: Lenalidomide 2.5 mg Day 1-10 (7 days lead in for first cycle); CC-486 (5azacitidine) 200 mg by mouth (PO Day) 1 to 10; Romidepsin 12 mg/m\^2 intravenous (IV) Day 1 and day 10; Dexamethasone 40 mg PO Day 1 and day 10. Relapsed/refractory mature T cell malignancies for determination of maximum tolerated dose (MTD).
    id
    OG000
    title
    Arm 1, Cohort 1, Dose Level -1, Dose Escalation Lenalidomide
  2. description
    T-cell Malignancies, Dose Escalation, Arm 1, Dose Level 1 Arm 1, Dose Level 1: Lenalidomide 5 mg Day 1-10 (7 days lead in for first cycle); CC-486 (5azacitidine) 300 mg by mouth (PO Day) 1 to 10; Romidepsin 12 mg/m\^2 intravenous (IV) Day 1 and day 10; Dexamethasone 40 mg PO Day 1 and day 10. Relapsed/refractory mature T cell malignancies for determination of maximum tolerated dose (MTD).
    id
    OG001
    title
    Arm 1, Cohort 1, Dose Level 1, Dose Expansion Lenalidomide
  3. description
    T-cell Malignancies, Dose Escalation, Arm 1, Dose Level 2 Arm 1, Dose Level 2: Lenalidomide 10 mg Day 1-10 (7 days lead in for first cycle); CC-486 (5azacitidine) 300 mg by mouth (PO Day) 1 to 10; Romidepsin 12 mg/m\^2 intravenous (IV) Day 1 and day 10; Dexamethasone 40 mg PO Day 1 and day 10. Relapsed/refractory mature T cell malignancies for determination of maximum tolerated dose (MTD).
    id
    OG002
    title
    Arm 1, Cohort 1, Dose Level 2, Dose Escalation Lenalidomide
  4. description
    T-cell Malignancies, Dose Escalation, Arm 1, Dose Level 3 Arm 1, Dose Level 3: Lenalidomide 15 mg Day 1-10 (7 days lead in for first cycle); CC-486 (5azacitidine) 300 mg by mouth (PO Day) 1 to 10; Romidepsin 12 mg/m\^2 intravenous (IV) Day 1 and day 10; Dexamethasone 40 mg PO Day 1 and day 10. Relapsed/refractory mature T cell malignancies for determination of maximum tolerated dose (MTD).
    id
    OG003
    title
    Arm 1, Cohort 1, Dose Level 3 Dose Escalation
  5. description
    T-cell Malignancies, Dose Escalation, Arm 1, Dose Level 4 Arm 1, Dose Level 4: Lenalidomide 20 mg Day 1-10 (7 days lead in for first cycle); CC-486 (5azacitidine) 300 mg by mouth (PO Day) 1 to 10; Romidepsin 12 mg/m\^2 intravenous (IV) Day 1 and day 10; Dexamethasone 40 mg PO Day 1 and day 10. Relapsed/refractory mature T cell malignancies for determination of maximum tolerated dose (MTD).
    id
    OG004
    title
    Arm 1, Cohort 1, Dose Level 4, Dose Escalation Lenalidomide
  6. description
    T-cell Malignancies, Dose Expansion, Arm 2, Dose Level 2 Arm 2, Dose Level 2: Lenalidomide by oral intake at maximum tolerated dose (MTD) on days -7 to 10 of each 21-day cycle (max 6 cycles) with CC-486 (5-azacitidine) at 300mg/day by oral intake on days 1-10, Romidepsin at 12 mg/m\^2 by intravenous (IV) infusion on Day 1 and day 10; and Dexamethasone at 40 mg by oral intake on days 1 and 10 of each cycle. Relapsed/refractory mature T cell malignancies enrolled after maximum tolerated dose (MTD) is determined.
    id
    OG005
    title
    Arm 2, Cohort 2, Dose Level 2, Dose Expansion Lenalidomide
  7. description
    T-cell Malignancies, Dose Expansion, Arm 2, Dose Level 4 Arm 2, Dose Level 4: Lenalidomide by oral intake at maximum tolerated dose (MTD) Day 1-10 (7 days lead in for first cycle); CC-486 (5azacitidine) 300 mg by mouth (PO Day) 1 to 10; Romidepsin 12 mg/m\^2 intravenous (IV) Day 1 and day 10; Dexamethasone 40 mg PO Day 1 and day 10. Relapsed/refractory mature T cell malignancies enrolled after maximum tolerated dose (MTD) is determined.
    id
    OG006
    title
    Arm 2, Cohort 2, Dose Level 4, Dose Expansion Lenalidomide
  8. description
    T-cell Malignancies, Dose Expansion, Arm 3, Dose Level 4 Arm 3, Dose Level 4: Lenalidomide 20 mg maximum tolerated dose (MTD) by oral intake at on days -7 to 10 of each 21-day cycle (max 6 cycles) with CC-486 (5-azacitidine) at 300mg/day by oral intake on days 1-10, Romidepsin at 12 mg/m\^2 by intravenous (IV) infusion on Day 1 and day 10; and Dexamethasone at 40 mg by oral intake on days 1 and 10 of each cycle. Relapsed/refractory mature T cell malignancies enrolled after maximum tolerated dose (MTD) is determined.
    id
    OG007
    title
    Arm 3, Cohort 2, Dose Level 4, Dose Expansion Lenalidomide
param Type
NUMBER
reporting Status
POSTED
time Frame
6 cycles (each cycle is 28 days)
title
Overall Response Rate (Complete Response + Partial Response)
type
SECONDARY
unit Of Measure
percentage of participants

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