Prostate Cancer
Conditions
Keywords
Castrate-Resistant Prostate Cancer, Revlimid, Lenalidomide
Brief summary
The purpose of the study is to determine whether lenalidomide is safe and effective for use in combination with docetaxel and prednisone for the treatment of subjects with metastatic Castrate-Resistant Prostate Cancer. The addition of lenalidomide to docetaxel and prednisone is proposed to increase the life expectancy of these subjects.
Detailed description
In November 2011, the Data Monitoring Committee concluded it was unlikely that the study would meet its primary endpoint of overall survival (OS) and recommended that the study be stopped. The study was terminated in accordance with this recommendation. All sites were instructed to immediately discontinue all patients from experimental lenalidomide/placebo treatment administered either in combination with chemotherapy or as a single agent following chemotherapy discontinuation. Subsequently, Protocol Amendment 3 was issued to provide for the following: To continue to collect information on Second Primary Malignancies (SPMs) and additional treatments for Prostate Cancer in all randomized subjects during survival follow-up. To continue to provide docetaxel and prednisone for up to 10 cycles to subjects randomized at non-US sites who were ongoing in the CC-5013-PC-002 protocol when the decision was made to discontinue lenalidomide/placebo and who were experiencing benefit as per investigator discretion. For subjects who had exceeded 10 cycles of docetaxel and prednisone at the time of Protocol Amendment 3 approval, an additional two cycles were provided. All references to dosing and study procedures pertaining to the safety, efficacy, and exploratory endpoints of lenalidomide/placebo were discontinued as part of Protocol Amendment 3.
Interventions
25 mg lenalidomide orally once each day on Days 1-14
75 mg/m2 intravenous docetaxel on Day 1
5 mg prednisone orally twice daily on each day of the treatment cycle
Oral placebo once each day on Days 1-14 of the treatment cycle
Sponsors
Study design
Eligibility
Inclusion criteria
1. Must sign an Informed Consent Form (ICF) 2. Males ≥ 18 years of age 3. Able to adhere to the study visit schedule and requirements of the protocol 4. Eastern Cooperative Oncology Group (ECOG) performance status of ≤ 2 5. Life expectancy of ≥ 12 weeks 6. Willingness to participate in Patient-Reported Outcomes assessments 7. Serum testosterone levels \< 50 ng/dL 8. Confirmed metastatic adenocarcinoma of the prostate that is unresponsive or refractory to hormonal therapy 9. Have documented disease progression while receiving or following hormonal therapy as determined by increasing Serum Prostate Specific Antigen (PSA) level, Radiological Progression, or ≥2 new bone lesions 10. Subjects must agree to receive counseling related to pregnancy precautions, teratogenic and other risks of lenalidomide 11. Refrain from donating blood or semen as defined by protocol
Exclusion criteria
1. A history of clinically significant disease that places subject at an unacceptable risk for study entry 2. Prior Therapy with thalidomide, lenalidomide or pomalidomide 3. Prior chemotherapy for prostate cancer 4. Use of any other experimental drug or therapy within 28 days prior to randomization 5. Prior radiation to ≥ 30% of bone marrow or any radiation therapy within 28 days prior to randomization 6. Prior use of Strontium-89 at any time or Samarium-153 within 56 days prior to randomization 7. Surgery within 28 days prior to randomization 8. Concurrent anti-androgen therapy 9. Abnormal serum chemistry or hematology laboratory values 10. Significant active cardiac disease within the previous 6 months: 11. Thrombotic or thromboembolic events within the past 6 months: 12. History of peripheral neuropathy of ≥grade 2 13. History of severe hypersensitivity reaction to drugs formulated with polysorbate 80 14. Paraplegia 15. History of Central nervous system (CNS) or brain metastases 16. History of malignancies other than prostate cancer within the past 5 years, with the exception of treated basal cell/squamous cell carcinoma of the skin 17. Concurrent use of alternative cancer therapies
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Overall Survival (OS) | From randomization until death from any cause up to the cut-off date of 13 January 2012; up to approximately 26 months | Overall survival (OS) was the time from the date of randomization to the date of death from any cause. If no death was reported for a participant before the cut-off date for OS analysis, OS was censored at the last date at which the participant was alive. The median OS was calculated based on Kaplan-Meier estimates and corresponding 95% confidence interval (CI) was calculated using the method provided by Brookmeyer and Crowley. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With an Objective Response According to Response Evaluation Criteria in Solid Tumors - RECIST Version 1.1 Criteria | From day 1 to data cut-off 13 January 2012; maximum time on study was approximately 26 months | Objective response (OR) is defined as having complete response (CR) or partial response (PR) as best overall response based on RECIST Criteria 1.1 and defines a CR = Disappearance of all target lesions except lymph nodes (LN); LN must have a decrease in the short axis to \<10mm; PR = 30% decrease in sum of diameters of target lesions taking as reference the baseline sum diameters; Progressed Disease (PD) = 20% increase in sum of diameters of target lesions taking as a reference the smallest sum of diameters and an absolute increase of ≥5 mm; the appearance of ≥1 new lesions; Stable Disease (SD)= Neither shrinkage to qualify for PR nor increase to qualify for PD taking the smallest sum diameters on study as reference. For non-target lesions a CR = Disappearance of all non-target lesions and all LN must be non-pathological in size \<10 mm; Non-CR/Non PD: persistence of one or more non-target lesions; PD = unequivocal progression of existing non-target lesions or appearance of new ones |
| Number of Participants With Treatment Emergent Adverse Events (AEs) | From the time from of first dose of study drug administration to 28 days after the last dose of study drug and up to the data cut off date of 13 January 2012; the maximum duration of study drug was 93 weeks for DP and 90.6 weeks for DPL | A TEAE is defined as any AE occurring or worsening on or after the first dose of study drug and within 28 days after the last dose of study drug. A TESAE is defined as any serious adverse event (SAE) occurring or worsening on or after the first dose of study drug and within 28 days after the last dose of study drug. Safety and severity was assessed according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 4.0; Severity of AEs were graded (including second primary malignancies) as Grade 1- Mild; Grade 2- Moderate; Grade 3- Severe; Grade 4- Life-threatening; Grade 5-Fatal; |
| Progression-Free Survival (PFS) | From randomization until disease progression or death from any cause; up to the cut-off date of 13 Jan 2012; maximum time on study was approximately 26 months | PFS was the time from randomization to disease progression, or death, whatever occurred first. Progression criteria was met by analysis of target and non-target lesions as defined by Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 criteria. Progressive Disease (PD) is defined as at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum of the diameters while on study or the appearance of one or more new lesions; an increase of at least 5mm as a total sum. Lymph nodes identified as target lesions (≥ 15 mm diameter in short axis) will be followed and reported by changes in diameter of short axis; or the unequivocal progression of a non-target lesion defined as an increase in the overall disease burden based on the change in non-measurable disease that is comparable in scope to the increase required to declare PD for measurable disease; Two or more new bone lesions as detected by bone scan |
| Percentage of Participants With Secondary Primary Malignancies During the Course of the Trial | The date when the first consent form was signed to the last date of AE data collection; up to the date of the final data analysis date of 30 November 2016; 7 years and 19 days | Second primary malignancies were monitored as events of interest and reported as serious adverse events throughout the course of the trial. |
| Time to Onset of Secondary Primary Malignancies | The date when the first consent form was signed to the last date of AE data collection; up to the date of the final data analysis date of 30 November 2016; 7 years and 19 days | Time of Onset of Secondary Primary Malignancies was considered an event of interest |
| Percentage of Participants Who Received Post-Study Therapies | The date when the first consent form was signed to the last date of AE data collection;up to 5 years; up to the date of the final data analysis date of 20 April 2017 | Percentage of Participants Who Received Post-Study Therapies for advanced Prostate Cancer. |
Countries
Australia, Austria, Belgium, Canada, Czechia, Denmark, France, Germany, Greece, Hungary, Israel, Italy, Mexico, Netherlands, Poland, Russia, South Africa, Spain, Sweden, United Kingdom, United States
Participant flow
Recruitment details
Following a safety and efficacy data review by the Data Monitoring Committee( DMC), the trial was stopped for futility. At that time, 1059 participants had been randomized and 1046 treated with either lenalidomide plus docetaxel and prednisone or placebo plus docetaxel and prednisone. A data cutoff date of 13 January 2012 was established.
Pre-assignment details
Participants who had started a treatment cycle at the time of termination request were allowed to complete the cycle and have their discontinuation visit at the next cycle (21 days later). The safety follow-up of 28 days was also added to ensure all adverse events were followed.
Participants by arm
| Arm | Count |
|---|---|
| Docetaxel/Prednisone/Placebo (DP) Participants received docetaxel 75 mg/m\^2 by intravenous (IV) administration over 60 minutes on Day 1, prednisone 5 mg orally twice a day (BID) and identically matching placebo capsules daily (QD) on Days 1-14 in each 21-day treatment cycle. | 526 |
| Docetaxel/Prednisone/Lenalidomide (DPL) Participants received docetaxel 75 mg/m\^2 by intravenous (IV) administration over 60 minutes on Day 1, prednisone 5 mg orally twice a day (BID) and lenalidomide 25 mg capsules daily (QD) on Days 1-14 in each 21-day treatment cycle. | 533 |
| Total | 1,059 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Adverse Event | 71 | 122 |
| Overall Study | Biochemical Progression | 21 | 7 |
| Overall Study | Clinical Deterioration | 7 | 14 |
| Overall Study | Clinical Progression | 17 | 16 |
| Overall Study | Death | 9 | 15 |
| Overall Study | Disease Progression | 103 | 89 |
| Overall Study | Lost to Follow-up | 2 | 3 |
| Overall Study | Other | 8 | 3 |
| Overall Study | Protocol Violation | 9 | 2 |
| Overall Study | Sponsor Decision | 102 | 78 |
| Overall Study | Subject Decision/Investigator Discretion | 32 | 32 |
| Overall Study | Withdrawal by Subject | 50 | 57 |
Baseline characteristics
| Characteristic | Docetaxel/Prednisone/Placebo (DP) | Docetaxel/Prednisone/Lenalidomide (DPL) | Total |
|---|---|---|---|
| Age, Continuous | 68.4 years STANDARD_DEVIATION 7.79 | 68.9 years STANDARD_DEVIATION 7.98 | 68.7 years STANDARD_DEVIATION 7.89 |
| Age, Customized <65 years | 171 Participants | 163 Participants | 334 Participants |
| Age, Customized >75 years | 109 Participants | 126 Participants | 235 Participants |
| Age, Customized > = to 65 years and < = 75years | 246 Participants | 244 Participants | 490 Participants |
| Baseline PSA (Prostate Specific Antigen) Levels | 290.359 (ng/ml) STANDARD_DEVIATION 659.1583 | 316.501 (ng/ml) STANDARD_DEVIATION 776.1133 | 303.542 (ng/ml) STANDARD_DEVIATION 720.2895 |
| Body Mass Index | 28.6 kg/m^2 STANDARD_DEVIATION 5.02 | 28.3 kg/m^2 STANDARD_DEVIATION 4.6 | 28.4 kg/m^2 STANDARD_DEVIATION 4.81 |
| Body Mass Index, Categorical 25-30 kg/m^2 | 221 Participants | 243 Participants | 464 Participants |
| Body Mass Index, Categorical <25 kg/m^2 | 134 Participants | 138 Participants | 272 Participants |
| Body Mass Index, Categorical >30 kg/m^2 | 171 Participants | 152 Participants | 323 Participants |
| ECOG Performance Status 0 (Fully Active) | 257 Participants | 252 Participants | 509 Participants |
| ECOG Performance Status 1 (Restrictive but ambulatory) | 247 Participants | 256 Participants | 503 Participants |
| ECOG Performance Status 2 (Ambulatory but unable to work) | 21 Participants | 24 Participants | 45 Participants |
| ECOG Performance Status 3 (Limited self-care) | 1 Participants | 0 Participants | 1 Participants |
| ECOG Performance Status Not specified | 0 Participants | 1 Participants | 1 Participants |
| Height | 174.0 centimeters STANDARD_DEVIATION 7.81 | 174.4 centimeters STANDARD_DEVIATION 7.38 | 174.2 centimeters STANDARD_DEVIATION 7.6 |
| Metastatic Sites of Disease Outside of Prostate Bone only | 157 Participants | 169 Participants | 326 Participants |
| Metastatic Sites of Disease Outside of Prostate Both bone and Soft tissues | 273 Participants | 259 Participants | 532 Participants |
| Metastatic Sites of Disease Outside of Prostate None | 2 Participants | 1 Participants | 3 Participants |
| Metastatic Sites of Disease Outside of Prostate Soft tissues only | 94 Participants | 104 Participants | 198 Participants |
| Other Prior Anti-Cancer Therapy No | 447 Participants | 462 Participants | 909 Participants |
| Other Prior Anti-Cancer Therapy Yes | 79 Participants | 71 Participants | 150 Participants |
| Prior Cancer Surgery No | 191 Participants | 175 Participants | 366 Participants |
| Prior Cancer Surgery Yes | 335 Participants | 358 Participants | 693 Participants |
| Prior Radiotherapy No | 218 Participants | 221 Participants | 439 Participants |
| Prior Radiotherapy Yes | 308 Participants | 312 Participants | 620 Participants |
| Race, Customized American Indian or Alaska Native | 5 Participants | 3 Participants | 8 Participants |
| Race, Customized Asian | 8 Participants | 6 Participants | 14 Participants |
| Race, Customized Black or African American | 25 Participants | 21 Participants | 46 Participants |
| Race, Customized Other or no answer | 55 Participants | 67 Participants | 122 Participants |
| Race, Customized White | 433 Participants | 436 Participants | 869 Participants |
| Region of Enrollment EU or Australia | 329 Participants | 330 Participants | 659 Participants |
| Region of Enrollment Rest of World (Includes 4 additional countries) | 61 Participants | 63 Participants | 124 Participants |
| Region of Enrollment US or Canada | 136 Participants | 140 Participants | 276 Participants |
| Sex/Gender, Customized female | 0 Participants | 0 Participants | 0 Participants |
| Sex/Gender, Customized male | 526 Participants | 533 Participants | 1059 Participants |
| Type of Disease Progression Radiographic progression | 380 Participants | 374 Participants | 754 Participants |
| Type of Disease Progression Rising PSA only | 146 Participants | 159 Participants | 305 Participants |
| Weight | 86.4 kilograms STANDARD_DEVIATION 16.18 | 86 kilograms STANDARD_DEVIATION 15.7 | 86.2 kilograms STANDARD_DEVIATION 15.93 |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 513 / 525 | 511 / 521 |
| serious Total, serious adverse events | 283 / 525 | 176 / 521 |
Outcome results
Overall Survival (OS)
Overall survival (OS) was the time from the date of randomization to the date of death from any cause. If no death was reported for a participant before the cut-off date for OS analysis, OS was censored at the last date at which the participant was alive. The median OS was calculated based on Kaplan-Meier estimates and corresponding 95% confidence interval (CI) was calculated using the method provided by Brookmeyer and Crowley.
Time frame: From randomization until death from any cause up to the cut-off date of 13 January 2012; up to approximately 26 months
Population: Intent-to-Treat (ITT) population defined as all randomized patients irrespective of whether they received treatment or not.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Docetaxel/Prednisone/Placebo (DP) | Overall Survival (OS) | NA weeks |
| Docetaxel/Prednisone/Lenalidomide (DPL) | Overall Survival (OS) | 77 weeks |
Number of Participants With Treatment Emergent Adverse Events (AEs)
A TEAE is defined as any AE occurring or worsening on or after the first dose of study drug and within 28 days after the last dose of study drug. A TESAE is defined as any serious adverse event (SAE) occurring or worsening on or after the first dose of study drug and within 28 days after the last dose of study drug. Safety and severity was assessed according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 4.0; Severity of AEs were graded (including second primary malignancies) as Grade 1- Mild; Grade 2- Moderate; Grade 3- Severe; Grade 4- Life-threatening; Grade 5-Fatal;
Time frame: From the time from of first dose of study drug administration to 28 days after the last dose of study drug and up to the data cut off date of 13 January 2012; the maximum duration of study drug was 93 weeks for DP and 90.6 weeks for DPL
Population: The Safety Population is defined as all randomized participants who receive at least one dose of the study treatment (lenalidomide/placebo, Docetaxel, or Prednisone).
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Docetaxel/Prednisone/Placebo (DP) | Number of Participants With Treatment Emergent Adverse Events (AEs) | Any TEAE | 512 participants |
| Docetaxel/Prednisone/Placebo (DP) | Number of Participants With Treatment Emergent Adverse Events (AEs) | Any TEAE related to lenalidomide or placebo | 379 participants |
| Docetaxel/Prednisone/Placebo (DP) | Number of Participants With Treatment Emergent Adverse Events (AEs) | Any TEAE related to docetaxel/prednisone | 475 participants |
| Docetaxel/Prednisone/Placebo (DP) | Number of Participants With Treatment Emergent Adverse Events (AEs) | Any severity grade 3-4 TEAE | 303 participants |
| Docetaxel/Prednisone/Placebo (DP) | Number of Participants With Treatment Emergent Adverse Events (AEs) | Any serious AE (SAE) | 171 participants |
| Docetaxel/Prednisone/Placebo (DP) | Number of Participants With Treatment Emergent Adverse Events (AEs) | Any SAE related to lenalidomide or placebo | 62 participants |
| Docetaxel/Prednisone/Placebo (DP) | Number of Participants With Treatment Emergent Adverse Events (AEs) | Any SAE related to docetaxel/prednisone | 86 participants |
| Docetaxel/Prednisone/Placebo (DP) | Number of Participants With Treatment Emergent Adverse Events (AEs) | Any AE causing discontinuation of lenalidomide/PBO | 82 participants |
| Docetaxel/Prednisone/Placebo (DP) | Number of Participants With Treatment Emergent Adverse Events (AEs) | Any AE causing withdrawal of docetaxel/prednisone | 127 participants |
| Docetaxel/Prednisone/Placebo (DP) | Number of Participants With Treatment Emergent Adverse Events (AEs) | Any TEAE leading to death | 16 participants |
| Docetaxel/Prednisone/Lenalidomide (DPL) | Number of Participants With Treatment Emergent Adverse Events (AEs) | Any AE causing discontinuation of lenalidomide/PBO | 150 participants |
| Docetaxel/Prednisone/Lenalidomide (DPL) | Number of Participants With Treatment Emergent Adverse Events (AEs) | Any TEAE | 517 participants |
| Docetaxel/Prednisone/Lenalidomide (DPL) | Number of Participants With Treatment Emergent Adverse Events (AEs) | Any SAE related to lenalidomide or placebo | 167 participants |
| Docetaxel/Prednisone/Lenalidomide (DPL) | Number of Participants With Treatment Emergent Adverse Events (AEs) | Any TEAE related to lenalidomide or placebo | 412 participants |
| Docetaxel/Prednisone/Lenalidomide (DPL) | Number of Participants With Treatment Emergent Adverse Events (AEs) | Any TEAE leading to death | 24 participants |
| Docetaxel/Prednisone/Lenalidomide (DPL) | Number of Participants With Treatment Emergent Adverse Events (AEs) | Any TEAE related to docetaxel/prednisone | 481 participants |
| Docetaxel/Prednisone/Lenalidomide (DPL) | Number of Participants With Treatment Emergent Adverse Events (AEs) | Any SAE related to docetaxel/prednisone | 182 participants |
| Docetaxel/Prednisone/Lenalidomide (DPL) | Number of Participants With Treatment Emergent Adverse Events (AEs) | Any severity grade 3-4 TEAE | 381 participants |
| Docetaxel/Prednisone/Lenalidomide (DPL) | Number of Participants With Treatment Emergent Adverse Events (AEs) | Any AE causing withdrawal of docetaxel/prednisone | 169 participants |
| Docetaxel/Prednisone/Lenalidomide (DPL) | Number of Participants With Treatment Emergent Adverse Events (AEs) | Any serious AE (SAE) | 279 participants |
Percentage of Participants Who Received Post-Study Therapies
Percentage of Participants Who Received Post-Study Therapies for advanced Prostate Cancer.
Time frame: The date when the first consent form was signed to the last date of AE data collection;up to 5 years; up to the date of the final data analysis date of 20 April 2017
Population: The Safety Population is defined as all randomized participants who receive at least one dose of the study treatment (lenalidomide/placebo, Docetaxel, or Prednisone).
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Docetaxel/Prednisone/Placebo (DP) | Percentage of Participants Who Received Post-Study Therapies | 70.8 Percentage of Participants |
| Docetaxel/Prednisone/Lenalidomide (DPL) | Percentage of Participants Who Received Post-Study Therapies | 69.0 Percentage of Participants |
Percentage of Participants With an Objective Response According to Response Evaluation Criteria in Solid Tumors - RECIST Version 1.1 Criteria
Objective response (OR) is defined as having complete response (CR) or partial response (PR) as best overall response based on RECIST Criteria 1.1 and defines a CR = Disappearance of all target lesions except lymph nodes (LN); LN must have a decrease in the short axis to \<10mm; PR = 30% decrease in sum of diameters of target lesions taking as reference the baseline sum diameters; Progressed Disease (PD) = 20% increase in sum of diameters of target lesions taking as a reference the smallest sum of diameters and an absolute increase of ≥5 mm; the appearance of ≥1 new lesions; Stable Disease (SD)= Neither shrinkage to qualify for PR nor increase to qualify for PD taking the smallest sum diameters on study as reference. For non-target lesions a CR = Disappearance of all non-target lesions and all LN must be non-pathological in size \<10 mm; Non-CR/Non PD: persistence of one or more non-target lesions; PD = unequivocal progression of existing non-target lesions or appearance of new ones
Time frame: From day 1 to data cut-off 13 January 2012; maximum time on study was approximately 26 months
Population: Based on the ITT population
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Docetaxel/Prednisone/Placebo (DP) | Percentage of Participants With an Objective Response According to Response Evaluation Criteria in Solid Tumors - RECIST Version 1.1 Criteria | 24.3 percentage of participants |
| Docetaxel/Prednisone/Lenalidomide (DPL) | Percentage of Participants With an Objective Response According to Response Evaluation Criteria in Solid Tumors - RECIST Version 1.1 Criteria | 22.1 percentage of participants |
Percentage of Participants With Secondary Primary Malignancies During the Course of the Trial
Second primary malignancies were monitored as events of interest and reported as serious adverse events throughout the course of the trial.
Time frame: The date when the first consent form was signed to the last date of AE data collection; up to the date of the final data analysis date of 30 November 2016; 7 years and 19 days
Population: The Safety Population is defined as all randomized participants who receive at least one dose of the study treatment lenalidomide/placebo, Docetaxel, or Prednisone).
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Docetaxel/Prednisone/Placebo (DP) | Percentage of Participants With Secondary Primary Malignancies During the Course of the Trial | Invasive Secondary Primary Malignancies | 1.3 percentage of participants |
| Docetaxel/Prednisone/Placebo (DP) | Percentage of Participants With Secondary Primary Malignancies During the Course of the Trial | Non-invasive Secondary Primary Malignancies | 0.4 percentage of participants |
| Docetaxel/Prednisone/Lenalidomide (DPL) | Percentage of Participants With Secondary Primary Malignancies During the Course of the Trial | Invasive Secondary Primary Malignancies | 1.7 percentage of participants |
| Docetaxel/Prednisone/Lenalidomide (DPL) | Percentage of Participants With Secondary Primary Malignancies During the Course of the Trial | Non-invasive Secondary Primary Malignancies | 1.0 percentage of participants |
Progression-Free Survival (PFS)
PFS was the time from randomization to disease progression, or death, whatever occurred first. Progression criteria was met by analysis of target and non-target lesions as defined by Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 criteria. Progressive Disease (PD) is defined as at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum of the diameters while on study or the appearance of one or more new lesions; an increase of at least 5mm as a total sum. Lymph nodes identified as target lesions (≥ 15 mm diameter in short axis) will be followed and reported by changes in diameter of short axis; or the unequivocal progression of a non-target lesion defined as an increase in the overall disease burden based on the change in non-measurable disease that is comparable in scope to the increase required to declare PD for measurable disease; Two or more new bone lesions as detected by bone scan
Time frame: From randomization until disease progression or death from any cause; up to the cut-off date of 13 Jan 2012; maximum time on study was approximately 26 months
Population: Based on the Intent to treat population (ITT), defined as all randomized patients irrespective of whether they received treatment or not.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Docetaxel/Prednisone/Placebo (DP) | Progression-Free Survival (PFS) | 46 Weeks |
| Docetaxel/Prednisone/Lenalidomide (DPL) | Progression-Free Survival (PFS) | 45 Weeks |
Time to Onset of Secondary Primary Malignancies
Time of Onset of Secondary Primary Malignancies was considered an event of interest
Time frame: The date when the first consent form was signed to the last date of AE data collection; up to the date of the final data analysis date of 30 November 2016; 7 years and 19 days
Population: The Safety Population is defined as all randomized participants who receive at least one dose of the study treatment (lenalidomide/placebo, Docetaxel, or Prednisone).
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Docetaxel/Prednisone/Placebo (DP) | Time to Onset of Secondary Primary Malignancies | 29.7 months |
| Docetaxel/Prednisone/Lenalidomide (DPL) | Time to Onset of Secondary Primary Malignancies | 19.7 months |