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Study to Evaluate Safety and Effectiveness of Lenalidomide in Combination With Docetaxel and Prednisone for Patients With Castrate-Resistant Prostate Cancer

A Phase 3 Study to Evaluate the Efficacy and Safety of Docetaxel and Prednisone With or Without Lenalidomide in Subjects With Castrate-Resistant Prostate Cancer (CRPC)

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00988208
Acronym
Mainsail
Enrollment
1059
Registered
2009-10-02
Start date
2009-11-11
Completion date
2016-11-28
Last updated
2018-04-04

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Prostate Cancer

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

DRUGLenalidomide

25 mg lenalidomide orally once each day on Days 1-14

DRUGDocetaxel

75 mg/m2 intravenous docetaxel on Day 1

DRUGPrednisone

5 mg prednisone orally twice daily on each day of the treatment cycle

DRUGPlacebo

Oral placebo once each day on Days 1-14 of the treatment cycle

Sponsors

Celgene
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
MALE
Age
18 Years to No maximum
Healthy volunteers
No

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

MeasureTime frameDescription
Overall Survival (OS)From randomization until death from any cause up to the cut-off date of 13 January 2012; up to approximately 26 monthsOverall 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

MeasureTime frameDescription
Percentage of Participants With an Objective Response According to Response Evaluation Criteria in Solid Tumors - RECIST Version 1.1 CriteriaFrom day 1 to data cut-off 13 January 2012; maximum time on study was approximately 26 monthsObjective 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 DPLA 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 monthsPFS 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 TrialThe 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 daysSecond 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 MalignanciesThe 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 daysTime of Onset of Secondary Primary Malignancies was considered an event of interest
Percentage of Participants Who Received Post-Study TherapiesThe 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 2017Percentage 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

ArmCount
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
Total1,059

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event71122
Overall StudyBiochemical Progression217
Overall StudyClinical Deterioration714
Overall StudyClinical Progression1716
Overall StudyDeath915
Overall StudyDisease Progression10389
Overall StudyLost to Follow-up23
Overall StudyOther83
Overall StudyProtocol Violation92
Overall StudySponsor Decision10278
Overall StudySubject Decision/Investigator Discretion3232
Overall StudyWithdrawal by Subject5057

Baseline characteristics

CharacteristicDocetaxel/Prednisone/Placebo (DP)Docetaxel/Prednisone/Lenalidomide (DPL)Total
Age, Continuous68.4 years
STANDARD_DEVIATION 7.79
68.9 years
STANDARD_DEVIATION 7.98
68.7 years
STANDARD_DEVIATION 7.89
Age, Customized
<65 years
171 Participants163 Participants334 Participants
Age, Customized
>75 years
109 Participants126 Participants235 Participants
Age, Customized
> = to 65 years and < = 75years
246 Participants244 Participants490 Participants
Baseline PSA (Prostate Specific Antigen) Levels290.359 (ng/ml)
STANDARD_DEVIATION 659.1583
316.501 (ng/ml)
STANDARD_DEVIATION 776.1133
303.542 (ng/ml)
STANDARD_DEVIATION 720.2895
Body Mass Index28.6 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 Participants243 Participants464 Participants
Body Mass Index, Categorical
<25 kg/m^2
134 Participants138 Participants272 Participants
Body Mass Index, Categorical
>30 kg/m^2
171 Participants152 Participants323 Participants
ECOG Performance Status
0 (Fully Active)
257 Participants252 Participants509 Participants
ECOG Performance Status
1 (Restrictive but ambulatory)
247 Participants256 Participants503 Participants
ECOG Performance Status
2 (Ambulatory but unable to work)
21 Participants24 Participants45 Participants
ECOG Performance Status
3 (Limited self-care)
1 Participants0 Participants1 Participants
ECOG Performance Status
Not specified
0 Participants1 Participants1 Participants
Height174.0 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 Participants169 Participants326 Participants
Metastatic Sites of Disease Outside of Prostate
Both bone and Soft tissues
273 Participants259 Participants532 Participants
Metastatic Sites of Disease Outside of Prostate
None
2 Participants1 Participants3 Participants
Metastatic Sites of Disease Outside of Prostate
Soft tissues only
94 Participants104 Participants198 Participants
Other Prior Anti-Cancer Therapy
No
447 Participants462 Participants909 Participants
Other Prior Anti-Cancer Therapy
Yes
79 Participants71 Participants150 Participants
Prior Cancer Surgery
No
191 Participants175 Participants366 Participants
Prior Cancer Surgery
Yes
335 Participants358 Participants693 Participants
Prior Radiotherapy
No
218 Participants221 Participants439 Participants
Prior Radiotherapy
Yes
308 Participants312 Participants620 Participants
Race, Customized
American Indian or Alaska Native
5 Participants3 Participants8 Participants
Race, Customized
Asian
8 Participants6 Participants14 Participants
Race, Customized
Black or African American
25 Participants21 Participants46 Participants
Race, Customized
Other or no answer
55 Participants67 Participants122 Participants
Race, Customized
White
433 Participants436 Participants869 Participants
Region of Enrollment
EU or Australia
329 Participants330 Participants659 Participants
Region of Enrollment
Rest of World (Includes 4 additional countries)
61 Participants63 Participants124 Participants
Region of Enrollment
US or Canada
136 Participants140 Participants276 Participants
Sex/Gender, Customized
female
0 Participants0 Participants0 Participants
Sex/Gender, Customized
male
526 Participants533 Participants1059 Participants
Type of Disease Progression
Radiographic progression
380 Participants374 Participants754 Participants
Type of Disease Progression
Rising PSA only
146 Participants159 Participants305 Participants
Weight86.4 kilograms
STANDARD_DEVIATION 16.18
86 kilograms
STANDARD_DEVIATION 15.7
86.2 kilograms
STANDARD_DEVIATION 15.93

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
513 / 525511 / 521
serious
Total, serious adverse events
283 / 525176 / 521

Outcome results

Primary

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.

ArmMeasureValue (MEDIAN)
Docetaxel/Prednisone/Placebo (DP)Overall Survival (OS)NA weeks
Docetaxel/Prednisone/Lenalidomide (DPL)Overall Survival (OS)77 weeks
p-value: 0.001795% CI: [1.17, 2]Log Rank
Secondary

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).

ArmMeasureGroupValue (NUMBER)
Docetaxel/Prednisone/Placebo (DP)Number of Participants With Treatment Emergent Adverse Events (AEs)Any TEAE512 participants
Docetaxel/Prednisone/Placebo (DP)Number of Participants With Treatment Emergent Adverse Events (AEs)Any TEAE related to lenalidomide or placebo379 participants
Docetaxel/Prednisone/Placebo (DP)Number of Participants With Treatment Emergent Adverse Events (AEs)Any TEAE related to docetaxel/prednisone475 participants
Docetaxel/Prednisone/Placebo (DP)Number of Participants With Treatment Emergent Adverse Events (AEs)Any severity grade 3-4 TEAE303 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 placebo62 participants
Docetaxel/Prednisone/Placebo (DP)Number of Participants With Treatment Emergent Adverse Events (AEs)Any SAE related to docetaxel/prednisone86 participants
Docetaxel/Prednisone/Placebo (DP)Number of Participants With Treatment Emergent Adverse Events (AEs)Any AE causing discontinuation of lenalidomide/PBO82 participants
Docetaxel/Prednisone/Placebo (DP)Number of Participants With Treatment Emergent Adverse Events (AEs)Any AE causing withdrawal of docetaxel/prednisone127 participants
Docetaxel/Prednisone/Placebo (DP)Number of Participants With Treatment Emergent Adverse Events (AEs)Any TEAE leading to death16 participants
Docetaxel/Prednisone/Lenalidomide (DPL)Number of Participants With Treatment Emergent Adverse Events (AEs)Any AE causing discontinuation of lenalidomide/PBO150 participants
Docetaxel/Prednisone/Lenalidomide (DPL)Number of Participants With Treatment Emergent Adverse Events (AEs)Any TEAE517 participants
Docetaxel/Prednisone/Lenalidomide (DPL)Number of Participants With Treatment Emergent Adverse Events (AEs)Any SAE related to lenalidomide or placebo167 participants
Docetaxel/Prednisone/Lenalidomide (DPL)Number of Participants With Treatment Emergent Adverse Events (AEs)Any TEAE related to lenalidomide or placebo412 participants
Docetaxel/Prednisone/Lenalidomide (DPL)Number of Participants With Treatment Emergent Adverse Events (AEs)Any TEAE leading to death24 participants
Docetaxel/Prednisone/Lenalidomide (DPL)Number of Participants With Treatment Emergent Adverse Events (AEs)Any TEAE related to docetaxel/prednisone481 participants
Docetaxel/Prednisone/Lenalidomide (DPL)Number of Participants With Treatment Emergent Adverse Events (AEs)Any SAE related to docetaxel/prednisone182 participants
Docetaxel/Prednisone/Lenalidomide (DPL)Number of Participants With Treatment Emergent Adverse Events (AEs)Any severity grade 3-4 TEAE381 participants
Docetaxel/Prednisone/Lenalidomide (DPL)Number of Participants With Treatment Emergent Adverse Events (AEs)Any AE causing withdrawal of docetaxel/prednisone169 participants
Docetaxel/Prednisone/Lenalidomide (DPL)Number of Participants With Treatment Emergent Adverse Events (AEs)Any serious AE (SAE)279 participants
Secondary

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).

ArmMeasureValue (NUMBER)
Docetaxel/Prednisone/Placebo (DP)Percentage of Participants Who Received Post-Study Therapies70.8 Percentage of Participants
Docetaxel/Prednisone/Lenalidomide (DPL)Percentage of Participants Who Received Post-Study Therapies69.0 Percentage of Participants
Secondary

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

ArmMeasureValue (NUMBER)
Docetaxel/Prednisone/Placebo (DP)Percentage of Participants With an Objective Response According to Response Evaluation Criteria in Solid Tumors - RECIST Version 1.1 Criteria24.3 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 Criteria22.1 percentage of participants
p-value: 0.397595% CI: [0.665, 1.176]Chi-squared
Secondary

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).

ArmMeasureGroupValue (NUMBER)
Docetaxel/Prednisone/Placebo (DP)Percentage of Participants With Secondary Primary Malignancies During the Course of the TrialInvasive Secondary Primary Malignancies1.3 percentage of participants
Docetaxel/Prednisone/Placebo (DP)Percentage of Participants With Secondary Primary Malignancies During the Course of the TrialNon-invasive Secondary Primary Malignancies0.4 percentage of participants
Docetaxel/Prednisone/Lenalidomide (DPL)Percentage of Participants With Secondary Primary Malignancies During the Course of the TrialInvasive Secondary Primary Malignancies1.7 percentage of participants
Docetaxel/Prednisone/Lenalidomide (DPL)Percentage of Participants With Secondary Primary Malignancies During the Course of the TrialNon-invasive Secondary Primary Malignancies1.0 percentage of participants
Secondary

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.

ArmMeasureValue (MEDIAN)
Docetaxel/Prednisone/Placebo (DP)Progression-Free Survival (PFS)46 Weeks
Docetaxel/Prednisone/Lenalidomide (DPL)Progression-Free Survival (PFS)45 Weeks
p-value: 0.018795% CI: [1.05, 1.66]Log Rank
Secondary

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).

ArmMeasureValue (MEDIAN)
Docetaxel/Prednisone/Placebo (DP)Time to Onset of Secondary Primary Malignancies29.7 months
Docetaxel/Prednisone/Lenalidomide (DPL)Time to Onset of Secondary Primary Malignancies19.7 months

Source: ClinicalTrials.gov · Data processed: Mar 18, 2026