@article {149130,
	title = {A phase III study of lenalidomide maintenance after debulking therapy in patients with advanced cutaneous T-cell lymphoma - EORTC 21081 (NCT01098656): results and lessons learned for future trial designs.},
	journal = {European journal of dermatology : EJD},
	volume = {27},
	year = {2017},
	month = {2017 Jun 01},
	pages = {286-294},
	abstract = {<p>EORTC 21081 was a randomized phase III study of observation alone versus lenalidomide maintenance (25~mg po for 21 days) after debulking therapy in patients with advanced-stage cutaneous T-cell lymphomas (CTCLs). The aim was to investigate whether maintenance treatment with lenalidomide prolonged response after debulking in patients who had not been previously treated with intravenous chemotherapy. A total of 26 centres from 10 different European countries registered 30 patients with advanced CTCL. Twenty-one patients were randomized (20\% of the 105 patients initially deemed necessary for the study; the study was terminated early following withdrawal of funding support from Celgene). Of 30 registered patients, nine failed to be randomized, 12 were randomized to observation alone, and nine to lenalidomide maintenance. Median progression-free survival was 5.3 months (95\%~CI: 1.87-22.54) in the maintenance lenalidomide group and two months (95\%~CI: 0.92-7.82) in the observation alone group. Although statistical comparison in the study was severely underpowered and would not be meaningful, this study provides useful information, revealing rapid disease progression within four weeks in a third of patients, highlighting the need for maintenance therapy.</p>
},
	issn = {1952-4013},
	doi = {10.1684/ejd.2017.3008},
	author = {Bagot, Martine and Baktiar Hasan and Whittaker, Sean and Beylot-Barry, Marie and Knobler, Robert and Emad Shash and Marreaud, Sandrine and Morris, Stephen and Dalle, Stephane and Servitje, Octavio and Cowan, Richard and V{\"a}kev{\"a}, Liisa and Chaby, Guillaume and Jonak, Constanze and Fox, Christopher P and Ritchie, Diana and Vermeer, Maarten H and Stadler, Rudolf and Romero, Pablo L Ortiz and Scarisbrick, Julia and Quaglino, Pietro}
}
