Study Of The Effectiveness & Safety Of Lenalidomide Versus Chlorambucil As First Line Therapy For Elderly Patients With B-Cell CLL (The ORIGIN Trial)

Inclusion Criteria:

Must sign an informed consent form.
Age ≥ 65 years
Must be able to adhere to the study visit schedule and other protocol requirements.
Must have a documented diagnosis of B-cell leukemia-cll/" >CLL.
Must have an Eastern Cooperative Oncology Group (ECOG) performance status score of ≤2.
Must agree to follow pregnancy precautions as required by the protocol.
Must agree to receive counseling related to teratogenic and other risks of lenalidomide.
Must agree not to donate blood or semen as defined by the protocol

Exclusion Criteria:

Prior treatment for B-cell CLL.
Any medical condition, that would prevent the subject from signing the informed consent form.
Active infections requiring systemic antibiotics.
Systemic infection that has not resolved > 2 months prior to initiating lenalidomide
Pregnant or lactating females.
Participation in any clinical study or having taken any investigational therapy within 28 days.
Known presence of alcohol and/or drug abuse.
Central nervous system (CNS) involvement.

Prior history of malignancies, other than CLL, unless the subject has been free of the disease for ≥3 years. Exceptions include the following:

Basal cell carcinoma of the skin
Squamous cell carcinoma of the skin
Carcinoma in situ of the cervix
Carcinoma in situ of the breast
Incidental histologic finding of prostate cancer (TNM stage of T1a or T1b)
History of renal failure requiring dialysis.
Known Human Immunodeficiency Virus (HIV), Hepatitis B Virus (HBV) and/or Hepatitis C Virus (HCV) infection.
Prior therapy with lenalidomide.
Evidence of TLS at screening
Presence of specific hematology and/or chemistry abnormalities
Uncontrolled hyperthyroidism or hypothyroidism
Venous thromboembolism within one year
≥ Grade-2 neuropathy
Uncontrolled autoimmune hemolytic anemia or thrombocytopenia
Disease transformation [i.e. Richter's Syndrome (lymphomas) or prolymphocytic leukemia]