Clinical trial Recruiting at 1 site Phase 2 Interventional Ages 18 to 80

Lenalidomide plus dexamethasone for Rosai‑Dorfman disease

Official title: Efficacy and Safety of the RD Regimen (Lenalidomide, Dexamethasone) in the Treatment of Rosai-Dorfman Disease: A Prospective, Multicenter, Single-Arm Study.

Run by Cancer Institute and Hospital, Chinese Academy of Medical Sciences · NCT07187167 · Data updated 2026-11-12

This trial will try lenalidomide combined with dexamethasone to treat adults with Rosai‑Dorfman disease.

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years to 80 Years
SexAll
Enrollment40 (estimated)
SponsorCancer Institute and Hospital, Chinese Academy of Medical Sciences
Academic / other
Locations1 site (Beijing)
StatusRecruiting
StartedApril 12, 2025
Main results expectedApril 12, 2027
Study endsApril 12, 2027
Registry record updatedSeptember 22, 2025
Trial IDNCT07187167 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 18–80 with a definitive diagnosis of Rosai‑Dorfman disease, ECOG ≤2, and who are treatment‑naive or relapsed/refractory and able to provide informed consent.

Probably not a fit

Patients with recent major surgery or radiotherapy, significant cardiac disease (including recent myocardial infarction or NYHA class 3–4 heart failure), pregnant or lactating women, those unable to use reliable contraception, or with significant liver or kidney dysfunction are unlikely to benefit or be eligible.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a phase 2 interventional trial testing an oral lenalidomide and intermittent dexamethasone regimen in adults with confirmed Rosai‑Dorfman disease. Participants receive lenalidomide 25 mg orally on days 1–21 and dexamethasone 40 mg on days 1, 8, 15, and 22 of each 28‑day cycle, for up to 12 cycles. The protocol enrolls treatment‑naive and relapsed/refractory patients with ECOG performance status ≤2 who are judged suitable by their clinicians. The study monitors treatment safety and disease response during and after the treatment period.

Why it matters

Potential benefit: If successful, this regimen could offer an effective oral treatment option that controls disease activity and reduces symptoms for some patients with Rosai‑Dorfman disease.

How similar studies have gone: Small case reports and series have suggested benefit from immunomodulatory agents like lenalidomide in Rosai‑Dorfman disease, but randomized or large prospective data are lacking.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Definitively diagnosed adult RDD patients;
* Aged between 18 and 80 years;
* Treatment-naive or refractory/relapsed;
* ECOG performance status score ≤ 2;
* Judged by clinicians as suitable for treatment with this protocol;
* Patients or their families able to understand the study protocol and willing to participate in the study, providing written informed consent.

Exclusion Criteria:

* Subjects who have undergone major surgery within 4 weeks prior to the first dose of the study;
* Subjects who have received radiotherapy within 4 weeks prior to the first dose of the study;
* Subjects with a history of myocardial infarction within the past year;
* Patients with New York Heart Association (NYHA) Class 3 or 4 congestive heart failure, or a history of NYHA Class 3 or 4 congestive heart failure;
* Pregnant or lactating women;
* Patients who cannot strictly practice contraception after participating in the study;
* Abnormal liver and kidney function: creatinine level ≥176.8 μmol/L (2 mg/dL), transaminase and bilirubin levels more than 2 times the upper limit of normal
* Abnormal blood counts: absolute neutrophil count less than 1×10\^9/L, platelet count less than 50×10\^9/L;
* Patients or their families who cannot understand the conditions and objectives of the study;
* Any other situation where the investigator considers the patient unsuitable to participate in this trial.

Where it's running

  • Department of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College
    Beijing, China
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.