Primary central nervous system diffuse large B-cell lymphoma
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Diffuse large B-cell lymphoma originating in the brain, spinal cord, eye or pia mater without evidence of systemic involvement; 2. Aged 18-70 years (including 18 and 70 years), gender is not limited; 3. ECOG score 2 points due to craniocerebral surgery), and the expected survival period is >= 3 months; 4. No previous history of malignant tumor; no other tumors requiring active treatment with an overall survival period of less than 5 years; 5. Blood routine test within 14 days before enrollment: Hb >= 85 g/L, ANC >= 1.0 x 10^9/L, PLT >= 80 x 10^9/L; liver and kidney function satisfaction: TBIL <= 1.5 x ULN, ALT, AST<= 2.0 x ULN, Cr <= 1.5 x ULN; 6. Have not received radiotherapy, chemotherapy, targeted therapy or stem cell transplantation within 4 weeks before enrollment; 7. Voluntary subjects and signed informed consent.
Exclusion criteria
Exclusion criteria: 1. Received systemic or local therapy such as chemotherapy and/or hematopoietic stem cell transplantation in the past; 2. Chronic or currently active infectious diseases requiring systemic antibiotics, antifungals or antiviral therapy; 3. Patients with severe cardiac insufficiency and cardiac ejection fraction EF less than 50%; or severe arrhythmia, who cannot tolerate chemotherapy as assessed by the investigator; 4. With severe pulmonary insufficiency (obstructive and/or restrictive ventilation disorder), investigators evaluate those who cannot tolerate chemotherapy; 5. Accompanied by severe liver function impairment, liver function indexes (ALT, TBIL) are more than 2 times higher than the upper limit of normal (ULN); 6. With severe renal insufficiency, the renal function index (Cr) is more than 2 times the upper limit of normal value (ULN); or the 24-hour urinary creatinine clearance rate Ccr is lower than 50 ml/min, and the investigator evaluates that the preconditioning regimen cannot be tolerated ; 7. Psychiatric patients or other patients who are known or suspected to be unable to fully comply with the study protocol; 8. Women who are pregnant, planning to become pregnant or breastfeeding; 9. HIV-infected persons; 10. Patients who cannot be guaranteed to complete the necessary treatment plan and follow-up observation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Overall survival; | — |
Secondary
| Measure | Time frame |
|---|---|
| Complete remission;2 year ovarall survival;2 year progression free survival;2 year recurrence/progression;Chemotherapy-related adverse reactions; | — |
Countries
China
Contacts
Xinqiao Hospitoal, Army Medical University