Primary non-Hodgkin lymphoma in the central nervous system relapse / refractory
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients with primary brain lymphoma in relapsed or refractory after first-line chemotherapy based on high-dose methotrexate 2. Disease exclusively confined to the central nervous system with the presence of at least one bi-dimensionally measurable lesion 3. Aged between 18 and 80 years and ECOG performance status 75000/mmc, hemoglobin> 8 g / dL, neutrophils> 1000/mmc), renal (serum creatinine = 40 mL / min), cardiac (FE> = 50%), hepatic (SGOT / SGPT =65 years) yes F.1.3.1 Number of subjects for this age range 5
Exclusion criteria
Exclusion criteria: 1. Chronic HIV positive or other immune deficiencies 2. Comorbidities that might prevent the deadlines set by the study (eg, severe heart disease) 3. Concomitant treatment with other antineoplastic drugs 4. Pregnant or breastfeeding. Women of childbearing potential not employing adequate contraception during study participation 5. Previous or concomitant other malignancies diagnosed or relapsed during the last 3 years, with the exception of in situ cancers treated surgically and basal cell carcinomas of the skin 6. Whatever the psychosocial, familial, sociological or geographical potentially limiting compliance to the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: feasibility of chemo-immunotherapy with standard R-CHOP preceded by Ngr-TNF;Secondary Objective: Tolerability, overall response, duration of response, bioavailability of drugs in the cerebrospinal fluid after permealizzazione membrane of the blood-brain with ngr-TNF, Overall Survival;Primary end point(s): feasibility of an experimental treatment consisting of R-CHOP chemoimmunotherapy preceded by Blood Brain Barrier Permeabilization (BBBP) by NGR-Tumor Necrosis Factor (NGR-hTNF);Timepoint(s) of evaluation of this end point: tolerability, drug bioavailability in CSF, overall response rate, response duration, overall survival | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): end of treatment;Timepoint(s) of evaluation of this end point: end of treatment | — |
Countries
Italy
Contacts
Ospedale San Raffaele