Diffuse Large B-cell Lymphoma, Lymphoma, Non-Hodgkin
Conditions
Keywords
lymphoma, cerebral lymphoma, central nervous system, cytarabine, rituximab, Diffuse large B-cell lymphomas, with cerebral or neuromeningeal involvement
Brief summary
The purpose of this study is to measure the rate of complete response (CR and UCR) at the end of a course of immuno-chemotherapy: * before cerebral radiotherapy for PCL * after the course of immuno-chemotherapy for aggressive lymphomas with neuromeningeal involvement Toxicity of the protocol Overall survival Survival without relapse Long-term incidence of neurocognitive toxicity
Interventions
375 mg/m2 D1
50 mg D3
Sponsors
Study design
Eligibility
Inclusion criteria
* Primary cerebral or oculocerebral NHL not previously treated with chemotherapy or radiotherapy and diffuse large B-cell lymphomas, with cerebral and / or neuromeningeal involvement at diagnosis. * Diagnosis proved by histological or cytological examination of cerebral specimens, CSF or vitreous humour. * Diffuse large cell CD20+ lymphoma. * Men or women between the ages of 18 and 60 years. * Presence of a measurable target to evaluate response. * Negative serological tests for HIV, hepatitis B (except in cases of vaccination), hepatitis C. * Life-expectancy ≥ 3 months * Patient having given written consent to participate in this study.
Exclusion criteria
* CD20- lymphoma. * History of indolent lymphoma, treated or untreated. * Contraindication for one of the products used in polychemotherapy. * Known hypersensitivity to mouse antibodies. * Absence of measurable target to evaluate response. * History of cancer in the 5 years prior to inclusion except for cutaneous basocellular carcinomas and non-invasive carcinomas of the neck of the uterus. * Cardiac contraindication to treatment with anthracyclines or to hyperhydration: SEVERE DISTURBANCE OF HEART RHYTHM VENTRICULAR EJECTION FRACTION BELOW 50% HISTORY OF RECENT MYOCARDIAL INFARCTION * Previously known severe renal insufficiency and/or creatinaemia \>150 µM/L (apart from invasion of the kidneys by the lymphoma). * Total bilirubin \>30 µmol/L, ASAT, ALAT \>2.5 times the upper normal value (apart from invasion of the liver by the lymphoma). * Insufficient medullary reserve: PNL \< 1 G/L and platelets \<100 G/L (apart from invasion of the medulla by the lymphoma). * History of organ transplantation or other causes of severe immunosuppression. * Pregnant woman. * Patient incapable of keeping to regular monitoring.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Response to treatment (CR/PR) | End of treatment - 5 months |
Secondary
| Measure | Time frame |
|---|---|
| Toxicity, Overall survival, Time to progression | End of study - 5 years |
Countries
Belgium, France