Primary Central Nervous System Lymphoma
Conditions
Brief summary
Purpose of the study : To evaluate the antitumoral effect of two therapeutic procedures and to evaluate their respective toxicity on the CNS.
Interventions
40 Gy
intensive chemotherapy and hematopoietic stem cell rescue
R-MBVP 2 cycles day1 and day28 followed by R-Aracytine 2 cycles days58&59 and days79&80
Sponsors
Study design
Eligibility
Inclusion criteria
* Histopathologically or cytologically proven diagnostic of Primary CNS lymphoma * All histological types of non-Hodgkin's lymphoma, except MALT * Age \> 18 and \< 60 ans. * Negative for HIV, HCV and HBV * Written informed consent -
Exclusion criteria
* Age \< 18 or \> 60 ans * Isolated intra-ocular lymphoma * Previous history of indolent lymphoma * Previous chemotherapy or radiotherapy for PCNSL * Isolated CNS relapse of systemic NHL * Previous history of cancer in the last 5 years, except basocellular carcinoma and non invasive cervix cancer * Renal insufficiency or creatinin clearance \< 60 ml/min * Liver enzymes \> 3N. * Platelets \< 100 000/mm3 or neutrophils \< 1500/mm3) * Previous history of organ transplantation or other cause of severe immunodeficiency * Pregnancy or active sexual women with no contraception * Unable to follow the protocol for any reason
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 2-years progression-free survival in each arm | 2 years after inclusion |
Secondary
| Measure | Time frame |
|---|---|
| Overall response rate at the end of the procedure | at the end of procedure at 1 and 2 years |
| Overall survival | 2 years after inclusion |
| Event-free survival | 2 years after inclusion |
| Neurotoxicity | each years during ten years |
Countries
France