Primary Central Nervous System Lymphoma
Conditions
Keywords
Primary central nervous system lymphoma, rituximab, Methotrexate and Temozolomide, autologous stem cell transplantation, Carmustine and thiotepa
Brief summary
The purpose of this study is to evaluate the efficacy and safety of chemotherapy with MT-R followed by autologous stem cells transplantation in newly-diagnosed primary central nervous system lymphoma.
Detailed description
It's a single center, single arm, prospective clinical trial. Patients younger than 65 years old with primary central nervous system lymphoma will received four cycles of chemotherapy with rituximab plus high-dose methotrexate and temozolomide as induction therapy, and then received consolidation therapy with autologous stem cell transplant for which the conditioning regimen is Carmustine plus thiotepa.
Interventions
Four cycles of Induction therapy: Rituximab 375mg/m2 d1; Methotrexate 3.5g/m2 d2;Temozolomide 100mg/m2 d2-6; for patients who reach a CR, PR, or SD, will proceed to autologous stem cell transplantation: Carmustine 400mg/m2 d1; Thiotepa 5mg/kg q12h, d2-3.
Sponsors
Study design
Eligibility
Inclusion criteria
* primary central nervous system diffuse large B-cell lymphoma histologically confirmed by brain biopsy * ECOG 0-2 * Absence of systemic disease as evaluated by chest-abdomen-pelvis CT scan * Leucocytes\>3.500/mm3, platelets\>130.000/mm3, Bilirubin \< 2 mg, transaminases \< 2.5 N), creatinine \< 150 μM/l, creatinine clearance \> 50 ml/min/1.73m2 * Age 18-65 years * Negative HIV test * Signature of informed consent
Exclusion criteria
* prior chemotherapy for primary central nervous system lymphoma * presence of another cancer (excepting basal cell carcinoma of the skin and cervical carcinoma in situ ) * systemic lymphoma (outside the CNS) * Isolated ocular lymphoma * Immunosuppressed patients (HIV , use of immunosuppressors) * Other uncontrolled or progressive disease compromising shot-term survival * Severe renal or hepatic disease * Patients not legally covered by the French Social Security * Inability to swallow the medication
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| progression-free survival | 2 years |
Secondary
| Measure | Time frame |
|---|---|
| overall response rate | 2 years |
| overall survival | 2 years |
| event-free survival | 2 years |
Other
| Measure | Time frame | Description |
|---|---|---|
| neurotoxicity | 2 years | using a battery of cognitive and quality-of-life (QoL) measures |
Countries
China