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CLIMB: CNS Lymphoma Imaging and Molecular Biomarkers Study

A Prospective Imaging and Translational Tissue Study in CNS Lymphoma to Enable Further Disease Characterisation and the Development of Potential Predictive and Prognostic Biomarkers

Status
Recruiting
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT05828628
Acronym
CLIMB
Enrollment
36
Registered
2023-04-25
Start date
2023-09-18
Completion date
2031-09-30
Last updated
2025-06-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

CNS Lymphoma

Brief summary

A prospective imaging and translational tissue study in CNS lymphoma to enable further disease characterisation and the development of potential predictive and prognostic biomarkers.

Detailed description

As a single centre exploratory study, this trial will recruit patients with newly diagnosed primary CNS lymphoma and will look at the molecular aspects of the disease in the tissue collection and imaging response assessments using CCA with respect to progression free survival.

Interventions

None listed

Sponsors

Royal Marsden NHS Foundation Trust
Lead SponsorOTHER

Study design

Observational model
CASE_ONLY
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Subjects capable of giving informed consent, or if appropriate, if subject's capacity is deemed limited due to CNS involvement, a consultee can provide consent on their behalf. Some patients with PCNSL may be incapable of providing their own consent due to the neurological effects of their disease. In these cases the patient will be classed as an incapacitated adult and a legal representative will be sought in accordance with English or Scottish law as applicable (see 7.2.1) * A radiological or histological diagnosis of primary CNS lymphoma. * Have not received prior CNS directed therapy. Prior use of steroids is permitted. * Participants aged ≥18 years old.

Exclusion criteria

\- Involvement of lymphoma outside of the CNS

Design outcomes

Primary

MeasureTime frameDescription
Plasma ctDNA detection5 YearsTo assess if plasma ctDNA detection measured from end of treatment (using the tumour informed approach) can be used an early detection tool for progressive disease.
Contrast clearance analysis5 YearsTo assess the results of contrast clearance analysis

Secondary

MeasureTime frameDescription
Plasma ctDNA detection at end of treatment5 YearsTo assess whether plasma ctDNA detection at end of treatment can be used an early detection tool for progressive disease and survival using the (i) tumour agnostic and (ii) tumour informed approach
Plasma ctDNA detection from end of treatment5 YearsTo assess if plasma ctDNA detection measured from end of treatment (using the tumour agnostic approach) can be used as an early detection tool for progressive disease
Radiological data provided by CCA5 YearsTo evaluate whether additional radiological data provided by CCA is useful for prognostication and is associated with disease progression and survival
Plasma ctDNA detection rate at disease progression5 YearsTo assess plasma ctDNA detection rate at disease progression using the (i) tumour agnostic and (ii) tumour informed approach
Plasma ctDNA detection rate at baseline5 YearsTo assess plasma ctDNA detection rate at baseline using the (i) tumour agnostic and (ii) tumour informed approach

Countries

United Kingdom

Contacts

Primary ContactGI and Lymphoma Unit
GI.Trials@rmh.nhs.uk02086426011

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026