Primary Vitreoretinal Lymphoma
Conditions
Brief summary
This study intends to apply for the establishment of research beds, establish a Chinese PVRL research cohort, and carry out a to achieve the following research objectives: The goal of this prospective observational study is to construct the diagnosis and treatment system for primary vitreoretinal lymphoma(PVRL). The study is to achieve the following research objectives: 1. To establish a comprehensive diagnostic criteria for PVRL with high diagnostic efficiency and strengthen the PVRL diagnostic system; 2. To establish a standardized treatment pathway for PVRL and evaluate the efficacy and safety of treatment; 3. To screen the prognosis evaluation indicators, and to establish the follow-up process and prognosis evaluation system of PVRL; 4. To explore the pathogenesis of PVRL, specific tumor markers and drug therapeutic targets.
Interventions
Intravitreal injection of methotrexate:400ug/0.1mL,Once a week\*4 weeks → Once every two weeks\*4 weeks → once a month \*10 times(16 times a year) Systemic therapy: Induction period:(Zanubrutinib + Rituximab,ZR) (28 days/cycle) x 6 cycles:Rituximab iv375mg/m2 D1, Zanubrutinib 160mg bid D1-D21; Maintenance treatment:Zanubrutinib 160mg bid x 2 years
Sponsors
Study design
Eligibility
Inclusion criteria
* Newly diagnosed PVRL patients admitted to the Ophthalmology or Hematology departments of Peking Union Medical College Hospital from 2022 to 2024; * 18-75 years old; * The diagnosis was confirmed by pathology, aqueous humor/vitreous IL-10/IL-6, vitreous flow cytometry and gene rearrangement.; * HIV-Ab negative; * Creatinine clearance \> 50ml/min; * Sign informed consent.
Exclusion criteria
* Combined with other tumors; * Uncontrolled active infections; * Pregnant or lactating women; * Antitumor therapy other than the protocol of this study was used.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Interleukin-10/Interleukin-6(IL-10/IL-6) | 1 year | aqueous fluid |
Countries
China