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Phase I Study Evaluating Tolerability, Safety, Pharmacokinetics, and Efficacy of Combined ONO-4059 and R-MPV Therapy for PCNSL

A Multicenter, Phase I, Open-label, Uncontrolled Study of ONO-4059 in Combination With Rituximab, Methotrexate, Procarbazine, and Vincristine (R-MPV) Therapy for Untreated Primary Central Nervous System Lymphoma (PCNSL)

Status
Active, not recruiting
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06541665
Enrollment
20
Registered
2024-08-07
Start date
2024-05-17
Completion date
2028-08-31
Last updated
2025-06-03

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

Conditions

Primary Central Nervous System Lymphoma

Brief summary

To confirm the tolerability and safety of combined administration of ONO-4059 and R-MPV therapy in untreated PCNSL patients.

Interventions

Specified dose, once daily

DRUGRituximab

Specified dose on specified days

DRUGMethotrexate

Specified dose on specified days

DRUGProcarbazine

Specified dose on specified days

DRUGVincristine

Specified dose on specified days

Sponsors

Ono Pharmaceutical Co. Ltd
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

* Patients diagnosed with PCNSL * Patients who have not received treatment for PCNSL in the past * Patients with ECOG Performance Status 0-2 * Patients expected to survive for 6 months or more

Exclusion criteria

* Patients with intraocular PCNSL without brain lesions * Patients are unable to swallow oral medications

Design outcomes

Primary

MeasureTime frameDescription
Tolerability evaluation29 DaysThe number of subjects who experienced adverse events and side effects will be tallied. In the tolerability evaluation part, the number of subjects who experienced Dose Limiting Toxicity(DLT) will be tallied
Incidence and severity of adverse events (AEs) and serious adverse events (SAEs) during induction2 yearsAdverse events at each visit with the NCI CTCAE v5.0 used as a guide for the grading of severity.

Secondary

MeasureTime frameDescription
Time to response (TTR)1 yearTime to response is defined as the time between the date of first administration of tirabrutinib and the date of first response (CR, CRu, or PR) as determined by IRC according to the IPCG criteria.
Summary of plasma tirabrutinib concentration at trough and post 2 hours dosing30days
Complete response rate (CRR)4 monthsComplete response rate is defined as the proportion of patients with a best overall response of CR or CRu as determined by an independent review committee according to the IPCG criteria.
Best overall response (BOR)1 yearBest overall response based on independent review committee (IRC) response determination is defined as the best response and is derived programmatically based upon the visit responses determined by IRC from the date of administration of tirabrutinib to the date of PD as determined by IRC or the date of initiation of subsequent anticancer therapy for PCNSL, whichever occurs first.
Duration of response (DOR)2 yearsDuration of response is defined as the time between the date of first response (Complete response (CR), Complete response - unconfirmed (CRu), or partial response (PR) ) and the date of the first progressive disease(PD) according to the IPCG criteria, or date of death due to any cause, whichever occurs first.

Countries

Japan

Outcome results

None listed

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