NCT00210314
Completed
Phase 2
Randomized Phase II Trial on Primary Chemotherapy With High-dose Methotrexate, Alone or Associated With High-dose Cytarabine, Followed by Response- and Age-tailored Radiotherapy for Immunocompetent Patients With Newly Diagnosed Primary Central Nervous System Lymphoma
International Extranodal Lymphoma Study Group (IELSG)1 site in 1 country79 target enrollmentJuly 2003
ConditionsLymphoma, B Cell
Overview
- Phase
- Phase 2
- Intervention
- high dose methotrexate
- Conditions
- Lymphoma, B Cell
- Sponsor
- International Extranodal Lymphoma Study Group (IELSG)
- Enrollment
- 79
- Locations
- 1
- Primary Endpoint
- The main endpoint is the complete remission (CR) rate after chemotherapy
- Status
- Completed
- Last Updated
- 11 years ago
Overview
Brief Summary
Aim of the study is to establish in a prospective, randomized clinical trial the activity of primary chemotherapy containing high dose-methotrexate, alone or combined with high dose cytarabine, in patients with primary central nervous system lymphoma
Investigators
Eligibility Criteria
Inclusion Criteria
- •Histological or cytological diagnosis of non-Hodgkin's lymphoma.
- •Diagnostic sample obtained by stereotactic or surgical biopsy, CSF cytology examination or vitrectomy.
- •Disease exclusively localized into the central nervous system, cranial nerves or eyes.
- •Untreated patients (patients treated with steroids alone are eligible).
- •At least one measurable lesion.
- •Age 18 - 75 years.
- •ECOG performance status \< 3
- •HBsAg-negative and Ab anti-HCV-negative serologic status.
- •No known HIV disease or immunodeficiency.
- •Adequate bone marrow (PLT \> 100000 mm3, Hb ≥ 9 g/dl, ANC ≥ 2.000 mm3), renal (creatinine clearance ≥ 60 mL/min), cardiac (VEF ≥ 50%), and hepatic function (total serum bilirubin \< 3 mg/dL, AST/ALT and gGT \< 2 per upper normal limit value).
Exclusion Criteria
- Not provided
Arms & Interventions
High-dose methotrexate alone
Intervention: high dose methotrexate
High-dose methotrexate alone
Intervention: radiotherapy
High-dose methotrexate associated with high dose cytarabine
Intervention: high dose methotrexate
High-dose methotrexate associated with high dose cytarabine
Intervention: high dose cytarabine
High-dose methotrexate associated with high dose cytarabine
Intervention: radiotherapy
Outcomes
Primary Outcomes
The main endpoint is the complete remission (CR) rate after chemotherapy
Secondary Outcomes
- Event-free survival
- Early and late neurotoxicity
- Overall response rate
- Response duration (time to relapse or progression) for responder patients
- Overall survival
- Meningeal relapse rate
Study Sites (1)
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