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CLIMB: CNS Lymphoma Imaging and Molecular Biomarkers Study

Not yet recruiting
Conditions
CNS Lymphoma
Registration Number
NCT05828628
Lead Sponsor
Royal Marsden NHS Foundation Trust
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.

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
36
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

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Plasma ctDNA detection5 Years

To 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 Years

To assess the results of contrast clearance analysis

Secondary Outcome Measures
NameTimeMethod
Plasma ctDNA detection rate at disease progression5 Years

To assess plasma ctDNA detection rate at disease progression using the (i) tumour agnostic and (ii) tumour informed approach

Radiological data provided by CCA5 Years

To 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 baseline5 Years

To assess plasma ctDNA detection rate at baseline using the (i) tumour agnostic and (ii) tumour informed approach

Plasma ctDNA detection at end of treatment5 Years

To 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 Years

To 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

Trial Locations

Locations (1)

The Royal Marsden NHS Foundation Trust

🇬🇧

London, United Kingdom

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