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Et randomiseret fase ll studie af primær kemoterapi med højdosis Methotrexat oghøjdosis Cytarabin med eller uden thiotepa og med eller uden Rituximab efterfulgtaf strålebehandling eller højdosis kemoterapi med autolog stamcelletransplantationhos immunkompetente patienter med nydiagnosticeret primært CNS-lymfom.

Conditions
ewly diagnosed Primary CNS Lymphoma
Therapeutic area: Diseases [C] - Cancer [C04]
Registration Number
EUCTR2009-012432-32-DK
Lead Sponsor
International Extranodal Lymphoma Srudy Group IELSG
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised-recruitment may be ongoing or finished
Sex
All
Target Recruitment
126
Inclusion Criteria

• Histological or cytological assessed 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, CSF, cranial nerves or eyes.
• At least one measurable lesion.
• Previously untreated patients (previous or ongoing steroid therapy admitted).
• Age 18-65 years (with ECOG Performance Status 0-3) or 66-70 (with ECOG Performance Status 0-2).
• 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 ?GT = 2 per upper normal limit value).
• Sexually active patients of childbearing potential agreeing in implementing adequate contraceptive measures during study participation.
• Absence of any familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule.
• Patient-signed informed consent obtained before registration

Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 10
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 5

Exclusion Criteria

• Patients with lymphomatous lesions outside the CNS.
• Patients with a previous non-Hodgkin lymphoma at any time.
• Previous or concurrent malignancies with the exception of surgically cured carcinoma in-situ of the cervix, carcinoma of the skin or other cancers without evidence of disease at least from 5 years.
• HBsAg and HCV positivity.
• HIV infection, previous organ transplantation or other clinically evident form of immunodeficiency.
• Concurrent treatment with other experimental drugs.
• Concurrent Pregnancy or lactation.
• Patients not agreeing to take adequate contraceptive measures during the study.
• Symptomatic coronary artery disease, cardiac arrhythmias uncontrolled with medication or myocardial infarction within the last 6 months (New York Heart Association Class III or IV heart disease).atient-signed informed consent obtained before registration.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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