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临床试验/NCT04845139
NCT04845139Unknown不适用

A Case Study of Nivolumab for Relapsed/Refractory Primary Central Nervous System Lymphoma

Second Affiliated Hospital, School of Medicine, Zhejiang University1 个研究点 分布在 1 个国家目标入组 1 人开始时间: 2022年7月2日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
不适用
发起方
入组人数
1
试验地点
1
主要终点
Adverse events

研究概览

简要总结

The purpose of this study is to determine whether Nivolumab given intrathecally is effective in the treatment of Relapsed/Refractory Primary Central Nervous System Lymphoma (PCNSL)

详细描述

This is a case study aiming to recruit 1 patient. This study is indicated for relapsed/refractory primary central nervous system lymphoma. Primary objective is to explore the safety.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 80 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Subjects with ECOG 0,1,2,3
  • Subjects with pathologically confirmed PCNSL with lesion in brain who progressed after or did not respond to at least 1 line of systemic therapy. PCNSL prior therapy may include HD-MTX, HD-MTX-based regimen, high-dose cytarabine, radiation therapy alone as treatment or as part of consolidation therapy, high-dose therapy with autologous stem cell transplant as part of consolidation therapy, and/or intraocular MTX alone or as part of consolidation therapy
  • Subject with sufficient function of liver, kidney, heart, lung and hematopoiesis
  • Subjects with relapsed PCNSL and are able to receive biopsy

排除标准

  • Subjects that are not DLBCL type pathologically
  • Intraocular PCNSL without evidence of brain disease
  • Subjects who cannot undergo MRI assessments
  • Relapsed PCNSL patients who cannot undergo biopsy
  • Biopsy suggests no significant tumor-infiltration T cell or poor PD-1 expression
  • Subjects with other malignancy
  • Subjects with history of any inflammatory CNS diseases
  • Subjects with an active, known, or suspected autoimmune disease
  • Subjects with a condition requiring systemic treatment with either corticosteroids or other immunosuppressive medications within 14 days of start of study treatment
  • Prior treatment with an anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CD137, or anti-CTLA-4 antibody, or any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways
  • Other protocol defined inclusion/exclusion criteria could apply

研究组 & 干预措施

Nivolumab administration

Experimental

Nivolumab administration Q2W by intraventricular injection through Ommaya reservoir

干预措施: Nivolumab (Drug)

结局指标

主要结局

Adverse events

时间窗: On a continuous basis up to 1 month after the first dose of study drug

Adverse events Adverse events assessed according to NCI-CTCAE v5.0 criteria

次要结局

  • Best overall response(BOR)(up to 3 months after the first dose of study drug)

研究者

发起方
Second Affiliated Hospital, School of Medicine, Zhejiang University
申办方类型
Other
责任方
Sponsor

研究点 (1)

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