Idarubicin Based Combined Modality Therapy in Primary CNS Lymphoma

NCT ID: NCT00193973

Last Updated: 2017-02-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2001-07-31

Study Completion Date

2013-08-31

Brief Summary

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Idarubicin combined with high dose methotrexate and moderate dose radiotherapy will achieve similar survival outcomes but with reduced neurotoxicity compared to regimens using methotrexate with high dose radiotherapy.

Detailed Description

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Combined modality therapy in PCNSL has improved survival outcomes but at the cost of unacceptable rates of neurotoxicity when high dose radiotherapy is used. Idarubicin has activity in systemic lymphomas and crosses the blood brain barrier and may add to the efficacy of methotrexate. By combining these 2 drugs with moderate dose radiotherapy survival outcomes should be optimal but with lower rates of neurotoxicity.

Comparison: TROG has previously performed a phase 2 study using methotrexate with high dose radiotherapy and this will allow comparison of survival and neurotoxicity rates.

Conditions

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Primary Central Nervous System Lymphoma

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

Group Type ACTIVE_COMPARATOR

Idarubicin, Methotrexate, Filgrastim, intrathecal Ara-C

Intervention Type DRUG

Idarubicin 15mg/m2 days 1, 22. Filgrastim 5mcg/kg until neutrophil recovery days 2, 23. Methotrexate 1g/m2 days 15, 36 and 50.

Radiation Therapy

Intervention Type RADIATION

Whole brain Irradiation, 30Gy in 20 fractions over 4 weeks

Interventions

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Idarubicin, Methotrexate, Filgrastim, intrathecal Ara-C

Idarubicin 15mg/m2 days 1, 22. Filgrastim 5mcg/kg until neutrophil recovery days 2, 23. Methotrexate 1g/m2 days 15, 36 and 50.

Intervention Type DRUG

Radiation Therapy

Whole brain Irradiation, 30Gy in 20 fractions over 4 weeks

Intervention Type RADIATION

Other Intervention Names

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Radiation, Radiotherapy

Eligibility Criteria

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Inclusion Criteria

* Histologically proven primary CNS lymphoma.
* Absence of disease outside the CNS.
* ECOG performance status 0-3
* Negative HIV status.
* Peripheral blood counts with granulocytes \>1.5 x 109L and platelets \> 100 x 109L. Serum creatinine \<150mmol/L. Serum bilirubin \<1.5 times and AST \<2 times upper limit of normal.
* Age \>18 and \<=70 years.
* Patients must give written informed consent.
* Corticosteroids prior to histological diagnosis are allowed.

Exclusion Criteria

* Previous history of malignancy (other than non-melanomatous skin carcinoma, or carcinoma in situ of cervix completely excised).
* Patients who are pregnant or lactating.
* NYHA (New York State Heart Association classification) cardiac failure grade 3
* Macroscopic spinal thecal or spinal cord disease.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Australasian Leukaemia and Lymphoma Group

OTHER

Sponsor Role collaborator

Trans Tasman Radiation Oncology Group

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Peter O'Brien, FRANZCR

Role: STUDY_CHAIR

Newcastle Mater Misericordiae Hospital

Locations

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The Canberra Hospital

Garran, Australian Capital Territory, Australia

Site Status

Calvary Mater Newcastle

Newcastle, New South Wales, Australia

Site Status

Prince of Wales Hospital

Randwick, New South Wales, Australia

Site Status

Westmead Hospital

Wentworthville, New South Wales, Australia

Site Status

Illawarra Cancer Care Centre

Wollongong, New South Wales, Australia

Site Status

Royal Brisbane Hospital

Herston, Queensland, Australia

Site Status

Mater QRI

South Brisbane, Queensland, Australia

Site Status

Premion - Tugun

Tugun, Queensland, Australia

Site Status

Princess Alexandra Hospital

Woolloongabba, Queensland, Australia

Site Status

Royal Adelaide Hospital

Adelaide, South Australia, Australia

Site Status

Andrew Love Cancer Centre, Geelong Hospital

Geelong, Victoria, Australia

Site Status

Peter MacCallum Cancer Centre

Melbourne, Victoria, Australia

Site Status

Sir Charles Gairdner Hospital

Nedlands, Western Australia, Australia

Site Status

Auckland Hospital

Auckland, , New Zealand

Site Status

Christchurch Hospital

Christchurch, , New Zealand

Site Status

Countries

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Australia New Zealand

Related Links

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http://www.trog.com.au

Click here for more information about this study on the TROG official website

Other Identifiers

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ALLG LY4

Identifier Type: OTHER

Identifier Source: secondary_id

TROG 01.02

Identifier Type: -

Identifier Source: org_study_id

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