Methotrexate and Temozolomide Versus Methotrexate, Procarbazine, Vincristine and Cytarabine

NCT ID: NCT00503594

Last Updated: 2012-07-30

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

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

92 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-07-31

Study Completion Date

2012-07-31

Brief Summary

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The purpose of this study is to evaluate two types of chemotherapy for primary central nervous system lymphoma in the elderly (age older than 60) :

* Methotrexate, procarbazine, vincristine and cytarabine
* Methotrexate and temozolomide

Detailed Description

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The aim of the study is to evaluate efficacy and toxicity associated with both protocols in this population, without radiotherapy.

Patients will be randomized to receive one of the two regimens in one of the participating centers. Neuropsychological evaluation will be performed in all patients. Patients will be followed with serial MRIs.

Conditions

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Lymphoma

Keywords

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Primary central nervous system lymphoma Brain lymphoma Elderly Chemotherapy Methotrexate Temozolomide Procarbazine Vincristine Cytarabine

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

Comparative evaluation of the efficiency of a new protocol of the primitive LYMPHOME of the central nervous system ( LPSNC) to the old subject, associating Methotrexate and Temozolomide with regard to a standard protocol associating Methotrexate, Procarbazine, Vincristine and Cytarabine.

Group Type EXPERIMENTAL

Methotrexate and temozolomide

Intervention Type DRUG

Methotrexate and temozolomide

bras conventional

bras conventional

Group Type ACTIVE_COMPARATOR

Methotrexate , procarbazine ,vincristine ,cytarabine

Intervention Type DRUG

Methotrexate , procarbazine ,vincristine ,cytarabine

Interventions

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Methotrexate and temozolomide

Methotrexate and temozolomide

Intervention Type DRUG

Methotrexate , procarbazine ,vincristine ,cytarabine

Methotrexate , procarbazine ,vincristine ,cytarabine

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* primary central nervous system lymphoma histologically confirmed by brain biopsy, CSF cytology or vitrectomy
* KPS 40 or higher
* Absence of systemic disease as evaluated by chest-abdomen-pelvis CT scan
* Leucocytes\>3.500/mm3, platelets\>130.000/mm3, Bilirubin \< 2 mg, transaminases \< 2.5 N), creatinine \< 150 μM/l, creatinine clearance \> 40 ml/min
* Age ≥ 60 years
* Negative HIV test
* Signature of informed consent

Exclusion Criteria

* previous cranial radiotherapy
* prior chemotherapy for primary central nervous system lymphoma
* presence of another cancer (excepting basal cell carcinoma of the skin and cervical carcinoma in situ )
* systemic lymphoma (outside the CNS)
* Isolated ocular lymphoma
* Immunosuppressed patients (HIV , use of immunosuppressors)
* Other uncontrolled or progressive disease compromising shot-term survival
* Severe renal or hepatic disease
* Patients not legally covered by the French Social Security
* Inability to swallow the medication
Minimum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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French Innovative Leukemia Organisation

OTHER

Sponsor Role collaborator

Assistance Publique - Hôpitaux de Paris

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Antonio OMURO, MD,

Role: PRINCIPAL_INVESTIGATOR

Assistance Publique - Hôpitaux de Paris

Locations

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Groupe hospitalier la Pitié Salpétrière

Paris, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Antonio OMURO, MD,PhD

Role: CONTACT

Phone: + 33(0) 1 42 16 41 60

Email: [email protected]

Facility Contacts

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Antonio OMURO, MD,PhD

Role: primary

References

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Omuro AM, Abrey LE. Chemotherapy for primary central nervous system lymphoma. Neurosurg Focus. 2006 Nov 15;21(5):E12. doi: 10.3171/foc.2006.21.5.13.

Reference Type RESULT
PMID: 17134114 (View on PubMed)

Omuro A, Chinot O, Taillandier L, Ghesquieres H, Soussain C, Delwail V, Lamy T, Gressin R, Choquet S, Soubeyran P, Huchet A, Benouaich-Amiel A, Lebouvier-Sadot S, Gyan E, Touitou V, Barrie M, del Rio MS, Gonzalez-Aguilar A, Houillier C, Delgadillo D, Lacomblez L, Tanguy ML, Hoang-Xuan K. Methotrexate and temozolomide versus methotrexate, procarbazine, vincristine, and cytarabine for primary CNS lymphoma in an elderly population: an intergroup ANOCEF-GOELAMS randomised phase 2 trial. Lancet Haematol. 2015 Jun;2(6):e251-9. doi: 10.1016/S2352-3026(15)00074-5. Epub 2015 Jun 3.

Reference Type DERIVED
PMID: 26688235 (View on PubMed)

Related Links

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http://www.ncbi.nlm.nih.gov

A review on chemotherapy options for primary central nervous system lymphoma

Other Identifiers

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P060239

Identifier Type: -

Identifier Source: org_study_id