Freiburg ZNS-NHL Study

NCT ID: NCT00647049

Last Updated: 2009-11-17

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

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

78 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-01-31

Study Completion Date

2013-08-31

Brief Summary

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The purpose of this study is to determine whether combined chemotherapy \[rituximab plus high dosage methotrexate (max. 2 cycles) followed by arabinoside/thiotepa (max. 2 cycles) followed by high dosage carmustin/thiotepa\] followed by peripheral blood stem cell transplantation is effective in the treatment of cerebral Non Hodgkin lymphoma \[PCNSL\].

Detailed Description

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Conditions

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Primary Non Hodgkin Lymphoma of the Central Nervous System

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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A

first diagnosis of PCNSL: combined chemotherapy with methotrexate

Group Type EXPERIMENTAL

methotrexate

Intervention Type DRUG

8000mg/m2 i.v., max. 2 cycles

Rituximab

Intervention Type DRUG

375mg/m2, max. 8 times

Cytarabine

Intervention Type DRUG

3000mg/m2 die i.v., 2 days (max. 2 cycles)

Thiotepa

Intervention Type DRUG

40mg/m2 i.v. (max. 2 cycles) 2 x 5mg/kg/die i.v. for 2 days

Carmustin

Intervention Type DRUG

400mg/m2 i.v. for 1 day

B

Patients with relapse or progressive disease of PCNSL after methotrexate containing chemotherapy

Group Type EXPERIMENTAL

Rituximab

Intervention Type DRUG

375mg/m2, max. 8 times

Cytarabine

Intervention Type DRUG

3000mg/m2 die i.v., 2 days (max. 2 cycles)

Thiotepa

Intervention Type DRUG

40mg/m2 i.v. (max. 2 cycles) 2 x 5mg/kg/die i.v. for 2 days

Carmustin

Intervention Type DRUG

400mg/m2 i.v. for 1 day

Interventions

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methotrexate

8000mg/m2 i.v., max. 2 cycles

Intervention Type DRUG

Rituximab

375mg/m2, max. 8 times

Intervention Type DRUG

Cytarabine

3000mg/m2 die i.v., 2 days (max. 2 cycles)

Intervention Type DRUG

Thiotepa

40mg/m2 i.v. (max. 2 cycles) 2 x 5mg/kg/die i.v. for 2 days

Intervention Type DRUG

Carmustin

400mg/m2 i.v. for 1 day

Intervention Type DRUG

Other Intervention Names

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MTX Arabinoside BCNU Bis-Chlorethyl-Nitrosourea

Eligibility Criteria

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Inclusion Criteria

* group A: first diagnosis of PCNSL, histologically confirmed
* group B: relapse or progression of PCNSL after MTX containing chemotherapy
* age 18 - 65 years
* not legally incompetent, physically or mentally incapable of giving consent
* written signed and dated informed consent of the legal representative and - if possible - of the patient

Exclusion Criteria

* manifestations of further lymphoma outside the CNS
* sero-positive for HIV
* severe pulmonary, cardiac, hepatic, renal impairment
* neutrophil count \< 2.000/µl, platelet count \< 100.000/µl
* pulmonary disease with IVC \< 55%, DLCO \< 40%
* cardiac ejection fraction \< 50%, uncontrolled malign arrhythmia
* creatinine \> 1,5 mg% or creatinine-clearance \< 50ml/min
* bilirubin \> 2mg/dl
* ascites or pleural effusion (\> 500ml)
* pregnancy o r lactation
* women with childbearing potential without sufficient contraception
* participation in another clinical trial within the last 30 days prior to the begin or parallel to this study
* known or current drug or alcohol abuse
* known hypersensitivity against methotrexate, cytarabine, thiotepa, BCNU rituximab, leukovorin, dexamethasone, neupogen and neulasta.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital Tuebingen

OTHER

Sponsor Role collaborator

University Hospital Freiburg

OTHER

Sponsor Role lead

Responsible Party

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University Hospital Freiburg

Principal Investigators

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Jürgen Finke, Prof. Dr.

Role: PRINCIPAL_INVESTIGATOR

University Medical Center Freiburg, Dept. of Internal Medicine I - Hematology and Oncology

Locations

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University Hospital Freiburg

Freiburg im Breisgau, , Germany

Site Status RECRUITING

Countries

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Germany

Central Contacts

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Gerald Illerhaus, Dr.

Role: CONTACT

00497612703785

Andreas Zähringer, Dr.

Role: CONTACT

00497612707370

Facility Contacts

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Gerald Illerhaus, Dr.

Role: primary

00497612703785

Andreas Zähringer

Role: backup

00497612707378

References

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Illerhaus G, Marks R, Ihorst G, Guttenberger R, Ostertag C, Derigs G, Frickhofen N, Feuerhake F, Volk B, Finke J. High-dose chemotherapy with autologous stem-cell transplantation and hyperfractionated radiotherapy as first-line treatment of primary CNS lymphoma. J Clin Oncol. 2006 Aug 20;24(24):3865-70. doi: 10.1200/JCO.2006.06.2117. Epub 2006 Jul 24.

Reference Type BACKGROUND
PMID: 16864853 (View on PubMed)

Kasenda B, Ihorst G, Schroers R, Korfel A, Schmidt-Wolf I, Egerer G, von Baumgarten L, Roth A, Bloehdorn J, Mohle R, Binder M, Keller U, Lamprecht M, Pfreundschuh M, Valk E, Fricker H, Schorb E, Fritsch K, Finke J, Illerhaus G. High-dose chemotherapy with autologous haematopoietic stem cell support for relapsed or refractory primary CNS lymphoma: a prospective multicentre trial by the German Cooperative PCNSL study group. Leukemia. 2017 Dec;31(12):2623-2629. doi: 10.1038/leu.2017.170. Epub 2017 May 31.

Reference Type DERIVED
PMID: 28559537 (View on PubMed)

Illerhaus G, Kasenda B, Ihorst G, Egerer G, Lamprecht M, Keller U, Wolf HH, Hirt C, Stilgenbauer S, Binder M, Hau P, Edinger M, Frickhofen N, Bentz M, Mohle R, Roth A, Pfreundschuh M, von Baumgarten L, Deckert M, Hader C, Fricker H, Valk E, Schorb E, Fritsch K, Finke J. High-dose chemotherapy with autologous haemopoietic stem cell transplantation for newly diagnosed primary CNS lymphoma: a prospective, single-arm, phase 2 trial. Lancet Haematol. 2016 Aug;3(8):e388-97. doi: 10.1016/S2352-3026(16)30050-3. Epub 2016 Jul 13.

Reference Type DERIVED
PMID: 27476790 (View on PubMed)

Other Identifiers

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ZNS-00465

Identifier Type: -

Identifier Source: org_study_id

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