Methotrexate-based Chemo-immunotherapy Followed by Maintenance Therapy for Patients > 65 Years With Central Nervous System (CNS)-Lymphoma

NCT ID: NCT00989352

Last Updated: 2009-10-05

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

56 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-09-30

Study Completion Date

2011-09-30

Brief Summary

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The purpose of this study is to determine whether combined chemotherapy \[rituximab plus high dosage methotrexate, lomustine, and procarbazine\] followed by maintenance therapy with procarbazine is effective in the treatment of cerebral Non Hodgkin lymphoma \[PCNSL\] in patients \> 65 years.

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

Interventions

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Methotrexate

3g/m² i.v. max. 9 times

Intervention Type DRUG

Lomustine

110 mg/m² p.o., max. 3 times

Intervention Type DRUG

Procarbazine

60 mg/m² p.o. for 10 days, max. 3 times 100 mg p.o. for 5 days, max. 6 times

Intervention Type DRUG

Rituximab

375 mg/m² i.v., max. 10 times

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* first diagnosis of PCNSL, histologically confirmed
* age \> 65 years
* 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
* uncontrolled infection
* neutrophil count \< 1.500/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)
* known hypersensitivity against methotrexate, lomustine, procarbazine, rituximab, leukovorin, or dexamethasone
* 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
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Universitätsklinikum Köln

OTHER

Sponsor Role collaborator

Ludwig-Maximilians - University of Munich

OTHER

Sponsor Role collaborator

University Hospital Heidelberg

OTHER

Sponsor Role collaborator

University Hospital Ulm

OTHER

Sponsor Role collaborator

University Hospital Freiburg

OTHER

Sponsor Role lead

Responsible Party

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

Principal Investigators

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Gerald Illerhaus, PD Dr.

Role: PRINCIPAL_INVESTIGATOR

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

Locations

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

Freiburg im Breisgau, , Germany

Site Status RECRUITING

Countries

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Germany

Central Contacts

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Gerald Illerhaus, PD Dr.

Role: CONTACT

+497612703785

Elvira Burger

Role: CONTACT

+497612707378

Facility Contacts

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Gerald Illerhaus, PD Dr.

Role: primary

+497612703785

Elvira Burger

Role: backup

+497612707378

References

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Illerhaus G, Marks R, Muller F, Ihorst G, Feuerhake F, Deckert M, Ostertag C, Finke J. High-dose methotrexate combined with procarbazine and CCNU for primary CNS lymphoma in the elderly: results of a prospective pilot and phase II study. Ann Oncol. 2009 Feb;20(2):319-25. doi: 10.1093/annonc/mdn628. Epub 2008 Oct 26.

Reference Type BACKGROUND
PMID: 18953065 (View on PubMed)

Fritsch K, Kasenda B, Schorb E, Hau P, Bloehdorn J, Mohle R, Low S, Binder M, Atta J, Keller U, Wolf HH, Krause SW, Hess G, Naumann R, Sasse S, Hirt C, Lamprecht M, Martens U, Morgner A, Panse J, Frickhofen N, Roth A, Hader C, Deckert M, Fricker H, Ihorst G, Finke J, Illerhaus G. High-dose methotrexate-based immuno-chemotherapy for elderly primary CNS lymphoma patients (PRIMAIN study). Leukemia. 2017 Apr;31(4):846-852. doi: 10.1038/leu.2016.334. Epub 2016 Nov 15.

Reference Type DERIVED
PMID: 27843136 (View on PubMed)

Related Links

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Other Identifiers

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Eudract: 2008-007645-31

Identifier Type: -

Identifier Source: secondary_id

00591

Identifier Type: -

Identifier Source: org_study_id

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