New Combination of Chemoimmunotherapy for Systemic B-cell Lymphoma With Central Nervous System Involvement
NCT02329080 · Status: COMPLETED · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 79
Last updated 2025-07-08
Summary
This is an open, non comparative, multicentre phase II trial, to evaluate the efficacy and feasibility of a new sequential combination of HD-MTX-AraC-based chemoimmunotherapy, followed by R-ICE regimen, and by high-dose chemotherapy supported by ASCT.
Conditions
- Diffuse Large B-cell Lymphoma
Interventions
- DRUG
-
Methotrexate
methotrexate 3.5 g/m2 on day 1 courses 1, 2,3 of MATRIX regimen
- DRUG
-
Rituximab 375 mg/m2 as conventional IV infusion on day 0 courses 1, 2,3 (MATRIX regimen) and on day 1 courses 4,5,6 (R-ICE)
- DRUG
-
Cytarabine 2 g/m2 every 12 hours, in 3-hr infusion on days 2,3 courses 1, 2,3 (MATRIX regimen)
- DRUG
-
Thiotepa
Thiotepa 30 mg/m2 in 30 minutes infusion on day 4 courses 1, 2,3 (MATRIX regimen) and 5 mg/kg in 250 ml of saline sol. in 2-hrs infusion every 12 hours on day -5 and -4 of conditioning and ASCT
- DRUG
-
liposomial cytarabine
Intrathecal liposomial cytarabine 50 mg on day 5 courses 1, 2,3 (MATRIX regimen) and on day 4 courses 4,5,6 (R-ICE)
- DRUG
-
Etoposide
Etoposide 100 mg/m2/d in 500 mL saline sol. in 30 minutes on day 1-2-3 courses 4,5,6 (R-ICE)
- DRUG
-
Ifosfamide
Ifosfamide 5 g/m2 in 1.000 mL saline sol. in 24-hour infusion on day 2 courses 4,5,6 (R-ICE)
- DRUG
-
Carmustine
BCNU (carmustine) 400 mg/m2 in 500 mL glucose 5% sol. in 1-hr infusion on day-6 of conditioning and ASCT
- RADIATION
-
whole brain radiotherapy
whole-brain irradiation 36 Gy + tumor- bed boost 10 Gy in patients with residual disease in the parenchymal brain/cerebellum.
Sponsors & Collaborators
-
International Extranodal Lymphoma Study Group (IELSG)
lead OTHER
Principal Investigators
-
Andrés JM Ferreri, MD · IELSG
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Max Age
- 70 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2014-12-31
- Primary Completion
- 2019-08-31
- Completion
- 2024-03-22
Countries
- Czechia
- Italy
- Netherlands
- United Kingdom
Study Locations
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