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Recruiting NCT06832267

Rituximab-Methotrexate-Temozolomide-Thiotepa (RMTT) Regimen As First-line Therapy for PCNS DLBCL

No phase Interventional Primary Central Nervous System Lymphoma

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: Rituximab-Methotrexate-Temozolomide-Thiotepa (RMTT).
Who it may be relevant to
Registry conditions: Primary Central Nervous System Lymphoma. Basic parameters: 18 years — 75 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
China
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Official title

A Single-center, Single-arm Phase II Trial of Rituximab-Methotrexate-Temozolomide-Thiotepa (RMTT) Regimen As First-line Therapy for Primary Central Nervous System Diffuse Large B-cell Lymphomas(PCNS DLBCL)

Overview

This study aims to observe and explore the efficacy and safety of Rituximab-Methotrexate-Temozolomide-Thiotepa (RMTT) regimen as first-line therapy for primary central nervous system diffuse large B-cell lymphomas(PCNS DLBCL)

Interventions

  • Drug Rituximab-Methotrexate-Temozolomide-Thiotepa (RMTT)
    Rituximab: 375 mg/m2 intravenously on day 3,7; Methotrexate: 1.5-3.5 g/m2 intravenously on day 1,14(≤65 ,3.5g/m2;\>65,1.5g/m2); Temozolomide 150 mg/m2 on days 3-7; Thiotepa:40 mg/m2 intravenously on day 17。 Treatment will be given for 4 cycles(28 days for each cycle), and patients who achieve a CR or better can choose to undergo ASCT or WBRT(23.4Gy).

Primary outcome measures

  • Complete Remission Rate(CRR) [Time frame: Up to 16 weeks]
Secondary outcome measures (4)
  • Overall Response Rate (ORR) [Time frame: Up to 16 weeks]
  • Progression-Free Survival(PFS) [Time frame: Up to 2 years]
  • overall survival(OS) [Time frame: Up to 2 years]
  • Adverse event rate [Time frame: From date of first day of treatment until 30 day after last treatment]

Eligibility criteria

Inclusion criteria

  • Patients voluntarily joined the study, signed the informed consent, and had good compliance;
  • Patients with 18 Years to 75 Years(at the time of signing the informed consent); Eastern Cooperative Oncology Group Performance Status (ECOG-PS) score: 0-3;
  • Patients with histopathologically confirmed newly diagnosed primary central nervous system diffuse large B-cell lymphoma, and there were intracranial evaluable lesions (long diameter greater than 1.5cm, short diameter greater than 1cm);
  • Patients who have not received any systemic therapy, except those who use hormones to control complications
  • Expected survival of more than 3 months.
  • Female patients of reproductive age should agree that birth control (such as intrauterine device, birth control pills, or condoms) must be used during the study period and for six months after completion; Having a negative serum pregnancy test within 7 days prior to study enrollment, and must be non-lactating; Male patients should agree to use contraception during the study period and for six months after the end of the study.

Exclusion criteria

  • Patients who have previously received antitumor therapy or targeted therapy
  • Patients who have undergone major surgery within the past 3 weeks .
  • Presence of severe or uncontrolled comorbid conditions including, but not limited to, symptomatic congestive heart failure, uncontrolled hypertension, unstable angina, active peptic ulcer disease, or severe hemorrhagic disorders such as hemophilia A, hemophilia B, von Willebrand disease, or history of spontaneous bleeding requiring transfusion or other medical interventions.
  • Any active infection requiring systemic antimicrobial therapy within 14 days before starting study treatment, including, but not limited to, bacterial, fungal, and viral infections.
  • Patients who are pregnant or breastfeeding.
  • Current participation in other clinical studies, or initiation of study drugs administration less than 4 weeks after completion of previous clinical study treatment.
  • Patients with concomitant diseases that, in the investigator's judgment, may seriously endanger patients' safety or may interfere with the completion of the study, or are deemed unsuitable for inclusion for other reasons.

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation
N/A
Model
Single group
Masking
Open label
Primary purpose
Treatment

Study locations

China · 1 center
  • Zhejiang Cancer Hospital — Hangzhou

Identifiers

NCT: NCT06832267 · RMTT

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗