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Rituximab in Treating Patients With Refractory or Relapsed Primary CNS Lymphoma



Rituximab in Treating Patients With Refractory or Relapsed Primary CNS Lymphoma

For Condition: primary central nervous system lymphoma
Status: Not yet recruiting
Sponsor(s): National Cancer Institute (NCI) ,
Synopsis: RATIONALE: Monoclonal antibodies, such as rituximab, can locate cancer cells and either kill them or deliver cancer-killing substances to them without harming normal cells. PURPOSE: Phase II trial to study the effectiveness of rituximab in treating patients who have refractory or relapsedprimary CNS lymphoma.
Details: OBJECTIVES: Primary - Determine the radiographic response proportion in patients with refractory or recurrent primary CNS lymphoma treated with rituximab. Secondary - Determine the progression-free and overall survival of patients treated with this drug. - Determine the toxicity profile of this drug in these patients. OUTLINE: This is a multicenter study. Patients receive rituximab IV on days 1, 8, 15, and 22. Treatment repeats every 28 days for 2 courses in the absence of disease progression or unacceptable toxicity. Patients may receive additional courses of rituximab off study at the discretion of the treating physician. Patients are followed every 2 months. PROJECTED ACCRUAL: A total of 15-25 patients will be accrued for this study within 5-9 months.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - Histologically confirmed primary CNS lymphoma based on 1 of the following: - Histologically confirmed non-Hodgkin's B-cell lymphoma by brain biopsy or resection - Positive cerebrospinal fluid (CSF) cytology or immunohistochemical diagnosis of CSF monoclonality with or without measurable intracranial disease - Histologically confirmed vitreal lymphoma with measurable intracranial tumor - CD20 positive by brain biopsy - Measurable (greater than 1 cm in diameter) tumor by CT scan or MRI - Progressed during first-line chemotherapy and/or radiotherapy OR relapsed after initial successful treatment - No systemic lymphoma by CT scan of the chest, abdomen, and pelvis with contrast - No leptomeningeal lymphoma by lumbar puncture for CNS cytology/flow cytometry - No ocular lymphoma by slit lamp examination PATIENT CHARACTERISTICS: Age - 18 and over Performance status - Karnofsky 60-100% Life expectancy - Not specified Hematopoietic - Absolute neutrophil count at least 1,500/mm^3 - Platelet count at least 100,000/mm^3 - Hemoglobin at least 9.0 g/dL Hepatic - Bilirubin less than 1.5 mg/dL - Transaminases less than 4 times upper limit of normal Renal - Creatinine less than 1.5 mg/dL Other - Not pregnant or nursing - Negative pregnancy test - Fertile patients must use effective contraception during and for 1 year after study participation - HIV negative - Mini mental status examination score at least 15 - No concurrent serious infection - No other medical illness that would preclude study treatment - No other malignancy within the past 5 years except curatively treated basal cell or squamous cell skin cancer or carcinoma in situ PRIOR CONCURRENT THERAPY: Biologic therapy - More than 90 days since prior biologic therapy - No prior rituximab - No concurrent prophylactic growth factors (e.g., filgrastim [G-CSF] or sargramostim [GM-CSF]) Chemotherapy - See Disease Characteristics - At least 3 weeks since prior chemotherapy (6 weeks for nitrosoureas) Endocrine therapy - Not specified Radiotherapy - See Disease Characteristics - At least 3 months since prior radiotherapy Surgery - Not specified Other - Recovered from prior therapy - More than 90 days since prior investigational drugs - More than 90 days since prior use of a therapeutic device
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
TracyBatchelor,  Study Chair,  Massachusetts General Hospital


Additional Information:
Study ID Numbers:
  CDR0000339737;  NABTT-2201
Study Start Date: 
Record last reviewed: October 2003
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00072449

Other Primary Central Nervous System Lymphoma Studies:
1. Rituximab in Treating Patients With Refractory or Relapsed Primary CNS Lymphoma

2. Methotrexate and Thiotepa in Treating Patients With Newly Diagnosed Primary CNS Lymphoma

3. Combination Chemotherapy, Monoclonal Antibody, and Radiation Therapy in Treating Patients With Primary Central Nervous System Lymphoma

4. Antineoplaston Therapy in Treating Patients With Primary Central Nervous System Lymphoma

5. Methotrexate, Cyclophosphamide, and Etoposide Phosphate Given With Osmotic Blood-Brain Barrier Disruption Plus Dexamethasone and Cytarabine in Treating Patients With Primary CNS Lymphoma

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