New cocktail aims to tame rare brain cancer

NCT ID NCT04609046

First seen Jun 27, 2026 · Last updated Jul 24, 2026 · Updated 4 times

Summary

This early-stage trial tests a combination of four drugs—lenalidomide, nivolumab, rituximab, and methotrexate—in people with primary CNS lymphoma, a rare cancer of the brain or spinal cord. The goal is to find the safest dose and see if adding lenalidomide and nivolumab to standard therapy can improve control of the disease. After initial treatment, participants may continue on a maintenance regimen of lenalidomide and nivolumab to try to keep the cancer from coming back.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
lenalidomide, nivolumab, rituximab, methotrexate
What this could lead to
If this works, it could lead to a more effective and longer-lasting treatment for primary CNS lymphoma, potentially extending remission with a maintenance therapy.
What could go wrong
This is an early Phase I trial with only 47 participants, focused on safety and dosing. The combination may cause significant side effects, and it is too early to know if it will improve outcomes.

This is an AI summary of the original study and may miss details. Read our disclaimer.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Broadlawns Medical Center

    RECRUITING

    Des Moines, Iowa, 50314, United States

    Contact

    Contact Phone: •••-•••-••••

  • Cedars-Sinai Medical Center

    RECRUITING

    Los Angeles, California, 90048, United States

    Contact

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Gundersen Lutheran Medical Center

    RECRUITING

    La Crosse, Wisconsin, 54601, United States

    Contact

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Hickman Cancer Center

    ACTIVE_NOT_RECRUITING

    Adrian, Michigan, 49221, United States

  • Huntsman Cancer Institute/University of Utah

    ACTIVE_NOT_RECRUITING

    Salt Lake City, Utah, 84112, United States

  • Iowa Lutheran Hospital

    SUSPENDED

    Des Moines, Iowa, 50316, United States

  • Iowa Methodist Medical Center

    RECRUITING

    Des Moines, Iowa, 50309, United States

    Contact

    Contact Phone: •••-•••-••••

  • LSU Health Baton Rouge-North Clinic

    ACTIVE_NOT_RECRUITING

    Baton Rouge, Louisiana, 70805, United States

  • MaineHealth Cancer Care and IV Therapy - South Portland

    RECRUITING

    South Portland, Maine, 04106, United States

    Contact

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • MaineHealth Maine Medical Center - Portland

    RECRUITING

    Portland, Maine, 04102, United States

    Contact

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • MaineHealth Maine Medical Center- Scarborough

    RECRUITING

    Scarborough, Maine, 04074, United States

    Contact

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Marshfield Medical Center - Minocqua

    RECRUITING

    Minocqua, Wisconsin, 54548, United States

    Contact

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Marshfield Medical Center - Weston

    RECRUITING

    Weston, Wisconsin, 54476, United States

    Contact

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Marshfield Medical Center-EC Cancer Center

    RECRUITING

    Eau Claire, Wisconsin, 54701, United States

    Contact

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Marshfield Medical Center-Marshfield

    RECRUITING

    Marshfield, Wisconsin, 54449, United States

    Contact

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Marshfield Medical Center-Rice Lake

    RECRUITING

    Rice Lake, Wisconsin, 54868, United States

    Contact

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Marshfield Medical Center-River Region at Stevens Point

    RECRUITING

    Stevens Point, Wisconsin, 54482, United States

    Contact

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Medical University of South Carolina

    RECRUITING

    Charleston, South Carolina, 29425, United States

    Contact

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Mercy Medical Center - Des Moines

    RECRUITING

    Des Moines, Iowa, 50314, United States

    Contact

    Contact Phone: •••-•••-••••

  • Methodist West Hospital

    SUSPENDED

    West Des Moines, Iowa, 50266-7700, United States

  • NYP/Columbia University Medical Center/Herbert Irving Comprehensive Cancer Center

    RECRUITING

    New York, New York, 10032, United States

    Contact

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • NYP/Weill Cornell Medical Center

    RECRUITING

    New York, New York, 10065, United States

    Contact

    Contact Phone: •••-•••-••••

  • North Shore University Hospital

    RECRUITING

    Manhasset, New York, 11030, United States

    Contact

    Contact Phone: •••-•••-••••

  • Northwell Health/Center for Advanced Medicine

    RECRUITING

    Lake Success, New York, 11042, United States

    Contact

    Contact Phone: •••-•••-••••

  • Ohio State University Comprehensive Cancer Center

    RECRUITING

    Columbus, Ohio, 43210, United States

    Contact Phone: •••-•••-•••• Email: •••••@•••••

    Contact

  • Our Lady of the Lake Physician Group

    ACTIVE_NOT_RECRUITING

    Baton Rouge, Louisiana, 70808, United States

  • Overlook Hospital

    SUSPENDED

    Summit, New Jersey, 07902, United States

  • Rhode Island Hospital

    RECRUITING

    Providence, Rhode Island, 02903, United States

    Contact Phone: •••-•••-••••

    Contact

  • Saint Anthony Regional Hospital

    RECRUITING

    Carroll, Iowa, 51401, United States

    Contact

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Siteman Cancer Center at Christian Hospital

    RECRUITING

    St Louis, Missouri, 63136, United States

    Contact

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Siteman Cancer Center at Saint Peters Hospital

    RECRUITING

    City of Saint Peters, Missouri, 63376, United States

    Contact

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Siteman Cancer Center at West County Hospital

    RECRUITING

    Creve Coeur, Missouri, 63141, United States

    Contact

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Siteman Cancer Center-South County

    RECRUITING

    St Louis, Missouri, 63129, United States

    Contact

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • State University of New York Upstate Medical University

    ACTIVE_NOT_RECRUITING

    Syracuse, New York, 13210, United States

  • Toledo Clinic Cancer Centers-Monroe

    ACTIVE_NOT_RECRUITING

    Monroe, Michigan, 48162, United States

  • Toledo Clinic Cancer Centers-Toledo

    ACTIVE_NOT_RECRUITING

    Toledo, Ohio, 43623, United States

  • UCSF Medical Center-Parnassus

    RECRUITING

    San Francisco, California, 94143, United States

    Contact

    Contact Phone: •••-•••-••••

  • UI Health Care Mission Cancer and Blood - Ankeny Clinic

    RECRUITING

    Ankeny, Iowa, 50023, United States

    Contact

    Contact Phone: •••-•••-••••

  • UI Health Care Mission Cancer and Blood - Des Moines Clinic

    RECRUITING

    Des Moines, Iowa, 50309, United States

    Contact

    Contact Phone: •••-•••-••••

  • UI Health Care Mission Cancer and Blood - Laurel Clinic

    RECRUITING

    Des Moines, Iowa, 50314, United States

    Contact

    Contact Phone: •••-•••-••••

  • UI Health Care Mission Cancer and Blood - Waukee Clinic

    RECRUITING

    Waukee, Iowa, 50263, United States

    Contact

    Contact Phone: •••-•••-••••

  • UI Health Care Mission Cancer and Blood - West Des Moines Clinic

    RECRUITING

    Clive, Iowa, 50325, United States

    Contact

    Contact Phone: •••-•••-••••

  • UI Healthcare Mission Cancer and Blood - Fort Dodge

    SUSPENDED

    Fort Dodge, Iowa, 50501, United States

  • UM Sylvester Comprehensive Cancer Center at Coral Gables

    RECRUITING

    Coral Gables, Florida, 33146, United States

    Contact

    Contact Phone: •••-•••-••••

  • UM Sylvester Comprehensive Cancer Center at Deerfield Beach

    RECRUITING

    Deerfield Beach, Florida, 33442, United States

    Contact

    Contact Phone: •••-•••-••••

  • UM Sylvester Comprehensive Cancer Center at Kendall

    RECRUITING

    Miami, Florida, 33176, United States

    Contact

    Contact Phone: •••-•••-••••

  • UM Sylvester Comprehensive Cancer Center at Plantation

    RECRUITING

    Plantation, Florida, 33324, United States

    Contact

    Contact Phone: •••-•••-••••

  • UNC Lineberger Comprehensive Cancer Center

    RECRUITING

    Chapel Hill, North Carolina, 27599, United States

    Contact

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • UT Southwestern/Simmons Cancer Center-Dallas

    RECRUITING

    Dallas, Texas, 75390, United States

    Contact

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • University of Iowa/Holden Comprehensive Cancer Center

    RECRUITING

    Iowa City, Iowa, 52242, United States

    Contact

    Contact Phone: •••-•••-••••

  • University of Miami Miller School of Medicine-Sylvester Cancer Center

    RECRUITING

    Miami, Florida, 33136, United States

    Contact

    Contact Phone: •••-•••-••••

  • University of Miami Sylvester Comprehensive Cancer Center at Sole Mia

    RECRUITING

    North Miami, Florida, 33181, United States

    Contact

    Contact Email: •••••@•••••

  • University of Oklahoma Health Sciences Center

    RECRUITING

    Oklahoma City, Oklahoma, 73104, United States

    Contact

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Washington University School of Medicine

    RECRUITING

    St Louis, Missouri, 63110, United States

    Contact

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • West Virginia University Healthcare

    RECRUITING

    Morgantown, West Virginia, 26506, United States

    Contact Phone: •••-•••-•••• Email: •••••@•••••

    Contact

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