New trial tests stronger chemo cocktails and stem cell transplants for brain cancer
NCT ID NCT01011920
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This phase 2 trial tested different combinations of high-dose chemotherapy drugs, with or without the targeted drug rituximab, in 227 patients newly diagnosed with primary CNS lymphoma. After initial chemotherapy, patients who responded well were randomly assigned to receive either whole-brain radiation or a stem cell transplant. The goal was to see which approach leads to better remission rates and longer survival without the cancer returning.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Methotrexate, Cytarabine, Rituximab, Thiotepa, and autologous stem cell transplant
- What this could lead to
- If successful, this could identify a more effective chemotherapy regimen and clarify whether stem cell transplant or brain radiation is better for controlling CNS lymphoma.
- What could go wrong
- This is a phase 2 trial with a moderate number of patients, so results may not be definitive. The treatments involve high-dose chemotherapy with significant side effects, and not all patients may respond or tolerate the therapy.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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227 people
The number who actually took part.
- Start date
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Nov 2009
- Finished
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Dec 2024
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 65 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Histological or cytological assessed diagnosis of non-Hodgkin's lymphoma. * Diagnostic sample obtained by stereotactic or surgical biopsy, Cerebrospinal Fluid (CSF) cytology examination or vitrectomy. * Disease exclusively localized into the central nervous system, CSF, cranial nerves or eyes. * At least one measurable lesion. * Previously untreated patients (previous or ongoing steroid therapy admitted). * Age 18-65 years (with ECOG Performance Status 0-3) or 66-70 (with ECOG Performance Status 0-2). * Adequate bone marrow, renal, cardiac, and hepatic function. * Sexually active patients of childbearing potential agreeing in implementing adequate contraceptive measures during study participation. * Absence of any familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule. * Patient-signed informed consent obtained before registration. Exclusion Criteria: * Patients with lymphomatous lesions outside the CNS. * Patients with a previous non-Hodgkin lymphoma at any time. * Previous or concurrent malignancies with the exception of surgically cured carcinoma in-situ of the cervix, carcinoma of the skin or other cancers without evidence of disease at least from 5 years. * HBsAg and HCV positivity. * HIV infection, previous organ transplantation or other clinically evident form of immunodeficiency. * Concurrent treatment with other experimental drugs. * Concurrent Pregnancy or lactation. * Patients not agreeing to take adequate contraceptive measures during the study. * Symptomatic coronary artery disease, cardiac arrhythmias uncontrolled with medication or myocardial infarction within the last 6 months (New York Heart Association Class III or IV heart disease).
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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
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"Klinik für Hämatologie Universitätsklinikum Essen"
Essen, Germany
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A.O. SS. Antonio e Biagio e Cesare Arrigo
Alessandria, Italy
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AOU Pisana
Pisa, Italy
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Arcispedale Santa Maria Nuova
Reggio Emilia, Italy
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Azienda Ospedaliera Sanitaria Santa Maria
Terni, Italy
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Azienda Ospedaliera Universitaria Senese
Siena, Italy
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Azienda Sanitaria Universitaria Friuli Centrale
Udine, Italy
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Casa Sollievo della Sofferenza
San Giovanni Rotondo, Italy
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Friedrich Schiller Universitaet Jena
Jena, Germany
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Georg-August-Universität
Göttingen, Germany
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Grande Ospedale Metropolitano Niguarda
Milan, Italy
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Herlev Hospital
Herlev, Denmark
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Humanitas
Rozzano, Italy
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IOSI - Oncology Institute of Southern Switzerland
Bellinzona, 6500, Switzerland
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Istituto Nazionale Tumori, Fondazione G. Pascale
Naples, Italy
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Istituto Nazionale dei Tumori Regina Elena
Roma, Italy
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Istituto Tumori Giovanni Paolo II
Bari, Italy
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Johannes Gutenberg Universität Mainz
Mainz, Germany
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Klinikum Bremen-Mitte
Bremen, Germany
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Klinikum Chemnitz
Chemnitz, Germany
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Klinikum der Johann-Wolfgang- Goethe-Universität
Frankfurt am Main, Germany
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Klinikum der Justus-Liebig-Universität
Giessen, Germany
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Medical Oncology Unit General Hospital
Southampton, United Kingdom
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Nottingham City Hospital
Nottingham, United Kingdom
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Ospedale Businco
Cagliari, Italy
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Ospedale Centrale di Bolzano
Bolzano, Italy
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Ospedale Civile S.Spirito
Pescara, Italy
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Ospedale Maggiore S. Giovanni Battista
Torino, Italy
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Ospedale Umberto I
Nocera Inferiore, Italy
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Ospedale degli Infermi
Rimini, Italy
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Ospedale delle Croci
Ravenna, Italy
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Policlinico G.B. Rossi
Verona, Italy
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Queen's Hospital
Romford, United Kingdom
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Rigshospitalet,
Copenhagen, Denmark
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SLK-Kliniken GmbH
Heilbronn, Germany
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San Raffaele H Scientific Institute
Milan, Italy
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Spedali Civili
Brescia, Italy
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Städtisches Klinikum
Braunschweig, Germany
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Technische Universität in München
München, Germany
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The Christie Hospital NHS Foundation Trust
Manchester, United Kingdom
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ULSS 8 Berica - Ospedale S. Bortolo
Vicenza, Italy
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Uniklinik Freiburg
Freiburg im Breisgau, Germany
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University College Hospital
London, United Kingdom
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University Hospital
Aarhus, Denmark
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University Hospital
Aachen, Germany
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University Hospital Aintree
Liverpool, United Kingdom
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Università degli Studi La Sapienza
Roma, Italy
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Universitätsklinikum
Cologne, Germany
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Universitätsklinikum Erlangen
Erlangen, Germany
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Universitätsklinikum Halle
Halle, Germany
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Universitätsklinikum Ulm
Ulm, Germany
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Universitätsklinikum des Saarlandes
Homburg/Saar, Germany
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Universitätsklinikum und Städtisches Krankenhaus
Kiel, Germany
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Universitätskrankenhaus Hamburg-Eppendorf
Hamburg, Germany
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