Status:

UNKNOWN

Temsirolimus in Recurrent Primary Central Nervous System (CNS) Lymphoma

Lead Sponsor:

Charite University, Berlin, Germany

Collaborating Sponsors:

Pfizer

Conditions:

Recurrent or Refractory Primary CNS Lymphoma

Eligibility:

All Genders

18-75 years

Phase:

PHASE2

Brief Summary

This is an open-label trial investigating the efficacy of temsirolimus in recurrent or refractory primary CNS lymphoma (PCNSL) after initial chemotherapy with a high-dose methotrexate containing regim...

Eligibility Criteria

Inclusion

  • Primary CNS lymphoma diagnosed histologically or by cerebrospinal fluid cytology; absence of systemic lymphoma manifestations
  • Relapse or lymphoma progression after/during high-dose methotrexate containing first-line chemotherapy or alternative therapy in the case of contraindications against high-dose methotrexate
  • ECOG performance score ≤ 2
  • Age ≥18 years and ≤ 75 years
  • Life expectancy of at least 3 months
  • Absence of active infection
  • Negative HIV serology
  • Adequate renal function (GFR \>30ml/h)
  • Adequate bone marrow reserve (neutrophils \> 1500/µl, platelets \> 80,000/µl)
  • Bilirubin \<1.5x upper limit of normal (ULN), ALT and AST \<3x ULN
  • At least 3 weeks interval from prior cytostatic treatment
  • Negative pregnancy test
  • Patient accessible for treatment and follow-up
  • Patient compliance
  • Signed informed consent

Exclusion

  • Secondary CNS lymphoma
  • Primary intraocular lymphoma
  • Patient eligible for high-dose chemotherapy and autologous stem-cell transplantation
  • Concurrent treatment within another clinical trial
  • Concurrent other malignant disease
  • Symptomatic congestive heart failure (≥NYHA II)
  • Active or uncontrolled chronic infection
  • Severe concomitant disease incompatible with study conduct
  • History of cerebral bleeding
  • Concomitant treatment with strong CYP3A4/5-inductors or -inhibitors
  • Premenopausal women without highly effective contraception (defined as Pearl index \<1)
  • Pregnant or lactating women
  • Refusal to record and pass on pseudonymized disease and treatment related data as part of the treatment protocol
  • Concurrent admission to a psychiatric institution by public order

Key Trial Info

Start Date :

July 1 2009

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

June 1 2014

Estimated Enrollment :

37 Patients enrolled

Trial Details

Trial ID

NCT00942747

Start Date

July 1 2009

End Date

June 1 2014

Last Update

April 17 2013

Active Locations (6)

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Page 1 of 2 (6 locations)

1

Charité Campus Benjamin Franklin

Berlin, Germany, 12200

2

Neurology, Knappschaftskrankenhaus Bochum, Bochum University

Bochum, Germany, 44892

3

Neurology, University Hospital Bonn

Bonn, Germany, 53127

4

Hematology, Klinikum Frankfurt/Oder

Frankfurt (Oder), Germany, 15236