Cranial Radiotherapy or Intensive Chemotherapy With Hematopoietic Stem Cell Rescue for Primary Central Nervous System Lymphoma in Young Patients
PRECIS
Prospective , Multicentric, Randomized Phase II Study, Evaluating the Role of Cranial Radiotherapy or Intensive Chemotherapy With Hematopoietic Stem Cell Rescue After Conventional Chemotherapy for Primary Central Nervous System in Young Patients (< 60 y)
2 other identifiers
interventional
140
1 country
23
Brief Summary
Purpose of the study : To evaluate the antitumoral effect of two therapeutic procedures and to evaluate their respective toxicity on the CNS.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Oct 2008
Longer than P75 for phase_2
23 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 3, 2008
CompletedFirst Submitted
Initial submission to the registry
March 16, 2009
CompletedFirst Posted
Study publicly available on registry
March 18, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 17, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2026
CompletedFebruary 5, 2019
February 1, 2019
7.6 years
March 16, 2009
February 4, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
2-years progression-free survival in each arm
2 years after inclusion
Secondary Outcomes (4)
Overall response rate at the end of the procedure
at the end of procedure at 1 and 2 years
Overall survival
2 years after inclusion
Event-free survival
2 years after inclusion
Neurotoxicity
each years during ten years
Study Arms (2)
A
ACTIVE COMPARATORMTX-based chemotherapy followed by WBRT
B
EXPERIMENTALMTX-based chemotherapy followed by intensive chemotherapy and hematopoietic stem cell rescue
Interventions
intensive chemotherapy and hematopoietic stem cell rescue
R-MBVP 2 cycles day1 and day28 followed by R-Aracytine 2 cycles days58\&59 and days79\&80
Eligibility Criteria
You may qualify if:
- Histopathologically or cytologically proven diagnostic of Primary CNS lymphoma
- All histological types of non-Hodgkin's lymphoma, except MALT
- Age \> 18 and \< 60 ans.
- Negative for HIV, HCV and HBV
- Written informed consent -
You may not qualify if:
- Age \< 18 or \> 60 ans
- Isolated intra-ocular lymphoma
- Previous history of indolent lymphoma
- Previous chemotherapy or radiotherapy for PCNSL
- Isolated CNS relapse of systemic NHL
- Previous history of cancer in the last 5 years, except basocellular carcinoma and non invasive cervix cancer
- Renal insufficiency or creatinin clearance \< 60 ml/min
- Liver enzymes \> 3N.
- Platelets \< 100 000/mm3 or neutrophils \< 1500/mm3)
- Previous history of organ transplantation or other cause of severe immunodeficiency
- Pregnancy or active sexual women with no contraception
- Unable to follow the protocol for any reason
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Institut Curielead
- Ministry of Health, Francecollaborator
- Hoffmann-La Rochecollaborator
- Amgencollaborator
- Pierre Fabre Laboratoriescollaborator
Study Sites (23)
Cancérologie Hôpital Sud
Amiens, 80054, France
Chu D'Angers
Angers, France
CHR Argenteuil
Argenteuil, 95100, France
CHU de Besancon
Besançon, France
Institut Bergonié
Bordeaux, 33076, France
CHU Hôtel Dieu
Clermont-Ferrand, France
CHU Michalon
Grenoble, 38043, France
Centre Hospitalier Lens
Lens, France
CHU de Limoges
Limoges, 87042, France
CHU de la Timone
Marseille, 13009, France
Hôtel Dieu Nantes
Nantes, France
Centre Antoine Lacassagne
Nice, France
CHU de Nimes
Nîmes, France
GH Pitié-Salpétrière
Paris, 75013, France
CHG Saint Jean
Perpignan, 66046, France
CHU Hôpital Bernard
Poitiers, 86021, France
Chu Reims
Reims, France
Hôpital Pontchaillou
Rennes, 35033, France
Centre René Huguenin
Saint-Cloud, 92210, France
Institut de Cancérologie
Saint-Priest-en-Jarez, France
CH de Saint-Quentin
Saint-Quentin, France
Hôpital Bretonneau
Tours, France
CHU Nancy - Hôpital Neurologique
Vandœuvre-lès-Nancy, 54500, France
Related Publications (2)
Houillier C, Dureau S, Taillandier L, Houot R, Chinot O, Molucon-Chabrot C, Schmitt A, Gressin R, Choquet S, Damaj G, Peyrade F, Abraham J, Delwail V, Gyan E, Sanhes L, Cornillon J, Garidi R, Delmer A, Al Jijakli A, Morel P, Waultier A, Paillassa J, Chauchet A, Gastinne T, Laadhari M, Plissonnier AS, Feuvret L, Cassoux N, Touitou V, Ricard D, Hoang-Xuan K, Soussain C; LOC Network for CNS Lymphoma. Radiotherapy or Autologous Stem-Cell Transplantation for Primary CNS Lymphoma in Patients Age 60 Years and Younger: Long-Term Results of the Randomized Phase II PRECIS Study. J Clin Oncol. 2022 Nov 10;40(32):3692-3698. doi: 10.1200/JCO.22.00491. Epub 2022 Jul 14.
PMID: 35834762DERIVEDHouillier C, Taillandier L, Dureau S, Lamy T, Laadhari M, Chinot O, Molucon-Chabrot C, Soubeyran P, Gressin R, Choquet S, Damaj G, Thyss A, Abraham J, Delwail V, Gyan E, Sanhes L, Cornillon J, Garidi R, Delmer A, Tanguy ML, Al Jijakli A, Morel P, Bourquard P, Moles MP, Chauchet A, Gastinne T, Constans JM, Langer A, Martin A, Moisson P, Lacomblez L, Martin-Duverneuil N, Delgadillo D, Turbiez I, Feuvret L, Cassoux N, Touitou V, Ricard D, Hoang-Xuan K, Soussain C; Intergroupe GOELAMS-ANOCEF and the LOC Network for CNS Lymphoma. Radiotherapy or Autologous Stem-Cell Transplantation for Primary CNS Lymphoma in Patients 60 Years of Age and Younger: Results of the Intergroup ANOCEF-GOELAMS Randomized Phase II PRECIS Study. J Clin Oncol. 2019 Apr 1;37(10):823-833. doi: 10.1200/JCO.18.00306. Epub 2019 Feb 20.
PMID: 30785830DERIVED
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Carole Soussain, MD
Institut Curie - Hôpital René Huguenin
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 16, 2009
First Posted
March 18, 2009
Study Start
October 3, 2008
Primary Completion
May 17, 2016
Study Completion
May 1, 2026
Last Updated
February 5, 2019
Record last verified: 2019-02