A Phase I Study of Intrathecal Rituximab in Patients With Lymphomatous Meningitis
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Phase
Phase
- Phase 1
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Lymphomatous meningitis documented by positive CSF cytology in either newly diagnosed, relapsed or refractory primary CNS or systemic NHL
- Pathologically diagnosed CD20-positive NHL
- Age ≥ 18 years
- ECOG Performance Status 0 - 2 (See Appendix A)
- Life expectancy of at least 1 month
- Informed consent must be given according to national/local regulations before enrollment (See Appendix B)
- Patients may have had prior CNS irradiation, intrathecal methotrexate, cytarabine or thiotepa for treatment of lymphomatous meningitis but these treatments must have completed at least two weeks before the study enrollment and the patients must have recovered from any reversible toxicity caused by prior treatments
- Concurrent systemic chemotherapy is allowed with the exception of high-dose methotrexate (>500 mg/m2/day), high-dose cytarabine (>2 g/m2/day), high-dose thiotepa (>300 mg/m2/day) or investigational agents
- No concurrent intrathecal chemotherapy other than rituximab
- No severe impairment of bone marrow function (ANC >1.5x109/L, PLT >50x109/L), unless due to proven lymphoma involvement
- No major impairment of renal function (serum creatinine < 1,5 x upper normal) or liver function (ASAT/ALAT < 2,5 upper normal, total bilirubin <2,5x upper normal), unless due to proven lymphoma involvement
- No evidence of active opportunistic infections
- No HIV infection
- No pregnant or lactating status
- Appropriate contraceptive method in women of childbearing potential or men
- Absence of any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule; those conditions should be discussed with the patient before registration in the trial
- Absence of a obstructive hydrocephalus or compartimentalization of CSF flow.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
|---|
|
Safety profile of rituximab given intrathecally
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
|---|
|
preliminary evaluation of the antitumor activity of i.t. rituximab
|
|
collection of CSF samples devoted to ancillary biological studies
|
|
pharmacokinetics of different dose levels of intrathecal rituximab
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Chair: Annarita Conconi, MD, International Extranodal Lymphoma Study Group/Hematology Division. University Amedeo Avogadro. Novara
- Study Chair: Andres JM Ferreri, MD, Radiochemotherapy San Raffaele Hospital. Milan
Publications and helpful links
Study record dates
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Central Nervous System Diseases
- Nervous System Diseases
- Immune System Diseases
- Neoplasms by Histologic Type
- Neoplasms
- Lymphoproliferative Disorders
- Lymphatic Diseases
- Immunoproliferative Disorders
- Lymphoma, Non-Hodgkin
- Neoplasms by Site
- Central Nervous System Neoplasms
- Nervous System Neoplasms
- Lymphoma
- Meningeal Neoplasms
- Lymphoma, B-Cell
- Meningitis
- Meningeal Carcinomatosis
- Physiological Effects of Drugs
- Antirheumatic Agents
- Antineoplastic Agents
- Immunologic Factors
- Antineoplastic Agents, Immunological
- Rituximab
Other Study ID Numbers
Other Study ID Numbers
- IELSG24
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