Phase I Study Evaluating Tolerability, Safety, Pharmacokinetics, and Efficacy of Combined ONO-4059 and R-MPV Therapy for PCNSL

June 1, 2025 updated by: Ono Pharmaceutical Co. Ltd

A Multicenter, Phase I, Open-label, Uncontrolled Study of ONO-4059 in Combination With Rituximab, Methotrexate, Procarbazine, and Vincristine (R-MPV) Therapy for Untreated Primary Central Nervous System Lymphoma (PCNSL)

To confirm the tolerability and safety of combined administration of ONO-4059 and R-MPV therapy in untreated PCNSL patients.

Study Overview

Status

Status

Indicates the current recruitment status or the expanded access status.
Active, not recruiting

Conditions

Conditions

The disease, disorder, syndrome, illness, or injury that is being studied. On ClinicalTrials.gov, conditions may also include other health-related issues, such as lifespan, quality of life, and health risks.

Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.

Study Type

Study Type

Describes the nature of a clinical study. Study types include interventional studies (also called clinical trials), observational studies (including patient registries), and expanded access.
Interventional

Enrollment (Estimated)

Enrollment

The number of participants in a clinical study. The "anticipated" enrollment is the target number of participants that the researchers need for the study.
20

Phase

Phase

The stage of a clinical trial studying a drug or biological product, based on definitions developed by the U.S. Food and Drug Administration (FDA). The phase is based on the study's objective, the number of participants, and other characteristics. There are five phases: Early Phase 1 (formerly listed as Phase 0), Phase 1, Phase 2, Phase 3, and Phase 4. Not Applicable is used to describe trials without FDA-defined phases, including trials of devices or behavioral interventions.
  • Phase 1

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact

The name and contact information for the person who can answer enrollment questions for a clinical study. Each location where the study is being conducted may also have a specific contact, who may be better able to answer those questions.

Study Locations

  • Japan
    • Aichi
      • Nagoya-shi, Aichi, Japan
        • Nagoya City University Hospital
      • Nagoya-shi, Aichi, Japan
        • Aichi Cancer Center
    • Akita
      • Akita-shi, Akita, Japan
        • Akita University Hospital
    • Chiba
      • Urayasu-shi, Chiba, Japan
        • Juntendo University Urayasu Hospital
    • Fukuoka
      • Fukuoka-shi, Fukuoka, Japan
        • Kyushu University Hospital
      • Fukuoka-shi, Fukuoka, Japan
        • Fukuoka University Hospital
      • Kitakyushu-shi, Fukuoka, Japan
        • Hospital of the University of Occupational and Environmental Health,Japan
      • Kurume-shi, Fukuoka, Japan
        • Kurume University Hospital
    • Fukushima
      • Fukushima-shi, Fukushima, Japan
        • Fukushima Medical University Hospital
    • Gifu
      • Gifu-shi, Gifu, Japan
        • Gifu University Hospital (Tokai National Higher Education and Research System)
    • Gunma
      • Maebashi-shi, Gunma, Japan
        • Gunma University Hospital
    • Hokkaido
      • Sapporo-shi, Hokkaido, Japan
        • Sapporo Medical University Hospital
    • Hyogo
      • Kobe-shi, Hyogo, Japan
        • Kobe City Medical Center General Hospital
      • Nishinomiya-shi, Hyogo, Japan
        • Hyogo Medical University Hospital
    • Ibaraki
      • Tsukuba-shi, Ibaraki, Japan
        • University of Tsukuba Hospital
    • Ishikawa
      • Kahoku-gun, Ishikawa, Japan
        • Kanazawa Medical University Hospital
    • Kagawa
      • Kita-gun, Kagawa, Japan
        • Kagawa University Hospital
    • Kanagawa
      • Kawasaki-shi, Kanagawa, Japan
        • St. Marianna University Hospital
      • Yokohama-shi, Kanagawa, Japan
        • Yokohama City University Hospital
    • Kochi
      • Nankoku-shi, Kochi, Japan
        • Kochi Medical School Hospital
    • Miyazaki
      • Miyazaki-shi, Miyazaki, Japan
        • University of Miyazaki Hospital
    • Nagasaki
      • Nagasaki-shi, Nagasaki, Japan
        • Nagasaki University Hospital
    • Nara
      • Ikoma-shi, Nara, Japan
        • Kindai University Nara Hospital
      • Kashihara-shi, Nara, Japan
        • Nara Medical University
    • Niigata
      • Niigata-shi, Niigata, Japan
        • Niigata University Medical & Dental Hospital
    • Oita
      • Yufu-shi, Oita, Japan
        • Oita University Hospital
    • Okayama
      • Kurashiki-shi, Okayama, Japan
        • Kurashiki Central Hospital
    • Osaka
      • Osaka-shi, Osaka, Japan
        • Osaka International Cancer Institute
      • Osakasayama-shi, Osaka, Japan
        • Kindai University Hospital
      • Suita-shi, Osaka, Japan
        • Osaka University Hospital
    • Saga
      • Saga-shi, Saga, Japan
        • Saga University Hospital
    • Saitama
      • Kawagoe-shi, Saitama, Japan
        • Saitama Medical Center
    • Shizuoka
      • Sunto-gun, Shizuoka, Japan
        • Shizuoka Cancer Center
    • Tochigi
      • Shimotsuga-gun, Tochigi, Japan
        • Dokkyo Medical University Hospital
    • Tokyo
      • Bunkyo-ku, Tokyo, Japan
        • Institute of Science Tokyo Hospital
      • Koto-ku, Tokyo, Japan
        • The Cancer Institute Hospital of JFCR
      • Midori-cho, Tokyo, Japan
        • National Hospital Organization Disaster Medical Center
      • Minato-ku, Tokyo, Japan
        • The Jikei University Hospital
      • Minato-ku, Tokyo, Japan
        • Toranomon Hospital
      • Shinjuku-ku, Tokyo, Japan
        • Tokyo Women's Medical University Hospital
      • Shinjuku-ku, Tokyo, Japan
        • Tokyo Medical University Hospital
    • Toyama
      • Toyama-shi, Toyama, Japan
        • Toyama University Hospital
    • Yamaguchi
      • Ube-shi, Yamaguchi, Japan
        • Yamaguchi University Hospital
    • Yamanashi
      • Chuo-shi, Yamanashi, Japan
        • University of Yamanashi Hospital

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Eligibility Criteria

The key requirements that people who want to participate in a clinical study must meet or the characteristics they must have. Eligibility criteria consist of both inclusion criteria (which are required for a person to participate in the study) and exclusion criteria (which prevent a person from participating). Types of eligibility criteria include whether a study accepts healthy volunteers, has age or age group requirements, or is limited by sex.

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Patients diagnosed with PCNSL
  • Patients who have not received treatment for PCNSL in the past
  • Patients with ECOG Performance Status 0-2
  • Patients expected to survive for 6 months or more

Exclusion Criteria:

  • Patients with intraocular PCNSL without brain lesions
  • Patients are unable to swallow oral medications

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm

Participant Group / Arm

A group or subgroup of participants in a clinical trial that receives a specific intervention/treatment, or no intervention, according to the trial's protocol.
Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.
Experimental: Tirabrutinib + R-MPV in patients with newly diagnosed, treatment naïve PCNSL
Drug: Rituximab
Specified dose on specified days
Drug: Methotrexate
Specified dose on specified days
Drug: Vincristine
Specified dose on specified days
Drug: ONO-4059
Specified dose, once daily
Other Names:
  • Tirabrutinib Hydrochloride
Drug: Procarbazine
Specified dose on specified days

What is the study measuring?

Primary Outcome Measures

Primary Outcome Measures

In a clinical study's protocol, the planned outcome measure that is the most important for evaluating the effect of an intervention/treatment. Most clinical studies have one primary outcome measure, but some have more than one.
Outcome Measure
Measure Description
Time Frame
Tolerability evaluation
Time Frame: 29 Days
The number of subjects who experienced adverse events and side effects will be tallied. In the tolerability evaluation part, the number of subjects who experienced Dose Limiting Toxicity(DLT) will be tallied
29 Days
Incidence and severity of adverse events (AEs) and serious adverse events (SAEs) during induction
Time Frame: 2 years
Adverse events at each visit with the NCI CTCAE v5.0 used as a guide for the grading of severity.
2 years

Secondary Outcome Measures

Secondary Outcome Measures

In a clinical study's protocol, a planned outcome measure that is not as important as the primary outcome measure for evaluating the effect of an intervention but is still of interest. Most clinical studies have more than one secondary outcome measure.
Outcome Measure
Measure Description
Time Frame
Summary of plasma tirabrutinib concentration at trough and post 2 hours dosing
Time Frame: 30days
30days
Duration of response (DOR)
Time Frame: 2 years
Duration of response is defined as the time between the date of first response (Complete response (CR), Complete response - unconfirmed (CRu), or partial response (PR) ) and the date of the first progressive disease(PD) according to the IPCG criteria, or date of death due to any cause, whichever occurs first.
2 years
Time to response (TTR)
Time Frame: 1 year
Time to response is defined as the time between the date of first administration of tirabrutinib and the date of first response (CR, CRu, or PR) as determined by IRC according to the IPCG criteria.
1 year
Best overall response (BOR)
Time Frame: 1 year
Best overall response based on independent review committee (IRC) response determination is defined as the best response and is derived programmatically based upon the visit responses determined by IRC from the date of administration of tirabrutinib to the date of PD as determined by IRC or the date of initiation of subsequent anticancer therapy for PCNSL, whichever occurs first.
1 year
Complete response rate (CRR)
Time Frame: 4 months
Complete response rate is defined as the proportion of patients with a best overall response of CR or CRu as determined by an independent review committee according to the IPCG criteria.
4 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Sponsor

The organization or person who initiates the study and who has authority and control over the study.
Ono Pharmaceutical Co. Ltd

Investigators

Investigators

A researcher involved in a clinical study. Related terms include site principal investigator, site sub-investigator, study chair, study director, and study principal investigator.
  • Study Director: Project Leader, Ono Pharmaceutical Co. Ltd

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

Study Start

The actual date on which the first participant was enrolled in a clinical study. The "anticipated" study start date is the date that the researchers think will be the study start date.
May 17, 2024

Primary Completion (Estimated)

Primary Completion

The date on which the last participant in a clinical study was examined or received an intervention to collect final data for the primary outcome measure. Whether the clinical study ended according to the protocol or was terminated does not affect this date. For clinical studies with more than one primary outcome measure with different completion dates, this term refers to the date on which data collection is completed for all the primary outcome measures. The "anticipated" primary completion date is the date that the researchers think will be the primary completion date for the study.
April 28, 2028

Study Completion (Estimated)

Study Completion

The date on which the last participant in a clinical study was examined or received an intervention/treatment to collect final data for the primary outcome measures, secondary outcome measures, and adverse events (that is, the last participant's last visit). The "anticipated" study completion date is the date that the researchers think will be the study completion date.
August 31, 2028

Study Registration Dates

First Submitted

First Submitted

The date on which the study sponsor or investigator first submitted a study record to ClinicalTrials.gov. There is typically a delay of a few days between the first submitted date and the record's availability on ClinicalTrials.gov (the first posted date).
August 2, 2024

First Submitted That Met QC Criteria

First Submitted That Met QC Criteria

The date on which the study sponsor or investigator first submits a study record that is consistent with National Library of Medicine (NLM) quality control (QC) review criteria. The sponsor or investigator may need to revise and submit a study record one or more times before NLM's QC review criteria are met. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
August 2, 2024

First Posted (Actual)

First Posted

The date on which the study record was first available on ClinicalTrials.gov after National Library of Medicine (NLM) quality control (QC) review has concluded. There is typically a delay of a few days between the date the study sponsor or investigator submitted the study record and the first posted date.
August 7, 2024

Study Record Updates

Last Update Posted (Actual)

Last Update Posted

The most recent date on which changes to a study record were made available on ClinicalTrials.gov. There may be a delay between when the changes were submitted to ClinicalTrials.gov by the study's sponsor or investigator (the last update submitted date) and the last update posted date.
June 3, 2025

Last Update Submitted That Met QC Criteria

Last Update Submitted That Met QC Criteria

The most recent date on which the study sponsor or investigator submitted changes to a study record that are consistent with National Library of Medicine (NLM) quality control (QC) review criteria. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
June 1, 2025

Last Verified

Last Verified

The most recent date on which the study sponsor or investigator confirmed the information about a clinical study on ClinicalTrials.gov as accurate and current. If a study with a recruitment status of recruiting; not yet recruiting; or active, not recruiting has not been confirmed within the past 2 years, the study's recruitment status is shown as unknown.
May 1, 2025

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

Other Study ID Numbers

Identifiers or ID numbers other than the NCT number that are assigned to a clinical study by the study's sponsor, funders, or others. These numbers may include unique identifiers from other trial registries and National Institutes of Health grant numbers.
  • ONO-4059-13
  • jRCT2071230124 (Registry Identifier: Japan Registry of Clinical Trials)

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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