A Phase I Study of Intrathecal Rituximab in Patients With Lymphomatous Meningitis
Study Details
Study Description
Brief Summary
The purpose of this study is to define the safety profile of rituximab given intrathecally in lymphomatous meningitis related to CD20+ non-Hodgkin's lymphomas.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 1 |
Study Design
Outcome Measures
Primary Outcome Measures
- Safety profile of rituximab given intrathecally []
Secondary Outcome Measures
- 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 []
Eligibility Criteria
Criteria
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.
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- International Extranodal Lymphoma Study Group (IELSG)
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
Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
None provided.- IELSG24