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Last Modified: 10/8/2009     First Published: 4/1/1998  
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Phase II Study of High-Dose Methotrexate Plus High-Dose Zidovudine and Radiotherapy in Patients with HIV-Related Primary Central Nervous System Lymphoma

Alternate Title
Basic Trial Information
Objectives
Entry Criteria
Expected Enrollment
Outcomes
Outline
Trial Contact Information
Registry Information

Alternate Title

Chemotherapy and Radiation Therapy in Treating Patients With HIV-Related Primary Central Nervous System Lymphoma

Basic Trial Information

PhaseTypeStatusAgeSponsorProtocol IDs
Phase IITreatmentClosed18 and overOtherITA-GICAT-POS1
EU-97018, NCT00003261

Objectives

  1. Determine the efficacy of neoadjuvant chemotherapy and radiation therapy in the treatment of HIV-related primary CNS lymphoma patients.
  2. Evaluate the toxicity and overall survival of these patients.

Entry Criteria

Disease Characteristics:

  • Histologically proven HIV-related non-Hodgkin's lymphoma of the CNS
  • No systemic lymphoma

Prior/Concurrent Therapy:

  • No prior chemotherapy or radiotherapy

Patient Characteristics:

Age:

  • 18 and over

Performance status:

  • WHO 0-3

Life expectancy:

  • Not specified

Hematopoietic:

  • WBC at least 3000/mm3
  • Platelet count at least 80,000/mm3

Hepatic:

  • No serious impairment of liver function

Renal:

  • No serious impairment of renal function
  • Creatinine clearance at least 40 mL/min

Cardiovascular:

  • No serious impairment of cardiac function

Neurologic:

  • Neurological functional status 0-3

Other:

  • No prior or active CNS-opportunistic infections
  • No AIDS dementia complex
  • No active systemic infections

Expected Enrollment

14

This study will accrue 14 patients.

Outcomes

Primary Outcome(s)

Efficacy
Toxicity
Overall survival

Outline

Patients receive chemotherapy consisting of high-dose methotrexate IV administered on day 1 and high-dose zidovudine IV administered on days 1-3 every 2 weeks. Patients receive 3 courses of therapy. Following chemotherapy, patients receive radiation therapy to the lesion site daily.

Patients are followed every 3 months for 1 year and then every 6 months thereafter.

Trial Contact Information

Trial Lead Organizations

Centro di Riferimento Oncologico - Aviano

Umberto Tirelli, MD, Protocol chair
Ph: 39-043-465-9284
Email: utirelli@cro.it

Registry Information
Official Title Treatment of HIV-Related Primary Central Nervous System Lymphoma (HIV-PCNSL): A Phase II Trial With Neoadjuvant Chemotherapy (High-Dose Methotrexate (MTX) Plus High-Dose Zidovudine) and Radiotherapy
Trial Start Date 1997-05-01
Registered in ClinicalTrials.gov NCT00003261
Date Submitted to PDQ 1997-12-09
Information Last Verified 2001-10-09

Note: The purpose of most clinical trials listed in this database is to test new cancer treatments, or new methods of diagnosing, screening, or preventing cancer. Because all potentially harmful side effects are not known before a trial is conducted, dose and schedule modifications may be required for participants if they develop side effects from the treatment or test. The therapy or test described in this clinical trial is intended for use by clinical oncologists in carefully structured settings, and may not prove to be more effective than standard treatment. A responsible investigator associated with this clinical trial should be consulted before using this protocol.

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