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Trial registered on ANZCTR
Registration number
ACTRN12619000518167
Ethics application status
Approved
Date submitted
22/01/2019
Date registered
1/04/2019
Date last updated
13/04/2024
Date data sharing statement initially provided
1/04/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
A study of pembrolizumab following chemoimmunotherapy for primary central nervous system lymphoma
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Scientific title
An ALLG Phase II study of pembrolizumab checkpoint blockade following chemoimmunotherapy for primary central nervous system lymphoma
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Secondary ID [1]
297179
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ALLG NHL32
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Universal Trial Number (UTN)
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Trial acronym
BLOCK PCNSL
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Primary central nervous system lymphoma
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Condition category
Condition code
Cancer
309844
309844
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0
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Lymphoma (non Hodgkin's lymphoma) - Low grade lymphoma
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Participants will receive an induction treatment of either a. Rituximab, Methotrexate, Procarbazine & Vincristine (R-MPV) Cytarabine (Ara-C) or b.Methotrexate, Cytarabine, Thiopeta & Rituximab (MATRix) Chemoimmunotherapy Induction Therapy (CIT) the induction treatment given is at the discretion of the participants clinician and is not assessed as part of this study.
Once the induction treatment is complete participants will receive Pembrolizumab 200mg IV commencing 4-6 weeks after last CIT exposure and administered once every 3 weeks for 35 cycles / 2 years. At each Pembrolizumab clinical visit, the participant will be advised of their following appointment.
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Intervention code [1]
313438
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Treatment: Drugs
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Comparator / control treatment
No control group.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Progression free survival. (The length of time during and after the treatment of a disease, such as cancer, that a patient lives with the disease but it does not get worse).
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Assessment method [1]
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Timepoint [1]
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PFS will be measured at 1 year post commencement of pembrolizumab.
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Primary outcome [2]
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Adverse events, SAE's and events of clinical interest. (This is a composite) These events will be assessed by checking hospital records/results and as reported by the patient.
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Assessment method [2]
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Timepoint [2]
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Ongoing until 30 days after the last administration of study drug for each patient.
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Secondary outcome [1]
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Progression free survival. (The length of time during and after the treatment of a disease, such as cancer, that a patient lives with the disease but it does not get worse).
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Assessment method [1]
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Timepoint [1]
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2 years post commencement of pembrolizumab.
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Secondary outcome [2]
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Overall survival.
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Assessment method [2]
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Timepoint [2]
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2 years post commencement of pembrolizumab.
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Eligibility
Key inclusion criteria
Treatment-naïve new diagnosis of PCNSL (DLBCL)
Age = greater than or equal to 18 years
ECOG = less than or equal to 3
Considered appropriate for induction CIT as per investigator
No standard contraindication to immune checkpoint inhibition
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Active autoimmune disease
Unfit for induction CIT (prohibitive organ dysfunction)
Non-B-cell lymphoma subtype
Systemic involvement with aggressive lymphoma
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 2
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/06/2020
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Actual
4/04/2022
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
45
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Accrual to date
24
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA,TAS,WA,VIC
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Merck, Sharp and Dohme
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Address [1]
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Level 1 - Building A, 26 Talavera Road
Macquarie Park, NSW, 2113
North Ryde Post Business Centre
Locked Bag 2234
North Ryde, NSW, 1670
Australia
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Country [1]
301731
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Australia
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Primary sponsor type
Other Collaborative groups
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Name
Australasian Leukaemia and Lymphoma Group
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Address
ALLG
35 Elizabeth St
Richmond
Vic
3121
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
301472
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Country [1]
301472
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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The Monash Health Human Research Ethics Committee
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Ethics committee address [1]
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Research Support Services Level 2, i Block, Monash Medical Centre 246 Clayton Road CLAYTON VIC 3168
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Ethics committee country [1]
302456
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Australia
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Date submitted for ethics approval [1]
302456
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08/04/2021
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Approval date [1]
302456
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08/09/2021
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Ethics approval number [1]
302456
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Summary
Brief summary
The purpose of this study is to determine if a standard chemotherapy induction therapy followed by maintenance using pembrolizumab will be effective in maintaining life expectancy with minimal side effects for participants. Who is it for? You may be eligible for this study if you are an adult with has been diagnose with primary central nervous system lymphoma. Study details All participants in this study will complete a standard induction treatment followed by pembrolizumab, via a drip into the blood vessel, every 3 weeks for 2 years. Throughout the study scans will be performed at various time points such as Magnetic Reasonance imaging (MRI) and Positron Emission Tomography (PET scans) to take pictures inside your body. Blood samples will also be taken throughout the treatment period, however these are the same as you would have taken during standard treatment outside of the trial. It is hoped that this treatment will result in a better prognosis for those with primary central nervous system lymphoma, with less severe side effects.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Gareth Gregory
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Address
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Monash Medical Centre
Level 4, 246 Clayton Rd
Clayton
Vic 3168
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Country
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Australia
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Phone
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+61 3 9594 6666
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Delaine Smith
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Address
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ALLG
35 Elizabeth St
Richmond
Vic
3121
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Country
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Australia
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Phone
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+61 3 8373 9701
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Delaine Smith
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Address
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ALLG
35 Elizabeth St
Richmond
Vic
3121
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Country
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Australia
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Phone
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+61 3 8373 9701
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Fax
90284
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
Individual patient data will not be shared publically. Aggregate patient data and final results will be presented in the final report
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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