Phase II Trial of Sequential Chemotherapy and Radiotherapy for AIDS-Related Primary Central Nervous System Lymphoma
Combined modality therapy may prove of benefit for patients with AIDS-related primary CNS
lymphoma.
Patients who upon staging workup are found to be without systemic involvement undergo one
cycle of chemotherapy with cyclophosphamide, doxorubicin, vincristine, dexamethasone, and
G-CSF. Cyclophosphamide, doxorubicin, and vincristine are administered intravenously on day
1. Dexamethasone is administered intravenously on day 1 and then orally thereafter with
gradual discontinuation. G-CSF is administered subcutaneously daily beginning on day 2 and
continuing for a total of 10 days or until blood counts have recovered to an acceptable
level. Patients with evidence of cancer cells in their cerebrospinal fluid (CSF) will
receive chemotherapy with intrathecal cytarabine twice weekly until no further evidence of
cancer cells is found in the CSF, then once weekly for 6 weeks, and then monthly for 10
months. Seven to ten days following completion of one cycle of chemotherapy, patients
undergo radiotherapy to the brain at a dose of 2.5 Gy daily for 5 days per week for
approximately 4 weeks. Total dose to the whole brain and meninges is 30.0 Gy in 12
fractions, and total dose to the primary boost volume is 10.0 Gy in 4 fractions. During
therapy, blood is drawn weekly and brain scans are performed every 3-12 weeks. An initial
CSF sample will be obtained by lumbar puncture.
Interventional
Endpoint Classification: Efficacy Study, Primary Purpose: Treatment
Krigel RL
Study Chair
United States: Federal Government
ACTG 252
NCT00000801
April 1998
Name | Location |
---|---|
San Francisco Gen Hosp | San Francisco, California 941102859 |
Julio Arroyo | West Columbia, South Carolina 29169 |
San Francisco AIDS Clinic / San Francisco Gen Hosp | San Francisco, California 941102859 |
Univ of Colorado Health Sciences Ctr | Denver, Colorado 80262 |
Beth Israel Deaconess - West Campus | Boston, Massachusetts 02215 |
Mount Sinai Med Ctr | New York, New York 10029 |
ECOG Data Management Office | Brookline, Massachusetts 02146 |