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Active, Not Recruiting

NCT Number: NCT06541665

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

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

Active, Not Recruiting

This study is active but is not currently recruiting participants.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Aichi Cancer Center, Nagoya, Aichi-ken, Japan

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

ONO-4059

Drug

Specified dose, once daily

Other names: Tirabrutinib Hydrochloride

Rituximab

Drug

Specified dose on specified days

methotrexate

Drug

Specified dose on specified days

Procarbazine

Drug

Specified dose on specified days

Vincristine

Drug

Specified dose on specified days

Primary outcomes

  1. 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

  2. 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.

Secondary outcomes

  1. Summary of plasma tirabrutinib concentration at trough and post 2 hours dosing

    Time frame: 30days

  2. 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.

  3. 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.

  4. 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.

  5. 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.

Sponsors and collaborators

Lead sponsor

Ono Pharmaceutical Co., Ltd.

Industry

Registry information

Official study title

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)

Important dates

Study start
2024
Primary completion
2028
Study completion
2028
First posted
Aug 7, 2024
Registry last updated
Jun 3, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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