Primary CNS Lymphoma Clinical Trial
Official title:
Phase II Study Of Durvalumab In Combination With Lenalidomide In Relapsed/Refractory EBV Associated Subtypes Of DLBCL, Primary CNS Lymphoma And Primary Testicular DLBCL - DuRIANS (Durvalumab Revlimid In Aggressive NHL Subtypes)
PHASE II STUDY OF DURVALUMAB IN COMBINATION WITH LENALIDOMIDE IN RELAPSED/REFRACTORY EBV
ASSOCIATED SUBTYPES OF DLBCL, PRIMARY CNS LYMPHOMA AND PRIMARY TESTICULAR DLBCL
Patients with relapsed refractory subtypes of DLBCL who fulfill the inclusion / exclusion
criteria will be recruited to this trial and treated in this open label, phase 2 trial with
the PDL1 inhibitor Durvalumab and Lenalidomide. The combination treatment will be given from
the time of recruitment for 6 months when Lenalidomide will be stopped but Durvalumab will
continue for a total of 2 years. Response will be assessed by PET / CT scans as per standard
lugano criteria.
This is a multi-center, open-label, phase II study of Durvalumab in combination with
Lenalidomide for treatment of relapsed/refractory EBV associated DLBCL subtypes, primary
testicular lymphoma and primary CNS lymphoma using a Simon's Two-stage Minimax design.
Simon's two-stage Minimax design will be used to investigate if the overall response rate
(ORR) is at least 45% against a no-interest ORR of 20%.
In the first stage, 13 patients will be accrued. If there are 2 or fewer responses in these
13 patients, the study will be stopped. Otherwise, 8 additional patients will be accrued for
a total of 21 patients.This design yields a type I error rate of 5% and power of 80% when the
true response rate is 45%.
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