Table 1.

Completed and ongoing randomized clinical trials investigating the role of consolidative WBRT in patients with newly diagnosed PCNSL

Trial, scientific group (clinicaltrials.gov ID)RecruitmentPatients, nEligibility criteriaControl armIntervention armPrimary end pointComments
G-PCNSL-SG-1 Completed 551 Newly diagnosed PCNSL; age ≥18 y; ECOG PS ≤3 HD-MTX ± ifosfamide
→ WBRT 45 Gy 
HD-MTX ± ifosfamide OS Several methodologic flaws, noninferiority margin not met; no definite conclusions can be drawn 
IELSG32, International Extranodal Lymphoma Study Group (NCT01011920) Completed 219* and 118 Newly diagnosed PCNSL; age 18–65 y (ECOG ≤ 3); age 65–70 y if ECOG ≤2 Induction → WBRT 36 Gy Induction treatment → HDC/ASCT CRR* and PFS First randomization proved efficacy of MATRix regimen; both consolidation therapies (WBRT and HDC/ASCT) are effective 
RTOG 1114, Radiation Therapy Oncology Group (NCT01399372) Completed 89 Newly diagnosed PCNSL; age ≥18 y; ECOG PS ≤3 R-MPV → HD-ARAC R-MPV → WBRT 23.4 Gy → HD-ARAC PFS Estimated completion regarding primary end point is December 2022 
PRECIS, ANOCEF/GOELAMS (NCT00863460) Completed 140 Newly diagnosed PCNSL; age 18–60 y R-MBVP → R-HD-ARAC→ WBRT 40 Gy R-MBVP → R-HD-ARAC → HDC/ASCT 2-y PFS Results reported as meeting abstract 
 
Trial, scientific group (clinicaltrials.gov ID)RecruitmentPatients, nEligibility criteriaControl armIntervention armPrimary end pointComments
G-PCNSL-SG-1 Completed 551 Newly diagnosed PCNSL; age ≥18 y; ECOG PS ≤3 HD-MTX ± ifosfamide
→ WBRT 45 Gy 
HD-MTX ± ifosfamide OS Several methodologic flaws, noninferiority margin not met; no definite conclusions can be drawn 
IELSG32, International Extranodal Lymphoma Study Group (NCT01011920) Completed 219* and 118 Newly diagnosed PCNSL; age 18–65 y (ECOG ≤ 3); age 65–70 y if ECOG ≤2 Induction → WBRT 36 Gy Induction treatment → HDC/ASCT CRR* and PFS First randomization proved efficacy of MATRix regimen; both consolidation therapies (WBRT and HDC/ASCT) are effective 
RTOG 1114, Radiation Therapy Oncology Group (NCT01399372) Completed 89 Newly diagnosed PCNSL; age ≥18 y; ECOG PS ≤3 R-MPV → HD-ARAC R-MPV → WBRT 23.4 Gy → HD-ARAC PFS Estimated completion regarding primary end point is December 2022 
PRECIS, ANOCEF/GOELAMS (NCT00863460) Completed 140 Newly diagnosed PCNSL; age 18–60 y R-MBVP → R-HD-ARAC→ WBRT 40 Gy R-MBVP → R-HD-ARAC → HDC/ASCT 2-y PFS Results reported as meeting abstract 
 

Data were updated from reference 59. ECOG, Eastern Cooperative Oncology Group; HD-ARAC, high-dose cytarabine; HD-MTX, high-dose methotrexate; R-MBVP, rituximab/HD-MTX/carmustine/etoposide/HD-ARAC; R-MPV, rituximab/HD-MTX/procarbazine/vincristine.

*

First randomization.

Second randomization.

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