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December 8, 2025Blood

Results of the primary end-point of the LOC-R01: A randomized phase II Study of lenalidomide and ibrutinib in association with rituximab-methotrexate procarbazine vincristin (R-MPV) as a targeted induction treatment for patients aged 18 to 65 with a newly diagnosed primary central nervous system lymphoma (PCNSL)

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Authors

CSCarole SoussainCHCaroline HouillierJHJessica Haddad

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Overview

Randomized trial shows 86% and 82% complete response in PCNSL patients treated with R-MPV plus immunomodulatory drug or ibrutinib, suggesting effective induction strategies.

Key Points

  • Evaluate the efficacy of R-MPV combined with lenalidomide or ibrutinib for newly diagnosed PCNSL.
  • Randomized phase II trial of 92 patients aged 18-65 with untreated PCNSL.
  • Patients received 4 cycles of R-MPV plus either lenalidomide or ibrutinib.
  • Responses assessed post-induction via MRI according to IPCG criteria.
  • 86% complete response rate in the lenalidomide arm and 82% in the ibrutinib arm.
  • 74% of lenalidomide and 83% of ibrutinib patients proceeded to autologous stem cell transplantation.
  • Safety profiles were consistent with previous studies, confirming the feasibility of both treatments.

Cite This Study

Soussain et al. (2025) studied this question.

synapsesocial.com/papers/693624d44fa91c937236cfd3https://doi.org/10.1182/blood-2025-58
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Ibrutinib in combination with rituximab, methotrexate (MTX), vincristine, and procarbazine (R-MPV/i) for newly diagnosed primary CNS lymphoma (PCNSL)2025 · 1 citations
  2. 2Ibrutinib in combination with rituximab, methotrexate, vincristine, and procarbazine (R-MVP/i) for newly diagnosed primary CNS lymphoma (PCNSL)2026 · 2 citations
  3. 3Ibrutinib combined with rituximab and high-dose methotrexate in newly diagnosed primary CNS diffuse large B-cell lymphoma: a pilot study with long-term follow-up2025 · 2 citations
  4. 4Lenalidomide–rituximab with high-dose methotrexate for treatment of patients with newly diagnosed primary cns lymphoma: a promising first-line approach2025 · 1 citations
  5. 5Outcomes of R-MPV followed by ara-c in primary central nervous system lymphoma: A single-center retrospective analysis.2024 · 1 citations