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December 8, 2025BloodOpen Access

Trial in progress: A phase 3, multi-regional, open-label, randomized study of tirabrutinib vs rituximab and temozolomide in participants with Relapsed/Refractory primary central nervous system lymphoma

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Authors

CGChristian GrommesMemorial Sloan Kettering Cancer Center
Tracy T. Batchelor
Tracy T. BatchelorBroad Institute

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Overview

Phase 3 trial compares tirabrutinib and rituximab-temozolomide in relapsed/refractory PCNSL, revealing potential benefits for patients.

Key Points

  • To determine the clinical benefits of tirabrutinib compared to rituximab-temozolomide in relapsed/refractory primary CNS lymphoma (PCNSL).
  • Phase 3, open-label, randomized trial design
  • Enrolling approximately 132 adult patients with relapsed/refractory B-cell PCNSL
  • Patients randomized to receive tirabrutinib or rituximab-temozolomide combination therapy
  • Eligibility criteria include pathologically confirmed diagnosis and prior HD-MTX therapy
  • Primary endpoint is progression-free survival based on independent review.
  • Overall response rate for tirabrutinib was reported at 67% in prior studies
  • Primary endpoint of progression-free survival assessed for treatment comparison
  • Secondary endpoints include overall survival and complete response rate.

Cite This Study

Grommes et al. (2025) studied this question.

synapsesocial.com/papers/69362f694fa91c937236dec6https://doi.org/10.1182/blood-2025-3703
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Also Consider

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

  1. 1IGNITE: a phase III study of tirabrutinib versus rituximab and temozolomide combination therapy in relapsed/refractory primary central nervous system lymphoma2026
  2. 2A multicenter randomized phase II/III trial of salvage treatment for refractory primary central nervous system lymphoma using tirabrutinib: JCOG2314 (ReSTART)2026
  3. 3P17.14.B A RETROSPECTIVE STUDY OF THE BTK-INHIBITOR TIRABRUTINIB FOR THE TREATMENT OF RECURRENT/REFRACTORY PRIMARY CNS LYMPHOMA2025
  4. 4Trial in progress: Treatment of CNS lymphoma with zanubrutinib and tislelizumab: A phase ib/II investigator-initiated study2025
  5. 5Orelabrutinib, rituximab, and thiotepa (ORT) in combination with or without high-dose methotrexate in untreated primary central nervous system lymphoma2025