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OncoMatch/Clinical Trials/NCT06475235

Pembrolizumab + Chemotherapy in Newly Diagnosed PCNSL

Is NCT06475235 recruiting? Yes, currently enrolling (May 2026). This Phase 1 trial studies multiple treatments including Pembrolizumab and Methotrexate for lymphoma.

Phase 1RecruitingDana-Farber Cancer InstituteNCT06475235Data as of May 2026

Treatment: Pembrolizumab · Methotrexate · Temozolomide · RituximabThis research study is studying if the investigational drug, Pembrolizumab, in combination with chemotherapy helps primary central nervous system lymphoma with acceptable side effects. This research study involves a combination of the below drugs: * Pembrolizumab (a type of monoclonal antibody) * Methotrexate (a type of anti-metabolite) * Temozolomide (a type of alkylating agent) * Rituximab (a type of antibody)

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Extracted eligibility criteria

Cancer type

Non-Hodgkin Lymphoma

Primary Central Nervous System Lymphoma

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Cannot have received: systemic chemotherapy

Participants must not have received any systemic chemotherapy or whole brain radiation therapy directed to PCNSL.

Cannot have received: radiation therapy

Participants must not have received any systemic chemotherapy or whole brain radiation therapy directed to PCNSL.

Cannot have received: anti-PD-1 therapy

Has received prior therapy with an anti-PD-1, anti-PD-L1, or anti-PD-L2 agent or with an agent directed to another stimulatory or co-inhibitory T-cell receptor (eg, CTLA-4, OX-40, CD137)

Cannot have received: anti-PD-L1 therapy

Has received prior therapy with an anti-PD-1, anti-PD-L1, or anti-PD-L2 agent or with an agent directed to another stimulatory or co-inhibitory T-cell receptor (eg, CTLA-4, OX-40, CD137)

Cannot have received: anti-PD-L2 therapy

Has received prior therapy with an anti-PD-1, anti-PD-L1, or anti-PD-L2 agent or with an agent directed to another stimulatory or co-inhibitory T-cell receptor (eg, CTLA-4, OX-40, CD137)

Cannot have received: checkpoint inhibitor

Has received prior therapy with an anti-PD-1, anti-PD-L1, or anti-PD-L2 agent or with an agent directed to another stimulatory or co-inhibitory T-cell receptor (eg, CTLA-4, OX-40, CD137)

Lab requirements

Blood counts

Absolute neutrophil count (ANC) ≥1000/µL; Platelets ≥100,000/µL; Hemoglobin ≥9.0 g/dL or ≥5.6 mmol/L (Criteria must be met without erythropoietin dependency and without packed red blood cell (pRBC) transfusion within last 2 weeks)

Kidney function

Creatinine ≤1.5 x ULN OR measured or calculated creatinine clearance ≥40 mL/min for participant with creatinine levels >1.5 × institutional ULN

Liver function

Total bilirubin ≤1.5 x ULN OR direct bilirubin ≤ULN for participants with total bilirubin levels >1.5 x ULN; AST (SGOT) and ALT (SGPT) ≤2.5 × ULN (≤5 × ULN for participants with liver metastases)

Participants must have adequate organ function as defined below.

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • Brigham and Women's Hospital · Boston, Massachusetts
  • Dana Farber Cancer Institute · Boston, Massachusetts

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