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Primary Central Nervous System Lymphoma (PCNSL)REVEALNCT06714370

Real-World Evidence of Effectiveness and Safety of Tirabrutinib in Patients With Relapsed or Refractory Primary Central Nervous System Lymphoma in Taiwan: A Nationwide Study

An observational study of Primary Central Nervous System Lymphoma (PCNSL), run by Ono Pharmaceutical Co., Ltd. at 6 sites in Taiwan.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The goal of this observational study is to describe the real-world effectiveness and safety of tirabrutinib among relapsed or refractory PCNSL patients in Taiwan. Read more about this study

Who is it for?
Ages 18 years and older
How many people
24 participants
Where
6 sitesTaiwan
Study dates
3 Feb 2025to 31 Mar 2026
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients received Taiwan NHI reimbursement

Who may be able to join

  • Patient is ≥ 18 years of age.
  • r/r PCNSL patient, who has newly started NHI public reimbursement tirabrutinib from 01 June 2024 to 30 June 2025.
  • Have provided voluntary written consent, directly from the subject, or through his/her legal representative for a patient who lacks the capacity to give informed consent.
  • Deceased patients are considered included under an IRB-approved consent waiver.
  • Note: The NHI reimbursement criteria are listed below for reference purposes only. Subject enrollment depends on whether reimbursement has been received.
  • Histopathologically confirmed large B-cell PCNSL.
Show all 10Show fewer
  • Patients with relapsed or refractory PCNSL previously treated at least 2 cycles of HD-MTX.
  • Exclude HIV infection
  • Exclude Burkitt lymphoma
  • Exclude patients using chemotherapy or monoclonal antibodies at the initiation of tirabrutinib treatment.

Who cannot join

None listed.

Trial locations and contacts

6 sites in 1 country.

6 sites in 1 country

Taiwan6 sites
  • Chang Gung Memorial Hospital

    Kaohsiung City

  • China Medical University Hospital

    Taichung

  • National Cheng Kung Univeristy Hospital

    Tainan

  • National Taiwan University Hospital

    Taipei

  • Taipei Veterans General Hospital

    Taipei

  • Chang Gung Memorial Hospital

    Taoyuan

Other trials in Taiwan

About this study

The goal of this observational study is to describe the real-world effectiveness and safety of tirabrutinib among relapsed or refractory PCNSL patients in Taiwan.

Keywords
REVEAL study, PCNSL, Primary central system lymphoma, Lymphoma, Brain tumor, Rare disease
Medical subject headings
Lymphoma, Brain Neoplasms, Rare Diseases

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Objective response rate (ORR)

    objective response rate is defined as the proportion of subjects who respond either Complete response (CR), Partial response (PR), or unconfirmed Complete response (CRu) to therapy, according to International PCNSL Collaborative Group (IPCG) criteria.

    Measured: At least 9 months for each subject

Secondary outcomes (7)
  1. Duration of response (DOR)

    Duration of response is defined as the time from onset of response* to disease progression or death, wichever occurs earlier.

    *for patients who achieve complete response (CR), partial response (PR), or unconfirmed complete response (CRu), according to IPCG criteria.

    Measured: At least 9 months for each subject

  2. Time-to-treatment response (TTR)

    Time-to-treatment response was defined as time from newly started tirabrutinib treatment to the first objective tumor response observed for patients who achieved a complete response (CR), partial response (PR), or unconfirmed complete response (CRu), according to IPCG criteria.

    Measured: At least 9 months for each subject

  3. Adverse events of special interest (AESIs)

    Drug-related adverse events for treatment interruption, dose reduction, and discontinuation of tirabrutinib: febrile neutropenia (grade≥3), thrombocytopenia with hemorrhage (grade 3), neutropenia (grade 4), thrombocytopenia (grade 4), interstitial lung disease (grade≥2), skin disorder (grade≥2), hematotoxicity (grade≥3, other than events described above) and nonhematological toxicity (other than interstitial lung disease and skin disorder, grade≥3) (the grading will be according to CTCAE v5.0.) important identified risks: infection, severe skin disorder, bone marrow depression, hypersensitivity, interstitial lung disease (ILD), hepatic dysfunction, hemorrhage, arrhythmia.

    Measured: At least 9 months for each subject

  4. Clinical laboratory test

    Clinical laboratory tests (hematology, blood biochemistry, urinalysis, etc.) will be summarized with dexcriptive statistics. The change from baseline will be presented also, if possible.

    Measured: At least 9 months for each subject

  5. Treatment-emergent adverse events (TEAEs)

    in this study, an AE is defined as any unfavorable or unintended injury/disease or sign (including an abnormal laboratory finding) in a subject administered tirabrutinib, regardless of causality. AE also includes suspected transmission of infectious agents by tirabrutinib. TEAE is defined as an AE that began after the start of tirabrutinib treatment. Concurrent disease at the start of tirabrutinib treatment that has worsened during tirabrutinib treatment for the subject is also included. worsening of the primary disease is not an TEAE. all severity of AEs will be graded according to CTCAE v5.0. All AE that are not considered serious AE are not-serious AE.

    Measured: At least 9 months for each subject

  6. Overall survival (OS)

    overall survival is defined as time from newly started tirabrutinib treatment to death.

    Measured: At least 9 months for each subject

  7. Progression-free survival (PFS)

    Progression-free survival is defined as time from newly started tirabrutinib treatment to either first evidence of progression disease (PD), according to IPCG criteria, or death.

    Measured: At least 9 months for each subject

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 Dec 2024
  2. Study start3 Feb 2025
  3. Primary completion31 Mar 2026
  4. Study completion31 Mar 2026

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Other
Enrolment
24 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06714370
Sponsor's protocol ID
R1128-TIR-04
Acronym
REVEAL
Status last verified
Apr 2026
First submitted
5 Nov 2024
Last updated
20 May 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: all IPD that underlie results in a publication

Questions about this trial

What is this clinical trial studying?

An observational study of Primary Central Nervous System Lymphoma (PCNSL), run by Ono Pharmaceutical Co., Ltd. at 6 sites in Taiwan.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 0 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 20 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 6 sites in Taiwan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Objective response rate (ORR) (time frame: At least 9 months for each subject). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 May 2026.

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