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Primary Central Nervous System Lymphoma (PCNSL)CLIMBNCT07842835

Registry of an Integrated Longitudinal Multimodal Biospecimen Biobank for Primary CNS Lymphoma in China

An observational study of Primary Central Nervous System Lymphoma (PCNSL), run by Xiaohui Ren at 3 sites in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This project aims to establish and prospectively register a longitudinal, multimodal biobank for primary central nervous system lymphoma (PCNSL). The study will primarily enroll patients undergoing needle biopsy or surgical resection of lesions involving the brain, spinal cord, or meninges, with a pathological… Read more about this study

Who is it for?
Ages 18 to 100 yearsHealthy volunteers can take part
What is being tested?
High-dose methotrexate-based therapy and Bruton tyrosine kinase inhibitor-based therapy
How many people
400 participants
Where
3 sitesChina
Study dates
1 Oct 2026to 31 Jul 2031
How long will I take part?
3 Years
Phase
Observational
Are there results?
Not yet: the study is under way

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 to 100 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: The study population will be drawn from patients evaluated for suspected primary central nervous system lymphoma at participating tertiary referral hospitals in mainland China, including Beijing Tiantan Hospital, Shandong Provincial Hospital, and Tianjin Huanhu Hospital. Participants will be identified through departments of neurosurgery, hematology, neuro-oncology, radiology, and pathology. Healthy controls will be recruited from the participating institutions and surrounding communities to provide reference biospecimens and molecular profiles. The study will include a core PCNSL cohort, a non-PCNSL disease-control cohort, and a nested longitudinal cerebrospinal fluid/peripheral blood subcohort.

Who may be able to join

  • General Criteria for Patient Participants
  • Age ≥18 years.
  • Radiological findings suspicious for primary central nervous system lymphoma (PCNSL).
  • Scheduled to undergo needle biopsy or surgical resection of a lesion involving the brain, spinal cord, or meninges.
  • Willing and able to provide written informed consent.
  • Core PCNSL Cohort
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  • Patient participants must additionally meet all of the following criteria:
  • Histopathologically confirmed PCNSL.
  • Able and willing to comply with scheduled study follow-up.
  • Able to undergo magnetic resonance imaging examinations.
  • Non-PCNSL Disease Control Cohort
  • Patient participants must meet the following criterion:
  • Initially suspected of having PCNSL based on imaging findings but ultimately diagnosed with a condition other than PCNSL by histopathological examination.
  • Healthy Control Cohort
  • Age ≥18 years.
  • Eligible for recruitment as a healthy control according to the study screening procedures.
  • Meets the prespecified matching requirements for the study cohorts.
  • Willing and able to provide written informed consent.
  • Additional Criteria for the Longitudinal CSF/Peripheral Blood Subcohort
  • Participants entering this subcohort must additionally meet all of the following criteria:
  • No contraindication to lumbar puncture, as determined by the study physician.
  • Willing and able to undergo serial cerebrospinal fluid and peripheral blood collection.
  • Provides separate explicit informed consent for longitudinal biospecimen collection.
  • Final eligibility for all cohorts will be determined by the study investigator based on the participant's clinical condition, pathological findings, and relevant examination results.

Who cannot join

  • PCNSL is suspected based on imaging findings, but no definitive histopathological diagnosis can be obtained.
  • Estimated life expectancy of less than 3 months and, in the investigator's judgment, inability to complete the minimum required clinical data or biospecimen collection.
  • Refusal to provide written informed consent or withdrawal of informed consent.
  • Additional Exclusion Criteria for the Longitudinal CSF/Peripheral Blood Subcohort
  • Participants will be excluded from research lumbar puncture if any of the following conditions are present:
  • Severe coagulation disorder.
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  • Marked or severe intracranial hypertension.
  • Evidence of, or substantial risk for, cerebral herniation.
  • Spinal infection or central nervous system infection.
  • Any other definite contraindication to lumbar puncture, as determined by the investigator.
  • Presence of a severe systemic disease.
  • Any condition that, in the investigator's judgment, makes the individual unsuitable for participation.
  • Refusal to provide written informed consent or withdrawal of informed consent.

Trial locations and contacts

3 sites in 1 country. Contact the study team or a site near you to ask about taking part.

China3 sites, 3 recruiting
  • Deparment of neurosurgery, Beijing tiantan hospital

    Beijing, Beijing Municipality, 100070

    Xiaohui Ren, MD, +86-010-59975567, xiaohuiren@mail.ccmu.edu.cn/xiaohuiren@aliyun.com

    Haoyi Li, MD, +86-010-59975567, lee_627269051@163.com

    Recruiting
  • Deparment of neurosurgery, Shandong Provincial Hospital

    Shandong, Jinan, 250021

    Yingchao Liu, MD, +86 13805311573, yingchaoliu@email.sdu.edu.cn

    Recruiting
  • Deparment of neurosurgery, Tianjin huanhu hospital

    Tianjin, Tianjin Municipality, 300222

    Hu Wang, MD, +86 13820911123, hwanghu@hotmail.com

    Recruiting

Other trials in China

About this study

Official title: Registry of an Integrated Longitudinal Multimodal Biospecimen Biobank for Primary Central Nervous System Lymphoma in China(CLIMB)

This project aims to establish and prospectively register a longitudinal, multimodal biobank for primary central nervous system lymphoma (PCNSL). The study will primarily enroll patients undergoing needle biopsy or surgical resection of lesions involving the brain, spinal cord, or meninges, with a pathological diagnosis of central nervous system lymphoma. To ensure population homogeneity, patients with PCNSL will constitute the core analysis cohort. Patients with imaging findings suggestive of PCNSL but a final pathological diagnosis other than PCNSL will serve as disease controls, and matched healthy volunteers will be recruited as baseline controls.

At baseline, biopsy tissue, cerebrospinal fluid (CSF), peripheral blood, urine, saliva, and stool samples will be collected. Follow-up visits will be scheduled at 1 month after biopsy and every 3-6 months thereafter, with contrast-enhanced brain magnetic resonance imaging (MRI) and serial collection of CSF and peripheral blood. After the requirements of routine pathological diagnosis have been met, biopsy specimens will undergo tiered multi-omics profiling according to sample availability and freshness, including whole-exome sequencing, bulk RNA sequencing, single-cell RNA sequencing, metabolomics, spatial transcriptomics, and spatial metabolomics. Analyses of CSF and blood samples will focus on circulating tumor DNA and cell-free RNA (ctDNA/cfRNA), supplemented by conventional cytology, flow cytometry, and other clinical data for longitudinal disease monitoring.

The project will develop an integrated database incorporating clinical, imaging, pathological, molecular, and biospecimen data. It will characterize the relationships of baseline tissue multi-omics features and longitudinal changes in CSF- and blood-derived ctDNA/cfRNA with treatment response, recurrence prediction, and prognosis. The study will also develop diagnostic and risk-stratification models applicable to patients at our institution, across the region, and potentially throughout mainland China, while establishing standardized operating procedures for biospecimen collection and processing. This work is expected to provide high-quality evidence and a sustainable translational research platform for elucidating the biological heterogeneity of PCNSL, validating liquid-biopsy biomarkers, and optimizing precision follow-up strategies.

Being tested
High-dose methotrexate-based therapy, Bruton tyrosine kinase inhibitor-based therapy
Keywords
Primary central nervous system lymphoma, Multimodal biobank, Prospective longitudinal cohort, Liquid biopsy, Circulating tumor DNA, Cell-free RNA, Multi-omics, Recurrence prediction

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • High-dose methotrexate-based therapyDrug

    Standard-of-care treatment containing high-dose methotrexate as the backbone regimen, administered alone or in combination with other anticancer agents according to the treating physician's judgment and institutional practice. Treatment selection, dose, schedule, combination regimen, and duration are not assigned by the study protocol. Clinical response, recurrence, survival, adverse events, imaging findings, and longitudinal molecular biomarkers will be recorded prospectively.

  • Bruton tyrosine kinase inhibitor-based therapyDrug

    Standard-of-care treatment containing a Bruton tyrosine kinase inhibitor as a principal therapeutic component, administered alone or in combination with other anticancer agents according to the treating physician's judgment and institutional practice. The specific BTK inhibitor, dose, schedule, combination regimen, and duration are not assigned by the study protocol. Clinical response, recurrence, survival, adverse events, imaging findings, and longitudinal molecular biomarkers will be recorded prospectively.

Study groups in NCT07842835
Study groupRoleWhat they receive
PCNSL CohortAdults with pathologically confirmed primary central nervous system lymphoma (PCNSL) following biopsy or surgical resection of a brain, spinal cord, or meningeal lesion. Clinical, imaging, pathological, treatment, and outcome data will be collected. Tumor tissue, cerebrospinal fluid, peripheral blood, urine, saliva, and stool will be collected at baseline, as available. Eligible consenting participants without contraindications to lumbar puncture may enter a longitudinal biospecimen subcohort, with contrast-enhanced brain MRI and serial cerebrospinal fluid and peripheral blood collection at postoperative Month 1 and every 3-6 months thereafter.
Receives: Drug: High-dose methotrexate-based therapy; Drug: Bruton tyrosine kinase inhibitor-based therapy

What is being measured

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

  1. Baseline data completeness rate

    Percentage of enrolled participants with complete required baseline clinical, imaging, pathological, treatment, and biospecimen information in the electronic case report form. The numerator is the number of participants with all protocol-required baseline data; the denominator is the total number of enrolled participants.

    Measured: At baseline, from enrollment through completion of baseline assessments(up to 30 months)

  2. Paired tumor tissue and cerebrospinal fluid sample acquisition rate

    Percentage of eligible participants from whom both evaluable tumor tissue and cerebrospinal fluid samples are successfully collected and stored according to the study standard operating procedures.

    Measured: within 1 month after biopsy or surgery (up to 30 months)

  3. Participant follow-up completion rate

    Percentage of enrolled participants who complete the protocol-required clinical and imaging follow-up assessments at Month 12 and Month 24. Completion rates will be calculated separately for each time point.

    Measured: from enrollment to follow-up at Month 3, 6, 12, 24 and 36 (up to 36 months)

  4. Adherence to longitudinal cerebrospinal fluid sampling

    Percentage of scheduled cerebrospinal fluid collection visits completed among participants enrolled in the longitudinal cerebrospinal fluid/peripheral blood subcohort.

    Measured: Postoperative Month 1 and every 3-6 months thereafter (up to 36 months)

  5. Association between cerebrospinal fluid ctDNA clearance and MRI response

    Cerebrospinal fluid circulating tumor DNA status will be classified as cleared or not cleared at postoperative Month 3 and compared with concurrent MRI response categories-complete response, partial response, stable disease, or progressive disease. The association or agreement will be assessed using contingency-table analysis, kappa statistics, and/or receiver operating characteristic analysis, as applicable.

    Measured: 3-6 months after pathological comfirmation (up to 36 months)

  6. Association of baseline and longitudinal ctDNA/cfRNA status with progression-free survival

    Progression-free survival will be evaluated according to baseline and longitudinal cerebrospinal fluid or peripheral blood ctDNA/cfRNA status. Progression-free survival is the time from the prespecified index date to radiographic or clinical disease progression or death from any cause, whichever occurs first.

    Measured: From the prespecified index date through Month 3, 6, 12, 24 and 36 (up to 36 months)

Secondary outcomes (10)
  1. Objective response rate

    Percentage of evaluable participants achieving complete response or partial response on MRI, summarized according to prespecified baseline tumor multi-omics characteristics.

    Measured: From treatment initiation to follow-up at month 3,6,12,24 and 36 (up to 36 months)

  2. Best overall response

    Best MRI response recorded during follow-up-complete response, partial response, stable disease, or progressive disease-summarized according to baseline tumor multi-omics characteristics.

    Measured: From treatment initiation to follow-up at month 3,6,12,24 and 36 (up to 36 months)

  3. Progression-free survival

    Time from the prespecified index date to radiographic or clinical progression or death from any cause, whichever occurs first, analyzed according to baseline tumor multi-omics characteristics.

    Measured: From treatment initiation to follow-up at month 3,6,12,24 and 36 (up to 36 months)

  4. Overall survival

    Time from the prespecified index date to death from any cause. Participants without a documented death will be censored at the date they were last known to be alive.

    Measured: From treatment initiation to follow-up at month 3,6,12,24 and 36 (up to 36 months)

  5. Lead time from molecular recurrence detected by cerebrospinal fluid ctDNA to radiographic recurrence

    Number of days between the first post-clearance cerebrospinal fluid ctDNA reappearance or prespecified increase in variant allele fraction and the date of MRI-confirmed disease recurrence. Positive values indicate that molecular recurrence preceded radiographic recurrence.

    Measured: Postoperative Month 1 and every 3 months thereafter (up to 36 months)

  6. Concordance and clinical associations of key driver variants in tumor tissue and cerebrospinal fluid

    Concordance of key driver variants, including MYD88, between tumor tissue and cerebrospinal fluid ctDNA, and their associations with pathological subtype, treatment regimen, response, progression, and survival.

    Measured: At baseline and every 3-6 months after pathological confirmation (up to 36 months)

  7. Molecular evolution between diagnosis and recurrence

    Changes in somatic variants, variant allele fractions, copy-number alterations, transcriptomic features, or other prespecified molecular characteristics between paired diagnostic and recurrence samples.

    Measured: From baseline to the first documented recurrence (up to 36 months)

  8. Change in neurological and performance status

    Change from baseline in neurological function and performance status, including Karnofsky Performance Status and/or Eastern Cooperative Oncology Group performance status.

    Measured: At baseline and every 3-6 months thereafter (up to 60 months)

  9. Change in cognitive function

    Change from baseline in cognitive function measured using a prespecified validated cognitive assessment instrument.

    Measured: At baseline and every 3 months thereafter (up to 60 months)

  10. Incidence of treatment-related adverse events

    Number and percentage of participants experiencing treatment-related adverse events, summarized by event type, severity, and relationship to treatment using a prespecified adverse-event grading system.

    Measured: From enrollment to follow-up (up to 36 months)

Timeline

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

  1. First posted25 Sep 2026
  2. Study start1 Oct 2026 (estimated)
  3. Primary completion31 Dec 2028 (estimated)
  4. Study completion31 Jul 2031 (estimated)

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
Prospective
Enrolment
400 participants (estimated)
Target duration
3 Years
IDs, dates and publications
ClinicalTrials.gov ID
NCT07842835
Sponsor's protocol ID
HX-C-2026006
Acronym
CLIMB
Status last verified
Sep 2026
First submitted
21 Sep 2026
Last updated
30 Sep 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

An observational study of Primary Central Nervous System Lymphoma (PCNSL), run by Xiaohui Ren at 3 sites in China.

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 24 inclusion and 13 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: looking for participants now, as of the sponsor's last update on 30 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in China. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Xiaohui Ren, MD (+86-010-59975567, xiaohuiren@mail.ccmu.edu.cn/xiaohuiren@aliyun.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Baseline data completeness rate (time frame: At baseline, from enrollment through completion of baseline assessments(up to 30 months)). The study lists 6 primary outcomes in all. 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 30 Sep 2026.

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