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Randomisation

WBRT

yes (A1, B1) or no (A2, B2)

6 x HD-MTX

plus ifosfamide

(biweekly)

3 x 8 mg dexamethasone/die

for 10 days in cycle 1

Arm A

Arm B

WBRT

4-7 weeks

after CR

A1

Observation

A2

WBRT

B1

4 x HD-Ara-C

4 x 3 g/m

2

in 48 h

21 d cycles

B2

CR

PR, SD, PD

The G-PCNSL-SG1 trial

n=526

n=56

n=98

n=96

n=68