Study on Pembrolizumab for Recurrent Primary Central Nervous System Lymphoma (PCNSL)

Exclusion Criteria

• •Has received prior therapy with an anti-PD-1, anti-PD-L1, or anti-PD-L2 agent.
• •Concurrent administration of any other antitumor therapy except steroids
• •Known additional malignancy that is progressing or requires active treatment. Exceptions include basal cell carcinoma of the skin or squamous cell carcinoma of the skin that has undergone potentially curative therapy or in situ cervical cancer.
• •Has active infection requiring systemic therapy.
• •Known history of active TB (Bacillus Tuberculosis)
• •Known history of, or any evidence of active, non-infectious pneumonitis.
• •Has received a live vaccine within 30 days of planned start of study therapy.
• •o Note: Seasonal influenza vaccines for injection are generally inactivated flu vaccines and are allowed; however intranasal influenza vaccines (e.g., Flu-Mist®) are live attenuated vaccines, and are not allowed.
• •Drug abuse or extensive use of alcohol.
• •Active autoimmune disease that has required systemic treatment in the past 2 years (i.e. with use of disease modifying agents, corticosteroids or immunosuppressive drugs). Replacement therapy (eg., thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency, etc.) is not considered a form of systemic treatment.
• •Active Hepatitis B (e.g., HBsAg reactive) or Hepatitis C (e.g., HCV RNA \[qualitative\] is detected).
• •Positive human immunodeficiency virus (HIV) test and a known history of Human Immunodeficiency Virus (HIV) (HIV 1/2 antibodies).
• •Known psychiatric or substance abuse disorders that would interfere with cooperation with the requirements of the trial.
• •History of allergy to study drug components and no history of severe hypersensitivity reaction to any monoclonal antibody.
• •Prior anti-cancer monoclonal antibody (mAb) within 4 weeks prior to study Day 1.
• •Has not recovered (i.e.Grade 1 or at baseline) from adverse events due to agents administered more than 4 weeks earlier.
• •Known hypersensitivity to pembrolizumab or any of its excipients.
• •Is currently participating and receiving study therapy or has participated in a study of an investigational agent and received study therapy or used an investigational device within 4 weeks of the first dose of treatment.
• •Prior chemotherapy, targeted small molecule therapy, or radiation therapy within 2 weeks prior to study Day 1 or who has recovered (i.e., ≤ Grade 1 or at baseline) from adverse events due to a previously administered agent.
• •* Note: Subjects with ≤ Grade 2 neuropathy are an exception to this criterion and may qualify for the study.
• •* Note: If subject received major surgery, they must have recovered adequately from the toxicity and/or complications from the intervention prior to starting therapy.
• •History or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the trial, interfere with the subject's participation for the full duration of the trial, or is not in the best interest of the subject to participate, in the opinion of the treating investigator.