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HD17 for Intermediate Stage Hodgkin Lymphoma

Phase 3
Completed
Conditions
Hodgkin Lymphoma
Interventions
Drug: BEACOPPescalated (Bleomycin, Etoposide, Adriamycin, Cyclophosphamide, Vincristine, Procarbazine, Prednisone)
Drug: ABVD (Adriamycin, Bleomycin, Vinblastine, Dacarbazine)
Radiation: 30Gy IF-RT (Involved-Field Radiotherapy)
Radiation: 30Gy IN-RT (Involved-Node Radiotherapy)
Registration Number
NCT01356680
Lead Sponsor
University of Cologne
Brief Summary

This study is designed to test the non-inferiority of the experimental arm compared to the standard arm in terms of progression free survival (PFS).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
1100
Inclusion Criteria
  • Hodgkin Lymphoma
  • CS I, II with risk factor (stage IIB with risk factor 1 or 2 are not included)
  • large mediastinal mass (>1/3 of maximum transverse thorax diameter)
  • extranodal involvement
  • elevated ESR
  • 3 or more involved nodal areas
  • written informed consent
Exclusion Criteria
  • Leucocytes <3000/µl
  • Platelets < 100000/µl
  • Hodgkin Lymphoma as composite lymphoma
  • Activity Index (WHO) >2

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Arm ABEACOPPescalated (Bleomycin, Etoposide, Adriamycin, Cyclophosphamide, Vincristine, Procarbazine, Prednisone)2 cycles BEACOPPescalated plus 2 cycles ABVD followed by 30Gy IF-RT irrespective of FDG-PET results after chemotherapy
Arm A30Gy IF-RT (Involved-Field Radiotherapy)2 cycles BEACOPPescalated plus 2 cycles ABVD followed by 30Gy IF-RT irrespective of FDG-PET results after chemotherapy
Arm BBEACOPPescalated (Bleomycin, Etoposide, Adriamycin, Cyclophosphamide, Vincristine, Procarbazine, Prednisone)2 cycles BEACOPPescalated plus 2 cycles ABVD followed by 30Gy IN-RT if FDG-PET is positive after chemotherapy; 2 cycles BEACOPPescalated plus 2 cycles ABVD and treatment stop if FDG-PET is negative after chemotherapy
Arm B30Gy IN-RT (Involved-Node Radiotherapy)2 cycles BEACOPPescalated plus 2 cycles ABVD followed by 30Gy IN-RT if FDG-PET is positive after chemotherapy; 2 cycles BEACOPPescalated plus 2 cycles ABVD and treatment stop if FDG-PET is negative after chemotherapy
Arm AABVD (Adriamycin, Bleomycin, Vinblastine, Dacarbazine)2 cycles BEACOPPescalated plus 2 cycles ABVD followed by 30Gy IF-RT irrespective of FDG-PET results after chemotherapy
Arm BABVD (Adriamycin, Bleomycin, Vinblastine, Dacarbazine)2 cycles BEACOPPescalated plus 2 cycles ABVD followed by 30Gy IN-RT if FDG-PET is positive after chemotherapy; 2 cycles BEACOPPescalated plus 2 cycles ABVD and treatment stop if FDG-PET is negative after chemotherapy
Primary Outcome Measures
NameTimeMethod
Progression Free Survival3 years
Secondary Outcome Measures
NameTimeMethod
Overall Survival3 years
CR rate6 months

Rate of patients achieving a complete remission (CR/CRu) at final restaging after completion of study treatment

Trial Locations

Locations (1)

1st Dept. of Medicine, Cologne University Hospital

🇩🇪

Cologne, Germany

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