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临床试验/NCT01468740
NCT01468740Unknown2 期

A Prospective Multicenter Study on HIV-associated Hodgkin Lymphoma

Harlachinger Krebshilfe e.V.16 个研究点 分布在 1 个国家目标入组 130 人开始时间: 2004年3月1日最近更新:
适应症
相关药物

试验速览

阶段
2 期
发起方
入组人数
130
试验地点
16
主要终点
Number of patients with World Health Organization (WHO) grade 3 and grade 4 toxicity

研究概览

简要总结

Standard therapy for HIV-related Hodgkin lymphoma (HIV-HL) has not been defined. This trial was initiated to investigate a risk adapted treatment strategy in patients (pts) with HIV-HL as established in HIV-negative patients with HL.

Treatment schedule:

  • Early stage favorable Hodgkin Lymphoma (HL): 2 cycles of doxorubicin, bleomycin, vinblastine, and dacarbazine (ABVD) plus 30 Gy involved field (IF) radiation
  • Early stage unfavorable HL: 4 cycles of bleomycin, etoposide, doxorubicin, cyclophosphamide, vincristine, procarbazine, and prednisone (BEACOPP)-baseline or 4 cycles of ABVD plus 30 Gy IF radiation
  • Advanced HL: 8 cycles of BEACOPP-baseline. BEACOPP should be replaced by ABVD in pts with far advanced HIV-infection. After the completion of chemotherapy sites of initial bulky disease (those at least 5 cm in diameter) and residual tumor larger than 2.5 cm in diameter receive 30 Gy of irradiation.
  • Primary outcome measure: tolerability, treatment-related mortality
  • Secondary outcome measure: complete remission rate, progression-free survival (PFS), overall survival (OS).

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 75 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • age 18 - 75 years
  • proven infection with HIV 1 (Elisa and Western Blot)
  • histology-proven newly diagnosed Hodgkin lymphoma
  • written, informed consent.

排除标准

  • severe cardiac, hepatic or pulmonary insufficiency
  • severe renal insufficiency (creatinine > 2,0 mg/dl) not caused by lymphoma
  • bone marrow failure, not caused by lymphoma or HAART (neutrophils < 1000/µl, platelets < 70.000/µl)
  • uncontrolled infection
  • uncontrolled drug addiction or psychiatric disease
  • pregnancy or lactation period
  • prior chemotherapy of Hodgkin lymphoma
  • life expectancy < 6 weeks
  • HIV-related wasting-syndrome
  • active secondary malignancy with cervix carcinoma in situ, basalioma and Kaposi's sarcoma being excepted

结局指标

主要结局

Number of patients with World Health Organization (WHO) grade 3 and grade 4 toxicity

时间窗: 30 days after termination of chemotherapy or radiotherapy

Treatment related mortality

时间窗: 30 days after termination of chemotherapy or radiotherapy

次要结局

  • Overall Survival(12 months and 24 months after termination of chemotherapy or radiotherapy)
  • Progression-free survival(12 months and 24 months after termination of chemotherapy or radiotherapy)
  • Complete remission rate(30 days and 90 days after termination of chemotherapy or radiotherapy)

研究者

发起方
Harlachinger Krebshilfe e.V.
申办方类型
Other
责任方
Sponsor

研究点 (16)

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Prospective Study on HIV-related Hodgkin Lymphoma | 临床试验