Combination Chemotherapy in Treating Patients With Advanced Hodgkin's Lymphoma

NCT ID: NCT00002715

Last Updated: 2020-08-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

1989-04-30

Study Completion Date

2015-10-31

Brief Summary

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RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells.

PURPOSE: Phase II trial to study the effectiveness of combination chemotherapy in treating patients who have advanced Hodgkin's lymphoma.

Detailed Description

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OBJECTIVES:

* Determine the feasibility of short term chemotherapy with the Stanford V regimen (mechlorethamine, doxorubicin, vinblastine, prednisone, vincristine, bleomycin, and etoposide) followed by, as indicated, consolidative radiotherapy in patients with stage IIB, IIIA, IIIB, or IV Hodgkin's lymphoma.
* Determine the initial response to 8 weeks of Stanford V chemotherapy in these patients.
* Assess the complete and partial response rate to 12 weeks of Stanford V chemotherapy in these patients.
* Determine the acute toxicity associated with this treatment.
* Determine the disease free interval and survival following Stanford V chemotherapy with or without consolidative radiotherapy in these patients.

OUTLINE: All patients are treated on Regimen A with the Stanford V Regimen; those with initial bulky, residual, or splenic disease who achieve a CR/PR proceed to Regimen B.

* Regimen A: Patients receive mechlorethamine IV on weeks 1, 5, and 9; doxorubicin and vinblastine IV on weeks 1, 3, 5, 7, 9, and 11; vincristine and bleomycin IV on weeks 2, 4, 6, 8, 10, and 12; etoposide IV over 30-45 minutes for 2 consecutive days on weeks 3, 7, and 11; and prednisone orally every other day on days 1-84. Treatment continues for 8-12 weeks, depending on response, in the absence of disease progression or unacceptable toxicity.
* Regimen B: Patients begin radiotherapy 2-4 weeks after completion of Regimen A. Patients receive radiotherapy to lungs, pleura, and other extralymphatic sites for approximately 5 weeks.

Patients are followed for survival.

PROJECTED ACCRUAL: A total of 50 patients will be entered if at least 16 of the first 22 patients respond. As of 03/96, it is expected that a total of 45 patients each with stage III/IV disease and 40 with unfavorable stage II disease will be accrued.

Conditions

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Lymphoma

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Combination Chemotherapy (Stanford V)

A combination chemotherapy regimen consisting of mechlorethamine, doxorubicin hydrochloride, vinblastine, vincristine, bleomycin, etoposide and prednisone, administered on a compressed schedule

Group Type EXPERIMENTAL

Bleomycin sulfate

Intervention Type BIOLOGICAL

A component of the Stanford V regimen.

Stanford V regimen

Intervention Type DRUG

Doxorubicin hydrochloride

Intervention Type DRUG

A component of the Stanford V regimen.

Etoposide

Intervention Type DRUG

A component of the Stanford V regimen.

Mechlorethamine hydrochloride

Intervention Type DRUG

A component of the Stanford V regimen.

Prednisone

Intervention Type DRUG

A component of the Stanford V regimen.

Vinblastine

Intervention Type DRUG

A component of the Stanford V regimen.

Vincristine sulfate

Intervention Type DRUG

A component of the Stanford V regimen.

Interventions

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Bleomycin sulfate

A component of the Stanford V regimen.

Intervention Type BIOLOGICAL

Stanford V regimen

Intervention Type DRUG

Doxorubicin hydrochloride

A component of the Stanford V regimen.

Intervention Type DRUG

Etoposide

A component of the Stanford V regimen.

Intervention Type DRUG

Mechlorethamine hydrochloride

A component of the Stanford V regimen.

Intervention Type DRUG

Prednisone

A component of the Stanford V regimen.

Intervention Type DRUG

Vinblastine

A component of the Stanford V regimen.

Intervention Type DRUG

Vincristine sulfate

A component of the Stanford V regimen.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

DISEASE CHARACTERISTICS:

* Histologically confirmed Hodgkin's lymphoma of any histology
* Unfavorable disease required

* Clinical stage IIIA, IIIB, IV, or IIB (non-bulky)
* Locally extensive stage I or II with either of the following:

* Mediastinal mass greater than 1/3 the maximum intrathoracic diameter
* Two or more extranodal sites

PATIENT CHARACTERISTICS:

Age:

* 18 to 60

Performance status:

* Not specified

Life expectancy:

* Not specified

Hematopoietic:

* Not specified

Hepatic:

* Not specified

Renal:

* Not specified

Other:

* No prior malignancy except nonmelanomatous skin cancer
* No significant concurrent illness that precludes protocol participation

PRIOR CONCURRENT THERAPY:

* No prior treatment for Hodgkin's lymphoma

Biologic therapy

* Not specified

Chemotherapy

* Not specified

Endocrine therapy

* Not specified

Radiotherapy

* Not specified

Surgery

* Not specified
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

Stanford University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Sandra J. Horning, MD

Role: STUDY_CHAIR

Stanford University

Locations

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Stanford Cancer Center at Stanford University Medical Center

Stanford, California, United States

Site Status

Countries

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United States

References

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Horning SJ, Rosenberg SA, Hoppe RT. Brief chemotherapy (Stanford V) and adjuvant radiotherapy for bulky or advanced Hodgkin's disease: an update. Ann Oncol. 1996;7 Suppl 4:105-8. doi: 10.1093/annonc/7.suppl_4.s105.

Reference Type RESULT
PMID: 8836420 (View on PubMed)

Bartlett NL, Rosenberg SA, Hoppe RT, Hancock SL, Horning SJ. Brief chemotherapy, Stanford V, and adjuvant radiotherapy for bulky or advanced-stage Hodgkin's disease: a preliminary report. J Clin Oncol. 1995 May;13(5):1080-8. doi: 10.1200/JCO.1995.13.5.1080.

Reference Type RESULT
PMID: 7537796 (View on PubMed)

Other Identifiers

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SUMC-G2/G3

Identifier Type: OTHER

Identifier Source: secondary_id

CDR0000064551

Identifier Type: OTHER

Identifier Source: secondary_id

SQL 76234

Identifier Type: OTHER

Identifier Source: secondary_id

NCI-H96-0806

Identifier Type: OTHER

Identifier Source: secondary_id

IRB-13467

Identifier Type: -

Identifier Source: org_study_id

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