A Phase II Study VEPEMB In Patients With Hodgkin's Lymphoma Aged ≥ 60 Years

NCT ID: NCT00079105

Last Updated: 2017-03-30

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

175 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-01-31

Study Completion Date

2010-12-31

Brief Summary

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RATIONALE: Drugs used in chemotherapy, such as vinblastine, cyclophosphamide, procarbazine, prednisolone, etoposide, mitoxantrone, and bleomycin, work in different ways to stop cancer cells from dividing so they stop growing or die. Combining more than one chemotherapy drug may kill more cancer cells.

PURPOSE: This phase II trial is studying how well combination chemotherapy works in treating older patients with previously untreated Hodgkin's lymphoma.

Detailed Description

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OBJECTIVES:

Primary

* Determine the efficacy and toxicity of vinblastine, cyclophosphamide, procarbazine, prednisolone, etoposide, mitoxantrone, and bleomycin in older patients with Hodgkin's lymphoma.
* Determine whether the application of the Hasenclever prognostic index is valid in these patients at diagnosis.

OUTLINE: This is an open-label, multicenter study.

* Chemotherapy: Patients receive vinblastine IV and cyclophosphamide IV on day 1; oral procarbazine and oral prednisolone on days 1-5; oral etoposide on days 15-19; and mitoxantrone IV and bleomycin IV on day 15. Treatment repeats every 28 days, in the absence of disease progression or unacceptable toxicity, for a total of 3 courses in patients with early (stage IA or IIA) disease or 6 courses in patients with advanced (stage IB or IIB-IV) disease.
* Radiotherapy: Patients with early stage disease receive involved-field radiotherapy. Patients with advanced stage disease receive radiotherapy limited to sites of initial bulky disease or residual disease. Radiotherapy begins 4 weeks after the completion of chemotherapy.

Patients are followed monthly for 3 months, every 3 months for 6 months, and then annually thereafter.

Peer Reviewed and Funded or Endorsed by Cancer Research UK

PROJECTED ACCRUAL: A total of 150 patients will be accrued for this study within 36 months.

Conditions

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Lymphoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Treatment

Treatment with VEPEMB - Vinblastine sulfate, Cyclophosphamide, Procarbazine hydrochloride, Prednisolone, Etoposide, Mitoxantrone hydrochloride, and Bleomycin sulfate

Group Type ACTIVE_COMPARATOR

bleomycin sulfate

Intervention Type BIOLOGICAL

Treatment

cyclophosphamide

Intervention Type DRUG

Treatment

etoposide

Intervention Type DRUG

Treatment

mitoxantrone hydrochloride

Intervention Type DRUG

Treatment

prednisolone

Intervention Type DRUG

Treatment

procarbazine hydrochloride

Intervention Type DRUG

Treatment

vinblastine sulfate

Intervention Type DRUG

Treatment

Registration

Registration, without treatment

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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bleomycin sulfate

Treatment

Intervention Type BIOLOGICAL

cyclophosphamide

Treatment

Intervention Type DRUG

etoposide

Treatment

Intervention Type DRUG

mitoxantrone hydrochloride

Treatment

Intervention Type DRUG

prednisolone

Treatment

Intervention Type DRUG

procarbazine hydrochloride

Treatment

Intervention Type DRUG

vinblastine sulfate

Treatment

Intervention Type DRUG

Other Intervention Names

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Blenoxane Cytoxan Eposin Etopophos Vepesid Novantrone Flo-Pred Pediapred Orapred Matulane Vincristine

Eligibility Criteria

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Inclusion Criteria

Histologically confirmed classical Hodgkin Lymphoma (HL). No previous treatment for HL. Age ≥ 60. "Non fragile" patient (see Appendix 1) i.e. patient's mental and physical status must be sufficient to withstand the treatment described.

No concomitant neoplasia requiring treatment or known HIV infection. Written informed consent.

Exclusion Criteria

Nodular lymphocyte predominance Hodgkin Lymphoma (NLPHL) Age \<60. Patient previously treated for HL. Known HIV infection or concomitant neoplasia. "Fragile patient" (see Appendix 1) or significant abnormality of another system (pulmonary, cardiac, renal, and hepatic) which is a contraindication to full dose chemotherapy.

Unable to give informed consent.
Minimum Eligible Age

60 Years

Maximum Eligible Age

120 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Newcastle-upon-Tyne Hospitals NHS Trust

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Stephen J. Proctor, MD

Role: STUDY_CHAIR

University of Newcastle Upon-Tyne

Helen H. Lucraft, MD

Role: STUDY_DIRECTOR

Northern Centre for Cancer Treatment at Newcastle General Hospital

Katrina M. Wood, MD

Role: STUDY_DIRECTOR

Sir James Spence Institute of Child Health at Royal Victoria Infirmary

Locations

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Medizinische Universitaetsklinik I at the University of Cologne

Cologne, , Germany

Site Status

Wansbeck General Hospital

Ashington, England, United Kingdom

Site Status

Basingstoke and North Hampshire NHS Foundation Trust

Basingstoke, England, United Kingdom

Site Status

Royal United Hospital

Bath, England, United Kingdom

Site Status

Good Hope Hospital

Birmingham, England, United Kingdom

Site Status

Blackpool Victoria Hospital

Blackpool, England, United Kingdom

Site Status

Royal Bournemouth Hospital

Bournemouth, England, United Kingdom

Site Status

Bradford Royal Infirmary

Bradford, England, United Kingdom

Site Status

Kent and Canterbury Hospital

Canterbury, England, United Kingdom

Site Status

Cumberland Infirmary

Carlisle, England, United Kingdom

Site Status

Saint Richards Hospital

Chichester, England, United Kingdom

Site Status

University Hospital of North Durham

Durham, England, United Kingdom

Site Status

Queen Elizabeth Hospital

Gateshead-Tyne and Wear, England, United Kingdom

Site Status

Medway Maritime Hospital

Gillingham Kent, England, United Kingdom

Site Status

Diana Princess of Wales Hospital

Grimsby, England, United Kingdom

Site Status

Harrogate District Hospital

Harrogate, England, United Kingdom

Site Status

Hull Royal Infirmary

Hull, England, United Kingdom

Site Status

Ipswich Hospital

Ipswich, England, United Kingdom

Site Status

Airedale General Hospital

Keighley, England, United Kingdom

Site Status

Kettering General Hosptial

Kettering, Northants, England, United Kingdom

Site Status

Leeds General Infirmary

Leeds, England, United Kingdom

Site Status

Leicester Royal Infirmary

Leicester, England, United Kingdom

Site Status

Royal Liverpool University Hospital

Liverpool, England, United Kingdom

Site Status

University College Hospital - London

London, England, United Kingdom

Site Status

Maidstone Hospital

Maidstone, England, United Kingdom

Site Status

Manchester Royal Infirmary

Manchester, England, United Kingdom

Site Status

Christie Hospital

Manchester, England, United Kingdom

Site Status

Trafford General Hospital

Manchester, England, United Kingdom

Site Status

James Cook University Hospital

Middlesbrough, England, United Kingdom

Site Status

University of Newcastle-Upon-Tyne Northern Institute for Cancer Research

Newcastle upon Tyne, England, United Kingdom

Site Status

Northern Centre for Cancer Treatment at Newcastle General Hospital

Newcastle upon Tyne, England, United Kingdom

Site Status

North Tyneside Hospital

North Shields, England, United Kingdom

Site Status

Northampton General Hospital

Northampton, England, United Kingdom

Site Status

Mount Vernon Cancer Centre at Mount Vernon Hospital

Northwood, England, United Kingdom

Site Status

Dorset Cancer Centre

Poole Dorset, England, United Kingdom

Site Status

Pembury Hospital

Royal Tunbridge Wells, Kent, England, United Kingdom

Site Status

Royal Hallamshire Hospital

Sheffield, England, United Kingdom

Site Status

Wexham Park Hospital

Slough, Berkshire, England, United Kingdom

Site Status

South Tyneside District Hospital

South Shields, England, United Kingdom

Site Status

Southampton General Hospital

Southampton, England, United Kingdom

Site Status

Staffordshire General Hospital

Stafford, England, United Kingdom

Site Status

University Hospital of North Staffordshire

Stoke-On-Trent Staffs, England, United Kingdom

Site Status

Sunderland Royal Hospital

Sunderland, England, United Kingdom

Site Status

Royal Cornwall Hospital

Truro, Cornwall, England, United Kingdom

Site Status

West Cumberland Hospital

Whitehaven, England, United Kingdom

Site Status

Cancer Care Centre at York Hospital

York, England, United Kingdom

Site Status

Aberdeen Royal Infirmary

Aberdeen, Scotland, United Kingdom

Site Status

Monklands General Hospital

Airdrie, Scotland, United Kingdom

Site Status

Edinburgh Cancer Centre at Western General Hospital

Edinburgh, Scotland, United Kingdom

Site Status

Western Infirmary

Glasgow, Scotland, United Kingdom

Site Status

Raigmore Hospital

Inverness, Scotland, United Kingdom

Site Status

Royal Alexandra Hospital

Paisley, Scotland, United Kingdom

Site Status

Wishaw General Hospital

Wishaw, Scotland, United Kingdom

Site Status

Barnet General Hospital

Barnet, Hertfordshire, , United Kingdom

Site Status

Countries

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Germany United Kingdom

Other Identifiers

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UON-SHIELD

Identifier Type: OTHER

Identifier Source: secondary_id

EU-20346

Identifier Type: OTHER

Identifier Source: secondary_id

CDR0000354225

Identifier Type: -

Identifier Source: org_study_id

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