Early Chemotherapy Intensification in Interim-Positron Emission Tomography (PET) Positive Hodgkin Lymphoma

NCT ID: NCT00877747

Last Updated: 2015-10-19

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

UNKNOWN

Total Enrollment

160 participants

Study Classification

OBSERVATIONAL

Study Start Date

2006-01-31

Study Completion Date

2015-10-31

Brief Summary

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Early interim-PET after two courses of chemotherapy is a powerful outcome predictor in advanced-stage Hodgkin Lymphoma (HL) patients treated with adriamycin (doxorubicin), bleomycin, vinblastine and dacarbazine (ABVD). Two-year Progression Free Survival of PET-2 positive patients is only 12%, but the optimal treatment for this patient subset is still unknown.

From January 2006 GITIL (Gruppo Italiano Terapie Innovative nei Linfomi) suggested an early intensification of chemotherapy with BEACOPP \[Bleomycin, Etoposide, Adriamycin (doxorubicin), Cyclophosphamide, Oncovin (vincristine), Procarbazine, and Prednisone\](4 escalated + 4 baseline cycles) for all the HL patients with a positive PET-2 after 2 ABVD courses. The investigators retrospectively recorded and analyzed these data in order to evaluate if this strategy could be of benefit for this subset of patients.

Detailed Description

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Conditions

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Hodgkin Lymphoma

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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PET2 negative

Patients with negative early interim PET after 2 courses of ABVD who continued therapy with ABVD

No interventions assigned to this group

PET2 positive

Patients with positive early interim PET after 2 courses of ABVD who changed their therapy to BEACOPP

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Patients with advanced Hodgkin's lymphoma according to the World Health Organization classification
* Age 16-80
* Not previously treated
* Stage IIB to IVB or stage IIA with adverse prognostic factors (more than 3 nodal sites, ESR \> 50 mm, bulky lesion)
* Written informed consent

Exclusion Criteria

* Patients aged more than 80
* Concomitant or previously treated neoplastic disorder less than 5 years before the diagnosis of Hodgkin's lymphoma
* Psychiatric disorders
* Uncontrolled infectious disease
* Impaired cardiac (EF \< 50%) or renal (creatinine clearance \< 60 ml/m)function
* Pregnancy and lactation
* Uncompensated diabetes mellitus and fasting glucose levels over 200 mg/dl
Minimum Eligible Age

16 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ospedale Santa Croce-Carle Cuneo

OTHER

Sponsor Role lead

Responsible Party

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DR. ANDREA GALLAMINI

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Andrea Gallamini, MD

Role: PRINCIPAL_INVESTIGATOR

Azienda Ospedaliera Santa Croce e Carle

Locations

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Azienda Ospedaliera Santa Croce e Carle

Cuneo, , Italy

Site Status

Countries

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Italy

References

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Gallamini A, Hutchings M, Rigacci L, Specht L, Merli F, Hansen M, Patti C, Loft A, Di Raimondo F, D'Amore F, Biggi A, Vitolo U, Stelitano C, Sancetta R, Trentin L, Luminari S, Iannitto E, Viviani S, Pierri I, Levis A. Early interim 2-[18F]fluoro-2-deoxy-D-glucose positron emission tomography is prognostically superior to international prognostic score in advanced-stage Hodgkin's lymphoma: a report from a joint Italian-Danish study. J Clin Oncol. 2007 Aug 20;25(24):3746-52. doi: 10.1200/JCO.2007.11.6525. Epub 2007 Jul 23.

Reference Type BACKGROUND
PMID: 17646666 (View on PubMed)

Gallamini A, Patti C, Viviani S, Rossi A, Fiore F, Di Raimondo F, Cantonetti M, Stelitano C, Feldman T, Gavarotti P, Sorasio R, Mule A, Leone M, Rambaldi A, Biggi A, Barrington S, Fallanca F, Ficola U, Chauvie S, Gianni AM; Gruppo Italiano Terapie Innovative nei Linfomi (GITIL). Early chemotherapy intensification with BEACOPP in advanced-stage Hodgkin lymphoma patients with a interim-PET positive after two ABVD courses. Br J Haematol. 2011 Mar;152(5):551-60. doi: 10.1111/j.1365-2141.2010.08485.x. Epub 2010 Dec 20.

Reference Type DERIVED
PMID: 21166786 (View on PubMed)

Other Identifiers

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HD-PET-intens-retr

Identifier Type: -

Identifier Source: org_study_id

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