Prospective Study on HIV-related Hodgkin Lymphoma

NCT ID: NCT01468740

Last Updated: 2011-11-09

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

130 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-03-31

Study Completion Date

2012-07-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

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).

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

HIV-associated Hodgkin Lymphoma

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Doxorubicin

The four-drug ABVD chemotherapy regimen and the seven-drug BEACOPP-baseline chemotherapy regimen contain doxorubicin.

* Early stage favorable Hodgkin Lymphoma: 2 cycles of doxorubicin, bleomycin, vinblastine, and dacarbazine (ABVD) + 30 Gy involved field (IF) radiation
* Early stage unfavorable Hodgkin Lymphoma: 4 cycles of ABVD + 30 Gy involved field (IF) radiation or 4 cycles of bleomycin, etoposide, doxorubicin, cyclophosphamide, vincristine, procarbazine, and prednisone (BEACOPP)-baseline + 30 Gy IF radiation
* Advanced Hodgkin Lymphoma: 8 cycles of BEACOPP-baseline. 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.

Intervention Type DRUG

Bleomycin

The four-drug ABVD chemotherapy regimen and the seven-drug BEACOPP-baseline chemotherapy regimen contain bleomycin.

* Early stage favorable Hodgkin Lymphoma: 2 cycles of doxorubicin, bleomycin, vinblastine, and dacarbazine (ABVD) + 30 Gy involved field (IF) radiation
* Early stage unfavorable Hodgkin Lymphoma: 4 cycles of ABVD + 30 Gy involved field (IF) radiation or 4 cycles of bleomycin, etoposide, doxorubicin, cyclophosphamide, vincristine, procarbazine, and prednisone (BEACOPP)-baseline + 30 Gy IF radiation
* Advanced Hodgkin Lymphoma: 8 cycles of BEACOPP-baseline. 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.

Intervention Type DRUG

Vinblastine

The four-drug ABVD chemotherapy regimen contains vinblastine

* Early stage favorable Hodgkin Lymphoma: 2 cycles of doxorubicin, bleomycin, vinblastine, and dacarbazine (ABVD) + 30 Gy involved field (IF) radiation
* Early stage unfavorable Hodgkin Lymphoma: 4 cycles of ABVD + 30 Gy involved field (IF) radiation

Intervention Type DRUG

Dacarbazine

The four-drug ABVD chemotherapy regimen contains dacarbazine

* Early stage favorable Hodgkin Lymphoma: 2 cycles of doxorubicin, bleomycin, vinblastine, and dacarbazine (ABVD) + 30 Gy involved field (IF) radiation
* Early stage unfavorable Hodgkin Lymphoma: 4 cycles of ABVD + 30 Gy involved field (IF) radiation

Intervention Type DRUG

Etoposide

The seven-drug BEACOPP-baseline chemotherapy regimen contains etoposide.

* Early stage unfavorable Hodgkin Lymphoma: 4 cycles of bleomycin, etoposide, doxorubicin, cyclophosphamide, vincristine, procarbazine, and prednisone (BEACOPP)-baseline + 30 Gy IF radiation
* Advanced Hodgkin Lymphoma: 8 cycles of BEACOPP-baseline. 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.

Intervention Type DRUG

Cyclophosphamide

The seven-drug BEACOPP-baseline chemotherapy regimen contains cyclophosphamide.

* Early stage unfavorable Hodgkin Lymphoma: 4 cycles of bleomycin, etoposide, doxorubicin, cyclophosphamide, vincristine, procarbazine, and prednisone (BEACOPP)-baseline + 30 Gy IF radiation
* Advanced Hodgkin Lymphoma: 8 cycles of BEACOPP-baseline. 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.

Intervention Type DRUG

Vincristine

The seven-drug BEACOPP-baseline chemotherapy regimen contains vincristine.

* Early stage unfavorable Hodgkin Lymphoma: 4 cycles of bleomycin, etoposide, doxorubicin, cyclophosphamide, vincristine, procarbazine, and prednisone (BEACOPP)-baseline + 30 Gy IF radiation
* Advanced Hodgkin Lymphoma: 8 cycles of BEACOPP-baseline. 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.

Intervention Type DRUG

Procarbazine

The seven-drug BEACOPP-baseline chemotherapy regimen contains procarbazine.

* Early stage unfavorable Hodgkin Lymphoma: 4 cycles of bleomycin, etoposide, doxorubicin, cyclophosphamide, vincristine, procarbazine, and prednisone (BEACOPP)-baseline + 30 Gy IF radiation
* Advanced Hodgkin Lymphoma: 8 cycles of BEACOPP-baseline. 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.

Intervention Type DRUG

Prednisone

The seven-drug BEACOPP-baseline chemotherapy regimen contains prednisone.

* Early stage unfavorable Hodgkin Lymphoma: 4 cycles of bleomycin, etoposide, doxorubicin, cyclophosphamide, vincristine, procarbazine, and prednisone (BEACOPP)-baseline + 30 Gy IF radiation
* Advanced Hodgkin Lymphoma: 8 cycles of BEACOPP-baseline. 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.

Intervention Type DRUG

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

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

Exclusion Criteria

* 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
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Deutsche AIDS Gesellschaft e.V.

UNKNOWN

Sponsor Role collaborator

Harlachinger Krebshilfe e.V.

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Marcus Hentrich, MD

Role: PRINCIPAL_INVESTIGATOR

Harlaching Hospital, Academic Teaching Hospital of the University of Munich, Department of Hematology, Oncology and Palliative Care

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Vivantes Auguste Victoria Klinikum

Berlin, , Germany

Site Status RECRUITING

Ärzteforum Seestrasse

Berlin, , Germany

Site Status RECRUITING

Universiy of Bonn

Bonn, , Germany

Site Status RECRUITING

University of Cologne

Cologne, , Germany

Site Status RECRUITING

University of Frankfurt

Frankfurt, , Germany

Site Status RECRUITING

Asklepios Klinikum St. Georg

Hamburg, , Germany

Site Status RECRUITING

Infektionsmedizinisches Zentrum Hamburg

Hamburg, , Germany

Site Status RECRUITING

Harlaching Hospital

Munich, , Germany

Site Status RECRUITING

Countries

Review the countries where the study has at least one active or historical site.

Germany

Central Contacts

Reach out to these primary contacts for questions about participation or study logistics.

Marcus Hentrich, MD

Role: CONTACT

0049 89 6210 2663

Facility Contacts

Find local site contact details for specific facilities participating in the trial.

Markus Müller, MD

Role: primary

0049 30 130 20 2321

Marcel Berger, MD

Role: backup

0049 30 130 20 2321

Jan Siehl, MD

Role: primary

0049 30 455095-0

Juergen Rockstroh, MD

Role: primary

0049 228 287 16558

Christoph Wyen, MD

Role: primary

0049 221 478 88835

Gerd Fätkenheuer, MD

Role: backup

0049 221 478 4886

Timo Wolf, MD

Role: primary

0049 69 6301 5452

Maike Nickelsen, MD

Role: primary

0049 40 18 18 85 20 05

Christian Hoffmann, MD

Role: primary

0049 40 4132420

Marcus Hentrich, MD

Role: primary

0049 89 6210 2663 or 2731

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

HIV-HL 2004

Identifier Type: -

Identifier Source: org_study_id