Brentuximab for Newly Diagnosed Hodgkin Disease

NCT ID: NCT02398240

Last Updated: 2023-10-26

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

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-05-31

Study Completion Date

2022-12-31

Brief Summary

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The addition of Brentuximab vedotin (Bv) to combination chemotherapy will be safe, well tolerated and effective in children, adolescents and young adults with all stages of newly diagnosed Hodgkin lymphoma (HL).

Detailed Description

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Conditions

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Hodgkin Lymphoma

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Low Risk

Low Risk Patients (Stage IA, IIA; no bulky disease or extension): 3 cycles of chemotherapy

Group Type EXPERIMENTAL

Brentuximab Vedotin

Intervention Type DRUG

Day 1 and 15 Dose: 1.2 mg/kg/dose. (Maximum dose is 120 mg)

Doxorubicin

Intervention Type DRUG

Days: 1 and 15 Dose: 25 mg/m2/dose.

Vincristine

Intervention Type DRUG

Days: 1 and 15 Dose: 1.5 mg/m2/dose (max: 2 mg/dose).

Intermediate Risk

Intermediate Risk Patients (Stage IA bulk/E, IB, IIA bulk/E, IIB, IIIA): 4 cycles of chemotherapy

Group Type EXPERIMENTAL

Brentuximab Vedotin

Intervention Type DRUG

Day 1 and 15 Dose: 1.2 mg/kg/dose. (Maximum dose is 120 mg)

Doxorubicin

Intervention Type DRUG

Days: 1 and 15 Dose: 25 mg/m2/dose.

Vincristine

Intervention Type DRUG

Days: 1 and 15 Dose: 1.5 mg/m2/dose (max: 2 mg/dose).

Rituximab

Intervention Type DRUG

Days: 2 and 16 Dose: 375 mg/m2/dose.

High Risk

High Risk Patients (Stage IIIA bulk/ E, IIIB, IVA/B): 6 cycles of chemotherapy

Group Type EXPERIMENTAL

Brentuximab Vedotin

Intervention Type DRUG

Day 1 and 15 Dose: 1.2 mg/kg/dose. (Maximum dose is 120 mg)

Doxorubicin

Intervention Type DRUG

Days: 1 and 15 Dose: 25 mg/m2/dose.

Vincristine

Intervention Type DRUG

Days: 1 and 15 Dose: 1.5 mg/m2/dose (max: 2 mg/dose).

Rituximab

Intervention Type DRUG

Days: 2 and 16 Dose: 375 mg/m2/dose.

Interventions

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Brentuximab Vedotin

Day 1 and 15 Dose: 1.2 mg/kg/dose. (Maximum dose is 120 mg)

Intervention Type DRUG

Doxorubicin

Days: 1 and 15 Dose: 25 mg/m2/dose.

Intervention Type DRUG

Vincristine

Days: 1 and 15 Dose: 1.5 mg/m2/dose (max: 2 mg/dose).

Intervention Type DRUG

Rituximab

Days: 2 and 16 Dose: 375 mg/m2/dose.

Intervention Type DRUG

Other Intervention Names

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Adcetris Doxil, Adriamycin Oncovin Rituxan

Eligibility Criteria

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Inclusion Criteria

* Normal Serum creatinine based on age or creatinine clearance \>60 ml/min/1.73 m2 or an equivalent radioisotope glomerular filtration rate (GFR) as determined by the institutional normal range.
* Direct bilirubin \< 1.5 upper limit of normal (ULN) for age, and SGOT (AST) or SGPT (ALT) \<3 x ULN
* Shortening fraction \>27% by echocardiogram, or
* Ejection fraction of \>50% by radionuclide angiogram or echocardiogram.
* For patients age 1-16 years, Lansky score of ≥60.
* For patients \> 16 years, Karnofsky score of ≥60.
* No prior Hodgkin lymphoma directed therapy is allowed except for emergent mediastinal irradiation (\<1000cGy) for superior vena cava (SVC) syndrome.

Exclusion Criteria

* Females who are pregnant (positive HCG) or lactating.
* Karnofsky \<60% or Lansky \<60% if less than 16 years of age.
* Age ≤1 year or \>29.99 years of age.
Minimum Eligible Age

1 Year

Maximum Eligible Age

29 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mitchell Cairo

OTHER

Sponsor Role lead

Responsible Party

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Mitchell Cairo

Executive Vice Chair

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Jessica Hochberg, MD

Role: PRINCIPAL_INVESTIGATOR

New York Medical College

Locations

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New York Medical College

Valhalla, New York, United States

Site Status

Countries

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United States

References

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Hochberg J, Basso J, Shi Q, Klejmont L, Flower A, Bortfeld K, Harrison L, van de Ven C, Moorthy C, Islam H, Gerard P, Voss S, Cairo MS. Risk-adapted chemoimmunotherapy using brentuximab vedotin and rituximab in children, adolescents, and young adults with newly diagnosed Hodgkin's lymphoma: a phase II, non-randomized controlled trial. J Immunother Cancer. 2022 May;10(5):e004445. doi: 10.1136/jitc-2021-004445.

Reference Type BACKGROUND
PMID: 35584865 (View on PubMed)

Other Identifiers

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NYMC-568

Identifier Type: -

Identifier Source: org_study_id

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