Pembrolizumab in First-Line Treatment of Advanced-Stage Classical Hodgkin Lymphoma

NCT ID: NCT06045195

Last Updated: 2025-04-06

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

NOT_YET_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-08-31

Study Completion Date

2029-01-31

Brief Summary

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The primary objective of this trial is to estimate efficacy of the novel regimen. The primary endpoint is the 1-year PFS rate after treatment with one dose of pembrolizumab followed by four to six cycles of chemo-immunotherapy with P-BrECADD, and PET-guided radiotherapy as per standard of care

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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Treatment

Pembrolizumab + BrECADD

Group Type EXPERIMENTAL

Pembrolizumab

Intervention Type DRUG

As induction therapy, all participants will receive one dose of single-agent pembrolizumab (P) followed by two cycles of chemo-immunotherapy consisting of pembrolizumab and BrECADD (P-BrECADD). Response to induction therapy will be measured after 1x P (PET-1) and after 1x P + 2x P-BrECADD (PET-3).

Further systemic treatment is PET-3-guided. Complete metabolic responses will be consolidated with two further cycles of P-BrECADD while participants with a positive PET-3 will receive four further cycles of P-BrECADD. PET-positive lesions after completion of chemo-immunotherapy will be recommended for consolidating radiotherapy according to standard of care.

Interventions

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Pembrolizumab

As induction therapy, all participants will receive one dose of single-agent pembrolizumab (P) followed by two cycles of chemo-immunotherapy consisting of pembrolizumab and BrECADD (P-BrECADD). Response to induction therapy will be measured after 1x P (PET-1) and after 1x P + 2x P-BrECADD (PET-3).

Further systemic treatment is PET-3-guided. Complete metabolic responses will be consolidated with two further cycles of P-BrECADD while participants with a positive PET-3 will receive four further cycles of P-BrECADD. PET-positive lesions after completion of chemo-immunotherapy will be recommended for consolidating radiotherapy according to standard of care.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* age 18-60
* advanced stage classical Hodgkin Lymphoma
* no previous treatment for cHL

Exclusion Criteria

* Nodular lymphocyte-predominant Hodgkin lymphoma or composite lymphoma
* Chemotherapy or radiotherapy in medical history
* Prior or concurrent disease that prevents treatment according to protocol
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Cologne

OTHER

Sponsor Role lead

Responsible Party

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Prof. Dr. Peter Borchmann

Prof.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Peter Borchmann, Prof.

Role: PRINCIPAL_INVESTIGATOR

1st Department of Medicine, Cologne University Hospital

Locations

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1st Department of Medicine, Cologne University Hospital

Cologne, , Germany

Site Status

Countries

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Germany

Central Contacts

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Michael Fuchs

Role: CONTACT

+49221478 ext. 88160

Other Identifiers

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Uni-Koeln-4938

Identifier Type: -

Identifier Source: org_study_id

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