A Study of Brentuximab Vedotin With Doxorubicin, Vinblastine and Dacarbazine in Adults With Hodgkin Lymphoma in India

NCT ID: NCT06831370

Last Updated: 2025-02-18

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

RECRUITING

Clinical Phase

PHASE4

Total Enrollment

124 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-08-28

Study Completion Date

2026-03-31

Brief Summary

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The main aim of this study is to check how safe brentuximab vedotin is in adults with untreated Hodgkin Lymphoma (HL) when given together with doxorubicin (Adriamycin), vinblastine and dacarbazine therapy ('AVD'). Another aim is to learn how well treatment of brentuximab vedotin plus AVD works.

All participants will receive brentuximab vedotin plus AVD for approximately 6 months. Participants will undergo tests like Echocardiography (ECHO) and pulmonary function testing (PFT) during the study. ECHO is a test that uses ultrasound to show how the heart muscle and valves are working; PFT is a test to check how well a participant's lungs work.

Each participant will undergo a final health status check 2 months after the last treatment with brentuximab vedotin plus AVD.

Detailed Description

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Conditions

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Hodgkin Lymphoma

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Brentuximab Vedotin 1.2 mg/kg

Participants will receive 1.2 milligrams per kilogram (mg/kg) brentuximab vedotin intravenous (IV) infusion on Days 1 and 15 of each 28-day cycle, within 1 hour after completion of treatment with other agents \[25 milligrams per meter square (mg/m\^2) doxorubicin, 6 mg/m\^2 vinblastine and 375 mg/m\^2 dacarbazine IV infusions\] for a maximum of 6 cycles.

Group Type EXPERIMENTAL

Brentuximab Vedotin

Intervention Type DRUG

Brentuximab Vedotin IV infusion

Doxorubicin

Intervention Type DRUG

Doxorubicin IV infusion

Vinblastine

Intervention Type DRUG

Vinblastine IV infusion

Dacarbazine

Intervention Type DRUG

Dacarbazine IV infusion

Interventions

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Brentuximab Vedotin

Brentuximab Vedotin IV infusion

Intervention Type DRUG

Doxorubicin

Doxorubicin IV infusion

Intervention Type DRUG

Vinblastine

Vinblastine IV infusion

Intervention Type DRUG

Dacarbazine

Dacarbazine IV infusion

Intervention Type DRUG

Other Intervention Names

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Adcetris Adriamycin

Eligibility Criteria

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Inclusion Criteria

1. Treatment-naïve, Hodgkin lymphoma (HL) participants with Ann Arbor Stage 3 or 4 disease.

Note: Participants must have histologically confirmed classical HL according to the current world health organization classification.
2. Participants must have bidimensional measurable disease as documented by radiographic technique (spiral computed tomography \[CT\] preferred) per the international working group revised criteria for response assessment for malignant lymphoma.
3. Male or female participants 18 years or older.
4. Eastern cooperative oncology group (ECOG) performance status less than or equal to (≤)2.
5. Female participants who:

* Are postmenopausal for at least 1 year before the screening visit, OR
* Are surgically sterile, OR
* If they are of childbearing potential, agree to practice 1 highly effective method and 1 additional effective (barrier) method of contraception at the same time, from the time of signing of the informed consent form (ICF) through 6 months after the last dose of study drug, OR
* Agree to practice true abstinence when this is in line with the preferred and usual lifestyle of the participant. (Periodic abstinence \[e.g., calendar, ovulation, symptothermal, post-ovulation methods\], withdrawal, spermicides only, and lactational amenorrhea are not acceptable methods of contraception. Female and male condoms should not be used together).
6. Male participants, even if surgically sterilized (i.e., status post-vasectomy), who:

* Agree to practice effective barrier contraception during the entire study treatment period and through 6 months after the last dose of study drug, OR
* Agree to practice true abstinence when this is in line with the preferred and usual lifestyle of the participant. (Periodic abstinence \[e.g., calendar, ovulation, symptothermal, post-ovulation methods for the female partner\], withdrawal, spermicides only, and lactational amenorrhea are not acceptable methods of contraception. Female and male condoms should not be used together).
7. Voluntary written consent must be given before performance of any study-related procedure not part of standard medical care, with the understanding that consent may be withdrawn by the participant at any time without prejudice to future medical care.
8. Clinical laboratory values as specified below within 7 days before the first dose of study drug:

* Absolute neutrophil count greater than or equal to (≥)1,000 per microliter (1,000/μL) unless there is known HL marrow involvement
* Platelet count ≥75,000/μL unless there is known HL marrow involvement
* Total bilirubin must be lesser than (\<)1.5 x upper limit of the normal range (ULN) unless the elevation is known to be due to Gilbert syndrome.
* Alanine Aminotransferase (ALT) or aspartate aminotransferase (AST) must be \<3.0 x ULN. An AST and ALT may be elevated up to 5 times the ULN if their elevation can be reasonably ascribed to the presence of HL in liver.

Note: Moderate or severe hepatic disease patients will be excluded based upon Child-Pugh criteria.

* Serum creatinine must be \<2.0 milligrams per deciliter (mg/dL) and/or creatinine clearance or calculated creatinine clearance \>30 mL/minute (Cockcroft-Gault Equation).
* Hemoglobin must be ≥8 grams per deciliter (g/dL).

Exclusion Criteria

1. Female participants who are both lactating and breastfeeding or who have a positive serum pregnancy test during the screening period or a positive pregnancy test on Day 1 before first dose of study drug.
2. Any serious medical or psychiatric illness that could, in the investigator's opinion, potentially interfere with the completion of treatment according to this protocol.
3. Known cerebral or meningeal disease (HL or any other etiology), including signs or symptoms of progressive multifocal leukoencephalopathy (PML).
4. Symptomatic neurologic disease compromising normal activities of daily living or requiring medications.
5. Any sensory or motor peripheral neuropathy.
6. Any active systemic viral, bacterial, or fungal infection requiring systemic antibiotics within 2 weeks prior to first study drug dose.
7. Prior immunosuppressive chemotherapy, therapeutic radiation, or any immunotherapy (e.g., immunoglobulin replacement, other monoclonal antibody therapies) within 12 weeks of first study drug dose.
8. Previously treated with brentuximab vedotin.
9. Any contraindications to the concomitant chemotherapy regimens (doxorubicin, vinblastine, and dacarbazine).
10. Known hypersensitivity to recombinant proteins, murine proteins, or to any excipient contained in the drug formulation of brentuximab vedotin or any component of doxorubicin, vinblastine, and dacarbazine (AVD).
11. Known human immunodeficiency virus (HIV) positive.
12. Known hepatitis B surface antigen-positive, or known or suspected active hepatitis C infection.
13. Diagnosed or treated for another malignancy within 3 years before the first dose or previously diagnosed with another malignancy and have any evidence of residual disease. Participants with nonmelanoma skin cancer or carcinoma in situ of any type are not excluded if they have undergone complete resection.
14. Any of the following cardiovascular conditions or values within 6 months before the first dose of study drug:

1. A left-ventricular ejection fraction \<50%
2. Myocardial infarction within 2 years of enrollment
3. New York Heart Association (NYHA) Class 3 or 4 heart failure. Evidence of current uncontrolled cardiovascular conditions, including cardiac arrhythmias, congestive heart failure (CHF), angina, or electrocardiographic evidence of acute ischemia or active conduction system abnormalities.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Takeda

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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HCG City Cancer Centre

Vijayawada, Andhra Pradesh, India

Site Status RECRUITING

Gauhati Medical college and Hospital

Guwahati, Assam, India

Site Status RECRUITING

Unique Hospital Multispeciality and Research Institute

Surat, Gujarat, India

Site Status RECRUITING

HCG Cancer Centre

Bangalore, Karnataka, India

Site Status NOT_YET_RECRUITING

JIPMER

Puducherry, Kerala, India

Site Status RECRUITING

HCG Manavata Cancer Centre

Nashik, Maharashtra, India

Site Status NOT_YET_RECRUITING

ACTREC

Navi Mumbai, Maharashtra, India

Site Status NOT_YET_RECRUITING

DMH

Pune, Maharashtra, India

Site Status RECRUITING

Rajiv Gandhi Cancer Hospital

Delhi, New Delhi, India

Site Status RECRUITING

NRS Medical college & Hospital, Kolkata

Kolkata, West Bengal, India

Site Status RECRUITING

AIIMS

New Delhi, , India

Site Status RECRUITING

Countries

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India

Central Contacts

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Takeda Contact

Role: CONTACT

+1-877-825-3327

Facility Contacts

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Site Contact

Role: primary

9611165090

Site Contact

Role: primary

9435557491

Site Contact

Role: primary

9909918887

Site Contact

Role: primary

9482141773

Site Contact

Role: primary

9444216310

Site Contact

Role: primary

9823061929

Site Contact

Role: primary

9833445041

Site Contact

Role: primary

9766249644

Site Contact

Role: primary

9868764808

Site Contact

Role: primary

9874890275

Site Contact

Role: primary

9013000642

Other Identifiers

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C25030

Identifier Type: -

Identifier Source: org_study_id

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