Actively Recruiting

Phase 2
Age: 18Years - 60Years
All Genders
NCT04866654

Radiation Free Chemotherapy for Early Hodgkin Lymphoma

Led by Medical University of Gdansk · Updated on 2021-08-12

160

Participants Needed

27

Research Sites

278 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The results of the present study will provide information on short-term safety and efficacy of a iPET and MTV-adapted therapeutic strategy, aimed to assess the feasibility and safety on immediate disease control of a standard ABVD chemotherapy without any further treatment in patients with a very low risk or treatment failure. A second very important endpoint will be the efficacy of INRT "on demand" followed by Nivolumab maintenance for one year to rescue patients failing first-line treatment and relapsing with the pattern of "limited relapse" in terms of 3-Y failure from 2 relapse (FF2R). Patients entering into the study will be also asked to participate to a long-term follow up study (beyond ten years) to assess the prevalence of late-onset cardiovascular effects and secondary tumors in the cohort of patients enrolled in the experimental and control arm of the study. An exploratory endpoint has been also added such as the role of Minimal Residual Disease (MRD) detection by cell-free DNA assay on peripheral blood samples obtained during treatment in predicting long-term disease control.

CONDITIONS

Official Title

Radiation Free Chemotherapy for Early Hodgkin Lymphoma

Who Can Participate

Age: 18Years - 60Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Male or female patients aged 18-60
  • Treatment-nafve Hodgkin Lymphoma patients with Ann Arbor stage I or II A non-bulky disease
  • Histologically confirmed classical Hodgkin Lymphoma according to WHO classification
  • ECOG performance status between 0 and 2
  • Hemoglobin greater than 8 gr./dL
  • Absolute neutrophil count at least 1,000/bcL
  • Platelet count at least 100,000/bcL
  • Voluntary written consent to participate
  • Serum creatinine less than 2.0 mg/dL or creatinine clearance above 40 mL/min
  • Total bilirubin less than 2.0 times the upper limit of normal unless Gilbert syndrome
  • ALT and AST less than 3 times the upper limit of normal
  • Female patients must be postmenopausal for at least 1 year or agree to use two effective contraception methods or true abstinence if fertile
  • Male patients must agree to use barrier contraception or abstinence
Not Eligible

You will not qualify if you...

  • Composite lymphoma or nodular lymphocyte-predominant Hodgkin lymphoma
  • Bulky disease defined as nodal mass 10 cm or larger
  • Presence of B symptoms
  • Disease involving extra nodal sites
  • Female patients who are both lactating and breastfeeding or test positive for pregnancy at screening or before first dose
  • Uncompensated diabetes requiring insulin
  • Serious medical or psychiatric illness interfering with treatment
  • Known HIV infection
  • Active hepatitis B or C infection
  • Severely impaired lung or renal function
  • Diagnosis or treatment for another malignancy within 3 years, except completely resected non-melanoma skin cancer or carcinoma in situ
  • Active autoimmune disorder treated with immunosuppressive drugs
  • Left ventricular ejection fraction below 50%
  • Myocardial infarction within 2 years prior to study entry
  • Pregnancy or lactation

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 27 locations

1

Hematology Department IRCCS Policlinico San Matteo

Pavia, P.le Golgi 19, Italy, 27100

Actively Recruiting

2

Ospedale Papa Giovanni XXIII

Bergamo, Piazza OMS, 1, Italy, 24127

Not Yet Recruiting

3

Istituto Europeo di Oncologia

Milan, Via Giuseppe Ripamonti 435, Italy, 20141

Not Yet Recruiting

4

Hematology Department Azienda Ospedaliera S. Croce e Carle

Cuneo, Via Michele Coppino, 26, Italy, 12100

Not Yet Recruiting

5

Azienda Ospedaliera Universitaria Policlinico Federico II

Naples, Via S.Pansini, 5, Italy, 80131

Actively Recruiting

6

IRCCS Istituto Tumori Giovanni Paolo II

Bari, Viale Orazio Flacco, 65, Italy, 70124

Not Yet Recruiting

7

Policlinico Università Tor Vergata

Roma, Viale Oxford, 81, Italy, 00133

Not Yet Recruiting

8

Azienda Ospedaliero - Universitaria Ospedali Riuniti

Ancona, Italy

Not Yet Recruiting

9

Azienda Ospedaliera G. Brotzu - Ospedale Businco

Cagliari, Italy

Not Yet Recruiting

10

Divisione Universitaria di Onco-Ematologia

Monza, Italy

Not Yet Recruiting

11

Azienda Ospedaliera di Padova Dipartimento di Medicina Interna

Padova, Italy

Not Yet Recruiting

12

Ospedali Riuniti Villa Sofia

Palermo, Italy

Not Yet Recruiting

13

Gdański Uniwersytet Medyczny Department of Hematology and Transplantology

Gdansk, Poland

Actively Recruiting

14

Samodzielny Publiczny Zakład Opieki Zdrowotnej Szpital Uniwersytecki w Krakowie

Krakow, Poland

Not Yet Recruiting

15

Instytut Hematologii i Transfuzjologii ul. Indiry Gandhi 14 02-776 Warszawa

Warsaw, Poland

Not Yet Recruiting

16

Uniwersyteckie Centrum Kliniczne im. Jana Mikulicza- Radeckiego we Wrocławiu

Wroclaw, Poland

Not Yet Recruiting

17

Hospital Universitario Central de Asturias

Oviedo, Av. Roma, Spain, 33011

Not Yet Recruiting

18

Hospital Universitario 12 de Octubre

Madrid, Avda de Córdoba, Spain, 28041

Not Yet Recruiting

19

Hospital Duran i Reynals. Institut Catala d'Oncologia

Barcelona, Avinguda de La Granvia de l'Hospitalet, 199-203, Spain, 08908

Not Yet Recruiting

20

Hospital Germans Trias i Pujol-ICO Badalona

Carretera de Canyet, Barcelona, Spain, 08916

Not Yet Recruiting

21

Hospital Universitario Vall d'Hebron

Passeig de La Vall d'Hebron, 119-129, Barcelona, Spain, 08035

Not Yet Recruiting

22

Hospital Clinic de Barcelona

Barcelona, C. de Villarroel, 170, Spain, 08036

Not Yet Recruiting

23

Hospital General Universitario Gregorio Marañon

Madrid, Calle Del Dr. Esquerdo, Spain, 28007

Not Yet Recruiting

24

Hospital Universitario Marques de Valdecilla

Av. de Valdecilla, 25, Cantabria, Spain, 39008

Not Yet Recruiting

25

Hospital Universitario Ramón y Cajal

Madrid, Ctra. de Colmenar Viejo Km. 9,100, Spain, 28034

Not Yet Recruiting

26

Hospital Universitario de Salamanca

Salamanca, P.º de San Vicente, 58, Spain, 37007

Not Yet Recruiting

27

Hospital Universitario Virgen del Rocio

Av. Manuel Siurot, Sevilla, Spain, 41013

Not Yet Recruiting

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Research Team

J

Jan M Zaucha, Professor, PhD, MD

CONTACT

M

Marta Bednarek, PhD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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