Actively Recruiting

Phase 2
Age: 18Years +
All Genders
ID06377566

BV-AVD Treatment in Newly-Diagnosed Early Stage Bulky Hodgkin Lymphoma Using a PET-Adapted and Tumor Volume-Guided Approach

Led by Memorial Sloan Kettering Cancer Center · Updated on 2026-04-23

71

Participants Needed

8

Research Sites

N/A

Total Duration

On this page

Sponsors

M

Memorial Sloan Kettering Cancer Center

Lead Sponsor

S

Seagen Inc.

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating the combination of brentuximab vedotin (BV) with AVD chemotherapy in people recently diagnosed with early stage, bulky Hodgkin lymphoma who have not yet received treatment. This Phase 2 study aims to see if adding BV, a targeted drug that attacks cancer cells expressing CD30, to standard chemotherapy can better slow or stop lymphoma growth compared to chemotherapy alone. The study is sponsored by Memorial Sloan Kettering Cancer Center. Participants will receive two cycles of BV combined with AVD chemotherapy, supported by growth factor injections to help blood cell recovery. After these two cycles, patients undergo an FDG-PET/CT scan to assess response. Those with no progression receive two more cycles of BV-AVD without additional therapy. Patients with partial or stable disease are further assessed by tumor volume and may receive extra cycles of BV-AVD plus radiation if they have low tumor volume. Treatment doses and schedules involve intravenous administration on specific days within 28-day cycles. Throughout the study, participants have scans and clinical evaluations to monitor disease status and side effects. Researchers measure progression-free survival over three years as the primary outcome, with overall survival also tracked. Safety and response are closely observed, with patients leaving the study if disease progresses. The total participation period extends to several years for follow-up evaluations.

CONDITIONS

Brief Title

A Study of BV-AVD in People With Bulky Hodgkin Lymphoma

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Histological diagnosis of classical, CD30-positive Hodgkin lymphoma confirmed at enrolling institution.
  • Ann Arbor stage I or II FDG-avid disease by FDG-PET/CT.
  • Disease bulk defined as any lymph node mass with transverse maximal diameter 27 7.0 cm or coronal maximal diameter 27 7.0 cm on CT imaging.
  • Age 18 and over.
  • ECOG Performance Status 264 2.
  • Females of childbearing age must use acceptable birth control during treatment.
  • Males must consistently use acceptable contraception during treatment.
Not Eligible

You will not qualify if you...

  • Prior systemic therapy or radiation therapy for Hodgkin lymphoma (excluding corticosteroids).
  • Cardiac ejection fraction below 50% by echocardiogram.
  • Platelet count 2c 75,000/bcL.
  • Hemoglobin level 2c 7.0 mg/dL.
  • Absolute neutrophil count 2c 1.0 K/bcL.
  • Serum creatinine clearance below 30 mL/min by Cockcroft-Gault Method.
  • Transaminase levels more than 3 times upper limit of normal, or 5 times if Gilbert's disease.
  • Total bilirubin 2c 1.5 times upper limit of normal, or 3 times if Gilbert's disease.
  • Pre-existing peripheral neuropathy grade 2 or higher.
  • Known pregnancy or breastfeeding.
  • Active hepatitis B or C infection unless controlled as specified.
  • Concurrent malignancy requiring active therapy within last 2 years, excluding certain skin and localized cancers.
  • Autoimmune conditions needing ongoing systemic immunosuppressive therapy.
  • Medical illnesses making participation inappropriate as judged by physician or investigator.

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Approximately 4 to 6 months depending on response and treatment group

Participants receive 2 cycles of brentuximab vedotin combined with AVD chemotherapy, followed by an FDG-PET/CT scan to assess response. Depending on the scan results, participants may receive 2 additional cycles of BV-AVD or 2 more cycles with radiation therapy based on tumor volume.

Visits on days 1 and 15 of each 28-day cycle for drug administration, plus 1 imaging visit after 2 cycles

Trial Site Locations

Total: 8 locations

1

University of Miami

Miami, Florida, United States, 33136

Not Yet Recruiting

2

Memorial Sloan Kettering Basking Ridge (All Protocol Activities)

Basking Ridge, New Jersey, United States, 07920

Actively Recruiting

3

Memorial Sloan Kettering Monmouth (All Protocol Activities)

Middletown, New Jersey, United States, 07748

Actively Recruiting

4

Memorial Sloan Kettering Bergen (All Protocol Activities)

Montvale, New Jersey, United States, 07645

Actively Recruiting

5

Memorial Sloan Kettering Suffolk - Commack (All Protocol Activities)

Commack, New York, United States, 11725

Actively Recruiting

6

Memorial Sloan Kettering Westchester (All Protocol Activities)

Harrison, New York, United States, 10604

Actively Recruiting

7

Memorial Sloan Kettering Cancer Center (All Protocol Activities)

New York, New York, United States, 10065

Actively Recruiting

8

Memorial Sloan Kettering Nassau (All Protocol Activities)

Uniondale, New York, United States, 11553

Actively Recruiting

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Research Team

R

Robert Stuver, MD

A

Alison Moskowitz, MD

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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