elderly and/or cardiopathic patients affected by Hodgkin s lymphoma (HL). MedDRA version: 9.1 Level: HLGT Classification code 10025319
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Histologically confirmed Hodgkin s lymphoma, except for nodular lymphocyte predominance subgroup. - Previously untreated - Age ≥ 70. - Age> 18 in presence of cardiopathy according to inclusion criteria - Patients with HCV and HBV infection can be included. For patients HBV+ and occult carriers (AntiHBc+, HbsAg-, AntiHBs+/-) Lamivudine prophilaxis is mandatory. - Life expectancy >3 months - Informed consent. - Staging with PET-CT. - Preliminary geriatric assessment (ADL, IADL, co-morbidity and frailness scores). Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: - Lymphocyte predominance subgroup - Age 5 years. - Renal failure (creatinine higher than twice the normal level) or liver disease (AST/ALT or bilirubine level higher than 2.5 times the normal level) - Other clinical situations that contraindicate, to the judgment of investigators, the administration of a mild-dose chemotherapy. Isolated co-morbidities will be scored and recorded, but they are not, if isolated, a sufficient reason for exclusion. - Frail patients, defined accordino to comorbidity scale: patients with 1 grade 4 comorbidity, or >3 grade 3 comorbidities, are excluded. (see appendix.6) - Unresponsive sepsis - Dementia - Impossibility to subscribe the informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To evaluate in elderly and/or cardiopathic HL patients, the cardiologic toxicity of the MBVD regimen, where liposomal doxorubicin (Myocet)is substituted for doxorubicin in the conventional ABVD regimen;Secondary Objective: To compare in a pair-match retrospective analysis the results obtained with MBVD with those obtained in patients comparable for clinical variables and treated with ABVD or with the reduced intensity VEPEMB schedule.;Primary end point(s): Evaluation of cardiac toxicity of MBVD in elderly and/or cardiopathic patients with Hodgkin s lymphoma at the end of treatment. | — |
Countries
Italy