Improvement of first-line treatment for early-stage unfavorable cHL by introduction of the anti-PD-1 antibody Nivolumab in combincation with a truncated standard chemotherapy (AVD). MedDRA version: 20.0 Level: HLGT Classification code 10025319 Term: Lymphomas Hodgkin's disease System Organ Class: 10005329 - Blood and lymphatic system disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Histologically proven classical HL - First diagnosis, no previous treatment - Age: 18-60 years - Stage I, IIA with risk factors a-d, IIB with RF c-d: a) large mediastinal mass b) extranodal lesions c) elevated ESR d) = 3 nodal areas confirmed by central review. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) F.1.2.1 Number of subjects for this age range 110 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: - Composite lymphoma or nodular lymphocytepredominant Hodgkin lymphoma (NLPHL) - History of other malignancy = 5 years - Prior chemotherapy or radiation therapy - Concurrent disease precluding protocol treatment - Pregnancy, lactation - Non-compliance
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The primary objective is to evaluate efficacy and quality of life measures of the two experimental treatment strategies.;Secondary Objective: Secondary objectives are to further evaluate efficacy, show safety and feasibility and perform correlative studies.;Primary end point(s): Complete remission (CR) rate at the end of treatment, assessed by central review.;Timepoint(s) of evaluation of this end point: please refer to E.5.1. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Key secondary endpoint: - Treatment-related morbidity (TRMorbidity) Further secondary endpoints: - 1- and 3-year progression-free survival (PFS) - 1- and 3-year overall survival (OS) - Quality of life including the prevalence of severe long-term fatigue - Objective response rate (ORR; proportion of patients with complete or partial remission) at the end of treatment - Proportion of patients with negative PET/CT after four infusions of Nivolumab Secondary exploratory endpoints: - Correlative studies including biomarker analyses;Timepoint(s) of evaluation of this end point: Please refer to E.5.2.1. | — |
Countries
Germany
Contacts
German Hodgkin Study Group