Improvement of efficacy of nivolumab in patients with relapsed or refractory classical Hodgkin Lymphoma who recently progressed on anti-PD1 therapy. 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: - Relapsed/refractory cHL with progression while treated with an anti-PD1 antibody or Relapsed/refractory cHL with stable disease for > 6 months as best response to ongoing anti-PD1 antibody therapy - At least two distinct FDG-avid HL-lesions with at least 5cm distance between them, and one of them considered eligible for irradiation with 20Gy - One but the irradiated lesion has to be outside the 10% isodose in RT planning confirmed by the Central Response Evaluation Panel (CREP) - Age =18 years, all sexes 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 26 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: - Nodular lymphocyte-predominant HL or grey-zone lymphoma - Evidence of active, non-infectious lung disorder with DLCOc 10mg prednisone/d - Any other serious disease or organ dysfunction which might impair protocol treatment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The primary objective of the trial is to show efficacy of the experimental treatment strategy. ;Secondary Objective: Secondary objectives are to further evaluate efficacy, show safety and feasibility and perform correlative studies.;Primary end point(s): Abscopal response rate (ARR-6) with abscopal response centrally confirmed as restaging result after RT to a single lesion and at least four but not more than six nivolumab infusions (RE-6 result);Timepoint(s) of evaluation of this end point: please refer to E.5.1 | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Overall abscopal response rate (OARR) Overall response rate (ORR) Duration of response (DOR) Progression-free survival (PFS) Overall survival (OS) Adverse events (AE) Feasibility aspects Quality of life (QoL) and life situation (LS) aspects Correlative studies | — |
Countries
Austria, Germany, Netherlands, Norway, United Kingdom
Contacts
German Hodgkin Study Group