Hodgkin Lymphoma
Conditions
Keywords
Hodgkin lymphoma, Chemotherapy, IGEV, Autologous stem cell transplantation
Brief summary
The aim of study is to prove IGEV regimen followed by autologous stem cell transplantation as salvage treatment in patients with refractory or relapsed Hodgkin lymphoma is effective.
Detailed description
The standard treatment in patients with refractory or relapsed Hodgkin lymphoma is salvage chemotherapy followed by autologous transplantation for responsive patients. However, the standard of salvage chemotherapy remains uncertain. This study is to evaluate the efficacy and safety of IGEV regimen in a single-center basis.
Interventions
Ifosfamide 1200 mg/m2 at days 1-4, Mesna 400 mg 0,4,8h at days 1-4, Gemcitabine 800 mg/m2 at day 1 and day 4, Vinorelbine 20 mg/m2 at day 1, Prednisone 100 mg at days 1-4. Frequency of cycles: every 3 weeks. Numbers of cycles: 4 cycles.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age range: 18-65 years old * Histological confirmed refractory or relapsed Hodgkin lymphoma * With at least one site of measurable disease according to IWC criteria * ECOG performance status 0-1 * Life expectancy of more than 3 months * Bone marrow function: ANC≧1.5×109/L, PLT≧100×109/L, Hb≧80g/L * Liver function: total bilirubin, ALT and AST \<1.5×UNL * Renal function: Cr\<1.5×UNL, CCR≧45ml/min * No contraindication for transplantation
Exclusion criteria
* No prior chemotherapy * With more than 2 lines of prior chemotherapy exposure * Evidence of CNS and bone marrow involvement * History of other malignancies except cured basal cell carcinoma of skin and carcinoma in-situ of uterine cervix * Pregnant or lactating women * Significant active infection
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Complete response rate | 6 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Overall response rate | 6 weeks |
| 3-year progression-free survival rate | 3 years |
| 3-year overall survival rate | 3 years |
Countries
China