Hodgkin's Lymphoma
Conditions
Keywords
Hodgkin's Lymphoma, Ifosfamide, Gemcitabine and Vinorelbine (IGEV), High Dose Chemotherapy (HDCT), Autologous Hematopoietic Stem Cells Transplantation (AHSCT)
Brief summary
This is a retrospective analysis of a homogeneous cohort of patients with relapsed/refractory HL that received IGEV scheme as induction therapy to HDCT and AHSCT for reassess the most common prognostic factors and try to identify a prognostic score with clinical and therapeutic relevance by using 6 clinical tools: 1. B symptoms(yes/no) 2. relapse in previously irradiated areas(yes/no) 3. Ann Arbor Stage (III/IV vs I/II) 4. disease status at accrual (refractory vs relapsed) 5. Early relapse within 12 months of Complete Response (CR) versus late relapse after Complete Response (CR) lasting \> l2 months, 6. extranodal involvement (yes/no).
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient with a history of classical HL relapsed/refractory which received IGEV regimen as induction therapy before high dose chemotherapy with AHSCT * Age \>18 years * Patients with relapsed/refractory disease after standard treatments (chemotherapy +/- radiotherapy) before IGEV induction regimen. (Relapsed = disease relapse after CR. Refractory = non CR with last chemotherapy line, or progression during last treatment, or disease progression within three months from previous treatment completion). * Availability of clinical data, laboratory values and CT scan results of patients enrolled, performed from diagnosis to the last follow-up * Patient scheduled to receive three or four IGEV cycles as pretransplantation induction regimen. * First IGEV course started before December 31st 2007 * Assessment of tumor response by Cheson 1999 criteria 11
Exclusion criteria
* NONE
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The prognostic score will be defined taking into account Overall Survival (OS). | 4 years | Surviving patents will be censored at the date of last known to be alive. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| To evaluate the defined prognostic score in terms of Progression Free Survival (PFS) | 4 years | response rate in terms of Complete Response (CR) response rate in terms of Overall Response Rate (ORR) To validate the prognostic scores in terms of PFS and in terms OS |
Countries
Italy