Vinblastine, Cyclophosphamide, Procarbazine, Prednisolone, Etoposide, Mitoxantrone, and Bleomycin in Treating Older Patients With Hodgkin's Lymphoma
Recruitment status was Recruiting
RATIONALE: Drugs used in chemotherapy, such as vinblastine, cyclophosphamide, procarbazine, prednisolone, etoposide, mitoxantrone, and bleomycin, work in different ways to stop cancer cells from dividing so they stop growing or die. Combining more than one chemotherapy drug may kill more cancer cells.
PURPOSE: This phase II trial is studying how well combination chemotherapy works in treating older patients with previously untreated Hodgkin's lymphoma.
Biological: bleomycin sulfate
Drug: mitoxantrone hydrochloride
Drug: procarbazine hydrochloride
Drug: vinblastine sulfate
|Study Design:||Masking: Open Label
Primary Purpose: Treatment
|Official Title:||A Phase II Study VEPEMB In Patients With Hodgkin's Lymphoma Aged ≥ 60 Years|
- Disease-free survival by routine imaging at 6 month intervals [ Designated as safety issue: No ]
- Overall survival by routine imaging at 5 years [ Designated as safety issue: No ]
|Study Start Date:||January 2004|
|Estimated Primary Completion Date:||September 2009 (Final data collection date for primary outcome measure)|
- Determine the efficacy and toxicity of vinblastine, cyclophosphamide, procarbazine, prednisolone, etoposide, mitoxantrone, and bleomycin in older patients with Hodgkin's lymphoma.
- Determine whether the application of the Hasenclever prognostic index is valid in these patients at diagnosis.
OUTLINE: This is an open-label, multicenter study.
- Chemotherapy: Patients receive vinblastine IV and cyclophosphamide IV on day 1; oral procarbazine and oral prednisolone on days 1-5; oral etoposide on days 15-19; and mitoxantrone IV and bleomycin IV on day 15. Treatment repeats every 28 days, in the absence of disease progression or unacceptable toxicity, for a total of 3 courses in patients with early (stage IA or IIA) disease or 6 courses in patients with advanced (stage IB or IIB-IV) disease.
- Radiotherapy: Patients with early stage disease receive involved-field radiotherapy. Patients with advanced stage disease receive radiotherapy limited to sites of initial bulky disease or residual disease. Radiotherapy begins 4 weeks after the completion of chemotherapy.
Patients are followed monthly for 3 months, every 3 months for 6 months, and then annually thereafter.
Peer Reviewed and Funded or Endorsed by Cancer Research UK
PROJECTED ACCRUAL: A total of 150 patients will be accrued for this study within 36 months.
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|Study Chair:||Stephen J. Proctor, MD, FRCP, FRCPath||University of Newcastle Upon-Tyne|
|Investigator:||Helen H. Lucraft, MD||Northern Centre for Cancer Treatment at Newcastle General Hospital|
|Investigator:||Katrina M. Wood, MD||Sir James Spence Institute of Child Health at Royal Victoria Infirmary|