Pilot Study of Abbreviated Chemotherapy Based on Positron Emission Tomography (PET) Scan in Hodgkin's Lymphoma

The recruitment status of this study is unknown because the information has not been verified recently.
Verified September 2010 by Weill Medical College of Cornell University.
Recruitment status was  Recruiting
Sponsor:
Information provided by:
Weill Medical College of Cornell University
ClinicalTrials.gov Identifier:
NCT00901303
First received: April 30, 2009
Last updated: September 8, 2010
Last verified: September 2010

April 30, 2009
September 8, 2010
May 2010
April 2012   (final data collection date for primary outcome measure)
Progression-free survival [PFS] at 36 months [ Time Frame: 36 months ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT00901303 on ClinicalTrials.gov Archive Site
Not Provided
Not Provided
Not Provided
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Pilot Study of Abbreviated Chemotherapy Based on Positron Emission Tomography (PET) Scan in Hodgkin's Lymphoma
Pilot Study of Abbreviated Chemotherapy Based on Positron Emission Tomography in Hodgkin Lymphoma

The primary objective of the study is to determine the progression-free survival [PFS] at 36 months for patients with Hodgkin lymphoma who achieve a complete metabolic response as demonstrated by a negative fluorodeoxyglucose (FDG)-PET scan after one cycle of ABVD (adriamycin, bleomycin, vinblastine, dacarbazine) who undergo abbreviated ABVD chemotherapy (3 cycles).

The proposed study is based on the repeated demonstration that patients with Hodgkin lymphoma who attain a negative PET scan early in therapy (after one or 2 cycles of chemotherapy) have a uniformly excellent outcome, with long term disease free survival of 90-95%. We propose to abbreviate chemotherapy in those patients showing a complete metabolic response as measured by FDG-PET after one cycle of ABVD. These patients will undergo two more cycles of ABVD chemotherapy, for a total of 3 cycles. Those patients failing to achieve a complete metabolic response as demonstrated by residual FDG avidity will go off study and be treated as per their primary treating physician.

Interventional
Not Provided
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Hodgkin's Lymphoma
Drug: ABVD chemotherapy
Adriamycin 25 mg/m2 bleomycin 10 units/m2 vinblastine 6 mg/m2 dacarbazine 375 mg/m on Days 1 and 15 of each 28 day cycle
  • Group A
    early stage disease
    Intervention: Drug: ABVD chemotherapy
  • Group B
    advanced stage disease
    Intervention: Drug: ABVD chemotherapy
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruiting
40
Not Provided
April 2012   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Histologically documented classical Hodgkin lymphoma according to the WHO Classification. Nodular lymphocyte predominant Hodgkin lymphoma is excluded
  • No prior treatment (chemotherapy or radiation therapy) for Hodgkin lymphoma
  • Measurable disease must be present either on physical examination or imaging studies. Any tumor mass measurable in two dimensions and > 2 cm is acceptable (or 1.5 cm if 0.5 cm slices are used as in spiral CT scans)
  • Age ≥ 18
  • Patients must have at least one hypermetabolic lesion identifiable on initial PET scan
  • LVEF by ECHO or MUGA within institutional normal limits
  • Initial laboratory data should be compatible with the administration of standard doses of ABVD chemotherapy

Exclusion Criteria:

  • Patient has no known HIV infection
  • Patient is non-pregnant and non-lactating. Due to the teratogenic potential of the agents used in this study, pregnant or nursing women may not be enrolled. Women and men of reproductive potential should agree to use an effective means of birth control
  • No other history of lymphoproliferative disorder or granulomatous disease
Both
18 Years and older
No
Contact: Rebecca Elstrom, MD ree2001@med.cornell.edu
United States
 
NCT00901303
0810010015
No
Rebecca Elstrom, MD, Weill Cornell Medical College
Weill Medical College of Cornell University
Not Provided
Principal Investigator: Rebecca Elstrom, MD Weill Medical College of Cornell University
Weill Medical College of Cornell University
September 2010

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP