HD21 for Advanced Stages
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ClinicalTrials.gov Identifier: NCT02661503 |
Recruitment Status :
Recruiting
First Posted : January 22, 2016
Last Update Posted : August 8, 2022
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Primary objective of the trial is to demonstrate non-inferior efficacy of six cycles of BrECADD compared to six cycles of escalated BEACOPP, each followed by radiotherapy to PET-positive residual lesions ≥2.5 cm, in terms of progression free survival (efficacy objective).
If non-inferior efficacy can be shown, the co-primary objective is to further demonstrate reduced toxicity of the BrECADD treatment compared to the escalated BEACOPP treatment measured by treatment related morbidity (TRMorbidity objective).
Condition or disease | Intervention/treatment | Phase |
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Classical Hodgkin Lymphoma | Drug: Bleomycin Drug: Etoposide Drug: Doxorubicin Drug: Cyclophosphamide Drug: Vincristine Drug: Procarbazine Drug: Prednisone Drug: Brentuximab Vedotin Drug: Dacarbazine Drug: Dexamethasone | Phase 3 |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 1500 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | HD21 for Advanced Stages Treatment Optimization Trial in the First-line Treatment of Advanced Stage Hodgkin Lymphoma; Comparison of 6 Cycles of Escalated BEACOPP With 6 Cycles of BrECADD |
Study Start Date : | July 2016 |
Estimated Primary Completion Date : | December 2022 |
Estimated Study Completion Date : | September 2025 |

Arm | Intervention/treatment |
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Active Comparator: BEACOPP
4 or 6 cycles of BEACOPP (21-day cycles) Bleomycin (B) Etoposide (E) Doxorubicin (A) Cyclophosphamide (C) Vincristine (O) Procarbazin (P) Prednisone (P). If FDG-PET is negative after two cycles patients will be given a total of four cycles. If FDG-PET is positive after two cycles patients will bev given a total of six cycles.
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Drug: Bleomycin Drug: Etoposide Drug: Doxorubicin Drug: Cyclophosphamide Drug: Vincristine Drug: Procarbazine Drug: Prednisone |
Experimental: BRECADD
4 or 6 cycles of BRECADD (21.day cycles) Brentuximab Vedotin (BR) Etoposide (E) Cyclophosphamide (C) Doxorubicin (A) Dacarbazine (D) Dexamethasone (D). If FDG-PET is negative after two cycles patients will be given a total of four cycles. If FDG-PET is positive after two cycles patients will be given a total of six cycles.
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Drug: Etoposide Drug: Doxorubicin Drug: Cyclophosphamide Drug: Brentuximab Vedotin Drug: Dacarbazine Drug: Dexamethasone |
- Progression Free Survival [ Time Frame: 5 years ]
- Treatment Related Morbidity [ Time Frame: during 6 cycles of chemotherapy (21-day cycles) ]

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Ages Eligible for Study: | 18 Years to 60 Years (Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Histologically proven classical Hodgkin lymphoma
- First diagnosis, no previous treatment, 18 to 60 years of age
- Stage IIB with large mediastinal mass and/or extranodal lesions, stage III or IV
Exclusion Criteria:
- Composite lymphoma or nodular lymphocyte-predominant Hodgkin lymphoma
- Previous malignancy (exceptions: basalioma, carcinoma in situ of the cervix uteri, completely resected melanoma TNMpT1)
- Prior chemotherapy or radiotherapy

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02661503
Contact: Michael Fuchs | ghsg@uk-koeln.de |
Germany | |
University Hospital of Cologne | Recruiting |
Cologne, Germany | |
Contact: Peter Borchmann, Prof. |
Principal Investigator: | Peter Borchmann, Prof. | University of Cologne, I. Dept. of Medicine |
Responsible Party: | Prof. Dr. Peter Borchmann, Prof., University of Cologne |
ClinicalTrials.gov Identifier: | NCT02661503 |
Other Study ID Numbers: |
Uni-Koeln-1762 2014-005130-55 ( EudraCT Number ) |
First Posted: | January 22, 2016 Key Record Dates |
Last Update Posted: | August 8, 2022 |
Last Verified: | August 2022 |
Lymphoma Hodgkin Disease Neoplasms by Histologic Type Neoplasms Lymphoproliferative Disorders Lymphatic Diseases Immunoproliferative Disorders Immune System Diseases Dexamethasone Prednisone Cyclophosphamide Dacarbazine Doxorubicin Etoposide Vincristine |
Bleomycin Brentuximab Vedotin Procarbazine Immunosuppressive Agents Immunologic Factors Physiological Effects of Drugs Antirheumatic Agents Antineoplastic Agents, Alkylating Alkylating Agents Molecular Mechanisms of Pharmacological Action Antineoplastic Agents Myeloablative Agonists Anti-Inflammatory Agents Antiemetics Autonomic Agents |