Hodgkin LymphomaPhase 2NCT03646123
Clinical Trial of Brentuximab Vedotin in Classical Hodgkin Lymphoma
A Phase 2 study testing brentuximab vedotin, doxorubicin and vinblastine in people with Hodgkin Lymphoma, run by Seagen Inc. at 76 sites in 6 countries.
Trial summary
This trial will study two treatment combinations for classical Hodgkin lymphoma (cHL). This trial will find out if these two treatment combinations work to treat cHL. It will also find out what side effects occur. A side effect is anything the drug does besides treating cancer. Read more about this study
- Who is it for?
- Ages 12 years and older
- Conditions the study is for
- Hodgkin Lymphoma
- What is being tested?
- brentuximab vedotin, doxorubicin and vinblastine
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 255 participants
- Where
- 76 sitesin 6 countries
- Study dates
- 28 Jan 2019to 23 Aug 2024
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 12 years and older
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Treatment-naïve, classic Hodgkin lymphoma (cHL) participants
- Participants enrolling in Part A of the study must have Ann Arbor Stage III or IV disease
- Participants enrolling in Part B of the study must have Ann Arbor Stage I or II cH: with bulky mediastinal disease, or Stage III or IV
- Participants enrolling in Part C of the study must have Ann Arbor Stage I or II cHL without bulky disease
- Histologically confirmed cHL according to the current World Health Organization (WHO) Classification
- Bidimensional measurable disease as documented by PET/CT or CT imaging
- Age 12 years or older in the United States. For regions outside of the US, participants must 18 years or older.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2
Who cannot join
- Nodular lymphocyte predominant HL
- History of another malignancy within 3 years of the first dose of study drug or any evidence of residual disease from a previously diagnosed malignancy. Exceptions are malignancies with a negligible risk or metastasis or death. Participants with nonmelanoma skin cancer, localized prostate cancer, or carcinoma in situ of any type are not excluded if they have undergone complete resection
- Prior immunosuppressive chemotherapy, therapeutic radiation, or any immunotherapy within 4 weeks of the first study drug dose
- Prior treatment with an anti-PD-1, anti-PD-L1, anti-PD-L2, or anti-CTLA-4 antibody, or any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways
- Active cerebral/meningeal disease related to the underlying malignancy
- Any active Grade 3 or higher viral, bacterial, or fungal infection within two weeks of the first dose of study drug (Grade 3 defined by the National Cancer Institute's Common Terminology Criteria for Adverse Events, NCI CTCAE Version 4.03)
Show all 18Show fewer
- Current therapy with other systemic anti-neoplastic or investigational agents
- Planned consolidative radiotherapy (Parts B and C only)
- Active interstitial lung disease that is symptomatic or may interfere with the detection or management of suspected drug-related pulmonary toxicity (Parts B and C only)
- Grade 3 or higher pulmonary disease unrelated to underlying malignancy
- Documented history of idiopathic interstitial pneumonia or diffusing capacity of the lung for carbon monoxide <50% predicted
- History of a cerebral vascular event within 6 months of first dose of study drug
- Child-Pugh B or C hepatic impairment
- Grade 2 or higher peripheral sensory or motor neuropathy
- Participants with acute or chronic graft-versus-host-disease (GvHD) or receiving immunosuppressive therapy as treatment or as prophylaxis against GvHD
- Previous treatment with brentuximab vedotin
- Participants who are pregnant or breastfeeding
- Other serious condition that would impair the participant's ability to receive or tolerate the planned treatment and follow-up
Trial locations and contacts
76 sites in 6 countries.
76 sites in 6 countries
United States55 sites
New York Oncology Hematology, P.C.
Albany, New York, 12208
Rocky Mountain Cancer Centers - Aurora
Aurora, Colorado, 80012
Texas Oncology - Austin Midtown
Austin, Texas, 78705
Massachusetts General Hospital
Boston, Massachusetts, 02114
Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215
New Jersey Hematology Oncology Associates, LLC
Brick, New Jersey, 08724
Medical University of South Carolina/Hollings Cancer Center
Charleston, South Carolina, 29425
Oncology Hematology Care
Cincinnati, Ohio, 45242
University Hospitals Cleveland Medical Center
Cleveland, Ohio, 44106
Cleveland Clinic, The
Cleveland, Ohio, 44195
University of Colorado Health Memorial Hospital
Colorado Springs, Colorado, 80909
Texas Oncology - Medical City Dallas
Dallas, Texas, 75230
Cancer Centers of Colorado - Denver
Denver, Colorado, 80218
Karmanos Cancer Institute / Wayne State University
Detroit, Michigan, 48201
Henry Ford Health System
Detroit, Michigan, 48202
Minnesota Oncology Hematology P.A.
Edina, Minnesota, 55435
Willamette Valley Cancer Institute and Research Center
Eugene, Oregon, 97401
Virginia Cancer Specialists, PC
Fairfax, Virginia, 22031
Texas Oncology - Flower Mound
Flower Mound, Texas, 75028
Poudre Valley Health System (PVHS)
Fort Collins, Colorado, 80528
Brooke Army Medical Center
Fort Sam Houston, Texas, 78234
Texas Oncology - Fort Worth 12th Avenue
Fort Worth, Texas, 76104
Los Angeles Cancer Network / Compassionate Care Research Group
Fountain Valley, California, 92708
Regional Cancer Care Associates - Freehold
Freehold, New Jersey, 07728
SCL Health - St. Mary's Hospital & Medical Center
Grand Junction, Colorado, 81501
Hackensack University Medical Center
Hackensack, New Jersey, 07601
MD Anderson Cancer Center / University of Texas
Houston, Texas, 77030-4095
Regional Cancer Care Associates - Howell
Howell Township, New Jersey, 07731
Kadlec Clinic Hematology and Oncology
Kennewick, Washington, 99336
University of Tennessee
Knoxville, Tennessee, 37920
Cardinal Bernardin Cancer Center / Loyola University Medical Center
Maywood, Illinois, 60153
Miami Cancer Institute at Baptist Health, Inc.
Miami, Florida, 33176
Morristown Medical Center/ Carol G. Simon Cancer Center
Morristown, New Jersey, 07960
Regional Cancer Care Associates - Mount Holly
Mount Holly, New Jersey, 08060
CareMount Medical Group
Mount Kisco, New York, 10549-3412
Tennessee Oncology-Nashville/Sarah Cannon Research Institute
Nashville, Tennessee, 37203
Mount Sinai Medical Center
New York, New York, 10029
Memorial Sloan Kettering Cancer Center
New York, New York, 10065
Illinois Cancer Specialists
Niles, Illinois, 60714
Vista Oncology Inc PS
Olympia, Washington, 98506
Illinois Cancer Care
Peoria, Illinois, 61615
Providence Portland Medical Center
Portland, Oregon, 97213
Clinical Research Alliance - Abraham Mittelman, MD, LLC
Purchase, New York, 10577
Oncology and Hematology Assoc of SW VA DBA Blue Ridge Cancer Care
Salem, Virginia, 24153
Huntsman Cancer Institute/University of Utah
Salt Lake City, Utah, 84112
Texas Oncology - San Antonio Medical Center
San Antonio, Texas, 78240
Seattle Cancer Care Alliance / University of Washington
Seattle, Washington, 98109-1023
Regional Cancer Care Associates - Central Jersey
Somerville, New Jersey, 08876
Regional Cancer Care Associates - Sparta
Sparta, New Jersey, 07871
Washington University in St Louis
St Louis, Missouri, 63110
Florida Cancer Specialists - North Region
St. Petersburg, Florida, 33705
Toledo Clinic Cancer Center
Toledo, Ohio, 43623
Texas Oncology - Northeast Texas
Tyler, Texas, 75702
Clinical Research Alliance - Morton Coleman, MD
Westbury, New York, 11590
Wake Forest Baptist Medical Center / Wake Forest University
Winston-Salem, North Carolina, 27157
Spain10 sites
Hospital del Mar
Barcelona, Other, 08003
Hospital Universitari Vall d'Hebron
Barcelona, Other, 08035
Institut Catala d'Oncologia - Hospital Duran i Reynals (ICO L'Hospitalet)
Barcelona, Other, 08908
Hospital Universitario de Girona Doctor Josep Trueta
Girona, Other, 17007
Hospital Universitario Fundacion Jimenez Diaz
Madrid, Other, 28040
Hospital Universitario 12 de Octubre
Madrid, Other, 28041
Hospital Puerta de Hierro Majadahonda
Majadahonda, Other, 28222
Hospital Universitario Central de Asturias
Oviedo, Other, 33011
Hospital Clinico Universitario de Salamanca
Salamanca, Other, 37007
Hospital Universitari i Politecnic La Fe de Valencia
Valencia, Other, 46026
Australia4 sites
Royal Adelaide Hospital
Adelaide, Other, 5000
Ballarat Regional Integrated Cancer Care
Ballarat, Other, 3350
Monash Medical Centre
Clayton, Other, 3168
Epworth Healthcare
Victoria, Other, 3002
Italy4 sites
Azienda Ospedaliera Spedali Civili di Brescia
Brescia, Other, 25123
IRCSS Policlinico San Matteo
Pavia, Other, 27100
Azienda Ospedaliera Universitaria Senese
Siena, Other, 53100
Azienda Ospedaliera Citta della Salute e della Scienza di Torino
Torino, Other, 10126
Czechia2 sites
Fakultni nemocnice Hradec Kralove-oddeleni klinicke hematologie
Hradec Králové, Other, 500 05
Fakultni Nemocnice Kralovske Vinohrady
Prague, Other, 100 34
About this study
Official title: Multiple Part Clinical Trial of Brentuximab Vedotin in Classical Hodgkin Lymphoma Subjects
This trial will study two treatment combinations for classical Hodgkin lymphoma (cHL). This trial will find out if these two treatment combinations work to treat cHL. It will also find out what side effects occur. A side effect is anything the drug does besides treating cancer. This study will have three parts (Parts A, B, and C).
The drugs used in Part A are a combination of targeted anticancer drug (brentuximab vedotin) and three chemotherapy drugs (doxorubicin, vinblastine, and dacarbazine). These four drugs are called "A+AVD." Participants will be treated with granulocyte colony stimulating factor (G-CSF) following every dose of A+AVD for 6 cycles of treatment (12 doses).
Read more
Part A will look at whether the A+AVD drug combination reduces the number of participants who experience the side effect of febrile neutropenia. Febrile neutropenia is a very low white blood cell count and a fever, which can be life threatening.
Parts B and C will use drug combination of brentuximab vedotin, plus nivolumab, doxorubicin, and dacarbazine. These four drugs are called "AN+AD." Parts B and C will study how well the drugs work to treat cHL and what side effects they cause.
Read the detailed description
This study will have three parts.
Part A of the study is designed to evaluate the incidence of febrile neutropenia, efficacy, and dose intensity in participants with advanced stage classical Hodgkin lymphoma (cHL) receiving granulocyte colony stimulating factor primary prophylaxis (G-PP) administration during treatment with frontline A+AVD. In Part A, participants will be treated with granulocyte colony stimulating factor (G-CSF) following every dose of A+AVD for 6 cycles of treatment. Participants will be treated using institutional standard of care practices for the majority of treatment decisions.
Part B is designed to evaluate the combination of brentuximab vedotin, nivolumab, doxorubicin, and dacarbazine (AN+AD) as frontline treatment in participants with advanced cHL. In Part B, participants will be given AN+AD combination for 6 cycles of treatment. This part of the trial will look at whether this combination of drugs is effective and tolerable in participants with Stage II with bulky mediastinal disease and Stage III or IV cHL.
Part C is designed to evaluate AN+AD as frontline treatment in participants with early stage cHL. In Part C, participants will be given AN+AD combination for 4 cycles of treatment. This part of the trial will look at whether this combination of drugs is effective and tolerable in participants with Stage I or II cHL with non-bulky mediastinal disease.
- Conditions
- Hodgkin Lymphoma
- Being tested
- brentuximab vedotin, doxorubicin, vinblastine, dacarbazine, G-CSF
- Keywords
- Brentuximab vedotin, Doxorubicin, Vinblastine, Dacarbazine, Nivolumab, Seattle Genetics
- Medical subject headings
- Hodgkin Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
brentuximab vedotinDrug
Also called Adcetris, SGN-35
1.2 mg/kg by IV infusion
doxorubicinDrug
25 mg/m^2 by IV infusion
vinblastineDrug
6 mg/m^2 by IV infusion
dacarbazineDrug
375 mg/m^2 by IV infusion
G-CSFDrug
Also called filgrastim, pegfilgrastim
Granulocyte colony stimulating factor (G-CSF) primary prophylaxis administered 24-36 hours after each dose of A+AVD
nivolumabDrug
Also called Opdivo
240 mg by IV infusion
| Study group | Role | What they receive |
|---|---|---|
| Part A: A+AVD | Experimental | Brentuximab vedotin (A) plus doxorubicin (+A), vinblastine (V), and dacarbazine (D) administered by intravenous (IV) infusion in participants with advanced stage classical Hodgkin lymphoma (cHL) during each treatment cycle. Receives: Drug: brentuximab vedotin; Drug: doxorubicin; Drug: vinblastine; Drug: dacarbazine; Drug: G-CSF |
| Part B: AN+AD | Experimental | Brentuximab vedotin (A) plus nivolumab (N), doxorubicin (+A), and dacarbazine (D) administered separately by IV infusion in participants with Stage II bulky mediastinal disease and Stage III or IV cHL during each treatment cycle. Receives: Drug: brentuximab vedotin; Drug: doxorubicin; Drug: dacarbazine; Drug: nivolumab |
| Part C: AN+AD | Experimental | Brentuximab vedotin (A) plus nivolumab (N), doxorubicin (+A), and dacarbazine (D) administered separately by IV infusion in participants with Stage I or II cHL with non-bulky mediastinal disease during each treatment cycle. Receives: Drug: brentuximab vedotin; Drug: doxorubicin; Drug: dacarbazine; Drug: nivolumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Febrile Neutropenia (FN) Rate (Part A)
The FN rate is defined as the number of participants who experience treatment-emergent FN.
Measured: 7.5 months
Complete Response (CR) Rate at EOT (Parts B and C)
CR rate at EOT is defined as the percentage of participants with CR at EOT, according to the Lugano Classification Revised Staging System for malignant lymphoma (Cheson 2014) with the incorporation of Lymphoma Response to Immunomodulatory Therapy Criteria (LYRIC) (Cheson 2016), in participants with previously untreated cHL.
Measured: 7.8 months
Secondary outcomes (20)
Number of Participants With Adverse Events of Clinical Interest (AECI) (Part A)
An adverse event (AE) was any untoward medical occurrence in a clinical investigational participant administered a medicinal product and which did not necessarily have a causal relationship with the treatment. Participants with peripheral neuropathy (PN) adverse events were summarized under AECI.
Measured: Approximately up to 7.5 months
Primary Refractory Disease Rate (Part A)
The primary refractory disease rate is defined as the percentage of participants with less than complete response or relapse within 3 months of EOT, according to the Lugano Classification Revised Staging System for nodal non-Hodgkin and Hodgkin lymphomas
Measured: 10.2 months
Complete Response Rate (Part A)
The complete response rate is defined as the percentage of participants with CR at EOT according to the Lugano Classification Revised Staging System for nodal non-Hodgkin and Hodgkin lymphomas (Cheson 2014).
Measured: 7.2 months
Physician-reported Progression Free Survival (PFS) (Part A)
The physician-reported PFS rate at 2 years is estimated based on Kaplan-Meier methodology. The determination of antitumor activity will be based on response assessments made according to the Lugano Classification Revised Staging System for nodal non-Hodgkin and Hodgkin lymphomas (Cheson 2014).
Measured: 24 months
Number of Participants With Subsequent Anticancer Therapy Utilization (Part A)
Number of participants with subsequent anticancer therapy have been reported in this outcome measure.
Measured: 33.8 months
Actual Dose Intensity: Brentuximab Vedotin (Part A)
Measured: 6.5 months
Actual Dose Intensity: Doxorubicin, Vinblastine, Dacarbazine (Part A)
Measured: 6.5 months
Relative Dose Intensity (Part A)
Measured: 6.5 months
Rate of Dose Reduction and Delays: Brentuximab Vedotin (Part A)
Measured: 6.5 months
Rate of Dose Reduction and Delays: Doxorubicin (Part A)
Measured: 6.5 months
Rate of Dose Reduction and Delays: Vinblastine (Part A)
Measured: 6.5 months
Rate of Dose Reduction and Delays: Dacarbazine (Part A)
Measured: 6.5 months
Incidence of Adverse Events (Parts B and C)
Measured: 8.9 months
Incidence of Laboratory Abnormalities (Parts B and C)
Laboratory values were graded according to the National Cancer Institute's (NCI) Common Terminology Criteria for Adverse Events (CTCAE version 4.03). As per NCI CTCAE version 4.03 grading, Grade 1 indicated mild or asymptomatic laboratory abnormalities, Grade 2 indicated moderate laboratory abnormalities, and Grade 3 indicated severe and 4 indicated life-threatening laboratory abnormalities.
Measured: 8.9 months
Overall Response Rate (ORR) at EOT (Parts B and C)
ORR is defined as the percentage of participants with CR or partial response (PR) at EOT according to the Lugano Classification Revised Staging System for malignant lymphoma (Cheson 2014) with the incorporation of LYRIC (Cheson 2016) in participants with previously untreated cHL.
Measured: Up to 7.8 months
Duration of Response (DOR) at End of Study (Parts B and C)
DOR was defined as the time from the first documentation of objective tumor response (CR or PR) to the first documentation of tumor progression per the Lugano Classification Revised Staging System for malignant lymphoma (Cheson 2014) with the incorporation of LYRIC (Cheson 2016) or death, whichever came first. Duration of response was only calculated for the subgroup of participants achieving a CR or PR. Participants without progression or death were censored on the date of the last radiological assessment of measured lesions. Kaplan-Meier method was used.
Measured: Up to 51.1 months
Duration of Complete Response (DOCR) (Parts B and C)
DOCR was defined as the time from start of the first documentation of CR to the first documentation of tumor progression (per the Lugano Classification Revised Staging System for malignant lymphoma (Cheson 2014) with the incorporation of LYRIC (Cheson 2016) or death, whichever came first. DOCR was calculated for the subgroup of participants achieving CR. Participants without progression or death were censored on the date of the last radiological assessment of measured lesions. Kaplan-Meier method was used.
Measured: Up to 51.1 months
Event Free Survival (EFS) Rate (Parts B and C)
EFS was defined as the time from the start of study treatment to the first documentation of objective tumor progression, death due to any cause, or receipt of subsequent anticancer therapy to treat residual or progressive disease, whichever occurred first. The determination of antitumor activity will be based on objective response assessments made according to Lugano Classification Revised Staging System for malignant lymphoma (Cheson 2014) with the incorporation of LYRIC (Cheson 2016). Participants without progression or death were censored on the date of the last radiological assessment of measured lesions. EFS rate was percentage of participants with EFS.
Measured: Months 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42
PFS Rate (Parts B and C)
PFS was defined as the time from start of study treatment to first documentation of objective tumor progression or death. The determination of antitumor activity will be based on objective response assessments made according to Lugano Classification Revised Staging System for malignant lymphoma (Cheson 2014) with the incorporation of LYRIC (Cheson 2016). Participants without progression or death were censored on the date of the last radiological assessment of measured lesions. Kaplan-Meier method was used.
Measured: At months 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42 from the start of study treatment
Overall Survival (OS) Rate (Parts B and C)
OS was defined as the time from start of study treatment to date of death due to any cause. In the absence of confirmation of death, survival time was censored at the last date the participant was known to be alive. Kaplan-Meier method was used.
Measured: At months 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42 from the start of study treatment
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Aug 2018
- Study start28 Jan 2019
- Primary completion7 Nov 2022
- Study completion23 Aug 2024
Why it stopped: The study was prematurely discontinued as the sponsor believes the data collected is enough to show the safety and efficacy of the combinations studied in all cohorts. The decision was not based on any safety and/or efficacy concerns.
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Hodgkin LymphomaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 255 participants (actual)
Sponsor and investigators
- Lead sponsor
- Seagen Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Bristol-Myers Squibb
- Responsible party
- Sponsor
- Investigators
- Medical Monitor, Study director, Seagen Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03646123
- Sponsor's protocol ID
- SGN35-027
- Status last verified
- Aug 2025
- First submitted
- 22 Aug 2018
- Last updated
- 28 Aug 2025
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Abramson JS, Straus DJ, Bartlett NL, Burke JM, Lynch RC, Domingo Domenech E, Hess B, Schuster SR, Linhares Y, Gandhi M, Shah HR, Jurczak W, Re A, Hahn U, Prince HM, Guo W, Davis G, Ho L, Fanale M, Yasenchak CA, Lee HJ. Study of brentuximab vedotin combination treatment in people with early-stage Hodgkin lymphoma: a plain language summary. Future Oncol. 2026 Jul;22(17):2027-2040. doi: 10.1080/14796694.2026.2693614. Epub 2026 Jul 6.
PubMed 42405616Abramson JS, Straus DJ, Bartlett NL, Burke JM, Lynch RC, Domingo Domenech E, Hess B, Schuster SR, Linhares Y, Gandhi M, Shah HR, Jurczak W, Re A, Hahn U, Prince HM, Guo W, Davis G, Ho L, Fanale M, Yasenchak CA, Lee HJ. Brentuximab vedotin and nivolumab in combination with chemotherapy for nonbulky, early-stage classical Hodgkin lymphoma. Blood. 2026 Apr 9;147(15):1713-1722. doi: 10.1182/blood.2025030190.
PubMed 41460964Lee HJ, Ramchandren R, Friedman J, Melear J, Flinn IW, Burke JM, Linhares Y, Gonzales P, Peterson M, Raval M, Chintapatla R, Feldman TA, Yimer H, Islas-Ohlmayer M, Patel A, Metheny L, Dean A, Rana V, Gandhi MD, Renshaw J, Ho L, Fanale MA, Guo W, Yasenchak CA. Brentuximab vedotin, nivolumab, doxorubicin, and dacarbazine for advanced-stage classical Hodgkin lymphoma. Blood. 2025 Jan 16;145(3):290-299. doi: 10.1182/blood.2024024681.
PubMed 39622165
Study at a glance
From the registry record, last updated by the sponsor on 28 Aug 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Multiple Part Clinical Trial of Brentuximab Vedotin in Classical Hodgkin Lymphoma Subjects
- ClinicalTrials.gov ID
- NCT03646123
- Acronym / sponsor ID
- SGN35-027
- Conditions
- Hodgkin Lymphoma
- Keywords
- Brentuximab vedotin, Doxorubicin, Vinblastine, Dacarbazine, Nivolumab, Seattle Genetics
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: The study was prematurely discontinued as the sponsor believes the data collected is enough to show the safety and efficacy of the combinations studied in all cohorts. The decision was not based on any safety and/or efficacy concerns.
- Enrolment
- 255 participants (actual)
- Lead sponsor
- Seagen Inc.Industry (pharma, biotech, devices)
- Collaborators
- Bristol-Myers Squibb
- Study start
- 28 Jan 2019 (actual)
- Primary completion
- 7 Nov 2022 (actual)
- Study completion
- 23 Aug 2024 (actual)
- First posted
- 24 Aug 2018 (actual)
- Results
- Posted 21 Dec 2023
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This trial will study two treatment combinations for classical Hodgkin lymphoma (cHL). This trial will find out if these two treatment combinations work to treat cHL. It will also find out what side effects occur. A side effect is anything the drug does besides treating cancer. This study will have three parts (Parts A, B, and C).
The drugs used in Part A are a combination of targeted anticancer drug (brentuximab vedotin) and three chemotherapy drugs (doxorubicin, vinblastine, and dacarbazine). These four drugs are called "A+AVD." Participants will be treated with granulocyte colony stimulating factor (G-CSF) following every dose of A+AVD for 6 cycles of treatment (12 doses).
Part A will look at whether the A+AVD drug combination reduces the number of participants who experience the side effect of febrile neutropenia. Febrile neutropenia is a very low white blood cell count and a fever, which can be life threatening.
Parts B and C will use drug combination of brentuximab vedotin, plus nivolumab, doxorubicin, and dacarbazine. These four drugs are called "AN+AD." Parts B and C will study how well the drugs work to treat cHL and what side effects they cause.
Detailed description
This study will have three parts.
Part A of the study is designed to evaluate the incidence of febrile neutropenia, efficacy, and dose intensity in participants with advanced stage classical Hodgkin lymphoma (cHL) receiving granulocyte colony stimulating factor primary prophylaxis (G-PP) administration during treatment with frontline A+AVD. In Part A, participants will be treated with granulocyte colony stimulating factor (G-CSF) following every dose of A+AVD for 6 cycles of treatment. Participants will be treated using institutional standard of care practices for the majority of treatment decisions.
Part B is designed to evaluate the combination of brentuximab vedotin, nivolumab, doxorubicin, and dacarbazine (AN+AD) as frontline treatment in participants with advanced cHL. In Part B, participants will be given AN+AD combination for 6 cycles of treatment. This part of the trial will look at whether this combination of drugs is effective and tolerable in participants with Stage II with bulky mediastinal disease and Stage III or IV cHL.
Part C is designed to evaluate AN+AD as frontline treatment in participants with early stage cHL. In Part C, participants will be given AN+AD combination for 4 cycles of treatment. This part of the trial will look at whether this combination of drugs is effective and tolerable in participants with Stage I or II cHL with non-bulky mediastinal disease.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Part A: A+AVD | Experimental | Drug: brentuximab vedotin, Drug: doxorubicin, Drug: vinblastine, Drug: dacarbazine, Drug: G-CSFBrentuximab vedotin (A) plus doxorubicin (+A), vinblastine (V), and dacarbazine (D) administered by intravenous (IV) infusion in participants with advanced stage classical Hodgkin lymphoma (cHL) during each treatment cycle. |
| Part B: AN+AD | Experimental | Drug: brentuximab vedotin, Drug: doxorubicin, Drug: dacarbazine, Drug: nivolumabBrentuximab vedotin (A) plus nivolumab (N), doxorubicin (+A), and dacarbazine (D) administered separately by IV infusion in participants with Stage II bulky mediastinal disease and Stage III or IV cHL during each treatment cycle. |
| Part C: AN+AD | Experimental | Drug: brentuximab vedotin, Drug: doxorubicin, Drug: dacarbazine, Drug: nivolumabBrentuximab vedotin (A) plus nivolumab (N), doxorubicin (+A), and dacarbazine (D) administered separately by IV infusion in participants with Stage I or II cHL with non-bulky mediastinal disease during each treatment cycle. |
Who may qualify
- Ages
- 12 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (8 listed)
- Treatment-naïve, classic Hodgkin lymphoma (cHL) participants
- Histologically confirmed cHL according to the current World Health Organization (WHO) Classification
- Bidimensional measurable disease as documented by PET/CT or CT imaging
- Age 12 years or older in the United States. For regions outside of the US, participants must 18 years or older.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2
Key exclusion criteria (18 listed)
- Nodular lymphocyte predominant HL
- History of another malignancy within 3 years of the first dose of study drug or any evidence of residual disease from a previously diagnosed malignancy. Exceptions are malignancies with a negligible risk or metastasis or death. Participants with nonmelanoma skin cancer, localized prostate cancer, or carcinoma in situ of any type are not excluded if they have undergone complete resection
- Prior immunosuppressive chemotherapy, therapeutic radiation, or any immunotherapy within 4 weeks of the first study drug dose
- Prior treatment with an anti-PD-1, anti-PD-L1, anti-PD-L2, or anti-CTLA-4 antibody, or any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways
- Active cerebral/meningeal disease related to the underlying malignancy
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| brentuximab vedotinAlso: Adcetris, SGN-351.2 mg/kg by IV infusion | Drug | Part A: A+AVD, Part B: AN+AD, Part C: AN+AD |
| doxorubicin25 mg/m^2 by IV infusion | Drug | Part A: A+AVD, Part B: AN+AD, Part C: AN+AD |
| vinblastine6 mg/m^2 by IV infusion | Drug | Part A: A+AVD |
| dacarbazine375 mg/m^2 by IV infusion | Drug | Part A: A+AVD, Part B: AN+AD, Part C: AN+AD |
| G-CSFAlso: filgrastim, pegfilgrastimGranulocyte colony stimulating factor (G-CSF) primary prophylaxis administered 24-36 hours after each dose of A+AVD | Drug | Part A: A+AVD |
| nivolumabAlso: Opdivo240 mg by IV infusion | Drug | Part B: AN+AD, Part C: AN+AD |
Primary outcome
Febrile Neutropenia (FN) Rate (Part A)
Time frame: 7.5 months
The FN rate is defined as the number of participants who experience treatment-emergent FN.
Complete Response (CR) Rate at EOT (Parts B and C)
Time frame: 7.8 months
CR rate at EOT is defined as the percentage of participants with CR at EOT, according to the Lugano Classification Revised Staging System for malignant lymphoma (Cheson 2014) with the incorporation of Lymphoma Response to Immunomodulatory Therapy Criteria (LYRIC) (Cheson 2016), in participants with previously untreated cHL.
20 secondary outcomes
Number of Participants With Adverse Events of Clinical Interest (AECI) (Part A)
Time frame: Approximately up to 7.5 months
Primary Refractory Disease Rate (Part A)
Time frame: 10.2 months
Complete Response Rate (Part A)
Time frame: 7.2 months
Physician-reported Progression Free Survival (PFS) (Part A)
Time frame: 24 months
Number of Participants With Subsequent Anticancer Therapy Utilization (Part A)
Time frame: 33.8 months
Actual Dose Intensity: Brentuximab Vedotin (Part A)
Time frame: 6.5 months
Actual Dose Intensity: Doxorubicin, Vinblastine, Dacarbazine (Part A)
Time frame: 6.5 months
Relative Dose Intensity (Part A)
Time frame: 6.5 months
Rate of Dose Reduction and Delays: Brentuximab Vedotin (Part A)
Time frame: 6.5 months
Rate of Dose Reduction and Delays: Doxorubicin (Part A)
Time frame: 6.5 months
Rate of Dose Reduction and Delays: Vinblastine (Part A)
Time frame: 6.5 months
Rate of Dose Reduction and Delays: Dacarbazine (Part A)
Time frame: 6.5 months
Incidence of Adverse Events (Parts B and C)
Time frame: 8.9 months
Incidence of Laboratory Abnormalities (Parts B and C)
Time frame: 8.9 months
Overall Response Rate (ORR) at EOT (Parts B and C)
Time frame: Up to 7.8 months
Duration of Response (DOR) at End of Study (Parts B and C)
Time frame: Up to 51.1 months
Duration of Complete Response (DOCR) (Parts B and C)
Time frame: Up to 51.1 months
Event Free Survival (EFS) Rate (Parts B and C)
Time frame: Months 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42
PFS Rate (Parts B and C)
Time frame: At months 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42 from the start of study treatment
Overall Survival (OS) Rate (Parts B and C)
Time frame: At months 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42 from the start of study treatment
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Aug 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 42405616Abramson JS, Straus DJ, Bartlett NL, Burke JM, Lynch RC, Domingo Domenech E, Hess B, Schuster SR, Linhares Y, Gandhi M, Shah HR, Jurczak W, Re A, Hahn U, Prince HM, Guo W, Davis G, Ho L, Fanale M, Yasenchak CA, Lee HJ. Study of brentuximab vedotin combination treatment in people with early-stage Hodgkin lymphoma: a plain language summary. Future Oncol. 2026 Jul;22(17):2027-2040. doi: 10.1080/14796694.2026.2693614. Epub 2026 Jul 6.
- Derived from this study: PubMed 41460964Abramson JS, Straus DJ, Bartlett NL, Burke JM, Lynch RC, Domingo Domenech E, Hess B, Schuster SR, Linhares Y, Gandhi M, Shah HR, Jurczak W, Re A, Hahn U, Prince HM, Guo W, Davis G, Ho L, Fanale M, Yasenchak CA, Lee HJ. Brentuximab vedotin and nivolumab in combination with chemotherapy for nonbulky, early-stage classical Hodgkin lymphoma. Blood. 2026 Apr 9;147(15):1713-1722. doi: 10.1182/blood.2025030190.
- Derived from this study: PubMed 39622165Lee HJ, Ramchandren R, Friedman J, Melear J, Flinn IW, Burke JM, Linhares Y, Gonzales P, Peterson M, Raval M, Chintapatla R, Feldman TA, Yimer H, Islas-Ohlmayer M, Patel A, Metheny L, Dean A, Rana V, Gandhi MD, Renshaw J, Ho L, Fanale MA, Guo W, Yasenchak CA. Brentuximab vedotin, nivolumab, doxorubicin, and dacarbazine for advanced-stage classical Hodgkin lymphoma. Blood. 2025 Jan 16;145(3):290-299. doi: 10.1182/blood.2024024681.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Medical Monitor study director
Seagen Inc.
76 sites in 6 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing brentuximab vedotin, doxorubicin and vinblastine in people with Hodgkin Lymphoma, run by Seagen Inc. at 76 sites in 6 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 8 inclusion and 18 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: stopped early, as of the sponsor's last update on 28 Aug 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 76 sites in United States, Spain, Australia, Italy, Czechia and 1 more country. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 21 Dec 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Febrile Neutropenia (FN) Rate (Part A) (time frame: 7.5 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03646123, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Aug 2025.