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Hodgkin Lymphoma, AdultPhase 3HL-Russia-1NCT04638790

First Line Chemotherapy for Classical Hodgkin Lymphoma in Russia (HL-Russia-1)

A Phase 3 study testing Doxorubicin, Bleomycin and Vinblastine in people with Hodgkin Lymphoma, Adult, run by State Budgetary Healthcare Institution, National Medical Surgical Center N.A. N.I. Pirogov, Ministry of Health of Russia at 2 sites in 2 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

The HL-Russia-1 is a non-randomized, open-label, multicenter, phase III, 3-arm study. The primary objective is to assess efficacy, safety and progression-free survival (PFS) of different approaches (earle favorable, early unfavorable and advanced stages) to first line chemotherapy for classical Hodgkin Lymphoma (HL). Read more about this study

Who is it for?
Ages 18 to 50 years
Conditions the study is for
Hodgkin Lymphoma, Adult
What is being tested?
Doxorubicin, Bleomycin and Vinblastine
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
300 participants
Where
2 sitesin 2 countries
Study dates
1 Feb 2020to 31 Dec 2026
Phase
Phase 3
Are there results?
Not yet: the study is under way

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 18 to 50 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Histologically confirmed classical HL
  • Previously untreated disease
  • Age 18-5 years
  • Eastern Cooperative Oncology Group (ECOG) performance status (PS) ≤2
  • Adequate organ and marrow function as defined below: absolute neutrophil count >1,0 x109/L, platelets >75 x109/L
  • Total bilirubin <2 mg/dl without a pattern consistent with Gilbert's syndrome
Show all 12Show fewer
  • Creatinine within normal institutional limits or creatinine clearance >50 mL/min/1.73 m2
  • Females of childbearing must have a negative pregnancy test at medical supervision even if had been using effective contraception
  • Life expectancy > 6 months
  • Able to adhere to the study visit schedule and other protocol requirements
  • Sign (or their legally acceptable representatives must sign) an informed consent document indicating that they understand the purpose of and procedures required for the study and are willing to participate in the study.
  • Access to PET-CT (positron emission computed tomography) scans facilities

Who cannot join

  • Nodular Lymphocyte Predominant HL
  • Prior chemotherapy or radiation therapy
  • Pregnant or lactating females
  • Cardiac arrhythmia, conduction abnormalities, ischemic cardiopathy, left ventricular hypertrophy or left ventricular ejection fraction (LVEF) ≤50% at echocardiography.
  • Abnormal QTc (corrected QT interval) interval prolonged (>450 msec in males; >470 msec in women)
  • Uncontrolled infectious disease
Show all 10Show fewer
  • Human immunodeficiency virus (HIV) positivity or active infectious A, B or C hepatitis. HBsAg-negative patients with anti-HBc (hepatitis B core antigen) antibody and can be enrolled provided that Hepatitis B Virus (HBV)-DNA are negative and that antiviral treatment with nucleos(t)ide analogs is provided
  • Uncompensated diabetes
  • Refusal of adequate contraception
  • Any medical or psychiatric illness that could, in the investigator's opinion, potentially interfere with the completion of treatment.

Trial locations and contacts

2 sites in 2 countries. Contact the study team or a site near you to ask about taking part.

Vladislav Sarzhevskiy, PhD contact

+7-910-436-00-40

vladsar100@gmail.com

Nikita Mochkin, PhD contact

+7-910-456-87-06

nickmed@yandex.ru

2 sites in 2 countries

India1 site, 1 recruiting
  • Tata Memorial Hospital

    Mumbai, Opd-81 Main Building, Dr. E Borges Road, Parel 400012

    Hasmukh Jain, Dr., 02224177018 ext. 7718982948, dr.hkjain@gmail.com

    Lingaraj Nayak, Dr., 02224177018 ext. 7718982948

    Recruiting

Other trials in India

Russia1 site, 1 recruiting
  • The Federal Budget-Funded Institution National Medical Surgical Center named after N. I. Pirogov of the Ministry of health of the Russian Federation

    Moscow, 105203

    Vladislav Sarzhevskiy, MD, PhD, +74956037217, vladsar100@gmail.com

    Nikita Mochkin, MD, PhD, +74956037217, nickmed@yandex.ru

    Recruiting

Other trials in Russia

About this study

Official title: First Line Chemotherapy for Classical Hodgkin Lymphoma in Russia

The HL-Russia-1 is a non-randomized, open-label, multicenter, phase III, 3-arm study. The primary objective is to assess efficacy, safety and progression-free survival (PFS) of different approaches (earle favorable, early unfavorable and advanced stages) to first line chemotherapy for classical Hodgkin Lymphoma (HL).

Read the detailed description

The study is devoted to patients affected with Hodgkin Lymphoma in Russia.

The study aims to assess the efficacy and safety of three different approaches to first line chemotherapy for classical Hodgkin Lymphoma (HL):

  1. Early favourable (stages I-IIA without unfavorable risk factors). Patients will receive two courses of standard ABVD (Adriamycin, bleomycin, vinblastine, and dacarbazine). Those with a PET-2 (positron emission tomography) negative scan (Deauville Score 1-3) will proceed with radiotherapy on initially involved site (20 Gy). Those with a PET-2 Deauville score 4 will proceed with additional 2 ABVD courses. After that, those with a PET-4 negative scan (Deauville Score 1-3) will proceed with radiotherapy on initially involved site (30 Gy). In case of PET-4 positive scan after 4 ABVD cycles (Deauville score 4-5) patients will be planned to perform the biopsy and in case of positive results, proceed to high-dose chemotherapy with autologous stem cell transplantation (HDT with ASCT). In case of negative results of the biopsy, they will proceed with additional 2 ABVD courses and restage again. Those with a PET-6 negative scan (Deauville Score 1-3) will proceed with radiotherapy on initially involved site (30 Gy). In case of PET-6 positive scan (Deauville score 4-5) patients will be proceeded to HDT with ASCT. Those with a PET-2 Deauville score 5 after 2 ABVD courses will be planned to perform the biopsy and in case of positive results, proceed to HDT with ASCT. In case of negative results of the biopsy they will proceed with additional 2 ABVD courses and restage again. Those with a PET-4 negative scan (Deauville Score 1-3) will proceed with radiotherapy on initially involved site (30 Gy). In case of PET-4 positive scan (Deauville score 4-5) patients will be proceeded to HDT with ASCT.
  2. Early unfavorable (stages IA-B, IIA bulky and/or extranodal lesions, patients younger 50 years). Patients will receive two courses of EACODD-14 (etoposide 100 mg/m2 days 1-3, doxorubicin 50 mg/m2 day 1, cyclophosphamide 650 mg/m2 day 1, vincristine 1,4 mg/m2 day 8, dacarbazine 375 mg/m2 day 1, dexamethasone 20 mg days 1-3; cycle is repeated every 14 days). Those with a PET-2 negative scan (Deauville Score 1-3) will be deescalated to 2 courses of AVD (Adriamycin, vinblastine, and dacarbazine) and consolidative radiotherapy on initially involved site (30 Gy). Those with a PET-2-positive scan (Deauville score 4-5) will proceed with additional 2 EACODD-14 courses. After that, those with a PET-4 negative scan (Deauville Score 1-3) will proceed with radiotherapy on initially involved site (30 Gy). In case of PET-4 positive scan after 4 EACODD-14 cycles (Deauville score 4-5) patients will proceed with additional 2 EACODD-14 courses. After that, those with a PET-6 negative scan (Deauville Score 1-3) will proceed with radiotherapy on initially involved site (30 Gy). In case of PET-6 positive scan (Deauville score 4-5) patients will be proceeded to HDT with ASCT.
  3. Advanced stages (younger 50 years). Patients will receive two courses of EACODD-14. Those with a PET-2 negative scan (Deauville Score 1-3) will proceed with 4 additional courses of EACODD-14. After that, patients with residual tumor ˂ 4 cm, will stop the therapy and start the follow-up phase. Patients with residual tumor ≥ 4 cm, will undergo consolidative radiotherapy on residual tumor (30 Gy). Those with a PET-2-positive scan (Deauville score 4-5) will proceed with additional 4 additional courses of EACODD-14. After that, those with a PET-6 negative scan (Deauville Score 1-3) will proceed with radiotherapy on residual tumor ≥ 2,5 cm (30 Gy). In case of PET-6 positive scan (Deauville score 4-5) patients will be proceeded to HDT with ASCT.
Being tested
Doxorubicin, Bleomycin, Vinblastine, Dacarbazine, Etoposide
Keywords
EACODD-14
Medical subject headings
Hodgkin Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • DoxorubicinDrug

    Also called ABVD

    25 mg/m2 i.v. day 1,15 for ABVD/AVD

  • BleomycinDrug

    Also called ABVD

    10,000 units/m2 i.v. days 1,15 for ABVD

  • VinblastineDrug

    Also called ABVD

    6 mg/m2 i.v. days 1,15 for ABVD/AVD

  • DacarbazineDrug

    Also called ABVD

    375 mg/m2 i.v. days 1,15 for ABVD/AVD

  • EtoposideDrug

    Also called EACODD-14

    100 mg/m2 i.v. days 1-3

  • DoxorubicinDrug

    Also called EACODD-14

    50 mg/m2 i.v. day 1 for EACODD-14

  • CyclophosphamideDrug

    Also called EACODD-14

    650 mg/m2 i.v. day 1

  • VincristineDrug

    Also called EACODD-14

    1,4 mg/m2 i.v. day 8

  • DexamethasoneDrug

    Also called EACODD-14

    20 mg i.v. days 1-3

  • DacarbazineDrug

    Also called EACODD-14

    375 mg/m2 i.v. day 1 for EACODD-14

Study groups in NCT04638790
Study groupRoleWhat they receive
Early favorable HLExperimentalHL without adverse prognostic factors
Receives: Drug: Doxorubicin; Drug: Bleomycin; Drug: Vinblastine; Drug: Dacarbazine
Early unfavorable HLExperimentalEarly unfavorable (stages IA-B, IIA bulky and/or extranodal lesions, age less than 50 years)
Receives: Drug: Doxorubicin; Drug: Vinblastine; Drug: Dacarbazine; Drug: Etoposide; Drug: Cyclophosphamide; Drug: Vincristine; Drug: Dexamethasone
Advanced stages HLExperimental(age less than 50 years)
Receives: Drug: Etoposide; Drug: Doxorubicin; Drug: Cyclophosphamide; Drug: Vincristine; Drug: Dexamethasone; Drug: Dacarbazine

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Complete remission rate (CR)

    CR rate is defined as the proportion of patients achieving a CR after 3 months of chemotherapy (interim) and at the end of treatment

    Measured: up to 6 months

  2. Acute Toxicity

    The severity of the toxicities will be classified according to definitions of Common Terminology Criteria for Adverse Event (CTCAE) version 4.3. It will be determined by the incidence of severe, life- threatening (CTCAE grade 3, 4 and 5) and/or serious adverse events (Infusion-related reactions)

    Measured: 6 months

  3. Late Toxicity

    The severity of the toxicities will be classified according to definitions of Common Terminology Criteria for Adverse Event (CTCAE) version 4.3. It will be determined by the incidence of severe, life- threatening (CTCAE grade 3, 4 and 5) and/or serious adverse events (Infusion-related reactions)

    Measured: 5 years

  4. Event-Free Survival (EFS)

    EFS will be measured from the time from entry onto a study to any treatment failure including disease progression, or discontinuation of treatment for any reason (e.g., disease progression, toxicity, patient preference, initiation of new treatment lacking documented progression, or death)

    Measured: 5 years

  5. Disease free survival (DFS)

    DFS will be measured from the time of occurrence of disease-free state or attainment of a CR to disease recurrence or death as a result of lymphoma or acute toxicity of treatment

    Measured: 5 years

Secondary outcomes (1)
  1. Overall survival (OS)

    OS is defined as the time from entry onto the clinical trial until death as a result of any cause

    Measured: 5 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted20 Nov 2020
  2. Study start1 Feb 2020
  3. Primary completion31 Dec 2026 (estimated)
  4. Study completion31 Dec 2026 (estimated)

Resources

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 3
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
300 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04638790
Sponsor's protocol ID
HL-Russia-1
Acronym
HL-Russia-1
Status last verified
Sep 2024
First submitted
16 Nov 2020
Last updated
27 Sep 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Doxorubicin, Bleomycin and Vinblastine in people with Hodgkin Lymphoma, Adult, run by State Budgetary Healthcare Institution, National Medical Surgical Center N.A. N.I. Pirogov, Ministry of Health of Russia at 2 sites in 2 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 12 inclusion and 10 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: looking for participants now, as of the sponsor's last update on 27 Sep 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in India, Russia. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Vladislav Sarzhevskiy, PhD (+7-910-436-00-40, vladsar100@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Complete remission rate (CR) (time frame: up to 6 months). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 27 Sep 2024.

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