Hodgkin LymphomaPhase 2NCT06201507
BV-AVD-R Treatment Children Hodgkin's Lymphoma
A Phase 2 study testing Brentuximab vedotin, Rituximab and Doxorubicin in people with Hodgkin Lymphoma, run by Beijing Children's Hospital at 1 site in China.
Trial summary
The goal of this clinical trial is to use modified Brentuximab Vedotin+doxorubicin+vinblastine+dacarbazine+Rituximab(BV-AVD-R) regimen in Chinese Classical Hodgkin's Lymphoma(HL) children. Read more about this study
- Who is it for?
- Ages Up to 18 years
- Conditions the study is for
- Hodgkin Lymphoma
- What is being tested?
- Brentuximab vedotin, Rituximab and Doxorubicin
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 44 participants
- Where
- 1 siteChina
- Study dates
- 1 Oct 2022to 31 Dec 2025
- Phase
- Phase 2
- Are there results?
- None posted in the registry
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 Up to 18 years
- All sexes
- No healthy volunteers
- Child, Adult
Who may be able to join
- Age ≤ 18 years old, regardless of gender;
- According to the WHO classification criteria in 2016, pathologically confirmed classic Hodgkin's lymphoma is immunohistochemical CD30 positive;
- Newly diagnosed classic Hodgkin's lymphoma: all stages
- The main organs function normally and meet the following definitions:
- Blood routine examination: neutrophil count ≥ 1.5 x 109/L, platelet count ≥ 75 x 109/L, hemoglobin count ≥ 80 g/dL; Liver and kidney function: AST and ALT ≤ 2.0 upper limit of normal values; Bilirubin ≤ 2.0 mg/dL; Creatinine clearance rate ≥ 60 mL/min; 5) Functional status
- For patients aged 1-16, the Lansky score is ≥ 60 points.
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- For patients over 16 years old, the Karnofsky score is ≥ 60 points. 6) Previous treatment
- Except for emergency mediastinal irradiation (<1000cGy) due to superior vena cava (SVC) syndrome, Hodgkin's lymphoma guidance treatment was not allowed before.
- 8) Informed consent
- Patients or their legally authorized guardians must have a thorough understanding of their illness and the nature of the study (including foreseeable risks and possible adverse reactions), and must sign an informed consent form.
Who cannot join
- Karnofsky<60% or Lansky<60% for individuals under 16 years old.
- Children with Hodgkin's lymphoma who have received other chemical and radiation treatments.
- Initially rated as low-risk pediatric classic Hodgkin's lymphoma (IA, IIA, without large masses)
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Efficacy and Safety of Modified BV-AVD-R Regimen in Chinese Children With Previously Untreated Intermediate- and High-risk Classical Hodgkin's Lymphoma: an Open Label, Non-randomized, Single-arm, Phase 2 Study From Single Center
The goal of this clinical trial is to use modified Brentuximab Vedotin+doxorubicin+vinblastine+dacarbazine+Rituximab(BV-AVD-R) regimen in Chinese Classical Hodgkin's Lymphoma(HL) children. The main questions it aims to answer are:
- [Overall Response Rate(ORR) :Complete Response(CR)+Partial Response(PR)]
- [progression-free survival (PFS), event-free survival (EFS) and overall survival (OS) at 6 months and 1 year.] Participants will be given modified BV-AVD-R regimen according to rapid early responders (RER) or slow early responders (SER) after 2 cycles.
Read the detailed description
This study is a prospective study with period from October 2022 to December 2024, and planned to enroll 44 children with newly diagnosed intermediate- and high-risk classical HL. All patients will undergo Positron Emission Tomography(PET)/Computed Tomography(CT) at the time of initial diagnosis and after 2 cycles of modified BV+R+AVD regimen to determine early response. Rapid early responders (RER) defined as CR after 2 cycles of therapy. Slow early responders (SER) defined as no CR (partial response (PR) or stable disease) after 2 cycles of therapy. Intermediate-risk patients were stage IA bulk/E, IB, IIA bulk/E, IIB, and IIIA. High-risk patients were stage IIB bulk/E, IIIA bulk/E, IIIB, and IVA/B.
The primary endpoints include ORR (CR+PR) and adverse events. The secondary endpoints include progression-free survival (PFS), event-free survival (EFS) and overall survival (OS) at 6 months and 1 year.
- Conditions
- Hodgkin Lymphoma
- Being tested
- Brentuximab vedotin, Rituximab, Doxorubicin, Vincristine, Dacarbazine
- Keywords
- CD30, Brentuximab vedotin, Children, Hodgkin lymphoma, Efficacy, Safety
- 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
Day 1 and 15 Dose: 1.2 mg/kg/dose. (Maximum dose is 120 mg)
RituximabDrug
Also called Rituxan
Days: 2 and 16 Dose: 375 mg/m2/dose.
DoxorubicinDrug
Also called Doxil, Adriamycin
Days: 1 and 15 Dose: 25 mg/m2/dose.
VincristineDrug
Also called Oncovin
1 and 15 Dose: 1.5 mg/m2/dose (max: 2 mg/dose).
DacarbazineDrug
Also called DTIC
375 mg/m2 will be administered on days 1 and 15
| Study group | Role | What they receive |
|---|---|---|
| Intermediate Risk | Experimental | Intermediate Risk Patients (Stage IA bulk/E, IB, IIA bulk/E, IIB, IIIA): 4 cycles of chemotherapy Receives: Drug: Brentuximab vedotin; Drug: Rituximab; Drug: Doxorubicin; Drug: Vincristine; Drug: Dacarbazine |
| High Risk | Experimental | High Risk Patients (Stage IIIA bulk/ E, IIIB, IVA/B): 6 cycles of chemotherapy Receives: Drug: Brentuximab vedotin; Drug: Rituximab; Drug: Doxorubicin; Drug: Vincristine; Drug: Dacarbazine |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Response Rate(ORR)
disease evaluations will be performed by PET-CT at the end of randomized regimen
Measured: Baseline up to end of randomized regimen (approximately 1 year)
Secondary outcomes (1)
Progression-free survival(PFS)
disease evaluations will be performed at at 6 months and 1 year after the end of treatment
Measured: 6 month and 1 year after the end of treatment
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Jan 2024
- Study start1 Oct 2022
- Primary completion31 Dec 2024 (estimated)
- Study completion31 Dec 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- 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
- 44 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Beijing Children's Hospital
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Duan Yanlong, Beijing Children's Hospital
- Investigators
- Yanlong Duan, Study chair, Beijing Children Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06201507
- Sponsor's protocol ID
- [2022]-E-233-Y
- Status last verified
- Jan 2024
- First submitted
- 30 Oct 2023
- Last updated
- 12 Jan 2024
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 12 Jan 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Efficacy and Safety of Modified BV-AVD-R Regimen in Chinese Children With Previously Untreated Intermediate- and High-risk Classical Hodgkin's Lymphoma: an Open Label, Non-randomized, Single-arm, Phase 2 Study From Single Center
- ClinicalTrials.gov ID
- NCT06201507
- Acronym / sponsor ID
- [2022]-E-233-Y
- Conditions
- Hodgkin Lymphoma
- Keywords
- CD30, Brentuximab vedotin, Children, Hodgkin lymphoma, Efficacy, Safety
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 44 participants (estimated)
- Lead sponsor
- Beijing Children's HospitalUniversity, hospital or other
- Study start
- 1 Oct 2022 (actual)
- Primary completion
- 31 Dec 2024 (estimated)
- Study completion
- 31 Dec 2025 (estimated)
- First posted
- 11 Jan 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The goal of this clinical trial is to use modified Brentuximab Vedotin+doxorubicin+vinblastine+dacarbazine+Rituximab(BV-AVD-R) regimen in Chinese Classical Hodgkin's Lymphoma(HL) children. The main questions it aims to answer are:
- [Overall Response Rate(ORR) :Complete Response(CR)+Partial Response(PR)]
- [progression-free survival (PFS), event-free survival (EFS) and overall survival (OS) at 6 months and 1 year.] Participants will be given modified BV-AVD-R regimen according to rapid early responders (RER) or slow early responders (SER) after 2 cycles.
Detailed description
This study is a prospective study with period from October 2022 to December 2024, and planned to enroll 44 children with newly diagnosed intermediate- and high-risk classical HL. All patients will undergo Positron Emission Tomography(PET)/Computed Tomography(CT) at the time of initial diagnosis and after 2 cycles of modified BV+R+AVD regimen to determine early response. Rapid early responders (RER) defined as CR after 2 cycles of therapy. Slow early responders (SER) defined as no CR (partial response (PR) or stable disease) after 2 cycles of therapy. Intermediate-risk patients were stage IA bulk/E, IB, IIA bulk/E, IIB, and IIIA. High-risk patients were stage IIB bulk/E, IIIA bulk/E, IIIB, and IVA/B.
The primary endpoints include ORR (CR+PR) and adverse events. The secondary endpoints include progression-free survival (PFS), event-free survival (EFS) and overall survival (OS) at 6 months and 1 year.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Intermediate Risk | Experimental | Drug: Brentuximab vedotin, Drug: Rituximab, Drug: Doxorubicin, Drug: Vincristine, Drug: DacarbazineIntermediate Risk Patients (Stage IA bulk/E, IB, IIA bulk/E, IIB, IIIA): 4 cycles of chemotherapy |
| High Risk | Experimental | Drug: Brentuximab vedotin, Drug: Rituximab, Drug: Doxorubicin, Drug: Vincristine, Drug: DacarbazineHigh Risk Patients (Stage IIIA bulk/ E, IIIB, IVA/B): 6 cycles of chemotherapy |
Who may qualify
- Ages
- Up to 18 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult
Key inclusion criteria (10 listed)
- Age ≤ 18 years old, regardless of gender;
- According to the WHO classification criteria in 2016, pathologically confirmed classic Hodgkin's lymphoma is immunohistochemical CD30 positive;
- Newly diagnosed classic Hodgkin's lymphoma: all stages
- The main organs function normally and meet the following definitions:
- Blood routine examination: neutrophil count ≥ 1.5 x 109/L, platelet count ≥ 75 x 109/L, hemoglobin count ≥ 80 g/dL; Liver and kidney function: AST and ALT ≤ 2.0 upper limit of normal values; Bilirubin ≤ 2.0 mg/dL; Creatinine clearance rate ≥ 60 mL/min; 5) Functional status
Key exclusion criteria (3 listed)
- Karnofsky<60% or Lansky<60% for individuals under 16 years old.
- Children with Hodgkin's lymphoma who have received other chemical and radiation treatments.
- Initially rated as low-risk pediatric classic Hodgkin's lymphoma (IA, IIA, without large masses)
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: AdcetrisDay 1 and 15 Dose: 1.2 mg/kg/dose. (Maximum dose is 120 mg) | Drug | High Risk, Intermediate Risk |
| RituximabAlso: RituxanDays: 2 and 16 Dose: 375 mg/m2/dose. | Drug | High Risk, Intermediate Risk |
| DoxorubicinAlso: Doxil, AdriamycinDays: 1 and 15 Dose: 25 mg/m2/dose. | Drug | High Risk, Intermediate Risk |
| VincristineAlso: Oncovin1 and 15 Dose: 1.5 mg/m2/dose (max: 2 mg/dose). | Drug | High Risk, Intermediate Risk |
| DacarbazineAlso: DTIC375 mg/m2 will be administered on days 1 and 15 | Drug | High Risk, Intermediate Risk |
Primary outcome
Overall Response Rate(ORR)
Time frame: Baseline up to end of randomized regimen (approximately 1 year)
disease evaluations will be performed by PET-CT at the end of randomized regimen
1 secondary outcome
Progression-free survival(PFS)
Time frame: 6 month and 1 year after the end of treatment
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Jan 2024.
- Individual participant dataSharing planned: No
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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.
Yanlong Duan study chair
Beijing Children Hospital
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Brentuximab vedotin, Rituximab and Doxorubicin in people with Hodgkin Lymphoma, run by Beijing Children's Hospital at 1 site in China.
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 10 inclusion and 3 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: status not confirmed, as of the sponsor's last update on 12 Jan 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in China. 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?
Results are not available in the source record.
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?
Overall Response Rate(ORR) (time frame: Baseline up to end of randomized regimen (approximately 1 year)). 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 12 Jan 2024.