Brentuximab Vedotin Plus AVD in Limited-stage Hodgkin Lymphoma

January 23, 2018 updated by: Jeremy Abramson, MD, Massachusetts General Hospital

Brentuximab Vedotin Plus AVD in Non-bulky Limited Stage Hodgkin Lymphoma

Brentuximab is an antibody-drug conjugate (ADC), which is the combination of an antibody (a protein that binds to cells) and a chemotherapy molecule. Brentuximab works by using the antibody portion to enter into the Hodgkin lymphoma cells and then releasing the chemotherapy portion, which attempts to destroy the cell.

The intravenous chemotherapy drugs Adriamycin, Vinblastine and Dacarbazine (AVD) which you will receive in this research study are approved for use in people with Hodgkin Lymphoma. A drug called bleomycin is usually included with AVD, but since it appears to be a less effective drug with significant potential risks, it is being replaced in this study with the drug brentuximab.

In this research study, the investigators are looking to see whether brentuximab in combination with AVD is effective in treating limited-stage Hodgkin Lymphoma.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Each treatment cycle is 28 days. You will receive brentuximab alone on Day 1 and 15 of the first cycle (lead-in cycle). After cycle 1, you will receive brentuximab combined with AVD on Day 1 and 15 for 4-6 cycles, depending on your response to therapy. Brentuximab and AVD will be given to you by intravenous infusion (IV).

The following test and procedures will be performed on Days 1 and 15 of each cycle:

  • Review of any side effects you have experienced and all medications you are taking
  • Performance Status
  • Physical exam and vital signs
  • Routine blood tests
  • Questionnaire to evaluate symptoms of neuropathy
  • Research blood sample to look at markers to see how your body is responding to study medication
  • PET-CT scan prior to completing cycle 2 of combination brentuximab/AVD

After the final dose of the study drug: The following assessments will be performed within one month of your last dose of study medication:

  • Review of any side effects you have experienced and all medications you are taking
  • Performance Status
  • Physical exam and vital signs
  • Routine blood tests
  • Questionnaire to evaluate symptoms of neuropathy
  • Research blood sample to look at markers to see how your body is responding to study medication
  • PET-CT scan Follow up will include the following
  • Review of any side effects you have experienced and all medications you are taking
  • Performance Status
  • Review and Physical exam
  • Routine blood tests
  • Questionnaire to evaluate symptoms of neuropathy
  • CT scans

Study Type

Interventional

Enrollment (Actual)

34

Phase

  • Phase 2

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United States
    • Florida
      • Tampa, Florida, United States, 33612
        • Moffitt Cancer Center
    • Massachusetts
      • Boston, Massachusetts, United States, 02215
        • Beth Israel Deaconess Medical Center
      • Boston, Massachusetts, United States, 02115
        • Dana-Farber Cancer Institute
      • Boston, Massachusetts, United States, 02114
        • Massachusetts General Hosptial

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Previously untreated stage IA, IB, IIA or IIB classical Hodgkin Lymphoma
  • Non-bulky disease defined as less than 10 cm in maximal diameter
  • Measurable disease greater than or equal to 1.5 cm
  • ECOG performance status of 0 or 2
  • Willing to use 2 effective forms of birth control

Exclusion Criteria:

  • No prior chemotherapy or radiotherapy for Hodgkin lymphoma
  • Not receiving any other investigational agents
  • No history of allergic reactions attributed to compounds of similar chemical or biologic composition to Adriamycin, Vinblastine, Dacarbazine or brentuximab
  • No pre-existing grade 3 or greater neuropathy
  • No uncontrolled intercurrent illness
  • Not pregnant or breastfeeding
  • No history of a different malignancy unless disease free for at least one year

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Treatment Arm
Brentuximab Vedotin in combination with Adriamycin, Vinblastine and Dacarbazine
Drug: Brentuximab Vedotin
2 doses administered 14 days apart; followed by combination therapy with AVD for 4-6 cycles; 1.2 mg/kg
Other Names:
  • Adcetris
  • SGN-35
  • SGN35
Drug: Adriamycin, vinblastine, and dacarbazine
Combination therapy with brentuximab for 4-6 cycles; 25 mg/m2 Adriamycin; 6 mg/m2 Vinblastine; 375 mg/m2 Dacarbazine
Other Names:
  • DTIC
  • Velban
  • Doxorubicin

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Complete Response Rate
Time Frame: End of Therapy (median duration of four months)
Complete response rate at the end of therapy as measured by Positron emission tomography-computed tomography (PET/CT). Response is evaluated using Revised International Working Group Criteria. Complete response is defined as disappearance of all evidence of disease.
End of Therapy (median duration of four months)

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Overall Response Rate After One Cycle of Brentuximab
Time Frame: 28 days

The number of participants achieving a Partial Response (PR) or Complete Response (CR) after one cycle of Brentuximab monotherapy as measured via PET/CT response. Response is evaluated using the Revised International Working Group Criteria.

  • CR: Disappearance of all evidence of disease
  • PR: Regression of measurable disease and no new sites
28 days
Overall Response Rate
Time Frame: End of Therapy (median duration of four months)

The number of participants achieving a Partial Response (PR) or Complete Response (CR) at the end of therapy as measured via PET/CT response. Response is evaluated using the Revised International Working Group Criteria.

  • CR: Disappearance of all evidence of disease
  • PR: Regression of measurable disease and no new sites
End of Therapy (median duration of four months)
Grade III or IV Adverse Events
Time Frame: 2 years
A summary of the grade 3 or 4 adverse events experienced by participants as determined by Common Terminology Criteria for Adverse Events (CTCAE) version 4.0. The data is shown as the number of participants that experienced at least one grade 3 or 4 adverse event for each of the specified toxicities.
2 years

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Massachusetts General Hospital

Collaborators

Dana-Farber Cancer Institute
Beth Israel Deaconess Medical Center
H. Lee Moffitt Cancer Center and Research Institute
Seagen Inc.

Investigators

  • Principal Investigator: Jeremy Abramson, M.D., Massachusetts General Hospital

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

March 1, 2012

Primary Completion (Actual)

January 1, 2015

Study Completion (Actual)

January 1, 2018

Study Registration Dates

First Submitted

February 9, 2012

First Submitted That Met QC Criteria

February 13, 2012

First Posted (Estimate)

February 16, 2012

Study Record Updates

Last Update Posted (Actual)

February 20, 2018

Last Update Submitted That Met QC Criteria

January 23, 2018

Last Verified

January 1, 2018

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 11-462

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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