Non Hodgkin Lymphoma Clinical Trial

Clinical Trial of Brentuximab Vedotin in Classical Hodgkin Lymphoma

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. 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.

View Full Description

Full 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.

View Eligibility Criteria

Eligibility Criteria

Inclusion Criteria

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

Exclusion Criteria

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)
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

Study is for people with:

Non Hodgkin Lymphoma

Phase:

Phase 2

Estimated Enrollment:

255

Study ID:

NCT03646123

Recruitment Status:

Active, not recruiting

Sponsor:

Seagen Inc.

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There are 76 Locations for this study

See Locations Near You

Compassionate Care Research Group
Fountain Valley California, 92708, United States
Rocky Mountain Cancer Centers - Aurora
Aurora Colorado, 80012, United States
University of Colorado Health Memorial Hospital
Colorado Springs Colorado, 80909, United States
Cancer Centers of Colorado - Denver
Denver Colorado, 80218, United States
Poudre Valley Health System (PVHS)
Fort Collins Colorado, 80528, United States
SCL Health - St. Mary's Hospital & Medical Center
Grand Junction Colorado, 81501, United States
Miami Cancer Institute at Baptist Health, Inc.
Miami Florida, 33176, United States
Florida Cancer Specialists - North Region
Saint Petersburg Florida, 33705, United States
Cardinal Bernardin Cancer Center / Loyola University Medical Center
Maywood Illinois, 60153, United States
Illinois Cancer Specialists / Advocate Lutheran General Hospital
Niles Illinois, 60714, United States
Illinois Cancer Care
Peoria Illinois, 61615, United States
Massachusetts General Hospital
Boston Massachusetts, 02114, United States
Beth Israel Deaconess Medical Center
Boston Massachusetts, 02215, United States
Karmanos Cancer Institute / Wayne State University
Detroit Michigan, 48201, United States
Henry Ford Health System
Detroit Michigan, 48202, United States
Minnesota Oncology Hematology P.A.
Edina Minnesota, 55435, United States
Washington University in St Louis
Saint Louis Missouri, 63110, United States
New Jersey Hematology Oncology Associates, LLC
Brick New Jersey, 08724, United States
Regional Cancer Care Associates - Freehold
Freehold New Jersey, 07728, United States
Hackensack University Medical Center
Hackensack New Jersey, 07601, United States
Regional Cancer Care Associates - Howell
Howell New Jersey, 07731, United States
Morristown Medical Center/ Carol G. Simon Cancer Center
Morristown New Jersey, 07960, United States
Regional Cancer Care Associates - Mount Holly
Mount Holly New Jersey, 08060, United States
Regional Cancer Care Associates - Central Jersey
Somerville New Jersey, 08876, United States
Regional Cancer Care Associates - Sparta
Sparta New Jersey, 07871, United States
New York Oncology Hematology, P.C.
Albany New York, 12208, United States
CareMount Medical Group
Mount Kisco New York, 10549, United States
Mount Sinai Medical Center
New York New York, 10029, United States
Memorial Sloan Kettering Cancer Center
New York New York, 10065, United States
Clinical Research Alliance - Abraham Mittelman, MD, LLC
Purchase New York, 10577, United States
Clinical Research Alliance - Morton Coleman, MD
Westbury New York, 11590, United States
Wake Forest Baptist Medical Center / Wake Forest University
Winston-Salem North Carolina, 27157, United States
Oncology Hematology Care
Cincinnati Ohio, 45242, United States
Case Western Reserve University / University Hospitals Cleveland Medical Center
Cleveland Ohio, 44106, United States
Cleveland Clinic, The
Cleveland Ohio, 44195, United States
Toledo Clinic Cancer Center
Toledo Ohio, 43623, United States
Willamette Valley Cancer Institute and Research Center
Eugene Oregon, 97401, United States
Providence Portland Medical Center
Portland Oregon, 97213, United States
Medical University of South Carolina/Hollings Cancer Center
Charleston South Carolina, 29425, United States
University of Tennessee
Knoxville Tennessee, 37920, United States
Tennessee Oncology - Nashville
Nashville Tennessee, 37203, United States
Texas Oncology - Austin Midtown
Austin Texas, 78705, United States
Texas Oncology - Medical City Dallas
Dallas Texas, 75230, United States
Texas Oncology - Flower Mound
Flower Mound Texas, 75028, United States
Brooke Army Medical Center
Fort Sam Houston Texas, 78234, United States
Texas Oncology - Fort Worth 12th Avenue
Fort Worth Texas, 76104, United States
MD Anderson Cancer Center / University of Texas
Houston Texas, 77030, United States
Texas Oncology - San Antonio Medical Center
San Antonio Texas, 78240, United States
Texas Oncology - Tyler
Tyler Texas, 75702, United States
Huntsman Cancer Institute/University of Utah
Salt Lake City Utah, 84112, United States
Virginia Cancer Specialists, PC
Fairfax Virginia, 22031, United States
Oncology and Hematology Assoc of SW VA DBA Blue Ridge Cancer Care
Salem Virginia, 24153, United States
Kadlec Clinic Hematology and Oncology
Kennewick Washington, 99336, United States
Vista Oncology Inc PS
Olympia Washington, 98506, United States
Seattle Cancer Care Alliance / University of Washington
Seattle Washington, 98109, United States
Royal Adelaide Hospital
Adelaide Other, 5000, Australia
Ballarat Regional Integrated Cancer Care
Ballarat Other, 3350, Australia
Monash Medical Centre
Clayton Other, 3168, Australia
Epworth Healthcare
Victoria Other, 3002, Australia
Fakultni nemocnice Hradec Kralove-oddeleni klinicke hematologie
Hradec Kralove Other, 500 0, Czechia
Fakultni Nemocnice Kralovske Vinohrady
Praha 10 Other, 100 3, Czechia
Azienda Ospedaliera Spedali Civili di Brescia
Brescia Other, 25123, Italy
IRCSS Policlinico San Matteo
Pavia Other, 27100, Italy
Azienda Ospedaliera Universitaria Senese
Siena Other, 53100, Italy
Azienda Ospedaliera Citta della Salute e della Scienza di Torino
Torino Other, 10126, Italy
Pratia MCM Krakow
Krakow Other, 30-51, Poland
Hospital del Mar
Barcelona Other, 08003, Spain
Hospital Universitario Vall d'Hebron
Barcelona Other, 08035, Spain
Institut Catala d'Oncologia - Hospital Duran i Reynals (ICO L'Hospitalet)
Barcelona Other, 08908, Spain
Hospital Universitario de Girona Doctor Josep Trueta
Girona Other, 17007, Spain
Hospital Universitario Fundacion Jimenez Diaz
Madrid Other, 28040, Spain
Hospital Universitario 12 de Octubre
Madrid Other, 28041, Spain
Hospital Puerta de Hierro Majadahonda
Majadahonda Other, 28222, Spain
Hospital Universitario Central de Asturias
Oviedo Other, 33011, Spain
Hospital Clinico Universitario de Salamanca
Salamanca Other, 37007, Spain
Hospital Universitari i Politecnic La Fe de Valencia
Valencia Other, 46026, Spain

How clear is this clinincal trial information?

Study is for people with:

Non Hodgkin Lymphoma

Phase:

Phase 2

Estimated Enrollment:

255

Study ID:

NCT03646123

Recruitment Status:

Active, not recruiting

Sponsor:


Seagen Inc.

How clear is this clinincal trial information?

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