NCT00736320

Brief Summary

This study is designed to test the non-inferiority of the experimental arm compared to the standard arm in terms of Progression free survival (PFS).

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
1,150

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Nov 2009

Longer than P75 for phase_3

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

August 8, 2008

Completed
7 days until next milestone

First Posted

Study publicly available on registry

August 15, 2008

Completed
1.2 years until next milestone

Study Start

First participant enrolled

November 1, 2009

Completed
8.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2018

Completed
3.3 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2021

Completed
Last Updated

November 4, 2020

Status Verified

November 1, 2020

Enrollment Period

8.8 years

First QC Date

August 8, 2008

Last Update Submit

November 3, 2020

Conditions

Keywords

Hodgkin Lymphomaearly stagePET

Outcome Measures

Primary Outcomes (1)

  • Progression Free Survival

    5 years

Secondary Outcomes (4)

  • overall survival

    5 years

  • acute toxicity

    5 years

  • late toxicity

    5 years

  • CR rate

    5 years

Study Arms (2)

A

ACTIVE COMPARATOR

2 cycles ABVD followed by 20 Gy IF-RT irrespective of FDG-PET results after chemotherapy

Drug: ABVD (Adriamycin, Bleomycin, Vincristine, Dacarbazine)Radiation: 20 Gy IFRT (Involved Field Radiotherapy)

B

EXPERIMENTAL

2 cycles ABVD followed by 20 Gy IF-RT if FDG-PET is positive after chemotherapy; 2 cycles ABVD and treatment stop if FDG-PET is negative after chemotherapy

Drug: ABVD (Adriamycin, Bleomycin, Vincristine, Dacarbazine)Radiation: 20 Gy IFRT (Involved Field Radiotherapy)

Interventions

chemotherapy with 2 cycles of ABVD (day 1 + 15)

AB

20 Gy Involved Field Radiotherapy

AB

Eligibility Criteria

Age18 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Hodgkin Lymphoma
  • CS I, II without risk factors
  • large mediastinal mass (\> 1/3 of maximum transverse thorax diameter)
  • extranodal involvement
  • elevated ESR
  • or more involved nodal areas
  • Written informed consent

You may not qualify if:

  • Leucocytes \< 3000/µl
  • Platelets \< 100000/µl
  • Hodgkin Lymphoma as composite lymphoma
  • Activity index (WHO) \> 2

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

1st Dept. of Medicine, Cologne University Hospital

Cologne, Germany

Location

Related Publications (6)

  • Lommen M, Weindler JJ, Jablonski J, Rosenbrock J, Borchmann P, Behringer K, Roth KS, Ufton D, Dietlein M, Kobe C, Ferdinandus J. Association between metabolic tumor burden and health-related quality of life in patients with classic Hodgkin lymphoma. Eur J Nucl Med Mol Imaging. 2025 Oct 11. doi: 10.1007/s00259-025-07569-5. Online ahead of print.

  • Kreuzberger N, Goldkuhle M, von Tresckow B, Kobe C, Sickinger MT, Monsef I, Skoetz N. Positron emission tomography-adapted therapy for first-line treatment in adults with Hodgkin lymphoma. Cochrane Database Syst Rev. 2025 Mar 26;3(3):CD010533. doi: 10.1002/14651858.CD010533.pub3.

  • van Heek L, Stuka C, Kaul H, Muller H, Mettler J, Hitz F, Baues C, Fuchs M, Borchmann P, Engert A, Dietlein M, Voltin CA, Kobe C. Predictive value of baseline metabolic tumor volume in early-stage favorable Hodgkin Lymphoma - Data from the prospective, multicenter phase III HD16 trial. BMC Cancer. 2022 Jun 18;22(1):672. doi: 10.1186/s12885-022-09758-z.

  • Fuchs M, Goergen H, Kobe C, Kuhnert G, Lohri A, Greil R, Sasse S, Topp MS, Schafer E, Hertenstein B, Soekler M, Vogelhuber M, Zijlstra JM, Keller UB, Krause SW, Wilhelm M, Maschmeyer G, Thiemer J, Duhrsen U, Meissner J, Viardot A, Eich H, Baues C, Diehl V, Rosenwald A, von Tresckow B, Dietlein M, Borchmann P, Engert A. Positron Emission Tomography-Guided Treatment in Early-Stage Favorable Hodgkin Lymphoma: Final Results of the International, Randomized Phase III HD16 Trial by the German Hodgkin Study Group. J Clin Oncol. 2019 Nov 1;37(31):2835-2845. doi: 10.1200/JCO.19.00964. Epub 2019 Sep 10.

  • Voltin CA, Goergen H, Baues C, Fuchs M, Mettler J, Kreissl S, Oertl J, Klaeser B, Moccia A, Drzezga A, Engert A, Borchmann P, Dietlein M, Kobe C. Value of bone marrow biopsy in Hodgkin lymphoma patients staged by FDG PET: results from the German Hodgkin Study Group trials HD16, HD17, and HD18. Ann Oncol. 2018 Sep 1;29(9):1926-1931. doi: 10.1093/annonc/mdy250.

  • Narang AK, Terezakis SA. Contemporary radiation therapy in combined modality therapy for Hodgkin lymphoma. J Natl Compr Canc Netw. 2015 May;13(5):597-605. doi: 10.6004/jnccn.2015.0077.

Related Links

MeSH Terms

Conditions

Hodgkin Disease

Interventions

ABVD protocolDoxorubicinBleomycinVincristineDacarbazine

Condition Hierarchy (Ancestors)

LymphomaNeoplasms by Histologic TypeNeoplasmsLymphoproliferative DisordersLymphatic DiseasesHemic and Lymphatic DiseasesImmunoproliferative DisordersImmune System Diseases

Intervention Hierarchy (Ancestors)

DaunorubicinAnthracyclinesNaphthacenesPolycyclic Aromatic HydrocarbonsHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsPolycyclic CompoundsAminoglycosidesGlycosidesCarbohydratesGlycopeptidesGlycoconjugatesPeptidesAmino Acids, Peptides, and ProteinsVinca AlkaloidsSecologanin Tryptamine AlkaloidsIndole AlkaloidsAlkaloidsHeterocyclic CompoundsIndolesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingIndolizidinesIndolizinesTriazenesImidazolesAzolesHeterocyclic Compounds, 1-Ring

Study Officials

  • Andreas Engert, Prof.

    University of Cologne

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Prof.

Study Record Dates

First Submitted

August 8, 2008

First Posted

August 15, 2008

Study Start

November 1, 2009

Primary Completion

September 1, 2018

Study Completion

December 1, 2021

Last Updated

November 4, 2020

Record last verified: 2020-11

Locations