At a glance
ClinicalIndex Comparison Record- ✓Histologically confirmed, previously untreated Hodgkin lymphoma
- ✓Age 21 years or younger
- ✓Ann Arbor stage IIB-IV, or stage I-IIA with specific risk features (bulky mediastinal disease, extranodal involvement, or ≥3 nodal sites)
- ✓Patients receiving limited emergent radiotherapy or steroids for cardiopulmonary decompensation or spinal cord compression are eligible
- ✕Prior treatment for Hodgkin lymphoma
- ✕Pregnant or lactating women
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Risk-Adapted Therapy for Pediatric Hodgkin's Disease
In Brief
A Phase 2 clinical trial evaluating 12 Week Stanford V Chemotherapy, 4 cycles of VAMP chemotherapy, and 2 other interventions for Hodgkin Lymphoma. Completed, enrolled 296 participants across 5 sites.
Detailed Summary
With the success of current chemotherapy for Hodgkin's disease, the goal of this protocol is to maintain the currently successful cure rate and reduce treatment related side effects and long term toxicity. The main purpose of this study is to estimate the event free survival of patients treated with risk-adapted therapy compared to historical controls.
Study Details
Timeline
Interventions
12 weeks of Stanford V chemotherapy plus low-dose, involved-field RT in children
4 cycles of VAMP chemotherapy alone in patients who achieve a complete response after 2 cycles of VAMP chemotherapy. For patients that do not achieve a complete response after 2 cycles of VAMP, they will receive low low-dose involved field radiotherapy at the end of all chemotherapy.
2 alternating cycles of VAMP/COP chemotherapy (total 4 cycles of chemotherapy) plus low-dose, involved-field RT.
3 alternating cycles of VAMP/COP chemotherapy (total 6 cycles of chemotherapy) plus low-dose, involved-field RT