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Showing 1-14 of 14 trials
NCT07275216
This phase II trial tests how well pembrolizumab in addition to chemotherapy (gemcitabine, brentuximab vedotin, and dacarbazine) works in treating frail patients with newly diagnosed Hodgkin lymphoma who aren't candidates for standard anthracycline-based treatment. Immunotherapy with monoclonal antibodies, such as pembrolizumab, may help the body's immune system attack the cancer, and may interfere with the ability of cancer cells to grow and spread. Gemcitabine is a chemotherapy drug that blocks the cells from making deoxyribonucleic acid (DNA) and may kill cancer cells. Brentuximab vedotin is in a class of medications called antibody-drug conjugates. It is made of a monoclonal antibody called brentuximab that is linked to a cytotoxic agent called vedotin. Brentuximab attaches to CD30 positive lymphoma cells in a targeted way and delivers vedotin to kill them. Dacarbazine is in a class of medications called alkylating agents. It works by damaging the cell's DNA and may kill cancer cells and slow down or stop cancer growth. Pembrolizumab in combination chemotherapy may be a safe and effective alternative treatment option for frail patients with Hodgkin lymphoma who can't receive standard anthracycline-based treatment.
NCT02166463
This phase III trial studies brentuximab vedotin and combination chemotherapy to see how well they work compared to combination chemotherapy alone in treating children and young adults with stage IIB with bulk, stage IIIB, IVA, or IVB Hodgkin lymphoma. Combinations of biological substances in brentuximab vedotin may be able to carry cancer-killing substances directly to Hodgkin lymphoma cells. Chemotherapy drugs, such as doxorubicin hydrochloride, bleomycin sulfate, vincristine sulfate, etoposide, prednisone, and cyclophosphamide, work in different ways to stop the growth of cancer cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. It is not yet known if combination chemotherapy is more effective with or without brentuximab vedotin in treating children with high-risk Hodgkin lymphoma.
NCT06745076
This phase II trial tests how well personalized reduction of chemotherapy (nivolumab, doxorubicin, vinblastine and dacarbazine) based on circulating tumor deoxyribonucleic acid (ctDNA) evaluation works for treating patients with Hodgkin lymphoma that may have spread from where it first started to nearby tissue, lymph nodes, or distant parts of the body (advanced). Chemotherapy drugs, such as nivolumab, doxorubicin, vinblastine and dacarbazine, work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Many types of tumors tend to lose cells or release different types of cellular products including their DNA, which is referred to as ctDNA, into the bloodstream before changes can be seen on scans. Health care providers can measure the level of ctDNA in blood or other bodily fluids and, based on the result, assign patients to a reduced number of chemotherapy treatments or the standard number of chemotherapy treatments. Using ctDNA to assign a personalized reduction of chemotherapy may be effective in treating patients with advanced Hodgkin lymphoma.
NCT05705531
This study assesses how blood cell growth patterns (clonal hematopoiesis) relate to heart health or cardiovascular disease (CVD) after treatment in patients with Hodgkin lymphoma. In some patients, cancer treatment at a young age may lead to later complications, including problems with heart health. Checking for blood cell growth patterns called therapy-related clonal hematopoiesis (t-CH) can help predict who might be at risk for heart health problems after Hodgkin lymphoma treatment. If doctors know who may be at greater risk for developing later heart complications, then they can more closely monitor those patients to prevent or detect heart complications early.
NCT03749018
This phase II trial studies how well nivolumab works with the DA-REPOCH chemotherapy regimen in treating patients with aggressive B-cell non-Hodgkin lymphoma. Immunotherapy with monoclonal antibodies, such as nivolumab, may help the body?s immune system attack the cancer, and may interfere with the ability of cancer cells to grow and spread. Drugs used in chemotherapy, such as dose-adjusted rituximab, etoposide, prednisone, vincristine sulfate, cyclophosphamide, and doxorubicin hydrochloride (DA-REPOCH), work in different ways to stop the growth of cancer cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Giving nivolumab with DA-REPOCH may work better in treating patients with aggressive B-cell non-Hodgkin lymphoma.
NCT02153580
This phase I trial studies the side effects and best dose of cellular immunotherapy following chemotherapy in treating patients with non-Hodgkin lymphomas, chronic lymphocytic leukemia, or B-cell prolymphocytic leukemia that has come back. Placing a modified gene into white blood cells may help the body build an immune response to kill cancer cells.
NCT04561206
This phase II trial investigates how well brentuximab vedotin and nivolumab work in treating patients with classical Hodgkin lymphoma that has come back after initial treatment (relapsed) or has not responded to initial treatment (refractory). Brentuximab vedotin is a monoclonal antibody, brentuximab, linked to a toxic agent called vedotin. Brentuximab attaches to CD30 positive cancer cells in a targeted way and delivers vedotin to kill them. Nivolumab is an antibody that enhances the immune system to better fight Hodgkin lymphoma cells. Giving brentuximab vedotin and nivolumab may be able to defer stem cell transplant treatment and spare the considerable cost and toxicity on transplantation.
NCT01771107
This pilot phase I/II trial studies the side effects and the best dose of brentuximab vedotin when given together with combination chemotherapy and to see how well they work in treating patients with stage II-IV human immunodeficiency virus (HIV)-associated Hodgkin lymphoma. Brentuximab vedotin is a monoclonal antibody, called brentuximab, linked to a chemotherapy drug called vedotin. Brentuximab attaches to CD30-positive cancer cells in a targeted way and delivers vedotin to kill them. Drugs used in chemotherapy, such as doxorubicin hydrochloride, vinblastine sulfate, and dacarbazine, work in different ways to stop the growth of cancer cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Giving brentuximab vedotin together with combination chemotherapy may kill more cancer cells.
NCT05162976
This phase I trial tests the safety and best dose of CC-486 (an oral form of azacitidine) when given together with nivolumab in treating patients with Hodgkin lymphoma that does not respond (refractory) to PD1-based immunotherapy or has come back (relapsed). CC-486 is in a class of medications called demethylation agents. It works by helping the bone marrow to produce normal blood cells and by killing abnormal cells. Immunotherapy with monoclonal antibodies, such as nivolumab, may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread. Giving CC-486 in combination with nivolumab may render nivolumab more effective.
NCT06857500
Classical Hodgkin lymphoma (cHL) is commonly diagnosed in young adults and adults (YP\&A) defined by the National Cancer Institute as 18 to 59 years of age. Clinically, these patients often present with poor prognostic factors such as advanced stage. In phase III trials that primarily include patients aged 18 to 59 years, several international cooperative oncology groups have studied new initial treatments for Ann Arbor stage III and IV cHL. These treatments include traditional dose-dense/dose-intensity cytotoxic approaches (such as the FONDAZIONE ITALIANA LINFOMI FIL-ROUGE trial) or novel selectively active agents such as nivolumab (SWOG S1826 trial) or brentuximab vedotin (BV) (HD21 and ECHELON-1 trials). Among these, the most beneficial initial treatment schedule remains controversial, not only because of additional acute toxicities and additional drug-related expenses, but especially for long-term disease control. Brentuximab Vedotin is a monoclonal antibody conjugated with a protease-cleavable linker to the microtubule disrupting agent monomethylauristatin E, which targets CD30 on Reed-Sternberg cells. The global phase III ECHELON-1 study compared BV in combination with adriamycin, vinblastine, and dacarbazine (BV+AVD) versus adriamycin, bleomycin, vinblastine, and dacarbazine (ABVD) in patients with newly diagnosed stage III and IV cHL. Among the 1,334 patients included, the majority of cases (1,148; 86%) were YP\&A age. At the 51st National Congress of the Italian Society of Hematology, a post-hoc analysis of long-term follow-up data from ECHELON-1 was conducted to assess progression-free survival (PFS) in the subgroup aged 18 to 59 years. YP\&A patients received either BV+AVD (N= 580) or ABVD (N= 568): after 2 years of follow-up, the Kaplan-Mayer curve of PFS for BV+AVD flattened with a plateau that remained consistently at 87% up to 7 years with a number of events of 67 compared to the Kaplan-Mayer curve of PFS for ABVD that decreased during follow-up to 79% with a number of 91 events (HR 0.667; 95% CI: 0.486-0.914; P= 0.011 by log-rank test). Based on the study design, no patients in either arm received consolidation radiotherapy to residual nodal masses (RNM). Low rates of second malignancies (5% for BV+AVD vs. 6% for ABVD), no apparent effect on fertility (pregnancies: 92 for BV+AVD vs. 73 for ABVD), and resolution or improvement of peripheral neuropathy in the majority of patients were reported by the investigators. Additionally, the YP\&A subgroup showed a 7-year overall survival of 97% (number of events, 21) for BV+AVD vs. 92% (number of events, 39) for ABVD (HR, 0.489; 95% CI, 0.287-0.833; P= 0.007 by log-rank test) with a 51% reduction in the risk of death from any cause 13 . These data underscore the clinical benefit of BV+AVD for patients aged 18-59 years, mainly regarding disease cure, with no new safety signals. Therefore, BV+AVD is one of the standards of care for YP\&A with untreated advanced cHL. To date, there have been no studies outside of prospective clinical trials examining the efficacy and safety of BV+AVD for newly diagnosed advanced cHL in patients aged 18-59 years. In this study, involving 3 Italian oncology centers dedicated to the care of HL, we aim to examine a cohort of YP\&A with stage III-IV cHL with a median follow-up of two years after first-line treatment with BV+AVD, with the aim of understanding the outcome and specific side effects in a real-life experience.
NCT02595866
This phase I trial studies the side effects of pembrolizumab in treating patients with human immunodeficiency virus (HIV) and malignant neoplasms that have come back (relapsed), do not respond to treatment (refractory), or have distributed over a large area in the body (disseminated). Immunotherapy with monoclonal antibodies, such as pembrolizumab, may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread.
NCT06235047
Study on the use of a polychemotherapy scheme based on liposomal doxorubicin, vinblastine and dacarbazine (MVD) as first line in the therapy of elderly patients affected by classic Hodgkin lymphoma
NCT06190067
The goal of this phase 2 trial is to test the safety and efficacy of azacitidine when given together with PD-1 therapy in treating patients with relapsed/refractory classic Hodgkin lymphoma.
NCT05833984
This is an open-label, multicenter, phase 1b/2 trial of IMM01 (SIRPα Fc) plus tislelizumab in patients with advanced solid tumors and lymphomas.