A Multi-centre Study of MBVD in Elderly and/or Cardiopathic Patients Affected by Hodgkin's Lymphoma (HL) (HD0803)

This study is currently recruiting participants.
Verified May 2009 by Fondazione Italiana Linfomi ONLUS
Sponsor:
Collaborator:
Centro di Riferimento per l'Epidemiologia e la Prev. Oncologica Piemonte
Information provided by (Responsible Party):
Fondazione Italiana Linfomi ONLUS
ClinicalTrials.gov Identifier:
NCT01523847
First received: June 22, 2011
Last updated: January 30, 2012
Last verified: May 2009
  Purpose

The study has the purpose to evaluate in elderly and/or cardiopathic HL patients, the cardiologic toxicity of the MBVD regimen, where liposomal doxorubicin (Myocet®) is substituted for doxorubicin in the conventional ABVD regimen.


Condition Intervention Phase
Hodgkin Lymphoma
Drug: MBVD
Phase 2

Study Type: Interventional
Study Design: Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Phase II Multi-centre Study of MBVD in Elderly and/or Cardiopathic Patients Affected by Hodgkin's Lymphoma (HL)

Resource links provided by NLM:


Further study details as provided by Fondazione Italiana Linfomi ONLUS:

Primary Outcome Measures:
  • Complete Response (CR) at the end of the chemotherapy program [ Time Frame: 24 weeks ] [ Designated as safety issue: No ]
    CR is defined according to the Cheson 2007 response criteria.

  • Cardiac Toxicity during the chemotherapy program measured by CTCAE v.3 [ Time Frame: 24 weeks ] [ Designated as safety issue: Yes ]
    Evaluation of Cardiac Toxicity during the chemotherapy program measured by CTCAE v.3


Secondary Outcome Measures:
  • Cardiac toxicity of MBVD after two courses of MBVD measured by CTCAE v.3 [ Time Frame: 8 weeks ] [ Designated as safety issue: Yes ]
    Evaluation of cardiac toxicity of MBVD in elderly and/or cardiopathic patients with Hodgkin's lymphoma after two courses of MBVD.

  • Progression Free Survival (PFS) [ Time Frame: 24 months ] [ Designated as safety issue: No ]
    PFS will be measured from the day of enrolment to the date of disease progression, relapse or death due to any cause

  • Relapse Free Survival (RFS) of patients entering complete remission [ Time Frame: 24 months ] [ Designated as safety issue: No ]
    RFS is defined only for patients who achieve CR, and is measured from the date of attaining the disease-free state until the date of relapse or death from any cause

  • Overall Survival (OS) [ Time Frame: 24 months ] [ Designated as safety issue: No ]
    OS will be measured from the day of enrolment to the date of relapse or death due to any cause

  • Change from the theoretical total amount of drug delivered in a one-week period (dose-intensity) [ Time Frame: 24 weeks ] [ Designated as safety issue: No ]
    Proportion of dose-intensity delivered to patients

  • Change in cardiac markers during and at the end of chemotherapy [ Time Frame: 24 weeks ] [ Designated as safety issue: Yes ]
    Evaluate Change in cardiac markers during and at the end of chemotherapy


Estimated Enrollment: 50
Study Start Date: November 2010
Estimated Study Completion Date: August 2015
Estimated Primary Completion Date: August 2015 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Arm1: MBVD

2 MBVD courses, after early restaging with PET scan (PET-2)

The subsequent treatment will be planned as follows:

  • -Stage I and IIA patients will go on with 1 more course of MBVD (total of 3 courses) followed by involved field radiotherapy (30 Gy).
  • -Advanced stage (IIB-IV) patients will go on with 4 more courses of MBVD (total of 6 courses). Radiotherapy limited to bulky or non complete responder areas (30-36 Gy) is optional.
Drug: MBVD

MBVD will be scheduled as follows:

Myocet 25 mg/mq i.v. day 1 and 15 Bleomycin 10 mg/mq i.v. day 1 and 15 Vinblastine 6 mg/mq i.v. day 1 and 15 Dacarbazine 375 mg/mq i.v. day 1 and 15


  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Histologically confirmed Hodgkin's lymphoma, except for nodular lymphocyte predominance subgroup.
  • Previously untreated
  • Age ≥ 70.
  • Age> 18 in presence of cardiopathy according to inclusion criteria…
  • Patients with HCV and HBV infection can be included. For patients HBV+ and occult carriers (AntiHBc+, HbsAg-, AntiHBs+/-) Lamivudine prophilaxis is mandatory.
  • Life expectancy >3 months
  • Informed consent.
  • Staging with PET-CT.
  • Preliminary geriatric assessment (ADL, IADL, co-morbidity and frailness scores).

Exclusion Criteria:

  • Lymphocyte predominance subgroup
  • Age < 70 (no cardiopathy)
  • Age < 18 (with cardiopathy).
  • HIV infection.
  • Previous treatments for Hodgkin's lymphoma.
  • Other concomitant or previous malignancies, with the exception of basal cell skin tumors, adequately treated carcinoma in situ of the cervix and any cancer that has been in complete remission for > 5 years.
  • Renal failure (creatinine higher than twice the normal level) or liver disease (AST/ALT or bilirubine level higher than 2.5 times the normal level)
  • Other clinical situations that contraindicate, to the judgment of investigators, the administration of a mild-dose chemotherapy. Isolated co-morbidities will be scored and recorded, but they are not, if isolated, a sufficient reason for exclusion.
  • Frail patients, defined accordino to comorbidity scale: patients with 1 grade 4 comorbidity, or >3 grade 3 comorbidities, are excluded. (see appendix.6)
  • Unresponsive sepsis
  • Dementia
  • Impossibility to subscribe the informed consent
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01523847

Contacts
Contact: Valentina Lenti, PhD 0131/206132 vlenti@ospedale.al.it
Contact: Daniela Gioia, PhD 0131/206066 dgioia@ospedale.al.it

Locations
Italy
Ospedale Cardinale Giovanni Panico Recruiting
Tricase, Lecce, Italy, 73039
Contact: Linda Ferrara            
Principal Investigator: Vincenzo Pavone, MD            
Azienda Ospedaliera SS. Antonio e Biagio e C. Arrigo Recruiting
Alessandria, Italy, 15121
Contact: Valentina Lenti, PhD     0131/206132     vlenti@ospedale.al.it    
Contact: Daniela Gioia, PhD     0131/206066     dgioia@ospedale.al.it    
Principal Investigator: Aessandro Levis, MD            
Divisione di Medicina A Ospedale Cardinal Massaia Not yet recruiting
Asti, Italy
Principal Investigator: Giorgio Ciravegna, MD            
Centro di riferimento Oncologico Not yet recruiting
Aviano, Italy
Principal Investigator: Michele Spina, MD            
IRCC Istituto Tumori Not yet recruiting
Bari, Italy
Principal Investigator: Attilio Guarini, MD            
Università Policlinico Not yet recruiting
Bari, Italy
Principal Investigator: Vincenzo Liso, MD            
Policlinico S. Orsola Malpighi Not yet recruiting
Bologna, Italy
Principal Investigator: Pierluigi Zinzani, MD            
Spedali Civili Recruiting
Brescia, Italy
Principal Investigator: Giuseppe Rossi, MD            
Ospedale Businco Recruiting
Cagliari, Italy
Principal Investigator: Emanuele Angelucci, PhD            
Università Cattolica Campobasso Not yet recruiting
Campobasso, Italy
Principal Investigator: Sergio Storti, MD            
Policlinico Universitario Careggi Not yet recruiting
Firenze, Italy
Principal Investigator: Alberto Bosi, MD            
Ospedale S Martino Not yet recruiting
Genova, Italy
Principal Investigator: Marco Gobbi, MD            
Area Vasta Romagna e IRST Recruiting
Meldola (FC), Italy
Principal Investigator: Dino Amadori, MD            
Istituto Europeo di Oncologia IEO Not yet recruiting
Milano, Italy
Principal Investigator: Giovanni Martinelli, MD            
Istituto Clinico Humanitas Not yet recruiting
Milano, Italy
Principal Investigator: Armando Santoro, MD            
Ospedale Niguarda Cà Granda Not yet recruiting
Milano, Italy
Principal Investigator: Livio Gargantini, MD            
Istituto Pascale Not yet recruiting
Napoli, Italy
Principal Investigator: Antonello Pinto, MD            
Ospedale A. Cardarelli Not yet recruiting
Napoli, Italy
Principal Investigator: Felicetto Ferrara, MD            
Università deli studi A. Avogadro Not yet recruiting
Novara, Italy
Principal Investigator: Gianluca Gaidano, MD            
Ospedale S. Francesco Not yet recruiting
Nuoro, Italy
Principal Investigator: Attilio Gabbas, MD            
Fondazione Policlinico San Matteo Not yet recruiting
Pavia, Italy
Principal Investigator: Ercole Brusamolino, MD            
Ospedale San Carlo Not yet recruiting
Potenza, Italy
Principal Investigator: MIchele Pizzuti, MD            
Osp. S. Maria delle Croci Recruiting
Ravenna, Italy
Principal Investigator: Alfonso Zaccaria, MD            
Azienda Ospedaliera "Bianchi Melacrino Morelli" Recruiting
Reggio Calabria, Italy, 89124
Contact: Elisa Montechiarello            
Principal Investigator: Francesco Nobile, MD            
Sub-Investigator: Caterina Stelitano, MD            
Ospedale S. Eugenio Not yet recruiting
Roma, Italy
Principal Investigator: Elisabetta Abruzzese, MD            
Università "La Sapienza" Recruiting
Roma, Italy
Principal Investigator: Alessandro Pulsoni, MD            
Policlinico Università Tor-Vergata Not yet recruiting
Roma, Italy
Principal Investigator: Maria Cantonetti, MD            
Università Cattolica Policlinico Gemelli Not yet recruiting
Roma, Italy
Principal Investigator: Giuseppe Leone, MD            
AO Universitaria di Sassari Not yet recruiting
Sassari, Italy
Principal Investigator: Maurizio Longinotti, MD            
Ospedale Santa Maria Recruiting
Terni, Italy
Principal Investigator: Marina Liberati, MD            
Ematologia II OspedaleSan Giovanni Battista Molinette Not yet recruiting
Torino, Italy
Principal Investigator: Umberto Vitolo, MD            
Azienda Ospedaliero - Universitaria di Udine Not yet recruiting
Udine, Italy
Principal Investigator: Francesco Zaja, MD            
Ospedale di Circolo e Fondazione Macchi Not yet recruiting
Varese, Italy
Principal Investigator: Graziella Pinotti, MD            
Sponsors and Collaborators
Fondazione Italiana Linfomi ONLUS
Centro di Riferimento per l'Epidemiologia e la Prev. Oncologica Piemonte
Investigators
Study Director: Alessandro Levis, PhD Azienda Ospedaliera SS Antonio, Biagio e Cesare Arrigo
  More Information

No publications provided

Responsible Party: Fondazione Italiana Linfomi ONLUS
ClinicalTrials.gov Identifier: NCT01523847     History of Changes
Other Study ID Numbers: IIL - HD0803, EudraCT Number 2009-013839-37
Study First Received: June 22, 2011
Last Updated: January 30, 2012
Health Authority: Italy: National Monitoring Centre for Clinical Trials - Ministry of Health

Keywords provided by Fondazione Italiana Linfomi ONLUS:
Hodgkin Lymphoma
Cardiophatic
elderly
Myocet

Additional relevant MeSH terms:
Hodgkin Disease
Lymphoma
Neoplasms by Histologic Type
Neoplasms
Lymphoproliferative Disorders
Lymphatic Diseases
Immunoproliferative Disorders
Immune System Diseases

ClinicalTrials.gov processed this record on May 19, 2013