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Status unknownNCT00025636Updated Sep 17, 2013

Combination Chemotherapy and Peripheral Stem Cell Transplant in Treating Patients With Relapsed Hodgkin's Lymphoma

A Phase 3 interventional study of filgrastim and carmustine in Lymphoma, sponsored by German Hodgkin's Lymphoma Study Group. Status unknown at 44 sites in 8 countries. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2013-09-17.

Sponsored by German Hodgkin's Lymphoma Study Group · Phase 3, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Jun 2007), so the status shown — last known as Active, not recruiting — may be out of date.
Phase
Phase 3
Study type
Interventional
Enrollment
220
Allocation
Randomized
Ages
18 Years to 60 Years
Sex
All
01

Study summary

RATIONALE: Drugs used in chemotherapy use different ways to stop cancer cells from dividing so they stop growing or die. Peripheral stem cell transplant may allow the doctors to give higher doses of chemotherapy drugs and kill more cancer cells. It is not yet known which combination chemotherapy regimen given before peripheral stem cell transplant is more effective in treating relapsed Hodgkin's lymphoma.

PURPOSE: This randomized phase III trial is comparing different regimens of combination chemotherapy followed by peripheral stem cell transplant to see how well they work in treating patients with relapsed Hodgkin's lymphoma.

Read the detailed description

OBJECTIVES:

  • Compare the efficacy of induction chemotherapy followed by combination chemotherapy and autologous peripheral blood stem cell transplantation with or without high-dose sequential chemotherapy in terms of freedom from treatment failure in patients with relapsed Hodgkin's lymphoma.
  • Compare the toxicity of these regimens in these patients.
  • Compare the complete remission/unconfirmed complete remission rate at 3 months, relapse-free survival, and overall survival of patients treated with these regimens.
  • Compare the frequency of severe toxic effects and secondary neoplasia in patients treated with these regimens.

OUTLINE: This is a randomized, multicenter study. Patients are stratified according to participating center, type of relapse (early first relapse [remission duration 3-12 months] vs late first relapse [remission duration more than 12 months] vs second relapse without prior high-dose chemotherapy salvage [remission duration after salvage at least 3 months]), disease status at relapse (stage I or II vs stage III or IV), age (18 to 49 vs 50 to 60), and response after 2 courses of study induction chemotherapy (complete remission vs partial remission vs no change).

All patients receive induction chemotherapy comprising dexamethasone IV over 30 minutes on days 1-4 and 15-18, cisplatin IV continuously over 24 hours on days 1 and 15, cytarabine IV over 3 hours every 12 hours on days 2 and 16, and filgrastim (G-CSF) subcutaneously (SC) once daily on days 5-12 and days 19-26. Patients with complete remission (CR), unconfirmed CR, partial remission, or no change are randomized to one of two treatment arms.

  • Arm I: Patients receive BEAM chemotherapy comprising carmustine IV over 30 minutes and melphalan IV over 30 minutes on day 37 and etoposide IV over 30 minutes every 12 hours and cytarabine IV over 30 minutes every 12 hours on days 37-40. Patients also receive G-CSF SC twice daily beginning on day 41 and continuing until blood counts recover. Autologous peripheral blood stem cells (PBSCs) are reinfused on day 42.
  • Arm II: Patients receive high-dose cyclophosphamide IV over 8 hours on day 37, high-dose methotrexate IV over 6 hours and high-dose vincristine IV on day 51, and high-dose etoposide IV over 8 hours on days 58-61. Patients then receive BEAM chemotherapy comprising carmustine IV over 30 minutes and melphalan IV over 30 minutes on day 80 and etoposide IV over 30 minutes every 12 hours and cytarabine IV over 30 minutes every 12 hours on days 80-83. Patients also receive G-CSF SC once on days 38 and 62 and twice daily beginning on day 84 and continuing until blood counts recover. Autologous PBSCs are reinfused on day 85.

Patients with residual lymphoma at 100 days after completion of BEAM chemotherapy may receive radiotherapy.

Patients are followed at 100 days after PBSC transplantation, every 3 months for 2 years, every 6 months for 2 years, and then annually thereafter.

PROJECTED ACCRUAL: A minimum of 220 patients (110 per treatment arm) will be accrued for this study within 5 years.

02

Conditions studied

  • Lymphoma

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Keywords

  • recurrent adult Hodgkin lymphoma
03

In context

Lymphoma

5,578 studies on the registry are indexed under Lymphoma; 825 are open to participants now.

This study's planned enrollment of 220 is above the median of 40 across 4,508 interventional studies indexed under Lymphoma.

Browse Lymphoma studies →

Lead sponsor

This is the only study on the registry with German Hodgkin's Lymphoma Study Group as lead sponsor.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Histologically confirmed Hodgkin's lymphoma
  • Early or late first relapse

    • Complete or partial remission for at least 3 months after completion of prior COPP/ABVD, COPP/ABV/IMEP, MOPP/ABV, ABVD, BEACOPP, or other polychemotherapy regimen with or without radiotherapy
    • No prior salvage therapy OR
  • Second relapse

    • Any prior salvage therapy
    • No prior high-dose chemotherapy

PATIENT CHARACTERISTICS:

Age:

  • 18 to 60

Performance status:

  • Karnofsky 70-100% OR
  • ECOG 0-2

Life expectancy:

  • More than 3 months with treatment

Hematopoietic:

  • Absolute neutrophil count at least 2,500/mm\^3
  • Platelet count at least 100,000/mm\^3

Hepatic:

  • Not specified

Renal:

  • Creatinine clearance at least 60 mL/min

Cardiovascular:

  • No uncontrolled hypertension (diastolic blood pressure greater than 115 mm Hg)
  • No unstable angina
  • No New York Heart Association class III or IV heart disease (congestive heart failure)
  • No myocardial infarction within the past 6 months
  • No uncontrolled atrial or ventricular cardiac arrhythmias

Pulmonary:

  • No chronic pulmonary disease

Other:

  • Not pregnant or nursing
  • Fertile patients must use effective contraception
  • HIV negative
  • No active infection
  • No poorly controlled diabetes
  • No cerebral disorder
  • No other concurrent malignancy except adequately treated basal cell skin cancer or cervical intraepithelial neoplasia
  • No significant non-malignant disease
  • No psychiatric, addictive, or other disorder that would preclude study compliance

PRIOR CONCURRENT THERAPY:

Biologic therapy:

  • Not specified

Chemotherapy:

  • See Disease Characteristics
  • No other concurrent chemotherapy

Endocrine therapy:

  • Not specified

Radiotherapy:

  • See Disease Characteristics

Surgery:

  • Not specified

Other:

  • At least 6 months since prior coronary angioplasty
  • No other concurrent investigational drugs
  • No concurrent non-steroidal anti-inflammatory drugs, salicylate, sulfonamide, trimethoprim, allopurinol, aminoglycoside, amoxicillin, or probenecid during high-dose methotrexate administration
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Enrollment
220 participants (estimated)

Interventions

  • Biologicalfilgrastim
  • Drugcarmustine
  • Drugcisplatin
  • Drugcyclophosphamide
  • Drugcytarabine
  • Drugdexamethasone
  • Drugetoposide
  • Drugmelphalan
  • Drugmethotrexate
  • Drugvincristine sulfate
  • Procedurebone marrow ablation with stem cell support
  • Procedureperipheral blood stem cell transplantation
06

What researchers measure

Primary outcomes

  1. Efficacy at 3 months

  2. Toxicity at 3 months

Secondary outcomes

  1. Complete remission at 3 months

  2. Relapse-free survival at 3 months

  3. Overall survival at 3 months

07

Study locations

44 sites
  • Ziekenhuis Netwerk Antwerpen Middelheim
    Antwerp, 2020, Belgium
  • Institut Jules Bordet
    Brussels, 1000, Belgium
  • Universitair Ziekenhuis Antwerpen
    Edegem, B-2650, Belgium
  • Algemeen Ziekenhuis Sint Lucas
    Ghent, B-9000, Belgium
  • University Hospital Rebro
    Zagreb, 10000, Croatia
  • Rigshospitalet - Copenhagen University Hospital
    Copenhagen, 2100, Denmark
  • Charite - Campus Charite Mitte
    Berlin, D-10117, Germany
  • Charite - Universitaetsmedizin Berlin - Campus Benjamin Franklin
    Berlin, D-12200, Germany
  • Charite - Campus Virchow Klinikum
    Berlin, D-13353, Germany
  • Medizinische Poliklinik
    Bonn, D-53111, Germany
  • Medizinische Universitaetsklinik I at the University of Cologne
    Cologne, D-50924, Germany
  • Staedtisches Klinikum Dessau
    Dessau, D-06822, Germany
  • Universitaetsklinikum Essen
    Essen, D-45122, Germany
  • Evangelisches Krankenhaus Essen Werden
    Essen, D-45239, Germany
  • Klinik Fuer Innere Medizin, Hematology/Oncology, Ernst Moritz Armdt Universitaet
    Greifswald, D-17475, Germany
  • Martin Luther Universitaet
    Halle, D-06120, Germany
  • Asklepios Klinik St. Georg
    Hamburg, D-20099, Germany
  • Universitaetsklinikum Hamburg-Eppendorf
    Hamburg, D-20246, Germany
  • Evangelische Krankenhaus Hamm
    Hamm, DOH-59063, Germany
  • Krankenhaus Siloah - Medizinische Klinik II
    Hannover, D-30449, Germany
  • Medizinische Hochschule Hannover
    Hannover, D-30625, Germany
  • Medizinische Universitaetsklinik und Poliklinik
    Heidelberg, 69115, Germany
  • St. Bernward Krankenhaus
    Hildeshem, D-31134, Germany
  • Universitaetsklinikum des Saarlandes
    Homburg, D-66424, Germany
  • Clinic for Bone Marrow Transplantation and Hematology and Oncology
    Idar-Oberstein, D-55743, Germany
  • Klinikum der Friedrich-Schiller Universitaet Jena
    Jena, D-07740, Germany
  • Staedtisches Klinikum Karlsruhe gGmbH
    Karlsruhe, 76133, Germany
  • Universitaetsklinikum Schleswig-Holstein - Campus Luebeck
    Luebeck, D-23538, Germany
  • Krankenhaus Muenchen Schwabing
    Munich, 80804, Germany
  • Klinikum der Universitaet Muenchen - Grosshadern Campus
    Munich, D-81377, Germany
  • Klinikum Rechts Der Isar - Technische Universitaet Muenchen
    Munich, D-81675, Germany
  • Diakonie Klinikum Stuttgart
    Stuttgart, D-70176, Germany
  • Dr. Horst-Schmidt-Kliniken
    Wiesbaden, D-65199, Germany
  • Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital
    Amsterdam, 1066 CX, Netherlands
  • Onze Lieve Vrouwe Gasthuis
    Amsterdam, 1091 HA, Netherlands
  • Academisch Medisch Centrum at University of Amsterdam
    Amsterdam, 1105 AZ, Netherlands
  • University Medical Center Groningen
    Groningen, 9700 RB, Netherlands
  • Leiden University Medical Center
    Leiden, 2300 RC, Netherlands
  • Academisch Ziekenhuis Maastricht
    Maastricht, 6202 AZ, Netherlands
  • Universitair Medisch Centrum St. Radboud - Nijmegen
    Nijmegen, NL-6500 HB, Netherlands
  • Maxima Medisch Centrum - Veldhoven
    Veldhoven, 5500 MB, Netherlands
  • Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology
    Warsaw, 02-781, Poland
  • Hospitais da Universidade de Coimbra (HUC)
    Coimbra, P-3001-301, Portugal
  • UniversitaetsSpital Zuerich
    Zurich, CH-8091, Switzerland
08

References and documents

Publications

  • Brockelmann PJ, Muller H, Casasnovas O, Hutchings M, von Tresckow B, Jurgens M, McCall SJ, Morschhauser F, Fuchs M, Borchmann P, Moskowitz CH, Engert A. Risk factors and a prognostic score for survival after autologous stem-cell transplantation for relapsed or refractory Hodgkin lymphoma. Ann Oncol. 2017 Jun 1;28(6):1352-1358. doi: 10.1093/annonc/mdx072. PubMed 28327958 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 17, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00025636
Lead sponsor
German Hodgkin's Lymphoma Study Group
Collaborators
European Organisation for Research and Treatment of Cancer - EORTC, EBMT Solid Tumors Working Party
First posted
Jan 27, 2003
Start date
Jul 2001
Last update
Sep 17, 2013

Study contacts

Andreas Engert, MD
Medizinische Universitaetsklinik I at the University of Cologne
J. W. Baars, MD, PhD
The Netherlands Cancer Institute
Norbert Schmitz, MD, PhD
Asklepios Klinik St. Georg
View the source record on ClinicalTrials.gov ↗

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