CClinicalTrials.gg
CompletedNCT00079105Updated Mar 30, 2017

A Phase II Study VEPEMB In Patients With Hodgkin's Lymphoma Aged ≥ 60 Years

A Phase 2 interventional study of bleomycin sulfate and cyclophosphamide in Lymphoma, sponsored by Newcastle-upon-Tyne Hospitals NHS Trust. Completed at 54 sites in 2 countries. Open to participants aged 60 Years to 120 Years. Per ClinicalTrials.gov, last updated 2017-03-30.

Sponsored by Newcastle-upon-Tyne Hospitals NHS Trust · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
175
Allocation
Randomized
Ages
60 Years to 120 Years
Sex
All
01

Study summary

RATIONALE: Drugs used in chemotherapy, such as vinblastine, cyclophosphamide, procarbazine, prednisolone, etoposide, mitoxantrone, and bleomycin, work in different ways to stop cancer cells from dividing so they stop growing or die. Combining more than one chemotherapy drug may kill more cancer cells.

PURPOSE: This phase II trial is studying how well combination chemotherapy works in treating older patients with previously untreated Hodgkin's lymphoma.

Read the detailed description

OBJECTIVES:

Primary

  • Determine the efficacy and toxicity of vinblastine, cyclophosphamide, procarbazine, prednisolone, etoposide, mitoxantrone, and bleomycin in older patients with Hodgkin's lymphoma.
  • Determine whether the application of the Hasenclever prognostic index is valid in these patients at diagnosis.

OUTLINE: This is an open-label, multicenter study.

  • Chemotherapy: Patients receive vinblastine IV and cyclophosphamide IV on day 1; oral procarbazine and oral prednisolone on days 1-5; oral etoposide on days 15-19; and mitoxantrone IV and bleomycin IV on day 15. Treatment repeats every 28 days, in the absence of disease progression or unacceptable toxicity, for a total of 3 courses in patients with early (stage IA or IIA) disease or 6 courses in patients with advanced (stage IB or IIB-IV) disease.
  • Radiotherapy: Patients with early stage disease receive involved-field radiotherapy. Patients with advanced stage disease receive radiotherapy limited to sites of initial bulky disease or residual disease. Radiotherapy begins 4 weeks after the completion of chemotherapy.

Patients are followed monthly for 3 months, every 3 months for 6 months, and then annually thereafter.

Peer Reviewed and Funded or Endorsed by Cancer Research UK

PROJECTED ACCRUAL: A total of 150 patients will be accrued for this study within 36 months.

02

Conditions studied

  • Lymphoma

Keywords

  • stage I adult Hodgkin lymphoma
  • stage II adult Hodgkin lymphoma
  • stage III adult Hodgkin lymphoma
  • stage IV 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 enrollment of 175 is above the median of 40 across 4,508 interventional studies indexed under Lymphoma.

Browse Lymphoma studies →

Lead sponsor

Newcastle-upon-Tyne Hospitals NHS Trust is the lead sponsor of 65 studies on the registry; 4 are open to participants now.

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

04

Who can participate

Ages eligible
60 Years to 120 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

Histologically confirmed classical Hodgkin Lymphoma (HL). No previous treatment for HL. Age ≥ 60. "Non fragile" patient (see Appendix 1) i.e. patient's mental and physical status must be sufficient to withstand the treatment described.

No concomitant neoplasia requiring treatment or known HIV infection. Written informed consent.

Exclusion criteria

Exclusion criteria:

Nodular lymphocyte predominance Hodgkin Lymphoma (NLPHL) Age \<60. Patient previously treated for HL. Known HIV infection or concomitant neoplasia. "Fragile patient" (see Appendix 1) or significant abnormality of another system (pulmonary, cardiac, renal, and hepatic) which is a contraindication to full dose chemotherapy.

Unable to give informed consent.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
175 participants (actual)

Study arms

  • Active comparator
    Treatment

    Treatment with VEPEMB - Vinblastine sulfate, Cyclophosphamide, Procarbazine hydrochloride, Prednisolone, Etoposide, Mitoxantrone hydrochloride, and Bleomycin sulfate

    Biological: bleomycin sulfate · Drug: cyclophosphamide · Drug: etoposide · Drug: mitoxantrone hydrochloride · Drug: prednisolone · Drug: procarbazine hydrochloride · Drug: vinblastine sulfate

  • No intervention
    Registration

    Registration, without treatment

Interventions

  • Biologicalbleomycin sulfate

    Treatment

    Also known as: Blenoxane

  • Drugcyclophosphamide

    Treatment

    Also known as: Cytoxan

  • Drugetoposide

    Treatment

    Also known as: Eposin, Etopophos, Vepesid

  • Drugmitoxantrone hydrochloride

    Treatment

    Also known as: Novantrone

  • Drugprednisolone

    Treatment

    Also known as: Flo-Pred, Pediapred, Orapred

  • Drugprocarbazine hydrochloride

    Treatment

    Also known as: Matulane

  • Drugvinblastine sulfate

    Treatment

    Also known as: Vincristine

06

What researchers measure

Primary outcomes

  1. Disease-free survival by routine imaging

    Time frame: 6 month intervals

Secondary outcomes

  1. Overall survival by routine imaging

    Time frame: 5 years

07

Study locations

54 sites
  • Medizinische Universitaetsklinik I at the University of Cologne
    Cologne, D-50924, Germany
  • Wansbeck General Hospital
    Ashington, England NE63 9JJ, United Kingdom
  • Basingstoke and North Hampshire NHS Foundation Trust
    Basingstoke, England RG24 9NA, United Kingdom
  • Royal United Hospital
    Bath, England BA1 3NG, United Kingdom
  • Good Hope Hospital
    Birmingham, England B75 7RR, United Kingdom
  • Blackpool Victoria Hospital
    Blackpool, England FY3 8NR, United Kingdom
  • Royal Bournemouth Hospital
    Bournemouth, England BH7 7DW, United Kingdom
  • Bradford Royal Infirmary
    Bradford, England BD9 6RJ, United Kingdom
  • Kent and Canterbury Hospital
    Canterbury, England CT1 3NG, United Kingdom
  • Cumberland Infirmary
    Carlisle, England CA2 7HY, United Kingdom
  • Saint Richards Hospital
    Chichester, England P019 4SE, United Kingdom
  • University Hospital of North Durham
    Durham, England DH1 5TW, United Kingdom
  • Queen Elizabeth Hospital
    Gateshead-Tyne and Wear, England NE9 6SX, United Kingdom
  • Medway Maritime Hospital
    Gillingham Kent, England ME7 5NY, United Kingdom
  • Diana Princess of Wales Hospital
    Grimsby, England DN33 2BA, United Kingdom
  • Harrogate District Hospital
    Harrogate, England HG2 7SX, United Kingdom
  • Hull Royal Infirmary
    Hull, England HU3 2KZ, United Kingdom
  • Ipswich Hospital
    Ipswich, England IP4 5PD, United Kingdom
  • Airedale General Hospital
    Keighley, England BD20 6TD, United Kingdom
  • Kettering General Hosptial
    Kettering, Northants, England NNI6 8UZ, United Kingdom
  • Leeds General Infirmary
    Leeds, England LS1 3EX, United Kingdom
  • Leicester Royal Infirmary
    Leicester, England LE1 5WW, United Kingdom
  • Royal Liverpool University Hospital
    Liverpool, England L7 8XP, United Kingdom
  • University College Hospital - London
    London, England NW1 2PG, United Kingdom
  • Maidstone Hospital
    Maidstone, England ME16 9QQ, United Kingdom
  • Manchester Royal Infirmary
    Manchester, England M13 9WL, United Kingdom
  • Christie Hospital
    Manchester, England M20 4BX, United Kingdom
  • Trafford General Hospital
    Manchester, England M31 3SL, United Kingdom
  • James Cook University Hospital
    Middlesbrough, England TS4 3BW, United Kingdom
  • University of Newcastle-Upon-Tyne Northern Institute for Cancer Research
    Newcastle-Upon-Tyne, England NE2 4HH, United Kingdom
  • Northern Centre for Cancer Treatment at Newcastle General Hospital
    Newcastle-Upon-Tyne, England NE4 6BE, United Kingdom
  • North Tyneside Hospital
    North Shields, England NE29 8NH, United Kingdom
  • Northampton General Hospital
    Northampton, England NN1 5BD, United Kingdom
  • Mount Vernon Cancer Centre at Mount Vernon Hospital
    Northwood, England HA6 2RN, United Kingdom
  • Dorset Cancer Centre
    Poole Dorset, England BH15 2JB, United Kingdom
  • Pembury Hospital
    Royal Tunbridge Wells, Kent, England TN2 4QJ, United Kingdom
  • Royal Hallamshire Hospital
    Sheffield, England S1O 2JF, United Kingdom
  • Wexham Park Hospital
    Slough, Berkshire, England SL2 4HL, United Kingdom
  • South Tyneside District Hospital
    South Shields, England NE34 0PL, United Kingdom
  • Southampton General Hospital
    Southampton, England SO16 6YD, United Kingdom
  • Staffordshire General Hospital
    Stafford, England ST16 3SA, United Kingdom
  • University Hospital of North Staffordshire
    Stoke-On-Trent Staffs, England ST4 6QG, United Kingdom
  • Sunderland Royal Hospital
    Sunderland, England SR4 7TP, United Kingdom
  • Royal Cornwall Hospital
    Truro, Cornwall, England TR1 3LJ, United Kingdom
  • West Cumberland Hospital
    Whitehaven, England CA28 8JG, United Kingdom
  • Cancer Care Centre at York Hospital
    York, England Y031 8HE, United Kingdom
  • Aberdeen Royal Infirmary
    Aberdeen, Scotland AB25 2ZN, United Kingdom
  • Monklands General Hospital
    Airdrie, Scotland ML6 0JF, United Kingdom
  • Edinburgh Cancer Centre at Western General Hospital
    Edinburgh, Scotland EH4 2XU, United Kingdom
  • Western Infirmary
    Glasgow, Scotland G11 6NT, United Kingdom
  • Raigmore Hospital
    Inverness, Scotland 1V2 3UJ, United Kingdom
  • Royal Alexandra Hospital
    Paisley, Scotland, United Kingdom
  • Wishaw General Hospital
    Wishaw, Scotland ML2 0DP, United Kingdom
  • Barnet General Hospital
    Barnet, Hertfordshire, EN5 3DJ, United Kingdom
08

References and documents

Individual participant data

Plan to share: No — No IPD were shared, nor will be, for this trial.

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 30, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00079105
Lead sponsor
Newcastle-upon-Tyne Hospitals NHS Trust
Responsible party
Sponsor
First posted
Mar 9, 2004
Start date
Jan 2004
Primary completion
Dec 2010
Completion
Dec 2010
Last update
Mar 30, 2017

Study contacts

Stephen J. Proctor, MD
study chair · University of Newcastle Upon-Tyne
Helen H. Lucraft, MD
study director · Northern Centre for Cancer Treatment at Newcastle General Hospital
Katrina M. Wood, MD
study director · Sir James Spence Institute of Child Health at Royal Victoria Infirmary

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2017. You cannot join it, but the record below documents what was studied.

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