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CompletedNCT01523847HD0803Updated Aug 4, 2016

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

A Phase 2 interventional study of MBVD (Myocet+BVD) in Hodgkin Lymphoma, sponsored by Fondazione Italiana Linfomi - ETS. Completed at 26 sites in Italy. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2016-08-04.

Sponsored by Fondazione Italiana Linfomi - ETS · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
50
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

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.

Read the detailed description

STUDY POPULATION Patients affected by Hodgkin's lymphoma, any stage, older than 69 years. Patients affected by Hodgkin's Lymphoma with concomitant cardiopaty, older than 18 years.

AIMS OF THE STUDY

  • 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
  • To compare in a pair-match retrospective analysis the results obtained with MBVD with those obtained in patients comparable for clinical variables and treated with ABVD or with the reduced intensity VEPEMB schedule.

STUDY DESIGN Multi-centre phase II study SAMPLE SIZE 50 patients

STUDY PROCEDURES

  • Histologic diagnosis of Hodgkin Lymphoma.
  • Early Staging evaluation including:

    • Blood tests
    • CT, PET and bone marrow biopsy.
    • Heart and lung function evaluation.
    • Geriatric assessment.
    • Quality of life evaluation.
  • 2 MBVD courses
  • 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-36Gy).
    • 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.
  • Final restaging including:

    • Blood tests
    • CT, PET
    • bone marrow biopsy if positive at baseline.
    • Heart and lung function evaluation.
    • Geriatric assessment.
    • Quality of life evaluation

Follow up procedures will include:

  1. a clinical and laboratory evaluation (with troponin, proBNP / BNP, cardiology visit, ECG and echocardiogram) every 6 months in the first 2 years, then annually.
  2. CT scans will be planned annually.
  3. Compilation of geriatric evaluation scales every 6 months in the first 2 years, then annually.

MBVD will be scheduled as follows (4 weeks):

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 Supportive treatment with G-CSF and/or Erythropoietin will be planned according to international guide-lines.

02

Conditions studied

  • Hodgkin Lymphoma

Keywords

  • Hodgkin Lymphoma
  • Cardiopathic
  • elderly
  • Myocet
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 50 is above the median of 40 across 4,508 interventional studies indexed under Lymphoma.

Browse Lymphoma studies →

Lead sponsor

Fondazione Italiana Linfomi - ETS is the lead sponsor of 89 studies on the registry; 23 are open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

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+ occult carriers (AntiHBc+, HbsAg-, AntiHBs+/-) Lamivudine prophylaxis is mandatory.
  • Life expectancy >3 months
  • Informed consent.
  • Staging with PET-CT.
  • Preliminary geriatric assessment (ADL, IADL, co-morbidity and frailness scores).

Exclusion criteria

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 bilirubin 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 comorbidities will be scored and recorded, but they are not, if isolated, a sufficient reason for exclusion.
  • Frail patients, defined according 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
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
50 participants (actual)

Study arms

  • Experimental
    MBVD (Myocet+BVD)

    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-36 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 Gy) is optional.

    Drug: MBVD (Myocet+BVD)

Interventions

  • DrugMBVD (Myocet+BVD)

    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

    Also known as: MBVD

06

What researchers measure

Primary outcomes

  1. Complete Response (CR) at the end of the chemotherapy program

    CR is defined according to the Cheson 2007 response criteria.

    Time frame: 24 weeks

  2. Cardiac Toxicity during the chemotherapy program measured by CTCAE v.3

    Evaluation of Cardiac Toxicity during the chemotherapy program measured by CTCAE v.3

    Time frame: 24 weeks

Secondary outcomes

  1. Cardiac toxicity of MBVD after two courses of MBVD measured by CTCAE v.3

    Evaluation of cardiac toxicity of MBVD in elderly and/or cardiopathic patients with Hodgkin's lymphoma after two courses of MBVD.

    Time frame: 8 weeks

  2. Progression Free Survival (PFS)

    PFS will be measured from the day of enrolment to the date of disease progression, relapse or death due to any cause

    Time frame: 24 months

  3. Relapse Free Survival (RFS) of patients entering complete remission

    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

    Time frame: 24 months

  4. Overall Survival (OS)

    OS will be measured from the day of enrolment to the date of relapse or death due to any cause

    Time frame: 24 months

  5. Change from the theoretical total amount of drug delivered in a one-week period (dose-intensity)

    Proportion of dose-intensity delivered to patients

    Time frame: 24 weeks

  6. Change in cardiac markers during and at the end of chemotherapy

    Evaluate Change in cardiac markers during and at the end of chemotherapy

    Time frame: 24 weeks

07

Study locations

26 sites
  • Ospedale Cardinale Giovanni Panico
    Tricase, Lecce 73039, Italy
  • A.S.U.R. Zona Territoriale n°8 - Ospedale di Civitanova Marche U.O. Medicina Interna ed Ematologia
    Civitanova Marche, Macerata 62012, Italy
  • SC Medicina trasfusionale ed Ematologia Ospedale civile di Ivrea
    Ivrea, Torino 10015, Italy
  • Azienda Ospedaliera SS. Antonio e Biagio e C. Arrigo
    Alessandria, 15121, Italy
  • Centro di riferimento Oncologico
    Aviano, Italy
  • IRCC Istituto Tumori
    Bari, Italy
  • Policlinico S. Orsola Malpighi
    Bologna, Italy
  • Spedali Civili
    Brescia, Italy
  • Ospedale "A. Perrino"
    Brindisi, 72100, Italy
  • Ospedale Businco
    Cagliari, Italy
  • Ematologia Ospedale Vito Fazzi
    Lecce, 73100, Italy
  • Area Vasta Romagna e IRST
    Meldola (FC), Italy
  • Ospedale Maggiore della Carità
    Novara, Italy
  • Azienda Ospedaliera V.Cervello
    Palermo, 90146, Italy
  • Fondazione Policlinico San Matteo
    Pavia, Italy
  • Ospedale Guglielmo da Saliceto
    Piacenza, 29100, Italy
  • Osp. S. Maria delle Croci
    Ravenna, Italy
  • Azienda Ospedaliera "Bianchi Melacrino Morelli"
    Reggio Calabria, 89124, Italy
  • Ematologia Azienda Ospedaliera Arcispedale "S. Maria Nuova"
    Reggio Emilia, 42100, Italy
  • Divisione di Oncologia Ospedale civile degli Infermi
    Rimini, 47900, Italy
  • U.O.C. Ematologia IRCCS Istituti Fisioterapici Ospitalieri
    Roma, 00144, Italy
  • Ospedale S. Eugenio
    Roma, Italy
  • Università "La Sapienza"
    Roma, Italy
  • Ospedale Santa Maria
    Terni, Italy
  • Struttura Complessa di Ematologia PO TREVISO
    Treviso, 31100, Italy
  • Azienda Ospedaliero - Universitaria di Udine
    Udine, Italy
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 4, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01523847
Lead sponsor
Fondazione Italiana Linfomi - ETS
Collaborators
Centro di Riferimento per l'Epidemiologia e la Prev. Oncologica Piemonte
Responsible party
Sponsor
First posted
Feb 1, 2012
Start date
Nov 2010
Primary completion
Oct 2013
Completion
Oct 2013
Last update
Aug 4, 2016

Study contacts

Alessandro Levis, PhD
study director · Azienda Ospedaliera SS Antonio, Biagio e Cesare Arrigo

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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