UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000019868
Receipt number R000022939
Scientific Title Non-randomized confirmatory study of interim PET-guided ABVD or ABVD/escalated BEACOPP regimen for previously untreated advanced stage Hodgkin lymphoma (JCOG1305, INNOVATE-HL study)
Date of disclosure of the study information 2015/11/20
Last modified on 2021/01/05 16:05:56

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Basic information

Public title

Non-randomized confirmatory study of interim PET-guided ABVD or ABVD/escalated BEACOPP regimen for previously untreated advanced stage Hodgkin lymphoma (JCOG1305, INNOVATE-HL study)

Acronym

Non-randomized confirmatory study of interim PET-guided ABVD or ABVD/escalated BEACOPP regimen for previously untreated advanced stage Hodgkin lymphoma (JCOG1305, INNOVATE-HL study)

Scientific Title

Non-randomized confirmatory study of interim PET-guided ABVD or ABVD/escalated BEACOPP regimen for previously untreated advanced stage Hodgkin lymphoma (JCOG1305, INNOVATE-HL study)

Scientific Title:Acronym

Non-randomized confirmatory study of interim PET-guided ABVD or ABVD/escalated BEACOPP regimen for previously untreated advanced stage Hodgkin lymphoma (JCOG1305, INNOVATE-HL study)

Region

Japan


Condition

Condition

Previously untreated advanced stage Hodgkin lymphoma

Classification by specialty

Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

The objective of this trial is to confirm the utility of interim PET (after 2 cycles of ABVD as induction phase)-guided treatment strategy (followed by additional 4 cycles of ABVD if interim PET-negative or 6 cycles of escalated BEACOPP if interim PET-positive) for previously untreated advanced stage Hodgkin lymphoma

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase

Phase III


Assessment

Primary outcomes

2-year progressin-free survival among all eligible patients and among inteim PET-positive patients (Co-primary endpoints)

Key secondary outcomes

overall survival, event-free survival, complete response rate, incidence of adverse events, incidence of severe adverse events, incidence of secondary malignancy, incidence of per-protocol in terms of interim PET


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Historical

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

After 2 cycles of ABVD for all patients, interim PET is performed.

Interim PET-negative patients receive additional 4 cycles of ABVD (every 4 weeks); doxorubicin 25mg/m2, div, day1and 15; bleomycin 9mg/m2 (max 15mg/body), div, day1 and 15; vinblastine 6mg/m2 (max 10mg/body), iv, day1 and 15; dacarbazine 375mg/m2, div, day1 and 15.

Interim PET-positive patients receive 6 cycles of escalated BEACOPP (every 3 weeks); bleomycin 10mg/m2 (max 15mg/body) div day8; etoposide 200mg/m2 div day1-3; doxorubicin 35mg/m2 div day1; cyclophosphamide 1250mg/m2 div day1; vincristine 1.4mg/m2 (max 2mg/body) iv day8; procarbazine 100mg/m2 po day1-7; prednisolone 40mg/m2 po day1-14; G-CSF sc day4-.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

60 years-old >=

Gender

Male and Female

Key inclusion criteria

1) Histologically diagnosed as classical Hodgkin lymphoma according to WHO classification 2008.
2) Clinical stage III or IV, or clinical stage IIB with bulky mediastinal lesion or continuously invasive lesion to extranodal tissues.
3) No central nervous system involvement
4) Aged 20 to 60 years old at enrollment
5) ECOG Performance status: 0-2
6) Having measuralble lesion (fulfill the 3 following criteria)
(1) lymph node or extranodal disease diagnosed as Hodgkin lymphoma by imaging, histopathological or cytopathological method.
(2) measurable lesion by CT scan (transverse imaging with bidimensional measurements)
(3) longest transverse diameter for lesions of 1.5 cm or more.
7) No previous anti-cancer treatment (chemotherapy and/or radiation) except for hormone therapy
8) Meet all of the following:
(1) absolute neutrophil count: no less than 1,000/mm3
(2) platelet count: no less than 100,000/mm3
(3) total bilirubin: 2.0 mg/dL or below
(4) AST(GOT) : no more than 150 U/L
(5) ALT(GPT) : no more than 150 U/L
(6) serum creatinine: 1.6 mg/dL or below (male), 1.2 mg/dL or below (female)
(7) fasting blood glucose: 150 mg/dL or below
(8) PaO2 (room air): at least 70 torr
9) ECG: neither ischemic change nor arrhythmia requiring medical intervention
10) Cardiac ejection fraction: at least 50%
11) Written informed consent by the patient

Key exclusion criteria

1) Synchronous or metachronous malignancy
2) Active infection requiring systemic treatment
3) Pregnant or nursing women
4) Psychiatric disease
5) Continuous systemic treatment with steroids or other immunosuppressive drugs
6) Insulin-dependent or uncontrollable diabetes mellitus
7) Unstable angina pectoris, or history of myocardial infarction within six months
8) Seropositive for HBsAg or anti-HCV antibody
9) Seropositive for anti-HIV antibody or unexamined
10) Interstitial pneumonia, pulmonary fibrosis or severe pulmonary emphysema on chest CT

Target sample size

105


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Hirokazu Nagai

Organization

National Hospital Organization Nagoya Medical Center

Division name

Division of Hematology

Zip code


Address

4-1-1, Sannomaru, Naka-ku, Nagoya, 460-0001 Japan

TEL

052-951-1111

Email

nagaih@nnh.hosp.go.jp


Public contact

Name of contact person

1st name
Middle name
Last name Shigeru Kusumoto

Organization

JCOG1305 Coordinating Office

Division name

Division of Hematology and Oncology, Nagoya City University Hospital

Zip code


Address

1, Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, 467-8601 Japan

TEL

052-853-8738

Homepage URL

http://www.jcog.jp/

Email

JCOG_sir@ml.jcog.jp


Sponsor or person

Institute

Japan Clinical Oncology Group (JCOG)

Institute

Department

Personal name



Funding Source

Organization

National Cancer Center

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

国立病院機構北海道がんセンター(北海道)
札幌北楡病院(北海道)
東北大学病院(宮城県)
秋田大学医学部(秋田県)
群馬大学医学部附属病院(群馬県)
埼玉県立がんセンター(埼玉県)
埼玉医科大学総合医療センター(埼玉県)
国立がん研究センター東病院(千葉県)
千葉県がんセンター(千葉県)
国立がん研究センター中央病院(東京都)
杏林大学医学部(東京都)
東京慈恵会医科大学附属病院(東京都)
東京慈恵会医科大学第三病院(東京都)
順天堂大学医学部附属順天堂医院(東京都)
NTT東日本関東病院(東京都)
東海大学医学部(神奈川県)
金沢医科大学(石川県)
福井大学医学部附属病院(福井県)
浜松医科大学(静岡県)
愛知県がんセンター中央病院(愛知県)
国立病院機構名古屋医療センター(愛知県)
名古屋大学医学部(愛知県)
名古屋市立大学病院(愛知県)
名古屋第二赤十字病院(愛知県)
愛知医科大学附属病院(愛知県)
豊田厚生病院(愛知県)
三重大学医学部(三重県)
滋賀県立成人病センター(滋賀県)
京都府立医科大学(京都府)
兵庫県立がんセンター(兵庫県)
岡山医療センター(岡山県)
広島大学病院(広島県)
国立病院機構四国がんセンター(愛媛県)
愛媛大学医学部附属病院(愛媛県)
国立病院機構九州がんセンター(福岡県)
福岡大学医学部(福岡県)
国立病院機構九州医療センター(福岡県)
佐賀大学医学部(佐賀県)
国立病院機構長崎医療センター(長崎県)
佐世保市立総合病院(長崎県)
長崎大学病院(長崎県)
日本赤十字社長崎原爆病院(長崎県)
熊本大学医学部(熊本県)
国立病院機構熊本医療センター(熊本県)
大分県立病院(大分県)
鹿児島大学医学部・歯学部附属病院(鹿児島県)
今村病院分院(鹿児島県)
琉球大学医学部附属病院(沖縄県)


Other administrative information

Date of disclosure of the study information

2015 Year 11 Month 20 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2015 Year 08 Month 25 Day

Date of IRB

2015 Year 09 Month 17 Day

Anticipated trial start date

2015 Year 11 Month 20 Day

Last follow-up date

2024 Year 11 Month 20 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2015 Year 11 Month 20 Day

Last modified on

2021 Year 01 Month 05 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000022939


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name