Clinical Trial Results:
EuroNet-Paediatric Hodgkin’s Lymphoma Group
Second International Inter-Group Study for Classical Hodgkin’s Lymphoma in Children and Adolescents
|
Summary
|
|
EudraCT number |
2012-004053-88 |
Trial protocol |
DE BE AT CZ ES IT NL DK FR PL FI GB SE NO |
Global end of trial date |
31 Oct 2024
|
|
Results information
|
|
Results version number |
v1(current) |
This version publication date |
12 Dec 2025
|
First version publication date |
12 Dec 2025
|
Other versions |
|
Summary report(s) |
Synopsis ICH E3 |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
|
|||
|
Trial identification
|
|||
Sponsor protocol code |
EuroNet-PHL-C2
|
||
|
Additional study identifiers
|
|||
ISRCTN number |
- | ||
US NCT number |
- | ||
WHO universal trial number (UTN) |
- | ||
Other trial identifiers |
Amendment 7 international: Amendment 7 international | ||
|
Sponsors
|
|||
Sponsor organisation name |
Justus-Liebig-University
|
||
Sponsor organisation address |
Rudolf-Buchheim-Str. 23, Giessen-Marburg, Germany, 35392
|
||
Public contact |
Zentrum für Kinderheilkunde, Justus Liebig University of Giessen, +49 641 9854342, dieter.koerholz@paediat.med.uni-giessen.de
|
||
Scientific contact |
Zentrum für Kinderheilkunde, Justus Liebig University of Giessen, +49 641 9854342, dieter.koerholz@paediat.med.uni-giessen.de
|
||
|
Paediatric regulatory details
|
|||
Is trial part of an agreed paediatric investigation plan (PIP) |
No
|
||
Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
|
||
Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
|
||
|
Results analysis stage
|
|||
Analysis stage |
Final
|
||
Date of interim/final analysis |
21 Oct 2025
|
||
Is this the analysis of the primary completion data? |
No
|
||
Global end of trial reached? |
Yes
|
||
Global end of trial date |
31 Oct 2024
|
||
Was the trial ended prematurely? |
No
|
||
|
General information about the trial
|
|||
Main objective of the trial |
3.4.1.1 Randomised
1. To increase event-free survival in ERA(early response assessment) PET-negative intermediate and advanced stage patients (TL-2 and TL-3) without radiotherapy by using intensified consolidation chemotherapy (DECOPDAC-21).
2. To demonstrate in ERA PET-positive TL-2 and TL-3 patients that the combination of intensified consolidation chemotherapy (DECOPDAC-21) plus restricted field RT to sites that remain FDG-PET positive at the late response assessment (LRA) is comparable to the standard consolidation chemotherapy (COPDAC-28) plus standard involved node radiotherapy.
3.4.1.2 Non-randomised
3. To further reduce the radiotherapy indication in early stage patients by increasing the threshold for a positive FDG PET scan at early response assessment (ERA) to Deauville 4+ while still preserving a 5 year EFS estimate at a target of 90% or above.
|
||
Protection of trial subjects |
Patients were closely monitored by the treatment team with regard to safety.
|
||
Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
01 May 2015
|
||
Long term follow-up planned |
No
|
||
Independent data monitoring committee (IDMC) involvement? |
Yes
|
||
|
Population of trial subjects
|
|||
Number of subjects enrolled per country |
|||
Country: Number of subjects enrolled |
Australia: 127
|
||
Country: Number of subjects enrolled |
New Zealand: 34
|
||
Country: Number of subjects enrolled |
Norway: 37
|
||
Country: Number of subjects enrolled |
Czechia: 65
|
||
Country: Number of subjects enrolled |
Israel: 151
|
||
Country: Number of subjects enrolled |
Switzerland: 51
|
||
Country: Number of subjects enrolled |
Netherlands: 124
|
||
Country: Number of subjects enrolled |
Poland: 112
|
||
Country: Number of subjects enrolled |
Spain: 155
|
||
Country: Number of subjects enrolled |
Sweden: 24
|
||
Country: Number of subjects enrolled |
United Kingdom: 169
|
||
Country: Number of subjects enrolled |
Austria: 90
|
||
Country: Number of subjects enrolled |
Belgium: 111
|
||
Country: Number of subjects enrolled |
Denmark: 21
|
||
Country: Number of subjects enrolled |
France: 332
|
||
Country: Number of subjects enrolled |
Germany: 715
|
||
Country: Number of subjects enrolled |
Italy: 556
|
||
Worldwide total number of subjects |
2874
|
||
EEA total number of subjects |
2342
|
||
Number of subjects enrolled per age group |
|||
In utero |
0
|
||
Preterm newborn - gestational age < 37 wk |
0
|
||
Newborns (0-27 days) |
0
|
||
Infants and toddlers (28 days-23 months) |
0
|
||
Children (2-11 years) |
573
|
||
Adolescents (12-17 years) |
2165
|
||
Adults (18-64 years) |
136
|
||
From 65 to 84 years |
0
|
||
85 years and over |
0
|
||
|
|||||||||||||||||||||||||
|
Recruitment
|
|||||||||||||||||||||||||
Recruitment details |
Within this clinical trial 2921 patients were recruited in 17 participating countries with 239 active trial sites. Date of first enrolment: 2015-10-01 Date of last completed: 2024-10-31 | ||||||||||||||||||||||||
|
Pre-assignment
|
|||||||||||||||||||||||||
Screening details |
Confirmation of the diagnosis by local pathologist and national reference pathologist;physical examination; medical history; laboratory analyses; imaging (PET); previous and concomitant disease status; fertility consideration; ECG | ||||||||||||||||||||||||
|
Period 1
|
|||||||||||||||||||||||||
Period 1 title |
Overall trial (overall period)
|
||||||||||||||||||||||||
Is this the baseline period? |
Yes | ||||||||||||||||||||||||
Allocation method |
Randomised - controlled
|
||||||||||||||||||||||||
Blinding used |
Not blinded | ||||||||||||||||||||||||
|
Arms
|
|||||||||||||||||||||||||
Are arms mutually exclusive |
Yes
|
||||||||||||||||||||||||
|
Arm title
|
TL-1 | ||||||||||||||||||||||||
Arm description |
stage IA/IB/IIA with ESR < 30 and without bulk. Two cycles of OEPA followed by early response assessment (ERA) including FDG-PET. Patients in TL-1 with a negative ERA PET scan are consolidated with one additional cycle of COPDAC-28. Patients in TL-1 with a positive PET scan at ERA will receive involved node radiotherapy to all initially involved sites. | ||||||||||||||||||||||||
Arm type |
Standard for minor infestation | ||||||||||||||||||||||||
Investigational medicinal product name |
Vincristine
|
||||||||||||||||||||||||
Investigational medicinal product code |
|||||||||||||||||||||||||
Other name |
|||||||||||||||||||||||||
Pharmaceutical forms |
Injection/infusion
|
||||||||||||||||||||||||
Routes of administration |
Intravenous use
|
||||||||||||||||||||||||
Dosage and administration details |
1.5 mg/m2 i.v., capping dose 2 mg
day 1 + 8 + 15
|
||||||||||||||||||||||||
Investigational medicinal product name |
Prednisone/Prednisolone
|
||||||||||||||||||||||||
Investigational medicinal product code |
|||||||||||||||||||||||||
Other name |
|||||||||||||||||||||||||
Pharmaceutical forms |
Tablet
|
||||||||||||||||||||||||
Routes of administration |
Oral use
|
||||||||||||||||||||||||
Dosage and administration details |
60 mg/m2/day p.o. divided into 3 doses
day 1 – 15
|
||||||||||||||||||||||||
Investigational medicinal product name |
Doxorubicine
|
||||||||||||||||||||||||
Investigational medicinal product code |
|||||||||||||||||||||||||
Other name |
|||||||||||||||||||||||||
Pharmaceutical forms |
Infusion
|
||||||||||||||||||||||||
Routes of administration |
Intravenous use
|
||||||||||||||||||||||||
Dosage and administration details |
40 mg/m2 per 1-6 hour infusion
day 1 + 15
|
||||||||||||||||||||||||
Investigational medicinal product name |
Etoposide/Etopophos
|
||||||||||||||||||||||||
Investigational medicinal product code |
|||||||||||||||||||||||||
Other name |
|||||||||||||||||||||||||
Pharmaceutical forms |
Infusion
|
||||||||||||||||||||||||
Routes of administration |
Intravenous use
|
||||||||||||||||||||||||
Dosage and administration details |
125 mg/m² Etoposide (NB: 142 mg Etoposide phosphate equals 125 mg etoposide); 2hrs infusion time
day 1 – 5
|
||||||||||||||||||||||||
|
Arm title
|
TL2+3 Rando AR | ||||||||||||||||||||||||
Arm description |
This arm includes patients who show an adequate response at ERA. After initial staging and assignment to treatment level 2 or 3 patients have been randomised between DECOPDAC-21 or COPDAC-28. Patients assigned to TL-2 receive two cycles, patients assigend to TL-3 receive four cycles consolidation treatment according to the respective randomisation result. | ||||||||||||||||||||||||
Arm type |
Experimental | ||||||||||||||||||||||||
Investigational medicinal product name |
Vincristine
|
||||||||||||||||||||||||
Investigational medicinal product code |
|||||||||||||||||||||||||
Other name |
|||||||||||||||||||||||||
Pharmaceutical forms |
Injection/infusion
|
||||||||||||||||||||||||
Routes of administration |
Intravenous use
|
||||||||||||||||||||||||
Dosage and administration details |
1.5 mg/m2 i.v., capping dose 2 mg
day 1 + 8 + 15
|
||||||||||||||||||||||||
Investigational medicinal product name |
Prednisone/Prednisolone
|
||||||||||||||||||||||||
Investigational medicinal product code |
|||||||||||||||||||||||||
Other name |
|||||||||||||||||||||||||
Pharmaceutical forms |
Tablet
|
||||||||||||||||||||||||
Routes of administration |
Oral use
|
||||||||||||||||||||||||
Dosage and administration details |
60 mg/m2/day p.o. divided into 3 doses
day 1 – 15
|
||||||||||||||||||||||||
Investigational medicinal product name |
Doxorubicine
|
||||||||||||||||||||||||
Investigational medicinal product code |
|||||||||||||||||||||||||
Other name |
|||||||||||||||||||||||||
Pharmaceutical forms |
Infusion
|
||||||||||||||||||||||||
Routes of administration |
Intravenous use
|
||||||||||||||||||||||||
Dosage and administration details |
40 mg/m2 per 1-6 hour infusion
day 1 + 15
|
||||||||||||||||||||||||
Investigational medicinal product name |
Etoposide/Etopophos
|
||||||||||||||||||||||||
Investigational medicinal product code |
|||||||||||||||||||||||||
Other name |
|||||||||||||||||||||||||
Pharmaceutical forms |
Infusion
|
||||||||||||||||||||||||
Routes of administration |
Intravenous use
|
||||||||||||||||||||||||
Dosage and administration details |
125 mg/m² Etoposide (NB: 142 mg Etoposide phosphate equals 125 mg etoposide); 2hrs infusion time
day 1 – 5
|
||||||||||||||||||||||||
Investigational medicinal product name |
Vincristine
|
||||||||||||||||||||||||
Investigational medicinal product code |
|||||||||||||||||||||||||
Other name |
|||||||||||||||||||||||||
Pharmaceutical forms |
Injection/infusion
|
||||||||||||||||||||||||
Routes of administration |
Intravenous use
|
||||||||||||||||||||||||
Dosage and administration details |
1.5 mg/m2 i.v., capping dose 2 mg
day 1 + 8
|
||||||||||||||||||||||||
Investigational medicinal product name |
Prednisone/Prednisolone
|
||||||||||||||||||||||||
Investigational medicinal product code |
|||||||||||||||||||||||||
Other name |
|||||||||||||||||||||||||
Pharmaceutical forms |
Tablet
|
||||||||||||||||||||||||
Routes of administration |
Oral use
|
||||||||||||||||||||||||
Dosage and administration details |
40 mg/m2/day p.o. divided into 3 doses
day 1 – 8, no capping dose
|
||||||||||||||||||||||||
Investigational medicinal product name |
Doxorubicine
|
||||||||||||||||||||||||
Investigational medicinal product code |
|||||||||||||||||||||||||
Other name |
|||||||||||||||||||||||||
Pharmaceutical forms |
Infusion
|
||||||||||||||||||||||||
Routes of administration |
Intravenous use
|
||||||||||||||||||||||||
Dosage and administration details |
25 mg/m2 per 1-6 hour infusion
day 1
|
||||||||||||||||||||||||
Investigational medicinal product name |
Etoposide/Etopophos
|
||||||||||||||||||||||||
Investigational medicinal product code |
|||||||||||||||||||||||||
Other name |
|||||||||||||||||||||||||
Pharmaceutical forms |
Infusion
|
||||||||||||||||||||||||
Routes of administration |
Intravenous use
|
||||||||||||||||||||||||
Dosage and administration details |
125 mg/m² Etoposide (NB: 142 mg Etoposide phosphate equals 125 mg etoposide); 2hrs infusion time
day 1 – 5
|
||||||||||||||||||||||||
Investigational medicinal product name |
Dacarbazine
|
||||||||||||||||||||||||
Investigational medicinal product code |
|||||||||||||||||||||||||
Other name |
|||||||||||||||||||||||||
Pharmaceutical forms |
Infusion
|
||||||||||||||||||||||||
Routes of administration |
Infusion
|
||||||||||||||||||||||||
Dosage and administration details |
250 mg/m2 per 15 – 30 min. infusion
day 1 – 3
|
||||||||||||||||||||||||
Investigational medicinal product name |
Cyclophosphamide
|
||||||||||||||||||||||||
Investigational medicinal product code |
|||||||||||||||||||||||||
Other name |
|||||||||||||||||||||||||
Pharmaceutical forms |
Infusion
|
||||||||||||||||||||||||
Routes of administration |
Intravenous use
|
||||||||||||||||||||||||
Dosage and administration details |
625 mg/m2, 60-min. infusion
day 1 and day 2
optional: concomitant intravenous hydration with glucose/saline solution at a rate of 3 l/m2 over 24 hours
|
||||||||||||||||||||||||
Investigational medicinal product name |
Vincristine
|
||||||||||||||||||||||||
Investigational medicinal product code |
|||||||||||||||||||||||||
Other name |
|||||||||||||||||||||||||
Pharmaceutical forms |
Injection/infusion
|
||||||||||||||||||||||||
Routes of administration |
Intravenous use
|
||||||||||||||||||||||||
Dosage and administration details |
1.5 mg/m2 i.v., capping dose 2 mg
day 1 + 8
|
||||||||||||||||||||||||
Investigational medicinal product name |
Prednisone/Prednisolone
|
||||||||||||||||||||||||
Investigational medicinal product code |
|||||||||||||||||||||||||
Other name |
|||||||||||||||||||||||||
Pharmaceutical forms |
Tablet
|
||||||||||||||||||||||||
Routes of administration |
Oral use
|
||||||||||||||||||||||||
Dosage and administration details |
40 mg/m2/day p.o. divided into 3 doses
day 1 – 8, no capping dose
|
||||||||||||||||||||||||
Investigational medicinal product name |
Doxorubicine
|
||||||||||||||||||||||||
Investigational medicinal product code |
|||||||||||||||||||||||||
Other name |
|||||||||||||||||||||||||
Pharmaceutical forms |
Infusion
|
||||||||||||||||||||||||
Routes of administration |
Intravenous use
|
||||||||||||||||||||||||
Dosage and administration details |
25 mg/m2 per 1-6 hour infusion
day 1
|
||||||||||||||||||||||||
Investigational medicinal product name |
Etoposide/Etopophos
|
||||||||||||||||||||||||
Investigational medicinal product code |
|||||||||||||||||||||||||
Other name |
|||||||||||||||||||||||||
Pharmaceutical forms |
Infusion
|
||||||||||||||||||||||||
Routes of administration |
Intravenous use
|
||||||||||||||||||||||||
Dosage and administration details |
125 mg/m² Etoposide (NB: 142 mg Etoposide phosphate equals 125 mg etoposide); 2hrs infusion time
day 1 – 5
|
||||||||||||||||||||||||
Investigational medicinal product name |
Dacarbazine
|
||||||||||||||||||||||||
Investigational medicinal product code |
|||||||||||||||||||||||||
Other name |
|||||||||||||||||||||||||
Pharmaceutical forms |
Infusion
|
||||||||||||||||||||||||
Routes of administration |
Infusion
|
||||||||||||||||||||||||
Dosage and administration details |
250 mg/m2 per 15 – 30 min. infusion
day 1 – 3
|
||||||||||||||||||||||||
Investigational medicinal product name |
Cyclophosphamide
|
||||||||||||||||||||||||
Investigational medicinal product code |
|||||||||||||||||||||||||
Other name |
|||||||||||||||||||||||||
Pharmaceutical forms |
Infusion
|
||||||||||||||||||||||||
Routes of administration |
Intravenous use
|
||||||||||||||||||||||||
Dosage and administration details |
625 mg/m2, 60-min. infusion
day 1 and day 2
optional: concomitant intravenous hydration with glucose/saline solution at a rate of 3 l/m2 over 24 hours
|
||||||||||||||||||||||||
|
Arm title
|
TL2+3 Rando IR | ||||||||||||||||||||||||
Arm description |
This arm includes patients who show an insufficient response at ERA. After initial staging and assignment to treatment level 2 or 3 patients have been randomised between DECOPDAC-21 or COPDAC-28. Patients assigned to TL-2 receive two cycles, patients assigend to TL-3 receive four cycles consolidation treatment according to the respective randomisation result. These patients with a positive PET scan at ERA (IR) subsequently underwent additional radiotherapy. | ||||||||||||||||||||||||
Arm type |
Experimental | ||||||||||||||||||||||||
Investigational medicinal product name |
Vincristine
|
||||||||||||||||||||||||
Investigational medicinal product code |
|||||||||||||||||||||||||
Other name |
|||||||||||||||||||||||||
Pharmaceutical forms |
Injection/infusion
|
||||||||||||||||||||||||
Routes of administration |
Intravenous use
|
||||||||||||||||||||||||
Dosage and administration details |
1.5 mg/m2 i.v., capping dose 2 mg
day 1 + 8 + 15
|
||||||||||||||||||||||||
Investigational medicinal product name |
Prednisone/Prednisolone
|
||||||||||||||||||||||||
Investigational medicinal product code |
|||||||||||||||||||||||||
Other name |
|||||||||||||||||||||||||
Pharmaceutical forms |
Tablet
|
||||||||||||||||||||||||
Routes of administration |
Oral use
|
||||||||||||||||||||||||
Dosage and administration details |
60 mg/m2/day p.o. divided into 3 doses
day 1 – 15
|
||||||||||||||||||||||||
Investigational medicinal product name |
Doxorubicine
|
||||||||||||||||||||||||
Investigational medicinal product code |
|||||||||||||||||||||||||
Other name |
|||||||||||||||||||||||||
Pharmaceutical forms |
Infusion
|
||||||||||||||||||||||||
Routes of administration |
Intravenous use
|
||||||||||||||||||||||||
Dosage and administration details |
40 mg/m2 per 1-6 hour infusion
day 1 + 15
|
||||||||||||||||||||||||
Investigational medicinal product name |
Etoposide/Etopophos
|
||||||||||||||||||||||||
Investigational medicinal product code |
|||||||||||||||||||||||||
Other name |
|||||||||||||||||||||||||
Pharmaceutical forms |
Infusion
|
||||||||||||||||||||||||
Routes of administration |
Intravenous use
|
||||||||||||||||||||||||
Dosage and administration details |
125 mg/m² Etoposide (NB: 142 mg Etoposide phosphate equals 125 mg etoposide); 2hrs infusion time
day 1 – 5
|
||||||||||||||||||||||||
Investigational medicinal product name |
Vincristine
|
||||||||||||||||||||||||
Investigational medicinal product code |
|||||||||||||||||||||||||
Other name |
|||||||||||||||||||||||||
Pharmaceutical forms |
Injection/infusion
|
||||||||||||||||||||||||
Routes of administration |
Intravenous use
|
||||||||||||||||||||||||
Dosage and administration details |
1.5 mg/m2 i.v., capping dose 2 mg
day 1 + 8
|
||||||||||||||||||||||||
Investigational medicinal product name |
Prednisone/Prednisolone
|
||||||||||||||||||||||||
Investigational medicinal product code |
|||||||||||||||||||||||||
Other name |
|||||||||||||||||||||||||
Pharmaceutical forms |
Tablet
|
||||||||||||||||||||||||
Routes of administration |
Oral use
|
||||||||||||||||||||||||
Dosage and administration details |
40 mg/m2/day p.o. divided into 3 doses
day 1 – 8, no capping dose
|
||||||||||||||||||||||||
Investigational medicinal product name |
Doxorubicine
|
||||||||||||||||||||||||
Investigational medicinal product code |
|||||||||||||||||||||||||
Other name |
|||||||||||||||||||||||||
Pharmaceutical forms |
Infusion
|
||||||||||||||||||||||||
Routes of administration |
Intravenous use
|
||||||||||||||||||||||||
Dosage and administration details |
25 mg/m2 per 1-6 hour infusion
day 1
|
||||||||||||||||||||||||
Investigational medicinal product name |
Etoposide/Etopophos
|
||||||||||||||||||||||||
Investigational medicinal product code |
|||||||||||||||||||||||||
Other name |
|||||||||||||||||||||||||
Pharmaceutical forms |
Infusion
|
||||||||||||||||||||||||
Routes of administration |
Intravenous use
|
||||||||||||||||||||||||
Dosage and administration details |
125 mg/m² Etoposide (NB: 142 mg Etoposide phosphate equals 125 mg etoposide); 2hrs infusion time
day 1 – 5
|
||||||||||||||||||||||||
Investigational medicinal product name |
Dacarbazine
|
||||||||||||||||||||||||
Investigational medicinal product code |
|||||||||||||||||||||||||
Other name |
|||||||||||||||||||||||||
Pharmaceutical forms |
Infusion
|
||||||||||||||||||||||||
Routes of administration |
Infusion
|
||||||||||||||||||||||||
Dosage and administration details |
250 mg/m2 per 15 – 30 min. infusion
day 1 – 3
|
||||||||||||||||||||||||
Investigational medicinal product name |
Cyclophosphamide
|
||||||||||||||||||||||||
Investigational medicinal product code |
|||||||||||||||||||||||||
Other name |
|||||||||||||||||||||||||
Pharmaceutical forms |
Infusion
|
||||||||||||||||||||||||
Routes of administration |
Intravenous use
|
||||||||||||||||||||||||
Dosage and administration details |
625 mg/m2, 60-min. infusion
day 1 and day 2
optional: concomitant intravenous hydration with glucose/saline solution at a rate of 3 l/m2 over 24 hours
|
||||||||||||||||||||||||
|
|||||||||||||||||||||||||
| Notes [1] - The number of subjects reported to be in the baseline period are not the same as the worldwide number enrolled in the trial. It is expected that these numbers will be the same. Justification: See uploaded Trial Report (*.pdf) |
|||||||||||||||||||||||||
|
|||
|
|||
|
End points reporting groups
|
|||
Reporting group title |
TL-1
|
||
Reporting group description |
stage IA/IB/IIA with ESR < 30 and without bulk. Two cycles of OEPA followed by early response assessment (ERA) including FDG-PET. Patients in TL-1 with a negative ERA PET scan are consolidated with one additional cycle of COPDAC-28. Patients in TL-1 with a positive PET scan at ERA will receive involved node radiotherapy to all initially involved sites. | ||
Reporting group title |
TL2+3 Rando AR
|
||
Reporting group description |
This arm includes patients who show an adequate response at ERA. After initial staging and assignment to treatment level 2 or 3 patients have been randomised between DECOPDAC-21 or COPDAC-28. Patients assigned to TL-2 receive two cycles, patients assigend to TL-3 receive four cycles consolidation treatment according to the respective randomisation result. | ||
Reporting group title |
TL2+3 Rando IR
|
||
Reporting group description |
This arm includes patients who show an insufficient response at ERA. After initial staging and assignment to treatment level 2 or 3 patients have been randomised between DECOPDAC-21 or COPDAC-28. Patients assigned to TL-2 receive two cycles, patients assigend to TL-3 receive four cycles consolidation treatment according to the respective randomisation result. These patients with a positive PET scan at ERA (IR) subsequently underwent additional radiotherapy. | ||
|
|||||||||||||
End point title |
EFS [1] | ||||||||||||
End point description |
Event-free survival (EFS) defined as time from start of treatment until the first of the following events:
o progression/relapse of disease
o secondary malignancy
o death from any cause
|
||||||||||||
End point type |
Primary
|
||||||||||||
End point timeframe |
60 months
|
||||||||||||
| Notes [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: See uploaded Trial Report (*pdf) |
|||||||||||||
|
|||||||||||||
| No statistical analyses for this end point | |||||||||||||
|
|||
|
Adverse events information [1]
|
|||
Timeframe for reporting adverse events |
The observation period for adverse events begins at start of treatment and is restricted to events occurring within 3 months after the end of the trial treatment.
|
||
Assessment type |
Systematic | ||
|
Dictionary used for adverse event reporting
|
|||
Dictionary name |
MedDRA | ||
Dictionary version |
28.0
|
||
| Frequency threshold for reporting non-serious adverse events: 5% | |||
| Notes [1] - There are no non-serious adverse events recorded for these results. It is expected that there will be at least one non-serious adverse event reported. Justification: See uploaded Trial Report (*pdf) |
|||
|
|||
Substantial protocol amendments (globally) |
|||
| Were there any global substantial amendments to the protocol? Yes | |||
Date |
Amendment |
||
27 Jul 2015 |
Since the Coordinating investigator moved from Halle to another university (Justus Liebig University, Gießen) the Sponsor of the trial has changed. In addition, the study office will be located in Giessen from November 2015 on. Thus, all essential documents have to be changed.
Also, one of the inclusion criteria regarding the upper limit of age in countries Australia and New Zealand has been adjusted. This change has been considered for the update of the synopsis to trial protocol, too.
|
||
01 Jun 2016 |
For all participating countries
A) Relocation of Reference Centre from the University Hospital Halle to University Gießen/Marburg and study centre from Martin-Luther University Halle to Justus Liebig University Gießen; and clarification in PIC.
B) Local contacts of the respective treating hospitals should be visualized on the letterhead of the PIC docs as long as country specific regulations allow this.
C) Clarification in the protocol that the study group no longer differentiates between upper, middle and lower mediastinum, but only between upper and lower mediastinum.
D) Clarification in the protocol that for Follow-up MRI i.v. contrast is not necessary.
E) Clarification that in addition to photon radiotherapy also radiotherapy with protons may be used for radiotherapy of residual lymphoma in selected cases using the same dose and fractioning concepts and overall radiotherapy treatment time. (Only if country specific regulations consider the use of protons as standard of care as long as dose and fractioning dose do not differ from photon treatment.)
F) Description in detail the process to organize quality control of radiotherapy within the appendix IV of the protocol.
For Germany only
A) Changes in two already approved country-specific side projects.
B) Two new country-specific scientific side projects in Germany will be initiated.
C) The study committee of the GPOH Hodgkin lymphoma study group elected Prof. Gattenlöhner as the newly acting coordinating reference pathologist in Germany.
|
||
15 May 2017 |
A)Change of DMC members
B)Change of reference pathologist Norway
C)Listing of Israelian reference pathologist
D)Clarification on the term adverse reaction
E)Correction of typing errors and wrong English wording, replacement of abbreviated Rt doses by actual RT doses throughout the text
F)Correction of RT dose. The standard RT dose (protocol vs. flow diagram)
G)Correction of orientation of figure 14 and15
H)Clarification on adequate contraception incl. correction in PIC docs
I)Clarification on Regulations for Trial drug in Non-EU States
J)Clarification on radomisation procedure and process
K)Clarification regarding screening and pre-treatment investigations that are mandatory and those that are recommendations.
L)Recognition of the different country specific requirements for parents providing consent for minors and use of full names.
M)Clarification on indication for bone scan
N)Implementation of guidance regarding vomiting after oral prednisone
O)Clarification on frequency of recalculation body surface area
P)Clarification on dose management in obese patients
Q)Clarification that mesna in DECOPDAC may be used according to local guidelines incl. splitting the cyclophosphamide dose into two days
R)Clarification on ECG if anthracycline dose exceeds 200 mg/m2 in DECOPDAC
S)Clarification of the different RT strategies for E-lesion and dissiminated organ involvement
T)Clarification of: Patient Withdrawal, Exclusion, Termination of individual trial treatment, Lost to follow-up
U)Updated RT-Manual
V)Clarification on exceptions from expedited SAE reporting
W)Clarification regarding different national requirements for investigators
X)Harmonisation of statements in protocol and monitoring Manual
Y)Revision to sections III.1, III.2, III.3 and III.4 – to clarify which investigations are mandatory or recommendations
Z)Clarification on imaging at suspected relapse
AA)Clarification on maximum concentration of etoposide in solution |
||
31 Jul 2017 |
1.1. Shifting the threshold for a negative LRA-PET (= end-of-treatment PET) from qPET 0.95 to qPET 1.3.
1.2. Documentation of patient data form pregnant partners of a trial subject or pregnant trial subjects and their newborns
1.3. Consideration of new information on Prednisolone in the patient information and the trial protocol
1.4. Update of patient information for country-specific side projects in Germany with respect to storage of blood samples.
1.5. Addition country-specific side projects (Italy and Netherlands), which may be open to other countries, if the necessary regulatory processes are fulfilled in the respective countries
1.6. Update of exceptions from expedited SAE reporting
1.7. Update of reference radiology in the central review board
1.8. Increasing the quality standard for reference pathology in Germany (accreditation according to DIN ISO 17020)
|
||
01 Aug 2019 |
1.1. Opening of the side project B-3 all EuroNet-PHL countries which are willing to participate in this project
1.2. Opening of the side project G “Gonadal function and fertility” in all EuroNet-PHL countries which are willing to participate in this project
1.3. Opening of the side project I “Immunodeficiency in Hodgkin Lymphoma” in all EuroNet-PHL countries which are willing to participate in this project
1.4. Opening of the Country-specific side project “Circulating cell-free DNA in classical Hodgkin Lymphoma in children adolescents and Young adults. The HOLY study.”
1.5. Detailed description of radiotherapy quality control
1.6. Implementation of the new data protection regulations in the German informed consent forms as well as in the English template for international use, if applicable in the respective country
1.7. Update of administrative data (contact data etc.) |
||
05 Sep 2020 |
1.1. Early stop of patient registration
1.2. The final analysis will take place as soon as the median follow-up is 60 months (current internationally standard) and if 85% of the patients at least have reached 36 months follow-up at least.
1.3. Update of administrative data (contact data etc.) |
||
04 Jul 2024 |
1.1. Earlier last patient last visit date
1.2. Final analysis planned for first quarter of 2025
1.1. Update of administrative data (contact data etc.) |
||
Interruptions (globally) |
|||
| Were there any global interruptions to the trial? No | |||
Limitations and caveats |
|||
| Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
| None reported | |||