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Recruiting NCT05949931

Pianzumab Combined With AVD Regimen in the Treatment of Newly-diagnosed Advanced Classic Hodgkin Lymphoma

Phase II Interventional Classic Hodgkin Lymphoma

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: Concurrent penpulimab and AVD, Sequential penpulimab and AVD.
Who it may be relevant to
Registry conditions: Classic Hodgkin Lymphoma. Basic parameters: from 18 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
China
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Official title

A Randomized, Open, Multicenter Phase II Clinical Trial of Pianzumab Combined With AVD Regimen in the Treatment of Newly-diagnosed Advanced Classic Hodgkin Lymphoma (PENAHL Study)

Overview

This study is conducted to evaluate the safety and efficiency of Penpulimab combined with AVD in patients with newly- diagnosed advanced classic Hodgkin lymphoma.

Interventions

  • Drug Concurrent penpulimab and AVD
    Participants will receive Penpulimab and AVD injection at the same time for a total of 6 cycles. Cycle length = 28 days, Penpulimab and AVD will be administered on D1 and D15 of each cycle.
  • Drug Sequential penpulimab and AVD
    Participants will receive penpulimab for 3 cycles; follewed by 6 cycles of AVD; finally, penpulimab for 3 cycles. Cycle length = 28 days, Penpulimab and AVD will be administered on D1 and D15 of each cycle.

Primary outcome measures

  • Complete response rate (CRR) [Time frame: From first injection to 24 weeks (Arm 1) From first injection to 48 weeks (Arm 2)]
Secondary outcome measures (6)
  • Complete response rate (CRR) [Time frame: From first injection to 24 weeks (Arm 1) From first injection to 48 weeks (Arm 2)]
  • Objective response rate(ORR) [Time frame: From first injection to 24 weeks (Arm 1) From first injection to 48 weeks (Arm 2)]
  • Progression-free Survival (PFS) [Time frame: Up to 5 years]
  • Modified progression-free survival (mPFS) [Time frame: Up to 5 years]
  • Overall survival (OS) [Time frame: Up to 5 years]
  • Safety indicators [Time frame: Up to 5 years]

Eligibility criteria

Inclusion criteria

  • Age: ≥18 years old (when signing the informed consent form); ECOG score: 0 or 1 point; The expected survival period exceeds 3 months;
  • classic Hodgkin lymphoma (cHL) confirmed by histopathology;
  • The subject must be advanced patient, specifically defined as Ann Arbor stage III-IV or IIB with any of the following high-risk factors: ① maximum diameter of mediastinal mass/maximum diameter of thoracic cavity>0.33; ② There are large masses with a diameter of>10cm;
  • Have not received systemic anti classic Hodgkin lymphoma treatment;
  • Measurable disease ;
  • Adequate main organs function
  • Female subjects of childbearing age should agree to use contraceptives (such as Intrauterine device, contraceptives or condoms) during the study period and within 6 months after the end of the study; The serum or urine Pregnancy test was negative within 7 days before the study was included, and must be non-lactating subjects; Male participants should agree to use contraception during the study period and within 6 months after the end of the study period.

Exclusion criteria

  • Nodular lymphocyte dominated Hodgkin lymphoma or gray area lymphoma;
  • Classic Hodgkin lymphoma involves the central nervous system;
  • Subjects who have or are suspected to have active autoimmune diseases within the past 2 years, or have previously suffered from autoimmune diseases and are currently at high risk of recurrence and require systemic treatment;
  • Subjects who need to use glucocorticoid (>10mg/day prednisone Equivalent dose) or other immunosuppressive drugs for systemic treatment within 14 days before the first administration.
  • Inoculate or expect to receive live or attenuated live vaccines or mRNA vaccines within 4 weeks before the first administration;
  • Received allogeneic organ transplantation or allogeneic hematopoietic stem cell transplantation;
  • Known to have active pulmonary tuberculosis;
  • Having a history of immunodeficiency, including HIV positive or suffering from other acquired or congenital immunodeficiency diseases;
  • Subjects with a known history of interstitial pneumonia, a history of non-infectious pneumonia, or highly suspected cases of interstitial pneumonia;
  • Patients with evidence of bleeding constitution or medical history; Within 4 weeks before the first medication, any ≥ CTC AE level 3 bleeding events (such as digestive tract bleeding, perforation, etc.) occur;
  • Concomitant diseases and medical history:
  • Has experienced or currently suffers from other malignant tumors within 3 years.
  • Multiple factors affecting oral medicine (such as inability to swallow, chronic diarrhea and Bowel obstruction);
  • Patients with a history of abuse of psychotropic substances who are unable to quit or have mental disorders;
  • Subjects with any severe and/or uncontrollable disease.

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation
Randomized
Model
Parallel assignment
Masking
Open label
Primary purpose
Treatment

Study locations

China · 1 center
  • Sun Yat-sen Universitiy Cancer Center, Sun Yat-Sen University — Guangzhou

Identifiers

NCT: NCT05949931 · B2023-092

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗