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PHASE2RECRUITING
View on ClinicalTrials.gov

Comparing Gemcitabine with Brentuximab vedotin for Hodgkin lymphoma

Official title: Pembrolizumab and Brentuximab Vedotin vs GDP and Stem Cell Transplant for Relapsed/Refractory Hodgkin Lymphoma

A Randomized Phase II Study of Pembrolizumab and Brentuximab Vedotin Versus GDP, Followed by High Dose Chemotherapy and Autologous Stem Cell Transplantation for Relapsed/Refractory Classical Hodgkin Lymphoma

Condition: Hodgkin LymphomaSponsor: Canadian Cancer Trials GroupTarget enrollment: 84

Interventions

DRUG

Gemcitabine

1000mg/m2 IV, 30 mins D1, D8

DRUG

Dexamethasone

40mg daily PO, D1-D4

DRUG

Cisplatin

75mg/m2 IV, 1 hour, D1

DRUG

Brentuximab vedotin

1.8 mg/kg IV, 30 mins, Q21 days

DRUG

Pembrolizumab

200mg IV, 30 mins, Q 21 days

Canadian Sites (12)

Arthur J.E. Child Comprehensive Cancer Centre

Calgary, Alberta, Canada

RECRUITING

BCCA - Vancouver

Vancouver, British Columbia, Canada

RECRUITING

Dr. H. Bliss Murphy Cancer Centre

St. John's, Newfoundland and Labrador, Canada

RECRUITING

QEII Health Sciences Centre

Halifax, Nova Scotia, Canada

RECRUITING

Juravinski Cancer Centre at Hamilton Health Sciences

Hamilton, Ontario, Canada

RECRUITING

London Health Sciences Centre Research Inc.

London, Ontario, Canada

RECRUITING

Ottawa Hospital Research Institute

Ottawa, Ontario, Canada

RECRUITING

University Health Network

Toronto, Ontario, Canada

RECRUITING

The Jewish General Hospital

Montreal, Quebec, Canada

RECRUITING

The Research Institute of the McGill University

Montreal, Quebec, Canada

RECRUITING

CIUSSS de l'Estrie - Centre hospitalier

Sherbrooke, Quebec, Canada

RECRUITING

Allan Blair Cancer Centre

Regina, Saskatchewan, Canada

RECRUITING

Eligibility Criteria

See who this study is looking for31 criteria

The trial’s own eligibility text, word for word from the registry. Only the trial site can say who takes part.

Inclusion

  • +Women/men of childbearing potential must have agreed to use a highly effective contraceptive method during the study plus approximately 6 months after treatment completion
  • +18 years of age or greater
  • +Clinically and/or radiologically measurable disease as per the Lugano 2014 classification
  • +Life expectancy \> 90 days
  • +Absolute neutrophils ≥1.0 x 10\^9/L; Platelets ≥75 x 10\^9/L; Hemoglobin ≥80 g/L: Bilirubin ≤1.50 x UNL; AST and ALT ≤2.50 x UNL; Serum creatinine \<1.55 x UNL or Creatinine clearance ≥30 mL/min
  • +Participant is able (i.e. sufficiently fluent) and willing to complete the quality of life questionnaires and/or health utility in either English or French
  • +Participant consentInformed consentThe process of being told what taking part involves, then choosing freely.Read more → must be appropriately obtained in accordance with applicable local and regulatory requirements. Each participant must sign a consent form prior to enrollmentEnrolmentThe number of participants a study plans to include, or has included.Read more → in the trial to document their willingness to participate.
  • +Participants must be accessible for treatment and follow-upFollow-upContinued check-ins after the treatment part is finished.Read more →.
  • +In accordance with CCTG policy, protocolProtocolThe detailed plan a study must follow.Read more → treatment is to begin within 2 working days of participant enrollment
  • +All patients must have a tumour block from their primary diagnostic biopsy and relapse/refractory biopsy if available and the centre/pathologist must have agreed to release the block or recently cut slides for correlative analysis if the participant has consented. If the primary diagnostic biopsy is not accessible, the original pathology report should be submitted for review and a biopsy from the relapse/refractory disease must be submitted.
  • +ECOG performance status 0-1
  • +History of classic Hodgkin lymphoma by histopathology and now have relapsed or refractory disease after anthracycline-containing chemotherapy and eligible for high dose chemotherapy and autologous stem cell transplant

Exclusion

  • Known history of human immunodeficiency virus (HIV), active Hepatitis C Virus infection, active Hepatitis B Virus infection or any uncontrolled active systemic infection requiring intravenous (IV) antibiotics. Participants that are Hepatitis B core antibody positive are eligible if they are HBV DNA negative and are concurrently treated with anti-viral therapy. Participants with a past history of hepatitis C who have eradicated the virus are eligible
  • Participants who have received prior salvage systemic therapy for their relapsed or refractory disease.
  • History of peripheral neuropathy or dyspnea ≥ grade 2
  • Participants with a history of other malignancies except: adequately treated non-melanoma skin cancer and superficial bladder cancer, curatively treated in-situ cancer of the cervix or breast, or localized excised prostate cancer, other solid tumours curatively treated with no evidence of disease for \> 3 years
  • History of active CNS disease
  • Has a diagnosis of immunodeficiency or is receiving systemic steroid therapy (at doses more than 10 mg prednisone or equivalent) or any other form of immunosuppressive therapy within 7 days prior to the first and any dose of trial treatment
  • Has active autoimmune disease that has required systemic treatment in the past 3 years (i.e. with use of disease modifying agents, corticosteroids or immunosuppressive drugs) or history of allogeneic transplantation. Replacement therapy (e.g. thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency, etc.) is not considered a form of systemic treatment
  • Clinically significant cardiovascular disease such as uncontrolled or symptomatic arrhythmias, congestive heart failure, angina, or myocardial infarction within 6 months of screeningScreeningThe checks done before joining, to see whether a study fits.Read more →, or any Class 3 (moderate) or Class 4 (severe) cardiac disease as defined by the New York Heart Association Functional Classification
  • Documented history of cerebral vascular event (stroke or transient ischemic attack)
  • History of progressive multifocal leukoencephalopathy (PML).
  • Any serious active disease or co-morbid medical condition, including psychiatric illness, judged by the local investigatorPrincipal investigatorThe doctor or researcher responsible for running the study at a site.Read more → to preclude safe administration of the planned protocolProtocolThe detailed plan a study must follow.Read more → treatment or required follow-upFollow-upContinued check-ins after the treatment part is finished.Read more →
  • Any other serious intercurrent illness, life-threatening condition, organ system dysfunction, or medical condition judged by the local investigator to compromise the subject's safety (for example): active, uncontrolled bacterial, fungal or viral infection; clinically significant cardiac dysfunction or cardiovascular disease
  • Participants who have been vaccinated with live, attenuated vaccines within 4 weeks of enrollmentEnrolmentThe number of participants a study plans to include, or has included.Read more →
  • Participants are not eligible if they have had a prior infusion reaction to the study drugs or their components \> grade 2
  • Participant has a history of (non-infectious) pneumonitis that required steroids or current pneumonitis
  • Participant has had an allogenic tissue/solid organ transplant
  • Concurrent or within the previous 4 weeks of randomizationRandomisedWhich group you go into is decided by chance, not by you or your doctor.Read more →, treatment with other investigational drugs or anti-cancer therapy
  • Pregnant or lactating females, or women/men of childbearing potential not willing to use an adequate method of birth controlControl groupThe group a new treatment is measured against.Read more → for the duration of the study through 6 months after the last dose of trial treatment
  • Has received prior radiotherapy within 2 weeks of start of study treatment. Participants must have recovered from all radiation-related toxicities, not require corticosteroids, and not have had radiation pneumonitis. A one-week washoutWashout periodA gap with no treatment, so the previous one clears your system.Read more → is permitted for palliative radiation (≤ 2 weeks of radiotherapy)
5 concepts to explore on this page · up to 1,300 pointsTap any term to learn what it means.

In plain language

Assembled directly from this trial’s registry record. Every sentence traces to a field below — nothing here is generated or interpreted.

Learning 
What this study is

This study is testing a treatment for a condition.

Phase 2Phase 2A middle-stage study looking at what a treatment does and watching for side effects.Read more → — a middle-stage study in a few hundred people at most, looking at what the treatment does and watching for side effectsSide effectAn unwanted effect thought to be caused by the treatment itself.Read more →.

What is being given or done in this study: Gemcitabine, Dexamethasone, Cisplatin, Brentuximab vedotin, and 1 more.

From the trial registry

Built from these fields:

  • designModule.designInfo.primaryPurpose
  • designModule.phases
  • armsInterventionsModule.interventions[].name
How the study is run

Which group you would be placed in is decided by chance, like a coin flip — not by you and not by your doctor.

This study is open-labelOpen-labelEveryone knows which treatment is being given — nothing is hidden.Read more →: everyone knows which treatment is being given, including you and the study team.

From the trial registry

Built from these fields:

  • designModule.designInfo.allocation
  • designModule.designInfo.maskingInfo.masking
Is there a placebo?

This study does not list a placeboPlaceboA dummy treatment with no active medicine, used for comparison.Read more → group.

One group receives an existing treatment, so the two can be compared.

There are 2 groups in this study.

From the trial registry

Built from this field:

  • armsInterventionsModule.armGroups[].type
Who the study is looking for

The study lists a minimum age of 18 years, with no upper limit given.

The study is open to people of any sex.

The study does not accept healthy volunteersHealthy volunteerSomeone without the condition being studied who takes part anyway.Read more →.

These are the criteria the study lists. Only the trial siteTrial siteA hospital or clinic where a study is actually run.Read more → can decide whether someone can take part.

From the trial registry

Built from these fields:

  • eligibilityModule.minimumAge
  • eligibilityModule.sex
  • eligibilityModule.healthyVolunteers
How big and how long

The study aims to enrol about 84 people.

The study is currently expected to finish around December 2026.

The main measurement is taken over: 52 months.

From the trial registry

Built from these fields:

  • designModule.enrollmentInfo.count
  • statusModule.completionDateStruct.date
  • outcomesModule.primaryOutcomes[].timeFrame
What the study measures

Complete response rate by PET Deauville criteria (score 1-3) of pembrolizumab and brentuximab vedotin compared to standard GDP (gemcitabine, dexamethasone, cisplatin) given as salvage therapy — measured over 52 months.

From the trial registry

Built from these fields:

  • outcomesModule.primaryOutcomes[].measure
  • outcomesModule.primaryOutcomes[].timeFrame

Source: NCT05180097 on ClinicalTrials.gov. The full registry text is further down this page — this summary never replaces it.

Not medical advice. What do these terms mean?

What is being tested — in plain terms

About GemcitabineDrug

1000mg/m2 IV, 30 mins D1, D8

From the trial registry — its own words, unedited.

What a drug is here: A medicine — a chemical or small-molecule treatment — given as the thing being studied.

Read the full explanation → · in clinical review

About DexamethasoneDrug

40mg daily PO, D1-D4

From the trial registry — its own words, unedited.

What a drug is here: A medicine — a chemical or small-molecule treatment — given as the thing being studied.

Read the full explanation → · in clinical review

About CisplatinDrug

75mg/m2 IV, 1 hour, D1

From the trial registry — its own words, unedited.

What a drug is here: A medicine — a chemical or small-molecule treatment — given as the thing being studied.

Read the full explanation → · in clinical review

About Brentuximab vedotinDrug

1.8 mg/kg IV, 30 mins, Q21 days

From the trial registry — its own words, unedited.

What a drug is here: A medicine — a chemical or small-molecule treatment — given as the thing being studied.

Read the full explanation → · in clinical review

About PembrolizumabDrug

200mg IV, 30 mins, Q 21 days

From the trial registry — its own words, unedited.

What a drug is here: A medicine — a chemical or small-molecule treatment — given as the thing being studied.

Read the full explanation → · in clinical review

Common questions

Answered from this trial’s registry record. Where the record doesn’t say, these answers say so rather than filling the gap.

Am I eligible for this trial?

Only the trial siteTrial siteA hospital or clinic where a study is actually run.Read more → can decide whether someone can take part. Concord cannot make that determination, and neither can any tool that has not examined you.

What the study lists: a minimum age of 18 years.

The full inclusionInclusion criteriaThe things you must have or be for a study to consider you.Read more → and exclusion criteriaExclusion criteriaThe things that would prevent someone from taking part.Read more → are published on this page, exactly as the study team wrote them.

The useful next step is to bring this trial to your doctor. Answering a few questions first gives them something concrete to review.

From the trial registry
  • eligibilityModule.minimumAge
  • eligibilityModule.eligibilityCriteria
Is there a placebo?

This study does not list a placeboPlaceboA dummy treatment with no active medicine, used for comparison.Read more → group.

One group receives an existing treatment so the two can be compared.

From the trial registry
  • armsInterventionsModule.armGroups[].type
Would I know which treatment I am getting?

This study is open-labelOpen-labelEveryone knows which treatment is being given — nothing is hidden.Read more →: everyone knows which treatment is being given, including you and the study team.

Which group you would be placed in is decided by chance, like a coin flip — not by you and not by your doctor.

From the trial registry
  • designModule.designInfo.maskingInfo.masking
  • designModule.designInfo.allocation
Who can join?

The study lists a minimum age of 18 years, with no upper limit given.

It is open to people of any sex.

It does not accept healthy volunteersHealthy volunteerSomeone without the condition being studied who takes part anyway.Read more →.

Only the trial siteTrial siteA hospital or clinic where a study is actually run.Read more → can confirm whether a particular person can take part.

From the trial registry
  • eligibilityModule.minimumAge
  • eligibilityModule.sex
  • eligibilityModule.healthyVolunteers
How long would this take?

The study's main measurement is taken over: 52 months.

The study as a whole is currently expected to finish around 2026-12-31.

How long any one person takes part can differ from the study length. The study team can tell you what the schedule looks like in practice.

From the trial registry
  • outcomesModule.primaryOutcomes[].timeFrame
  • statusModule.completionDateStruct.date
How many people are taking part?

The study aims to enrol about 84 people.

From the trial registry
  • designModule.enrollmentInfo.count
Where is this happening?

This study lists 11 locations, including: Calgary, Alberta, Canada; Vancouver, British Columbia, Canada; St. John's, Newfoundland and Labrador, Canada; Halifax, Nova Scotia, Canada; Hamilton, Ontario, Canada; London, Ontario, Canada, and 5 more.

Sites can open and close during a study, so confirm with the team before travelling.

From the trial registry
  • trial_locations

About This Trial

This study is being done to determine if two new drugs can shrink or eliminate classical Hodgkins lymphoma.

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This page is for informational purposes only and does not constitute medical advice. Clinical trial eligibility can only be determined by the trial site after proper screening. Trial information is sourced from ClinicalTrials.gov and may not reflect the most current status. Always consult your healthcare provider before making decisions about clinical trial participation.