Abstract
| Original language | English |
|---|---|
| Pages (from-to) | 454-462 |
| Number of pages | 9 |
| Journal | Journal of Clinical Oncology |
| Volume | 36 |
| Issue number | 5 |
| DOIs | |
| Publication status | Published - 2018 |
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Keywords
- alanine aminotransferase
- antineoplastic agent
- aspartate aminotransferase
- bleomycin
- cyclophosphamide
- dacarbazine
- doxorubicin
- etoposide
- fluorodeoxyglucose f 18
- prednisone
- procarbazine
- rituximab
- vinblastine
- vincristine
- add on therapy
- adolescent
- adult
- advanced cancer
- alanine aminotransferase blood level
- Article
- aspartate aminotransferase blood level
- blood clotting disorder
- blood toxicity
- bone marrow toxicity
- cancer combination chemotherapy
- cancer growth
- cancer mortality
- cancer patient
- cancer radiotherapy
- cancer regression
- cancer survival
- classical Hodgkin lymphoma
- controlled study
- drug dose escalation
- drug dose intensification
- drug hypersensitivity
- drug substitution
- drug treatment failure
- drug withdrawal
- early intervention
- event free survival
- female
- gastrointestinal infection
- heart failure
- hepatobiliary disease
- human
- long term survival
- lung fibrosis
- lung infection
- lung toxicity
- male
- metabolic disorder
- multiple cycle treatment
- musculoskeletal disease
- nausea and vomiting
- neurotoxicity
- neutropenia
- open study
- overall survival
- pain
- pancreas disease
- phase 2 clinical trial
- positron emission tomography-computed tomography
- priority journal
- progression free survival
- randomized controlled trial
- side effect
- skin toxicity
- soft tissue disease
- treatment response
- vascular disease
- young adult
Cite this
Early chemotherapy intensification with escalated beacopp in patients with advanced-stage hodgkin lymphoma with a positive interim positron emission tomography/computed tomography scan after two abvd cycles: Long-term results of the GITIL/FIL HD 0607 trial. / Gallamini, A.; Tarella, C.; Viviani, S.; Rossi, A.; Patti, C.; Mule, A.; Picardi, M.; Romano, A.; Cantonetti, M.; Nasa, G.L.; Trentin, L.; Bolis, S.; Rapezzi, D.; Battistini, R.; Gottardi, D.; Gavarotti, P.; Corradini, P.; Cimminiello, M.; Schiavotto, C.; Parvis, G.; Zanotti, R.; Gini, G.; Ferreri, A.J.M.; Viero, P.; Miglino, M.; Billio, A.; Avigdor, A.; Biggi, A.; Fallanca, F.; Ficola, U.; Gregianin, M.; Chiaravalloti, A.; Prosperini, G.; Bergesio, F.; Chauvie, S.; Pavoni, C.; Gianni, A.M.; Rambaldi, A.
In: Journal of Clinical Oncology, Vol. 36, No. 5, 2018, p. 454-462.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Early chemotherapy intensification with escalated beacopp in patients with advanced-stage hodgkin lymphoma with a positive interim positron emission tomography/computed tomography scan after two abvd cycles: Long-term results of the GITIL/FIL HD 0607 trial
AU - Gallamini, A.
AU - Tarella, C.
AU - Viviani, S.
AU - Rossi, A.
AU - Patti, C.
AU - Mule, A.
AU - Picardi, M.
AU - Romano, A.
AU - Cantonetti, M.
AU - Nasa, G.L.
AU - Trentin, L.
AU - Bolis, S.
AU - Rapezzi, D.
AU - Battistini, R.
AU - Gottardi, D.
AU - Gavarotti, P.
AU - Corradini, P.
AU - Cimminiello, M.
AU - Schiavotto, C.
AU - Parvis, G.
AU - Zanotti, R.
AU - Gini, G.
AU - Ferreri, A.J.M.
AU - Viero, P.
AU - Miglino, M.
AU - Billio, A.
AU - Avigdor, A.
AU - Biggi, A.
AU - Fallanca, F.
AU - Ficola, U.
AU - Gregianin, M.
AU - Chiaravalloti, A.
AU - Prosperini, G.
AU - Bergesio, F.
AU - Chauvie, S.
AU - Pavoni, C.
AU - Gianni, A.M.
AU - Rambaldi, A.
N1 - Cited By :17 Export Date: 5 February 2019 CODEN: JCOND Correspondence Address: Rambaldi, A.; Universita degli Studi di Milano, Piazza OMS, 1, Italy; email: alessandro.rambaldi@unimi.it Chemicals/CAS: alanine aminotransferase, 9000-86-6, 9014-30-6; aspartate aminotransferase, 9000-97-9; bleomycin, 11056-06-7, 9041-93-4; cyclophosphamide, 50-18-0; dacarbazine, 4342-03-4; doxorubicin, 23214-92-8, 25316-40-9; etoposide, 33419-42-0, 433304-61-1; fluorodeoxyglucose f 18, 63503-12-8; prednisone, 53-03-2; procarbazine, 366-70-1, 671-16-9; rituximab, 174722-31-7; vinblastine, 865-21-4; vincristine, 57-22-7 References: Canellos, G.P., Anderson, J.R., Propert, K.J., Chemotherapy of advanced Hodgkin's disease with MOPP, ABVD, or MOPP alternating with ABVD (1992) N Engl J Med, 327, pp. 1478-1484; Diehl, V., Franklin, J., Pfreundschuh, M., Standard and increased-dose BEACOPP chemotherapy compared with COPP-ABVD for advanced Hodgkin's disease (2003) N Engl J Med, 348, pp. 2386-2395; (2005) N Engl J Med, 353, p. 744. , Erratum; 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Viviani, S., Zinzani, P.L., Rambaldi, A., ABVD versus BEACOPP for Hodgkin's lymphoma when high-dose salvage is planned (2011) N Engl J Med, 365, pp. 203-212; Bonfante, V., Santoro, A., Viviani, S., ABVD in the treatment of Hodgkin's disease (1992) Semin Oncol, 19, pp. 38-44. , discussion 44-45; Engert, A., Diehl, V., Franklin, J., Escalateddose BEACOPP in the treatment of patients with advanced-stage Hodgkin's lymphoma: 10 years of follow-up of the GHSG HD9 study (2009) J Clin Oncol, 27, pp. 4548-4554; Engert, A., Haverkamp, H., Kobe, C., Reduced-intensity chemotherapy and PET-guided radiotherapy in patients with advanced stage Hodgkin's lymphoma (HD15 trial): A randomised, open-label, phase 3 non-inferiority trial (2012) Lancet, 379, pp. 1791-1799; Behringer, K., Breuer, K., Reineke, T., Secondary amenorrhea after Hodgkin's lymphoma is influenced by age at treatment, stage of disease, chemotherapy regimen, and the use of oral contraceptives during therapy: A report from the German Hodgkin's Lymphoma Study Group (2005) J Clin Oncol, 23, pp. 7555-7564; 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Hutchings, M., Loft, A., Hansen, M., FDGPET after two cycles of chemotherapy predicts treatment failure and progression-free survival in Hodgkin lymphoma (2006) Blood, 107, pp. 52-59; Gallamini, A., Hutchings, M., Rigacci, L., Early interim 2-[18F]fluoro-2-deoxy-D-glucose positron emission tomography is prognostically superior to international prognostic score in advanced-stage Hodgkin's lymphoma: A report from a joint Italian-Danish study (2007) J Clin Oncol, 25, pp. 3746-3752; Hryniuk, W.M., Goodyear, M., The calculation of received dose intensity (1990) J Clin Oncol, 8, pp. 1935-1937; Longo, D.L., Duffey, P.L., DeVita, V.T., Jr., The calculation of actual or received dose intensity: A comparison of published methods (1991) J Clin Oncol, 9, pp. 2042-2051; Chauvie, S., Biggi, A., Stancu, A., WIDEN: A tool for medical image management in multicenter clinical trials (2014) Clin Trials, 11, pp. 355-361; Biggi, A., Gallamini, A., Chauvie, S., International validation study for interim PET in ABVDtreated, advanced-stage Hodgkin lymphoma: Interpretation criteria and concordance rate among reviewers (2013) J Nucl Med, 54, pp. 683-690; Meignan, M., Gallamini, A., Meignan, M., Report on the first international workshop on interim-PET-Scan in Lymphoma (2009) Leuk Lymphoma, 50, pp. 1257-1260; Dodd, L.E., Korn, E.L., Freidlin, B., Blinded independent central review of progression-free survival in phase III clinical trials: Important design element or unnecessary expense (2008) J Clin Oncol, 26, pp. 3791-3796; Press, O.W., Li, H., Schöder, H., US intergroup trial of response-adapted therapy for stage III to IV Hodgkin lymphoma using early interim fluorodeoxyglucose-positron emission tomography imaging: Southwest Oncology Group S0816 (2016) J Clin Oncol, 34, pp. 2020-2027; Zinzani, P.L., Broccoli, A., Gioia, D.M., Interim positron emission tomography response-adapted therapy in advanced-stage Hodgkin lymphoma: Final results of the phase II part of the HD0801 study (2016) J Clin Oncol, 34, pp. 1376-1385; Ansell, S.M., Lesokhin, A.M., Borrello, I., PD-1 blockade with nivolumab in relapsed or refractory Hodgkin's lymphoma (2015) N Engl J Med, 372, pp. 311-319; Younes, A., Connors, J.M., Park, S.I., Brentuximab vedotin combined with ABVD or AVD for patients with newly diagnosed Hodgkin's lymphoma: A phase 1, open-label, dose-escalation study (2013) Lancet Oncol, 14, pp. 1348-1356; Avigdor, A., Bulvik, S., Levi, I., Two cycles of escalated BEACOPP followed by four cycles of ABVD utilizing early-interim PET/CT scan is an effective regimen for advanced high-risk Hodgkin's lymphoma (2010) Ann Oncol, 21, pp. 126-132; Hasenclever, D., Diehl, V., A prognostic score for advanced Hodgkin's disease. International Prognostic Factors Project on Advanced Hodgkin's Disease (1998) N Engl J Med, 339, pp. 1506-1514; Moccia, A.A., Donaldson, J., Chhanabhai, M., International Prognostic Score in advanced-stage Hodgkin's lymphoma: Altered utility in the modern era (2012) J Clin Oncol, 30, pp. 3383-3388; Johnson, P., Federico, M., Kirkwood, A., Adapted treatment guided by interim PET-CT scan in advanced Hodgkin's lymphoma (2016) N Engl J Med, 374, pp. 2419-2429; Younes, A., Oki, Y., McLaughlin, P., Phase 2 study of rituximab plus ABVD in patients with newly diagnosed classical Hodgkin lymphoma (2012) Blood, 119, pp. 4123-4128; Borchmann, P., Haverkamp, H., Lohri, A., Progression-free survival of early interim PETpositive patients with advanced stage Hodgkin's lymphoma treated with BEACOPP escalated alone or in combination with rituximab (HD18): An open-label, international, randomised phase 3 study by the German Hodgkin Study Group (2017) Lancet Oncol, 18, pp. 454-463; Van Nimwegen, F.A., Ntentas, G., Darby, S.C., Risk of heart failure in survivors of Hodgkin lymphoma: Effects of cardiac exposure to radiation and anthracyclines (2017) Blood, 129, pp. 2257-2265; Schaapveld, M., Aleman, B.M.P., Van Eggermond, A.M., Second cancer risk up to 40 years after treatment for Hodgkin's lymphoma (2015) N Engl J Med, 373, pp. 2499-2511; Borchmann, P., Haverkamp, H., Diehl, V., Eight cycles of escalated-dose BEACOPP compared with four cycles of escalated-dose BEACOPP followed by four cycles of baseline-dose BEACOPP with or without radiotherapy in patients with advanced-stage Hodgkin's lymphoma: Final analysis of the HD12 trial of the German Hodgkin Study Group (2011) J Clin Oncol, 29, pp. 4234-4242; Johnson, P.W., Response-adapted frontline therapy for Hodgkin lymphoma: Are we there yet (2016) Hematology (Am Soc Hematol Educ Program), 2016, pp. 316-322
PY - 2018
Y1 - 2018
N2 - Purpose To investigate the progression-free survival (PFS) of patients with advanced Hodgkin lymphoma (HL) after a risk-adapted treatment strategy that was based on a positive positron emission tomography scan performed after two doxorubicin, vinblastine, vincristine, and dacarbazine (ABVD) cycles (PET2). Patients and Methods Patients with advanced-stage (IIB to IVB) HL were consecutively enrolled. After two ABVD cycles, PET2 was performed and centrally reviewed according to the Deauville five-point scale. Patients with a positive PET2 were randomly assigned to four cycles of escalated bleomycin, etoposide, doxorubicin, cyclophosphamide, vincristine, procarbazine, and prednisone (BEACOPP) followed by four cycles of standard BEACOPP with or without rituximab. Patients with a negative PET2 continued ABVD, and those with a large nodal mass at diagnosis (≤ 5 cm) in complete remission with a negative PET at the end of chemotherapy were randomly assigned to radiotherapy or no further treatment. The primary end point was 3-year PFS. Results Of 782 enrolled patients, 150 (19%) had a positive and 630 (81%) a negative PET2. The 3-year PFS of all patients was 82%. The 3-year PFS of those with a positive and negative PET2 was 60% and 87%, respectively (P > .001). The 3-year PFS of patients with a positive PET2 assigned to BEACOPP with or without rituximab was 63% versus 57% (P = .53). In 296 patients with both interim and post-ABVD-negative PET who had a large nodal mass at diagnosis, radiotherapy was randomly added after chemotherapy without a significant PFS improvement (97% v 93%, respectively; P = .29). The 3-year overall survival of all 782 patients was 97% (99% and 89% for PET2 negative and positive, respectively). Conclusion The PET-driven switch from ABVD to escalated BEACOPP is feasible and effective in high-risk patients with advanced-stage HL. © 2018 by American Society of Clinical Oncology.
AB - Purpose To investigate the progression-free survival (PFS) of patients with advanced Hodgkin lymphoma (HL) after a risk-adapted treatment strategy that was based on a positive positron emission tomography scan performed after two doxorubicin, vinblastine, vincristine, and dacarbazine (ABVD) cycles (PET2). Patients and Methods Patients with advanced-stage (IIB to IVB) HL were consecutively enrolled. After two ABVD cycles, PET2 was performed and centrally reviewed according to the Deauville five-point scale. Patients with a positive PET2 were randomly assigned to four cycles of escalated bleomycin, etoposide, doxorubicin, cyclophosphamide, vincristine, procarbazine, and prednisone (BEACOPP) followed by four cycles of standard BEACOPP with or without rituximab. Patients with a negative PET2 continued ABVD, and those with a large nodal mass at diagnosis (≤ 5 cm) in complete remission with a negative PET at the end of chemotherapy were randomly assigned to radiotherapy or no further treatment. The primary end point was 3-year PFS. Results Of 782 enrolled patients, 150 (19%) had a positive and 630 (81%) a negative PET2. The 3-year PFS of all patients was 82%. The 3-year PFS of those with a positive and negative PET2 was 60% and 87%, respectively (P > .001). The 3-year PFS of patients with a positive PET2 assigned to BEACOPP with or without rituximab was 63% versus 57% (P = .53). In 296 patients with both interim and post-ABVD-negative PET who had a large nodal mass at diagnosis, radiotherapy was randomly added after chemotherapy without a significant PFS improvement (97% v 93%, respectively; P = .29). The 3-year overall survival of all 782 patients was 97% (99% and 89% for PET2 negative and positive, respectively). Conclusion The PET-driven switch from ABVD to escalated BEACOPP is feasible and effective in high-risk patients with advanced-stage HL. © 2018 by American Society of Clinical Oncology.
KW - alanine aminotransferase
KW - antineoplastic agent
KW - aspartate aminotransferase
KW - bleomycin
KW - cyclophosphamide
KW - dacarbazine
KW - doxorubicin
KW - etoposide
KW - fluorodeoxyglucose f 18
KW - prednisone
KW - procarbazine
KW - rituximab
KW - vinblastine
KW - vincristine
KW - add on therapy
KW - adolescent
KW - adult
KW - advanced cancer
KW - alanine aminotransferase blood level
KW - Article
KW - aspartate aminotransferase blood level
KW - blood clotting disorder
KW - blood toxicity
KW - bone marrow toxicity
KW - cancer combination chemotherapy
KW - cancer growth
KW - cancer mortality
KW - cancer patient
KW - cancer radiotherapy
KW - cancer regression
KW - cancer survival
KW - classical Hodgkin lymphoma
KW - controlled study
KW - drug dose escalation
KW - drug dose intensification
KW - drug hypersensitivity
KW - drug substitution
KW - drug treatment failure
KW - drug withdrawal
KW - early intervention
KW - event free survival
KW - female
KW - gastrointestinal infection
KW - heart failure
KW - hepatobiliary disease
KW - human
KW - long term survival
KW - lung fibrosis
KW - lung infection
KW - lung toxicity
KW - male
KW - metabolic disorder
KW - multiple cycle treatment
KW - musculoskeletal disease
KW - nausea and vomiting
KW - neurotoxicity
KW - neutropenia
KW - open study
KW - overall survival
KW - pain
KW - pancreas disease
KW - phase 2 clinical trial
KW - positron emission tomography-computed tomography
KW - priority journal
KW - progression free survival
KW - randomized controlled trial
KW - side effect
KW - skin toxicity
KW - soft tissue disease
KW - treatment response
KW - vascular disease
KW - young adult
U2 - 10.1200/JCO.2017.75.2543
DO - 10.1200/JCO.2017.75.2543
M3 - Article
VL - 36
SP - 454
EP - 462
JO - Journal of Clinical Oncology
JF - Journal of Clinical Oncology
SN - 0732-183X
IS - 5
ER -