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Last Modified: 6/30/2009     First Published: 2/20/2004  
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Phase II Study of Vinblastine, Cyclophosphamide, Procarbazine, Prednisolone, Etoposide, Mitoxantrone, and Bleomycin in Older Patients With Hodgkin's Lymphoma

Alternate Title
Basic Trial Information
Objectives
Entry Criteria
Expected Enrollment
Outcomes
Outline
Trial Contact Information
Registry Information

Alternate Title

Vinblastine, Cyclophosphamide, Procarbazine, Prednisolone, Etoposide, Mitoxantrone, and Bleomycin in Treating Older Patients With Hodgkin's Lymphoma

Basic Trial Information

PhaseTypeStatusAgeSponsorProtocol IDs
Phase IITreatmentActiveOver 60OtherUON-SHIELD
EU-20346, NCT00079105

Objectives

Primary

  1. Determine the efficacy and toxicity of vinblastine, cyclophosphamide, procarbazine, prednisolone, etoposide, mitoxantrone, and bleomycin in older patients with Hodgkin's lymphoma.
  2. Determine whether the application of the Hasenclever prognostic index is valid in these patients at diagnosis.

Entry Criteria

Disease Characteristics:

  • Histologically confirmed classical Hodgkin's lymphoma
    • Previously untreated disease
  • No nodular lymphocyte predominant Hodgkin's lymphoma

Prior/Concurrent Therapy:

Biologic therapy

  • Not specified

Chemotherapy

  • Not specified

Endocrine therapy

  • Not specified

Radiotherapy

  • Not specified

Surgery

  • Not specified

Patient Characteristics:

Age

  • Over 60

Performance status

  • Not specified

Life expectancy

  • Not specified

Hematopoietic

  • Not specified

Hepatic

  • No significant hepatic abnormality that would preclude study participation

Renal

  • No significant renal abnormality that would preclude study participation

Cardiovascular

  • No significant cardiac abnormality that would preclude study participation

Pulmonary

  • No significant pulmonary abnormality that would preclude study participation

Other

  • "Non-fragile" status (i.e., mental and physical status must be sufficient to withstand study therapy)
  • HIV negative
  • No other concurrent neoplasia

Expected Enrollment

150

A total of 150 patients will be accrued for this study within 36 months.

Outcomes

Primary Outcome(s)

Disease-free survival by routine imaging at 6 month intervals

Secondary Outcome(s)

Overall survival by routine imaging at 5 years

Outline

This is an open-label, multicenter study.

  • Chemotherapy: Patients receive vinblastine IV and cyclophosphamide IV on day 1; oral procarbazine and oral prednisolone on days 1-5; oral etoposide on days 15-19; and mitoxantrone IV and bleomycin IV on day 15. Treatment repeats every 28 days, in the absence of disease progression or unacceptable toxicity, for a total of 3 courses in patients with early (stage IA or IIA) disease or 6 courses in patients with advanced (stage IB or IIB-IV) disease.
  • Radiotherapy: Patients with early stage disease receive involved-field radiotherapy. Patients with advanced stage disease receive radiotherapy limited to sites of initial bulky disease or residual disease. Radiotherapy begins 4 weeks after the completion of chemotherapy.

Patients are followed monthly for 3 months, every 3 months for 6 months, and then annually thereafter.

Peer Reviewed and Funded or Endorsed by Cancer Research UK

Trial Contact Information

Trial Lead Organizations

University of Newcastle-Upon-Tyne Northern Institute for Cancer Research

Stephen Proctor, MD, FRCP, FRCPath, Protocol chair
Ph: 44-191-222-7791
Helen Lucraft, MD, Protocol co-chair
Ph: 44-191-256-3565
Email: helen.lucraft@nuth.nhs.uk
Katrina Wood, MD, Protocol co-chair
Ph: 44-191-232-5131

Trial Sites

Germany
  Cologne
 Medizinische Universitaetsklinik I at the University of Cologne
 Andreas Josting, MD
Ph: 49-221-478-4400
United Kingdom
  Barnet, Hertfordshire
 Barnet General Hospital
 Contact Person
Ph: 44-20-8216-4383
England
  Ashington
 Wansbeck General Hospital
 Ian Neilly, MD
Ph: 44-1670-529-717
 Email: ian.neilly@northumbria-healthcare.nhs.uk
  Basingstoke
 Basingstoke and North Hampshire NHS Foundation Trust
 A E Milne, MBBS, F,R,CP
Ph: 44-238-079-4202
  Bath
 Royal United Hospital
 C. Singer, MD
Ph: 44-1-225-824-042
 Email: charles.singer@ruh-bath.swest.nhs.uk
  Birmingham
 Good Hope Hospital
 Matthew Lumley, MD
Ph: 44-121-378-6206
 Email: matthew.lumley@goodhope.nhs.uk
  Blackpool
 Blackpool Victoria Hospital
 Marian Macheta
Ph: 44-125-330-3760
 Email: dr.macheta@bfuhospitals.nhs.uk
  Bournemouth
 Royal Bournemouth Hospital NHS Trust
 Sally Killick
Ph: 44-1202-704-783
 Email: sally.killick@rbch.nhs.uk
  Bradford
 Bradford Royal Infirmary
 Lisa Newton, MD
Ph: 44-1274-364-367
  Canterbury
 Kent and Canterbury Hospital
 Christopher Pocock
Ph: 44-1227-864-071
 Email: christopher.pocock@ekht.nhs.uk
  Carlisle
 Cumberland Infirmary
 Hugh O'Brien, MD
Ph: 44-1228-814-511
 Email: hugh.o'brien@ncumbria.acute.nhs.uk
  Chichester
 Saint Richards Hospital
 P.C. Bevan
Ph: 44-1243-788-122
  Durham
 University Hospital of North Durham
 Fiona Keenan, MD
Ph: 44-191-333-2333
  Gateshead-Tyne and Wear
 Queen Elizabeth Hospital
 G. P. Summerfield, DM, FRCP, FRCPath
Ph: 44-191-445-2878
  Gillingham Kent
 Medway Maritime Hospital
 Vivienne Andrews, MD
Ph: 44-1634-825-219
  Grimsby
 Diana Princess of Wales Hospital
 Hannah Ciepluch, MD
Ph: 44-147-287-4111
  Harrogate
 Harrogate District Hospital
 A. Geraldine Bynoe, MD
Ph: 44-1423-555-790
 Email: geraldine.bynoe@hhc-tr.northy.hs.uk
  Hull
 Hull Royal Infirmary
 Russell Patmore, MD
Ph: 44-148-232-8541
  Ipswich
 Ipswich Hospital
 Nicholas Dodd, MD, FRCP, FRCPath
Ph: 44-1473-712-233
 Email: nicholas.dodd@ipswichhospital.nhs.uk
  Keighley
 Airedale General Hospital
 Ann Cuthbert
Ph: 44-1535-652-511
  Kettering, Northants
 Kettering General Hosptial
 M. Lyttelton, MD
Ph: 44-536-492-699
 Email: matthew.lyttelton@kgh.nhs.uk
  Leeds
 Leeds General Infirmary
 Roderick Johnson, MD
Ph: 44-113-392-3766
  Leicester
 Leicester Royal Infirmary
 M. J. Dyer, MD
Ph: 44-116-252-5589
 Email: mjsd1@le.ac.uk
  Liverpool
 Royal Liverpool University Hospital
 Andrew Pettitt, MA, MD, MRCP, PhD, MRCPath
Ph: 44-151-706-4344
 Email: a.r.pettitt@liverpool.ac.uk
  London
 University College Hospital - London
 Kirit Ardeshna
Ph: 44-207-380-9320
 Email: kirit.ardeshna@uclh.nhs.uk
  Maidstone
 Maidstone Hospital
 Don Gillett, FRCP, FRCPath
Ph: 44-189-282-3535 ext. 3278
 Email: don.gillett@nhs.net
  Manchester
 Christie Hospital
 John Radford, MD
Ph: 44-161-446-3753
 Manchester Royal Infirmary
 Kate Ryan, MD
Ph: 44-161-276-1234
 Trafford General Hospital
 P. A. Carrington, MD
Ph: 44-161-746-2022
  Middlesbrough
 James Cook University Hospital
 Raymond Dang, MD
Ph: 44-164-282-516
  Newcastle-Upon-Tyne
 Northern Centre for Cancer Treatment at Newcastle General Hospital
 Helen Lucraft, MD
Ph: 44-191-256-3565
 Email: helen.lucraft@nuth.nhs.uk
 University of Newcastle-Upon-Tyne Northern Institute for Cancer Research
 Stephen Proctor, MD, FRCP, FRCPath
Ph: 44-191-222-7791
  North Shields
 North Tyneside Hospital
 Christopher Tiplady, MD
Ph: 44-191-293-4157
 Email: chris.tiplady@nhct.nhs.uk
  Northampton
 Northampton General Hospital NHS Trust
 Angela Bowen, MD
Ph: 44-1604-63-4700
  Northwood
 Mount Vernon Cancer Centre at Mount Vernon Hospital
 Peter Hoskin, MD
Ph: 44-1923-826-111
  Poole Dorset
 Dorset Cancer Centre
 Fergus Jack, MD
Ph: 44-1202-448-2583
  Royal Tunbridge Wells, Kent
 Pembury Hospital
 Don Gillett, FRCP, FRCPath
Ph: 44-1892-823-535 ext. 3257
  Sheffield
 Royal Hallamshire Hospital
 Josh Wright
Ph: 44-1142-712-031
 Email: josh.wright@sth.nhs.uk
  Slough, Berkshire
 Wexham Park Hospital
 Simon Moule, MD
Ph: 44-1753-633-000
  South Shields
 South Tyneside District Hospital
 Mike Galloway, MD
Ph: 44-191-454-8888
  Southampton
 Southampton General Hospital
 Peter Johnson, MD
Ph: 44-238-079-6186
 Email: johnsonp@soton.ac.uk
  Stafford
 Staffordshire General Hospital
 Paul Revell, MD
Ph: 44-178-525-7731
 Email: jayne.anslow@msgh-tr.wmids.nhs.uk
  Stoke-On-Trent Staffs
 University Hospital of North Staffordshire
 R. Chasty
Ph: 44-0178-2715-444
 Email: richard.chasty@uhns.nhs.uk
  Sunderland
 Sunderland Royal Hospital
 Mike Galloway, MD
Ph: 44-191-565-6256
 Email: mike.galloway@chs.northy.nhs.uk
  Truro, Cornwall
 Royal Cornwall Hospital
 Anton Kruger
Ph: 44-187-225-2506
 Email: anton.kruger@rcht.cornwall.nhs.uk
  Whitehaven
 West Cumberland Hospital
 Nick West, MD
Ph: 44-1946-693-181
  York
 Cancer Care Centre at York Hospital
 M. Howard, MD
Ph: 44-1904-725-851
 Email: martin.r.Howard@york.nhs.uk
Scotland
  Aberdeen
 Aberdeen Royal Infirmary
 Dominic Culligan, MD
Ph: 44-122-455-3394
 Email: dominic.culligan@arh.grampian.scot.nhs.uk
  Airdrie
 Monklands General Hospital
 Alaeddin Raafat, MD
Ph: 44-1236-712-104
 Email: alaeddin.raafat@lanarkshire.scot.nhs.uk
  Edinburgh
 Edinburgh Cancer Centre at Western General Hospital
 John Davies
Ph: 44-131-537-1903
  Glasgow
 Western Infirmary
 Pamela Mckay, MD
Ph: 44-141-211-1817
  Inverness
 Raigmore Hospital
 W. Murray
Ph: 44-146-370-4259
  Paisley
 Royal Alexandra Hospital
 Pamela Mckay, MD
Ph: 44-141-314-6712
  Wishaw
 Wishaw General Hospital
 Alaeddin Raafat, MD
Ph: 44-1236-712-104

Registry Information
Official Title A Phase II Study VEPEMB In Patients With Hodgkin's Lymphoma Aged ≥ 60 Years
Trial Start Date 2004-01-01
Trial Completion Date 2009-09-01 (estimated)
Registered in ClinicalTrials.gov NCT00079105
Date Submitted to PDQ 2004-01-20
Information Last Verified 2009-06-30

Note: The purpose of most clinical trials listed in this database is to test new cancer treatments, or new methods of diagnosing, screening, or preventing cancer. Because all potentially harmful side effects are not known before a trial is conducted, dose and schedule modifications may be required for participants if they develop side effects from the treatment or test. The therapy or test described in this clinical trial is intended for use by clinical oncologists in carefully structured settings, and may not prove to be more effective than standard treatment. A responsible investigator associated with this clinical trial should be consulted before using this protocol.

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