Phase II Trial of Anti-PD-1 Antibody Treatment and Radiotherapy in Early-stage Favorable Classic Hodgkin Lymphoma

NCT06916416 — Phase 2, Not yet recruiting, 50 participants, University of Cologne

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RegistryNCT06916416, acronym PREFer
StatusNot yet recruiting
PhasePhase 2
Study typeInterventional; non randomized, single group, masking: none, treatment
Enrollment50 (Estimated)
SponsorUniversity of Cologne (Other)
ConditionsClassical Hodgkin Lymphoma
InterventionsPembrolizumab (Drug)
Datesstart 2025-06-01 (estimated), primary completion 2026-06-01 (estimated), completion 2028-06-01 (estimated), first posted 2025-04-08, last updated 2025-04-08

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All trials for Classical Hodgkin Lymphoma All trials of Pembrolizumab

-Summary

By the implementation of the anti-PD-1 antibody pembrolizumab and given its possible synergy with RT, the aim of the present trial is to develop a chemotherapy-free first-line treatment for patients with newly diagnosed early-stage favorable cHL.

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+Arms and interventions

ArmTypeInterventionsDescription
PembrolizumabExperimentalDrug: PembrolizumabAll patients will receive 6 doses of 200mg Pembrolizumab iv as single agent every three weeks followed by 20Gy radiotherapy
  • Pembrolizumab (Drug): 6 doses of 200mg Pembrolizumab iv as single agent every three weeks followed by radiotherapy 20Gy

+Outcome measures

Primary outcomes

  • Progression Free Survival [PFS at 1 year]

+Eligibility

Sex: All, ages: 18 Years to 75 Years

Inclusion Criteria:

* Histologically proven first diagnosis of cHL
* Stage I-II without risk factors

  * Large mediastinal mass
  * Extranodal involvement
  * Elevated erythrocyte sedimentation rate (ESR)
  * Involvement of ≥ 3 nodal areas

Exclusion Criteria:

* Central nervous system lymphoma, nodular lymphocyte-predominant Hodgkin lymphoma or composite lymphoma,
* Prior cHL-directed treatment
* Prior chemotherapy, RT or allogeneic stem cell/solid organ transplant
* Prior or concurrent disease precluding protocol treatment (for details see section 4.2)
* Pregnancy or breastfeeding
* Non-compliance

+Investigators