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Trial · NCT02166463

Brentuximab Vedotin and Combination Chemotherapy in Treating Children and Young Adults With Stage IIB, Stage IIIB, IVA, or IVB Hodgkin Lymphoma

NCT02166463, Phase 3, Active not recruiting, National Cancer Institute (NCI); results first posted 2023-05-31

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Brentuximab Vedotin and Combination Chemotherapy in Treating Children and Young Adults With Stage IIB, Stage IIIB, IVA, or IVB Hodgkin Lymphoma. Trials, record NCT02166463. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02166463

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Brentuximab Vedotin and Combination Chemotherapy in Treating Children and Young Adults With Stage IIB, Stage IIIB, IVA, or IVB Hodgkin Lymphoma
NCT number
NCT02166463
Status
Active not recruiting
Phases
Phase 3
Enrollment
600 participants, actual
Lead sponsor
National Cancer Institute (NCI)
Conditions
Ann Arbor Stage IIB Hodgkin Lymphoma, Ann Arbor Stage IIIB Hodgkin Lymphoma, Ann Arbor Stage IVA Hodgkin Lymphoma, Ann Arbor Stage IVB Hodgkin Lymphoma, Childhood Hodgkin Lymphoma, Classic Hodgkin Lymphoma
Interventions
Bleomycin Sulfate, Brentuximab Vedotin, Cyclophosphamide, Doxorubicin Hydrochloride, Etoposide, Laboratory Biomarker Analysis, Methylprednisolone, Pharmacological Study, Prednisone, Quality-of-Life Assessment, Questionnaire Administration, Vincristine Sulfate
First posted
2014-06-18
Last updated
2026-11-03
Results first posted
2023-05-31

Source ClinicalTrials.gov

Registered outcomes8

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryEvent Free Survival (EFS), Where Events Include Disease Progression or Relapse, Second Malignancy, or DeathUp to 48 months after the last enrollment
Primary analysis will be based 1-sided log rank test comparison of EFS curves between the 2 randomized arms per intention-to-treat principle. Progression is defined as an ≥50% increase of in the product of the perpendicular diameters of any of the involved nodes or nodal masses or focal organ lesions in sites that were persistently PET positive; or recurrent PET positive lesions (Deauville 4, 5) in sites that had previously been PET negative regardless of change of size, as was the development of new PET avid measurable lesion(s) \>1.5cm in any axis, or new sites of assessable disease. Relapse is defined in patients who achieved a prior CR but subsequently has an increase of ≥50% of the PPD in prior nodal or extranodal sites in a recurrently PET positive lesion(s), or the development of new measurable lesion(s) \>1.5cm in any axis, or new sites of assessable disease. Second malignancy is defined based on report of a cancer that is not considered to be classic Hodgkin Lymphoma.
Secondary
Percentages of Patients With Early Response Defined as no Slow Responding Lesions (SRL) and no Progressive Disease (PD) at Any Disease Sites Determined by Positron Emission Tomography (PET) Per Deauville Criteria Through Central Review
After 42 days of chemotherapy
The percentages of patients (with available PET scan) with no SRL and no PD will be compared between the two randomized arms to see if brentuximab vedotin in the chemotherapy backbone of doxorubicin hydrochloride, vincristine sulfate, etoposide, prednisone and cyclophosphamide (Bv-AVEPC) arm has a higher rate of early response compared to doxorubicin hydrochloride, bleomycin sulfate, vincristine sulfate, etoposide, prednisone, and cyclophosphamide (ABVE-PC) arm. Two-sample Z test of proportions at 1-sided alpha level of 0.05 will be used for these comparisons.
SecondaryPercentages of Patients Experiencing Grade 3+ Peripheral Neuropathy Assessed by Modified Balis ScaleFrom the enrollment of the patient to the time of analysis or the last follow-up; an average of 3.6 years.
The percentages of patients experiencing grade 3+ peripheral neuropathy assessed by the treating clinician using the modified Balis scale. The "Modified Balis scale of Pediatric Neuropathy" allows clinicians to assign a score for sensory or motor neuropathy symptoms separately. Scores range from 1 to 4 with 1 being the least symptomatic state and 4 indicating a severe debility. The percentages of patients (with a score \>/=3) will be compared between the 2 arms by two-sample Z test at 1-sided alpha level of 0.05.
OtherChildhood International Prognostic Score (CHIPS) ScoreBaseline
CHIPS will be computed for all patients and summarized by descriptive statistics. Will examine the association between CHIPS and early response by cross-tabulations and Chi-square tests within each arm separately, as well as logistic regression model where early response is the outcome variable and CHIPS the predictor variable combining the 2 arms with adjustment for randomized chemotherapy.
OtherDose of Radiation Received by Normal Tissues Following Chemotherapy on Either Study ArmUp to 48 months
Descriptive statistics will be used to summarize RT doses received by normal tissues on this study. Two-sample t-test will be used to compare the doses received on this study to those on prior studies.
OtherEfficacy of Involved Site Radiotherapy (ISRT) by Analyzing the Event-free Survival of Patients Treated With Response-adapted ISRT and by Evaluating Patterns of Relapse Following ISRTUp to 3 years
EFS for patients on each arm as well as those receiving ISRT or those with slow early response (SER) on each arm will be estimated. One-sample log rank test will be used to compare the observed EFS to the assumed baseline of 82% at 3 years to see if the observed EFS is significantly lower than the projection in these subsets.
OtherRisk of Relapse Among RRL Subjects That Have at Least One Lesion That is Deauville 3 at PET 2Up to 48 months after the last enrollment
The risk of relapse for cases that are RRL, but have Deauville 3 lesions, will be compared to those that are classified as complete metabolic response at PET2 with solely Deauville 1 or 2 lesions with K-sample test.
OtherPharmacokinetic (PK) AnalysesPre-dose and end of infusion on day 1, days 2, 3, 8, and 15 of cycle 4 and pre-dose on day 1 and day 22 of cycle 5 (each cycle = 21 days)PK concentration time profile will be evaluated.

Outcomes8

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYEvent Free Survival (EFS), Where Events Include Disease Progression or Relapse, Second Malignancy, or DeathUp to 48 months after the last enrollmentAll the eligible patients who had undergone randomizationpercentage of participantsNUMBER
SECONDARY
Percentages of Patients With Early Response Defined as no Slow Responding Lesions (SRL) and no Progressive Disease (PD) at Any Disease Sites Determined by Positron Emission Tomography (PET) Per Deauville Criteria Through Central Review
After 42 days of chemotherapyAll the eligible patients who had undergone randomization and had PET result by central review after completed cycle 2Percentage of patientsNUMBER
SECONDARYPercentages of Patients Experiencing Grade 3+ Peripheral Neuropathy Assessed by Modified Balis ScaleFrom the enrollment of the patient to the time of analysis or the last follow-up; an average of 3.6 years.All the eligible patients who had undergone randomizationPercentage of patientsNUMBER
OTHER_PRE_SPECIFIEDChildhood International Prognostic Score (CHIPS) ScoreBaseline
OTHER_PRE_SPECIFIEDDose of Radiation Received by Normal Tissues Following Chemotherapy on Either Study ArmUp to 48 months
OTHER_PRE_SPECIFIEDEfficacy of Involved Site Radiotherapy (ISRT) by Analyzing the Event-free Survival of Patients Treated With Response-adapted ISRT and by Evaluating Patterns of Relapse Following ISRTUp to 3 years
OTHER_PRE_SPECIFIEDRisk of Relapse Among RRL Subjects That Have at Least One Lesion That is Deauville 3 at PET 2Up to 48 months after the last enrollment
OTHER_PRE_SPECIFIEDPharmacokinetic (PK) AnalysesPre-dose and end of infusion on day 1, days 2, 3, 8, and 15 of cycle 4 and pre-dose on day 1 and day 22 of cycle 5 (each cycle = 21 days)

Results by group6

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Event Free Survival (EFS), Where Events Include Disease Progression or Relapse, Second Malignancy, or DeathArm I (ABVE-PC)82.595% Confidence Interval 77.4 to 86.5percentage of participants
Event Free Survival (EFS), Where Events Include Disease Progression or Relapse, Second Malignancy, or DeathARM II (Bv-AVEPC)92.195% Confidence Interval 88.4 to 94.7percentage of participants
Percentages of Patients With Early Response Defined as no Slow Responding Lesions (SRL) and no Progressive Disease (PD) at Any Disease Sites Determined by Positron Emission Tomography (PET) Per Deauville Criteria Through Central Review
Arm I (ABVE-PC)80.795% Confidence Interval 76.1 to 85.3Percentage of patients
Percentages of Patients With Early Response Defined as no Slow Responding Lesions (SRL) and no Progressive Disease (PD) at Any Disease Sites Determined by Positron Emission Tomography (PET) Per Deauville Criteria Through Central Review
ARM II (Bv-AVEPC)81.295% Confidence Interval 76.7 to 85.7Percentage of patients
Percentages of Patients Experiencing Grade 3+ Peripheral Neuropathy Assessed by Modified Balis ScaleArm I (ABVE-PC)5.595% Confidence Interval 2.90 to 8.17Percentage of patients
Percentages of Patients Experiencing Grade 3+ Peripheral Neuropathy Assessed by Modified Balis ScaleARM II (Bv-AVEPC)6.795% Confidence Interval 3.87 to 9.55Percentage of patients

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDArm I (ABVE-PC)300
Overall StudySTARTEDARM II (Bv-AVEPC)300
Overall StudyCOMPLETEDArm I (ABVE-PC)262
Overall StudyCOMPLETEDARM II (Bv-AVEPC)273
Overall StudyNOT COMPLETEDArm I (ABVE-PC)38
Overall StudyNOT COMPLETEDARM II (Bv-AVEPC)27

Adverse events450

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnemiaBlood and lymphatic system disordersArm I (ABVE-PC)8928789
otherAnemiaBlood and lymphatic system disordersARM II (Bv-AVEPC)107295107
otherBlood and lymphatic system disorders - Other, specifyBlood and lymphatic system disordersArm I (ABVE-PC)12871
otherBlood and lymphatic system disorders - Other, specifyBlood and lymphatic system disordersARM II (Bv-AVEPC)12951
otherFebrile neutropeniaBlood and lymphatic system disordersArm I (ABVE-PC)9028790
otherFebrile neutropeniaBlood and lymphatic system disordersARM II (Bv-AVEPC)8329583
otherLeukocytosisBlood and lymphatic system disordersArm I (ABVE-PC)12871
otherLeukocytosisBlood and lymphatic system disordersARM II (Bv-AVEPC)02950
otherCardiac disorders - Other, specifyCardiac disordersArm I (ABVE-PC)12871
otherCardiac disorders - Other, specifyCardiac disordersARM II (Bv-AVEPC)02950

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityArm I (ABVE-PC)4289
Total, all-cause mortalityARM II (Bv-AVEPC)2298
Total, other adverse eventsArm I (ABVE-PC)206287
Total, other adverse eventsARM II (Bv-AVEPC)209295
Total, serious adverse eventsArm I (ABVE-PC)11287
Total, serious adverse eventsARM II (Bv-AVEPC)66295

Papers9

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
36322844DERIVEDPubMed
36868525DERIVEDPubMed
37505794DERIVEDPubMed
37947987DERIVEDPubMed
39058966DERIVEDPubMed
39058968DERIVEDPubMed
39969278DERIVEDPubMed
40700618DERIVEDPubMed
40990939DERIVEDPubMed

Grants1

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

ProjectTitlePrincipal investigatorsOrganizationFunderFiscal years
U10CA180886COG NCTN Network Group Operations CenterHawkins, Douglas S.COG RESEARCH FOUNDATION, LLCNATIONAL CANCER INSTITUTE2014 to 2026

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Arm I (ABVE-PC) vs ARM II (Bv-AVEPC): deaths from any causeTrial comparisons
Arm I (ABVE-PC) vs ARM II (Bv-AVEPC): serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

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