Overview
Sponsor-declared trial summary
Advanced Stage of Hodgkin Lymphoma
Primary objective of the trial is to demonstrate reduced toxicity of the BrECADD treatment compared to escalated BEACOPP treatment measured by treatment-related morbidity (TRMB). Co-primary objective is to further demonstrate non-inferior efficacy of 6 cycles BrECADD compared to 6 cycles of escalated BEACOPP, each foll…
Key facts
- Sponsor
- University Of Cologne
- Participant type
- Patients
- Age range
- 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Neoplasms [C04]
- Trial duration
- 15 Jul 2016 → 2 Dec 2024
- Decision date (initial)
- 2024-11-19
- Transition trial
- Yes
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- Yes
- Funding sources
- Millenium Pharmaceuticals, Inc.
External identifiers
- EU CT number
- 2024-518022-33-00
- EudraCT number
- 2014-005130-55
- ClinicalTrials.gov
- NCT02661503
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Therapy
Primary objective of the trial is to demonstrate reduced toxicity of the BrECADD treatment compared to escalated BEACOPP treatment measured by treatment-related morbidity (TRMB). Co-primary objective is to further demonstrate non-inferior efficacy of 6 cycles BrECADD compared to 6 cycles of escalated BEACOPP, each followed by radiotherapy to PET-positive residual lesions, in terms of progression-free survival.
Secondary objectives 1
- To further explore efficacy, safety and feasibility of the regimen
Conditions and MedDRA coding
Advanced Stage of Hodgkin Lymphoma
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 20.0 | HLGT | 10025319 | Lymphomas Hodgkin's disease | 10029104 |
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 5
- Histologically proven classical Hodgkin lymphoma
- First diagnosis, no previous treatment
- Stage IIB with large mediastinal mass and/or extranodal lesions, stage III or IV
- Randomized main study: 18 to 60 years of age
- Cohort of older patients: 61 to 75 years of age
Exclusion criteria 6
- Composite lymphoma or nodular lymphocyte-predominat Hodgkin lymphoma
- Previous malignancy (exeptions: basalioma, carcinoma in situ of the cervix uteri, completely resected melanoma TNMpT1)
- Prior chemotherapy or radiotherapy (prephase is allowed as outlined in the protocol)
- Current disease which precludes protocol treatment
- Pregnancy, lactation
- Non-Compliance
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 3
- Randomized main study: Treatment-related morbidity (TRMB)
- Randomized main study: Progression-free survival (PFS)
- Cohort of older patients: Complete remission (CR) rate after chemotherapy
Secondary endpoints 12
- Randomized main study: Tumor response (CR rate)
- Randomized main study: Overall survival (OS)
- Randomized main study: Infertility rate at 1 year
- Randomized main study: Second malignancies
- Randomized main study: Quality of life (QoL)
- Randomized main study: Frequency of adverse events
- Randomized main study: Therapy adherence
- Randomized main study: Event-free Survival (EFS)
- Cohort of older Patients: TRMB
- Cohort of older patients: PFS
- Cohort of older patients: OS
- Cohort of older patients: Time to progression (PFSHL) and HL-specific survival (OSHL)
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 11
SUB05101MIG · Substance
- Active substance
- Vincristine Sulfate
- Pharmaceutical form
- INJECTION
- Route of administration
- INTRAVENOUS BOLUS USE
- Max daily dose
- 1.4 mg/m2 milligram(s)/sq. meter
- Max total dose
- 8.4 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 6 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB13772MIG · Substance
- Active substance
- Etoposide Phosphate
- Pharmaceutical form
- SOLUTION FOR INJECTION/INFUSION
- Route of administration
- INTRAVENIOUS INFUSION
- Max daily dose
- 200 mg/m2 milligram(s)/sq. meter
- Max total dose
- 3600 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 18 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB15017MIG · Substance
- Active substance
- Procarbazine Hydrochloride
- Pharmaceutical form
- CAPSULE
- Route of administration
- ORAL USE
- Max daily dose
- 100 mg/m2 milligram(s)/sq. meter
- Max total dose
- 4200 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 42 Week(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB10020MIG · Substance
- Active substance
- Prednisone
- Pharmaceutical form
- TABLET
- Route of administration
- ORAL USE
- Max daily dose
- 40 mg/m2 milligram(s)/sq. meter
- Max total dose
- 3360 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 84 Week(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB07337MIG · Substance
- Active substance
- Etoposide
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- INTRAVENIOUS INFUSION
- Max daily dose
- 250 mg/m2 milligram(s)/sq. meter
- Max total dose
- 3000 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 18 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB16414MIG · Substance
- Active substance
- Cyclophosphamide Monohydrate
- Pharmaceutical form
- POWDER FOR SOLUTION FOR INJECTION/INFUSION
- Route of administration
- INTRAVENIOUS INFUSION
- Max daily dose
- 1250 mg/m2 milligram(s)/sq. meter
- Max total dose
- 7500 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 6 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB06882MIG · Substance
- Active substance
- Dacarbazine
- Pharmaceutical form
- POWDER FOR SOLUTION FOR INJECTION/INFUSION
- Route of administration
- INTRAVENIOUS INFUSION
- Max daily dose
- 250 mg/m2 milligram(s)/sq. meter
- Max total dose
- 3000 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 12 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB01827MIG · Substance
- Active substance
- Doxorubicin Hydrochloride
- Pharmaceutical form
- CONCENTRATE FOR SOLUTION FOR INFUSION
- Route of administration
- INTRAVENIOUS INFUSION
- Max daily dose
- 40 mg/m2 milligram(s)/sq. meter
- Max total dose
- 240 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 6 Week(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
ADCETRIS 50 mg powder for concentrate for solution for infusion
PRD2487300 · Product
- Active substance
- Brentuximab Vedotin
- Substance synonyms
- Monoclonal antibody against human CD30 covalently linked to the cytotoxin monomethylauristatin E, SGN 35, SGN-35
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- INTRAVENOUS INFUSION
- Max daily dose
- 180 mg milligram(s)
- Max total dose
- 1080 mg milligram(s)
- Max treatment duration
- 6 Day(s)
- Authorisation status
- Authorised
- ATC code
- L01XC12 — -
- Marketing authorisation
- EU/1/12/794/001
- MA holder
- TAKEDA PHARMA A/S
- MA country
- Iceland
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB00844MIG · Substance
- Active substance
- Bleomycin Sulfate
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- INTRAVENOUS BOLUS USE
- Max daily dose
- 10 mg/m2 milligram(s)/sq. meter
- Max total dose
- 60 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 6 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB07017MIG · Substance
- Active substance
- Dexamethasone
- Pharmaceutical form
- TABLET
- Route of administration
- ORAL
- Max daily dose
- 40 mg milligram(s)
- Max total dose
- 960 mg milligram(s)
- Max treatment duration
- 24 Day(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
University Of Cologne
- Sponsor organisation
- University Of Cologne
- Address
- Albertus-Magnus-Platz 1
- City
- Cologne
- Postcode
- 50923
- Country
- Germany
Scientific contact point
- Organisation
- University Of Cologne
- Contact name
- Peter Borchmann
Public contact point
- Organisation
- University Of Cologne
- Contact name
- Peter Borchmann
Third parties 9
| Organisation | City, country | Duties |
|---|---|---|
| Amsterdam UMC Stichting ORG-100008355
|
Amsterdam, Netherlands | Code 12, Code 5 |
| Arbeitsgemeinschaft Medikamentoese Tumortherapie gGmbH ORG-100010741
|
Vienna, Austria | Code 12, Code 5 |
| Region Midtjylland ORG-100009397
|
Aarhus N, Denmark | Code 12, Code 5 |
| Icon Clinical Research Limited ORG-100008322
|
Dublin 18, Ireland | Laboratory analysis |
| Uppsala University Hospital ORG-100006249
|
Uppsala, Sweden | Code 12, Code 5 |
| Labcorp Early Development Laboratories Inc. ORG-100012865
|
Chantilly, United States | Laboratory analysis |
| Oslo University Hospital HF ORG-100021349
|
Oslo, Norway | Code 12, Code 5 |
| aCROmion GmbH ORG-100031978
|
Frechen, Germany | On site monitoring, E-data capture |
| Almac Clinical Services (Ireland) Limited ORG-100033336
|
Dundalk, Ireland | Code 14 |
Locations
6 EU/EEA countries · 166 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Austria | Ended | 93 | 10 |
| Denmark | Ended | 22 | 2 |
| Germany | Ended | 1,125 | 141 |
| Netherlands | Ended | 36 | 6 |
| Norway | Ended | 28 | 3 |
| Sweden | Ended | 16 | 4 |
| Rest of world
Australia, New Zealand, Switzerland
|
— | 265 | — |
Investigational sites
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment end | Early termination |
|---|---|---|---|---|---|
| Austria | 2017-04-13 | 2024-12-01 | |||
| Denmark | 2017-11-27 | 2024-12-01 | |||
| Germany | 2016-07-15 | 2024-12-01 | |||
| Netherlands | 2017-12-21 | 2024-12-01 | |||
| Norway | 2018-01-24 | 2024-12-01 | |||
| Sweden | 2018-10-04 | 2024-12-01 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Summary of results Art. 37(4) CTR
| Title | Submission date | Status | Type |
|---|---|---|---|
| Summary of Results of this trial SUM-106156
|
2025-11-13T09:19:49 | Submitted | Summary of Results |
Layperson summary Annex V
| Title | Submission date | Status | Type |
|---|---|---|---|
| Summary of Results of this trial for a non-specialist-audience in English | 2025-11-13T09:20:35 | Submitted | Laypersons Summary of Results |
| Summary of Results of this trial for a non-specialist-audience in German | 2025-11-13T09:20:57 | Submitted | Laypersons Summary of Results |
| Summary of Results of this trial for a non-specialist-audience in Dutch | 2025-11-13T09:22:32 | Submitted | Laypersons Summary of Results |
| Summary of Results of this trial for a non-specialist-audience in Norwegian | 2025-11-13T09:22:56 | Submitted | Laypersons Summary of Results |
| Summary of Results of this trial for a non-specialist-audience in Danish | 2025-11-21T13:52:44 | Submitted | Laypersons Summary of Results |
| Summary of Results of this trial for a non-specialist-audience in Swedish | 2025-12-11T14:14:31 | Submitted | Laypersons Summary of Results |
Documents 79 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Clinical study report (for publication) | Clinical Study Report_2024-518022-33-00_for_publication | 2 |
| Laypersons summary of results (for publication) | Summary of Results of this trial for a non-specialist-audience in Danish | 1 |
| Laypersons summary of results (for publication) | Summary of Results of this trial for a non-specialist-audience in Dutch | 1 |
| Laypersons summary of results (for publication) | Summary of Results of this trial for a non-specialist-audience in English | 1 |
| Laypersons summary of results (for publication) | Summary of Results of this trial for a non-specialist-audience in German | 1 |
| Laypersons summary of results (for publication) | Summary of Results of this trial for a non-specialist-audience in Norwegian | 1 |
| Laypersons summary of results (for publication) | Summary of Results of this trial for a non-specialist-audience in Swedish | 1 |
| Protocol (for publication) | D1_Protocol_2024-518022-33-00_redacted | 10 |
| Protocol (for publication) | D1_Sub-Protocol 1_2024-518022-33-00_da-DK_redacted | 1 |
| Protocol (for publication) | D1_Sub-Protocol 2_2024-518022-33-00_eng-DK_redacted | 1 |
| Protocol (for publication) | D1_Sub-Protocol_2024-518022-33-00_eng-AT_redacted | 8 |
| Protocol (for publication) | D1_Sub-Protocol_2024-518022-33-00_eng-NL | 1 |
| Protocol (for publication) | D1_Sub-Protocol_2024-518022-33-00_eng-SE_redacted | 1 |
| Recruitment arrangements (for publication) | FileNote_No Document upload | 1 |
| Recruitment arrangements (for publication) | FileNote_No Document upload | 1 |
| Recruitment arrangements (for publication) | FileNote_No Document upload | 1 |
| Recruitment arrangements (for publication) | FileNote_No Document upload | 1 |
| Recruitment arrangements (for publication) | FileNote_No Document upload | 1 |
| Recruitment arrangements (for publication) | FileNote_No Document upload | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_additional info_de-DE | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_additional info_eng-DE | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_additional info_nl-NL_redacted | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_antibodies_de-DE | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_attachment side effects_de-DE | 8 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_attachment side effects_eng-DE_redacted | 8 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_attachment site effects_da-DK | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_core study AKH Wien_de-AT_redacted | 5 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_core study BHS_Linz_de-AT_redacted | 5 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_core study Elisabethinen_de-AT_redacted | 5 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_core study Hanusch_de-AT_redacted | 5 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_core study KUK_Linz_de-AT_redacted | 5 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_core study LKH Feldkirch_de-AT_redacted | 5 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_core study LKH Hochsteiermark_de-AT_redacted | 5 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_core study PMU Salzburg_de-AT_redacted | 5 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_core study Steyr_de-AT_redacted | 5 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_core study UK Innsbruck_de-AT_redacted | 5 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_core study_da-DK_redacted | 4.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_core study_de-DE_redacted | 7 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_core study_eng-DE_redacted | 7 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_core study_nl-NL_redacted | 7 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_core study_nn-NO_redacted | 5 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_core study_sv-SE_redacted | 4.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_elderly AKH Wien_de-AT_redacted | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_elderly BHS_Linz_de-AT_redacted | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_elderly Elisabethinen_de-AT_redacted | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_elderly Hanusch_de-AT_redacted | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_elderly KUK_Linz_de-AT_redacted | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_elderly LKH Feldkirch_de-AT_redacted | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_elderly LKH Hochsteiermark_de-AT_redacted | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_elderly PMU Salzburg_de-AT_redacted | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_elderly Steyr_de-AT_redacted | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_elderly UK Innsbruck_de-AT_redacted | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_elderly_de-DE_redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_elderly_eng-DE_redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_elderly_nl-NL_redacted | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_elderly_nn-NO_redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_elderly_sv-SE_redacted | 5.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_extension follow up_de-DE | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_extension follow up_eng-DE | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_extension follow up_nl-NL_redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_kml data and samples_de-DE_redacted | 1.0 & 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_QoL_de-DE | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_QoL_eng-DE | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_scientific substudies_de-DE | 4 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_use remaining samples_de-DE | 2 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_Adcetris | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_Adcetris_nSM | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_Bleomycin | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_Cyclophosphamide | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_Darcarbazine | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_Dexamethasone | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_Doxorubicin | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_Etoposide | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_Etoposidephosphate | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_Prednisone | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_Procarbazine | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_Vincristin | 3 |
| Summary of results (for publication) | Summary of Results of this trial | 1 |
| Synopsis of the protocol (for publication) | D1_FileNote_Protocol Synopsis_ENG_2024-518022-33-00 | 1 |
Application history
1 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2024-10-01 | Germany | Acceptable 2024-10-30
|
2024-10-31 |