Status:
ACTIVE_NOT_RECRUITING
Treating Young Patients With Newly Diagnosed, Low Stage, Lymphocyte Predominant Hodgkin Disease
Lead Sponsor:
Children's Oncology Group
Collaborating Sponsors:
National Cancer Institute (NCI)
Conditions:
Ann Arbor Stage I Childhood Hodgkin Lymphoma
Ann Arbor Stage II Childhood Hodgkin Lymphoma
Eligibility:
All Genders
1-21 years
Phase:
PHASE2
Brief Summary
This clinical trial is studying how well surgery and/or combination chemotherapy with or without radiation therapy or observation only work in treating young patients with newly diagnosed stage I or s...
Detailed Description
PRIMARY OBJECTIVES: I. To preserve the excellent cure rate in patients with lymphocyte predominant Hodgkin disease (LPHD) while employing a treatment strategy that minimizes the exposure to chemother...
Eligibility Criteria
Inclusion
- Inclusion Criteria:
- Patients with newly diagnosed, previously untreated, biopsy-proven lymphocyte predominant Hodgkin disease (LPHD) are eligible for this protocol as follows:
- Diagnosis of LPHD must be made using the Revised European American Lymphoma (REAL)/World Health Organization (WHO) classification criteria and will be confirmed by rapid pathology central review
- Clinical stages as follows:
- Stage IA without bulk disease
- Stage IIA without bulk disease
- Patients with "B" symptoms or bulk disease are NOT eligible for this study
- Slides for rapid central pathology review must be sent to the Biopathology Center (BPC)
- Serum glutamic oxalo-acetic transaminase (SGOT) (aspartate aminotransferase \[AST\]) or serum glutamate pyruvate transaminase (SGPT) (alanine aminotransferase \[ALT\]) \< 2.5 times upper limit of normal (ULN)
- Total bilirubin =\< 1.5 times ULN
- Creatinine clearance or radioisotope glomerular filtration rate (GFR) \>= 70 mL/min
- Creatinine based on age/gender as follows:
- No greater than 0.4 mg/dL (for patients 1 to 5 months of age)
- No greater than 0.5 mg/dL (for patients 6 to 11 months of age)
- No greater than 0.6 mg/dL (for patients 1 year of age)
- No greater than 0.8 mg/dL (for patients 2 to 5 years of age)
- No greater than 1.0 mg/dL (for patients 6 to 9 years of age)
- No greater than 1.2 mg/dL (for patients 10 to 12 years of age)
- No greater than 1.4 mg/dL (for female patients \>= 13 years of age)
- No greater than 1.5 mg/dL (for male patients 13 to 15 years of age)
- No greater than 1.7 mg/dL (for male patients \>= 16 years of age)
- Shortening fraction of \>= 27% by echocardiogram or ejection fraction of \>= 50% by multigated radionuclide angiogram (MUGA)
- Lactating females must agree that they will not breastfeed a child if they are to receive chemotherapy or radiation treatment\*
- Female patients of childbearing potential must have a negative pregnancy test if they are to receive chemotherapy or radiation treatment\*
- Males and females of reproductive potential may not participate unless they have agreed to use an effective contraceptive method if they are to receive chemotherapy or radiation treatment\*
- Note: \*Pregnant or breastfeeding women with stage I, single involved lymph node and confirmed (by Quality Assurance Review Center \[QARC \]) total resection, are eligible for the observation arm only; no chemotherapy or radiation treatment will be administered to pregnant or breastfeeding women
- No prior chemotherapy
- More than 30 days since prior systemic corticosteroids
- No prior radiotherapy
- All patients and/or their parents or legal guardians must sign a written informed consent
Exclusion
Key Trial Info
Start Date :
January 2 2006
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
December 31 2030
Estimated Enrollment :
188 Patients enrolled
Trial Details
Trial ID
NCT00107198
Start Date
January 2 2006
End Date
December 31 2030
Last Update
September 18 2025
Active Locations (170)
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1
Children's Hospital of Alabama
Birmingham, Alabama, United States, 35233
2
University of Alabama at Birmingham Cancer Center
Birmingham, Alabama, United States, 35233
3
Phoenix Childrens Hospital
Phoenix, Arizona, United States, 85016
4
Banner University Medical Center - Tucson
Tucson, Arizona, United States, 85719