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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02684708
Registration number
NCT02684708
Ethics application status
Date submitted
19/11/2015
Date registered
18/02/2016
Titles & IDs
Public title
Second International Inter-Group Study for Classical Hodgkin Lymphoma in Children and Adolescents
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Scientific title
European Network-Paediatric Hodgkin Lymphoma Study Group (EuroNet-PHL) Second International Inter-Group Study for Classical Hodgkin Lymphoma in Children and Adolescents
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Secondary ID [1]
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EuroNet-PHL-C2
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Classical Hodgkin Lymphoma
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Condition category
Condition code
Cancer
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Lymphoma (non Hodgkin's lymphoma) - High grade lymphoma
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Cancer
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Lymphoma (non Hodgkin's lymphoma) - Low grade lymphoma
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Cancer
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Hodgkin's
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - cyclophosphamide, vincristine, prednisone, dacarbazine
Treatment: Drugs - cyclo, vcr, pred, dacarb,etop and doxo
Active comparator: COPDAC-28 - cyclophosphamide, vincristine, prednisone, dacarbazine; cyclophosphamide 500 mg/m2, per infusion on day 1 + 8; vincristine 1.5 mg/m2 intravenously (capping dose 2 mg) on day 1 + 8 and prednisone 40 mg/m2/day by mouth divided into 3 doses (capping dose 80 mg/day) on day 1 - 15 and dacarbazine 250 mg/m2 infusion on day 1 - 3
Experimental: DECOPDAC-21 - patients with intermediate and advanced stages will be randomized after the induction therapy to receive either COPDAC-28 standard consolidation or the intensified DECOPDAC-21. cyclophosphamide dose augmented to 625 mg/m2 and adminstered per infusion on day 1 and day 2; vincristine dose not changed; prednisone 40 mg/m2/day by mouth on day 1 - 8 (no capping dose prescribed), i.e. dose-reduction; dacarbazine dose not changed; etoposide infusion100 mg/m2/day on day 1 - 3 and doxorubicine 25 mg/m2 per infusion on day 1as additional drugs in comparison to active comparator; cycle is administered as 21 days instead of 28 days-cycle for intensification
Treatment: Drugs: cyclophosphamide, vincristine, prednisone, dacarbazine
28-day chemotherapy cycle
Treatment: Drugs: cyclo, vcr, pred, dacarb,etop and doxo
21-day chemotherapy cycle
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Event-free survival
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Assessment method [1]
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Time from treatment start until relapse/progression, secondary malignancy or death
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Timepoint [1]
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5 years
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Secondary outcome [1]
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Overall survival
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Assessment method [1]
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Time from treatment start until death
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Timepoint [1]
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5 years
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Secondary outcome [2]
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Progression-free survival
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Assessment method [2]
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Time from treatment start until relapse/progression or death
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Timepoint [2]
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5 years
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Secondary outcome [3]
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CTC (common toxicity criteria) grading during any individual treatment element including assessment of osteonecrosis
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Assessment method [3]
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Toxicity assessment according to CTCAE v4.0
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Timepoint [3]
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5 years
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Secondary outcome [4]
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Time from day of PET imaging until decision on response category at ERA or LRA, respectively
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Assessment method [4]
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Quality of Imaging (CT,MRI and PET-CT) acquisition,
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Timepoint [4]
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5 years
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Secondary outcome [5]
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Time from last day of chemotherapy to first day of radiotherapy in patients with radiotherapy indication
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Assessment method [5]
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Quality of chemo-and radiotherapy delivery
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Timepoint [5]
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5 years
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Secondary outcome [6]
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Time from last dose of prednisone/prednisolone in OEPA to start of the first consolidation cycle
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Assessment method [6]
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Quality of chemotherapy delivery
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Timepoint [6]
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5 years
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Eligibility
Key inclusion criteria
* histologically confirmed primary diagnosis of classical Hodgkin's lymphoma
* patients under 18 years of age on the date of written informed consent. In specialized Teenage and Young Adult (TYA) units in France, Italy and UK patients up to under 25 years of age can also be enrolled. Lower age limits will be country specific according to national laws or formal insurance requirements that may preclude very young patients.
* written informed consent of the patient and/or the patient's parents or guardian according to national laws
* negative pregnancy test within 2 weeks prior to starting treatment for female patients with childbearing potential
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Minimum age
No limit
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Maximum age
25
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* prior chemotherapy or radiotherapy for other malignancies
* pre-treatment of Hodgkin's lymphoma (except for 7-10 days steroid pre-phase of a large mediastinal tumour)
* diagnosis of lymphocyte-predominant Hodgkin's lymphoma
* other (simultaneous) malignancies
* contraindication or known hypersensitivity to study drugs
* severe concomitant diseases (e.g. immune deficiency syndrome)
* known HIV-positivity
* residence outside the participating countries where long term follow-up cannot be guaranteed
* pregnancy and/or lactation
* patients who are sexually active and are unwilling to use adequate contraception during therapy and for one month after last trial treatment
* current or recent (within 30 days prior to date of written informed consent) treatment with another investigational drug or participation in another interventional clinical trial
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/10/2015
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
30/09/2026
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Actual
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Sample size
Target
2200
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Royal Children's Hospital and Monash Medical Centre Royal Children's Hospital - Victoria Park
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Recruitment postcode(s) [1]
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3052 - Victoria Park
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Recruitment outside Australia
Country [1]
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Austria
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State/province [1]
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Wien
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Country [2]
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Belgium
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State/province [2]
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Leuven
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Country [3]
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Czechia
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State/province [3]
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Prague
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Country [4]
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Denmark
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State/province [4]
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Copenhagen
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Country [5]
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France
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State/province [5]
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Paris
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Country [6]
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Germany
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State/province [6]
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Giessen
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Country [7]
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Ireland
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State/province [7]
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Dublin
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Country [8]
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Israel
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State/province [8]
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Petach Tikva
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Country [9]
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Italy
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State/province [9]
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Aviano
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Country [10]
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Netherlands
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State/province [10]
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Utrecht
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Country [11]
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New Zealand
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State/province [11]
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Auckland
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Country [12]
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Norway
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State/province [12]
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Oslo
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Country [13]
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Poland
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State/province [13]
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Kraków
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Country [14]
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Slovakia
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State/province [14]
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Bratislava
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Country [15]
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Spain
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State/province [15]
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Sevilla
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Country [16]
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Sweden
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State/province [16]
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Uppsala
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Country [17]
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Switzerland
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State/province [17]
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Lausanne
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Country [18]
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United Kingdom
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State/province [18]
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London
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Funding & Sponsors
Primary sponsor type
Other
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Name
University of Giessen
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Address
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Other collaborator category [1]
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Other
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Name [1]
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Deutsche Krebshilfe e.V., Bonn (Germany)
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Address [1]
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Country [1]
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Other collaborator category [2]
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Other
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Name [2]
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Euronet Worldwide
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Address [2]
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Country [2]
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Ethics approval
Ethics application status
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Summary
Brief summary
The EuroNet-PHL-C2 trial is an international, multicentre, randomised controlled trial with the aims to reduce the indication for radiotherapy in newly diagnosed patients with classical Hodgkin lymphoma without compromising cure rates and to investigate a chemotherapy intensification randomisation in intermediate and advanced classical Hodgkin lymphoma to compensate for reduction in radiotherapy.
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Trial website
https://clinicaltrials.gov/study/NCT02684708
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dieter Koerholz, MD
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Address
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Justus-Liebig University of Giessen
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT02684708