PET-Adapted First-Line Therapy With Nivolumab for Advanced Hodgkin Lymphoma

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18-60
SponsorNational Research Center for Hematology, Russia

About this trial

This is a single-center, open-label, phase 2 pilot study evaluating the efficacy and safety of a response-adapted first-line treatment strategy for patients with classical Hodgkin lymphoma (cHL) and unfavorable prognostic factors. The FINISH protocol (First-line Immuno-chemotherapy Navigated by Interim PET for Stratification and Hazard minimization In Hodgkin lymphoma) integrates nivolumab into induction therapy and tailors subsequent treatment based on interim PET-CT response. The study also includes exploratory monitoring of circulating tumor DNA (ctDNA) to investigate its role in early response assessment and residual disease detection.

Eligibility criteria

Qualifiers

Signed written informed consent prior to any study-specific procedures

Histologically confirmed classical Hodgkin lymphoma (cHL)

Newly diagnosed disease, Ann Arbor stage IIB (bulky), III, or IV

At least one measurable lesion ≥15 mm in the longest diameter (by CT)

Disqualifiers

Active hepatitis B or C infection

Positive test for HIV

Pregnancy or breastfeeding

Prior or active autoimmune disease requiring systemic therapy

Trial design

Treatments tested in this trial

  • Nivolumab
  • N-EACOPD-14
  • N-AVD

Treatment groups

30 Participants
are divided into 1 treatment group