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Combination Chemotherapy in Treating Patients With Hodgkin's Disease and HIV Infection



Combination Chemotherapy in Treating Patients With Hodgkin's Disease and HIV Infection

For Condition: AIDS-related peripheral/systemic lymphoma,stage 3 adult Hodgkin's disease,stage 4 adult Hodgkin's disease,HIV-associated Hodgkin's disease,stage 2 adult Hodgkin's disease,stage 1 adult Hodgkin's disease
Status: No longer recruiting
Sponsor(s): Centro di Riferimento Oncologico - Aviano ,
Synopsis: RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells. PURPOSE: Phase II trial to study the effectiveness of two combination chemotherapy regimens in treating patients with Hodgkin's disease and HIV infection.
Details: OBJECTIVES: I. Investigate the effects on survival, life expectancy and quality, toxicity, and immunological status in low risk patients with Hodgkin's Disease and HIV infection treated with the Stanford V regimen and in high risk patients treated with epirubicin, bleomycin, vinblastine, and prednisone. PROTOCOL OUTLINE: Patients are stratified into 2 groups designated as low and high risk on the basis of ECOG performance status (0-2 vs 3-4), presence or absence of AIDS before the diagnosis of Hodgkin's Disease, and immune status (CD4+ cell count greater vs no greater than 100/mm3). Low risk patients (those with no risk factors) receive the EBVP regimen, as follows: Epirubicin intravenously on day 1 Bleomycin intramuscularly or intravenously on day 1 Vinblastine intravenously on day 1 Prednisone orally on days 1-5 Patients also receive daily injections of filgrastim (granulocyte colony-stimulating factor; G-CSF) on days 6-15. This schedule is repeated every 3 weeks for 6 courses. High risk patients (those with one or more risk factors) receive the Stanford V regimen, as follows: Doxorubicin and vinblastine intravenously on days 1 and 15 Mechlorethamine intravenously on day 1 Vincristine and bleomycin intravenously on days 8 and 22 Etoposide intravenously on days 15 and 16 Prednisone orally daily Patients also receive daily injections of G-CSF on days 3-7, 9-13, 17-21, and 23-26. This schedule is repeated every 28 days for 3 courses. Patients are followed every 2 months the first year and then every 3 months thereafter. PROJECTED ACCRUAL: 20-30 patients will initially be accrued in this study.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: 
Protocol Entry Criteria: PROTOCOL ENTRY CRITERIA: --Disease Characteristics-- Histologically proven Hodgkin's disease: - Clinical or pathologic stage II - IV - Stage I with bulky disease (tumor size greater than 10 cm) and B symptoms Confirmed HIV infection --Prior/Concurrent Therapy-- - No prior therapy for Hodgkin's disease - Concurrent triple-drug antiretroviral therapy (including one protease inhibitor) required --Patient Characteristics-- Age: 18 and over Performance status: WHO 0-4 Life expectancy: Not specified Hematopoietic: Not specified Hepatic: Not specified Renal: Not specified Cardiovascular: No severe cardiac disease Pulmonary: No severe pulmonary disease Other: - No severe neurologic or metabolic disease - No concurrent or prior second malignancy except: *Nonmelanomatous skin cancer *In situ cancer of the cervix
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
UmbertoTirelli,  Study Chair,  Centro di Riferimento Oncologico - Aviano

Centro di Riferimento Oncologico - Aviano
Aviano,  ,  33081
Italy
 


Additional Information:
Study ID Numbers:
  CDR0000066154;  ITA-GICAT-POS5,EU-97022
Study Start Date: May 1997
Record last reviewed: April 2003
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00003262

Other Aids-Related Peripheral/systemic Lymphoma Studies:
1. Combination Chemotherapy in Treating Patients With Hodgkin's Disease and HIV Infection

2. Combination Chemotherapy in Treating Patients With Advanced Hodgkin's Disease

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Combination Chemotherapy in Treating Patients With Hodgkin's Disease and HIV Infection

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