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Trial Title: A Study of Zimberelimab(GLS-010) Combined With AVD for Newly Diagnosed Early-stage Hodgkin's Lymphoma

NCT ID: NCT05900765

Condition: Classical Hodgkin Lymphoma

Conditions: Official terms:
Lymphoma
Hodgkin Disease

Conditions: Keywords:
Zimberelimab
PD-1 Checkpoint Inhibitor
AVD

Study type: Interventional

Study phase: Phase 2

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: Zimberelimab 240mg
Description: AVD regimen: Doxorubicin 25mg/m2, d1, d15, IV; Vincristine 3mg/m2, d1, d15 IV; Dacarbazine 0.375mg/m2, d1, d15 IV
Arm group label: Zimberelimab combined with or without AVD sequential radiotherapy

Other name: GLS-010

Summary: This is a multicenter, open-label single-arm phase II study to evaluate the efficacy and safety of Zimberelimab (GLS-010) combined with AVD for newly diagnosed early-stage Hodgkin's lymphoma under the guidance of PET/CT.

Detailed description: Despite achieving good disease control and long-term survival rates for over 80% of classical Hodgkin lymphoma (cHL) patients who receive first-line therapy, approximately 10% of early-stage and 30% of advanced cHL patients experience disease relapse or refractoriness after initial treatment, and only half of the patients can be cured through high-dose therapy (HDT) and autologous stem cell transplantation (ASCT). Meanwhile, the current standard first-line treatment still centers around conventional chemotherapy with cytotoxic agents. As such, the clinical challenge of cHL first-line treatment lies in striking a balance between efficacy and toxicity, and developing low-toxicity, high-efficiency treatment strategies to achieve the optimal treatment goal of maximizing efficacy while minimizing short- and long-term toxicities.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Diagnosed with primary classical Hodgkin lymphoma (HL) based on histopathology. 2. Stage I-II . 3. At least one measurable target lesion(Lugano 2014). 4. Age 18 years or older (including 18 years) to 45 years (recent fertility requirements and concern about chemotherapy side effects), or age >60 years (older patients who are frail and unwilling to undergo chemotherapy), male or female. 5. ECOG PS 0-3, 6. Expected survival ≥ 3 months. Exclusion Criteria: 1. Hodgkin's lymphoma with nodular lymphocyte predominant type. 2. Patients who are scheduled to undergo subsequent autologous stem cell transplantation. 3. Contraindications to radiotherapy. 4. With central nervous system (meningeal or parenchymal) involvement. 5. Contraindications to immune checkpoint inhibitors.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Department of Medical Oncology, Sun Yat-Sen University Cancer Center

Address:
City: Guangzhou
Zip: 510060
Country: China

Status: Recruiting

Contact:
Last name: Zhiming Li, MD

Phone: +86-13719189172
Email: lizhm@sysucc.org.cn

Contact backup:
Last name: Yu Wang, MD

Phone: +86-20-87343765
Email: wangyu@sysucc.org.cn

Start date: June 14, 2023

Completion date: June 30, 2026

Lead sponsor:
Agency: Sun Yat-sen University
Agency class: Other

Collaborator:
Agency: Guangzhou Gloria Biosciences Co., Ltd.
Agency class: Industry

Source: Sun Yat-sen University

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05900765

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