A phase II study of vinblastine, endoxana (cyclophosphamide), procarbazine, prednisolone, etoposide, mitoxantrone and bleomycin in patients with Hodgkin's lymphoma aged over 60 years

ISRCTN ISRCTN87375595
DOI https://doi.org/10.1186/ISRCTN87375595
ClinicalTrials.gov number NCT00079105
Secondary identifying numbers Version 3: 20.1.2005
Submission date
04/08/2006
Registration date
18/08/2006
Last edited
21/02/2019
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

http://cancerhelp.cancerresearchuk.org/trials/a-trial-looking-at-vepemb-chemotherapy-for-patients-over-60-years-old-with-hodgkins-lymphoma

Study website

Contact information

Prof Stephen John Proctor
Scientific

Academic Haematology
Leech Building
Medical School
University of Newcastle upon Tyne
Newcastle upon Tyne
NE2 4HH
United Kingdom

Phone +44 (0) 191 222 7791
Email s.j.proctor@ncl.ac.uk

Study information

Study designPhase II two-arm non-randomised clinical study
Primary study designInterventional
Secondary study designNon randomised controlled trial
Study setting(s)Not specified
Study typeTreatment
Participant information sheet Patient information can be found at: http://www.shieldstudy.co.uk/publicdocs/VEPEMBV5.doc
Scientific titleA phase II study of vinblastine, endoxana (cyclophosphamide), procarbazine, prednisolone, etoposide, mitoxantrone and bleomycin in patients with Hodgkin's lymphoma aged over 60 years
Study acronymSHIELD Study
Study objectivesProgress in the treatment of Hodgkin’s Lymphoma (HL) in patients under 60 years has been substantial but in the over 60 years age group only small studies have been conducted and limited progress in outcome has been seen. It is necessary to create a starting point of uniform treatment for HL in the over 60 years age group, giving potentially curative treatment in a form that would be acceptable to individuals in this age group.

Nationally and internationally there is no existing co-ordinated study of HL in this age group and recent data indicates that outcome has not improved in the last 15 years. A number of older patients with HL fail to enter clinical trials as they are "not fit" for multiple drug chemotherapy. This study will aim to register all pathologically eligible patients in participating centres in order to provide a clearer overall clinical picture of this disease, whether or not they undergo protocol chemotherapy.

This study is of a phase II nature that aims to assess the efficacy, toxicity and applicability of the Vinblastine, Endoxana (cyclophosphamide), Procarbazine, Prednisolone, Etoposide, Mitoxantrone and Bleomycin (VEPEMB) chemotherapy schedule in this particular patient population, as a prelude to a subsequent randomised trial. The linking of this phase II study with total data collection aims to assess:
1. The proportions of patients who can enter a study of curative intent within this age group.
2. To assess complete response rate, event free survival and overall survival following this treatment schedule.

Please note that, as of 12/12/2008, the anticipated end date of this trial has been updated from 31/08/2007 to 31/08/2009.
Ethics approval(s)Thames Valley Multi-Centre Research Ethics Committee, reference number: 03/12/062.
Health condition(s) or problem(s) studiedHodgkin's lymphoma
InterventionThe patient either receives the VEPEMB treatment or is simply registered on the database and the alternative treatment which they receive is recorded. The patient's treatment is determined by their physicians who assess their 'fragility'. If they are too 'fragile' they will not be given the VEPEMB regimen.
Intervention typeDrug
Pharmaceutical study type(s)
PhasePhase II
Drug / device / biological / vaccine name(s)Vinblastine, Endoxana (cyclophosphamide), Procarbazine, Prednisolone, Etoposide, Mitoxantrone and Bleomycin
Primary outcome measureThe primary endpoints will be progression-free survival, with clinical progression and death as the events. On suspicion of progression (e.g. new or enlarging masses, development of ‘B’ symptoms) patients should be re-evaluated according to normal procedures to confirm relapse. Histological confirmation of relapse is recommended but not mandatory.

Survival time, including death from any cause, will also be investigated. For both endpoints, the event-free times will be dated from the date of histological diagnosis.
Secondary outcome measuresAnalysis will be done to assess potential prognostic factors (Epstein-Barr Virus [EBV] status, "Fragility" assessment, Hasenclever index, soluble form of the CD30 molecule [sCD30]) which might be relevant in this age group.
Overall study start date01/09/2004
Completion date31/08/2009

Eligibility

Participant type(s)Patient
Age groupSenior
SexBoth
Target number of participants150
Key inclusion criteria1. Histologically confirmed classical Hodgkin's Lymphoma (HL)
2. No previous treatment for HL
3. Aged over 60
4. "Non fragile" patients, i.e. patient’s mental and physical status must be sufficient to withstand the treatment described
5. No concomitant neoplasia or known Human Immunodeficiency Virus (HIV) infection
6. Written informed consent
Key exclusion criteria1. Nodular Lymphocyte Predominance Hodgkin's Lymphoma (NLPHL)
2. Aged under 60
3. Patient previously treated for HL
4. Known HIV infection or concomitant neoplasia
5. "Fragile patient" or significant abnormality of another system (pulmonary, cardiac, renal, and hepatic) which is a contraindication to full dose chemotherapy
6. Unable to give informed consent
Date of first enrolment01/09/2004
Date of final enrolment31/08/2009

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Academic Haematology
Newcastle upon Tyne
NE2 4HH
United Kingdom

Sponsor information

Newcastle Hospitals NHS Trust (UK)
Hospital/treatment centre

Research & Development
Royal Victoria Infirmary
Newcastle upon Tyne
NE2 4HH
England
United Kingdom

Website http://www.shieldstudy.co.uk
ROR logo "ROR" https://ror.org/05p40t847

Funders

Funder type

Charity

Marrow & Stem Cell Transplant 2000 (The Millennium Fund) (UK)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Plain English results No Yes
Results article results 21/06/2012 Yes No

Editorial Notes

21/02/2019: The clinicaltrials.gov number has been added.
19/10/2018: Cancer Research UK lay results summary link added to Results (plain English)