Selected clinical studies on treatment options with combination regimens in patients with relapsed/refractory cHL after ASCT
Agent . | No. of patients . | Median no. of prior therapies (range) . | Prior ASCT . | Median no. of cycles given (range) . | Response, % . | PFS . | Reference . |
---|---|---|---|---|---|---|---|
GVD | 91 | 1 (NR) | 36 | 2-6 | ORR, 70 | EFS 8.5 mo (prior ASCT group) | 44 |
CR, 19 | |||||||
PR, 51 | |||||||
GemOx | 24 | 2 (1-6) | 10 | 4 (1-12) | ORR, 71 | 14 mo | 45 |
CR, 38 | |||||||
PR, 33 | |||||||
GV | 8 | 3 (1-11) | 8 | 2 (2-4) | ORR, 75 | NR | 46 |
CR, 50 | |||||||
PR, 25 | |||||||
GCD | 14 | 2 (1-8) | 4 | 4 (1-4) | ORR, 86 | NR | 47 |
CR, 50 | |||||||
PR, 36 | |||||||
ESHAP | 22 | ≥1 (NR) | 2 | 4 (1-6) | ORR, 73 | 3-y 27% | 48 |
CR, 40 | |||||||
PR, 33 | |||||||
GDP | 23 | 1 | 0 | 2 (2-3) | ORR, 69 | NR | 49 |
CR, 17 | |||||||
PR, 52 | |||||||
DHAP | 102 | 1 | 0 | 2 | ORR, 88 | 18-mo FFTF 54% | 50 |
CR, 21 | |||||||
PR, 67 | |||||||
ICE | 13 | 1 (1-4) | 0 | 2 (2-3) | ORR, 100 | 30-mo 69% | 51 |
CR, 31 | 52 | ||||||
PR, 69 | |||||||
IGEV | 91 | 1 (1-4) | 0 | 4 | ORR, 81 | 3-y 53% | 53 |
CR, 54 | |||||||
PR, 27 | |||||||
ASHAP | 56 | 1 | 0 | 2 | ORR, 70 | 4-y EFS | 54 |
CR, 34 | 36% | ||||||
PR, 36 | |||||||
ChlVPP | 100 | 0 (0-1) | 0 | 6 | ORR, 94 | 3-y | 55 |
CR, 88 | 76% | 56 | |||||
PR, 6 | 57 |
Agent . | No. of patients . | Median no. of prior therapies (range) . | Prior ASCT . | Median no. of cycles given (range) . | Response, % . | PFS . | Reference . |
---|---|---|---|---|---|---|---|
GVD | 91 | 1 (NR) | 36 | 2-6 | ORR, 70 | EFS 8.5 mo (prior ASCT group) | 44 |
CR, 19 | |||||||
PR, 51 | |||||||
GemOx | 24 | 2 (1-6) | 10 | 4 (1-12) | ORR, 71 | 14 mo | 45 |
CR, 38 | |||||||
PR, 33 | |||||||
GV | 8 | 3 (1-11) | 8 | 2 (2-4) | ORR, 75 | NR | 46 |
CR, 50 | |||||||
PR, 25 | |||||||
GCD | 14 | 2 (1-8) | 4 | 4 (1-4) | ORR, 86 | NR | 47 |
CR, 50 | |||||||
PR, 36 | |||||||
ESHAP | 22 | ≥1 (NR) | 2 | 4 (1-6) | ORR, 73 | 3-y 27% | 48 |
CR, 40 | |||||||
PR, 33 | |||||||
GDP | 23 | 1 | 0 | 2 (2-3) | ORR, 69 | NR | 49 |
CR, 17 | |||||||
PR, 52 | |||||||
DHAP | 102 | 1 | 0 | 2 | ORR, 88 | 18-mo FFTF 54% | 50 |
CR, 21 | |||||||
PR, 67 | |||||||
ICE | 13 | 1 (1-4) | 0 | 2 (2-3) | ORR, 100 | 30-mo 69% | 51 |
CR, 31 | 52 | ||||||
PR, 69 | |||||||
IGEV | 91 | 1 (1-4) | 0 | 4 | ORR, 81 | 3-y 53% | 53 |
CR, 54 | |||||||
PR, 27 | |||||||
ASHAP | 56 | 1 | 0 | 2 | ORR, 70 | 4-y EFS | 54 |
CR, 34 | 36% | ||||||
PR, 36 | |||||||
ChlVPP | 100 | 0 (0-1) | 0 | 6 | ORR, 94 | 3-y | 55 |
CR, 88 | 76% | 56 | |||||
PR, 6 | 57 |
Other combination regimens with potential activity in cHL include cyclophosphamide, doxorubicin, vincristine, prednisone (CHOP) or etoposide, prednisone, vincristine, cyclophosphamide, doxorubicin (EPOCH).
ASHAP, doxorubicin, methylprednisolone, cytarabine, cisplatin; ChlVPP, etoposide, methylprednisolone, chlorambucil, vinblastine, procarbazine prednisone; GCD, gemcitabine, carboplatin, dexamethasone; GDP, gemcitabine, dexamethasone, cisplatin; GemOx, gemcitabine, oxaliplatin; GV, gemcitabine, vinorelbine; ICE, ifosfamide, carboplatin, etoposide; IGEV, ifosfamide, gemcitabine, vinorelbine; NR, not reported.