Trial Outcomes & Findings for Nivolumab and Brentuximab Vedotin in Treating Older Patients With Untreated Hodgkin Lymphoma (NCT NCT02758717)

NCT ID: NCT02758717

Last Updated: 2025-09-09

Results Overview

The primary endpoint of this trial is the rate (percentage) of overall metabolic response. A metabolic response is defined as a participant who has achieved an objective status of Partial metabolic response (PMR) or Complete metabolic response (CMR) at the end of cycle 8. Response is based on PET/CT based on the revised 2014 Lugano Classification. (PMR: Score 4 (uptake moderately \> liver) or 5 (uptake markedly higher than liver and/or new lesions) with reduced uptake compared with baseline and residual mass(es) of any size CMR: Score 1 (no uptake above background), 2 (uptake\<=mediastinum), or 3 (uptake \> mediastinum but \<= liver) with or without a residual mass on PET Deauville 5-Point-Scale. The scale ranges from 1 to 5, where 1 is best and 5 is the worst.

Recruitment status

ACTIVE_NOT_RECRUITING

Study phase

PHASE2

Target enrollment

46 participants

Primary outcome timeframe

Up to 8 cycles of treatment (approximately 29 weeks)

Results posted on

2025-09-09

Participant Flow

Participant milestones

Participant milestones
Measure
Treatment (Brentuximab Vedotin, Nivolumab)
Patients receive 1.8 mg/kg (cap at 180 mg) in 100 to 250 mL NS to final concentration 0.4 mg/mL to 1.8 mg/mL brentuximab vedotin IV over 30 minutes and 3 mg/kg in 100 cc NS nivolumab IV over 60 minutes on day 1. Treatment repeats every 21 days for 8 courses in the absence of disease progression or unacceptable toxicity.
Overall Study
STARTED
46
Overall Study
COMPLETED
46
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Nivolumab and Brentuximab Vedotin in Treating Older Patients With Untreated Hodgkin Lymphoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment (Brentuximab Vedotin, Nivolumab)
n=46 Participants
Patients receive 1.8 mg/kg (cap at 180 mg) in 100 to 250 mL NS to final concentration 0.4 mg/mL to 1.8 mg/mL brentuximab vedotin IV over 30 minutes and 3 mg/kg in 100 cc NS nivolumab IV over 60 minutes on day 1. Treatment repeats every 21 days for 8 courses in the absence of disease progression or unacceptable toxicity.
Age, Continuous
71.5 years
n=39 Participants
Sex: Female, Male
Female
21 Participants
n=39 Participants
Sex: Female, Male
Male
25 Participants
n=39 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=39 Participants
Race (NIH/OMB)
Asian
2 Participants
n=39 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=39 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=39 Participants
Race (NIH/OMB)
White
39 Participants
n=39 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=39 Participants
Race (NIH/OMB)
Unknown or Not Reported
3 Participants
n=39 Participants
ECOG Performance Status
0
14 Participants
n=39 Participants
ECOG Performance Status
1
26 Participants
n=39 Participants
ECOG Performance Status
2
6 Participants
n=39 Participants

PRIMARY outcome

Timeframe: Up to 8 cycles of treatment (approximately 29 weeks)

The primary endpoint of this trial is the rate (percentage) of overall metabolic response. A metabolic response is defined as a participant who has achieved an objective status of Partial metabolic response (PMR) or Complete metabolic response (CMR) at the end of cycle 8. Response is based on PET/CT based on the revised 2014 Lugano Classification. (PMR: Score 4 (uptake moderately \> liver) or 5 (uptake markedly higher than liver and/or new lesions) with reduced uptake compared with baseline and residual mass(es) of any size CMR: Score 1 (no uptake above background), 2 (uptake\<=mediastinum), or 3 (uptake \> mediastinum but \<= liver) with or without a residual mass on PET Deauville 5-Point-Scale. The scale ranges from 1 to 5, where 1 is best and 5 is the worst.

Outcome measures

Outcome measures
Measure
Treatment (Brentuximab Vedotin, Nivolumab)
n=46 Participants
Patients receive 1.8 mg/kg (cap at 180 mg) in 100 to 250 mL NS to final concentration 0.4 mg/mL to 1.8 mg/mL brentuximab vedotin IV over 30 minutes and 3 mg/kg in 100 cc NS nivolumab IV over 60 minutes on day 1. Treatment repeats every 21 days for 8 courses in the absence of disease progression or unacceptable toxicity.
Overall Metabolic Response Rate
60.9 percentage of participants
Interval 45.4 to 74.9

SECONDARY outcome

Timeframe: Up to end of course 8

The number of participants with an overall response of Complete metabolic response. Response is based on PET/CT based on the revised 2014 Lugano Classification. (CMR: Score 1 (no uptake above background), 2 (uptake\<=mediastinum), or 3 (uptake \> mediastinum but \<= liver) with or without a residual mass on PET Deauville 5-Point-Scale. The scale ranges from 1 to 5, where 1 is best and 5 is the worst.

Outcome measures

Outcome measures
Measure
Treatment (Brentuximab Vedotin, Nivolumab)
n=46 Participants
Patients receive 1.8 mg/kg (cap at 180 mg) in 100 to 250 mL NS to final concentration 0.4 mg/mL to 1.8 mg/mL brentuximab vedotin IV over 30 minutes and 3 mg/kg in 100 cc NS nivolumab IV over 60 minutes on day 1. Treatment repeats every 21 days for 8 courses in the absence of disease progression or unacceptable toxicity.
Number of Participants With an Overall Response of Complete Metabolic Response
22 Participants

SECONDARY outcome

Timeframe: 30 months

DOR is time from the date at which the patient's objective status is first noted to be a CMR or PMR to the earliest date progression (progressive metabolic disease \[PMD\] or progressive disease \[PD\]) is documented. Response is based on PET/CT based on the revised 2014 Lugano Classification. (PMR: Score 4 (uptake moderately \> liver) or 5 (uptake markedly higher than liver and/or new lesions) CMR: Score 1 (no uptake above background), 2 (uptake\<=mediastinum), or 3 (uptake \> mediastinum but \<= liver) with or without a residual mass on PET Deauville 5-Point-Scale. The scale ranges from 1 to 5, where 1 is best and 5 is the worst. PMD: Score 4 or 5 with an increase in intensity of uptake from baseline and/or New FDG-avid foci consistent with lymphoma at interim or end-of-treatment assessment PD: An individual node/lesion must be abnormal with: LDi \> 1.5 cm and Increase by ≥ 50% from PPD nadir and, An increase in LDi or SDi from nadir, 0.5 cm for lesions ≤2 cm, 1.0 cm for lesions \> 2 cm)

Outcome measures

Outcome measures
Measure
Treatment (Brentuximab Vedotin, Nivolumab)
n=46 Participants
Patients receive 1.8 mg/kg (cap at 180 mg) in 100 to 250 mL NS to final concentration 0.4 mg/mL to 1.8 mg/mL brentuximab vedotin IV over 30 minutes and 3 mg/kg in 100 cc NS nivolumab IV over 60 minutes on day 1. Treatment repeats every 21 days for 8 courses in the absence of disease progression or unacceptable toxicity.
Duration of Response (DOR)
NA months
Interval 11.1 to
Median and upper limit duration of response were not estimatable due to a lack of events. Insufficient number of participants with events

SECONDARY outcome

Timeframe: 30 months

Progression-free survival is defined as the time from registration to the earliest date of documentation of disease progression (Progressive metabolic disease (PMD) or Progressive disease (PD)) or death due to any cause. Response is based on PET/CT based on the revised 2014 Lugano Classification. (PMD: Score 4 or 5 with an increase in intensity of uptake from baseline and/or New FDG-avid foci consistent with lymphoma at interim or end-of-treatment assessment PD: An individual node/lesion must be abnormal with: LDi \> 1.5 cm and Increase by ≥ 50% from PPD nadir and, An increase in LDi or SDi from nadir, 0.5 cm for lesions ≤2 cm, 1.0 cm for lesions \> 2 cm)

Outcome measures

Outcome measures
Measure
Treatment (Brentuximab Vedotin, Nivolumab)
n=46 Participants
Patients receive 1.8 mg/kg (cap at 180 mg) in 100 to 250 mL NS to final concentration 0.4 mg/mL to 1.8 mg/mL brentuximab vedotin IV over 30 minutes and 3 mg/kg in 100 cc NS nivolumab IV over 60 minutes on day 1. Treatment repeats every 21 days for 8 courses in the absence of disease progression or unacceptable toxicity.
Progression-free Survival
18.3 months
Interval 12.7 to
The upper limit of the confidence interval was not reached due to a lack of events. Insufficient number of participants with events.

SECONDARY outcome

Timeframe: 30 months

The distribution of overall survival will be estimated using the method of Kaplan-Meier.

Outcome measures

Outcome measures
Measure
Treatment (Brentuximab Vedotin, Nivolumab)
n=46 Participants
Patients receive 1.8 mg/kg (cap at 180 mg) in 100 to 250 mL NS to final concentration 0.4 mg/mL to 1.8 mg/mL brentuximab vedotin IV over 30 minutes and 3 mg/kg in 100 cc NS nivolumab IV over 60 minutes on day 1. Treatment repeats every 21 days for 8 courses in the absence of disease progression or unacceptable toxicity.
Overall Survival
NA months
Median overall survival time was not estimatable due to the low number of patient deaths

SECONDARY outcome

Timeframe: Up to 8 cycles of treatment (approximately 29 weeks)

Number of participants experiencing at least one toxicity. Toxicity is defined as an adverse event graded 3 or higher by Common Terminology Criteria for Adverse Events version 4.0 deemed at least possibly related to treatment.

Outcome measures

Outcome measures
Measure
Treatment (Brentuximab Vedotin, Nivolumab)
n=46 Participants
Patients receive 1.8 mg/kg (cap at 180 mg) in 100 to 250 mL NS to final concentration 0.4 mg/mL to 1.8 mg/mL brentuximab vedotin IV over 30 minutes and 3 mg/kg in 100 cc NS nivolumab IV over 60 minutes on day 1. Treatment repeats every 21 days for 8 courses in the absence of disease progression or unacceptable toxicity.
Number of Participants Experiencing at Least One Adverse Events Graded 3 or Higher Deemed at Least Possibly Related to Treatment
30 Participants

Adverse Events

Treatment (Brentuximab Vedotin, Nivolumab)

Serious events: 21 serious events
Other events: 46 other events
Deaths: 4 deaths

Serious adverse events

Serious adverse events
Measure
Treatment (Brentuximab Vedotin, Nivolumab)
n=46 participants at risk
Patients receive 1.8 mg/kg (cap at 180 mg) in 100 to 250 mL NS to final concentration 0.4 mg/mL to 1.8 mg/mL brentuximab vedotin IV over 30 minutes and 3 mg/kg in 100 cc NS nivolumab IV over 60 minutes on day 1. Treatment repeats every 21 days for 8 courses in the absence of disease progression or unacceptable toxicity.
Cardiac disorders
Cardiac arrest
2.2%
1/46 • Number of events 1 • 30 months
Cardiac disorders
Cardiac disorders - Other, specify
2.2%
1/46 • Number of events 1 • 30 months
Cardiac disorders
Sinus tachycardia
2.2%
1/46 • Number of events 1 • 30 months
Gastrointestinal disorders
Abdominal pain
4.3%
2/46 • Number of events 3 • 30 months
Gastrointestinal disorders
Colitis
2.2%
1/46 • Number of events 1 • 30 months
Gastrointestinal disorders
Diarrhea
2.2%
1/46 • Number of events 2 • 30 months
Gastrointestinal disorders
Mucositis oral
2.2%
1/46 • Number of events 1 • 30 months
Gastrointestinal disorders
Pancreatitis
2.2%
1/46 • Number of events 1 • 30 months
General disorders
Death NOS
2.2%
1/46 • Number of events 1 • 30 months
General disorders
Fatigue
2.2%
1/46 • Number of events 1 • 30 months
General disorders
Fever
8.7%
4/46 • Number of events 4 • 30 months
General disorders
Gen disord and admin site conds-Oth spec
2.2%
1/46 • Number of events 1 • 30 months
General disorders
Non-cardiac chest pain
2.2%
1/46 • Number of events 1 • 30 months
Hepatobiliary disorders
Cholecystitis
2.2%
1/46 • Number of events 1 • 30 months
Infections and infestations
Infections and infestations - Oth spec
4.3%
2/46 • Number of events 2 • 30 months
Infections and infestations
Lung infection
4.3%
2/46 • Number of events 2 • 30 months
Infections and infestations
Sepsis
2.2%
1/46 • Number of events 1 • 30 months
Infections and infestations
Upper respiratory infection
4.3%
2/46 • Number of events 2 • 30 months
Infections and infestations
Urinary tract infection
2.2%
1/46 • Number of events 1 • 30 months
Investigations
Creatinine increased
2.2%
1/46 • Number of events 1 • 30 months
Investigations
Lipase increased
4.3%
2/46 • Number of events 2 • 30 months
Investigations
Platelet count decreased
2.2%
1/46 • Number of events 1 • 30 months
Investigations
Serum amylase increased
4.3%
2/46 • Number of events 2 • 30 months
Investigations
Weight loss
2.2%
1/46 • Number of events 1 • 30 months
Investigations
White blood cell decreased
2.2%
1/46 • Number of events 1 • 30 months
Metabolism and nutrition disorders
Hypercalcemia
2.2%
1/46 • Number of events 1 • 30 months
Metabolism and nutrition disorders
Hyperglycemia
2.2%
1/46 • Number of events 1 • 30 months
Metabolism and nutrition disorders
Metabolism, nutrition disord - Oth spec
2.2%
1/46 • Number of events 1 • 30 months
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasms benign, mal, uncpec - Oth spec
2.2%
1/46 • Number of events 1 • 30 months
Nervous system disorders
Syncope
4.3%
2/46 • Number of events 2 • 30 months
Psychiatric disorders
Confusion
2.2%
1/46 • Number of events 1 • 30 months
Psychiatric disorders
Hallucinations
2.2%
1/46 • Number of events 1 • 30 months
Respiratory, thoracic and mediastinal disorders
Dyspnea
4.3%
2/46 • Number of events 2 • 30 months
Respiratory, thoracic and mediastinal disorders
Pleural effusion
2.2%
1/46 • Number of events 1 • 30 months
Respiratory, thoracic and mediastinal disorders
Resp, thoracic, mediastinal - Oth spec
2.2%
1/46 • Number of events 1 • 30 months
Skin and subcutaneous tissue disorders
Rash maculo-papular
4.3%
2/46 • Number of events 2 • 30 months
Vascular disorders
Hypotension
2.2%
1/46 • Number of events 1 • 30 months
Vascular disorders
Superior vena cava syndrome
2.2%
1/46 • Number of events 1 • 30 months

Other adverse events

Other adverse events
Measure
Treatment (Brentuximab Vedotin, Nivolumab)
n=46 participants at risk
Patients receive 1.8 mg/kg (cap at 180 mg) in 100 to 250 mL NS to final concentration 0.4 mg/mL to 1.8 mg/mL brentuximab vedotin IV over 30 minutes and 3 mg/kg in 100 cc NS nivolumab IV over 60 minutes on day 1. Treatment repeats every 21 days for 8 courses in the absence of disease progression or unacceptable toxicity.
Blood and lymphatic system disorders
Anemia
8.7%
4/46 • Number of events 6 • 30 months
Cardiac disorders
Atrial fibrillation
2.2%
1/46 • Number of events 1 • 30 months
Cardiac disorders
Heart failure
2.2%
1/46 • Number of events 1 • 30 months
Endocrine disorders
Adrenal insufficiency
2.2%
1/46 • Number of events 1 • 30 months
Endocrine disorders
Hypothyroidism
8.7%
4/46 • Number of events 9 • 30 months
Gastrointestinal disorders
Abdominal pain
4.3%
2/46 • Number of events 2 • 30 months
Gastrointestinal disorders
Constipation
8.7%
4/46 • Number of events 8 • 30 months
Gastrointestinal disorders
Diarrhea
10.9%
5/46 • Number of events 5 • 30 months
Gastrointestinal disorders
Dysphagia
2.2%
1/46 • Number of events 1 • 30 months
Gastrointestinal disorders
Gastroesophageal reflux disease
2.2%
1/46 • Number of events 4 • 30 months
Gastrointestinal disorders
Gastrointestinal disorders - Oth spec
2.2%
1/46 • Number of events 1 • 30 months
Gastrointestinal disorders
Mucositis oral
4.3%
2/46 • Number of events 5 • 30 months
Gastrointestinal disorders
Nausea
17.4%
8/46 • Number of events 10 • 30 months
Gastrointestinal disorders
Rectal fistula
2.2%
1/46 • Number of events 2 • 30 months
General disorders
Fatigue
32.6%
15/46 • Number of events 34 • 30 months
General disorders
Fever
4.3%
2/46 • Number of events 2 • 30 months
General disorders
Pain
2.2%
1/46 • Number of events 1 • 30 months
Infections and infestations
Infections and infestations - Oth spec
6.5%
3/46 • Number of events 4 • 30 months
Infections and infestations
Papulopustular rash
2.2%
1/46 • Number of events 3 • 30 months
Infections and infestations
Sepsis
2.2%
1/46 • Number of events 1 • 30 months
Infections and infestations
Sinusitis
2.2%
1/46 • Number of events 1 • 30 months
Infections and infestations
Upper respiratory infection
2.2%
1/46 • Number of events 1 • 30 months
Infections and infestations
Urinary tract infection
6.5%
3/46 • Number of events 6 • 30 months
Injury, poisoning and procedural complications
Infusion related reaction
10.9%
5/46 • Number of events 8 • 30 months
Investigations
Alanine aminotransferase increased
8.7%
4/46 • Number of events 9 • 30 months
Investigations
Aspartate aminotransferase increased
6.5%
3/46 • Number of events 8 • 30 months
Investigations
Creatinine increased
26.1%
12/46 • Number of events 35 • 30 months
Investigations
Ejection fraction decreased
2.2%
1/46 • Number of events 1 • 30 months
Investigations
GGT increased
2.2%
1/46 • Number of events 1 • 30 months
Investigations
INR increased
4.3%
2/46 • Number of events 4 • 30 months
Investigations
Investigations - Other, specify
2.2%
1/46 • Number of events 1 • 30 months
Investigations
Lipase increased
13.0%
6/46 • Number of events 16 • 30 months
Investigations
Lymphocyte count decreased
10.9%
5/46 • Number of events 24 • 30 months
Investigations
Neutrophil count decreased
41.3%
19/46 • Number of events 57 • 30 months
Investigations
Platelet count decreased
32.6%
15/46 • Number of events 61 • 30 months
Investigations
Serum amylase increased
13.0%
6/46 • Number of events 10 • 30 months
Investigations
Weight gain
2.2%
1/46 • Number of events 2 • 30 months
Investigations
Weight loss
4.3%
2/46 • Number of events 8 • 30 months
Investigations
White blood cell decreased
52.2%
24/46 • Number of events 76 • 30 months
Metabolism and nutrition disorders
Anorexia
4.3%
2/46 • Number of events 7 • 30 months
Metabolism and nutrition disorders
Dehydration
2.2%
1/46 • Number of events 1 • 30 months
Metabolism and nutrition disorders
Glucose intolerance
2.2%
1/46 • Number of events 8 • 30 months
Metabolism and nutrition disorders
Hypercalcemia
2.2%
1/46 • Number of events 1 • 30 months
Metabolism and nutrition disorders
Hyperglycemia
13.0%
6/46 • Number of events 22 • 30 months
Metabolism and nutrition disorders
Hyperkalemia
2.2%
1/46 • Number of events 1 • 30 months
Metabolism and nutrition disorders
Hypernatremia
2.2%
1/46 • Number of events 1 • 30 months
Metabolism and nutrition disorders
Hyperuricemia
2.2%
1/46 • Number of events 1 • 30 months
Metabolism and nutrition disorders
Hypoalbuminemia
2.2%
1/46 • Number of events 1 • 30 months
Metabolism and nutrition disorders
Hypoglycemia
2.2%
1/46 • Number of events 1 • 30 months
Metabolism and nutrition disorders
Hypokalemia
2.2%
1/46 • Number of events 1 • 30 months
Metabolism and nutrition disorders
Hypomagnesemia
2.2%
1/46 • Number of events 1 • 30 months
Metabolism and nutrition disorders
Hyponatremia
4.3%
2/46 • Number of events 2 • 30 months
Metabolism and nutrition disorders
Hypophosphatemia
2.2%
1/46 • Number of events 1 • 30 months
Musculoskeletal and connective tissue disorders
Arthralgia
6.5%
3/46 • Number of events 6 • 30 months
Musculoskeletal and connective tissue disorders
Arthritis
2.2%
1/46 • Number of events 2 • 30 months
Musculoskeletal and connective tissue disorders
Bone pain
2.2%
1/46 • Number of events 4 • 30 months
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
4.3%
2/46 • Number of events 6 • 30 months
Musculoskeletal and connective tissue disorders
Musculoskeletal, conn tissue - Oth spec
2.2%
1/46 • Number of events 1 • 30 months
Musculoskeletal and connective tissue disorders
Myalgia
8.7%
4/46 • Number of events 5 • 30 months
Musculoskeletal and connective tissue disorders
Pain in extremity
2.2%
1/46 • Number of events 1 • 30 months
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasms benign, mal, uncpec - Oth spec
2.2%
1/46 • Number of events 1 • 30 months
Nervous system disorders
Headache
2.2%
1/46 • Number of events 1 • 30 months
Nervous system disorders
Memory impairment
2.2%
1/46 • Number of events 1 • 30 months
Nervous system disorders
Peripheral motor neuropathy
37.0%
17/46 • Number of events 96 • 30 months
Nervous system disorders
Peripheral sensory neuropathy
26.1%
12/46 • Number of events 40 • 30 months
Psychiatric disorders
Confusion
2.2%
1/46 • Number of events 1 • 30 months
Psychiatric disorders
Insomnia
2.2%
1/46 • Number of events 1 • 30 months
Psychiatric disorders
Psychosis
2.2%
1/46 • Number of events 1 • 30 months
Renal and urinary disorders
Acute kidney injury
2.2%
1/46 • Number of events 1 • 30 months
Respiratory, thoracic and mediastinal disorders
Cough
4.3%
2/46 • Number of events 2 • 30 months
Respiratory, thoracic and mediastinal disorders
Dyspnea
34.8%
16/46 • Number of events 62 • 30 months
Respiratory, thoracic and mediastinal disorders
Hoarseness
2.2%
1/46 • Number of events 1 • 30 months
Respiratory, thoracic and mediastinal disorders
Hypoxia
2.2%
1/46 • Number of events 1 • 30 months
Respiratory, thoracic and mediastinal disorders
Pneumonitis
2.2%
1/46 • Number of events 1 • 30 months
Respiratory, thoracic and mediastinal disorders
Pulmonary hypertension
2.2%
1/46 • Number of events 1 • 30 months
Respiratory, thoracic and mediastinal disorders
Sore throat
2.2%
1/46 • Number of events 1 • 30 months
Skin and subcutaneous tissue disorders
Alopecia
6.5%
3/46 • Number of events 17 • 30 months
Skin and subcutaneous tissue disorders
Pruritus
4.3%
2/46 • Number of events 4 • 30 months
Skin and subcutaneous tissue disorders
Rash maculo-papular
15.2%
7/46 • Number of events 19 • 30 months
Vascular disorders
Hot flashes
2.2%
1/46 • Number of events 1 • 30 months
Vascular disorders
Hypertension
21.7%
10/46 • Number of events 33 • 30 months
Vascular disorders
Hypotension
2.2%
1/46 • Number of events 1 • 30 months
Vascular disorders
Thromboembolic event
2.2%
1/46 • Number of events 1 • 30 months

Additional Information

Bruce D. Cheson, M.D.

Lombardi Comprehensive Cancer Center

Phone: 507-266-0800

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place