Children's Oncology Group's 2013 blueprint for research: Hodgkin lymphoma
Kara M. Kelly, David C. Hodgson, Burton Appel, Lu Chen, Peter D. Cole, Terzah M. Horton, Frank G. Keller
Abstract
Kara M. Kelly, David C. Hodgson, Burton Appel, Lu Chen, Peter D. Cole, Terzah M. Horton, Frank G. Keller
Abstract
In childhood Hodgkin lymphoma, estimated 5 years survival rates exceed 90%. Long-term survival continues to decline from delayed toxicities. Key findings from recent Children's Oncology Group trials include: (1) Radiotherapy selection may be based on early chemotherapy response assessed by both FDG-PET and CT imaging, (2) A new prognostic factor score stratifies patients into risk categories; and (3) novel retrieval regimens were identified. A phase I/II trial is investigating Brentuximab vedotin (Bv) with gemcitabine in relapsed patients. A phase 3 trial will modify conventional chemotherapy and radiotherapy approaches through the addition of Bv, while incorporating translational biology to identify molecular targets.
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In childhood Hodgkin lymphoma, estimated 5 years survival rates exceed 90%. Long-term survival continues to decline from delayed toxicities. Key findings from recent Children's Oncology Group trials include: (1) Radiotherapy selection may be based on early chemotherapy response assessed by both FDG-PET and CT imaging, (2) A new prognostic factor score stratifies patients into risk categories; and (3) novel retrieval regimens were identified. A phase I/II trial is investigating Brentuximab vedotin (Bv) with gemcitabine in relapsed patients. A phase 3 trial will modify conventional chemotherapy and radiotherapy approaches through the addition of Bv, while incorporating translational biology to identify molecular targets.
Key concepts: Medicine, Brentuximab vedotin, Oncology, Internal medicine, Hodgkin lymphoma, Gemcitabine, Radiation therapy, Chemotherapy