Evidence map›Paper›PMID 32273476›Full record

Trial reportHaematologica2021

Combining brentuximab vedotin with dexamethasone, high-dose cytarabine and cisplatin as salvage treatment in relapsed or refractory Hodgkin lymphoma: the phase II HOVON/LLPC Transplant BRaVE study.

Marie José Kersten, Julia Driessen, Josée M Zijlstra, Wouter J Plattel, Franck Morschhauser, Pieternella J Lugtenburg, Pauline Brice, Martin Hutchings, Thomas Gastinne, Roberto Liu and 10 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Haematologica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02280993 (Phase I/II Feasibility Study Combining Brentuximab Vedotin With Second Line Salvage Chemotherapy), which is not on this map. Cited by 58 papers.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed
8.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02280993 phase1unknown statusnot on this map

Phase I/II Feasibility Study Combining Brentuximab Vedotin With Second Line Salvage Chemotherapy (DHAP) in Hodgkin Lymphoma Patients Refractory to First Line Chemotherapy or in First Relapse Who Are Eligible for High Dose Treatment Followed by Autologous Peripheral Blood Stem Cell Transplantation (ASCT)

TypeinterventionalSponsorMarjolein SpieringRan2014 to 2020Enrolled72ConditionsHodgkin Lymphoma, Refractory, RelapseArmsDHAP, Brentuximab Vedotin, Autologous Peripheral Blood Stem Cell Transplantation
3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 93 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Autologous stem-cell transplantation after second-line brentuximab vedotin in relapsed or refractory Hodgkin lymphoma.Annals of oncology : official journal of the European Society for Medical Oncology · 2018
    Trial
  4. Article
  5. Review
  6. Article
  7. Article
  8. Emerging therapeutic strategies for CD30-positive lymphomas.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  9. Article
  10. Classical Hodgkin Lymphoma Today.Mediterranean journal of hematology and infectious diseases · 2026
    Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. [Treatment challenges and optimal management of classical Hodgkin's lymphoma].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 2025
    Article
  16. When should we use it? The role of brentuximab vedotin in 2024.Hematology. American Society of Hematology. Education Program · 2024
    Review
  17. When to use stem cell transplantation for classical Hodgkin lymphoma.Hematology. American Society of Hematology. Education Program · 2024
    Review
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 12 institutions in 3 countries.

Marie José KerstenDept of Hematology, Amsterdam UMC, University of Amsterdam, and LYMMCARE, Amsterdam, The Netherlands.
Julia DriessenDept of Hematology, Amsterdam UMC, University of Amsterdam, and LYMMCARE, Amsterdam, The Netherlands.
Josée M ZijlstraDept of Hematology, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Wouter J PlattelDept of Hematology, University of Groningen, UMC Groningen, Groningen, The Netherlands.
Franck MorschhauserDept of Hematology, Centre Hospitalier Universitaire, Lille, France.
Pieternella J LugtenburgDept of Hematology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
Pauline BriceDept of Hematology, Hopital Saint Louis, Paris, France.
Martin HutchingsDept of Hematology, Rigshospitalet, Copenhagen, Denmark.
Thomas GastinneDept of Hematology, Centre Hospitalier Universitaire, Nantes, France.
Roberto LiuDept of Hematology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Coreline N BurggraaffDept of Hematology, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Marcel NijlandDept of Hematology, University of Groningen, UMC Groningen, Groningen, The Netherlands.
Sanne H ToninoDept of Hematology, Amsterdam UMC, University of Amsterdam, and LYMMCARE, Amsterdam, The Netherlands.
Anne I J ArensDept of Radiology and Nuclear Medicine, Radboud university medical center, Nijmegen, The Netherlands.
Roelf ValkemaDept of Radiology and Nuclear Medicine, Erasmus MC, Rotterdam, The Netherlands.
Harm van TinterenDept of Biometrics, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Marta Lopez-YurdaDept of Biometrics, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Arjan DiepstraDept. of Pathology and Medical Biology, UMC Groningen, University of Groningen, the Netherlands.
Daphne De JongDept of Pathology, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Anton HagenbeekDept of Hematology, Amsterdam UMC, University of Amsterdam, and LYMMCARE, Amsterdam, The Netherlands.
Amsterdam University Medical Centers · NLUniversity of Amsterdam · NLUniversity of Groningen · NLThe Netherlands Cancer Institute · NLVrije Universiteit Amsterdam · NLCentre Hospitalier Universitaire de Lille · FRCentre Hospitalier Universitaire de Nantes · FRErasmus MC Cancer Institute · NLErasmus University Rotterdam · NLHôpital Saint-Louis · FRRadboud University Nijmegen · NLRigshospitalet · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Achieving a metabolic complete response (mCR) before high-dose chemotherapy (HDC) and autologous peripheral blood stem-cell transplant (auto-PBSCT) predicts progression free survival (PFS) in relapsed/refractory classical Hodgkin lymphoma (R/R cHL). We added brentuximab vedotin (BV) to DHAP to improve the mCR rate. In a Phase I dose-escalation part in 12 patients, we showed that BV-DHAP is feasible. This Phase II study included 55 R/R cHL patients (23 primary refractory). Treatment consisted of three 21-day cycles of BV 1.8 mg/kg on day 1, and DHAP (dexamethasone 40mg days 1-4, cisplatin 100mg/m2; day 1 and cytarabine 2x2g/m2; day 2). Patients with a metabolic partial response (mPR) or mCR proceeded to HDC/auto-PBSCT. Based on independent central FDG-PET-CT review, 42 of 52 evaluable patients (81% [95% CI: 67-90]) achieved an mCR before HDC/auto-PBSCT, five had an mPR and five had progressive disease (three were not evaluable). After HDC/auto-PBSCT, four patients with an mPR converted to an mCR. The 2-year PFS was 74% [95% CI: 63-86], and the overall survival 95% [95% CI: 90-100]. Toxicity was manageable and mainly consisted of grade 3/4 hematological toxicity, fever, nephrotoxicity, ototoxicity (grade 1/2) and transiently elevated liver enzymes during BV-DHAP. Eighteen patients developed new onset peripheral neuropathy (maximum grade 1/2) and all recovered. In conclusion, BV-DHAP is a very effective salvage regimen in R/R cHL patients, but patients should be monitored closely for toxicity. ClinicalTrials.gov identifier: NCT02280993.

Indexed as

Hodgkin DiseaseAntineoplastic Combined Chemotherapy ProtocolsBrentuximab VedotinCisplatinCytarabineDexamethasoneHumansNeoplasm Recurrence, LocalPositron Emission Tomography Computed TomographyRecurrenceSalvage TherapyTreatment OutcomeBrentuximab VedotinCisplatinCytarabineDexamethasone

Identifiers

PMID32273476
PMCPMC8018114
OpenAlexW3015490084

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.