Hodgkin LymphomaPhase 2NCT05180097
Pembrolizumab and Brentuximab Vedotin vs GDP and Stem Cell Transplant for Relapsed/Refractory Hodgkin Lymphoma
A Phase 2 study testing Gemcitabine, Dexamethasone and Cisplatin in people with Hodgkin Lymphoma, run by Canadian Cancer Trials Group at 18 sites in 2 countries.
Trial summary
This study is being done to determine if two new drugs can shrink or eliminate classical Hodgkins lymphoma. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Hodgkin Lymphoma
- What is being tested?
- Gemcitabine, Dexamethasone and Cisplatin
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 84 participants
- Where
- 18 sitesin 2 countries
- Study dates
- 1 Nov 2022to 31 Dec 2026
- Phase
- Phase 2
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- History of classic Hodgkin lymphoma by histopathology and now have relapsed or refractory disease after anthracycline-containing chemotherapy and eligible for high dose chemotherapy and autologous stem cell transplant
- 18 years of age or greater
- ECOG performance status 0-1
- Clinically and/or radiologically measurable disease as per the Lugano 2014 classification
- Life expectancy > 90 days
- Absolute neutrophils ≥1.0 x 10^9/L; Platelets ≥75 x 10^9/L; Hemoglobin ≥80 g/L: Bilirubin ≤1.50 x UNL; AST and ALT ≤2.50 x UNL; Serum creatinine <1.55 x UNL or Creatinine clearance ≥30 mL/min
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- Participant is able (i.e. sufficiently fluent) and willing to complete the quality of life questionnaires and/or health utility in either English or French
- Participant consent must be appropriately obtained in accordance with applicable local and regulatory requirements. Each participant must sign a consent form prior to enrollment in the trial to document their willingness to participate.
- Participants must be accessible for treatment and follow-up.
- In accordance with CCTG policy, protocol treatment is to begin within 2 working days of participant enrollment
- Women/men of childbearing potential must have agreed to use a highly effective contraceptive method during the study plus approximately 6 months after treatment completion
- All patients must have a tumour block from their primary diagnostic biopsy and relapse/refractory biopsy if available and the centre/pathologist must have agreed to release the block or recently cut slides for correlative analysis if the participant has consented. If the primary diagnostic biopsy is not accessible, the original pathology report should be submitted for review and a biopsy from the relapse/refractory disease must be submitted.
Who cannot join
- Participants who have received prior salvage systemic therapy for their relapsed or refractory disease.
- History of peripheral neuropathy or dyspnea ≥ grade 2
- Participants with a history of other malignancies except: adequately treated non-melanoma skin cancer and superficial bladder cancer, curatively treated in-situ cancer of the cervix or breast, or localized excised prostate cancer, other solid tumours curatively treated with no evidence of disease for > 3 years
- History of active CNS disease
- Has a diagnosis of immunodeficiency or is receiving systemic steroid therapy (at doses more than 10 mg prednisone or equivalent) or any other form of immunosuppressive therapy within 7 days prior to the first and any dose of trial treatment
- Has active autoimmune disease that has required systemic treatment in the past 3 years (i.e. with use of disease modifying agents, corticosteroids or immunosuppressive drugs) or history of allogeneic transplantation. Replacement therapy (e.g. thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency, etc.) is not considered a form of systemic treatment
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- Known history of human immunodeficiency virus (HIV), active Hepatitis C Virus infection, active Hepatitis B Virus infection or any uncontrolled active systemic infection requiring intravenous (IV) antibiotics. Participants that are Hepatitis B core antibody positive are eligible if they are HBV DNA negative and are concurrently treated with anti-viral therapy. Participants with a past history of hepatitis C who have eradicated the virus are eligible
- Clinically significant cardiovascular disease such as uncontrolled or symptomatic arrhythmias, congestive heart failure, angina, or myocardial infarction within 6 months of screening, or any Class 3 (moderate) or Class 4 (severe) cardiac disease as defined by the New York Heart Association Functional Classification
- Documented history of cerebral vascular event (stroke or transient ischemic attack)
- History of progressive multifocal leukoencephalopathy (PML).
- Any serious active disease or co-morbid medical condition, including psychiatric illness, judged by the local investigator to preclude safe administration of the planned protocol treatment or required follow-up
- Any other serious intercurrent illness, life-threatening condition, organ system dysfunction, or medical condition judged by the local investigator to compromise the subject's safety (for example): active, uncontrolled bacterial, fungal or viral infection; clinically significant cardiac dysfunction or cardiovascular disease
- Participants who have been vaccinated with live, attenuated vaccines within 4 weeks of enrollment
- Pregnant or lactating females, or women/men of childbearing potential not willing to use an adequate method of birth control for the duration of the study through 6 months after the last dose of trial treatment
- Participants are not eligible if they have had a prior infusion reaction to the study drugs or their components > grade 2
- Participant has a history of (non-infectious) pneumonitis that required steroids or current pneumonitis
- Participant has had an allogenic tissue/solid organ transplant
- Concurrent or within the previous 4 weeks of randomization, treatment with other investigational drugs or anti-cancer therapy
- Has received prior radiotherapy within 2 weeks of start of study treatment. Participants must have recovered from all radiation-related toxicities, not require corticosteroids, and not have had radiation pneumonitis. A one-week washout is permitted for palliative radiation (≤ 2 weeks of radiotherapy)
Trial locations and contacts
18 sites in 2 countries. Contact the study team or a site near you to ask about taking part.
18 sites in 2 countries
Canada12 sites, 12 recruiting
- Recruiting
Arthur J.E. Child Comprehensive Cancer Centre
Calgary, Alberta, T2N 5G2
Robert Puckrin, 403 944-5222
- Recruiting
QEII Health Sciences Centre
Halifax, Nova Scotia, B3H 1V7
Mary-Margaret Keating, 902 473-7006
- Recruiting
Juravinski Cancer Centre at Hamilton Health Sciences
Hamilton, Ontario, L8V 5C2
Amaris Balitsky, 905 387-9495
- Recruiting
London Health Sciences Centre Research Inc.
London, Ontario, N6A 5W9
Joy Elise Mangel, 519 685-8500 ext. 52391
- Recruiting
The Jewish General Hospital
Montreal, Quebec, H3T 1E2
Nathalie Johnson, 514 398-8307
- Recruiting
The Research Institute of the McGill University
Montreal, Quebec, H4A 3J1
Kelly Davison, 514 934-1934 ext. 31558
- Recruiting
Ottawa Hospital Research Institute
Ottawa, Ontario, K1H 8L6
Isabelle Bence-Bruckler, 613 737-8152
- Recruiting
Allan Blair Cancer Centre
Regina, Saskatchewan, S4T 7T1
Muhammad Salim, 306 766-2691
- Recruiting
CIUSSS de l'Estrie - Centre hospitalier
Sherbrooke, Quebec, J1H 5N4
Stephanie Desilets, 819 346-1110 ext. 74816
- Recruiting
Dr. H. Bliss Murphy Cancer Centre
St. John's, Newfoundland and Labrador, A1B 3V6
Jacqueline Costello, 709 777-6545
- Recruiting
University Health Network
Toronto, Ontario, M5G 2M9
John Kuruvilla, 416 946-2827
- Recruiting
BCCA - Vancouver
Vancouver, British Columbia, V5Z 4E6
Kerry J. Savage, 604 877-6000 ext. 2641
Australia6 sites, 6 recruiting
- Recruiting
Royal Adelaide Hospital
Adelaide, South Australia, 5000
Danielle Blunt, 613 707-4413
- Recruiting
Concord Repatriation General Hospital
Concord, New South Wales, 2139
Nicole WongDoo
- Recruiting
Austin Hospital
Heidelberg, Victoria, 3084
Eliza Hawkes, 613 949-6986
- Recruiting
Shoalhaven Cancer Care Centre
Nowra, New South Wales, 2541
Shrinivas Desai
- Recruiting
Sir Charles Gairdner Hospital
Perth, Western Australia, 6009
Katharine Lewis
- Recruiting
Wollongong Hospital
Wollongong, New South Wales, 2500
Shrinivas Desai
About this study
Official title: A Randomized Phase II Study of Pembrolizumab and Brentuximab Vedotin Versus GDP, Followed by High Dose Chemotherapy and Autologous Stem Cell Transplantation for Relapsed/Refractory Classical Hodgkin Lymphoma
This study is being done to determine if two new drugs can shrink or eliminate classical Hodgkins lymphoma.
Read the detailed description
Treatment given to participants whose disease has not responded to (refractory) or returned (relapsed) after previous treatment is known as salvage treatment.
The standard of care for participants who are not in a study is salvage treatment with gemcitabine, dexamethasone and cisplatin (GDP). This treatment can reduce symptoms and may stop the lymphoma from growing for a few months or longer. This standard treatment is approved by Health Canada
We are doing this study because we want to find out if treatment with Pembrolizumab and Brentuximab vedotin is better or worse than the standard of care for this type of cancer, classical Hodgkin lymphoma. The standard of care is defined as care most people get for your cancer.
- Conditions
- Hodgkin Lymphoma
- Being tested
- Gemcitabine, Dexamethasone, Cisplatin, Brentuximab vedotin, Pembrolizumab
- Medical subject headings
- Hodgkin Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
GemcitabineDrug
1000mg/m2 IV, 30 mins D1, D8
DexamethasoneDrug
40mg daily PO, D1-D4
CisplatinDrug
75mg/m2 IV, 1 hour, D1
Brentuximab vedotinDrug
1.8 mg/kg IV, 30 mins, Q21 days
PembrolizumabDrug
200mg IV, 30 mins, Q 21 days
| Study group | Role | What they receive |
|---|---|---|
| GDP | Active comparator | Not described Receives: Drug: Gemcitabine; Drug: Dexamethasone; Drug: Cisplatin |
| Brentuximab vedotin + Pembrolizumab | Active comparator | Not described Receives: Drug: Brentuximab vedotin; Drug: Pembrolizumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Complete response rate by PET Deauville criteria (score 1-3) of pembrolizumab and brentuximab vedotin compared to standard GDP (gemcitabine, dexamethasone, cisplatin) given as salvage therapy
Measured: 52 months
Secondary outcomes (12)
Progression-free survival
Measured: 52 months
Event-free survival
Measured: 52 months
Overall survival
Measured: 52 months
Successful stem cell collection rate
Measured: 52 months
Transplantation rate
Measured: 52 months
Number and severity of adverse events
Measured: 52 months
Participant-reported Quality of Life utilizing EORTC QLQ-C30
Measured: 52 months
Participant-reported toxicity utilizing PRO-CTCAE
Measured: 52 months
Participant-reported Quality of Life utilizing FACT-LYM evaluating symptoms and concerns associated specifically with the lymphoma disease and/or disease treatment.
Measured: 52 months
Participant-reported Quality of Life utilizing FACT/GOG-Ntx-Subscale specifically with chemotherapy-induced neuropathy
Measured: 52 months
Health Economics utilizing EQ-5D-5L
Measured: 52 months
Health Economics financial toxicity utilizing FACIT-COST
Measured: 52 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Jan 2022
- Study start1 Nov 2022
- Primary completion31 Dec 2026 (estimated)
- Study completion31 Dec 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Hodgkin LymphomaStudies of the same condition, open and under way.
- More trials run by Canadian Cancer Trials GroupThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 84 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Canadian Cancer Trials Group
- Sponsor type
- Research network
- Collaborators
- Merck Sharp & Dohme LLC, Pfizer, Australasian Leukaemia and Lymphoma Group
- Responsible party
- Sponsor
- Investigators
- Kerry Savage, Study chair, BCCA-Vancouver Cancer CentreJohn Kuruvilla, Study chair, University Health Network, Princess Margaret Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05180097
- Sponsor's protocol ID
- HD11
- Status last verified
- Aug 2025
- First submitted
- 17 Dec 2021
- Last updated
- 2 Feb 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 2 Feb 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized Phase II Study of Pembrolizumab and Brentuximab Vedotin Versus GDP, Followed by High Dose Chemotherapy and Autologous Stem Cell Transplantation for Relapsed/Refractory Classical Hodgkin Lymphoma
- ClinicalTrials.gov ID
- NCT05180097
- Acronym / sponsor ID
- HD11
- Conditions
- Hodgkin Lymphoma
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 84 participants (estimated)
- Lead sponsor
- Canadian Cancer Trials GroupResearch network
- Collaborators
- Merck Sharp & Dohme LLC, Pfizer, Australasian Leukaemia and Lymphoma Group
- Study start
- 1 Nov 2022 (actual)
- Primary completion
- 31 Dec 2026 (estimated)
- Study completion
- 31 Dec 2026 (estimated)
- First posted
- 6 Jan 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is being done to determine if two new drugs can shrink or eliminate classical Hodgkins lymphoma.
Detailed description
Treatment given to participants whose disease has not responded to (refractory) or returned (relapsed) after previous treatment is known as salvage treatment.
The standard of care for participants who are not in a study is salvage treatment with gemcitabine, dexamethasone and cisplatin (GDP). This treatment can reduce symptoms and may stop the lymphoma from growing for a few months or longer. This standard treatment is approved by Health Canada
We are doing this study because we want to find out if treatment with Pembrolizumab and Brentuximab vedotin is better or worse than the standard of care for this type of cancer, classical Hodgkin lymphoma. The standard of care is defined as care most people get for your cancer.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| GDP | Active comparator | Drug: Gemcitabine, Drug: Dexamethasone, Drug: Cisplatin |
| Brentuximab vedotin + Pembrolizumab | Active comparator | Drug: Brentuximab vedotin, Drug: Pembrolizumab |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (12 listed)
- History of classic Hodgkin lymphoma by histopathology and now have relapsed or refractory disease after anthracycline-containing chemotherapy and eligible for high dose chemotherapy and autologous stem cell transplant
- 18 years of age or greater
- ECOG performance status 0-1
- Clinically and/or radiologically measurable disease as per the Lugano 2014 classification
- Life expectancy > 90 days
Key exclusion criteria (19 listed)
- Participants who have received prior salvage systemic therapy for their relapsed or refractory disease.
- History of peripheral neuropathy or dyspnea ≥ grade 2
- Participants with a history of other malignancies except: adequately treated non-melanoma skin cancer and superficial bladder cancer, curatively treated in-situ cancer of the cervix or breast, or localized excised prostate cancer, other solid tumours curatively treated with no evidence of disease for > 3 years
- History of active CNS disease
- Has a diagnosis of immunodeficiency or is receiving systemic steroid therapy (at doses more than 10 mg prednisone or equivalent) or any other form of immunosuppressive therapy within 7 days prior to the first and any dose of trial treatment
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Gemcitabine1000mg/m2 IV, 30 mins D1, D8 | Drug | GDP |
| Dexamethasone40mg daily PO, D1-D4 | Drug | GDP |
| Cisplatin75mg/m2 IV, 1 hour, D1 | Drug | GDP |
| Brentuximab vedotin1.8 mg/kg IV, 30 mins, Q21 days | Drug | Brentuximab vedotin + Pembrolizumab |
| Pembrolizumab200mg IV, 30 mins, Q 21 days | Drug | Brentuximab vedotin + Pembrolizumab |
Primary outcome
Complete response rate by PET Deauville criteria (score 1-3) of pembrolizumab and brentuximab vedotin compared to standard GDP (gemcitabine, dexamethasone, cisplatin) given as salvage therapy
Time frame: 52 months
12 secondary outcomes
Progression-free survival
Time frame: 52 months
Event-free survival
Time frame: 52 months
Overall survival
Time frame: 52 months
Successful stem cell collection rate
Time frame: 52 months
Transplantation rate
Time frame: 52 months
Number and severity of adverse events
Time frame: 52 months
Participant-reported Quality of Life utilizing EORTC QLQ-C30
Time frame: 52 months
Participant-reported toxicity utilizing PRO-CTCAE
Time frame: 52 months
Participant-reported Quality of Life utilizing FACT-LYM evaluating symptoms and concerns associated specifically with the lymphoma disease and/or disease treatment.
Time frame: 52 months
Participant-reported Quality of Life utilizing FACT/GOG-Ntx-Subscale specifically with chemotherapy-induced neuropathy
Time frame: 52 months
Health Economics utilizing EQ-5D-5L
Time frame: 52 months
Health Economics financial toxicity utilizing FACIT-COST
Time frame: 52 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Feb 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Kerry Savage study chair
BCCA-Vancouver Cancer Centre
John Kuruvilla study chair
University Health Network, Princess Margaret Hospital
18 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Gemcitabine, Dexamethasone and Cisplatin in people with Hodgkin Lymphoma, run by Canadian Cancer Trials Group at 18 sites in 2 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 12 inclusion and 19 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 2 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 18 sites in Canada, Australia. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Annette Hay (613-533-6430, ahay@ctg.queensu.ca), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Complete response rate by PET Deauville criteria (score 1-3) of pembrolizumab and brentuximab vedotin compared to standard GDP (gemcitabine, dexamethasone, cisplatin) given as salvage therapy (time frame: 52 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Feb 2026; AzTrials last refreshed its copy on 8 Nov 2026.