Hodgkin lymphoma is a cancer of the lymphatic system that's highly treatable, with cure rates above 80% for most people. Standard treatment combines chemotherapy and sometimes radiation. Research now focuses on avoiding long-term side effects in people who are cured and on better options for the small group whose disease returns.
What's actually going on in research
Trials are testing checkpoint inhibitors like nivolumab and pembrolizumab, which have already earned FDA approval for relapsed disease and are now being studied earlier in treatment. Brentuximab vedotin, an antibody-drug conjugate approved in 2011, is being combined with chemotherapy to improve cure rates while reducing exposure to bleomycin, a drug that can damage lungs. Studies are also exploring ways to identify who can skip radiation entirely.
Checkpoint inhibitors earlier
Nivolumab and pembrolizumab, which help the immune system recognize cancer cells, work well in relapsed Hodgkin lymphoma. Trials are testing whether adding them to initial treatment improves outcomes or allows lower chemotherapy doses.
Reducing treatment toxicity
Because most people with Hodgkin lymphoma are cured, research emphasizes avoiding heart damage, lung injury, and secondary cancers decades later. Trials compare shorter chemotherapy courses and evaluate whether PET scans can identify who can safely skip radiation.
CAR T-cell therapy
For people whose disease returns after multiple treatments, trials are testing engineered immune cells that target CD30, a protein on Hodgkin lymphoma cells. Early results show responses in heavily treated patients.
What to know before you search
Eligibility typically depends on disease stage, whether this is initial treatment or relapse, prior therapies received, and overall health including heart and lung function.
What types of trials are currently open
- First-line treatment trials — Testing whether adding checkpoint inhibitors or brentuximab vedotin to standard chemotherapy improves cure rates or reduces long-term side effects.
- Relapsed disease trials — Studies for people whose lymphoma returned, often testing combinations of checkpoint inhibitors, brentuximab vedotin, and chemotherapy before transplant.
- Transplant trials — Testing stem cell transplant timing and preparation regimens, usually for people whose disease didn't respond to initial treatment.
- Radiation de-escalation trials — Using PET scans after chemotherapy to identify who can skip radiation and avoid long-term risks to heart and lungs.
- Survivorship studies — Following people after treatment to understand late effects like heart disease and second cancers, and to test screening strategies.
Recently added Hodgkin Lymphoma trials
Take a modified chemotherapy regimen for relapsed lymphoma
This Phase III randomized controlled trial evaluates the effectiveness and toxicity profile of a modified DHAP regimen compared to the standard DHAP regimen in adult patients with relapsed/refractory diffuse large B-cell lymphoma (DLBCL). The DHAP regimen (cisplatin, cytarabine, dexamethasone) is widely used as salvage therapy but is associated with significant toxicities, including renal dysfunction and severe myelosuppression. The modified DHAP protocol fractionates cisplatin and cytarabine administration to reduce nephrotoxicity, improve tolerability, and potentially allow outpatient treatment. A total of 74 patients will be randomized (37 per arm) to receive either the modified or standard DHAP regimen. The primary endpoint is overall response rate (ORR) assessed by RECIL 2017 criteria. Secondary endpoints include progression-free survival (PFS), toxicity incidence and severity graded by CTCAE, and quality of life measured by EORTC QLQ-C30. The study anticipates that the modified DHAP regimen will demonstrate comparable or superior efficacy with reduced severe toxicities, shorter hospital stays, and improved patient satisfaction. Findings may support transitioning DHAP into outpatient administration, optimizing healthcare resource utilization in Pakistan.
Take a new drug combined with chemotherapy for T-cell lymphoma
In this study, the XNW5004 tablets combined with CHOP/CHOEP will be used for the treatment of newly diagnosed PTCL patients.
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