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. 2019 Sep 16;2019(9):CD012643. doi: 10.1002/14651858.CD012643.pub2
Trial name or title HD16 for Early Stages ‐ Treatment optimisation trial in the first‐line treatment of early stage Hodgkin lymphoma; treatment stratification by means of FDG‐PET
Starting date November 2009
Contact information Prof. Dr. Andreas Engert, University of Cologne, Germany
Notes Study design
  • Randomised clinical trial (phase III) including 1150 participants with HL


Country/treatment centre
  • 1st Department of Medicine, Cologne University Hospital, Cologne, Germany


Number of included participants
  • Total: 1150


Inclusion criteria
  • Hodgkin lymphoma

  • Adults (18 to 75 years)

  • CS I and II without risk factors (large mediastinal mass (> 1/3 of maximum transverse thorax diameter), extranodal involvement, elevated ESR, three or more involved nodal areas)

  • Written informed consent


Exclusion criteria
  • Leukocytes < 3000/µl

  • Platelets < 100000/µl

  • Hodgkin lymphoma as composite lymphoma

  • Activity index (WHO) > 2


Arms and interventions
  • Active comparator (A): two cycles ABVD followed by 20 Gy IF‐RT, irrespective of FDG‐PET results after chemotherapy

  • Expertimental (B): two cycles ABVD followed by 20 Gy IF‐RT if FDG‐PET is positive after chemotherapy; 2 cycles ABVD and treatment stop if FDG‐PET is negative after chemotherapy


Primary outcome measure(s)
  • Progression‐free survival

  • Time frame: five years


Secondary outcome measure(s)
  • Overall survival

  • Acute toxicity

  • Late toxicity

  • Complete response rate

  • Time frame: five years


Estimated study completion date
  • May 2020

ESR: erythrocyte sedimentation rate; FDG: [18F]‐fluorodeoxy‐D‐glucose; HL: Hodgkin lymphoma; IF‐RT :involved‐field radiation therapy; MDCT: multi detector computed tomography; WHO: World Health Organization