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. 2020 Jan 13;2020(1):CD012643. doi: 10.1002/14651858.CD012643.pub3
Study No. of participants analysed Timing of interim PET scan Unadjusted results for interim PET
Andre 2017 Favourable:
N = 371 standard arm
Unfavourable:
N = 583 standard arm
PET2 *PET‐negative
Favourable group: N = 2 events (both relapses) in the ABVD + INRT arm, ITT 5‐year PFS rate was 99.0% (95% CI 3.8 to 66.1)
Unfavourable group: N = 22 events (16 relapses and 6 deaths not related to HL), ITT 5‐year PFS rate was 92.1% (95% CI 88.0 to 94.8)
*Results presented here are only for participants without interim PET adaptation (ABVD + INRT arm). Unclear how many of these participants were PET‐positive or PET‐negative.
In total (all participants included in the study), there were 465 PET‐negative participants and 361 PET‐positive participants.
*PET‐positive
N = 41 events (36 relapses and 5 deaths not related to HL) in the ABVD + INRT arm, ITT 5‐year PFS rate was 77.4% (95% CI 70.4 to 82.9)
Casasnovas 2019 Standard arm
N = 413
PET2 PET2 results (N = 398)
Intention‐to‐treat analysis
PET2‐negative N = 349 participants (88%), 5‐year PFS = 88.4% (95% CI 83.3 to 92)
PET2‐positive N = 49 participants (12%), 5‐year PFS = 73.5% (95% CI 58.7 to 83.6)
Results for entire standard arm
5‐year PFS = 86.2% (95% CI 81.6 to 89.8)
41 participants relapsed or progressed, 14 deaths
Comment: Logrank test for difference between groups in the standard arm after PET2 was not reported and could not be obtained.
Per‐protocol analysis
N = 372 participants
5‐year PFS = 86.7% (95% CI 81.9 to 90.3) for entire arm
Gallamini 2014 260 (stages IIA ‐ IV) PET2 PET‐negative N = 215, 12 events (progression N = 7, relapse N = 5), 3‐year PFS = 95%
PET‐positive N = 45, 33 events (progression N = 27, relapse N = 6), 3‐year PFS = 28%
Logrank test for difference between groups: P < 0.0001
Hutchings 2014 121 (all stages) PET1 (N = 121)
PET 2 (N = 89)
PET1 results (N = 126)
PET‐negative N = 89, 5 events (relapse), 2‐year PFS = 94.1%
PET‐positive N = 37, 22 events (17 primary refractory disease, 5 relapses), 2‐year PFS = 40.8%
Log‐rank test for difference between groups: P < 0.01
PET1 vs. PET2 results (N = 89)
Participants scanned after PET1 and 2
PET1‐negative 2‐year PFS = 98.3%
PET1‐positive 2‐year PFS = 38.5%
PET2‐negative 2‐year PFS = 90.2%
PET2‐positive 2‐year PFS = 23.1%
14 PET1‐positive converted to a PET2‐negative (6 progressed). All PET1‐negative were also PET2‐negative.
Markova 2012 69 (advanced stages) PET4 PET‐negative N = 51, 2 events (1 relapse and 1 death), % of PFS not reported
PET‐positive N = 18, 4 events (progression or relapse), % of PFS not reported
Log‐rank test for difference between groups: P = 0.016
Oki 2014 229 (all stages) PET2 3‐year PFS rates in PET2‐negative versus PET–positive by disease subgroups
Early stage favourable: 100% vs. 100%
Early stage unfavourable: 91.5% vs. 56.3% (P < 0.0001)
Early stage non‐bulky: 95.9% vs. 76.9% (P = 0.0018)
Stage II bulky: 83.3% vs. 20% (P = 0.017)
Advanced stage with IPS≤2: 77.0% vs. 30.0% (P < 0.001)
Advanced stage with IPS≥3: 71.0% vs. 44.4% (P = 0.155)
Okosun 2012 23 (stages II ‐ IV) PET2 or PET3 PET‐negative: N = 21, no events, 2‐year PFS = 100%
PET‐positive: N = 2, 1 event (treatment failure), 2‐year PFS = 50%
Log‐rank test for difference between groups: P = 0.0012