Table 10. Treatment strategies for newly-diagnosed classic Hodgkin lymphoma.
| Stage | Stratification | Category I recommendations | Category II recommendations |
| ABVD, doxorubicin, bleomycin, vinblastine and dacarbazine; AVD, doxorubicin, vinblastine and dacarbazine; BEACOPP, bleomycin, etoposide, doxorubicin, cyclophosphamide, vincristine, procarbazine and prednisone; ISRT, involved-site radiotherapy. | |||
| I−II | Favorable | ABVD × (2−4) cycles + ISRT (20 Gy)
(Level 1A evidence) ABVD × 2 cycles + dose-escalated BEACOPP × 2 cycles + ISRT (30 Gy) (Level 1A evidence) |
|
| Unfavorable | ABVD × 4 cycles + ISRT (30 Gy)
(Level 1A evidence) ABVD × 2 cycles + dose-escalated BEACOPP × 2 cycles + ISRT (30 Gy) (Level 1A evidence) |
Dose-escalated BEACOPP × 2 cycles + ABVD × 2 cycles + ISRT (30 Gy)
(Level 1B evidence) |
|
| III−IV | ABVD × 6 cycles ± ISRT
(Level 1A evidence) Dose-escalated BEACOPP × (4−6) cycles ± ISRT (Level 1A evidence) ABVD × 2 cycles + AVD × 4 cycles ± ISRT (Level 1A evidence) |
ABVD × 2 cycles + dose-escalated BEACOPP × 4 cycles ± ISRT
(Level 2B evidence) Brentuximab vedotin + AVD × 6 cycles ± ISRT (Level 1B evidence) |
|