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OncoMatch/Clinical Trials/NCT04866654

Radiation Free Chemotherapy for Early Hodgkin Lymphoma

Is NCT04866654 recruiting? Yes, currently enrolling (Jun 2026). This Phase 2 trial studies Nivolumab 10 MG/ML for hodgkin lymphoma.

Phase 2RecruitingMedical University of GdanskNCT04866654Data as of Jun 2026Location: Italy · Poland · Spain

Treatment: Nivolumab 10 MG/MLThe results of the present study will provide information on short-term safety and efficacy of a iPET and MTV-adapted therapeutic strategy, aimed to assess the feasibility and safety on immediate disease control of a standard ABVD chemotherapy without any further treatment in patients with a very low risk or treatment failure. A second very important endpoint will be the efficacy of INRT "on demand" followed by Nivolumab maintenance for one year to rescue patients failing first-line treatment and relapsing with the pattern of "limited relapse" in terms of 3-Y failure from 2 relapse (FF2R). Patients entering into the study will be also asked to participate to a long-term follow up study (beyond ten years) to assess the prevalence of late-onset cardiovascular effects and secondary tumors in the cohort of patients enrolled in the experimental and control arm of the study. An exploratory endpoint has been also added such as the role of Minimal Residual Disease (MRD) detection by cell-free DNA assay on peripheral blood samples obtained during treatment in predicting long-term disease control.

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Extracted eligibility criteria

Treatments studied

Immunotherapy

Nivolumab 10 MG/ML

Cancer type

Hodgkin Lymphoma

Disease stage

Required: Stage I, II

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Demographics

Ages ≤ 60

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Lab requirements

Blood counts

Hemoglobin > 8 gr./dL; Absolute neutrophil count ≥ 1,000/μL; Platelet count ≥ 100,000/μL

Kidney function

Serum Creatinine < 2.0 mg/dL and/or Creatinine clearance or calculated Creatinine clearance > 40 mL/minute

Liver function

Total bilirubin must be < 2.0 x ULN unless known Gilbert syndrome; ALT or AST must be < 3 x ULN

Cardiac function

A left-ventricular ejection fraction < 50% [excluded]; Myocardial infarction within 2 years of study entry [excluded]

Hemoglobin must be > 8 gr./dL; Absolute neutrophil count ≥ 1,000/μL; Platelet count ≥ 100,000/μL; Serum Creatinine < 2.0 mg/dL and/or Creatinine clearance or calculated Creatinine clearance > 40 mL/minute; Total bilirubin must be < 2.0 x ULN unless known Gilbert syndrome; ALT or AST must be < 3 x ULN; A left-ventricular ejection fraction < 50% [excluded]; Myocardial infarction within 2 years of study entry [excluded]

Structured fields extracted by AI. May contain errors — verify against the official protocol.

Frequently asked questions

Is NCT04866654 currently recruiting?

Yes, this trial is currently recruiting patients.

Can patients have received prior systemic therapy?

No. This trial requires treatment-naive patients — prior systemic therapy is an exclusion criterion.

What disease stage is eligible?

Stage I or II is required.

Is there an age limit?

Yes. Patients must be 60 years or younger.

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

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