Avastin (Bevacizumab) in Combination With ABVD for the Treatment of Newly Diagnosed Advanced Stage Classical Hodgkin Lymphoma
Inclusion Criteria:
- 18 years of age or older
- Biopsy proven classical Hodgkin lymphoma. Classical Hodgkin lymphoma includes the
subtypes of nodular sclerosis, mixed cellularity, lymphocyte rich, lymphocyte
depleted, and classical Hodgkin lymphoma unspecified
- Advanced stage (Stage III or IV) disease
- Measurable disease on cross sectional imaging
- ECOG Performance Status 0-2
- Adequate blood counts and organ function
Exclusion Criteria:
- Pregnant or lactating women
- Laboratory Parameters as outlined in the protocol
- LV ejection fraction lower than normal as assessed by echocardiogram or MUGA scan
- DLCO less than 60% as measured by pulmonary function tests
- Prior history of another malignancy (except for non-melanoma skin cancer or in situ
cervical or breast cancer) unless disease free for over one year
- Current or recent (within 4 weeks of the first infusion of this study) participation
in an experimental drug study
- Life expectancy of less than 12 weeks
- Inability to comply with study procedures
- Inability to give informed consent
- Inadequately controlled hypertension
- Any prior history of hypertensive crisis or hypertensive encephalopathy
- NYHA Grade II or greater congestive heart failure
- History of myocardial infarction or unstable angina within 6 months prior to study
enrollment
- History of stroke or transient ischemic attack within 6 months prior to study
enrollment
- Known CNS involvement of Hodgkin lymphoma
- Significant vascular disease
- Symptomatic peripheral vascular disease
- Evidence of bleeding diatheses or coagulopathy
- Use of daily anticoagulant medications including warfarin, heparins, or aspirin
>325mg daily
- Major surgical procedure or significant traumatic injury within 28 days prior to
study enrollment or anticipation of need for major surgical procedure during the
course of the study
- Core biopsy or other minor surgical procedure, excluding placement of a vascular
access device, within 7 days of study enrollment
- History of abdominal fistula, gastrointestinal perforation, or intra-abdominal
abscess within 6 months prior to study enrollment
- Serious, non-healing wound, ulcer, or bone fracture
- Proteinuria at screening
- Known hypersensitivity to any component of bevacizumab
- Pregnant or lactating