Conditions: Lymphoma
Keywords: Lymphoma Hodgkin's Disease Stage III and IV Adriamycin Doxorubicin Rubex Bleomycin Bleomycin Sulfate BLM Dacarbazine DTIC-DOME Interferon-2A Interferon-Alfa-2a Roferon-A Velban Vinblastine
Allocation: NA | Intervention model: SINGLE_GROUP
Enrollment: 35
Healthy volunteers: no

Brief summary:
This is a clinical research study of interferon (IFN) plus chemotherapy with the standard combination of Adriamycin, Bleomycin, Velban, and Dacarbazine (ABVD). The treatment will be given to patients with Hodgkin's disease. The study will look at whether adding IFN to ABVD improves the immune response against Hodgkin's disease, and will determine whether the toxicity of ABVD is increased by adding IFN.

Detailed description:
Each treatment cycle will last 2 weeks. On days 1 - 4 of each cycle, patients will be given a shot of IFN under the skin. On day 4, patients will be given ABVD through a vein over one-hour.

The plan is for patients to receive 12 cycles of treatment. However, patients will leave the study if they have severe side effects or if the cancer grows or spreads. They will also leave if the cancer does not improve after 6 cycles. Patient who leave the study will be offered other treatments. A maximum of 35 patients will be treated with that dose.

Before the first treatment, patient will have a physical exam, blood tests, and a heart scan. Within 1 month of starting treatment, patients will have a chest X-ray, CT scans of the abdomen and pelvis, and a gallium scan.

During the study, patient will have blood tests every week and a physical exam every 2 weeks. The X-ray, CT scans, and gallium scan will be repeated after cycles 6 and 12.

All the drugs in this study are approved by the U.S. Food and Drug Administration and are available by prescription. ABVD is a standard treatment for Hodgkin's disease; IFN is an investigational treatment for Hodgkin's disease. About 35 patients will be enrolled in the study. All treatment will be given in the outpatient clinic at M.D. Anderson Cancer Center.

Arms:
arm 1: Interferon-2A 4 (x106 IU/m\^2) subcutaneously Day 1 - 4 + ABVD Chemotherapy on Day 4 (ABVD: Adriamycin 25 mg/m2 intravenous (IV), Bleomycin 10 mg/m\^2 IV, Velban 6 mg/m2 IV, and Dacarbazine 375 mg/m2 IV)

Interventions: intervention 1: Interferon-2A intervention 2: Adriamycin intervention 3: Bleomycin intervention 4: Velban intervention 5: Dacarbazine
Intervention descriptions: intervention 1: 4 (x106 IU/m\^2) subcutaneously on days 1-4. intervention 2: 25 mg/m\^2 by vein on day 4. intervention 3: 10 mg/m\^2 by vein on day 4. intervention 4: 6 mg/m\^2 by vein on day 4. intervention 5: 375 mg/m\^2 by vein on day 4.

Protocol document: