Table 5.

Summary of retrospective and prospective studies for cHL in older patients

NPeriodAge (range), yAdvanced stageTreatmentCR rateToxic deathInfectious toxicities PFSOS
Retrospective studies 
Evens et al4  95  1999-2009 67
60-89 
64% ABVD 75% 6% — 44% at 5 y 58% at 5 y 
Stamatoullas et al5  147 1997-2012 68
60-88 
57% ABVD 80% 10% — — 67% at 5 y 
Orellana-Noia et al30  190  2010-2018 67
60-88 
64% ABVD, AVD, BV+AVD, Stanford V — 3.3% — 67% at 3 y 87% at 3 y 
Wahlin et al40  691 2000-2014 —61-99 51% ABVD
CHOP 
— — — — 75% at 5 y
≈40% at 5 y 
Cheng et al31  401 2000-2019 70
60-93 
72% ABVD, AVD,
BV+AVD,
Others 
— 5% — 50% at 5 y 54% at 5 y 
Övergaard et al32  1554 2000-2021 70
60-94 
— ABVD
AVD
CHOP
Other 
    63% at 5 y
64% at 5 y
46% at 5 y
39% at 5 y 
Prospective studies 
Böll et al6  59 2004-2007 68
60-75 
100% PVAG 78% 2% G3/4 infections: 23% 58% at 3 y 66% at 3 y 
Proctor et al7  103 2004-2009 73
61-85 
70% VEPEMB 65% 3% FN: 16%
G3/4 infections: 3% 
53% at 3 y 62% at 3 y 
Evens et al19  45 1999-2006 65
60-83 
93% ABVD vs
Stanford V 
64% 9% FN: 8%
FN: 15% 
48% at 5 y 58% at 5 y 
Böll et al29 
 
49 2015-2017 66
60-84 
100% BV-CAP 65%§  2% FN: 27%
G3/4 infections: 33% 
74% at 1 y 92% at 1 y 
Evens et al23  48 2012-2016 69
60-88 
81% BV × 2 AVD × 6
BV × 4 
93%§  2% FN: 8% 84% at 2 y 93% at 2 y 
Evens et al28 
 
186 2012-2016 67
60-83 
100% ABVD vs
BV-AVD 
71%§,
74%§  
4.4% FN: 17%
FN: 37% 
67% at 5 y
62% at 5 y 
— 
Torka et al41  33 —   Nivolumab AVD × 6 97%§  0% FN: 8% 86% at 2 y 96% at 2 y 
PVAB study 89 2015-2018 68
61-88 
100% PVAB 77%§  4% FN: 7%
G3/4 infections: 10% 
50% at 4 y 69% at 4 y 
NPeriodAge (range), yAdvanced stageTreatmentCR rateToxic deathInfectious toxicities PFSOS
Retrospective studies 
Evens et al4  95  1999-2009 67
60-89 
64% ABVD 75% 6% — 44% at 5 y 58% at 5 y 
Stamatoullas et al5  147 1997-2012 68
60-88 
57% ABVD 80% 10% — — 67% at 5 y 
Orellana-Noia et al30  190  2010-2018 67
60-88 
64% ABVD, AVD, BV+AVD, Stanford V — 3.3% — 67% at 3 y 87% at 3 y 
Wahlin et al40  691 2000-2014 —61-99 51% ABVD
CHOP 
— — — — 75% at 5 y
≈40% at 5 y 
Cheng et al31  401 2000-2019 70
60-93 
72% ABVD, AVD,
BV+AVD,
Others 
— 5% — 50% at 5 y 54% at 5 y 
Övergaard et al32  1554 2000-2021 70
60-94 
— ABVD
AVD
CHOP
Other 
    63% at 5 y
64% at 5 y
46% at 5 y
39% at 5 y 
Prospective studies 
Böll et al6  59 2004-2007 68
60-75 
100% PVAG 78% 2% G3/4 infections: 23% 58% at 3 y 66% at 3 y 
Proctor et al7  103 2004-2009 73
61-85 
70% VEPEMB 65% 3% FN: 16%
G3/4 infections: 3% 
53% at 3 y 62% at 3 y 
Evens et al19  45 1999-2006 65
60-83 
93% ABVD vs
Stanford V 
64% 9% FN: 8%
FN: 15% 
48% at 5 y 58% at 5 y 
Böll et al29 
 
49 2015-2017 66
60-84 
100% BV-CAP 65%§  2% FN: 27%
G3/4 infections: 33% 
74% at 1 y 92% at 1 y 
Evens et al23  48 2012-2016 69
60-88 
81% BV × 2 AVD × 6
BV × 4 
93%§  2% FN: 8% 84% at 2 y 93% at 2 y 
Evens et al28 
 
186 2012-2016 67
60-83 
100% ABVD vs
BV-AVD 
71%§,
74%§  
4.4% FN: 17%
FN: 37% 
67% at 5 y
62% at 5 y 
— 
Torka et al41  33 —   Nivolumab AVD × 6 97%§  0% FN: 8% 86% at 2 y 96% at 2 y 
PVAB study 89 2015-2018 68
61-88 
100% PVAB 77%§  4% FN: 7%
G3/4 infections: 10% 
50% at 4 y 69% at 4 y 

CHOP, cyclophosphamide, doxorubicin, vincristine, and prednisone; PVAG, prednisone, vinblastine, doxorubicin, and gemcitabine; VEPEMB, vinblastine, cyclophosphamide, procarbazine, prednisolone, etoposide, mitoxantrone, and bleomycin; BV-CAP, brentuximab vedotin, cyclophosphamide, doxorubicin, and prednisone; FN, febrile neutropenia; G3/4, grade 3 or 4.

Documented for prospective studies.

67 patients treated with ABVD.

244 patients, including 190 patients treated with conventional therapies and 54 with alternative regimens.

§

Evaluation by PET/CT.

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