Hodgkin lymphoma
Hodgkin lymphoma is one of the most curable cancers, where the goal is now to cure with less toxicity, using brentuximab and, from 2026, first-line nivolumab.
Classical Hodgkin lymphoma is a B-cell cancer in which rare, giant Reed-Sternberg cells (about 1% of the mass) recruit an inflammatory microenvironment and hide behind amplified PD-L1. It peaks in young adults and again after 55, is staged with PET-CT and the Lugano system, and is cured in more than 85% of patients overall and in over 90% of early-stage disease. Because most patients are young and will live for decades, the field's defining problem is not cure but the cost of cure: anthracycline heart disease, bleomycin lung injury, infertility, and second cancers from alkylators and radiation.
That is why Hodgkin lymphoma pioneered response-adapted therapy. Interim PET after two cycles (Deauville score) steers de-escalation (drop bleomycin after negative PET2 in RATHL; omit radiotherapy in early stage in HD16/HD17/RAPID at a small PFS cost) or escalation to BEACOPP-type regimens. Two ADC- and immunotherapy-based regimens then replaced ABVD for advanced disease: brentuximab vedotin-AVD (ECHELON-1, overall survival benefit) and, from March 2026, nivolumab-AVD (SWOG S1826, PFS HR 0.45 versus BV-AVD, neuropathy halved, children and adults together). In Europe, GHSG HD21's PET-guided BrECADD matches escalated BEACOPP's ~94% PFS with far less toxicity. Relapse is treated with PD-1 blockade (pembrolizumab beat brentuximab in KEYNOTE-204), brentuximab, salvage chemotherapy and autologous transplant, with brentuximab consolidation for high-risk patients (AETHERA); allogeneic transplant and CD30 CAR-T are options for the few who fail everything.
The next questions are how far chemotherapy can be removed. AHOD2131 tests brentuximab-nivolumab in early-stage disease across children and adults; ctDNA may replace PET for steering; older patients, who have half the cure rate of young ones, need regimens they can tolerate (nivolumab-AVD, brentuximab-based). Survivorship care for the tens of thousands cured decades ago, and the shift from radiotherapy to systemic de-escalation, remain the field's distinctive concerns.
State of the art today
- Immunotherapy in first line with less toxicity.
- Interim PET steers therapy for nearly every patient: bleomycin omission (RATHL), radiotherapy omission (HD16/17, RAPID), cycle number (HD18, HD21).
- Radiotherapy is disappearing from advanced-stage care (<1% in S1826) and being minimised in early stage.
- PD-1 blockade is the most effective single agent in any lymphoma relapse (ORR ~70%), and beat brentuximab head to head (KEYNOTE-204).
- Cure rates above 90% in young patients shift the research agenda to late effects and to older adults.
Show survival figures (2)
Averages across everyone diagnosed, often years ago. Your stage, subtype, age, fitness and the treatment you receive matter more than the average, and the numbers are improving quickly.
- Nivolumab-AVD is the new frontline standard for advanced disease (S1826: 2-year PFS 92%, neuropathy halved), approved March 2026 for ages 12 and up.
- Two intensive but de-toxified European options: PET-guided BrECADD (HD21) achieves ~94% 5-year PFS with 40% less morbidity than eBEACOPP.
Show survival figures (1)
Averages across everyone diagnosed, often years ago. Your stage, subtype, age, fitness and the treatment you receive matter more than the average, and the numbers are improving quickly.
- ~83,000 new cases and ~23,000 deaths a year worldwide; ~8,500 US cases; bimodal age peaks (20-30 and >55); five-year survival ~89% overall in high-income countries.
Where the cases are
Site: Hodgkin lymphoma. World: 82,469 new cases, 22,733 deaths.
| # | Country | New cases | Deaths | Incidence ASR |
|---|---|---|---|---|
| 1 | India | 9,611 | 3,522 | |
| 2 | United States of America | 8,536 | 929 | |
| 3 | China | 4,363 | 1,931 | |
| 4 | Russian Federation | 3,015 | 774 | |
| 5 | Brazil | 2,667 | 640 | |
| 6 | Germany | 2,419 | 330 | |
| 7 | Mexico | 2,341 | 659 | |
| 8 | United Kingdom | 2,270 | 310 | |
| 9 | Italy | 2,190 | 425 | |
| 10 | Nigeria | 1,989 | 920 |
Nivolumab-AVD (2026) or BV-AVD; PET-adapted.
ABVD × 2 + involved-site radiotherapy 20 Gy (HD10), or PET-adapted omission of radiotherapy after 3 cycles if PET-negative (RAPID, HD16) accepting ~5% lower PFS; AHOD2131 tests BV-nivo.
ABVD × 4 + ISRT 30 Gy, or escalated BEACOPP × 2 + ABVD × 2 + RT (HD14/HD17 PET-guided); nivolumab- or BV-containing regimens in trials.
Nivolumab-AVD × 6 (S1826; approved March 2026, no routine radiotherapy) or BV-AVD × 6 with G-CSF (ECHELON-1); in Europe PET-guided BrECADD × 4-6 (HD21) or eBEACOPP; PET-adapted ABVD/AVD (RATHL) where novel agents unavailable.
Nivolumab-AVD (S1826 included older adults with less toxicity than BV-AVD); sequential brentuximab → AVD → brentuximab; avoid bleomycin; ABVD/AVD with dose adaptation.
Salvage (ICE, DHAP, GVD, BV-nivolumab or pembrolizumab-GVD) → PET-negative → high-dose therapy and autologous transplant; brentuximab consolidation for high-risk (AETHERA); PD-1 maintenance in trials.
Pembrolizumab (KEYNOTE-204) or nivolumab; brentuximab vedotin if not yet given; BV + nivolumab; allogeneic transplant for fit patients after response; CD30 CAR-T in trials; palliative radiotherapy or bendamustine.
Risk-adapted OEPA/COPDAC (EuroNet-PHL-C2) or ABVE-PC with brentuximab (AHOD1331, EFS benefit) and PET-guided radiotherapy omission; S1826 and AHOD2131 now enrol from age 12 or 5.
Lifelong surveillance for cardiac disease (anthracycline, mediastinal RT), breast cancer screening from 8 years after chest RT in women, thyroid and lung checks, fertility counselling before therapy.
Subtypes & biomarkers
top- Classical Hodgkin lymphoma : nodular sclerosis (most common in young adults), mixed cellularity, lymphocyte-rich, lymphocyte-depleted
- Nodular lymphocyte-predominant B-cell lymphoma (reclassified 2022; indolent, CD20+, rituximab-responsive)
- Early stage (I-II) favourable vs unfavourable (bulk, ESR, ≥3 sites)
- Advanced stage (III-IV); IPS 0-7 risk score
- Paediatric / adolescent-young-adult vs older (>60) disease
- EBV-positive (more common in children, older adults, and low-income settings)
- Interim PET (Deauville)
- CD30
- PD-L1 (9p24.1 amplification)
- Interim PET (Deauville score) after cycle 2
- CD30 and CD15 on Reed-Sternberg cells; CD20 in NLPBL
- 9p24.1 (PD-L1/PD-L2) amplification
- EBV status (EBER)
- International Prognostic Score (IPS)
- Baseline metabolic tumour volume
- ctDNA (research; PhasED-seq)
- Soluble CD30 (research)
Target prevalence in this cancer
- 1832Thomas Hodgkin describes the disease; Reed and Sternberg characterise the cell (1898-1902)
- 1950Peters shows extended-field radiotherapy can cure early-stage disease
- 1964MOPP: first combination chemotherapy cure
- 1964MOPP: the first combination chemotherapy to cure an advanced cancer (DeVita, NCI)
- 1975ABVD introduced (Bonadonna); becomes global standard by the 1990s
- 1992Escalated BEACOPP developed by the German Hodgkin Study Group
- 2000Autologous transplant standard for relapse; late-effects registries reveal cardiac and second-cancer burden
- 2011Brentuximab vedotin approved
- 2011Brentuximab vedotin approved for relapsed disease; CD30 validated as an ADC target
- 2014Lugano classification formalises PET staging and the Deauville scale
- 2015AETHERA: brentuximab consolidation after transplant
- 2016RATHL: bleomycin dropped after negative interim PET; nivolumab approved for relapse (CheckMate 205)
- 2018ECHELON-1: BV-AVD approved frontline; radiotherapy omission trials (RAPID, HD16/17) report
- 2020KEYNOTE-204: pembrolizumab beats brentuximab in relapse
- 2022ECHELON-1 shows overall survival benefit; WHO reclassifies nodular lymphocyte-predominant disease
- 2023SWOG S1826: nivolumab-AVD beats BV-AVD (ASCO plenary)
- 2024HD21 (BrECADD) published in Lancet; S1826 in NEJM
- 2026Nivolumab-AVD approved first line
- 2026Nivolumab-AVD approved by FDA (20 March) for ages 12+; HD21 5-year data confirm BrECADD
Open problems
- Late toxicity in survivors.
- Older patients.
- Late effects dominate: cardiac disease, breast and lung cancer after mediastinal radiotherapy, infertility; survivors need lifelong surveillance that most health systems do not organise.
- Older patients (>60) have roughly half the cure rate and double the toxicity; the best regimen for them is unsettled.
- The ~10-15% with primary refractory or early-relapsing disease still need transplant; those failing PD-1 blockade have few options beyond allogeneic transplant.
- Interim PET has limited positive predictive value; ctDNA-guided designs are unproven.
- Access: brentuximab and nivolumab are costly and unavailable in many countries where EBV-positive Hodgkin lymphoma is common in children.
- Nodular lymphocyte-predominant disease is now a separate entity with little trial evidence of its own.
- Radiotherapy omission trades a few percent of PFS for lower late toxicity; the right trade-off differs by age and sex.
Trials
topRecruiting now (live from ClinicalTrials.gov)
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Landmark trials in OnCo
Expert centres
topCentres linked to this cancer in OnCo
- via this cancer
- Johns Hopkins Hospital / Sidney Kimmel Comprehensive Cancer CenterBaltimore, USNewsweek oncology #10NCI comprehensivevia Pembrolizumab
- via this cancer
- German Hodgkin Study GroupCologne, DEvia this cancer, GHSG HD21, Nivolumab, Brentuximab vedotin +2
- Children's Oncology Group (COG)Monrovia, CA, USvia this cancer, AHOD2131 (COG / NCTN), SWOG S1826
- SWOG Cancer Research NetworkPortland, OR, USvia this cancer, Nivolumab, SWOG S1826
- via IMRT / IGRT (modern external beam), Children's Oncology Group (COG), Cytotoxic chemotherapy
- BC CancerVancouver, BC, CAvia this cancer, Brentuximab vedotin
- Butaro Cancer Center of ExcellenceButaro, RWvia this cancer, Cytotoxic chemotherapy
- Cancer Research UKLondon, GBvia this cancer, RATHL
- via IMRT / IGRT (modern external beam), Children's Oncology Group (COG)
- German Breast Group (GBG)Neu-Isenburg, DEvia this cancer, GHSG HD21
- International Extranodal Lymphoma Study GroupBellinzona, CHvia FDG PET, IMRT / IGRT (modern external beam)
- Juravinski Cancer Centre / Escarpment Cancer Research InstituteHamilton, ON, CAvia this cancer, IMRT / IGRT (modern external beam)
- LYSA – The Lymphoma Study AssociationPierre-Bénite (Lyon), FRvia this cancer, FDG PET
- Nordic Lymphoma GroupStockholm, SEvia this cancer, Cytotoxic chemotherapy
- via IMRT / IGRT (modern external beam), Mammography & tomosynthesis
- via this cancer, FDG PET
- via this cancer, Cytotoxic chemotherapy
- Aarhus University HospitalAarhus, DKvia IMRT / IGRT (modern external beam)
- via Nivolumab
- Alliance for Clinical Trials in OncologyChicago, IL, USvia Pembrolizumab
- American Society for Radiation OncologyArlington, VA, USvia IMRT / IGRT (modern external beam)
- American Society of HematologyWashington, DC, USvia this cancer
- via Cytotoxic chemotherapy
- via German Breast Group (GBG)
- Centre Antoine LacassagneNice, FRvia IMRT / IGRT (modern external beam)
- Centre Oscar LambretLille, FRvia IMRT / IGRT (modern external beam)
- via IMRT / IGRT (modern external beam)
- Children's Cancer and Leukaemia GroupLeicester, GBvia Children's Oncology Group (COG)
- Children's Hospital of PhiladelphiaPhiladelphia, PA, USvia Children's Oncology Group (COG)
- Comprehensive Cancer Center Freiburg (CCCF)Freiburg im Breisgau, DEvia IMRT / IGRT (modern external beam)
- Dan L Duncan Comprehensive Cancer Center, Baylor College of MedicineHouston, TX, USNCI comprehensivevia this cancer
- via Nivolumab
- ECOG-ACRIN Cancer Research GroupPhiladelphia, PA, USvia Mammography & tomosynthesis
- European Hematology AssociationThe Hague, NLvia this cancer
- European Society for Radiotherapy and OncologyBrussels, BEvia IMRT / IGRT (modern external beam)
- GEICAM Spanish Breast Cancer GroupMadrid, ESvia Cytotoxic chemotherapy
- Geneva University Hospitals (HUG)Geneva, CHvia IMRT / IGRT (modern external beam)
- German Lymphoma AllianceHomburg, DEvia Cytotoxic chemotherapy
- GOG FoundationPhiladelphia, PA, USvia Pembrolizumab
- Groote Schuur Hospital / University of Cape TownCape Town, ZAvia IMRT / IGRT (modern external beam)
- via IMRT / IGRT (modern external beam)
- Hacettepe University Cancer InstituteAnkara, TRvia IMRT / IGRT (modern external beam)
- via IMRT / IGRT (modern external beam)
- Ho Chi Minh City Oncology HospitalHo Chi Minh City, VNvia IMRT / IGRT (modern external beam)
- Hokkaido University HospitalSapporo, JPvia IMRT / IGRT (modern external beam)
- Hospital de Amor (Barretos Cancer Hospital)Barretos, BRvia Mammography & tomosynthesis
- HOVONRotterdam, NLvia this cancer
- Hunan Cancer HospitalChangsha, CNvia IMRT / IGRT (modern external beam)
- Indiana University Melvin and Bren Simon Comprehensive Cancer CenterIndianapolis, IN, USNCI comprehensivevia Cytotoxic chemotherapy
- Institut BergoniéBordeaux, FRvia IMRT / IGRT (modern external beam)
- Institut Jules BordetBrussels, BEvia Pembrolizumab
- Institut National d'Oncologie, RabatRabat, MAvia IMRT / IGRT (modern external beam)
- Institut Salah AzaïezTunis, TNvia IMRT / IGRT (modern external beam)
- Institute of Oncology LjubljanaLjubljana, SIvia IMRT / IGRT (modern external beam)
- via IMRT / IGRT (modern external beam)
- via IMRT / IGRT (modern external beam)
- via this cancer
- IRCCS Humanitas Research HospitalRozzano (Milan), ITvia IMRT / IGRT (modern external beam)
- Istanbul University Institute of OncologyIstanbul, TRvia IMRT / IGRT (modern external beam)
- via Nivolumab
- via IMRT / IGRT (modern external beam)
- Kaiser Permanente Division of ResearchOakland, CA, USvia Mammography & tomosynthesis
- Kenyatta National HospitalNairobi, KEvia IMRT / IGRT (modern external beam)
- Korle Bu Teaching HospitalAccra, GHvia IMRT / IGRT (modern external beam)
- Kyoto University HospitalKyoto, JPvia Nivolumab
- Lagos University Teaching HospitalLagos, NGvia IMRT / IGRT (modern external beam)
- via Nivolumab
- via Pembrolizumab
- via IMRT / IGRT (modern external beam)
- via IMRT / IGRT (modern external beam)
- via IMRT / IGRT (modern external beam)
- Multinational Association of Supportive Care in CancerAurora, ON, CAvia Cardio-oncology
- National Cancer Center Hospital EastKashiwa, Chiba, JPvia Nivolumab
- National Cancer Center KoreaGoyang, KRvia Mammography & tomosynthesis
- National Cancer Institute (NIH)Bethesda, MD, USvia Children's Oncology Group (COG)
- via IMRT / IGRT (modern external beam)
- National Institute of Oncology, HungaryBudapest, HUvia IMRT / IGRT (modern external beam)
- Nationwide Children's HospitalColumbus, OH, USvia Children's Oncology Group (COG)
- via IMRT / IGRT (modern external beam)
- NSABP FoundationPittsburgh, PA, USvia German Breast Group (GBG)
- Ocean Road Cancer InstituteDar es Salaam, TZvia IMRT / IGRT (modern external beam)
- via IMRT / IGRT (modern external beam)
- Rajiv Gandhi Cancer Institute and Research CentreNew Delhi, INvia IMRT / IGRT (modern external beam)
- Rambam Health Care CampusHaifa, ILvia IMRT / IGRT (modern external beam)
- Rigshospitalet – Copenhagen University HospitalCopenhagen, DKvia IMRT / IGRT (modern external beam)
- Royal Adelaide HospitalAdelaide, AUvia IMRT / IGRT (modern external beam)
- via IMRT / IGRT (modern external beam)
- via Children's Oncology Group (COG)
- Siriraj Hospital, Mahidol UniversityBangkok, THvia IMRT / IGRT (modern external beam)
- Society of Nuclear Medicine and Molecular ImagingReston, VA, USvia FDG PET
- via Children's Oncology Group (COG)
- via Children's Oncology Group (COG)
- Tata Medical Center, KolkataKolkata, INvia IMRT / IGRT (modern external beam)
- Tawam HospitalAl Ain, AEvia IMRT / IGRT (modern external beam)
- Tel Aviv Sourasky Medical CenterTel Aviv, ILvia IMRT / IGRT (modern external beam)
- Texas Children's Cancer and Hematology CenterHouston, TX, USvia Children's Oncology Group (COG)
- The Hospital for Sick Children (SickKids)Toronto, ON, CAvia Children's Oncology Group (COG)
- TROG Cancer ResearchNewcastle, NSW, AUvia IMRT / IGRT (modern external beam)
- via Children's Oncology Group (COG)
- Uganda Cancer InstituteKampala, UGvia Cytotoxic chemotherapy
- UMC Utrecht Cancer CenterUtrecht, NLvia IMRT / IGRT (modern external beam)
- University Cancer Center Frankfurt (UCT)Frankfurt am Main, DEvia German Breast Group (GBG)
- University of Malaya Medical CentreKuala Lumpur, MYvia IMRT / IGRT (modern external beam)
- Velindre Cancer CentreCardiff, GBvia IMRT / IGRT (modern external beam)
- via IMRT / IGRT (modern external beam)
- via Nivolumab
- Zhejiang Cancer HospitalHangzhou, CNvia IMRT / IGRT (modern external beam)
Questions to ask
topQuestions to ask your oncologist about Hodgkin lymphoma
Newly diagnosed
- What is my exact diagnosis, stage, and grade, and which tests established them?Why: Everything else follows from an accurate stage and subtype.
- Which biomarkers have been tested on my tumour (for example Interim PET, CD30, PD-L1, Interim PETafter cycle 2, CD30 and CD15 on Reed-Sternberg cells; CD20 in NLPBL), and what were the results?Why: These results decide eligibility for targeted therapy, immunotherapy, and trials.
- Which subtype is my cancer, and does that change the recommended treatment?Why: Recognised subtypes for this cancer include Classical Hodgkin lymphoma: nodular sclerosis, mixed cellularity, lymphocyte-rich, lymphocyte-depleted, Nodular lymphocyte-predominant B-cell lymphoma, Early stagefavourable vs unfavourable.
- Is germline (inherited) genetic testing recommended for me or my family?Why: Inherited variants can change treatment and matter for relatives.
Advanced stage
- For my situation (advanced stage), which of the standard options do you recommend and why?Why: Guideline options include: Nivolumab-AVD (2026) or BV-AVD; PET-adapted.
- Am I a candidate for Nivolumab, Brentuximab vedotin, and what side effects should I expect?Why: Knowing the expected toxicities helps you plan work, family, and supportive care.
Early stage, favourable (I-II)
- For my situation (early stage, favourable (i-ii)), which of the standard options do you recommend and why?Why: Guideline options include: ABVD × 2 + involved-site radiotherapy 20 Gy (HD10), or PET-adapted omission of radiotherapy after 3 cycles if PET-negative (RAPID, HD16) accepting ~5% lower PFS; AHOD2131 tests BV-nivo.
- Am I a candidate for Doxorubicin, and what side effects should I expect?Why: Knowing the expected toxicities helps you plan work, family, and supportive care.
- How do the results of AHOD2131 (COG / NCTN) apply to someone like me?Why: Trial populations differ from individual patients; ask how closely you match.
Early stage, unfavourable (I-II bulky or risk factors)
- For my situation (early stage, unfavourable (i-ii bulky or risk factors)), which of the standard options do you recommend and why?Why: Guideline options include: ABVD × 4 + ISRT 30 Gy, or escalated BEACOPP × 2 + ABVD × 2 + RT (HD14/HD17 PET-guided); nivolumab- or BV-containing regimens in trials.
- Am I a candidate for Doxorubicin, and what side effects should I expect?Why: Knowing the expected toxicities helps you plan work, family, and supportive care.
Advanced stage (III-IV), age ≤60
- For my situation (advanced stage (iii-iv), age ≤60), which of the standard options do you recommend and why?Why: Guideline options include: Nivolumab-AVD × 6 (S1826; approved March 2026, no routine radiotherapy) or BV-AVD × 6 with G-CSF (ECHELON-1); in Europe PET-guided BrECADD × 4-6 (HD21) or eBEACOPP; PET-adapted ABVD/AVD (RATHL) where novel agents unavailable.
- Am I a candidate for Nivolumab, Brentuximab vedotin, and what side effects should I expect?Why: Knowing the expected toxicities helps you plan work, family, and supportive care.
- How do the results of SWOG S1826 and ECHELON-1 apply to someone like me?Why: Trial populations differ from individual patients; ask how closely you match.
Advanced stage, age >60
- For my situation (advanced stage, age >60), which of the standard options do you recommend and why?Why: Guideline options include: Nivolumab-AVD (S1826 included older adults with less toxicity than BV-AVD); sequential brentuximab → AVD → brentuximab; avoid bleomycin; ABVD/AVD with dose adaptation.
- Am I a candidate for Nivolumab, Brentuximab vedotin, and what side effects should I expect?Why: Knowing the expected toxicities helps you plan work, family, and supportive care.
- How do the results of SWOG S1826 apply to someone like me?Why: Trial populations differ from individual patients; ask how closely you match.
First relapse, transplant-eligible
- For my situation (first relapse, transplant-eligible), which of the standard options do you recommend and why?Why: Guideline options include: Salvage (ICE, DHAP, GVD, BV-nivolumab or pembrolizumab-GVD) → PET-negative → high-dose therapy and autologous transplant; brentuximab consolidation for high-risk (AETHERA); PD-1 maintenance in trials.
- Am I a candidate for Brentuximab vedotin, Nivolumab, Pembrolizumab, and what side effects should I expect?Why: Knowing the expected toxicities helps you plan work, family, and supportive care.
- How do the results of AETHERA apply to someone like me?Why: Trial populations differ from individual patients; ask how closely you match.
Relapse after transplant or transplant-ineligible
- For my situation (relapse after transplant or transplant-ineligible), which of the standard options do you recommend and why?Why: Guideline options include: Pembrolizumab (KEYNOTE-204) or nivolumab; brentuximab vedotin if not yet given; BV + nivolumab; allogeneic transplant for fit patients after response; CD30 CAR-T in trials; palliative radiotherapy or bendamustine.
- Am I a candidate for Pembrolizumab, Nivolumab, Brentuximab vedotin, and what side effects should I expect?Why: Knowing the expected toxicities helps you plan work, family, and supportive care.
- How do the results of KEYNOTE-204 and CheckMate 205 apply to someone like me?Why: Trial populations differ from individual patients; ask how closely you match.
Paediatric (COG / EuroNet)
- For my situation (paediatric (cog / euronet)), which of the standard options do you recommend and why?Why: Guideline options include: Risk-adapted OEPA/COPDAC (EuroNet-PHL-C2) or ABVE-PC with brentuximab (AHOD1331, EFS benefit) and PET-guided radiotherapy omission; S1826 and AHOD2131 now enrol from age 12 or 5.
- Am I a candidate for Brentuximab vedotin, and what side effects should I expect?Why: Knowing the expected toxicities helps you plan work, family, and supportive care.
Survivorship
- For my situation (survivorship), which of the standard options do you recommend and why?Why: Guideline options include: Lifelong surveillance for cardiac disease (anthracycline, mediastinal RT), breast cancer screening from 8 years after chest RT in women, thyroid and lung checks, fertility counselling before therapy.
Any stage
- Are there clinical trials I could join, for example of AHOD2131 (COG / NCTN), Chemotherapy-free Hodgkin lymphoma: brentuximab + PD-1 in early stage, CD30 CAR-T for multiply relapsed Hodgkin lymphoma, ctDNA monitoring in lymphoma (PhasED-seq, clonoSEQ)?Why: Trials are how the next standard of care is set; asking early keeps options open.
- Would a second opinion at a high-volume centre change anything, and can you help arrange it?Why: Rare or high-stakes decisions benefit from a centre that treats many similar patients.
- What supportive care (symptom control, nutrition, exercise, mental health, financial help) is available from the start?Why: Supportive care improves quality of life and helps patients complete treatment.
- I read that “Late toxicity in survivors”. How does that affect my plan?Why: Open problems are where trials and second opinions matter most.
- I read that “Older patients”. How does that affect my plan?Why: Open problems are where trials and second opinions matter most.
Print this page for your appointment (your browser's print command). These prompts are for discussion; your clinical team knows your case.
Direct links plus the targets, companies, and technologies of this cancer's products.
technologies
13targets
3drugs
8companies
6institutions
19pathways
1terms
12trials
8pairings
3ideas
14collections
2people
2bottlenecks
2key papers
2S1826 moved checkpoint blockade into first-line Hodgkin lymphoma and made N-AVD a preferred regimen for advanced disease in patients from adolescence to older age, while removing radiotherapy for most. It also showed the value of a single trial spanning paediatric and adult groups. Longer follow-up is needed for overall survival and late immune effects in young patients.
ECHELON-1 made a targeted antibody-drug conjugate part of first-line Hodgkin therapy and eventually showed that this saves lives, not just relapses. It set the reference arm against which nivolumab-AVD (SWOG S1826) and BrECADD (HD21) were later compared. Neuropathy is the main price and needs proactive dose modification.
Latest papers
topQuery for this cancer: (TITLE:"Hodgkin lymphoma" OR ABSTRACT:"Hodgkin lymphoma") AND (treatment OR therapy OR trial OR survival OR diagnosis). Results are unfiltered search hits about Hodgkin lymphoma, not a curated reading list.
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