OnCo
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ABVD, BEACOPP and BrECADD (Hodgkin lymphoma regimens)

aka ABVD, A+AVD, AVD, BV-AVD, brentuximab vedotin-AVD, BEACOPP, escalated BEACOPP, eBEACOPP, BrECADD, N-AVD, nivolumab-AVD, Stanford V

The chemotherapy recipes that cure most Hodgkin lymphoma: ABVD (four drugs, the long-standing standard), the more intensive German BEACOPP, and newer versions that replace bleomycin with brentuximab vedotin (A+AVD) or add nivolumab (N-AVD).

ABVD (doxorubicin, bleomycin, vinblastine, dacarbazine) cures 70-80% of advanced disease with interim PET guiding bleomycin omission (RATHL); escalated BEACOPP raises progression-free survival to about 90% at the cost of infertility and secondary cancers. A+AVD improved survival over ABVD (ECHELON-1), N-AVD beat A+AVD on progression-free survival in SWOG S1826 (2024), and BrECADD matched escalated BEACOPP with less toxicity (HD21). Late effects of these curative regimens (cardiac, pulmonary, breast cancer after radiotherapy) drive the continuing effort to de-escalate.

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Treatment jargon

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