Jan WalewskiAndrzej HellmannNoppadol SiritanaratkulGuner Hayri OzsanMuhit OzcanSuporn ChuncharuneeAi Sim GohWojciech JurczakJan KorenEwa Paszkiewicz-KozikBingxia WangShalini SinghDirk HuebnerAndreas EngertBastian von TresckowHospital Pulau PinangMaria Sklodowska-Curie Institute – Oncology CenterTakeda OncologyAnkara University, Faculty of MedicineUniwersytet Jagielloński w KrakowieCharles UniversityFaculty of Medicine, Ramathibodi Hospital, Mahidol UniversityDokuz Eylül ÜniversitesiGdanski Uniwersytet MedycznyFaculty of Medicine, Siriraj Hospital, Mahidol UniversityUniklinik Köln2019-08-232019-08-232018-11-01British Journal of Haematology. Vol.183, No.3 (2018), 400-41013652141000710482-s2.0-85052817145https://repository.li.mahidol.ac.th/handle/123456789/46230© 2018 British Society for Haematology and John Wiley & Sons Ltd Some patients with relapsed/refractory Hodgkin lymphoma (HL) are not considered suitable for stem cell transplant (SCT) and have a poor prognosis. This phase IV study (NCT01990534) evaluated brentuximab vedotin (1·8 mg/kg intravenously once every 3 weeks) in 60 patients (aged ≥18 years) with CD30-positive relapsed/refractory HL, a history of ≥1 prior systemic chemotherapy regimen, who were considered unsuitable for SCT/multi-agent chemotherapy. Primary endpoint was overall response rate (ORR) per independent review facility (IRF). Secondary endpoints included duration of response (DOR), progression-free survival (PFS) per IRF, overall survival (OS), proportion proceeding to SCT and safety. The ORR was 50%, with 12% CR; 47% proceeded to SCT. Median DOR was 4·6 months and median duration of CR was 6·1 months. After a median follow-up of 6·9 and 16·6 months, median PFS and OS were 4·8 months (95% confidence interval, 3·0–5·3) and not reached, respectively; estimated OS rate was 86% at 12 months. Most common adverse events (≥10%) were peripheral neuropathy (35%), pyrexia (18%), diarrhoea and neutropenia (each 10%). Brentuximab vedotin showed notable activity with a safety profile consistent with known toxicities, and may act as a bridge to SCT, enabling high-risk patients who achieve suboptimal response to frontline/salvage chemotherapy/radiotherapy to receive potentially curative SCT.Mahidol UniversityMedicineArticleSCOPUS10.1111/bjh.15539