Document Type

Article

Publication Title

Cancer Plus

Abstract

Classical Hodgkin lymphoma is a highly curable malignancy, but long-term treatment-related toxicities remain a challenge, especially in young survivors. In recent years, treatment has shifted from traditional doxorubicin, bleomycin, vinblastine, and dacarbazine regimens to novel approaches such as positron emission tomography-guided therapy, brentuximab vedotin-doxorubicin, vinblastine, dacarbazine (AVD), and checkpoint inhibitor combinations such as nivolumab (Nivo)-AVD. This review evaluates these three frontline strategies in terms of efficacy, toxicity, and their potential to personalize treatment and minimize late complications. Drawing from trials such as ECHELON-1, NIVAHL, SWOG S1826, and BREACH, we analyze current evidence, evaluate conflicting data, and propose considerations for tailoring therapy to patient subgroups.

DOI

10.36922/CP025090013

Publication Date

5-28-2025

Keywords

Hodgkin lymphoma, ABVD, Brentuximab vedotin, Nivolumab, PET-adapted therapy, Immunotherapy, Frontline treatment, Toxicity

ISSN

2661-3840

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