Case Series

A + AVD for Treatment of Hodgkin Lymphoma Variant of Richter’s Transformation

Table 2

Treatment summary.

Patient 1Patient 2Patient 3Patient 4

# of cycles of A + AVD6666
Dose reductionBrentuximab dose reduced starting cycle 6 for neuropathyBrentuximab dose reduced starting cycle 4 for neuropathyNoNo
Interim PET responseCR, Deauville 2PR, Deauville 4CR, Deauville 3PR, Deauville 4
End of treatment responseCRCRPD, Deauville 5PD, Deauville 5
Subsequent HvRT therapyNoNo(1) GDP(1) R-ICE
(2) Nivolumab(2) Allogeneic stem cell transplant
(3) Bendamustine + brentuximab
Residual CLL after completion of treatmentNoYesYesYes
Additional CLL directed therapyNoAcalabrutinib(1) RituximabNo
(2) R-CVP

A + AVD = brentuximab vedotin, doxorubicin, vinblastine, and dacarbazine; PET = positron emission Ttomography; HvRT = Hodgkin lymphoma variant of Richter’s transformation; CLL = chronic lymphocytic leukemia; CR = complete response; PR = partial response; PD = disease progression; GDP = gemcitabine, dexamethasone, and cisplatin; R-CVP = rituximab, cyclophosphamide, vincristine, and prednisone; R-ICE = rituximab, ifosfamide, carboplatin, and etoposide.