Volume 72, Issue 5 e31606
BRIEF REPORT

PET Response and Outcome in Low-Risk Nodular Lymphocyte-Predominant Hodgkin Lymphoma: Children's Oncology Group Study AHOD03P1

Lianna J. Marks

Corresponding Author

Lianna J. Marks

Department of Pediatrics, Stanford University, Palo Alto, California, USA

Correspondence: Lianna J. Marks ([email protected])

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Yue Wu

Yue Wu

Children's Oncology Group Statistics & Data Center, University of Florida, Gainesville, Florida, USA

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Kathleen M. McCarten

Kathleen M. McCarten

Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA

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Lindsay A. Renfro

Lindsay A. Renfro

University of Southern California and Children's Oncology Group, Los Angeles, California, USA

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Qinglin Pei

Qinglin Pei

Children's Oncology Group Statistics & Data Center, University of Florida, Gainesville, Florida, USA

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Kara M. Kelly

Kara M. Kelly

Department of Pediatrics, Roswell Park Cancer Institute, Buffalo, New York, USA

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Cindy L. Schwartz

Cindy L. Schwartz

Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin, USA

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Sharon M. Castellino

Sharon M. Castellino

Department of Pediatrics, Emory University School of Medicine, Aflac Cancer and Blood Disorders Center, Children's Healthcare of Atlanta, Atlanta, Georgia, USA

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Burton E. Appel

Burton E. Appel

Department of Pediatrics, Hackensack University Medical Center, Hackensack, New Jersey, USA

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First published: 14 February 2025

Funding: This work was supported by the NCTN Operations Center Grant (U10CA180886), NCTN Statistics and Data Center Grant (U10CA180899), and St. Baldrick's Foundation.

Previously presented at the American Society of Hematology Annual Conference in San Diego, December 2023. Abstract published in Blood (2023) 142 (Supplement 1): 1699.

ABSTRACT

A better understanding of positron emission tomography (PET) response in nodular lymphocyte-predominant Hodgkin lymphoma (nLPHL) is critical for incorporating PET into prospective trials. PET scans from Children's Oncology Group study AHOD03P1 for patients less than 22 years with low-risk nLPHL, treated with three cycles of doxorubicin, vincristine, prednisone, and cyclophosphamide chemotherapy, were retrospectively reviewed and assigned Deauville 5-point scale (5PS) scores. Five-year post-PET event-free survival was 90.1% (80% CI: 85.2%–93.4%) for PET-negative (5PS 1–3) and 66.7% (80% CI: 36.4%–85.0%) for PET-positive (5PS 4–5) patients. PET response after three cycles of low-dose chemotherapy is predictive of relapse risk for low-risk nLPHL.

Conflicts of Interest

The authors declare no conflicts of interest.

Data Availability Statement

Data available on request from the Children's Oncology Group.

The full text of this article hosted at iucr.org is unavailable due to technical difficulties.