The trial focuses on people who have Advanced Stage Classic Hodgkin Lymphoma and are HIV-positive. The chemotherapy regimen, called BrECADD, combines several medicines given by IV infusion: doxorubicin hydrochloride, dacarbazine citrate, etoposide, cyclophosphamide, and the antibody‑drug conjugate brentuximab vedotin. An oral steroid, dexamethasone, is also taken to help reduce side effects.
The purpose of the study is to determine whether a treatment plan guided by PET scans and consisting of 4 to 6 cycles of BrECADD can be given safely to this group, as measured by TRMB. PET is a special imaging test that shows active disease. TRMB refers to serious side effects, such as organ damage or infections, that are graded using the CTCAE system.
Participants receive the drug infusion every few weeks for a total of 4 to 6 cycles, with a PET scan after the second cycle to see how the disease is responding. If the scan shows a good response, treatment continues; otherwise the plan may be adjusted. After the last dose, patients are followed for up to two years to track the rate of complete remission (CR), how long they stay free of disease (PFS), overall survival (OS), quality of life, and immune health measured by CD4 counts.



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