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Impact of rituximab maintenance and maintenance schedule on prognosis in first-line treatment of follicular lymphoma. Retrospective analysis from Czech Lymphoma Study Group (CLSG) database
Autoři | |
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Rok publikování | 2016 |
Druh | Článek v odborném periodiku |
Časopis / Zdroj | Leukemia & Lymphoma |
Fakulta / Pracoviště MU | |
Citace | |
Doi | http://dx.doi.org/10.3109/10428194.2015.1079313 |
Obor | Onkologie a hematologie |
Klíčová slova | Follicular lymphoma; maintenance schedule; rituximab; prognosis |
Popis | Rituximab maintenance (RM) improves time to progression (PFS) in advanced follicular lymphoma (FL), but the impact of various RM schedules remains unknown. This study performed a retrospective evaluation of RM given for up to 2 years vs observation in 319 untreated FL patients (stage II-IV; grade 1-3A) responding to RCHOP induction and a comparison of two different RM schedules (RM8=eight doses given every 3 months and RM12=12 doses given every 2 months). A total of 183 patients received RM and 136 patients were observed; 5-year PFS was better in the RM arm, 74.1% vs 52.3% (p < 0.001), which was projected in 5-year OS 93.8% vs 87.5% (p=0.005). However, 5-year PFS was similar in both the RM8 (n=54) and RM12 (n=56) arms. In the first line, RM significantly prolongs PFS and OS in FL, but different RM schedules bring a similar benefit. |