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Treatments > Maintenance* or Consolidation Rituxan 

Last update: 07/23/2010

Consolidation / Maintenance Rituxan Treatment:

TOPIC SEARCH: PubMed | ASCO | Medscape | Web 

Maintenance Rituxan? Bertrand Coiffier, MD | John D. Hainsworth
David Maloney, MD
 

Rituxan maintenance for indolent lymphomas? 

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Rituximab Maintenance Treatment of Relapsed/Resistant Follicular NHL: Long-Term Outcome of the EORTC 20981 Phase III Randomized Intergroup Study http://bit.ly/9mVxh5
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Rituximab maintenance for 2 years in patients with untreated high tumor burden follicular lymphoma after response to immunochemotherapy.  PRIMA (corrected) study:  http://www.asco.org
 
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About maintenance AshEducationBook
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Overview of Studies: Rituximab maintenance therapy: a step forward in follicular lymphoma http://bit.ly/9pncbR
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Cheson: The case against maintenance Rituxan for follicular lymphoma http://bit.ly/2XZODb 
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Rituximab Maintenance for the Treatment of Patients With Follicular Lymphoma: Systematic Review and Meta-analysis of Randomized Trials medscape.com (free login req.)
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Areas of Confusion in Oncology:

What Is the Role of Maintenance Rituximab in Follicular NHL? cancernetwork.com/ 

David G. Maloney, Reviewed by John D. Hainsworth and Bertrand Coiffier
Should rituximab maintenance become standard therapy for follicular lymphoma?
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Follicular lymphoma: chemotherapy and/or antibodies? 

Michele Ghielmini  ONCOLOGY INSTITUTE OF SOUTHERN SWITZERLAND - http://www.bloodjournal.org/cgi/content/full/108/10/3235 
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First line Rituxan for CLL:   

Single-agent rituximab as first-line and maintenance treatment for patients with chronic lymphocytic leukemia or small lymphocytic lymphoma: a phase II trial of the Minnie Pearl Cancer Research Network. J Clin Oncol. 2003 May 1;21(9):1746-51. PMID: 12721250 
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Rituximab as first-line and maintenance therapy for patients with indolent non-hodgkin's lymphoma. J Clin Oncol. 2002 Oct 15;20(20):4261-7. PMID: 12377971 | Related articles 
 
CONCLUSION: Rituximab is highly active and extremely well tolerated as first-line single-agent therapy for indolent NHL. First-line treatment with scheduled maintenance at 6-month intervals produces high overall and complete response rates and a longer progression-free survival (34 months) than has been reported with a standard 4-week treatment.
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Rituxan following R-FCM in Relapsed follicular NHL: 

Maintenance therapy with rituximab leads to a significant prolongation of response duration after salvage therapy with a combination of rituximab, fludarabine, cyclophosphamide and mitoxantrone (R-FCM) in patients with relapsed and refractory follicular and mantle cell lymphomas - results of a prospective randomized study of the German low grade lymphoma study group (GLSG). Blood. 2006 Aug 31; PMID: 16946304  

Response duration was significantly prolonged by R-maintenance after R-FCM with the median not being reached versus 16 months (p=0.001). This beneficial effect was also observed when analyzing FL (p=0.035) and MCL (p=0.049) separately.
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Maintenance Rituxan following Relapse of follicular NHL 

source: http://www.jco.org/cgi/content/abstract/23/6/1088  
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Rituximab maintenance improves clinical outcome of relapsed/resistant follicular non-Hodgkin's lymphoma, both in patients with and without rituximab during induction: results of a prospective randomized phase III intergroup trial. Blood. 2006 Jul 27;  PMID: 16873669 
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CONSOLIDATION OF CHEMO: Rituximab (anti-CD20 monoclonal antibody) as consolidation of first-line CHOP chemotherapy in patients with follicular lymphoma: a phase II study. Eur J Haematol. 2002 Jul;69(1):21-6. PMID: 12270058 - PubMed
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Extended use of Rituxan in Newly diagnosed and relapsed follicular NHL 

Prolonged treatment with rituximab in patients with follicular lymphoma significantly increases event-free survival and response duration compared with the standard weekly x 4 schedule. Blood 2004;. PubMed

Source: http://www.ncbi.nlm.nih.gov
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Rituxan maintenance for DLBCL following CHOP-R?  ASCO 2007  http://bit.ly/1SkdJX 

As 6-yr FFS declined to <50% among R-CHOP responders, with or without MR, there is a need for more effective treatment strategies in older DLBCL pts.
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Rituximab long-term maintenance therapy after autologous stem cell transplantation in patients with B-cell non-Hodgkin’s lymphoma springerlink.com  
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ASH 2002: Proleukin® Plus Rituxan® may Reduce Recurrences Following Stem Cell Transplant in Non-Hodgkin’s Lymphoma - CancerConsultants.com 
 
 
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