Onkologie. 2010:4(3):196-201

Maintenance therapy with rituximab for non-Hodgkin’s lymphoma - opportunities in 2010

David Belada
Univerzita Karlova v Praze, LF a FN Hradec Králové, II. interní klinika –, oddělení klinické hematologie

Rituximab in combination with chemotherapy is considered a standard treatment approach for first line setting in most of non-

Hodgkin´s lymphomas. Although most patients can reach complete of partial remission after this treatment, about 30 % of patients with

aggressive lymphoma and almost all patients with advanced stage indolent lymphomas inevitably develop a relaps. The maintenance

therapy with anti-CD20 monoclonal antibody, rituximab, represents one of the options how to extend disease-free interval in lymphoma

patients. The aim of this article is to summarize information about the rituximab maintenance therapy of lymphoma, with respect to the

current approved indications as well as to future directions, including potentially risks of this approach.

Keywords: lymphoma, maintenance therapy, rituximab

Published: July 1, 2010  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Belada D. Maintenance therapy with rituximab for non-Hodgkin’s lymphoma - opportunities in 2010. Onkologie. 2010;4(3):196-201.
Download citation

References

  1. Papajík T, Trněný M, a kol. Epidemiologie ne-hodgkinových lymfomů v České republice, Evropě a Severní Americe. Onkologie 2009; 3(3): 141-146.
  2. Ezdinli EZ, et al. The effect of intensive intermittent maintenance therapy in advance low-grade non-Hodgkin´s lymphoma. Cancer 1987; 60: 156-160. Go to original source...
  3. Steward WP, et al. Maintenance chelorambucil after CVP in the management of advance stage, low grade histologic type non-Hodgkin´s lymphoma. A randomized prospective study with an assessment of prognostic factors. Cancer 1988; 61: 441-447. Go to original source...
  4. Aviles A, et al. Interferon alpha 2b as a maintenance in lowgrade non-Hodgkin´s lymphoma improves duration of remission and survival. Leuk Lymphoma 1996; 20: 495-499. Go to original source... Go to PubMed...
  5. Arranz R, et al. Role of interferon alfa 2b in the induction and maintenance treatment of low grade non-Hodgkin´s lymphoma: results from a prospective, multicenter trial with double randomization. J Clin Oncol 1998; 16: 1538-1546. Go to original source... Go to PubMed...
  6. Rohatiner AZ, et al. Metaanalysis to evaluate the role of interferon in follicular lymphoma. J Clin Oncol 2005; 23: 2215-2223. Go to original source... Go to PubMed...
  7. McLaughlin P, et al.Rituximab chimeric anti-CD20 monoclonal antibody therapy for relapsed indolent lymphoma: half of patients respond to a four-dose treatment program. J Clin Oncol 1998; 16: 2825-2833. Go to original source... Go to PubMed...
  8. Feugier P, Hoof AV, et al. Long term results of the R-CHOP study in the treatment of elderly patients with diffuse large B-cell lymphoma. J Clin Oncol 2005; 23: 4117-4126. Go to original source... Go to PubMed...
  9. Marcus R, et al. Phase III study of R-CVP compared with cyclophosphamide, vincristine, and prednisone alone in patients with previously untreated advanced follicular lymphoma. Clin Oncol 2008; 26(28): 4537-4538. Go to original source... Go to PubMed...
  10. Hainsworth JD, et al. Rituximab as first-line and maintenance therapy for patients with indolent non-Hodgkin´s lymphoma. J Clin Oncol 2002; 20: 4261-4267. Go to original source... Go to PubMed...
  11. Ghelmini M, et al. Prolonged treatment with rituximab in patients with follicular lymphoma significantly increases event-free survival and response duration compared with standard weekly × 4 schedule. Blood 2004; 103: 4416-4423. Go to original source... Go to PubMed...
  12. Hochster H, et al. J Clin Oncol 2009; 27: 1607-1614.
  13. Hochster HS, et al. Results of E1496: a phase II trial of CVP with or without maintenance rituximab in advance indolent lymphoma (NHL), abstract. J Clin Oncol 2004; 22(Suppl): 6502. Go to original source...
  14. Salles G, et al. Rituximab maintenance for 2 years in patients with untreated high tumour burden follicular lymphoma after response to immunochemotherapy. J Clin Oncol 28: 7, 2010 (suppl; abstr 8004). Go to original source...
  15. van Oers, et al. 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 trial. Blood 2006; 108: 3295-3301. Go to original source... Go to PubMed...
  16. Forstpointner R, et al. The additon of rituximab to a combination of fludarabine, cyclophosphamide and mitoxantrone (FCR) significantly prolongs survival as compared with FCR alone in patients vith relapsed and refractory follicular and mantle cell lymphoma. Results of a prospective randomized phase III study of the German Low Grade Lymphoma Study Group. Blood 2004; 104: 3064-3071. Go to original source... Go to PubMed...
  17. Vidal L, et al. Rituximab maintenance for the treatment of patients with follicular lymphoma: Systematic review and meta-analysis of randomized trials. J Natl Cancer Indy 2009; 101: 2448-2255. Go to original source...
  18. Pfreundschuh M, Trumper L, et al. Randomized intergroup trial of first line treaement for patients < 60 years with diffuse large B-cell lymphoma with CHOP-like regimen with or without rituximab - early stopping after the first interim analysis. Proc Am Soc Clin Oncol 2004; 23: Abstract 556. Go to original source...
  19. Habermann TM, et al. Rituximab-CHOP versus CHOP alone or with maintenance rituximab in older patients with diffuse large B-cell lymphoma. J Clin Oncol 2006; 24(19): 3121-3127. Go to original source... Go to PubMed...
  20. Pettengel R, et al. Randomized study of rituximab in patients with relapsed or resistant follicular lymphoma prior to high-dose therapy as in vivo purging and to maintain remission following high-dose therapy. J Clin Oncol 2010; 28: 7(suppl; abstr 8005). Go to original source...
  21. Sehn LH, Donaldson J, et al. Rapid infusion rituximab in combination with steroid containing chemotherapy can be given safelly and substantially reduces resource utilization (abstract). Blood 2004; 104: 394a. Go to original source...
  22. Gordan LN, et al. Phase II trial of induvidualized rituximab dosing for patients with CD20-positive lymphoproliferative disorders. J CLin Oncol 2005; 23: 1096-1102. Go to original source... Go to PubMed...




Oncology

Madam, Sir,
please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

I declare:

  1. that I have met the above instruction
  2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited


No

Yes

If your statement is not true, please be aware
that brings the risk of danger to their health or the health of others.