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- Title
Fludarabine, cyclophosphamide, and rituximab in patients with advanced, untreated, indolent B-cell nonfollicular lymphomas.
- Authors
Ferrario, Andrea; Pulsoni, Alessandro; Olivero, Barbara; Rossi, Giuseppe; Vitolo, Umberto; Tedeschi, Alessandra; Merli, Francesco; Rigacci, Luigi; Stelitano, Caterina; Goldaniga, Maria; Mannina, Donato; Musto, Pellegrino; Rossi, Francesca; Gamba, Enrica; Baldini, Luca
- Abstract
BACKGROUND: Indolent nonfollicular non-Hodgkin B-cell lymphomas (INFLs) are clonal mature B-cell proliferations for which treatment has not been defined to date. METHODS: In this phase 2 study of patients with advanced INFL, the authors evaluated the efficacy and safety of first-line rituximab, fludarabine, and cyclophosphamide (FCR) as induction immunochemotherapy (rituximab 375 mg/m2 intravenously on day 1 of each cycle and on days 1 and 14 of cycles 4 and 5; fludarabine 25 mg/m2 intravenously on days 2-4, cyclophosphamide 250 mg/m2 intravenously on Days 2-4) every 28 days for 6 cycles followed by a maintenance phase with 4 infusions of rituximab (375 mg/m2 intravenously on day 1) every 2 months for responders. RESULTS: Forty-seven patients were enrolled. Among 46 evaluable patients (28 men; median age, 59 years), 19 were diagnosed with lymphoplasmacytic lymphoma, 21 were diagnosed with small lymphocytic lymphoma, and 6 were diagnosed with nodal marginal zone lymphoma. The overall response rate after maintenance was 89.1% with a 67.4% complete remission (CR) rate (CR/unconfirmed CR) and a 21.7% partial response rate. After a median follow-up of 40.9 months, the failure-free survival and progression-free survival rates both were 90.1%, and the overall survival rate was 97.4%. The main toxicity was hematologic, and related grade 3 and 4 neutropenia was observed in 55.3% of patients. CONCLUSIONS: FCR induction therapy followed by a short maintenance phase is a highly effective regimen with acceptable toxicity. Cancer 2012. © 2011 American Cancer Society.
- Subjects
LYMPHOMA treatment; CANCER chemotherapy; FLUDARABINE; CYCLOPHOSPHAMIDE; RITUXIMAB; B cells; CELL proliferation
- Publication
Cancer (0008543X), 2012, Vol 118, Issue 16, p3954
- ISSN
0008-543X
- Publication type
Article
- DOI
10.1002/cncr.26708