Sangam: A Confluence of Knowledge Streams

Efficacy and safety assessment of prolonged maintenance with subcutaneous rituximab in patients with relapsed or refractory indolent non-Hodgkin lymphoma: results of the phase III MabCute study

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dc.creator Rule, S
dc.creator Barreto, WG
dc.creator Briones, J
dc.creator Carella, AM
dc.creator Casasnovas, O
dc.creator Pocock, C
dc.creator Wendtner, C-M
dc.creator Zaja, F
dc.creator Robson, S
dc.creator MacGregor, L
dc.creator Tschopp, RR
dc.creator Nick, S
dc.creator Dreyling, M
dc.date 2022-03-08T10:33:47Z
dc.date 2022-03-08T10:33:47Z
dc.date 2021-06-17
dc.date.accessioned 2022-05-26T21:09:41Z
dc.date.available 2022-05-26T21:09:41Z
dc.identifier 0390-6078
dc.identifier http://hdl.handle.net/10026.1/18911
dc.identifier 10.3324/haematol.2020.274803
dc.identifier 1592-8721
dc.identifier.uri http://localhost:8080/xmlui/handle/CUHPOERS/228963
dc.description <jats:p>Rituximab plus chemotherapy induction followed by rituximab maintenance for up to 2 years confers a long-term benefit in terms of progression-free survival in patients with indolent non-Hodgkin lymphoma. It is not known whether further prolonged maintenance with rituximab provides additional benefit. The phase III MabCute study enrolled 692 patients with relapsed or refractory indolent non-Hodgkin lymphoma. Patients who responded to induction with rituximab plus chemotherapy and were still responding after up to 2 years’ initial maintenance with subcutaneous rituximab were randomized to extended maintenance with subcutaneous rituximab (n=138) or observation only (n=138). The primary endpoint of investigator-assessed progression-free survival in the randomized population was un-addressed by the end of study because of an insufficient number of events (129 events were needed for 80% power at 5% significance if approximately 330 patients were randomized). In total, there were 46 progression-free survival events, 19 and 27 in the rituximab and observation arms, respectively (P=0.410 by stratified log-rank test; hazard ratio 0.76 [95% confidence interval: 0.37– 1.53]). The median progression-free survival was not reached in either randomized arm. There were no new safety signals; however, adverse events were seen slightly more frequently with rituximab than with observation during extended maintenance. Maintenance for up to 2 years with rituximab after response to initial induction therefore remains the standard of care in patients with relapsed or refractory indolent non- Hodgkin lymphoma. (Clinicaltrials.gov identifier: NCT01461928).</jats:p>
dc.format 500 - 509
dc.language en
dc.publisher Ferrata Storti Foundation (Haematologica)
dc.relation ISSN:0390-6078
dc.relation E-ISSN:1592-8721
dc.rights 2022-03-09
dc.rights Not known
dc.title Efficacy and safety assessment of prolonged maintenance with subcutaneous rituximab in patients with relapsed or refractory indolent non-Hodgkin lymphoma: results of the phase III MabCute study
dc.type Journal Article


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