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Rituxan maintenance

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Hi Folks - you may recall that this is one of my pet subjects. Here is

another article posted on NHL Low - I'm sure they will not mind me spreading the

word here

Reuters Health

Posting Date: June 8, 2004

Last Updated: 2004-06-08 8:59:40 -0400 (Reuters Health)

NEW ORLEANS (Reuters) - Studies show a top-selling cancer drug

called Rituxan (rituximab) improves survival in two new groups of

patients with non-Hodgkins lymphoma (NHL, according to the drug's

makers -- Genentech Inc., Biogen Idec Inc. and Roche.

The drug is already approved for certain types of non-Hodgkins

lymphoma, a disease affecting 1.5 million people worldwide, and

these trials may lead to Rituxan being used by even more patients,

said the companies, which funded the studies.

" Rituxan is moving more and more to the front of therapy. We will

see it used more in the practice of oncology in the U.S., " said Dr.

Hochster, of the New York University School of Medicine.

Hochster, who authored one of two phase III studies on non-Hodgkins

lymphoma, spoke at the American Society of Clinical Oncology's

annual meeting in New Orleans.

In the study headed by Hochster, 401 patients received Rituxan as a

maintenance therapy for indolent non-Hodgkins lymphoma, a slow-

spreading form of the disease. They got four doses of the drug every

six months for a two-year period.

Preliminary results showed that 73% of the patients on maintenance

therapy were free of disease progression and alive at two years,

compared with 43% of those receiving no further treatment, the

drug's makers, said in a joint statement.

Rituxan is sold as MabThera outside the United States and Canada.

Preliminary results of a second study showed that 95% of patients

younger than age 60 with an aggressive form of non-Hodgkins lymphoma

survived after receiving Rituxan and chemotherapy compared with 85%

of those who got chemotherapy alone, the companies said.

The patients in the study, which was halted early after reaching its

objectives, were observed for a median of two years.

Also, 81% of the patients treated with the combination were free

from treatment failure -- meaning relapse, death or a failure to

stop the disease -- versus 58% of patients treated with chemotherapy

alone.

Some 45% of non-Hodgkins lymphoma patients have indolent lymphoma

and 55% have the aggressive form of the disease.

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  • 3 years later...

Many docs use R maintenance for CLL - Hard to tell whether or not it's helping, no conclusive evidence - Start the year off right. Easy ways to stay in shape in the new year.

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I have had two sessions of 4 treatments of R for maintenance six months apart for CLL and has shown improvement both times. WBC has come down both times.jb50192@... wrote: Many docs use R maintenance for CLL - Hard to tell whether or not it's helping, no conclusive evidence - Start the year off right. Easy ways to stay in shape in the new year.

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Dan and others - this has been my opinion - it helps CLL, even thought the paper was on follicular - one concern may be overdoing it, developing a refractory situation - but I think that is relatively rare, especially if you do not exceed two years - Start the year off right. Easy ways to stay in shape in the new year.

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