Antibody Therapy Maintenance in Follicular Lymphoma

Hematol Oncol Clin North Am. 2020 Aug;34(4):689-699. doi: 10.1016/j.hoc.2020.02.005. Epub 2020 May 5.

Abstract

Because patients with follicular lymphoma (FL) usually experience repeated disease recurrences, maintenance treatment is an attractive option to prolong remission after induction therapy. Rituximab maintenance therapy has been shown in multiple randomized studies to significantly improve progression-free survival in FL with both low and high tumor burden after induction therapy, independently of patient and disease characteristics. Several questions regarding the use of antibody directed against CD20 (anti-CD20) maintenance remain open, including the optimal antibody administration schedule and duration, the risk/benefit ratio of maintenance in the context of previous bendamustine administration, and its cost-effectiveness.

Keywords: Anti-CD20 antibodies; Follicular lymphoma; Maintenance therapy; Rituximab.

Publication types

  • Meta-Analysis
  • Review

MeSH terms

  • Antineoplastic Agents, Immunological / pharmacology
  • Antineoplastic Agents, Immunological / therapeutic use*
  • Antineoplastic Combined Chemotherapy Protocols / adverse effects
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Combined Modality Therapy
  • Disease Management
  • Hematopoietic Stem Cell Transplantation
  • Humans
  • Lymphoma, Follicular / diagnosis
  • Lymphoma, Follicular / drug therapy*
  • Lymphoma, Follicular / etiology
  • Lymphoma, Follicular / mortality
  • Maintenance Chemotherapy
  • Molecular Targeted Therapy
  • Neoplasm Grading
  • Neoplasm Staging
  • Retreatment
  • Treatment Outcome

Substances

  • Antineoplastic Agents, Immunological