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Rituximab and ICE as second-line therapy before autologous stem cell transplantation for relapsed or primary refractory diffuse large B-cell lymphoma

Open access
Kewalramani, Tarun, Zelenetz, Andrew D., Nimer, Stephen D., Portlock, Carol, Straus, David, Noy, Ariela, O'Connor, Owen, Filippa, Daniel A., Teruya-Feldstein, Julie, Gencarelli, Alison, Qin, Jing, Waxman, Alyson, Yahalom, Joachim, Moskowitz, Craig H.·2004·Blood

Abstract

Patients with relapsed or primary refractory diffuse large B-cell lymphoma (DLBCL) who achieve complete response (CR) before autologous stem cell transplantation (ASCT) generally have better outcomes than those who achieve only partial response (PR). We investigated whether adding rituximab to the ifosfamide-carboplatin-etoposide (ICE) chemotherapy regimen (RICE) could increase the CR rate of patients with DLBCL under consideration for ASCT. Thirty-six eligible patients were treated with RICE, and 34 received all 3 planned cycles. The CR rate was 53%, significantly better than the 27% CR rate (P = .01) achieved among 147 similar consecutive historical control patients with DLBCL treated with ICE; the PR rate was 25%. Febrile neutropenia was the most frequent grade 3 or 4 nonhematologic toxicity; it occurred in 7.5% of delivered cycles. No patient had RICE-related toxicity that precluded ASCT. The median number of CD34+ cells per kilogram mobilized was 6.3 × 106. Progression-free survival rates of patients who underwent transplantation after RICE were marginally better than those of 95 consecutive historical control patients who underwent transplantation after ICE (54% vs 43% at 2 years; P = .25). RICE appears to induce very high CR rates in patients with relapsed and refractory DLBCL; however, further studies are necessary to determine whether this treatment regimen will improve outcomes after ASCT.

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Cites

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Research works printed but not linked: 13

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Metadata

Authors
Kewalramani, T., Zelenetz, A. D., Nimer, S. D., Portlock, C., Straus, D., Noy, A., O'Connor, O., Filippa, D. A., Teruya-Feldstein, J., Gencarelli, A., Qin, J., Waxman, A., Yahalom, J., & Moskowitz, C. H.
Venue
Blood
Published
2004-05-15
Volume
103
Issue
10
Pages
3684-3688
ISSN
  • 0006-4971 (ISSN-L)
  • 1528-0020
OpenAlex
W2103563361
Cited by
406
References
22
FWCI
16.70
Type
journal article
Language
en
Open access
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CoChat. (2026). Citation check: Rituximab and ICE as second-line therapy before autologous stem cell transplantation for relapsed or primary refractory diffuse large B-cell lymphoma. https://app.cochat.ai/papers/10.1182/blood-2003-11-3911
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Kewalramani, T., Zelenetz, A. D., Nimer, S. D., Portlock, C., Straus, D., Noy, A., O'Connor, O., Filippa, D. A., Teruya-Feldstein, J., Gencarelli, A., Qin, J., Waxman, A., Yahalom, J., & Moskowitz, C. H. (2004). Rituximab and ICE as second-line therapy before autologous stem cell transplantation for relapsed or primary refractory diffuse large B-cell lymphoma. Blood. https://doi.org/10.1182/blood-2003-11-3911

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