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First-line treatment options recommended by NCCN or ESMO

1,2

*NCCN guideline recommendation only (category 2b); rituximab alone may be considered if low tumour burden

2

1L, first line;; chemo, chemotherapy CHOP, cyclophosphamide, vincristine, doxorubicin

and prednisone/prednisolone; CVP, cyclophosphamide, vincristine and prednisone/prednisolone; FL, follicular

lymphoma; PFS, progression-free survival; R, rituximab

1. Dreyling M,

et al. Ann Oncol

2016; 27(Suppl. 5):v83–v90;

2. NCCN Guidelines. B-cell Lymphomas. Version 2.2017;

3. Jacobson CA, Freedman AS.

Lancet

2013; 381:1163–1165;

Symptomatic

1L FL

1,2

R-CHOP

R-B

R-CVP

R

2

Rituximab maintenance

NCCN only (2b)

Alternative option*

Phase 3 Study

3,4,5

N

Median Follow

up, mos (range)

Estimated 3-

year PFS (%)

Hiddemann, 2005 (GLSG)

CHOP

R-CHOP

205

223

18 (1–38)

18 (1–38)

50

75

Salles, 2011 (PRIMA)

R-chemo + observation

R-chemo + R maintenance

513

505

36 (IQR 30–42)

36 (IQR 30–42)

58

75

Hochster, 2009 (ECOG1496)

CVP + observation

CVP + R maintenance

113

115

44.4

44.4

33

64