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Rituximab after autologous stem cell transplantation enhances survival of B-cell lymphoma patients: a meta-analysis and systematic review.

Abstract：

BACKGROUND:Numerous studies have demonstrated the efficacy of rituximab before autologous stem cell transplantation (ASCT) for the treatment of B-cell non-Hodgkin lymphoma, but the few studies on rituximab treatment after ASCT have not established conclusively the clinical benefits of this particular treatment regimen. PATIENTS AND METHODS:We conducted a metaanalysis of 3 comparative studies encompassing 407 lymphoma patients treated with rituximab after ASCT. RESULTS:Combined results revealed a significantly higher event-free survival (EFS) in the rituximab-treated (R+) group compared with the R- group (P = .003 at 1 year; P = .03 at 3 years; P = .001 at 4 years). Moreover, the R+ group also demonstrated higher overall survival (OS) and complete remission (CR) rates (P = .0006 and P < .0001, respectively, at 1 year) without a significant increase in adverse events. CONCLUSIONS:According to the included articles, there were no differences in CR, overall response, 3-year EFS, or 3-year OS between rituximab-naïve patients and patients previously treated with rituximab before ASCT. Post-ASCT maintenance regimens including rituximab show increased EFS, OS, and CR.

journal_name

Transplant Proc

journal_title

Transplantation proceedings

authors

He G,Wang C,Tan H,He S

doi

10.1016/j.transproceed.2014.11.040

subject

Has Abstract

pub_date

2015-03-01 00:00:00

pages

517-22

issue

2

eissn

0041-1345

issn

1873-2623

pii

S0041-1345(15)00028-7

journal_volume

47

pub_type

杂志文章,meta分析,评审

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