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Blood, 1 September 2006, Vol. 108, No. 5, pp. 1504-1508.
Prepublished online as a Blood First Edition Paper on May 11, 2006; DOI 10.1182/blood-2006-01-013367.


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Submitted January 17, 2006
Accepted April 19, 2006

The Follicular Lymphoma International Prognostic Index (FLIPI) separates high risk from intermediate or low risk patients with advanced stage follicular lymphoma treated front-line with Rituximab and the combination of Cyclophosphamide, Doxorubicin, Vincristine and Prednisone (R-CHOP) with respect to treatment outcome

Christian Buske*, Eva Hoster, Martin Dreyling, Joerg Hasford, Michael Unterhalt, and Wolfgang Hiddemann

Department of Internal Medicine III, Klinikum GroBhadern, University of Munich
Institute of Medical Informatics, Biometry and Epidemiology, University of Munich

* Corresponding author; email: buske{at}gsf.de.

The Follicular Lymphoma International Prognostic Index (FLIPI) was developed to predict prognosis of patients with follicular lymphoma (FL). However, it was based on different protocols, none of which included Rituximab. The current analysis aimed at evaluating the predictive value of the FLIPI for treatment outcome in 362 patients with advanced stage FL treated front-line with Rituximab/CHOP in a prospective trial of the German Low Grade Lymphoma Study Group. According to the FLIPI, 14% of the patients were classified as low risk, 41% as intermediate risk and 45% as high risk patients. With a 2-year time to treatment failure (TTF) of 67%, high risk patients had a significantly shorter TTF as compared to low or intermediate risk patients (2-year TTF of 92% and 90%, respectively; p = 0.0002). Our data demonstrate that the FLIPI is able to identify high risk patients with advanced stage FL after first-line treatment with Rituximab/chemotherapy.


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