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Blood, 1 January 2008, Vol. 111, No. 1, pp. 109-111.
Prepublished online as a Blood First Edition Paper on October 15, 2007; DOI 10.1182/blood-2007-03-078725.


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Submitted March 23, 2007
Accepted September 23, 2007

Rituximab in relapsed lymphocyte-predominant Hodgkin Lymphoma: Long-term results of a phase-II trial of the German Hodgkin Lymphoma Study Group (GHSG)

Holger Schulz, Ute Rehwald, Franck Morschhauser, Thomas Elter, Christoph Driessen, Thomas Rudiger, Peter Borchmann, Roland Schnell, Volker Diehl, Andreas Engert, and Marcel Reiser*

Department I of Internal Medicine, University of Cologne, Cologne, Germany
Hospitalier de Universitaire Lille, Lille, France
Medizinische Klinik und Poliklinik II, Universitatsklinikum Tubingen, Tubingen, Germany
Department of Pathology, University Wurzburg, Wurzburg, Germany

* Corresponding author; email: marcel.reiser{at}uni-koeln.de.

Since nodular lymphocyte-predominant Hodgkin lymphoma (NLPHL) express CD20, rituximab may be used as a non-mutagenic treatment option to avoid late toxicities in this rather indolent entity. Between 1999-2004 the German Hodgkin Study Group investigated the activity of rituximab (375mg/m2 x 4) in a phase-II trial in 21 relapsed or refractory NLPHL patients. The initial diagnosis of NLPHL was confirmed in 15/21 enrolled patients by reference pathology. The remaining cases were reclassified as Hodgkin lymphoma transformed to T-cell rich B-cell lymphoma (TCRBCL) (n=2) or CD20+ classical Hodgkin lymphoma (cHL) (n=4). In NLPHL patients the overall response rate was 94%, including 8 CR and 6 PR. With a median follow-up of 63 months (range 3-84), the median time to progression was 33 months, with the median OS not reached. Thus, rituximab is highly effective in relapsed and refractory NLPHL. This study is registered at http://www.klinisches-studienzentrum.de/trial/285.


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