New Protocol: Rituximab, Lenalidomide, and Ibrutinib in DLBCL


  • Study

    Open-label, single-center, phase II study
    Previously untreated non-GCB DLBCL
    60 patients
    Rituximab 375 mg/m2 (D1), lenalidomide 25 mg D(1-10), and ibrutinib 560 mg continuously (RLI) after two cycles, 6 cycles RLI + Standart CT



  • Efficacy

    ORR after two cycles of RLI: 86.2%
    CR at end of RLI-chemo: 94.5%
    2-year-PFS and -OS: 91.3% and 96.6%



  • Safety

    Any grade AEs: Nausea (85%), peripheral sensory neuropathy (83%), diarrhea (78%), mucositis (75%)
    Grade ≥3 AEs neutropenia 53%, thrombocytopenia 47%, anemia 38%



  • J Clin Oncol. 2022 Aug 11.

    Westin J. et al. Smart Start: Rituximab, Lenalidomide, and Ibrutinib in Patients With Newly Diagnosed Large B-Cell Lymphoma

    http://doi.org/10.1200/jco.22.00597

    Reviewed by Hasan Cagri Yildirim, MD on Nov 26, 2022