New Protocol: Lenalidomide-Rituximab for Untreated Follicular Lymphoma


  • Study

    Phase 3, open label, randomized study (RELEVANCE)
    Untreated grade 1-3a FL
    R2 (n:513) or R-chemo (n:517), followed by rituximab maintenance



  • Efficacy

    ORR: 61% and 65%, CR/CRu: 48% and 53% (p: 0.10)
    PFS did not differ HR= 1.03 [95% CI, 0.84 to 1.27], P = .78)
    6 year PFS: 60% (95% CI, 55 to 64) and 59% (95% CI, 54 to 64)
    6 year OS: 89% in both groups



  • Safety

    ≥ grade 5 TEAE: 9 patients and 6 patients
    Second primary malignancies 57 (11%) patients and 67 (13%) patients



  • J Clin Oncol. 2022 Aug 10;JCO2200843.

    Lenalidomide Plus Rituximab (R2) Versus Rituximab-Chemotherapy Followed by Rituximab Maintenance in Untreated Advanced Follicular Lymphoma

    http://doi.org/10.1200/jco.22.00843

    Reviewed by Hasan Cagri Yildirim, MD on Sep 20, 2022