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Lymphoma Lymphoma Treatment NHL Treatment

How To Choose the Best Treatment Option When Indolent NHL Returns


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Summary & Participants

Learn how patients with indolent or slow-growing non-Hodgkin’s lymphoma should go about picking the best treatment for themselves.

Medically Reviewed On: July 16, 2008

Webcast Transcript


OWEN O'CONNOR, MD: Well, as Mort suggested, there's a lot of controversy in the medical community today about the merits of using rituximab on a maintenance schedule versus using it on an as-needed basis. And the current data seems to suggest that using it on a maintenance-type schedule on a very well-prescribed regimen -- for example, every six months -- may afford patients longer duration of benefit. But there's still a lot of clinical trials ongoing exploring this question in more -- more detail.

JOHN LEONARD, MD: Yeah, I think -- I think this is a very complicated area, and one that's in flux, that patients should know about and speak about with their physician, but I don't think there's a clear-cut answer.

One of the other major areas that's come out is radioimmunotherapy, with two FDA-approved drugs, Zevalin and Bexxar. There are a number of scenarios that those agents can be very useful for. Dr. Coleman, what's been your experience with these drugs? Particularly, we'll now focus again on those patients with slowly progressive disease and maybe not a lot of therapy in the past. How do you look at radioimmunotherapy as an option for that group of patients?

MORTON COLEMAN, MD: If there's one plea that I make to my fellow physicians, is that if you're going to use radioimmunotherapy, to use it earlier rather than later. The chances of being successful with this particular therapy is far greater if you use it early on in the treatment schema, rather than waiting until the patient has had multiple therapies.

The nice thing about radioimmunotherapy is that it's therapy that's really completed within a couple of weeks, so it's extremely convenient for the patient. Also, we find that patients who respond to radioimmunotherapy -- and again, the chances of responding very well are greater when used early on, that these responses are very durable and long-lasting so that it's a very convenient way to treat people. The total duration of therapy, as I said, is short, and very often the remissions are prolonged, measured in many, many, many, many years.

JOHN LEONARD, MD: The radioimmunotherapy is one option, and the challenge is among the different treatment options that we have for this particular group of patients with disease that's relatively sensitive, relatively early in the course. There are some issues of potential long-term side effects as far as effects on the bone marrow, but in general I think these are not a major issue for most patients, but something that patients need to keep in mind and speak about with their doctors.

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