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Bendamustine has shown high single-agent activity in patients with relapsed lymphoma and has demonstrated a favorable toxicity profile compared with other cytotoxic agents. Now, Rummel and colleagues in Germany have conducted the multicenter, randomized, phase III StiL NHL1 study [Abstract 3] to prove noninferiority of front-line bendamustine plus rituximab (BR) versus the commonly used R-CHOP regimen (rituximab plus cyclophosphamide, doxorubicin, vincristine, and prednisone) in 514 patients with indolent B-cell or mantle cell lymphoma.
At median follow-up of 45 months, patients who received BR versus R-CHOP achieved superior progression-free survival (PFS; 69.5 vs.…