Table 2.

When and how to use rituximab in B-cell lymphoproliferative diseases.

WhenHow
With first line chemotherapy in curable B-cell lymphomas 375 mg/m2 on d1 of each chemotherapy cycle 
With chemotherapy in rituximab-naïve indolent lymphomas requiring rapid response 375 mg/m2 on d1 of each chemotherapy cycle 
As a single agent for grade I-II follicular lymphoma with FLIPI low-intermediate, not in need of a rapid response 375 mg/m2 weekly x 4, then 375 mg/m2 every 3 months for 1–2 years 
As a single agent for any type of lymphoma requiring therapy, but unsuitable for chemotherapy (e.g., age, co-morbidity, refusal) 375 mg/m2 weekly x 4, then 375 mg/m2 every 3 months for 1–2 years 
WhenHow
With first line chemotherapy in curable B-cell lymphomas 375 mg/m2 on d1 of each chemotherapy cycle 
With chemotherapy in rituximab-naïve indolent lymphomas requiring rapid response 375 mg/m2 on d1 of each chemotherapy cycle 
As a single agent for grade I-II follicular lymphoma with FLIPI low-intermediate, not in need of a rapid response 375 mg/m2 weekly x 4, then 375 mg/m2 every 3 months for 1–2 years 
As a single agent for any type of lymphoma requiring therapy, but unsuitable for chemotherapy (e.g., age, co-morbidity, refusal) 375 mg/m2 weekly x 4, then 375 mg/m2 every 3 months for 1–2 years 

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