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2008, Number 3

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Gac Med Mex 2008; 144 (3)

Actualidades terapéuticas en el tratamiento de linfoma no Hodgkin

Hernández-Rivera G, Aguayo-González Á, Cano-Castellanosa R, Loarca-Piña LM
Full text How to cite this article

Language: Spanish
References: 7
Page: 275-277
PDF size: 36.93 Kb.


Key words:

Rituximab, no Hodgkin lynphoma, therapeutics, pharmacoeconomics, cost-effectiveness.

ABSTRACT

Lymphoma is a lymphoid cell cancer that originates in lymphoid tissues. Non Hodgkin (NHL) type represents 90% of cases. In Mexico, NHL constitutes the third most common cancer in males and the sixth among females. NHL treatment has achieved significant advances in the last decade and NHL is currently becoming a disease with a high probability of cure. Rituximab has become an alternative for the treatment of NHL. Rituximab is a monoclonal antibody that targets the CD20 antigen expressed in the mature malignant B cells. It induces NHL B cells destruction by complement-mediated citotoxicity, apoptosis and sensitization to the toxic effect of chemotherapy. Rituximab has revolutionized treatment results by offering patients with aggressive NHL a higher possibility of cure and in the case of the intractable forms of NHL it increases the disease free period. The standard treatment for a patient with NHL is rituximab-CHOP (immunotherapy). In addition, rituximab has pharmacoeconomic advantages as shown in various cost-utility and cost-effectiveness studies.


REFERENCES

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  2. Feugier P, Van Hoof A, Ceban C, Solal-Celigny P, Boiabdallah R, Fermé C, et al. Long-term results of R-CHOP Study in the treatment of elderly patients with diffuse large B-cell lymphoma: A study by the Groupe d´Etude des Lymphomes de l´Adulte. J Clin Oncol 2005;23:1-10.

  3. Marcus R. Use of rituximab in patients with follicular lymphoma. Clin Oncol (R Coll Radiol) 2007;19:38-49.

  4. Van Oers MH, Klasa R, Marcus RE, Wolf M, Kimby E, Gascoyne RD, et al. Rituximab maintenance improves clinical outcome of relapsed/resistant follicular non-Hodgkin lymphoma in patients both with and without rituximab during induction: results of a prospective randomized phase 3 intergroup trial. Blood 2006;108:3295-301.

  5. Hornberger JC, Best JH. Cost utility in the United States of rituximab plus cyclophosphamide, doxorubicin, vincristine, and prednisone for the treatment of elderly patients with diffuse large B-cell lymphoma. Cancer 2005;103:1644-1651.

  6. Hamblin T, Best JH, Hornberger J. Cost-effectiveness of rituximab in treatment of diffuse large B-cell lymphoma. Br J Haematol 2002;117 Suppl 1:59-60 [abstract 170].

  7. Best JH, Hornberger J, Proctor SJ, Omnes LF, Jost F. Cost-effectiveness analysis of rituximab combined with chop for treatment of diffuse large B-cell lymphoma. Value Health 2005;8:462-470.




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Gac Med Mex. 2008;144