All content on this site is intended for healthcare professionals only. By acknowledging this message and accessing the information on this website you are confirming that you are a Healthcare Professional. If you are a patient or carer, please visit the Lymphoma Coalition.

The Lymphoma Hub uses cookies on this website. They help us give you the best online experience. By continuing to use our website without changing your cookie settings, you agree to our use of cookies in accordance with our updated Cookie Policy

Introducing

Now you can personalise
your Lymphoma Hub experience!

Bookmark content to read later

Select your specific areas of interest

View content recommended for you

Find out more
  TRANSLATE

The Lymphoma Hub website uses a third-party service provided by Google that dynamically translates web content. Translations are machine generated, so may not be an exact or complete translation, and the Lymphoma Hub cannot guarantee the accuracy of translated content. The Lymphoma Hub and its employees will not be liable for any direct, indirect, or consequential damages (even if foreseeable) resulting from use of the Google Translate feature. For further support with Google Translate, visit Google Translate Help.

Steering CommitteeAbout UsNewsletterContact
LOADING
You're logged in! Click here any time to manage your account or log out.
LOADING
You're logged in! Click here any time to manage your account or log out.

The Lymphoma & CLL Hub is an independent medical education platform, sponsored by Beigene and Roche, and supported through educational grants from Bristol Myers Squibb, Ipsen Biopharmaceuticals, Pfizer, and Pharmacyclics LLC, an AbbVie Company and Janssen Biotech, Inc., administered by Janssen Scientific Affairs, LLC. View funders.

2018-06-12T08:51:25.000Z

ASCO 2018 | Phase III RELEVANCE study compares R2 to R-Chemo

Jun 12, 2018
Share:

Bookmark this article

On Sunday 3rd June an oral abstract session took place at the 2018 American Society of Clinical Oncology (ASCO) Annual Meeting. Abstract 7500 was presented by Nathan Fowler, The University of Texas MD Anderson Cancer Center, Texas, on the RELEVANCE study.

The randomized, phase III study looked at the combination of lenalidomide plus rituximab (R2) compared with chemotherapy with rituximab (R-chemo) followed by rituximab maintenance in patients with previously untreated follicular lymphoma (FL).

In the first 6 months, patients were treated with either 20mg per day (Day2-22/28) and rituximab 375 mg/m2 or investigator/patient choice chemotherapy (R-CHOP 72%, R-B 23% and R-CVP 5%). Both treatment arms would then continue on to rituximab maintenance after 6 months up to a year. The co-primary endpoint was complete remission (CR) or CRu at 120 weeks.

Key Highlights

  • 1,030 patients were enrolled in the study with 513 receiving R2 and 517 receiving R-chemo
  • The CRu was not statistically different at 120 weeks with R2 vs R-chemo (59% vs 67%)
  • Best overall response rate of R2 vs R-chemo was 84% vs 89%
  • Three-year independent review committee (IRC) duration of response for R2 vs R-chemo was 77% vs 74%
  • The IRC interim progression-free survival (PFS) was 77% for R2 and 78% for R-chemo at a median follow-up of 37.9 months
  • The 3-year overall survival (OS) was 94% for both treatment arms
  • Safety data showed that there was more Grade 3/4 neutropenia in the R-chemo treatment arm (50%) compared with R2 (32%)

Dr Fowler concluded his talk stating that the R2 regimen was not superior to R-chemo based on the interim PFS analysis at 120 weeks and that the efficacy results were similar. The study is ongoing for continued follow-up of mature PFS and OS results.

Expert Opinion

  1. Fowler N., et al. RELEVANCE: Phase III randomized study of lenalidomide plus rituximab (R2) versus chemotherapy plus rituximab, followed by rituximab maintenance, in patients with previously untreated follicular lymphoma. Abstract 7500. 2018 ASCO Annual Meeting, Chicago, Illinois

Understanding your specialty helps us to deliver the most relevant and engaging content.

Please spare a moment to share yours.

Please select or type your specialty

  Thank you

Your opinion matters

HCPs, what is your preferred format for educational content on the Lymphoma Hub?
26 votes - 5 days left ...

Newsletter

Subscribe to get the best content related to lymphoma & CLL delivered to your inbox