About RITUXAN
After initial CVP chemotherapy

Keep Fighting Low-Grade NHL With Ongoing Therapy

After initial treatment with CVP chemotherapy, there may be more patients can do to keep low-grade (indolent) NHL in control—they can keep fighting it with RITUXAN ongoing therapy for up to 2 years. What we mean by control is that the disease did not advance for a period of time.

In one study (called ECOG1496), patients who received RITUXAN as an ongoing therapy (after CVP chemotherapy) had a significantly lower risk of their low-grade NHL advancing.

In fact, patients who received RITUXAN as an ongoing therapy cut their risk of relapse by more than half (when compared with patients who received no additional treatment.)

How RITUXAN is given

  • By itself after initial treatment with CVP chemotherapy
  • Once weekly (for 1 month), followed by 5 months without treatment
  • Repeated for up to 2 years (16 infusions)

The ECOG1496 study

  • Average patient age: 57
  • 162 patients received RITUXAN ongoing therapy after benefiting from CVP chemotherapy
  • 160 patients did not receive treatment after CVP chemotherapy
  • These previously treated patients were in the later stages of disease

Important treatment considerations

  • The most common side effects when RITUXAN was given after CVP chemotherapy were tiredness, low red blood cells, peripheral sensory neuropathy (a condition that affects certain nerves and may cause pain, tingling, or numbness), infection, lung problems, liver problems, rash/itching, joint pain, and weight gain. The only serious side effect that was more common in patients who received RITUXAN was low white blood cells
  • Please talk to your doctor about the potential benefits and risks of RITUXAN ongoing therapy

Indications

RITUXAN® (Rituximab) is indicated for the treatment of patients with:

  • Previously untreated follicular, CD20-positive, B-cell NHL in combination with first-line chemotherapy and, in patients achieving a complete or partial response to RITUXAN in combination with chemotherapy, as single-agent maintenance therapy
  • Non-progressing (including stable disease), low-grade, CD20-positive, B-cell NHL, as a single agent, after first-line CVP chemotherapy
  • Previously untreated diffuse large B-cell, CD20-positive NHL in combination with CHOP or other anthracycline-based chemotherapy regimens
  • Relapsed or refractory, low-grade or follicular, CD20-positive, B-cell NHL as a single agent

People with serious infections should not receive RITUXAN.

Important Safety Information

  • RITUXAN can cause serious side effects that can lead to death, including infusion reactions, tumor lysis syndrome (TLS; kidney failure due to fast breakdown of cancer cells), severe skin and mouth reactions, and progressive multifocal leukoencephalopathy (PML; a rare, serious brain infection).
  • RITUXAN has also been associated with serious and life-threatening side effects, including the return of active hepatitis B virus infection with sudden and serious liver problems including liver failure, and death, other serious infections that can lead to death, heart problems, kidney problems, and stomach and serious bowel problems including blockage and tears in the bowel that can sometimes lead to death.
  • The most common side effects of RITUXAN seen in patients with non-Hodgkin's lymphoma were infusion reactions, fever, chills, low white blood cells, infections, body aches, and tiredness. Before starting treatment with RITUXAN it is important to talk to your doctor about your medical history.
  • Tell your doctor about any side effect that bothers you or that does not go away. These are not all of the possible side effects with RITUXAN. For more information, ask your doctor.

Please see full Prescribing Information, including Medication Guide.

CVP=cyclophosphamide, vincristine, and prednisone or prednisolone; CHOP=cyclophosphamide, doxorubicin, vincristine, and prednisone.