2013•LeukemiaOpen access
Prediction of poor outcome in CLL patients following first-line treatment with fludarabine, cyclophosphamide and rituximab
Anna Maria Fink, Sebastian Böttcher, Matthias Ritgen, Kirsten Fischer, Natali Pflug, Barbara Eichhorst, C-M Wendtner, Dirk Winkler, Andreas Bühler, Thorsten Zenz, Peter Staib, Jiřı́ Mayer, M. Hensel, Georg Hopfinger, Michael Wenger, Günter Fingerle‐Rowson, Hartmut Döhner, Michael Kneba, Stephan Stilgenbauer, Robert Busch, Michael Hallek
Abstract
Chemoimmunotherapies like the combination of fludarabine, cyclophosphamide, and rituximab (FCR) achieve response rates as high as 95% in patients with previously untreated chronic lymphocytic leukemia (CLL). 1 Further improvements in clinical outcome will therefore mainly depend on attaining more durable remissions in those responders who suffer an early relapse. In general, progression of disease within 24 months after intensive chemoimmunotherapy is regarded as unsatisfactory 2 and might be associated with a shortened overall survival (OS). 3