Onco Wiki / Regimen

Obinutuzumab + Bendamustine (GADOLIN)

Deterministic view of the source YAML entity. Clinical authority remains with the cited source IDs and reviewer sign-off state.

Knowledge-base record for audit. Provisional clinical content: this is not a prescription. An oncologist must verify original sources, applicability and review status. Full rules and constraints are in the YAML.

Source YAML: complete record

ComponentsDRUG-OBINUTUZUMAB DRUG-BENDAMUSTINE
IDREG-OBINUTUZUMAB-BENDA
TypeRegimen
Statusreviewed 2026-05-09 | pending_clinical_signoff
DiseasesNone declared
SourcesSRC-GADOLIN-SEHN-2016 SRC-NCCN-BCELL-2025

Notes

GADOLIN schedule: OBG+Benda induction × 6 cycles (28-day) → obinutuzumab maintenance 1000 mg IV q2months × 2yr for rituximab-refractory iNHL (predominantly FL grades 1-3a). Type II anti-CD20 (glyco-engineered GA101): enhanced ADCC, direct cell death vs rituximab. PFS HR 0.55 (Sehn 2016) + OS HR 0.67 (Cheson 2018, PMID 29584548). HBV reactivation screening + entecavir prophylaxis mandatory. PJP prophylaxis ≥6 mo post-anti-CD20 therapy. Maintenance OBG modeled in the indication, not as a separate regimen.

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