Onco Wiki / Regimen

Rituximab + Lenalidomide (R²/AUGMENT)

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-RITUXIMAB DRUG-LENALIDOMIDE
IDREG-RITUXIMAB-LENALIDOMIDE-R2
TypeRegimen
Statusreviewed 2026-05-09 | pending_clinical_signoff
DiseasesNone declared
SourcesSRC-AUGMENT-LEONARD-2019 SRC-NCCN-BCELL-2025

Notes

AUGMENT R² schedule: rituximab 375 mg/m² IV day 1 + lenalidomide 20 mg PO days 1-21 q28d × 12 cycles. Chemo-free. PFS HR 0.46 (Leonard 2019). REMS program for lenalidomide (RevAssist/Revlimid-REMS in US; equivalent pregnancy-prevention program in UA) — mandatory dual-contraception, monthly pregnancy tests. VTE prophylaxis required (aspirin 81-325 mg QD minimum; LMWH for high-risk patients). HBV screening mandatory pre-rituximab. Grade 3-4 neutropenia 50% — monitor CBC monthly; G-CSF support as needed.

Used By

Indication